Ingabe ngezinye izikhathi uzizwa uqinile esifubeni sakho, unenkinga yokuphefumula, noma ushintsho ekushayeni kwenhliziyo yakho? Lokhu kungaba ngenxa yoshintsho oluncane ku-valve encane enhliziyweni yakho. Abantu abaningi abazi ngisho nakancane ngalokhu, kodwa kubaluleke kakhulu ukwazi. Ungakhathazeki, namuhla sizokhuluma ngalesi simo (i-Mitral Valve Prolapse) ngamazwi alula.
Kuyini i-Mitral Valve Prolapse?
Kalula nje, inhliziyo yethu inevalvu ebizwa ngokuthi i-Mitral Valve . Isebenza njengomnyango. Itholakala ohlangothini lwesobunxele lwenhliziyo phakathi kwegumbi eliphezulu (i-atrium yesobunxele) kanye negumbi elingezansi (i-ventricle yesobunxele). Le valve isiza ukugeleza kwegazi okuhlanzekile okucebile ngomoya-mpilo kusuka ku-atrium yesobunxele kuya ku-ventricle yesobunxele.
Ake ucabange nje, le valve inama -flap amabili (amapheshana) . Ifana neminyango emibili. Isikhathi ngasinye lapho inhliziyo ishaya, la ma-flap ayavuleka futhi avaleke. Esimweni esibizwa ngokuthi i-Mitral Valve Prolapse (MVP), la ma-flap awavaleki kahle, futhi awela kancane ngase-atrium yangakwesobunxele. Kufana nomnyango ongavaleki kahle. Lokhu kungabangela ukuthi i-valve ingavaleki kahle.
Lesi simo (i-MVP) asisibi kangako njengoba ungase ucabange. Sithinta abantu abangaba ngu-2 kuya kwabangu-3 kwabayi-100 emphakathini ojwayelekile. Abantu abaningi baphila ngaphandle kwezimpawu futhi abazi nokuthi banazo. Lokhu kungenxa yokuthi i-valve yabo isasebenza kahle. Kodwa-ke, kwabanye abantu, lapho isimo siba sibi kakhulu, izimpawu zingase zivele futhi kungase kudingeke ukwelashwa. Ngezinye izikhathi, umcabango wokuhlinzwa ungethusa, kodwa izindaba ezinhle ukuthi kunabantu abaningi abaye baphumelela kulolu hlobo lokuhlinzwa.
Ziyini izimpawu zalokhu?
Iningi labantu abane-MVP alinazo izimpawu, kodwa abanye bangase babe nezimpawu ezifana nalezi:
- Ubuhlungu besifuba: Akusibuhlungu obubukhali njengokuhlaselwa yinhliziyo, kodwa kungazwakala njengokungakhululeki noma ukucindezeleka esifubeni.
- Ubunzima bokuphefumula (ukuphelelwa umoya): Ungase uzizwe uphelelwa umoya, ikakhulukazi uma uzivocavoca noma ukhuphuka izitebhisi.
- Isiyezi: Ungase uzizwe sengathi ikhanda lakho liyazungeza ngokuzumayo.
- Ukukhathala: Ungase uzizwe ukhathele futhi ungenampilo.
- Ukushaya kwenhliziyo: Lokhu kuyinto abantu abaningi ababhekana nayo. Cabanga nje ukuthi inhliziyo yakho ishaya ngokushesha ngokuzumayo, noma ungezwa inhliziyo yakho ishaya ngaphandle, noma isifuba sakho singase sizizwe sengathi siyashaya.
Into ebalulekile ukuthi akuwona wonke umuntu onalezi zimpawu onesimo esibucayi (i-MVP). Ngezinye izikhathi kungase kungabi nobudlelwano obubalulekile phakathi kwezimpawu nobunzima besimo. Kodwa-ke, uma unezinye zalezi zimpawu, kubalulekile ukubonisana nodokotela.
Yiziphi izimbangela ze-mitral valve prolapse?
Imbangela eyinhloko ubuthakathaka bezicubu ze-valve. Lokhu kubizwa ngokuthi i-myxomatous degeneration kwisayensi yezokwelapha. Akucaci kahle ukuthi kungani lesi zicubu siba buthaka. Ngezinye izikhathi singaba yifa. Lokhu kusho ukuthi lesi simo singadluliselwa kusuka kubazali siye ezinganeni. Abacwaningi bathole izakhi zofuzo eziningana ezihlobene nalesi simo (i-MVP). Isibonelo, izakhi zofuzo ezibizwa ngokuthi (FLNA), (DCHS1), (DZIP1) kanye ne-(PLD1) zitholakale zihilelekile kulokhu.
Futhi, abantu abanezinkinga ezithile zezicubu ezixhumene nabo bangaba nalesi simo (i-myxomatous degeneration). Isibonelo:
- I-Marfan syndrome
- I-Ehlers-Danlos syndrome
- I-Loeys-Dietz syndrome
Njengoba abantu abanalezi zifo benobuthakathaka obuthile ezicutshini zomzimba, kungathinta nama-valve enhliziyo.
Ubani osengozini enkulu yokuthola lokhu (i-MVP)?
I-Mitral Valve Prolapse ingathinta abantu banoma yibuphi ubudala. Abanye abantu bazalwa benalesi simo, ikakhulukazi labo abanezifo zezicubu ezixhumene okukhulunywe ngazo ekuqaleni. Ngaphezu kwalokho, lezi zimo ezilandelayo zingandisa ingozi ye-MVP:
- Isifo senhliziyo esibangelwa yi-rheumatic: Isimo esingathinta inhliziyo kamuva uma ukutheleleka komphimbo kungelashwa ngendlela efanele.
- I-Scoliosis: Isimo lapho umgogodla ugoba khona.
- Isifo sikaGraves: Indlala yegilo esebenza ngokweqile.
Nakuba i-MVP ivame kakhulu kwabesifazane, amadoda anamathuba amaningi okuthola i -mitral regurgitation (igazi elivuza emuva) elibangelwa yiyo.
Yiziphi izinkinga ezingabangelwa yilokhu?
Inkinga enkulu engenzeka kubantu abane-MVP ukuphindaphinda kwe-mitral. Kalula nje, i-valve ayivali kahle, okuvumela igazi ukuthi livuze lisuka kwi-ventricle yesobunxele liye kwi-atrium yesobunxele. I-MVP iyimbangela eyinhloko yalesi simo. Uma ukuvuza kukhulu, kungadingeka ukuhlinzwa noma olunye ukwelashwa ukuze i-valve isebenze kahle.
Abantu abane-Mitral Valve Prolapse kanye ne-Regurgitation basengozini yokuthola izinkinga ezifana nalezi:
- Ukwehluleka kwenhliziyo: Inhliziyo ayikwazi ukupompa igazi elanele emzimbeni.
- I-endocarditis ethelelanayo: Ukutheleleka kwengaphakathi noma ama-valve enhliziyo.
- I-Atrial fibrillation: Iphethini yokushaya kwenhliziyo okungajwayelekile.
- Ukushaya kwenhliziyo okungajwayelekile: Lokhu futhi ukushaya kwenhliziyo okungajwayelekile, okungaholela ekufeni kwenhliziyo ngokuzumayo ngezinye izikhathi.
- Isifo sohlangothi: Ukuphazamiseka kokugeleza kwegazi ebuchosheni.
Sitholakala kanjani lesi sifo (i-Mitral Valve Prolapse)?
Odokotela baxilonga i-MVP ngokukuhlola nokwenza ezinye izivivinyo. Udokotela angatshela okuningi ngokulalela inhliziyo yakho nge-stethoscope . Uma une-MVP, udokotela wakho angase ezwe umsindo othi 'click' njengoba inhliziyo yakho ishaya, kulandele 'ukukhononda' (umsindo onjengomoya opholile ovunguza enhliziyweni). Ngenxa yalo msindo ohlukile, i-MVP ibizwa nangokuthi "i-click-murmur syndrome."
Uma ekuxilonga, udokotela uzoxoxa nangomlando wakho wezokwelapha wangaphambilini kanye nomlando wezokwelapha womndeni . (MVP) Lolu lwazi lubaluleke kakhulu ngoba ngezinye izikhathi lusebenza emindenini.
Uma udokotela wakho esola ukuthi unenkinga ye-MVP noma enye i-valve, uzoyala okungenani ukuhlolwa okukodwa ukuqinisekisa ukuxilongwa.
Yiziphi izivivinyo ezenziwayo ngalokhu?
Ukuhlolwa okuyinhloko okusetshenziselwa ukuxilonga i-MVP yi -echocardiogram . Lokhu kusebenzisa ubuchwepheshe be-ultrasound ukuhlola isakhiwo kanye nomsebenzi wenhliziyo. Ungase ube nohlobo olulodwa noma zombili zalezi:
- I-Transthoracic echocardiogram: Lokhu kuhilela ukubeka i-ultrasound transducer ezindaweni ezahlukene esifubeni sakho ukuze kuthathwe izithombe zama-valve namagumbi enhliziyo.
- I-Transesophageal echocardiogram: Lokhu kuhilela ukudlulisa i-transducer encane ye-ultrasound phansi komphimbo wakho ukuze uthathe izithombe ezicacile.
Ngaphezu kwalokho, udokotela wakho angase acele ukuhlolwa okufana nalokhu ukuze afunde kabanzi ngenhliziyo yakho:
- I-Electrocardiography (ECG/EKG): Ihlola umsebenzi kagesi wenhliziyo.
- I-X-ray yesifuba.
- Ukufakwa kwe-catheter emithanjeni yenhliziyo: Kudluliselwa ipayipi elincane emithanjeni nasemagunjini enhliziyo ukuze lihlolwe.
Kuphathwa kanjani lokhu?
Iningi labantu abane-MVP alidingi ukwelashwa. Uma unesifo esincane, udokotela wakho angase akuqaphe njalo. Bangase bakunike nemithi efana ne- beta-blockers ukulawula izimpawu ezifana nesiyezi kanye nokushaya kwenhliziyo.
Uma une-atrial fibrillation noma uke waba nesifo sohlangothi ngaphambilini, kungadingeka ukuthi uthathe ama-anticoagulant , noma ama-blood thinners. Khuluma nodokotela wakho ukuze unqume ukuthi yimuphi umuthi ofanele wena.
Kwabanye abantu, ukwelashwa okungcono kakhulu kwe-MVP ukuhlinzwa noma inqubo ye-transcatheter.Kungenzeka. Indlela ephumelela kakhulu izohluka kuye ngesimo somuntu ngamunye. Izinketho zokuhlinzwa/zenqubo zifaka:
- Ukulungiswa kwevalvu ye-Mitral: Lokhu kuhilela ukulungisa ivalvu yakho nokuyibuyisela ekusebenzeni kwayo okufanele. Le nqubo ikuvumela ukuthi ugcine ivalvu yakho, okugwema ezinye zezingozi nezinkinga ezihlobene nevalvu yokwenziwa.
- Ukushintsha ivalvu ye-Mitral: Kwabanye abantu, ivalvu entsha ingaba yindlela engcono kakhulu, uma kungeyona yodwa, ongayikhetha. Udokotela wakho uzochaza ukuthi kungani kanye nezinhlobo zamavalvu (okwasemishini noma okwebhayoloji) ongazithola.
- Ukulungiswa kwevalvu ye-mitral engavamile: Lokhu akunangozi kangako kunokuhlinzwa kwenhliziyo evulekile ngoba ukuhlinzwa kwenziwa ngokusikwa okuncane.
- Ukufakwa esikhundleni kwe-Transcatheter mitral valve: Le ndlela, lapho i-catheter idluliselwa khona ngemithambo yegazi, isebenzisa nokusika okuncane kunezinye izindlela zokuhlinzwa.
Yikuphi ukwelashwa okungcono kakhulu kimi?
Impendulo yalokhu iyahlukahluka kuye ngomuntu nomuntu. Khuluma nodokotela wakho mayelana nohlelo lokwelashwa olungcono kakhulu kuwe. Qiniseka ukuthi uyaqonda izinzuzo nezingozi zanoma yiluphi ukwelashwa (i-MVP). Uhlelo lokwelashwa olungcono kakhulu kuwe luzoncika ezintweni eziningi, okuhlanganisa:
- Ubudala bakho: Abantu abangaphezu kweminyaka engu-80 basengozini enkulu yokuhlinzwa.
- Umlando wakho wezempilo wangaphambilini.
- Isimo sakho sempilo samanje.
- Kungakhathaliseki ukuthi unezinye izinkinga zenhliziyo ezidinga ukulungiswa: Ngezinye izikhathi odokotela abahlinzayo bangenza ukulungiswa kwe-valve kanye nenqubo ebizwa ngokuthi i-Coronary Artery Bypass Grafting (CABG) ngesikhathi esifanayo.
Ngingazi kanjani ukuthi ngidinga ukwelashwa kwe-Mitral Valve Prolapse?
Cishe umuntu oyedwa kwabayi-10 abane-Mitral Valve Prolapse kuzodingeka abonane nodokotela ohlinzayo ukuze alungise noma ashintshe ivalvu yakhe. Ungadinga ukulungiswa noma ukushintshwa kwevalvu uma:
- Uma izimpawu zakho ziba zimbi kakhulu ngokuhamba kwesikhathi.
- Uma ivalvu yakho ye-mitral ivuza igazi eliningi kakhulu (ukubuyela emuva okukhulu).
- Uma ukuhlolwa kubonisa ukuthi inhliziyo yakho iyakhula (i-ventricular yesobunxele kanye/noma i-atrial yesobunxele), izinto ezifana nezinkinga ze-valve kanye nomfutho wegazi ophakeme zingabangela i-atrium yakho yesobunxele noma i-ventricle yesobunxele ukuba ikhule.
- Uma une -arrhythmia (ukushaya kwenhliziyo okungajwayelekile).
- Uma inhliziyo yakho ingakwazi ukupompa igazi elanele emzimbeni wakho. (Ingxenye yakho yokukhipha igazi)Uma i-ventricle yesobunxele (inani legazi elingapompa i-ventricle yesobunxele ngesikhathi esisodwa) liba liphansi kakhulu, kungaholela ekuhlulekeni kwenhliziyo.
Ingabe i-mitral valve prolapse ingavinjelwa?
Ayikho indlela eqinisekile yokuvimbela i-Mitral Valve Prolapse. Kodwa-ke, unganciphisa ingozi yakho yokuthola isifo se-valve yenhliziyo esitholakele njengoba ukhula . Nazi ezinye izeluleko zokukusiza ukwenza lokho:
- Yenza umsebenzi womzimba wansuku zonke. Kodwa-ke, buza udokotela wakho uma unemikhawulo ethile.
- Yeka ukusebenzisa imikhiqizo kagwayi.
- Jwayela ukudla okunempilo okunempilo enhliziyweni.
- Gcina isisindo sakho siphilile.
- Lawula izimo ezifana nomfutho wegazi ophakeme kanye nesifo sikashukela. Thatha imithi yakho njengoba uyalelwe.
- Lawula ukucindezeleka ngezindlela ezifana ne-yoga, ukuphefumula okujulile, nokukhuluma nabanye.
Ukulandela lawa macebiso kuzokusiza futhi ukuthi uhlale unamandla okwanele ukubhekana nokuhlinzwa uma udinga.
Buza udokotela wakho ukuthi yiziphi izinguquko ocabanga ukuthi ungazenza. Qala kancane, futhi ukhumbule ukuthi zonke izinguquko ezincane ozenzayo zingaba nomthelela omkhulu esikhathini esizayo.
Yini okufanele ngiyilindele uma ngine-Mitral Valve Prolapse?
Ezimweni eziningi, i-Mitral Valve Prolapse ayibangeli izinkinga, futhi awudingi ukwelashwa. I-MVP ingase ingalimazi umzimba wakho. Kodwa-ke, kwabanye abantu, i-MVP ingabangela ukuphinda kwesisu nezinye izinkinga.
Uma uke watholakala une-Mitral Valve Prolapse, khuluma nodokotela wakho ngobunzima bayo nokuthi yini okufanele uyilindele.
Ungaphila isikhathi esingakanani nge-Mitral Valve Prolapse?
Isikhathi sokuphila kwabantu abane-(MVP) sincike ezintweni eziningana. Lezi zifaka:
- Ukuthi ukuqunjelwa kwenzeke ngenxa yendle ekhululekile.
- Kungakhathaliseki ukuthi kunezinye izifo zenhliziyo noma izimo zezokwelapha ezihambisana nazo.
- Ukuthi uzokuthola nini ukwelashwa nokuthi uzokuthola nini.
Ukulungiswa kwamavalvu e-Mitral kungakusiza ukuthi uphile isikhathi eside njengabantu abangenazo izinkinga zamavalvu. Ucwaningo olulodwa lubonise ukuthi abantu ababelungiswa amavalvu babenesikhathi sokuphila esifana nesomphakathi jikelele. Lokhu kwakuyiqiniso kubantu abaneminyaka ephakathi kuka-40 no-89.
Ngakho-ke, uma une-Mitral Valve Prolapse, kubaluleke kakhulu ukuhlolwa njalo kwezokwelapha nokutshela udokotela wakho nganoma yiziphi izimpawu ezintsha noma ezishintshayo. Ngale ndlela, ungathola ukwelashwa uma ukudinga.
Abantu abanesifo sokuhlanza imithambo yegazi kakhulu abangalungiswanga ama-valve babhekene nemiphumela emibi kakhulu. Banengozi engu-20% yokufa phakathi nonyaka owodwa kanye nengozi engu-50% yokufa phakathi neminyaka emihlanu.
Udokotela wakho angakutshela ngesimo sakho kanye nokubikezela kwesikhathi esizayo.
Kunini lapho kufanele ngikhathazeke khona nge-Mitral Valve Prolapse?
Khuluma nodokotela wakho ngalokho okufanele ukulindele nokuthi kufanele ukhathazeke nini. Kuvamile ukuthi abantu abane-Mitral Valve Prolapse bazizwe bekhathazekile ngesimo sabo. Kodwa ezimweni eziningi, izimpawu ezincane aziyona imbangela yokukhathazeka. Udokotela wakho angase akunike imithi yokusiza ukulawula izimpawu ezifana nokushaya kwenhliziyo okusheshayo noma ukushaya kwenhliziyo okusheshayo.
Kodwa-ke, kubalulekile ukuqaphela izimpawu uma zenzeka. Akukho sibonakaliso esincane kakhulu ukuthi ungasibika kudokotela wakho. Ngisho noma ucabanga ukuthi kuyisibonakaliso nje, tshela udokotela wakho ngalokho okuzwayo. Bazokuhlola uma kudingeka futhi benze amalungiselelo okwenza impilo yakho yansuku zonke ibe lula.
Yini okufanele ngiyigweme uma ngine-(Mitral Valve Prolapse)?
Abanye abantu abanesifo se-Mitral Valve kungadingeka bagweme imisebenzi enzima. Kubalulekile ukukhuluma nodokotela wakho mayelana nemikhawulo esebenza kuwe kanye nokuxilongwa kwakho. Imikhawulo yemisebenzi incike ezintweni eziningana. Lokhu kufaka phakathi:
- Wake waquleka ngaphambili?
- Ezinye izinkinga ze-arrhythmia, njenge- supraventricular tachycardia .
- Ukubuyela kwe-valve ye-mitral okunamandla.
- Ingxenye yokukhipha i-ventricular yesobunxele encishisiwe.
- Umlando wamahlule egazi angaphambilini.
- Umlando womndeni wokushona kwenhliziyo ngokuzumayo okuhlobene ne-Mitral Valve Prolapse.
Akukho mingcele yokusebenza kubantu abane-MVP. Kodwa-ke, qaphela futhi ubuze udokotela wakho ngaphambi kokuqala noma yiluphi uhlelo olusha lokuzivocavoca.
Ingabe i-Mitral Valve Prolapse iba yimbi kakhulu njengoba iminyaka ikhula?
I-Mitral Valve Prolapse ingaba yimbi kakhulu njengoba ukhula. Yingakho kubalulekile ukuhambisana nokubonana nodokotela wakho. Bangaqapha i-valve yakho futhi bakhulume nawe ngezinketho zokwelapha uma kudingeka.
Isifo se-valve sivame kakhulu kubantu abaneminyaka engaphezu kwengu-65. Esinye sezizathu zalokhu ukucindezeleka inhliziyo yakho ekufakayo empilweni yansuku zonke. Kodwa izinkinga zenhliziyo ezifana nesifo semithambo yegazi noma ukwehluleka kwenhliziyo nazo zingathinta ama-valve akho, ikakhulukazi i-valve ye-mitral. Lokhu kuyiqiniso ikakhulukazi kubantu abaneminyaka engaphezu kwengu-75.
Khuluma nodokotela wakho ukuze ufunde kabanzi ngokuthi ukuguga kuyithinta kanjani i-valve yakho ye-mitral.
Ngizinakekela kanjani?
Udokotela wakho cishe uzokutshela ukuthi umvakashele njalo, futhi wenze umsebenzi womzimba njalo. Ungagwema nezinto ezibeka ingcindezi enhliziyweni yakho, njenge:
- Iziphuzo ezidakayo.
- Imikhiqizo kagwayi.
- Izidakamizwa ezisetshenziswa ukuzijabulisa.
Kufanele ngimbone nini udokotela wami?
Udokotela wakho uzokutshela ukuthi kufanele uze kangaki ukuze uthole ukuvakashelwa okulandelayo. Kubaluleke kakhulu ukuya kuzo zonke izikhathi zokuqokwa. Kungase kudingeke futhi ukuthi ube nokuhlolwa kwezithombe njalo ukuze uhlole impilo ye-valve yakho ye-mitral.
Kufanele ngiye nini eMnyangweni Wezimo Eziphuthumayo (i-ETU) ?
Shayela u-911 noma inombolo yakho yezimo eziphuthumayo yasendaweni uma uhlangabezana nanoma yiziphi zalezi zimpawu:
- Ubuhlungu besifuba.
- Isiyezi, ikhanda elibuthakathaka, noma ubuthakathaka obukhulu.
- Ukuphefumula okuphuthumayo nokunzima kakhulu.
- Umphumela omubi ongalindelekile ovela emithini yakho.
Uma uthatha imithi yokunciphisa igazi (ama-anticoagulant) bese uyawa, funa iseluleko sezokwelapha ngokushesha. Imithi yokunciphisa igazi yandisa ingozi yokopha ngaphakathi. Ngisho noma uzizwa uphilile, kubalulekile ukuthi udokotela akuhlole. Ukopha ngaphakathi kungaba yingozi uma kungelashwa.
Yimiphi imibuzo okufanele ngiyibuze udokotela wami?
Uma usanda kuthola ukuthi une-Mitral Valve Prolapse, ungase ube nemibuzo eminingi efana nale:
- Isimo sami sibi kangakanani?
- Ngingabhekana kanjani nezimpawu zami?
- Ingabe ngidinga ukulungiswa noma ukushintshwa kwevalvu? Uma kunjalo, ungangichazela isinyathelo ngasinye senqubo kanye nokululama?
- Ngingakuvimbela kanjani isimo sami ukuba singabi sibi kakhulu?
- Yimiphi imisebenzi yomzimba okufanele ngiyigweme?
- Kukangaki ngidinga ukuza ukuzolandelelwa?
- Ingabe ikhona iqembu lokusekela lendawo noma eliku-inthanethi engingajoyina?
Ingabe i-Mitral Valve Prolapse ibhekwa njengesifo senhliziyo?
Yebo, i-Mitral Valve Prolapse uhlobo lwesifo se-valve yenhliziyo . Isifo se-valve yenhliziyo siwela ngaphansi kwegama eliyinhloko elithi isifo senhliziyo. Isifo senhliziyo yinoma yisiphi isimo esithinta inhliziyo noma imithambo yegazi yakho.
I-Mitral Valve Prolapse ngezinye izikhathi ibizwa ngokuthi "i-floppy valve syndrome." Luhlobo lwesifo se-myxomatous valve. Lokhu kusho ukuthi izicubu ezisemapheshaneni akho e-mitral valve ziyanwebeka ngendlela engavamile, okubangela ukuba zikhululeke.
Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)
I-Mitral Valve Prolapse (MVP) yisimo esivamile esivame ukungenzi mehluko omkhulu empilweni yakho. Kodwa-ke, singabangela ukuphinda kwe-mitral.Uma une-valve evuza igazi emuva, ungase ukhathazeke ngokuhlinzwa ukuze kulungiswe i-valve yakho. Khuluma nodokotela wakho ngezinzuzo nezingozi zokulungiswa kwe-valve, futhi ufunde ngazo zonke izinketho ezitholakalayo.
Uma udinga ukulungiswa kwe-valve, kubalulekile ukukhetha isibhedlela esenza lolu hlobo lokuhlinzwa nsuku zonke. Izibhedlela ezinomthamo omkhulu zihlonyiselwe ukusebenzisa ubuchwepheshe bamuva ukunciphisa izingozi zakho futhi zikunikeze imiphumela emihle kakhulu.
Hamba uyohlolwa njalo ngodokotela, unake izimpawu, futhi uphile impilo enempilo. Khona-ke ungahlala uphilile ngisho noma unalesi simo (i-MVP).
Ukwehla Kwe - Mitral Valve, Isifo Senhliziyo, Isifo Se-Heart Valve, Ubuhlungu Besifuba, Ubunzima Bokuphefumula, Ukushaya Kwenhliziyo Okusheshayo, (I-Mitral Valve Prolapse), (MVP), Impilo Yenhliziyo











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