Wake wazibuza ukuthi yimuphi umthambo wegazi omkhulu nobaluleke kakhulu emzimbeni wethu? Yi -aorta, noma i-aorta . Ifana nomgwaqo omkhulu emzimbeni wethu. Igijima kusukela enhliziyweni kuze kube sesiswini. Yiyo ethwala igazi elihlanzekile neligcwele umoya-mpilo eliphampa yinhliziyo liye emzimbeni wonke. Ngakho-ke, uma kukhona okungahambi kahle ngale aorta, ingathinta umzimba wonke. Lelo yiqembu lezifo ezithinta i-aorta, esiyibiza ngokuthi i-Aorta .

Kuyini i-Aorta? Ake sikuqonde kalula.

Kalula nje, i-aorta iyiqoqo lezimo ezenza buthaka noma zilimaze izindonga ze-aorta yakho. Manje cabanga, inhliziyo yakho ipompa igazi ngqo kule aorta njalo uma ishaya. Ngakho-ke, lezi zindonga zemithambo yegazi kudingeka zibe namandla kakhulu ukuze zimelane naleyo ngcindezi. Kodwa, kwenzekani uma lezi zindonga zibuthakathaka? Zingaqhekeka noma zihlukanise. Lokhu kuyingozi kakhulu. Uhlobo lwe-aorta onalo luzothinta i-aorta ngendlela ehlukile.

Yiziphi izinhlobo eziyinhloko ze-aorta?

Kunezinhlobo ezahlukene ze-aorta. Ake sixoxe ngezinye zezinhlobo eziyinhloko.

I-Aneurysm ye-Aortic yesisu (AAA)

Lokhu kwenzeka lapho udonga lwe-aorta yakho, oludlula esiswini sakho, luba buthakathaka futhi luqhume njengebhaluni. Siphinde sikubize ngokuthi i-aneurysm . Lesi simo sivame ukuhlasela abantu abangaphezu kweminyaka engama-65, ababhemayo, noma labo abanezinye izici eziyingozi zesifo senhliziyo. Lokhu "(AAA)" kuyingozi ngoba kungaqhuma ngokuzumayo futhi kubangele ukopha okusongela impilo.

I-Thracic Aortic Aneurysm (TAA)

Lokhu kuba buthaka noma ukwanda kwengxenye ye-aorta edlula esifubeni. Isimo `(TAA)` asivamile njenge `(AAA)`. Kodwa-ke, kungenzeka kakhulu ukuthi siqhubeke emindenini, okusho ukuthi singadluliselwa ezizukulwaneni ngezizukulwane. Njenge `(AAA)`, ingozi enkulu ye `(TAA)` ukuthi ingaqhuma.

Isimo esiyingozi esibizwa ngokuthi i-Aortic Dissection

Lokhu kuyinkimbinkimbi kancane. Okwenzekayo lapha ukuthi ungqimba lwangaphakathi lodonga lwe-aorta luyadabuka. Lokhu kwenzeka lapho udonga lwe-aorta lubuthakathaka. Ngezinye izikhathi, njengoba kushiwo ngaphambili, kungenzeka lapho kukhona i-aneurysm. Kodwa-ke, kungenzeka futhi ngaphandle kwe-aneurysm. Kunezinhlobo ezimbili eziyinhloko zalokhu. Ukudabuka kohlobo A kuwukudabuka engxenyeni ye-aorta eseduze nenhliziyo (okungukuthi, ngaphambi kwe-aortic arch). Ukudabuka kohlobo B kuwukudabuka ngemva kwe-aorta arch, esifubeni noma esiswini. Lokhu ``(Aortic Dissection)`` kuyisimo esisongela ukuphila esidinga ukuqashelwa nokwelashwa ngokushesha .

Ake sifunde nge-Familial Aortopathy?

I-Familial Aortopathy yisimo sofuzo esitholakala emindenini.I-aorta yomndeni yisifo semithambo emikhulu ehlotshaniswa nomlando womndeni wesifo se-aorta. Laba bantu banezakhi zofuzo ezibenza babe namathuba amaningi okuthola isifo se-aorta. Ngokuvamile, lesi sifo esizuzwe njengefa sithinta imithambo emikhulu esifubeni, ikakhulukazi impande ye-aorta noma i-aorta ekhuphukayo.

Kunezigaba ezimbili eziyinhloko kulokhu futhi:

Kuyini i-Syndromic Aortopathy?

Siphinde sikubize ngokuthi `(Isifo se-syndromic hereditary thoracic aortic disease)`. Kalula nje, unesifo sofuzo esithinta i-aorta yakho futhi sibangele ezinye izinguquko emzimbeni wakho. Ezinye izifo eziholela esifweni se-aorta yilezi:

• I-'Loeys-Dietz syndrome'
• 'I-Marfan syndrome'
• 'I-Turner syndrome'
• "Isifo semithambo yegazi i-Ehlers-Danlos"

Masiqaphele futhi i-Non-syndromic Aortopathy

Lokhu kubizwa ngokuthi "isifo se-aortic esingenazo izimpawu zofuzo." Lapha, awunayo i-genetic syndrome ethile, kodwa une-gene variant eyandisa ingozi yakho yokuthola isifo se-aortic. Ososayensi baxhumanise izinguquko zofuzo ezingaphezu kuka-50 nale aorta. Ezinye zezakhi zofuzo ezixhumene kakhulu yilezi:

• `ACTA2` (Lena yiyona evame ukubonwa)
• `FOXE3`
• `LOX`
• `MYH11`
• `MYLK`

Khumbula, uma kukhona emndenini wakho oke waba ne-aneurysm noma ukuqhekeka kwe-aorta, khuluma nodokotela wakho mayelana nokuhlolwa kwezakhi zofuzo . Uma kutholakale ukuthi unesifo se-aorta, kungadingeka ukuthi uhlolwe izakhi zofuzo ukuze ubone ukuthi amanye amalungu omndeni wakho nawo asengozini yini.

Kuyini i-Bicuspid Aortopathy?

Lokhu kubizwa nangokuthi `(Bicuspid valve-associated aortopathy)`. Lokhu kusho ukuthi, kanye ne-aortic stenosis, unesifo senhliziyo esizalwa naso esibizwa ngokuthi i-Bicuspid Aortic Valve (BAV) . Lesi `(BAV)` siyisifo senhliziyo esivamile esizalwa naso, esithinta cishe ingane eyodwa kwezingu-50.

Manje, ivalvu yakho ye-aortic ingenye "yamasango" amane alawula ukugeleza kwegazi enhliziyweni yakho. Ilawula ukugeleza kwegazi kusuka ku-ventricle yesobunxele, igumbi eliyinhloko lokupompa kwenhliziyo, liye ku-aorta. Ivalvu ye-aortic enempilo inamapheshana amathathu avulekayo futhi avale ukulawula ukugeleza kwegazi. Kodwa-ke, ivalvu ye-aortic ye-bicuspid inamapheshana amabili kuphela. Lokhu kungase kungabangela izinkinga ezinkulu isikhathi esithile, kodwa kungabangela izinkinga ngokuhamba kwesikhathi.

Uma une-bicuspid aortaopathy, i-aorta yakho inezincwajana ezimbili, kanti i-aorta yakho ibanzi kunejwayelekile (ivuliwe). Kubantu abane-bicuspid aorta, ukuvuvukala kuvame ukwenzeka empandeni ye-aorta noma ekwehleni kwe-aorta. Lezi yizingxenye ze-aorta eziseduze nenhliziyo.

Izinkinga ze-Bicuspid Aortopathy

I-aorta ekhuliswe kancane ingase ingabi yinkinga enkulu. Kodwa-ke, uma iba nkulu kakhulu, i-aneurysm ingavela. Le aneurysm ibeka ingcindezi eyengeziwe ezindongeni ze-aorta, okungabangela ukuthi iqhekeke noma iqhekeke. Abantu abane-bicuspid aorta banamathuba aphindwe kasishiyagalolunye okuba ne-aorta dissection kunabantu abangenayo le nkinga.

Ivame kangakanani le aorta?

Kuyahlukahluka kuye ngohlobo lwesifo. I-Aortic aneurysm (AAA) uhlobo oluvame kakhulu lwe-aorticopathy, futhi futhi uhlobo oluvame kakhulu lwe-aneurysm. E-United States kuphela, abantu ababalelwa ku-200,000 batholakala bene-AAA minyaka yonke. Emhlabeni wonke, abantu ababalelwa ku-47,000 bayafa minyaka yonke ngenxa yazo zonke izinhlobo ze-aorticopathy.

Ziyini izimpawu ze-Aortaopathy? Ungazinaki lezi!

I-aortaphrenia ivame ukungabi nazimpawu . Yilokho okuyingozi kakhulu. Yingakho kubalulekile ukuhlolwa njalo kwezokwelapha uma unezici eziyingozi.

Kunezimpawu ezithile ezingase zivele lapho i-aneurysm isizoqhuma. Izimpawu eziyisixwayiso ezingase zivele ngaphambi kokuba iqhume zifaka:

• Ukuzizwa usuthi ngisho nangemva kokudla kancane.
• Ubuhlungu obungapheli emhlane, ezinqeni, emisipheni, emlenzeni, noma esiswini.
• Ukuzwa ukushaya kwenhliziyo esiswini.
• Ubunzima bokuphefumula.

Ukuqhekeka kwe-aneurysm kanye nokuqhekeka kwe-aorta kuyizimo eziphuthumayo ezisongela impilo! Uma unezimpawu ezilandelayo , shayela u-1990 ngokushesha ukuze uthole i-ambulensi, noma uye egumbini lezimo eziphuthumayo esibhedlela esiseduze:

• Ukuqala ngokuzumayo kobuhlungu obukhulu besisu.
• Ubuhlungu obungazelelwe, obubukhali, obunamandla esifubeni noma emhlane ongaphezulu. Lokhu kungazwakala sengathi kuyadatshulwa ngaphakathi, njengokugwazwa ngommese, noma njengokugwazwa.
• Isikhumba esinamathelayo noma ukujuluka ngokweqile.
• Ukudideka.
• Ukuzizwa unesizungu noma ukuphelelwa yithemba.
• Isilinganiso senhliziyo siyanda.
• Isicanucanu nokuhlanza.
• Ubunzima bokuphefumula.
• Ubunzima bokukhuluma.
• Ukulahlekelwa umbono.
• Ubuthakathaka noma ukuba ndikindiki kolunye uhlangothi lomzimba.

Yiziphi izimbangela ze-Aorta?

Kunezimbangela eziningana ze-aortaopathy. Ezinye zikhona lapho umuntu ezalwa, kanti ezinye zikhula kamuva ekuphileni.

• Izakhi zofuzo: Njengoba kushiwo ngaphambili, izifo zezakhi zofuzo kanye nokuhlukahluka kwezakhi zofuzo kungabangela isifo se-aorta. I-aorta yomndeni ivame ukutholwa njengefa ngendlela elawulwa yi-autosomal. Lokhu kusho ukuthi uma umzali oyedwa enezakhi zofuzo, ingane yakhe inethuba elingu-50% lokuzizuza njengefa.
• Isifo senhliziyo esizalwa naso: Lokhu kuhlotshaniswa ne-aorta. Lokhu akusho ukuthi i-aorta ibangelwa yisifo senhliziyo esizalwa naso, kodwa lokhu kokubili kuvame ukubonakala ndawonye. Izibonelo: `I-valve ye-aorta ye-Bicuspid`, `I-Coarctation of the aorta`, `I-Pulmonary atresia ene-ventricular septal defect (VSD)`, `I-Tetralogy of Fallot`, `i-d-Ukuguqulwa kwemithambo emikhulu`, `I-Truncus arteriosus`. I-Aorta ingenzeka futhi ngemva kokuhlinzwa kwezinye izifo zenhliziyo ezizalwa naso. Izibonelo: `Ukuhlinzwa kwe-Arterial switch (ASO)`, `Ukuhlinzwa kwe-Atrial baffle (Mustard/Senning)`, `Ukuhlinzwa kwe-Norwood, Glenn kanye ne-Fontan okuhleliwe`.
• I-Atherosclerosis: Lokhu kuwukuqongelela kwamafutha (i-plaque) ngaphakathi kwemithambo yegazi, okuyenza inciphe kancane kancane. I-Atherosclerosis ye-aorta iyimbangela ehamba phambili ye-aortaopathy kamuva ekuphileni.

Ubani osengozini enkulu yokuthola i-aorta?

Kunezici eziningana ezingabangela ingozi engaba nomthelela ekuthuthukisweni kwe-aortathiasis:

• Ukubhema nokusebenzisa ugwayi: Lokhu kuyisici esikhulu esiyingozi . Iningi elikhulu lama-aneurysm lenzeka kubantu ababhemayo noma abake babhema esikhathini esidlule.
• Umfutho wegazi ophezulu (Umfutho wegazi ophakeme): Lesi simo singanciphisa izindonga zemithambo yegazi ngokuhamba kwesikhathi.
• Ukuguga: Ingozi yokuba ne-aneurysm iyanda ngemva kweminyaka engu-65.
• Umlando womndeni: Uma ilungu lomndeni eliphilayo liye laba ne-aneurysm noma ukuqhekeka, usengozini enkulu.
• I-cholesterol ephezulu noma ama-triglyceride aphezulu: Amazinga aphezulu amafutha (ama-lipid) egazini andisa ingozi yokufakwa kwamafutha emithanjeni yegazi.
• Izifo ezihlasela umzimba: Izifo ezihlasela umzimba ezifana ne-'Giant cell arteritis' kanye ne-'Takayasu arteritis' zingabangela ukuvuvukala ezindongeni zemithambo emikhulu, ziyenze ibe buthaka.
• Ukutheleleka: Akuvamile ukuthi izifo ezifana ne-syphilis, noma izifo ezibangelwa amagciwane odongeni lwemithambo emikhulu, ziyenze ibe buthaka.

Ungayixilonga kanjani i-aorta?

Ama-Aneurysms kanye nokuqhekeka kwemithambo yegazi ngokuvamile akunazo izimpawu noma izimpawu eziyisixwayiso, ngakho-ke kungenzeka zingatholakali kuze kube yilapho kuvela izinkinga ezinkulu. Kodwa-ke, uma unezici eziyingozi, udokotela wakho uzohlola i-aorta yakho ukuthola izimpawu zesifo.

Izindlela ezisetshenziswa ekuxilongeni i-aorta yilezi:

• Ukuhlolwa ngokomzimba: Udokotela wakho uzohlola zonke izici zempilo yakho. Uzohlola nezici zakho eziyingozi zesifo senhliziyo. Lokhu kuzofaka phakathi ukubuza ngomlando wakho wezokwelapha, izici zendlela yokuphila (njengokubhema), kanye nomlando womndeni.
• Ukuhlolwa kwezakhi zofuzo: Udokotela wakho angase akuncome ukuhlolwa kwezakhi zofuzo. Lokhu kuzobonisa ukuthi unezinguquko zezakhi zofuzo ezihlobene nesifo semithambo yenhliziyo.
• Ukuhlolwa kwezithombe: Udokotela wakho angase akuyalele lokhu kuhlolwa ukuhlola usayizi kanye nempilo ye-aorta yakho. Lokhu kuhlolwa kukala ububanzi be-aorta yakho bese kubheka ukuthi ibanzi yini kunokujwayelekile.

Yiziphi izivivinyo ezisetshenziswa ukuxilonga i-Aorta?

• "I-computer tomography (CT) scan"
• "I-Magnetic resonance imaging (MRI)"
• I-Transthoracic echocardiogram (TTE) (ukuskena kwenhliziyo)
• I-Transesophageal echocardiogram (TEE) (ukuhlolwa kwenhliziyo okwenziwa nge-esophagus)
• I-ultrasound yesisu (i-ultrasound scan yesisu)

Ukuhlolwa ngakunye kunezinzuzo nezinkinga zako. Udokotela wakho uzochaza ukuthi yikuphi ukuhlolwa okudingayo nokuthi kungani. Udokotela wakho angasebenzisa futhi okukodwa noma ngaphezulu kwalokhu kuhlolwa ukuqapha i-aorta yakho ngokuhamba kwesikhathi. Kungase kudingeke ukuthi lezi zithombe zithathwe njalo (isibonelo, kanye ngonyaka). Ukuthi udinga kangaki ukwenza lokhu kuhlolwa kuncike ezintweni eziyingozi kanye nempilo yamanje ye-aorta yakho.

Yiziphi izindlela zokwelapha i-aorta?

Ukwelashwa kuncike esimweni sakho kanye nengozi yakho yezinkinga. Udokotela wakho uzohlela ukwelashwa kwakho ngokwesimo sakho nezidingo zakho. Izinketho zokwelapha zifaka phakathi izinguquko zendlela yokuphila, imithi, izinqubo zezokwelapha kanye nokuhlinzwa.

Ake siqale ngokushintsha indlela yokuphila!

Ukushintsha indlela yokuphila kungasiza ekunciphiseni ukuqhubeka kwezinye izinhlobo zesifo se-aorta futhi kunciphise ingozi yokuqhuma kwe-aneurysm. Uma unesifo se-aorta, kubalulekile ukwenza okulandelayo:

• Gwema utshwala.
• Gwema ukubhema kanye nayo yonke imikhiqizo kagwayi.
• Yidla ukudla okunempilo okunempilo kwenhliziyo.
• Vivinya umzimba njalo (njengoba kuqondiswe udokotela wakho).
• Gcina isisindo sakho siphilile.
• Lawula izici eziyingozi zesifo senhliziyo njengomfutho wegazi ophakeme kanye ne-cholesterol ephezulu.

Uma kudingeka, kukhona nemithi efana nale.

Udokotela wakho angase akunike imithi yokusiza ukwehlisa umfutho wegazi lakho. Imithi yomfutho wegazi inciphisa umfutho wegazi odongeni lwemithambo yakho. Lokhu kunganciphisa ingozi yokuqhuma noma ukuqhekeka kwe-aneurysm yemithambo emikhulu. Izinhlobo zemithi ongayithatha zifaka:

• "Izithibi ze-Angiotensin converting enzyme (ACE)"
• "Ama-Angiotensin receptor blockers (ARBs)"
• `Ama-Beta-blockers`
• `Ama-blocker e-calcium channel`
• Imithi yokuhlanza (imithi ekwenza uchame kakhulu)

Ukuhlinzwa nezinye izinqubo zezokwelapha

Abanye abantu badinga ukwelashwa kwezokwelapha noma kokuhlinzwa ngenxa ye-aorta. Lokhu kufaka phakathi:

• Ukuhlinzwa kwe-Aneurysm (ukuhlinzwa okuvulekile kwendabuko)
• Ukuhlinzwa kokushintsha impande ye-Aortic
• Ukulungiswa kwe-Endovascular aneurysm (EVAR) - Lokhu ukwelashwa okuhilela ukufaka ipayipi ngembobo encane.
• Ukulungiswa kwe-Thracic endovascular aneurysm (TEVAR) - Lokhu futhi kuyindlela efanayo yokwelapha umthambo wesifuba.

Yini esingayenza ukuze sinciphise ingozi ye-aorta?

Unganciphisa ingozi yakho yokuthola i-aorta ngokwamukela indlela yokuphila enempilo yenhliziyo. Nazi ezinye izeluleko:

• Gwema izidakamizwa: Ugwayi, izidakamizwa, notshwala akukuhle enhliziyweni yakho. Eqinisweni, kungalimaza inhliziyo yakho kanye nemithambo yegazi. Yeka ukubhema nezidakamizwa ngokuphelele. Uma kukhulunywa ngotshwala, yazi kahle ukuthi yini 'isiphuzo' bese unciphisa inani. Odokotela batusa ukuthi abesifazane bangaphuzi ngaphezu kwesisodwa 'ngosuku' kanti abesilisa bangaphuzi ngaphezu 'kweziphuzo' ezimbili ngosuku.
• Yidla ukudla okunempilo kwenhliziyo: Lokhu kuhlanganisa ukudla ukudla okunamafutha agcwele aphansi, amafutha e-trans, i-sodium (usawoti), kanye noshukela. Nciphisa ama-carbohydrate acwengekile (njengesinkwa esimhlophe) bese udla okusanhlamvu okuningi (njengesinkwa sikakolweni ophelele, ilayisi elinsundu). Futhi, qaphela ukuthi ukudla okunomsoco kuthinta kanjani amazinga akho e-cholesterol.
• Ukuzivocavoca: Ayikho indlela yokuzivocavoca efanela wonke umuntu. Yenza lokho okuthandayo. Futhi, landela iseluleko sikadokotela wakho mayelana nokuthi yikuphi ukuzivocavoca okuphephile kuwe. Odokotela ngokuvamile batusa imizuzu eyi-150 yokuzivocavoca okulinganiselwe ngesonto. Lokhu kungafaka ukuhamba ngokushesha, ukugibela ibhayisikili, noma ukubhukuda.
• Lawula ukucindezeleka: Akulula njengoba kuzwakala. Kodwa kubalulekile ukuzama ukufunda izindlela ezintsha zokukusiza ukubhekana nokucindezeleka empilweni yakho yansuku zonke. Futhi, khuluma nomndeni wakho nabangani ngezindlela ezibasebenzelayo.

Uyini umbono womuntu one-Aorta? (I-Outlook)

Umuntu ongcono kakhulu ongambuza ngekusasa lakho udokotela wakho. Uzocabangela izinto eziningi, isibonelo:

• Isimo sakho sezokwelapha esithile.
• Izinga lokuqhubeka kwesifo sakho.
• Ubudala bakho nobulili.
• Izici zakho zengozi yesifo senhliziyo.
• Umlando wezokwelapha womndeni wakho.
• Umlando wakho wonke wezokwelapha.

Khuluma nodokotela wakho ngalokho ongakulindela esikhathini esizayo.

Uma ngine-Aorta, kufanele ngizinakekele kanjani?

Udokotela wakho uzokunikeza iziqondiso zokuzinakekela. Landela lezo ziqondiso ngqo, bese ubuza udokotela wakho uma unemibuzo. Kuzodingeka wenze okulandelayo:

• Gwema ukuzivocavoca okunzima noma ukudlala imidlalo enzima.
• Nciphisa noma uyeke ngokuphelele ukuphuza utshwala.
• Yenza izinguquko ekudleni kwakho.
• Yeka ukubhema noma ukusebenzisa imikhiqizo kagwayi.
• Thatha imithi yakho njengoba uyalelwe.

Ukukhulelwa kanye ne-Aorta

Ukukhulelwa kungaba yingozi uma unesifo semithambo yegazi yenhliziyo. Khuluma nodokotela wakho ngaphambi kokuthi uhlele ukukhulelwa ukuze uqiniseke ukuthi kuphephile kuwe. Ungadinga ukunakekelwa okukhethekile ngesikhathi sokukhulelwa (njengokuhlolwa njalo kwezithombe) ukuze unciphise ingozi yezinkinga. Gwema imithi engaphephile ngesikhathi sokukhulelwa. Udokotela wakho kungadingeka ashintshe imithi yakho.

Ngingayibona nini udokotela?

Bona udokotela wakho ukuze uhlolwe minyaka yonke, bese uya kuzo zonke izikhathi zokulandelela. Udokotela wakho uzokutshela ukuthi kufanele uze kangaki ukuzohlolwa.

Uma kwatholakala ukuthi unesifo senhliziyo sokuzalwa useyingane, cishe wawunodokotela wenhliziyo wezingane owayenakekela isimo sakho. Kodwa, ngemva kokuba usuneminyaka engu-18, kungenzeka ukuthi awuzange uthole uchwepheshe omusha. Ucwaningo lubonisa ukuthi abantu abaningi bayadideka lapho beshintsha besuka ekunakekelweni kwezingane beya ekunakekelweni kwabantu abadala. Uma welashelwa isifo senhliziyo sokuzalwa useyingane encane, kubalulekile ukuqhubeka nokusebenza nodokotela wenhliziyo useyingane. Lokhu kuyiqiniso ngisho noma ungezwa zinkinga. Udokotela wakho wenhliziyo uzokweluleka ngengozi yakho ye-aortaopathy nezinye izimo njengoba ukhula.

Okokugcina, izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Aorta yisimo esibi kakhulu esingasongela impilo uma singaqashelwa futhi singelashwa. Uma othile emndenini wakho eke waba ne-aneurysm noma ukuqhekeka kwe-aorta, khuluma nodokotela wakho ngengozi yakho. Abanye abantu basengozini enkulu ngenxa yezimo zofuzo, isifo senhliziyo sokuzalwa, noma izici zokuphila ezifana nokubhema. Ukuphila impilo enempilo yenhliziyo kunganciphisa ingozi yakho ye-aorta futhi kuqinise umzimba wakho wonke.Nakekela inhliziyo yakho, ngoba iyinhliziyo yempilo yakho!

I - Aorta, I-Aorta, Isifo Senhliziyo, I-Aneurysm, Ukuhlukaniswa Kwe-Aorta, Izifo Zofuzo, Ubuhlungu Besifuba, Umfutho Wegazi Ophakeme, Ukubhema, Impilo Yenhliziyo