Created at:1/16/2025
Question on this topic? Get an instant answer from August.
I-Cerebral palsy yiqembu leemeko ezithinta indlela umzimba wakho ohambayo ngayo nokugcina isimo. Kwenzeka lapho izingxenye zobuchopho eziqondisa ukuhamba nokuxhumanisa zingathuthuki kahle noma zonakale ngaphambi kokuzalwa, ngesikhathi sokuzalwa, noma ngokushesha ngemva kokuzalwa.
Le meko ibathinta ngokwahlukene abantu. Abanye abantu bangaba nezinkinga ezincane zokuxhumanisa, kanti abanye bangadinga ukwesekwa okwengeziwe emisebenzini yansuku zonke. Okubalulekile ukuqaphela ukuthi i-cerebral palsy ayibi kakhulu ngokuhamba kwesikhathi, futhi ngokunakekelwa okulungile nokwesekwa, abantu abanemeko bangaphila impilo egcwele, enenjongo.
I-Cerebral palsy yimeko ehlala njalo ethinta ukuhamba, ithoni yemisipha, kanye nesimo. Igama elithi "cerebral" libhekisela ebuchophweni, futhi igama elithi "palsy" lisho ubuthakathaka noma ukukhubazeka kokunyakaza.
Cabanga ngobuchopho bakho njengendawo eyiqondisa yonke imisebenzi yakho. Uma izindawo ezithile zale ndawo eyiqondisa zithinteka, kungashintsha indlela imisipha esebenza ngayo ndawonye. Lokhu kungathinta ukuhamba, ukukhuluma, ukudla, noma ukusebenzisa izandla zakho, kuye ngokuthi yisiphi isigaba sobuchopho esithintekile.
Imeko ithuthuka ekuqaleni kokuphila, ngokuvamile ngaphambi kweminyaka engu-2. Nakuba iyimeko yempilo yonke, ayithuthuki noma ibe kubi njengoba ukhula. Abantu abaningi abane-cerebral palsy bahola impilo ezimele, eziqhakazile ngokwesekwa okufanele nokwelashwa.
Odokotela bahlukanisa i-cerebral palsy zibe izinhlobo ezahlukene ngokusekelwe endleleni ethinta ukuhamba ngayo kanye nezingxenye zomzimba ezihilelekile. Ukuqonda lezi zinhlobo kusiza ekudaleni uhlelo lokwelapha oluhle kunoma yimuphi umuntu.
Izinhlobo eziyinhloko zihlanganisa i-spastic cerebral palsy, ebangela imisipha eqinile, eqinile. Lolu uhlobo oluvamile kakhulu, oluthinta cishe u-75% lwabantu abanemeko. Ungase uqaphele ukuhamba okuqhumayo noma ukukhubazeka kokupumula imisipha ethile.
I-Dyskinetic cerebral palsy ithonya ukulawula imisipha, ibangela ukuhamba okungakwazi ukulawulwa okungaba buthakathaka futhi okuqhumayo noma okusheshayo nokuqhumayo. Abantu abalolu hlobo bavame ukuba nobunzima bokuhlala beqondile, ikakhulukazi uma behlezi noma bema.
I-Ataxic cerebral palsy ithonya ikakhulukazi ibhalansi kanye nokuxhumanisa. Ukuhamba kungase kubonakale kungaqinile, futhi ukuhamba okuqondile njengokubhala noma ukubopha izingubo kungaba inselele. Lolu hlobo aluvamile njengolunye.
I-Mixed cerebral palsy ihlanganisa izici ezivela ezinhlotsheni ezahlukene. Abantu abaningi empeleni balolu hlobo, lapho izimpawu zingafani kahle kwenye ikhethini kuphela.
Izimpawu ze-cerebral palsy ziyahlukahluka kakhulu kumuntu nomuntu, kodwa ngokuvamile zihilela ukushintsha ekuhambeni, esimweni, noma ekuhlanganiseni. Lezi zimpawu ngokuvamile ziqala ukubonakala eminyakeni embalwa yokuqala yokuphila njengoba izingane zifinyelela izigaba zokuthuthuka.
Nawa ama-symptom okuhamba kanye nesimo ongase uwaphawule:
Ngaphezu kokuhamba, i-cerebral palsy ingathinta ezinye izindawo zokuthuthuka. Abanye abantu baba nezinkinga zokukhuluma, ukugwinya, noma ukubona, kanti abanye bangaba nokuhlukahluka kokufunda noma ukuhlupheka.
Kubalulekile ukukhumbula ukuthi ukuba ne-cerebral palsy akusho ukuthi ukhubazekile ngokwengqondo. Abantu abaningi abanemeko banamandla okuqonda ajwayelekile futhi baqhamuka ezemfundo, ezobuciko, noma kwezinye izindawo ezithakazelisayo.
I-Cerebral palsy ithuthuka lapho ubuchopho obuthuthukayo bulimazeke noma bungakhi kahle. Lokhu ngokuvamile kwenzeka ngaphambi kokuzalwa, kodwa kungenzeka futhi ngesikhathi sokuzalwa noma ekuqaleni kwengane.
Izimbangela ezivamile kakhulu zenzeka ngesikhathi sokukhulelwa futhi zihlanganisa ukutheleleka kunina, izinkinga zokuhamba kwegazi ebuchophweni bengane, noma izici zezofuzo ezithinta ukuthuthuka kobuchopho. Ngezinye izikhathi ubuchopho buthuthuka ngokwahlukene ngaphandle kwesizathu esiqondakalayo.
Izimbangela ezihlobene nokuzalwa zingase zihlanganise izinkinga ngesikhathi sokuzalwa, njengokungatholi okwanele komoya, ukuzalwa kwangaphambi kwesikhathi, noma isisindo esincane kakhulu sokuzalwa. Noma kunjalo, kubalulekile ukuqonda ukuthi ukuzalwa okuningi kuhamba kahle, futhi i-cerebral palsy ayivamile.
Ngemva kokuzalwa, izimbangela zingase zihlanganise ukutheleleka okukhulu njenge-meningitis, ukulimala kwekhanda, noma izinkinga ezibangela ubuchopho ukungatholi okwanele komoya. Lezi zimbangela ngemva kokuzalwa azivamile njengalezo ezenzeka ngaphambi noma ngesikhathi sokuzalwa.
Emindenini eminingi, odokotela abakwazi ukubona ukuthi yini ebangelwe i-cerebral palsy yengane yabo. Lokhu kungabaza kungaba nzima, kodwa kubalulekile ukwazi ukuthi ngokuvamile akukho lutho omunye umuntu alwenzile noma angalukhulile.
Izici ezithile zingandisa amathuba okuthuthuka kwe-cerebral palsy, nakuba ukuba nalezi zici ezingaholela akusho ukuthi imeko izoqiniswa. Ukuqonda lokhu kungasiza odokotela ukuba balandelele ukukhulelwa nezingane ezintsha ngokucophelela.
Izici ezingaholela ezihlobene nokukhulelwa zihlanganisa ukuzalwa okuningi njengezintandane noma izintathu, ukutheleleka okuthile ngesikhathi sokukhulelwa, kanye neemeko zezokwelapha kunina njengezinkinga zesitho noma ukuhlupheka.
Izici ezihlobene nokuzalwa zihlanganisa ukuzalwa kwangaphambi kwesikhathi, ikakhulukazi ngaphambi kwamasonto angu-32, ukuba nesisindo esincane kakhulu sokuzalwa, noma ukubhekana nezinkinga ngesikhathi sokuzalwa. Izingane ezidinga ukunakekelwa okukhulu ngemva kokuzalwa zingase zibe nengozi enkulu.
Izici ezingavamile ezingaholela zihlanganisa ukungafani kwegazi phakathi kunina nengane, ukubhekana nezinto ezinobuthi, noma izimo zezofuzo ezithinta ukuthuthuka kobuchopho. Noma kunjalo, izingane eziningi ezinalezi zici ezingaholela zithuthuka ngokujwayelekile.
Ukuba nezici ezingaholela kungase kube nzima, kodwa khumbula ukuthi ukuthuthuka ekunakekelweni kwezokwelapha kuye kwathuthukisa kakhulu imiphumela yezingane, ngisho nalabo abazalwa benenkinga.
Kufanele uxoxe nodokotela wakho wezingane uma uqaphela ukulibaziseka ekuthuthukeni kwengane yakho noma izindlela ezingavamile ekuhambeni kwabo. Ukuqaphela kwangaphambi kwesikhathi nokungenelela kungenza umehluko omkhulu kwimiphumela.
Xhumana nodokotela wakho uma ingane yakho ingafinyeleli izigaba ezijwayelekile njengokuhlala phansi ngenyanga engu-9, ukuhamba ngenyanga engu-18, noma uma kubonakala sengathi ilahlekelwe amakhono ayenawo ngaphambili. Ezinye izimpawu ezinkulu zihlanganisa ubuqiniso bemisipha obuhlala njalo, ubuthakathaka bemisipha obungavamile, noma ukukhubazeka kokudla.
Themba izinzwa zakho njengomzali. Uma kukhona okubonakala kuhlukile ekuthuthukeni kwengane yakho, kuhlale kufanele ukuxoxa ngezinkathazo zakho nodokotela wabo. Bangasiza ekuqondeni ukuthi ngabe kufanele kwenziwe ucwaningo olwengeziwe yini.
Ngezingane ezisanda kuxilongwa nge-cerebral palsy, ukulandelela njalo kubalulekile. Xhumana neqembu lakho lezempilo uma uqaphela izimpawu ezintsha, ukushintsha kwezimpawu ezikhona, noma ukukhathazeka ngebuhlungu noma ukungakhululeki.
Nakuba i-cerebral palsy ithonya ikakhulu ukuhamba, ngezinye izikhathi ingabangela ezinye izinselele zezempilo. Ukuqonda lezi zinto ezingase zenzeke kusiza imindeni ukuba zilungiselele futhi ifune ukunakekelwa okufanele uma kudingeka.
Izinkinga ezivamile ezingase zithuthuke zihlanganisa:
Abanye abantu bangase babe nezinkinga zokubona noma zokuzwa, izinselele zokukhuluma, noma ukuhlukahluka kokufunda. Noma kunjalo, lezi zinkinga azibathinti bonke abane-cerebral palsy, futhi eziningi zingaphathwa kahle ngokunakekelwa okufanele.
Ukulandelela njalo kwezokwelapha kusiza ekutholeni nasekuphatheni izinkinga kwangaphambi kwesikhathi. Iqembu lakho lezempilo lingasebenza nawe ukuvimbela izinkinga uma kungenzeka futhi liziphathe ngokushesha uma zenzeka.
Ukuxilongwa kwe-cerebral palsy kuhilela ukubuka ngokucophelela ukuthuthuka kwengane yakho kanye nezindlela zokuhamba ngokuhamba kwesikhathi. Ayikho i-test eyodwa engakwazi ukuxilonga imeko, ngakho odokotela basebenzisa izindlela eziningi ukuze bafinyelele esiphethweni.
Udokotela wakho wezingane uzoqala ngokulandelela izigaba zokuthuthuka kwengane yakho kanye nokwenza ukuhlolwa komzimba. Bazobona indlela ingane yakho ehamba ngayo, ithoni yemisipha yayo, imiphumela, kanye nokuxhumanisa ngesikhathi sokuhlola okujwayelekile.
Uma kukhona ukukhathazeka, udokotela wakho angase akuqondise kubachwepheshe njengabachwepheshe bezifo zezinzwa zezingane noma odokotela bezingane abathuthukayo. Laba ochwepheshe banokuqeqeshwa okukhethekile ezimweni zobuchopho nezinhlelo zezinzwa ezinganeni.
Izivivinyo ezengeziwe zingase zihlanganise ukubuka izithombe zobuchopho njenge-MRI scans ukubuka ubuchopho, noma ezinye izilinganiso zokuhlola ukubona, ukuzwa, ukukhuluma, kanye nokuthuthuka kwengqondo. Lokhu kusiza ekudaleni isithombe esiphelele sezidingo zengane yakho.
Inqubo yokuxilonga ithatha isikhathi, futhi kuyinto evamile ukuzizwa ukukhathazeka ngalesi sikhathi. Khumbula ukuthi ukuthola ukuxilongwa okuqondile kuyisinyathelo sokuqala sokuthola ukwesekwa okufanele nezinsizakalo zengane yakho.
Ukwelashwa kwe-cerebral palsy kugxile ekusizeni umuntu ngamunye ukuba afinyelele ikhono lakhe elikhulu futhi aphile ngokuzimela ngangokunokwenzeka. Indlela iyona ehlukile, kuye ngohlobo oluthile nobunzima bezimpawu.
Ukwelashwa komzimba kuyisisekelo sokwelapha kwabantu abaningi. Abachwepheshe basebenza ekuqiniseni imisipha, ekuthuthukiseni ibhalansi, nasekufundeni izindlela ezintsha zokuhamba. Lokhu kungase kuhlanganise ukuzivocavoca, ukuqina, kanye nokuzivocavoca ngezinsiza zokuhamba njengezihambi noma izihlalo zamavili.
Ukwelashwa komsebenzi kusiza ngamakhono okuphila kwansuku zonke njengokugqoka, ukudla, nokusebenzisa amathuluzi noma ubuchwepheshe. Ukwelashwa kokukhuluma kungase kuphathe izinselele zokukhuluma nezinkinga zokudla uma ukugwinya kuthinteka.
Imithi ingasiza ekulawuleni izimpawu ezithile. Lokhu kungase kuhlanganise imithi yokupumula imisipha ukuze kunciphise ubuqiniso, imithi yokwelapha ukuhlupheka uma kudingeka, noma ukugonywa kwe-botulinum toxin ukuze kupumule imisipha esebenza kakhulu ezindaweni ezithile.
Abanye abantu bazuza ekuhlinzweni. Lokhu kungase kuhlanganise ukuhlinzwa kwe-orthopedic ukuthuthukisa ukulingana kwama-bone kanye nezinqeni, noma izinqubo ze-neurosurgical ukuze kunciphise ubuqiniso bemisipha obukhulu. Ukuhlinzwa ngokuvamile kucabangelwa uma ezinye izindlela zokwelapha azinikanga ukuthuthuka okwanele.
Ubuchwepheshe bokusiza buwumsebenzi obalulekile kwabantu abaningi. Lokhu kuya kusuka ezithulini ezilula njengezithuluzi ezikhethekile kuya ezimbonini zokukhuluma eziyinkimbinkimbi noma imishini yokuhamba. Umgomo uhlale ukukhulisa ukuzimela nokubamba iqhaza emisebenzini yansuku zonke.
Ukuphathwa kwekhaya le-cerebral palsy kuhilela ukwakha indawo yokwesekwa nokugcina izindlela ezihlala njalo ezithuthukisa ukuthuthuka kwengane yakho nokuphumula. Indlela yakho yansuku zonke ingathinta kakhulu intuthuko yabo kanye nekhwalithi yempilo.
Ukuhlala njalo nokwelashwa okuzivocavoca ekhaya kuqinisa lokho okufundwe ezikhathini zokwelashwa eziqondile. Abachwepheshe bakho bazokufundisa ukuzivocavoca okuthile nemisebenzi ongayifaka ezindleleni zakho zansuku zonke, okwenza bazizwe bevamile kunokuba njengokwelashwa kwezokwelapha.
Ukudala indawo yekhaya efinyeleleka kusiza ekuthuthukiseni ukuzimela. Lokhu kungase kusho ukulungisa ukuphakama kwefenisha, ukwengeza ama-grab bars, noma ukulungisa izinto ezifinyeleleka kalula. Ukulungisa okuncane kungenza umehluko omkhulu ekusebenzeni kwansuku zonke.
Ukudla kudlala indima ebalulekile, ikakhulukazi uma kukhona ubunzima bokugwinya. Sebenza neqembu lakho lezempilo ukuqinisekisa ukudla okufanele nokudla okuphephile. Ezinye izingane zingadinga ukuguqulwa kokudla noma isikhundla esikhethekile ngesikhathi sokudla.
Izindlela zokulala ezihlala njalo zisekela impilo yonke nokuthuthuka. Uma kukhona izinkinga zokulala, xoxa ngamathuluzi neqembu lakho lezempilo. Ukulala okuhle kusiza kukho konke kusukela emoyeni kuya ekukwazi ukufunda.
Ungakhohlwa ngokwesekwa ngokomzwelo komndeni wonke. Ukuhlangana nezinye imindeni, ukujoyina amaqembu wokwesekwa, noma ukusebenza nabacebisi kungakunika izinsiza eziwusizo namasu okubhekana nezinkinga.
Ukulungiselela i-appointment yezokwelapha kusiza ukuba wenze okuningi ngesikhathi sakho nabaphakeli bezempilo futhi kuqinisekise ukuthi izinkathazo ezibalulekile ziqondwa. Ukulungiselela okuhle kuholela ezingxoxweni eziqhakazile kakhulu nasekunakekelweni okuhle.
Gcina idayari yezimpawu noma incwadi yokubhala ebhala ukushintsha ekuhambeni, izinkathazo ezintsha, noma intuthuko oyibonile. Faka izibonelo ezithile nezikhathi uma kungenzeka. Lolu lwazi lusiza odokotela ukuqonda izindlela kanye nokushintsha ngokuhamba kwesikhathi.
Lungiselela uhlu lwemithi yamanje, ukwelashwa, kanye nanoma iyiphi imishini yokusiza esetshenziswayo. Faka imithamo nokuthi ukwelashwa kubonakala kusebenza kangcono kangakanani. Phawula futhi noma yiziphi izingozi noma ukukhathazeka.
Bhala imibuzo yakho kusengaphambili. Kulula ukukhohlwa izinkathazo ezibalulekile ngesikhathi se-appointment, ngakho ukuba nohlu olubhaliwe kuqinisekisa ukuthi akukho lutho olulahlekile. Beka phambili imibuzo yakho ebaluleke kakhulu uma isikhathi siphela.
Letha amarekhodi ezempilo afanele, ikakhulukazi uma ubona umhlinzeki omusha noma ochwepheshe. Lokhu kungase kuhlanganise imibiko yokwelashwa, imiphumela yezivivinyo, noma amadokhumenti avela kwabanye abahlinzeki bezempilo.
Cabanga ukuletha umuntu wokwesekwa uma kusiza. Bangasiza ekukhumbula ulwazi oluxoxwe ngesikhathi se-appointment futhi banikeze ukwesekwa ngokomzwelo ngesikhathi sezingxoxo ezingase zibe nzima.
Nakuba i-cerebral palsy ingavikelekile njalo, izinyathelo ezithile ngesikhathi sokukhulelwa nasebuntwaneni obuncane zinganciphisa ingozi yokulimala kobuchopho okungase kuholele esimweni. Ukuvimbela kugxile ekuhlaleni impilo yonke nokuqeda izici ezaziwayo ezingaholela uma kungenzeka.
Ngesikhathi sokukhulelwa, ukunakekelwa okujwayelekile kokukhulelwa kubalulekile. Lokhu kuhlanganisa ukuthatha amavithamini okukhulelwa, ukuphatha izimo zezempilo ezihlala njalo, ukugwema utshwala nezidakamizwa, nokukhuselwa ekuthelelekeni ngokuhlanzeka okuhle kanye nokugoma okusikisela.
Ukuvimbela ukuzalwa kwangaphambi kwesikhathi uma kungenzeka kunciphisa ingozi, nakuba ngezinye izikhathi ukuzalwa kwangaphambi kwesikhathi kudingeka ngezizathu zezokwelapha. Ukulandela izincomo zedokotela wakho mayelana nomsebenzi, ukudla, nokuphatha izinkinga zokukhulelwa kusiza ekusekweni ukuthuthuka okunempilo kwengane.
Ngemva kokuzalwa, ukuvikela izingane ekulimaleni nasekuthelelekeni kubalulekile. Lokhu kuhlanganisa ukusebenzisa izihlalo zezimoto ezifanele, ukulungisa izindlu ukuvimbela ukuwa, nokufuna ukunakekelwa kwezokwelapha ngokushesha ngezifo ezinkulu noma ukushisa okuphezulu.
Kubalulekile ukuqonda ukuthi izimo eziningi ze-cerebral palsy zenzeka naphezu kokunakekelwa okuhle futhi azikwazi ukuvinjelwa. Uma ingane yakho ithuthukisa i-cerebral palsy, akuyona into oyibangele noma owayengayivimbela ezimweni eziningi.
I-Cerebral palsy yimeko yempilo yonke ethinta ukuhamba kanye nesimo, kodwa ayidingi ukulinganisa amandla omuntu empilweni egcwele. Ngokwesekwa okufanele, ukwelashwa, kanye nokunakekelwa kwezokwelapha, abantu abane-cerebral palsy bangafinyelela imigomo yabo futhi babambe iqhaza ngokugcwele emiphakathini yabo.
Umuntu ngamunye one-cerebral palsy uhlukile, ngamandla akhe, izinselele, namathuba. Ukungenelela kwangaphambi kwesikhathi nokusekelwa okuhlala njalo kwenza umehluko omkhulu kwimiphumela, kodwa akusikho isikhathi sokuba sehle ukusebenzisa ukwelashwa okuzuzisayo noma ukuzama izindlela ezintsha.
Umgomo ukugxila emakhonweni kunokulinganiselwa, ukugubha intuthuko kungakhathaliseki ijubane, nokugcina ithemba lokuqhubeka kokukhula nokuthuthuka. Abantu abaningi abane-cerebral palsy baqhamuka ezemfundo, emisebenzini, ezemidlalo, ezobuciko, nakwezinye izindawo zokuphila.
Khumbula ukuthi awuwedwa kule ndlela. Amaqembu ezempilo, abachwepheshe, amaqembu wokwesekwa, kanye nemiphakathi yemindeni ethintekile yi-cerebral palsy ingakunika isiqondiso, izinsiza, nokukhuthazwa endleleni.
Izingane eziningi ezinecerebral palsy zifunda ukuhamba, nakuba isikhathi nendlela zingahluka. Abanye bahamba ngokuzimela, abanye basebenzisa izinto zokusiza njengezihambi noma izinti, kanti abanye basebenzisa izihlalo zamavili zokuhamba. Ukwelashwa komzimba nezinye izindlela zokwelapha zingasiza ekuthuthukiseni amandla okuhamba kwengane yakho. Into ebaluleke kakhulu ukuthola indlela ephephile nefanele kakhulu yengane yakho yokuzula nokubamba iqhaza emisebenzini abayithandayo.
I-Cerebral palsy ithonya ikakhulu ukuhamba kanye nesimo, hhayi ubuhlakani. Nakuba abanye abantu abane-cerebral palsy bangase babe nokuhlupheka kwengqondo, abaningi banamandla okuqonda ajwayelekile noma aphezulu kunokulinganiselwe. Izinselele zokukhuluma zingase zenze kube nzima ukuhlola ubuhlakani ngokuqondile, kodwa lokhu akusho ukuthi amandla okuqonda awakhona. Umuntu ngamunye kufanele ahlolwe ngabanye, futhi ukucatshangelwa kwamandla okuqonda akufanele kwenziwe ngokusekelwe ezimpawu zomzimba kuphela.
I-Cerebral palsy ngokwayo ayibi kakhulu ngoba ibangelwa ukulimala kobuchopho okuqale ekuthuthukeni futhi akuthuthuki. Noma kunjalo, imiphumela emzimbeni ingashintsha ngokuhamba kwesikhathi. Isibonelo, ubuqiniso bemisipha bungase bukhule, noma izinkinga ezinqeni zingase zithuthuke ngenxa yokungalingani kwemisipha isikhathi eside. Ukukhathalelwa kwezokwelapha okujwayelekile nokwelashwa kungasiza ekulawuleni le miphumela yesibili nokugcina umsebenzi impilo yonke.
Abantu abaningi abane-cerebral palsy banesikhathi sokuphila esijwayelekile noma esisondelene nesijwayelekile, ikakhulukazi labo abanemeko ezincane. Isikhathi sokuphila singathinteka ubunzima bezimpawu nezinkinga ezihambisana nazo, kodwa ngokunakekelwa okuhle kwezokwelapha, abantu abaningi abane-cerebral palsy baphila kahle ebuntwini nasebudaleni. Ukukhathalelwa okujwayelekile kwezokwelapha, ukudla okufanele, nokuhlala usebenzayo konke kuhlanganyela kwimiphumela emihle yesikhathi eside.
I-Cerebral palsy yangempela ithuthuka kuphela ngenxa yokulimala kobuchopho okuqale ngaphambi kokuzalwa, ngesikhathi sokuzalwa, noma ngokushesha ngemva kokuzalwa. Abantu abadala abakwazi ukuthuthukisa i-cerebral palsy ngenxa yokulimalala okusha noma izifo. Noma kunjalo, abantu abadala bangathuthukisa izimo ezibangela izimpawu ezifanayo, njengokuhlupheka, ukulimala kobuchopho, noma ezinye izimo zezinzwa. Uma umuntu omdala ethuthukisa izinkinga zokuhamba, kubalulekile ukubona umhlinzeki wezempilo ukuze ahlolwe futhi axilongwe kahle.