Iyini i-Cervical Spondylosis? Izimpawu, Izimbangela, & Ukwelashwa

I-Cervical spondylosis ukuguga okuvamile okubangelwa ukugqwala nokukhahlela kwama-discs omgogodla namajwayelekile entanyeni yakho. Cabanga ngakho njengendlela entanyeni yakho yokubonisa iminyaka yayo yokukhonza ngokuthembeka, njengoba incwadi esetshenziswe kakhulu ingase ibe nama-pages agqwala ne-spine egubekile.

Le simo sivamile kakhulu, ikakhulukazi njengoba siqhubeka sikhulile. Ngo-60 eminyakeni, ngaphezulu kuka-85% lwabantu lubonisa izimpawu ezithile ze-cervical spondylosis kuma-X-rays, nakuba abaningi abanawo noma yimiphi impawu.

Ziyini izimpawu ze-cervical spondylosis?

Abantu abaningi abane-cervical spondylosis abanawo noma yimiphi impawu. Uma izimpawu zivele, zivame ukuvela kancane kancane futhi zingase zihluke ekuhluphekeni okuncane kuya ezinkingeni ezibonakalayo ezihlasela imisebenzi yakho yansuku zonke.

Izimpawu ezivamile ongaziqaphela zihlanganisa:

• Ubuhlungu bentanyeni nokuqina okungase kube kubi kakhulu uma uthuthuka
• Izinhlungu zikhanda ezivame ukuqala ngemuva kwekhanda lakho
• Ukubamba kwemisipha entanyeni nasemahlombe akho
• Ilizwi lokugqwala noma lokuphazamisa uma uphendula intanyeni yakho
• Ukunciphisa ukunyakaza kwentanyeni yakho
• Ukukhahlela noma ukukhahlela emahlombe akho, ezingalweni, noma ezandleni
• Ubuthakathaka ezingalweni noma ezandleni

Ngokungavamile, abanye abantu baba nezimpawu ezinkulu ezidinga ukunakekelwa okusheshayo. Lezi zingase zihlanganise ubuthakathaka obukhulu ezingalweni noma ezinyaweni zakho, ukulahlekelwa kokulawula kwesisu noma kwesisu, noma ubunzima bokuhamba. Nakuba lezi zimpawu zingavamile, zingase zibonise ukuthi isimo sihlupha umgogodla wakho.

Izimpawu zakho zingase ziye futhi ziye, zizizwe zibi kakhulu ngesikhathi semisebenzi ethile noma ngezikhathi zosuku. Abantu abaningi bathola ukuthi intanyeni yabo izizwa iqine kakhulu ekuseni noma ngemuva kokulala endaweni eyodwa isikhathi eside.

Yini ebangela i-cervical spondylosis?

I-Cervical spondylosis ithuthukiswa ikakhulukazi ngenxa yendlela yokuguga yomgogodla wakho. Njengoba ukhula, ama-discs entanyeni yakho kancane kancane alahlekelwa amanzi futhi abe buthakathaka, njengoba isiponji sibe buthakathaka ngokuhamba kwesikhathi.

Izinguquko eziningi ezihlobene nobudala zinikezela kule simo:

• Ukubola kwama-disc lapho ama-disc okubekela phakathi kwe-vertebrae oma futhi ahlale
• Ama-bone spurs athuthukayo njengoba umzimba wakho uzama ukuqinisa umgogodla
• Ukukhina kwama-ligament okuthinta ukuguquguquka kwentanyeni
• Ama-disc ahlukaniswe lapho into ye-disc ingase iphume ngaphandle

Ngaphandle kokuguga okuvamile, izinto ezithile zingasheshisa lezi zinguquko. Ukulimala kwangaphambili kwentanyeni, njengokuqhuma komoto, kungasetha isiteji se-spondylosis yangaphambili. Imisebenzi edinga ukunyakaza okuphindaphindayo kwentanyeni noma ukubamba ikhanda lakho ezindaweni ezingavamile isikhathi eside ingase futhi ibe nomthelela.

I-genetics idlala indima futhi. Uma abazali bakho noma abafowenu bathuthukise izinkinga zentanyeni, ungase ube nomkhuba omkhulu we-cervical spondylosis. Ukubhema kungase futhi kusheshishe ukubola kwama-disc ngokunciphisa ukugeleza kwegazi ezakhiweni zakho zomgogodla.

Nini okufanele ubona udokotela nge-cervical spondylosis?

Kufanele uxhumane nodokotela wakho uma ubuhlungu bentanyeni noma ukuqina kuqhubeka izinsuku ezimbalwa noma kuhlupha imisebenzi yakho yansuku zonke. Nakuba i-cervical spondylosis ivame ukubangela izimpawu ezilawuleka, kubalulekile ukuhlolwa nokuphathwa okuqondile.

Funani ukunakekelwa kwezokwelapha okusheshayo uma uhlangabezana nanoma yiziphi izimpawu zezexwayiso:

• Ubuthakathaka obukhulu ezingalweni noma ezinyaweni
• Ukulahlekelwa kokulawula kwesisu noma kwesisu
• Ukukhahlela noma ukukhahlela okusabalala ezingalweni zombili
• Ubunzima bokuhamba noma ukugcina ibhalansi
• Izinhlungu zikhanda ezinkulu ezihluke esimweni sakho esivamile

Lezi zimpawu zingase zibonise ukuthi umgogodla wakho ucindezelwe, okudinga ukwelashwa okusheshayo. Ungalindi ukubona ukuthi lezi zimpawu ziyathuthuka ngokwazo.

Ngisho noma izimpawu zakho zibonakala zingenamandla, kuwukuhlakanipha ukuxoxa nazo umhlinzeki wakho wezempilo. Ukwelashwa kwangaphambili kungasiza ukuvimbela isimo ukuba lingabi kubi futhi kuthuthukise ikhwalithi yokuphila kwakho.

Ziyini izinto ezingase zikubeke engozini ye-cervical spondylosis?

Ubudala yinto ebaluleke kakhulu ebangela i-cervical spondylosis, ngezinguquko ezivame ukuqala eminyakeni engama-40 futhi zibe khona kakhulu ngonyaka ngamunye. Noma kunjalo, izinto eziningi zingase zikhulise amathuba akho okukhula kule simo.

Izinto eziyinhloko ezibeka engozini zihlanganisa:

• Ukulimala kwangaphambili kwentanyeni, ikakhulukazi ukuqhuma noma ukulimala okuhlobene nemidlalo
• Imisebenzi edinga ukunyakaza okuphindaphindayo kwentanyeni noma isimo esingavamile eside
• Umlando womndeni wezinkinga zomgogodla
• Ukubhema, okuthinta ukugeleza kwegazi kuma-disc omgogodla
• Ukwehluleka kokuzivocavoca okuvamile
• Isimo esibi, ikakhulukazi isimo sekhhanda eliphambili evela emsebenzini wekhompyutha

Abanye abantu bangase babe nokuthambekela kwe-genetic ekukhuleni kwezinkinga zomgogodla ngokushesha noma ngokukhulu kunabanye. Uma amalungu amaningi omndeni ehlangane nezinkinga zentanyeni, ungase ufune ukuba nokuqapha okukhulu ngokunakekelwa kwentanyeni kanye ne-ergonomics.

Nakuba ungakwazi ukushintsha ubudala bakho noma i-genetics, izinto eziningi ezibeka engozini zilawulwa. Ukugcina isimo esihle, ukuhlala usebenzayo, nokugwema ukubhema kungasiza ekuvikeleni impilo yentanyeni yakho njengoba ukhula.

Ziyini izinhlanganisela ezingase zenzeke ze-cervical spondylosis?

Abantu abaningi abane-cervical spondylosis baphila impilo evamile, esebenzayo ngaphandle kwezinkinga ezinkulu. Noma kunjalo, kwezinye izimo, isimo singathuthuka futhi sibangele izinkinga ezinkulu ezihlasela ukusebenza kwakho kwansuku zonke.

Izinhlanganisela ezingase zenzeke zihlanganisa:

• I-Cervical radiculopathy, lapho ama-nerve roots acindezelwe ebangela ubuhlungu nokukhahlela phansi kwegxaleni lakho
• I-Cervical myelopathy, isimo esibi lapho umgogodla ucindezelwe
• Ubuhlungu obuhlala njalo obuthinta kakhulu ikhwalithi yokuphila kwakho
• Ukunciphisa ukunyakaza okuthinta imisebenzi yansuku zonke
• Ukuphazamiseka kokulala ngenxa yobuhlungu nokungahambi kahle

I-Cervical myelopathy yiyona nhlanganisela ebi kakhulu, nakuba ingavamile. Lokhu kwenzeka uma ama-bone spurs noma ezinye izinguquko zicindezela umgogodla wakho, okungase kubangele ubuthakathaka, ukukhahlela, noma izinkinga zokuxhumanisa ezingalweni nasezinyaweni zakho.

Izindaba ezinhle ukuthi lezi zinhlanganisela zivame ukuthuthuka kancane, zinike wena neqembu lakho lezokwelapha isikhathi sokuhlanganyela ngokwelashwa okuqondile. Ukulandelela okuvamile nokungenelela kwangaphambili kungasiza ukuvimbela noma ukunciphisa lezi zinkinga.

I-cervical spondylosis ingavimbeka kanjani?

Nakuba ungakwazi ukunciphisa ngokuphelele inqubo yokuguga eholela e-cervical spondylosis, ungathatha izinyathelo zokuvikela impilo yentanyeni yakho futhi mhlawumbe uthintele ukuqhubeka kwayo. Cabanga ngalezi zindlela njengotshalomali ekuphumuleni kwakho kwesikhathi esizayo nokuhamba.

Nazi izindlela eziyinhloko zokuvimbela:

• Gcina isimo esihle, ikakhulukazi uma usebenzisa amakhompyutha noma amadivayisi eselula
• Thatha ama-breaks avamile ezenzweni ezicindezela intanyeni yakho
• Lala ngokusekelwa kwentanyeni okufanele usebenzisa i-pillow efanele
• Hlala usebenzayo ngokuzivocavoca okuvamile
• Yenza ukululama kwentanyeni kanye nokuzivocavoca okuqinisa
• Gwema ukubhema, okungasheshisa ukubola kwama-disc
• Sebenzisa izilungiselelo ze-ergonomic workstation

Ukuzivocavoca okuvamile kuwusizo kakhulu empilweni yentanyeni yakho. Imisebenzi eqinisa imisipha yentanyeni yakho nemuva phezulu ingase inikeze ukusekelwa okungcono komgogodla wakho. Ukululama okuthambile kungasiza ekugcineni ukugoquguquka nokunciphisa ukuqina.

Qaphela imikhuba yakho yansuku zonke futhi. Uma ubuka njalo phansi efonini yakho noma ulala ezindaweni ezingavamile, ukulungiswa okuncane kungenza umehluko omkhulu ngokuhamba kwesikhathi. Intanyeni yakho izokubonga ngalezi zinketho ezihlala njalo, ezinothando.

I-cervical spondylosis ihlonishwa kanjani?

Ukuhlonishwa kwe-cervical spondylosis kuvame ukuqala ngodokotela wakho ebuza ngezimpawu zakho nomlando wezokwelapha. Bazofuna ukwazi ukuthi izimpawu zakho zaqala nini, yini eyenza zibe ngcono noma zibe zimbi, nokuthi uke waba nokulimala kwentanyeni yini.

Udokotela wakho uzoqhuba ukuhlolwa komzimba okuhlanganisa:

• Ukubheka ukunyakaza kwentanyeni yakho
• Ukuhlola amandla emisipha ezingalweni nasezandleni
• Ukuhlola ama-reflexes kanye nomuzwa
• Ukuhlola isimo sakho kanye nokulingana kwentanyeni
• Ukubamba izindawo zobuhlungu noma ukubamba kwemisipha

Uma izimpawu zakho zikhomba i-cervical spondylosis, udokotela wakho angase ayalele ukuhlolwa kwezithombe. Ama-X-rays angabonisa ama-bone spurs, ukunciphisa isikhala se-disc, kanye nezinye izinguquko ezihlobene nobudala emgogodleni wakho. Lezi zithombe zisiza ekuqinisekiseni ukuxilongwa nokulinganisa ubukhulu besimo.

Kwezinye izimo, kungase kudingeke ukuhlolwa okwengeziwe. I-MRI inganikeza izithombe ezinemininingwane yama-disc akho, ama-nerve, nomgogodla wakho. Ama-CT scans angase asebenziswe uma ama-X-rays enikezi ulwazi olunembile. Izifundo zokuphatha ama-nerve zingasiza ekuqondeni ukuthi ama-nerve acindezelwe abangela izimpawu zakho.

Khumbula ukuthi ukuba nezinguquko ezibonakalayo ezithombeni akusho ukuthi uzohlangana nezimpawu. Abantu abaningi banobunono be-cervical spondylosis kuma-X-rays kodwa bazizwa bephilile ngokuphelele.

Ukuphathwa kwe-cervical spondylosis kuyini?

Ukuphathwa kwe-cervical spondylosis kugxile ekuqedeni izimpawu zakho nokunciphisa isimo ukuba lingabi kubi. Izindaba ezinhle ukuthi abantu abaningi bayaphendula kahle ekwelapheni okuqondile ngaphandle kokudinga ukuhlinzwa.

Izinketho zokwelapha zokuqala zivame ukubandakanya:

• Imithi yokunciphisa ubuhlungu engaphezu kokubala njenge-acetaminophen noma i-ibuprofen
• Ukwelashwa komzimba ukuqinisa imisipha yentanyeni nokuthuthukisa ukugoquguquka
• Ukushisa noma ukwelashwa nge-ice ukuqeda ubuhlungu
• Ukuzivocavoca okuthambile kwentanyeni nokululama
• Amathuluzi okuthuthukisa isimo
• Ukushintsha kwemisebenzi ukuqeda ukunyakaza okubangela ubuhlungu

Uma lezi zindlela zingakuniki ukukhululeka okwanele, udokotela wakho angase akukhuthaze ukwelashwa okwengeziwe. Imithi yokubhala, njenge-muscle relaxants noma imithi eqinile yokunciphisa ubuhlungu, ingasiza ngesikhathi sokuqhuma. Ukugqoka i-corticosteroid eduze kwama-nerve acindezelwe kungase kunikeze ukukhululeka okwesikhashana ngezimpawu ezinkulu.

Ukwelashwa komzimba kuvame ukudlala indima ebalulekile ekwelapheni. Umtholampilo womzimba angakufundisa ukuzivocavoca okuqondile ukuqinisa imisipha yentanyeni yakho, ukuthuthukisa isimo, nokugcina ukugoquguquka. Bangakufundisa futhi imishini efanele yomzimba ukuvikela intanyeni yakho ngesikhathi semisebenzi yansuku zonke.

Ukuhlinzwa akudingeki ngokuvamile nge-cervical spondylosis. Kuvame ukucatshangelwa kuphela uma ukwelashwa okuqondile kusile futhi unezimpawu ezinkulu ezihlasela impilo yakho, njengokuthuthuka kobunono noma ukucindezelwa komgogodla.

Ungayilawula kanjani i-cervical spondylosis ekhaya?

Ukuphatha i-cervical spondylosis ekhaya kuhlanganisa ukusetshenziswa kwezindlela zokunakekela eziqondile kanye nokushintsha kwesitayela sempilo. Lezi zindlela zingasiza ekuqedeni ubuhlungu, ukugcina ukuhamba, nokunciphisa izimpawu ukuba zingabi kubi.

Izindlela ezisebenzayo zokuphatha ekhaya zihlanganisa:

• Ukusebenzisa ama-heat noma ama-cold packs imizuzu engama-15-20 ngesikhathi
• Ukwenza ukululama okuthambile kwentanyeni usuku lonke
• Ukusebenzisa i-pillow esekelayo egcina umgogodla wakho wendalo
• Ukuthatha ama-breaks avamile ezenzweni ezicindezela intanyeni yakho
• Ukuqeqesha isimo esihle, ikakhulukazi emsebenzini
• Ukuhlala usebenzayo ngokuzivocavoca okungathinti njengokuhamba noma ukubhukuda
• Ukuphatha ingcindezi, engase ikhulise ukubamba kwemisipha

Ukushisa kungasiza ekuphumuleni kwemisipha eqinile nokwenza ukugeleza kwegazi kube ngcono, kuyilapho ukwelashwa nge-ice kungase kunciphisa ukuvuvukala nokunciphisa ubuhlungu. Abantu abaningi bathola ukuthi ukushintshana phakathi kokushisa ne-ice kunikeza ukukhululeka okungcono kakhulu.

Ukuzivocavoca okuthambile kwentanyeni kungasiza ekugcineni ukugoquguquka namandla. Ukunyakaza okulula njengokupheqa ikhanda lakho kancane eceleni noma ukugoba indlebe yakho ehlombe lakho kungaba usizo. Noma kunjalo, gwema noma yikuphi ukunyakaza okubangela ubuhlungu obukhulu.

Ukudala indawo yokusebenza ye-ergonomic kubalulekile uma uchitha amahora amaningi ekhompyutha. Beka i-monitor yakho ezingeni leso lomkhono ukuze ungabuki njalo phezulu noma phansi, futhi uqinisekise ukuthi isihlalo sakho sikusekela kahle umhlane wakho.

Kufanele ulungiselele kanjani i-appointment yakho yodokotela?

Ukulungiselela i-appointment yakho yodokotela kungasiza ekuqinisekiseni ukuthi uthola okuningi kakhulu ekuhambeleni kwakho futhi uthole ukunakekelwa okuhle kakhulu nge-cervical spondylosis yakho. Ukuthatha imizuzu embalwa ukuhlela imicabango yakho nolwazi ngaphambili kungenza i-appointment ibe nomphumela omkhulu.

Ngaphambi kwe-appointment yakho, cabanga ukulungiselela:

• Inkulumo eningiliziwe yezimpawu zakho, kufaka phakathi ukuthi zaqala nini nokuthi yini ezibangela
• Uhlu lwemithi yonke nezinye izinto ozithathayo
• Ulwazi mayelana nokulimala kwangaphambili kwentanyeni noma ukwelashwa
• Imibuzo mayelana nesimo sakho nezinketho zokwelapha
• Idayari yobuhlungu uma uke uqapha izimpawu zakho
• Amakhadi yomshuwalense kanye nokuhlonishwa

Cabanga ukuthi izimpawu zakho zithinta kanjani impilo yakho yansuku zonke. Ungashayela ngokunethezeka yini? Unabunzima bokuphumula yini? Ubuhlungu buhlupha umsebenzi noma izinto ozithandayo yini? Lolu lwazi lusiza udokotela wakho ukuqonda umthelela wesimo sakho.

Ungangabazi ukuletha ilungu lomndeni noma umngani e-appointment yakho. Bangasiza ekukhumbula ulwazi olukhulu nokukunikeza ukwesekwa ngesikhathi sokuvakasha. Ukuba nomuntu lapho kungasiza futhi uma udinga ukuxoxa ngezinketho zokwelapha noma wenze izinqumo mayelana nokunakekelwa kwakho.

Bhala phansi imibuzo yakho ngaphambili ukuze ungakhohlwa ukuyibuza. Imibuzo evamile ingase ihlanganise ukubuza ngezinketho zokwelapha, isikhathi sokuphulukisa okulindelekile, noma imisebenzi okufanele uyigweme.

Iyini into ebalulekile mayelana ne-cervical spondylosis?

I-Cervical spondylosis isimo esivamile, esihlobene nobudala esithinta abantu abaningi njengoba bekhula, kodwa akufanele lilawule impilo yakho. Nakuba izinguquko entanyeni yakho ingxenye yendlela yokuguga, abantu abaningi abane le simo baphila ngokunethezeka ngokuphathwa okuqondile nokunakekelwa.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukuba ne-cervical spondylosis akusho ukuthi uya ekuphileni kobuhlungu noma ukukhubazeka. Ngokusetshenziswa okuqondile kokwelashwa, ukushintsha kwesitayela sempilo, kanye nezindlela zokunakekela, ungagcina impilo esebenzayo, ezele.

Ukungenelela kwangaphambili nokuphathwa okuhlala njalo kuyisihluthulelo ekuvimbeleni izimpawu ukuba zingabi kubi. Ukushintsha okulula njengokuthuthukisa isimo sakho, ukuhlala usebenzayo, nokusebenzisa i-ergonomics efanele kungenza umehluko omkhulu endleleni ozizwa ngayo usuku nosuku.

Uma uhlangana nobuhlungu bentanyeni noma ukuqina, ungakwenqabi noma ucabange ukuthi yinto okufanele uphile nayo. Xoxa nomhlinzeki wakho wezempilo mayelana nezimpawu zakho futhi usebenzisane ukuthuthukisa uhlelo lokwelapha olufanele wena. Khumbula, awuwedwa ekubhekaneni nale simo, futhi usizo luyatholakala.

Imibuzo evamile mayelana ne-cervical spondylosis

Ingaphiliswa ngokuphelele yini i-cervical spondylosis?

I-Cervical spondylosis ayikwazi ukupheliswa ngokuphelele ngoba ihlanganisa izinguquko ezihlobene nobudala emgogodleni wakho. Noma kunjalo, izimpawu zingaphathwa kahle ngokwelashwa okuqondile. Abantu abaningi bathola ukuthuthuka okukhulu ebuhlungwini nasemsebenzini ngokwelashwa okuqondile njengokwelashwa komzimba, imithi, kanye nokushintsha kwesitayela sempilo. Umgomo ukukusiza uphile ngokunethezeka futhi ugcine imisebenzi yakho, ngisho noma izinguquko zesakhiwo eziyisisekelo zihlala zikhona.

Kuphephile yini ukuzivocavoca nge-cervical spondylosis?

Yebo, ukuzivocavoca kuvame ukuphephile futhi kuwusizo kubantu abane-cervical spondylosis, kodwa kubalulekile ukukhetha imisebenzi efanele. Ukuzivocavoca okungathinti njengokuhamba, ukubhukuda, kanye ne-yoga ethambile kungasiza ekuqinisiseni imisipha yentanyeni yakho nokugcina ukugoquguquka. Noma kunjalo, kufanele ugweme imisebenzi enkulu noma imidlalo yokuxhumana engase ilimale intanyeni yakho. Xhumana njalo nodokotela wakho noma umtholampilo womzimba ngaphambi kokuqala uhlelo lokusebenza olusha ukuqinisekisa ukuthi lufanele isimo sakho esithile.

Ingase ibe kubi yini i-cervical spondylosis ngokuhamba kwesikhathi?

I-Cervical spondylosis ingase ithuthuke kancane ngokuhamba kwesikhathi njengoba ihlobene nobudala, kodwa lokhu akusho ukuthi izimpawu zakho zizoba zimbi. Abantu abaningi bahlala beqondile iminyaka eminingi ngokuphathwa okuqondile. Ukuqhubeka kuyahluka kakhulu umuntu ngamunye. Abanye abantu bathuthukisa izinguquko eziningi kuma-X-rays kodwa bazizwa bephilile, kuyilapho abanye benesinguquko encane kodwa izimpawu eziningi. Ukulandela uhlelo lwakho lokwelapha, ukugcina isimo esihle, nokuhlala usebenzayo kungasiza ekuthinteleni ukuqhubeka nokuphatha izimpawu ngokuphumelelayo.

Ingase ithonye yini isimo sokulala izimpawu ze-cervical spondylosis?

Yebo, isimo sakho sokulala nokukhetha i-pillow kungase kuthinte kakhulu izimpawu zakho ze-cervical spondylosis. Ukulala ngemuva noma eceleni nge-pillow esekelayo egcina umgogodla wakho wendalo kuvame ukuba kuhle kakhulu. Gwema ukulala esiswini, okungase kuhluphe intanyeni yakho. Ukusebenzisa i-pillow ephakeme kakhulu noma ephansi kakhulu kungase futhi kube kubi izimpawu. Abantu abaningi bathola ukuthi i-cervical pillow egubekile noma i-pillow esekela umgogodla wendalo yentanyeni yabo isisiza ekuqedeni ukuqina nobuhlungu ekuseni.

Ingabe kukhona izimpawu zezexwayiso zokuthi i-cervical spondylosis iba yinkulu?

Yebo, izimpawu ezithile zibonisa ukuthi i-cervical spondylosis ingase ithonye umgogodla wakho futhi idinga ukunakekelwa kwezokwelapha okusheshayo. Lezi zimpawu zezexwayiso zihlanganisa ubuthakathaka obukhulu ezingalweni noma ezinyaweni, ubunzima bokuhamba noma ukugcina ibhalansi, ukulahlekelwa kokulawula kwesisu noma kwesisu, kanye nokukhahlela noma ukukhahlela okuthonya zombili izingalo. Ngaphezu kwalokho, uma uthuthukisa izinhlungu zikhanda ezinkulu ezihluke esimweni sakho esivamile noma uhlangabezana nokubi kakhulu kwezimpawu, kufanele uxhumane nodokotela wakho ngokushesha. Nakuba lezi zinhlanganisela zingavamile, zidinga ukwelashwa okusheshayo ukuvimbela ukulimala okuhlala njalo.