Kwenzeka ntoni kwiivalvu zentliziyo yakho? Masithethe ngeSifo seValve yeNtliziyo!

Ngaba ngamanye amaxesha uziva udiniwe? Okanye ngaba ukufumanisa kunzima ukuphefumla nangona uhamba kancinci? Mhlawumbi uziva urhawuzelelwa ngendlela engaqhelekanga okanye intlungu esifubeni sakho? Ezi zinokuba ziimpawu zengxaki kwiivalvu ezisebenza njengeengcango ezincinci entliziyweni yakho. Namhlanje siza kuthetha ngesi sifo sevalvu yentliziyo . Ungakhathazeki, kubaluleke kakhulu ukuqaphela oku.

Yintoni iSifo seValve yeNtliziyo?

Ngamafutshane, isifo sevalvu yentliziyo yimeko apho enye okanye ezingaphezulu zevalvu entliziyweni yakho zingasebenzi kakuhle. Ezi valve zifana neengcango. Zinceda ukuhamba kwegazi kwicala elinye kuphela. Xa intliziyo yethu ibetha, iindawo ezithambileyo ezifana neflap (ezibizwa ngokuba 'ziincwadana') kwezi valve ziyavuleka kwaye zivumele igazi lihambe phambili. Emva koko, ngexesha lesibini lesiqingatha sentliziyo, ezi ncwadana ziyavala kwaye ziyeke igazi ukuba libuye umva.

Khawucinge ukuba kuya kwenzeka ntoni ukuba ezi valves zingasebenzi kakuhle? Ukuhamba kwegazi kunokuphazamiseka, kwaye intliziyo kufuneka isebenze nzima. Ukuba ayinyangwa, le meko inokuba yingozi kwaye ide ibeke ubomi esichengeni. Kodwa kukho iindaba ezimnandi. Kwiimeko ezininzi, ugqirha wakho unokuzilungisa okanye azitshintshe ezi valves ngenkqubo engenakungenelela kakhulu. Emva koko ungabuyela esiqhelweni.

Zithini iivalvu ezine entliziyweni yakho?

Kukho iivalvu ezine eziphambili entliziyweni yethu. Nazi:

• Ivalvu yeMitral: Le iphakathi kwe-atrium yasekhohlo kunye ne-ventricle yasekhohlo.
• Ivalvu yeTricuspid: Le iphakathi kwe-atrium yasekunene kunye ne-ventricle yasekunene.
• Ivalvu ye-Aortic: Le iphakathi kwe-ventricle yasekhohlo kunye ne-aorta.
• Ivalvu yepulmonary: Le iphakathi kwe-ventricle yasekunene kunye nomthambo we-pulmonary.

Kubaluleke kakhulu ukuba zonke ezi valve zisebenze kakuhle, ukuze igazi likwazi ukuhamba kakuhle emzimbeni wethu.

Ziziphi iintlobo zezifo zevalvu yentliziyo?

Kukho iintlobo ezininzi eziphambili zesifo sevalvu yentliziyo. Ngamanye amaxesha iivalvu ezingaphezu kwesinye zinokuchaphazeleka.

I-Stenosis

Kulapho amaphecana evalvu eba makhulu kwaye aqine, enciphisa umngxuma ovuleka ngawo ivalvu. Yicinge njengombhobho wamanzi ovalekileyo, okwenza kube nzima ukuba amanzi ahambe. Ukuncitshiswa okuncinci kusenokungabi nampembelelo ingako. Nangona kunjalo, ukuba ivalvu iba ncinci kakhulu (yiyo loo nto ibizwa ngokuba yi-'stenotic'), ukusebenza kwentliziyo kuyaphazamiseka, kwaye kufuneka isebenze nzima ukupompa igazi. Oku kunokunciphisa inani legazi elifikelela emzimbeni wonke.

Ukuvuza kwevalvu okanye ukuvuza kwevalvu

Oku kukwabizwa ngokuba yi-'insufficiency', kwaye abanye abantu bakubiza ngokuba yi-"leaky valve." Okwenzekayo apha kukuba amaphecana evalvu awavali kakuhle. Emva koko igazi liyavuza kwakhona. Kufana nokuba ucango aluvali kakuhle, lubuyela ngecala elivaliweyo. Oku kubangela ukuba intliziyo iphompe ngamandla ngegazi elongezelelweyo. Kunokunciphisa nomlinganiselo wegazi eliya emzimbeni wonke.

Ukwehla kwesantya

Oku kuyinyani ngakumbi kwivalvu ye-mitral. Oku kuxa amaphecana evalvu eguquguquka kakhulu, nto leyo ebangela ukuba avuza aye kwi-atrium yasekhohlo xa intliziyo ibetha. Uninzi lwexesha, oku akunabungozi, kodwa kwabanye abantu, kunokubangela ukurhawuzelelwa.

I-Atresia

I-Valvular atresia yimeko apho ivalvu yentliziyo ingakheki okanye ingavuli xa umntwana ezalwa. Oogqirha badla ngokuyibona le nto besebancinci kakhulu, kwixesha lokuzalwa komntwana osandula ukuzalwa.

Ixhaphake kangakanani isifo sevalvu yentliziyo?

EMelika, malunga ne-2.5% yabemi, oko kukuthi inani elikhulu labantu abadala, banezi zifo zevalvu yentliziyo. Kuthiwa malunga nabantu abangama-27,000 bayafa ngenxa yesi sifo minyaka le. I-Mitral valve prolapse yenye yezona meko zixhaphakileyo. Le meko ikwabonakala ngakumbi eSri Lanka.

Ziziphi iimpawu zokuqala zesifo se-valve yentliziyo?

Abantu abaninzi abanesifo se-valve yentliziyo ababonisi zimpawu ekuqaleni. Kodwa njengoko imeko isiya isiba mandundu ngokuhamba kwexesha, iimpawu ziqala ukubonakala njengoko intliziyo kufuneka isebenze nzima.

Jonga ukuba unayo na enye yezi mpawu:

• Ukudinwa: Mhlawumbi olu luphawu lokuqala oza kuluva.
• Ukuphelelwa ngumphefumlo: Ingakumbi xa usenza nayiphi na imisebenzi yomzimba, njengokuhamba okanye ukunyuka izinyuko.
• Ukubetha kwentliziyo: Ukubetha kwesifuba, ukuziva ngathi intliziyo iyema ngequbuliso kwaye ibetha.
• Ukudumba (Ukudumba): Ukudumba kwamaqatha, imilenze, okanye isisu.
• Ubuthathaka okanye isiyezi.
• Ukunyuka kwesisindo ngequbuliso.
• Intlungu yesifuba: Ingakumbi xa udiniwe.

Ukuba unenye okanye ngaphezulu kwezi mpawu, kungcono ukufuna ingcebiso kagqirha.

Zithini izizathu zesifo se-valve yentliziyo?

Kukho izizathu ezahlukeneyo ezinokubangela isifo se-valve yentliziyo. Nazi ezinye zezizathu eziphambili:

• Umkhuhlane werheumatic: Imeko ebangelwa kukunganyangwa komphimbo obuhlungu.
• Umonakalo wentliziyo ngenxa yokuhlaselwa yintliziyo .
• Uxinzelelo lwegazi oluphezulu ( xa luphezulu kakhulu).
• Iingxaki zokuzalwa: Umzekelo, ivalvu yemiphunga okanye ye-aortic ayiphuhli kakuhle.
• Ekuhambeni kwexesha, izicubu zevalvu ziba buthathaka okanye zingasebenzi kakuhle ngenxa ye-calcium deposits (calcification).
• I-Thoracic aortic aneurysm: Oku kukwanda kwe-aorta. Iincwadana zevalvu ye-aortic zinokutsalwa kwaye zivuze.
• Ukumelwa yintliziyo.
• Usulelo lwentliziyo, umzekelo i-infective endocarditis.
• Izifo ezizikhusela ngokwazo emzimbeni ezifana ne -lupus .
• Iimeko zemfuza ezifana neMarfan syndrome .

Zithini izinto ezibangela umngcipheko?

Kukwakho nezinye izinto ezibangela umngcipheko wokufumana isifo sentliziyo. Nazi:

• Ukusetyenziswa kweemveliso zecuba (ukutshaya).
• Ukutya ukutya okungenasondlo.
• Ukunqongophala komsebenzi womzimba.
• Ukuba neemeko zempilo ezifana nesifo seswekile okanye uxinzelelo lwegazi oluphezulu.
• Emva kokufumana unyango lwe-radiation lomhlaza.
• Ukuba ne-pacemaker okanye i-defibrillator (ICD) efakiweyo.
• Ukuba yindoda (amadoda asengozini enkulu kancinci kunabafazi).
• Ukwaluphala.

Zeziphi iingxaki ezinokwenzeka ukuba azinyangwa?

Ukuba isifo sevalvu asinyangwa kakuhle, iingxaki ezinje ngezi zinokuvela ngokuhamba kwexesha:

• Ukumelwa yintliziyo.
• Ukuphazamiseka kwentliziyo (i-Arrhythmia).
• Amahlwili egazi.
• Uxinzelelo lwegazi oluphezulu kwimithambo yemiphunga (i-pulmonary hypertension).
• Istroke.
• Ukufa ngequbuliso ngenxa yokuhlaselwa yintliziyo (ukubanjwa yintliziyo).

Kungoko ke kubalulekile ukubona ugqirha ngokukhawuleza ukuba uneempawu kwaye uqale unyango olufunekayo.

Isifo sevalvu yentliziyo sichongwa njani?

Xa usiya kugqirha, ngamanye amaxesha banokufumanisa iimpawu zesifo se-valve yentliziyo ngexesha lovavanyo lomzimba. Umzekelo:

• Bayajonga ukuba kukho ulwelo oluqokeleleneyo emiphungeni.
• Jonga ukuba intliziyo ikhulisiwe na.
• Isandi esingaqhelekanga esivakala nge-stethoscope. Sisenokubonisa ukuba igazi lihamba ngevalvu enciphileyo okanye evuzayo.
• Amaqatha abonakala evuvukile.

Ukongeza, kukho iimvavanyo ezahlukeneyo zonyango ezinokusetyenziselwa ukufumanisa ukuba unesifo sevalvu yentliziyo. Ngokuphinda ezi mvavanyo ngokuhamba kwexesha, ugqirha wakho unokubona indlela imeko yakho etshintsha ngayo aze enze izigqibo malunga nonyango. Ngenxa yokuba isifo sevalvu sinokuba mandundu ngokuhamba kwexesha, oogqirha ngamanye amaxesha basinika inqanaba elithile. Siqala ngo-A size siphele ngo-D. U-D lelona nqanaba linzima.

Zeziphi iimvavanyo ezenziwayo?

Nazi ezinye zeendlela eziphambili zokuvavanya isifo se-valve yentliziyo:

• I-Echocardiogram (I-Echocardiogram - i-ultrasound yentliziyo):Oku kuquka ukubeka isixhobo esiphathwa ngesandla ('intonga') phezu kwesifuba nokusebenzisa amaza esandi ukuthatha umfanekiso oshukumayo wentliziyo. Kufana nokuskena komntwana nge-ultrasound.
• I-Transesophageal echocardiogram (TEE): Olu luvavanyo lwentliziyo oluqhutywa nge-ultrasound. Nangona kunjalo, oku kubandakanya ukufaka isixhobo esincinci esifana nekhamera ('iprobe ene-transducer') ezantsi kwe-esophagus yakho uze uyihlolisise ukusuka kufutshane nentliziyo yakho.
• I-echocardiogram yoxinzelelo lomzimba: Kolu vavanyo, ucelwa ukuba uhambe nge-treadmill okanye ukhwele ibhayisekile, emva koko iivalvu zakho kunye nentliziyo yakho ziyajongwa ukuba ziyasebenza na.
• I-X-ray yesifuba: Olu luvavanyo lwe-X-ray yesifuba olukhawulezayo.
• Ukuhlolwa kwe-cardiac catheterization (angiogram): Oku kuquka ukuthatha imifanekiso ye-X-ray yemithambo yentliziyo, amagumbi entliziyo, kunye neevalvu.
• I-Electrocardiogram (EKG okanye i-ECG): Imicu emincinci ye-electrode incamatheliswa eluswini kwaye irekhoda umsebenzi wombane wentliziyo.
• I-Magnetic resonance imaging (MRI): Ukudibana kwamaza erediyo kunye nemagnethi kuvelisa imifanekiso ecacileyo yentliziyo.

Zinyangwa njani izifo zevalvu yentliziyo?

Unyango lwesifo sevalvu yentliziyo luxhomekeke kwisizathu sesifo kunye nezinye izinto ezininzi. Unyango oluphambili luquka:

• Ukukhusela ivalvu yakho ekonakaleni okungakumbi.
• Ukubonelela ngamayeza.
• Ukuba kuyimfuneko, yenza utyando okanye ezinye iinkqubo ezingangenisi gazi.
• Bona ugqirha wakho wentliziyo rhoqo ukuze akunike iingcebiso.

Nangona umonakalo kwivalvu yentliziyo ungenakulungiseka ngokupheleleyo, ingxaki inokunyangeka. Nokuba inyangwa ngamayeza, ukulungiswa ngotyando, okanye ivalvu entsha kugqitywa ngokusekelwe kwizinto ezahlukeneyo. Nazi:

• Uhlobo lwesifo sevalvu.
• Ubunzima bomonakalo.
• iminyaka yakho.
• Ezinye izifo zakho kunye nembali yakho yempilo.

Ukuba ukhulelwe kwaye unesifo sevalvu yentliziyo, kunokufuneka uphumle ngakumbi kwaye/okanye uthathe amayeza athile akhuselekileyo kumntwana wakho. Ukuba uyazi ngesifo sakho sevalvu ngaphambi kokuba ukhulelwe, licebo elihle ukuthetha nogqirha wakho ngaphambi kokuba uzame ukukhulelwa, uvavanywe ukuba kuyimfuneko, kwaye ubone ugqirha wentliziyo. Ngale ndlela, unokufumana unyango olufanelekileyo ngaphambi nangexesha lokukhulelwa. Ukuba unengxaki enkulu yevalvu, ugqirha wakho unokucebisa ukuba ivalvu yakho ilungiswe okanye itshintshwe ngaphambi kokuba ukhulelwe.

Amayeza

Amayeza awanakunyanga ngokupheleleyo isifo sevalvu yentliziyo. Nangona kunjalo, amayeza kunye nendlela yokuphila esempilweni inokunceda ukulawula iimpawu kunye nokunciphisa umngcipheko westroke okanye ukuminxeka kwentliziyo. Amanye amayeza anokuyekiswa emva kotyando lwevalvu, kodwa amanye amayeza kufuneka athathwe ubomi bonke.

Ugqirha wakho angakunika amayeza kwizinto ezifana nezi:

• Thintela ukungahambelani kwesantya sentliziyo (i-arrhythmias) okanye ukuqhekeka kwegazi.
• Yehlisa uxinzelelo lwakho lwegazi okanye amanqanaba e-cholesterol.
• Nyanga ukusilela kwentliziyo okanye isifo semithambo yegazi.

Ukulungiswa okanye ukutshintshwa ngotyando

Isifo sevalvu yentliziyo yingxaki ekuvulekeni okanye ekuvalekeni kweevalvu, kwaye unokufuna utyando ukuze kulungiswe okanye kutshintshwe ivalvu yakho. Ezinye iintsana ezineengxaki zevalvu yokuzalwa zifuna utyando zisencinci.

Ngokwesiqhelo, ugqirha wotyando kunye nogqirha wentliziyo bayazi kakuhle indlela yonyango ngaphambi kosuku lotyando. Kodwa ngamanye amaxesha, ugqirha wotyando wenza isigqibo ngexesha lotyando, emva kokubona ivalvu.

Rhoqo, oogqirha benza utyando lwevalvu kunye nolunye utyando (umzekelo, utyando lwe-bypass okanye utyando lwe-atrial fibrillation) ukunyanga ngokupheleleyo isifo sentliziyo.

Ukulungiswa kweevalvu zentliziyo kuvumela ugqirha wakho ukuba alungise ivalvu yakho enengxaki, rhoqo ngaphandle kokusebenzisa izinto ezenziweyo. Kwezinye iimeko, umzekelo, ukuba ivalvu yakho ye-mitral inciphile, ugqirha wakho angasebenzisa ibhaluni kwi-catheter ukwandisa ivalvu ( i-valvuloplasty ). Okanye banokwenza into ebizwa ngokuba yi-annuloplasty ukulungisa okanye ukuqinisa iringi ejikeleze ivalvu ukuze ivalvu ivaleke kakuhle.

Iingenelo zokulungiswa kweevalvu:

• Umngcipheko wokosuleleka uphantsi.
• Akukho mfuneko ingako yokuthatha amayeza okunciphisa igazi ubomi bonke.
• Amandla kunye nomsebenzi wemisipha yentliziyo uyagcinwa.

Ukuba ivalvu ayinakulungiswa, oogqirha botyando kuya kufuneka bayitshintshe. Ukutshintsha ivalvu yentliziyo yakho kuthetha ukususa ivalvu yakho endala uze uthunge entsha endaweni yevalvu endala. Ivalvu entsha inokuba yeyomatshini okanye yebhayoloji (eyenziwe ngezicubu zomntu, zenkomo, okanye zehagu). Ukuba ukulungiswa akunakwenzeka, ezi valve zintsha zinokwenza umsebenzi. Nangona kunjalo, kuxhomekeke kuhlobo lwevalvu onayo, unokufuna ukuthatha amayeza okuthintela ukuqhekeka kwegazi okanye ufake ivalvu entsha rhoqo emva kweminyaka eli-10 ukuya kweli-15.

Ngokuxhomekeke kuhlobo lwengxaki yevalvu kunye nezinye iimeko zakho zempilo, ungenza njaloKusenokwenzeka nokuba kwenziwe ukulungiswa okanye ukutshintshwa kwevalvu engangeni kakhulu.

Iingxaki zonyango

Abantu abadala kunye nabo baneengxaki zempilo ezingaphantsi basengozini enkulu yokufumana iingxaki ezivela kutyando lokutshintshwa kweevalvu.

Ezi ngxaki, nangona zingaqhelekanga ukuba zibulale, azidli ngokuba zibulalayo.

• Iintsholongwane.
• I-Atrial fibrillation okanye esinye isigqi sentliziyo esingaqhelekanga.
• Ukopha.
• Ukuqunjelwa kwegazi.
• Ukungasebenzi kakuhle kwezintso.
• I-Stroke okanye i-Transient ischemic attack (TIA).

Kuthatha ixesha elingakanani ukuchacha emva kotyando lwevalvu yentliziyo?

Emva kotyando lwevalvu yentliziyo, kuya kufuneka uhlale esibhedlele kangangeentsuku ezintlanu ukuya kwezisixhenxe. Emva koko, kungathatha iiveki ezine ukuya kwezisibhozo ukuba uphile ngokupheleleyo. Ugqirha wakho angakuthumela kwi-cardiac rehab , inkqubo ejongiweyo ekunceda ukuba uphile.

Ungayinciphisa njani ingozi yesifo sentliziyo?

Nangona ezinye izinto ezinobungozi, ezifana nokwaluphala, zingenakutshintshwa, kukho izinto onokuzenza ukunciphisa umngcipheko wakho wesifo sentliziyo. Ezi ziquka:

• Nyanga izifo ngokukhawuleza.
• Ukuba nomdla womzimba.
• Ukutya ukutya okunempilo kwentliziyo.
• Ukugcina ubunzima bakho busempilweni.
• Ukuba unesifo soxinzelelo lwegazi oluphezulu kunye/okanye i-cholesterol ephezulu, qhubeka usela amayeza akho owanikwe ngugqirha.
• Ukungayisebenzisi imveliso yecuba.
• Ukuphepha ukusebenzisa iziyobisi zokuzonwabisa, ingakumbi iziyobisi ezifakwa kwimithambo yegazi (iziyobisi ze-IV), ezonyusa umngcipheko wokosuleleka kwivalvu yentliziyo.

Ungayikhusela njani ivalvu yakho ekonakaleni okungakumbi?

Ukuba unesifo sevalvu yentliziyo, buza ugqirha wakho malunga nomngcipheko wakho ophezulu wokufumana usulelo olubizwa ngokuba yi -infective endocarditis . Olu sulelo lungonakalisa okanye lutshabalalise iivalvu zentliziyo yakho, kwaye lunokubulala. Olu mngcipheko ukho nokuba ukhe watyandwa ukuze kulungiswe okanye kutshintshwe ivalvu yakho. Nazi ezinye izinto onokuzenza ukuthintela i-infective endocarditis:

• Xelela oogqirha bakho kunye noogqirha bamazinyo ukuba unesifo sevalvu.
• Fowunela ugqirha wakho ukuba uneempawu zosulelo.
• Zikhathalele kakuhle amazinyo neentsini zakho.
• Buza ugqirha wakho wentliziyo ukuba kufuneka uthathe amayeza okubulala iintsholongwane ngaphambi kokuba unyangwe ngamazinyo, utyando olukhulu okanye oluncinci, okanye uvavanyo olungena emzimbeni.

Yintoni onokuyilindela xa uphila nesifo sentliziyo?

Ukuba unesifo sevalvu yentliziyo, siya kuhlala nawe ubomi bakho bonke. Kodwa indlela osifumana ngayo esi sifo ixhomekeke ekubeni yeyiphi ivalvu echaphazelekileyo kunye nobunzima bengxaki.

Abanye abantu banokuba nesifo sevalvu kodwa bangabi nazimpawu. Abanye banokuba neempawu ezininzi kwaye kusenokufuneka ukuba ivalvu yabo ilungiswe okanye itshintshwe. Nokuba ugqirha wakho ulungisa okanye atshintshe ivalvu yakho, kusenokufuneka uqhubeke nokusebenzisa amayeza kwaye mhlawumbi ufake ivalvu entsha kwakhona kwiminyaka eli-10 ukuya kweli-15.

Eyona nto ibalulekileyo kukubona ugqirha rhoqo ukuze ajonge inkqubela yesifo sakho sevalvu ngokuhamba kwexesha.

Ndingazinyamekela njani?

Qhubeka usela onke amayeza owanikwe ngugqirha wakho. Kwaye uye kuzo zonke iintlanganiso zokulandelela. Kubaluleke kakhulu ukugcina indlela yokuphila esempilweni.

Ndifanele ndimbone nini ugqirha?

Kuya kufuneka ubone ugqirha wakho rhoqo ukuqinisekisa ukuba iivalvu zakho zentliziyo zisebenza kakuhle. Buza ugqirha wakho ukuba kufuneka wenze ezi ntlanganiso kangaphi. Kusenokufuneka wenze iimvavanyo, ezifana ne-echocardiogram, kwakhona.

Ukuba iimpawu zakho ziya zisiba mandundu okanye zivela rhoqo, bonana nogqirha wakho kuqala. Kufuneka uxelele nogqirha wakho ukuba une-infective endocarditis.

Ufanele uye nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Ukuba unayo nayiphi na kwezi mpawu emva kotyando lwevalvu yentliziyo, kufuneka utsalele umnxeba ku-911 okanye inombolo yakho yongxamiseko yasekuhlaleni:

• I-Syncope - ukulahlekelwa yingqondo.
• Umkhuhlane okanye ukubanda.
• Ukuphazamiseka kwesisu okanye urhudo.
• Iintlungu zesifuba.
• Isantya sentliziyo esingaphezulu kwe-150 beats ngomzuzu.
• Intloko ebuhlungu kakhulu, ubuthathaka, okanye ukuba ndindisholo engalweni okanye emlenzeni ngaphandle kwesilumkiso.
• Ubunzima bokuphefumla obungapheliyo nokuba uphumle.
• Ukukhohlela igazi (ubomvu obukhanyayo).
• Indle emnyama emnyama okanye igazi elibomvu eliqaqambileyo elinendle.

Ndingayibuza yiphi imibuzo ugqirha wam?

Nantsi eminye imibuzo onokuyibuza ugqirha wakho:

• Ngaba utshintsho kwindlela yokuphila luya kundinceda?
• Zeziphi izinto zomzimba ezikhuselekileyo ukuba ndizenze?
• Ndingasebenza ixesha elingakanani emva kotyando?

Okokugqibela, khumbula

Kungakunceda ukwazi ukuba ukudinwa kwakho kunye nokuphefumla kancinci akuyonto nje eqhelekileyo yokwaluphala, kodwa kunokuba yingxaki kwivalvu yakho yentliziyo. Iindaba ezimnandi malunga neengxaki zevalvu yentliziyo kukuba zinokulawulwa ngamayeza kunye/okanye utyando. Ugqirha wakho uza kuthetha nawe malunga neendlela ezilungileyo kuwe. Nokuba loluphi unyango olucetyiswa ngugqirha wakho, ungazinceda ngokuhlala usebenza ngokomzimba, ukutya ukutya okunempilo kwentliziyo, kunye nokuphepha iimveliso zecuba. Qiniseka ukuba uthatha onke amayeza akho owayalelweyo kwaye ugcine onke amadinga akho. Awuwedwa, kwaye kukho oogqirha kunye nabantu obathandayo abanokukunceda kolu hambo.

"Isifo sevalvu yentliziyo, iivalvu zentliziyo, iimpawu zesifo sentliziyo, utyando lwentliziyo, impilo yentliziyo, ukulungiswa kweevalvu, ukutshintshwa kweevalvu