Zazi ezi zinto ngaphambi kokuba ukhathazeke ngethumba entliziyweni yakho (Myxoma)!

Ngaba uhlangabezana neempawu ezifana nokuphefumla kancinci, ukuziva udiniwe, okanye ukwehla kobunzima ngequbuliso? Unobangela usenokuba yinto ongayicingiyo. Namhlanje siza kuthetha ngemeko engaqhelekanga kodwa ebalulekileyo echaphazela intliziyo. Ibizwa ngokuba yiCardiac Myxoma . Nangona igama lisenokuvakala lisoyikisa, masithethe ngalo ngendlela elula onokuyiqonda.

Yintoni i-myxoma? Ngaba sisimila esakheka entliziyweni?

Ngamafutshane, i-myxoma sisimila esikhula entliziyweni yakho. Kodwa iindaba ezimnandi zezokuba sisimila esingengomhlaza . Oko kuthetha ukuba asisasazeki kwamanye amalungu omzimba. I-Myxoma yeyona simila siqhelekileyo esingengomhlaza esiqala entliziyweni.

Ezi thumba zinokuba nobukhulu obahlukeneyo. Ezinye zincinci njengesentimitha, ngelixa ezinye zinokuba nkulu njengeesentimitha ezili-15. Khawuthelekelele impembelelo enokuba nayo into enkulu kangaka entliziyweni yakho!

Amaxesha amaninzi (malunga nama-74%) la ma-myxoma akhula kwi-atrium yasekhohlo yentliziyo yakho, eliligumbi eliphezulu lasekhohlo lentliziyo yakho. Okulandelayo, malunga ne-18% akhula kwi-atrium yasekunene , eliligumbi eliphezulu lasekunene. Ngenxa yokuba akhula kumagumbi aphezulu entliziyo, akwabizwa ngokuba yi-atrial myxoma . Inani elincinci eliseleyo (malunga ne-8%) linokukhula nakumagumbi asezantsi entliziyo , ii-ventricles .

IiMyxoma zihlala zikhula kwi-atrial septum, udonga olwahlula amagumbi asekhohlo nasekunene entliziyo. Rhoqo, ithumba linamathele kolu donga ngesakhiwo esifana nesiqu esibizwa ngokuba yi-pedicle . Esi siqu sivumela ithumba ukuba lijikeleze kwaye lintante ngaphakathi entliziyweni. Ngamanye amaxesha, njengoko lihamba, ithumba linokuhlala kwivalvu yentliziyo kwaye livale ukuhamba kwegazi.

Nangona ezi zingengomhlaza, ziyingozi kakhulu kuba zinokuphazamisa ukusebenza kwentliziyo. Yiyo loo nto abantu abane-myxoma kufuneka benze utyando ukuze zisuswe. Ukuba oku akwenziwa, kunokubakho iingxaki ezinkulu.

Ngubani onokuba nethuba elikhulu lokufumana i-myxoma?

I-Myxoma idla ngokuchaphazela abantu abaphakathi kweminyaka engama-30 ukuya kwengama-60 ubudala. Kwakhona, le meko ixhaphake kakhulu kwabasetyhini kunakwamadoda.

Nangona kunjalo, oku kwahlukile kancinci kubantu abane-genetic disorder ebizwa ngokuba yi -Carney's complex . Le Carney's complex inokubangela ukuba ii-myxoma ezininzi zivele kungekuphela nje entliziyweni kodwa nakwezinye iindawo zomzimba. Ii-Myxoma zihlala zifunyaniswa kwaba bantu bakwiminyaka yabo yokuqala yama-20. Kwakhona, le meko ixhaphake kakhulu kumadoda kunakwabasetyhini.

Ixhaphake kangakanani iMyxoma?

Iithumba zentliziyo zokuqala azixhaphakanga kakhulu. Zichaphazela abantu abangaphantsi komnye kwabangama-2,000. Malunga nesiqingatha sezi thumba zentliziyo zokuqala zibizwa ngokuba zii-myxomas. Ngoko ke, ungacinga ukuba le meko ingaqhelekanga kangakanani.

I-myxoma ichaphazela njani umzimba wam?

I-Myxoma inokuphazamisa ukuhamba kwegazi emzimbeni wakho nasentliziyweni yakho. Kukho iingxaki ezimbini eziphambili ezinokwenzeka:

1. Ukubethelwa kwe-Embolism:

Le yeyona nto iyingozi kakhulu. I-Embolism kukuvaleka komthambo wegazi. Ezinye ii-myxoma ziyaqhekeka . Oku kuthetha ukuba zinokuqhekeka lula. Iqhekeza lethumba linokwaphuka, lihambe egazini, lize linamathele kumthambo wegazi ndaweni ithile emzimbeni. Okanye, ihlwili legazi linokwenziwa kwi-myxoma, kwaye ihlwili linokwaphuka lize linamathele.

Khawucinge ukuba bekuya kwenzeka ntoni ukuba iqhekeza lale nxalenye iphukileyo libhajwe emthanjeni wegazi okhokelela ebuchotsheni? Linokubangela isifo sohlangothi ! Ngoko ke oku akuyonto ifanele ithathwe lula. Eyona ngxaki ixhaphakileyo ye-cardiac myxoma yile embolism.

2. Ukuvaleka kwevalvu:

Njengoko besitshilo ngaphambili, ii-myxoma zihlala zinamathele kwisiqu, oko kuthetha ukuba ziyajikajika njengoko igazi lihamba entliziyweni. Xa zijikajika, ukuba ithumba liwela ngomngxuma wevalvu yentliziyo, linokuthintela okwethutyana ukuhamba kwegazi ngaloo valve. Oku kwenzeka rhoqo kwivalvu ye-mitral , efumaneka phakathi kwe-atrium yasekhohlo kunye ne-ventricle yasekhohlo. Oku kubangela ukuba ivalvu ivale kwaye ivuleke, nto leyo ephazamisa ukumpompa kwegazi okuthambileyo entliziyweni ukuya emzimbeni.

Zithini iimpawu ze-myxoma?

Iimpawu ze-myxoma zixhomekeke ekubeni iphi entliziyweni kwaye ichaphazela njani umzimba. Usenokuba nenye okanye ngaphezulu kwezi mpawu:

• Ukuba nomkhuhlane .
• Ukudinwa, ukudinwa kakhulu.
• Ukubila ebusuku.
• Isiganeko sikaRaynaud: Oku kwenzeka xa iminwe neenzwane zijika zibe mhlophe, zibe luhlaza okwesibhakabhaka, zize zibe bomvu kwaye zingabi nanto xa zibekwe emakhazeni.
• Ukuphelelwa ngumphefumlo ngexesha lokuzilolonga okanye ukuzilolonga.
• Ukuphefumla kancinci okanye ukuquleka xa umile. Oku kungenxa yokuba xa umile, amandla adonsela ithumba kwivalvu ye-mitral, nto leyo ehlisa uxinzelelo lwegazi okwethutyana.
• Ukunciphisa umzimba ngaphandle kwesizathu.

Ukuba nje unezi mpawu akuthethi ukuba une-myxoma. Ezinye izifo zentliziyo zinokuba neempawu ezifanayo. Nangona kunjalo, ukuba ubona into efana nale, kulungile ukubona ugqirha.

Yintoni ebangela i-myxoma?

Kwiimeko ezininzi, akukho sizathu sicacileyo esinokufunyanwa sokuphuhliswa kwe-myxoma.Nangona kunjalo, malunga ne-10% yamatyala abangelwa yimeko yemfuza ebizwa ngokuba yiCarney's complex, esiyixubushileyo ngaphambili. Ukuba kukho umntu kusapho lwakho onale Carney's complex, kubaluleke kakhulu ukuxelela ugqirha wakho ngayo.

Ifunyanwa njani iMyxoma?

Oogqirha baxilonga i-myxoma ngovavanyo lomzimba kunye novavanyo olwahlukeneyo. Ngamanye amaxesha kungathatha ixesha ukuyixilonga kuba iimpawu zayo ziyafana nezezinye izifo.

Ngexesha lovavanyo lwakho lomzimba, ugqirha wakho uza kumamela intliziyo yakho esebenzisa i-stethoscope . Ukuba une-myxoma, unokuva isandi sentliziyo esingaqhelekanga esibizwa ngokuba yi-"tumor plop." Esi sisandi esenziwa yi-myxoma xa ivala i-mitral valve okwethutyana.

Ugqirha uza kuthetha nawe ngeempawu zakho kunye naluphi na utshintsho oluhlangabezana nalo. Ukuba urhanela ukuba une-myxoma okanye esinye isifo sentliziyo, uza kuyalela iimvavanyo ezininzi zokuthatha imifanekiso .

Ziziphi iimvavanyo ezisetyenziselwa ukuxilonga iMyxoma?

Uvavanyo lwemifanekiso lubalulekile ekuxilongeni i-myxoma. Ugqirha wakho unokwenza olunye okanye ngaphezulu kwezi vavanyo zilandelayo:

• I-Echocardiogram: Olu lolona vavanyo lubalulekileyo. I-echo ye-transthoracic, eyenziwa esifubeni, idla ngokubonisa i-myxoma. Nangona kunjalo, ngamanye amaxesha i-echo ye-transesophageal (ityhubhu encinci efakwe entanyeni) inokwenziwa ukukhangela iithumba ezincinci okanye ukubona ngqo apho ithumba linamathele khona entliziyweni.
• I-MRI yentliziyo: I-MRI scan yentliziyo.
• Iiskeni ze-CT zentliziyo: Iskeni ye-CT yentliziyo.

Ukongeza, uvavanyo lwegazi lunokubonisa iimpawu ze-myxoma:

• Ukuncipha kweeseli ezibomvu zegazi ( i-anemia ).
• Ukwehla kwenani leeplatelet ( thrombocytopenia ).
• Ukwanda kwenani leeseli ezimhlophe zegazi (oku kubonisa ukudumba emzimbeni).

Nangona kunjalo, olu vavanyo lwegazi lodwa alunakukwazi ukubona ukuba kukho i-myxoma. Lunokubangelwa nazezinye iimeko. Nangona kunjalo, xa zidityaniswe novavanyo lwemifanekiso kunye neziphumo zovavanyo lomzimba, zinokunceda ugqirha ukuba afumanise ukuba kukho isifo.

Ziziphi iindlela zonyango lweMyxoma?

Ukuba ufunyaniswe une-myxoma, kuya kufuneka utyando ukuze kususwe ithumba. Ugqirha wakho uza kukuchazela ngakumbi ngale nto kunye nendlela yokulungiselela utyando.

Kubaluleke kakhulu ukususa i-myxoma ngokukhawuleza.Kuba i-myxoma inomngcipheko omkhulu we-embolism, enokuba yingozi ebomini.

Injani imbono yabantu abane-myxoma?

Ikamva labantu abane-myxomas lihle ngokubanzi. Utyando lunokususa ngokupheleleyo i-myxomas kwaye luthintele ukuba ingaphindi ivele.

Nangona kunjalo, malunga ne-1% ukuya kwi-2% yabantu bavelisa i-myxoma entsha kwiminyaka eli-10-15 emva kotyando. Abantu abane -Carney's complex basengozini enkulu yokuphinda babuye kwesi sifo.

Yingakho, ukuba unembali ye-myxoma, ugqirha wakho uya kucebisa uvavanyo lwemifanekiso rhoqo, ingakumbi i-echocardiogram. Olu vavanyo lunokufumanisa ii-myxoma ezintsha kwangethuba, nto leyo enciphisa umngcipheko weengxaki ezizayo.

Abantu abakhe baba ne-myxoma basengozini enkulu yokuba ne -atrial arrhythmias , eziziingxaki zesingqisho kwiindawo eziphezulu zentliziyo. Ugqirha wakho uza kuthetha nawe ngale ngozi aze akunike amayeza ukuba kuyimfuneko.

Ndifanele ndimbone nini ugqirha wam?

Ukuba uneempawu ze-myxoma, bonana nogqirha ngokukhawuleza. Ezi mpawu zisenokungabi ngenxa ye-myxoma, kodwa zisenokuba ngenxa yesinye isifo sentliziyo. Nangona kunjalo, nakweyiphi na imeko yentliziyo, kubalulekile ukuba uhlolwe kwaye unyangwe ngokukhawuleza ngaphambi kokuba ingxaki ibe mandundu.

Ukuba ufunyaniswe une-myxoma, ugqirha wakho uza kukuxelela ukuba kuza kuthatha ixesha elingakanani ukubuya ukuze kwenziwe uvavanyo lokulandelela kunye nexesha lotyando.

Ukuba utyando lokususa i-myxoma, landela imiyalelo kagqirha wakho kanye ngexesha nasemva kokuba uphilile.

Ndingayibuza yiphi imibuzo ugqirha wam?

Thetha nogqirha wakho malunga nokuchongwa kwakho kunye nezicwangciso zakho zexesha elizayo. Ungabuza imibuzo efana nale:

• Ingakanani i-myxoma?
• I-myxoma iyichaphazele njani intliziyo yam?
• Ngaba ndinamantongomane angaphezu kwesinye?
• Kuza kufuneka ndityandwe nini?
• Ngaba ndifuna amayeza okulawula iimpawu okanye iingxaki?
• Ndifanele ndize kangaphi ukuze ndiphinde ndivavanywe okanye ndivavanywe kwakhona?

Okokugqibela, yintoni ekufuneka uyikhumbule (Umyalezo Wokuya Ekhaya)

Kuqhelekile ukuba uzive usoyika kwaye uxhalabile xa ufumanisa ukuba unethumba lentliziyo. Nangona kunjalo, iindaba ezimnandi zezokuba i-myxoma yimeko enokususwa ngokupheleleyo ngotyando. Malunga nama-98% abantu abasayi kuphinda bayivelise.

Ukuba uneCarney 's complex , usemngciphekweni omkhulu wokuba iphinde ibe nayo. Nangona kunjalo, ngokubona ugqirha wakho rhoqo kwaye wenze iimvavanyo ezifana ne-echocardiogram, unokubona naziphi na izihlunu ezintsha ngaphambi kokuba zibangele iingxaki.

Ukuba udinga utyando, thetha nogqirha wakho malunga nento omawuyilindele kunye nexesha eliza kuthatha ukuze uphile. Kubalulekile ukuthetha nogqirha wakho malunga nomngcipheko wakho wokuba nentliziyo ebetha ngendlela engacwangciswanga (arrhythmias) okanye ezinye iingxaki kwinkqubo yombane yentliziyo. Ungadinga amayeza okulawula ezi ngxaki emva kokuba ithumba lisusiwe. Ungoyiki, thetha nogqirha wakho ngayo yonke into kwaye uphumle engqondweni.

I- Myxoma, iithumba zentliziyo, isifo sentliziyo, i-embolism, ukuvaleka kwevalvu, utyando lwentliziyo, i-Carney's complex