Yini Ukuhlinzwa kwe-Bariatric? Inhloso, Izinqubo & Imiphumela

Ukuhlinzwa kwe-Bariatric kuyinqubo yezokwelapha esiza abantu abakhuluphele ngokweqile ukuthi banciphise isisindo ngokushintsha indlela umzimba wabo ogaya ngayo ukudla. Lezi zinqubo zenza isisu sakho sincane, zishintshe indlela umzimba wakho ozuza ngayo izakhamzimba, noma zombili. Cabanga ngakho njengethuluzi elinamandla elisebenza kanye nokudla okunempilo nokuzivocavoca ukuze likusize ufinyeze ukulahlekelwa isisindo okuhlala njalo lapho ezinye izindlela zingaphumelelanga.

Yini ukuhlinzwa kwe-bariatric?

Ukuhlinzwa kwe-Bariatric kubhekisela ezinqubweni eziningana zokuhlinzwa ezihlukene ezenzelwe ukusiza abantu ukuthi banciphise isisindo esikhulu. Igama elithi "bariatric" livela emazwini esiGreki asho "isisindo" kanye "nokwelashwa." Lokhu kuhlinzwa kusebenza ngokukhawulela ukuthi ungakudla kangakanani ukudla, ukunciphisa ukuthi mangaki amakhalori umzimba wakho owamukelayo, noma ukuhlanganisa zombili izindlela.

Kunezinhlobo eziningana eziyinhloko zokuhlinzwa kwe-bariatric, ngasinye esinenzuzo yaso kanye nezinto okufanele zicatshangelwe. Izinqubo ezivame kakhulu zihlanganisa i-gastric bypass, i-sleeve gastrectomy, kanye ne-adjustable gastric banding. Udokotela ohlinzayo uzokusiza ukhethe inketho engcono kakhulu ngokusekelwe empilweni yakho, imigomo yokulahlekelwa isisindo, kanye nezimo zakho zomuntu siqu.

Lezi zinqubo zivame ukwenziwa kusetshenziswa izindlela ezingahlaseli kakhulu, okusho ukusikeka okuncane nezikhathi zokululama ngokushesha. Ukuhlinzwa okuningi kwe-bariatric kwenziwa nge-laparoscopically, kusetshenziswa amakhamera amancane namathuluzi afakwa ngokusikeka okuncane esiswini sakho.

Kungani kwenziwa ukuhlinzwa kwe-bariatric?

Ukuhlinzwa kwe-Bariatric kunconywa kubantu abakhuluphele ngokweqile abangakwazanga ukunciphisa isisindo ngokudla, ukuzivocavoca, kanye nemithi kuphela. Akuyona inqubo yobuhle, kodwa kunalokho ukwelashwa kwezokwelapha kwesimo sempilo esibi esingaholela ezinkingeni ezisongela impilo.

Ungase ube ngumuntu okufanele ahlinzwe ngemva kokuba i-body mass index (BMI) yakho ingu-40 noma ngaphezulu, noma uma i-BMI yakho ingu-35 noma ngaphezulu futhi unezinkinga ezinkulu zempilo ezihlobene nesisindo. Lezi zimo zempilo zihlanganisa isifo sikashukela sohlobo 2, umfutho wegazi ophezulu, i-sleep apnea, isifo senhliziyo, noma i-arthritis enkulu okwenza kube nzima ukuhamba ngokukhululeka.

Ukuhlinzwa kungasiza ekwelapheni noma ekuthuthukiseni izimo eziningi zempilo ezihlobene nokukhuluphala eziphazamisa izinga lempilo yakho. Abantu abaningi bathola ukuthi isifo sabo sikashukela sithuthuka kakhulu, umfutho wabo wegazi uba lula ukuwulawula, futhi bakwazi ukuphefumula kangcono ebusuku. Abanye abantu baze bathole ukuthi imithi yabo ingancishiswa noma iqedwe ngokuphelele.

Ngaphandle kwezinzuzo zomzimba, ukuhlinzwa ngemva kokuba umuntu ekhuluphala ngokweqile kuvame ukusiza abantu ukuthi babuyisele ukuzethemba futhi bajabulele imisebenzi ababengakwazi ukuyenza ngaphambili. Izinto ezilula njengokukhuphuka izitebhisi, ukudlala nezingane, noma ukungena kahle ezihlalweni zezindiza ziba nokwenzeka futhi.

Yini inqubo yokuhlinzwa ngemva kokuba umuntu ekhuluphala ngokweqile?

Izinyathelo ezithile zokuhlinzwa kwakho ngemva kokuba umuntu ekhuluphala ngokweqile zincike ohlotsheni lwenqubo onayo. Kodwa-ke, ukuhlinzwa okuningi ngemva kokuba umuntu ekhuluphala ngokweqile kulandela inqubo ejwayelekile efanayo futhi kwenziwa ngaphansi kwe-anesthesia ejwayelekile ngenkathi ulele ngokuphelele.

Ngesikhathi sokuhlinzwa kwe-gastric bypass, udokotela ohlinzayo wakha isikhwama esincane phezulu kwesisu sakho futhi usixhuma ngqo emathunjini akho amancane. Lokhu kusho ukuthi ukudla kudlula ingxenye enkulu yesisu sakho nengxenye yokuqala yamathumbu akho amancane, ngakho uzizwa ugcwele ngokushesha futhi umunca ama-calories ambalwa kulokho okudlayo.

Ukuze uthole i-sleeve gastrectomy, udokotela ohlinzayo ususa cishe u-75-80% wesisu sakho, eshiya ngemuva ishubhu elincane noma

Ngokubopha kwesisu okungashintshwa, ibhendi elincane libekwa ngaphandle kwengxenye engenhla yesisu sakho ukuze kwakhiwe isikhwama esincane. Ibhendi lingaqiniswa noma lithukululwe njengoba kudingeka ngokungeza noma ukususa isixazululo se-saline ngembobo efakwe ngaphansi kwesikhumba sakho.

Iningi lokuhlinzwa kwe-bariatric kuthatha phakathi kwamahora angu-1-4 ukuqeda, kuye ngobunzima becala lakho. Ithimba lakho lokuhlinzwa lizokuqapha ngokucophelela kuyo yonke inqubo ukuze liqinisekise ukuphepha kwakho nokunethezeka kwakho.

Ungalungiselela kanjani ukuhlinzwa kwakho kwe-bariatric?

Ukulungiselela ukuhlinzwa kwe-bariatric kuhilela izinyathelo eziningana ezibalulekile emasontweni amaningana noma izinyanga ngaphambi kwenqubo yakho. Ithimba lakho lezokwelapha lizokuqondisa kuzo zonke izinyathelo ukuze liqinisekise ukuthi ulungele ngangokunokwenzeka ukuhlinzwa nokululama.

Uzodinga ukuqeda ukuhlolwa okubanzi kwezokwelapha okuhlanganisa ukuhlolwa kwegazi, ukuhlolwa komsebenzi wenhliziyo namaphaphu, futhi ngezinye izikhathi izifundo ezengeziwe zokucabanga. Udokotela wakho ufuna ukuqiniseka ukuthi unempilo eyanele yokuhlinzwa futhi ahlonze noma yiziphi izimo ezidinga ukunakwa okukhethekile ngesikhathi senqubo yakho.

Izinhlelo eziningi zidinga ukuthi uhlangane nesazi sokudla okunomsoco futhi ngezinye izikhathi nesazi sokusebenza kwengqondo noma udokotela wezifo zengqondo. Lokhu kuqokwa kusiza ukuqinisekisa ukuthi uyaqonda izinguquko zokudla ozodinga ukuzenza nokuthi ulungiselelwe ngokomzwelo izinguquko ezinkulu zokuphila ezilindele.

Udkt. wakho ohlinzayo cishe uzokucela ukuthi ulahlekelwe isisindo esithile ngaphambi kokuhlinzwa, ngokuvamile u-5-10% wesisindo sakho samanje. Lokhu kusiza ukunciphisa usayizi wesibindi sakho futhi kwenza ukuhlinzwa kuphephe futhi kube lula ukukwenza. Ungase unikezwe ukudla okuthile ngaphambi kokuhlinzwa okufanele ukulandele amasonto angu-1-2 ngaphambi kwenqubo yakho.

Uzodinga futhi ukuyeka ukubhema ngokuphelele uma ubhema, njengoba ukubhema kwandisa kakhulu ingozi yakho yezinkinga. Udokotela wakho angase ancome ukuyeka imithi ethile nokuthatha amavithamini athile ukuze uthuthukise impilo yakho ngaphambi kokuhlinzwa.

Ungawafunda kanjani imiphumela yakho yokuhlinzwa kwe-bariatric?

Impumelelo ngemuva kokuhlinzwa kwe-bariatric ilinganiswa ngezindlela eziningana ezihlukene, futhi ithimba lakho lezokwelapha lizolandela intuthuko yakho ezinyangeni naseminyakeni. Isilinganiso esivamile kakhulu ukulahlekelwa isisindo eseqile, okuqhathanisa ukuthi ulahlekelwe kangakanani isisindo nokuthi sasingakanani isisindo eseqile onaso ngaphambi kokuhlinzwa.

Umphumela ophumelelayo ngokuvamile usho ukulahlekelwa ngaphezu kuka-50% wesisindo sakho eseqile phakathi nezinyanga eziyi-12-18 ngemuva kokuhlinzwa. Isibonelo, uma wawukhuluphele ngamakhilogremu ayi-100 ngaphambi kokuhlinzwa, ukulahlekelwa ngamakhilogremu angama-50 noma ngaphezulu kungabhekwa njengokuphumelelayo. Kodwa-ke, uhambo lomuntu ngamunye luhlukile, futhi imiphumela yakho yomuntu ngamunye ingahluka.

Ithimba lakho lezokwelapha lizophinde liqaphe ukuthuthuka kwezimo zakho zempilo. Abantu abaningi babona ukuthuthuka okukhulu ku-diabetes yabo, nabanye abantu abasadingi imithi ye-diabetes. Umfutho wegazi uvame ukuthuthuka, i-sleep apnea ingase ixazululwe, futhi ubuhlungu bamalunga buvame ukwehla kakhulu.

Ukuthuthukiswa kwekhwalithi yempilo kubaluleke njengamanani esikalini. Udokotela wakho uzoza ngamazinga akho wamandla, ikhono lokubamba iqhaza emisebenzini, imizwa, kanye nokwaneliseka okuphelele ngemiphumela yakho ngesikhathi sokuqokwa okulandelayo.

Impumelelo yesikhathi eside incike ekulandeleni imihlahlandlela yakho ngemuva kokuhlinzwa, okuhlanganisa ukudla izingxenye ezincane, ukukhetha ukudla okunomsoco, ukuthatha amavithamini, nokuhlala usebenza ngokomzimba. Ithimba lakho lezokwelapha lizohlinzeka ngosekelo oluqhubekayo ukukusiza ukuthi ugcine ukulahlekelwa kwakho isisindo nokuthuthuka kwempilo.

Ungasigcina kanjani isisindo sakho ngemuva kokuhlinzwa kwe-bariatric?

Ukugcina ukulahlekelwa kwakho isisindo ngemuva kokuhlinzwa kwe-bariatric kudinga ukuzibophezela okuqhubekayo ekushintsheni indlela yokuphila enempilo. Ukuhlinzwa kwakho kuyithuluzi elinamandla, kodwa lisebenza kahle uma lihlanganiswe nezinguquko ezingapheli emikhubeni yakho yokudla kanye nezinga lomsebenzi.

Kuzodingeka udle izingxenye ezincane kakhulu impilo yakho yonke, ngokuvamile cishe i-1/4 kuya ku-1/2 inkomishi yokudla ngesidlo ngasinye. Isisu sakho esisha singakwazi kuphela ukubamba ukudla okuncane, ngakho-ke kuzodingeka ugxile ekutholeni ukudla okunomsoco kakhulu kukho konke ukuluma okukuthathayo.

Ukukhetha ukudla okunothile ngamaprotheni kubaluleke kakhulu ngoba umzimba wakho udinga amaprotheni ukuze ugcine imisipha futhi ululame kahle. Udokotela wakho wezokudla uzokusiza ukuthi ufunde ukuthi yikuphi ukudla okunikeza ukudla okunomsoco kakhulu ezingxenyeni ezincane nokuthi ungakugwema kanjani ukudla okungase kubangele izinkinga.

Ukwenza umsebenzi womzimba njalo kukusiza ukuthi ugcine ukuncipha kwakho kwesisindo futhi kuthuthukisa impilo yakho yonke. Odokotela abaningi batusa ukuqala ngemisebenzi emnene njengokuhamba futhi kancane kancane ukhuphule izinga lomsebenzi wakho njengoba ululama futhi ulahlekelwa isisindo.

Ukuncoma amavithamini nezithasiselo kubalulekile impilo yakho yonke ngoba uhlelo lwakho lokugaya ukudla olushintshiwe lungase lungamunci izakhamzimba ngempumelelo njengakuqala. Ithimba lakho lezokwelapha lizobeka imithi yamavithamini athile futhi liqaphe amazinga akho ezakhamzimba ngokuhlolwa kwegazi njalo.

Yiziphi izici eziyingozi zezinkinga zokuhlinzwa kwe-bariatric?

Ngenkathi ukuhlinzwa kwe-bariatric kuvamile ukuthi kuphephile, izici ezithile zingakhuphula ingozi yakho yezinkinga. Ukuqonda lezi zici eziyingozi kusiza ithimba lakho lezokwelapha ukuthi lithathe izinyathelo ezengeziwe futhi kukusiza ukuthi wenze isinqumo esinolwazi mayelana nokuhlinzwa.

Ubudala budlala indima engozini yokuhlinzwa, nabantu abangaphezu kweminyaka engama-65 benamazinga aphezulu kancane ezinkinga. Noma kunjalo, abantu abadala abaningi basazuzwa kakhulu ekuhlinzweni, futhi iminyaka yobudala yodwa ayikukufanelekeli ukuba ngumuntu okhethekile.

Ukuba nezimo zempilo eziningi njengokugula ngesifo sikashukela, isifo senhliziyo, noma izinkinga zamaphaphu kungakhuphula izingozi zokuhlinzwa. Ithimba lakho lezokwelapha lizohlola ngokucophelela lezi zimo futhi lisebenze ukuthuthukisa impilo yakho ngaphambi kokuhlinzwa ukuze kuncishiswe izinkinga ezingaba khona.

Isisindo sakho samanje singathinta namazinga obungozi. Abantu abane-BMI ephezulu kakhulu (ngaphezu kwama-50) bangase babe namazinga okuhlushwa aphakeme kancane, kodwa lokhu akusho ukuthi ukuhlinzwa akulungi - kusho nje ukuthi ithimba lakho lizothatha izinyathelo ezengeziwe zokuphepha.

Ukubhema kukhulisa kakhulu ingozi yakho yezinkinga ezihlanganisa ukuphola kwamanxeba okungahambi kahle, amahlule egazi, nezinkinga zokuphefumula. Izinhlelo eziningi zidinga ukuthi uyeke ukubhema ngokuphelele ngaphambi kokuhlinzwa futhi zinikeze ukwesekwa ukukusiza uphumelele.

Ukuhlinzwa kwesisu kwangaphambilini kungenza inqubo yakho ibe yinkimbinkimbi, kodwa akudingeki ukuthi kukuvimbele ekuhlinzweni kwe-bariatric. Udokotela ohlinzayo uzobuyekeza umlando wakho wokuhlinzwa futhi kungase kudingeke ukuthi ashintshe indlela yakhe kancane.

Ziyini izinkinga ezingaba khona zokuhlinzwa kwe-bariatric?

Njenganoma yikuphi ukuhlinzwa okukhulu, izinqubo ze-bariatric zithwala ezinye izingozi, nakuba izinkinga ezinzima zingavamile. Abantu abaningi bathola kuphela izinkinga ezincane, zesikhashana ezixazululwa ngokunakekelwa okufanele nokunakwa.

Izinkinga zesikhashana ezingenzeka emasontweni ambalwa okuqala zihlanganisa ukopha, ukutheleleka ezindaweni zokuhlinza, kanye nama-clot egazi. Ithimba lakho lezokwelapha likuqapha ngokucophelela ngezinkinga ezinjalo futhi linokwelashwa okufakazelwe uma kwenzeka. Abantu abaningi abathola lezi zinkinga bayalulama ngokuphelele ngokunakekelwa okufanele.

Abanye abantu bazwa isicanucanu nokuhlanza emasontweni ambalwa okuqala njengoba bejwayela usayizi wabo wesisu omusha. Lokhu kuvame ukuthuthuka njengoba ufunda ukudla ukuluma okuncane, ukuhlafuna kahle, futhi uyeke ukudla uma uzizwa ugcwele.

Ukushoda kokudla okunomsoco kungase kuvele ngokuhamba kwesikhathi uma ungazithathi amavithamini akho abekiwe futhi ulandele ithimba lakho lezokwelapha njalo. Ukushoda okuvamile kufaka phakathi uvithamini B12, insimbi, i-calcium, kanye novithamini D. Ukuhlolwa kwegazi okuvamile kusiza ukubamba lezi zinto ngaphambi kwesikhathi ukuze zilungiswe.

I-Dumping syndrome ingenzeka ngemva kokuhlinzwa kwe-gastric bypass lapho ukudla kuhamba ngokushesha kakhulu ukusuka esiswini sakho kuya emathunjini akho amancane. Lokhu kubangela izimpawu ezinjengokucasuka, ukuqaqamba, nohudo, ikakhulukazi ngemva kokudla ukudla okunoshukela noma okunamafutha. Abantu abaningi bafunda ukugwema ukudla okubangela lokhu futhi abavamile ukuhlangabezana nale nkinga.

Ngokuvamile, izinkinga ezingathi sína zingenzeka, njengokuvuza ezixhumekweni zokuhlinzwa noma izinkinga ezinkulu zokudla okunomsoco. Ithimba lakho lezokwelapha lizochaza zonke izingozi ezingaba khona futhi likuqaphe eduze ukuze libambe noma yiziphi izinkinga zisasebenzeka.

Kufanele ngibone nini udokotela ngemva kokuhlinzwa kwe-bariatric?

Uzoba nama-aphoyintimenti okulandelayo njalo nethimba lakho le-bariatric impilo yakho yonke, kodwa kufanele futhi wazi ukuthi kufanele ufune nini ukunakekelwa kwezempilo ngokushesha. Ithimba lakho lezokwelapha lizokunikeza imihlahlandlela ethile mayelana nokuthi ungashayela nini noma uvakashele egumbini eliphuthumayo.

Xhumana nodokotela wakho ngokushesha uma uhlangabezana nobuhlungu obukhulu besisu, ukuhlanza okuqhubekayo, izimpawu zokutheleleka njengomkhuhlane noma ububomvu ngasezindaweni zakho zokuhlinzwa, noma ubunzima bokuphefumula. Lezi zimpawu zingabonisa izinkinga ezidinga ukunakekelwa kwezempilo ngokushesha.

Shayela ithimba lakho lezokwelapha uma ungakwazi ukugcina uketshezi ngaphansi kwamahora angaphezu kwama-24, njengoba ukushoda kwamanzi emzimbeni kungaba kubi ngokushesha ngemva kokuhlinzwa kwe-bariatric. Ngokufanayo, uma uqaphela ukukhathala okungavamile, ubuthakathaka, noma izinguquko ekucaceni kwakho kwengqondo, lezi kungaba izimpawu zokuntuleka kokudla okunomsoco.

Kufanele futhi ufune ukunakekelwa kwezempilo uma uhlangabezana nobuhlungu besifuba, ubuhlungu bomlenze noma ukuvuvukala, noma ukuphefumula okungazelelwe, ngoba lezi kungaba izimpawu zamahlule egazi. Nakuba kungavamile, amahlule egazi angaba mabi futhi adinga ukwelashwa ngokushesha.

Ama-aphoyintimenti okulandelayo njalo abalulekile ngisho noma uzizwa kahle. Ithimba lakho lezokwelapha lizogada inqubekela phambili yakho yokulahlekelwa isisindo, lihlole isimo sakho sokudla okunomsoco, lilungise imithi yakho, futhi libhekane nanoma yiziphi izinkathazo ongase ube nazo mayelana nokululama kwakho.

Imibuzo evame ukubuzwa mayelana nokuhlinzwa kwe-bariatric

Ingabe ukuhlinzwa kwe-bariatric kulungile ngesifo sikashukela sohlobo 2?

Yebo, ukuhlinzwa kwe-bariatric kungasebenza ngempumelelo enkulu ekwelapheni isifo sikashukela sohlobo 2. Abantu abaningi bathola ukuthuthuka okukhulu ekulawuleni ushukela wabo wegazi, futhi abanye abantu bafinyelela ekuxolelweni okuphelele kwesifo sabo sikashukela ngemva kokuhlinzwa.

Ukwenza ngcono kuvame ukwenzeka ngokushesha, ngezinye izikhathi kungakapheli izinsuku noma amasonto ngemva kokuhlinzwa, ngisho nangaphambi kokuthi ukuncipha kwesisindo okukhulu kwenzeke. Lokhu kusikisela ukuthi ukuhlinzwa kushintsha indlela umzimba wakho oqhubula ngayo i-glucose ngezindlela ezingaphezu nje zokuncipha kwesisindo.

Ingabe ukuzuza isisindo kuyenzeka ngemva kokuhlinzwa kwe-bariatric?

Ukuzuza isisindo esithile kuvamile futhi kulindelekile ngemva kokuhlinzwa kwe-bariatric, ngokuvamile kwenzeka eminyakeni engu-2-5 ngemva kwenqubo. Abantu abaningi bazuza cishe u-15-25% wesisindo sabo esalahleka, kodwa basagcina ukuncipha kwesisindo okukhulu uma kuqhathaniswa nesisindo sabo sangaphambi kokuhlinzwa.

Okubalulekile ekunciphiseni ukuzuza isisindo ukulandela imihlahlandlela yakho yangemva kokuhlinzwa ngokuqhubekayo, okuhlanganisa ukudla izingxenye ezifanele, ukukhetha ukudla okunomsoco, ukuhlala usebenza ngokomzimba, nokuya ekuqokweni okulandelayo njalo nethimba lakho lezokwelapha.

Ngingakhulelwa ngemva kokuhlinzwa kwe-bariatric?

Yebo, ungaphuza ukukhulelwa ngokuphepha ngemva kokuhlinzwa kwe-bariatric, futhi abesifazane abaningi bathola ukuthi inzalo yabo iyathuthuka ngempela ngemva kokunciphisa isisindo. Nokho, odokotela abaningi batusa ukulinda izinyanga eziyi-12-18 ngemva kokuhlinzwa ngaphambi kokuzama ukukhulelwa ukuze baqinisekise ukuthi isisindo sakho sizinzile nokuthi umsoco wakho ulungile.

Uzodinga ukuqapha eduze ngesikhathi sokukhulelwa ukuze uqinisekise ukuthi wena nomntwana wakho nithola umsoco owanele. Ithimba lakho lezokwelapha lizosebenza nodokotela wakho wezifo zabesifazane ukuze ulungise izithasiselo zakho zamavithamini futhi uqaphe isimo sakho sokudla okunomsoco ngesikhathi sokukhulelwa kwakho.

Ngizodinga ukuhlinzwa kwepulasitiki ngemva kokuhlinzwa kwe-bariatric?

Akubona bonke abantu abadinga ukuhlinzwa ngezithako ngemva kokuhlinzwa kwe-bariatric, kodwa abanye abantu bakhetha ukususwa kwesikhumba esiningi uma isisindo sabo sizinzile. Inani lesikhumba esiningi lincike ezintweni ezinjengobudala bakho, izakhi zofuzo, ukuthi ulahlekelwa isisindo esingakanani, nokuthi ulahlekelwa ngokushesha kangakanani.

Odokotela abaningi batusa ukulinda okungenani izinyanga eziyi-12-18 ngemva kokuthi isisindo sakho sizinzile ngaphambi kokucabangela ukuhlinzwa ngezithako. Lokhu kunika isikhumba sakho isikhathi sokuthi siqine ngokwemvelo ngangokunokwenzeka futhi kuqinisekisa ukuthi uyakwazi ukugcina ukulahlekelwa isisindo sakho ngempumelelo.

Kuthatha isikhathi esingakanani ukululama ekuhlinzweni kwe-bariatric?

Abantu abaningi babuyela emisebenzini yansuku zonke ejwayelekile phakathi kwamasonto ama-2-4 ngemva kokuhlinzwa kwe-laparoscopic bariatric. Nokho, ukululama kwakho okuphelele nokujwayela amaphethini akho amasha okudla kungathatha izinyanga eziningana kuya onyakeni.

Ngokuvamile uzoqala ngamanzi ezinsukwini ezimbalwa zokuqala, bese uqhubekela ekudleni okugayiwe, ukudla okuthambile, futhi ekugcineni ukudla okuvamile phakathi kwamasonto ama-4-6. Ithimba lakho lezokwelapha lizokuqondisa esigabeni ngasinye sokululama futhi likusize ufunde imikhuba emisha yokudla ezosekela impumelelo yakho yesikhathi eside.