Ukuqothuka Kwezidakamizwa? Izimpawu, Izimbangela, & Ukwelashwa

Ukuqothuka kwezidakamizwa kuyisimo esiphuthumayo sezempilo esiyingozi kakhulu lapho amazinga aphezulu kakhulu noma aphansi kakhulu egazini ebomvu ekwenza ulahlekelwe ukwazi. Kuyindlela yomzimba wakho yokucisha lapho ushukela egazini uba ungalinganiselwe ngokungaqondakali, udala isimo lapho ungakwazi ukuvuka noma ukuphendula ngokujwayelekile.

Nakuba igama elithi \

Izimpawu zeswekile ephansi (hypoglycemia):

• Ukuzamazama nokuthuthumela
• Ukushona kwenhliziyo okusheshayo
• Ukukhanyisa
• Indlala
• Ukucasuka noma ukushintsha kwesimo sengqondo
• Ukukhungatheka noma ukukhanya ekhanda
• Ukudideka noma ukuhluleka ukukhuluma

Njengoba lezi zimpawu ziya ziba zimbi, ungase uqale ukuqeda ubuthongo bese ekugcineni ulahlekelwe yikwazi. Uma ubona noma yiziphi zalezi zibonakaliso zexwayiso, kubalulekile ukuhlola ushukela wakho wegazi ngokushesha bese ufuna usizo lochwepheshe uma amazinga aphezulu kakhulu noma aphansi.

Ziyini izinhlobo ze-coma ye-diabetic?

Kunezinhlobo ezintathu eziyinhloko ze-coma ye-diabetic, ngayinye ibangelwa ukungalingani okhlukene kweswekile legazi. Ukuqonda lezi zinhlobo kungakusiza ukuthi uqonde ukuthi yisiphi isimo ongase ubhekane naso bese uphendula ngokufanele.

Diabetic ketoacidosis (DKA)

I-DKA kwenzeka lapho ushukela wakho wegazi uba phezulu kakhulu futhi umzimba wakho uqala ukuqhekeza amanoni ukuze uthole amandla esikhundleni se-glucose. Lo mkhuba udala izinto ezilimazayo ebizwa ngokuthi ama-ketones asekela igazi lakho libe likhulu, okuholela ezingxakini ezinzima.

Lolu hlobo luvamile kakhulu kubantu abane-diabetes uhlobo 1 kepha lungase futhi lwenzeke kulabo abane-diabetes uhlobo 2 ngesikhathi sesifo esinzima noma ukucindezeleka. Iphunga lemithi elivela emphefumulweni yisibonakaliso esiqinisekisa i-DKA.

Hyperosmolar hyperglycemic state (HHS)

I-HHS ihilela amazinga aphezulu kakhulu eswekile legazi, ngokuvamile ngaphezulu kwe-600 mg/dL, kepha ngaphandle kokwakheka kwe-ketone okubonwayo ku-DKA. Igazi lakho liba linyakazayo futhi libuthakathaka, okwenza kube nzima emzimbeni wakho ukusebenza ngokujwayelekile.

Lesi simo sivame kakhulu kubantu abane-diabetes uhlobo 2 futhi sivame ukuthuthuka kancane ezinsukwini noma emaviki. Ukuphelelwa amanzi okukhulu yisici esiyinhloko se-HHS.

Hypoglycemia enzima

Lokhu kwenzeka lapho ushukela wegazi wehla kakhulu, ngokuvamile ngaphansi kwe-50 mg/dL. Ubuchopho bakho abutholi i-glucose eyanele ukusebenza, okuholela ekudidekeni, ekuhluphekeni, futhi ekugcineni ukungazi lutho.

Ukuwohloka okukhulu kweswekile egazini kungaqala ngokushesha, ngezinye izikhathi ngemizuzu embalwa, ikakhulu uma uthathe i-insulin eningi noma imithi yeswekile ngaphandle kokudla ukudla okwanele.

Yini ebangela ukulahlekelwa umqondo ngenxa yeswekile?

Ukulahlekelwa umqondo ngenxa yeswekile kuvela lapho izinto eziningi zihlangana zibangela ukuba iswekile egazini yakho ifike amazinga ayingozi. Ukuqonda lezi zimbangela kungakusiza ukuthi uthathe izinyathelo zokuvimbela le nkinga enzima.

Inkinga esemqoka ihlala ihlobene ne-insulin – noma ukuba nayo encane kakhulu, eningi kakhulu, noma umzimba wakho ungayisebenzisi kahle:

Izimbangela zokulahlekelwa umqondo ngenxa yeswekile eningi egazini:

• Ukweqa izilinganiso ze-insulin noma imithi yeswekile
• Ukugula noma ukutheleleka okuphakamisa iswekile egazini
• Ukudla ama-carbohydrate amaningi kunokujwayelekile ngaphandle kokulungisa imithi
• Ukuhlupheka okuvela ekuhlinzweni, ekulimaleni, noma ekulimala ngokomzwelo
• Imithi ethile efana ne-steroids
• Iswekile engakaqaphelwa
• Ukuphazamiseka kwepompo ye-insulin

Izimbangela zokulahlekelwa umqondo ngenxa yeswekile encane egazini:

• Ukuthatha i-insulin eningi noma imithi yeswekile
• Ukweqa ukudla noma ukudla okuncane kunokucebile
• Ukuphuza utshwala ngaphandle kokudla ukudla okwanele
• Ukuzivocavoca okuningi kunokujwayelekile ngaphandle kokulungisa imithi noma ukudla
• Ukugabha noma ukungakwazi ukugcina ukudla phansi
• Ukuthatha imithi ethile ehlangana nemithi yeswekile

Ngezinye izikhathi, izinto ezingavamile zingase futhi zifake isandla ekulahlekelweni umqondo ngenxa yeswekile. Lezi zingase zibe yizifo ezinzima zezinkalankala noma isibindi, izinkinga zenhliziyo, noma ukuphazamiseka kwe-hormonal okungavamile okuthinta ukulawulwa kweswekile egazini.

Nini okumele ubheke udokotela ngenxa yokulahlekelwa umqondo ngenxa yeswekile?

Shaya u-911 ngokushesha uma othile engaphili noma engaqapheli, ikakhulu uma eneswekile. Ukulahlekelwa umqondo ngenxa yeswekile kuhlale kuyisimo esiphuthumayo esidinga ukwelashwa esibhedlela – ayikho indlela ephephile yokuyilwa ekhaya.

Kufanele futhi ufune ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nalezi zibonakaliso zezexwayiso, ngisho nangaphambi kokulahlekelwa umqondo:

• Isikhova seswekile esiphezulu kuna-400 mg/dL noma esingaphansi kuka-50 mg/dL
• Ukuhlanza nokungakwazi ukugcina izinto ezincelisayo
• Izimpawu zokulahlekelwa amanzi emzimbeni okukhulu
• Ukuphefumula okuyinselele noma ukuphefumula okusheshayo
• Ukunuka komoya okufana noweqhwa
• Ukudideka okukhulu noma ukungakwazi ukuhlala uphapheme
• Ubuhlungu esifubeni noma ukushaya kwenhliziyo okusheshayo

Ungalindi ukubona ukuthi izimpawu ziyathuthuka ngokwazo. Lapho uthola ukwelashwa ngokushesha, yilapho amathuba akho okuqeda izinkinga ezingathi sína futhi uthole impilo ephelele ekhuphuka khona.

Iyini imithombo yezingozi yokuqeda isikhova seswekile?

Nakuba noma ubani onesiswekile angaba nokuqeda isikhova seswekile, izinto ezithile zikhuphula ingozi yakho. Ukuba nomqondo walemithombo yezingozi kungakusiza wena neqembu lakho lokunakekelwa kwezempilo ukuba niqaphele kakhulu ukuvimbela le nkinga enkulu.

Eminye imithombo yezingozi ongayilawula, kanti abanye bahlobene nomlando wakho wezokwelapha noma isimo sakho sempilo samanje:

Imithombo yezingozi elawuleka:

• Ukulawulwa okubi kweswekile egazini noma ukulandelela okungavamile
• Ukushiya izilinganiso ze-insulin noma imithi
• Ukungalandeli uhlelo lwakho lokudla lweswekile
• Ukwehluleka kokuhlola okuvamile kwezokwelapha
• Ukusebenzisa utshwala ngokweqile
• Ukungabi nohlelo lokulawula usuku olugulayo

Imithombo yezingozi yezokwelapha:

• Isikhova seswekile sohlobo 1 (ingozi enkulu ye-DKA)
• Umlando wezimo eziphuthumayo zeswekile ngaphambili
• Ezinye izimo ezingapheli njengosuleleko lwempilo noma izinkinga zezinso
• Ukutheleleka okuvamile noma amanxeba awola kancane
• Isimo sengqondo esithinta ukunakekela kwesiswekile
• Iminyaka engaphezu kuka-65 (ingozi enkulu ye-HHS)

Ngaphezu kwalokho, izimo ezithile zokuphila zingakhuphula izingozi zakho okwesikhashana, njengokugula okukhulu, ukuhlinzwa, ukukhulelwa, noma ukucindezeleka okukhulu komzwelo. Ngalesi sikhathi, ukusebenzisana eduze neqembu lakho lokunakekelwa kwezempilo kubaluleke kakhulu.

Ziyini izinkinga ezingase zibe khona zokuqeda isikhova seswekile?

I-koma le-shukela lingabangela izinkinga ezinzima ezihlasela izinhlelo eziningi zomzimba wakho. Kodwa-ke, ngokwelashwa ngokusheshayo kwezokwelapha, eziningi zalezi zinkinga zingavikeleka noma zinciphisiwe.

Lapho umuntu ehlala isikhathi eside e-koma le-shukela ngaphandle kokwelashwa, izingozi zomonakalo ophakade ziyakhula:

Izinkinga eziqala masinyane:

• Ukukhula kwengqondo (i-cerebral edema)
• Ukuphelelwa amanzi okukhulu neshoki
• Izindlela ezingavamile zenhliziyo
• Amazinga aphezulu kakhulu e-potassium
• Izinkinga zokugqwala kwegazi
• Ukungasebenzi kwempilo
• Ubunzima bokuqeda umoya

Izinkinga zesikhathi eside:

• Umonakalo ophakade wengqondo
• Izinkinga zokukhumbula noma ukuguquka kwengqondo
• Ukungena engozini enkulu yezimo eziphuthumayo zeshuga esikhathini esizayo
• Ukukhula kwezinkinga zeshuga njengomonakalo wezinzwa
• Imiphumela yezengqondo kubandakanya ukukhathazeka ngokulawula ushukela egazini

Izindaba ezinhle ukuthi abantu abaningi abamukela ukwelashwa okusheshayo kwe-koma le-shukela bayaphila ngokuphelele ngaphandle kwemiphumela ehlala njalo. Yingakho ukubona izimpawu zokuqala zokuxwayisa nokufuna ukunakekelwa kwezokwelapha ngokushesha kubaluleke kakhulu empilweni yakho nempilo yakho isikhathi eside.

Kungenzeka kanjani ukuvimbela i-koma le-shukela?

Ukuvimbela i-koma le-shukela kungenzeka ngokuphelele ngokuphathwa okuqhubekayo kweshuga nokubona izimpawu zokuxwayisa zomzimba wakho. Ikhona ukugcina amazinga eshukela egazini ahlala njalo nokukwazi ukuphendula lapho eqala ukuphuma endleleni.

Nazi izindlela zokuvimbela eziphumelela kakhulu ongazisebenzisa nsuku zonke:

Imikhuba yokuvikela yansuku zonke:

• Hlola ushukela wakho wegazi njalo njengoba kunconywe udokotela wakho
• Thatha imithi kanye ne-insulin ngqo njengoba kulotshiwe
• Landelani uhlelo lokudla kwenu futhi balani ama-carbohydrate njalo
• Hlala uthambile ngokuphuza amanzi amaningi
• Zivocavoca njalo kodwa lungisa ukudla nemithi uma kudingeka
• Gcina i-glucose esebenza ngokushesha eduze uma ushukela wegazi uphansi
• Gqoka ubucwebe bokuhlonza kwezokwelapha

Ukuhlela izimo ezikhethekile:

• Dala uhlelo lokulawula usuku olugulayo neqembu lakho lokunakekelwa kwezempilo
• Funda ukuthi ungahlola kanjani ama-ketone uma ushukela wegazi uphezulu
• Yazi ukuthi nini kufanele ubize udokotela wakho noma uye endlini yokuhlinzwa
• Gcina oxhumana nabo eziphuthumayo eduze
• Gcina izinto ezengeziwe ze-diabetes eduze
• Fundisa amalungu omndeni ngezimpawu zezimo eziphuthumayo ze-diabetes

Khumbula, ukuvimbela kulula kakhulu kunokwelapha. Ngokuhlala uzinzile ngohlelo lwakho lokunakekelwa kwe-diabetes nokuxhumana njalo neqembu lakho lokunakekelwa kwezempilo, unganciphisa kakhulu ingozi yokubhekana nesimo esiphuthumayo se-diabetic.

I-diabetic coma ihlonishwa kanjani?

Ukuhlola i-diabetic coma kuhilela ukuhlolwa kwegazi okusheshayo kanye nokuhlolwa komzimba ukuze kutholakale ukuthi yini ebangela ukungazi lutho nokuthi ungayiphatha kanjani kahle kakhulu. Amaqembu ezempilo eziphuthumayo aqeqeshwe ukuqaphela nokuphendula ngokushesha ezingozini ze-diabetic.

Inqubo yokuhlola ngokuvamile kwenzeka ngokushesha kakhulu endlini yokuhlinzwa:

Izivivinyo eziphuthumayo:

• Ukuqapha amazinga eshukela egazi
• Ukuhlola ama-ketone (egazi noma umchamo)
• Ukuhlaziywa kwegesi legazi ukuhlola amazinga obushiso
• Iphaneli ebalulekile ye-metabolic yama-electrolytes
• Ukuqapha ingcindezi legazi kanye nesivinini senhliziyo

Ezinye izivivinyo zingafaka:

• Ukuhlolwa kwegazi eliphelele ukuhlola ukutheleleka
• Izivivinyo zomsebenzi wezinso
• Ukuqapha izinga lokugijima kwenhliziyo (EKG)
• I-X-ray yesifuba uma kunezingqinamba zokuphefumula
• Ukuhlolwa kwezinzwa uma usuqaphile

Umlando wakho wezokwelapha nanoma yiluphi ulwazi oluvela kubalandeli bakho mayelana nezimpawu zakamuva, ukushintsha kwemithi, noma ukugula kusiza odokotela ukuqonda ukuthi yini ebangelwe i-coma. Lolu lwazi luqondisa izinqumo zokwelapha futhi lusiza ukuvimbela izehlakalo zesikhathi esizayo.

Iyini impilo ye-coma ye-diabetic?

Ukuphathwa kwe-coma ye-diabetic kugxile ekubuyiseleni amazinga e-shuga egazini ezingeni elijwayelekile ngokuhamba kwesikhathi ngenkathi usekela imisebenzi ebalulekile yomzimba wakho. Ukwelashwa okuthile kuncike ekutheni i-shuga yakho egazini iphezulu kakhulu noma iphansi kakhulu, kodwa zonke izimo zidinga ukungenelela kwezokwelapha ngokushesha.

Ukuphathwa kwezimo eziphuthumayo ngokuvamile kuqala ngaphambi kokuba ufike esibhedlela futhi kuqhubeka e-intensive care unit:

Ngokomfutho ophezulu we-shuga egazini (DKA/HHS):

• Amanzi e-IV ukulwa nokuqothuka kwamanzi
• Ukwelashwa kwe-insulin ukunciphisa i-shuga egazini kancane kancane
• Ukuhlanganiswa kwama-electrolytes afana ne-potassium ne-sodium
• Ukuphathwa kwezizathu eziyisisekelo njengokutheleleka
• Ukuqapha eduze komsebenzi wenhliziyo nezinso

Ngokomfutho ophansi we-shuga egazini:

• Isisombululo se-glucose (shuga) se-IV
• Ukuqhafaza kwe-glucagon uma ukufinyelela kwe-IV kunzima
• Ukuqapha okuqhubekayo kwe-shuga egazini
• Ukondla kancane uma usuqaphile futhi ukwazi ukugwinya
• Ukulinganiswa kwemithi ukuvimbela ukubuyela kwesimo

Ukuphathwa kuvame ukuthatha amahora ambalwa kuya ezinsukwini, kuye ngokuthi i-coma yayinzima kangakanani nokuthi uthole ukunakekelwa kwezokwelapha ngokushesha kangakanani. Kuwo wonke le nqubo, amaqembu ezokwelapha aqapha ngokucophelela intuthuko yakho futhi alungise ukwelashwa njengoba isimo sakho siphucuka.

Uma usuqinisile, odokotela bazosebenza nawe ukuqonda ukuthi yini ebangelwe i-coma nokuthi ungayivimba kanjani ukuba ingaphinde yenzeke ngokuphathwa kangcono kwe-diabetes.

Indlela yokuphatha isifo sikashukela ekhaya ngemva kokungcwaba kwesifo sikashukela?

Ukuphulukana nokungcwaba kwesifo sikashukela kudinga ukunakekelwa okucophelelayo kokuphathwa kwesifo sakho sikashukela futhi ngokuvamile kuhilela ukulungisa umkhuba wakho wansuku zonke. Iqembu lakho lokunakekelwa kwezempilo lizonika imiyalo ekhethekile ngokuya ngokuthi yini ebangelwe ukungcwaba kwakho nokuthi umzimba wakho uphenduke kanjani ekwelapheni.

Ezinsukwini ezimbalwa zokuqala ngemva kokukhishwa esibhedlela, kuzodingeka uqaphele ushukela wakho wegazi njalo kunokujwayelekile:

Uhlelo lokulandelela oluthuthukisiwe:

• Hlola ushukela wegazi okungenani izikhathi ezine ngosuku, noma njengoba kunqunyiwe
• Hlola amaketoni uma ushukela wegazi uphakama ngaphezu kwe-250 mg/dL
• Gcina amabhuku anemininingwane yeshukela wegazi, ukudla, nezimpawu
• Zinzisa usuku lonke ukuqapha ukuguquka kwamanzi
• Thatha imithi ngokuqondile njengoba kunqunyiwe, ngisho noma uzizwa kahle

Ukuguqulwa kwesitayela sokuphila:

• Landela uhlelo lokudla oluzinzile ngezigaba ezilinganiselwe
• Hlala unamanzi amaningi kodwa gwema ukusebenzisa amanzi amaningi kakhulu
• Buyela ekuzivocavoca kancane kancane ngemvume yodokotela
• Thola ubuthongo obanele futhi ulawule amazinga engcindezi
• Gwema utshwala kuze kube yilapho udokotela wakho ethi kuphephile

Imithi yakho yesifo sikashukela noma izilinganiso ze-insulin kungadingeka zilungiswe ngemva kokungcwaba kwesifo sikashukela. Ungalokothi uguqule izilinganiso ngokwakho - sebenzisana njalo neqembu lakho lokunakekelwa kwezempilo ukuze wenze noma yikuphi ukuguqulwa ohlelweni lwakho lokwelapha.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho nodokotela ngemva kokungcwaba kwesifo sikashukela?

Ukulungiselela i-aphoyintimenti yokulandelela ngemva kokungcwaba kwesifo sikashukela kusiza ukuqinisekisa ukuthi uthola inzuzo enkulu yesikhathi sakho nabaphakeli bezempilo. Lezi zivivinyo kubalulekile ekuvimbeleni izimo eziphuthumayo zesikhathi esizayo nokwenza ngcono ukuphathwa kwesifo sakho sikashukela.

Ngaphambi kwe-aphoyintimenti yakho, butha ulwazi olubalulekile oluzosiza udokotela wakho ukuqonda isimo sakho samanje:

Ulwazi olumele ulethe:

• Amabhuku okuqapha ushukela wegazi kusukela ekukhululweni esibhedlela
• Uhlu lwamathuluzi wonke okwamanje kanye nezinani zawo
• Umbhalo wanoma yiziphi izimpawu noma ukukhathazeka
• Imibuzo mayelana nokuphathwa kwesifo sikashukela
• Imiyalo yokukhishwa e-emergency room
• Amakhadi yomshuwalense kanye nokuhlonza kwezokwelapha

Imibuzo okufanele uyibuze udokotela wakho:

• Yini ngempela ebangelwe yikho i-coma yesifo sikashukela?
• Ngingakwenza kanjani ukuthi lokhu kungaphinde kwenzeke?
• Ingabe imithi yami idinga ukulungiswa?
• Kufanele ngihlole kangakanani ushukela wami wegazi manje?
• Ziyini izimpawu zexwayiso engizolinda?
• Kufanele ngikubize nini na ngokungafani nokuya e-emergency room?

Unganqikazi ukuletha ilungu lomndeni noma umngani ekuqokweni kwakho. Bangakusiza ukuba ukhumbule ulwazi olubalulekile futhi banikeze ukwesekwa njengoba usebenza ekuthuthukiseni uhlelo lwakho lokuphatha isifo sikashukela.

Iyini into ebalulekile mayelana ne-coma yesifo sikashukela?

I-coma yesifo sikashukela yinkinga enzima kodwa engavikeleka yesifo sikashukela edinga ukunakekelwa kwezokwelapha ngokushesha. Nakuba kuzwakala kukhulu, ukuqonda izimpawu zexwayiso nokugcina ukulawulwa okuhle kweshukela legazi kungakusiza ukuba ugweme leli bhubhane ngokuphelele.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi umzimba wakho ngokuvamile uyakunika izimpawu zexwayiso ngaphambi kokuba kwenzeke i-coma yesifo sikashukela. Ngokuhlola ushukela wakho wegazi njalo, ukuthatha imithi njengoba kuqokiwe, nokukwazi ukuthi nini kufanele ufuna usizo, ungagcina ukhulu futhi uphile.

Uma uke ukhathazeka ngezilinganiso zakho zeshukela legazi noma ukuphathwa kwesifo sikashukela, unganqikazi ukuxhumana neqembu lakho lokunakekelwa kwezempilo. Bakhona ukuze bakusekele ekuphileni kahle ngesifo sikashukela nokugwema izinkinga ezinjenge-coma yesifo sikashukela.

Imibuzo evame ukubuzwa mayelana ne-coma yesifo sikashukela

Q1: Ungafa yini nge-coma yesifo sikashukela?

Yebo, ukuqothuka kweswekile kungaba yingozi eyingozi uma kungelaphi ngokushesha. Noma kunjalo, ngokunakekelwa okusheshayo kwezokwelapha, abantu abaningi bayaphila ngokuphelele. Okubalulekile ukuqaphela izimpawu zokuqala bese ufuna ukwelashwa okusheshayo ngokushesha. Ukwelashwa kwezokwelapha kwamanje kuye kwathuthukisa kakhulu amazinga okusinda ezinhlelweni eziphuthumayo zeswekile.

U-Q2: Kuthatha isikhathi esingakanani ukuphulukana nokuqothuka kweswekile?

Isikhathi sokuphulukana sihluka kuye ngokuthi ukuqothuka kwakukhulu kangakanani nokuthi ukwelashwa kuqalile nini. Abantu abaningi bayabuya ekuqapheleni emahoreni ambalwa ngemuva kokuqala ukwelashwa, kodwa ukuphulukana okuphelele kungathatha izinsuku eziningi. Ukuzinza okuphelele kweswekile legazi nokubuyela emisebenzini evamile kuvame ukuvela ngaphakathi kweviki ngokunakekelwa okufanele kwezokwelapha.

U-Q3: Ingabe ukuqothuka kweswekile kungaqala ngisho noma ngithatha imithi yami njalo?

Yebo, ukuqothuka kweswekile kungaqhubeka nokwenzeka ngisho noma usebenzisa imithi njalo. Ukugula, ukutheleleka, ukucindezeleka, noma ezinye izimo zezokwelapha ngezinye izikhathi zingawina uhlelo lwakho oluvamile lokuphatha isifo sikashukela. Kungakho ukuba neqembu lokuhlangana nosuku olugulayo nokukwazi ukuthi nini kufanele ufuna usizo lwezokwelapha kubaluleke kakhulu kubo bonke abantu abanesifo sikashukela.

U-Q4: Ingabe ukuqothuka kweswekile kuvame kakhulu ohlotsheni lwe-1 noma uhlobo lwe-2 lwesifo sikashukela?

Izinhlobo ezahlukene zokuqothuka kweswekile zivame kakhulu ezinhlotsheni ezahlukene zesifo sikashukela. I-Diabetic ketoacidosis (DKA) ivame kakhulu ohlotsheni lwe-1 lwesifo sikashukela, kuyilapho i-hyperosmolar hyperglycemic state (HHS) ivame kakhulu ohlotsheni lwe-2 lwesifo sikashukela. Noma kunjalo, zombili izinhlobo zesifo sikashukela zingaba nanoma iyiphi inhlobo yokuphuthuma kwesifo sikashukela.

U-Q5: Ingabe ngizoba nokulimala okungapheli kwengqondo ngemuva kokuqothuka kweswekile?

Abantu abaningi abamukela ukwelashwa okusheshayo ngokuqothuka kweswekile bayaphila ngokuphelele ngaphandle kokulimaza okungapheli kwengqondo. Ingozi yemiphumela engapheli iyanda isikhathi eside umuntu ehlala engaphili ngaphandle kokwelashwa. Kungakho ukunakekelwa okusheshayo kwezokwelapha kubaluleke kakhulu - ukwelashwa okusheshayo kuvikela ubuchopho bakho namanye amalungu ekumili.