Ingabe unesimila esincane enhliziyweni yakho? Ake sifunde ngaso ngaphandle kokwesaba!

Ngezinye izikhathi, singaba nezinkinga emizimbeni yethu esingazicabangi nhlobo, akunjalo? Mhlawumbe uya kudokotela ngenxa yento ethile, noma mhlawumbe wenza ukuhlolwa okuphuthumayo, bese uthola ukuthi kukhona into encane enhliziyweni yakho, mhlawumbe isimila esincane. Uma uzwa igama elithi 'isimila senhliziyo', inhliziyo yakho iyagxuma ngokushesha bese uzizwa wesaba. Kodwa kufanele ukhumbule ukuthi akuzona zonke izimila ezinomdlavuza . Namuhla, sizokhuluma ngohlobo lwesimila esikhula enhliziyweni, kodwa esingesona umdlavuza, kodwa esidinga ukunakwa. Odokotela babiza lokhu ngokuthi i-papillary fibroelastoma . Nakuba igama lingase libonakale lide kancane, ake sixoxe ngalo kalula.

Kuyini i-Papillary Fibroelastoma?

Kalula nje, le papillary fibroelastoma iyisimila esingesona umdlavuza (esingesihle) esenzeka enhliziyweni. Lokhu kusho ukuthi akuyona umdlavuza futhi ayisabalali kwezinye izingxenye zomzimba. Lezi zibizwa nangokuthi amathumba enhliziyo ayinhloko ngoba aqala enhliziyweni uqobo. Azifiki enhliziyweni zivela kwenye indawo.

Kodwa-ke, yize kungewona umdlavuza, awuphephile ngokuphelele. Ngoba, lesi simila singaba yi-embolic. I-embolic isho ukuthi, cabanga, ingxenye encane yalesi simila ingaphuka futhi ihambe negazi, inamathele emthanjeni wegazi kwenye indawo emzimbeni. Uma lokho kwenzeka, kungenzeka kube nezinkinga ezinkulu njengohlangothi .

Esikhathini esiningi, cishe ama-fibroelastoma e-papillary angaba yisishiyagalombili kwayishumi akhula kuma-valve enhliziyo. Eqinisweni, yiwona uhlobo oluvame kakhulu lwesimila olukhula eduze kwama-valve enhliziyo.

Yimaphi ama-valve enhliziyo okungenzeka kakhulu ukuthi athuthukise lawa?

Lezi zimila zivame ukutholakala kuma-valve ohlangothini lwesobunxele lwenhliziyo. Okusho ukuthi, ku -valve ye-aorta (evame kakhulu) noma ku-valve ye-mitral . Akuvamile ukuthi zakheke ku -valve ye-tricuspid noma ku-valve yamaphaphu ohlangothini lwesokudla lwenhliziyo.

Izindaba ezinhle ukuthi ama-fibroelastoma e-papillary avame ukubangela ukuphazamiseka okukhulu ekusebenzeni kwama-valve enhliziyo. Lokhu kungenxa yokuthi la ma-tumors atholakala ohlangothini olungezansi lwe-valve, okusho uhlangothi lapho igazi ligeleza khona lidlula i-valve.

Yingakho la mathumba ehluke kolunye uhlobo lwesimila senhliziyo esibizwa ngokuthi i-cardiac myxoma . Ama-myxoma ngokuvamile makhulu futhi angase aphazamise ukusebenza kwama-valve kune-papillary fibroelastomas. Enye into ukuthi ama-myxoma mancane amathuba okuthi anamathele kuma-valve, ngokungafani nama-papillary fibroelastomas.

Kukuphi ngempela enhliziyweni le nati?

Njengoba sishilo ngaphambili, la mathumba atholakala kakhulu kuma-valve enhliziyo. Cishe amaphesenti angama-95 (95%) awo atholakala ohlangothini lwesobunxele lwenhliziyo.Akuvamile kakhulu, lokhu kuvela odongeni lwangaphakathi lwamagumbi enhliziyo, ikakhulukazi i-ventricle yesobunxele.

I-fibroelastoma ye-papillary ithinta kanjani umzimba?

Lena yinto ebaluleke kakhulu okufanele uyiqaphele. I-papillary fibroelastoma ingabangela ukwakheka kwamahlule egazi futhi ahambe egazini. Amahlule egazi ahamba ngale ndlela abizwa ngokuthi ama-emboli . Lawa ma-emboli angahamba aye ezingxenyeni ezahlukene zomzimba bese ebhajwa. Isibonelo:

• Ubuchopho: Uma lokhu kwenzeka , isifo sohlangothi singaba khona.
• Imithambo yenhliziyo: Lokhu kungabangela ukuhlaselwa yinhliziyo .
• Izinso
• Amaphaphu
• Ama-retinas wamehlo
• Umhlonzo

Ngenxa yalokhu kugayeka kwegazi nokuvaleka,

• Isifo senhliziyo
• Isifo sohlangothi
• Izinto ezifana ne -ventricular fibrillation (isimo esibi lapho inhliziyo ishaya khona ngokungajwayelekile nangokushesha) zingenzeka.

Ngaphezu kwalokho, uma isimila sitholakala ku-aortic valve, singavimba imithambo yenhliziyo ehambisa igazi enhliziyweni. Lokhu kungabangela i-angina , ubuhlungu besifuba obuvela lapho inhliziyo ingatholi igazi elanele, ngesikhathi sokuzivocavoca. Kukhona nengozi yokufa kwenhliziyo ngokuzumayo .

Ubani othinteka kakhulu yilesi simo?

Ama-fibroelastoma e-papillary avame ukubonakala kubantu abadala abaneminyaka engaphezu kwengu-40. Ngokuvamile, lesi sifo sitholakala sineminyaka engaba ngu-60. Akuvamile kakhulu ukuthi la mathumba akhule nasezinganeni ezincane ezinezinkinga zenhliziyo ezizalwa nazo .

Ivame kangakanani i-papillary fibroelastoma?

Izimila zenhliziyo eziyinhloko, eziqala enhliziyweni, empeleni azivamile. Zithinta abantu abangaphansi koyedwa kwabangu-2,000. Kulezi zimila zenhliziyo eziyinhloko, izinhlobo ezimbili ezivame kakhulu ezingezona ezomdlavuza yi-papillary fibroelastoma kanye ne-cardiac myxoma. Kodwa kunzima ukusho ukuthi zivame kangakanani, ngoba zivame ukutholakala ngemva kokufa komuntu.

Ziyini izimpawu?

Ngokumangalisayo, abantu abangaphezu kwengxenye abanalesi simo ababonisi zimpawu. Labo abanezimpawu bangase babhekane nezinto ezifana nalezi:

• I-Angina: Ubuhlungu besifuba noma ukungakhululeki.
• I-Syncope: Ukulahlekelwa ingqondo.
• Ukuphelelwa umoya.
• Ukuhlaselwa Kwe-Ischemic Yesikhashana (i-TIA) noma i-Stroke: I-TIA ukwehla kwesikhashana kokugeleza kwegazi ebuchosheni, okufana ne-mini-stroke, enezimpawu ezinyamalala ngemizuzu embalwa.

Iyini imbangela yalokhu?

Imbangela eqondile ye-papillary fibroelastomas ayaziwa okwamanje. Kodwa-ke, ososayensi abaningi bakholelwa ukuthi ibangelwa umonakalo kumaseli e-endothelial angaphakathi kwenhliziyo. Kucatshangwa ukuthi amahlule amancane egazi ayaqoqana, ahambe aye endaweni yomonakalo, futhi kancane kancane akhe inqwaba efana nesimila.

Ukuthola kanjani lokhu?

Esikhathini esiningi, i-papillary fibroelastoma itholakala ngengozi. Okusho ukuthi, udokotela uthola isimila ngesikhathi sokuhlolwa okwenzayo ngesinye isizathu. Noma, singatholakala lapho othile enesifo sohlangothi futhi ezama ukuthola imbangela.

Ukuhlolwa okuyinhloko kokuxilonga lokhu yi -echocardiography . Lokhu ukuskena kwenhliziyo.

• Okokuqala, odokotela bavame ukwenza i -echo e-transthoracic , okusho ukuthi kwenziwa ebusweni besifuba.
• Kodwa ngezinye izikhathi, ukuze kuhlolwe izimila ezincane kakhulu noma ukuze kubonakale kahle indawo ethintekile , kungenziwa i-transesophageal echo (TEE) . Lokhu kuhilela ukufaka ithubhu elincane elifakwe ikhamera nge-esophagus ukuze kuhlolwe inhliziyo.

Lesi simila sivela kanjani ku-Echo?

Ku-echocardiogram, le papillary fibroelastoma ibukeka njenge-sea anemone! Lokho kungenxa yokuthi inezakhiwo ezincane ezifana namagatsha ezibizwa ngokuthi ama-papillary fronds asuka ebusweni bayo.

Lesi sithelo ngokuvamile sincane (ngaphansi kuka-1 cm). Futhi, sinqunywa yisiqu/isiqu . Lesi siqu sivumela isithelo ukuthi sihambe kahle, okungukuthi, siyahamba .

Iyini indlela yokwelapha?

Ukwelashwa okuvamile kwe-papillary fibroelastoma ukuhlinzwa. Ngesikhathi sokuhlinzwa, udokotela ohlinzayo:

• Isimila sonke siyasuswa.
• Bahlola ezinye izingxenye zenhliziyo ukuze babone ukuthi kukhona yini ezinye izimila.
• Uma isimila sonakalise noma iyiphi ingxenye yenhliziyo, sizolungiswa naso. Lokhu kungafaka ukulungiswa kwevalvu noma ukushintshwa kwevalvu.

Into ebalulekile ukuthi, noma ungenazo izimpawu, udokotela wakho angase akuncomele ukuhlinzwa ukuze kuncishiswe izinkinga zesikhathi esizayo.

Ukuhlinzwa kuvame ukwenziwa kusetshenziswa izindlela zendabuko zokuvula inhliziyo, kodwa kwabanye abantu , kusetshenziswa izindlela zamarobhothi ezingangenisi kakhulu.Ungayisebenzisa futhi. Khuluma nodokotela wakho ukuze unqume ukuthi iyiphi indlela engcono kakhulu kuwe.

Ngokufanayo , uma ukuhlinzwa kuyingozi kakhulu kuwe, udokotela wakho angase anqume ukukunikeza imithi yokunciphisa igazi, noma imithi yokunciphisa igazi , ukuze kuncishiswe ingozi yokuqhekeka kwegazi.

Sinjani isimo ngemva kokwelashwa? (Isibikezelo)

Isibikezelo kubantu abaye bahlinzwa ukuze kususwe i-papillary fibroelastoma sihle kakhulu. Ingozi yokuthi isimila sibuye iphansi kakhulu. Futhi, njengoba singesona umdlavuza, akukho bungozi bokuthi sisabalale kwezinye izingxenye zomzimba.

Kufanele ngimbone nini udokotela?

Lezi zinhlobo zezimila enhliziyweni zivame ukutholakala ngengozi. Yingakho kubalulekile ukugcina yonke imihlangano yakho yezokwelapha kanye nokulandelela. Ukutholwa kwezimila kusenesikhathi kulula ukwelapha. Uma kungelashwa, ama-fibroelastoma e-papillary angakhula futhi abangele izinkinga ezinkulu.

Uma uhlinzwa inhliziyo ukuze kususwe isimila, umzimba wakho uzodinga isikhathi sokuphulukiswa. Khuluma nodokotela wakho ngalokho okungafanele ukwenze nokuthi yimiphi imikhawulo yomsebenzi okufanele uyilandele amasonto ambalwa ngemva kokuhlinzwa. Ungathunyelwa futhi ohlelweni lokuvuselelwa kwenhliziyo ukuze likusize uthole amandla akho kabusha.

Yimiphi imibuzo okufanele ngiyibuze udokotela?

Uma kutholakala ukuthi une-papillary fibroelastoma, buza udokotela wakho le mibuzo:

• Ingakanani ithumba?
• Kuphi?
• Kuyithinta kanjani inhliziyo yami?
• Ingabe ngidinga ukuhlinzwa? Uma kunjalo, kunini?
• Ngilungiselela kanjani ukuhlinzwa?
• Sinjani isikhathi sokululama?
• Ziyini izingozi zokuhlinzwa?
• Isimo sami sizoba njani ngemva kokwelashwa?
• Kuyothatha isikhathi esingakanani ngaphambi kokuba ngibuye ukuzohlolwa?

Kusho ukuthini ukuba nesisindo senhliziyo?

Inqwaba enhliziyweni yakho yinoma yikuphi ukukhula okungavamile (isimila) enhliziyweni. Odokotela babiza lezi zimila zenhliziyo ngokuthi . Lezi zimila zenhliziyo zingaba umdlavuza noma zingabi umdlavuza. Zingaphinde ziqale enhliziyweni (eyinhloko) noma zisakazekele enhliziyweni zisuka kwenye indawo emzimbeni (i-metastatic).

Akuvamile kakhulu ukuthi isimila siqale enhliziyweni uqobo. Kodwa ezimila eziqalayo, i-papillary fibroelastoma uhlobo oluvame kakhulu, kanye ne-cardiac myxoma.

Kuvamile ukuzizwa wesaba uma utshelwa ukuthi unesimila senhliziyo. Kodwa izindaba ezinhle ukuthi i-papillary fibroelastoma ayiyona umdlavuza, ayisabalali kwezinye izingxenye zomzimba, futhi ivame ukwelapheka ngokuhlinzwa. Khuluma nodokotela wakho mayelana nohlelo lokwelashwa olungcono kakhulu kuwe nokuthi yini ongayilindela esikhathini esizayo.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ungase ube nokuqonda okuthile nge-Papillary Fibroelastoma esikhulume ngayo. Nakuba lokhu kungeyona umdlavuza, kuyisimo esidinga ukunakekelwa ngoba sinomngcipheko wokwakheka kwamahlule egazi nokuhamba kwawo.

• Abantu abaningi ababonisi zimpawu, ngakho-ke ukuhlolwa kwezokwelapha kubalulekile.
• Lokhu kutholakala kakhulu ngokuhlolwa kwe-echocardiography.
• Ukwelashwa kuvame ukuba ukuhlinzwa, okunikeza imiphumela emihle kakhulu.
• Uma uthola ukuthi unalesi simo , ungesabi. Khuluma nodokotela wakho ngokukhululekile, ubuze noma yimiphi imibuzo onayo, bese uthola ulwazi olunembile.

Into ebaluleke kakhulu ukuthi uhlale uphilile!

I- Papillary Fibroelastoma, isifo senhliziyo, izimila zenhliziyo, ama-valve enhliziyo, isifo sohlangothi, ukuhlaselwa yinhliziyo, i-echocardiogram, ukuhlinzwa kwenhliziyo, isimila esingenabungozi, impilo yenhliziyo