Health Library
October 10, 2025
Question on this topic? Get an instant answer from August.
Ulutho lokusebenzisa utshwala yisimo sezempilo lapho ukusebenzisa utshwala kuba nzima ukulawula, ngisho noma kubangela izinkinga ekuphileni kwakho. Cabanga ngakho njengesistimu yemivuzo yobuchopho bakho eguqulwa ngokuhamba kwesikhathi, okwenza utshwala luzwakale luyadingeka ngisho noma wazi ukuthi lilimaza.
Lokhu akuwona umqondo wokuzinza noma ukwehluleka kokuziphatha. Liyisifo sobuchopho esiqinisekisiwe esithinta izigidi zabantu bazo zonke izigaba zokuphila. Ukuqonda lesi simo kungakusiza wena noma umuntu omkhulekelayo ukuba uthathe izinyathelo zokuqala ekuphileni nasekuphulukiseni.
Ulutho lokusebenzisa utshwala luvela lapho ubuhlobo bakho notshwala luqala ukusebenzisa utshwala olukhulu oluphazamisa impilo yakho yansuku zonke, ubuhlobo, noma impilo yakho. I-kemistri yobuchopho bakho iguquka ngokuhamba kwesikhathi, okwenza kube nzima kakhulu ukuyeka ukusebenzisa utshwala ngisho noma ufuna.
Lesi simo sikulokhu kusetshenziswa okukhulu kuya kokubi. Abanye abantu bangase bazame ukusebenzisa utshwala ngokweqile ngempelasonto, kanti abanye bathola ukuthi abakwazi ukusebenza ngaphandle kokusebenzisa utshwala usuku lonke. Zombili lezi zimo zimelela izinkinga zezempilo ezingokoqobo ezifanele ukunakekelwa okuzwelayo nokwesekwa ngochwepheshe.
Okwenza lokhu kube nzima kakhulu ukuthi utshwala luqondile futhi kwamukelwa emphakathini emazweni amaningi. Lokhu kwenza kube nzima ukuqaphela ukuthi ukusebenzisa utshwala kudlulile emsebenzini womphakathi kuya ekukhathaleleni kwezempilo.
Izimpawu zolutho lokusebenzisa utshwala zivame ukuvela kancane kancane, yingakho zingase zibe lula ukuziphoxa ekuqaleni. Umuthi wakho nomqondo bakunika izibonakaliso zokuthi ubuhlobo bakho notshwala buye bashintsha, nakuba lezi zibonakaliso zoxwayiso zingase zibe buthakathaka ekuqaleni.
Nawa ama-sintoma abalulekile okumelwe uwabheke:
Lezi zimpawu aziveli zonke ngasikhathi sinye, futhi awudingi ukuhlushwa yiyo yonke ukuze ube nesifo sokuphuza utshwala. Ngisho nokuba nalezi zimpawu ezimbalwa kuphakamisa ukuthi sekufanele uxoxe nodokotela mayelana nezindlela zakho zokuphuza.
Abahlinzeki bezempilo bahlukanisa isifo sokuphuza utshwala zibe izigaba ezintathu eziyinhloko kuye ngokuthi ungaki izimpawu ozibhekana nazo. Lokhu kusiza ekutholeni indlela yokwelapha efanele kakhulu isimo sakho esithile.
Isifo sokuphuza utshwala esibuthakathaka sihilela ukuba nezimpawu ezi-2-3 ohlwini olukhulu. Ungase uqaphele izinkinga ezingekho ngokuphathelene nokulawula ukuphuza kwakho, kodwa usakwazi ukugcina iningi lemisebenzi yakho yansuku zonke. Lokhu kuvame ukuba yilapho abantu beqala ukuzibuza ngobudlelwano babo notshwala.
Isifo sokuphuza utshwala esiphakathi kusho ukuhlushwa izimpawu ezi-4-5. Kulesi sigaba, ukuphuza cishe kuyahlupha kakhulu emsebenzini wakho, ubuhlobo, noma impilo yakho. Ungase uzithole uzenza izaba zokuphuza kwakho noma uzizwe ukhathazekile uma utshwala lungatholakali.
Ukusebenzisa utshwala ngokweqile kuhilela ukuba nezimpawu eziyisithupha noma ngaphezulu. Lokhu kubonisa uhlobo olukhulu kunazo zonke lalesi simo, lapho utshwala luphazamisa kakhulu izindawo eziningi zokuphila kwakho. Ukuhlala udinga utshwala nokuphazamiseka komzimba uma uqeda ukulisebenzisa kuyinto evamile kuleli zinga.
Khumbula ukuthi lezi zigaba azilona amagama ahlala njalo. Ngokwelashwa okulungile nokwesekwa, abantu bangathuthela ekuqedeni utshwala ngokweqile, okuvamile, nokulinganiselwe, futhi ekugcineni bafinyelele ekuphileni impilo enhle kungakhathaliseki ukuthi baqale kuphi.
Ukusebenzisa utshwala ngokweqile kuvela ekuhlanganeni okuyinkimbinkimbi kwezinto, njengamanye ama-chronic health conditions afana nesifo sikashukela noma isifo senhliziyo. Akukho sizathu esisodwa esenza lesi sifo, kungakho singathinta noma ubani kungakhathaliseki isizinda sakhe noma izimo zakhe.
Izinto eziningi ezihlangene zifaka isandla ekuthuthukiseni ukusebenzisa utshwala ngokweqile:
Ukuqonda lezizimbangela kusiza ukunciphisa ihlazo nokulahlwa. Uma uhlupheka ngokusebenzisa utshwala, akuyona into yokuthi ubuthakathaka noma awunalo isimo sengqondo. Izici eziningi ongenakuzilawula zifake isandla kule simo sezokwelapha.
Ezinye izici ezingavamile zingase futhi zidlale indima ekuthuthukiseni isifo sokusebenzisa utshwala. Izimo ezithile zezokwelapha njengezifo ezinzima zobuhlungu zingase zihole abantu ekwelapheni ngokwabo ngotshwala. Ukuguquguquka okungavamile kwezakhiwo ze-genetic kungathinta ukuthi umzimba wakho uqeda utshwala ngokushesha kangakanani, okungase kukhulise ingozi yokulutha.
Ngaphezu kwalokho, amanye amaphilisi angase asebenzisane notshwala ngezindlela ezandisa ingozi yokuncika. Ukulimala kokukhuluphala kwengqondo, yize kungavamile, kungase futhi kushintshe umsebenzi wengqondo ngezindlela ezenza ukulutha kube lula.
Kufanele ucabange ukuya kudokotela uma ukusebenzisa kwakho utshwala kubangela noma yiziphi izinkinga ekuphileni kwakho, ngisho noma zibonakala zincinyane manje. Ukungenela kwasekuqaleni kuvame ukuletha imiphumela emihle futhi kungavimbela izinkinga ezinzima ngokuhamba kwesikhathi.
Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nezimpawu zokusilela uma uyeka ukusebenzisa utshwala. Lezi zingafaka ukuzamazama, ukushisa, isicanucanu, ukukhathazeka, noma ukuhlala uvila. Izimpawu ezinzima zokusilela njengokubona izinto ezingelona iqiniso, ukuhlushwa yizigwegwe, noma ukudideka okukhulu kudinga ukunakekelwa okusheshayo kwezimo eziphuthumayo.
Kufanele futhi ucele usizo uma uzama ukunciphisa ukusebenzisa kwakho utshwala izikhathi eziningi kodwa awuphumelelanga. Lesi sibonakaliso sichaza ukuthi ungase uzuze ekusekelweni kochwepheshe nezinketho zokwelashwa kwezokwelapha.
Ungalindi kuze ufikelwe yingozi ukuze ucele usizo. Abahlinzeki bezempilo bayeqeqeshwe ukusiza abantu kunoma yiliphi izinga lesifo sokusebenzisa utshwala, futhi ukuthola ukwesekwa kwasekuqaleni kuvame ukwenza ukululama kube lula futhi kube yimpumelelo.
Izici ezithile zingakwandisa amathuba akho okukhula une-alcohol use disorder, nakuba ukuba nezici ezingozi akusho ukuthi uzokuthola ngokuqinisekile lesi simo. Ukuqonda lezi zici ezingozi kungakusiza wenze izinqumo ezinolwazi mayelana nokuphila utshwala futhi uqaphele ukuthi nini ungadinga ukwesekwa okwengeziwe.
Izici ezingozi ezibaluleke kakhulu zihlanganisa:
Ukuba nezici eziningi ezingozi akusho ukuthi uzokuthola izinkinga zotshwala. Abantu abaningi abanezici eziningi ezingozi abazitholi izinkinga zokusebenzisa utshwala, kanti abanye abanezici ezimbalwa ezingozi bayazithola. Ukwazi izici zakho ezingozi kukunika amandla nje ukwenza izinqumo ezinolwazi mayelana nokuphila utshwala.
Ezinye izici ezingavamile zingakwandisa ingozi. Imisebenzi ethile efana nempilo, ukupheka, noma ukuzijabulisa inezilinganiso eziphakeme zezinkinga zotshwala ngenxa yokucindezeleka, izikhathi ezingavamile, noma amasiko emisebenzi. Ezinye izimo zezokwelapha ezibangela ubuhlungu obuhlala njalo zingabangela abantu ukuthi bazwelaphe ngotshwala.
Ngaphezu kwalokho, abantu abanezinhlungu zokufunda ezithile noma izinkinga zokuqaphela bangase babe sengozini ephakeme kancane, mhlawumbe ngenxa yokuphazamiseka noma ubunzima bokuqonda imiphumela yezenzo zabo.
Ukusebenzisa kabi utywala kungathinta cishe yonke ingxenye yempilo yakho nokuzwela uma kungaphathwa. Noma kunjalo, eziningi zalezi zingozi zingavikeleka noma zilungiswe ngokwelashwa okufanele kanye nokusekelwa kokubuyiselwa.
Izingozi ezivamile ongahlangabezana nazo zihlanganisa:
Izindaba ezinhle ukuthi umzimba wakho nengqondo zinekhono lokululama okuhle kakhulu. Eziningi zezingozi zomzimba ziyathuthuka kakhulu uma uyeka ukuphakelwa utywala, futhi ubuhlobo buvame ukululama ngesikhathi, umzamo, kanye ngezinye izikhathi usizo lochwepheshe.
Ezinye izingozi ezingavamile kodwa ezingase zibe yingozi eyingozi zidinga ukunakekelwa kwangaphambi kwesikhathi kwezokwelapha. Lezi zihlanganisa ukwehluleka okukhulu kwesikhutha se-liver, i-pancreatitis, noma ukudakwa ngotywala. Ukubamba izicubu ngenxa yokushiya utywala, nakuba kungavamile, kungaba yingozi ngaphandle kokunakekelwa kwezokwelapha.
Ukuphuza utshwala okuningi isikhathi eside kungabangela nezimo zezinzwa ezingavamile njenge-Wernicke-Korsakoff syndrome, ethonya ikhono lokukhumbula nokucabanga. Ukwelashwa kwasekuqaleni kunciphisa kakhulu ingozi yalezi zinkinga ezinzima.
Nakuba ungakwazi ukususa ngokuphelele ingozi yakho yokuthuthukisa i-alcohol use disorder, ikakhulukazi uma unezici zokuthola ingozi ezivela ezifundweni, ungathatha izinyathelo zokunciphisa kakhulu amathuba akho okukhula kwezinkinga ngotshwala.
Uma ukhetha ukuphuza, ukulandela imiyalelo yokuphaphama okungenayo ingozi kungakusiza ukuzivikela. Kubantu abadala abaphilile, lokhu ngokuvamile kusho ukuthi akunakuphuza okungaphezu kwesinye isiphuzo ngosuku kwabesifazane kanye namaphuzu amabili ngosuku kwabesilisa, nezinsuku eziningi ezingena utshwala masonto onke.
Ezinye izindlela zokuvimbela zihlanganisa ukuthuthukisa amakhono okulawula ukucindezeleka njengokujima, ukucamngca, noma ukukhuluma nabangane. Ukwakha inethiwekhi eqinile yokusekela nokulondoloza impilo enhle yengqondo futhi kuhlinzeka ngokuvikelwa ezingxakini zotshwala.
Uma unezici eziningi zengozi, ungase ucabange ukuqeda utshwala ngokuphelele noma ukuphuza kancane kakhulu. Akukho luhloni ekukhetheni ukungaphuzi, futhi abantu abaningi bathola ukuphila kwabo kujabulisa futhi kuhlangabezana ngaphandle kokusebenzisa utshwala.
Ukuxilonga i-alcohol use disorder kuhilela ukuhlolwa okuphelele yi-healthcare provider, ngokuvamile udokotela wakho oyinhloko noma ochwepheshe wezempilo yengqondo. Ayikho i-blood test noma isikena esisodwa esingaxilonga lesimo, ngakho udokotela wakho uzosebenzisa ingxoxo eningiliziwe mayelana nezindlela zakho zokuphaphama nemiphumela yazo ekuphileni kwakho.
Umhlinzeki wakho wezempilo uzokubuza imibuzo ethile mayelana nezimpawu esixoxe ngazo ngaphambili. Bazofuna ukwazi ukuthi uhlala uphuza kangakanani, ukuthi ngokuvamile uhlala uthola malini, nokuthi ukuphuza kuye kwabangela yini izinkinga ebuhlotsheni bakho, emsebenzini, noma empilweni.
Inkqubo yokuxilonga ingase ifake nezindlela zokuhlola ngokomzimba kanye namavivinyo elabhorethri ukuhlola izinkinga zempilo ezihlobene notshwala. Udokotela wakho angase ahlole ukusebenza kwesibindi sakho, ahlole ukucindezeleka kwegazi lakho, futhi abukele ezinye izimpawu zokuthi utshwala luye lwathinta impilo yakho yomzimba.
Khumbula ukuthi abahlinzeki bezempilo abalelaphi ukuzokwahlulela. Bayeqeqeshwe ukusiza abantu abanezinkinga zotshwala, futhi ubuqotho mayelana nezindlela zakho zokuphuza kubasiza ukuba banikeze ukunakekelwa okuhle kunazo zonke esimweni sakho.
Ukuphathwa kwengxabano yokusebenzisa utshwala kuyahlukahluka kakhulu ngoba lokho okusebenza kangcono kuyahlukahluka kumuntu nomuntu. Izindaba ezinhle ukuthi kunezindlela eziningi zokwelapha ezisebenza kahle, futhi abantu abaningi bathola indlela esebenza kubo ngokuhlola okuthile nokubekezela.
Izindlela zokwelapha eziyinhloko zihlanganisa:
Abantu abaningi bayazuza ngokudibanisa izindlela eziningana. Isibonelo, ungase uthathe imithi ukuze unciphise ukulangazelela ngenkathi uya emihlanganweni yokwelashwa namaqembu asekelayo. Iqembu lakho lokwelapha lizoqala ukusebenza nawe ukuze uthole ukuxuba okuzizwa kuwusizo kakhulu futhi okusimeme.
Ukwelashwa kuvame ukuba yinqubo yesikhathi eside, futhi ukwehluleka akusho ukuhluleka. Ukululama uhambo, futhi isinyathelo ngasinye esiphambili, kungakhathaliseki ukuthi sincane kangakanani, simelela intuthuko ebalulekile ekuphileni nasempilweni engcono.
Ukukhathalela wena ngesikhathi sokululama kuhilela okungaphezu nje kokungaphuzi. Umuthi wakho nomqondo wakho kudinga isikhathi nokusekelwa ukuze ululame eziphumeleni zokusebenzisa utshwala, futhi ukwakha imikhuba yansuku zonke enempilo kungathuthukisa kakhulu isipiliyoni sakho sokululama.
Gxila ekunakekelweni kwakho okuyisisekelo kuqala. Lokhu kusho ukuthola ubuthongo obukhulu, ukudla ukudla okunomsoco, nokugcina umzimba uthambile. Uthwala luphazamisa lezi zidingo eziyisisekelo, ngakho-ke ukubuyisela imizamo enempilo kusiza umzimba wakho ukuba ululame ngokushesha.
Ukuzivocavoca ngokomzimba kungaba usizo kakhulu ngesikhathi sokululama. Ngisho nokuzivocavoca okulula njengokuhamba kukhipha amakhemikhali emvelo okuthuthukisa isimo sengqondo ebuchosheni bakho futhi kunikeza indlela enempilo yokuphatha ukucindezeleka nokukhathazeka. Qala kancane bese ukhulisa kancane-kancane umsebenzi njengoba uzizwa uqina.
Ukwakha amasiko amasha nezinto ozithandayo kusiza ukugcwalisa isikhathi owabe uchitha uphuza. Cabanga ngezinto owabe uzithanda ngaphambi kokuba utshwala lube yinkinga, noma uhlole izintshisekelo ezintsha ngokuphelele. Abantu abaningi bathola izindlela zokudala, ukuzithandela, noma ukufunda amakhono amasha njengokuvuza kakhulu.
Hlala uxhumene nabantu abasekelayo ekuphileni kwakho. Lokhu kungafaka amalungu omndeni, abangane abasekela ukululama kwakho, noma abantu ohlangana nabo emaqenjini wokusekela. Ukuzihlukanisa kungenza ukululama kube nzima kakhulu, kuyilapho ukuxhumana kunikeza amandla nokukhuthazwa.
Ukulungiselela i-aphoyintimenti yakho kusiza ukuqinisekisa ukuthi uthola ulwazi oluwusizo kakhulu nokusekelwa kwesiphequluli sakho sezempilo. Ukuba uhlelile futhi uthembekile ngesikhathi sokuvakasha kwakho kuholela ekunakekelweni okungcono nasezincomeneni zokwelashwa.
Ngaphambi kokubhekana nodokotela wakho, bhala phansi izindlela zakho zokusebenzisa utshwala ngokuqondile ngangokunokwenzeka. Faka ukuthi uthanda kangakanani, ukuthi uthanda kangakanani ngokuvamile, nanoma yiziphi izinkinga utshwala oluzilele ekuphileni kwakho. Ungakhathazeki ngokuba nezinombolo eziqondile – ukulinganisa kulungile.
Yenza uhlu lanoma yiziphi izimpawu ozibonile, kufaka phakathi izimpawu zomzimba ezifana nezinkinga zokulala noma izinkinga zesisu, kanye nezimpawu zobuhlungu ezifana nokukhathazeka noma ukucindezeleka. Phawula futhi noma yiziphi izikhathi ozame ukunciphisa ukusebenzisa utshwala nokuthi kwenzekani.
Letha uhlu lwawo wonke amaphilisi owathatha, kufaka phakathi amaphilisi angaphezu kokuthengiswa ngaphandle kwedokotela kanye nezinye izinto. Amanye amaphilisi angase ahlangane ngokungaqondakali notshwala, futhi lolu lwazi lusiza udokotela wakho ukuba anikeze ukunakekelwa okuphephile.
Cabanga ukuthi ulethe umngani othembekile noma ilungu lomndeni ekuhlanganyeleni uma uzizwa ukhululekile ukwenza kanjalo. Bangakunika ukwesekwa futhi bangase bakhumbule imininingwane oyilibale ukukhuluma ngayo.
Into ebaluleke kakhulu okumele uyiqonde ngokusebenzisa kabi utshwala ukuthi iyisimo sezempilo esingaphathwa, hhayi ukwehluleka komuntu siqu noma ukushoda kwamandla. Izigidi zabantu ziye zaphila kahle ngezinkinga zokusebenzisa utshwala futhi zaphila impilo egcwele, enempilo.
Ukuphulukana kubonakala kuhlukile kubo bonke. Abanye abantu bafinyelela ekuhlanzeni okuphelele, kanti abanye bafunda ukusebenzisa utshwala ngokulinganisela. Okubaluleke kakhulu ukuthola indlela esebenza esimweni sakho futhi ithuthukise ikhwalithi yempilo yakho.
Ukuthola usizo ngokushesha kuvame ukubangela imiphumela emihle, kodwa akukaze kube sekude kakhulu ukuqala uhambo lwakho lokuphulukana. Kungakhathaliseki ukuthi uqala nje ukubuza ngezindlela zakho zokusebenzisa utshwala noma ubelwa iminyaka, usizo oluzwelayo nolusebenzayo luyatholakala.
Khumbula ukuthi ukufuna usizo kuyisibonakaliso sobukhulu, hhayi ubuthakathaka. Ukuthatha izinyathelo zokulungisa izinkinga zokusebenzisa utshwala kubonisa isibindi nokuqonda kwakho. Ngokwelashwa okulungile nokwesekwa, ungabuye ulawule impilo yakho futhi uthole umuntu ofuna ukuba yena.
Nakuba abanye abantu bephumelela ekuyeka ukupuza ngaphandle kokwelashwa okusemthethweni, abantu abaningi bayazuza ekusizweni nasekusekelweni kwabasebenzi bezempilo. Izinga lokuphila liphakeme uma uneqhawe lezokwelapha, ukwelulekwa, nokusekelwa ngabantu.
Ukuzama ukuyeka utshwala “ngokushesha” kungaba yingozi uma usuphuze kakhulu, njengoba izimpawu zokuhoxa zingaba zimbi noma zibe yingozi empilweni. Kuhlale kuphephile ukukhuluma nodokotela ngaphambi kokwenza izinguquko ezinkulu ezindleleni zakho zokupuza.
Ukuphulukana kuwumkhondo oqhubekayo kunokuba yindawo enenkathi ethile. Abanye abantu baphawula ukuthuthuka empilweni yabo yomzimba ezinsukwini noma emaviki ngemva kokuyeka ukupuza, kuyilapho ukululama ngokomzwelo nangokwengqondo kuvame ukuthatha izinyanga noma iminyaka.
Isigaba sokuhoxa esibuhlungu sivame ukuphela izinsuku eziyi-3-7, kodwa abanye abantu bahlangabezana nemiphumela ehlala isikhathi eside amasonto noma izinyanga. Ukuphulukana isikhathi eside kuqondiswa eminyakeni, futhi abantu abaningi bathola ukuthi impilo yabo iyaqhubeka ithuthuka uma beqhubeka bephila ngaphandle kokusebenzisa utshwala noma benendlela yokupuza enempilo.
Ukwakha ithemba kuthatha isikhathi, futhi ingenye yezinto ezinzima kakhulu zokululama kwabantu abaningi. Izindaba ezinhle ukuthi ubuhlobo bungaphila futhi bube namandla kunangaphambili uma ubonisa ngokuqhubekayo ukuzimisela kwakho ekuphulukeni.
Gxilisa ukugxila emisebenzini yakho kunokugxila emazwini akho. Ukwenza okuthile njalo ngokuhamba kwesikhathi yikho okwakha ukwethembana. Bekezela nabathandekayo abangadinga isikhathi sokwethemba ukuphulukiswa kwakho, futhi cabanga ngokuya kubachwepheshe bokuqeqeshwa komndeni ukuze nikusize ukuxazulula le nqubo ndawonye.
Lokhu kuncike esimweni sakho somuntu siqu nemigomo yokubuyiselwa. Abanye abantu abaphulile bakhetha ukugwema utshwala ngokuphelele futhi bakuthola kuwusizo ukugwema izimo lapho kunotshwala, ikakhulukazi ekuqaleni kokubuyiselwa.
Abanye ekugcineni bazizwa bekhululekile ukuba eduze notshwala ngaphandle kokusela. Lokhu kuyinto okufanele uyixoxe neqembu lakho lokwelashwa, njengoba lingakusiza ukuhlola izici zakho zomngcipheko siqu nokwakha amasu okuqondisa izimo ezihilela utshwala.
Okokuqala, khumbula ukuthi ukuhluleka akusho ukuthi uhlulekile noma ukuthi ukwelashwa akusebenzi. Abantu abaningi bahlangabezana nezinkinga ngesikhathi sokubuyiselwa, futhi yonke imizamo yokuzinza yakha amakhono nolwazi lokwenza kahle esikhathini esizayo.
Cela usizo ngokushesha kunokuzimisela ukukubhekana wedwa. Xhumana nodokotela wakho, umxhumanisi, noma iqembu lakho lokusekela. Lapho ubuyela emuva endleleni, kuvame ukuba lula ukubuyisela intuthuko yakho yokubuyiselwa.
6Mpeople
Get clear medical guidance
on symptoms, medications, and lab reports.