Ukuqothuka Kwenyama: Izimpawu, Izimbangela, Nokwelashwa

Ukuqothuka kwenyama yindlela yokubola kwesicubu somzimba ngenxa yokungabi khona kokugeleza kwegazi noma ukutheleleka ngamabhaktheriya. Uma amangqamuzana engatholi oksijini nezakhamzimba ezanele ngokugeleza kwegazi, aqala ukufa nokubola.

Leli simo sivame ukubangela ukubola kweminwe, iminwe yeenyawo, izandla, iinyawo, iingalo, neenyawo. Kodwa-ke, lingathuthukiswa nakwiingxelo zangaphakathi nemisipha. Ukuqonda ukuqothuka kwenyama kukusiza ukuba uqaphele izimpawu zokuqala bese ufuna ukunakekelwa ngokukhawuleza kwezokwelapha.

Kuyini Ukuqothuka Kwenyama?

Ukuqothuka kwenyama kwenzeka uma izicubu zomzimba zifa ngenxa yokungabi khona kokugeleza kwegazi okwanele noma ukutheleleka okukhulu. Cabanga ngokufana nomhlaba owomileyo uma ungatholi amanzi - izicubu zakho zidinga ukugeleza kwegazi rhoqo ukuze zihlale ziphila kwaye zisempilweni.

Leli simo lingathuthuka kancinci ezinsukwini noma liqale ngokukhawuleza ngaphakathi kwamahora. Uma isicubu sifa, asinakuvuselelwa okanye siphile ngokwalo. Lokhu kwenza ukutholakala kwangoko nokuphathwa kubaluleke kakhulu ekuvinjeni izinkinga ezinkulu.

Odokotela bahlukanisa ukuqothuka kwenyama ngezinhlobo ezahlukene ngokwendlela oluthuthukiswa ngayo nokuthi yini elibangayo. Uhlobo ngalunye ludinga izindlela zokwelapha ezithile ukuze kuvinjwe ukufa kwesicubu ukusabalala.

Ziyini Izinhlobo Zokuqothuka Kwenyama?

Ukuqothuka Kwenyama Okumomileyo

Ukuqothuka kwenyama okumomileyo kuthuthuka kancane uma ukugeleza kwegazi kunciphisa kancane endaweni ethile. Isicubu esithintekayo siyabola, siyabuna, futhi siyalungisa umbala kusuka obomvu ube mnyama.

Lolu hlobo luvame ukubangela abantu abane-diabetes, i-atherosclerosis, noma ezinye izimo ezinciphisa ukugeleza kwegazi. Isicubu sibonakala singathi sibolile futhi asiveli iphunga elibi elihlotshaniswa nezinye izinhlobo zokuqothuka kwenyama.

Ukuqothuka Kwenyama Okunamafutha

Ukuqothuka kwenyama okunamafutha kwenzeka uma amabhaktheriya ethelelela isicubu esilahlekile ukunikezwa kwegazi. Indawo ethintekayo iyaqina, ikhiqiza uboya, futhi ithuthukisa iphunga elibi, elinamandla.

Lolu hlobo lusabalala ngokushesha kakhulu kunokuqothuka kwenyama okumomileyo futhi lungaba yingozi ekuphileni ngaphakathi kwamahora ambalwa. Ukushisa, ukubola, kanye neziphumo ezibuhlungu ngokuvamile kubangela ukuqothuka kwenyama okunamafutha uma amabhaktheriya engena esicubwini esonakele.

Ukuqothuka Kwenyama Okubangelwa Yigesi

Ukuqothuka kwenyama okubangelwa yigesi kuyindlela engavamile kodwa eyingozi kakhulu ebangelwa amabhaktheriya athile okuthiwa yi-Clostridium. La mabhaktheriya akhiqiza izinto eziyingozi namabhabhu egasi ngaphakathi kwesicubu esithintekayo.

Leli simo ngokuvamile liqala ngemva kokulima okujulile, izinqubo zokuthunga, noma ukulimala kwemisipha. Ukuqothuka kwenyama okubangelwa yigesi kungasabalala ngokushesha emzimbeni futhi kudinga ukwelashwa okusheshayo kwezimo eziphuthumayo ukuze kuvinjelwe ukufa.

Ukuqothuka Kwenyama Okungaphakathi

Ukuqothuka kwenyama okungaphakathi kuthinta izitho ezingaphakathi komzimba uma ukunikezwa kwegazi kwabo kucishe kuphele. Lokhu kungenzeka uma ingxenye yomthambo wakho iphenduka noma ivalwe yi-hernia.

Ukuqothuka kwenyama ye-gallbladder kungenzeka ngesikhathi sokuvuvukala okukhulu kwe-gallbladder. Nakuba kungabonakali njengokuqothuka kwenyama yangaphandle, ukuqothuka kwenyama okungaphakathi kubangela ubuhlungu obukhulu futhi kungaba yingozi efanayo.

Ziyini Izimpawu Zokuqothuka Kwenyama?

Ukuqaphela izimpawu zokuqothuka kwenyama ngokushesha kungenza umehluko phakathi kokusindisa nokulahlekelwa isicubu esithintekayo. Izimpawu ziyahlukahluka kuye ngohlobo nendawo yokuqothuka kwenyama.

Nazi izimpawu eziyinhloko okufanele uzibheke:

• Ukushintsha kombala wesikhumba - kusuka obomvu ube mnyama
• Ubuhlungu obukhulu obungase bukhulu ngokuzumayo njengoba ama-nerve efa
• Ukuqina endaweni ethintekayo
• Amabhabhu noma amaqhubu angaphili
• Ukuqothuka okunuka kabi eziqhubeni
• Isicubu sesikhumba esibanda noma esingenamzwelo
• Umgca ocacile phakathi kwesicubu esiphilile nesifile

Uma ukuqothuka kwenyama kuthinta izitho zangaphakathi, ungase ube nokuqina, ukushaya kwenhliziyo okusheshayo, isicanucanu, ukugabha, noma ukudideka. Lezi zimpawu zibonisa ukuthi ukutheleleka kungase kusabalale emzimbeni wakho.

Khumbula ukuthi amazinga obuhlungu angadukisa ngokuqothuka kwenyama. Njengoba isicubu sifa, ungase uzwe ubuhlungu obuncane, hhayi okukhulu. Ungacabangi ukuthi ubuhlungu obuphansi kusho ukuthi isimo siphulukana.

Yini Ebangela Ukuqothuka Kwenyama?

Ukuqothuka kwenyama kuthuthuka uma izicubu zingakwazi ukuthola oksijini nezakhamzimba ezanele ekugelezeni kwegazi. Izimo nezimo eziningi zingabangela ukufa okubi kwesicubu.

Izimbangela ezivamile zihlanganisa:

• Izinkinga ze-diabetes ezilimaza imithambo yegazi futhi zinciphisa ukugeleza kwegazi
• I-atherosclerosis (imithambo yegazi eqinile) evinya ukugeleza kwegazi
• Ama-blood clots ashaya ngokuzumayo ukugeleza kwegazi endaweni ethile
• Ukushisa okukhulu noma ukubola okonakalisa isicubu
• Ukulimala okukhulu okuqhaqhazela noma okonakalisa kakhulu isicubu
• Ukutheleleka okunqoba ikhono lomzimba lokulwa namabhaktheriya
• Izifo zesimiso somzimba ezihlupha ukululama

Ngezinye izikhathi ukuqothuka kwenyama kuthuthuka ngemva kokuhlinzwa, ikakhulu kubantu abanesimiso somzimba esibuthakathaka noma ukugeleza kwegazi okubi. Ukubhema kukhuphula kakhulu ingozi yakho ngoba konakalisa imithambo yegazi futhi kunciphisa ukulethwa koksijini ezicubwini.

Izimbangela ezingavamile zihlanganisa imithi ethile ehlupha ukugeleza kwegazi, ukuphelelwa amanzi okukhulu, kanye nezimo ezinjenge-sickle cell disease ezingavimba imithambo yegazi emincane.

Nini Okufanele Ubone Udokotela Ngokuqothuka Kwenyama?

Kufanele ufuna ukunakekelwa kwezokwelapha ngokushesha uma uqaphela noma yiziphi izimpawu zokufa kwesicubu noma ukutheleleka okukhulu. Ukuqothuka kwenyama kuhlale kuyisimo esiphuthumayo sezimo eziphuthumayo esidinga ukwelashwa okusheshayo kochwepheshe.

Shaya isevisi yokuphuthuma noma uye endlini yokwelapha ngokushesha uma uhlangabezana nalokhu:

• Ubuhlungu obukhulu obuzumayo obube sesiphela
• Isicubu sesikhumba esiguqula ube mnyama, oluhlaza okwesibhakabhaka, noma olugrey
• Iziqhubu ezinuka kabi noma ezikhiqiza ukuqothuka okungavamile
• Ukuqina kanye nokushintsha kombala wesikhumba
• Ukuqina okusabalala ngokushesha noma ukuqina
• Isicubu sesikhumba esibanda futhi sibonakala silithambile

Ungalindi ukubona uma izimpawu ziphulukana zodwa. Ukuqothuka kwenyama kungasabalala ngokushesha futhi kube yingozi ekuphileni ngaphakathi kwamahora ambalwa. Ukwelashwa kwangoko kukunika ithuba elihle kakhulu lokulondoloza isicubu esithintekayo nokuvimba izinkinga ezinkulu.

Uma une-diabetes, izinkinga zokugeleza kwegazi, noma ezinye izinto ezingozi, xhumana nodokotela wakho ngokushesha mayelana nanoma yikuphi ukushintsha okungavamile kwesikhumba noma iziqhubu ezingaphili.

Ziyini Izinto Ezingozi Zokuqothuka Kwenyama?

Izimo zezempilo ezithile nezinto ezingozi zokuphila zikhuphula amathuba akho okuthuthukisa ukuqothuka kwenyama. Ukuqonda lezi zinto ezingozi kukusiza ukuba uthathe izinyathelo zokuvikela futhi uqaphele izimpawu ngokushesha.

Izinto ezingozi ezibaluleke kakhulu zihlanganisa:

• I-diabetes, ikakhulukazi uma ushukela egazini ungalawulwa kahle
• I-peripheral artery disease ecindezela ukugeleza kwegazi ezinyaweni
• Ukubhema, okonakalisa imithambo yegazi futhi kulimaza ukululama
• Ubudala obukhulu, njengoba ukugeleza kwegazi kunciphisa ngokwemvelo ngokuhamba kwesikhathi
• Ukukhuluphala, okungenza izinkinga zokugeleza kwegazi zibe zimbi
• Isimimo somzimba esibuthakathaka esivela emithini noma ekuguleni
• Umbhalo wangaphambili wokuqothuka kwenyama noma izinkinga zokugeleza kwegazi

Abantu abaye bahlinzwa muva nje, ukulimala okukhulu, noma ukubola babhekene nezingozi eziphezulu emasontweni alandelayo lezi zenzakalo. Ukusebenzisa imithi ye-intravenous kukhuphula futhi ingozi ngenxa yokutheleleka okungenzeka nokulimala kwemithambo yegazi.

Izinto ezingavamile ezingozi zihlanganisa izifo zegazi ezinjenge-sickle cell disease, izimo ze-autoimmune ezinjenge-lupus, kanye nemithi ethile ehlupha ukuqina kwegazi noma ukugeleza kwegazi.

Ziyini Izinkinga Ezingase Zivele Ngokuqothuka Kwenyama?

Ukuqothuka kwenyama kungabangela izinkinga ezinkulu, ezingaba yingozi ekuphileni uma kungelashwa ngokushesha nangokuphumelelayo. Inkinga ebuhlungu kakhulu yi-sepsis, lapho ukutheleleka kusabalala egazini lakho.

Izinkinga ezinkulu zihlanganisa:

• I-sepsis ne-septic shock, ezingabangela ukuhluleka kwezitho
• Ukusika izitho zomzimba ezithintekayo noma izingxenye zomzimba
• Ukulimala okungapheli noma ukulahleka komsebenzi
• Ubuhlungu obuhlala njalo endaweni ethintekayo
• Ukutheleleka okuphindaphindayo endaweni yokwelapha
• Ukufa, ikakhulukazi ngokuqothuka kwenyama okubangelwa yigesi noma izimo ezingelashwanga

Ngisho noma ukwelashwa kuphumelela, ungase ubhekane nezinselele zesikhathi eside ezinjengobunzima bokuhamba, ukusebenzisa izandla zakho, noma ukwenza imisebenzi yansuku zonke. Abanye abantu badinga amadivayisi e-prosthetic noma ukuvuselelwa okuqhubekayo.

Izindaba ezinhle ukuthi ukwelashwa kwangoko kunciphisa kakhulu ingozi yalezi zinkinga. Abantu abaningi abamukela ukunakekelwa kwezokwelapha ngokushesha bangagwema imiphumela emibi kakhulu.

Ukuqothuka Kwenyama Kuhlolwa Kanjani?

Odokotela ngokuvamile bangakwazi ukuxilonga ukuqothuka kwenyama ngokuhlola indawo ethintekayo nokubuyekeza izimpawu zakho. Kodwa-ke, bangadinga ukuhlolwa okuqhubekayo ukuze baqonde uhlobo, ubukhulu, nokuthi yini elibangayo.

Udokotela wakho uzoqala ngokubuka isicubu esithintekayo nokubuza ngezimpawu zakho, umlando wezokwelapha, nezinto ezingozi. Bazohlola izimpawu zokutheleleka futhi bahlole ukugeleza kwegazi endaweni leyo.

Ukuhlolwa okuvamile kokuxilonga kuhlanganisa:

• Ukuhlolwa kwegazi ukuhlola ukutheleleka nempilo yonke
• Izifundo zokubonisa ezinjenge-X-rays, i-CT scans, noma i-MRIs
• Amakhambi esicubu ukuqonda amabhaktheriya athile
• Izifundo zemithambo yegazi ukuhlola ukugeleza kwegazi
• I-biopsy yesicubu esithintekayo ezimweni ezingacaci

Ngokuqothuka kwenyama okungase kube yigesi, odokotela bangenza ukuhlolwa kokubonisa okungase kuthole amabhabhu egasi esicubwini. Bangase futhi bahlole uketshezi oluvela emabhabhuni noma eziqhubeni ukuqonda amabhaktheriya athile abangela ukutheleleka.

Kuyini Ukwelashwa Kokuqothuka Kwenyama?

Ukwelashwa kokuqothuka kwenyama kugxila ekususeni isicubu esifile, ukulawula ukutheleleka, nokubuyisela ukugeleza kwegazi uma kungenzeka. Indlela ethile ixhomeke kuhlobo nobunzima bokuqothuka kwenyama onakho.

Ukwelashwa ngokuvamile kuhlanganisa:

• Ukususa isicubu esifile ngokuhlinzwa (debridement)
• Ama-antibiotics ukulwa nokutheleleka ngamabhaktheriya
• Imithi yokuhlupheka ukulawula ubuhlungu
• Izinqubo zokuthuthukisa ukugeleza kwegazi
• Ukwelashwa nge-oksijini ephakeme ngezinye izikhathi
• Ukusika izitho zomzimba ezimweni ezinkulu ezisongela ukuphila

Ngokuqothuka kwenyama okumomileyo, odokotela bangase balinde ukubona uma isicubu sihlukanisa ngokwemvelo nesicubu esiphilile. Kodwa-ke, ukuqothuka kwenyama okunamafutha nokuqothuka kwenyama okubangelwa yigesi kudinga ukwelashwa okusheshayo nokuqinile ukuvimbela ukusabalala.

Ukuhlinzwa kungase kuhlanganise ukususa izindawo ezincane zesicubu esifile noma, ezimweni ezinkulu, ukukhipha izitho zomzimba eziphelele. Iqembu lakho lezokwelapha lizohlala lizifuna ukulondoloza isicubu esiphilile ngangokunokwenzeka ngenkathi liqinisekisa ukuphepha kwakho.

Ungathatha Kanjani Ukwelashwa Ekhaya Ngesikhathi Sokuqothuka Kwenyama?

Ukuqothuka kwenyama kudinga ukwelashwa kwezokwelapha kochwepheshe futhi akukwazi ukwelashwa ngokuphephile ekhaya lodwa. Kodwa-ke, ungathatha izinyathelo zokusekela kanye nokunakekelwa kwakho kwezokwelapha ukuze uthuthukise ukululama futhi uvikele izinkinga.

Izinyathelo zokunakekelwa ekhaya ezibalulekile zihlanganisa:

• Ukuthatha ama-antibiotics alayikiwe ngokuqondile njengoba kuqondiswe
• Ukulondoloza iziqhubu zihlambulukile futhi zibozwe kahle
• Ukulandela yonke imiyalo yokunakekelwa kweziqhubu evela eqenjini lakho lezokunakekelwa kwezempilo
• Ukulawula ubuhlungu ngemithi eyalikiwe
• Ukudla ukudla okunomsoco ukuze usekele ukululama
• Ukuqeda ukubhema notshwala, okulimaza ukululama
• Ukuya kuyo yonke imiqhudelwano yokulandelela

Ungalokothi uzame ukwelapha izimpawu zokuqothuka kwenyama ngokwakho noma ulibale ukufuna ukunakekelwa kwezokwelapha. Izindlela zokwelapha zasekhaya azikwazi ukuvimba ukufa kwesicubu noma ukuvimbela ukusabalala kokutheleleka.

Uma uqaphela noma yiziphi izimpawu ezimbi, izindawo ezintsha ezikhathazayo, noma izimpawu zokutheleleka okusabalayo, xhumana nodokotela wakho ngokushesha.

Ukuqothuka Kwenyama Kungavikeleka Kanjani?

Nakuba ungakwazi ukuvimba zonke izimo zokuqothuka kwenyama, unganciphisa kakhulu ingozi yakho ngokulawula izimo zezempilo ezingaphansi nokukhuthaza isikhumba sakho ekulimala.

Izindlela eziyinhloko zokuvikela zihlanganisa:

• Ukulawula i-diabetes ngokucophelela ngokulawulwa kahle kweswekile egazini
• Ukuyeka ukubhema ukuthuthukisa ukugeleza kwegazi
• Ukuhlola iinyawo nezandla zakho nsuku zonke ngokuqeda noma ukushintsha
• Ukwelapha iziqhubu ngokushesha nangokuqondile
• Ukugqoka izicathulo ezifanele ukuvimbela ukulimala
• Ukugcina ukuhlanzeka okuhle, ikakhulukazi ezindaweni eziqhubile
• Ukulandela iseluleko sezokwelapha ngezinkinga zokugeleza kwegazi

Uma une-diabetes noma izinkinga zokugeleza kwegazi, sebenzisana eduze neqembu lakho lezokunakekelwa kwezempilo ukuze uqaphele isimo sakho. Ukuhlolwa okuvamile kungasiza ekutholeni izinkinga ngaphambi kokuba zibe zimbi.

Zivikele emazingeni okushisa okukhulu angabangela ukubola noma ukushisa. Uma ulimala, hlambulula iziqhubu ngokucophelela bese uqaphela izimpawu zokutheleleka.

Kufanele Uzilungiselele Kanjani Ukuya Kulodokotela?

Ukulungiselela ukuya kwakho kudokotela kusiza ukuqinisekisa ukuthi uthola ukunakekelwa okuphumelelayo futhi ungaphoswa imininingwane ebalulekile ngesimo sakho.

Ngaphambi kokuya kwakho, buza ngalolu lwazi:

• Lapho uqale ukubona izimpawu futhi zishintshe kanjani
• Yonke imithi kanye nezinye izinto ozithathayo
• Umbhalo wakho ophelele wezokwelapha, kuhlanganise i-diabetes noma izinkinga zokugeleza kwegazi
• Ukulimala kwamuva, ukuhlinzwa, noma ukutheleleka
• Umbhalo womndeni wezinkinga zokugeleza kwegazi noma zesimiso somzimba
• Imibuzo mayelana nezinketho zokwelapha nethemba lokuphulukana

Letha uhlu lwemithi yakho yonke, kuhlanganise imithi yokuthengwa ngaphandle komthetho kanye nezinye izinto. Thatha izithombe zezindawo ezithintekayo uma zibonakala kalula, njengoba lokhu kungasiza ukubhala ukushintsha ngokuhamba kwesikhathi.

Bhala phansi imibuzo yakho ngaphambi kwesikhathi ukuze ungakhohlwa ukubuza izinto ezibalulekile ngesikhathi sokuya kwakho. Cabanga ukuthi ulethe ilungu lomndeni noma umngani ukwesekwa nokusiza ukukhumbula ulwazi.

Iyini Iphuzu Eliyinhloko Ngokuqothuka Kwenyama?

Ukuqothuka kwenyama kuyisimo esibuhlungu sezempilo esidinga ukwelashwa okusheshayo kochwepheshe. Isifuba semiphumela emihle ukubona izimpawu ngokushesha nokufuna ukunakekelwa kwezokwelapha ngokushesha.

Khumbula ukuthi ukuqothuka kwenyama kuthuthuka uma isicubu singatholi ukugeleza kwegazi okwanele noma siqale ukutheleleka. Nakuba kungesaba, ukwelashwa kwezokwelapha kwamanje kuvame ukulondoloza isicubu nokuvimba izinkinga uma kuqalwa ngokushesha.

Uma unezinto ezingozi ezinjenge-diabetes noma izinkinga zokugeleza kwegazi, qaphela ukubheka isikhumba sakho futhi welaphe noma yiziphi iziqhubu ngokushesha. Sebenzisana neqembu lakho lezokunakekelwa kwezempilo ukuze ulawule izimo ezingaphansi ezikhuphula ingozi yakho.

Okubaluleke kakhulu, ungalokothi uqaphele izimpawu zokufa kwesicubu noma ukutheleleka okukhulu. Uma ungaqiniseki, funa ukunakekelwa kwezokwelapha ngokushesha. Isenzo esisheshayo singenza umehluko phakathi kokululama okuphelele nezinkinga ezinkulu.

Imibuzo Evamile Ngokuqothuka Kwenyama

Q1: Ingabe ukuqothuka kwenyama kungaphila ngokwalo ngaphandle kokwelashwa?

Cha, ukuqothuka kwenyama akukwazi ukuphulukana ngokwalo. Isicubu esifile asinakuvuselelwa, futhi isimo ngokuvamile sibe sibi ngaphandle kokungenelela kwezokwelapha. Ukuqothuka kwenyama okumomileyo kungase kuhlale isikhathi esithile, kodwa ukuqothuka kwenyama okunamafutha nokuqothuka kwenyama okubangelwa yigesi kungasabalala ngokushesha futhi kube yingozi ekuphileni ngaphakathi kwamahora ambalwa. Hlala ufuna ukunakekelwa kwezokwelapha ngokushesha nganoma yikuphi ukuqothuka kwenyama okungase kube khona.

Q2: Ukuqothuka kwenyama kusabalala ngokushesha kangakanani?

Isilinganiso sihlukahluka kuye ngohlobo. Ukuqothuka kwenyama okumomileyo kuthuthuka kancane ezinsukwini kuya emasontweni. Ukuqothuka kwenyama okunamafutha kungasabalala ngaphakathi kwamahora kuya ezinsukwini. Ukuqothuka kwenyama okubangelwa yigesi yilohlobo olukhulu kakhulu olukhulu futhi lungaba yingozi ekuphileni ngaphakathi kwamahora ambalwa. Kungakho ukunakekelwa kwezokwelapha okusheshayo kubalulekile kunoma yikuphi ukuqothuka kwenyama okungase kube khona.

Q3: Ingabe ukuqothuka kwenyama kuhlale kudinga ukukhipha izitho zomzimba?

Cha, ukukhipha izitho zomzimba akuhlale kudingeka. Ukuqothuka kwenyama ekuqaleni kungase kuphathwe ngokususa isicubu, ama-antibiotics, nokuthuthukisa ukugeleza kwegazi. Kodwa-ke, ukuqothuka kwenyama okukhulu noma izimo ezisongela ukuphila kwakho kungase kudinge ukukhipha izitho zomzimba ukuvimbela ukusabalala kokutheleleka. Iqembu lakho lezokwelapha lizohlala lizifuna ukulondoloza isicubu esiphilile ngangokunokwenzeka.

Q4: Ungasinda yini ukuqothuka kwenyama?

Yebo, abantu abaningi basinda ekuqothukeni kwenyama ngokwelashwa kwezokwelapha okusheshayo nokufanele. Amanani okusinda aphezulu kakhulu lapho ukwelashwa kuqala ngokushesha, ngaphambi kokuba ukutheleleka kusabalale emzimbeni wonke. Ukuqothuka kwenyama okubangelwa yigesi kunomphumela omubi kakhulu, kodwa ngisho nalolu hlobo lungaphathwa ngempumelelo uma lutholwa ngokushesha.

Q5: Ukuqothuka kwenyama kunuka kanjani?

Ukuqothuka kwenyama okunamafutha nokuqothuka kwenyama okubangelwa yigesi ngokuvamile kukhiqiza iphunga elibi, elinamandla elithi ngokuvamile lichazwe njengolimanzi futhi libolile. Ukuqothuka kwenyama okumomileyo ngokuvamile akunaphunga elibi. Noma yiliphi iphunga elibi, elihlala njalo elivela esiqubeni kufanele likhuthaze ukuhlolwa kwezokwelapha ngokushesha, njengoba lokhu ngokuvamile kubonisa ukutheleleka ngamabhaktheriya.