Created at:1/16/2025
Question on this topic? Get an instant answer from August.
I-seborrheic keratosis iyisimo esivamile, esingenampilo esikhula esikhunwini esibonakala njengendawo enamafutha, ebomvu, noma enamabala esikhunwini sakho. Lokhu kukhula okungenampilo kuvamile kakhulu njengoba ukhula, kubonakala cishe kuwo wonke umuntu oneminyaka engaphezu kuka-50 ngezinga elithile. Cabanga ngazo njengendlela yesikhumba sakho yokubonisa isipiliyoni - azinamaphutha futhi azinawo ubungozi empilweni, nakuba ngezinye izikhathi zingase zizizwe zikukhathaza uma uzibona okokuqala.
I-Seborrheic keratosis imele enye yezimo ezivamile zesikhumba ezinhle ozithola njengoba ukhula. Lokhu kukhula kuvela lapho amaseli esikhumba athile ephindaphinda ngaphezu kokujwayelekile, kudala amabala aphakanyisiwe angaba ukusuka obomvu olukhanyayo kuya obomvu obumnyama noma ngisho obumnyama.
Lokhu kukhula kuvame ukuba nobukhulu obuthi “lunamathele,” njengokungathi othile ubeke ingxenye ye-candle wax esikhunwini sakho. Kuzizwa bukhulu noma buqine uma uthinta futhi kuvame ukuba nemikhawulo ecace kakhulu okwenza kube lula ukuyihlukanisa nesikhumba esizungezile.
Ungase uthole zibonakala zodwa noma ngamaqembu, ikakhulukazi ezindaweni ezithola ukukhanya kwelanga njengasesifubeni sakho, emuva, emagxalabeni, noma ebusweni. Izindaba ezinhle ukuthi i-seborrheic keratoses ayiphenduki umdlavuza, okwenza kube ukukhathazeka kokuhlobisa kuphela kubantu abaningi.
Uphawu olucacile kakhulu ukubonakala kwamabala aphakanyisiwe, anamafutha esikhunwini sakho abonakala sengathi ahlala phezulu kunokukhula ngaphakathi. Lokhu kukhula kuvela kancane kancane futhi ngaphandle kokubuhlungu, ngokuvamile kuphawulwa kuphela uma kufinyelela usayizi oluthile.
Nawa amaphuzu ayisisekelo ongawabona:
Abantu abaningi abazizwa bebuhlungu ngalokhu kukhula. Noma kunjalo, abanye bangase bazizwe bekhishwa kancane, ikakhulukazi uma izingubo zithinta kaningi.
Ezimweni ezingavamile, i-seborrheic keratosis ingase ibe buhlungu ngenxa yokusabela, okubangela ubomvu okwesikhashana noma ubuhlungu obuncane. Lokhu kusabela kuvame ukuqeda ngokwakho uma umthombo wokusabela ususiwe.
I-Seborrheic keratoses iza ngezindlela eziningi ezahlukene, ngayinye inezici ezihlukile kancane. Ukuqonda lezi zinguquko kungakusiza ukuba uzibone kalula futhi uzizwe ukhululekile ngalokho okukubonayo.
Uhlobo oluvamile lubonakala njengokukhula okuvamile okunamafutha, “okunamathele” ngobushelelezi obukhulu. Lezi ngokuvamile zivela obomvu obumnyama kuya emibalabala emnyama futhi zimele iningi lamacala ozowabona.
I-seborrheic keratoses eziqondile zibonakala njenge-freckles ezinkulu noma amabala okuguga kodwa nge-texture encane ephakanyisiwe, enamafutha. Zivame ukuba zikhanya ngombala futhi kungase kube nzima ukuzihlukanisa nezinye izinguquko zesikhumba ezinhle ekuqaleni.
I-seborrheic keratoses ebuhlungu ivela lapho ukukhula kuhlangana nokusabela okuphindaphindayo kwezingubo noma ukukhahlela. Lezi zingase zibonakale zibomvu, ziqine kancane, noma zibe nezindawo ezibukeka sengathi ziyaqhekeka noma ziqina.
I-Melanoacanthoma imele uhlobo olungavamile oluvela obumnyama kakhulu, cishe obumnyama. Nakuba lo mbono ungase ubukeke ukukhathaza ngenxa yombala wawo omnyama, uhlala ungenampilo futhi awunayo ingozi empilweni.
Imbangela eqondile ye-seborrheic keratosis ihlala ingaziwa, kodwa siyazi ukuthi ukuguga kudlala indima ebalulekile. Njengoba amaseli esikhumba sakho ekhula, ezinye izindawo ziqala ukukhiqiza i-keratin - iprotheni efanayo enhlokweni yakho nezinzipho - ngesivinini esisheshayo.
I-genetics ithonya kakhulu amathuba akho okukhula kwalokhu kukhula. Uma abazali bakho noma abazalwane bakho bane-seborrheic keratoses eminingi, kungenzeka kakhulu ukuthi uzokhula nayo, ngokuvamile ngezindlela ezifanayo noma ezindaweni ezifanayo.
Ukukhanya kwelanga kuhlanganyela ekukhuleni kwabo, nakuba kungase kubonakale ezindaweni ezingavamile ukubona ukukhanya kwelanga. Umthelela ohlanganisiwe weminyaka eminingi yokukhanya kwe-UV ubonakala uqalisa izinguquko zamaseli eziholela kwalokhu kukhula, okucacisa ukuthi kungani kuvamile ezindaweni ezibekwe elangeni.
Izingozi ze-hormonal ngesikhathi sokukhulelwa ngezinye izikhathi ziqalisa ukukhula okusheshayo kwe-seborrheic keratoses. Lokhu kuhlangana kuphakamisa ukuthi ukuguquguquka kwe-hormonal kungase kuthonye ukuthi lokhu kukhula kuvela ngokushesha kangakanani, nakuba indlela eqondile ingaqondakali ngokuphelele.
Ezimweni ezingavamile kakhulu, ukubonakala ngokuzumayo kwe-seborrheic keratoses eminingi kungase kubonise isimo sangaphakathi esibizwa nge-Leser-Trélat syndrome. Lokhu kwenzeka okungavamile ngezinye izikhathi kungase kube nomdlavuza wangaphakathi, nakuba lokhu kuhlangana kungavamile kakhulu futhi kudinga ukuhlolwa kwezokwelapha.
Kufanele uhlele i-aphoyintimenti nodokotela wakho uma ubona ukukhula okusha noma okuguqukayo kwesikhumba, ikakhulukazi uma ungaqiniseki ngesimo salo. Nakuba i-seborrheic keratoses ingonampilo, kuhlale kuqondakala ukuba izinguquko zesikhumba ezingaziwa ziqaliswe ngochwepheshe.
Funani usizo lokwelapha uma ukukhula kuguqula umbala, usayizi, noma i-texture ngokushesha ezinyangeni kunokunye. Nakuba i-seborrheic keratoses ngokuvamile ikhula kancane kancane futhi ngokubikezelwayo, izinguquko eziqhumayo zidinga ukuhlolwa ngochwepheshe ukuze kuvinjwe ezinye izimo.
Xhumana nodokotela wakho uma ukukhula kuqala ukubuhlungu, kuqala ukuphuza igazi, noma kudala amaqhubu avulekile angapholi. Lezi zimpawu azivamile kwi-seborrheic keratoses evamile futhi zingase zibonise ukusabela noma mhlawumbe isimo esikhulu sesikhumba.
Hlela ukuhlolwa uma uthola ukukhula okuningi okusha ngokuzumayo, ikakhulukazi uma uhlangabezana nezinye izimpawu ezingachazeki. Nakuba lokhu kungavamile kakhulu, ukuqala ngokuzumayo kokukhula okuningi ngezinye izikhathi kudinga ukuphenya kwezokwelapha.
Cabanga ukubona udokotela wesikhumba uma ukukhula kukukhathaza ngokuhlobisa noma kuvame ukuthinta izingubo noma ubucwebe. Abantu abaningi bakhetha ukususa ngenxa yokududuzeka noma izizathu zokuhlobisa, futhi ochwepheshe wesikhumba angaxoxa ngezinketho zakho ngokuphepha.
Ubudala bumelela imbangela enkulu yengozi, ngokukhula kwalokhu kukhula kuvela ngokwanda ngemuva kweminyaka engu-40 futhi kuthinta cishe wonke umuntu oneminyaka engaphezu kuka-60 ngezinga elithile. Ukuqhubeka nokuphila, kungenzeka kakhulu ukuthi uzokhula okungenani okumbalwa kwalokhu kukhula okungenampilo.
Isizinda sakho se-genetic sithonya kakhulu ingozi yakho. Abantu abanesikhumba esikhanyayo bavame ukukhula i-seborrheic keratoses ngokuvamile, nakuba kungase kwenzeke kubantu abanesikhumba noma isiko elithile.
Nawa amaphuzu ayisisekelo andisa amathuba akho:
Ukuba nalezi zimbangela zengozi akusho ukuthi uzokhula i-seborrheic keratoses, futhi ukuba nezimbangela ezimbalwa zengozi akusho ukuthi awunayo. Lokhu kukhula kuvamile kangangokuthi abantu abaningi bakhula okungenani okumbalwa kungakhathaliseki iphrofayili yabo yengozi.
Ngokuthakazelisayo, ukukhulelwa ngezinye izikhathi kungase kukhulise ukukhula kwabo kwabesifazane abasenesikhathi eside bekhona, nakuba lo mthelela ngokuvamile uzinzile ngemuva kokuthi izinguquko ze-hormonal zibuyele ejwayelekile.
I-Seborrheic keratoses ngokungavamile ibangela izinhlanganisela njengoba ingonampilo ngokuphelele futhi ayisakazeki noma ibe ngumdlavuza. Izinkinga ezivamile zivela ekukhathazeni komzimba kunokukhula ngokwakho.
Ukusabela kwezingubo, ubucwebe, noma ukukhahlela okuphindaphindayo kungabangela ukusabela, okubangela ubomvu okwesikhashana, ukuqina okuncane, noma izinguquko zobuso. Lokhu kusabela ngokuvamile kuqeda ngokushesha uma ususile umthombo wokusabela.
Ukukhathazeka kokuhlobisa kumelela “inhlanganisela” eyinhloko kubantu abaningi. Ukukhula okukhulu noma okuningi ezindaweni ezibonakalayo njengobuso, intamo, noma isifudu ungathinta ukuzethemba kwakho noma ukududuzeka ezimeni zomphakathi.
Ukuphuza igazi kungenzeka uma ukukhula kuqhekeka noma kuqhekeka ngengozi, ikakhulukazi lezo ezindaweni lapho izingubo zithinta khona ngokuphindaphindiwe. Nakuba lo mkhuba uqeda kalula ngokucindezela kancane, ungase ube ukukhathaza uma kwenzeka ngokuzumayo.
Ezimweni ezingavamile kakhulu, umdlavuza wesikhumba ungase ukhule eduze noma ngaphakathi kwe-seborrheic keratosis, nakuba lokhu akusho ukuthi i-keratosis ibangela umdlavuza. Lesi simo singavamile kangangokuthi akufanele sikukhathaze, kodwa kuqinisekisa ukuthi ukukhula okusha noma okuguqukayo kufanele kuhlolwe ngochwepheshe.
Uthonyo lwengqondo lokukhula okuningi okubonakalayo akufanele kuphazanyiswe. Abanye abantu bazizwa bekhishwa ngokubonakala kwabo, okungase kuthinte ikhwalithi yabo yokuphila nokufisa ukubamba iqhaza emisebenzini abayithandayo.
Ngeshwa, awukwazi ukuvimbela ngokuphelele i-seborrheic keratoses njengoba ukuguga ne-genetics kudlala indima ebalulekile ekukhuleni kwabo. Noma kunjalo, ungathatha izinyathelo zokunciphisa ukwakheka kwabo nokunciphisa ingozi yakho yonke.
Ukuvikela elangeni kunikeza isu lakho elihle kakhulu lokuvimbela. Ukusetshenziswa okuvamile kwe-sunscreen ebanzi-spectrum ene-SPF 30 noma ngaphezulu kungase lihambise ukukhula kokukhula okusha, ikakhulukazi ezindaweni ezibekwe elangeni njengobuso bakho, isifudu, nezingalo.
Ukugqoka izingubo ezivikelayo, iziqalo ezinemikhawulo ebanzi, nokufuna isithunzi ngesikhathi sokukhanya kwelanga esikhulu kusiza ekuqedeni ukonakala kwe-UV. Nakuba lokhu ngeke kuvimbele yonke i-seborrheic keratoses, kungase kunciphisa ukuguga kwesikhumba okuhlobene ne-UV okusekela ukwakheka kwabo.
Ukuqeda ukufuna ukufudumala, kungaba ukukhanya kwelanga noma ama-tanning beds, kunciphisa umthwalo we-UV wesikhumba sakho sonke. Ukonakala okuncane kwe-UV esikhunwini sakho okuqoqwe phakathi nokuphila kwakho, ukukhula okuncane ozokhula.
Ukugcina isikhumba esinempilo ngokuhlanza okuthambile nokufaka amafutha kungase kusize isikhumba sakho sikhulise ngokuhle kakhulu. Nakuba lokhu ngeke kuvimbele ngokuqondile i-seborrheic keratoses, isikhumba esinempilo sivame ukubonisa izimpawu ezincane zezinguquko ezihlobene nokuguga.
Ukuhlola kwesikhumba okuvamile kusiza ukubona ukukhula okusha ngokushesha, kuvumela ukuhlolwa okusheshayo uma kudingeka. Ukuthola okusheshayo akusona ukuvimbela, kodwa kusiza ukuqinisekisa ukuthi noma yiziphi izinguquko ezikhathazayo zithola ukunakekelwa okufanele.
Udokotela wakho ngokuvamile angakwazi ukubona i-seborrheic keratosis ngokuhlola ngamehlo kuphela, njengoba lokhu kukhula kunezimpawu ezicacile kakhulu. Ukubonakala okuthi “kunamathele” ne-texture enamafutha kwenza kube lula ukuyibona kubanakekeli bezempilo abanolwazi.
Ngesikhathi sokucubungula, udokotela wakho uzobheka umbala wokukhula, i-texture, imikhawulo, nobukhulu jikelele. Bangase basebenzise i-dermatoscope, ithuluzi elikhethekile lokuqeda nge-lighting, ukuhlola izakhiwo zobuso bokukhula ngokucophelela.
Umlando wakho wezokwelapha ukusiza ekubonisweni, ikakhulukazi ulwazi mayelana nokuthi ukukhula kuvela nini, luye lwashintsha kanjani, nokuthi ukukhula okufanayo kuhamba yini emndenini wakho. Lolu lwazi lwesizinda luyasekela ukuboniswa ngamehlo.
Ezimweni lapho ukuboniswa kungacaci ngokuphelele, udokotela wakho angase aphakamise i-biopsy. Lokhu kuhilela ukususa isampula encane yokukhula ukuze kuhlolwe nge-microscope, okunikeza ukuboniswa okuqinisekisiwe.
I-biopsy iba yingxenye enkulu uma ukukhula kunezimpawu ezingavamile, kuguquke ngokushesha, noma kubukeki njenge-seborrheic keratosis evamile. Le nqubo ilula futhi ngokuvamile ingenziwa ehhovisi nge-anesthesia yendawo.
Ukuthwebula izithombe ngezinye izikhathi kusiza ukubhala ukubonakala kokukhula ukuze kuqhathaniswe esikhathini esizayo. Lokhu kuqala kuvumela udokotela wakho ukuba alandelele noma yiziphi izinguquko ngezikhathi zokuvakashela ezilandelayo futhi kunikeze ukuqinisekisa ngokuzinzile ngokuhamba kwesikhathi.
Alukho ukwelashwa okudingekayo ngokwelapha kwe-seborrheic keratosis njengoba lokhu kukhula kungonampilo ngokuphelele. Abantu abaningi bakhetha ukuyishiya, ikakhulukazi ezincane ezindaweni ezingabonakali.
Ukususa kuba yisinqumo lapho ukukhula kukukhathaza, kuvame ukusabela, noma kukukhathaza ngokuhlobisa. Izindlela eziningi eziphumelelayo zingasusa lokhu kukhula ngokukhathazeka okuncane nemiphumela emihle.
I-Cryotherapy isebenzisa i-liquid nitrogen ukuze iqhube ukukhula, okubangela ukuthi kuwe ngemihla embalwa kuya emaviki. Le nqubo yesikhashana ehhovisi isebenza kahle ekukhuleni okuncane futhi ngokuvamile ishiya amabala amancane.
I-Electrodesiccation ne-curettage kuhilela ukukhahlela ukukhula nokusebenzisa amandla kagesi ukulawula ukuphuza igazi. Lendlela isebenza kahle ekukhuleni okukhulu futhi ivumela ukuhlolwa kwezicubu uma kudingeka.
Ukususa nge-laser kunikeza ukulawula okuqondile futhi kusebenza kahle ekukhuleni kobuso lapho imiphumela yokuhlobisa ibaluleke kakhulu. Izinhlobo ezahlukene ze-laser zingase zihlose izici ezithile zokukhula ngenkathi zinciphisa ukonakala kwesikhumba esizungezile.
Ukususa ngokusebenza kungase kunconywe ekukhuleni okukhulu noma lapho ukuhlolwa kwezicubu kufunwa. Lendlela iqinisekisa ukususa okuphelele futhi inikeza izicubu ze-biopsy uma kunekungabaza kokuboniswa.
Ukukhetha indlela yokususa kuncike ebukhulu bokukhula, indawo, uhlobo lwesikhumba sakho, nezifiso zokuhlobisa. Udokotela wakho uzokuncoma indlela engcono kakhulu ngokusekelwe kulezi zici zomuntu.
Ukuphathwa ekhaya kugxile ekuvimbeleni ukusabela nokubuka izinguquko kunokwelapha ukukhula ngokwakho. Ungalokothi uzame ukususa i-seborrheic keratoses ekhaya, njengoba lokhu kungase kube yimbangela yokutheleleka, amabala, noma ukususa okungaphelele okungase kuqede ukwelashwa kwesikhathi esizayo.
Gcina indawo ihlanzekile futhi yomile usebenzisa abahlanzi abamnene, abangenayo i-fragrance. Gwema ukukhahlela noma ukukhahlela ukukhula, njengoba lokhu kungabangela ukusabela, ukuphuza igazi, noma ukuvuvukala okwesikhashana.
Khetha izingubo ezingathinti ukukhula okuqhamukile. Izicubu ezithambile nokuqina okukhulu ezindaweni ezithintekayo kungavimbela ukusabela okuhlobene nokusabela nokududuzeka.
Faka amafutha eduze kokukhula ukuze ugcine isikhumba esizungezile sinempilo, kodwa gwema ukukhahlela ngamandla phezu kokukhula ngokwakho. Isikumba esinamanzi kakhulu asinakukhathazeka ngemisebenzi yansuku zonke.
Vikela ukukhula ekukhanyeni kwelanga usebenzisa i-sunscreen noma ukumbozwa kwezingubo. Nakuba lokhu ngeke kwenze ukukhula okukhona kuphele, kungavimbela ukonakala kwe-UV okwengeziwe nokusabela okungenzeka.
Hlola ukukhula ngezinguquko ebukhulu, umbala, noma i-texture usebenzisa ukuhlola kwakho kwanyanga zonke. Thatha izithombe uma kukusiza ukulandelela izinguquko ngokuhamba kwesikhathi, futhi ubhale izinguquko ezinkulu kudo
Uma ukukhula kulimala ngengozi, uhlanze kancane ngesepha namanzi, ufake i-ointment ye-antibiotic, futhi ubeke i-bandage kuze kube yilapho liphulukile. Xhumana nodokotela wakho uma izimpawu zokutheleleka zivela.
Lungiselela uhlu lwazo zonke izinguquko zesikhumba ozikhathazekile ngazo, uqaphele ukuthi wazibona nini okokuqala ngayinye noma yiziphi izinguquko ozibonile. Lolu lwazi lusiza udokotela wakho ukuba anikeze ukunakekelwa okuningi kokukhula okudingayo ukunakekelwa okuningi.
Thatha izithombe ezicacile, ezikhulu zokukhula okunzima ukubona noma ezindaweni ezingavamile. Lezi zithombe zingasiza ngesikhathi se-aphoyintimenti yakho futhi zinikeze isisekelo sokuqhathanisa esikhathini esizayo.
Bula ulwazi mayelana nomlando womndeni wakho wezimo zesikhumba, kufaka phakathi ukuthi abazali noma abazalwane bakho babe noku
Bula uhlu lwemithi oyithathayo, kufaka phakathi imikhiqizo yokuthengisa ngaphandle kokubonisana nodokotela kanye nezinhlanganisela. Eminye imithi ingase ithinte ukwelashwa noma ithonywe izinqumo zokwelapha uma ukususa kucabangelwa.
Lungiselela imibuzo mayelana nezinkathazo zakho ezithile, njengokuthi ukususa kunconywa yini, okufanele ukulindele ezindleleni ezahlukene zokususa, nokuthi ungalandelela kanjani ukukhula okusele.
Gqoka izingubo ezivumela ukufinyelela okulula ezindaweni ofuna ukuzihlola. Izingubo eziqondile ezingasuswa kalula noma zilungiswe zenza ukuhlola kube lula futhi kuphelele.
Cabanga ukuletha umngani noma ilungu lomndeni othembekile uma ukhathazekile nge-aphoyintimenti noma ufuna usizo ekukhumbula izincomo nemiyalo yodokotela.
I-Seborrheic keratosis imele enye yezinguquko zesikhumba ezivamile futhi ezingenampilo ozoyithola njengoba ukhula. Lokhu kukhula okunamafutha, “okunamathele” kuthinta cishe wonke umuntu ekugcineni futhi akubikho umdlavuza noma ubungozi empilweni.
Nakuba kungavinjelwa ngokuphelele, ukuvikela elangeni kusiza ekuqedeni ukukhula kwabo. Abantu abaningi bakhetha ukuyishiya, kodwa izindlela zokususa eziphephile neziphumelelayo zikhona uma zikukhathaza ngokuhlobisa noma ngokomzimba.
Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukukhula okusha noma okuguqukayo kwesikhumba kufanele kuhlolwe ngochwepheshe. Uma kuboniswe kahle, i-seborrheic keratoses ayidingi ukunakekelwa okukhethekile ngaphandle kokuhlambalaza kwesikhumba okuyisisekelo nokuvikela elangeni.
Ungavumeli lokhu kukhula okuvamile kubangele ukukhathazeka okungadingekile. Ziyisigaba esivamile sokuguga kwesikhumba, njengoboya obumhlophe noma izibuko zokufunda, futhi zingaphathwa ngokusekelwe ezintweni zakho zomuntu siqu nokududuzeka.
Cha, i-seborrheic keratoses ayiphenduki umdlavuza. Ziyizikhula ezingenampilo ngokuphelele ezihlala zingonampilo phakathi nokuphila kwazo. Noma kunjalo, kuhlale kubalulekile ukuba izinguquko ezintsha noma eziguqukayo zesikhumba ziqaliswe ngumhlinzeki wezempilo ukuze kuqinisekiswe ukuboniswa okuqondile nokunciphisa ezinye izimo ezingase zibukeke zifanayo.
Ukuba ne-seborrheic keratoses eminingi kuvamile ngokuphelele futhi kulindelekile njengoba ukhula. Abantu abaningi abangaphezu kweminyaka engu-60 banezinhlobo eziningi zalokhu kukhula, futhi abanye abantu bakhula ngezigidi ngaphandle kokukhathazeka ngempilo. Inani lokukhula onalo alikwandisi ingozi yakho yomdlavuza wesikhumba noma ezinye izinkinga zempilo.
I-seborrheic keratoses esusiwe ngokufanele ayibuyeli emuva endaweni efanayo. Noma kunjalo, ungase ukhule ukukhula okusha ezindaweni eziseduze ngokuhamba kwesikhathi, okuvamile futhi kulindelekile. Lokhu akusona ukukhula okufanayo okubuyayo kodwa ukukhula okusha okuvela njengengxenye yenqubo yemvelo yokuguga.
Ukuphathwa okuthengiswa ngaphandle kokubonisana nodokotela ngokuvamile akusebenzi futhi kungaze kube yingozi kwi-seborrheic keratoses. Lokhu kukhula kudinga izindlela zokususa ngochwepheshe ukuze kususwe ngokuphepha nangokuphelele. Ukulungiselela ukususa ekhaya kungase kube yimbangela yokutheleleka, amabala, noma ukususa okungaphelele okungase kuqede ukwelashwa kwesikhathi esizayo.
I-Seborrheic keratoses ayidluliseleki futhi ayikwazi ukusakazeka kubantu ngokuthinta. Zikhula ngenxa yokuguga, i-genetics, nokukhanya kwelanga kunokutheleleka noma ama-viruses. Awudingi ukukhathazeka ngokudlulisela kwabanye noma ukuyithola komunye umuntu.