Yini i-Otoplasty? Inhloso, Inqubo & Imiphumela

I-Otoplasty iyinqubo yokuhlinzwa eshintsha ukuma kwezindlebe zakho ukuze kwakheke ukubukeka okulinganiselwe. Lokhu kuhlinzwa kwezimonyo kungabuyisela emuva izindlebe eziphumayo, kunciphise izindlebe ezinkulu ngokweqile, noma kulungise ukukhubazeka kwezindlebe okungenzeka ukuthi kuthinte ukuzethemba kwakho iminyaka eminingi.

Abantu abaningi bakhetha i-otoplasty ukuze bazizwe bekhululekile ngokubukeka kwabo, ikakhulukazi uma izindlebe ezivelele zibangele ukuzizwa unamahloni kusukela ebuntwaneni. Le nqubo iphephile futhi iyasebenza, enemiphumela ehlala njalo engathuthukisa kakhulu ukuzethemba kwakho.

Yini i-otoplasty?

I-Otoplasty wuhlobo lokuhlinzwa kwezimonyo olushintsha ukuma, isikhundla, noma usayizi wezindlebe zakho. Le nqubo ihlanganisa ukushintsha ukuma kwe-cartilage nesikhumba ukuze kwakheke izindlebe ezihlala eduze kwekhanda lakho noma zibukeke zilingana nobuso bakho.

Odokotela abahlinzayo bangabhekana nezinkinga ezihlukahlukene zezindlebe nge-otoplasty, okuhlanganisa izindlebe eziphuma kude kakhulu, zinkulu kakhulu, noma zinomumo ongavamile. Ukuhlinzwa kusebenza ngokususa i-cartilage nesikhumba esiningi, bese kubekwa kabusha okusele ukuze kwakheke ukubukeka kwemvelo.

Le nqubo ngezinye izikhathi ibizwa ngokuthi

Nazi izizathu eziyinhloko ezenza abantu bacabangele i-otoplasty, futhi ukuqonda lokhu kungakusiza ukuthi unqume ukuthi ilungile yini kuwe:

• Izindlebe eziphumayo eziphuma ngaphezu kwamasentimitha amabili ekhanda
• Izindlebe ezingalingani ngobukhulu uma ziqhathaniswa nosayizi wekhanda
• Izindlebe ezingalingani lapho olunye uhlangothi lwezindlebe lubukeka luhluke kolunye
• Ukuwohloka kwezindlebe okuzalwa nakho kusukela ekuzalweni
• Umonakalo wezindlebe odalwe ukulimala noma ukuhlukumezeka
• Ukungagculiseki ngemiphumela evela emsebenzini wokuhlinzwa wezindlebe wangaphambilini
• I-Microtia, lapho indlebe ingathuthukiswanga noma ingekho

Izinzuzo ezingokomzwelo zivame ukudlula izinguquko ezingokomzimba, njengoba iziguli eziningi zithola ukuzethemba okuthuthukisiwe nokunethezeka komphakathi ngemva kokuhlinzwa. Izingane zizuza ikakhulukazi uma inqubo yenziwa ngaphambi kokuba ziqale isikole, zivimbela ukucindezeleka okungokomzwelo okungenzeka ngenxa yokusabela kontanga.

Yini inqubo ye-otoplasty?

I-Otoplasty ngokuvamile ithatha amahora angu-1-2 futhi ivame ukwenziwa njengenqubo yeziguli eziphuthumayo, okusho ukuthi ungaqhubeka uye ekhaya ngosuku olufanayo. Udokotela wakho ohlinzayo uzosebenzisa i-anesthesia yendawo enokuthulisa noma i-anesthesia ejwayelekile, kuye ngeminyaka yakho nobunzima becala lakho.

Ukuhlinzwa kuqala ngodokotela wakho ohlinzayo enza ukusikeka okuncane ngemuva kwezindlebe zakho, kufihlwe emgqeni wemvelo lapho indlebe yakho ihlangana nekhanda lakho. Lokhu kubekwa kuqinisekisa ukuthi noma yiziphi izibazi ezivelayo zizobe zingabonakali ngempela uma seziphilile.

Ngesikhathi senqubo, udokotela wakho ohlinzayo uzolungisa ngokucophelela i-cartilage esebenzisa enye yezindlela eziningana eziqinisekisiwe. Bangase basuse i-cartilage eyeqile, bayigoqe emuva, noma basebenzise ama-sutures unomphela ukuze babambe isikhundla esisha sendlebe endaweni.

Nakhu okwenzekayo ngesikhathi senqubo yakho ye-otoplasty, futhi ukwazi lezi zinyathelo kungakusiza ukuthi uzizwe ulungiseleleke kakhulu:

1. Ukuphathwa kwe-anesthesia ukuqinisekisa ukunethezeka kwakho ngesikhathi sokuhlinzwa
2. Ukuphawula ngokuhlinzwa ukuqondisa ukubekwa okunembile kokusika
3. Ukusika okuncane okwenziwa ngemuva kwezindlebe emifantwini yemvelo
4. Ukususwa noma ukubunjwa kabusha ngokucophelela kwe-cartilage nesikhumba esiningi
5. Ukubekwa kabusha kwezindlebe kusetshenziswa ama-sutures angaphakathi
6. Ukuvalwa kokusika ngama-sutures ancibilikayo noma asuswayo
7. Ukusetshenziswa kwamabhandeshi okuvikela ukusekela ukuphulukiswa

Udkt wakho ohlinzayo uzoqondanisa le ndlela ngokuya nge-anatomy yakho yendlebe ethile nemiphumela oyifunayo. Umgomo uhlala ukudala izindlebe ezibukeka ngokwemvelo ezigcwalisa izici zobuso bakho ngenkathi kugcinwa ukusebenza kahle kwendlebe.

Ungalungiselela kanjani i-otoplasty yakho?

Ukulungiselela i-otoplasty kuhilela izinyathelo eziningana ezibalulekile ezisiza ukuqinisekisa umphumela ongcono kakhulu nokululama okubushelelezi. Udkt wakho ohlinzayo uzohlinzeka ngemiyalo ethile ngesikhathi sokubonisana kwakho, kepha ukulungiselela okujwayelekile kuvame ukuqala cishe emasontweni amabili ngaphambi kokuhlinzwa.

Okokuqala, uzodinga ukuyeka ukuthatha imithi ethile nezithasiselo ezingandisa ubungozi bokopha. Udkt wakho ohlinzayo uzokunikeza uhlu oluphelele, kepha izinto ezijwayelekile okufanele zigwenywe zifaka i-aspirin, i-ibuprofen, i-vitamin E, nezithasiselo zamafutha ezinhlanzi.

Ukuhlela kusengaphambili ukululama kwakho kubaluleke njengokulungiselela ngokomzimba, futhi ukuthatha lezi zinyathelo kuzosiza konke ukuthi kuhambe kahle:

• Lungiselele othile ukuthi akuqhubele ekhaya ngemva kokuhlinzwa futhi ahlale nawe amahora angu-24
• Gcina ukudla okuthambile kanye noketshezi oluningi ezinsukwini ezimbalwa zokuqala
• Lungiselela indawo yokululama enethezekile ngemithwalo eyengeziwe ukuze ugcine ikhanda lakho liphakeme
• Gcwalisa noma yimiphi imithi ebekiwe ngaphambi kosuku lokuhlinzwa kwakho
• Geza izinwele zakho ngobusuku obandulela ukuhlinzwa, njengoba uzodinga ukugcina ikhanda lakho lomile ekuqaleni
• Susa yonke ubucwebe, izimonyo, kanye ne-nail polish ngaphambi kokufika esikhungweni sokuhlinzwa
• Gqoka izingubo ezikhululekile, ezikhululekile ezingadingi ukudonswa ekhanda lakho

Udkt. ohlinzayo angase futhi ancome ukuthatha izithombe ngaphambi kokuhlinzwa ukuze ubhale phansi indawo oqala kuyo. Lokhu kusiza wena nodkt. ohlinzayo ukuthi ulandelele intuthuko yakho futhi uqinisekise ukuthi uyajabula ngemiphumela.

Ungazifunda kanjani imiphumela yakho ye-otoplasty?

Ukuqonda imiphumela yakho ye-otoplasty kuhilela ukwazi ukuthi yini ongayilindela ngokushesha ngemva kokuhlinzwa uma kuqhathaniswa nomphumela wakho wokugcina. Ngemva nje kokuhlinzwa, izindlebe zakho zizovuvukala futhi ziboshwe, okwenza kube nzima ukubona imiphumela yangempela yenqubo yakho.

Ukuvuvukala kokuqala kuvame ukufinyelela ezingeni eliphezulu cishe ngemva kwamahora angu-48-72 ngemva kokuhlinzwa, bese kwehla kancane kancane emasontweni alandelayo. Uzoqaphela ukuthuthuka okukhulu kakhulu enyangeni yokuqala, ngentuthuko encane eqhubekayo kuze kube izinyanga eziyisithupha.

Udkt. ohlinzayo uzosusa amabhandishi okuqala ezinsukwini ezimbalwa, embula izindlebe ezingase zibonakale zivuvukele futhi zilimele. Lokhu kujwayelekile ngokuphelele futhi akubonisi imiphumela yakho yokugcina, ezovela njengoba ukuphola kuqhubeka.

Nakhu ongakulindela ngesikhathi somugqa wakho wesikhathi sokululama, futhi ukuqonda le nqubo kukusiza ukuthi uqonde uguquko lwakho oluqhubekayo:

1. Ngemva nje kokuhlinzwa: Izindlebe ziboshiwe futhi zivuvukele, ukuma kwangempela akubonakali
2. Iviki elingu-1: Amabhandeshi okuqala asusiwe, izindlebe zivuvukele kodwa ukuma kuqala ukubonakala
3. Amaviki angu-2-4: Ukwehla okukhulu ekuvuvukeni, izindlebe zibukeka zisemvelweni
4. Amaviki angu-6-8: Ukuvuvukala okuningi selixazululiwe, izindlebe zizinzile endaweni yokugcina
5. Izinyanga ezingu-3-6: Imiphumela yokugcina iyabonakala ngokuphola okuphelele nokubukeka okuzinzile

Udkt wakho ohlinzayo uzoqapha inqubekela phambili yakho ngokuqokwa okuvamile kokulandela, eqinisekisa ukuthi izindlebe zakho ziyaphola kahle futhi zifinyelela umphumela obukekayo owufunayo. Iziguli eziningi zijabula ngemiphumela yazo uma isikhathi sokuqala sokuphola sesiphelile.

Uyini umphumela omuhle kakhulu we-otoplasty?

Umphumela omuhle kakhulu we-otoplasty udala izindlebe ezibukeka njengezemvelo ngokuphelele futhi zilingana nobuso bakho, njengokungathi bezilokhu zinjalo. I-otoplasty eyimpumelelo kufanele yenze izindlebe zakho zihlangane ngaphandle komthungo nokubukeka kwakho konke ngaphandle kokudonsela ukunaka kuzo.

Imiphumela emihle kakhulu ibonakala ngezindlebe ezilinganayo ezihlala ebangeni elifanele ekhanda lakho, ngokuvamile amasentimitha angu-1.5-2 engxenyeni engenhla. Izindlebe kufanele zigcine ukuma kwazo kwemvelo nezimpawu zokuma ngenkathi zibukeka zilinganiselwe futhi zivumelana nezici zobuso bakho.

Imiphumela yekhwalithi ye-otoplasty futhi igcina ukusebenza okuvamile kwendlebe, okuhlanganisa ikhono lokuzwa nokuguquguquka kwemvelo kwendlebe. Izindlebe zakho kufanele zizizwe zivamile uma uzithinta futhi zihambe ngokwemvelo uma umomotheka noma ushintsha izinkulumo zobuso.

Izimpawu zemiphumela ekhethekile ye-otoplasty zihlanganisa izici eziningana ezibalulekile ezisebenza ndawonye ukudala ukubukeka okujabulisayo:

• Indawo yendlebe ebukeka ngendlela yemvelo engabonakali ilungiswe ngokweqile noma ngaphansi
• Izindlebe ezilinganayo ezihambisana ngosayizi, ukuma, nendawo
• Izimpawu zendlebe ezigciniwe ezihlanganisa i-antihelix, i-helix, kanye ne-earlobe
• Ukulimala okuncane okubonakalayo okufihlwe ngemuva kwezindlebe
• Izindlebe ezigcwalisa izilinganiso zobuso bakho nesakhiwo samathambo
• Umsebenzi wendlebe ogciniwe ongenakho ukukhubazeka kokuzwa
• Imiphumela ehlala isikhathi eside engadingi ukuhlinzwa okusha

Khumbula ukuthi ukuphelela akuyona inhloso - ukuthuthuka okubukeka ngendlela yemvelo yikho okudala imiphumela eyanelisayo kakhulu. Udokotela ohlinzayo uzosebenza nawe ukuze afinyelele ezindlebeni ezithuthukisa ukuzethemba kwakho ngenkathi kugcinwa ukubukeka kwemvelo ngokuphelele.

Ziyini izici eziyingozi zezinkinga ze-otoplasty?

Iningi lezinqubo ze-otoplasty ziqedwa ngaphandle kwezinkinga ezinkulu, kodwa ukuqonda izici ezingaba khona eziyingozi kukusiza ukuthi wenze isinqumo esinolwazi. Izimo ezithile zezokwelapha, izici zokuphila, nezici zomuntu ngamunye zingakhuphula ingozi yakho yezinkinga.

Ubudala bungathonya iphrofayili yakho yengozi, nezingane ezincane kakhulu kanye nabantu abadala ababhekene nezinto ezihlukene kancane. Izingane ezingaphansi kweminyaka emi-5 zingase zibe nobunzima ekulandeleni imiyalelo ngemva kokuhlinzwa, kuyilapho iziguli ezindala zingase zibe nokuphola okuhamba kancane ngenxa yokuncipha kokujikeleza kwegazi.

Umlando wakho wezokwelapha udlala indima ebalulekile ekunqumeni ukufaneleka kwakho kwe-otoplasty kanye nengozi yakho yezinkinga. Ukuxhumana okuthembekile nodokotela ohlinzayo mayelana nesimo sakho sempilo kubalulekile ekuhlinzweni okuphephile.

Izici eziningana zingakhuphula ingozi yakho yezinkinga, futhi ukuqaphela lezi kukusiza wena nodokotela ohlinzayo ukuthi nihlele ngokufanele:

• Ukubhema noma ukusebenzisa ugwayi, okuphazamisa kakhulu ukuphola futhi kwandise ingozi yokutheleleka
• Isifo sikashukela noma ezinye izimo ezithinta ukuphola kwamanxeba nokulawulwa kukashukela egazini
• Izifo zokujiya kwegazi noma ukusetshenziswa kwemithi yokunciphisa igazi
• Ukuhlinzwa kwendlebe kwangaphambilini noma ukulimala okungenzeka ukuthi kushintshe i-anatomy ejwayelekile
• Ukuthambekela kokulimala kwe-keloid noma umlando wokwakheka kwesibazi okungajwayelekile
• Amathuba angokoqobo mayelana nemiphumela yokuhlinzwa
• Impilo ejwayelekile empofu noma izimo zezokwelapha ezingelashwa
• Ukusetshenziswa ngokweqile kotshwala, okungaphazamisa ukuphola

Udkt wakho ohlinzayo uzohlola ngokucophelela lezi zinto eziyingozi ngesikhathi sokubonisana kwakho futhi angase ancome ukuthuthukisa impilo yakho ngaphambi kokuhlinzwa. Kwezinye izimo, bangase batusa ezinye izindlela zokwelapha noma izinyathelo zokuqapha ezengeziwe ukunciphisa izinkinga ezingaba khona.

Ziyini izinkinga ezingaba khona ze-otoplasty?

Ngenkathi i-otoplasty ngokuvamile iphephile kakhulu, njenganoma iyiphi inqubo yokuhlinzwa, iletha ezinye izinkinga ezingaba khona okufanele uziqonde ngaphambi kokwenza isinqumo sakho. Izinkinga eziningi zincane futhi zitholakala kalula, kodwa ukwazi ngazo kukusiza ukuthi uqaphele noma yiziphi izinkinga kusenesikhathi.

Izinkinga ezivame kakhulu zesikhashana futhi zizixazulula zodwa ngokunakekelwa okufanele nesikhathi. Lokhu kufaka phakathi ukuvuvukala, ukulimala, nokungakhululeki okuncane, okuyizinto ezijwayelekile zenqubo yokuphola kunokuba kube yizinkinga zangempela.

Izinkinga ezingathi sína zivamile kodwa zingenzeka, ikakhulukazi uma imiyalelo yangemva kokuhlinzwa ingalandelwa ngokucophelela. Ukuqonda lezi zinto ezingenzeka kukusiza ukuthi uthathe izinyathelo zokuqapha ezifanele futhi ufune usizo uma kudingeka.

Nawa amathuba okuba khona ahlobene ne-otoplasty, kusukela ezinkingeni ezivamile ezincane kuya ezintweni ezingavamile kodwa eziyingozi:

• Ukunyuka kwamagciwane endaweni yokusika, okungadinga ukwelashwa ngama-antibiotics
• Ukuphuma kwegazi noma ukwakheka kwe-hematoma okudinga ukukhiswa
• Ukungalingani phakathi kwezindlebe naphezu kokulungiswa ngokuhlinzwa
• Ukulungiswa ngokweqile okuholela ezindlebeni ezibukeka zicaba kakhulu ekhanda
• Ukungalungiswa lapho izindlebe zisaxuma ngaphezu kwalokho obekufunwa
• Ukulimala okubonakalayo noma okujiyile
• Ushintsho emuzweni wesikhumba ngasezindlebeni
• Izinkinga ze-suture ezihlanganisa ukukhishwa kwe-suture noma ukuxega
• Ukungahambi kahle kwe-cartilage noma imiphetho ebukhali engazizwa

Izinkinga ezingavamile kodwa ezinzima zingahlanganisa ukutheleleka okukhulu, ukungalingani okukhulu okudinga ukuhlinzwa kabusha, noma izinguquko unomphela ekubunjweni kwezindlebe noma emuzweni. Kodwa-ke, lokhu kwenzeka ngaphansi kuka-1% wamacala lapho ukuhlinzwa kwenziwa ngodokotela ohlinzayo abaqeqeshiwe.

Ukulandela imiyalelo kadokotela wakho ngemva kokuhlinzwa kunciphisa kakhulu ingozi yakho yezinkinga. Iningi leziguli lithola ukululama okubushelelezi nemiphumela emihle futhi alikho inkinga enkulu.

Kufanele ngibone nini udokotela ngezinkinga ze-otoplasty?

Kufanele uthinte udokotela wakho ngokushesha uma uhlangabezana nobuhlungu obukhulu, ukuphuma kwegazi okukhulu, noma izimpawu zokutheleleka ngemva kwe-otoplasty. Ngenkathi ukungakhululeki okuthile nokuvuvukala kujwayelekile, ezinye izimpawu zidinga ukunakekelwa kwezokwelapha ngokushesha ukuvimbela izinkinga.

Izinkinga eziningi ngemva kokuhlinzwa zincane futhi zingaxazululwa ngezinyathelo ezilula, kodwa ukwazi ukuthi ungasiza nini kuvimbela izinkinga ezincane ukuthi zingabi zinkulu. Udokotela wakho uzohlinzeka ngemihlahlandlela ethile mayelana nokuthi yini okufanele uyibheke ngesikhathi sokululama.

Thembela emizweni yakho uma kukhona okungazwakali kahle - ngaso sonke isikhathi kungcono ukushayela udokotela wakho imibuzo kunokulinda nokukhathazeka. Balindele ukuzwa ezigulini ngesikhathi sokululama futhi bafuna ukuqinisekisa ukuthi ukuphola kwakho kuqhubeka kahle.

Xhumana nodokotela wakho ohlinzayo ngokushesha uma uhlangabezana nanoma yiziphi izimpawu zokuxwayisa, njengoba zingase zibonise izinkinga ezidinga ukwelashwa ngokushesha:

• Ubuhlungu obukhulu, obanda obungaphenduli emithini ebhalwe ukuthi idambisa ubuhlungu
• Ukuphuma kwegazi okuningi okumanzisa amabhandishi noma okungami ngomfutho omnene
• Izimpawu zokutheleleka ezihlanganisa umkhuhlane, amaqhafuza, noma izimpawu ezinjengomkhuhlane
• Ukubomvu okwanda, ukufudumala, noma ukuvuvukala endaweni yokuhlinzwa
• Ukuphuma kwegciwane noma uketshezi olunuka kabi oluvela ezindaweni zokuhlinzwa
• Ushintsho olungazelelwe ekumweni noma endaweni yezindlebe
• Ukulahlekelwa umuzwa ezindlebeni zakho okungathuthuki ngokuhamba kwesikhathi
• Izithungo ezibonakala zikhipha isikhumba

Kufanele futhi uhlele ukuqokwa okulandelayo uma ukhathazekile ngentuthuko yakho yokuphola noma unemibuzo mayelana nemiphumela yakho. Udokotela wakho ohlinzayo ufuna ukuqinisekisa ukuthi uyajabula ngomphumela wakho futhi uzobhekana nanoma yikuphi ukukhathazeka ngokushesha.

Imibuzo evame ukubuzwa mayelana ne-otoplasty

Q.1 Ingabe i-otoplasty ilungele izingane?

Yebo, i-otoplasty ingaba yinhle kakhulu ezinganeni, ngokuvamile yenziwa phakathi kweminyaka engu-5-6 lapho izindlebe sezifinyelele cishe ku-90% yosayizi wazo omdala. Ukungenelela kwasekuqaleni kuvame ukuvimbela ukucindezeleka ngokomzwelo okungase kubangelwe izindlebe ezivelele ngesikhathi seminyaka yesikole.

Izingane ngokuvamile ziphola ngokushesha kunabadala futhi zivumelana kahle nokubukeka kwazo okusha kwezindlebe. Kodwa-ke, ingane kumele ivuthwe ngokwanele ukuqonda inqubo futhi ilandele imiyalelo yokunakekelwa ngemva kokuhlinzwa ukuze kutholakale imiphumela emihle.

Q.2 Ingabe i-otoplasty ithinta ukuzwa?

Cha, i-otoplasty ayithinti ikhono lakho lokuzwa uma yenziwa ngudokotela ohlinzayo onelayisense. Le nqubo imane imise kabusha isakhiwo sezindlebe zangaphandle futhi ayihileli izingxenye zangaphakathi zezindlebe ezinomthwalo wemfanelo wokuzwa.

Imisele yakho yezindlebe ihlala ingathintwanga nhlobo ngesikhathi se-otoplasty, igcina yonke imisebenzi yokuzwa yemvelo. Ezinye iziguli zibika izinguquko zesikhashana endleleni imisindo ebonakala ifinyelela ngayo ezindlebeni zazo ngenxa yesikhundla esisha sendlebe, kodwa ikhono lokuzwa langempela alishintshi.

Q.3 Ingabe imiphumela ye-otoplasty ihlala isikhathi esingakanani?

Imiphumela ye-Otoplasty ihlala unomphela ezimweni eziningi kakhulu, izindlebe zigcina isikhundla sazo esisha kanye nobunjwa bazo unomphela. I-cartilage iyashintshwa futhi ivikeleke ngama-sutures unomphela abamba ukulungiswa endaweni.

Nakuba kungavamile, ezinye iziguli zingase zibe nezinguquko ezincane eminyakeni eminingi ngenxa yokuguga kwemvelo noma ukuhlukumezeka. Nokho, ukuphindeka okukhulu okudinga ukuhlinzwa kabusha kwenzeka ezingeni elingaphansi kuka-5% wamacala lapho inqubo yenziwa ngendlela efanele.

Q.4 Ingabe i-otoplasty ingenziwa endlebeni eyodwa kuphela?

Yebo, i-otoplasty ingenziwa endlebeni eyodwa kuphela uma indlebe eyodwa kuphela ephuma noma inobunjwa obungajwayelekile. Lokhu kubizwa ngokuthi i-unilateral otoplasty futhi kuvamile kakhulu lapho iziguli zinezindlebe ezingalingani.

Udkt wakho ohlinzayo uzohlola ngokucophelela zombili izindlebe ukuze aqinisekise ukuthi indlebe elungisiwe ifana nesikhundla esivamile kanye nokubukeka kwelinye indlebe. Ngezinye izikhathi ukulungiswa okuncane kuzo zombili izindlebe kudala ukulingana okungcono sekukonke kunokuhlinzwa endlebeni eyodwa kuphela.

Q.5 Siyini isikhathi sokululama se-otoplasty?

Iziguli eziningi zibuyela emsebenzini noma esikoleni phakathi kwamasonto angu-1-2 ngemva kwe-otoplasty, nakuba ukuphola okuphelele kuthatha amasonto angu-6-8. Uzodinga ukugqoka i-headband evikelayo amasonto amaningana, ikakhulukazi ngenkathi ulele.

Amabhandishi okuqala asuswa ezinsukwini ezimbalwa, futhi ukuvuvukala okuningi kuyancipha phakathi nenyanga yokuqala. Ngokuvamile ungaqala kabusha imisebenzi evamile kancane kancane, ngemidlalo yokuxhumana ephelele nokuzivivinya okunamandla okucacisiwe ngemva kwamasonto angu-6-8.