Cardiomyopathy

I-Cardiomyopathy (kahr-dee-o-my-OP-uh-thee) yisifo senhliziyo. Ibangele ukuthi inhliziyo ibe nzima ukupompa igazi emzimbeni wonke, okungabangela izimpawu zehluleko lenhliziyo. I-Cardiomyopathy ingabangela nezinye izimo ezinzima zenhliziyo. Kunezinhlobo ezahlukene ze-cardiomyopathy. Izinhlobo eziyinhloko zihlanganisa i-dilated, i-hypertrophic ne-restrictive cardiomyopathy. Ukwelashwa kuhlanganisa imithi, futhi ngezinye izikhathi amadivayisi afakwe ngokusebenza kanye nokuhlinzwa kwenhliziyo. Abanye abantu abane-cardiomyopathy eqatha badinga ukuhlinzwa kwenhliziyo. Ukwelashwa kuncike ohlotsheni lwe-cardiomyopathy nokuthi lukubi kangakanani.

Abanye abantu abane-cardiomyopathy abazuze neze izimpawu. Kwabanye, izimpawu zivela njengoba isimo sibe sibi. Izimpawu ze-cardiomyopathy zingafaka: Ukuphefumula okufushane noma ukuhlupheka ekuphefumuleni ngenkathi benza umsebenzi noma ngisho nasekuphumuleni. Ubuhlungu esifubeni, ikakhulukazi ngemuva kokuzivocavoca noma ukudla okukhulu. Ukuphakama kwentliziyo okubukeka kukhulu, okuqhumayo noma okuthuthumelayo. Ukukhula kwamagxa, izingalo, izinyawo, indawo yesisu nemisipha yomhlathi. Ukukhula kwendawo yesisu ngenxa yokwakheka kwamanzi. Ukukhotha ngenkathi ulele phansi. Ubunzima bokuphumula ulele. Ukukhathala, ngisho nasemuva kokupumula. Ukukhungatheka. Ukuphelelwa yizinzwa. Izimpawu zivame ukuba zimbi uma zingaphathwa. Kwabanye abantu, isimo sibe sibi ngokushesha. Kwabanye, kungenzeka singabi sibi isikhathi eside. Bheka ochwepheshe bakho bezempilo uma unezimpawu ze-cardiomyopathy. Shaya u-911 noma inombolo yakho yokuphuthuma kwendawo uma upelelwa yizinzwa, uhlupheka ekuphefumuleni noma unebuhlungu esifubeni obuhlala isikhathi esingaphezu kwemizuzu embalwa. Ezinye izinhlobo ze-cardiomyopathy zingadluliselwa emindenini. Uma unesimo, ochwepheshe bakho bezempilo bangase bancoma ukuthi amalungu omndeni wakho ahlolwe.

Bona udokotela wakho uma unezinkinga zanoma yiluphi uhlobo lwe-cardiomyopathy. Shaya u-911 noma inombolo yakho yokuphuthuma kwasendaweni uma uwa, unezinkinga zokuphefumula noma unezinhlungu esifubeni ezihlala isikhathi esingaphezu kwemizuzu embalwa. Ezinye izinhlobo ze-cardiomyopathy zingadluliselwa emindenini. Uma unalesi simo, udokotela wakho angase akukhuthaze ukuba amalungu omndeni wakho ahlolwe. Bhalisa mahhala, bese uthola okuqukethwe kokufakelwa kwenhliziyo nokungasebenzi kahle kwenhliziyo, kanye nobuchwepheshe be-health yenhliziyo. Khetha indawo

I-cardiomyopathy ehlulekileyo yenza amachaza e-heart akhule. Uma ingalashwa, i-cardiomyopathy ehlulekileyo ingabangela ukwehluleka kwentliziyo.

Izithombe ze-heart ejwayelekileyo, njengoba kuboniswe ngakwesobunxele, ne-heart ene-hypertrophic cardiomyopathy. Qaphela ukuthi izindonga ze-heart zikhulu kakhulu kwi-heart ene-hypertrophic cardiomyopathy.

Ngokuvamile, imbangela ye-cardiomyopathy ayaziwa. Kodwa abanye abantu bayithola ngenxa yesimo esinye. Lokhu kuwaziwa ngokuthi yi-cardiomyopathy etholakala. Abanye abantu bazalwa be-cardiomyopathy ngenxa yijini elidluliselwe abazali. Lokhu kubizwa ngokuthi yi-cardiomyopathy ezuzwe.

Amagama ezimo zezempilo noma ukuziphatha okuholela e-cardiomyopathy etholakala kufaka phakathi:

• Ukonakala kwezicubu ze-heart ngenxa yokuhlaselwa kwentliziyo.
• Izinga lokugijima le-heart isikhathi eside.
• Izinkinga ze-valve ze-heart.
• Ukutheleleka kwe-COVID-19.
• Ukutheleleka okuthile, ikakhulu lawo abangela ukuvuvukala kwentliziyo.
• Ukuphazamiseka kokuguqulwa komzimba, njengokukhuluphala, isifo se-thyroid noma isifo sikashukela.
• Ukungabi khona kwezinto ezibalulekile noma amaminerali ekudleni, njenge-thiamin (i-vitamin B-1).
• Izinkinga zokukhulelwa.
• Ukubunjwa kwe-iron emachubeni e-heart, okuthiwa yi-hemochromatosis.
• Ukukhula kwama-lumps amancane amaseli avuvukalayo okuthiwa yi-granulomas kunoma iyiphi ingxenye yomzimba. Uma lokhu kwenzeka e-heart noma emaphashini, kubizwa ngokuthi yi-sarcoidosis.
• Ukubunjwa kwamaprotheni angajwayelekile ezihlabathini, okuthiwa yi-amyloidosis.
• Ukuphazamiseka kwezicubu ezihlanganisa.
• Ukuphuza utshwala kakhulu eminyakeni eminingi.
• Ukusetshenziswa kwe-cocaine, i-amphetamines noma i-anabolic steroids.
• Ukusetshenziswa kwamayeza athile e-chemotherapy nokuqothulwa kwe-radiation ukwelapha umdlavuza.

okuhluka kwe-cardiomyopathy kufaka phakathi:

• I-cardiomyopathy ehlulekileyo. Kulolu hlobo lwe-cardiomyopathy, amachaza e-heart ahlanzekile futhi ahluleka, akhula. Isimo siqala e-chamber ephambili yokuphompa ye-heart, okuthiwa yi-left ventricle. Ngenxa yalokho, i-heart inenkinga yokuphompa igazi kuyo yonke indawo yomzimba.

Lolu hlobo lungathinta abantu bazo zonke izinsuku. Kodwa kwenzeka kakhulu kubantu abaneminyaka engaphansi kuka-50 futhi kungenzeka kakhulu ukuthi kuthinte amadoda. Isimo esingabangela i-heart ehlulekileyo sifaka phakathi isifo se-coronary artery nokuhlaselwa kwentliziyo. Kodwa kwabanye abantu, ukuguqulwa kwe-gene kudlala indima kuleli gciwane.

• I-hypertrophic cardiomyopathy. Kulolu hlobo, i-muscle ye-heart iyakhuluphala. Lokhu kwenza kube nzima kwi-heart ukusebenza. Isimo kakhulu lithinta i-muscle ye-chamber ephambili yokuphompa ye-heart.

I-hypertrophic cardiomyopathy ingahlala iqale kunoma iyiphi iminyaka. Kodwa iyakhula uma kwenzeka ebuntwaneni. Abantu abaningi abane-cardiomyopathy yalo msuka bane-family history yesifo. Ukuguqulwa kwe-gene okuthile kuye kwaxhunyaniswa ne-hypertrophic cardiomyopathy. Isimo alibi ngenxa yenkinga ye-heart.

• I-restrictive cardiomyopathy. Kulolu hlobo, i-muscle ye-heart iyakhuluphala futhi ayinawo ukuguquguquka. Ngenxa yalokho, ayikwazi ukwanda nokugcwaliswa igazi phakathi kokushaya kwentliziyo. Lolu hlobo olukhulu lwe-cardiomyopathy lungaba kunoma iyiphi iminyaka. Kodwa kwenzeka kakhulu kubantu abadala.

I-restrictive cardiomyopathy ingaba khona ngaphandle kwesizathu esaziwayo, okuthiwa imbangela ye-idiopathic. Noma ingabangelwa yisifo kwenye indawo yomzimba esithinta i-heart, njenge-amyloidosis.

• I-arrhythmogenic right ventricular cardiomyopathy (ARVC). Lolu uhlobo oluyimfihlo lwe-cardiomyopathy oluqala phakathi kweminyaka engu-10 no-50. Kakhulu lithinta i-muscle e-chamber ephansi ye-heart, okuthiwa yi-right ventricle. I-muscle ithathelwa indawo yi-fat engaba namabala. Lokhu kungabangela izinkinga zokugijima kwentliziyo. Ngezinye izikhathi, isimo sihlanganisa i-left ventricle. I-ARVC ngokuvamile ibangelwa ukuguqulwa kwe-gene.
• I-cardiomyopathy engachazwe. Ezinye izinhlobo ze-cardiomyopathy zifaka kuleli qembu.

I-cardiomyopathy ehlulekileyo. Kulolu hlobo lwe-cardiomyopathy, amachaza e-heart ahlanzekile futhi ahluleka, akhula. Isimo siqala e-chamber ephambili yokuphompa ye-heart, okuthiwa yi-left ventricle. Ngenxa yalokho, i-heart inenkinga yokuphompa igazi kuyo yonke indawo yomzimba.

Lolu hlobo lungathinta abantu bazo zonke izinsuku. Kodwa kwenzeka kakhulu kubantu abaneminyaka engaphansi kuka-50 futhi kungenzeka kakhulu ukuthi kuthinte amadoda. Isimo esingabangela i-heart ehlulekileyo sifaka phakathi isifo se-coronary artery nokuhlaselwa kwentliziyo. Kodwa kwabanye abantu, ukuguqulwa kwe-gene kudlala indima kuleli gciwane.

I-hypertrophic cardiomyopathy. Kulolu hlobo, i-muscle ye-heart iyakhuluphala. Lokhu kwenza kube nzima kwi-heart ukusebenza. Isimo kakhulu lithinta i-muscle ye-chamber ephambili yokuphompa ye-heart.

I-hypertrophic cardiomyopathy ingahlala iqale kunoma iyiphi iminyaka. Kodwa iyakhula uma kwenzeka ebuntwaneni. Abantu abaningi abane-cardiomyopathy yalo msuka bane-family history yesifo. Ukuguqulwa kwe-gene okuthile kuye kwaxhunyaniswa ne-hypertrophic cardiomyopathy. Isimo alibi ngenxa yenkinga ye-heart.

I-restrictive cardiomyopathy. Kulolu hlobo, i-muscle ye-heart iyakhuluphala futhi ayinawo ukuguquguquka. Ngenxa yalokho, ayikwazi ukwanda nokugcwaliswa igazi phakathi kokushaya kwentliziyo. Lolu hlobo olukhulu lwe-cardiomyopathy lungaba kunoma iyiphi iminyaka. Kodwa kwenzeka kakhulu kubantu abadala.

I-restrictive cardiomyopathy ingaba khona ngaphandle kwesizathu esaziwayo, okuthiwa imbangela ye-idiopathic. Noma ingabangelwa yisifo kwenye indawo yomzimba esithinta i-heart, njenge-amyloidosis.

Izinto eziningi ezingandisa ingozi ye-cardiomyopathy, kufaka phakathi:

• Umlando womndeni we-cardiomyopathy, ukwehluleka kwenhliziyo nokuqala ngokuzumayo kokuma kwenhliziyo.
• Izimo ezihlasela inhliziyo. Lokhu kufaka phakathi ukuhlaselwa kwenhliziyo kwangaphambili, isifo se-coronary artery noma ukutheleleka enhliziyweni.
• Ukukhuluphala, okwenza inhliziyo isebenze nzima.
• Ukusebenzisa kabi utshwala isikhathi eside.
• Ukusebenzisa izidakamizwa ezingamthetho, njenge-cocaine, i-amphetamines ne-anabolic steroids.
• Ukwelashwa ngezinye izidakamizwa ze-chemotherapy nokuqothulwa komdlavuza ngomgqomo.

Izifo eziningi nazo zikhuphula ingozi ye-cardiomyopathy, kufaka phakathi:

• Isifo sikashukela.
• Isifo sesithayirodi.
• Ukugcinwa kwesinyithi esiningi emzimbeni, okuthiwa yi-hemochromatosis.
• Ukubunjwa kwe-protein ethile eziphwini, okuthiwa yi-amyloidosis.
• Ukukhula kwamaphetshana amancane e-tissue e-inflamed eziphwini, okuthiwa yi-sarcoidosis.
• Izifo ze-connective tissue.

Uma inhliziyo ibuthakathaka, njengoba ingenza ngokwehluleka kwenhliziyo, iqala ukukhula. Lokhu kuphoqa inhliziyo ukuba isebenze nzima ukuze iphonse igazi emzimbeni wonke.

I-Cardiomyopathy ingabangela izimo zezokwelapha ezingathi sína, okuhlanganisa:

• Ukungasebenzi kahle kwenhliziyo. Inhliziyo ayikwazi ukupompa igazi elanele ukuhlangabezana nezidingo zomzimba. Ngaphandle kokwelashwa, ukwehluleka kwenhliziyo kungaba yingozi eyingozi.
• Ama-blood clots. Ngenxa yokuthi inhliziyo ayikwazi ukupompa kahle, ama-blood clots angase enzeke enhliziyweni. Uma ama-clots engena egazini, angavimba ukugeleza kwegazi kwamanye amalungu, kuhlanganise nenhliziyo nobuchopho.
• Izinkinga ze-Heart valve. Ngenxa yokuthi i-cardiomyopathy ingabangela inhliziyo ukuba ikhule, ama-heart valves angase angavalwa kahle. Lokhu kungabangela igazi ukuba ligeleze emuva e-valve.
• Ukumisa kwenhliziyo nokufa ngokuzumayo. I-Cardiomyopathy ingabangela izindlela ezingavamile zenhliziyo ezibangela ukuphelelwa amandla. Ngezinye izikhathi, ukushaya kwenhliziyo okungavamile kungabangela ukufa ngokuzumayo uma inhliziyo iyeka ukushaya kahle.

Izinhlobo eziyizefa ze-cardiomyopathy azikwazi ukunqatshelwa. Tshela udokotela wakho uma unemlando womndeni wesimo. Ungasiza ekuphuculeni ingozi yezinhlobo ezitholakala ze-cardiomyopathy, ezihambisana nezinye izimo. Thatha izinyathelo zokuphila impilo enempilo yentliziyo, okuhlanganisa:

• Gwema utshwala noma izidakamizwa ezingasemthethweni ezinjengokoke.
• Dla ukudla okunempilo.
• Thola umsebenzi oqondile njalo.
• Thola ubuthongo obanele.
• Nciphise ukucindezeleka kwakho. Lezi zindlela zokuphila ezinempilo zingasiza nabantu abane-cardiomyopathy eyiyefa ukulawula izimpawu zabo.

Uchwepheshe wakho wezempilo uyakuhlola futhi ngokuvamile ubuze imibuzo mayelana nomlando wakho wezokwelapha wabantu siqu nowomndeni. Ungase ubuzwe ukuthi izimpawu zakho zenzeka nini—isibonelo, ukuthi ukuzivocavoca kuyabangela yini izimpawu zakho. Izivivinyo Izivivinyo zokuxilonga i-cardiomyopathy zingafaka: Izivivinyo zegazi. Izivivinyo zegazi zingase zenziwe ukuhlola amazinga esinyithi nokuthi ikhali, i-thyroid ne-liver zisebenza kangcono kangakanani. Enye i-blood test ingalinganisa iprotheni eyenziwa enhliziyweni ebizwa nge-B-type natriuretic peptide (BNP). Izinga legazi le-BNP lingase likhuphuke ngesikhathi sokungasebenzi kahle kwenhliziyo, okuyinkinga evamile ye-cardiomyopathy. I-X-ray yesifuba. I-X-ray yesifuba ibonisa isimo samaphunga nenhliziyo. Ingabonisa ukuthi inhliziyo ikhulu kangakanani. I-Echocardiogram. Amaza omsindo asebenza ukwenza izithombe zenhliziyo ebethayo. Lo mvivinyo ungabonisa ukuthi igazi ligeleza kanjani enhliziyweni nasezinkinini zenhliziyo. I-Electrocardiogram (ECG). Lo mvivinyo osheshayo futhi ongenaphimbo uqapha umsebenzi wogesi wenhliziyo. Izicucu ezinamathelayo ebizwa ngama-electrodes zibekwa esifubeni futhi ngezinye izikhathi ezandleni nasezinzwaneni. Izingcingo zixhuma ama-electrodes kukhompyutha, ephrinta noma ebonisa imiphumela yomvivinyo. I-ECG ingabonisa i-rhythm yenhliziyo nokuthi inhliziyo ibetha kancane kangakanani noma ngokushesha kangakanani. Izivivinyo zokucindezela komzimba. Lezi zivivinyo zivame ukufaka ukuhamba etreadmill noma ukujikijela ibhayisikili elimi ngenkathi inhliziyo iqapha. Izivivinyo zibonisa ukuthi inhliziyo iphendula kanjani ekuzivocavoca. Uma ungakwazi ukuzivocavoca, ungase unikezwe imithi ekhuphula izinga lenhliziyo njengoba kwenza ukuzivocavoca. Ngezinye izikhathi i-echocardiogram yenziwa ngesikhathi somvivinyo wokucindezela. I-Cardiac catheterization. Umpompi omncane othi yi-catheter ubekwa esiswini futhi ugcina ngemithambo yegazi enhliziyweni. Ucingo phakathi kwamakamelo enhliziyo lungalinganiswa ukubona ukuthi igazi liqhuma ngamandla kangakanani enhliziyweni. I-Dye ingase ifakwe nge-catheter emithambe yegazi ukuyenza kube lula ukubona kwi-X-rays. Lokhu kubizwa nge-coronary angiogram. I-Cardiac catheterization ingabonisa ukuphahlazeka emithambe yegazi. Lo mvivinyo ungase ufake nokususa isampula encane yethishu enhliziyweni ukuze i-lab ihlole. Le nqubo ibizwa nge-biopsy. I-Cardiac MRI. Lo mvivinyo usebenzisa ama-magnetic fields namaza erediyo ukwenza izithombe zenhliziyo. Lo mvivinyo ungase wenziwe uma izithombe ezivela kwi-echocardiogram azanele ukuqinisekisa i-cardiomyopathy. I-Cardiac CT scan. Uchungechunge lwe-X-rays lusetshenziswa ukwenza izithombe zenhliziyo nesifuba. Uvivinyo ubonisa usayizi wenhliziyo nezinkinini zenhliziyo. I-CT scan yenhliziyo ingabonisa futhi ama-calcium deposits nokuphahlazeka emithambe yenhliziyo. Ukuhlolwa kwe-genetic noma ukucinga. I-Cardiomyopathy ingadluliselwa emindenini, ebizwa nangokuthi yi-cardiomyopathy ezuzwe. Buza uchwepheshe wakho wezempilo uma ukuhlolwa kwe-genetic kulungele wena. Ukucinga komndeni noma ukuhlolwa kwe-genetic kungafaka abangane bokuqala—abazali, abazalwane nabantwana. Ulwazi Olwengeziwe I-Cardiac catheterization I-Chest X-rays I-Echocardiogram I-Electrocardiogram (ECG noma EKG) I-Needle biopsy Khombisa olunye ulwazi oluhlobene

Imigomo yokwelapha i-cardiomyopathy yile: Ukuphatha izimpawu. Ukuvimbela isimo singabi sibi. Ukuncipha ingozi yezinhlungu. Uhlobo lokwelapha kuncike ohlotsheni lwe-cardiomyopathy nokuthi lubi kangakanani. Imithi Izinhlobo eziningi zemithi zisetshenziswa ekwelapheni i-cardiomyopathy. Imithi ye-cardiomyopathy ingasiza: Ukuthuthukisa ikhono lenhliziyo lokupompa igazi. Ukuthuthukisa ukugeleza kwegazi. Ukuncipha kwezinga lokucindezela kwegazi. Ukuhambisa isivinini senhliziyo. Ukususa amanzi engeziwe ne-sodium emzimbeni. Ukuvimbela ukugqwala kwegazi. Izindlela zokwelapha Izindlela zokwelapha i-cardiomyopathy noma i-heartbeat engajwayelekile ngaphandle kokuhlinzwa zihlanganisa: I-Septal ablation. Lokhu kuncipha ingxenye encane yemisipha yenhliziyo ehlutshwayo. Kungumkhakha wokwelapha we-hypertrophic cardiomyopathy. Udokotela ugcine ithebula elibukhulu elithi catheter endaweni eathintekayo. Khona-ke, utshwala lugeleza ngethebula ku-artery ethumela igazi kuleyo ndawo. I-Septal ablation ivumela igazi ligeleze kuleyo ndawo. Ezinye izinhlobo ze-ablation. Udokotela ubeka i-catheter eyodwa noma ngaphezulu emithanjeni yegazi yenhliziyo. Izinzwa eziphepheni ze-catheter zisebenzisa amandla okushisa noma ukubanda ukwenza ama-scars amancane enhliziyweni. Ama-scars avikele izimpawu ezingajwayelekile zenhliziyo futhi abuyisele i-heartbeat. Ukuhlinzwa noma ezinye izinqubo Izinhlobo ezithile zamadivayisi zingafakwa enhliziyweni ngokuhlinzwa. Zingasiza inhliziyo isebenze kangcono futhi zinciphisa izimpawu. Ezinye ziyasiza ukuvimbela izinkinga. Izinhlobo zamadivayisi e-cardiac zihlanganisa: I-Ventricular assist device (VAD). I-VAD isisiza ukupompa igazi emakhameni angezansi enhliziyo kuye emzimbeni wonke. Kubizwa nangokuthi idivayisi yokusekela ukusabela komshini. Ngokuvamile, i-VAD icatshangelwa ngemuva kokuthi ukwelashwa okungenayo ukuhlinzwa kungasizi. Ingasetshenziswa njengokwelapha isikhathi eside noma njengokwelapha isikhathi esifushane ngenkathi ulinde ukutshalwa kwenhliziyo. I-Pacemaker. I-pacemaker iyidivayisi encane efakwe esifubeni ukuze isisize ukulawula i-heartbeat. Idivayisi ye-Cardiac resynchronization therapy (CRT). Le divayisi ingasiza amakhamera enhliziyo aqinise ngendlela ehlelekile futhi isebenze kahle. Kungumkhakha wokwelapha kwabanye abantu abane-dilated cardiomyopathy. Ingabasiza labo abanezibonakaliso eziqhubekayo, kanye nezibonakaliso zesimo esibizwa ngokuthi yi-left bundle branch block. Isimo sibangela ukulibaziseka noma ukuvinjwa endleleni lapho izimpawu zamandla zihamba khona ukwenza inhliziyo ishayise. I-Implantable cardioverter-defibrillator (ICD). Le divayisi ingase icelwe ukuvimbela ukuqhekeka kwenhliziyo okuzumayo, okuyinkinga enkulu ye-cardiomyopathy. I-ICD ilandela i-rhythm yenhliziyo futhi inikeza amashoki kagesi uma kudingeka ukulawula i-rhythms engajwayelekile. I-ICD ayilwelaphi i-cardiomyopathy. Kunalokho, ibuka futhi ilawula i-rhythms engajwayelekile. Izinhlobo zokuhlinzwa ezisetshenziswa ekwelapheni i-cardiomyopathy zihlanganisa: I-Septal myectomy. Lokhu kuwuhlobo lokuhlinzwa kwenhliziyo evulekile okungalapha i-hypertrophic cardiomyopathy. Udokotela ukhumula ingxenye yodonga lwemisipha yenhliziyo ehlutshwayo, ebizwa ngokuthi i-septum, ehlukanisa amakhamera amabili angezansi enhliziyo, ebizwa ngokuthi ama-ventricles. Ukususa ingxenye yemisipha yenhliziyo kuthuthukisa ukugeleza kwegazi ngenhliziyo. Kuthuthukisa futhi uhlobo lwesifo se-valve yenhliziyo esibizwa ngokuthi yi-mitral valve regurgitation. Ukuhlinzwa kwenhliziyo. Lokhu kuwukuhlinzwa kokufaka inhliziyo egulayo ngenhliziyo enempilo yomnikelo. Kungaba yindlela yokwelapha ehlulekile yenhliziyo yesigaba sokugcina, lapho imithi nezinye izindlela zokwelapha zingasebenzi. Ulwazi Olwengeziwe I-Extracorporeal membrane oxygenation (ECMO) Ukuhlinzwa kwenhliziyo Ama-Implantable cardioverter-defibrillators (ICDs) I-Pacemaker I-Ventricular assist device Khombisa olunye ulwazi oluhlobene Cela i-aphoyintimenti Kukhona inkinga ngolwazi oluvezwe ngezansi futhi ubuye uthumele ifomu. Thola ulwazi lwakamuva oluhlobene nokuhlinzwa kwenhliziyo evela eMayo Clinic. Bhalisa mahhala, futhi uthole okuqukethwe kokutshalwa kwenhliziyo nokuhluleka kwenhliziyo, kanye nochwepheshe ekuphileni kwenhliziyo. I-imeyili Indawo I-Arizona I-Florida I-Minnesota Iphutha Khetha indawo Iphutha Ibhokisi le-imeyili liyadingeka Iphutha Faka ikheli le-imeyili elisebenzayo Ikheli 1 Funda kabanzi ngokusetshenziswa kwe-Mayo Clinic idatha. Ukuze sikunikeze ngolwazi olufanele kakhulu noluncedo, nokuqonda ukuthi yiluphi ulwazi olusizo, singahlanganisa i-imeyili yakho nolwazi lokusetshenziswa kwewebhusayithi nolunye ulwazi esinalo ngawe. Uma ungumguli we-Mayo Clinic, lokhu kungafaka ulwazi oluvikelwe lwezempilo. Uma sihlanganisa lolu lwazi nolwazi lwakho oluvikelwe lwezempilo, sizophatha lonke lolu lwazi njengolwazi oluvikelwe lwezempilo futhi sizosebenzisa noma sizokwembula lolu lwazi kuphela njengoba kuchazwe esazisweni sethu semikhuba yobumfihlo. Ungakhetha ukungatholi ukuxhumana nge-imeyili nganoma yisiphi isikhathi ngokuqhafaza isixhumanisi sokuyeka ukubhalisa kwi-imeyili. Bhalisa! Ngiyabonga ngokubhalisa Uzobona i-imeyili yokuqala yokwehluleka kwenhliziyo nokuhlinzwa ebhokisini lakho le-imeyili maduze. Uma ufuna izimpendulo, abantu bavame ukubheka ochwepheshe ngolwazi olucacile neliyiqiniso. Ngokubhalisela okuqukethwe kokwehluleka kwenhliziyo evela eMayo Clinic, uthathe isinyathelo sokuqala esibalulekile ekutholeni ulwazi nokusebenzisa lona empilweni yakho yonke nokuhlangenwe nakho. Uma ungayitholi i-imeyili yethu ngaphakathi kwemizuzu emi-5, hlola ifolda yakho ye-SPAM, bese usithinta [email protected]. Uxolo, kukhona okuphuthumayo ngokubhalisa kwakho Sicela uzame futhi ngemizuzu embalwa Uzama futhi