Ukutholakala Kwesikhumba Se-Baker? Izimpawu, Izimbangela, Nokwelapha

Isikhumba se-Baker yisikhumba esigcwele i-fluid esikhula ngemuva kwedolo, sidala i-bump noma i-bulge ebonakalayo. Leli simo esivamile senzeka lapho i-fluid engeziwe yomanyano ivalelwe esikhwameni esincane ngemuva komanyano wedolo. Nakuba kungase kubonakale kukhathaza, izikhumba ze-Baker ngokuvamile azilimazi futhi zivame ukuphathwa ngokunakekelwa okufanele.

Yini i-Baker's Cyst?

Isikhumba se-Baker sakhiwa lapho i-synovial fluid evela emnyanweni wedolo iqokelela e-bursa, okuyisikhwama esincane esigcwele i-fluid esivame ukusiza ukunciphisa amanxeba akho. Cabanga ngakho njengobhola lwamanzi olukhula ngemuva kwedolo lakho lapho kunesifludi esiningi endaweni yomanyano.

Leli simo liqala igama laseDkt. UWilliam Baker, owalichaza okokuqala ngawo-1800. Ungase uzwe libizwa ngokuthi i-popliteal cyst, elibhekisela endaweni ye-popliteal ngemuva kwedolo lapho likhula khona.

Isikhumba ngokuvamile sibonakala njenge-bump ebushelelezi, enqamuzayo ongayizwa futhi ngezinye izikhathi uyibone ngemuva kwedolo lakho. Ixhunyaniswe nomanyano wakho omkhulu wedolo ngesithuba esincane, kungakho i-fluid ingase ifuduke phakathi kwesikhumba nedolo lakho.

Ziyini izimpawu zesikhumba se-Baker?

Abantu abaningi abanezikhumba ze-Baker abanawo noma yimiphi impawu, ikakhulukazi lapho isikhumba sincane. Noma kunjalo, lapho izimpawu zivele, ngokuvamile zikhula kancane kancane futhi zingase zihluke komuntu ngamunye.

Izimpawu ezivame kakhulu ongaziqaphela zihlanganisa:

• I-lump ebonakalayo noma ebanzi ngemuva kwedolo lakho ezwakala ilula futhi ilukhuni
• Ukuqina kwedolo, ikakhulukazi lapho uzama ukugoba ngokuphelele noma uqondise umlenze wakho
• Ubuhlungu obukhulu noma obuphakathi ngemuva kwedolo, ikakhulukazi ngesikhathi sokuhamba
• Ukuzwa kokubopha noma ukugcwalisa ngemuva kwedolo
• Ukungakhululeki okubi kakhulu ngomsebenzi noma ukuqina isikhathi eside
• Ukukhula okungase kuqhubekele phansi endaweni yomlenze wakho

Abanye abantu bachaza ukuzwa njengokuthi banobhola lwamanzi ngemuva kwedolo labo. Izimpawu zivame ukuba zibonakale kakhulu lapho usebenza noma ngemuva kokuba uqine isikhathi eside.

Ezimeni ezingavamile, izikhumba ezinkulu zingadala izimpawu ezinkulu njengokungabi namandla noma ukukhahlela emilenzeni yakho uma zicindezela izinzwa noma imithambo yegazi eseduze. Uma uhlangabezana nalezi zimpawu, kubalulekile ukufuna usizo lokuthi ngokushesha.

Yini ebangela isikhumba se-Baker?

Izikhumba ze-Baker zikhula lapho kunenkinga ebangela ukukhiqizwa okukhulu kwe-fluid emnyanweni wedolo lakho. Idolo lakho likhiqiza ngokwemvelo i-synovial fluid ukuze lihlanze umanyano, kodwa izimo ezithile zingabangela ukukhiqizwa kwaleli fluid kukhule kakhulu.

Izimbangela ezivame kakhulu zihlanganisa:

• I-Osteoarthritis, ebangela ukuvuvukala komanyano nokukhiqizwa okukhulu kwe-fluid
• I-Rheumatoid arthritis, isimo sokuzimela komzimba esivuvukala imithambo yomanyano
• Ukuqhekeka kwe-meniscus, ikakhulukazi e-cartilage ehlanza umanyano wedolo lakho
• Ukulimala kwe-ligament, njengokulimala kwe-ACL noma ezinye izintambo zedolo
• Ukulimala kwe-cartilage ngokugqoka nokukhahlela noma ukulimala kwangaphambili
• I-Gout, engabangela ukufakwa kwamakristalu nokuvuvukala emnyanweni
• Ukutheleleka kwedolo, nakuba lokhu kungavamile

Lapho noma yikuphi kwalokhu kuqalekisa umanyano wedolo lakho, umzimba wakho uphendula ngokukhiqiza i-synovial fluid engaphezulu ukuze uzame ukuvikela nokuhlanza indawo. Leli fluid elingaphezulu libe sesiqhingweni e-bursa ngemuva kwedolo lakho, lidala ukukhula okubonakalayo.

Ngezinye izikhathi, izikhumba ze-Baker zingase zikhule ngaphandle kwenkinga ecacile yedolo, ikakhulukazi kubantwana. Kulezi zimo, ngokuvamile zibhekwa njenge-idiopathic, okusho ukuthi imbangela eqondile ayicaci.

Nini okufanele ubona udokotela ngesikhumba se-Baker?

Kufanele ucabange ukuthola usizo lokuthi uma uqaphela i-lump eqhubekayo ngemuva kwedolo lakho, ikakhulukazi uma ihambisana nobuhlungu noma ukuqina. Nakuba izikhumba ze-Baker ngokuvamile azilimazi, kubalulekile ukufumana ukuxilongwa okufanele ukuze kuvinjwe ezinye izimo.

Funa usizo lokuthi ngokushesha uma uhlangabezana nanoma yiziphi izimpawu ezinkulu ezilandelayo:

• Ubuhlungu obukhulu, obukhulu ngemuva kwedolo lakho noma emilenzeni yakho
• Ukukhula okukhulu okuqhubekela phansi emilenzeni yakho
• Ubomvu noma ukushisa endaweni eseduze nesikhumba
• Ukungabi namandla noma ukukhahlela emilenzeni yakho noma onyakeni
• Izimpawu zokutheleleka, njengobushushu noma ukuzwa ukugula
• Ubunzima bokuhamba noma ukuphatha isisindo emilenzeni yakho

Lezi zimpawu zingase zibonise ukuthi isikhumba siqhekeke noma ukuthi kunesimo esinzima esikhona, njengokuqhekeka kwegazi. Isikhumba se-Baker esiqhekeke singabangela i-fluid ukuthi ifuduke emithambweni yomlenze wakho, idale izimpawu ezifana nokuqhekeka kwegazi.

Ngisho noma izimpawu zakho zingencane, kufanele uhlolwe ukuze ubone futhi uphathe noma yiziphi izinkinga zedolo ezingase zibangele ukwakheka kwesikhumba.

Ziyini izinto ezingase zikubeke engozini yesikhumba se-Baker?

Ukuqonda izinto ezingase zikubeke engozini kungakusiza ukuqaphela lapho ungase ube nethuba elikhulu lokuthola isikhumba se-Baker. Ezinye izinto zikhuphula amathuba akho okuthola leli simo, nakuba ukuba nezinto ezingase zikubeke engozini akusho ukuthi uzokuthola isikhumba.

Izinto eziyinhloko ezingase zikubeke engozini zihlanganisa:

• Iminyaka engaphezu kuka-40, lapho izinkinga zedolo ziqala ukuba khona
• Umlando we-arthritis yedolo, ikakhulukazi i-osteoarthritis noma i-rheumatoid arthritis
• Ukulimala kwangaphambili kwedolo, njengokuqhekeka kwe-meniscus noma ukulimala kwe-ligament
• Izimo zokuvuvukala komanyano ezihlasela amanxeba amaningi
• Imisebenzi noma imisebenzi ebeka ukucindezela okuphindaphindayo emadolo akho
• Ukuba ngumuntu onesisindo esikhulu, okwandisa ukucindezela emadolo akho
• Umlando womndeni we-arthritis noma izinkinga zamanxeba

Abadlali bezemidlalo abahlanganyela ezemidlalo ezihilela ukuguqula, ukuqhuma, noma ukuxhumana ngqo kwedolo bangase babe nethuba elikhulu ngenxa yokwanda kwamathuba okulimala kwedolo. Noma kunjalo, izikhumba ze-Baker zingase zikhule kunoma ubani, kungakhathaliseki izinga lomsebenzi.

Kubalulekile ukuphawula ukuthi ukuba nalezi zinto ezingase zikubeke engozini akusho ukuthi uzokuthola isikhumba se-Baker. Abantu abaningi abanezinto eziningi ezingase zikubeke engozini abazange bahlangabezane naleli simo, kanti abanye abangenazo izinto ezingase zikubeke engozini bangase basithole.

Ziyini izinhlanganisela ezingase zenzeke ngesikhumba se-Baker?

Nakuba izikhumba ze-Baker ngokuvamile azilimazi, ukuqonda izinhlanganisela ezingase zenzeke kungakusiza ukuqaphela lapho kufanele ufuna ukunakekelwa okusheshayo kwezokwelapha. Abantu abaningi abanezikhumba ze-Baker abazange bahlangabezane nezinhlanganisela ezinkulu, kodwa ukwazi kubalulekile ukuphepha kwakho.

Izinhlanganisela ezivame kakhulu zihlanganisa:

• Ukuqhekeka kwesikhumba, okungabangela i-fluid ukuthi ifuduke emithambweni yomlenze wakho
• Ukucindezela kwemithambo yegazi eseduze, okungase kuchaphazele ukujikeleza
• Ukucindezela izinzwa, okuholela ekungabinamandla noma ukukhahlela
• Ubunzima bokuhamba kwedolo nemisebenzi yansuku zonke
• Ubuhlungu obuqhubekayo obuphazamisa ikhwalithi yokuphila kwakho

Isikhumba se-Baker esiqhekeke yiyona nhlanganisela ephazamisayo kakhulu ngoba ingase ifane nezimpawu zokuqhekeka kwegazi okubi. Lapho isikhumba siqhekeka, i-fluid isakazeka emithambweni yomlenze wakho, ibangela ubuhlungu obukhulu, ukukhula, futhi ngezinye izikhathi ukubonakala okubomvu.

Ezimeni ezingavamile, izikhumba ezinkulu kakhulu zingase zicindezele imithambo yegazi ebalulekile ngemuva kwedolo lakho, okungase kuchaphazele ukujikeleza kwegazi emilenzeni yakho. Kungakho noma yikuphi ukwanda okungazelelwe kwezimpawu noma izinkinga ezintsha zokuhamba kufanele kuhlolwe ngokushesha.

Ungakugwema kanjani isikhumba se-Baker?

Nakuba ungakwazi ukugwema ngokuphelele izikhumba ze-Baker, ungathatha izinyathelo zokunciphisa ingozi yakho ngokuhlala unemadolo aphilile nokulawula izimo ezikhona. Ukugwema kugxila ekunakekeleni izimbangela eziholela ekukhiqizweni okukhulu kwe-fluid yomanyano.

Nazi izindlela ezisebenzayo zokugwema:

• Gcina isisindo esiphilile ukuze unciphise ukucindezela emadolo akho
• Hlala usebenza ngokomzimba ngemisebenzi engathinti umzimba kakhulu njokubhukuda noma ukujika ibhayisikili
• Phatha ngokufanele noma yikuphi ukulimala kwedolo noma i-arthritis ukuze uvikele ukwakheka kwe-fluid
• Sebenzisa indlela efanele nezinsimbi zokulinda ngesikhathi semisebenzi yezemidlalo
• Qinisisa imisipha eseduze kwedolo lakho ukuze unikeze ukusekela okungcono komanyano
• Gwema imisebenzi ebeka ukucindezela okuphindaphindayo emadolo akho ngokungadingekile

Uma usuvele une-arthritis noma ukulimala kwangaphambili kwedolo, ukusebenzisana eduze nodokotela wakho ukuze ulawule lezi zimo kunganciphisa kakhulu ingozi yakho yokuthola izikhumba ze-Baker. Lokhu kungase kuhlanganise ukuthatha imithi eyalwe, ukwenza i-physical therapy, noma ukwenza izinguquko zokuphila.

Ukuzivocavoca okuthambile okuvamile kusiza ekuqinisiseni ukuguquguquka komanyano namandla emisipha, okungavimbela izinkinga zedolo ezivame ukuholela ekwakhekeni kwesikhumba. Noma kunjalo, lalela umzimba wakho futhi ugweme imisebenzi ebangela ubuhlungu noma ukukhula okuqhubekayo kwedolo.

Isikhumba se-Baker sihlonishwa kanjani?

Ukuxilongwa kwesikhumba se-Baker ngokuvamile kuqala ngodokotela wakho ehlola idolo lakho futhi ebuza ngezimpawu zakho. Bazozwa i-bump ebushelelezi, egcwele i-fluid ngemuva kwedolo lakho futhi bahlole ukuthi ihamba kanjani lapho ugobe futhi uqondise umlenze wakho.

Udokotela wakho cishe uzobuza ngomlando wakho wezokwelapha, kuhlanganise noma yikuphi ukulimala kwangaphambili kwedolo, i-arthritis, noma izinkinga zamanxeba. Bazofuna futhi ukwazi ukuthi uqale nini ukuqaphela i-lump nokuthi izimpawu zakho zishintshe kanjani ngokuhamba kwesikhathi.

Ukuqinisekisa ukuxilongwa nokuvimbela ezinye izimo, udokotela wakho angase ancome ukuhlolwa kwezithombe:

• I-Ultrasound, engase ibonise ngokucacile isikhumba esigcwele i-fluid noxhumano lwaso nomanyano wedolo lakho
• I-MRI scan, enikeza izithombe eziningi zezakhiwo zedolo lakho futhi ingase ibonise izinkinga ezikhona
• I-X-rays, nakuba lezi ngeke zibonise isikhumba ngokwazo, zingase zibonise i-arthritis noma ezinye izinkinga emathanjeni

I-Ultrasound ngokuvamile iyona ukuhlolwa kokuqala kwezithombe okusetshenziswayo ngoba kuyashesha, akubuhlungu, futhi kuhle ekuboniseni izakhiwo ezigcwele i-fluid. I-MRI ingase inconywe uma udokotela wakho engabaza ukulimala okukhona kwedolo okudingeka kunakekelwe.

Kwezinye izimo, udokotela wakho angase asebenzise inqubo ebizwa ngokuthi i-aspiration, lapho basebenzisa khona i-needle ukususa i-fluid esikhumbeni ukuze ihlolwe. Lokhu kungasiza ekuqinisekiseni ukuxilongwa nokunciphisa izimpawu isikhashana.

Yikuphi ukwelapha kwesikhumba se-Baker?

Ukwelapha izikhumba ze-Baker kugxila ekulawuleni izimpawu nasekunakekeleni noma yiziphi izinkinga zedolo ezikhona ezingase zibangele ukukhiqizwa okukhulu kwe-fluid. Izikhumba eziningi ezincane, ezingenawo ubuhlungu azidingi noma yikuphi ukwelapha futhi zingase ziphulukane ngokwazo ngokuhamba kwesikhathi.

Izindlela zokwelapha ezingathinti umzimba kakhulu zihlanganisa:

• Ukuphumula nokulungisa umsebenzi ukuze kunciphise ukucindezela kwedolo nokuvuvukala
• Ukufaka iqhwa imizuzu engu-15-20 izikhathi eziningi ngosuku ukuze kunciphise ukukhula
• Imithi yokunciphisa ubuhlungu engathengwa ngaphandle kwelayisensi njenge-ibuprofen noma i-acetaminophen
• Izibopho zokucindezela noma ama-knee sleeves ukuze anikeze ukusekela
• Ukuphakamisa umlenze wakho lapho uphumula ukuze usize ukunciphisa ukukhula
• I-physical therapy ukuze uthuthukise amandla kwedolo nokuqina

Uma izindlela ezingathinti umzimba kakhulu zingasebenzi, udokotela wakho angase ancome izindlela zokwelapha eziqondiswe ngokwengeziwe. Ukugcoba i-corticosteroid ngqo emnyanweni wedolo kungasiza ekuqedeni ukuvuvukala nokukhiqizwa kwe-fluid, ngokuvamile kunikeza ukukhululeka okukhulu.

Ngezikhumba ezimi kaningi noma ezinkulu, ukususa i-fluid usebenzisa i-needle kungakusiza ukukhululeka izimpawu ngokushesha. Noma kunjalo, isikhumba singase sibuyele uma inkinga yedolo engaphansi ayinakekelwanga.

Ezimeni ezingavamile lapho ezinye izindlela zokwelapha zingasebenzanga khona, ukususa isikhumba ngokusebenza kungase kubhekwe. Lokhu ngokuvamile kugcinelwe izikhumba ezibangela izimpawu noma izinhlanganisela ezinkulu.

Ungayilawula kanjani isikhumba se-Baker ekhaya?

Izindlela zokulawula ekhaya zingasebenza kakhulu ekuqedeni izimpawu nokuvimbela isikhumba se-Baker sakho ukuba sibe sibi. Okubalulekile ukuba uqine ngokunakekela kwakho futhi uqaphele ukuthi idolo lakho liphendula kanjani emisebenzini ehlukene.

Nanku ongayenza ekhaya ukuze ulawule izimpawu zakho:

• Faka ama-ice packs imizuzu engu-15-20, izikhathi ezingu-2-3 ngosuku, ikakhulukazi ngemuva komsebenzi
• Thatha imithi yokulwa nokuvuvukala engathengwa ngaphandle kwelayisensi njengoba kuyalwe
• Gwema imisebenzi ebi kakhulu ubuhlungu noma ukukhula kwedolo
• Phakamisa umlenze wakho ngaphezu kwesifuba sakho lapho uphumula
• Gqoka isibopho sokuqina noma i-knee sleeve ukuze uthole ukusekela
• Yenza imisebenzi ethambile yokuguquguquka ukuze ugcine ukuqina
• Sebenzisa ukwelashwa okushisa ngaphambi kwemisebenzi ethambile ukuze ukhulule amanxeba aqinile

Lalela umzimba wakho futhi ulungise imisebenzi ebangela ukwanda kubuhlungu noma ukukhula. Ukuzivocavoca okungathinti umzimba kakhulu njokubhukuda, ukujika ibhayisikili, noma ukuhamba okuthambile kungasiza ekuqinisiseni ukuguquguquka kwedolo ngaphandle kokubeka ukucindezela okukhulu emnyanweni.

Gcina umbhalo wezimpawu zakho encwadini, ubhale ukuthi yiziphi imisebenzi ezenza zibe ngcono noma zibe sibi. Lolu lwazi lungase lube luncedo lapho uxoxa ngezindlela zokwelapha nodokotela wakho.

Uma uqaphela ukwanda okungazelelwe kwezimpawu, ukukhula okukhulu, noma izimpawu zokutheleleka, ungangabazi ukuthintana nodokotela wakho ngisho noma ulawula kahle ekhaya.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ukulungiselela i-aphoyintimenti yakho kungasiza ekuqinisekiseni ukuthi uthola ukuxilongwa okuchane kakhulu nesiqondiso esisebenzayo sokwelapha. Ukuthatha isikhathi sokulungisa imicabango yakho nokuqoqa ulwazi olufanele kuzokwenza i-aphoyintimenti yakho ibe yingcono.

Ngaphambi kwe-aphoyintimenti yakho, bhala phansi:

• Lapho uqale ukuqaphela i-lump nokuthi ishintshe kanjani ngokuhamba kwesikhathi
• Zonke izimpawu ozizwayo, ngisho noma zibonakala zingahlobene
• Noma yimiphi imisebenzi noma izimo ezenza izimpawu zibe ngcono noma zibe sibi
• Ukulimala kwangaphambili kwedolo, ukuhlinzwa, noma izinkinga zamanxeba
• Imithi yamanje, izongezelelo, nezinto ozinempilo
• Imibuzo ofuna ukuyibuza udokotela

Letha uhlu lwazo zonke imithi yakho yamanje, kuhlanganise nemithi engathengwa ngaphandle kwelayisensi nezongezelelo. Uma usuvele unezihlolo zangaphambili zezithombe zedolo lakho, letha lezo zithombe noma imibiko uma zitholakala.

Cabanga ukuletha ilungu lomndeni noma umngani ukuze akusize ukukhumbula ulwazi oluqakathekile oluxoxwe ngesikhathi se-aphoyintimenti. Bangase futhi banikeze ukusekela kokuziphatha futhi basize ekumeleleni izidingo zakho.

Gqoka izingubo ezanelisayo, eziqondile ezivumela ukufinyelela okulula emadolo akho ukuze kuhlolwe. Udokotela wakho uzodinga ukuzwa indawo ngemuva kwedolo lakho futhi ahlole ukuguquguquka kwakho.

Iyini into ebalulekile ngesikhumba se-Baker?

Izikhumba ze-Baker zivame kakhulu, ngokuvamile azilimazi, izikhumba ezigcwele i-fluid ezikhula ngemuva kwedolo lapho i-fluid engeziwe yomanyano ivalelwe esikhwameni esincane. Nakuba zingabangela ukungakhululeki nokuqina, abantu abaningi bangalawula izimpawu zabo ngokuphumelelayo ngezindlela zokwelapha ezingathinti umzimba kakhulu.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi izikhumba ze-Baker ngokuvamile yisibonakaliso senkinga yedolo ekhona, njenge-arthritis noma ukuqhekeka kwe-meniscus. Ukunakekela lezi zimo ezikhona ngokuvamile kuyisihluthulelo sokuvimbela isikhumba ukuba sibuyele futhi uthuthukise impilo yakho yonke yedolo.

Izikhumba eziningi ze-Baker zingalawulwa ngempumelelo ngokuphumula, iqhwa, imithi yokulwa nokuvuvukala, nokwenza izinguquko emisebenzini. Noma kunjalo, ungangabazi ukufuna usizo lokuthi uma uhlangabezana nezimpawu ezinzima ngokungazelelwe noma izimpawu zezinhlanganisela.

Ngokunakekelwa okufanele nokulawulwa, ungagcina indlela yokuphila ephambili ngisho noma unesikhumba se-Baker. Sebenzisana eduze nodokotela wakho ukuze wakhe isiqondiso sokwelapha esinakekela izimpawu zakho nanoma yiziphi izimo zedolo ezikhona.

Imibuzo evame ukubuzwa ngesikhumba se-Baker

Ingase iphele yodwa isikhumba se-Baker?

Yebo, izikhumba eziningi ze-Baker zingase ziphulukane zodwa, ikakhulukazi ezincane noma ezingabantwana. Noma kunjalo, uma kunenkinga yedolo ekhona ebangela isikhumba, ingase ibuye uma leyo simo inganakekelwanga. Isikhathi sokuphela ngokwemvelo sihluka, kodwa kungathatha izinyanga ezimbalwa kuya eminyakeni.

Kuphephile yini ukuzivocavoca unesikhumba se-Baker?

Ukuzivocavoca okuthambile, okungathinti umzimba kakhulu ngokuvamile kuphephile futhi kuzuzisa abantu abanezikhumba ze-Baker. Ukubhukuda, ukuhamba, nokujika ibhayisikili kungasiza ekuqinisiseni ukuguquguquka kwedolo ngaphandle kokubeka ukucindezela okukhulu emnyanweni. Noma kunjalo, gwema imisebenzi enkulu noma ezemidlalo ezihilela ukuguqula uma zenza izimpawu zakho zibe sibi.

Kwenzekani uma isikhumba se-Baker siqhekeka?

Isikhumba se-Baker esiqhekeke singabangela ubuhlungu obukhulu nokuphuka emilenzeni yakho, kufana nezimpawu zokuqhekeka kwegazi. I-fluid ephukile ingabangela ukubomvu nokungakhululeki, kodwa lokhu ngokuvamile kuphulukana ngokwalo phakathi nezinyanga ezimbalwa. Noma kunjalo, kufanele ubona udokotela ngokushesha ukuze ubone ukuthi akuyona i-blood clot futhi uthole ukwelashwa okufanele.

Ingase ibe yomdlavuza isikhumba se-Baker?

Cha, izikhumba ze-Baker yizikhwama ezinhle ezigcwele i-fluid futhi azikwazi ukuba yomdlavuza. Ziyizinkulu nje ze-fluid yomanyano evamile eziqoqene ngemuva kwedolo lakho. Noma kunjalo, noma yikuphi ukukhula okusha noma okushintshayo kufanele kuhlolwe udodotela ukuze kuqinisekiswe ukuxilongwa okuchane.

Kuthatha isikhathi esingakanani ukwelapha isikhumba se-Baker?

Isikhathi sokuphela sezikhumba ze-Baker sihluka kakhulu kuye ngobukhulu bazo, imbangela ekhona, nendlela yokwelapha. Izikhumba ezincane zingase ziphulukane phakathi nezinyanga ezimbalwa, kanti ezinkulu noma ezihambisana nezinkinga zedolo ezimi kaningi zingase zithathe isikhathi eside. Ngokwelashwa okufanele kwezimo ezikhona, abantu abaningi babona ukuthuthuka phakathi kwezinyanga ezingu-3-6.