Ukuqiniswa Kwe-Emphysema? Izimpawu, Izimbangela, Nokwelashwa

I-Emphysema yisifo sephefumulo esenza ukuphefumula kube nzima ngokuhamba kwesikhathi. Kwenzeka lapho ama-alveoli, ama-air sacs amancane emaphephwini akho, enqunywe futhi angakwazi ukululama kahle.

Cabanga ngamaphuli aphile njengezibalo ezincane eziqhuma futhi ziqine ngokuphefumula ngakunye. Ngokuqiniswa kwe-emphysema, lezi “zibalo” ziqina kakhulu futhi azikwazi ukubuyela esimweni sazo sokuqala. Lokhu kubopha umoya omdala emaphephwini akho futhi kwenze kube nzima ukungena komoya omusha.

I-Emphysema ingxenye yeqembu leziguli zephefumulo ebizwa nge-chronic obstructive pulmonary disease, noma i-COPD. Nakuba ithuthuka kancane eminyakeni eminingi, ukuqonda lesi simo kungakusiza uthathe izinyathelo zokuvikela impilo yephefumulo lakho futhi uphefumule ngokunethezeka.

Ziyini izimpawu ze-emphysema?

Isilwane sokuqala esivamile se-emphysema ukuphefumula okufushane ngesikhathi semisebenzi owayuyenza kalula. Ungase uqaphele lokhu okokuqala lapho unyuka izitebhisi, uhamba entabeni, noma wenza imisebenzi yasekhaya engakaze ikuphazamise ngaphambili.

Njengoba i-emphysema ithuthuka, ungase uhlangabezane nezinye izimpawu ezingathinta impilo yakho yansuku zonke kakhulu:

• Ukuhlanza okuqhubekayo okungase kukhiqize i-mucus ecacile noma emhlophe
• I-Wheezing noma umsindo wokukhishwa lapho uphefumula
• Ukuqinileka kwesifuba okuzwakala njengebhendi emathangeni akho
• Ukuzizwa ukhathele noma ubuthakathaka, ikakhulukazi ngemuva kwemisebenzi yomzimba
• Ukutheleleka okuvamile kokuphefumula njengezifo zokuphefumula noma i-bronchitis
• Ukulahlekelwa isisindo okungahlosiwe njengoba ukuphefumula kudinga amandla amaningi
• Ukukhula ezinzwini zakho, ezinzwaneni, noma ezinyaweni

Ezimweni eziphambili, abanye abantu bathuthukisa umbala oluhlaza okwesibhakabhaka ezindebeni zabo noma ezinzwini, okubonisa ukuthi amazinga oksijini egazini aphansi. Lena yisibonakaliso esikhulu esidinga ukunakekelwa kwezokwelapha ngokushesha.

Khumbula ukuthi izimpawu ze-emphysema zithuthuka kancane kancane, ngokuvamile eminyakeni engu-10 kuya kwengu-20. Abantu abaningi baqala ukungazinaki izimpawu zokuqala njengezimpawu ezivamile zokuguga noma ukungabi semzimbeni.

Yini ebangela i-emphysema?

Ukubhema ugebengu kubangela cishe amaphesenti angu-85 kuya kwangu-90 azo zonke izimo ze-emphysema. Amakhemikhali abangela ubuhlungu e-tobacco smoke kancane kancane abhubhisa izindonga zama-air sacs amancane emaphephwini akho eminyakeni eminingi yokubekwa.

Kodwa-ke, ukubhema akuyona yona kuphela into ebangela. Izici eziningi zingalimaza amaphephwini akho futhi ziholele e-emphysema:

• Ukuvezwa isikhathi eside ukungcoliswa komoya okuvela ekuthuthweni, ekuphumeni kwemishini, noma ezitofu ezishisayo izingodo
• Ukuvezwa emsebenzini emakhemikhali, uthuli, noma imifutho ngaphandle kokuvikelwa okufanele
• Ukuvezwa ukubhema okusecondhand, ikakhulukazi ngesikhathi sobuntwana noma eminyakeni eminingi
• Ukutheleleka okuvamile kokuphefumula okubangela ukuvuvukala okuqhubekayo emaphephwini akho
• Ukuntuleka kwe-Alpha-1 antitrypsin, isimo esingavamile se-genetic esithinta cishe umuntu o-1 ku-2,500

Ukuntuleka kwe-Alpha-1 antitrypsin kufanele kukhulunywe ngokukhethekile ngoba kungabangela i-emphysema ngisho nakwabantu abangabhemi. Lesi simo esidluliselwa ezizukulwaneni sisho ukuthi umzimba wakho awukhiqizi iprotheni eyanele evikela amaphephwini akho ekubhujisweni.

Ngesinye isikhathi, izici eziningi zisebenza ndawonye ukulimaza amaphephwini akho. Isibonelo, umuntu onalesi simo se-genetic angase athuthukise i-emphysema ngokushesha kakhulu uma ephinde ebhema noma esebenza eduze namakhemikhali abangela ubuhlungu.

Nini okufanele ubona udokotela nge-emphysema?

Kufanele uhlele i-aphoyintimenti nodokotela wakho uma uhlangabezana nokuphefumula okufushane okuphazamisa imisebenzi yakho yansuku zonke noma okubi kakhulu ngokuhamba kwesikhathi. Ngisho noma izimpawu zibonakala zingenamandla, ukutholakala kwangaphambi kwesikhathi kungasiza ukunciphisa ukuqhubeka kokulimaza kwamaphephwini.

Ungalindi ukufuna ukunakekelwa kwezokwelapha uma uqaphela lezi zibonakaliso ezibaluleke kakhulu:

• Ukubi kakhulu ngokuzumayo kwezinkinga zokuphefumula
• Ubuhlungu besifuba obungapheli
• Ukuhlanza igazi noma i-mucus ebomvu
• Umbala oluhlaza okwesibhakabhaka ezindebeni zakho noma ezinzwini
• Ukuqeda okukhulu okuvimbela imisebenzi evamile
• Ukutheleleka okuvamile noma izifo

Uma ungumqambi noma owayengumqambi oneminyaka engaphezu kuka-40, cabanga ukubuza udokotela wakho ngezivivinyo zomsebenzi wephefumulo ngisho noma ungenazo izimpawu ezicacile. Ukuhlolwa kwangaphambi kwesikhathi kungabamba i-emphysema ngaphambi kokuthi kuthinte kakhulu ikhwalithi yempilo yakho.

Khumbula ukuthi ukufuna usizo ngokushesha kukunika ithuba elihle kakhulu lokuvikela umsebenzi wephefumulo lakho nokuba semsebenzini iminyaka eminingi ezayo.

Ziyini izici ezingaba yingozi ze-emphysema?

Izici eziningi zingandisa amathuba akho okuthuthukisa i-emphysema, ezinye zilawulwa wena kanti ezinye zingxenye yemvelo yakho noma izimo zokuphila.

Izici eziyinhloko eziqondwayo zihlanganisa:

• Ukubhema ugebengu, i-cigars, noma amapayipi
• Ukuvezwa ukubhema okusecondhand
• Ukusebenza namakhemikhali, uthuli, noma imifutho ngaphandle kokuvikelwa
• Ukuphila ezindaweni ezingcoliswe kakhulu umoya
• Ukuba nokutheleleka okuvamile kokuphefumula okungelaphiwe kahle

Ezinye izici ezingaba yingozi azilawulwa wena kodwa kubalulekile ukuziqonda:

• Ukuba neminyaka engaphezu kuka-40, njengoba ukulimala kwamaphephwini kuqoqwa ngokuhamba kwesikhathi
• Ukuba nokuntuleka kwe-alpha-1 antitrypsin
• Ukuba owesilisa, nakuba igebe liyancipha njengoba amazinga okubhema eshintsha
• Ukuba nomlando womndeni we-emphysema noma i-COPD
• Ukudalwa ngaphambi kwesikhathi, okungathinta ukuthuthukiswa kwamaphephwini

Ukuba nesici esisodwa noma ngaphezulu esingaba yingozi akusho ukuthi uzokuthuthukisa i-emphysema, kodwa kwandise amathuba akho. Izindaba ezinhle ukuthi ukwenza izinqumo ezempilo kunganciphisa kakhulu ingozi yakho, ngisho noma unezici ongenakuzishintsha.

Ziyini izinhlanganisela ezingaba khona ze-emphysema?

Njengoba i-emphysema ithuthuka, ingabangela izinkinga eziningi zempilo ezinkulu ezingathinti amaphephwini akho kuphela kodwa nomzimba wakho wonke. Ukuqonda lezi zinhlelo ezingaba khona kungakusiza usebenze neqembu lakho lezokunakekelwa kwezempilo ukuze uzivimbele noma uzilawule ngokuphumelelayo.

Izinhlanganisela zokuphefumula ngokuvamile ziyizinto ezibaluleke kakhulu:

• I-Pneumothorax, noma iphefumulo eliwa, okwenzeka lapho ama-air sacs alimale ephuka
• Ukutheleleka okuvamile kokuphefumula njenge-pneumonia noma i-bronchitis
• Ukwehluleka kokuphefumula, lapho amaphephwini akho engeke anikeze oksijini eyanele
• Ama-Giant bullae, angama-air spaces amakhulu alimale angacindezela inyama yemphefumulo enempilo

I-Emphysema ingase futhi icindezele inhliziyo yakho nesistimu yakho yokujikeleza igazi ngokuhamba kwesikhathi:

• I-Pulmonary hypertension, noma ukucindezeleka kwegazi eliphezulu e-lung arteries
• I-Cor pulmonale, uhlobo lokuhluleka kwenhliziyo okubangelwa yisifo sephefumulo
• Izinkinga zokujikeleza kwenhliziyo ngenxa yamazinga oksijini aphansi

Izinhlanganisela ezingavamile kodwa ezinzima zingabandakanya ukulahlekelwa isisindo esikhulu nobuthakathaka bemisipha njengoba umzimba wakho usebenza kanzima ukuphefumula. Abanye abantu bathuthukisa ukucindezeleka noma ukukhathazeka okuhlobene nobunzima bokuphumula nokulinganiselwa kwesitayela sempilo.

Nakuba lezi zinhlelo ezingaba khona zizwakala zesabekisa, ukwelashwa okufanele nezinguquko zesitayela sempilo kungasiza ukuvimbela eziningi zazo noma kunciphisa ubukhulu bazo. Iqembu lakho lezokunakekelwa kwezempilo lizokuqapha eduze futhi lilungise uhlelo lwakho lokwelashwa njengoba kudingeka.

I-Emphysema ingavikeleka kanjani?

Isinyathelo esinamandla kakhulu ongasithatha ukuvimbela i-emphysema ukungqali ukubhema, noma uma ubhema njengamanje, ukuyeka ngokushesha okukhulu. Ngisho nabantu ababheme eminyakeni eminingi bangazuza ekuyekezeni, njengoba kunciphisa ukulimala kwamaphephwini ngokushesha.

Ngaphandle kokumisa ukubhema, amasu amaningi angasiza ekuvikeleni amaphephwini akho:

• Gwema ukubhema okusecondhand ngokuhlala kude nezindawo ezinobhema
• Sebenzisa izingubo zokuvikela ezifanele uma usebenza eduze nothuli, amakhemikhali, noma imifutho
• Thola ukugonywa kwe-influenza ne-pneumonia ukuvimbela ukutheleleka kokuphefumula
• Zivocavoca njalo ukuze ugcine amaphephwini akho nenhliziyo yakho iqinile
• Gcina ikhwalithi yomoya omuhle ngaphakathi endlini ngokuphefumula okuhle namafutha omoya
• Limita imisebenzi yangaphandle lapho amazinga okungcoliswa komoya aphezulu

Uma une-alpha-1 antitrypsin deficiency, ukuncoma kwe-genetic kungakusiza uqonde izingozi zakho futhi wenze izinqumo ezilwemi ngokuvikelwa kwamaphephwini. Ukuqapha njalo nodokotela wakho kubaluleke kakhulu.

Ukuthatha lezi zinyathelo zokuvikela kubaluleke kakhulu uma unezilwane zomndeni ezine-emphysema noma ezinye izici ezingaba yingozi ongenakuzishintsha. Izinqumo ezincane zansuku zonke zingenza umehluko omkhulu empilweni yakho yempilo yamaphephwini isikhathi eside.

I-Emphysema ihlonishwa kanjani?

Ukuhlonishwa kwe-emphysema ngokuvamile kuqala ngodokotela wakho ebuza imibuzo eminingilizi mayelana nezimpawu zakho, umlando wokubhema, nanoma yikuphi ukuvezwa emsebenzini noma ezindaweni ezingaphandle. Bazophinde balalele amaphephwini akho nge-stethoscope futhi bangase baqaphele umsindo wokuphefumula ophansi noma i-wheezing.

Ivivinyo elibaluleke kakhulu lokuqinisekisa i-emphysema libizwa nge-spirometry, elinganisa ukuthi ungaphefumula kangakanani umoya futhi usheshe kangakanani ukukhulula amaphephwini akho. Leli vivinywa elingenamandla lihilela ukuphefumula ebhuloho elixhunyiwe emishini ebhala umsebenzi wephefumulo lakho.

Udokotela wakho angase ancomele ezinye izivivinyo ukuze uthole isithombe esiphelele:

• I-X-rays yesifuba ukubuka ukulimala kwamaphephwini, nakuba i-emphysema yokuqala ingase ingabonakali
• I-CT scans enikeza izithombe eziningilizi ze-lung tissue
• Izivivinyo zegazi le-Arterial ukulinganisa amazinga oksijini ne-carbon dioxide
• Ivivinyo legazi le-Alpha-1 antitrypsin uma kukhona ukungabaza nge-emphysema ye-genetic
• I-Electrocardiogram ukuhlola izinkinga zenhliziyo ezihlobene nesifo sephefumulo

Ngesinye isikhathi odokotela benza i-six-minute walk test, lapho belinganisa ukuthi ungahamba kude kangakanani ngemizuzu emihlanu ubude futhi uqapha amazinga oksijini akho. Lokhu kusiza ekuqondeni ukuthi i-emphysema ikuthinta kanjani ukusebenza kwakho kwansuku zonke.

Ukuthola ukuxilongwa okuchane kakhulu kubalulekile ngoba ukwelashwa kwe-emphysema kuhlukile kwezinye izimo zephefumulo. Inqubo yokuhlola ingase ibonakale ihlanganisa izinto eziningi, kodwa kusiza iqembu lakho lezokunakekelwa kwezempilo ukudala uhlelo lokwelashwa oluphumelelayo olufanele isimo sakho esithile.

Yini ukwelashwa kwe-emphysema?

Nakuba i-emphysema ingelapheki, ukwelashwa okuphumelelayo kungakusiza uphefumule kalula, uhlale usebenza kakhulu, futhi kunciphisa ukuqhubeka kokulimaza kwamaphephwini. Ikhona ukusebenza neqembu lakho lezokunakekelwa kwezempilo ukudala uhlelo lokwelashwa oluphelele olufanele izidingo zakho ezithile.

Imithi yisisekelo samahlelo amaningi okwelashwa kwe-emphysema:

• Ama-Bronchodilators aqinisa imisipha yomoya futhi avule izindawo zokuphefumula
• Ama-Inhaled corticosteroids ukunciphisa ukuvuvukala kwamaphephwini
• Ama-Inhalers ahlanganisiwe ahlanganisa kokubili ama-bronchodilators nama-steroids
• Imithi yomlomo yezimpawu ezinkulu noma ukukhanya okuvamile
• Ama-Antibiotics lapho ukutheleleka kwe-bacterial kwenzeka

Ukwelashwa ngoksijini kubalulekile lapho amazinga oksijini egazini ewa kakhulu. Abantu abaningi basebenzisa ama-portable oxygen concentrators avumela ukuba bahlale bekhona ngenkathi bathola oksijini eyengeziwe.

Ama-Pulmonary rehabilitation programs ahlanganisa ukuqeqeshwa komzimba, imfundo, nezinqubo zokuphefumula ukukusiza ulawule izimpawu kangcono. Lezi zinhlelo ngokuvamile zihlanganiswe yinshurensi futhi zingathuthukisa kakhulu ikhwalithi yempilo yakho.

Nge-emphysema enzima, izinketho zokucathulwa zingacatshangelwa:

• Ukuhlinzwa kokunciphisa umthamo wephefumulo ukususa inyama elimele
• Ukuhlinzwa kwamaphephwini ezimweni ezithile
• Izindlela ze-Bronchoscopic ezisebenzisa amadivayisi amancane ukuthuthukisa umoya

Ukwelashwa okubaluleke kakhulu, noma kunjalo, ukumisa ukubhema uma ubhema njengamanje. Lesi sinyathelo sodwa singanciphisa ukuqhubeka kwesifo ngaphezu kwanoma iyiphi imithi noma inqubo.

Ungazinakekela kanjani ekhaya nge-emphysema?

Ukulawula i-emphysema ekhaya kuhilela ukudala imikhuba yansuku zonke esekela impilo yephefumulo lakho futhi ikusize uphefumule ngokunethezeka. Ukuhluka okuncane ohlelweni lwakho kungenza umehluko obalulekile endleleni ozizwa ngayo.

Izinqubo zokuphefumula zingakusiza usebenzise amaphephwini akho ngokuphumelelayo:

• Zivocavoce ukuphefumula okuqiniswe ngezindebe ngokuphefumula ngempumulo yakho futhi uphume kancane ngezindebe eziqiniswe
• Zama ukuphefumula kwe-diaphragmatic ukuqinisa umsipha wakho oyinhloko wokuphefumula
• Sebenzisa ubuchwepheshe be-huff cough ukususa i-mucus ngaphandle kokukhathala
• Linganisa imisebenzi yakho futhi uthathe izikhathi zokuphumula lapho uzizwa uphefumula kancane

Ukudala indawo yasekhaya enhle kwamaphephwini kubaluleke ngokulinganayo:

• Gcina ikhaya lakho lihlanzekile futhi lingabi nothuli
• Sebenzisa amafutha omoya ukususa izinhlayiya nama-allergens
• Gwema iziphefumulo ezinamandla, amakhemikhali okuhlanza, nama-aerosol sprays
• Gcina amazinga okuthambile phakathi kuka-30 no-50
• Hlela imisebenzi yangaphakathi ngezinsuku zokungcoliswa komoya ophezulu

Hlala usebenza ngaphakathi kwemingcele yakho ngokukhetha ukuzivocavoca okulula njengokuhamba, ukubhukuda, noma ukwelula. Ukuzivocavoca njalo kusiza ekuvikeleni amandla akho futhi kugcine imisipha yakho yokuphefumula iqinile.

Dla ukudla okunempilo okunezithelo nemifino eminingi ukusekela i-immune system yakho. Uma ulahlekelwa isisindo ngenxa yobunzima bokuphumula, sebenza nodokotela wezondlo ukuze ugcine ukudla okwanele.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho yodokotela?

Ukulungiselela ukuvakasha kwakho kodokotela kungakusiza wenze kakhulu isikhathi sakho ndawonye futhi kuqinisekise ukuthi uthola ulwazi nokukhathalelwa okudingayo. Ukulungiselela okuncane kuhamba ibanga elide ekutheni kube khona ingxoxo ezuzisayo.

Ngaphambi kwe-aphoyintimenti yakho, buza ulwazi olukhulu mayelana nempilo yakho:

• Bhala zonke izimpawu zakho nokuthi zenzeka nini
• Bala yonke imithi, amavithamini, nezinhlanganisela ozithathayo
• Qaphela umlando wakho wokubhema, kufaka phakathi lapho uyeka khona uma kufaneleka
• Bhala phansi noma yikuphi ukuvezwa emsebenzini noma ezindaweni ezingaphandle
• Letha imiphumela yezivivinyo zangaphambili noma amarekhodi ezempilo

Lungisa imibuzo okumele uyibuze udokotela wakho:

• Yiliphi isigaba se-emphysema enami?
• Isimo sami singase siqhubeke ngokushesha kangakanani?
• Ziyini izinketho zokwelashwa ezikhona kimi?
• Ngingazivimbela kanjani izimpawu zami ezingabi kubi kakhulu?
• Nini okufanele ngixhumane nawe ngezimpawu ezibi kakhulu?
• Ingabe kukhona imisebenzi engingayigwema?

Cabanga ukuletha ilungu lomndeni noma umngani ongakusiza ukukhumbula ulwazi olukhulu futhi anikeze ukwesekwa ngokomzwelo. Bangase futhi bacabange ngemibuzo ongayicabanganga.

Unganqikazi ukucela incazelo uma ungaqondi okuthile. Iqembu lakho lezokunakekelwa kwezempilo lifuna ukukusiza ulawule isimo sakho ngokuphumelelayo, futhi lokho kuqala ngokuxhumana okucacile.

Yini okumele uyikhumbule mayelana ne-emphysema?

I-Emphysema yisimo esinzima sephefumulo, kodwa ngokwelashwa okufanele nezinguquko zesitayela sempilo, abantu abaningi baqhubeka bephila impilo ezele, ephambili iminyaka eminingi ngemuva kokuxilongwa. Ikhona ukutholakala kwangaphambi kwesikhathi, ukwelashwa okufanele, nokudlala indima ephambili ekulawuleni impilo yakho.

Khumbula ukuthi i-emphysema ithuthuka kancane kancane, okusho ukuthi izinyathelo ozithathayo namuhla zingathinta kakhulu indlela ozizwa ngayo esikhathini esizayo. Ukuyeka ukubhema, ukulandela uhlelo lwakho lokwelashwa, nokuba semsebenzini ngaphakathi kwemingcele yakho yizithulu ezinamandla kakhulu onazo.

Nakuba ukuxilongwa kungase kuzwakale kukucindezela ekuqaleni, awuwedwa kule ndlela. Iqembu lakho lezokunakekelwa kwezempilo, umndeni, namaqembu wokwesekwa anganikeza isiqondiso nokukhuthazwa okudingayo ukuze ulawule isimo sakho ngokuphumelelayo.

Gxilisa ingqondo kulokho ongakulawula kunokukhathazeka ngalokho ongenakukushintsha. Ngokuthinta okulungile, i-emphysema ayidingi ukuchaza impilo yakho noma ukuvimbela ukumnandi kwemisebenzi nobuhlobo obubalulekile kuwe.

Imibuzo evamile ebuzwa mayelana ne-emphysema

Ingabe i-emphysema ingaphenduka noma ilapheke?

I-Emphysema ayikwazi ukwelashwa noma iphenduke ngoba ukulimala kwinyama yephefumulo kuhlala njalo. Kodwa-ke, ukwelashwa kunganciphisa ngokuphumelelayo ukuqhubeka kwesifo, kunciphisa izimpawu, futhi kukusize ugcine ikhwalithi yempilo enhle. Ukwelashwa kwangaphambi kwesikhathi kubalulekile ngemiphumela emihle kakhulu.

Ubude kangakanani ongahlala uphila nge-emphysema?

Isikhathi sokuphila nge-emphysema sihluka kakhulu kuye ngesigaba sokutholwa, indlela ophendula ngayo ekwelapheni, nezici zesitayela sempilo njengokumisa ukubhema. Abantu abaningi bahlala iminyaka eminingi ngemuva kokuxilongwa, ikakhulukazi labo abayeka ukubhema futhi balandela uhlelo lwabo lokwelashwa njalo.

Ingabe i-emphysema ihlale ibangelwa ukubhema?

Nakuba ukubhema kubangela iningi lezimo ze-emphysema, cishe amaphesenti angu-10 kuya kwangu-15 ezimo ezivela kwezinye izici. Lokhu kuhlanganisa ukuntuleka kwe-alpha-1 antitrypsin, ukuvezwa isikhathi eside ukungcoliswa komoya, amakhemikhali emsebenzini, noma ukutheleleka okuvamile kokuphefumula. Abanye abantu bathuthukisa i-emphysema ngokuhlanganiswa kwezici ze-genetic nezingaphandle.

Uyini umehluko phakathi kwe-emphysema ne-chronic bronchitis?

Zombili lezi zimo zingama-COPD, kodwa zithinta izingxenye ezahlukene zamaphephwini akho. I-Emphysema yonakalisa ama-air sacs amancane lapho ukushintshaniswa koksijini kwenzeka khona, kuyilapho i-chronic bronchitis ivuvukala futhi inciphisa izindawo zokuphefumula ezithwala umoya uya futhi uvela emaphephwini akho. Abantu abaningi banezimo zombili ngesikhathi esisodwa.

Ingabe ukuzivocavoca kungasiza ekuthuthukiseni izimpawu ze-emphysema?

Yebo, ukuzivocavoca njalo kungenye yindlela enhle kakhulu yokwelashwa kwe-emphysema. Ukuzivocavoca komzimba kuqinisa imisipha yakho yokuphefumula, kuthuthukisa amandla akho, futhi kukusiza usebenzise oksijini ngokuphumelelayo. Qala kancane futhi sebenza neqembu lakho lezokunakekelwa kwezempilo ukwakha uhlelo lokuzivocavoca oluphephile oluhambisana nesimo sakho samanje sokufaneleka.