Ingabe unesimila enhliziyweni yakho? (Isimila Senhliziyo) Ungakhathazeki, ake sixoxe ngalokhu!

Sonke sicabanga kakhulu ngezinhliziyo zethu, akunjalo? Kuvamile ukuzizwa sesaba kancane uma sizwa ngenkinga yenhliziyo. Ngezinye izikhathi, kungavela amaqhubu amancane, noma izimila enhliziyweni. Lokhu yilokho esikubiza ngokwezokwelapha ngokuthi "Amaqhubu Enhliziyo". Ezinye zalezi zingase zingabi yingozi, kanti ezinye zingase zibe zimbi kakhulu. Ngakho-ke, kubaluleke kakhulu ukuqaphela lokhu.

Yiziphi lezi zinhlobo zamathumba enhliziyo?

Kalula nje, singahlukanisa izimila ezakheka enhliziyweni zibe izinhlobo ezimbili eziyinhloko: izimila eziqala enhliziyweni uqobo kanye nezimila ezakheka kwenye indawo bese zisakazekela enhliziyweni.

Amathumba Enhliziyo Ayinhloko

Lezi yizinhlobo zezimila eziqala ngaphakathi enhliziyweni. Iningi lazo, cishe u-75% kuya ku-95%, azinawo umdlavuza , okungukuthi, izimila ezingenangozi. Kodwa-ke, uma ziphazamisa ukusebenza kwenhliziyo, noma uma zingelashwa, ngezinye izikhathi zingadala izingozi ezifana nesifo sohlangothi. Ngakho-ke, lokhu akuyona into okufanele ithathwe kalula.

Ngezinye izikhathi, lezi zimila eziyinhloko zingaba umdlavuza , okusho ukuthi zingaba yingozi.

Izimila eziyinhloko ezingezona umdlavuza ezikhula kubantu abadala

• I-Myxoma: Lolu uhlobo oluvame kakhulu lwesimila senhliziyo esingesona umdlavuza kubantu abadala. Luhlanganisa cishe u-50% wazo zonke izimila zenhliziyo eziyinhloko. Ngokuvamile zikhula e-atrium yesobunxele yenhliziyo. Kumele zisuswe ngokuhlinzwa ukuze kuvinjelwe izinkinga ezinkulu ezifana ne-embolism (ukuvaleka kwehlule legazi emthanjeni).
• I-papillary fibroelastoma: Lolu uhlobo lwesibili oluvame kakhulu lwesimila senhliziyo esingesona umdlavuza. Nakuba singakhula kunoma yimuphi ubudala, sivame kakhulu kubantu abangaphezu kweminyaka engu-60. Cishe u-80% walezi zimila zikhula kuma-valve enhliziyo, ikakhulukazi i-aortic valve noma i-mitral valve. Ngisho noma ungenazo izimpawu, udokotela wakho angase akuncome ukuhlinzwa ukuze kuncishiswe ingozi ye-embolism.
• I-Lipoma: Lesi isimila esakhiwe ngama-fat cell. Singavela kubantu babo bonke ubudala. Lesi simila singaba sincane ngezinye izikhathi, kodwa ngezinye izikhathi singaba sikhulu kakhulu. Ama-Lipoma avame ukukhula e-ventricle yesobunxele, e-atrium yesokudla, noma odongeni oluphakathi kwe-atria (i-atrial septum).
• I-Hemangioma: Lawa amathumba akhiwe ngemithambo yegazi. Kubikwe ukuthi ayenzeka kubantu kusukela ebuntwaneni kuya eminyakeni engaba ngu-65 ubudala. Ngokuvamile awabangeli izimpawu. Ngakho-ke, atholakala lapho kwenziwa ukuhlolwa kwezinye izinkinga. I-Hemangioma ivame ukubonakala kanye nezinye izimila emgudwini wokugaya ukudla noma esikhumbeni.

Izimila eziyinhloko ezingezona umdlavuza ezikhula ezinsaneni nasezinganeni ezincane

• I-rhabdomyoma yenhliziyo:Lolu uhlobo oluvame kakhulu lwesimila senhliziyo olubonakala ezinsaneni nasezinganeni ezincane. Ama-Rhabdomyomas akheka ngamaqoqo futhi avame ukunyamalala ngokwawo ngaphandle kokwelashwa.
• I-Teratoma: Lesi simila sivame ukuvela ku-pericardium, isikhwama esincane esizungeze inhliziyo yengane yakho. Singavela futhi lapho imithambo yegazi emikhulu exhumanisa nenhliziyo iqala khona.
• I-Fibroma: Ngokungafani ne-rhabdomyoma, i-fibroma ikhula njengesimila esisodwa. Ngokuvamile ikhula ngaphakathi kwemisipha yama-ventricle enhliziyo yengane. Ngenxa yokuthi ingabangela izinkinga ezinkulu zenhliziyo, ingane cishe izodinga ukuhlinzwa ukuze kususwe isimila.
• I-Hamartoma: Lokhu kubizwa nangokuthi i-histiocytoid cardiomyopathy noma i-Purkinje cell hamartoma. Lokhu kungathinta isigqi senhliziyo yengane yakho.

Izinhlobo zezimila zenhliziyo eziyinhloko ezinomdlavuza (ezibulalayo)

Cishe u-5% kuya ku-25% wazo zonke izimila zenhliziyo eziyinhloko zinomdlavuza. Uhlobo oluvame kakhulu yi-sarcoma.

• I-Sarcoma: Lolu hlobo lwe-sarcoma luthinta abantu abaphakathi kuka-50% no-75% abanomdlavuza wenhliziyo. Kunezinhlobo eziningi ze-sarcoma. Ezimbili eziyinhloko yilezi:
• I-Angiosarcoma: Lolu uhlobo oluvame kakhulu kubantu abadala. I-Angiosarcoma ivame ukuvela ku-atrium noma ku-pericardium efanele.
• I-Rhabdomyosarcoma: Lena uhlobo oluvame kakhulu ezinsaneni nasezinganeni ezincane. Kodwa-ke, ingenzeka nakubantu abadala. I-Rhabdomyosarcoma ivame ukwakheka ngamaqoqo futhi ingakhula kunoma yiliphi igumbi lenhliziyo.

Kukhona nezinhlobo ezingavamile kakhulu zezimila zenhliziyo eziyinhloko ezinomdlavuza:

• I-histiocytoma ene-fibrous ebulalayo: Lesi simila sivame ukuvela ku-atrium yangakwesobunxele futhi singavimba i-valve yakho ye-mitral, sivimbele ukugeleza kwegazi phakathi kwamakamelo enhliziyo.
• I-Lymphoma: I-Lymphoma (umdlavuza wamaseli amhlophe egazi) ivame ukuvela kuma-lymph node, ubende, noma umnkantsha. Akuvamile ukuvela enhliziyweni. Lokhu kuvame ukwenzeka kubantu abane-AIDS.

Izimila eziyinhloko, ezingaba umdlavuza noma zingabi umdlavuza

Amanye amathumba aqala enhliziyweni angaba umdlavuza noma angabi nawo.

• I-Mesothelioma: Lesi simila sinomdlavuza uma sakha e-pericardium. Kodwa-ke, akuvamile, ukuthi siqale e-atrioventricular node, eyingxenye yesistimu kagesi yenhliziyo. Uma kunjalo, akusona umdlavuza.
• I-Paraganglioma: Lesi simila sivame ukukhula phansi kwenhliziyo.

Amathumba Enhliziyo Asakazeka Kakhulu

Lezi yizimila ezakheka lapho umdlavuza uqala kwenye indawo emzimbeni wakho (isibonelo, emaphashini noma esikhumbeni) bese usakazekela enhliziyweni yakho. Lezi zihlala ziyizimila ezinomdlavuza (eziyingozi) , okusho ukuthi zikhula ngenxa yomdlavuza osevele ukhona emzimbeni.

Kunezinhlobo eziningana zomdlavuza ezingasakazekela enhliziyweni:

• I-Melanoma (umdlavuza wesikhumba)
• Umdlavuza wamaphaphu
• Umdlavuza webele
• I-Lymphoma
• Umdlavuza wezinso
• Umdlavuza we-Esophageal

La mathumba akhula kuphi enhliziyweni?

Izimila zenhliziyo zingakhula ezingxenyeni ezahlukene zenhliziyo. Zombili izimila eziyinhloko kanye nezimila ezisakazekile zingakhula ezindaweni ezilandelayo:

• I-Endocardium: Izicubu ezimboze ingaphakathi lamagumbi enhliziyo.
• I-Myocardium: Leyo yimisipha yenhliziyo yakho.
• Ama-valve enhliziyo: Lezi yizingxenye ezifana "nesango" ezilawula ukugeleza kwegazi enhliziyweni.
• I-Pericardium: Lesi yisikhwama esincane esizungeze inhliziyo.

Ubani othola la mathumba enhliziyo kakhulu?

Izimila zenhliziyo, kuye ngohlobo lwazo, zingakhula kunoma ubani kunoma yimuphi ubudala. Ezinye izinhlobo (njenge-teratomas) zikhula ngesikhathi ingane isesesibelethweni. Ezinye izinhlobo zikhula ngesikhathi sobuntwana noma ngezikhathi ezahlukene zokuphila komuntu omdala.

Cabanga ngalokhu: Ama-myxoma avame kakhulu kwabesifazane kabili noma kane kunakwabesilisa.

Ama-Sarcomas uhlobo lomdlavuza oluvame kakhulu kubantu abadala abaseminyakeni ephakathi. Isilinganiso seminyaka yokuxilongwa sicishe sibe yiminyaka engama-44.

Zivame kangakanani izimila zenhliziyo?

Izimila zenhliziyo eziyinhloko (ezingezona ezomdlavuza kanye nezingezona ezomdlavuza) zithinta cishe umuntu oyedwa kwabangu-2,000. Kodwa-ke, izimila ezingezona ezomdlavuza zivame kakhulu kunezimila zomdlavuza.

Kodwa-ke, izimila zenhliziyo ezisakazekela enhliziyweni zivela kwezinye izindawo (ezisakazeka kalula) zivame kakhulu. Isibonelo:

• Cishe abantu abayi-10% abanomdlavuza wamaphaphu.
• Cishe abantu abayi-10% abanomdlavuza webele.
• Phakathi kuka-50% no-65% wabantu abane-melanoma.

Izimila zenhliziyo ziwuthinta kanjani umzimba wakho?

Izimila zenhliziyo zingathinta umzimba wakho ngezindlela eziningi. Izimila zenhliziyo ezinomdlavuza (eziyingozi) zingasakazekela kwezinye izingxenye zomzimba wakho, njengamaphaphu. Izimila zenhliziyo ezingenamdlavuza (ezingenobungozi) azisakazeki, kodwa zingabangela izinkinga enhliziyweni nasemithanjeni yegazi. Izinkinga ezinjalo zifaka:

• Ukuphazamiseka kwenhliziyo (i-Arrhythmias)
• Amahlule egazi kanye ne-thromboembolism
• Izinkinga ngokugeleza kwegazi enhliziyweni
• Isifo senhliziyo
• Ukwehluleka kwenhliziyo
• Imisindo yenhliziyo engavamile (ukububula kwenhliziyo)
• Umfutho wegazi ophansi (i-Hypotension)
• Ukuphuma kwegazi enhliziyweni
• Ukuvuvukala kwesikhwama esizungeze inhliziyo (i-pericarditis)
• Ukulimala kwama-valve

Indlela isimila esithinta ngayo inhliziyo yakho incike ohlotsheni lwesimila nokuthi sitholakala kuphi enhliziyweni. Isibonelo, izimila eziqala kuma-valve enhliziyo zingavimba ukugeleza kwegazi enhliziyweni noma zibangele ukugoba kwegazi. Izimila ezikhula emisipheni yenhliziyo zingabangela ukwehluleka kwenhliziyo noma ukushaya kwenhliziyo okungajwayelekile (i-arrhythmias).

Uma kutholakala ukuthi unesimila senhliziyo, udokotela wakho uzokutshela ukuthi sikuphi nokuthi singayithinta kanjani inhliziyo yakho.

Ziyini izimpawu zezimila zenhliziyo?

Izimpawu zezimila zenhliziyo ziyahlukahluka kakhulu. Ziya ngohlobo lwesimila onaso nokuthi sikuphi enhliziyweni yakho. Abanye abantu bangase bangabi nazimpawu nhlobo, noma izimpawu ezincane kakhulu. Abanye bangase babe nezimpawu ezibonisa inkinga yenhliziyo esongela ukuphila.

Izimpawu eziningi zesimila senhliziyo yilokho odokotela abakubiza ngokuthi “okungaqondile.” Lokhu kusho ukuthi lezi zimpawu zingabangelwa ezinye izinkinga eziningi zempilo, hhayi izimila zenhliziyo kuphela. Ngakho-ke, noma ngabe unalezi zimpawu, akusho ukuthi unesimila senhliziyo ngaso sonke isikhathi. Yingakho kubalulekile ukutshela udokotela wakho ngezimpawu zakho ukuze akwazi ukuthola imbangela.

Ngokuvamile, izimpawu kubantu abanezimila zenhliziyo ezinomdlavuza ziqala ngokuzumayo futhi ziba zimbi kakhulu ngokushesha. Izimpawu zezimila zenhliziyo ezingezona umdlavuza zingase zikhule kancane.

Izimpawu ezivamile zezimila zenhliziyo yilezi:

• Ukungakhululeki esifubeni, ubuhlungu
• Isiyezi kanye nokuquleka
• Ukukhathala, ukukhathala
• Umkhuhlane kanye nokubanda
• Ukushaya kwenhliziyo
• Ubuhlungu bamalunga
• Isifiso sokudla
• Ukujuluka ebusuku
• Amabala amancane abomvu esikhumbeni ``(Petechiae)``
• Ubunzima bokuphefumula
• Ukuvuvukala kwemilenze
• Ukwehlisa isisindo ngaphandle kwesinye isizathu

Kungani la mathumba enhliziyo akheka?

Akucaci ngaso sonke isikhathi ukuthi kungani kuvela izimila zenhliziyo eziyinhloko. Ezinye izifo zofuzo (njenge-Carney complex) zingabangela ukuba kuvele ezinye izimila zenhliziyo eziyinhloko ezingezona ezomdlavuza.

Izimila zenhliziyo ezisakazeka kalula zenzeka lapho umdlavuza usakazekela enhliziyweni usuka engxenyeni ethile yomzimba wakho (njengamaphaphu noma isikhumba).

Uthola kanjani ukuthi unamathumba enhliziyo?

Izimila zenhliziyo zitholakala ngokuhlolwa kwezithombe. Udokotela wakho angase asole ukuthi unesimila senhliziyo bese eyala ukuhlolwa okuningana ukuze asithole. Noma, angase athole isimila ngokungalindelekile ngenkathi enza ukuhlolwa ngezinye izizathu.

Uma umuntu enomdlavuza kwenye indawo emzimbeni bese eba nezinkinga zenhliziyo ngokuzumayo, udokotela angase asole ukuthi umdlavuza unesisu. Ngakho-ke, ukuhlolwa kwezithombe kungenziwa ukuze kubonakale ukuthi umdlavuza ususakazekele enhliziyweni yini.

Izimila zenhliziyo eziyinhloko zivame ukuba nzima ukuzixilonga ngoba izimpawu zazo zifana nezezinye izifo. Odokotela bangase basole ukuthi kukhona isimila kubantu abanezimpawu zokwehluleka kwenhliziyo ngaphandle kwesizathu esicacile. Kodwa ngokuvamile, odokotela baxilonga izimila zenhliziyo eziyinhloko ngokuhlolwa abakuyalayo ukuze bahlole ezinye izifo. Lokhu kubizwa ngokuthi ukutholwa okungahleliwe.

Izimila eziningi zenhliziyo zinezimpawu nezimpawu ezingaqondile, okusho ukuthi zingabonisa izinkinga eziningi ezahlukene. Kodwa izimila zenhliziyo zinesibonakaliso esisodwa esiyingqayizivele. Uma udokotela wakho elalela inhliziyo yakho nge-stethoscope, ungase uzwe umsindo ohlukile "we-tumor plop". Lo msindo uvela lapho isimila sivimba i-valve ye-mitral ngokomzimba. Lokhu kufana nomsindo owuzwayo uma une-mitral valve stenosis.

Ngakho-ke, uma udokotela wakho ezwa lo msindo, angase asole ukuthi unesimila senhliziyo, ikakhulukazi uma ungenazo izici eziyingozi ze-mitral valve stenosis.

Yiziphi izivivinyo ezenziwayo?

Ukuhlolwa kwezithombe kubalulekile ekuxilongeni, ekwelapheni, nasekuqapheni izimila zenhliziyo. Udokotela wakho angase akucele ukuhlolwa okukodwa noma ngaphezulu kwalokhu ukuze kutholakale ukuxilongwa:

• I-Transthoracic echocardiogram: Lolu hlobo lwe-echo lusiza ekutholeni izimila emakamelweni aphansi enhliziyo (ama-ventricles).
• I-Transesophageal echocardiogram: Lolu hlobo lwe-echo lusiza ekutholeni izimila emakamelweni aphezulu enhliziyo (i-atria).
• I-MRI Yenhliziyo: Lokhu kuhlolwa kusiza ekuboneni imininingwane mayelana nesimila, njengokuthi ingabe sinomdlavuza.
• Ukuskena kwe-CT yenhliziyo okuthuthukisiwe: Lokhu kuhlolwa kuwusizo kubantu abafake amadivayisi futhi abangakwazi ukwenza i-MRI. Kuwusizo nasekuhloleni isifuba sonke (kufaka phakathi amaphaphu nemithambo yegazi) kanye nemithambo yenhliziyo.
• Ukuskena kwe-PET: Lokhu kuhlolwa ngezinye izikhathi kusetshenziselwa ukubona ukuthi umdlavuza kwenye indawo emzimbeni ususakazekele enhliziyweni.

Yiziphi izindlela zokwelapha izimila zenhliziyo?

Izindlela zokwelapha izimila zenhliziyo ziyahlukahluka kuye ngohlobo lwesimila.

• Izimila zenhliziyo eziyinhloko ezingezona umdlavuza: Uma lezi zimila zincane, zingasuswa ngokuhlinzwa ngempumelelo enkulu. Izimila ezinkulu zingase zingakwazi ukususwa. Uma isimila siphazamisa ukusebenza kwenhliziyo, udokotela wakho noma udokotela wengane yakho angancoma ukuhlinzwa. Izingane ezihlinzwa ukuze kususwe i-fibroma nazo zingadinga ukuhlinzwa okwakha kabusha ukuze kulungiswe umonakalo enhliziyweni.
• Izimila zenhliziyo eziyinhloko ezinomdlavuza:Lezi zimila zingase zingasuswa futhi zivame ukubulala. Ukwelashwa ngamakhemikhali noma ngemisebe kungasetshenziswa ukunciphisa ukukhula komdlavuza. Udokotela wakho angase futhi akunike imithi yokulawula izinkinga.
• Izimila zenhliziyo ezisakazekile: Ukwelashwa kuncike ekutheni umdlavuza uqale kuphi. Kungafaka phakathi ukwelashwa ngamakhemikhali noma ukususwa kwesimila ngokuhlinzwa. Udokotela wakho angase afake amapayipi esifubeni sakho ukuze akhiphe uketshezi oluningi oluvela esimila. Bangase futhi bafake umuthi enhliziyweni yakho ukuze banciphise ukukhula kwesimila noma basebenze ngokumelene nokunqwabelana koketshezi.

Lingakanani izinga lokululama kwabantu abanezimila zenhliziyo?

Amathuba akho okusinda ancike ohlotsheni lwesimila onaso nokuthi sisheshe sitholakale. Ngokuvamile, ukuxilongwa kusenesikhathi kuholela emiphumeleni engcono. Kodwa-ke, ezinye izimila ezinomdlavuza zisakazeka ngokushesha futhi kungaba nzima noma kungenzeki ukwelapha. Ucwaningo lubonisa ukuthi:

• Ama-myxoma ngokuvamile angasuswa ngempumelelo ngokuhlinzwa.
• Izimila zenhliziyo eziyinhloko ezinomdlavuza zivame ukubulala. Lezi zimila zingasakazeka ngokushesha noma zibuye ngemva kokwelashwa. Amathuba akho okusinda ancike kubukhulu besimila, ukuthi sisakazeke kangakanani, nokuthi umdlavuza utholakala ngokushesha kangakanani.
• Izimila zenhliziyo ezisakazekile zivame ukubulala. Ngenxa yokuthi umdlavuza usakazeka ngokushesha, abantu abanalezi zimila abanalo ithuba lokwelashwa isikhathi eside.

Ungaphila isikhathi esingakanani nomdlavuza wenhliziyo?

Udokotela wakho uzokhuluma nawe ngesimo sakho sokukhulelwa. Ngokuvamile, abantu abanezimila zenhliziyo ezingezona umdlavuza banesimo esingcono kunabantu abanezimila zomdlavuza.

Izimila zenhliziyo eziyinhloko ezibangelwa umdlavuza zifinyeza isikhathi sakho sokuphila. Sekukonke:

• Abantu abangaba ngu-50% bayasinda ngonyaka ngemva kokuxilongwa.
• Cishe abantu abangu-24% baphila iminyaka emithathu.
• Cishe abantu abangu-19% baphila iminyaka emihlanu.

Isikhathi sokuphila sincike nasohlotsheni lomdlavuza wenhliziyo.

• I-Sarcoma: Abantu abane-sarcoma bavame ukuphila cishe izinyanga eziyisishiyagalolunye kuya kweziyishumi nesikhombisa ngemva kokuxilongwa.
• I-Lymphoma: Abantu abane-lymphoma baphila isilinganiso sezinyanga eziyisikhombisa. Ngokwelashwa, bangaphila iminyaka emihlanu. Ngaphandle kokwelashwa, baphila inyanga eyodwa kuphela.
• I-paraganglioma enomdlavuza: Lesi simo sivame ukwelapheka. Abantu ababalelwa ku-84% basinda eminyakeni eyi-10 ngemuva kokuhlinzwa okuphumelelayo. Kodwa kunethuba elingaba ngu-50% lokuthi umdlavuza uzobuya. Uzodinga ukuhlolwa kwezithombe njalo ukuze kuhlolwe ukuthi uphinda ubuye yini.

Kufanele ngimbone nini udokotela?

Uma kutholakale ukuthi unesimila senhliziyo, kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo.Udokotela wakho uzokutshela ukuthi udinga ukubona udokotela kangaki nokuthi uhlelo lwakho lokwelashwa luyini. Bangase futhi bakuncomele ukuhlolwa kofuzo kuwe nomndeni wakho.

Uma uke wahlinzwa ukuze kususwe isimila, kuzodingeka ubonane nodokotela wakho njalo futhi wenze izivivinyo zezithombe. Lezi zivivinyo zingasiza udokotela wakho ukuthi abone ukuthi isimila sesibuyile yini. Zingahlola nokusebenza kwenhliziyo yakho futhi zelaphe noma yiziphi izinkinga ezingase zivele.

Uma ingane yakho itholakala inesimila senhliziyo, udokotela wayo uzochaza ukuthi yini okufanele iyenze ngokulandelayo. Ingane yakho ingase idinge ukwelashwa ngokushesha.

Yimiphi imibuzo okufanele ngiyibuze udokotela?

Khuluma nodokotela wakho mayelana nokuxilongwa kwakho, uhlelo lokwelashwa, kanye nokubikezela isifo. Ungabuza imibuzo efana nale:

• Uhlobo luni lwesimila enginaso? Ingabe umdlavuza?
• Lesi sithelo singayithinta kanjani inhliziyo yami?
• Iyiphi indlela engcono kakhulu yokwelapha lesi simila?
• Ngidinga ukwelashwa ngokushesha kangakanani?
• Kunjani ukululama kwami ​​​​ngemuva kokwelashwa?
• Kukangaki ngidinga ukubuya ukuze ngiyohlolwa noma ngiyohlolwa okwengeziwe?

Uma ingane yakho inesimila senhliziyo, buza udokotela wayo:

• Hlobo luni lwesimila ingane yami enaso? Ingabe umdlavuza?
• Lesi sithelo singayithinta kanjani inhliziyo yengane yami kanye nempilo yayo yonke?
• Ingabe ingane yami izodinga ukuhlinzwa? Uma kunjalo, kunini?
• Kunjani ukululama kwengane yami?
• Yini engingayenza ekhaya ukuze nginakekele ingane yami?
• Yiziphi izimpawu okufanele ngiziqaphele?
• Yini okufanele ngiyenze uma ngibona lezi zimpawu?

Okokugcina, izinto okufanele uzikhumbule

Izimila zenhliziyo zingathinta umzimba wakho kanye nempilo yakho ngezindlela eziningi. Ezimweni eziningi, izimila ezingezona umdlavuza zingasuswa ngempumelelo ngokuhlinzwa. Kodwa-ke, ezinye izimila, okuhlanganisa nezimila ezinomdlavuza, kungaba nzima kakhulu ukuzelapha.

Into ebaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha okukhulu uma unezimpawu. Uma lesi sifo sitholakala ngokushesha, kulapho ukwelashwa kuzophumelela khona.

Khuluma nodokotela wakho mayelana nokuxilongwa kwakho nokuthi kuzokuthinta kanjani. Ungakhathazeki, odokotela bakhona ukuzokusiza.

Isimila Senhliziyo , Isimila Senhliziyo, I-Myxoma, I-Sarcoma, Izimpawu Zesifo Senhliziyo, Ukuhlolwa Kwenhliziyo, Ukuhlinzwa Kwenhliziyo