Created at:1/13/2025
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I-Arthroscopy iyinqubo yokuhlinzwa encane evumela odokotela ukuthi babheke ngaphakathi emalungeni akho besebenzisa ikhamera encane ebizwa nge-arthroscope. Cabanga ngayo njengendlela kadokotela wakho yokubuka ngaphakathi elungeni lakho ngembobo encane kunokwenza ukusikeka okukhulu. Le ndlela isiza ukuxilonga izinkinga zamalunga futhi ivame ukuzelapha ngesikhathi esifanayo senqubo, okuholela ezikhathini zokululama ezisheshayo nobuhlungu obuncane uma kuqhathaniswa nokuhlinzwa okuvulekile kwendabuko.
I-Arthroscopy isebenzisa ithuluzi elincanyana njengepensela elinekhamera encane nokukhanya ukuhlola ngaphakathi kwamalunga akho. I-arthroscope idlulisela izithombe esikrinini, inikeze udokotela ohlinzayo umbono ocacile, okhuliswe ngaphakathi kwelunga lakho. Lokhu kubavumela ukuthi babone izinqulu, imisipha, nezinye izakhiwo ngemininingwane.
Le nqubo ithola igama layo emagameni amabili esiGreki:
Izinzuzo zokuxilonga zibalulekile ngoba udokotela ohlinzayo angabona ngqo okwenzekayo ngaphakathi kwelunga lakho ngesikhathi sangempela. Bangahlola ubuso be-cartilage, bahlole izingcezu ezixekile, bahlole ukulimala kwemigqa, futhi bathole ukuvuvukala noma ukutheleleka. Lokhu kubona okuqondile kuvame ukudalula izinkinga ezingase zingabonwa yizivivinyo zokuthwebula izithombe.
Ngokombono wokwelashwa, i-arthroscopy ingabhekana nezinkinga eziningi zamalunga ngesikhathi esifanayo senqubo. Izimo ezivamile eziphathwayo zihlanganisa i-cartilage edabukile, imigqa elimele, ama-bone spurs, izicubu ezivuvukele, namathambo axekile noma izingcezu ze-cartilage. Imvelo encane yokuhlasela isho ukuthi cishe uzobhekana nobuhlungu obuncane, ukuncipha kwemihuzuko, nokuphola okusheshayo uma kuqhathaniswa nokuhlinzwa okuvulekile kwendabuko.
Inqubo ye-arthroscopy ngokuvamile ithatha imizuzu engama-30 kuya emahoreni amabili, kuye ngokuthi udokotela ohlinzayo atholani futhi adinga ukukulungisa. Uzothola i-anesthesia yendawo enokuthulisa noma i-anesthesia ejwayelekile, okuzoxoxwa ngayo ithimba lakho lezokwelapha ngaphambi kwesikhathi. Ukukhetha kuncike elungwini elihlolwayo kanye nobunzima benqubo elindelekile.
Nakhu okwenzekayo ngesikhathi senqubo, isinyathelo ngesinyathelo:
Izindlela eziningi ze-arthroscopic zenziwa ngaphandle kokulaliswa esibhedlela, okusho ukuthi ungahamba ngosuku olufanayo. Ukuqhekeka okuncane ngokuvamile akudingi ukuthungwa, amapheshana anamathelayo nje noma amabhandishi amancane. Udokotela ohlinzayo uzobheka ngokucophelela ilunga ngesikhathi senqubo ukuqinisekisa ukuthi konke kuhamba kahle.
Ukulungiselela i-arthroscopy kuhlanganisa izinyathelo eziningana ezibalulekile ukuqinisekisa ukuthi inqubo yakho ihamba kahle futhi iphephile. Udokotela ohlinzayo uzohlinzeka ngemiyalelo ethile, kodwa ukulungiselela okujwayelekile kuvame ukuqala cishe ngesonto ngaphambi kokuhlinzwa kwakho. Ukulandela lezi ziqondiso ngokucophelela kusiza ukunciphisa ingozi yezinkinga futhi kukhuthaza ukuphola okungcono.
Ukulungiselela kwakho ngaphambi kokuhlinzwa kufaka lezi zinyathelo ezibalulekile:
Ithimba lakho lezokwelapha lizokwenza nokuhlolwa ngaphambi kokuhlinzwa, okungase kuhlanganise umsebenzi wegazi, i-EKG, noma ezinye izivivinyo kuye ngeminyaka yakho kanye nesimo sempilo. Unganqikazi ukubuza imibuzo nganoma yini ongayiqondi. Ukulungiswa kahle ngokwengqondo nangokomzimba kusiza ekuqinisekiseni umphumela ongcono kakhulu.
Ukuqonda imiphumela yakho ye-arthroscopy kuhilela ukwazi ukuthi udokotela ohlinzayo uthole ini ngesikhathi senqubo nokuthi kwenziweni ukubhekana nanoma yiziphi izinkinga. Udokotela wakho ohlinzayo ngokuvamile uzoxoxa ngemiphumela nawe ngokushesha ngemva kwenqubo, ngokuvamile ekukhombisa izithombe noma ividiyo evela ku-arthroscope. Lezi zinsiza ezibonakalayo zikusiza ukuthi uqonde kahle ukuthi kwenzekani ngaphakathi kwelunga lakho.
Imiphumela yakho izohlanganisa izingcezu ezimbalwa ezibalulekile zolwazi. Okokuqala, uzofunda ngesimo esiphelele selunga lakho, okuhlanganisa impilo ye-cartilage yakho, imisipha, nezicubu eziqashile. Udokotela wakho ohlinzayo uzochaza noma yikuphi ukulimala abakutholile, njengokudabuka, ukuvuvukala, noma ukuguga nokudabuka. Bazochaza futhi noma yikuphi ukulungiswa noma ukwelashwa okwenziwe ngesikhathi senqubo.
Ubunzima bemiphumela ngokuvamile buwela ezigabeni ezisukela ekugugeni okuncane kuya ekulimaleni okukhulu okudinga ukwelashwa okuqhubekayo. Imiphumela emincane ingahlanganisa izindawo ezincane ze-cartilage ethambile noma ukuvuvukala okuncane okudinga ukuhlanza okulula noma ukuthambisa. Imiphumela ebaluleke kakhulu ingabandakanya imisipha edabukile, ukukhubazeka okukhulu kwe-cartilage, noma i-arthritis ethuthukile engase idinge ukwelashwa okwengeziwe noma izinguquko zokuphila.
Udokotela wakho ohlinzayo uzophinda anikeze umbiko onemininingwane ohlanganisa izithombe ezivela enqubweni, ongazibuyekeza kamuva. Le dokhumenti ikusiza ukuthi uqonde ukuxilongwa kwakho futhi isebenza njengomugqa wokulandela impilo yelunga lakho esikhathini esizayo. Ungakhathazeki uma ungakhumbuli konke okusuka engxoxweni ngemva kwenqubo - umbiko obhaliwe uzohlinzeka ngayo yonke imininingwane oyidingayo.
Ukwelashwa kwezinkinga ezitholwe ngesikhathi se-arthroscopy kuncike kulokho udokotela ohlinzayo akutholile nokuthi yini esivele yaqondiswa ngesikhathi senqubo. Izinkinga eziningi zingalungiswa ngokushesha ngesikhathi esifanayo se-arthroscopic, kanti ezinye zingase zidinge ukwelashwa okwengeziwe noma izinguquko zendlela yokuphila. Uhlelo lwakho lokululama luzoklanywa ngokuqondile ngokuya ngokutholakele kwakho nezinqubo ezenziwe.
Ukwelashwa ngokushesha okwenziwa ngesikhathi se-arthroscopy kuvame ukuhlinzeka ngokuqeda okukhulu. Lokhu kungabandakanya ukususa izingcezu ze-cartilage ezixekile, ukuthambisa izindawo ezinzima ze-cartilage, ukusika i-meniscus edabukile, ukulungisa izinyembezi ezincane ze-ligament, noma ukususa izicubu ezivuvukile. Lokhu kulungiswa ngokuvamile kuphola kahle ngoba indlela encane yokuhlasela igcina izicubu ezinempilo ezizungezile.
Ukwelashwa ngemva kwenqubo kugxila ekukhuthazeni ukuphola nokubuyisela umsebenzi. Ukwelashwa ngokomzimba kuvame ukudlala indima ebalulekile ekululameni kwakho, ukusiza ukubuyisela amandla, ukuguquguquka, nobubanzi bokunyakaza. Umelaphi wakho uzoklama uhlelo oluqhubeka kancane kancane, luqala ngokunyakaza okumnene futhi lakhe liye ekuqeqeshweni okuyinselele njengoba ilunga lakho liphola.
Ezinye izimo ezitholwe ngesikhathi se-arthroscopy zingase zidinge ukwelashwa okwengeziwe ngaphezu kwalokho okungenziwa nge-arthroscopically. I-arthritis ethuthukile, izinyembezi ezinkulu ze-ligament, noma ukulimala okuyinkimbinkimbi kwe-cartilage kungase kudingeke ukuphathwa okuqhubekayo ngemithi, imijovo, noma mhlawumbe ukuhlinzwa okwengeziwe. Udokotela ohlinzayo uzoxoxa lezi zinketho nawe futhi asize ukudala uhlelo lokwelashwa olubanzi.
Umphumela ongcono kakhulu we-arthroscopy wenzeka lapho inqubo iphumelela ekubhekaneni nezinkinga zakho zamalunga ngenkathi ikhuthaza ukuphola okuhle nomsebenzi. Impumelelo ngokuvamile ilinganiswa ngokunciphisa ubuhlungu, ukuthuthukisa ukuhamba, kanye nekhono lakho lokubuyela emisebenzini evamile. Abantu abaningi bathola ukuthuthuka okukhulu ezimpawini zabo, nakuba isikhathi kanye nezinga lokuthuthuka kuhluka ngokuya ngezici zomuntu ngamunye.
Imiphumela ekahle ihlanganisa ukukhululeka okuphelele kobuhlungu noma ukuncipha okukhulu kobuhlungu, ikakhulukazi emisebenzini ebibingakhululekile ngaphambili. Kufanele uqaphele ukuthuthuka kokusebenza kwamalunga, okuhlanganisa ukunyakaza okungcono nokuzinza. Abantu abaningi bathola ukuthi bangakwazi ukubuyela emidlalweni, ekuzivoceni, nasemisebenzini yansuku zonke okwakudingeka bayigweme ngaphambi kwale nqubo.
Isikhathi sokululama semiphumela emihle ngokuvamile silandela iphethini elindelekile. Ukuphola kokuqala kokusikeka okuncane kwenzeka phakathi nezinsuku ezimbalwa kuya evikini. Ukuvuvukala kwamalunga nokungakhululeki kuvame ukwehla phakathi kwamasonto angu-2-4. Abantu abaningi bangakwazi ukubuyela emisebenzini yansuku zonke ejwayelekile phakathi kwamasonto angu-2-6, kuyilapho ukubuyela emidlalweni noma emisebenzini enzima yomzimba kungase kuthathe izinyanga ezingu-2-4.
Impumelelo yesikhathi eside ivame ukuncika ekulandeleni uhlelo lwakho lokuvuselela nokwenza izinguquko ezifanele zokuphila. Lokhu kungase kuhlanganise ukugcina isisindo esinempilo, ukuhlala usebenza ngokuzivocavoca okungashayi kakhulu, nokugwema imisebenzi engase ilimaze ilunga futhi. Ukulandela njalo nethimba lakho lezempilo kusiza ukuqinisekisa ukuthi ugcina izinzuzo zenqubo yakho.
Izici eziningana zingakhuphula amathuba akho okuthuthukisa izinkinga zamalunga ezingase zidinge ukuhlolwa noma ukwelashwa kwe-arthroscopic. Ukuqonda lezi zici eziyingozi kukusiza ukuthi wenze izinqumo ezinolwazi mayelana nempilo yamalunga futhi uvimbele izinkinga zesikhathi esizayo. Ubudala, izinga lomsebenzi, kanye nemfuzo konke kunendima ebalulekile empilweni yamalunga ngokuhamba kwesikhathi.
Izici eziyingozi ezivamile ezingase ziholele ezinqubweni ze-arthroscopic zihlanganisa:
Izici zomsebenzi nazo zifaka isandla ezinkingeni zamalunga ngokuhamba kwesikhathi. Imisebenzi edinga ukunyakaza okuphindaphindiwe, ukuphakamisa okunzima, noma ukuguqa isikhathi eside kungakhuphula ukuguga emalungeni athile. Abasebenzi bezempilo, abasebenzi bezokwakha, nabadlali bavame ukubhekana nezingozi eziphakeme ngenxa yezidingo zomzimba zomsebenzi wabo noma imisebenzi yabo.
Ngenkathi ungeke ukwazi ukushintsha izinto ezinjengobudala noma izakhi zofuzo, izici eziningi eziyingozi ziyashintsheka. Ukugcina isisindo esinempilo, ukuhlala usebenza ngokomzimba ngemithambo efanele, ukusebenzisa indlela efanele emidlalweni nasemisebenzini yomsebenzi, nokubhekana nokulimala ngokushesha konke kungasiza ukugcina impilo yamalunga futhi kungenzeka kunciphise isidingo sezinqubo zesikhathi esizayo.
Isikhathi se-arthroscopy sincike esimweni sakho esithile, izimpawu, nokuthi ukwelashwa okungahlinzeki kahle kusebenza kahle kangakanani. Ngokuvamile, i-arthroscopy icatshangelwa lapho ukwelashwa okungahlinzeki ngemithi kungazange kunikeze ukukhululeka okwanele ngemva kwesikhathi sokulingwa esifanele. Udokotela ohlinzayo uzosiza ekunqumeni isikhathi esifanele esisekelwe ezimweni zakho ngazinye kanye nemigomo.
Ukwelashwa ngaphambi kwesikhathi kungaba usizo ezimweni ezithile, ikakhulu ukulimala okungazelelwe noma izinkinga ezingokomshini ngaphakathi kwelunga. Uma une-meniscus edabukile ebanga ukuvaleka noma ukubamba, izingcezu ze-cartilage ezixekile, noma ukudabuka kwe-ligament okuthinta ukuzinza, ukubhekana nalezi zinkinga ngokushesha kunokuba kamuva kuvame ukuholela emiphumeleni engcono. Ukulibazisa ukwelashwa ngezinkinga ezingokomshini ngezinye izikhathi kungaholela ekulimaleni okwengeziwe.
Nokho, izimo eziningi zamalunga ziphendula kahle ekwelashweni okuqhubekayo, futhi ukuhlinzwa akudingeki ngaso sonke isikhathi. Izimo ezinjenge-arthritis encane, ukuthambisa okuncane kwe-cartilage, noma ukuvuvukala kuvame ukuthuthuka ngokuphumula, ukwelashwa ngokomzimba, imithi, kanye nokuguqulwa kwendlela yokuphila. Udokotela wakho ngokuvamile uzoncoma ukuzama lezi zindlela kuqala ngaphandle uma kukhona inkinga ecacile engokomshini edinga ukungenelela kokuhlinzwa.
Isikhathi sokuthatha isinqumo futhi sincike ekutheni izimpawu zakho zithinta kanjani izinga lempilo yakho nemisebenzi yansuku zonke. Uma izinkinga zamalunga zikhawulela kakhulu umsebenzi wakho, ukuzijabulisa, noma ukusebenza kwansuku zonke naphezu kokwelashwa okuqhubekayo, i-arthroscopy yangaphambi kwesikhathi ingase ifaneleke. Ngakolunye uhlangothi, uma izimpawu zilawuleka futhi zithuthuka kancane kancane, ukulinda nokuqhubeka nokwelashwa okuqhubekayo kungase kube yindlela engcono.
Ngenkathi i-arthroscopy ngokuvamile iphephile kakhulu, njenganoma iyiphi inqubo yokuhlinzwa, ithwala ezinye izingozi nezinkinga ezingaba khona. Izindaba ezinhle ukuthi izinkinga ezinzima azivamile, zenzeka ngaphansi kuka-1% wamacala. Ukuqonda lezi zinto ezingenzeka kukusiza ukuthi wenze isinqumo esinolwazi futhi uqaphele noma yiziphi izimpawu zokuxwayisa ngesikhathi sokululama kwakho.
Izinkinga ezincane ezivamile ezenzeka ngezikhathi ezithile zihlanganisa:
Izinkinga ezingathi sína kodwa ezingavamile zidinga ukunakekelwa kwezempilo ngokushesha. Lokhu kufaka phakathi ukutheleleka, okwenzeka ezingaphansi kuka-1% wamacala futhi ngokuvamile kuphendula kahle ekwelashweni ngama-antibiotic. Amahlule egazi ngezikhathi ezithile angakheka, ikakhulukazi emgogodleni womlenze, kodwa ithimba lakho lezokwelapha lizohlinzeka ngemihlahlandlela yokusiza ukuvimbela lokhu. Ukulimala kwemizwa noma imithambo yegazi akuvamile kakhulu kodwa kungenzeka.
Abanye abantu bahlangabezana nokuqina okuqhubekayo noma ukukhululeka kobuhlungu okungaphelele ngemva kwe-arthroscopy. Lokhu akusho ngempela ukuthi inqubo yehlulekile - ngezinye izikhathi imigogodla idinga isikhathi sokuphola ngokugcwele, noma ukwelashwa okwengeziwe kungase kube usizo. Ngokungavamile, abantu bangase badinge i-arthroscopy ephindwayo noma ezinye izinqubo zokubhekana nezinkinga eziqhubekayo.
Ithimba lakho lokuhlinza lizohlinzeka ngemiyalelo enemininingwane yokubona izimpawu zokuxwayisa ezidinga ukunakekelwa kwezempilo ngokushesha. Lokhu kufaka phakathi izimpawu zokutheleleka njengomkhuhlane, ukubomvu okwandayo noma ukufudumala, ukuphuma ngokweqile, noma ubuhlungu obanda ngokuya. Ukulandela imiyalelo yangemva kokuhlinzwa ngokucophelela kunciphisa kakhulu ingozi yakho yezinkinga.
Kufanele ucabangele ukubona udokotela ngezinkinga zomgogodla lapho izimpawu ziqhubeka, ziba zimbi, noma zithinta kakhulu imisebenzi yakho yansuku zonke. Ngenkathi izinhlungu ezincane zomgogodla zivamile futhi zivame ukuzixazulula zodwa, ezinye izimpawu zidinga ukuhlolwa kwezokwelapha. Ukubonisana ngaphambi kwesikhathi kungasiza ekuvikeleni izinkinga ezincane ekubeni zibe zinkulu.
Funana ukwelashwa uma uhlangabezana nobuhlungu obuqhubekayo emalungeni obuhlala izinsuku ezingaphezu kwezithile, ikakhulukazi uma kungathuthuki ngokuphumula nokunakekelwa okuyisisekelo. Ukuvuvukala okungaphenduli eqhweni nokuphakanyiswa, ukuqina kwamalunga okukhawulela ukunyakaza kwakho, noma ukungazinzi okukwenza uzizwe sengathi ilunga lingase "liphele" zonke izizathu zokubona umhlinzeki wezempilo.
Ukunakekelwa kwezempilo ngokushesha kuyadingeka ngezimpawu ezithile ezingase zibonise ukulimala okukhulu noma ukutheleleka. Lezi zimpawu zefulegi elibomvu zihlanganisa:
Ungalindi ukufuna usizo uma izinkinga zamalunga ziphazamisa umsebenzi wakho, ukulala, noma imisebenzi yokuzilibazisa. Ukungenelela kwasekuqaleni kuvame ukuholela emiphumeleni engcono futhi kungavimbela isidingo sokwelashwa okuningi kamuva. Udokotela wakho wokunakekelwa okuyisisekelo angahlola izimpawu zakho futhi akuqondise ochwepheshe uma kudingeka.
I-Arthroscopy ingaba yinhle kakhulu ngezinhlobo ezithile zobuhlungu emadolweni, ikakhulukazi uma kubangelwa izinkinga zemishini njengokudabuka kwe-meniscus, izingcezu ze-cartilage ezixekile, noma izinkinga ze-ligament. Isebenza kahle ikakhulukazi ekuxilongeni imbangela eqondile yobuhlungu obuqhubekayo emadolweni lapho izifundo zokucabanga zingazange zinikeze izimpendulo ezicacile. Abantu abaningi bathola ukukhululeka okukhulu kobuhlungu ngemva kokwelashwa kwe-arthroscopic kwalezi zimo.
Noma kunjalo, i-arthroscopy ayinanzuzo kuzo zonke izinhlobo zobuhlungu emadolweni. Ucwaningo lubonisa ukuthi ngokuvamile alusizi ngalutho ngobuhlungu emadolweni obangelwa ikakhulu yi-arthritis ngaphandle kwezimpawu ezingokomshini njengokuvaleka noma ukubamba. Udokotela wakho uzohlola izimpawu zakho ezithile kanye nezifundo zokuthwebula izithombe ukuze anqume ukuthi i-arthroscopy ingasiza yini esimweni sakho esithile.
I-Arthroscopy ayiyelaphi i-arthritis, kodwa ingasiza ekuphatheni izimpawu ezithile ezihlobene ne-arthritis ezimweni ezithile. Le nqubo ingasusa izingcezu ze-cartilage ezixekile, ibusheleleze izindawo ezinzima, futhi ihlanze izicubu ezivuvukalayo, ezingase zinikeze ukukhululeka kobuhlungu okwesikhashana nokuthuthukiswa komsebenzi. Nokho, ayimisi inqubo ye-arthritis ekhona noma ivuselele i-cartilage elimele.
Izinzuzo ze-arthritis ngokuvamile zisesikhashana futhi zisebenza kahle kakhulu lapho kunezimpawu ezingokomshini njengokubamba noma ukuvala esikhundleni sobuhlungu obujwayelekile be-arthritis. Udokotela ohlinzayo uzoxoxa ngamalindelo angokoqobo ngokusekelwe ohlotsheni lwakho oluthile nobukhulu be-arthritis, kanye nokwelashwa okuhlukile okungase kufaneleke kakhulu ekuphathweni kwe-arthritis yesikhathi eside.
Isikhathi sokululama siyahlukahluka kakhulu kuye ngokuthi ilunga eliphathwayo kanye nobubanzi benqubo eyenziwe. Nge-arthroscopy yokuxilonga enokwelashwa okuncane, ungase ubuyele emisebenzini evamile phakathi kwamasonto angu-1-2. Izinqubo ezinabile ezibandakanya ukulungiswa kwezicubu noma ukususwa ngokuvamile zidinga amasonto angu-4-8 ukuze kululame ngokugcwele.
Abantu abaningi bangahamba ngemva nje kwe-arthroscopy yamadolo noma amaqakala, nakuba ungase udinge izinduku zokuhamba izinsuku ezimbalwa. I-arthroscopy ye-shoulder ivame ukudinga ukugqoka i-sling amasonto angu-1-2. Ukubuyela emidlalweni noma emisebenzini enzima ngokomzimba ngokuvamile kuthatha izinyanga ezingu-2-4, kuye ngentuthuko yakho yokuphola kanye nentuthuko yokwelashwa ngokomzimba. Udokotela ohlinzayo uzohlinzeka ngemigqa yesikhathi ethile ngokusekelwe kunqubo yakho ngayinye kanye nemigomo yokululama.
Yebo, i-arthroscopy ingaphindwa ngokuphepha esithweni esifanayo uma kuvela izinkinga ezintsha noma uma kudingeka ukwelashwa okwengeziwe. Abanye abantu badinga ukuphindwa kwe-arthroscopy ngezinkinga eziqhubekayo njengezinyembezi ze-meniscus eziphindaphindayo, izinkinga ezintsha ze-cartilage, noma ukuphulukiswa okungaphelele kusuka kunqubo yokuqala. Uhlobo oluncane lwe-arthroscopy olungahlaseli lwenza izinqubo eziphindwayo ziqonde ngokuqondile.
Kodwa-ke, inqubo ngayinye elandelayo ithwala izingozi ezenyuke kancane ngenxa yokwakheka kwezicubu ezinamanxeba ezivela emisebenzini yangaphambilini. Udokotela ohlinzayo uzohlola ngokucophelela izinzuzo ezingaba khona ngokumelene nezingozi futhi acabangele ezinye izindlela zokwelapha ngaphambi kokuncoma i-arthroscopy ephindwayo. Impumelelo yezinqubo eziphindwayo ivame ukuncika esimweni esingaphansi kanye nempilo yakho yonke yamalunga.
Abantu abaningi bazuza kakhulu ekwelashweni ngokomzimba ngemva kwe-arthroscopy, nakuba izinga nobude behluka ngokuya ngenqubo yakho nezidingo zomuntu ngamunye. Ngezindlela zokuxilonga ezilula, ungase udinge kuphela izikhathi ezimbalwa ukuze uthole ukunyakaza namandla aphelele. Izinqubo eziyinkimbinkimbi ezibandakanya ukulungiswa kwezicubu ngokuvamile zidinga amasonto amaningana kuya ezinyangeni zokuvuselelwa okuhlelekile.
Ukwelashwa ngokomzimba kusiza ukubuyisela ukunyakaza okujwayelekile kwamalunga, ukwakha amandla emisipha ezungezile, futhi kukufundise ukuzivocavoca ukuze ugcine impilo yamalunga yesikhathi eside. Umelaphi wakho uzoklama uhlelo oluqhubeka kancane kancane kusukela ekuzivocavoceni okulula kokunyakaza kuya ekuqiniseni nasezintweni ezisebenzayo. Ukuqala ukwelashwa ngesikhathi esifanele nokulandela uhlelo kuthuthukisa kakhulu imiphumela yakho yesikhathi eside futhi kusiza ekuvimbeleni izinkinga zesikhathi esizayo.