Kodi munayamba mwadzifunsapo kuti mtsempha wamagazi waukulu komanso wofunika kwambiri m'thupi lathu ndi uti? Ndi aorta, kapena aorta . Uli ngati msewu waukulu m'thupi lathu. Umayenda kuchokera pamtima mpaka m'mimba. Ndi womwe umanyamula magazi oyera komanso odzaza ndi mpweya womwe umapopedwa ndi mtima kupita ku thupi lonse. Chifukwa chake, ngati china chake chalakwika ndi aorta iyi, imatha kukhudza thupi lonse. Imeneyi ndi gulu la matenda omwe amakhudza aorta, yomwe timaitcha Aorta .

Kodi Aortaopathy ndi chiyani? Tiyeni timvetse mosavuta.

Mwachidule, aorta ndi gulu la matenda omwe amafooketsa kapena kuwononga makoma a mtsempha wanu. Tsopano tangoganizani, mtima wanu umapopa magazi mwachindunji mu mtsempha uwu nthawi iliyonse ukagunda. Chifukwa chake, makoma a mitsempha iyi amafunika kukhala olimba kwambiri kuti athe kupirira kupsinjika kumeneko. Koma, chimachitika ndi chiyani ngati makoma awa afooka? Akhoza kusweka kapena kung'ambika. Izi ndi zoopsa kwambiri. Mtundu wa aorta womwe muli nawo udzakhudza mtsempha mosiyana.

Kodi mitundu ikuluikulu ya aorta ndi iti?

Pali mitundu yosiyanasiyana ya aorta. Tiyeni tikambirane zina mwa zazikulu.

Aneurysm ya m'mimba ya Aortic (AAA)

Apa ndi pamene khoma la mtsempha wanu wamagazi, lomwe limadutsa m'mimba mwanu, limafooka ndikutuluka ngati baluni. Timatchanso izi kuti aneurysm . Matendawa nthawi zambiri amakhudza anthu azaka zopitilira 65, osuta fodya, kapena omwe ali ndi zinthu zina zomwe zimayambitsa matenda a mtima. ``(AAA)`` iyi ndi yoopsa chifukwa imatha kuphulika mwadzidzidzi ndikuyambitsa kutuluka magazi komwe kungawononge moyo.

Kutsekeka kwa Mitsempha ya M'khosi (TAA)

Uku ndi kufooka kapena kukulirakulira kwa gawo la mtsempha wamagazi lomwe limadutsa pachifuwa. Vuto la `(TAA)` silili lofala ngati `(AAA)`. Komabe, limatha kuchitika m'mabanja, zomwe zikutanthauza kuti limatha kufalikira m'mibadwomibadwo. Monga `(AAA)`, chiopsezo chachikulu cha `(TAA)` ndichakuti lingaphulike.

Vuto loopsa lotchedwa Aortic Dissection

Izi n'zovuta pang'ono. Chomwe chimachitika apa ndi chakuti mkati mwa khoma la msempha umang'ambika. Izi zimachitika pamene khoma la msempha limafooka. Nthawi zina, monga tafotokozera kale, zimatha kuchitika pamene pali aneurysm. Komabe, zimathanso kuchitika popanda aneurysm. Pali mitundu iwiri ikuluikulu ya izi. Kung'ambika kwa Mtundu A ndi kung'ambika kwa gawo la msempha lomwe lili pafupi ndi mtima (monga, aortic arch isanafike). Kung'ambika kwa Mtundu B ndi kung'ambika pambuyo pa aortic arch, pachifuwa kapena m'mimba. ``(Aortic Dissection)`` iyi ndi vuto lomwe limayambitsa imfa lomwe limafuna kuzindikira ndi kulandira chithandizo mwachangu .

Tiyeni tiphunzire za Familyal Aortopathy?

Familyal Aortopathy ndi matenda a majini omwe amapezeka m'mabanja.Matenda a m'mitsempha yamagazi ndi matenda a mitsempha ikuluikulu yomwe imagwirizanitsidwa ndi mbiri ya banja la matenda a m'mitsempha yamagazi. Anthuwa ali ndi majini osiyanasiyana omwe amawapangitsa kukhala ndi mwayi waukulu wopeza matenda a m'mitsempha yamagazi. Nthawi zambiri, matenda a m'mitsempha yamagazi amenewa amakhudza mitsempha ikuluikulu pachifuwa, makamaka muzu wa m'mitsempha yamagazi kapena mtsempha wokwera.

Palinso magulu awiri akuluakulu mu izi:

Kodi Syndromic Aortopathy ndi chiyani?

Timatchanso izi `(Syndromic hereditary thoracic aortic disease)`. Mwachidule, muli ndi matenda a majini omwe amakhudza aorta yanu ndipo amayambitsa kusintha kwina m'thupi lanu. Matenda ena omwe amayambitsa matenda a aorta ndi awa:

• Matenda a Loeys-Dietz
• Matenda a Marfan
• Matenda a Turner
• "Matenda a Mitsempha ya Ehlers-Danlos"

Komanso tiyenera kudziwa za Non-syndromic Aortopathy.

Izi zimatchedwa ``Non-syndromic heritable thoracic aortic disease``. Pano, mulibe matenda enaake a majini, koma muli ndi majini osiyanasiyana omwe amawonjezera chiopsezo chanu chokhala ndi matenda a aortic. Asayansi agwirizanitsa kusintha kwa majini kopitilira 50 ndi aortic iyi. Zina mwa majini omwe agwirizanitsidwa kwambiri ndi awa:

• `ACTA2` (Iyi ndi yomwe imawoneka kwambiri)
• `FOXE3`
• `LOX`
• `MYH11`
• `MYLK`

Kumbukirani, ngati wina m'banja mwanu wakhala ndi aneurysm kapena kusweka kwa msempha wamagazi, lankhulani ndi dokotala wanu za kuyezetsa majini . Ngati mwapezeka ndi matenda a msempha wamagazi, mungafunike kuyezetsa majini kuti muwone ngati ena m'banja mwanu nawonso ali pachiwopsezo.

Kodi Bicuspid Aortaopathy ndi chiyani?

Izi zimatchedwanso `(Bicuspid valve-associated aortopathy)`. Izi zikutanthauza kuti, pamodzi ndi aortic stenosis, mulinso ndi vuto la mtima lobadwa nalo lotchedwa Bicuspid Aortic Valve (BAV) . `(BAV)` iyi ndi vuto la mtima lobadwa nalo lofala, lomwe limakhudza pafupifupi mwana m'modzi mwa ana 50 aliwonse.

Tsopano, valavu yanu ya msempha ndi imodzi mwa "zipata" zinayi zomwe zimalamulira kuyenda kwa magazi mumtima mwanu. Imalamulira kuyenda kwa magazi kuchokera ku ventricle yakumanzere, chipinda chachikulu chopopera cha mtima, kupita ku aorta. Vavu ya msempha yathanzi ili ndi timabuku titatu tomwe timatseguka ndi kutseka kuti tilamulire kuyenda kwa magazi. Komabe, valavu ya msempha ya bicuspid ili ndi timabuku tiwiri tokha. Izi sizingayambitse mavuto akulu kwa kanthawi, koma zingayambitse mavuto pakapita nthawi.

Ngati muli ndi vuto la bicuspid aorta, valavu yanu ya aorta ili ndi timabuku tiwiri, ndipo aorta yanu ndi yayikulu kuposa yachibadwa (yotambasuka). Kwa anthu omwe ali ndi bicuspid aorta, kukula kwake nthawi zambiri kumachitika muzu wa aorta kapena ascensing aorta. Izi ndi ziwalo za aorta zomwe zili pafupi ndi mtima.

Mavuto a Bicuspid Aortopathy

Mtsempha wokulirapo pang'ono wa aorta sungakhale vuto lalikulu. Komabe, ngati ukukula kwambiri, aneurysm ikhoza kuyamba. Aneurysm iyi imaika mphamvu yowonjezera pa makoma a mtsempha, zomwe zingayambitse kuphulika kapena kusweka. Anthu omwe ali ndi bicuspid aortopathy ali ndi mwayi wochuluka wopeza aorta yosweka kuposa anthu omwe alibe vutoli.

Kodi aorta iyi ndi yofala bwanji?

Zimasiyana malinga ndi mtundu wa matenda. Aortic aneurysm (AAA) ndi mtundu wofala kwambiri wa aorticopathy, ndipo ndi mtundu wofala kwambiri wa aneurysm. Ku United States kokha, anthu pafupifupi 200,000 amapezeka ndi AAA chaka chilichonse. Padziko lonse lapansi, anthu pafupifupi 47,000 amafa chaka chilichonse chifukwa cha mitundu yonse ya aorticopathy.

Kodi zizindikiro za Aortaopathy ndi ziti? Musanyalanyaze izi!

Matenda a mtima nthawi zambiri sasonyeza zizindikiro . Ndicho chomwe chimakhala choopsa kwambiri. Ndicho chifukwa chake ndikofunikira kupita kuchipatala nthawi zonse ngati muli ndi zinthu zomwe zingakuike pachiwopsezo.

Pali zizindikiro zina zomwe zingawonekere pamene aneurysm yatsala pang'ono kuphulika. Zizindikiro zochenjeza zomwe zingawonekere isanaphuke ndi izi:

• Kumva kukhuta ngakhale mutadya pang'ono.
• Kupweteka kosalekeza kumbuyo, matako, m'mimba, mwendo, kapena m'mimba.
• Kumva kugunda kwa mtima m'mimba.
• Kuvuta kupuma.

Kuphulika kwa aneurysm ndi kusweka kwa mtsempha wamagazi ndi ngozi zoopsa kwambiri! Ngati muli ndi zizindikiro zotsatirazi , imbani 1990 nthawi yomweyo kuti muyitanitse ambulansi, kapena pitani ku chipinda chapafupi chadzidzidzi cha chipatala:

• Kuyamba mwadzidzidzi kupweteka kwambiri m'mimba.
• Kupweteka kwadzidzidzi, koopsa, komanso koopsa pachifuwa kapena kumbuyo. Izi zingamveke ngati zikung'ambika mkati, ngati kubayidwa ndi mpeni, kapena ngati kubayidwa.
• Khungu lomata kapena thukuta kwambiri.
• Chisokonezo.
• Chizungulire kapena kukomoka.
• Kugunda kwa mtima kumawonjezeka.
• Kusanza ndi kusanza.
• Kuvuta kupuma.
• Kuvuta kulankhula.
• Kutaya masomphenya.
• Kufooka kapena dzanzi mbali imodzi ya thupi.

Kodi ndi zifukwa ziti za aorta?

Pali zifukwa zingapo zomwe zimayambitsa matenda a aorta. Zina zimakhalapo munthu akangobadwa, pomwe zina zimakula munthu akakula.

• Majini: Monga tanenera kale, matenda a majini ndi mitundu yosiyanasiyana ya majini ingayambitse matenda a aorta. Aorta ya banja nthawi zambiri imabadwa mwa njira yolamulira autosomal. Izi zikutanthauza kuti ngati kholo limodzi lili ndi jini, mwana wawo ali ndi mwayi wa 50% wolandira jiniyi.
• Matenda a mtima obadwa nawo: Izi zimagwirizana ndi aorta. Izi sizikutanthauza kuti aorta imayamba chifukwa cha matenda a mtima obadwa nawo, koma awiriwa nthawi zambiri amawoneka pamodzi. Zitsanzo: `Bicuspid aortic valve`, `Coarctation of the aorta`, `Pulmonary atresia with ventricular septal defect (VSD)`, `Tetralogy of Fallot`, `d-Transposition of the great arteries`, `Truncus arteriosus`. Aorta imathanso kuchitika pambuyo pa opaleshoni ya matenda ena a mtima obadwa nawo. Zitsanzo: `Arterial switch (ASO) operation`, `Atrial baffle (Mustard/Senning) operation`, `The staged Norwood, Glenn and Fontan surgeries`.
• Matenda a atherosclerosis: Uku ndi kuchuluka kwa mafuta m'mitsempha, zomwe zimawachepetsa pang'onopang'ono. Matenda a atherosclerosis a mtsempha wamagazi ndiye chifukwa chachikulu cha matenda a aorta muunyamata.

Ndani ali pachiwopsezo chachikulu cha matenda a aorta?

Pali zinthu zingapo zomwe zingayambitse matenda a aorta:

• Kusuta ndi kugwiritsa ntchito fodya: Ichi ndi chinthu chachikulu chomwe chimayambitsa chiopsezo . Ambiri mwa ma aneurysms amapezeka mwa anthu omwe amasuta kapena omwe adasuta kale.
• Kuthamanga kwa magazi (Kuthamanga kwa magazi): Matendawa amatha kufooketsa makoma a mitsempha pakapita nthawi.
• Ukalamba: Chiwopsezo chokhala ndi aneurysm chimawonjezeka munthu akakwanitsa zaka 65.
• Mbiri ya banja: Ngati wachibale wanu weniweni wakhala ndi aneurysm kapena kung'ambika kwa magazi, muli pachiwopsezo chachikulu.
• Mafuta ambiri a cholesterol kapena triglycerides: Kuchuluka kwa mafuta m'magazi kumawonjezera chiopsezo cha mafuta kulowa m'mitsempha yamagazi.
• Matenda a Autoimmune: Matenda a Autoimmune monga `Giant cell arteritis` ndi `Takayasu arteritis` angayambitse kutupa m'makoma a mitsempha ikuluikulu, ndikuifooketsa.
• Matenda: Nthawi zambiri, matenda monga syphilis, kapena matenda a bakiteriya a khoma la mitsempha yayikulu amatha kufooketsa.

Kodi mungazindikire bwanji aorta?

Matenda a aneurysm ndi otupa nthawi zambiri samakhala ndi zizindikiro kapena zizindikiro zochenjeza, kotero sangadziwike mpaka mutakumana ndi mavuto aakulu. Komabe, ngati muli ndi zinthu zoopsa, dokotala wanu adzafufuza mtsempha wanu wamagazi kuti awone zizindikiro za matenda.

Njira zomwe zimagwiritsidwa ntchito pozindikira aorta ndi izi:

• Kuyezetsa thupi: Dokotala wanu adzafufuza mbali zonse za thanzi lanu. Adzawunikanso zinthu zomwe zingakubweretsereni matenda a mtima. Izi zikuphatikizapo kufunsa za mbiri yanu yachipatala, zinthu zomwe zimakukhudzani pa moyo wanu (monga kusuta fodya), ndi mbiri ya banja lanu.
• Kuyeza majini: Dokotala wanu angakulangizeni kuyezetsa majini. Izi zikuwonetsa ngati muli ndi kusintha kwa majini komwe kumakhudzana ndi matenda a mitsempha ya mtima.
• Mayeso ojambulira: Dokotala wanu akhoza kulamula mayesowa kuti awone kukula ndi thanzi la mtsempha wanu. Mayesowa amayesa kukula kwa mtsempha wanu ndikuwona ngati ndi wokulirapo kuposa wamba.

Kodi ndi mayeso ati omwe amagwiritsidwa ntchito pozindikira aorta?

• "Kujambula kwa CT (computed tomography)"
• "Kujambula zithunzi za maginito (MRI)"
• Kujambula mtima kwa transthoracic echocardiogram (TTE) (kujambula mtima)
• Transesophageal echocardiogram (TEE) (kujambula mtima kudzera mu m'mero)
• Ultrasound ya m'mimba (ultrasound scan ya m'mimba)

Kuyesa kulikonse kuli ndi ubwino ndi kuipa kwake. Dokotala wanu adzakufotokozerani mayeso omwe mukufuna komanso chifukwa chake. Dokotala wanu angagwiritsenso ntchito mayeso amodzi kapena angapo kuti ayang'anire mtsempha wanu pakapita nthawi. Mungafunike kujambula zithunzi izi nthawi ndi nthawi (mwachitsanzo, kamodzi pachaka). Kangati muyenera kuchita mayesowa kumadalira zoopsa zomwe muli nazo komanso thanzi la mtsempha wanu wamagazi.

Kodi njira zochizira matenda a aorta ndi ziti?

Chithandizo chimadalira matenda anu komanso chiopsezo chanu cha mavuto. Dokotala wanu adzasintha chithandizo chanu kuti chigwirizane ndi matenda anu komanso zosowa zanu. Njira zina zochiritsira zimaphatikizapo kusintha moyo wanu, mankhwala, njira zachipatala, ndi opaleshoni.

Tiyeni tiyambe ndi kusintha kwa moyo!

Kusintha kwa moyo kungathandize kuchepetsa kukula kwa mitundu ina ya matenda a aorta ndikuchepetsa chiopsezo cha kuphulika kwa aneurysm. Ngati muli ndi matenda a aorta, ndikofunikira kuchita izi:

• Pewani kumwa mowa.
• Pewani kusuta fodya ndi zinthu zonse zopangidwa ndi fodya.
• Idyani zakudya zopatsa thanzi pamtima.
• Kuchita masewera olimbitsa thupi nthawi zonse (monga momwe dokotala wanu walangizira).
• Khalani ndi kulemera koyenera kwa inu.
• Lamulirani zinthu zomwe zimayambitsa matenda a mtima monga kuthamanga kwa magazi ndi cholesterol yambiri.

Ngati pakufunika, palinso mankhwala ngati awa.

Dokotala wanu angakulembereni mankhwala ochepetsa kuthamanga kwa magazi. Mankhwala ochepetsa kuthamanga kwa magazi amachepetsa kuthamanga kwa magazi pakhoma la mitsempha yanu. Izi zitha kuchepetsa chiopsezo cha kuphulika kapena kusweka kwa aneurysm ya mitsempha yayikulu. Mitundu ya mankhwala omwe mungamwe ndi awa:

• "Angiotensin converting enzyme (ACE) inhibitors"
• "Angiotensin receptor blockers (ARBs)"
• `Beta-blockers`
• `Zoletsa njira za calcium`
• Mankhwala ochepetsa kukodza (mankhwala omwe amakupangitsani kukodza kwambiri)

Maopaleshoni ndi njira zina zachipatala

Anthu ena amafunika chithandizo chamankhwala kapena opaleshoni chifukwa cha aorta. Izi zikuphatikizapo:

• Opaleshoni ya Aneurysm (opaleshoni yachikhalidwe yotseguka)
• Opaleshoni yosinthira mizu ya aorta
• Kukonza Endovascular aneurysm (EVAR) - Iyi ndi njira yochizira yomwe imaphatikizapo kulowetsa chubu kudzera mu kabowo kakang'ono.
• Kukonza aneurysm ya m'khosi (TEVAR) - Ichi ndi chithandizo chofanana ndi cha mtsempha wa m'khosi.

Kodi tingatani kuti tichepetse chiopsezo cha aorta?

Mukhoza kuchepetsa chiopsezo chanu chokhala ndi matenda a mtima mwa kukhala ndi moyo wathanzi. Nazi malangizo ena:

• Pewani mankhwala osokoneza bongo: Fodya, mankhwala osokoneza bongo, ndi mowa sizothandiza pamtima panu. Ndipotu, zimatha kuwononga mtima wanu ndi mitsempha yamagazi. Siyani kusuta fodya ndi mankhwala osokoneza bongo kotheratu. Ponena za mowa, dziwani bwino tanthauzo la 'chakumwa' ndipo chepetsani kuchuluka kwake. Madokotala amalimbikitsa kuti akazi asamwe 'chakumwa' choposa chimodzi patsiku ndipo amuna asamwe 'chakumwa' choposa ziwiri patsiku.
• Idyani zakudya zopatsa thanzi pamtima: Izi zikuphatikizapo kudya zakudya zomwe zili ndi mafuta ochepa okhuta, mafuta osinthika, sodium (mchere), ndi shuga. Chepetsani chakudya chokonzedwa bwino (monga buledi woyera) ndipo idyani tirigu wambiri (monga buledi wa tirigu wonse, mpunga wofiirira). Komanso, dziwani momwe zakudya zimakhudzira kuchuluka kwa cholesterol m'thupi lanu.
• Kuchita Masewera Olimbitsa Thupi: Palibe njira imodzi yochitira masewera olimbitsa thupi. Chitani zomwe mumakonda. Komanso, tsatirani upangiri wa dokotala wanu pa masewera olimbitsa thupi omwe ndi otetezeka kwa inu. Madokotala nthawi zambiri amalimbikitsa kuchita masewera olimbitsa thupi pang'ono kwa mphindi 150 pa sabata. Izi zitha kuphatikizapo kuyenda mwachangu, kukwera njinga, kapena kusambira.
• Kuwongolera kupsinjika maganizo: Sikophweka monga momwe zikumvekera. Koma ndikofunikira kuyesa kuphunzira njira zatsopano zokuthandizani kuthana ndi kupsinjika maganizo m'moyo wanu watsiku ndi tsiku. Komanso, kambiranani ndi banja lanu ndi anzanu za njira zomwe zimawagwirira ntchito.

Kodi chiyembekezo cha munthu amene ali ndi matenda a mtima (Aortaopathy) ndi chotani? (Outlook)

Munthu wabwino kwambiri woti mufunse za tsogolo lanu ndi dokotala wanu. Iye adzaganizira zinthu zambiri, mwachitsanzo:

• Matenda anu enieni.
• Kuchuluka kwa matenda anu.
• Zaka zanu ndi jenda lanu.
• Zinthu zomwe zimayambitsa matenda a mtima.
• Mbiri ya matenda a banja lanu.
• Mbiri yanu yonse yazachipatala.

Lankhulani ndi dokotala wanu za zomwe mungayembekezere mtsogolo.

Ngati ndili ndi matenda a mtima (aorta), ndiyenera kudzisamalira bwanji?

Dokotala wanu adzakupatsani malangizo okhudza kudzisamalira. Tsatirani malangizo amenewo molondola, ndipo funsani dokotala wanu ngati muli ndi mafunso aliwonse. Muyenera kuchita izi:

• Pewani kuchita masewera olimbitsa thupi otopetsa kapena kuchita masewera olimbitsa thupi.
• Chepetsani kapena siyani kumwa mowa kotheratu.
• Sinthani zakudya zanu.
• Siyani kusuta kapena kugwiritsa ntchito zinthu zopangidwa ndi fodya.
• Imwani mankhwala anu monga mwalangizidwira.

Mimba ndi Aorta

Mimba ikhoza kukhala yoopsa ngati muli ndi matenda a mitsempha ya mtima. Lankhulani ndi dokotala wanu musanakonzekere kutenga mimba kuti muwonetsetse kuti ndi yotetezeka kwa inu. Mungafunike chisamaliro chapadera panthawi ya mimba (monga kuyezetsa zithunzi pafupipafupi) kuti muchepetse chiopsezo cha zovuta. Pewani mankhwala omwe ndi osatetezeka panthawi ya mimba. Dokotala wanu angafunike kusintha mankhwala anu.

Ndiyenera kupita kwa dokotala nthawi yanji?

Pitani kwa dokotala wanu kuti mukayezedwe chaka chilichonse, ndipo pitani ku ma appointment onse otsatira. Dokotala wanu adzakuuzani kangati komwe muyenera kubwera kudzayezetsa.

Ngati munapezeka ndi matenda a mtima obadwa nawo muli mwana, mwina munali ndi dokotala wa mtima wa ana amene ankasamalira vuto lanu. Koma, mutakwanitsa zaka 18, mwina simunapeze katswiri watsopano. Kafukufuku akusonyeza kuti anthu ambiri amasokonezeka akasintha kuchoka pa chisamaliro cha ana kupita ku chisamaliro cha akuluakulu. Ngati munalandira chithandizo cha matenda a mtima obadwa nawo muli mwana wamng'ono, ndikofunikira kupitiriza kugwira ntchito ndi dokotala wa mtima muli wamkulu. Izi ndi zoona ngakhale simukumva vuto lililonse. Dokotala wanu wa mtima adzakulangizani za chiopsezo chanu cha matenda a mtima ndi matenda ena mukakula.

Pomaliza, zinthu zofunika kwambiri kukumbukira (Uthenga Wopita Nawo Kunyumba)

Matenda a mtima (aortaopathy) ndi matenda oopsa omwe angakhale oopsa ngati sakudziwika ndi kuchiritsidwa. Ngati wina m'banja mwanu wakhala ndi aneurysm kapena kusweka kwa mtsempha wamagazi (aorta), lankhulani ndi dokotala wanu za chiopsezo chanu. Anthu ena ali pachiwopsezo chachikulu chifukwa cha matenda a majini, matenda a mtima obadwa nawo, kapena zinthu zina monga kusuta fodya. Kukhala ndi moyo wathanzi kungathandize kuchepetsa chiopsezo chanu cha matenda a mtima (aortaopathy) ndikulimbitsa thupi lanu lonse.Samalani mtima wanu, chifukwa ndi mtima wa moyo wanu!

` Kutupa kwa mtima, Kutupa kwa mtima, Matenda a mtima, Kutupa kwa mtima, Kugawanika kwa mtima, Matenda a majini, Kupweteka pachifuwa, Kuthamanga kwa magazi, Kusuta fodya, Thanzi la mtima