Ubukhulu Bekushona Kwegazi? Izimpawu, Izimbangela, Nokwelapha

Ukushona kwegazi, okubizwa nangokuthi i-hypotension, kwenzeka uma ukucindezeleka kwegazi kwakho kwehla kunemazinga ajwayelekile. Nakuba ukucindezeleka kwegazi okuphezulu kuqaphela kakhulu, ukuba nokucindezeleka kwegazi okuphansi kakhulu kungathinta indlela ozizwa ngayo nokuthi usebenza kanjani usuku lonke.

Ukucindezeleka kwegazi kwakho kubhekwa njengokuphakathi uma kufunda ngaphansi kuka-90/60 mmHg. Cabanga ngokucindezeleka kwegazi njengamandla igazi lakho alibeka odongeni lwe-artery yakho njengoba inhliziyo yakho ipompa. Uma lokhu kucindezeleka kwehla kakhulu, amangqamuzana akho angase angatholi ukugcwala kwegazi okwanele ukusebenza kahle.

Ziyini izimpawu zokushona kwegazi?

Abantu abaningi abanokushona kwegazi bazizwa bephilile ngokuphelele futhi abaziboni izimpawu. Kodwa-ke, uma izimpawu zivele, ngokuvamile zenzeka ngoba ubuchopho bakho namanye amangqamuzana awatholi ukugcwala kwegazi okwanele.

Nazi izimpawu ezivamile ongazihlangabezana nazo:

• Ukudideka noma ukuzwa sengathi uya kuwela, ikakhulukazi uma ukuma
• Ukuzwa sengathi uya kuwela noma ukuwa ngempela
• Ukukhathala okubonakala kuhlala usuku lonke
• Ukuphefumula okusheshayo, okungajulile
• Ukubona okuphazamisekile okuza nokuhamba
• Ubunzima bokuqonda noma ukuzwa sengathi ingqondo yakho iphazamisekile
• Isikhumba esibandayo, esimanzi

Ezimweni ezingavamile, ukushona kwegazi okukhulu kakhulu kungabangela izimpawu ezinzima kakhulu. Lezi zihlanganisa ukudideka, i-pulse ebuthakathaka, isikhumba esiguqula ubuhlaza okwesibhakabhaka noma esimhlophe, kanye nokubetha kwenhliziyo okusheshayo. Uma uhlangabezana nalezi zimpawu, kubalulekile ukufuna usizo lwezokwelapha ngokushesha.

Into ebalulekile okumele uyikhumbule ukuthi izimpawu zivame ukuncika ukuthi ukucindezeleka kwegazi kwakho kwehla ngokushesha kangakanani nokuthi umzimba wakho uziqondisa kanjani izinguquko.

Ziyini izinhlobo zokushona kwegazi?

Ukushona kwegazi akuyona nje isimo esisodwa. Empeleni kunezinhlobo eziningi ezahlukene, ngayinye inezindlela zayo nezici eziyibangela.

Uhlobo oluvamile kakhulu yi-orthostatic hypotension, eyenzeka uma ukuma ngokushesha kakhulu. Ukucindezeleka kwegazi kwakho kwehla ngokushesha, kukwenze uzizwe udideke noma uzama ukuwela. Lokhu kwenzeka ngoba umzimba wakho udinga isikhashana sokulungisa ukugcwala kwegazi uma ushintsha izikhundla.

Olunye uhlobo yi-postprandial hypotension, eyenzeka ngemva kokudla. Ukucindezeleka kwegazi kwakho kungase kwehle njengoba umzimba wakho uqondisa ukugcwala kwegazi ukuze usize ekwelapheni. Lolu hlobo luvame kakhulu kubantu abadala.

I-Neural-mediated hypotension ayivamile kodwa ingakhathaza kakhulu. Kwenzeka uma ubuchopho bakho nenhliziyo yakho zingakhulumisani kahle, ngokuvamile kubangelwa ukuthi uqonde isikhathi eside noma ukucindezeleka komzwelo.

Abanye abantu banokushona kwegazi okungapheli okuhlala kuphakathi ngaphandle kokubangela izinkinga. Lokhu ngokuvamile nje indlela umzimba wabo osebenza ngayo ngokwemvelo, futhi ngokuvamile akuyona into ephazamisayo.

Yini ebangela ukushona kwegazi?

Ukushona kwegazi kungathuthukiswa ngezizathu eziningi ezahlukene, kusukela ezintweni zansuku zonke kuya ezimweni zezokwelapha eziyisisekelo. Ukuqonda ukuthi yini engase ibe yimbangela yakho kungakusiza wena nodokotela wakho ukuthola indlela engcono kakhulu yokuphatha.

Izimbangela zansuku zonke ezivamile zihlanganisa:

• Ukuphelelwa amanzi ngokungaphuzi amanzi anele
• Ukulala ebethe isikhathi eside noma ukungasebenzi komzimba
• Ukukhulelwa, ikakhulukazi phakathi kwamasonto angu-24 okuqala
• Ukulahlekelwa igazi ngenxa yokulimala noma ukuhlinzwa
• Ukutheleleka okukhulu okuthinta umzimba wakho wonke
• Ukuvezwa ekushiseni okukhulu

Imithi ingase iphansi ukucindezeleka kwegazi kwakho, ngezinye izikhathi ngaphezu kwalokho okulindelekile. Imithi yokucindezeleka kwegazi, amaphilisi amanzi, imithi yokucindezeleka, kanye nemithi yesifo se-Parkinson iyizimbangela ezivamile.

Izimo eziningi zezokwelapha zingabangela ukushona kwegazi futhi. Izinkinga zenhliziyo ezifana nokusha komzimba, isifo se-valve yenhliziyo, noma izinga eliphansi kakhulu lenhliziyo zinganciphisa ikhono lenhliziyo yakho lokupompa. I-Endocrine disorders efana nesifo sikashukela, ukungasebenzi kwe-adrenal, noma izinkinga ze-thyroid zingathinta nokulungiswa kokucindezeleka kwegazi.

Ezimweni ezingavamile, ukusabela okukhulu kokungezwani, izimo ezithile ze-neurological, noma ukushoda kokudla okunjengokuntuleka kwe-vitamin B12 noma i-folate kungase kube nomthelela ekushoneni kwegazi. Lezi zimo ngokuvamile zihambisana nezinye izimpawu ezisiza odokotela ukuthi baqonde imbangela eyiyisisekelo.

Nini okumele ubheke udokotela ngokushona kwegazi?

Kufanele ucabange ukuya kudokotela uma izimpawu zokushona kwegazi zithinta impilo yakho yansuku zonke noma uma ukhathazekile ngezinguquko endleleni ozizwa ngayo. Akuwona wonke umuntu onokushona kwegazi ofuna ukwelashwa, kodwa kufanele uhlolwe uma izimpawu zikukhathaza.

Funa usizo lwezokwelapha uma uhlangabezana nokudideka okuvamile, ukuwela, noma ukukhathala okuhlupha imisebenzi yakho evamile. Lezi zimpawu zingase zibonise ukuthi amangqamuzana akho awatholi ukugcwala kwegazi okwanele.

Shaya ucingo ucele usizo oluphuthumayo uma unezimpawu zokushona kwegazi okukhulu kakhulu. Lezi zihlanganisa ukudideka, isikhumba esibandayo nesimanzi, ukuphefumula okusheshayo okungajulile, i-pulse ebuthakathaka, noma isikhumba esibonakala sihlaza okwesibhakabhaka noma esimhlophe kakhulu. Lezi zimpawu zibonisa ukuthi umzimba wakho awutholi ukugcwala kwegazi okwanele.

Kuhlakaniphe futhi ukubona udokotela wakho uma uthatha imithi bese uqaphela izimpawu ezintsha zokushona kwegazi. Ngezinye izikhathi izilinganiso zemithi kudingeka zilungiswe, noma ungase udinga indlela ehlukile yokwelashwa kwakho.

Ziyini izici ezingaholela ekushoneni kwegazi?

Izici ezithile zingakwenza kube lula ukuthuthukisa ukushona kwegazi, nakuba ukuba nalezi zici ezingaholela ekushoneni akusho ukuthi uzoba nezinhlungu ngokuqinisekile. Ukuqonda ingozi yakho kungakusiza uhlale uqaphele izimpawu ezingaba khona.

Ubudala buthatha indima ngezindlela ezahlukene. Abantu abadala banesibopho esikhulu se-orthostatic hypotension ne-postprandial hypotension ngoba imithambo yabo yegazi nenhliziyo ingase ingaphenduli ngokushesha ekuchithweni. Kodwa-ke, i-neural-mediated hypotension ivame kakhulu kubantwana nabantu abadala abasebancane.

Izimo eziningi zezempilo zikhuphula ingozi yakho:

• Isifo sikashukela nezinye i-endocrine disorders
• Izimo zenhliziyo ezifana nokungasebenzi kahle kwenhliziyo noma izinkinga ze-valve yenhliziyo
• Izimo ze-neurological ezifana nesifo se-Parkinson
• Ukulala ebethe isikhathi eside noma ukungakwazi ukuhamba
• Ukukhulelwa
• Ukutheleleka okukhulu noma ukulahlekelwa igazi

Imithi ethile nezinto zingase zikhuphule ingozi yakho. Lezi zihlanganisa imithi yokucindezeleka kwegazi, amaphilisi amanzi, ezinye imithi yokucindezeleka, imithi yesifo se-Parkinson, kanye ne-alcohol.

Ezimweni ezingavamile, izici ze-genetic zingase zenza abanye abantu babe lula ezinye izinhlobo zokushona kwegazi, nakuba lokhu kungavamile. Izimo eziningi zithuthukiswa ngenxa yezinye izimo zezempilo noma izici zokuphila kunokuthi i-genetics kuphela.

Ziyini izinhlupheko ezingaba khona zokushona kwegazi?

Nakuba ukushona kwegazi ngokuvamile kungabi yingozi kune-high blood pressure, kusengabangela izinhlupheko uma kunzima noma kuhlala isikhathi eside. Ukukhathazeka okuyinhloko ukuthi amangqamuzana akho angase angatholi ukugcwala kwegazi okwanele ukusebenza kahle.

Ukuwa nokulimala kuyizingozi eziqondile kakhulu, ikakhulukazi uma uhlangabezana nokudideka okungazelelwe noma ukuwela. Uma ukucindezeleka kwegazi kwehla ngokushesha, ungase ulahlekelwe isikhundla noma uqaphele, okungabangela ukuwela okungozi.

Ubuchopho bakho buqaphela kakhulu ekuchithweni kokugcwala kwegazi. Ukushona kwegazi okungapheli kungase kuthonye ukugxila kwakho, ukukhumbula, noma ukuqonda kwakho kwengqondo. Abanye abantu baqaphela ukuthi bazizwa bephazamisekile noma banezinkinga zokugxila uma ukucindezeleka kwabo kwegazi kuphansi njalo.

Izinhlupheko zenhliziyo zingathuthukiswa kwezinye izimo. Uma ukucindezeleka kwegazi kuphansi kakhulu, inhliziyo yakho ingase isebenze nzima ukupompa igazi, okungenzeka kube nomthelela ezingxabanweni zenhliziyo noma kwezinye izinkinga zenhliziyo ngokuhamba kwesikhathi.

Ezimweni ezingavamile kodwa ezinzima, ukushona kwegazi okukhulu kakhulu kungabangela i-shock. Lokhu yisimo esiyingozi kakhulu lapho amangqamuzana akho angatholi ukugcwala kwegazi okwanele ukusebenza. Izimpawu zihlanganisa ukudideka, ukubetha kwenhliziyo okusheshayo, isikhumba esibandayo, kanye nokukhipha umchamo omncane kakhulu. Lokhu kudinga ukunakekelwa kwezokwelapha okuphuthumayo ngokushesha.

Izindaba ezinhle ukuthi abantu abaningi abanokushona kwegazi abathuthukisi izinhlupheko ezinzima, ikakhulukazi ngokuphathwa kahle nokubhekwa.

Ungakugwema kanjani ukushona kwegazi?

Nakuba ungakwazi ukugwema zonke izimbangela zokushona kwegazi, kunezinyathelo eziningi ongazithatha ukuze unciphise ingozi yakho futhi uphathe izimpawu uma zivele. Izindlela eziningi zalezi zindlela zigxile ekusekeleni ukulungiswa kokucindezeleka kwegazi komzimba wakho ngokwemvelo.

Ukuba nempilo enhle yamanzi enye yezinto ezibaluleke kakhulu ongayenza. Phuza amanzi amaningi usuku lonke, ikakhulukazi uma sekushisa noma uma usebenza. Ukuphelelwa amanzi kuyimbangela evamile futhi elula yokugwema ukushona kwegazi.

Qaphela izinguquko zesikhundla, ikakhulukazi ukuvuka ekuhlaleni noma ukulala. Vuka kancane bese unika umzimba wakho isikhathi sokuqondisa. Ungazama futhi ukugoba imisipha yemilenze yakho noma uqambe imilenze yakho ngaphambi kokuma ukuze usize ukukhulisa ukugcwala kwegazi.

Ukudla kwakho kungasiza futhi. Ukudla ukudla okuncane, okuvamile kungase kuvimbele i-postprandial hypotension. Abanye abantu bazuza ngokwengeza usawoti oluthile ekudleni kwabo, nakuba kufanele uxoxe nodokotela wakho kuqala.

Ukuzivocavoca okuvamile, okulula kungathuthukisa ukugcwala kwegazi futhi kusize umzimba wakho ulungise ukucindezeleka kwegazi ngokuphumelelayo. Imisebenzi efana nokuhamba, ukubhukuda, noma ukuqina okulula kungaba usizo kakhulu.

Uma uthatha imithi, sebenzisana eduze nodokotela wakho ukuze uqaphele ukuthi ithonya kanjani ukucindezeleka kwegazi kwakho. Ngezinye izikhathi ukulungiswa kwesikhathi noma izinguquko zezinga kungasiza ukuvimbela ukwehla okungathandeki kokucindezeleka kwegazi.

Ukushona kwegazi kuhlonzwa kanjani?

Ukuhlonzwa kokushona kwegazi kuqala ngokulinganisa ukucindezeleka kwegazi kwakho, kodwa udokotela wakho uzofuna ukuqonda isithombe esikhulu sezimpawu zakho nomlando wakho wezempilo. Inqubo ngokuvamile ilula futhi ayibuhlungu.

Udokotela wakho uzolinganisa ukucindezeleka kwegazi kwakho izikhathi eziningi futhi ezindaweni ezahlukene. Bangase bahlole uma ulele, uhlezi, futhi uqonde ukuze babone ukuthi kuguquka kanjani. Lokhu kusiza ekuqondeni i-orthostatic hypotension.

Izivivinyo zegazi zingaveza izimbangela eziyisisekelo ezifana ne-anemia, izinkinga zeshukela egazini, noma ukungalingani kwamahomoni. Udokotela wakho angase ahlole inani eliphelele legazi lakho, amazinga eshukela egazini, umsebenzi we-thyroid, kanye nezinye izibonakaliso kuye ngezimpawu zakho.

I-electrocardiogram (ECG) irekhoda umsebenzi wama-elekthrikhi wenhliziyo yakho futhi ingase ithole izinkinga zokubetha kwenhliziyo noma ezinye izinkinga zenhliziyo ezingase zithinte ukucindezeleka kwegazi. Lo mviwo ushesha futhi awubuhlungu nhlobo.

Ngezinye izikhathi udokotela wakho angase ancomele ukuhlolwa okwengeziwe. I-echocardiogram isebenzisa amaza omsindo ukwenza izithombe zenhliziyo yakho, ikusiza ukuthi uqonde izinkinga zesakhiwo. I-tilt table test ingase isetshenziswe uma unezimo zokuwela okuvamile.

Ezimweni ezingavamile lapho izimbangela ze-neurological zithathwa njengokukhathazeka, udokotela wakho angase ancomele ukuhlolwa okukhethekile okwengeziwe noma akuqondise esazi ukuze kwenziwe ukuhlolwa okwengeziwe.

Ukuphathwa kokushona kwegazi kuyini?

Ukuphathwa kokushona kwegazi kuncika kulokho okubangelayo nokuthi kuthinta kangakanani impilo yakho yansuku zonke. Abantu abaningi abanokushona kwegazi abadingi ukwelashwa nhlobo, ikakhulukazi uma abanawo ama-bothersome symptoms.

Uma isimo esiyisisekelo sibangela ukushona kwegazi kwakho, ukwelapha leso simo ngokuvamile kusiza. Isibonelo, uma imithi iyimbangela, udokotela wakho angase alungise inani lakho noma akuqondise kwenye imithi.

Izinqubo zokuphila ngokuvamile yilona lokuqala lokwelapha futhi zingasebenza kakhulu. Lezi zihlanganisa ukuphuza amanzi amaningi, ukudla ukudla okuncane, ukugqoka i-compression stockings, nokushintsha izikhundla kancane.

Uma izinguquko zokuphila azanele, imithi ingasiza. I-Fludrocortisone isize umzimba wakho ugcine usawoti namanzi amaningi, okungase kukhuphule ukucindezeleka kwegazi. I-Midodrine iqinisa imithambo yegazi ukuze ikhuphule ukucindezeleka.

Ezimweni ezinzima, ezinye imithi efana ne-droxidopa noma i-pyridostigmine ingase icatshangelwe. Lezi ngokuvamile zigcinelwe abantu abanempawu ezinkulu ezingaphenduli kwezinye izindlela zokwelapha.

Ezimweni eziphuthumayo ezinkulu lapho ukucindezeleka kwegazi kwehla kakhulu, ukwelashwa kwezokwelapha ngokushesha ngamanzi noma imithi kungase kudingeke. Lokhu ngokuvamile kwenzeka ezibhedlela lapho ungabhekwa khona eduze.

Indlela yokuphatha ukushona kwegazi ekhaya?

Ukuphatha ukushona kwegazi ekhaya ngokuvamile kuhilela ukulungiswa okulula kokuphila okungenza umehluko wangempela endleleni ozizwa ngayo. Lezi zindlela zigxile ekusekeleni ikhono lomzimba wakho lokugcina ukucindezeleka kwegazi oluphilile.

Qala usuku lwakho kancane futhi ugweme ukuhamba okungazelelwe. Uma uvuka, hlala eceleni kombhede wakho okumzuzwana ngaphambi kokuma. Lokhu kunika uhlelo lwakho lokugcwala kwegazi isikhathi sokuqondisa ekuchithweni kwesikhundla.

Hlala unempilo enhle yamanzi usuku lonke ngokuphuza amanzi njalo. Hlose izigqoko ezingaba ngu-8 zamanzi nsuku zonke, okuningi uma usebenza noma uma sekushisa. Gwema utshwala olukhulu, olunganciphisa ukucindezeleka kwegazi nakakhulu.

Cabanga ngesikhathi sakho sokudla nosayizi. Ukudla ukudla okuncane, okuvamile kungasiza ukuvimbela ukwehla kokucindezeleka kwegazi ngemva kokudla. Abanye abantu bathola ukuthi ukuba nesidlo esincane ngaphambi kokuma ngemva kokudla kusiza futhi.

I-Compression stockings ingasiza, ikakhulukazi uma uchitha isikhathi eside uqonde. Zisiza ekuthuthukiseni ukugcwala kwegazi okuvela emilenzeni yakho kuya enhliziyweni yakho. Udokotela wakho angakuncoma uhlobo olufanele kanye nezinga lokucindezela olufanele kuwe.

Gcina uqaphele izimpawu zakho nokuthi yini ezibangela. Lolu lwazi lungakusiza wena nodokotela wakho ukuqonda izindlela nokulungisa uhlelo lwakho lokuphatha njengoba kudingeka.

Kufanele ulungiselele kanjani i-appointment yakho yedokotela?

Ukulungiselela i-appointment yakho yedokotela kungakusiza ukuthola okuningi kakhulu ekuhambeleni kwakho futhi kuqinisekise ukuthi udokotela wakho uneyonke imininingwane edingekayo ukukusiza. Ukuzilungiselela kancane kuhamba ibanga elide.

Gcina idayari yezimpawu amasonto ambalwa ngaphambi kwe-appointment yakho. Qaphela ukuthi izimpawu zivele nini, ukuthi ubenzeni, nokuthi zazinzima kangakanani. Lokhu kusiza udokotela wakho ukuqonda izindlela nezici.

Yenza uhlu lwayo yonke imithi kanye nezinhlanganisela ozithathayo, kuhlanganise nezinto ezithengiswa ngaphandle kwesikripthi. Faka izilinganiso nesikhathi, njengoba konke lokhu kungase kuthonye ukucindezeleka kwegazi. Letha amabhodlela angezelwe uma kungenzeka.

Bhala imibuzo yakho ngaphambi kwe-appointment ukuze ungakhohlwa ukuyibuza. Imibono evamile ingase ihlanganise ukubuza ngezinguquko zokuphila, ukulungiswa kwemithi, noma nini okumele ukhathazeke ngezimpawu.

Uma kungenzeka, linganisa ukucindezeleka kwegazi kwakho ekhaya usebenzisa i-monitor ethembekile bese uletha lezo zilinganiso nawe. Lokhu kunika udokotela wakho isithombe esingcono sezindlela zakho ezivamile zokucindezeleka kwegazi.

Lungiselela umlando omfushane wezokwelapha kuhlanganise noma yiziphi izifo zakamuva, ukulimala, noma izinguquko empilweni yakho. Khipha futhi noma yimuphi umlando womndeni wezinkinga zenhliziyo noma izinkinga zokucindezeleka kwegazi.

Iyini into ebalulekile ngokushona kwegazi?

Ukushona kwegazi ngokuvamile akukhathazeki kakhulu kune-high blood pressure, kodwa kusengase kuthonye ikhwalithi yempilo yakho uma kubangela izimpawu ezikukhathazayo. Okubalulekile ukuqonda ukuthi akuwona wonke umuntu onokushona kwegazi ofuna ukwelashwa.

Abantu abaningi bangaphatha ukushona kwegazi ngokuphumelelayo ngezinguquko ezilula zokuphila njengokuhlala unempilo enhle yamanzi, ukuhamba kancane uma ushintsha izikhundla, nokudla ukudla okulinganiselwe. Lezi zindlela ziphephile, zisebenza, futhi kulula ukuzisebenzisa.

Kubalulekile ukusebenzisana nodokotela wakho ukuze ubone ukuthi ukushona kwegazi kwakho kudinga ukunakekelwa. Bangakusiza ukuqonda noma yiziphi izimbangela eziyisisekelo futhi bancome indlela engcono kakhulu yesimo sakho esithile.

Khumbula ukuthi ukuba nokushona kwegazi akusho ngokuzenzakalelayo ukuthi unezinkinga ezinkulu zezempilo. Abantu abaningi baphila impilo enempilo ngokuphelele ngokucindezeleka kwegazi okuphansi ngokwemvelo. Umgomo ukukusiza uzizwe kangcono ngenkathi uhlala uphephile.

Imibuzo evamile ebuzwa ngokushona kwegazi

Ingabe ukushona kwegazi kuyingozi?

Ukushona kwegazi ngokuvamile akuyona into eyingozi, ikakhulukazi uma ungenawo ama-symptoms. Kodwa-ke, kungase kukhathaze uma kubangela ukudideka okuvamile, ukuwela, noma kuthonye imisebenzi yakho yansuku zonke. Ukushona kwegazi okukhulu okubangela i-shock kuyisimo esiphuthumayo sezokwelapha, kodwa lokhu kuyinto engavamile.

Ingabe ukushona kwegazi kungabangela ukukhathala?

Yebo, ukushona kwegazi kungabangela ukukhathala ngoba amangqamuzana akho, kuhlanganise nobuchopho bakho, angase angatholi ukugcwala kwegazi okwanele ukusebenza kahle. Lokhu kungakushiya uzizwa ukhathele, ubuthakathaka, noma ingqondo yakho iphazamisekile usuku lonke.

Kufanele ngidle ini uma nginokushona kwegazi?

Gxila ekuhlaleni unempilo enhle yamanzi futhi cabanga ngokwandisa kancane ukudla kwakho kusawoti uma udokotela wakho evuma. Dlala ukudla okuncane, okuvamile ukuvimbela ukwehla kokucindezeleka kwegazi ngemva kokudla. Ukudla okunama-vitamin B12 ne-folate kungasiza futhi uma unezinto ezikushoda.

Ingabe ukuphelelwa amanzi kungabangela ukushona kwegazi?

Ngempela. Ukuphelelwa amanzi enye yezimbangela ezivamile zokushona kwegazi ngoba inani legazi lakho lincipha uma ungenawo amanzi anele. Kungakho kubalulekile ukuba nempilo enhle yamanzi ukuze ugcine ukucindezeleka kwegazi oluphilile.

Kufanele ngiyeke ukuthatha imithi yami yokucindezeleka kwegazi uma ukucindezeleka kwami kwehla kakhulu?

Ungalokothi uyeke ukuthatha imithi ebhaliwe ngaphandle kokukhuluma nodokotela wakho kuqala. Uma uhlangabezana nezimpawu zokushona kwegazi ngenkathi uthatha imithi, xhumana nodokotela wakho. Bangase badinge ukulungisa inani lakho noma bashintshe imithi yakho, kodwa lokhu kufanele kwenziwe ngaphansi kokunakekelwa kwezokwelapha.