Yazi lezi zinto ngaphambi kokuba ukhathazeke ngesimila enhliziyweni yakho (i-Myxoma)!

Ingabe ubhekene nezimpawu ezifana nokuphelelwa umoya, ukuzizwa ukhathele, noma ukwehla isisindo ngokuzumayo? Imbangela ingaba yinto ongacabangi ngisho nokucabanga ngayo. Namuhla sizokhuluma ngesimo esingavamile kodwa esibalulekile esithinta inhliziyo. Sibizwa ngokuthi i-Cardiac Myxoma . Ngisho noma igama lingase lizwakale lesabisa, ake sixoxe ngalo ngendlela elula ongayiqonda.

Iyini i-myxoma? Ingabe isimila esakheka enhliziyweni?

Kalula nje, i-myxoma iyisimila esakheka enhliziyweni yakho. Kodwa izindaba ezinhle ukuthi iyisimila esingeyona umdlavuza . Lokho kusho ukuthi asisabalali kwezinye izingxenye zomzimba. I-Myxoma iyisimila esivame kakhulu esingeyona umdlavuza esiqala enhliziyweni.

Lezi zimila zingaba nobukhulu obuhlukahlukene. Ezinye zincane njengesentimitha, kanti ezinye zingaba nkulu ngamasentimitha angu-15. Cabanga ngomthelela into enkulu kangaka engaba nawo enhliziyweni yakho!

Ngokuvamile (cishe ama-74%) lawa ma-myxoma akhula e-atrium yesobunxele yenhliziyo yakho, okuyigumbi eliphezulu kwesobunxele lenhliziyo yakho. Okulandelayo, cishe ama-18% akhula e-atrium yesokudla , okuyigumbi eliphezulu kwesokudla. Ngenxa yokuthi akhula emakamelweni aphezulu enhliziyo, abizwa nangokuthi ama-myxoma e-atrial . Inani elincane elisele (cishe ama-8%) lingakhula nasemakamelweni aphansi enhliziyo , ama-ventricles .

Ama-myxoma avame ukuvela ku-atrial septum, udonga oluhlukanisa amakamelo enhliziyo angakwesobunxele nangakwesokudla. Ngokuvamile, lesi simila sinamathela kulolu donga ngesakhiwo esifana nesiqu esibizwa ngokuthi i-pedicle . Lesi simila sivumela isimila ukuthi sihambe futhi sintante ngaphakathi kwenhliziyo. Ngezinye izikhathi, njengoba sihamba, isimila singahlala ku-valve yenhliziyo futhi sivimbele ukugeleza kwegazi.

Nakuba lezi zingezona umdlavuza, ziyingozi kakhulu ngoba zingaphazamisa ukusebenza kwenhliziyo. Yingakho abantu abane-myxoma kumele bahlinzwe ukuze basuswe. Uma lokhu kungenziwa, kungaba nezinkinga ezinkulu.

Ubani onamathuba amaningi okuthola i-myxoma?

I-Myxoma ivame ukuthinta abantu abaneminyaka ephakathi kuka-30 no-60. Futhi, lesi simo sivame kakhulu kwabesifazane kunakwabesilisa.

Kodwa-ke, lokhu kuhlukile kancane kubantu abanesimo sofuzo esibizwa ngokuthi i-Carney's complex . Le complex kaCarney ingabangela ukwakheka kwama-myxoma amaningi hhayi enhliziyweni kuphela kodwa nakwezinye izingxenye zomzimba. Ama-myxoma avame ukutholakala kulaba bantu abaseminyakeni yabo yo-20. Futhi, lesi simo sivame kakhulu kwabesilisa kunabesifazane.

Ivame kangakanani i-Myxoma?

Izimila zenhliziyo eziyinhloko azivamile kakhulu. Zithinta abantu abangaphansi koyedwa kwabangu-2,000. Cishe ingxenye yalezi zimila zenhliziyo eziyinhloko zibizwa ngokuthi ama-myxoma. Ngakho-ke, ungacabanga ukuthi lesi simo singavamile kangakanani.

I-myxoma ithinta kanjani umzimba wami?

I-Myxoma ingaphazamisa ukuhamba kwegazi emzimbeni wakho wonke kanye nasenhliziyweni yakho. Kunezinkinga ezimbili eziyinhloko ezingaba khona:

1. Ukumbozwa:

Lena yinto eyingozi kakhulu. I-Embolism ukuvaleka komthambo wegazi. Amanye ama-myxoma ayakhululeka . Lokhu kusho ukuthi angaphuka kalula. Ingxenye yesimila ingaphuka, ihambe egazini, bese inamathela emthanjeni wegazi ndawana thize emzimbeni. Noma, kungakheka ihlule legazi ku-myxoma, bese ihlule lingaphuka bese linamathela.

Cabanga ukuthi kuzokwenzekani uma ingxenye yale ngxenye ephukile inamathela emthanjeni wegazi oholela ebuchosheni? Kungabangela isifo sohlangothi ! Ngakho-ke lokhu akuyona into okufanele ithathwe kalula. Inkinga evame kakhulu ye-cardiac myxoma yile embolism.

2. Ukuvinjelwa kwevalvu:

Njengoba sishilo ngaphambili, ama-myxoma avame ukunamathela esiqwini, okusho ukuthi ayajikajika njengoba igazi ligeleza enhliziyweni. Uma ejikajika, uma isimila siwela ngokuvulwa kwevalvu yenhliziyo, singavimba okwesikhashana ukugeleza kwegazi ngaleyo valve. Lokhu kuvame ukwenzeka kwivalvu ye-mitral , etholakala phakathi kwe-atrium yesobunxele ne-ventricle yesobunxele. Lokhu kubangela ukuthi ivalvu ivale futhi ivuleke, okuphazamisa ukupompa kwegazi okubushelelezi enhliziyweni liye emzimbeni.

Ziyini izimpawu ze-myxoma?

Izimpawu ze-myxoma zincike ekutheni ikuphi enhliziyweni nokuthi ithinta kanjani umzimba. Ungase ube nezimpawu eyodwa noma ngaphezulu kwalezi:

• Ukuthola umkhuhlane .
• Ukudinwa, ukukhathala okukhulu.
• Ukujuluka ebusuku.
• Isenzakalo sikaRaynaud: Lokhu kwenzeka lapho iminwe nezinzwane ziphenduka zibe mhlophe, zibe luhlaza okwesibhakabhaka, bese kuba bomvu futhi zingabi namandla uma zivezwa emakhazeni.
• Ukuphelelwa umoya ngesikhathi sokuzivocavoca noma ukuzikhandla.
• Ukuphelelwa umoya noma ukuquleka uma umi. Lokhu kungenxa yokuthi uma umi, amandla adonsela phansi adonsela isimila ku-valve ye-mitral, okwehlisa umfutho wegazi okwesikhashana.
• Ukwehlisa isisindo ngaphandle kwesizathu.

Ukuthi nje unalezi zimpawu akusho ukuthi une-myxoma. Ezinye izinkinga zenhliziyo zingaba nezimpawu ezifanayo. Kodwa-ke, uma ubona into efana nale, kuwukuhlakanipha ukubona udokotela.

Yini ebangela i-myxoma?

Ezimweni eziningi, asikho isizathu esicacile esingatholakala sokuthuthukiswa kwe-myxoma.Kodwa-ke, cishe u-10% wamacala abangelwa yisimo sofuzo esibizwa ngokuthi i-Carney's complex, esikhulume ngaso ekuqaleni. Uma kukhona emndenini wakho onale Carney's complex, kubaluleke kakhulu ukutshela udokotela wakho ngayo.

Itholakala kanjani i-Myxoma?

Odokotela baxilonga i-myxoma ngokuhlolwa ngokomzimba kanye nokuhlolwa okuhlukahlukene. Ngezinye izikhathi kungathatha isikhathi ukuyixilonga ngoba izimpawu zayo zifana nezezinye izifo.

Ngesikhathi sokuhlolwa kwakho ngokomzimba, udokotela wakho uzolalela inhliziyo yakho esebenzisa i-stethoscope . Uma une-myxoma, ungase uzwe umsindo wenhliziyo ongajwayelekile obizwa ngokuthi "i-tumor plop." Lona umsindo owenziwa yi-myxoma lapho ivimba i-valve ye-mitral okwesikhashana.

Udokotela uzokhuluma nawe ngezimpawu zakho kanye nanoma yiziphi izinguquko ozizwayo. Uma esola ukuthi une-myxoma noma esinye isifo senhliziyo, uzoyala ukuhlolwa okuningana kwezithombe .

Yiziphi izivivinyo ezisetshenziswa ukuxilonga i-Myxoma?

Ukuhlolwa kwezithombe kubalulekile ukuze kutholakale i-myxoma. Udokotela wakho angenza okukodwa noma ngaphezulu kwalokhu kuhlolwa okulandelayo:

• I-Echocardiogram: Lesi yisilingo esibaluleke kakhulu. I-echo ye-transthoracic, eyenziwa esifubeni, ivame ukukhombisa i-myxoma. Kodwa-ke, ngezinye izikhathi i-echo ye-transesophageal (ithubhu elincane elifakwe emphinjeni) ingenziwa ukuze kubhekwe izimila ezincane noma ukuze kubonwe kahle ukuthi isimila sinamathele kuphi enhliziyweni.
• I-MRI Yenhliziyo: I-MRI scan yenhliziyo.
• Ukuskena kwe-CT yenhliziyo: Ukuskena kwe-CT yenhliziyo.

Ngaphezu kwalokho, ukuhlolwa kwegazi kungaveza izimpawu ze-myxoma:

• Ukwehla kwamaseli abomvu egazi ( i-anemia ).
• Ukwehla kwenani lamaplatelet egazini ( thrombocytopenia ).
• Ukwanda kwenani lamaseli amhlophe egazi (lokhu kubonisa ukuvuvukala emzimbeni).

Kodwa-ke, lokhu kuhlolwa kwegazi kukodwa akukwazi ukuthola ukuthi kukhona i-myxoma. Kungabangelwa nezinye izimo. Kodwa-ke, uma kuhlanganiswa nokuhlolwa kwezithombe kanye nokuhlolwa ngokomzimba, kungasiza udokotela ukuthi athole ukuxilongwa.

Yiziphi izindlela zokwelapha i-Myxoma?

Uma kutholakale ukuthi une-myxoma, uzodinga ukuhlinzwa ukuze kususwe isimila. Udokotela wakho uzochaza kabanzi ngalokhu nokuthi ungakulungiselela kanjani ukuhlinzwa.

Kubaluleke kakhulu ukususa i-myxoma ngokushesha okukhulu.Ngoba i-myxoma inengozi enkulu ye-embolism, okungaba yingozi empilweni.

Iyini imbono yabantu abane-myxoma?

Umbono wabantu abane-myxoma ngokuvamile muhle. Ukuhlinzwa ngokuvamile kungasusa ngokuphelele i-myxoma futhi kuvimbele ukuthi ingaphinde ivele.

Kodwa-ke, cishe abantu abangu-1% kuya ku-2% bathola i-myxoma entsha zingakapheli iminyaka eyi-10-15 behlinzwe. Abantu abane -Carney's complex basengozini enkulu yokuphinda babhekane nalolu hlobo lokugula.

Yingakho, uma unomlando we-myxoma, udokotela wakho ezokuncoma ukuhlolwa kwezithombe okuvamile, ikakhulukazi i-echocardiogram. Lokhu kuhlolwa kungathola ama-myxoma amasha kusenesikhathi, kunciphisa ingozi yezinkinga zesikhathi esizayo.

Abantu abake baba ne-myxoma basengozini enkulu yokuthola i-atrial arrhythmias , okuyizinkinga zesigqi emakamelweni aphezulu enhliziyo. Udokotela wakho uzokhuluma nawe ngale ngozi futhi akunike imithi uma kudingeka.

Kufanele ngimbone nini udokotela wami?

Uma unezimpawu ze-myxoma, bona udokotela ngokushesha. Lezi zimpawu kungenzeka zingabangelwa yi-myxoma, kodwa zingabangelwa esinye isimo senhliziyo. Kodwa-ke, nganoma yisiphi isimo senhliziyo, kubalulekile ukuhlolwa nokwelashwa ngokushesha ngaphambi kokuba inkinga ibe yimbi kakhulu.

Uma kutholakale ukuthi une-myxoma, udokotela wakho uzokutshela ukuthi kuzothatha isikhathi esingakanani ukubuya ukuze uzohlolwa futhi uzohlinzwa nini.

Uma uhlinzwa ukuze kususwe i-myxoma, landela imiyalelo kadokotela wakho ngesikhathi nangemva kokululama kwakho.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Khuluma nodokotela wakho mayelana nokuxilongwa kwakho kanye nezinhlelo zakho zesikhathi esizayo. Ungabuza imibuzo efana nale:

• Ingakanani i-myxoma?
• I-myxoma iyithinte kanjani inhliziyo yami?
• Ingabe nginamantongomane angaphezu kwelilodwa?
• Kuzodingeka ngihlinzwe nini?
• Ingabe ngidinga imithi yokulawula izimpawu noma izinkinga?
• Kufanele ngize kangaki ukuze ngiphinde ngihlolwe noma ngiyohlolwa okwengeziwe?

Okokugcina, okufanele ukukhumbule (Umyalezo Wokuya Ekhaya)

Kuvamile ukuzizwa wesaba futhi ukhathazekile lapho uthola ukuthi unesimila senhliziyo. Kodwa-ke, izindaba ezinhle ukuthi i-myxoma yisimo esingasuswa ngokuphelele ngokuhlinzwa. Cishe abantu abangu-98% abaphinde bazithole benaso.

Uma une -Carney's complex , usengozini enkulu yokuphinde uyithole. Kodwa-ke, ngokubona udokotela wakho ngezikhathi ezithile kanye nokuhlolwa okufana ne-echocardiogram, ungabona noma yikuphi ukukhula okusha ngaphambi kokuba kubangele izinkinga.

Uma udinga ukuhlinzwa, khuluma nodokotela wakho ngalokho ongakulindela nokuthi kuzothatha isikhathi esingakanani ukululama. Kubalulekile futhi ukukhuluma nodokotela wakho ngengozi yakho yokuba nokushaya kwenhliziyo okungajwayelekile (ama-arrhythmia) noma ezinye izinkinga ohlelweni lukagesi lwenhliziyo. Ungadinga imithi yokulawula lezi zinkinga ngemuva kokususwa kwesimila. Ungesabi, khuluma nodokotela wakho ngakho konke futhi ubeke ingqondo yakho ekhululekile.

I- Myxoma, izimila zenhliziyo, isifo senhliziyo, i-embolism, ukuvaleka kwe-valve, ukuhlinzwa kwenhliziyo, i-Carney's complex