Ukuqina Kwegazi Ekhondeni? Izimpawu, Izimbangela, Nokwelapha

Ukuqina kwegazi ekhondeni kuyinqubo lapho igazi liqokelela khona ngaphakathi ekhanda lakho, ngokuvamile ngemva kokulimaza ikhanda. Cabanga ngakho njengokuphuza igazi okwenzeka phakathi kwengqondo yakho namaqabunga avikela, noma ngezinye izikhathi ngaphakathi kwenyama yengqondo ngokwayo.

Lokhu kwenzeka lapho imithambo yegazi ekuqondweni noma eduze kwayo iyaklebhula noma iphuka, okubangela ukuthi igazi liqokelele ezindaweni lapho lingafanele khona. Igazi elibanjwe lingase libeke ingcindezi enyameni yengqondo yakho, kungakho ukunakekelwa kwesikhathi esifanele kokudingekayo.

Ziyini izimpawu zokuqina kwegazi ekhondeni?

Izimpawu zingase zihluke kakhulu kuye ngokuthi ukuphuza igazi kwenzeka kuphi nokuthi igazi liqokelela ngokushesha kangakanani. Abanye abantu baphawula izimpawu ngokushesha, kanti abanye bangase bangabi nazinkinga amahora noma izinsuku ngemva kokulimaza.

Nazi izimpawu ezivame kakhulu ongazihlangabezana nazo:

• Izinhlungu zikhanda ezinzima eziya zibuhlungu ngokuhamba kwesikhathi
• Ukuphefumula nomkhuhlane
• Ukudideka noma ukukhuluphala
• Ukulala noma ukulahlekelwa yikwazi
• Ubuthakathaka ohlangothini olulodwa lomzimba wakho
• Izinkinga zokukhuluma noma amazwi ahlanzekile
• Ukushintsha kokubona noma ukubona okungacaci
• Ukuhlanza
• Ukulahlekelwa ukuxhumanisa noma ibhalansi

Okwenza lesi simo sikhathazeke kakhulu ukuthi izimpawu zingase zivele kancane kancane. Ungase uzizwe ukhulu ngemva kokulimaza ikhanda, bese uthola izinkinga amahora noma izinsuku kamuva njengoba ingcindezi iqina ekuqondweni kwakho.

Ziyini izinhlobo zokuqina kwegazi ekhondeni?

Kunezinhlobo ezintathu eziyinhloko zokuqina kwegazi ekhondeni, futhi zihlelwe ngokuthi ukuphuza igazi kwenzeka kuphi kuqhathaniswa namaqabunga avikela ekuqondweni kwakho.

Uhlobo ngalunye lunezimpawu ezahlukene nezinhlelo zesikhathi zokuthuthukiswa kwesimpawu:

Ukuqina Kwegazi Okungaphandle

Lolu hlobo luvela phakathi kwesigqoko sakho ne-membrane engaphandle eqinile ehlanganisa ingqondo yakho ebizwa nge-dura mater. Kuvame ukwenzeka lapho ukuphuka kwesigqoko kuqhekeza umthambo wegazi, ikakhulukazi endaweni yethambo.

Ukuqina kwegazi okungaphandle kunzima ngokukhethekile ngoba ungase uhlangabezane nalokho odokotela abakubiza ngokuthi “isikhathi esicacile.” Lokhu kusho ukuthi ungase ulahlekelwe yikwazi okwesikhashana, bese uvuka uzizwa ukhulu, kuphela ukuwohloka ngokushesha njengoba igazi liqokelela.

Ukuqina Kwegazi Okungaphakathi

Ukuqina kwegazi okungaphakathi kuthuthukiswa phakathi kwe-dura mater nengqondo ngokwayo. Lezi zingaba ezibukhali (ezithuthukiswa ngamahora), ezingapheli (ezithuthukiswa ngezinsuku), noma ezinde (ezithuthukiswa ngamaviki noma izinyanga).

Ukuqina kwegazi okungaphakathi okude kuvame kakhulu kubantu abadala ngoba ukunciphisa kwengqondo ehlobene nobudala kungenza imithambo yegazi ibe buthakathaka kakhulu ekuqhekekeni, ngisho nangokulimaza okuncane.

Ukuqina Kwegazi Ekuqondweni

Lolu hlobo luhilela ukuphuza igazi ngqo enyameni yengqondo yakho. Kungase kubangelwe ukulimala okulimaza noma kwenzeke ngokungazelele ngenxa yezimo ezinjengengcindezi yegazi ephakeme noma ukungaqondakali kwemithambo yegazi.

Ukuqina kwegazi ekuqondweni ngokuvamile kubangela izimpawu ngokushesha ngoba ukuphuza igazi kulimaza ngqo inyama yengqondo futhi kudala ingcindezi ngaphakathi kwengqondo ngokwayo.

Yini ebangela ukuqina kwegazi ekhondeni?

Ukuqina kwegazi okuningi ekhondeni kubangelwa ukulimala ekhanda, kodwa imbangela ethile ingase ihluke kuye ngohlobo nesimo sakho somuntu siqu.

Izimbangela ezivame kakhulu zihlanganisa:

• Izingozi zezimoto
• Ukuwa, ikakhulukazi kubantu abadala nabantwana abancinyane
• Ukulimala okuhlobene nezemidlalo
• Ukuhlaselwa ngokomzimba noma ubudlova
• Izingozi zezithuthuthu noma izibajwe

Kodwa-ke, ukuqina kwegazi okunye kungase kwenzeke ngaphandle kokulimaza okubonakalayo, ikakhulukazi kwezinye izigaba zabantu. Abantu abadala bangase bathuthukise ukuqina kwegazi okungaphakathi ngenxa yokushaya okuncane ngoba ingqondo yabo icinyile ngokwemvelo ngokweminyaka, okwenza imithambo yegazi ibe buthakathaka kakhulu.

Izimbangela ezingavamile kodwa eziqakathekile zihlanganisa:

• Imithambo yegazi ephukile ekuqondweni
• Ukungaqondakali kwemithambo yegazi (ukuxhumana okungaqondakali kwemithambo yegazi)
• Izifo zokugqwala igazi
• Imithi yokuncipha kwegazi
• Ukuqina kwegazi ekuqondweni
• Engcindezi yegazi ephakeme kakhulu

Uma uthatha imithi yokuncipha kwegazi njenge-warfarin noma i-aspirin, ngisho nokwenzakala okuncane ekhanda kungase kube yimbangela yokuphuza igazi okukhulu ngoba igazi lakho alihlanganisi kahle njengokujwayelekile.

Nini okufanele ubona udokotela ngokuqina kwegazi ekhondeni?

Kufanele ufuna ukunakekelwa kwesikhathi esifanele kwezokwelapha uma wena noma othile owaziyo enelimele ikhanda futhi uthola izimpawu ezinkulu. Ungalindi ukubona ukuthi izimpawu ziyaqina yini ngokwazo.

Shaya u-911 noma uye endlini yokwelapha ngokushesha uma uhlangabezana nalezi:

• Ukulahlekelwa yikwazi, ngisho nakwesikhashana
• Izinhlungu zikhanda ezinzima noma eziya zibuhlungu
• Ukuphefumula okuphindaphindayo
• Ukudideka noma ukungazi
• Ukuhlanza
• Ubuthakathaka noma ukungabi namandla ohlangothini olulodwa lomzimba
• Ukukhuluphala ekukhulumeni noma ekuqondeni ukukhuluma
• Izinkinga zobono
• Ukukhuluphala ekuhlaleni uphapheme

Khumbula ukuthi izimpawu zingase zithuthuke kancane kancane ngamahora noma izinsuku. Ngisho noma uzizwe ukhulu ngokushesha ngemva kokulimaza ikhanda, hlala uqaphile noma yikuphi ukushintsha endleleni ozizwa ngayo noma usebenza ngayo.

Kubalulekile futhi ukufuna ukunakekelwa kwezokwelapha uma ungumuntu omdala owile futhi ushayile ikhanda, ngisho noma ukushaya kubonakala kuncane. Ukushintsha okuhlobene nobudala kukwenza ube sengozini yokuphuza igazi okubambezelelekile.

Ziyini izinto ezingase zikwenze ube sengozini yokuqina kwegazi ekhondeni?

Izinto ezithile zingase zikwenze ube sengozini yokuqina kwegazi ekhondeni noma zikwenze ube sengozini yokulimala okukhulu uma kwenzeka.

Izinto ezingase zikwenze ube sengozini ezihlobene nobudala zihlanganisa ukuba mncane kakhulu noma ukhulu kunama-65. Izingane ezincane nezingane ezincane zinezigqoko ezincinyi futhi zithuthukisa ingqondo, kanti abantu abadala baneengqondo ezinciphile ngokwemvelo ezingenza imithambo yegazi ibe lula ekuqhekekeni.

Ezinye izinto ezingase zikwenze ube sengozini zihlanganisa:

• Ukuthatha imithi yokuncipha kwegazi njenge-warfarin, i-heparin, noma i-aspirin
• Ukuba nezifo zokugqwala igazi njenge-hemophilia
• Ukusebenzisa utshwala njalo, okungase kuthonye ukugqwala igazi
• Ukulimala ekhanda ngaphambili noma ukuhlinzwa kwengqondo
• Ukuhlanganyela emisebenzini engozi noma imidlalo yokuxhumana
• Engcindezi yegazi ephakeme engalawulwa kahle
• Ukungaqondakali kwemithambo yegazi ekuqondweni

Uma unezinye zalezi zinto ezingase zikwenze ube sengozini, kubalulekile kakhulu ukuthatha izinyathelo zokuvikela ukulimala ekhanda nokufuna ukunakekelwa kwesikhathi esifanele kwezokwelapha uma ushaya ikhanda.

Ziyini izinkinga ezingase zenzeke ngokuqina kwegazi ekhondeni?

Ukuqina kwegazi ekhondeni kungase kube yimbangela yezinkinga ezinzima uma kungelaphi ngokushesha, ikakhulukazi ngoba igazi eliqokelelayo libeke ingcindezi enyameni yengqondo yakho.

Ukukhathazeka okukhulu kakhulu kungukwanda kwengcindezi ekuqondweni, okungase kuqinisise izakhiwo eziqakathekile zengqondo futhi kuphazamise ukusebenza okujwayelekile kwengqondo. Le ngcindezi ingase iholele ekuqhekekeni kwengqondo, lapho izingxenye zengqondo zishintsha futhi ziqinisise ezinye izindawo ezibalulekile.

Izinkinga ezivamile zihlanganisa:

• Ukulimala okungapheli kwengqondo okuthonya inkumbulo, ukukhuluma, noma ukunyakaza
• Izifo zokuhlanza ezingase zidinga imithi yesikhathi eside
• Ukuqina noma ubuthakathaka ohlangothini olulodwa lomzimba
• Ukukhuluphala ekukhulumeni naselimi
• Izinkinga zobono noma ubuthakathaka
• Ukukhuluphala kwengqondo okuthonya ukucabanga nenkumbulo
• Ukushintsha komuntu noma izinkinga zokuziphatha
• I-Coma noma isimo esingapheli sokungaqondakali

Ezimweni ezingavamile, ikakhulukazi ngokuqina kwegazi okukhulu noma ukwelashwa okubambezelelekile, ukuqina kwegazi ekuqondweni kungase kube yingozi ekuphileni. Ukubaluleka kwezinkinga ngokuvamile kuncike ebukhoneni nendawo yokuqina kwegazi, ukuthi kuthuthuke ngokushesha kangakanani, nokuthi ukwelashwa kuqalile nini.

Kodwa-ke, ngokubona okusheshayo nokwelashwa okufanele, abantu abaningi bangase baphile kahle ngokuqina kwegazi ekuqondweni, ikakhulukazi lawo amancane atholakala ngokushesha.

Ukuqina kwegazi ekuqondweni kungavikeleka kanjani?

Nakuba ungakwazi ukuvimbela wonke ukulimala ekhanda, unganciphisa kakhulu ingozi yokuqina kwegazi ekuqondweni ngokuthatha izinyathelo zokuphepha ezivamile emisebenzini yakho yansuku zonke.

Izindlela zokuvikela ezisebenza kakhulu zigxile ekuqedeni ukulimala ekhanda kuqala:

• Gqoka ibhulukwe njalo lapho uqhuba noma uhamba ngemoto
• Sebenzisa izivikelo ezifanele lapho ugibele ibhayisikili, imoto, noma udlala imidlalo yokuxhumana
• Yenza ikhaya lakho libe liphephile ngokukhipha izinto ezingase zikwenze ukhubeke futhi uthuthukise ukukhanya
• Faka izinto zokubamba emakamelweni okugeza nezinto zokubamba ezitebhini
• Gwema ukusebenzisa utshwala ngokweqile, okwandisa ingozi yokuwa
• Gcina ingcindezi yegazi yakho ilawulwa kahle uma une-hypertension
• Landela imiyalo yodokotela wakho ngokucophelela uma uthatha imithi yokuncipha kwegazi

Kubantu abadala, ukuvimbela ukuwa kubaluleke kakhulu. Lokhu kungase kuhlanganise ukuhlolwa njalo kobono nokuzwa, ukubuyekezwa kwemithi engase ibe yimbangela yokukhungatheka, nokuhlala usebenza ngokomzimba ukuze ugcine ibhalansi namandla.

Uma uhlanganyela emidlalweni noma emisebenzini yokuzilibazisa enengozi yokulimala ekhanda, qiniseka ukuthi usebenzisa izinto zokuphepha ezifanele futhi ulandela imiyalo yokuphepha.

Ukuqina kwegazi ekuqondweni kuxilongwa kanjani?

Ukuxilonga ukuqina kwegazi ekuqondweni ngokuvamile kuqala ngodokotela wakho ebuza ngezimpawu zakho nanoma yikuphi ukulimala ekhanda kwamuva, ngisho nakuncane. Bayohlanza futhi uhlolo lwezonyango ukuze bahlole isimo sakho sengqondo, izinto eziphendula, nokusebenza kwengqondo.

Indlela ethembekile kakhulu yokuxilonga ukuqina kwegazi ekuqondweni yiyona yokuhlola izithombe zengqondo. Udokotela wakho cishe uzokwenza olunye noma ngaphezulu kwalolu hlolo:

• I-CT (computed tomography) scan - uhlolo oluvamile lokuqala ngoba lishesha futhi lutholakala kalula emagumbini okuphuthumayo
• I-MRI (magnetic resonance imaging) - inikeza izithombe ezinemininingwane eminingi futhi ingase ithole ukuphuza igazi okuncane
• I-CT angiography - isebenzisa umbala wokuphambana ukuhlola imithambo yegazi uma imbangela ye-vascular ithandwa

I-CT scans isebenza kakhulu ezimweni eziphuthumayo ngoba ingase ibonise ngokushesha ukuba khona, ubukhulu, nendawo yokuphuza igazi. Izithombe zisiza iqembu lakho lezokwelapha ukunquma indlela engcono kakhulu yokwelapha.

Kwezinye izimo, udokotela wakho angase futhi enze izivivinyo zegazi ukuze ahlole ukusebenza kwakho kokugqwala igazi, ikakhulukazi uma uthatha imithi yokuncipha kwegazi noma une-bleeding disorder.

Yikuphi ukwelashwa kokuqina kwegazi ekuqondweni?

Ukwelashwa kokuqina kwegazi ekuqondweni kuncike ezintweni eziningi, kufaka phakathi ubukhulu nendawo yokuphuza igazi, ukuthi kuthuthuke ngokushesha kangakanani, kanye nezimpawu zakho jikelele.

Ukuqina kwegazi okuncane okungabangeli ingcindezi enkulu kungase kulawulwe ngokunakekelwa okucophelelayo esibhedlela. Iqembu lakho lezokwelapha lizohlola noma yikuphi ukushintsha ezimpawu zakho futhi liphinde lihlolwe izithombe ukuze liqinisekise ukuthi ukuphuza igazi akuyi lutho.

Ukwelashwa ngokuhlinzwa kuyadingeka ngokuqina kwegazi okukhulu noma lapho izimpawu zibonisa ukwakheka kwengcindezi engozi:

• I-Craniotomy - ukuvula ingxenye yesigqoko ukuze ukhiphe ukuqina kwegazi ngqo
• Ukuqhekeza umgodi wokopha - ukubhoboza imigodi emincane esigqokweni ukuze kususwe ukugcwala kwezinto ezincelisayo
• I-Craniectomy - ukususa ingxenye yesigqoko okwesikhashana ukuze kunciphise ingcindezi

Ukukhetha uhlobo lokuhlinzwa kuncike ohlotsheni nendawo yokuqina kwegazi kwakho. Ukuqina kwegazi okungaphandle ngokuvamile kudinga ukuhlinzwa okuphuthumayo ngoba kungase kuthuthuke ngokushesha futhi kube yimbangela yengcindezi eyingozi ekuphileni.

Ukwelashwa okwengeziwe kungase kuhlanganise imithi yokulawula ukugcwala kwengqondo, ukuvimbela ukuhlanza, noma ukulawula ingcindezi yegazi. Uma uthatha imithi yokuncipha kwegazi, udokotela wakho angase adinge ukubuyisela imiphumela yayo ukuze ayeke ukuphuza igazi okuqhubekayo.

Indlela yokuphatha ukubuyela ekhaya ngemva kokwelashwa?

Ukubuyela ekuphileni okujwayelekile ngemva kokuqina kwegazi ekuqondweni ngokuvamile kuyinqubo ehamba kancane edinga isineke nokunakekela ngokucophelela izibonakaliso zomzimba wakho. Iqembu lakho lezokwelapha lizonikeza imiyalo ethile ngokususelwa esimweni sakho somuntu siqu.

Phakathi nesikhathi sakho sokubuyela ekuphileni okujwayelekile, kuzodingeka uthathe izinto kancane futhi ugweme imisebenzi engase ibe yingozi yokulimala okunye ekhanda:

• Phumula njengoba umzimba wakho udinga, kufaka phakathi ukulala okwanele
• Gwema ukuqhuba kuze kube yilapho udokotela ekukhulule
• Gwema utshwala neziyobisi zokuzilibazisa, ezingase zihlanganise nokubuyela ekuphileni okujwayelekile
• Thatha imithi ngokuqondile njengoba kuyalelwe
• Buyela kancane emisebenzini ejwayelekile njengoba kuvunyelwe yiqembu lakho lezokwelapha
• Hlanganyela kuyo yonke imiqhudelwano yokulandelela nokwenza izithombe

Qaphela izibonakaliso zezixwayiso ezingase zibonise izinkinga, njengezinhlungu zikhanda eziya zibuhlungu, ukudideka okwandayo, ubuthakathaka obusha, noma ukuhlanza. Uma noma yikuphi kwalokhu kuvela, xhumana nodokotela wakho ngokushesha noma ubuyele endlini yokwelapha.

Abantu abaningi bazuza ezinsizweni zokubuyela ekuphileni okujwayelekile phakathi kokubuyela ekuphileni okujwayelekile, kufaka phakathi ukuqeqeshwa komzimba, ukuqeqeshwa komsebenzi, noma ukuqeqeshwa kokukhuluma, kuye ngokuthi yiziphi izisebenzi zengqondo ezazihlazwe.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho yodokotela?

Uma ubona udokotela ngokuqina okungenzeka kwegazi ekuqondweni noma ngokunakekelwa kokulandelela, ukulungiselela kahle kungasiza ukuqinisekisa ukuthi uthola okuningi kakhulu ekuhambeni kwakho.

Ngaphambi kwe-aphoyintimenti yakho, bhala ulwazi oluqakathekile mayelana nezimpawu zakho nomlando wakho wezokwelapha:

• Nini nokuthi ukulimala ekhanda kwenzeke kanjani
• Inkulumo eningiliziwe yezimpawu zakho nokuthi zaqala nini
• Yonke imithi oyithathayo njengamanje, kufaka phakathi imithi yokuthengwa ngaphandle kwesikripthi kanye nezinye izinto
• Umbhalo wakho wezokwelapha, ikakhulukazi ukulimala ekhanda ngaphambili noma ukuhlinzwa kwengqondo
• Imibuzo ofuna ukuyibuza udokotela wakho

Letha umuntu nawe uma kungenzeka, ikakhulukazi uma uhlangabezana nezinkinga zenkumbulo noma ukudideka. Bangasiza ukunikeza ulwazi nokukhumbula imininingwane ebalulekile ekuxoxweni kwakho nodokotela.

Ungangabazi ukubuza imibuzo mayelana nokuxilongwa kwakho, izinketho zokwelapha, isikhathi esilindelekile sokubuyela ekuphileni okujwayelekile, nanoma yikuphi ukumisa emisebenzini yakho. Ukuqonda isimo sakho kukusiza ukuthi uhlanganyele ngokusebenzayo ekunakekelweni kwakho.

Iyini into ebalulekile mayelana nokuqina kwegazi ekuqondweni?

Ukuqina kwegazi ekuqondweni kuyizimo zezokwelapha ezinzima ezidinga ukunakekelwa okusheshayo, kodwa ngokwelashwa okufanele, abantu abaningi bangase baphile kahle. Into ebaluleke kakhulu okumele uyikhumbule ukuthi izimpawu zingase zithuthuke kancane kancane ngemva kokulimaza ikhanda, ngakho akufanele uyenqabe izixwayiso ngisho noma uqale uzizwe ukhulu.

Ukuvikela ngezinyathelo zokuphepha njengokugqoka amabhulukwe nezivikelo kunganciphisa kakhulu ingozi yakho. Uma uhlangabezana nokulimala ekhanda, ikakhulukazi uma ukhulu, uthatha imithi yokuncipha kwegazi, noma unezinye izinto ezingase zikwenze ube sengozini, ungangabazi ukufuna ukuhlolwa kwezokwelapha.

Ukubuyela ekuphileni okujwayelekile ngokuvamile kungenzeka ngokwelashwa okufanele, nakuba kungase kudinge isikhathi nokwelashwa. Okubalulekile ukuqaphela izimpawu ngokushesha nokufuna ukunakekelwa kwezokwelapha okudingayo lapho ukudingayo.

Imibuzo evamile ebuzwa mayelana nokuqina kwegazi ekuqondweni

Ungaba nokuqina kwegazi ekuqondweni ngaphandle kokukwazi?

Yebo, ikakhulukazi ngokuqina kwegazi okungaphakathi okude, izimpawu zingase zithuthuke kancane kangangoba zicabangelwa njengokuguga okujwayelekile noma ezinye izimo. Abanye abantu bangase babe nokuphuza igazi okuncane okungabangeli izimpawu ezicacile ngokushesha. Kungakho kubalulekile ukuqapha wena ngemva kokulimaza ikhanda, ngisho noma kubonakala kuncane.

Ngemva kwesikhathi esingakanani sokulimala ekhanda ukuqina kwegazi ekuqondweni kungase kuthuthuke?

Isikhathi sihluka kuye ngohlobo. Ukuqina kwegazi okungaphandle ngokuvamile kuthuthuka ngamahora, kanti ukuqina kwegazi okungaphakathi kungase kuvele izinsuku, amaviki, noma ngisho nezinyanga ngemva kokulimaza. Ukuqina kwegazi okungaphakathi okude kukhathaza kakhulu ngoba izimpawu zingase zingaveli kuze kube amaviki ngemva kokushaya okuncane ekhanda.

Ingabe ukuqina kwegazi ekuqondweni kubangelwa njalo ukulimala?

Cha, nakuba ukulimala kuyimbangela evamile kakhulu, ukuqina kwegazi kungase futhi kubangelwe imithambo yegazi ephukile ngenxa yengcindezi yegazi ephakeme, imithambo yegazi, ukungaqondakali kwemithambo yegazi, noma izifo zokugqwala igazi. Abanye abantu bayithuthukisa ngokungazelele ngaphandle kokulimaza okubonakalayo, ikakhulukazi uma banezinkinga ze-vascular noma bathatha imithi yokuncipha kwegazi.

Uyini umehluko phakathi kokushaya kwengqondo nokuqina kwegazi ekuqondweni?

Ukushaya kwengqondo kuyinqubo yesikhashana yokuphazamiseka kokusebenza kwengqondo ngaphandle kokulimaza kwesakhiwo, kanti ukuqina kwegazi ekuqondweni kuhilela ukuphuza igazi nokuqokelela kwegazi. Ungaba nezimo zombili ngesikhathi esifanayo. Izimpawu zokushaya kwengqondo ngokuvamile ziyaqina ngezinsuku kuya emavikini, kanti izimpawu zokuqina kwegazi ekuqondweni ngokuvamile ziya zibuhlungu ngaphandle kokwelashwa ngenxa yengcindezi eyande.

Ingabe ukuqina kwegazi ekuqondweni kungase kuphile ngokwalo?

Ukuqina kwegazi okuncane ngezinye izikhathi kuya kuqina ngokwemvelo ngokuhamba kwesikhathi, kodwa lokhu kudinga ukunakekelwa kwezokwelapha okucophelelayo. Ukuqina kwegazi okukhulu ngokuvamile kudinga ukwelashwa ngokuhlinzwa ngoba umzimba awukwazi ukususa igazi eliqokelelayo ngokushesha ngokwanele ukuze uvikele ukulimala kwengqondo. Udokotela wakho uzonquma ukuthi ukubuka noma ukwelashwa okusebenzayo kufanele yini ngokususelwa ebukhoneni, indawo, kanye nezimpawu zakho.