Ukuhlushwa Kwenhliziyo: Izimpawu, Izimbangela, Nokwelashwa

Ukuhlushwa kwenhliziyo kwenzeka lapho imisipha yenhliziyo yakho ingatholi igazi elinamanzi oksijini elanele ukusebenza kahle. Cabanga ngakho njengomsuka wemisipha yenhliziyo yakho uhlala “elambile” oksijini elidingekayo ukuze liqhumbe kahle.

Lokhu kwenzeka lapho imithambo yegazi ehambisa igazi enhliziyweni yakho ihlushwa noma ivinjelwe. Nakuba kungase kuzwakale kukhulunywa ngokwesaba, ukuqonda ukuthi kwenzekani kungakusiza ukuthi uqaphele izimpawu bese uthatha izinyathelo ezifanele zokuvikela impilo yenhliziyo yakho.

Ukuhlushwa Kwenhliziyo Kuyini?

Ukuhlushwa kwenhliziyo kuyisimo lapho ingxenye yemisipha yenhliziyo yakho ithola ukusabalala kwegazi okuncane kunalokho elikudingayo. Igama elithi "myocardial" libhekisela emisipha yenhliziyo yakho, kuyilapho igama elithi "ischemia" lisho ukusabalala kwegazi okuncane.

Inhliziyo yakho ngumsuka osebenza usuku lonke, futhi njenganoma yimuphi umsuka osebenza kanzima, udinga ukusabalala okumi oksijini nezondlo. Lapho imithambo yegazi ehambisa igazi enhliziyweni yakho ihlushwa noma ivinjelwe, izindawo ezithile zemisipha yenhliziyo yakho zingase zingatholi lokho elikudingayo ukusebenza kahle.

Lokhu kusabalala kwegazi okuncane kungenzeka kancane kancane ngokuhamba kwesikhathi noma ngokuzumayo ngezikhathi zokufuna okukhulu. Inhliziyo yakho ingase isaqhuma, kodwa isebenza kanzima ngaphandle kokudla okwanele.

Ziyini Izimpawu Zokuhlushwa Kwenhliziyo?

Abantu abaningi abane-ischemia yenhliziyo baye baba nokungakhululeki esifubeni, kodwa izimpawu zingase zihluke kakhulu umuntu nomuntu. Abanye abantu baqaphela izimpawu zokuqala ezicacile, kuyilapho abanye bengase babe nezimpawu ezincane kakhulu noma bangabi nazo nhlobo.

Izimpawu ezivamile ongazihlangabezana nazo zihlanganisa:

• Ubuhlungu noma ukucindezela esifubeni okungase kuzwakale njengokucindezela, ukukhulu, noma ukushisa
• Ubuhlungu obuya ehlombe, engalweni, entanyeni, emaxwini, noma emuva
• Ukuphefumula okufushane, ikakhulukazi ngesikhathi somsebenzi womzimba
• Ukukhathala okubonakala kungavamile noma okukhulu kunokujwayelekile
• Ukuphefumula noma ukukhanya kwekhanda
• Ukubila ngaphandle kwesizathu esicacile
• Ukushushumbisa kwenhliziyo noma ukushaya kwenhliziyo okungavamile

Kubalulekile ukwazi ukuthi abanye abantu, ikakhulukazi abesifazane, abadala, nabantu abanesifo sikashukela, bangase babe nalokho odokotela abakubiza ngokuthi "ischemia ethule." Lokhu kusho ukuthi isimo sikho kodwa alibangeli izimpawu ezibonakalayo, okwenza ukuhlolwa njalo kube yigugu nakakhulu.

Ziyini Izinhlobo Zokuhlushwa Kwenhliziyo?

Ukuhlushwa kwenhliziyo ngokuvamile kuwela ezinhlotsheni ezimbili eziyinhloko kuye ngokuthi kwenzeka nini nokuthi kwenzeka kanjani. Ukuqonda lezi zinhlobo kungakusiza ukuthi uqonde kangcono ukuthi kwenzekani enhliziyweni yakho.

I-ischemia eqinile ngokuvamile iyenzeka ngesikhathi somsebenzi womzimba noma ukucindezeleka ngokomzwelo lapho inhliziyo yakho idinga oksijini oluningi. Izimpawu ngokuvamile zilandela iphethini ebingakanani futhi ngokuvamile ziphucuka ngokuphumula noma ngemithi. Lolu hlobo luthuthuka kancane kancane njengoba imithambo yegazi ihlushwa ngokuhamba kwesikhathi.

I-ischemia engaqinile ayinakubikezelwa futhi ingase iyenzeke ngisho nalapho uphumula. Lolu hlobo lungase lubonise ukuthi i-blood clot iyenza noma ukuthi umthambo wegazi uvinjelwe kakhulu. I-ischemia engaqinile idinga ukunakekelwa kwezokwelapha ngokushesha njengoba ingase ihole ekuguleni kwenhliziyo.

Kukhona futhi uhlobo olungavamile oluthi vasospastic ischemia, lapho imithambo yegazi yenhliziyo icindezela noma ihlushwa okwesikhashana, iyancipha ukusabalala kwegazi ngisho nalapho imithambo yegazi ingavinjelwe kakhulu yi-plaque.

Yini Ebangela Ukuhlushwa Kwenhliziyo?

Imbangela evamile kakhulu yokuhlushwa kwenhliziyo yisifo semithambo yegazi yenhliziyo, lapho amafutha abizwa ngokuthi i-plaque akha ngaphakathi kwemithambo yegazi yenhliziyo yakho. Ngemuva kwesikhathi, lezi zinto zingase zihluze imithambo yegazi futhi zinciphisa ukusabalala kwegazi emisipha yenhliziyo yakho.

Izinto eziningi zingase zifake isandla ekukhuleni kwalesi simo:

• I-Atherosclerosis (ukuqina nokuhlushwa kwemithambo yegazi ngenxa yokwakheka kwe-plaque)
• Ama-blood clots akha futhi avikele imithambo yegazi esesihluzwe
• Ukucindezela kwemithambo yegazi yenhliziyo, lapho imisipha yomthambo yegazi icindezela ngokuzumayo
• I-anemia enzima, eyancipha amandla egazi lakho okuthwala oksijini
• Ukungaphili kahle kwegazi okungakwazi ukususa igazi ngokuphumelelayo ngemithambo yegazi ehlushwe
• Izinkinga zokushushumbisa kwenhliziyo eziqeda ukuthi inhliziyo yakho iqhuma kanjani

Ngokungavamile, izimo ezinjengokwahlukana kwemithambo yegazi yenhliziyo (ukubhebhetheka odongeni lomthambo wegazi) noma ukuvuvukala kwemithambo yegazi yenhliziyo kungase futhi kube yimbangela yokuhlushwa kwenhliziyo. Ngezinye izikhathi, ukucindezeleka okukhulu ngokomzimba noma ngokomzwelo kungase kubangele ukuhlushwa kwenhliziyo kubantu abasenesimo senhliziyo.

Nini Okufanele Ubone Udokotela Ngokuhlushwa Kwenhliziyo?

Kufanele ufuna ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nobuhlungu esifubeni, ikakhulukazi uma kunzima, kuhlala isikhathi esingaphezu kwemizuzu embalwa, noma kuza nezinye izimpawu ezinkulu. Ungalindi ukubona uma kuyahamba ngokwalo.

Shaya izinsiza eziphuthumayo ngokushesha uma une:

• Ubuhlungu esifubeni noma ukucindezela okunzima okungaphucuki ngokuphumula
• Ukungakhululeki esifubeni okuhambisana nokuphefumula okufushane, ukubila, ukuphefumula, noma ukukhanya kwekhanda
• Ubuhlungu obuya emaxwini, ehlombe, engalweni, noma emuva
• Izimpawu ezintsha, eziba zimbi, noma ezihlukile kunesiko lakho

Ngisho noma izimpawu zakho zibonakala zingenamandla noma ziye ziye, kufanele ukuxoxe nazo nodokotela wakho. Ukutholakala kwangaphambi kwesikhathi nokwelashwa kungavimbela izinkinga ezinzima futhi kusize ukuvikela impilo yenhliziyo yakho isikhathi eside.

Ziyini Izinto Ezingase Zikubangele Ukuhlushwa Kwenhliziyo?

Ukuqonda izinto ezingase zikubangele kungakusiza ukuthi uthathe izinyathelo zokuvikela impilo yenhliziyo yakho. Ezinye izinto awukwazi ukuzishintsha, kuyilapho ezinye zilawulwa wena.

Izinto ezingase zikubangele ongenakuzishintsha zihlanganisa:

• Ubudala (ingozi iyanda ngokwanda kobudala, ikakhulukazi ngemuva kweminyaka engama-45 kubantu besilisa kanye neminyaka engama-55 kubantu besifazane)
• Ubulili (abesilisa banengozi enkulu eminyakeni ebancane, ingozi yabesifazane iyanda ngemuva kokuphela kwesikhathi sokuba nenyanga)
• Umlando womndeni wesifo senhliziyo
• Ukuhlaselwa kwenhliziyo okudlule noma izinqubo zenhliziyo

Izinto ezingase zikubangele ongazithinta zihlanganisa:

• Ukungaphili kahle kwegazi
• Amazinga aphezulu e-cholesterol
• I-Diabetes noma i-prediabetes
• Ukubhema noma ukukhishwa kukabhema
• Ukukhulu noma ukukhulu
• Ukungahambi komzimba
• Ukucindezeleka okungapheli
• Ukudla okungaphili kahle okunamafutha amaningi, amafutha e-trans, kanye nensipho

Izindaba ezinhle ukuthi ngisho nezinguquko ezincane ezintweni ezingase zikubangele ongazithinta zingenza umehluko omkhulu empilweni yenhliziyo yakho ngokuhamba kwesikhathi.

Ziyini Izinkinga Ezingase Zenzeke Ngokuhlushwa Kwenhliziyo?

Nakuba ukuhlushwa kwenhliziyo kulashwa, kubalulekile ukuqonda izinkinga ezingase zenzeke ukuze ukwazi ukusebenza neqembu lakho lezempilo ukuze uzivimbele. Izinkinga eziningi zingagwenywa ngokwelashwa okufanele kanye nokuzishintsha kwesitayela sokuphila.

Izinkinga ezinkulu kakhulu ezingase zenzeke zihlanganisa:

• Ukuhlaselwa kwenhliziyo (myocardial infarction), lapho ukusabalala kwegazi kuvinjelwe ngokuphelele
• Izinkinga zokushushumbisa kwenhliziyo (arrhythmias) ezingase zibe yingozi ekuphileni
• Ukwehluleka kwenhliziyo, lapho inhliziyo yakho ingasakwazi ukuqhumisa igazi ngokuphumelelayo
• Ukufa kwenhliziyo ngokuzumayo ezimweni ezinzima

Izinkinga ezingathi sína kodwa ezibalulekile zingase zihlanganise:

• Ubuhlungu esifubeni obuhlala njalo obubekela imingcele imisebenzi yakho yansuku zonke
• Ukunciphisa ukukhuthazeka komzimba nokukhathala
• Ukukhathazeka noma ukucindezeleka okuhlobene nezinkinga zenhliziyo

Khumbula ukuthi ngokunakekelwa kwezokwelapha okufanele, ukuzishintsha kwesitayela sokuphila, kanye ngezinye izikhathi imithi, abantu abaningi abane-ischemia yenhliziyo baphila impilo egcwele, esebenzayo ngenkathi baphatha kahle isimo sabo.

Ukuhlushwa Kwenhliziyo Kungavikeleka Kanjani?

Indlela engcono kakhulu yokuvimbela ukuhlushwa kwenhliziyo ihilela ukunakekela impilo yakho yonke yemisipha yenhliziyo. Izinyathelo eziningi ezifanayo ezithuthukisa impilo jikelele zinganciphisa kakhulu ingozi yakho yokuthuthukisa lesi simo.

Izindlela zokuphila ezempilo yenhliziyo ezingasiza ekuvimbeleni i-ischemia zihlanganisa:

• Ukudla ukudla okuqondile okunama-fruits, imifino, ukudla okugcwele, namaprotheni ahlanzekile
• Ukulinganisela amafutha amaningi, amafutha e-trans, kanye nensipho
• Ukuthola umsebenzi womzimba njalo (qondise okungenani imizuzu engama-150 yomsebenzi womzimba ophakathi nsuku zonke)
• Ukugcina isisindo esinempilo
• Ukungabhemi nokuqeda ukukhishwa kukabhema
• Ukulawula ukucindezeleka ngezindlela zokuphumula, imisebenzi, noma ukwelashwa
• Ukuthola ukulala okwanele, okunekhwalithi

Ukusebenza nodokotela wakho ukuze ulawule ezinye izimo zempilo kubalulekile ngokulinganayo. Lokhu kusho ukugcina ukucindezeleka kwegazi, i-cholesterol, kanye namazinga eshukela egazini ezilinganisweni ezempilo ngokushintsha kwesitayela sokuphila kanye nemithi uma kudingeka.

Ukuhlolwa njalo kuvumela udokotela wakho ukuba alandelele impilo yenhliziyo yakho futhi abambe noma yiziphi izimpawu zokuqala ngaphambi kokuba zibe yizinkinga ezinzima.

Ukuhlushwa Kwenhliziyo Kuhlolwa Kanjani?

Ukuhlola ukuhlushwa kwenhliziyo ngokuvamile kuqala ngodokotela wakho olalela izimpawu zakho nomlando wakho wezokwelapha. Bayofuna ukuqonda ukuthi izimpawu zakho zenzeka nini, yini ezibangela, nokuthi zikuthinta kanjani impilo yakho yansuku zonke.

Umhlinzeki wakho wezokunakekelwa kwezempilo cishe uzoqala ngokuhlolwa komzimba kanye nokuhlolwa okuyisisekelo. I-electrocardiogram (EKG) ingabonisa umsebenzi womgogodla wenhliziyo yakho futhi iveze izimpawu zokuhlushwa kwenhliziyo noma ukonakala kwenhliziyo okudlule.

Ukuhlolwa okwengeziwe udokotela wakho angase akukhuthaze kuhlanganisa:

• Ukuhlolwa kokucindezeleka, lapho inhliziyo yakho ilandelwa ngesikhathi somsebenzi womzimba noma ngemithi efana nomsebenzi womzimba
• I-Echocardiogram, i-ultrasound ebonisa ukuthi umsuka wenhliziyo yakho uqhuma kangcono kanjani
• Ukuhlolwa kwegazi ukuhlola izimpawu zokonakala kwenhliziyo noma izinto ezingase zikubangele
• I-X-ray yesifuba ukubuka inhliziyo nemiphunga yakho

Ezimweni ezithile, ukubuka izithombe okuningiliziwe kungase kudingeke, njenge-cardiac catheterization (angiogram) ukubona ngqo imithambo yegazi yenhliziyo yakho, noma i-CT noma i-MRI scans eziqhutshwe kakhulu ukuze uthole izithombe eziningiliziwe zenhliziyo yakho.

Ukwelashwa Kokuhlushwa Kwenhliziyo Kuyini?

Ukwelashwa kokuhlushwa kwenhliziyo kugxila ekuthuthukiseni ukusabalala kwegazi emisipha yenhliziyo yakho nokunciphisa umsebenzi wenhliziyo yakho. Iqembu lakho lezempilo lizokwakha uhlelo oluqondene nezidingo zakho kuye ngokuthi isimo sakho sinzima kangakanani kanye nempilo yakho yonke.

Imithi ngokuvamile iyisisekelo sokwelashwa futhi ingase ihlanganise:

• I-Aspirin noma ezinye izinto ezinciphisa igazi ukuvimbela ama-clots
• Ama-Beta-blockers ukuze anciphise isilinganiso senhliziyo yakho futhi anciphise ukucindezeleka kwegazi
• Ama-ACE inhibitors noma ama-ARBs ukusiza ukuphumula imithambo yegazi
• Ama-Statins ukunciphisa i-cholesterol nokunciphisa i-plaque
• I-Nitroglycerin ukuze kuphephe ubuhlungu esifubeni
• Ama-Calcium channel blockers ukusiza ukuphumula imithambo yegazi yenhliziyo

Ezimeni ezinzima, izinqubo zingase zidingeke ukubuyisela ukusabalala kwegazi. Lokhu kungase kuhlanganise i-angioplasty, lapho ibhaluni encane ivula umthambo wegazi ovinjelwe futhi i-stent ibekwe ukuyigcina ivuliwe, noma ukucutshulwa, lapho ochwepheshe abenza izindlela ezintsha ezizungezile imithambo yegazi ehlushwe.

Umgomo wanoma iyiphi indlela yokwelapha ukunciphisa izimpawu, ukuvimbela izinkinga, nokukusiza ugcine impilo esebenzayo, egcwele.

Ungazinakekela Kanjani Ekhaya Ngesikhathi Sokuhlushwa Kwenhliziyo?

Ukulawula ukuhlushwa kwenhliziyo ekhaya kuhilela ukwenza izinqumo ezempilo yenhliziyo zibe yingxenye yomkhuba wakho wansuku zonke. Ukuzishintsha okuncane, okuqhubekayo kungaba nomthelela omkhulu endleleni ozizwa ngayo nasemvelweni yakho yenhliziyo isikhathi eside.

Izindlela zokunakekela kwansuku zonke ezingasiza zihlanganisa:

• Ukuthatha imithi yakho ngokuqondile njengoba kuyalelwe, ngisho nalapho uzizwa kahle
• Ukulandelela izimpawu zakho nokugcina idayari yokuqala lapho zenzeka khona
• Ukuhlala usebenza ngomsebenzi womzimba olula, oluvamile njengoba kuvunyelwe udokotela wakho
• Ukudla ukudla okunempilo yenhliziyo okunama-fruits, imifino, kanye nokudla okugcwele
• Ukulawula ukucindezeleka ngokuphefumula okujulile, ukucamngca, noma imisebenzi oyithandayo
• Ukuthola ukulala okwanele nokugcina isimiso sokulala esiqondile

Kusiza futhi ukwazi imingcele yakho nokukhawulela ngosuku lonke. Uma imisebenzi ethile ibangele izimpawu, ungazishintsha noma uthathe amabheki uma kudingeka.

Gcina i-nitroglycerin yakho noma ezinye izidakamizwa zokutakula zifinyeleleka kalula, futhi uqinisekise ukuthi amalungu omndeni wakho ayazi ukuthi angakusiza kanjani uma izimpawu zenzeka. Ukuba neqembu lokusebenza kunika wena nabathandekayo bakho ukuzethemba ekulawuleni isimo sakho.

Kufanele Uzilungiselele Kanjani Ukuya Kudockotela?

Ukulungiselela ukuya kwakho kungakusiza ukuba wenze kakhulu isikhathi sakho nomhlinzeki wakho wezokunakekelwa kwezempilo. Ukufika uhlanganyele ngolwazi nemibuzo kuqinisekisa ukuthi uthola izimpendulo nokukhathalelwa okudingayo.

Ngaphambi kokuya kwakho, buthana nolwazi olubalulekile njengolu:

• Uhlu lwemithi yakho yonke yamanje, kuhlanganise nezinga
• Imininingwane mayelana nezimpawu zakho (lapho zenzeka khona, yini ezibangela, isikhathi eside esichitha)
• Umlando womndeni wesifo senhliziyo
• Noma yimiphi imiphumela yokuhlolwa yakamuva noma amarekhodi ezempilo
• Imibuzo ofuna ukuyibuza udokotela wakho

Cabanga ukuletha ilungu lomndeni othembekile noma umngani ongakusiza ukuba ukhumbule ulwazi olubalulekile oluxoxwe ngesikhathi sokuya kwakho. Ngezinye izikhathi kusiza ukuba kube nezinye izindlebe, ikakhulukazi lapho uthola ulwazi oluningi olusha.

Bhala phansi imibuzo yakho ebaluleke kakhulu ngaphambi kwesikhathi ukuze ungayikhohlwa ngesikhathi sokuya kwakho. Umhlinzeki wakho wezokunakekelwa kwezempilo ufuna ukukusiza ukuthi uqonde isimo sakho futhi uzizwe ukhululekile ekulawuleni.

Iyini Iphuzu Eliyinhloko Mayelana Nokuhlushwa Kwenhliziyo?

Ukuhlushwa kwenhliziyo kuyisimo esilawuleka uma uqonda futhi usebenze eduze neqembu lakho lezempilo. Nakuba kudinga ukunakekelwa kanye nokuzishintsha kwesitayela sokuphila, abantu abaningi abanesimo esinjalo baqhubeka bephila impilo esebenzayo, egcwele.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukuqaphela kwangaphambi kwesikhathi nokwelashwa kungenza umehluko omkhulu emiphumeleni yakho. Ungaziphikisi izimpawu ezingase zibe nobudlelwane nenhliziyo yakho, futhi ungangabazi ukufuna ukunakekelwa kwezokwelapha uma ukhathazekile.

Impilo yenhliziyo yakho ikakhulukazi isesandleni sakho ngezinqumo zansuku zonke ozithathayo mayelana nokudla, umsebenzi womzimba, ukulawula ukucindezeleka, nokulandela uhlelo lwakho lokwelashwa. Izinyathelo ezincane, eziqhubekayo eziya empilweni engcono yenhliziyo zingase ziholele ekuthuthukiseni okukhulu endleleni ozizwa ngayo nasekubikezelweni kwakho isikhathi eside.

Khumbula ukuthi iqembu lakho lezempilo lilapho ukukusekela kuzo zonke izinyathelo. Ngokunakekelwa kwezokwelapha okufanele kanye nokuzimisela kwakho ekuphileni okunempilo yenhliziyo, ungaphatha kahle ukuhlushwa kwenhliziyo futhi uvikele inhliziyo yakho iminyaka eminingi ezayo.

Imibuzo Evame Ukubuzwa Mayelana Nokuhlushwa Kwenhliziyo

Ingabe ukuhlushwa kwenhliziyo kungaphulukiswa noma kuphelelwe ngokuphelele?

Nakuba ukuhlushwa kwenhliziyo ngokuvamile kungenakuphelelwa ngokuphelele, kungase kulawulwe kahle futhi ngezinye izikhathi kuthuthukiswe kakhulu. Ngokwelashwa okufanele, ukuzishintsha kwesitayela sokuphila, kanye nezinqubo zezokwelapha uma kudingeka, abantu abaningi babona izimpawu zabo zinciphisa kakhulu noma ziyaphela.

Umgomo ukusebenza neqembu lakho lezempilo ukuthola ukuxuba okufanele kokwelashwa kwesimo sakho esithile. Abanye abantu babona ukuthuthuka okumangalisayo emsebenzini wenhliziyo yabo nekhwalithi yempilo ngokunakekelwa okuphelele.

Ingabe kuphephile ukwenza umsebenzi womzimba uma nginawo ukuhlushwa kwenhliziyo?

Ukuzivocavoca ngokuvamile kuwusizo kubantu abane-ischemia yenhliziyo, kodwa kufanele kwenziwe ngaphansi kokunakekelwa kwezokwelapha. Udokotela wakho angakusiza ukuthola ukuthi yiziphi izinhlobo nokuqina komsebenzi womzimba kuphephile kwesimo sakho esithile.

Abantu abaningi bathola ukuthi ukuzivocavoca okuvamile, okuphakathi nendawo empeleni kusiza ukuthuthukisa izimpawu zabo ngokuhamba kwesikhathi ngokuqinisa inhliziyo yabo nokwenza ukusabalala kwegazi kube ngcono. Izinhlelo zokuvuselelwa kwenhliziyo zingakunikeza umsebenzi womzimba ophephile, oqondiswe oqondene nezidingo zakho.

Ingabe ngizodingeka ngithathe imithi yenhliziyo impilo yami yonke?

Isikhathi sokwelashwa ngemithi sihluka kakhulu umuntu nomuntu. Abanye abantu bangase badinge imithi yesikhathi eside ukuze baqede isimo sabo futhi bavimbele izinkinga, kuyilapho abanye bengase bakwazi ukunciphisa noma ukushintsha imithi yabo ngokuhamba kwesikhathi.

Lokhu kuncike ezintweni ezinjengokuthi isimo sakho sinzima kangakanani, ukuthi uphendula kanjani ekwelapheni, kanye nempilo yakho yonke yenhliziyo. Udokotela wakho uzobuyekeza imithi yakho njalo futhi ayishintshe njengoba kudingeka kuye ngokuthuthuka kwakho.

Ingabe ukucindezeleka kungenza ukuhlushwa kwenhliziyo kube zimbi?

Yebo, kokubili ukucindezeleka ngokomzwelo nangokomzimba kungase kubangele ukuhlushwa kwenhliziyo kubantu abathile. Ukucindezeleka kubangela inhliziyo yakho ukuba isebenze kanzima futhi kungase kukhulise ukucindezeleka kwegazi kanye nesilinganiso senhliziyo okwesikhashana.

Ukufunda izindlela ezempilo zokuqeda ukucindezeleka ngezindlela zokuphumula, ukuzivocavoca okuvamile, ukulala okwanele, kanye ngezinye izikhathi ukwelashwa kungaba yingxenye ebalulekile yokuqeda isimo sakho. Abantu abaningi bathola ukuthi ukuqeda ukucindezeleka okungcono kuholela ezimpawu ezincane.

Ngingazi kanjani ukuthi isimo sami siyambi noma siyaphucuka?

Iqembu lakho lezempilo lizolandelela isimo sakho ngokuhlolwa okuvamile, ukuhlolwa, nokulandelwa kwezimpawu zakho. Ungasiza ngokugcina irekhodi lapho izimpawu zenzeka khona, yini ezibangela, nokuthi ziphendula kanjani ekwelapheni.

Ngokuvamile, ukuthuthuka kungase kuhlanganise ukuba nezimo ezincane zokuhlungu esifubeni, ukwazi ukwenza imisebenzi eminingi ngaphandle kwezimpawu, nokuzizwa unempilo ngokwengeziwe. Udokotela wakho uzothola ukuhlolwa okuhlukahlukene ukuze alinganise ngokucacile ukuthi inhliziyo yakho isebenza kanjani nokuthi uhlelo lwakho lokwelashwa lusebenza kahle.