Ingaba intliziyo yakho ivaliwe? (Ukuvaleka kwentliziyo) Makhe sithethe ngale nto!

Namhlanje siza kuthetha ngento ebalulekileyo kubantu abaninzi, kodwa mhlawumbi abayazi kakuhle loo nto. Ngaba ngamanye amaxesha uziva uxinezelekile esifubeni, kunzima ukuphefumla? Okanye ngaba wakha weva umhlobo wakho ethetha ngesifo sentliziyo? Ngamaxesha anjalo, enye yeengxaki esizivayo yingxaki enxulumene nemithambo yegazi yentliziyo ebizwa ngokuba yi-'Bifurcation Blockage'. Ngamafutshane, oku kukuvalwa okwenzeka kwindawo apho isebe lomthambo elihambisa igazi kumasebe entliziyo. Masijonge oku ngeenkcukacha ezithe vetshe, akunjalo?

Yintoni le 'Bifurcation Blockage'?

Kulungile, ngoku masibone ukuba yintoni le 'Bifurcation Blockage' ngokulula. Khawuthelekelele, intliziyo yethu ifana nempompo yamanzi. Ukuze le mpompo iqhubeke isebenza, ifuna ukunikezelwa kwegazi rhoqo. Elo gazi lithwalwa liye kwimisipha yentliziyo yinkqubo ekhethekileyo yemithambo yegazi ebizwa ngokuba yiCoronary Arteries . Le mithambo yegazi iphambili yahlulahlulwa ibe ngamasebe amancinci kwezinye iindawo, njengamasebe omthi omkhulu okhula. Okanye, ungacinga ngayo njengendawo apho indlela yahlulwe khona ibe zimbini.

Indawo apho umthambo oyintloko wahlulahlula khona ube lisebe elincinci ibizwa ngokuba yi -'bifurcation' . Ngoko ke, ukuba olu qhekeko, ukuba sithetha ngokuchanekileyo, lukwindawo efana nomgca ofana no-'Y', kwaye kuvele ukuvaleka ngaphakathi komthambo ngenxa yokuqokelelana kwamafutha (siwubiza ngokuba yi -'plaque' ), oko kubizwa ngokuba yi-'bifurcation blockage' . Le 'plaque' yidiphozithi eyenziwe yi-cholesterol, amafutha, kunye ne-calcium. Oogqirha bakwabiza le mithambo mincinci yesebe ngokuthi 'imithambo yesebe esecaleni' . Iidiphozithi zamafutha ezibangela oku kuvaleka zibizwa ngokuba 'zizilonda ze-bifurcation' . Uyaqonda? Kufana nokuxinana kwezithuthi kwindawo edibana kuyo endleleni.

Ngaba kukho iintlobo zezi zithintelo?

Ewe, olu xinaniso lunokuba lolwahlukeneyo. Oko kukuthi, oogqirha bafumanisa ubunzima bolu xinaniso ngokuxhomekeke ekubeni luxinaniso olungakanani na. Xa umthambo uncipha, siwubiza ngokuba yi-'Stenosis' ngokwezonyango. Kukho iintlobo ezimbini ze-'Bifurcation Blockage':

• Ukuvaleka okulula: Oku kwenzeka xa ngaphantsi kwe-70% yobubanzi bangaphakathi bomthambo buvaliwe. Oku kuthetha ukuba ukuhamba kwegazi kusathintelwe kancinci, kodwa kunokubakho ukuphazamiseka okuthile.
• Ukuvaleka okuntsonkothileyo: Kulapho ingxaki iba nkulu khona. Ngaphezulu kwe-70% yomthambo, okanye ngaphezulu kwe-3/4 yenxalenye yangaphakathi yomthambo, inokuvaleka. Ngamanye amaxesha kunokubakho ukuvaleka okungaphezulu kwesinye kwiindawo ezahlukeneyo. Okanye ihlwili legazi linokunamathela, okanye iidiphozithi ze-calcium zisenokuba zenzekile (sikubiza oku ngokuba yi-'calcification').(masithi) Udonga lwemithambo lunokuba luqinile kwaye lungaguquguquki kangako. Enye into kukuba, ngamanye amaxesha olu thintelo lunokuba kwindawo apho umthambo omncinci wesebe utsalwa khona nge-engile ebukhali kakhulu (ngaphezulu kwama-70 degrees). Xa oko kusenzeka, kuba nzima ngakumbi ukunyanga, kuba kunzima ukunyanga ngezixhobo zonyango.

Ixhaphake kangakanani le 'bifurcation blockage'?

Usenokuba uzibuza ukuba oku kuqheleke kangakanani. Enyanisweni, kuqikelelwa ukuba phakathi kwe-15% kunye ne-20% yazo zonke iimeko zesifo semithambo yegazi (CAD) esifuna unyango, okanye malunga nesinye kwisihlanu, sibangelwa 'kukuvaleka kwemithambo yegazi'. Ngoko ke, nangona kusenokungabi yinto eqhelekileyo kangako, yimeko enokuchaphazela abantu abaninzi.

Yintoni ebangela oku?

Kaloku, yintoni imbangela ephambili yoku kuxinana kwamafutha? Njengoko benditshilo ngaphambili, imbangela yoku kukuqokelelana kwamafutha, oko kukuthi, loo 'plaque' , ngaphakathi kweendonga zemithambo yegazi yethu. Ifana nombhobho wamanzi omdala othi ngokuhamba kwexesha ugqwale kwaye uqokelele ukungcola kwaye uvaleke kumbhobho. Ekuhambeni kwexesha, le 'plaque' iyaqokelelana kwaye inciphise indlela ngaphakathi komthambo. Emva koko ubungakanani begazi obufunekayo entliziyweni, oko kukuthi, ioksijini kunye nezondlo, abuhambi kakuhle. Olu 'kuxinana kweBifurcation' lukwaloluhlu olufanayo lwesifo semithambo yegazi yentliziyo (CAD) .

Ngubani osengozini enkulu yokuhlaselwa yile meko?

Ngoku makhe sibone ukuba ngubani onokuba nale meko, okanye zeziphi izinto ezinokubangela umngcipheko. Kubaluleke kakhulu ukuzazi ezi zinto, kuba ezinye izinto esinokuzilawula.

Ngokuqhelekileyo, abafazi banamathuba amaninzi okufumana i-CAD kunye ne -Bifurcation Blockage emva kokuya exesheni , oko kuthetha ukuba bayayeka ukuya exesheni ngenyanga, kwaye amadoda anamathuba amaninzi okufumana i-CAD emva kweminyaka engama-45.

Ukongeza, kukho nezinye izinto ezininzi ezinobungozi:

• Isifo seswekile: Abantu abanesifo seswekile banamathuba amaninzi okuba neengxaki zemithambo yegazi kuba isifo seswekile singonakalisa udonga lwemithambo yegazi.
• Ukutyeba kakhulu okanye ukutyeba kakhulu: Xa ubunzima bomzimba busanda, kuba nzima entliziyweni ukuba ibunyamezele kwaye kufuneka isebenze nzima kakhulu.
• Imbali yosapho yesifo sentliziyo: Ngamanye amaxesha oku kunokubangelwa ziimpembelelo zemfuza.
• Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu): Uxinzelelo lwegazi oluphezulu luthetha ukuba kukho uxinzelelo olungafunekiyo rhoqo kwimithambo yegazi. Oku kungonakalisa imithambo yegazi.
• I-cholesterol ephezulu: I-cholesterol yeyona nto ibangela ukwakheka kwe-plaque , ingakumbi amanqanaba aphezulu e-cholesterol "embi" (LDL).
• Ukungazilolongi:Xa umzimba ungazilolongi, kunokwenzeka ukuba uqokelele amafutha kwaye nempilo yentliziyo nayo iba buthathaka.
• Ukutya okungekho sempilweni: Ukuba utya rhoqo ukutya okuneoyile eninzi, iswekile, netyuwa eninzi, umngcipheko uphezulu. Cinga ngokutya okungenampilo esikutyayo, ukutya okukhawulezayo, iziselo ezineswekile, kunye nokutya okuqhotsiweyo... Ukuba uyaqhubeka nokutya oku, iingxaki zinokuvela.
• Ukutshaya okanye ukusebenzisa iimveliso zecuba: Ukutshaya yenye yezona ntshaba zinkulu zentliziyo. Iikhemikhali ezikwicuba zonakalisa ngqo imithambo yegazi.

Zithini iimpawu zoku?

Ekubeni iBifurcation Blockage ikwaluhlobo lwesifo semithambo yentliziyo (CAD) , iimpawu ziyafana. Nangona kunjalo, ngamanye amaxesha le meko inokubakho ngaphandle kweempawu. Nangona kunjalo, ezona mpawu zixhaphakileyo zezi:

• I-Angina: Le yimvakalelo yentlungu okanye ukuqina esifubeni, ukuziva uxinezelekile. Abanye abantu bayichaza njengobunzima esifubeni, okanye ngokungathi isifuba siyacinezelwa. Le ntlungu idla ngokuba mandundu xa uzilolonga, ukukhwela izinyuko, okanye xa kukho uxinzelelo entliziyweni.
• Ukubila okubandayo: Ungaziva ubanda ngequbuliso kwaye ubile, ingakumbi xa unentlungu esifubeni.
• Ukuba nesiyezi okanye ukuziva ungenazintloni: Ukuziva ngathi awukwazi ukuma, amehlo akho ajika abe luhlaza okwesibhakabhaka.
• Ukudinwa nobuthathaka: Usenokuziva udiniwe kwaye ungakwazi ukwenza nantoni na. Usenokukufumanisa kunzima nokwenza imisebenzi eyayilula ngaphambili.
• Ukubetha kwentliziyo: Ukuziva ngathi uyayiva intliziyo yakho ibetha, okanye intliziyo yakho ibetha ngokukhawuleza nangokukhawuleza, ngokungathi isifuba sakho siyabetha ngamandla.
• Isicaphucaphu: Ukuziva ugula, mhlawumbi nokuhlanza.
• Ukuphefumla kancinci: Uziva uphelelwa ngumphefumlo nasemva kokwenza umthambo omncinci. Ngamanye amaxesha, unokuba nobunzima bokuphefumla naxa ulele.
• Intlungu yegxalaba okanye yengalo: Ngamanye amaxesha le ntlungu inokuqala esifubeni ize iye entanyeni, emhlathini, egxalabeni, okanye engalweni yasekhohlo.

Kubalulekile: Ukuba unenye okanye ngaphezulu kwezi mpawu, musa ukucinga nje ukuba sisifo somzimba. Bonana nogqirha ngoko nangoko.

Oogqirha bayibona njani le nto?

Ukuba unale mpawu, xa ubona ugqirha, angenza uvavanyo oluninzi ukuze abone ukuba ingaba oku 'kukuvaleka kwe-bifurcation' okanye esinye isifo sentliziyo. Ezinye zezi ziquka:

• Ukufakwa kwe-catheter yentliziyo kunye ne-angiogram:Oku kuquka ukudlulisa ityhubhu encinci (i-catheter) ngemithambo yegazi engalweni okanye emlenzeni wakho ukuya kwimithambo yegazi yentliziyo yakho, ukufaka idayi ekhethekileyo kuyo, nokuthatha imifanekiso ye-X-ray. Oku kukuvumela ukuba ubone ngokucacileyo ukuba kukho na ukuvaleka kwemithambo yegazi kunye nokuba kungakanani.
• I-Coronary computed tomography angiogram (CCTA): Le yi-CT scan ekhethekileyo esebenzisa imifanekiso ye-three-dimensional (3D) ukubona indlela igazi elihamba ngayo ukuya entliziyweni kunye nokuba kukho naziphi na izithintelo kwimithambo yegazi.
• I-Intravascular optical coherence tomography (IVOCT): Le yindlela ephucukileyo kakhulu. Kwakamsinya nje emva kokuba i-catheter ifakiwe, esinye isixhobo esincinci sidlula kuyo kwaye i-plaque ifakwa ngaphakathi kwemithambo yegazi, iileya zodonga lwemithambo yegazi, inokubonwa kwimifanekiso ecacileyo necacileyo.
• I-intravascular ultrasound (IVUS): Olu luvavanyo lwe-ultrasound olujonga ngaphakathi kwemithambo yegazi. Njenge-IVOCT, lunokubonelela ngombono olungileyo wemeko yeendonga zemithambo kunye nohlobo 'lwe-plaque'.
• Indawo yokugcina ukuhamba kwegazi (i-FFR): Oku kulinganisa umahluko kuxinzelelo ngaphakathi kwemithambo yegazi, kumacala omabini okuvaleka. Kunokuvavanya ngokuchanekileyo ubungakanani bokuvaleka kwegazi nokumisela ukuba unyango luyadingeka na.

Zithini iindlela zonyango zoku?

Ukunyanga 'ukuvaleka kwe-bifurcation' ngamanye amaxesha kunokuba nzima kancinci. Kuba imithambo esecaleni endikhankanyileyo incinci kakhulu, kwaye i-engile ephuma kuyo kwi-artery ephambili nayo iyachaphazeleka. Ngoko ke kunokuba nzima ukufikelela nokunyanga kunemithambo yegazi ephambili.

Oogqirha badla ngokwenza inkqubo ebizwa ngokuba yi -angioplasty . Oku kubandakanya ukwandisa umthambo onciphileyo. Emva koko, kufakwa ityhubhu encinci ye-wire mesh ebizwa ngokuba yi-stent kumthambo ukuze igazi liqhubeke lihamba ngaphandle kokulinciphisa kwakhona. Zombini i-angioplasty kunye ne-stenting zibizwa ngokuba yi- percutaneous coronary interventions (PCI) .

Ngamafutshane, nantsi into eyenzekayo ngexesha le-angioplasty kunye nokufakwa kwe-stent:

1. Ugqirha wenza inxeba elincinci eluswini lwakho, nokuba lisesihlahleni sakho okanye emqolo wakho, aze afake i-catheter (ityhubhu encinci nethambileyo) ngayo iye kwimithambo yegazi.

2. Le catheter emva koko ikhokelwa ngononophelo ngemithambo yegazi ukuya kwindawo apho kuvaliwe khona entliziyweni. Oku kwenziwa phantsi kwesikhokelo se-X-ray.

3. Kukho ibhaluni encinci ekupheleni kwe-catheter. Xa ifika kwindawo evalekileyo, xa ibhaluni ivuvukile, i-plaque ebambeke kuloo mthambo inamathela eludongeni lomthambo, kwaye umthambo uba banzi.

4. Emva koko kukho i -stent.Inye (nokuba ingaphezulu kwebhaluni okanye yodwa) ifakwa emthanjeni, ibhaluni iyavuthelwa, kwaye i-stent icinezelwe eludongeni lomthambo. Emva koko ibhaluni iyasuswa, ishiye i-stent endaweni yayo ngaphakathi komthambo, nto leyo ethintela umthambo ukuba ungaphindi unciphe.

Emva kolu nyango, ugqirha wakho uza kukunika uhlobo oluthile lwamayeza okunciphisa igazi abizwa ngokuba yi -'dual antiplatelet therapy' (njenge-aspirin kunye ne-clopidogrel) ixesha elithile ukuthintela ukuba amahlwili egazi angabikho ngaphakathi kwi-stent. Kubaluleke kakhulu ukuthatha la mayeza kanye njengoko ugqirha wakho ekuxelela, lonke ixesha.

Iindlela ezikhethekileyo ze-stent 'zokuvaleka kwe-bifurcation'

Kukho iintlobo ezimbini ze-stent ezisetyenziselwa ukunyanga isifo semithambo yentliziyo (CAD) . Enye yi -stent yesinyithi engenanto . Enye yi-stent ekhupha amayeza . Le stent ekhupha amayeza isebenza ukunciphisa umngcipheko wokuba imithambo yentliziyo iphinde inciphe (restenosis).

Kukho iindlela eziphambili zokusebenzisa i-stent ezisetyenziselwa ukunyanga ukuvaleka kwe-bifurcation:

• Ukukhupha i-stenting yesikhashana: Kule nto, ugqirha ubeka i-stent kuphela kumthambo oyintloko. Umthambo osecaleni awukho stent. Nangona kunjalo, ukuba umthambo oyintloko uvalekile, okanye ukuba uqhubeka uneempawu, i-stent ingafakwa kuloo mthambo kamva.
• Iinkqubo ze-stent ezimbini: Kwiingxaki ezinzima kakhulu, okanye ukuba ukuvaleka komthambo wesebe nako kubalulekile, ugqirha uza kubeka ii-stent kwimithambo yegazi ephambili nakwimithambo esebe ...

Uvavanyo lwezonyango luyaqhubeka okwangoku kwi -side-branch stents ezenzelwe ukungena kuloo mithambo mincinci yamasebe.

Ngaba unyango lungabangela iingxaki?

Iingxaki ngamanye amaxesha zinokwenzeka kwabanye, kodwa kungengabo bonke, abantu abaye bavavanywa nge-angioplasty kunye ne-stenting ngenxa 'yokuvinjwa kweBifurcation' . Ezimbini eziphambili zezi:

• Ukuhlala phantsi kwe-stent: Oku kwenzeka xa izicubu zesilonda zenzeka kwindawo ye-stent, phantsi okanye ngaphakathi kwe-stent, nto leyo ebangela ukuba umthambo unciphe kwakhona. Oku kwenzeka rhoqo kwiinyanga ezintandathu ukuya kwezilishumi elinesibini emva kokufakwa kwe-stent. Ukuba oku kuyenzeka, umthambo kuya kufuneka uvulwe kwakhona nge-angioplasty okanye olunye unyango. Ii-stent ezisebenzisa amayeza ziye zanciphisa kakhulu lo mngcipheko.
• I-Stent thrombosis: Oku kwenzeka xa igazi liqhekeka kwindawo ye-stent nangaphakathi kwemithambo yegazi. Oku kubizwa ngokuba yi -'Thrombosis'.Le yimeko eyingozi kancinci, kuba eli hlwili legazi lingayivala ngokupheleleyo imithambo yegazi ngequbuliso lize libangele isifo sentliziyo. Ukuthatha 'unyango oluphindwe kabini lwe-antiplatelet' ngokuchanekileyo kunokunciphisa kakhulu le ngozi.

Ngaba olu hlobo lokuxinana alunakuthintelwa?

Ngaba zikho ngokwenene izinto esinokuzenza ukuthintela olu hlobo lokuvaleka? Ngokuqinisekileyo! Ukulandela la manyathelo okukhusela intliziyo yakho kunokunciphisa umngcipheko wakho wesifo semithambo yegazi (CAD) kunye ne -atherosclerosis - imeko apho iidipozithi zamafutha ziqokelelana ngaphakathi kwemithambo yegazi, nto leyo ebangela ukuba iqine kwaye ilahlekelwe bubuthambile bayo.

• Lawula uxinzelelo lwegazi oluphezulu: Kubalulekile ukunciphisa ityuwa ekutyeni kwakho, usele amayeza akho njengoko ugqirha wakho ekuyalele, kwaye uhlolwe uxinzelelo lwakho lwegazi rhoqo.
• Nciphisa ukusetyenziswa kotywala: Nciphisa ukusetyenziswa kotywala kangangoko unako. Kuphephe ukusela utywala yonke imihla. Ukuba ungumntu othanda utywala, fumana uncedo.
• Yitya ukutya okunempilo kwentliziyo: Oku kubaluleke kakhulu ekunciphiseni amanqanaba e-cholesterol. Ziphephe ukutya okunamafutha amaninzi, iswekile eninzi, nokutya okucutshungulweyo, kwaye utye iziqhamo ezininzi, imifuno, iimbotyi, ukutya okutyebileyo kwifayibha (njengerayisi emdaka, ii-oats, kunye neelentile), kunye nentlanzi (ingakumbi iintlanzi ezityebileyo kwi-omega-3s ezifana nesalmon kunye ne-mackerel) .
• Lumka ngamafutha akho: Nciphisa ukutya ukutya okunamafutha agcweleyo kunye ne-trans (umz., inyama ebomvu, inyama ecutshungulweyo, izinto ezibhakiweyo, ukutya okuqhotsiweyo). Umzekelo, ioyile yekhokhonathi ayilungelanga wena xa uyitya kakhulu. Sebenzisa iioyile ezisempilweni ezifana neoyile yomnquma kunye neoyile yecanola ngokulinganisela.
• Lawula isifo seswekile: Ukuba unesifo seswekile, kubalulekile ukusilawula kakuhle. Ukutya, ukuzilolonga, kunye nokuthatha amayeza anikwe ngugqirha kubalulekile.
• Kuphephe ukutshaya: Ukuba uyatshaya, funa uncedo lokuyeka. Ukuba phakathi kwabantu abatshayayo (ukutshaya ngaphandle kokutshaya) nako kunokuba yingozi.
• Yiba nomdla womzimba: Ukuzilolonga ubuncinane imizuzu engama-30 ngosuku, iintsuku ezi-5 ngeveki, kunokunceda ukugcina ubunzima obusempilweni nokuqinisa intliziyo yakho. Ungenza izinto ezifana nokuhamba, ukukhwela ibhayisekile, okanye ukudada.
• Nciphisa uxinzelelo: Zama ukuphumla ingqondo yakho ngezinto ezifana neyoga nokucamngca.

Injani imeko yempilo yomntu 'onokuvaleka kwe-bifurcation'?

Ezinye izifundo zibonisa ukuba izinga lempumelelo yokunyanga ukuvaleka kwe-bifurcation nge-angioplasty kunye ne-stenting limalunga ne-40%. Nangona kunjalo, oku kunokwahluka kwisigulana ngasinye, kuxhomekeke kuhlobo lokuvaleka. Oku kuthetha ukuba abanye abantu basenokuba neempawu zentliziyo emva konyango. Ke ngoko, kubaluleke kakhulu ukuqhubeka nokukhusela intliziyo yakho ngokutya ukutya okunempilo kwentliziyo, ukunciphisa umzimba ukuba kuyimfuneko, kunye nokuthatha amayeza akho amiselweyo. Kubalulekile nokuba uhlale unxibelelana nogqirha wakho rhoqo kwaye wenze uvavanyo olufunekayo.

Ufanele uye nini kugqirha?

Ukuba ucinga njalo, wenaUkuba unesifo sentliziyo (umz. iintlungu eziqatha esifubeni, ubunzima bokuphefumla, ukubila, ukuhlanza), tsalela umnxeba ku-911 okanye kwi-ambulensi ekufutshane (umz. 1990 Suwaseriya) ngoko nangoko. Musa ukuchitha ixesha!

Ukongeza, bona ugqirha ukuba unayo nayiphi na kwezi mpawu eziqhubekayo okanye ezenzeka rhoqo:

• Intlungu yesifuba (i-angina) , intlungu yengalo okanye yamagxa.
• Ukubila okubandayo.
• Ubunzima bokuphefumla.
• Ukudinwa kakhulu okanye ubuthathaka ngaphandle kwesizathu.
• Ukudinwa okanye ukuziva ukubetha kwentliziyo ngokukhawuleza.

Ndingayibuza ntoni ugqirha?

Kungcono ukubuza le mibuzo xa undwendwela ugqirha wakho. Oku kuya kukunceda ukuba uyiqonde ngcono imeko yakho:

• Ingaba yintoni enokubangela ukuba ndiphuhlise le 'Bifurcation Blockage' ?
• Ngaba ndisemngciphekweni wokuba nezinye imithambo yegazi zivale ngendlela efanayo?
• Loluphi unyango olucetyiswayo kum? I-angioplasty kunye ne-stenting ziya kuyiphucula kangakanani le ngxaki yokuvaleka?
• Luhlobo luni lwe- stent olucebisayo? (umzekelo, i-stent engayisebenzisiyo amayeza?)
• Zingaphi ii-stents endizozidingayo?
• Zithini iingozi kunye neenzuzo zonyango?
• Kufuneka ndithathe amayeza ixesha elingakanani emva konyango?
• Zeziphi iinguqu ekufuneka ndizenze kwindlela endiphila ngayo ukuze ndikhusele intliziyo yam?
• Ziziphi iingxaki ezinokubakho emva konyango, kwaye ndingazinyamekela njani?

Eyona nto ibalulekileyo esinokuyifunda koku (Umyalezo Wokuya Ekhaya)

Ukuvaleka kwemithambo yegazi emithanjeni yentliziyo (Bifurcation) Ukuvaleka kwemithambo yegazi emithanjeni yentliziyo (coronary artery) kukuvaleka okwenzeka kwindawo edibana kuyo umthambo wentliziyo, nto leyo ethintela ukuhamba kwegazi ukuya entliziyweni. Nangona ngamanye amaxesha kunokuba nzima ukunyanga, kukho unyango oluphambili olufana ne-angioplasty kunye ne-stenting.

Nangona kunjalo, eyona nto ibalulekileyo kukuzama ukuthintela le meko ukuba ingenzeki , kwaye nokuba unyangwa, ukhusele intliziyo yakho ngokwenza utshintsho oluhle kwindlela ophila ngayo (ukutya okunempilo, ukuzilolonga, kunye nokuyeka ukutshaya). Ukuba uneempawu ezifana neentlungu zesifuba okanye ukuphefumla kancinci, kubalulekile ukufuna ingcebiso kagqirha ngaphandle kokuzityeshela. Khumbula, intliziyo yakho yeyona nto ixabisekileyo kuwe! Luxanduva lwakho ukuyinyamekela.

Isifo sentliziyo, ukuvaleka kwe-bifurcation, i-CAD, i-angioplasty, i-stent, iintlungu zesifuba, intliziyo