Yintoni isifo seNtliziyo? Ziziphi iimpawu zokuhlaselwa yintliziyo?

Intliziyo, efumaneka kwi-ribcage, kancinci ukuya ngasekhohlo ukusuka kumbindi wesifuba, kwaye ibaluleke kakhulu, lilungu elinesakhiwo se-muscular. Ubunzima beli lungu, elimpompa phantse iilitha ezingama-8000 zegazi kwi-circulation ngokufumana i-avareji ye-100 lamawaka ngamaxesha ngosuku, yi-340 grams kumadoda kunye ne-300-320 grams kwabasetyhini. Ngenxa yaso nasiphi na isiphene kwisakhiwo sentliziyo, izifo zevalvu yentliziyo (izifo ze-valvular), izifo zentliziyo (i-myocardial), izifo zentliziyo ezinjengokuhlaselwa kwentliziyo ezinxulumene nemithambo ye-coronary enoxanduva lokondla izicubu zentliziyo, okanye izifo ezahlukeneyo ezivuthayo zentliziyo kwenzeke.

Ukuhlaselwa yintliziyo kunye ne-stroke zezona zizathu zixhaphakileyo zokufa kwihlabathi jikelele. IWorld Health Organization (WHO) iqikelela ukuba ngo-2030, abantu abazizigidi ezingama-23.6 baya kufa nyaka ngamnye ngenxa yezifo zentliziyo.

Yintoni isifo seNtliziyo?

Ukuhlaselwa yintliziyo, okukwabizwa ngokuba yi-myocardial infarction; Yimeko apho ukuhamba kwegazi kwi-heart muscle kuphazamisekile ngenxa yokuvalelwa okanye ukunciphisa ngokugqithiseleyo kwiinqanawa ze-coronary, ezijongene ne-oksijeni kunye nenkxaso yesondlo sentliziyo. Kukho ukwanda kwengozi yomonakalo osisigxina kwisekondi nganye ukuba izicubu zentliziyo azifumani igazi elaneleyo.

Nakuphi na ukuvaleka ngequbuliso kwimithambo eyondla intliziyo kunokubangela ukuba isihlunu sentliziyo singafumani ioksijini eyaneleyo, nto leyo ebangela umonakalo kwiithishu zentliziyo. Izinto ezinamafutha ezifana ne-cholesterol ziqokelelana kwiindonga zemithambo enoxanduva lokuhamba kwegazi ukuya entliziyweni kwaye zenze izakhiwo ezibizwa ngokuba ngama-plaque. Iiplakhi ziphindaphindeka ngokuhamba kwexesha, zinciphisa imithambo yegazi kwaye zidale iintanda kuyo. Amahlwili enziwa kwezi ntanda okanye amacwecwe aqhekeka eludongeni anokuthintela iinqanawa kwaye abangele isifo sentliziyo. Ukuba isitya asivulwanga kwangoko kwaye ngokuchanekileyo, ukulahleka kwezicubu zentliziyo kwenzeka. Ilahleko inciphisa amandla okumpompa kwentliziyo kunye nokusilela kwentliziyo. ETurkey, abantu abangamawaka angama-200 bafa minyaka le ngenxa yokuhlaselwa yintliziyo. Eli zinga liphantse laliphinda kangangama-30 inani labantu ababhubhayo ngenxa yeengozi zendlela.

Iimpawu ze-12 zokuhlaselwa yintliziyo

Olona phawu lusisiseko lokuhlaselwa yintliziyo ziintlungu zesifuba, ezikwabizwa ngokuba ziintlungu zentliziyo. Le ntlungu, iviwa emva kodonga lwesifuba, yintlungu ebuhlungu, enzima kwaye ecinezelayo evakalelwa kukuba kukho umntu ohleli esifubeni sakho. Inokusasazeka kwingalo yasekhohlo, intamo, amagxa, isisu, isilevu kunye nomqolo. Ngokuqhelekileyo kuthatha malunga nemizuzu eyi-10-15. Ukuphumla okanye ukusebenzisa amayeza aqukethe i-nitrate anciphisa iinqanawa ze-coronary inokunciphisa intlungu. Ezinye iimpawu zokuhlaselwa yintliziyo zinokuquka iimvakalelo zoxinzelelo, isiyezi, isicaphucaphu, ukuphefumla kancinci, ukudinwa lula, nokuphazamiseka kwesigqi sentliziyo. Iintlungu zentliziyo, ngamanye amaxesha zenzeka kwiindawo ezixineneyo, kunye neempawu zokuhlaselwa yintliziyo zinokwahluka kumntu nomntu. Oku kuyinyani ngakumbi kwiimpawu zentliziyo kubasetyhini.

Iimpawu ezinokuthi zenzeke ngexesha lokuhlaselwa yintliziyo zingashwankathelwa ngolu hlobo lulandelayo:

1. Intlungu Yesifuba, Uxinzelelo okanye Ukukhathazeka: Uninzi lwabantu abanesifo senhliziyo bachaza ukuva intlungu okanye ukungahambi kakuhle kwindawo yesifuba, kodwa oku akunjalo ngayo yonke i-heart attack. Kwabanye abantu, imvakalelo yoxinzelelo yoxinzelelo inokuthi yenzeke kwindawo yesifuba. Kwabanye abantu, le mvakalelo inokuphinda ivakale kwiiyure ezimbalwa okanye ngosuku olulandelayo. Ezi zibonakaliso ngokuqhelekileyo zizikhalazo ezibonisa ukuba i-muscle yenhliziyo ayifumani i-oksijeni eyaneleyo, kwaye isilumkiso kufuneka sithathwe njengoko kunokubakho isidingo sokungenelela ngoncedo oluphuthumayo lwezonyango.
2. Iintlungu eziBoniswayo: Imvakalelo yokuqina kunye nentlungu esifubeni inokubonakaliswa kwezinye iindawo ezahlukeneyo zomzimba ngexesha lokuhlaselwa yintliziyo. Kubantu abaninzi abafumana isifo sentliziyo, iintlungu zesifuba zithande ukuphumela kwingalo yasekhohlo. Ngaphandle kwale ndawo, kukho abantu abafumana iintlungu kwiindawo ezinjengamagxa, umva, intamo okanye umhlathi. Ngexesha lokuhlaselwa kwentliziyo kwabasetyhini, kufuneka kuthathelwe ingqalelo njengoko intlungu ingabonakaliswa nakwisisu esisezantsi kunye nesifuba esisezantsi. Ubuhlungu kumqolo ongaphezulu ngomnye umqondiso oqhelekileyo kubasetyhini kunamadoda.
3. Ukubila: Ukubila okugqithisileyo okungenzekiyo ngexesha lomsebenzi okanye umthambo luphawu olunokubonisa iingxaki ezahlukeneyo zentliziyo. Ukubila okubanda okugqithisileyo kusenokubakho nakwabanye abantu.
4. Ubuthathaka: Ukuxinezeleka ngokugqithiseleyo ngexesha lokuhlaselwa yintliziyo kunokubangela ukuba umntu azive ediniwe kwaye ebuthathaka. Ubuthathaka kunye nokuphefumula okufutshane ziimpawu ezenzeka rhoqo kubasetyhini kwaye zinokubakho kwiinyanga ezininzi kwangaphambili kwixesha langaphambili lengxaki.
5. Ukuphefumula okufutshane: Umsebenzi wentliziyo kunye nokuphefumla ziziganeko ezinxulumene ngokusondeleyo. Ukuphefumula okufutshane, okuchazwa njengokwazi komntu ukuphefumla, luphawu olubalulekileyo olwenzeka ngenxa yokungakwazi kwentliziyo ukumpompa igazi elaneleyo ngexesha lobunzima.
6. Isiyezi: Isiyezi kunye nesiyezi ziphakathi kweempawu zokuhlaselwa yintliziyo ezidla ngokwenzeka kwizigulana zabasetyhini. Ezi meko akufunekanga zamkelwe njengesiqhelo kwaye akufunekanga zingahoywa ngumntu odibana nazo.
7. IiPalpitations: Abantu abakhalaza ngokubetha kwentliziyo ngenxa yokuhlaselwa sisifo sentliziyo bakwimo yonxunguphalo olukhulu. Abanye abantu banokuchaza oku kubetha kungekuphela nje esifubeni kodwa nakwindawo yentamo.
8. Iingxaki zokugaya ukutya: Abanye abantu banokufumana izikhalazo ezahlukeneyo zokugaya ezifihlakeleyo iimpawu zokuhlaselwa yintliziyo kwixesha langaphambili. Ukhathalelo kufuneka luthatyathwe njengeengxaki zokwetyisa ezifana nokungatyi kunye nesitshisa kusenokufana nezinye iimpawu zokuhlaselwa yintliziyo.
9. Ukudumba kwemilenze, iinyawo namaqatha: Ukudumba kweenyawo nomlenze kuvela ngenxa yokwanda kolwelo emzimbeni. Oku kunokuba ngumqondiso wokuba ukungaphumeleli kwentliziyo kuya kuba nzima.
10. Ukubetha kwentliziyo ngokukhawuleza okanye okungaqhelekanga: Kuchazwa ukuba ukubetha kwentliziyo ngokukhawuleza okanye okungaqhelekanga kufanele kuthatyathwe nzulu ngakumbi, xa ukudinwa, ubuthathaka nokuphefumla okufutshane kongezwa kwi-palpitations, kusenokungashiywa lixesha.
11. Ukhohlokhohlo: Ukhohlokhohlo oluzingileyo noluqhubekayo lusenokuba luphawu lokuhlaselwa yintliziyo. Oku kubangelwa kukuhamba kwegazi emiphungeni. Kwezinye iimeko, ukukhohlela kunokuhamba negazi. Kwimeko enjalo, kubalulekile ukuba ungachithi ixesha.
12. Ukutshintsha kwesiquphe kubunzima bomzimba - ukutyeba okanye ukuncipha: Ukutyeba ngokukhawuleza okanye ukuncipha kwandisa ingozi yokuhlaselwa yintliziyo. Ukutshintsha ngokukhawuleza ukutya kunokubangela ukuguquguquka kwiprofayili ye-cholesterol. Kuye kwaphawulwa ukuba ingozi yokuhlaselwa sisifo sentliziyo iyanda kwiminyaka elandelayo kubantu abakwiminyaka ephakathi abatyeba nge-10 ekhulwini okanye ngaphezulu ngexeshana nje elifutshane.

Iimpawu zokuhlaselwa kwentliziyo kwabasetyhini

Isini samadoda sithathwa njengomngcipheko wokuchaphazeleka kwizifo zentliziyo. Kwangaxeshanye, amadoda anokuba nesifo sentliziyo esemncinci kunabasetyhini. Nangona iimpawu zokuhlaselwa yintliziyo zinokwahluka kumntu nomntu, iimpawu zokuhlaselwa yintliziyo emadodeni zibandakanya iimpawu zakudala. Kwabasetyhini, imeko yahluke kancinane. Kuyimfuneko ukuba uqaphele njengoko ezinye iimpawu ezingezizo eziqhelekileyo ezifana nobuthathaka bexesha elide, iingxaki zokulala, ukuxhalaba kunye neentlungu ezingaphezulu zicatshangelwa phakathi kweempawu zokuhlaselwa kwentliziyo kwabasetyhini.

Zeziphi Iintlobo zoHlaselo lweNtliziyo?

Ukuhlaselwa kwentliziyo, okuchazwa njenge-acute coronary syndrome (ACS), ihlukaniswe kwii-3 subtypes. I-STEMI, i-NSTEMI, kunye ne-coronary spasm (i-angina engazinzanga) zenza ezi ntlobo zintathu zokuhlaselwa yintliziyo. I-STEMI yindlela yokuhlaselwa kwentliziyo apho ukuphakama kwenzeka kwindawo ebizwa ngokuba yi-ST segment kwi-ECG yoviwo. Kwi-NSTEMI yohlobo lokuhlaselwa kwentliziyo, akukho nqanaba liphezulu lecandelo kwi-electrocardiography (ECG). Zombini i-STEMI kunye ne-NSTEMI zithathwa njengezona ntlobo ziphambili zohlaselo lwentliziyo olunokuba yingozi kakhulu kwizicubu zentliziyo.

I-STEMI luhlobo lokuhlaselwa kwentliziyo okwenzekayo xa isondlo senxalenye enkulu yezicubu zentliziyo kuphazamiseka ngenxa yokuvaleka ngokupheleleyo kwemithambo ye-coronary. Kwi-NSTEMI, i-coronary arteries ivalwe ngokuyinxenye kwaye ngoko akukho tshintsho olunokuthi lwenzeke kwindawo ebizwa ngokuba yi-ST segment kwi-ECG yoviwo.

I-Coronary spasm yaziwa ngokuba sisifo sentliziyo esifihlakeleyo. Nangona iimpawu zifana ne-STEMI, zinokubhidaniswa neentlungu zemisipha, iingxaki zokugaya kunye nezinye izikhalazo ezahlukeneyo. Xa le meko, eyenzeka ngenxa yokucutheka kwiinqanawa zentliziyo, ifikelela kwinqanaba elinqumlayo okanye linciphisa kakhulu ukuhamba kwegazi, kunokubangela iimpawu zokuhlaselwa kwentliziyo. Nangona kukhuthaza ukuba akukho monakalo osisigxina owenzekayo kwizicubu zentliziyo ngeli xesha, yimeko engafanele ingahoywa njengoko ibangela ukwanda komngcipheko wokuba nesifo senhliziyo kwixesha elizayo.

Zeziphi izizathu zokuhlaselwa yintliziyo?

Ukubunjwa kwamacwecwe anamafutha kwiinqanawa ezondla intliziyo kuphakathi kwezona zizathu eziqhelekileyo zokuhlaselwa yintliziyo. Ngaphandle kwale meko, ama-clots okanye ukuphuka kwiinqanawa nazo zingabangela ukuhlaselwa yintliziyo.

Ngenxa yezinto ezahlukeneyo, ukuqokelelwa kweediphozithi ezinamafutha ezibizwa ngokuba yi-atherosclerosis kungenzeka kudonga lwangaphakathi lwemikhumbi, kwaye ezi meko zithathwa njengomngcipheko wokuhlaselwa yintliziyo:

• Ukutshaya sesona sizathu sibalulekileyo esonyusa umngcipheko wokuhlaselwa sisifo sentliziyo. Ingozi yokuhlaselwa yintliziyo iphantse ibe ngama-3 amaxesha aphezulu kumadoda nabasetyhini abatshayayo.
• Okukhona uphezulu umlinganiselo weLDL, ochazwa njenge<em>cholesterol embi, egazini, kokukhona iyanda ingozi yokuhlaselwa sisifo sentliziyo. Ukuphepha ukutya okunomxholo ophezulu we-cholesterol njenge-offal, i-soudjouk, i-salami, i-sausage, inyama ebomvu, inyama eyosiweyo, i-calamari, i-mussels, i-shrimp, iimveliso zobisi ezinamafutha agcweleyo, i-mayonnaise, i-cream, i-cream kunye nebhotela inokunciphisa umngcipheko wokuhlaselwa yintliziyo.
• Isifo seswekile sisifo esibalulekileyo esonyusa umngcipheko wokuhlaselwa yintliziyo. Uninzi lwabaguli abanesifo seswekile bafa ngenxa yokuhlaselwa sisifo sentliziyo. Kwizigulane ezinesifo seswekile, ukuqina kweendonga zomkhumbi kuyancipha, amanqanaba okujika kwegazi anganyuka kwaye umonakalo kwiiseli ze-endothelial kumphezulu ongaphakathi wenqanawa unokuba lula. Ukunyamekela kufuneka kuthathwe njengoko kunokubakho umngcipheko wokuhlaselwa yintliziyo kwi-insulin ukumelana ngenxa yokutya okungenampilo kunye nokungabikho komsebenzi womzimba.
• Ukunyuka koxinzelelo kwimithambo yegazi (uxinzelelo lwegazi oluphezulu) yenye imeko enokunyusa umngcipheko wokuhlaselwa yintliziyo.
• Ngobudala, ukuwohloka kwesakhiwo seenqanawa kunye nokwanda komonakalo kunokwenzeka. Oku kwandisa ingozi yokuhlaselwa yintliziyo.
• Ihomoni ye-Estrogen kubasetyhini inokuba nempembelelo yokukhusela kwingozi yokuhlaselwa yintliziyo. Ngoko ke, ingozi yokuhlaselwa yintliziyo ithathwa njengephezulu kumadoda kunye nabasetyhini be-post-menopausal.
• Ukutyeba ngokugqithiseleyo kwandisa umngcipheko wokuhlaselwa yintliziyo ngokubangela ukungasebenzi kakuhle kwimithambo yegazi, ukuguga kwangaphambili kunye ne-atherosclerosis. Ezinye iimeko ezifana noxinzelelo lwegazi oluphezulu, i-cholesterol kunye nesifo seswekile ezihamba nokukhuluphala, ezibangela ukuphazamiseka kwi-carbohydrate kunye ne-fat metabolism, zibalulekile ukuba kwenzeke ukuhlaselwa kwentliziyo. Ngelixa utyando lokutyeba lukhethwa ngokutyeba kakhulu, iindlela ezinje nge-laser liposuction zinokukhethwa ukuba zibe zincinci kwaye zinciphise izicubu ezinamafutha.
• Ukuba nembali yokuhlaselwa yintliziyo kwizizalwane zesidanga sokuqala esinjengomama, utata, umntakwenu kwandisa umngcipheko wokuba nesifo sentliziyo.
• Ukunyamekela kufuneka kuthathwe njengokuphakama kwegazi lezinto ezifana ne-C-reactive protein, i-homocysteine, i-fibrinogen kunye ne-lipoprotein A eveliswe esibindini inokudibaniswa nomngcipheko wokuhlaselwa yintliziyo.

Lufunyaniswa njani uhlaselo lwentliziyo?

I-ECG (i-electrocardiography), echaza umsebenzi wombane wentliziyo, yenye yeemvavanyo zokuqala ezisetyenziselwa ukufumanisa ukuhlaselwa kwentliziyo. Kulo mviwo, olwenziwa ngama-electrode abekwe esifubeni nasekupheleni, iimpawu zombane zibonakaliswa kwiphepha okanye ukubeka iliso kumaza ahlukeneyo.

Ngaphandle kwe-ECG, uhlalutyo olwahlukeneyo lwe-biochemical lunokuba luncedo ekuxilongeni ukuhlaselwa yintliziyo. Ngenxa yomonakalo weselula ngexesha lentlekele, ezinye iiprotheyini kunye ne-enzymes, ngakumbi i-troponin, ehlala ihlala kwiseli yentliziyo, inokudlula kwigazi. Ngokuphonononga amanqanaba ezi zinto, kufunyaniswa ingcamango yokuba loo mntu usenokuba uhlaselwa sisifo sentliziyo.

Ngaphandle kwe-ECG kunye novavanyo lwegazi, iimvavanyo ze-radiological ezifana ne-x-ray yesifuba, i-echocardiography (ECHO) okanye, kwiimeko ezinqabileyo, i-computerized tomography (CT) okanye i-magnetic resonance imaging (MRI) nayo ingasetyenziselwa ukuxilongwa kwentliziyo.

I-Angiography sisixhobo esibalulekileyo sokuxilonga kunye nonyango lokuhlaselwa yintliziyo. Ngethuba lolu vavanyo, ucingo oluncinci lufakwe emithanjeni engalweni okanye ethangeni kwaye imithwalo yentliziyo ihlolwe nge-agent echaseneyo ebonakala imnyama kwisikrini. Ukuba kufunyenwe umqobo, inqanawa ingavulwa nge-angioplasty. I-patency yenqanawa inokugcinwa emva kwe-angioplasty ngokusebenzisa ityhubhu yocingo ebizwa ngokuba yi-stent ngaphandle kwebhaluni.

Zeziphi iindlela zoNyango loHlaselo lweNtliziyo?

Ukuhlaselwa yintliziyo kungxamisekileyo kwaye xa kuvela iimpawu, kuyimfuneko ukufaka isicelo kwisibhedlele esipheleleyo. Uninzi lokufa okunxulumene nokuhlaselwa yintliziyo kwenzeka kwiiyure ezimbalwa zokuqala emva kokuhlaselwa. Ngoko ke, kubalulekile ukuba isigulane sifunyanwe ngokukhawuleza kwaye ungenelelo lwenziwe ngokuchanekileyo. Ukuba uhlaselwa yintliziyo, tsalela iinombolo zikaxakeka ngoko nangoko kwaye uchaze imeko yakho. Ukongezelela, ukuhlolwa rhoqo kudlala indima ebalulekileyo kunyango lwentliziyo. Ukuba ufuna ukufumana ulwazi malunga nendlela yokwenza uhlolo, ungaqhagamshelana nezibhedlele.

Isigulane esiza kwigumbi likaxakeka ngenxa yokuhlaselwa yintliziyo sithunyelwa kwi-cardiologist emva kokuba unyango oluyimfuneko oluphuthumayo kunye negazi elincinci lilawulwa. Ukuba ugqirha ubona kuyimfuneko, unokwenza i-angiography ukujonga imithambo yesigulane. Ngokuxhomekeke kwiziphumo ze-angiogram, ukuba iyeza okanye utyando luya kwenziwa ludla ngokumiselwa libhunga eliquka ugqirha wentliziyo kunye nogqirha wotyando lwentliziyo. I-Angioplasty, utyando lwe-stent kunye ne-bypass luphakathi kokhetho olusisiseko lonyango lokuhlaselwa yintliziyo. Kutyando lwe-bypass, ugqirha wotyando lwentliziyo usebenzisa imithambo yegazi ethatyathwe kwelinye ilungu lomzimba ukulungisa imithambo yentliziyo eyonakeleyo.

Imiba yengozi yokuhlaselwa yintliziyo, enye yezona zizathu eziphambili zokufa emhlabeni jikelele, zihlolwe ngamaqela ama-2: i-modifiable and non-modifiable. Ukutshintsha kwendlela yokuphila enokuthi ibe negalelo elifanelekileyo kwimpilo yentliziyo yakho inokushwankathelwa njengokuyeka ukusetyenziswa kwecuba, ukutya ukutya okunokulinganisela kunye nokunempilo, ukwenza umthambo, ukunyamekela ukugcina iswekile yegazi ngaphakathi kwemida eqhelekileyo phambi kwesifo seswekile, ukugcina uxinzelelo lwegazi luphantsi kunye nokuphuhlisa amandla. ukulawula uxinzelelo lobomi.

Elinye lawona manyathelo abalulekileyo okunciphisa umngcipheko wesifo sentliziyo kukuyeka ukusetyenziswa kwecuba. Ukutshaya ngomnye wemiba ephambili yomngcipheko kwi-coronary artery disease, isifo sentliziyo kunye ne-stroke. Kwinkqubo ekhokelela kwi-atherosclerosis, ukutshaya kunokuba nefuthe elikhuthazayo ekuqokeleleni izinto ezinamafutha kwindonga ye-vascular. Ngaphandle kwentliziyo, imisebenzi eqhelekileyo yamanye amalungu ichaphazeleka kakubi kukusetyenziswa kwecuba. Ukusetyenziswa kwecuba kusenokunciphisa umlinganiselo weHDL, eyaziwa ngokuba yi<em>cholesterol elungileyo, nokwandisa uxinzelelo lwegazi. Ngenxa yezi zakhiwo ezimbi, umthwalo owongezelelweyo ufakwa emithanjeni emva kokutshaya kwaye umntu unokufumana izifo ezahlukahlukeneyo. Kuyinyani eqinisekisiweyo yokuba ukuyeka ukusetyenziswa kwecuba kunciphisa umngcipheko wesifo senhliziyo, kwaye iziphumo zokuyeka ziqala ukuzibonakalisa ngokuthe ngqo. Ngokuncipha koxinzelelo lwegazi, ukujikeleza kuphucula kwaye inkxaso ye-oksijini eyenziwa emzimbeni iyanda. Olu tshintsho lukwabonelela ngophuculo kwinqanaba lamandla omntu kwaye kuba lula ukwenza imisebenzi yomzimba.

Ukuzilolonga nokugcina ubunzima bomzimba obusempilweni yenye yezona zinto zibalulekileyo ekulawuleni uxinzelelo lwegazi nokuthintela izifo ezahlukahlukeneyo zentliziyo. Ukwenza umthambo imizuzu engama-30 ngosuku kwaye ubuncinci iintsuku ezi-5 ngeveki kwanele ukuba uhlale usebenza. Akuyomfuneko ukuba umsebenzi ube noxinzelelo oluphezulu. Ngokuzilolonga, kuba lula ukufikelela kubunzima obuthathwa njengobusempilweni. Umsebenzi owenziwe ngokomzimba oxhaswa ngokutya okunokulinganisela kunye nokunempilo kunegalelo ekuthinteleni iingxaki ezinokuthi zenzeke ngenxa yobunzima obunzima ngokuxhasa imisebenzi eqhelekileyo yomzimba, ngakumbi ekulawuleni uxinzelelo lwegazi.

Kubaluleke kakhulu kubantu abaye bahlaselwa yintliziyo ngaphambili okanye bafumanisa ukuba banemiqathango efanayo ukuba bathobele ngokungqongqo amayeza amiselwe ngoogqirha babo. Ukuba uziva iimpawu zokuhlaselwa yintliziyo, kufuneka uqhagamshelane ngokukhawuleza neenkonzo eziphuthumayo kwaye ufumane uncedo oluyimfuneko lwezonyango.

Sikunqwenelela iintsuku ezisempilweni.