Ukuqhuma Kwezulu Okuningi (Polymorphous Light Eruption): Izimpawu, Izimbangela, Nokwelashwa

Ukuqhuma kwezulu okuningi (PLE) kuyisimo esivamile sesikhumba esenzeka lapho isikhumba sakho sidwetshwe ukukhanya kwelanga ngemva kwesikhathi eside singadwetshwanga. Cabanga ngakho njengendlela yesikhumba sakho yokusho ukuthi sidinga isikhathi sokujwayela kabusha imisebe yelanga.

Lesi simo sihlupha abantu abangaba ngu-10-20% emhlabeni jikelele, okwenza kube omunye wemisebenzi evamile yesikhumba ehlobene nelanga. Izindaba ezinhle ukuthi nakuba i-PLE ingase ibe buhlungu futhi ikhathaze lapho ivela okokuqala, ayilimazi futhi ingaphathwa kahle ngendlela efanele.

Iyini i-Polymorphous Light Eruption?

Ukuqhuma kwezulu okuningi kuyisimo sesikhumba sakho esibuye sivela ekukhanyeni okungabonakali (UV) kwelanga. Igama elithi "polymorphous" lisho ukuthi "izinhlobo eziningi" ngoba isikhumba singase sibukeke ngezindlela ezahlukene kumuntu ngamunye futhi sihluke ngisho nakumuntu oyedwa ngokuhamba kwesikhathi.

I-immune system yakho iba nomona ngokweqile ekukhanyeni kwelanga, ikakhulukazi ngemva kwezinyanga zasebusika noma izikhathi lapho ungazange ubonakale elangeni. Uma ukhulisa isikhathi sakho elangeni ngokuzumayo, isikhumba sakho singase siphendule ngesikhumba esivame ukuvela ngamahora kuya ezinsukwini ngemva kokudwetshwa.

Lokhu akuyona into efana nokushisa kwelanga, okwenzeka ngokushesha ngenxa yokudwetshwa okukhulu kwe-UV. Kunalokho, i-PLE iyisisombululo se-immune system esithuthuka kancane kancane, ngokuvamile sibonakala ngamahora angu-6-24 ngemva kokuba ubelangeni.

Ziyini Izimpawu Zokuqhuma Kwezulu Okuningi?

Izimpawu ze-PLE zingase zihluke kakhulu kumuntu ngamunye, kodwa ngokuvamile zivela ezindaweni zesikhumba ezidwetshwe ilanga. Uzovame ukubona isikhumba sivela ngamahora kuya ezinsukwini ezimbalwa ngemva kokudwetshwa ilanga, ikakhulukazi ngezikhathi zakho zokuqala elangeni elikhulu unyaka ngamunye.

Izimpawu ezivamile zihlanganisa:

• Ama-bumps amancane, ashisayo noma ama-blisters esikhumbeni esidwetshwe ilanga
• Izicucu ezibomvu, eziphakamile ezingase zibe shushu uma uzithinta
• Ukusha noma ukubhebhetheka ezindaweni ezihlobene
• Amaqembu ama-bumps amancane angase abukeke njenge-hives
• Ama-spots abomvu, abukhali afana nesikhumba esishisayo
• Izicucu ezicwebezelayo, ezinobukhulu kwezinye izimo

Isikumba sivame ukuvela esifubeni, ezingalweni, emilenzeni, ngezinye izikhathi ebusweni. Ngokuthakazelisayo, izindawo ezithola ukukhanya kwelanga njalo, njengezandla nobuso, ngokuvamile azithinteki kakhulu ngoba seziqine "elangeni."

Ezimeni ezingavamile, abanye abantu bangase babe nezimpawu ezinzima njenge-blisters ezinkulu, ukukhula okukhulu, noma ukufiphaza. Lezi zimpawu zidinga ukunakekelwa kwezokwelapha ngokushesha njengoba zingase zibonise ukusabela okunzima.

Ziyini Izinhlobo Zokuqhuma Kwezulu Okuningi?

Abahlinzeki bezempilo bahlukanisa i-PLE ngokuthi isikhumba sibonakala kanjani esikhumbeni sakho. Ukuqonda lezi zibonakaliso ezahlukene kungakusiza ukuthi uqonde iphethini yakho ethile futhi uxhumane kangcono nodokotela wakho.

Izinhlobo eziyinhloko zihlanganisa:

• Uhlobo lwePapular: Ama-bumps amancane, aphakamileyo azizwa njenge-pimples ezincane
• Uhlobo lweVesicular: Ama-blisters amancane, agcwele uketshezi angase aphule
• Uhlobo lwePlaque: Izicucu ezinkulu, ezibomvu, ezicwebezelayo
• Efana ne-Erythema multiforme: Ama-spots ane-target anezingqimba zemibala ehlukene
• Efana nokukhonjwa yi-Insect: Ama-bumps afana nokukhonjwa yi-mosquito

Abantu abaningi bavame ukuthuthukisa uhlobo olufanayo lwesikhumba njalo lapho behlangana ne-PLE. Noma kunjalo, kungenzeka ukuthi iphethini yakho yesikhumba ishintshe ngokuhamba kwesikhathi noma ube nezinhlobo eziningi ngesikhathi esisodwa.

Ezimeni ezingavamile kakhulu, abanye abantu bathuthukisa uhlobo olukhulu oluthi "actinic prurigo," olungase lube nezinguquko ezijulile zesikhumba nokwenzakala. Leli banga livame kakhulu kubantu abathile futhi lingadinga ukwelashwa okukhethekile.

Yini Ebanga Ukuqhuma Kwezulu Okuningi?

Imbangela eqondile ye-PLE ayiqondakali ngokuphelele, kodwa abacwaningi bakholelwa ukuthi ihilela ukusabela kwe-immune system yakho ezinguqukweni zesikhumba sakho ezingcoliswe ukukhanya kwe-UV. Uma imisebe ye-UV ishaya isikhumba sakho, ingase ishintshe amaprotheni athile, okwenza i-immune system yakho ibona njengabaphangi.

Izici eziningi zifaka isandla ekuthuthukiseni i-PLE:

• Ukushintsha kokudwetshwa kwelanga kwesizini: Isikumba sakho silahlekelwa "ukubekezelela" ekukhanyeni kwe-UV ngezinyanga zasebusika
• Ukushintsha kwamaprotheni esikhumba okubangelwa yi-UV: Ukukhanya kwelanga kuguqula amaprotheni ezicelisini zesikhumba sakho
• Ukuqina kwe-immune system: I-system yokuzikhusela yomzimba yakho iphendula ngokweqile kulezi zinguquko zamaprotheni
• Ukukhethwa kwezakhiwo: Umlando womndeni ukhulisa amathuba akho okuthuthukisa i-PLE
• Uhlobo olukhanyayo lwesikhumba: Abantu abanesikhumba esikhanyayo banesikhumba esibuhlungu

Ngokuthakazelisayo, abantu abaningi abane-PLE bathola ukuthi isikhumba sabo sijwayela ukudwetshwa kwelanga ngokuhamba kwesikhathi ehlobo. Le nqubo, ebizwa ngokuthi "ukuqina," kusho ukuthi izimpawu zakho zivame ukuthuthuka noma ziyaphela njengoba isizini yelanga iqhubeka.

Ezimeni ezingavamile, imithi ethile ingakwenza ube sengozini yokuthuthukisa i-PLE. Lokhu kuhlanganisa amanye ama-antibiotics, ama-diuretics, kanye nemithi yokulwa nokuvuvukala ekhulisa ukuqina kwesikhumba sakho ekukhanyeni kwelanga.

Nini Okufanele Ubheke Udokotela Ngokuqhuma Kwezulu Okuningi?

Nakuba i-PLE ingalimi mali, kunezimo ezithile lapho kufanele ufuna ukunakekelwa kwezokwelapha. Izimo eziningi zingaphathwa ekhaya, kodwa isiqondiso sobungcweti sisiza ukuqinisekisa ukuthi ukuxilongwa nokwelashwa kufanele.

Kufanele uxhumane nodokotela wakho uma:

• Lokhu kuyisikhathi sakho sokuqala sokuhlangana nesikhumba esihlobene nelanga
• Isikumba sibuhlungu kakhulu futhi siyaphazamisa imisebenzi yakho yansuku zonke
• Uthuthukisa ama-blisters amakhulu noma ama-sores avulekile
• Isikumba sisakazeka ezindaweni ezingadwetshwanga ilanga
• Uhlushwa ukufiphaza, ukuthandaza, noma uzizwa ungaphili kahle
• Isikumba asithuthuki ngaphakathi kweviki lokugwema ukudwetshwa kwelanga

Funani ukunakekelwa kwezokwelapha ngokushesha uma uthuthukisa izimpawu zokutheleleka, njengokwanda kobomvu, ukushisa, i-pus, noma ukusakazeka okubomvu esikhumbeni. Lezi zimpawu zingase zibonise ukutheleleka kwe-bacteria okudinga ukwelashwa ngama-antibiotics.

Ngaphezu kwalokho, uma uhlushwa ubunzima bokuqeda, ukukhula okukhulu kobuso noma umlomo, noma uzizwa ukhulu noma uthambile, lezi zingase zibe izimpawu zokuvuvukala okunzima okudingayo ukunakekelwa okusheshayo.

Ziyini Izinto Ezibangela Ukuqhuma Kwezulu Okuningi?

Ukuqonda izinto ezikwenza ube sengozini ye-PLE kungakusiza ukuthi uthathe izinyathelo zokuvikela futhi uqonde ukuthi nini lapho ungase ube sengozini yokuthuthukisa lesi simo. Ezinye izinto ungazilawula, kanti ezinye ziyizici zakho zemvelo.

Izinto eziyinhloko ezikwenza ube sengozini zihlanganisa:

• Isikumba esikhanyayo: Abantu abanesikhumba esikhanyayo banesikhumba esibuhlungu
• Ubulili besifazane: Abesifazane bahlushwa kakhulu kunamadoda
• Iminyaka: Ivame kakhulu kubantu abaneminyaka engu-20-40
• Indawo yendawo: Ukuhlala ezindaweni zaseNyakatho ezinelanga elincane zasebusika
• Umlando womndeni: Ukuba nezihlobo ezine-PLE kukhulisa ingozi yakho
• Ezinye izizwe: Abantu baseMelika abangamaNdiya nabantu baseHispanic babonisa amazinga aphezulu

Izici zokuphila zingase futhi zithinte ingozi yakho. Uma uchitha isikhathi sakho esiningi ngaphakathi ngezinyanga zasebusika bese ukhulisa ukudwetshwa kwelanga entwasahlobo noma ehlobo, kungenzeka kakhulu ukuthi uthuthukise i-PLE.

Ezimeni ezingavamile, ukuba nezimo ze-autoimmune noma ukuthatha imithi ethile ekhulisa i-photosensitivity kungakwenza ube sengozini yokuthuthukisa i-PLE noma izimpendulo ezifanayo ezinzima ekukhanyeni.

Ziyini Izingozi Ezingase Zivele Ngokuqhuma Kwezulu Okuningi?

Izindaba ezinhle ukuthi i-PLE ayivami ukubangela ubunzima obukhulu. Abantu abaningi bahlushwa ukungakhululeki okwesikhashana okuzihlanzayo uma ukudwetshwa kwelanga kuncipha futhi isikhumba siyaphilisa.

Kodwa-ke, ezinye izingozi ezingase zenzeke zihlanganisa:

• Ukutheleleka okubangelwa yi-bacteria: Ukukroba isikhumba esibuhlungu kungafaka ama-bacteria
• Ukushintsha kombala wesikhumba okwesikhashana: Izicucu ezimnyama noma ezicwebezelayo zingase zihlale amasonto
• Ukwenzakala: Ngokuvamile kuncane, kodwa kungenzeka ngokukroba okunzima
• Ukulinganiselwa kokuphila: Ukugwema ukudwetshwa kwelanga kungase kuthonye imisebenzi yangaphandle
• Ukuthinteka ngokomzwelo: Izikhumba eziphindaphindayo zingase zibangele ukukhathazeka ngokudwetshwa kwelanga

Eziningi zalezi zingozi zingavinjelwa ngokunakekelwa okuhle nokugwema ukukroba okukhulu. Ukushintsha kombala wesikhumba ngokuvamile kuya kuphela emavikini ambalwa kuya ezinyangeni.

Ezimeni ezingavamile kakhulu, abantu abane-PLE enzima, ephindaphindayo bangase bathuthukise izinguquko zesikhumba ezingapheli noma ukwanda kokuzwa ekukhanyeni kwangaphakathi. Leli banga lobunzima aluvamile futhi lidinga ukunakekelwa okukhethekile kwe-dermatological.

Ukuqhuma Kwezulu Okuningi Kungavikeleka Kanjani?

Ukuvimbela ngokuvamile kuyindlela ephumelela kakhulu yokuphatha i-PLE. Ikhona ukwakha kancane kancane ukubekezelela kwesikhumba sakho ekukhanyeni kwelanga ngenkathi uzivimbela ekukhanyeni okukhulu kwe-UV.

Nawa amasu okuvimbela aphethayo kakhulu:

• Ukudwetshwa kwelanga kancane kancane: Qala ngamaminithi angu-10-15 elanga nsuku zonke ekuqaleni kwentwasahlobo
• I-sunscreen ebanzi: Sebenzisa i-SPF 30 noma ngaphezulu, efakwe imizuzu engu-30 ngaphambi kokuphuma
• Izingubo zokuvikela: Gqoka izingubo ezinde, ibhulukwe, neziqalo ezinobanzi
• Funani isithunzi: Gwema ilanga elikhulu ngezikhathi eziphezulu (10 AM kuya ku-4 PM)
• Izibuko zelanga: Vikela isikhumba esibuhlungu eduze kwamehlo akho
• I-Phototherapy: Abanye abantu bazuza ekukhanyeni kwe-UV okulawulwayo ngaphambi kwezinkathi zelanga

Indlela yokudwetshwa kancane kancane isebenza kahle ngoba ivumela isikhumba sakho ukuthi sithuthukise ukuvikelwa kwemvelo ngokuhamba kwesikhathi. Cabanga ngakho njengokuqeqesha isikhumba sakho ukuba siphathe ukukhanya kwelanga okukhulu.

Kubantu abane-PLE enzima, odokotela ngezinye izikhathi bancoma ukwelashwa kwe-phototherapy okuvimbelayo ekupheleni kwebusika noma ekuqaleni kwentwasahlobo. Lokhu kudwetshwa okulawulwayo kusiza isikhumba sakho ukuba sakhe ukubekezelela ngaphambi kokuba ukudwetshwa kwelanga kwemvelo kukhule.

Ukuqhuma Kwezulu Okuningi Kuxilongwa Kanjani?

Ukuxilonga i-PLE ngokuvamile kuhilela udokotela wakho ohlola isikhumba sakho futhi afunde ngezimpawu zakho nomlando wokudwetshwa kwelanga. Ayikho i-test eyodwa ebonisa ngokuqondile i-PLE, ngakho-ke umhlinzeki wakho wezokunakekelwa kwezempilo uzohlanganisa izinkomba eziningi.

Udokotela wakho cishe uyokubuza ngalokhu:

• Nini nokuthi isikhumba sivela nini
• Izindlela zakho zakamuva zokudwetshwa kwelanga
• Ingabe lokhu kwenzeka njalo ngemva kokudwetshwa kwelanga
• Imithi oyithathayo
• Umlando womndeni wezimpendulo zesikhumba ezifanayo
• Indlela isikhumba esishintshile ngayo ngokuhamba kwesikhathi

Ezimweni ezithile, udokotela wakho angase enze inqubo ye-phototesting. Lokhu kuhilela ukudwetshwa kwezindawo ezincane zesikhumba sakho ngezilinganiso ezilawulwayo ze-UV light ukubona ukuthi kuphinda yini izimpawu zakho.

Ngokungavamile, i-biopsy yesikhumba ingase idingeke uma udokotela wakho efuna ukukhipha ezinye izimo ezingase zibukeke njenge-PLE. I-blood tests ngokuvamile ayidingeki ngaphandle uma kukhona ukukhathazeka ngezimo ze-autoimmune.

Iyini Ukwelashwa Kokuqhuma Kwezulu Okuningi?

Ukuphatha i-PLE kugxile ekulawuleni izimpawu nokuvimbela ukuphakama kwesikhathi esizayo. Izindaba ezinhle ukuthi izimo eziningi ziphendula kahle ekuwelashweni okulula, futhi abantu abaningi bathola ukuthi izimpawu zabo ziyaphila ngokuhamba kwesikhathi.

Amathuba okuwelashwa avamile ahlanganisa:

• Ama-corticosteroids athinta isikhumba: Ama-creams alwa nokuvuvukala ukunciphisa ubomvu nokukroba
• Ama-antihistamines omdlandla: Asisiza ukulawula ukukroba futhi anganciphisa ukuvuvukala
• Ama-compresses abandayo: Anikeza ukukhululeka ngokushesha ekushiseni nasekukrobeni
• Ama-moisturizers: Asisiza ukululama isikhumba futhi avikele ekuthukuthelweni okwengeziwe
• Ama-corticosteroids omdlandla: Agcinelwe izimo ezinzima ezingaphenduli ekuwelashweni okusebenza esikhumbeni

Udokotela wakho ngokuvamile uzoqala ngokwelashwa okulula kuqala. Ama-corticosteroids athinta isikhumba ngokuvamile ukwelashwa kokugcina ngoba anganciphisa ukuvuvukala ngaphandle kokuthinteka okukhulu uma esetshenziswa kahle.

Kubantu abane-PLE ephindaphindayo, enzima, ukwelashwa okuvimbelayo kungase kunconywe. Lokhu kungase kuhlanganise imithi ye-antimalarial njenge-hydroxychloroquine noma izikhathi zokuvikela i-phototherapy ngaphambi kwezinkathi zelanga.

Ezimeni ezingavamile lapho i-PLE ithinta kakhulu ikhwalithi yempilo, imithi yokucindezela i-immune system ingase icatshangelwe, nakuba lokhu kungavamile futhi kudinga ukulandelelwa ngokucophelela.

Indlela Yokwelashwa Ekhaya Ngesikhathi Sokuqhuma Kwezulu Okuningi?

Ukuphatha i-PLE ekhaya kungase kube yindlela ephumelela kakhulu ezimweni ezincane kuya ezimaphakathi. Ikhona ukuthula isikhumba sakho ngenkathi siyaphilisa futhi ugweme ukudwetshwa kwelanga okwengeziwe kuze kube yilapho isikhumba siyaphela.

Nawa ongayenza ekhaya:

• Hlala ungaphumuli elangeni: Gwema ilanga ngokuphelele kuze kube yilapho isikhumba siyaphilisa
• Ukugqoka okubandayo: Faka i-colloidal oatmeal noma i-baking soda ukunciphisa ukukroba
• Ukugqoka okuthambile: Sebenzisa ama-lotions angenayo i-fragrance ngenkathi isikhumba sisamanzi
• Gwema ukukroba: Gcina iinzipho zakho zifushane futhi ucabangele ukugqoka iziqhwaga ebusuku
• Izingubo ezithambile: Gqoka izinto ezithambile, eziphefumula ezingase zingathukuthelisi isikhumba
• Ukunciphisa ubuhlungu obuthengwa ngaphandle: I-Ibuprofen noma i-acetaminophen ingasiza ekunciphiseni ubuhlungu

I-Aloe vera gel inganikeza ukukhululeka okubandayo, kodwa qiniseka ukuthi ukhetha imikhiqizo engenayo i-fragrances noma i-alcohol, engase iqhubeke nokukhathaza isikhumba esibuhlungu.

Uma ukukroba kunzima, ukugeza ngamanzi abandayo kunokugeza ngamanzi ashisayo kungasiza. Amanzi ashisayo angenza ukuvuvukala kube kubi futhi kukhulise ukukroba. Shaya isikhumba sakho ngobumnene kunokukukroba ngetawuli.

Kufanele Uzilungiselele Kanjani Ukuya Kudoctor?

Ukuba ulungile ngokuya kwakho kuzokusiza udokotela wakho ukuthi axilonge kahle isimo sakho futhi ancome ukwelashwa okuhle kakhulu. Ukulungiselela okuhle kungenza umehluko phakathi kokuxilongwa okusheshayo nokuvakasha okuningi.

Ngaphambi kokuvakasha kwakho:

• Bhala izimpawu zakho: Thatha izithombe zesikhumba futhi ubhale ukuthi sivele nini
• Landelela ukudwetshwa kwelanga: Bhala imisebenzi yakamuva nesikhathi esichithwe ngaphandle
• Bhala imithi: Faka imithi, izithasiselo, nemikhiqizo ethinta isikhumba
• Bhala umlando womndeni: Buza izihlobo ngezimpendulo zesikhumba ezifanayo
• Lungisa imibuzo: Bhala phansi lokho ofuna ukubuza udokotela wakho
• Letha amarekhodi adlule: Uma uke waba nezinhlobo ezifanayo zesikhumba ngaphambili

Cabanga ukugcina "idayari yelanga" elandelela ukudwetshwa kwelanga lakho nanoma yiziphi izimpendulo zesikhumba. Lolu lwazi lungaba lubalulekile ekuqondeni izibonakaliso nokuqinisekisa ukuxilongwa kwe-PLE.

Ungasebenzisi ubuqili obukhulu noma ama-lotions ezindaweni ezihlobene ngaphambi kokuvakasha kwakho, njengoba lokhu kungenza kube nzima ku-doctor wakho ukubheka isikhumba sakho ngokufanele.

Iyini Iphuzu Eliyinhloko Ngokuqhuma Kwezulu Okuningi?

Into ebaluleke kakhulu okumele uyikhumbule nge-PLE ukuthi kuyisimo esivamile, esilawuleka esingabangeli ubungozi obukhulu empilweni. Nakuba kungase kube buhlungu futhi kukhathaze lapho kuvela okokuqala, ukuqonda ukuthi yini nokuthi ungayiphatha kanjani kungakunika ukuzethemba ekulawuleni izigameko zesikhathi esizayo.

Abantu abaningi bathola ukuthi izimpawu ze-PLE zithuthuka ngokuhamba kwesikhathi njengoba isikhumba sabo siqala ukubekezelela ekukhanyeni kwelanga. Ukuhlanganiswa kokudwetshwa kwelanga kancane kancane, ukuvikelwa kwelanga okufanele, nokuphathwa okufanele uma kudingeka kuvumela abantu abaningi ukuthi bajabulele imisebenzi yangaphandle ngaphandle kokulinganiselwa okukhulu.

Khumbula ukuthi i-PLE iyindlela yesikhumba sakho yokujwayela ukudwetshwa kwelanga okukhulu, ikakhulukazi ngemva kwezikhathi zokukhanya kwelanga okuncane. Ngokubekezela nokunakekelwa okufanele, ungasebenza ngenqubo yokujwayela kwemvelo yesikhumba sakho kunokuba uyilwe.

Imibuzo Evamile Ngokuqhuma Kwezulu Okuningi

UMbuzo 1: Ingabe i-PLE iyaphela yodwa?

Yebo, i-PLE ngokuvamile iyaphela yodwa phakathi kwezinsuku ezimbalwa kuya emavikini uma ugwema ukudwetshwa kwelanga. Abantu abaningi bathola futhi ukuthi izimpawu zabo ziyancipha noma ziyaphela ngokuphelele njengoba isikhumba sabo siqala ukubekezelela ngesizini yelanga. Noma kunjalo, ngaphandle kwezinyathelo zokuvikela, kungenzeka ukuthi ibuye ibuyele ngokudwetshwa kwelanga kwesikhathi esizayo.

UMbuzo 2: Ngingaphuma yini ngaphandle uma ngine-PLE?

Ungaphuma ngaphandle, kodwa kuzodingeka uthathe izinyathelo ezengeziwe zokuvikela isikhumba sakho. Sebenzisa i-sunscreen ebanzi ene-SPF 30 noma ngaphezulu, gqoka izingubo zokuvikela, futhi ukhulisa isikhathi sakho sokudwetshwa kwelanga kancane kancane. Abantu abaningi abane-PLE bangajabulela imisebenzi yangaphandle ngokuvikelwa okufanele nohlelo.

UMbuzo 3: Ingabe i-PLE ifana nokushisa kwelanga?

Cha, i-PLE nokushisa kwelanga kuyizimo ezahlukene. Ukushisa kwelanga kuyisimo esibi sokushisa kwelanga okwenzeka ngokushesha ngenxa yokudwetshwa okukhulu kwe-UV. I-PLE iyisimo esibuye sivela se-immune system esithuthuka ngamahora kuya ezinsukwini ngemva kokudwetshwa kwelanga, ngisho nangamanani alula ekukhanyeni kwelanga.

UMbuzo 4: Ingabe abantwana bangathola i-PLE?

Yebo, abantwana bangathola i-PLE, nakuba ivame kakhulu kubantu abadala. Uma i-PLE ivela kubantwana, ngokuvamile ivela njenge-bumps ezincane, ezishisayo ezindaweni ezidwetshwe ilanga. Izimiso ezifanayo zokuvikela nokuphatha zisebenza, kodwa abazali kufanele babuze udokotela wezingane ngokuphatha okufanele.

UMbuzo 5: Ingabe ngizoba ne-PLE impilo yami yonke?

Abantu abaningi bathola ukuthi i-PLE iyancipha ngokuhamba kwesikhathi. Abanye abantu bayikhula ngokuphelele, kanti abanye bafunda ukuyiphatha kahle ngokuvikelwa kwelanga nokudwetshwa kancane kancane. Isimo ngokuvamile siyancipha futhi sibe lula njengoba uqonda izinto ezikubangela futhi uthuthukise amasu okuvikela aphethayo.