Isifo Senhliziyo

Isifo senhliziyo sichaza uchungechunge lwezimo ezihlasela inhliziyo. Isifo senhliziyo sihlanganisa:\n\n- Ukugula kwezinsimbi zegazi, njengokugula kwe-coronary artery.\n- Ukuphazanyiswa kokushaya kwenhliziyo, okubizwa ngokuthi yi-arrhythmias.\n- Izimo zenhliziyo ozalwa nazo, ezibizwa ngokuthi yi-congenital heart defects.\n- Ukugula kwemisipha yenhliziyo.\n- Ukugula kwevalvu yenhliziyo.\n\Izinhlobo eziningi zesifo senhliziyo zingathintelwa noma zitholwe ngokukhetha impilo enempilo.

Izimpawu zesifo senhliziyo ziyahluka kuye ngohlobo lwesifo senhliziyo.

I-Coronary artery disease yisimo senhliziyo esivamile esithinta imithambo yegazi ephambili enikeza umusculo wenhliziyo. Ukubunjwa kwamafutha, ikolesterol nezinye izinto ngaphakathi nangaphandle kwezingxangxasi ze-artery kuvame ukubangela i-coronary artery disease. Lokhu kubunjwa kubizwa ngokuthi yi-plaque. Ukubunjwa kwe-plaque e-arteries kubizwa ngokuthi yi-atherosclerosis (ath-ur-o-skluh-ROE-sis). I-Atherosclerosis incipha ukugeleza kwegazi enhliziyweni nakwezinye izingxenye zomzimba. Kungabangela ukungasebenzi kahle kwenhliziyo, ubuhlungu esifubeni noma isiguli.

Izimpawu ze-coronary artery disease zingafaka:

• Ukuphefumula okunzima.
• Ubuhlungu entanyeni, emaxakeni, ehlombe, esiswini esiphezulu noma emhlane.
• Ubuhlungu, ukungabi namandla, ubuthakathaka noma ukubanda ezinyaweni noma ezingalweni uma imithambo yegazi kulezo zindawo zomzimba icindezelekile.

Ungase ungaxilongwa nge-coronary artery disease kuze kube yilapho unesifo senhliziyo, i-angina, isiguli noma ukwehluleka kwenhliziyo. Kubalulekile ukubheka izimpawu zenhliziyo. Xoxa neqembu lakho lokunakekelwa kwezempilo mayelana nanoma yikuphi ukukhathazeka. Isifiso senhliziyo ngezinye izikhathi singatholakala ngokushesha ngokuhlolwa kwezempilo okuvamile.

UStephen Kopecky, M.D., ukhuluma ngezinto ezingozi, izimpawu nokwelashwa kwe-coronary artery disease (CAD). Funda ukuthi izinguquko zendlela yokuphila zinganciphisa kanjani ingozi yakho.

{Umdlalo womculo}

I-Coronary artery disease, ebizwa nangokuthi yi-CAD, yisimo esithinta inhliziyo yakho. Yisifo senhliziyo esivamile kunazo zonke e-United States. I-CAD kwenzeka lapho i-coronary arteries zilwa nokunikeza inhliziyo igazi, i-oksijini nezondlo ezanele. Ukufakwa kwe-cholesterol, noma ama-plaque, cishe kuhlale kubangela. Lokhu kubunjwa kwenza i-arteries yakho ibe mancane, kunciphisa ukugeleza kwegazi enhliziyweni yakho. Lokhu kungabangela ubuhlungu esifubeni, ukuphefumula okunzima noma ngisho nokungasebenzi kahle kwenhliziyo. I-CAD ngokuvamile ithatha isikhathi eside ukuthuthuka. Ngakho-ke, ngokuvamile, iziguli aziyazi ukuthi zinekhambi kuze kube yilapho kunenkinga. Kepha kunezindlela zokuvimbela i-coronary artery disease, nezindlela zokwazi uma usengozini nezindlela zokuyelapha.

Ukuxilonga i-CAD kuqala ngokukhuluma nodokotela wakho. Bayokwazi ukubuka umlando wakho wezokwelapha, benze ukuhlolwa komzimba futhi bayalele umsebenzi wegazi ovamile. Kuye ngalokho, bangase baphakamise olunye noma ngaphezulu kokuhlolwa okulandelayo: i-electrocardiogram noma i-ECG, i-echocardiogram noma ukuhlolwa komsindo kwenhliziyo, ukuhlolwa kokucindezela, i-cardiac catheterization ne-angiogram, noma i-cardiac CT scan.

Ukwelapha i-coronary artery disease ngokuvamile kusho ukwenza izinguquko ekuphileni kwakho. Lokhu kungaba ukudla ukudla okunempilo, ukuzivocavoca njalo, ukulahlekelwa isisindo esiningi, ukunciphisa ukucindezeleka noma ukuyeka ukubhema. Izindaba ezinhle ukuthi lezi zinguquko zingenza okuningi ekuthuthukiseni umbono wakho. Ukuphila impilo enempilo kuholela ekubeni ne-arteries enempilo. Uma kudingeka, ukwelashwa kungafaka imithi efana ne-aspirin, imithi yokulungisa i-cholesterol, ama-beta-blockers, noma izinqubo zezokwelapha ezifana ne-angioplasty noma i-coronary artery bypass surgery.

Inhliziyo ingashaya ngokushesha kakhulu, kancane kakhulu noma ngokungajwayelekile. Izimpawu ze-heart arrhythmia zingafaka:

• Ubuhlungu esifubeni noma ukungakhululeki.
• Ukukhungatheka.
• Ukuphelelwa yizinzwa noma cishe upelelwe yizinzwa.
• Ukuphephema esifubeni.
• Ukukhanya ekhanda.
• Ukuphephema kwenhliziyo.
• Ukuphefumula okunzima.
• Ukuphephema kancane kwenhliziyo.

I-congenital heart defect yisimo senhliziyo esikhona ekuzalweni. I-congenital heart defects enzima ngokuvamile ibonakala ngokushesha ngemva kokuzalwa. Izimpawu ze-congenital heart defect ezinganeni zingafaka:

• Isikhumba esiluhlaza okwesibhakabhaka noma esimnyama. Kuye ngombala wesikhumba, lezi zinguquko zingase zibe lula noma kunzima ukubona.
• Ukukhula ezinyaweni, endaweni yesisu noma ezindaweni ezizungezile amehlo.
• Enganeni, ukuphefumula okunzima ngesikhathi sokudla, okuholela ekungawutholi kahle isisindo.

Ezinye i-congenital heart defects zingase zingatholakali kuze kube kamuva ebuntwaneni noma phakathi kokukhula. Izimpawu zingafaka:

• Ukuphefumula okunzima kakhulu ngesikhathi sokuzivocavoca noma umsebenzi.
• Ukukhathala kalula ngesikhathi sokuzivocavoca noma umsebenzi.
• Ukukhula kwezandla, izingalo noma izinyawo.

Ekuqaleni, i-cardiomyopathy ingase ingabangeli izimpawu ezibonakalayo. Njengoba isimo sibe sibi, izimpawu zingafaka:

• Ukukhungatheka, ukukhanya ekhanda nokuphelelwa yizinzwa.
• Ukukhathala.
• Ukuphefumula okunzima ngesikhathi somsebenzi noma ekuphumuleni.
• Ukuphefumula okunzima ebusuku uma uzama ukulala, noma ukuvuka uphefumula kanzima.
• Ukuphephema kwenhliziyo okusheshayo, okukhulu noma okuphephemayo.
• Ukukhula kwezinyawo, izingalo noma izinyawo.

Inhliziyo inezingxande ezine. Izingxande ziyavuleka futhi zivaliwe ukuhambisa igazi enhliziyweni. Izinto eziningi zingalimaza izingxande zenhliziyo. Uma ingxande lenhliziyo licindezelekile, kubizwa ngokuthi yi-stenosis. Uma ingxande lenhliziyo liyeka igazi ukugeleza emuva, kubizwa ngokuthi yi-regurgitation.

Izimpawu zesifo sezingxande zenhliziyo ziyahluka kuye ngokuthi yiliphi ingxande elingasebenzi kahle. Izimpawu zingafaka:

• Ubuhlungu esifubeni.
• Ukuphelelwa yizinzwa noma cishe upelelwe yizinzwa.
• Ukukhathala.
• Ukuphephema kwenhliziyo okungajwayelekile.
• Ukuphefumula okunzima.
• Ukukhula kwezinyawo noma izingalo.

Thola usizo lwezokwelapha oluphuthumayo uma unezimpawu zalesi sifo senhliziyo:

• Ubuhlungu esifubeni.
• Ukuphefumula okunzima.
• Ukuphelelwa amandla. Nqoba ucinga ukuthi ungase ube nokuhlaselwa yinhliziyo, shayela i-911 noma inombolo yakho yephuthumayo yendawo. Uma ucabanga ukuthi ungase ube nezimpawu zesifo senhliziyo, yenza i-aphoyintimenti yokuhlolwa kwempilo. Isifo senhliziyo kulula ukusipheka uma sifunyanwa ngokushesha.

Izimbangela zezifo zenhliziyo ziyahluka kuye ngohlobo oluthile lwesifo senhliziyo. Kunezinhlobo eziningi ezahlukene zezifo zenhliziyo.

Inhliziyo ejwayelekile inamakamelo amabili aphezulu namanye amabili aphansi. Amakamelo aphezulu, i-atria yasekunene nasesobunxele, amukela igazi elizayo. Amakamelo aphansi, i-ventricles yasekunene nasesobunxele ezinamandla kakhulu, apompa igazi liphume enhliziyweni. I-valves zenhliziyo yizicabha ezisekuvulweni kwamakamelo. Zigcina igazi ligeleza ngendlela efanele.

Ukuqonda izimbangela zezifo zenhliziyo, kungasiza ukuqonda ukuthi inhliziyo isebenza kanjani.

• Inhliziyo inamakamelo amane. Amakamelo amabili aphezulu abizwa nge-atria. Amakamelo amabili aphansi abizwa nge-ventricles.
• Uhlangothi lwesokudla lenhliziyo luhambisa igazi emaphashini ngezitsha zegazi ezibizwa nge-pulmonary arteries.
• Emaphashini, igazi lithatha i-oksijini. Igazi elicebile yi-oksijini liya ohlangothini lwesobunxele lenhliziyo nge-pulmonary veins.
• Uhlangothi lwesobunxele lenhliziyo bese lupompa igazi nge-artery enkulu yomzimba, ebizwa nge-aorta. Igazi bese liya kwenye ingxenye yomzimba.

Ama-valves amane enhliziyweni agcina igazi ligeleza ngendlela efanele. La ma-valves yi:

• I-aortic valve.
• I-mitral valve.
• I-pulmonary valve.
• I-tricuspid valve.

Ngalunye lwama-valve lunamaphethe, abizwa ngama-leaflets noma ama-cusps. Amaphethe avuleka futhi avale kanye ngesikhathi sokushaya kwenhliziyo. Uma iphethe le-valve lingavuleki noma lingavali kahle, igazi elincane liphuma enhliziyweni liye kwenye ingxenye yomzimba.

Uhlelo lwe-elekthrikhi lenhliziyo lugcina inhliziyo ishaya. Izibonakaliso ze-elekthrikhi zenhliziyo ziqala eqenjini lamaseli phezulu kwenhliziyo elibizwa nge-sinus node. Zidlula endleleni phakathi kwamakamelo aphezulu naphansi enhliziyweni ebizwa nge-atrioventricular (AV) node. Ukunyakaza kwezibonakaliso kubangela inhliziyo ukuba icindezelele futhi iphonse igazi.

Uma kukhona i-cholesterol eningi egazini, i-cholesterol nezinye izinto zingakha ama-deposits abizwa nge-plaque. I-plaque ingabangela i-artery ukuba ibe mncinci noma ivalwe. Uma i-plaque iqhekeka, i-blood clot ingakha. I-plaque nama-blood clots anganciphisa ukugcwala kwegazi nge-artery.

Ukubunjwa kwezinto ezinamanzi e-arteries, ebizwa nge-atherosclerosis, yimbangela evamile yesifo se-coronary artery. Izici ezingozi zihlanganisa ukudla okungelona impilo, ukungaphathi umzimba, ukukhuluphala, nokubhema. Ukukhetha impilo enempilo kungasiza ekuthuthukiseni ingozi ye-atherosclerosis.

Izimbangela ezivamile ze-arrhythmias noma izimo ezingabangela zona zihlanganisa:

• I-Heart muscle disease, ebizwa nge-cardiomyopathy.
• I-Coronary artery disease.
• I-Diabetes.
• Izidakamizwa ezingasemthethweni njenge-cocaine.
• Ukuhlupheka ngokomzwelo.
• Ukuphuza utshwala noma i-caffeine kakhulu.
• Izimo zenhliziyo ezikhona ekuzalweni, ebizwa nge-congenital heart defects.
• Ukubhema.
• I-Heart valve disease.
• Eminye imithi, izitshalo kanye nezinye izinto.

I-congenital heart defect kwenzeka ngesikhathi ingane ikhula esibilinini. Ochwepheshe bezempilo abaqiniseki ngokuphelele ukuthi yini ebangela iningi le-congenital heart defects. Kodwa ukuguquka kwe-gene, ezinye izimo zezokwelapha, eminye imithi, nezici zemvelo noma zokuphila zingase zidlale indima.

Imbangela ye-cardiomyopathy ixhomeke kuhlobo. Kunezinhlobo ezintathu:

• Dilated cardiomyopathy. Lolu uhlobo oluvamile kakhulu lwe-cardiomyopathy. Imbangela ivame ukungaziwa. Kungadluliselwa emindenini, okusho ukuthi iyefa.
• Hypertrophic cardiomyopathy. Lolu hlobo ngokuvamile ludluliselwa emindenini.
• Restrictive cardiomyopathy. Lolu hlobo lwe-cardiomyopathy lungenzeka ngaphandle kwesizathu esaziwayo. Ngezinye izikhathi ukwakheka kwe-protein ebizwa nge-amyloid kubangela lona. Ezinye izimbangela zihlanganisa izifo ze-connective tissue.

Izinto eziningi zingabangela i-valve yenhliziyo eyonakele noma esinayo isifo. Abanye abantu bazalwa besenayo i-heart valve disease. Uma lokhu kwenzeka, kubizwa nge-congenital heart valve disease.

Ezinye izimbangela ze-heart valve disease zihlanganisa:

• I-Rheumatic fever.
• Ukutheleleka ekugqokeni kwama-valves enhliziyo, ebizwa nge-infectious endocarditis.
• Izifo ze-connective tissue.

Izimbangela ezingozi zesifo senhliziyo zihlanganisa: Ubudala. Ukuguga kukhuphula ingozi ye-arteries ezilimele futhi eziqinisile kanye nemisipha yenhliziyo ebuthakathaka noma eqinile. Ubulili obuqokiwe ekuzalweni. Amadoda ngokuvamile asekubeni engozini enkulu yesifo senhliziyo. Ingozi kwabesifazane iyakhuphuka ngemuva kokuphela kwesikhathi. Umlando womndeni. Umlando womndeni wesifo senhliziyo uyakhuphula ingozi yesifo se-coronary artery, ikakhulukazi uma umzali ekuthuthukisile ebuntwaneni. Lokho kusho ngaphambi kweminyaka engama-55 kumalunga wesilisa, njengomfowabo noma uyihlo, kanye nama-65 kumalunga wesifazane, njengonina noma udadewabo. Ukubhema. Uma ubhema, yeka. Izinto ezisethobha yotshwala zilimaza i-arteries. Ukuhlaselwa yinhliziyo kuvamile kakhulu kubantu ababhemayo kunabantu abangabhemi. Xoxa nochwepheshe wezempilo uma udinga usizo lokuyeka. Ukudla okungezona impilo. Ukudla okunamafutha amaningi, usawoti, ushukela kanye ne-cholesterol kuye kwahlanganiswa nesifo senhliziyo. Ukuphindaphindeka kwegazi. Ukuphindaphindeka kwegazi okungalawulwa kungabangela i-arteries ziqine futhi ziqine. Lezi zinguquko ziguqula ukugeleza kwegazi enhliziyweni nasezimweni. I-cholesterol ephezulu. Ukuba ne-cholesterol ephezulu kukhuphula ingozi ye-atherosclerosis. I-atherosclerosis iye yahlotshaniswa nokuhlaselwa yinhliziyo kanye nokushaya. I-Diabetes. I-Diabetes ikhuphula ingozi yesifo senhliziyo. Ukukhuluphala kanye nokuphindaphindeka kwegazi kukhuphula ingozi ye-diabetes kanye nesifo senhliziyo. Ukukhuluphala. Isisindo esingaphezulu ngokuvamile siyamisa ezinye izimbangela ezingozi zesifo senhliziyo. Ukungabi namsebenzi. Ukungasebenzi kuhlotshaniswa nezinhlobo eziningi zesifo senhliziyo kanye nezinye zezimbangela zalo ezingozi. Ukuqina. Ukuqina komzwelo kungalimaza i-arteries futhi kwenze ezinye izimbangela ezingozi zesifo senhliziyo zibe zimbi kakhulu. Impilo embi yemazinyo. Ukuba namazinyo neminye imingcele engaphilile kwenza kube lula kubavimbi ukungena egazini futhi bahambele enhliziyweni. Lokhu kungabangela ukutheleleka okuthiwa yi-endocarditis. Geza futhi uhlanze amazinyo akho njalo. Thola futhi ukuhlolwa kwamazinyo njalo.

Izingozi ezingase zenzeke ngenxa yesifo senhliziyo zifaka phakathi:

• Ukwehluleka kwenhliziyo. Lena ingenye yezingozi ezivame kakhulu zesifo senhliziyo. Inhliziyo ayikwazi ukupompa igazi elanele ukuhlangabezana nezidingo zomzimba.
• Ukubamba kwenhliziyo. Ukubamba kwenhliziyo kungenzeka uma ingxenye yeplakki emithanjeni yegazi noma isiquphe segazi sihamba siye enhliziyweni.
• Isiguli. Izici eziholela esifweni senhliziyo zingase futhi ziholele esigulini sesistimu yegazi. Lolu hlobo lwesiguli luyenzeka uma imithambo yegazi eya ebuchosheni icindezelwe noma ivaliwe. Igazi elincane kakhulu lifika ebuchosheni.
• Aneurysm. I-aneurysm iwukukhula odongeni lomthambo wegazi. Uma i-aneurysm iqhekeka, ungase ube nokuphulukana negazi elingaphakathi okusongela impilo.
• Isifo semithambo yegazi emaphethelweni. Kulesi simo, izandla noma imilenze — ngokuvamile imilenze — azitholi igazi elanele. Lokhu kubangela izimpawu, ikakhulukazi ubuhlungu omlenzeni uma uhamba, okuthiwa yi-claudication. I-Atherosclerosis ingabangela isifo semithambo yegazi emaphethelweni.
• Ukumima ngokuzumayo kwesenhliziyo. Ukumima ngokuzumayo kwesenhliziyo ukulahlekelwa ngokuzumayo komsebenzi wenhliziyo, ukuphefumula nokuqaphela. Ngokuvamile kubangelwa yinkinga ohlelweni lwegesi lenhliziyo. Ukumima ngokuzumayo kwesenhliziyo kuyisimo esiphuthumayo sezokwelapha. Uma kungelaphi ngokushesha, kuholela ekufeni ngokuzumayo kwenhliziyo.

Ukushintsha okufanayo kokuphila okusetshenziswayo ukulawula isifo senhliziyo kungasiza nokukuvimbela. Zama lezi zeluleko zempilo yenhliziyo:

• Ungabhemi.
• Dla ukudla okune-sodium encane ne-fat eningi.
• Zivocavoca okungenani imizuzu engama-30 ngosuku ezinsukwini eziningi zeviki.
• Gcina isisindo esinempilo.
• Ncipha futhi ulawule ukucindezeleka.
• Thola ubuthongo obuhle. Abantu abadala kufanele bafune amahora angu-7 kuya kwangu-9 nsuku zonke.

Ukuthola isifo senhliziyo, ochwepheshe bezempilo bakuhlola futhi balalele inhliziyo yakho. Ngokuvamile ubuzwa imibuzo mayelana nezimpawu zakho kanye nomlando wakho wezokwelapha wabantu siqu nowomndeni.

Izivivinyo eziningi ezahlukene zisetshenziswa ukuthola isifo senhliziyo.

• Izivivinyo zegazi. Amaprotheni athile enhliziyo ayehla kancane egazini ngemuva kokulimaza kwenhliziyo okuvela ekuhlaselweni kwenhliziyo. Izivivinyo zegazi zingenziwa ukuhlola la maprotheni. Uvivinyo lwe-C-reactive protein (CRP) oluqaphelayo kakhulu luhlola iprotheni ehlotshaniswa nokuvuvukala kwe-arteri. Ezinye izivivinyo zegazi zingenziwa ukuhlola amazinga e-kolesterol kanye noshukela egazini.
• I-X-ray yesifuba. I-X-ray yesifuba ibonisa isimo samaphunga. Ingabonisa uma inhliziyo ikhulu kakhulu.
• Electrocardiogram (ECG noma EKG). I-ECG iyivivinyo elihle futhi elingenani ubuhlungu elikhomba izibonakaliso zamandla enhliziyweni. Ingatshela uma inhliziyo ishaya ngokushesha kakhulu noma kancane kakhulu.
• Ukuqapha kwe-Holter. I-monitor ye-Holter iyidivayisi ephathekayo ye-ECG egqokwe usuku olulodwa noma ngaphezulu ukuqopha umsebenzi wenhliziyo phakathi kwemisebenzi yansuku zonke. Lovivinyo lungathola ukushaya kwenhliziyo okungavamile okungatholakali ngesikhathi sokuhlolwa kwe-ECG okuvamile.
• Echocardiogram. Lovivinyo olungenayo ubuhlungu lusebenzisa amaza omsindo ukudala izithombe eziningiliziwe zenhliziyo esebenza. Ibonisa indlela igazi elihamba ngayo ngenhliziyo nangama-valve enhliziyo. I-echocardiogram ingasiza ekuqondeni uma i-valve ivaliwe noma iphezulu.
• Izivivinyo zokuzivocavoca noma izivivinyo zokucindezela. Lezi zivivinyo zivame ukubandakanya ukuhamba etreadmill noma ukuqhubela ibhayisikili elimi ngenkathi inhliziyo ihlolwa. Izivivinyo zokuzivocavoca zisiza ekwembuleni ukuthi inhliziyo iphendula kanjani emisebenzini yomzimba nokuthi izimpawu zesifo senhliziyo zivele yini ngesikhathi sokuzivocavoca. Uma ungakwazi ukuzivocavoca, ungase unikezwe imithi ethonya inhliziyo njengokuzivocavoca.
• Cardiac catheterization. Lovivinyo lungabonisa ukuphahlazeka kwe-arteri yenhliziyo. Umphetho omde, omncane, onobulukhuni obubizwa ngokuthi i-catheter ufakwe esithombeni legazi, ngokuvamile e-groin noma e-wrist, futhi uqondiswe enhliziyweni. I-dye igeleza nge-catheter kuya kuma-arteri enhliziyo. I-dye isisiza ama-arteri ukuba abonakale ngokucacile ezithombeni ze-X-ray ezithathwe ngesikhathi sokuhlolwa.
• I-CT scan yenhliziyo, ebizwa nangokuthi i-cardiac CT scan. Ku-cardiac CT scan, ulele etafuleni ngaphakathi komshini onjengodona. Umphetho we-X-ray ophakathi komshini uqokelela izithombe zenhliziyo yakho nesifuba.
• I-Heart magnetic resonance imaging (MRI) scan. I-cardiac MRI isebenzisa insimu yamagnethi namaza omsakazo akhiqizwe yi-computer ukudala izithombe eziningiliziwe zenhliziyo.

Ukuphathwa kwesifo senhliziyo kuncike esizathwini noso lwangcono lwenhliziyo. Ukuphathwa kwesifo senhliziyo kungafaka:

• Ukushintsha kwendlela yokuphila njengokudla ukudla okunetyuwa nemafutha agcwele kancane, ukuzivocavoca kakhulu, nokungabhemi.
• Imithi.
• Inkqubo yenhliziyo.
• Ukuhlinzwa kwenhliziyo.

Ungadinga imithi ukulawula izimpawu zesifo senhliziyo nokuvimba izinkinga. Uhlobo lwemiithi olusetshenziswayo kuncike ohlotsheni lwesifo senhliziyo.

Abanye abantu abanesifo senhliziyo bangadinga inkqubo yenhliziyo noma ukuhlinzwa. Uhlobo lokwelashwa kuncike ohlotsheni lwesifo senhliziyo nokuthi yiliphi ushintsho oluyenzile enhliziyweni.

Naziindlela ezimbalwa zokusiza ekulawuleni isifo senhliziyo nokuthuthukisa ikhwalithi yempilo: Ukulungiswa kwenhliziyo. Lona uhlelo oluqondene nezidingo zomuntu siqu lokufundisa nokuzivocavoca. Lufaka ukuqeqeshwa komzimba, ukwesekwa ngokomzwelo kanye nemfundo mayelana nokuphila okunempilo yentliziyo. Uhlelo oluqondiswayo luhlala lucebiswa ngemuva kokuhlaselwa yinhliziyo noma ukuhlinzwa kwenhliziyo. Amaqembu wokusekela. Ukuthinta nabangane nomndeni noma ukujoyina iqembu lokusekela kuyindlela enhle yokunciphisa ukucindezeleka. Ungase uthole ukuthi ukukhuluma ngezinkathazo zakho nabanye abasezimo ezifanayo kungakusiza. Thola ukuhlolwa kwempilo njalo. Ukubona uchwepheshe wakho wezempilo njalo kusiza uqinisekise ukuthi ulawula kahle isifo senhliziyo.