Ngaba unethumba elincinci entliziyweni yakho? Masifunde ngalo ngaphandle koloyiko!

Ngamanye amaxesha, sinokuba neengxaki ngaphakathi emizimbeni yethu esingazicingiyo, akunjalo? Mhlawumbi ubona ugqirha ngenxa yento ethile, okanye mhlawumbi wenza uvavanyo olungxamisekileyo, uze ufumanise ukuba kukho into encinci entliziyweni yakho, mhlawumbi ithumba elincinci. Xa usiva igama elithi 'ithumba lentliziyo', intliziyo yakho iyaxhuma ngoko nangoko uze uzive usoyika. Kodwa kufuneka ukhumbule ukuba ayizizo zonke iithumba ezibangela umhlaza . Namhlanje, siza kuthetha ngohlobo lwethumba olukhula entliziyweni, kodwa olungelulo umhlaza, kodwa olufuna ingqalelo ethile. Oogqirha babiza oku ngokuthi yi-papillary fibroelastoma . Nangona igama lisenokubonakala lide kancinci, masithethe ngalo ngokulula.

Yintoni iPapillary Fibroelastoma?

Ngamafutshane, le papillary fibroelastoma yi -tumor engenamhlaza (engengomhlaza) eyenzeka entliziyweni. Oku kuthetha ukuba ayingomhlaza kwaye ayisasazeki kwamanye amalungu omzimba. Ezi zikwabizwa ngokuba zii-primary heart tumors kuba ziqala entliziyweni ngokwayo. Azifiki entliziyweni zivela kwenye indawo.

Nangona kunjalo, nangona ingengumhlaza, ayikhuselekanga ngokupheleleyo. Kuba, le thumba inokuba yi-embolic. I-embolic ithetha, khawucinge, ukuba iqhekeza elincinci lale thumba linokwaphuka lize lihambe negazi, linamathele kwimithambo yegazi kwenye indawo emzimbeni. Ukuba oko kuyenzeka, kukho amathuba okuba kubekho iingxaki ezinkulu ezifana ne-stroke .

Uninzi lwexesha, malunga nesibhozo kwishumi, ii-fibroelastomas ze-papillary zikhula kwiivalvu zentliziyo. Enyanisweni, zezona ntlobo zixhaphakileyo zethumba elikhula lijikeleze iivalvu zentliziyo.

Zeziphi iivalvu zentliziyo ezinokuthi zibe nazo ezi?

Ezi thumba zihlala zifumaneka kwiivalvu kwicala lasekhohlo lentliziyo. Oko kukuthi, kwivalvu ye-aorta (eyona ixhaphakileyo) okanye kwivalvu ye-mitral . Azifane zenzeke kwivalvu ye-tricuspid okanye kwivalvu ye-pulmonary kwicala lasekunene lentliziyo.

Iindaba ezimnandi zezokuba ii-fibroelastomas ze-papillary azisoloko zibangela ukuphazamiseka okukhulu ekusebenzeni kweevalvu zentliziyo. Oku kungenxa yokuba ezi tumors zikwicala elisezantsi levalvu, oko kuthetha icala apho igazi lidlula khona ivalvu.

Yingakho la mathumba ahlukile kolunye uhlobo lwesifo sentliziyo esibizwa ngokuba yi-cardiac myxoma . Ii-Myxoma zihlala zinkulu kwaye zinokuphazamisana nomsebenzi weevalvu kunee-papillary fibroelastomas. Enye into kukuba ii-myxoma azinakwenzeka ukuba zinamathele kwiivalvu, ngokungafaniyo nee-papillary fibroelastomas.

Iphi kanye kanye entliziyweni le nati?

Njengoko besitshilo ngaphambili, ezi thumba zihlala kakhulu kwiivalvu zentliziyo. Malunga nama-95 ekhulwini (95%) azo akwicala lasekhohlo lentliziyo.Amaxesha amaninzi, ezi zinto zikhula eludongeni olungaphakathi lwamagumbi entliziyo, ingakumbi i-ventricle yasekhohlo.

I-fibroelastoma ye-papillary ichaphazela njani umzimba?

Le yeyona nto ibalulekileyo ekufuneka uyiqwalasele. I-papillary fibroelastoma inokubangela ukuba amahlwili egazi akheke aze ahambe egazini. Amahlwili egazi ahamba ngale ndlela abizwa ngokuba yi-emboli . La mahlwili anokuhamba aye kwiindawo ezahlukeneyo zomzimba aze abhajwe. Umzekelo:

• Ubuchopho: Ukuba oku kuyenzeka , istroke inokwenzeka.
• Imithambo yentliziyo: Oku kunokubangela ukuhlaselwa yintliziyo .
• Izintso
• Imiphunga
• IiRetina zamehlo
• Umqolo

Ngenxa yokuqunjelwa kwegazi nokuvaleka kwalo,

• Ukuhlaselwa yintliziyo
• Istroke
• Izinto ezifana ne -ventricular fibrillation (imeko enzima apho intliziyo ibetha ngokungacwangciswanga nangokukhawuleza) zinokwenzeka.

Ukongeza, ukuba ithumba likwivalvu ye-aorta, linokuvala imithambo yentliziyo ehambisa igazi entliziyweni. Oku kunokubangela i-angina , intlungu yesifuba eyenzeka xa intliziyo ingafumani gazi laneleyo, ngexesha lokuzilolonga. Kukwakho nomngcipheko wokufa ngesiquphe kwentliziyo .

Ngubani ochaphazeleka kakhulu yile meko?

Ii-fibroelastoma ze-papillary zihlala zibonwa kubantu abadala abaneminyaka engaphezu kwama-40. Ngokuqhelekileyo, esi sifo sifunyanwa simalunga neminyaka engama-60 ubudala. Amaxesha amaninzi, ezi thumba zinokukhula nakwiintsana nakubantwana abancinci abaneziphene zentliziyo zokuzalwa .

Ixhaphake kangakanani i-papillary fibroelastoma?

Ii-tumor zentliziyo eziphambili, eziqala entliziyweni, azixhaphakanga kangako. Zichaphazela abantu abangaphantsi komnye kwabangama-2,000. Kwezi tumor zentliziyo eziphambili, ezona ziqhelekileyo zimbini ezingezizo zomhlaza yi-papillary fibroelastoma kunye ne-cardiac myxoma. Kodwa kunzima ukutsho ukuba zixhaphake kangakanani, kuba zihlala zifunyanwa emva kokufa komntu.

Zithini iimpawu?

Okumangalisayo kukuba, abantu abangaphezu kwesiqingatha abanale meko ababonisi zimpawu. Abo baneempawu banokufumana izinto ezifana nezi:

• I-Angina: Intlungu yesifuba okanye ukungakhululeki.
• Ukuphazamiseka kwengqondo: Ukulahlekelwa yingqondo.
• Ukuqhawukelwa ngumphefumlo.
• Uhlaselo lwe-Ischemic oluThutyana (TIA) okanye iStroke: I-TIA kukuncipha kokuhamba kwegazi okwethutyana ukuya engqondweni, okufana ne-mini-stroke, kunye neempawu eziphela kwimizuzu embalwa.

Yintoni isizathu soku?

Isizathu esichanekileyo se-papillary fibroelastomas asikaziwa okwangoku. Nangona kunjalo, izazinzulu ezininzi zikholelwa ukuba zibangelwa kukonakala kweeseli ze-endothelial ezingaphakathi kwentliziyo. Kukholelwa ukuba amahlwili egazi amancinci ayaqokelelana, aye kwindawo eyonakeleyo, aze kancinci kancinci enze i-tumor efana ne-mass.

Uyixilonga njani le nto?

Amaxesha amaninzi, i-papillary fibroelastoma ifunyanwa ngengozi. Oko kukuthi, ugqirha uyifumana ithumba ngexesha lovavanyo olwenzayo ngesinye isizathu. Okanye, inokufumaneka xa umntu enesifo sohlangothi kwaye ezama ukufumanisa unobangela.

Uvavanyo oluphambili lokufumanisa oku yi -echocardiography . Olu luvavanyo lokujonga intliziyo.

• Okokuqala, oogqirha badla ngokwenza i- transthoracic echo , oko kuthetha ukuba yenziwa phezu kwesifuba.
• Kodwa ngamanye amaxesha, ukuze kuhlolwe iithumba ezincinci kakhulu okanye ukuze kujongwe kakuhle indawo echaphazelekayo , kunokwenziwa i-transesophageal echo (TEE) . Oku kuquka ukufaka ityhubhu encinci efakwe ikhamera nge-esophagus ukuze kuhlolwe intliziyo.

Ibonakala njani le thumba kwi-Echo?

Kwi-echocardiogram, le papillary fibroelastoma ifana ne-sea anemone! Kungenxa yokuba inezakhiwo ezincinci ezifana namasebe ezibizwa ngokuba ngamasebe e-papillary asuka kumphezulu wayo.

Esi siqhamo sidla ngokuba sincinci (ngaphantsi kwe-1 cm). Kwakhona, sigqunywe yisiqu/isiqu . Esi siqu sivumela isiqhamo ukuba sijikeleze kakuhle, oko kukuthi, siyashukuma .

Luthini unyango?

Unyango oluqhelekileyo lwe-papillary fibroelastoma lutyando. Ngexesha lotyando, ugqirha wotyando:

• Ithumba lonke liyasuswa.
• Bahlola ezinye iindawo zentliziyo ukuze babone ukuba akukho zithumba zingaphezulu na.
• Ukuba ithumba lonakalise naliphi na icala lentliziyo, nalo liya kulungiswa. Oku kungabandakanya ukulungiswa kwevalvu okanye ukutshintshwa kwevalvu.

Eyona nto ibalulekileyo kukuba, nokuba awunazo iimpawu, ugqirha wakho unokucebisa utyando ukuze kuncitshiswe iingxaki ezizayo.

Olu tyando ludla ngokwenziwa kusetyenziswa iindlela zesintu ezivulelekileyo, kodwa kwabanye abantu , kusetyenziswa iindlela zerobhothi ezingangenisi kakhulu.Ungayisebenzisa. Thetha nogqirha wakho ukuze agqibe ukuba yeyiphi indlela efanelekileyo kuwe.

Ngokufanayo , ukuba utyando luyingozi kakhulu kuwe, ugqirha wakho unokugqiba ekubeni akunike amayeza okunciphisa igazi, okanye amayeza okunciphisa igazi , ukuze kuncitshiswe umngcipheko wokuqhekeka kwegazi.

Injani imeko emva konyango? (Ingxelo yokuxela kwangaphambili)

Ithemba labantu abaye benza utyando lokususa i-papillary fibroelastoma lihle kakhulu. Umngcipheko wokuba ithumba libuye uphantsi kakhulu. Kwakhona, ekubeni lingengomhlaza, akukho mngcipheko wokuba lisasazeke kwamanye amalungu omzimba.

Ndifanele ndimbone nini ugqirha?

Olu hlobo lweethumba entliziyweni ludla ngokufunyanwa ngengozi. Yiyo loo nto kubalulekile ukugcina onke amadinga akho onyango kunye nokulandelela. Ukufunyanwa kweethumba kwangoko kulula ukunyanga. Ukuba azinyangwa, ii-fibroelastomas ze-papillary zinokukhula zize zibangele iingxaki ezinkulu.

Ukuba wenze utyando lwentliziyo oluvulekileyo ukuze kususwe ithumba, umzimba wakho uya kufuna ixesha lokuphola. Thetha nogqirha wakho ngezinto ongamele uzenze kunye nemida yemisebenzi ekufuneka uyilandele kwiiveki ezimbalwa emva kotyando. Ungathunyelwa kwinkqubo yokuhlaziya intliziyo ukuze ikuncede ufumane amandla akho kwakhona.

Ndingayibuza yiphi imibuzo ugqirha?

Ukuba ufunyaniswa ukuba une-papillary fibroelastoma, buza ugqirha wakho le mibuzo:

• Ingakanani ithumba?
• Iphi?
• Ichaphazela njani intliziyo yam?
• Ngaba kufuneka ndityandwe? Ukuba kunjalo, kuza kudlula ixesha elingakanani?
• Ndilungiselela njani utyando?
• Linjani ixesha lokuchacha?
• Zithini iingozi zotyando?
• Imeko yam iza kuba njani emva konyango?
• Kuza kuthatha ixesha elingakanani ngaphambi kokuba ndibuye ukuze ndivavanywe?

Kuthetha ukuthini ukuba nentliziyo eninzi?

Ingxinano entliziyweni yakho yiyo nayiphi na intsholongwane engaqhelekanga (ithumba) entliziyweni. Oogqirha babiza ezi ntsholongwane zentliziyo ngokuthi ziintsholongwane zentliziyo . Ezi ntsholongwane zentliziyo zinokuba ngumhlaza okanye zingabi ngumhlaza. Zinokuqala entliziyweni (eyona nto iphambili) okanye zisasazeke entliziyweni zisuka kwenye indawo emzimbeni (i-metastatic).

Kunqabile kakhulu ukuba ithumba liqale entliziyweni ngokwalo. Kodwa kwiithumba eziqalayo, i-papillary fibroelastoma lolona hlobo luqhelekileyo, kunye ne-cardiac myxoma.

Kuqhelekile ukuba uzive usoyika xa uxelelwa ukuba unethumba lentliziyo. Kodwa iindaba ezimnandi zezokuba i-papillary fibroelastoma ayisiyomhlaza, ayisasazeki kwamanye amalungu omzimba, kwaye idla ngokunyangwa ngotyando. Thetha nogqirha wakho malunga nesicwangciso sonyango esifanelekileyo kuwe kunye nento onokuyilindela kwixesha elizayo.

Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Usenokuba ngoku uyaqonda i-Papillary Fibroelastoma esithethe ngayo. Nangona oku kungengomhlaza, yimeko efuna ingqalelo kuba ithwala umngcipheko wokwakheka nokuphuma kwegazi.

• Abantu abaninzi ababonisi zimpawu, ngoko ke uvavanyo lwezonyango lubalulekile.
• Oku kuxilongwa ikakhulu ngovavanyo lwe-echocardiography.
• Unyango ludla ngokuba lutyando, nto leyo enika iziphumo ezilungileyo kakhulu.
• Ukuba ufumanisa ukuba unale meko , ungoyiki. Thetha ngokukhululekileyo nogqirha wakho, ubuze nayiphi na imibuzo onayo, kwaye ufumane ulwazi oluchanekileyo.

Eyona nto ibalulekileyo kukuba uhlale usempilweni!

I- Papillary Fibroelastoma, isifo sentliziyo, iithumba zentliziyo, iivalvu zentliziyo, istroke, uhlaselo lwentliziyo, i-echocardiogram, utyando lwentliziyo, ithumba elingeyongozi, impilo yentliziyo