Ngaba unethumba entliziyweni yakho? (Ithumba lentliziyo) Ungakhathazeki, masithethe ngale nto!

Sonke sicinga kakhulu ngeentliziyo zethu, akunjalo? Kuqhelekile ukuba noloyiko xa sisiva ngengxaki yentliziyo. Ngamanye amaxesha, amaqhuma amancinci, okanye iithumba, zinokukhula entliziyweni. Ezi zizinto esizibiza ngokuba yi-"Cardiac Tumors" ngokwezonyango. Ezinye zezi zisenokungabi yingozi, ngelixa ezinye zinokuba yingozi kancinci. Ke ngoko, kubaluleke kakhulu ukuqaphela oku.

Ziziphi ezi ntlobo zeethumba zentliziyo?

Ngamafutshane, singawahlulahlula amathumba aqala entliziyweni abe ziintlobo ezimbini eziphambili: amathumba aqala entliziyweni ngokwayo kunye namathumba aqala kwenye indawo aze asasazeke entliziyweni.

Iintsholongwane zentliziyo eziphambili

Ezi ziintlobo zeethumba eziqala entliziyweni. Uninzi lwazo, malunga ne-75% ukuya kwi-95%, azinamhlaza , oko kukuthi, iithumba ezingenabungozi. Nangona kunjalo, ukuba ziphazamisana nokusebenza kwentliziyo, okanye ukuba azinyangwa, ngamanye amaxesha zinokubangela iingozi ezifana nestroke. Ke ngoko, oku akuyonto ifanele ithathwe lula.

Ngamanye amaxesha, ezi thumba ziphambili zinokuba ngumhlaza , oko kuthetha ukuba zinokuba yingozi.

Izimila eziphambili ezingezizo zomhlaza ezikhula kubantu abadala

• I-Myxoma: Olu lolona hlobo luqhelekileyo lwe-tumor yentliziyo engengomhlaza kubantu abadala. Imalunga ne-50% yazo zonke ii-tumor zentliziyo zokuqala. Zihlala zikhula kwi-atrium yasekhohlo yentliziyo. Kufuneka zisuswe ngotyando ukuze kuthintelwe iingxaki ezinzima ezifana ne-embolism (ukuvaleka kwe-clot yegazi emthanjeni).
• I-Papillary fibroelastoma: Olu lolona hlobo lwesibini oluxhaphakileyo lwe-tumor yentliziyo engengomhlaza. Nangona inokukhula nangaliphi na ixesha, ixhaphake kakhulu kubantu abangaphezu kwama-60. Malunga nama-80% ezi tumor zikhula kwiivalvu zentliziyo, ingakumbi ivalvu ye-aortic okanye ivalvu ye-mitral. Nokuba awunazo iimpawu, ugqirha wakho unokucebisa utyando ukuze kuncitshiswe umngcipheko we-embolism.
• I-Lipoma: Le yithumba eyenziwe ngama-fat cells. Inokwenzeka kubantu bayo yonke iminyaka. Le thumba inokuba ncinci ngamanye amaxesha, kodwa ngamanye amaxesha inokuba nkulu kakhulu. Ii-Lipomas zihlala zikhula kwi-ventricle yasekhohlo, kwi-atrium yasekunene, okanye eludongeni oluphakathi kwe-atria (i-atrial septum).
• I-Hemangioma: Ezi ziithumba ezenziwe ngemithambo yegazi. Kuye kwaxelwa ukuba zenzeka ebantwini ukususela ebuntwaneni ukuya kwiminyaka engama-65 ubudala. Ngokuqhelekileyo azibangeli zimpawu. Ke ngoko, zifunyanwa xa kusenziwa uvavanyo lwezinye iingxaki. I-Hemangioma idla ngokubonakala kunye nezinye iithumba kwindlela yokugaya okanye eluswini.

Izimila ezingengomhlaza eziphambili ezikhula kwiintsana nabantwana abancinci

• I-rhabdomyoma yentliziyo:Olu lolona hlobo luqhelekileyo lwesifo sentliziyo esibonwa kwiintsana nabantwana abancinci. IiRhabdomyomas zakheka ngokwamaqela kwaye zihlala ziphela zodwa ngaphandle konyango.
• I-Teratoma: Le thumba idla ngokukhula kwi-pericardium, ingxowa encinci ejikeleze intliziyo yomntwana wakho. Ingakhula nalapho imithambo yegazi emikhulu edibana nentliziyo iqala khona.
• I-Fibroma: Ngokungafaniyo ne-rhabdomyoma, i-fibroma ikhula njengethumba elinye. Idla ngokukhula ngaphakathi kwimisipha ye-ventricles yentliziyo yomntwana. Ngenxa yokuba inokubangela iingxaki ezinkulu zentliziyo, umntwana usenokufuna utyando ukuze kususwe ithumba.
• IHamartoma: Oku kukwabizwa ngokuba yi-histiocytoid cardiomyopathy okanye iPurkinje cell hamartoma. Oku kunokuchaphazela isingqisho sentliziyo yomntwana wakho.

Iintlobo zeethumba zentliziyo eziphambili ezibangela umhlaza (ezinobungozi)

Malunga ne-5% ukuya kwi-25% yazo zonke izimila zentliziyo eziqalayo zinomhlaza. Uhlobo oluqhelekileyo yi-sarcoma.

• I-Sarcoma: Olu hlobo lwe-sarcoma luchaphazela phakathi kwama-50% nama-75% abantu abanomhlaza wentliziyo. Kukho iintlobo ezininzi ze-sarcoma. Ezimbini kwezi ziphambili zezi:
• I-Angiosarcoma: Le yeyona hlobo ixhaphakileyo kubantu abadala. I-Angiosarcoma idla ngokukhula kwi-atrium okanye kwi-pericardium esekunene.
• I-Rhabdomyosarcoma: Le yeyona hlobo ixhaphakileyo kwiintsana nabantwana abancinci. Nangona kunjalo, inokwenzeka nakubantu abadala. I-Rhabdomyosarcoma idla ngokwakheka ngamaqoqo kwaye inokukhula kuyo nayiphi na igumbi lentliziyo.

Kukwakho neentlobo ezingaqhelekanga zeethumba zentliziyo eziqalayo ezinomhlaza:

• I-Malignant fibrous histiocytoma: Le tumor idla ngokukhula kwi-atrium yasekhohlo kwaye inokuthintela i-mitral valve yakho, ithintele ukuhamba kwegazi phakathi kwamagumbi entliziyo.
• I-Lymphoma: I-Lymphoma (umhlaza weeseli ezimhlophe zegazi) idla ngokukhula kwi-lymph nodes, kwi-spleen, okanye kumongo wethambo. Ayifane ikhule entliziyweni. Oku kwenzeka rhoqo kubantu abane-AIDS.

Iithumba eziphambili, ezinokuba ngumhlaza okanye zingabi ngumhlaza

Ezinye iithumba eziqala entliziyweni zisenokuba ngumhlaza okanye azinakuba ngumhlaza.

• I-Mesothelioma: Le thumba inomhlaza ukuba yakheka kwi-pericardium. Nangona kunjalo, kunqabile, inokuqala kwi-atrioventricular node, eyinxalenye yenkqubo yombane yentliziyo. Kwimeko enjalo, ayisiyomhlaza.
• I-Paraganglioma: Le thumba idla ngokukhula ezantsi kwentliziyo.

Iintsholongwane zentliziyo ezisasazekayo

Ezi ziithumba eziqala xa umhlaza uqala kwenye indawo emzimbeni wakho (umzekelo, imiphunga okanye ulusu) uze usasazeke entliziyweni yakho. Ezi zihlala ziyithumba ezibangela umhlaza (ezinobungozi) , oko kuthetha ukuba zikhula ngenxa yomhlaza osele ukho emzimbeni.

Kukho iintlobo ezahlukeneyo zomhlaza ezinokusasazeka entliziyweni:

• I-Melanoma (umhlaza wolusu)
• Umhlaza wemiphunga
• Umhlaza webele
• I-Lymphoma
• Umhlaza wezintso
• Umhlaza wesisu

Zivela phi entliziyweni ezi thumba?

Iithumba zentliziyo zinokukhula kwiindawo ezahlukeneyo zentliziyo. Zombini iithumba eziphambili kunye nezisasazekayo zinokukhula kwezi ndawo zilandelayo:

• I-Endocardium: Ithishu ejikeleze ngaphakathi kwamagumbi entliziyo.
• I-Myocardium: Yiyo leyo imisipha yentliziyo yakho.
• Iivalvu zentliziyo: Ezi ziindawo ezifana "nesango" ezilawula ukuhamba kwegazi entliziyweni.
• I-Pericardium: Le yingxowa encinci ejikeleze intliziyo.

Ngubani ofumana la mathumba entliziyo kakhulu?

Iithumba zentliziyo, kuxhomekeke kuhlobo lwazo, zinokukhula nakubani na nokuba uneminyaka emingaphi. Ezinye iintlobo (ezifana neeteratomas) zikhula ngexesha umntwana ongekazalwa esesesibelekweni. Ezinye iintlobo zikhula ngexesha lobuntwana okanye ngamaxesha ahlukeneyo obomi bomntu omdala.

Khawucinge ngoku: IiMyxoma zixhaphake kabini ukuya kane kubafazi kunakumadoda.

IiSarcomas luhlobo lomhlaza oluxhaphakileyo kubantu abadala abakwiminyaka ephakathi. Ubudala obuqhelekileyo bokuxilongwa bumalunga neminyaka engama-44.

Zixhaphake kangakanani iithumba zentliziyo?

Iithumba zentliziyo eziphambili (ezingezizo zomhlaza nezomhlaza) zichaphazela malunga nomntu omnye kwabayi-2,000. Nangona kunjalo, iithumba ezingezizo zomhlaza zixhaphake kakhulu kuneethumba zomhlaza.

Nangona kunjalo, iithumba zentliziyo ezisasazeka ziye entliziyweni zivela kwezinye iindawo (i-metastatic) zixhaphake kakhulu. Umzekelo:

• Malunga ne-10% yabantu abanomhlaza wemiphunga.
• Malunga ne-10% yabantu abanomhlaza webele.
• Phakathi kwama-50% nama-65% abantu abane-melanoma.

Iintsholongwane zentliziyo ziwuchaphazela njani umzimba wakho?

Iithumba zentliziyo zinokuchaphazela umzimba wakho ngeendlela ezininzi. Iithumba zentliziyo ezinomhlaza (ezinobungozi) zinokusasazeka kwezinye iindawo zomzimba wakho, njengemiphunga. Iithumba zentliziyo ezingezizo ezomhlaza (ezingenobungozi) azisasazeka, kodwa zinokubangela iingxaki entliziyweni nakwimithambo yegazi. Ezi ngxaki ziquka:

• Ukungahambi kakuhle kwentliziyo (iiArrhythmias)
• Amahlwili egazi kunye ne-thromboembolism
• Iingxaki zokuhamba kwegazi entliziyweni
• Ukuhlaselwa yintliziyo
• Ukumelwa yintliziyo
• Izandi zentliziyo ezingaqhelekanga (Iintliziyo ziyakhala)
• Uxinzelelo lwegazi oluphantsi (iHypotension)
• Ukuphuma kwegazi kwintliziyo
• Ukudumba kwengxowa ejikeleze intliziyo (i-pericarditis)
• Ukonakala kweevalvu

Indlela ithumba elichaphazela ngayo intliziyo yakho ixhomekeke kuhlobo lwethumba kunye nendawo elikuyo entliziyweni. Umzekelo, iithumba eziqala kwiivalvu zentliziyo zinokuthintela ukuhamba kwegazi ukuya entliziyweni okanye zibangele amahlwili egazi. Iithumba ezikhula kwimisipha yentliziyo zinokubangela ukungasebenzi kakuhle kwentliziyo okanye ukubetha kwentliziyo okungahambelaniyo (arrhythmias).

Ukuba ufunyaniswe ukuba unethumba lentliziyo, ugqirha wakho uza kukuxelela ukuba likuphi kwaye lingayichaphazela njani intliziyo yakho.

Zithini iimpawu zeethumba zentliziyo?

Iimpawu zeethumba zentliziyo zahlukile kakhulu. Zixhomekeke kuhlobo lwethumba onalo kunye nendawo elikuyo entliziyweni yakho. Abanye abantu basenokungabi nazo iimpawu kwaphela, okanye iimpawu ezibuthathaka kakhulu. Abanye banokuba neempawu ezibonisa ingxaki yentliziyo esongela ubomi.

Iimpawu ezininzi zesifo sentliziyo zizinto oogqirha abazibiza ngokuba “zingezizo ezicacileyo.” Oku kuthetha ukuba ezi mpawu zinokubangelwa zezinye iingxaki ezininzi zempilo, kungekuphela nje ziintsholongwane zentliziyo. Ngoko ke, nokuba unazo ezi mpawu, akuthethi ukuba unesifo sentliziyo. Yiyo loo nto kubalulekile ukuxelela ugqirha wakho ngeempawu zakho ukuze akwazi ukufumana unobangela.

Ngokwesiqhelo, iimpawu kubantu abaneethumba zentliziyo ezinomhlaza ziqala ngequbuliso kwaye zisiba mandundu ngokukhawuleza. Iimpawu kwiithumba zentliziyo ezingezizo ezomhlaza zinokukhula kancinci.

Iimpawu eziqhelekileyo zesifo sentliziyo zezi:

• Ukungonwabi esifubeni, iintlungu
• Ukudinwa kunye nokuquleka
• Ukudinwa, ukudinwa
• Umkhuhlane kunye nokubanda
• Ukubetha kwentliziyo
• Intlungu yamalungu
• Umnqweno wokutya
• Ukubila ebusuku
• Amabala amancinci abomvu eluswini ``(Petechiae)``
• Ubunzima bokuphefumla
• Ukudumba kwemilenze
• Ukunciphisa umzimba ngaphandle kwesizathu esinye

Kutheni le nto ezi zifo zentliziyo zenzeka?

Akucaci rhoqo ukuba kutheni kuvela iithumba zentliziyo ezisisiseko. Ezinye izifo zemfuza (ezifana neCarney complex) zinokubangela ukuba kuvele ezinye iithumba zentliziyo ezisisiseko ezingezizo ezomhlaza.

Iithumba zentliziyo ezisasazekayo zenzeka xa umhlaza usasazeka uye entliziyweni usuka kwenye inxalenye yomzimba wakho (njengemiphunga okanye ulusu).

Ufumanisa njani ukuba uneethumba zentliziyo?

Iithumba zentliziyo zichongwa ngovavanyo lwemifanekiso. Ugqirha wakho unokukrokrela ukuba unethumba lentliziyo aze acele iimvavanyo ezininzi ukuze alifumane. Okanye, banokufumana ithumba ngokungalindelekanga ngelixa besenza uvavanyo ngezinye izizathu.

Ukuba umntu unomhlaza kwenye indawo emzimbeni aze ngequbuliso abe neengxaki zentliziyo, ugqirha unokurhanela ukuba kukho ithumba lentliziyo. Ngoko ke, uvavanyo lwemifanekiso lunokwenziwa ukuze kubonwe ukuba umhlaza usasazeke entliziyweni na.

Iithumba zentliziyo zokuqala zidla ngokuba nzima ukuzifumanisa kuba iimpawu zazo zifana nezezinye izifo. Oogqirha banokukrokrela ukuba kukho ithumba kubantu abaneempawu zokusilela kwentliziyo ngaphandle kwesizathu esicacileyo. Kodwa ngokuqhelekileyo, oogqirha bafumanisa iithumba zentliziyo zokuqala ngovavanyo abaluyalelayo ukuze bahlole ezinye izifo. Ezi zibizwa ngokuba ziziphumo ezingalindelekanga.

Ii-tumor ezininzi zentliziyo zineempawu ezingachazwanga, oko kuthetha ukuba zinokubonisa iingxaki ezininzi ezahlukeneyo. Kodwa ii-tumor zentliziyo zinempawu enye eyahlukileyo. Xa ugqirha wakho emamele intliziyo yakho nge-stethoscope, unokuva isandi esahlukileyo esithi "tumor plop". Esi sandi senzeka xa i-tumor ivala i-mitral valve ngokwasemzimbeni. Oku kufana nesandi osivayo ukuba une-mitral valve stenosis.

Ngoko ke, ukuba ugqirha wakho uyasiva esi sandi, banokukrokrela ukuba unethumba lentliziyo, ingakumbi ukuba awunazo izinto ezinokubangela i-mitral valve stenosis.

Zeziphi iimvavanyo ezenziwayo?

Uvavanyo lwemifanekiso lubalulekile ekuxilongeni, ekunyangeni, nasekujongeni amathumba entliziyo. Ugqirha wakho unokuyalela olunye okanye ngaphezulu kwezi vavanyo ukuze afumane uxilongo:

• I-Transthoracic echocardiogram: Olu hlobo lwe-echo lunceda ekufumaneni iithumba ezikwiigumbi ezisezantsi zentliziyo (ii-ventricles).
• I-Transesophageal echocardiogram: Olu hlobo lwe-echo lunceda ekufumaneni iithumba ezikwiigumbi eziphezulu zentliziyo (atria).
• I-Cardiac MRI: Olu vavanyo lunceda ekuchongeni iinkcukacha malunga nethumba, njengokuthi ingaba lingumhlaza na.
• I-CT scans yentliziyo ephuculweyo: Olu vavanyo luluncedo kubantu abafake izixhobo kwaye abangakwaziyo ukwenza i-MRI. Luluncedo nasekuhloleni isifuba sonke (kuquka imiphunga kunye nemithambo yegazi) kunye nemithambo yentliziyo.
• I-PET scan: Olu vavanyo ngamanye amaxesha lusetyenziselwa ukubona ukuba umhlaza kwenye indawo emzimbeni usasazeke entliziyweni na.

Zithini iindlela zonyango lwee-tumor zentliziyo?

Iindlela zonyango lwee-tumor zentliziyo ziyahluka ngokuxhomekeke kuhlobo lwe-tumor.

• Iithumba zentliziyo ezingezizo umhlaza: Ukuba ezi thumba zincinci, zinokususwa ngotyando ngempumelelo enkulu. Iithumba ezinkulu zisenokungakwazi ukususwa. Ukuba ithumba liphazamisana nokusebenza kwentliziyo, ugqirha wakho okanye ugqirha womntwana wakho unokucebisa utyando. Abantwana abenza utyando lokususa i-fibroma banokufuna utyando lokwakha kwakhona ukuze kulungiswe umonakalo osentliziyweni.
• Iithumba zentliziyo eziphambili ezibangelwa ngumhlaza:Ezi thumba zisenokungasuswa kwaye zihlala zibulala. I-chemotherapy okanye i-radiation ingasetyenziselwa ukucothisa ukukhula komhlaza. Ugqirha wakho angakunika amayeza okulawula iingxaki.
• Iithumba zentliziyo ezisasazekayo: Unyango luxhomekeke ekubeni umhlaza uqale phi. Lunokubandakanya i-chemotherapy okanye ukususwa kwesi sifo ngotyando. Ugqirha wakho unokufaka iityhubhu esifubeni sakho ukuze akhuphe ulwelo olugqithisileyo kwisifo. Banokufaka amayeza entliziyweni yakho ukuze banciphise ukukhula kwesi sifo okanye basebenze ngokuchasene nokuqokelelana kolwelo.

Lingakanani izinga lokuchacha kwabantu abaneethumba zentliziyo?

Amathuba akho okusinda axhomekeke kuhlobo lwethumba onalo kunye nokuba lifunyaniswa kwangethuba kangakanani. Ngokubanzi, ukuxilongwa kwangethuba kukhokelela kwiziphumo ezingcono. Nangona kunjalo, ezinye iithumba ezinomhlaza zisasazeka ngokukhawuleza kwaye zinokuba nzima okanye zingenzeki ukuzinyanga. Uphando lubonisa ukuba:

• IiMyxoma zihlala zisuswa ngempumelelo ngotyando.
• Iithumba zentliziyo eziqalayo ezinomhlaza zidla ngokubulala. Ezi thumba zinokusasazeka ngokukhawuleza okanye zibuye emva konyango. Amathuba akho okusinda axhomekeke kubukhulu bethumba, ukuba lisasazeke kangakanani, kunye nokuba umhlaza ufunyaniswa kwangethuba kangakanani.
• Iithumba zentliziyo ezisasazeka ngokukhawuleza zihlala zibulala. Ngenxa yokuba umhlaza usasazeka ngokukhawuleza, abantu abanezi thumba abanalo ithuba lokuphiliswa ixesha elide.

Ungaphila ixesha elingakanani nomhlaza wentliziyo?

Ugqirha wakho uza kuthetha nawe ngesifo sakho. Ngokubanzi, abantu abaneethumba zentliziyo ezingezizo umhlaza banomngcipheko ongcono kunabo baneethumba zomhlaza.

Iithumba zentliziyo ezibangelwa ngumhlaza zinciphisa ixesha lokuphila kwakho. Lilonke:

• Malunga nama-50% abantu bayasinda kunyaka emva kokuba bexilongiwe.
• Malunga nama-24% abantu baphila iminyaka emithathu.
• Malunga ne-19% yabantu baphila iminyaka emihlanu.

Ulindelo lobomi luxhomekeke kuhlobo lomhlaza wentliziyo.

• I-Sarcoma: Abantu abane-sarcoma badla ngokuphila malunga neenyanga ezisithoba ukuya kwezilishumi elinesixhenxe emva kokuba bexilongiwe.
• I-Lymphoma: Abantu abane-lymphoma baphila umyinge weenyanga ezisixhenxe. Xa benonyango, banokuphila ukuya kuthi ga kwiminyaka emihlanu. Ngaphandle konyango, baphila inyanga enye kuphela.
• I-paraganglioma enomhlaza: Le meko idla ngokunyangwa. Malunga nama-84% abantu bayasinda emva kweminyaka eli-10 emva kotyando oluphumeleleyo. Kodwa kukho amathuba angama-50% okuba umhlaza uphinde ubuye. Kuya kufuneka uvavanyo lwemifanekiso rhoqo ukuze kuhlolwe ukuba uphinda ubuye na.

Ndifanele ndimbone nini ugqirha?

Ukuba ufunyaniswe unethumba lentliziyo, kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngokuchanekileyo.Ugqirha wakho uza kukuxelela ukuba kufuneka uye kangaphi kugqirha kwaye isicwangciso sakho sonyango sithini. Banokucebisa ukuba wena nosapho lwakho nivavanywe i-genetic.

Ukuba ukhe wenziwa utyando lokususa ithumba, kuya kufuneka ubonane nogqirha wakho rhoqo kwaye wenze uvavanyo lwemifanekiso. Olu vavanyo lunokunceda ugqirha wakho abone ukuba ithumba libuyile na. Lunokujonga nokusebenza kwentliziyo yakho kwaye lunyange naziphi na iingxaki ezinokuvela.

Ukuba umntwana wakho ufunyaniswe enethumba entliziyweni, ugqirha wakhe uya kuchaza into amakayenze ngokulandelayo. Umntwana wakho usenokufuna unyango ngoko nangoko.

Ndingayibuza yiphi imibuzo ugqirha?

Thetha nogqirha wakho malunga nokuxilongwa kwakho, isicwangciso sonyango, kunye nokuqikelela kwangaphambili kwesifo. Ungabuza imibuzo efana nale:

• Luhlobo luni lwethumba endinalo? Ingaba ngumhlaza?
• Esi siqhamo singayichaphazela njani intliziyo yam?
• Yeyiphi indlela engcono yokunyanga le thumba?
• Ndingalufuna unyango ngokukhawuleza kangakanani?
• Ndiphila njani emva konyango?
• Kufuneka ndibuye kangaphi ukuze ndifumane iimvavanyo okanye ezinye iimvavanyo?

Ukuba umntwana wakho unethumba lentliziyo, buza ugqirha wakhe:

• Luhlobo luni lwethumba umntwana wam analo? Ingaba ngumhlaza?
• Esi siqhamo singayichaphazela njani intliziyo yomntwana wam kunye nempilo yakhe iyonke?
• Ngaba umntwana wam uza kufuna utyando? Ukuba kunjalo, kuza kudlula ixesha elingakanani?
• Injani indlela umntwana wam alulama ngayo?
• Ndingenza ntoni ekhaya ukuze ndinyamekele umntwana wam?
• Zeziphi iimpawu ekufuneka ndizijonge?
• Ndingenza ntoni xa ndibona ezi mpawu?

Okokugqibela, izinto ekufuneka uzikhumbule

Iithumba zentliziyo zinokuchaphazela umzimba wakho nobomi bakho ngeendlela ezininzi. Kwiimeko ezininzi, iithumba ezingezizo ezomhlaza zinokususwa ngempumelelo ngotyando. Nangona kunjalo, ezinye iithumba, kuquka neethumba ezinesifo somhlaza, zinokuba nzima ukuzinyanga.

Eyona nto ibalulekileyo kukufuna iingcebiso zonyango ngokukhawuleza ukuba uneempawu. Okukhona isifo sifunyanwa kwangethuba, kokukhona unyango luya kuphumelela.

Thetha nogqirha wakho malunga nokuxilongwa kwakho kunye nendlela okuza kukuchaphazela ngayo. Ungakhathazeki, oogqirha bakhona ukukunceda.

Ithumba lentliziyo , Ithumba lentliziyo, iMyxoma, iSarcoma, Iimpawu zeSifo seNtliziyo, Uvavanyo lweNtliziyo, Utyando lweNtliziyo