Ingabe ukuhlukana kwenhliziyo yakho kuvinjiwe? (Ukuvaleka kwe-Bifurcation) Ake sixoxe ngalokhu!

Namuhla sizokhuluma ngento ebalulekile kubantu abaningi, kodwa mhlawumbe abayazi kahle. Ingabe ngezinye izikhathi uzizwa ukuqina kwesifuba, ubunzima bokuphefumula? Noma wake wezwa umngane wakho ekhuluma ngesifo senhliziyo? Ngezikhathi ezinjalo, enye yezinkinga esizizwayo yinkinga ehlobene nemithambo yegazi yenhliziyo ebizwa ngokuthi 'i-Bifurcation Blockage'. Kalula nje, lokhu ukuvaleka okwenzeka lapho igatsha lomthambo elihlinzeka ngegazi emagatsheni enhliziyo livaleka khona. Ake sibheke lokhu ngemininingwane ethe xaxa, akunjalo?

Kuyini lokhu 'Ukuvinjelwa Kwe-Bifurcation'?

Kulungile, manje ake sibone ukuthi lokhu 'kuvinjelwa kwe-Bifurcation' kuyini kalula. Cabanga nje, inhliziyo yethu ifana nephampu yamanzi. Ukuze le phampu iqhubeke isebenza, idinga ukuhlinzekwa kwegazi njalo. Lelo gazi liyiswa emisipheni yenhliziyo ngesistimu ekhethekile yemithambo yegazi ebizwa ngokuthi i-Coronary Artery . Le mithambo yegazi eyinhloko ihlukana ibe amagatsha amancane kwezinye izindawo, njengamagatsha esihlahla esikhulu ahlumayo. Noma, ungacabanga ngakho njengendawo lapho umgwaqo uhlukana khona kabili.

Indawo lapho umthambo oyinhloko uhlukana khona ube yigatsha elincane ibizwa ngokuthi 'i-bifurcation' . Ngakho-ke, uma lokhu kuhlukaniswa, ngokunembile, kusendaweni efana nokuhlangana okunobume buka-'Y', futhi ukuvaleka kwenzeka ngaphakathi komthambo ngenxa yokuqongelela kwamafutha (sikubiza ngokuthi 'i-plaque' ), lokho kubizwa ngokuthi 'ukuvaleka kwe-bifurcation' . Le 'plaque' iyinqwaba eyenziwe yi-cholesterol, amafutha, kanye ne-calcium. Odokotela babiza futhi le mithambo emincane yamagatsha ngokuthi 'imithambo yegatsha eliseceleni' . Ama-fatty deposits abangela lokhu kuvimbeka abizwa nangokuthi 'izilonda ze-bifurcation' . Uyaqonda? Kufana nokuminyana kwezimoto endaweni yokuhlangana emgwaqweni.

Ingabe zikhona izinhlobo zalezi zithiyo?

Yebo, lokhu kuvinjelwa kungaba ngezinhlobo ezahlukene. Okusho ukuthi, odokotela banquma ubunzima balokhu kuye ngokuthi umthambo uvinjiwe kangakanani. Uma umthambo uba mncane, siwubiza nangokuthi 'i-Stenosis' ngokwezokwelapha. Kunezinhlobo ezimbili ikakhulukazi 'zokuvinjelwa kwe-Bifurcation':

• Ukuvaleka okulula: Lokhu kwenzeka lapho ububanzi obungaphansi kuka-70% bomthambo buvinjiwe. Lokhu kusho ukuthi ukuhamba kwegazi kusavinjelwe kancane, kodwa kungase kube nokuvinjelwa okuthile.
• Ukuvaleka okuyinkimbinkimbi: Yilapho inkinga iba nkulu khona. Ngaphezu kwama-70% omthambo, noma ngaphezu kwezingxenye ezintathu kwezine zangaphakathi komthambo, kungavinjelwa. Ngezinye izikhathi kungaba nokuvaleka okungaphezu kokukodwa ezindaweni eziningana. Noma ihlule legazi lingase linamathele, noma kungenzeka ukuthi kwakheke ama-calcium deposits (lokhu sikubiza ngokuthi 'i-calcification').(masithi) Udonga lwemithambo lungase luqine futhi lungaguquguquki kakhulu. Enye into ukuthi, ngezinye izikhathi lokhu kuvinjelwa kungaba sendaweni lapho umthambo omncane wegatsha udonswa khona nge-engeli ebukhali kakhulu (ngaphezu kwama-degrees angu-70). Uma lokho kwenzeka, kuba nzima kakhulu ukwelapha, ngoba kunzima ukwelapha ngemishini yezokwelapha.

Kuvame kangakanani lokhu 'kuvinjelwa kwe-bifurcation'?

Ungase uzibuze ukuthi lokhu kuvame kangakanani. Eqinisweni, kulinganiselwa ukuthi phakathi kuka-15% no-20% wazo zonke izimo zesifo semithambo yenhliziyo (CAD) ezidinga ukunakekelwa kwezokwelapha, noma cishe oyedwa kwabahlanu, zibangelwa yilokhu 'kuvinjelwa kwe-bifurcation.' Ngakho-ke, nakuba kungase kungabi yinto evamile kangako, kuyisimo esingathinta abantu abaningi.

Yini ebangela lokhu?

Nokho, iyini imbangela eyinhloko yalokhu kuvimbeka? Njengoba ngishilo ngaphambili, imbangela eyinhloko yalokhu ukuqongelela kwamafutha namafutha, okungukuthi, lelo 'plaque' , ngaphakathi kwezindonga zemithambo yethu yegazi. Kufana nombhobho wamanzi omdala ogqwala futhi uqongelele ukungcola bese uvaleka empayipini ngokuhamba kwesikhathi. Ngokuhamba kwesikhathi, leli 'plaque' liyakhula futhi linciphise indlela engaphakathi komthambo. Bese inani legazi elidingwa yinhliziyo, okungukuthi, umoya-mpilo nezakhamzimba, aligelezi kahle. Lokhu 'kuvimbeka kwe-Bifurcation' nakho kungokwesigaba esifanayo sesifo semithambo yenhliziyo (CAD) .

Ubani osengozini enkulu yokuthola lesi simo?

Manje ake sibone ukuthi ubani onamathuba amaningi okuthola lesi simo, noma ukuthi yiziphi izici eziyingozi. Kubaluleke kakhulu ukuzazi lezi zinto, ngoba ezinye izinto singazilawula.

Ngokuvamile, abesifazane banamathuba amaningi okuthuthukisa i-CAD kanye ne -Bifurcation Blockage ngemva kokunqamuka kokuya esikhathini , okusho ukuthi bayayeka ukuya esikhathini nyanga zonke, kanti amadoda anamathuba amaningi okuthuthukisa i-CAD ngemva kweminyaka engu-45.

Ngaphezu kwalokho, kunezinye izici eziningana eziyingozi:

• Isifo Sikashukela: Abantu abanesifo sikashukela banamathuba amaningi okuba nezinkinga zemithambo yegazi ngoba isifo sikashukela singalimaza izindonga zemithambo yegazi.
• Ukukhuluphala ngokweqile noma ukukhuluphala ngokweqile: Uma isisindo somzimba sanda, kuba nzima ngenhliziyo ukusiphatha futhi kufanele isebenze kanzima kakhulu.
• Umlando womndeni wesifo senhliziyo: Ngezinye izikhathi lokhu kungabangelwa yithonya lezakhi zofuzo.
• Umfutho wegazi ophezulu (Umfutho wegazi ophezulu): Umfutho wegazi ophezulu usho ukuthi kukhona ukucindezeleka okungadingekile okuqhubekayo emithanjeni. Lokhu kungalimaza imithambo yegazi.
• I-cholesterol ephezulu: I-cholesterol iyimbangela eyinhloko yokwakheka kwama-plaque , ikakhulukazi amazinga aphezulu e-cholesterol "embi" (LDL).
• Ukuntuleka kokuzilolonga:Uma umzimba ungazivocavoci, kungenzeka kakhulu ukuthi uqongelele amafutha futhi impilo yenhliziyo nayo iba buthaka.
• Ukudla Okungafanele: Uma udla njalo ukudla okunamafutha amaningi, ushukela, nosawoti, ingozi inkulu. Cabanga ngokudla okungenamsoco esikudlayo, ukudla okusheshayo, iziphuzo ezinoshukela, nokudla okuthosiwe... Uma uqhubeka nokudla lokhu, kungavela izinkinga.
• Ukubhema noma ukusebenzisa imikhiqizo kagwayi: Ukubhema kungenye yezitha ezinkulu zenhliziyo. Amakhemikhali akugwayi alimaza ngqo imithambo yegazi.

Ziyini izimpawu zalokhu?

Njengoba i-Bifurcation Blockage nayo iwuhlobo lwesifo semithambo yenhliziyo (CAD) , izimpawu ziyafana. Kodwa-ke, ngezinye izikhathi lesi simo singaba khona ngaphandle kwezimpawu. Kodwa-ke, izimpawu ezivame kakhulu yilezi:

• I-Angina: Lokhu umuzwa wobuhlungu noma ukuqina esifubeni, umuzwa wokuminyana. Abanye abantu bakuchaza njengobunzima esifubeni, noma njengokungathi isifuba siyacindezelwa. Lobu buhlungu buvame ukuba bubi kakhulu ngesikhathi sokuzivocavoca, ukukhwela izitebhisi, noma lapho kunengcindezi enhliziyweni.
• Ukujuluka okubandayo: Ungase uzizwe ubanda futhi ujuluke ngokuzumayo, ikakhulukazi uma uzwa ubuhlungu esifubeni.
• Ukuzizwa unesizungu noma uzizwa unamahloni: Uzizwa sengathi awukwazi ukuma, amehlo akho aphenduka aluhlaza okwesibhakabhaka.
• Ukukhathala nobuthakathaka: Ungase uzizwe ukhathele futhi ungakwazi ukwenza lutho. Ungase ukuthole kunzima nokwenza imisebenzi eyayilula ngaphambili.
• Ukushaya kwenhliziyo: Ukuzizwa sengathi uyayizwa inhliziyo yakho ishaya, noma inhliziyo yakho ishaya ngokushesha okukhulu, njengokungathi isifuba sakho siyashaya.
• Isicanucanu: Umuzwa wokugula, mhlawumbe nokuhlanza.
• Ukuphefumula kanzima: Uzizwa uphelelwa umoya ngisho nangemva kokwenza umsebenzi omncane. Ngezinye izikhathi, ungase ube nobunzima bokuphefumula ngisho nalapho ulele.
• Ubuhlungu behlombe noma ingalo: Ngezinye izikhathi lobu buhlungu bungaqala esifubeni buhambe entanyeni, emhlathini, ehlombe, noma engalweni yesobunxele.

Okubalulekile: Uma unesinye noma ngaphezulu salezi zimpawu, ungacabangi nje ukuthi kuyisifo somzimba. Bonana nodokotela ngokushesha.

Odokotela bakuthola kanjani lokhu?

Uma unalezi zimpawu, uma ubona udokotela, angase enze izivivinyo eziningana ukuze anqume ukuthi lokhu 'kuwukuvinjelwa kwe-bifurcation' noma esinye isimo senhliziyo. Ezinye zalezi zimpawu zifaka:

• Ukuhlolwa kwe-catheterization yenhliziyo kanye ne-angiogram:Lokhu kuhilela ukudlulisa ipayipi elincane (i-catheter) ngomthambo wegazi ongalweni noma emlenzeni wakho liye emithanjeni yenhliziyo yakho, ukufaka idayi ekhethekile kuyo, nokuthatha izithombe ze-X-ray. Lokhu kukuvumela ukuthi ubone ngokucacile ukuthi kukhona yini ukuvaleka kwemithambo yegazi nokuthi kungakanani.
• I-Coronary computed tomography angiogram (CCTA): Lokhu kuyi-CT scan ekhethekile esebenzisa izithombe ezinezinhlangothi ezintathu (3D) ukuze kubonwe ukuthi igazi ligeleza kanjani liye enhliziyweni nokuthi kukhona yini ukuvaleka kwemithambo yegazi.
• I-Intravascular optical coherence tomography (IVOCT): Lena yindlela ethuthuke kakhulu. Lapho nje i-catheter ifakwa, kudlula enye ithuluzi elincane kuyo bese i-plaque ifakwa ngaphakathi komthambo wegazi, izendlalelo zodonga lomthambo, ingabonakala ezithombeni ezicacile nezinencazelo ephezulu.
• I-intravascular ultrasound (IVUS): Lokhu futhi ukuhlolwa kwe-ultrasound okubheka ngaphakathi kwemithambo yegazi. Njenge-IVOCT, kunganikeza umbono omuhle ngesimo sezindonga zemithambo kanye nohlobo 'lwe-plaque'.
• I-Fractional flow reserve (FFR): Lokhu kulinganisa umehluko ekucindezelekeni ngaphakathi komthambo wegazi, kuzo zombili izinhlangothi zokuvaleka. Kungahlola ngokunembile ubukhulu bokuvaleka futhi kunqume ukuthi kuyadingeka yini ukwelashwa.

Yiziphi izindlela zokwelapha lokhu?

Ukwelapha 'ukuvinjelwa kwe-bifurcation' ngezinye izikhathi kungaba yinselele kancane. Ngoba imithambo yegatsha eliseceleni engikhulume ngayo mincane kakhulu, futhi i-engeli lapho ihlukana khona nomthambo oyinhloko nayo iyathinteka. Ngakho-ke kungaba nzima kakhulu ukufinyelela nokwelapha kunemithambo yegazi eyinhloko.

Odokotela bavame ukwenza inqubo ebizwa ngokuthi i-angioplasty . Lokhu kuhilela ukwandisa umthambo oncishisiwe. Bese kufakwa ithubhu elincane elinocingo olubizwa ngokuthi i-stent emthanjeni ukuze igazi liqhubeke ligeleza ngaphandle kokulicindezela futhi. Kokubili i-angioplasty kanye ne-stenting kubizwa ngokuthi i-percutaneous coronary interventions (PCI) .

Kalula nje, yilokhu okwenzekayo ngesikhathi se-angioplasty kanye nokufakwa kwe-stent:

1. Udokotela usika isikhumba sakho kancane, kungaba esihlakaleni sakho noma embotsheni yakho, bese efaka i-catheter (ipayipi elincane neligobile) ngayo iye emthanjeni wegazi.

2. Le catheter ibe isiqondiswa ngokucophelela ngemithambo yegazi iye endaweni lapho inhliziyo ivalekile khona. Lokhu kwenziwa ngaphansi kwesiqondiso se-X-ray.

3. Kukhona ibhaluni elincane ekugcineni kwe-catheter. Uma lifika endaweni evinjiwe, lapho ibhaluni ligcwele umoya, i-plaque ebhajwe kulowo mthambo inamathela odongeni lomthambo, bese umthambo uba banzi.

4. Bese kuba khona i -stent.Elinye (kungaba ngaphezu kwebhaluni noma ngokwehlukana) lifakwa emthanjeni, ibhaluni liyafuthwa, bese i-stent icindezelwa odongeni lomthambo. Ibhaluni liyasuswa, kushiywe i-stent endaweni yayo ngaphakathi komthambo, kuvinjwe umthambo ukuthi unganciphi futhi.

Ngemva kwalokhu kwelashwa, udokotela wakho uzokubhalela uhlobo lomuthi wokunciphisa igazi obizwa ngokuthi 'ukwelashwa okubili kwe-antiplatelet' (njenge-aspirin ne-clopidogrel) isikhathi esithile ukuvimbela ukwakheka kwamahlule egazi ngaphakathi kwe-stent. Kubaluleke kakhulu ukuthatha lo muthi njengoba nje udokotela wakho ekutshelile, sonke isikhathi.

Amasu akhethekile e-stent 'okuvimba kwe-bifurcation'

Kunezinhlobo ezimbili zama-stent asetshenziswa ukwelapha isifo semithambo yenhliziyo (CAD) . Enye i-stent yensimbi engenalutho . Enye i-stent ekhipha izidakamizwa . Le stent ekhipha izidakamizwa isebenza ukunciphisa ingozi yokuthi imithambo yenhliziyo iphinde inciphe (i-restenosis).

Kunezindlela eziningana eziyinhloko zokusebenzisa i-stent ezisetshenziswa ekwelapheni ukuvinjelwa kwe-bifurcation:

• Ukufakwa kwe-stenting okwesikhashana: Kulokhu, udokotela ubeka i-stent kuphela emthanjeni oyinhloko. Umthambo oseceleni awufakwanga i-stent. Kodwa-ke, uma umthambo oyinhloko uvaleka, noma uma uqhubeka nokuba nezimpawu, i-stent ingafakwa kulowo mthambo kamuva.
• Izinqubo ze-stent ezimbili: Ezindaweni eziyinkimbinkimbi kakhulu zokuvaleka, noma uma ukuvaleka komthambo wegatsha nakho kubalulekile, udokotela uzobeka ama-stent kokubili emthanjeni wegazi oyinhloko kanye nomthambo wegatsha omncane. Kunezindlela ezahlukahlukene zalokhu (isib., i-Culotte, i-T-stenting, i-Crush).

Izivivinyo zemitholampilo ziyaqhubeka njengamanje kuma -stents akhethekile egatsha eliseceleni aklanyelwe ukungena kuleyo mithambo emincane yegatsha.

Ingabe ukwelashwa kungabangela izinkinga?

Izinkinga ngezinye izikhathi zingavela kwabanye, kodwa hhayi bonke, abantu abaye bahlinzwa i-angioplasty kanye ne-stenting ngenxa 'yokuvinjelwa kwe-Bifurcation' . Ezimbili eziyinhloko yilezi:

• Ukuqina kwe-in-stent: Lokhu kwenzeka lapho kwakheka izicubu zesilonda endaweni ye-stent, ngaphansi noma ngaphakathi kwe-stent, okwenza umthambo unciphe futhi. Lokhu kuvame ukwenzeka zingakapheli izinyanga eziyisithupha kuya kweziyishumi nambili zokubekwa kwe-stent. Uma lokhu kwenzeka, umthambo kuzodingeka ukhuliswe futhi nge-angioplasty noma olunye ukwelashwa. Ama-stent angasebenzisi izidakamizwa anciphise kakhulu le ngozi.
• I-Stent thrombosis: Lokhu kwenzeka lapho kwakheka amahlule egazi endaweni ye-stent nangaphakathi kwemithambo yegazi. Lokhu kubizwa ngokuthi 'i-Thrombosis'.Lesi isimo esiyingozi kancane, ngoba lokhu kuqhekeka kwegazi kungavimba umthambo ngokuzumayo futhi kubangele ukuhlaselwa yinhliziyo. Ukuthatha 'ukwelashwa okuphindwe kabili kwe-antiplatelet' ngendlela efanele kunganciphisa kakhulu le ngozi.

Ingabe lolu hlobo lokuminyana alunakuvinjelwa?

Ingabe zikhona ngempela izinto esingazenza ukuvimbela lezi zinhlobo zokuvaleka? Impela! Ukulandela lezi zinyathelo ukuvikela inhliziyo yakho kunganciphisa ingozi yakho yesifo semithambo yenhliziyo (CAD) kanye ne -atherosclerosis - isimo lapho ama-fat deposits akheka khona ngaphakathi kwemithambo, okubangela ukuba iqine futhi ilahlekelwe ukuqina kwayo.

• Lawula umfutho wegazi ophakeme: Kubalulekile ukunciphisa usawoti ekudleni kwakho, uphuze imithi yakho njengoba uyalelwe udokotela wakho, futhi uhlolwe umfutho wegazi njalo.
• Nciphisa ukusetshenziswa kotshwala: Nciphisa ukusetshenziswa kotshwala ngangokunokwenzeka. Gwema ukuphuza utshwala nsuku zonke. Uma uluthekile, thola usizo.
• Yidla ukudla okunempilo kwenhliziyo: Lokhu kubaluleke kakhulu ukuze wehlise amazinga e-cholesterol. Gwema ukudla okunamafutha amaningi, ushukela omningi, kanye nokudla okucutshunguliwe, bese udla izithelo eziningi, imifino, ubhontshisi, ukudla okucebile nge-fiber (njengelayisi elinsundu, i-oats, kanye ne-lentile), kanye nenhlanzi (ikakhulukazi izinhlanzi ezicebile ngama-omega-3 njenge-salmon kanye ne-mackerel) .
• Qaphela amafutha akho: Nciphisa ukudla ukudla okunamafutha agcwele kanye nama-trans (isib. inyama ebomvu, inyama ecutshunguliwe, izinto ezibhakiwe, ukudla okuthosiwe). Isibonelo, amafutha kakhukhunathi awalungile kuwe ngokweqile. Sebenzisa amafutha anempilo afana namafutha omnqumo namafutha e-canola ngokulinganisela.
• Lawula isifo sikashukela: Uma unesifo sikashukela, kubalulekile ukusilawula kahle. Ukudla, ukuvivinya umzimba, kanye nokuthatha imithi kadokotela kubalulekile.
• Gwema ukubhema: Uma ubhema, funa usizo lokuyeka. Ukuba seduze nabantu ababhemayo (ukubhema ugwayi okungenamsebenzi) nakho kungaba yingozi.
• Yiba nomdlandla ngokomzimba: Ukuzivocavoca okungenani imizuzu engama-30 ngosuku, izinsuku ezi-5 ngesonto, kungasiza ekugcineni isisindo esinempilo futhi kuqinise inhliziyo yakho. Ungenza izinto ezifana nokuhamba, ukugibela ibhayisikili, noma ukubhukuda.
• Nciphisa ukucindezeleka: Zama ukuphumula ingqondo yakho ngezinto ezifana ne-yoga nokuzindla.

Sinjani isimo sempilo somuntu 'onokuvaleka kwe-bifurcation'?

Ezinye izifundo zisikisela ukuthi izinga lempumelelo yokwelapha ukuvaleka kwe-bifurcation nge-angioplasty kanye ne-stenting licishe libe ngu-40%. Kodwa-ke, lokhu kungahluka kuye ngesiguli, kuye ngohlobo lokuvaleka. Lokhu kusho ukuthi abanye abantu bangase babe nezimpawu zenhliziyo ngemva kokwelashwa. Ngakho-ke, kubaluleke kakhulu ukuqhubeka nokuvikela inhliziyo yakho ngokudla ukudla okunempilo kwenhliziyo, ukwehlisa isisindo uma kudingeka, kanye nokuthatha imithi oyinikezwe ngudokotela. Kubalulekile futhi ukuhlala uxhumana nodokotela wakho njalo futhi wenze izivivinyo ezidingekayo.

Kufanele ubonane nini nodokotela?

Uma ucabanga kanjalo, wenaUma uhlaselwa yisifo senhliziyo (isib. ubuhlungu obukhulu esifubeni, ubunzima bokuphefumula, ukujuluka, ukuhlanza), shayela u-911 noma isevisi ye-ambulensi ephuthumayo eseduze (isib. 1990 Suwaseriya) ngokushesha. Ungachithi isikhathi!

Ngaphezu kwalokho, bona udokotela uma unezinye zalezi zimpawu eziqhubekayo noma ezenzeka njalo:

• Ubuhlungu besifuba (i-angina) , ubuhlungu bengalo noma behlombe.
• Ukujuluka okubandayo.
• Ubunzima bokuphefumula.
• Ukukhathala okukhulu noma ubuthakathaka ngaphandle kwesizathu.
• Ukuzungeza noma umuzwa wokushaya kwenhliziyo okusheshayo.

Yini okufanele ngiyibuze udokotela?

Kungumqondo omuhle ukubuza le mibuzo uma uvakashela udokotela wakho. Lokhu kuzokusiza ukuthi uqonde kangcono isimo sakho:

• Yini engaba yimbangela yokuthi ngithuthukise lokhu 'Ukuvinjelwa Kwe-Bifurcation' ?
• Ingabe ngisengozini yokuthola ukuvinjelwa okufanayo kweminye imithambo yegazi?
• Yikuphi ukwelashwa okunconywayo kimi? I-angioplasty kanye ne-stenting kuzothuthukisa kangakanani lokhu kuvinjelwa?
• Uncoma luphi uhlobo lwe- stent ? (isb., i-stent engayisebenzisi imithi?)
• Mangaki ama-stents engizowadinga?
• Ziyini izingozi nezinzuzo zokwelashwa?
• Ngidinga ukuthatha imithi isikhathi esingakanani ngemva kokwelashwa?
• Yiziphi izinguquko okufanele ngizenze endleleni yami yokuphila ukuze ngivikele inhliziyo yami?
• Yiziphi izinkinga ezingaba khona ngemva kokwelashwa, futhi kufanele ngizinakekele kanjani?

Into ebaluleke kakhulu esingayifunda kulokhu (Umyalezo Ohamba Nawo Ekhaya)

Ukuvaleka kwe-Bifurcation ukuvaleka okwenzeka lapho kuhlangana khona umthambo wenhliziyo enhliziyweni, okuvimba ukugeleza kwegazi enhliziyweni. Nakuba ngezinye izikhathi kungaba nzima ukwelapha, kunezindlela zokwelapha ezithuthukisiwe ezifana ne-angioplasty kanye ne-stenting.

Kodwa-ke, into ebaluleke kakhulu ukuzama ukuvimbela lesi simo ukuthi singenzeki , futhi ngisho nangokwelashwa, ukuvikela inhliziyo yakho ngokwenza izinguquko ezinhle endleleni yokuphila (ukudla okuhle, ukuvivinya umzimba, nokuyeka ukubhema). Uma unezimpawu ezifana nobuhlungu besifuba noma ukuphelelwa umoya, kubalulekile ukufuna iseluleko sezokwelapha ngaphandle kokuzishaya indiva. Khumbula, inhliziyo yakho iyimpahla yakho eyigugu kakhulu! Kungumthwalo wakho ukuyinakekela.

Isifo senhliziyo, ukuvaleka kwe-bifurcation, i-CAD, i-angioplasty, i-stent, ubuhlungu besifuba, inhliziyo