Kuyini Ukuhlaselwa Kwenhliziyo? Yiziphi izimpawu zokuhlaselwa yinhliziyo?

Isifo senhliziyo; Ukuphazamiseka kokugeleza kwegazi emisipha yenhliziyo ngenxa yokuvaleka noma ukunciphisa ngokweqile emithanjeni ye-coronary, enesibopho sokuthola umoya-mpilo kanye nokusekelwa kokudla okunempilo kwenhliziyo.

Inhliziyo, etholakala ku-ribcage, kancane ukuya kwesobunxele ukusuka emgqeni ophakathi kwesifuba, futhi ibaluleke kakhulu, iyisitho esinesakhiwo semisipha. Isisindo salesi sitho, esimpompa cishe amalitha angu-8000 egazi ngokuthola isilinganiso sezikhathi eziyizinkulungwane eziyi-100 ngosuku, singamagremu angu-340 emadodeni futhi cishe amagremu angu-300-320 kwabesifazane. Ngenxa yanoma yisiphi isici esakhiweni senhliziyo, izifo ze-valve yenhliziyo (izifo ze-valvular), izifo zenhliziyo (i-myocardial), izifo zenhliziyo ezifana nesifo senhliziyo esihlobene nemithambo ye-coronary ebhekele ukondla izicubu zenhliziyo, noma izifo ezihlukahlukene ezivuthayo zenhliziyo zingase. zenzeka.

Isifo senhliziyo kanye ne-stroke yizona zimbangela ezivame kakhulu zokufa emhlabeni jikelele. I-World Health Organization (WHO) ibikezela ukuthi ngo-2030, abantu abayizigidi ezingu-23.6 bazofa minyaka yonke ngenxa yezifo zenhliziyo nemithambo yegazi.

Kuyini Ukuhlaselwa Kwenhliziyo?

Ukuhlasela kwenhliziyo, okubizwa nangokuthi i-myocardial infarction; Kuyisimo lapho ukugeleza kwegazi kuya emisipha yenhliziyo kuphazamiseka ngenxa yokuvaleka noma ukunciphisa ngokweqile emithanjeni ye-coronary, enesibopho sokuthola umoya-mpilo kanye nokusekelwa kokudla okunomsoco kwenhliziyo. Kukhona ukwanda kwengozi yokulimala unomphela umzuzwana ngamunye lapho izicubu zenhliziyo zingatholi igazi elanele.

Noma yikuphi ukuvaleka okungazelelwe emithanjeni esondla inhliziyo kungase kubangele ukuba imisipha yenhliziyo ingawutholi umoya-mpilo owanele, okubangele ukulimala kwezicubu zenhliziyo. Izinto ezinamafutha njenge-cholesterol zinqwabelana ezindongeni zemithambo ebhekele ukugeleza kwegazi enhliziyweni futhi zakhe izakhiwo ezibizwa ngama-plaque. Ama-plaque aphindaphindeka ngokuhamba kwesikhathi, anciphise imithambo yegazi futhi enze imifantu kuwo. Amahlule akha kule mifantu noma ama-plaque ahlukana nodonga angavimba imithambo futhi abangele isifo senhliziyo. Uma umkhumbi ungavulwa kusenesikhathi futhi ngendlela efanele, ukulahleka kwezicubu zenhliziyo kwenzeka. Ukulahlekelwa kunciphisa amandla okupompa kwenhliziyo futhi kwenzeka ukuhluleka kwenhliziyo. ETurkey, abantu abayizinkulungwane ezingama-200 bafa minyaka yonke ngenxa yokuhlaselwa yinhliziyo. Leli zinga licishe liphindwe ka-30 inani labantu abashona ngenxa yezingozi zomgwaqo.

Izimpawu eziyi-12 zokuhlaselwa yinhliziyo

Uphawu oluyisisekelo kakhulu lokuhlaselwa yinhliziyo ubuhlungu besifuba, obaziwa nangokuthi ubuhlungu benhliziyo. Lobu buhlungu, obuzwiwa ngemuva kodonga lwesifuba, ubuhlungu obungacacile, obunzima futhi obucindezelayo obuzwakala sengathi kukhona ohlezi esifubeni sakho. Ingasakazekela engalweni yesobunxele, entanyeni, emahlombe, esiswini, esilevini nasemhlane. Ngokuvamile kuthatha imizuzu eyi-10-15. Ukuphumula noma ukusebenzisa imithi equkethe i-nitrate enweba imikhumbi ye-coronary ingase ikhulule ubuhlungu. Ezinye izimpawu zokuhlaselwa yinhliziyo zingase zihlanganisa imizwa yokucindezeleka, isiyezi, isicanucanu, ukuphelelwa umoya, ukukhathala kalula, nokuphazamiseka kwesigqi senhliziyo. Ubuhlungu benhliziyo, ngezinye izikhathi obuvela ezindaweni eziwumngcingo, kanye nezimpawu zokuhlaselwa yinhliziyo zingahluka kumuntu nomuntu. Lokhu kuyiqiniso ikakhulukazi ngezimpawu zokuhlaselwa yinhliziyo kwabesifazane.

Izimpawu ezingase zenzeke ngesikhathi sokuhlasela kwenhliziyo zingafingqwa ngale ndlela elandelayo:

Ubuhlungu Besifuba, Ukucindezela Noma Ukungakhululeki: Abantu abaningi abanesifo senhliziyo bachaza ukuzwa ubuhlungu noma ukungakhululeki endaweni yesifuba, kodwa akunjalo ngakho konke ukuhlaselwa yinhliziyo. Kwabanye abantu, umuzwa ocindezelayo wokungezwani ungase ube khona endaweni yesifuba Umuzwa wokungakhululeki uvame ukuhlala isikhathi esifushane futhi uyanyamalala phakathi nemizuzu embalwa. Kwabanye abantu, lo muzwa ungase uzwakale futhi phakathi namahora ambalwa noma ngakusasa. Lezi zimpawu ngokuvamile ziyizikhalazo ezibonisa ukuthi imisipha yenhliziyo ayitholi umoya-mpilo owanele, futhi kufanele kuqashelwe njengoba kungase kube nesidingo sokungenelela kwezokwelapha okuphuthumayo.
Ubuhlungu Obudluliselwe: Ukuzwa kokucinana nobuhlungu esifubeni kungase kubonakale kwezinye izingxenye ezihlukahlukene zomzimba ngesikhathi sokuhlasela kwenhliziyo. Kubantu abaningi abahlaselwa yinhliziyo, ubuhlungu besifuba buvame ukuphumela engalweni yangakwesobunxele. Ngaphandle kwale ndawo, kunabantu abazwa ubuhlungu ezindaweni ezifana namahlombe, iqolo, intamo noma umhlathi. Ngesikhathi sokuhlaselwa yinhliziyo kwabesifazane, ukunakekelwa kufanele kuthathwe njengoba ubuhlungu bungase bubonakale ngaphansi kwesisu nangaphansi kwesifuba. Ubuhlungu emhlane ongenhla ngolunye uphawu oluvame kakhulu kwabesifazane kunabesilisa.
Ukujuluka: Ukujuluka ngokweqile okungenzeki phakathi nomsebenzi noma ukuvivinya umzimba kuwuphawu olungase lubonise izinkinga ezihlukahlukene zenhliziyo. Ukujuluka okubandayo kakhulu kungase kwenzeke kwabanye abantu.
Ubuthakathaka: Ukucindezeleka okwedlulele ngesikhathi sokuhlaselwa yinhliziyo kungabangela umuntu azizwe ekhathele futhi ebuthakathaka. Ubuthakathaka nokuphelelwa umoya yizimpawu ezenzeka kaningi kwabesifazane futhi zingase zibe khona kusasele izinyanga ezimbalwa esikhathini sangaphambi kwenhlekelele.
Ukuphefumula Okufushane: Ukusebenza kwenhliziyo nokuphefumula kuyizenzakalo ezihlobene eduze. Ukuphefumula, okuchazwa njengokuqaphela komuntu ukuphefumula, kuwuphawu olubalulekile olwenzeka ngenxa yokungakwazi kwenhliziyo ukumpompa igazi elanele phakathi nenhlekelele.
Isiyezi: Isiyezi nesiyezi kuphakathi kwezimpawu zokuhlaselwa yinhliziyo ezivame ukwenzeka ezigulini zesifazane. Lezi zimo akumele zamukelwe njengezijwayelekile futhi akufanele zishaywe indiva ngumuntu ohlangabezana nazo.
I-Palpitations: Abantu abakhononda ngokushaya kwenhliziyo ngenxa yokuhlaselwa yinhliziyo basesimweni sokukhathazeka okukhulu. Abanye abantu bangase bachaze lokhu kushaya kwenhliziyo hhayi esifubeni kuphela kodwa nasendaweni yentamo.
Izinkinga Zokugaya: Abanye abantu bangase bahlangabezane nezikhalazo ezihlukahlukene zokugaya okuyizimpawu ezifihliwe zokuhlaselwa yinhliziyo esikhathini esingaphambi kwenhlekelele. Ukunakekelwa kufanele kuthathwe njengoba izinkinga zokugaya ukudla njengokungagayeki kahle kokudla kanye nesilungulela kungase kufane nezinye izimpawu zokuhlaselwa yinhliziyo.
Ukuvuvukala kwemilenze, izinyawo namaqakala: Ukuvuvukala kwezinyawo nomlenze kuba umphumela wokunqwabelana koketshezi emzimbeni. Lokhu kungase kube uphawu lokuthi ukuhluleka kwenhliziyo kuya kuba kubi.
Ukushaya kwenhliziyo okusheshayo nokungajwayelekile: Kuthiwa ukushaya kwenhliziyo okusheshayo noma okungajwayelekile kufanele kuthathwe ngokungathi sína Ngaphezu kwalokho, lapho ukukhathala, ubuthakathaka nokuphefumula okufushane kwenezelwa ekushayeni kwenhliziyo, kungase kungabi sekwephuze kakhulu.
Ukukhwehlela: Ukukhwehlela okuqhubekayo nokuqhubekayo kungase kube uphawu lokuhlaselwa yinhliziyo. Lokhu kungenxa yokugeleza kwegazi emaphashini. Kwezinye izimo, ukukhwehlela kungase kuhambisane negazi. Esimweni esinjalo, kubalulekile ukuthi ungachithi isikhathi.
Ukushintsha kungazelelwe kwesisindo somzimba - ukukhuluphala noma ukuncipha: Ukukhuluphala kungazelelwe noma ukuncipha kwandisa ingozi yokuhlaselwa yinhliziyo. Ukushintsha okungazelelwe ekudleni nakho kungadala ukushintshashintsha kwephrofayili ye-cholesterol. Kuye kwaphawulwa ukuthi amathuba okuhlaselwa yinhliziyo ayanda eminyakeni elandelayo kubantu abaneminyaka ephakathi abakhuluphalisa ngamaphesenti ayishumi noma ngaphezulu ngesikhathi esifushane.

Izimpawu Zokuhlaselwa Kwenhliziyo Kwabesifazane

Ubulili besilisa bubhekwa njengento engcuphe amathuba okuba sengozini yezifo zenhliziyo. Ngesikhathi esifanayo, amadoda angase abe nesifo senhliziyo esemncane kunabesifazane. Nakuba izimpawu zokuhlaselwa yinhliziyo zingahluka kumuntu nomuntu, izimpawu zokuhlaselwa yinhliziyo emadodeni ngokuvamile zihlanganisa izimpawu zakudala. Kwabesifazane, isimo sihluke kancane. Kuyadingeka ukuqaphela njengoba ezinye izimpawu ezingezona zakudala njengobuthakathaka besikhathi eside, izinkinga zokulala, ukukhathazeka kanye nobuhlungu obungenhla emuva kubhekwa phakathi kwezimpawu zokuhlaselwa yinhliziyo kwabesifazane.

Yiziphi Izinhlobo Zokuhlaselwa Kwenhliziyo?

Ukuhlasela kwenhliziyo, okubuye kuchazwe ngokuthi i-acute coronary syndrome (ACS), ihlukaniswe yaba yi-3 subtypes. I-STEMI, i-NSTEMI, ne-coronary spasm (i-angina engazinzile) yenza lezi zinhlobo ezintathu zokuhlaselwa yinhliziyo. I-STEMI iphethini yokuhlasela kwenhliziyo lapho ukuphakama kwenzeka khona endaweni ebizwa ngokuthi ingxenye ye-ST ekuhlolweni kwe-ECG. Ohlotsheni lwe-NSTEMI lokuhlaselwa yinhliziyo, akukho ukuphakama kwengxenye enjalo ku-electrocardiography (ECG). Kokubili i-STEMI ne-NSTEMI kubhekwa njengezinhlobo ezinkulu zokuhlaselwa yinhliziyo okungalimaza kakhulu izicubu zenhliziyo.

I-STEMI iwuhlobo lokuhlaselwa yinhliziyo okwenzeka lapho umsoco wengxenye enkulu yezicubu zenhliziyo konakala ngenxa yokuvaleka okuphelele kwemithambo yenhliziyo. Ku-NSTEMI, imithambo ye-coronary ivalwe ngokwengxenye ngakho-ke akukho shintsho olungenzeka endaweni ebizwa ngokuthi ingxenye ye-ST ekuhlolweni kwe-ECG.

I-coronary spasm yaziwa ngokuthi yisifo senhliziyo esifihliwe. Nakuba izimpawu zifana ne-STEMI, zingadideka nobuhlungu bemisipha, izinkinga zokugaya ukudla nezinye izikhalazo ezihlukahlukene. Uma lesi simo, esenzeka ngenxa yokufinyela emithanjeni yenhliziyo, sifinyelela ezingeni elinqamula noma elinciphisa kakhulu ukugeleza kwegazi, kungabangela izimpawu zokuhlasela kwenhliziyo ezicashile. Nakuba kukhuthaza ukuthi akukho monakalo unomphela owenzeka esicutshini senhliziyo ngalesi simo, kuyisimo okungafanele sishaywe indiva ngoba sidala ukwanda kwengozi yokuhlaselwa isifo senhliziyo ngomuso.

Yiziphi izimbangela zokuhlaselwa yinhliziyo?

Ukwakheka kwama-fatty plaques ezitsheni ezondla inhliziyo kuphakathi kwezimbangela ezivame kakhulu zokuhlaselwa yinhliziyo. Ngaphandle kwalesi simo, amahlule noma ukuqhekeka emithanjeni nakho kungaholela ekuhlaselweni kwenhliziyo.

Ngenxa yezici ezihlukahlukene, ukunqwabelana kwamafutha okubizwa ngokuthi i-atherosclerosis kungenzeka odongeni lwangaphakathi lwemikhumbi, futhi lezi zimo zibhekwa njengengozi yokuhlaselwa yinhliziyo:

Ukubhema kuyisizathu esibaluleke kakhulu esenza ingozi yokuhlaselwa yinhliziyo. Ingozi yokuhlaselwa yinhliziyo icishe iphindwe izikhathi ezi-3 kwabesilisa nabesifazane ababhemayo.
Lapho izinga le-LDL liphakeme, elichazwa ngokuthi i-cholesterol embi, egazini, ayanda amathuba okuba nesifo senhliziyo. Ukugwema ukudla okune-cholesterol ephezulu njenge-offal, i-soudjouk, i-salami, isoseji, inyama ebomvu, inyama ethosiwe, i-calamari, izimbaza, izimfanzi, imikhiqizo yobisi enamafutha agcwele, imayonnaise, ukhilimu, ukhilimu nebhotela kungase kunciphise ingozi yokuhlaselwa yinhliziyo.
Isifo sikashukela yisifo esibalulekile esandisa ingozi yokuhlaselwa yinhliziyo. Iningi leziguli ezinesifo sikashukela liyafa ngenxa yokuhlaselwa yinhliziyo. Ezigulini ezinesifo sikashukela, ukunwebeka kwezindonga zomkhumbi kuyawohloka, amazinga okujiya kwegazi angase ande futhi umonakalo kumaseli endothelial endaweni engaphakathi yomkhumbi kungase kube lula. Ukunakekelwa kufanele kuthathwe njengoba kungase kube nengozi eyengeziwe yokuhlaselwa yinhliziyo ngenxa yokumelana ne-insulin ngenxa yokudla okungenampilo kanye nokuntuleka kokuzivocavoca umzimba.
Ukwanda komfutho wegazi emithanjeni yegazi (high blood pressure) kungesinye isimo esingandisa ingozi yokuhlaselwa yinhliziyo.
Ngokukhula, ukuwohloka kwesakhiwo semikhumbi kanye nokwanda komonakalo kungenzeka. Lokhu futhi kwandisa ingozi yokuhlaselwa yinhliziyo.
Ihomoni ye-Estrogen kwabesifazane ingase ibe nomthelela wokuvikela engcupheni yokuhlaselwa yinhliziyo. Ngakho-ke, ingozi yokuhlaselwa yinhliziyo ibhekwa njengephakeme emadodeni nakwabesifazane be-post-menopausal.
Ukukhuluphala ngokweqile kwandisa ingozi yokuhlaselwa yinhliziyo ngokubangela ukungasebenzi kahle kwemithambo yegazi, ukuguga ngaphambi kwesikhathi kanye ne-atherosclerosis. Ezinye izimo ezifana nomfutho wegazi ophakeme, i-cholesterol nesifo sikashukela ezihambisana nokukhuluphala, okubangela ukuphazamiseka kwe-carbohydrate kanye ne-fat metabolism, nazo zibalulekile ekuveleni kokuhlaselwa yinhliziyo. Nakuba ukuhlinzwa ukukhuluphala kukhethwa ngenxa yokukhuluphala, izindlela ezifana ne-laser liposuction zingakhethwa ukuze zibe mncane futhi zinciphise izicubu ezinamafutha.
Ukuba nomlando wesifo senhliziyo esihlotsheni somuntu oneziqu zokuqala njengomama, ubaba, ingane yakini kwandisa amathuba okuba nesifo senhliziyo.
Ukunakekelwa kufanele kuthathwe njengokukhuphuka kwegazi lezinto ezifana ne-C-reactive protein, i-homocysteine, i-fibrinogen ne-lipoprotein A ekhiqizwa esibindini ingase ihlotshaniswe nengozi yokuhlaselwa yinhliziyo.

Kutholakala Kanjani Ukuhlaselwa Kwenhliziyo?

I-ECG (i-electrocardiography), ebhala umsebenzi kagesi wenhliziyo, ingenye yokuhlola kokuqala okusetshenziselwa ukuthola ukuhlaselwa kwenhliziyo okungenzeka. Kulokhu kuhlolwa, okwenziwa ngama-electrode abekwe esifubeni nasemaphethelweni, amasignali kagesi aboniswa ephepheni noma ukuqapha kumagagasi ahlukahlukene.

Ngaphandle kwe-ECG, ukuhlaziya okuhlukahlukene kwamakhemikhali e-biochemical nakho kungaba usizo ekuxilongweni kokuhlaselwa yinhliziyo. Ngenxa yokulimala kwamangqamuzana ngesikhathi senhlekelele, amanye amaprotheni nama-enzyme, ikakhulukazi i-troponin, evame ukutholakala esitokisini senhliziyo, angase adlulele egazini. Ngokuhlola amazinga alezi zinto, kutholwa umbono wokuthi lowo muntu kungenzeka uhlaselwe yinhliziyo.

Ngaphandle kwe-ECG nokuhlolwa kwegazi, ukuhlolwa kwe-radiological okufana ne-x-ray yesifuba, i-echocardiography (ECHO) noma, ezimweni ezingavamile, i-computerized tomography (CT) noma i-magnetic resonance imaging (MRI) nayo ingasetshenziswa ekuxilongweni kokuhlaselwa yinhliziyo.

I-Angiography iyithuluzi elibalulekile lokuxilonga nokwelapha isifo senhliziyo. Phakathi nalokhu kuhlolwa, ucingo oluncane lufakwa emithanjeni engalweni noma ethangeni futhi imithambo yenhliziyo ihlolwe nge-agent ehlukile ebonakala imnyama esikrinini. Uma kutholakala ukuthikamezeka, umkhumbi ungavulwa kusetshenziswa amabhaluni abizwa ngokuthi i-angioplasty. I-patency yomkhumbi ingagcinwa ngemva kwe-angioplasty ngokusebenzisa ithubhu yocingo ebizwa ngokuthi i-stent ngaphandle kwebhaluni.

Yiziphi Izindlela Zokwelapha Isifo Senhliziyo?

Ukuhlasela kwenhliziyo kuyisimo esiphuthumayo futhi lapho kuvela izimpawu, kuyadingeka ukufaka isicelo esibhedlela esigcwele. Iningi lokufa okuhlobene nokuhlaselwa yinhliziyo kwenzeka phakathi namahora ambalwa okuqala ngemva kokuqala kokuhlasela. Ngakho-ke, kubalulekile ukuthi isiguli sixilongwe ngokushesha futhi ukungenelela kwenziwe ngendlela efanele. Uma uhlaselwa yinhliziyo, shayela izinombolo eziphuthumayo ngokushesha futhi ubike isimo sakho. Ngaphezu kwalokho, ukuhlolwa okuvamile kudlala indima ebalulekile ekwelapheni isifo senhliziyo. Uma ufuna ukuthola ulwazi mayelana nokuthi uhlolwa kanjani, ungathintana nezibhedlela.

Isiguli esiza ekamelweni lezimo eziphuthumayo ngenxa yokuhlaselwa yinhliziyo sidluliselwa kudokotela wenhliziyo ngemva kokwelashwa okudingekayo okuphuthumayo kanye nezidakamizwa ezinciphisa igazi. Uma udokotela ebona kudingekile, angenza i-angiography ukuze ahlole imithambo yesiguli. Kuye ngemiphumela ye-angiogram, ukuthi imithi noma ukuhlinzwa kuzokwenziwa ngokuvamile kunqunywa umkhandlu ohlanganisa udokotela wenhliziyo kanye nodokotela ohlinzayo wenhliziyo. I-Angioplasty, i-stent kanye nokuhlinzwa kwe-bypass kuphakathi kwezinketho eziyisisekelo zokwelapha isifo senhliziyo. Ekuhlinzeni i-bypass, udokotela ohlinza imithambo yenhliziyo usebenzisa imithambo yegazi ethathwe kwenye ingxenye yomzimba ukuze alungise imithambo yenhliziyo eyonakele.

Izici eziyingozi zokuhlaselwa yinhliziyo, okungenye yezimbangela eziphambili zokufa emhlabeni wonke, zihlolwa ngamaqembu ama-2: eziguquguqukayo nezingaguquki. Izinguquko zendlela yokuphila ezingaba nomthelela omuhle empilweni yakho yenhliziyo zingafingqwa njengokuyeka ukusebenzisa ugwayi, ukudla ukudla okulinganiselayo nokunempilo, ukuzivocavoca umzimba, ukunakekela ukugcina ushukela wegazi ungaphakathi kwemingcele evamile lapho kukhona isifo sikashukela, ukugcina umfutho wegazi uphansi nokuthuthukisa ikhono. ukulawula ukucindezeleka kokuphila.

Esinye sezinyathelo ezibaluleke kakhulu zokunciphisa ingozi yesifo senhliziyo ukuyeka ukusebenzisa ugwayi. Ukubhema kungenye yezinto ezihamba phambili ezisengozini yokuthola isifo senhliziyo, isifo sohlangothi kanye nesifo sohlangothi. Enkambweni eholela ku-atherosclerosis, ukubhema kungase kube nomthelela ovuselelayo ekuqoqweni kwezinto ezinamafutha odongeni lwemithambo. Ngaphandle kwenhliziyo, imisebenzi evamile yezinye izitho nayo ithintwa kabi ukusetshenziswa kukagwayi. Ukusetshenziswa kukagwayi kungase futhi kwehlise inani le-HDL, eyaziwa ngokuthi i-cholesterol enhle, futhi kwenyuse umfutho wegazi. Ngenxa yalezi zakhiwo ezimbi, umthwalo owengeziwe ufakwa emithanjeni ngemva kokubhema futhi umuntu angase athambekele ezifweni ezihlukahlukene. Kuyiqiniso elifakazelwe ukuthi ukuyeka ukusetshenziswa kukagwayi kunciphisa ingozi yesifo senhliziyo, futhi imiphumela yokuyeka iqala ukuzibonakalisa ngokuqondile. Ngokuncipha komfutho wegazi, ukujikeleza kwegazi kuyathuthuka futhi nokusekelwa komoya-mpilo okuthwalwa emzimbeni kuyanda. Lezi zinguquko ziphinde zinikeze ukuthuthuka ezingeni lamandla omuntu futhi kuba lula ukwenza imisebenzi yomzimba.

Ukuzivocavoca nokugcina isisindo somzimba esinempilo kuphakathi kwezinto ezibaluleke kakhulu ekulawuleni umfutho wegazi nasekuvimbeleni izifo ezihlukahlukene zenhliziyo. Ukuzivocavoca imizuzu engama-30 ngosuku futhi okungenani izinsuku ezi-5 ngeviki kwanele ukuze uhlale umatasatasa. Akudingekile ukuthi umsebenzi ube nomfutho ophezulu. Ngokuzivocavoca, kuba lula ukufinyelela isisindo esibhekwa njengempilo. Ukuzivocavoca umzimba okusekelwa ukudla okulinganiselayo nokunempilo kunomthelela ekuvimbeleni izinkinga ezingase zenzeke ngenxa yesisindo esiningi ngokusekela imisebenzi evamile yomzimba, ikakhulukazi ekulawuleni umfutho wegazi.

Kubaluleke kakhulu kubantu abake bahlaselwa isifo senhliziyo phambilini noma kwatholakala ukuthi banezimo ezifanayo ukuba bahambisane ngokuqinile nemithi ebekwe odokotela babo. Uma uzwa izimpawu zokuhlaselwa yinhliziyo, kufanele uxhumane ngokushesha nabezimo eziphuthumayo futhi uthole usizo lwezokwelapha oludingekayo.

Sikufisela izinsuku ezinempilo.