Ubuphulukana Bekhanda Lombeletho Yini? Izimpawu, Izimbangela, & Ukwelashwa

Ubuphulukana bekhanda lombeletho kwenzeka lapho amaseli ekhanda ebuya emuva kokwelashwa kwakho kokuqala okubonakala kuphumelele. Lokhu kungazizwa kukhulu futhi kukwethusa, kodwa ukuqonda ukuthi kwenzekani kungakusiza uzizwe ulungile futhi unamandla.

Cabanga ngokubuyela njengamaseli ekhanda ayencinyane kakhulu ukuba abonwe ngesikhathi sokwelashwa kwakho kokuqala kodwa ahlala emzimbeni wakho. La maseli angakhula ngokuhamba kwesikhathi abe abonakale ngezinyanga noma ngeminyaka eminingi kamuva. Nakuba lezi zindaba zingalula ukwazwa, kunezindlela eziningi zokwelapha ezisebenza namuhla ezingasiza ekulawuleni ubuphulukana bekhanda lombeletho nokulondoloza ikhwalithi yokuphila kwakho.

Ubuphulukana bekhanda lombeletho yini?

Ubuphulukana bekhanda lombeletho kusho ukuthi ikhanda libuyile ngemva kwesikhathi lapho kungekho khona ikhanda elingabonwa emzimbeni wakho. Lokhu kwenzeka ngoba amanye amaseli ekhanda angaphila ekwelapheni kokuqala bese ahlala efile ngaphambi kokuba asebenze futhi.

Ikhanda lingabuya ngezindlela ezintathu ezahlukene. Lingabuya ebeleni elifanayo noma endaweni yesifuba lapho laqala khona, okuyikho odokotela abakubiza ngokuthi ubuphulukana bendawo. Lingabonakala ezimpompholi zaseduze noma ezicubu zesifuba, okuyaziwa ngokuthi ubuphulukana besifunda. Noma lingasakazeka kwezinye izingxenye zomzimba wakho njengethambo, isibindi, amaphaphu, noma ubuchopho, okuyikho okuthiwa ubuphulukana obude noma ikhanda lombeletho eliguqukayo.

Uhlobo ngalunye lokuphulukana lufuna izindlela zokwelapha ezahlukene. Iqembu lakho lezokwelapha lizohlangana nawe ukuze likunqume uhlelo oluhle kakhulu ngokusekelwe lapho ikhanda libuyile khona nokuthi impilo yakho iyaphi.

Ziyini izimpawu zokubuyela kwekhansa lombeletho?

Izimpawu zokubuyela kwekhansa lombeletho kuncike lapho ikhanda libuyile khona emzimbeni wakho. Ungase uqaphele ukushintsha okufana nokuxilongwa kwakho kokuqala, noma izimpawu ezihlukile ngokuphelele ezingabonakali zihlangene nekhansa lombeletho.

Uma uke waba nomdlavuza webele ngaphambili, umzimba wakho ufundise ukuba uqaphele ngokwengeziwe izinguquko. Nanka amaqhawe angabonisa ukuphindaphinda kwendawo noma kwesifunda:

• Isibopho esisha esifubeni sakho, odongeni lwesibele, noma endaweni yesikhumba
• Ukushintsha kwesikhumba sesifuba sakho noma sesifuba, kufaka phakathi ubovu, ukuvuvukala, noma ukuqina
• Ukushintsha ngobukhulu noma ukuma kwesifuba sakho
• Ukuqothuka kwesihlamvu okusha noma okuhlukile kunangaphambili
• Ubuhlungu obuqhubekayo esifubeni sakho noma endaweni yesifuba
• Ukuvuvukala engalweni yakho, ikakhulukazi uma ususiwe ama-lymph nodes

Uma umdlavuza webele usakazeka kwezinye izingxenye zomzimba wakho, izimpawu zingaba ezahlukene kakhulu. Umzimba wakho ungase uthi kukhona okuphosakele ngezindlela ezingabonakali ngokushesha ezihlobene nomdlavuza webele.

Nanka izimpawu ezingabonisa ukuphindaphinda okude:

• Ubuhlungu obungapheli emathanjeni, ikakhulukazi emhlane, ezinqenqemeni, noma emathanjeni
• Ukuphefumula okufushane noma ukukhokha okuqhubekayo
• Izinhlungu zikhanda ezingaphenduli ekuwelapheni okuvamile
• Ukuphefumula, ukulahlekelwa ukudla, noma ukulahlekelwa isisindo okungachazwanga
• Ukuvuvukala noma ubuhlungu besisu
• Ukukhathala okukhulu okungathuthuki ngokuphumula
• Izimpawu ze-neurological njengokukhungatheka, ukudideka, noma ukushintsha kokubona

Khumbula ukuthi eziningi zalezi zimpawu zingaba nezinye izimbangela ezingahlobene nomdlavuza. Noma kunjalo, uma ubhekene nanoma yiziphi izimpawu eziqhubekayo noma ezinkulu, kubalulekile ukuthintana neqembu lakho lokunakekelwa kwezempilo ngokushesha. Bayazi umlando wakho futhi bangakusiza ukuthola ukuthi yini ebangela izimpawu zakho.

Yini ebangela umdlavuza webele ophakathi?

Umdlavuza webele ophakathi kwenzeka uma amaseli omdlavuza ephila ukwelashwa kwakho kokuqala futhi ahlale emzimbeni wakho engaqaphelwa. La maseli angahlala efile iinyanga noma iminyaka ngaphambi kokuba asebenze futhi akhule abe ama-tumors aqaphelekayo.

Ukwelashwa kwakho kokuqala kwakuhlelwe ukubhubhisa wonke amaseli omdlavuza, kodwa ngezinye izikhathi amaseli amancane kakhulu ahlala engabonakali. La maseli ahlala ephila ngokuvamile ayamelana nokwelashwa okwamukele, yingakho akwazile ukusinda. Ngokuhamba kwesikhathi, la maseli angakhula futhi asakazeke ezindaweni ezintsha zomzimba wakho.

Izici eziningi zingathinta ukuthi kungani amaseli omdlavuza esinda futhi aqale kabusha. I-biology yomdlavuza wakho wokuqala idlala indima ebalulekile. Ezinye izinhlobo zomdlavuza wamabele, ikakhulukazi umdlavuza wamabele ongaziwa njengoba ungenayo i-triple-negative kanye ne-HER2-positive, zinamazinga aphezulu okuphinda kuvela. Kodwa-ke, umdlavuza onama-hormone receptor-positive nawo ungaphinde uqale, ngezinye izikhathi eminyakeni eminingi ngemva kokwelashwa kokuqala.

Isigaba somdlavuza wakho wokuqala sithinta ingozi yokuphinda kuvela. Umdlavuza osuka usakazeke ezinodweni ze-lymph noma wawukhulu ngesikhathi sokuqala ukuxilongwa unamahloni aphezulu okuphinda ubuye. Ngaphezu kwalokho, uma amaseli omdlavuza esevele eqale ukusakazeka egazini lakho noma ohlelweni lwe-lymphatic ngesikhathi sokuqala ukuxilongwa, angase ahlale ezihlabathini ezikude futhi akhule kamuva.

Ngezinye izikhathi, izici ezihlobene nokwelashwa zingase zifake isandla ekubuyeni. Uma ungakwazanga ukuqedela inkambo yakho yokwelashwa ngenxa yemiphumela emibi noma ezinye izinkinga zempilo, amanye amaseli omdlavuza angase asinde. Kwezinye izikhathi ezingavamile, amaseli omdlavuza angathuthukisa ukumane nokwelashwa ngokuhamba kwesikhathi, ngisho noma ukwelashwa kokuqala kwakuphumelela kakhulu.

Kufanele ubone nini udokotela ngomdlavuza wamabele obuyiwe?

Kufanele uxhumane neqembu lakho lokunakekelwa kwezempilo ngokushesha nje lapho uqaphela noma yiziphi izimpawu ezintsha noma eziqhubekayo, ikakhulukazi uma zihlala amasonto amaningana. Ukutholwa kwangaphambi kwesikhathi komdlavuza wamabele obuyiwe kuvame ukubangela imiphumela emihle yokwelashwa.

Ungalindi ukubona ukuthi izimpawu ziyaphela yini zodwa. Iqembu lakho lezokwelapha lingathanda ukubheka into ephuma ingelutho kunokulahlekelwa ithuba lokungenela kwangaphambi kwesikhathi. Liyaqonda ukukhathazeka kwakho futhi ngeke lidele izinkathazo zakho njengokweqisa.

Funani usizo lwezokwelapha ngokushesha uma ubhekene nezimpawu ezinzima njengokuphefumula okunzima, ubuhlungu obukhulu emathanjeni, ukugabha okuqhubekayo, noma izimpawu zezinzwa njengokukhathazeka kwekhanda okukhulu, ukudideka, noma ukushintsha kokubona. Lokhu kungabonisa ukuthi umdlavuza usakaze ezihlabathini ezibalulekile futhi kudinga ukwelashwa okusheshayo.

Themba izinzwa zakho ngomzimba wakho. Uzazi kangcono kunanoma ubani, futhi uma kukhona okubonakala kuhlukile noma okungalungile, kufanele kuhlolwe. Iqembu lakho lokunakekelwa kwezempilo likhona ukukusekela kulolu hambo, futhi lifuna ukukuzwa uma unezinkathazo.

Yiziphi izimbangela ezingozi zomdlavuza wamabele obuyiwe?

Izici eziningi zingandisa ingozi yakho yokubuyela komdlavuza wamabele, nakuba ukuba nezici ezingozi akusho ukuthi ukubuyela kuzokwenzeka ngokuqinisekile. Ukuqonda lezi zici kungakusiza wena neqembu lakho lokunakekelwa kwezempilo ukwakha uhlelo oluhle kakhulu lokuqapha nokuvimbela isimo sakho.

Izici zomdlavuza wakho wokuqala zithinta kakhulu ingozi yakho yokubuyela. Nazi izici eziyinhloko ezihlobene nomdlavuza ezihlukanisa ukubuyela:

• Ubukhulu bomdlavuza obukhulu ngesikhathi sokuhlolwa kokuqala
• Umdlavuza osukaze ezindaweni zama lymph nodes
• I-tumors ezingama-high-grade ezikhula futhi zihlukanise ngokushesha
• Uhlobo lomdlavuza wamabele oluyi-Triple-negative
• Umdlavuza wamabele oluyi-HER2-positive ngaphandle kokwelashwa okuqondiswe kahle
• Umdlavuza oluyi-Hormone receptor-positive onamazinga aphezulu ezinye izinto eziphilayo
• Umdlavuza wamabele oluvuvukayo

Umbhalo wakho wokwelashwa nawo uthinta ingozi yokubuyela. Uma awuqedanga uhlelo lwakho lokwelashwa oluceliwe, ezinye i-cancer cells zingase zibe zisalaphile. Ngaphezu kwalokho, uma unemigqa eseduze noma emihle ngemuva kokuhlinzwa, okusho ukuthi i-cancer cells zitholakele eduze noma eduze nemigqa yethishu esusiwe, ingozi yakho ingase ibe phezulu.

Ezinye izici zomuntu siqu zingathinta nezingozi zokubuyela. Ukuba semncane ngesikhathi sokuxilongwa, ikakhulukazi ngaphansi kweminyaka engu-35, kuhlotshaniswa nezinga eliphezulu lokubuyela. Impilo yakho yonke kanye nokusebenza kwezimpawu zakho zokulwa nezifo kudlala indima ekukwazi komzimba wakho ukulwa nanoma yiziphi iiseli zekansa ezisele.

Izici zendlela yokuphila zingase zifake isandla engozini yokubuyela. Ukugcina isisindo esinempilo, ukuhlala usebenza ngokomzimba, ukulinganisela ukusetshenziswa kotshwala, nokungaqoki kungasiza konke ukunciphisa ingozi yakho. Noma kunjalo, kubalulekile ukukhumbula ukuthi ukubuyela kungahle kwenzeke ngisho noma wenza konke okulungile.

Ziyini izinhlanganisela ezingaba khona zekansa yebhubesi ebuyela?

Ikansa yebhubesi ebuyela ingabangela izinhlanganisela ezahlukahlukene kuye ngokuthi ikansa ibuyelile kuphi nokuthi iphendula kanjani ekwelapheni. Ukuqonda lezi zinto ezingase zenzeke kungakusiza ukuthi uqaphele izimpawu ngokushesha futhi usebenze neqembu lakho lokunakekelwa kwezempilo ukuze lilawule ngokuphumelelayo.

Uma ikansa ibuya endaweni noma ngokwesifunda, izinhlanganisela zivame ukuphathelene nomphumela wethusi elikhulayo ezicutshini eziseduze. Ungase uhlangabezane nobuhlungu, ukukhula, noma ukuguquka kokusebenza kwesandla sakho noma sesifuba. Uma ikansa ithinta ama-lymph nodes, ungase uthuthukise i-lymphedema, ebangela ukukhula okuqhubekayo esandleni sakho noma endaweni yesifuba.

Ukubuyela okude kungabangela izinhlanganisela ezinkulu kuye ngokuthi yiziphi izitho ezithintekayo. Nazi izindawo eziyinhloko lapho izinhlanganisela zingase zithuthuke khona:

• Izinhlanganisela zethambo kufaka phakathi ukweqa amathambo, ubuhlungu obukhulu, kanye namanqanaba aphezulu e-calcium
• Izinkinga zesibindi ezifana ne-jaundice, ukukhula kwesisu, nezinkinga zokugaya ukudla
• Izinhlanganisela zephunga kufaka phakathi ukwakheka kwamanzi, ubunzima bokuqeda umoya, nokukhokha okuqhubekayo
• Izinhlanganisela zobuchopho ezifana nobuhlungu, ukubamba, kanye nokuchwechwa kokucinga noma ukuziphatha
• Ukucindezelwa komgogodla obangela ubuhlungu emhlane, ubuthakathaka, noma ukungabi namandla

Izinhlungu ezihlobene nokwelashwa zingaphinda zenzeke njengoba uthola ukwelashwa kokubuyela komdlavuza. Ungase uhlangabezane nemiphumela emibi yemithi ye-chemotherapy, ukwelashwa ngomgogodla, noma ukwelashwa okuqondiswe. Lezi zingafaka ukukhathala, isicanucanu, ukwanda komngcipheko wokutheleleka, noma imiphumela emibi ehambisana nezinye izitho kuye ngohlelo lwakho lokwelashwa.

Uthintelo lwangqondo nolwengqondo lomdlavuza wamabele obuyilayo akufanele luphazanyiswe. Abantu abaningi bahlangabezana nokukhathazeka, ukucindezeleka, noma ukwesaba ngekusasa. Lezi mizwa iyajwayelekile futhi iyalungile. Iqembu lakho lezeMpilo lingakuxhumanisa nezinsizakalo zokusekela ukuze likusize ukubhekana nalezi zinselele.

Kubalulekile ukukhumbula ukuthi ukwelashwa kwamanje kuye kwathuthukisa kakhulu imiphumela kubantu abane-cancer yamabele obuyilayo. Izinkinga eziningi zingavikeleka, ziphathwe, noma ziphathwe kahle uma zitholakala ngokushesha. Ukulandelela njalo nokuxhumana okuvulekile neqembu lakho lezeMpilo kuyisihluthulelo sokulondoloza ikhwalithi yokuphila kwakho.

Umdlavuza wamabele obuyilayo utholakala kanjani?

Ukuxilongwa komdlavuza wamabele obuyilayo kuhilela ukuxubana kokuhlolwa komzimba, ukuhlolwa kwezithombe, nomsebenzi welebhu. Iqembu lakho lezeMpilo lizoqhubeka lisebenzisa indlela efanayo enokucophelela, ephelele ebeyisebenzise ekuxilongweni kwakho kokuqala.

Inqubo iqala ngokuhlolwa komzimba lapho udokotela wakho ahlola khona izicubu, ukushintsha kwesikhumba, noma ama-lymph nodes avuvukile. Bayokubuza nganoma yiziphi izimpawu ozihlangabezane nazo futhi bahlole umlando wakho wezokwelapha ukuqonda izici zakho ezingozini.

Ukuhlolwa kwezithombe kusiza iqembu lakho lezokwelapha ukubona ukuthi kwenzekani ngaphakathi komzimba wakho. Ukuhlolwa okuthile okuzodinga kuya ngezimpawu zakho nokuthi kubhekwa kuphi ukubuyela. Ukuhlolwa okuvamile kwezithombe kuhlanganisa ama-mammograms, ama-ultrasounds, ama-CT scans, ama-MRI scans, ama-bone scans, noma ama-PET scans. Lezi zivivinyo zingabonisa ukuthi umdlavuza ubuyile yini futhi zisize ekuqondeni ukuthi usakazeke kangakanani.

Uma ukuhlolwa kwezithombe kukhomba ukuthi umdlavuza ubuyile, uzodinga ukuhlolwa kwe-biopsy ukuqinisekisa ukuxilongwa. Phakathi nokuhlolwa kwe-biopsy, isampula encane yethishu ephazamisayo isuswa bese ihlolwa ngaphansi komkhiqizo. Lena yiyona ndlela kuphela yokuxilonga ngokuqinisekile umdlavuza wesisu obuphindaphindayo.

Iqembu lakho lezeMpilo lizobuye lihloze amangqamuzana omdlavuza ukuqonda izici zawo. Lokhu kuhlanganisa ukuhlola ama-hormone receptors, amazinga e-HER2 protein, namanye amamaki asiza ekuqondiseni izinqumo zokwelashwa. Ngokuthakazelisayo, umdlavuza obuphindaphindayo ngezinye izikhathi unezimpawu ezihlukile kunomdlavuza wakho wokuqala, okungathinta izinqumo zokwelashwa.

Ukuhlolwa kwegazi kungase futhi kube yingxenye yomsebenzi wakho wokuxilonga. Lokhu kungahlola amamaki omdlavuza, kuhlole impilo yakho yonke, futhi kusize iqembu lakho liqonde ukuthi umzimba wakho usebenza kanjani. Lonke inqubo yokuxilonga iyasiza ekwakheni isithombe esiphelele sesimo sakho ukuze iqembu lakho likwazi ukwakha uhlelo lokwelashwa oluhle kakhulu kuwe.

Iyini impilo yomdlavuza wesisu obuphindaphindayo?

Ukwelashwa komdlavuza wesisu obuphindaphindayo kuncike lapho umdlavuza ubuyile khona, ukwelashwa okwenzile ngaphambili, kanye nempilo yakho yonke. Iqembu lakho lezokwelapha lizohlangana nawe ukwakha uhlelo oluqondene nawe oluqondile ekulawuleni umdlavuza ngenkathi ugcina ikhwalithi yempilo yakho.

Ngokuphindaphinda kwendawo, ukwelashwa kuvame ukubandakanya ukucathulwa kokususa i-tumor, okulandelelwa yi-radiation therapy uma ungakaze uthole i-radiation kule ndawo ngaphambili. Uma usuvele uthole i-radiation, iqembu lakho lingase likucele izindlela ezihlukile njengokucathulwa okwengeziwe noma ukwelashwa okusebenzayo.

Ukuphindaphinda kwesifunda kuvame ukudinga ukusetshenziswa kokwelashwa okuningi. Lokhu kungase kubandakanye ukucathulwa kokususa ama-lymph nodes athintekayo, i-radiation therapy kule ndawo, kanye nokusetshenziswa kokwelashwa okusebenzayo njenge-chemotherapy, i-hormone therapy, noma i-targeted therapy ukuqondana nanoma yimaphi amangqamuzana omdlavuza angase asakaze kwenye indawo.

Ukubuyela kwesifo kwesinye isikhathi kuphathwa ngemithi ehlasela yonke imizimba yakho. Izindlela zakho zokwelashwa zingafaka:

• Ukwelashwa ngamahomoni uma umdlavuza wakho une-hormone receptor-positive
• Imithi yokwelapha ehloselwe ukulwa namaprotheni athile emagxileni omdlavuza
• I-Chemotherapy ukubulala amagxile omdlavuza kulo lonke umzimba wakho
• I-Immunotherapy ukusiza isimiso sakho sokuvikela umzimba ukulwa nomdlavuza
• Izindlela zokwelapha ezihlanganisiwe ezisebenzisa izindlela eziningi ndawonye

Umgomo wokwelapha ukubuyela kwesifo kwesinye isikhathi ngokuvamile ukubamba umdlavuza njengesimo esingapheli kunokumphiliswa ngokuphelele. Abantu abaningi bahlala iminyaka benomdlavuza wamabele ohambayo ngenkathi begcina ikhwalithi yokuphila enhle. Iqembu lakho lizoshintsha izindlela zokwelapha kuye kokuthi zisebenza kangcono kanjani nokuthi uzizwa kanjani.

Iqembu lakho lokunakekelwa kwezempilo lizobuye ligxile ekuphatheni izimpawu nemiphumela emibi. Lokhu kungafaka imithi yokunciphisa ubuhlungu, izindlela zokwenza amazambane aqine, noma izindlela zokusiza ngokukhathala noma ezinye izimpawu. Ukukhathalela okusekela kubaluleke kakhulu njengokwelashwa komdlavuza ekusikweni ukuthi uzizwe ukhulu.

Izivivinyo zeklinikhi zingase zibe yindlela kuwe. Lezi zifundo zivivinya izindlela ezintsha zokwelapha ezingase zibe nomphumela omuhle kunezindlela zokwelapha ezijwayelekile. Iqembu lakho lokunakekelwa kwezempilo lingakusiza ukuqonda ukuthi yiziphi izivivinyo zeklinikhi ezingase zifanele isimo sakho.

Ungawuphatha kanjani umdlavuza wamabele obuyilayo ekhaya?

Ukuphatha umdlavuza wamabele obuyilayo ekhaya kuhilela ukunakekela impilo yakho yomzimba nengqondo ngenkathi usebenzisana eduze neqembu lakho lokunakekelwa kwezempilo. Udlala indima ebalulekile empumelelweni yokwelashwa kwakho nekhalithi yokuphila.

Ukusebenzisa imithi yakho ngokuqondile njengoba kulotshiwe kubalulekile ekubuyiselweni. Gcina isimiso semithi bese usebenzisa abahlanganisi bemithi noma izinhlelo zokusebenza ze-smartphone ukuze kukusise ukuba ukhumbule. Ungayeki ukusebenzisa imithi ngaphandle kokukhuluma nodokotela wakho kuqala, ngisho noma uzizwa kangcono noma uhlushwa yimiphumela emibi.

Ukugcina ukudla okuhle kungasiza umzimba wakho ukuba uphathe ukwelashwa kangcono. Gxila ekudleni ukudla okuhlangene okunezithelo, imifino, ukudla okugcwele, namaprotheni amancane. Uma ukwelashwa kuchaphazela ukulangazelela kwakho noma kubangele isicanucanu, zama ukudla ukudla okuncane, okuvamile. Iqembu lakho lokwelapha lingakuxhumanisa nodokotela wezondlo oqeqeshwe ekunakekelweni komdlavuza.

Ukusebenza njengoba kunokwenzeka kungasiza ukunciphisa ukukhathala, ukugcina amandla, nokuthuthukisa isimo sakho sengqondo. Lokhu akusho ukuthi udinga ukugijima ama-marathons. Ngisho nemisebenzi emnene njengokuhamba, ukuthambisa, noma i-yoga elula kungaba usizo. Lalela umzimba wakho bese uphumula uma udinga, kodwa zama ukuhlala uhamba uma ungakwazi.

Ukuphatha imiphumela emibi yokwelashwa kuyiyingxenye ebalulekile yokunakekelwa ekhaya. Gcina umbhalo wanoma yiziphi izimpawu ozibonayo bese uzazisa iqembu lakho lokwelapha. Bavame ukulungisa imithi noma bacebise amasu okusiza uzizwe kangcono. Ungazami ukubhekana nayo uma uhlushwa yimiphumela emibi enkulu.

Impilo yakho yozwela nayo idinga ukunakekelwa. Kuvamile ukuzizwa unesaba, uthukuthele, noma udumele ngokulimala kwakho. Cabanga ngokujoyina iqembu lokusekela, ukukhuluma nomeluleki, noma ukuxhumana nabanye abasinda bomdlavuza wamabele. Abantu abaningi bathola ukuthi ukwabelana ngamava abo kubasiza ukuba baphathe kangcono.

Dala uhlelo lokusekela lomndeni nabangane abangakusiza ngemisebenzi yansuku zonke uma ungazizwa kahle. Unganqikazi ukucela usizo ngokupheka, ukuhlanza, ukuthutha emakhelini, noma nje ukuchitha isikhathi nawe uma udinga inkampani.

Kufanele ulungiselele kanjani ukubona udokotela wakho?

Ukulungiselela izivivinyo zakho zokwelapha kungakusiza ukuba uthole okuningi ngesikhathi sakho ndawonye futhi kuqinisekise ukuthi uthola ulwazi nokusekelwa okudingayo. Ukulungiselela okuhle kukusiza uzizwe ukhulu futhi ulawula ngalesi sikhathi esinzima.

Ngaphambi kwesikhathi sakho sokuhlangana, bhala phansi zonke izimpawu zakho, kufaka phakathi ukuthi zaqala nini, zingaki izikhathi ezivela, nokuthi yini ezenza zibe ngcono noma zimbi. Chaza ngokucacile amazinga obuhlungu, ukukhathala, noma noma yiziphi izinguquko ozibonile. Ulwazi olufana nalolu lusiza udokotela wakho ukuthi aqonde ukuthi kwenzekani impilo yakho.

Lungiselela uhlu lwezidakamizwa zonke ozithathayo, kufaka phakathi izidakamizwa ezirehishinelwe, izidakamizwa ezingaphezu kokubala, izithasiselo, namavithamini. Faka imithamo nokuthi uzithatha kangaki. Lokhu kusiza iqembu lakho lokunakekelwa kwezempilo ukugwema ukusebenzisana kwezidakamizwa okungozi futhi liqonde ukuthi yini engase ibe yimbangela yemiphumela emibi.

Bhala phansi imibuzo yakho ngaphambi kwesikhathi sokuhlangana. Kulula ukukhohlwa izinto ezibalulekile uma usehhovisi lika-dokotela, ikakhulukazi uma uzizwa ukhathazekile. Buza noma yini ekukhathazayo, kusukela ezinkethweni zokwelapha kuya emiphumeleni emibi kuya kulokho okufanele ukulindele emasontweni azayo.

Letha umngani noma ilungu lomndeni omethembayo ekuhlanganyeleni kwakho uma kungenzeka. Bangakusiza ukuba ukhumbule ulwazi, ubuze imibuzo ongasenangi, futhi unikeze ukwesekwa ngokomzwelo. Abanye abantu bathola kuwusizo ukurekhoda ingxoxo ngemvume yodokotela wabo ukuze bakwazi ukubuyekeza ulwazi olubalulekile kamuva.

Butha noma yimaphi amarekhodi ezempilo afanele, imiphumela yokuhlola, noma izifundo zokubonisa ezivela kwabanye abahlinzeki bezempilo. Lokhu kunikeza udokotela wakho isithombe esiphelele sempilo yakho futhi kusiza ukugwema ukuphinda izilingo ezingadingekile. Uma ubona omunye ochwepheshe, letha izincomo zabo nezinqwembe zokwelapha.

Qinisani iqembu lakho lezeMpilo ngokunokuthi uzizwa kanjani ngokomzimba nangokomzwelo. Kudingeka bakwazi amazinga obuhlungu bakho, ukukhathala, ukushintsha kwesimo sengqondo, nanoma yiziphi izinselele ozibhekene nazo emisebenzini yansuku zonke. Ulwazi olufana nalolu lubasiza ukuba banikeze ukunakekelwa okuhle kakhulu nokusekela.

Iyini into ebalulekile yokuthatha ngokubuyela kwesifuba?

Into ebaluleke kakhulu okumele uyiqonde ngokubuyela kwesifuba ukuthi nakuba kuyisifo esinzima, eminingi yemithi ephumelelayo iyatholakala namuhla engasiza ukulawula isifo nokugcina ikhwalithi yempilo yakho. Awuhlangani nalokhu wedwa, futhi kunzizathu zokuba nethemba.

Ukutholakala kwangaphambi kwesikhathi kokubuyela kwesifuba kuvame ukubangela imiphumela emihle, ngakho ukulinda izimpawu ezintsha nokugcina uqaphele ngemihlangano yokulandelela kubalulekile. Themba izinzwa zakho mayelana nokushintsha emzimbeni wakho futhi ungangabazi ukuthintana neqembu lakho lezeMpilo lapho into ingazizwa ilungile.

Iqembu lakho lezeMpilo liyisivumelwano sakho kule ndlela. Banolwazi namathuluzi okusiza ukuthi uqhubeke nokubuyela kwesifuba, kodwa futhi badinga ukufaka kwakho mayelana nokuthi uzizwa kanjani nokuthi yini ebalulekile kuwe. Ukuxhumana okuvulekile neqembu lakho lezokwelapha kusiza uqinisekise ukuthi uthola ukunakekelwa okuhle kakhulu.

Khumbula ukuthi ukubuyela kwesifuba kuchaphazela wonke umuntu ngokuhlukile. Isipiliyoni sakho siyohlukile, futhi ukuqhathanisa uhambo lwakho nolwabanye kungaba yinto engasebenzi. Gxila ekusebenzeni neqembu lakho lezeMpilo ukudala uhlelo lokwelapha olusebenza esimweni sakho nasemigomweni yakho ethile.

Ukukhathalela impilo yakho yomzwelo kubalulekile njengokwelapha umdlavuza ngokwawo. Funani ukwesekwa kubangani, emindenini, emaqenjini wokusekela, noma ochwepheshe bezempilo yengqondo lapho ulikhona. Ukuphatha izici zomzwelo zokubuyela kwesifuba kusiza ukuba ubhekane kangcono nokwelashwa nokugcina ikhwalithi yempilo yakho.

Imibuzo evame ukubuzwa mayelana nokubuyela kwesifuba

Ingabe ukubuyela kwesifuba kungaphiliswa?

Amathuba okuphulukisa axhomeke endaweni lapho umdlavuza ubuyele khona. Ukubuyela kwendawo okudingayo nokwezwe kungapholiswa ngezinye izikhathi ngokwelashwa okufanele, ikakhulu uma kubanjwe ngokushesha. Ukubuyela okude kuvame ukuphathwa njengesimo esingapheli kunokuba kupholise ngokuphelele, kodwa abantu abaningi baphila iminyaka ngekhwalithi yokuphila enhle. Ithimba lakho lokunakekelwa kwezempilo lingakunika ulwazi oluqondile olusekelwe esimweni sakho.

Ubani angaphila isikhathi esingakanani enomdlavuza wesisu obubuyele?

Ukuphila ngomdlavuza wesisu obubuyele kuhluka kakhulu kuye ngezinto eziningi, kufaka phakathi ukuthi umdlavuza usakazephi, indlela oqaphela ngayo ukwelashwa, nokuthi impilo yakho iphilile kangakanani. Abanye abantu baphila iminyaka eminingi benomdlavuza wesisu obubuyele, kanti abanye banethuba elifushane. Ithimba lakho lokunakekelwa kwezempilo lingakunika ulwazi oluqondile olusekelwe esimweni sakho, kodwa khumbula ukuthi izibalo ziyizilinganiso nje futhi azibikezeli imiphumela yomuntu.

Ingabe umdlavuza wesisu obubuyele uzosakazeka ngokuqinisekile ezingxenyeni zomzimba wami?

Akumele kube njalo. Ukubuyela kwendawo okubanjwe ngokushesha nokuphathwa ngokufanele kungase kungasakazeki kwezinye izingxenye zomzimba wakho. Noma kunjalo, umdlavuza obubuyele unethuba lokusakazeka, kungakho ithimba lakho lokunakekelwa kwezempilo lizokuqapha eduze futhi lingakuncoma ukwelashwa okuhlanganisiwe ngisho nokuphindaphinda kwendawo. Umgomo ukunciphisa noma ukulawula ukusakazeka kunoma yikuphi ngenkathi welapha umdlavuza osekhona.

Kufanele ngishintshe indlela yami yokuphila ngemuva kokuxilongwa komdlavuza wesisu obubuyele?

Ukugcina amasiko empilo enempilo kungasekele inhlalakahle yakho yonke ngesikhathi sokwelashwa, kodwa ungazizwa ucindezelekile ukwenza izinguquko ezinkulu. Gxila ekudleni ukudla okunomsoco uma ungakwazi, uhlale usebenza ngangokunokwenzeka ngaphakathi kwemingcele yakho, uthole ukuphumula okwanele, nokuphatha ukucindezeleka. Iqembu lakho lokunakekelwa kwezempilo lingakunikeza isiqondiso esithile mayelana nokulungiswa kwesitayela sempilo okungase kube usizo esimweni sakho. Khumbula ukuthi ukushintsha kwesitayela sempilo kudwa akunakuyelapha i-kansa yebhubesi ephindaphindayo, kodwa kungakusiza uzizwe ukhulu ngesikhathi sokwelashwa.

Ngingakanani ukubaluleka kokuhlolwa nokuqokwa ngokwelashwa kwe-kansa yebhubesi ephindaphindayo?

Ukuqhelelana kokubonisana nokwenza izivivinyo kuncike ohlelweni lwakho lokwelashwa nokuthi uyaphendula kanjani ekwelapheni. Ekuqaleni, ungase ube nokuqokwa njalo ezinsukwini ezimbalwa noma nyanga zonke ngokwelashwa nokuqapha. Njengoba ukwelashwa kwakho kuqhubeka nesimo sakho siqina, ukuqokwa kungase kuthathe isikhathi eside. Iqembu lakho lokunakekelwa kwezempilo lizokwakha isimiso sokuqapha esifanele isimo sakho esithile futhi lizosiguqula ngokusekelwe endleleni oqhubeka ngayo.