Imiphumela eminingi yokuqalisa ye-albuterol inhaler kulindelekile, ayinangozi. Ukuthuthumela, ukukhathazeka, nokushaya okusheshayo kwenhliziyo konke kuthinte cishe ama-7% abantu abadala ezivivinyweni ze-FDA, kuqala ngemizuzu, futhi kuyaphela phakathi kweyodwa kuye emahoreni ambalwa. Ubuhlungu besifuba, ukushaya okungajwayelekile, noma ukuphefumula okuba kubi ngemuva nje kokuphefumula okukodwa kuhlukile, futhi kufuna ukunakekelwa manje.

ISISHWAZI KAKHULU: Izinto Eziyinhloko Okumele Uzazi

  • Izandla ezingazinzile nokushaya okusheshayo kwenhliziyo kuvela kusignali efanayo ye-beta-2 evula izindlela zakho zomoya, ngakho-ke kuyisibonakaliso sokuthi umuthi ukufikile, hhayi isibonakaliso sokulimala.
  • Ukungazinzisi ngokuvamile kufinyelela esiqongweni cishe emizuzwini engama-30 kuye kwengama-60 futhi kuyaphela kungakapheli cishe amahora angu-1 kuye kwangu-2; imiphumela yenhliziyo ngokuvamile iyaphela cishe amahora angu-2 kuye kwangu-6.
  • Imiphumela eqalayo ezizwa ingalungile kunangaphambili ngokuvamile kusho ukuthi usebenzisa amaphuphu engeziwe, okuyinkinga yemithi yokulawula, hhayi inkinga yokubekezelelana nomuthi.
  • I-spacer, ukuphefumula kancane kancane, nokugeza umlomo wakho kunciphisa ngempela izimpawu zomphimbo kanye nokungazinzisi okujwayelekile.
  • Ukukhwehlela okwanda ngemuva nje kokuphefumula okukodwa, ubuhlungu besifuba, ukushaya okungajwayelekile kwenhliziyo, noma ukubhebhetheka kobuso kusho ukuyeka nokuthola usizo oluphuthumayo.

Imiphumela Eqalayo Ye-Albuterol Iyingxenye Yomuthi Ususebenza, Hhayi Isibonakaliso Sokuxwayisa

Imiphumela eqalayo ye-albuterol inhaler ejwayelekile kubantu abadala ukuthuthumela, ukukhathazeka noma ukungazinzisi, ukushaya okusheshayo kwenhliziyo, ubuhlungu bekhanda, nokucasuka komphimbo. Kumininingwane yokubhaliswa kwe-FDA ye-albuterol sulfate inhalation aerosol, ukuthuthumela, ukukhathazeka, kanye ne-tachycardia ngayinye yenzeka cishe kubantu abadala nabancane abangu-7%. Cishe yonke le miiphumela ixhomekeke kumthamo futhi yefushane, iyancipha kungakapheli amahora ambalwa emithamo ejwayelekile yokuphupha okubili.

Indlela yokusebenza ichaza iphethini. I-Albuterol isebenza ngokuvuselela izamukeli ze-beta-2 ukuze ziphumule imisipha eyisilili ezungeze izindlela zakho zomoya, kodwa lezo zamukeli ezifanayo zitholakala emsipa ephilayo futhi zithinta inhliziyo, ngakho ukuthuthumela nokushaya okusheshayo kuvela kusignali efanayo evula ukuphefumula kwakho.

Izibalo zemiphumela emibi ehlanganisiwe ezikhiqizweni ze-albuterol ziphakame kunezibalo ezinganekwaneni, lapho ukuthuthumela kubikwe kufika cishe ku-24% nokukhathazeka kufika cishe ku-15%. Lokho kusabalala ikakhulukazi kuxhomeke kumthamo nokwakheka, hhayi ekutheni umkhiqizo munye unobuthi kunezinye. Igama lendawo libaluleke kangako kunalokho abantu abakulindele: iVentolin, iProAir, neProventil yimolekyuli efanayo, futhi iphethini yezimiphumela ezivela kuVentolin yiphethini yezimiphumela ezivela ku-albuterol.

Izivivinyo ezifanayo zaphinde zabhalisa isicanucanu kubantu abangu-10%, izimpawu zokuphefumula ezingenhla kubantu abangu-21%, ne-rhinitis kubantu abangu-16%. Funda lezo ngokucophelela. Wonke umuntu kulezi zifundo wayenengqinamba yokuphefumula, ngakho ikhala evaliwe nomkhuhlane yizinto ezenzeke ngesikhathi sokwelashwa, hhayi izinto i-inhaler eyaziwa ukuthi iyimbangela zona.

Ukufuna I-Inhaler Njalo Kuyinkinga Enkulu Kunemiphumela Eqalayo

Imiphumela eqalayo yokusetshenziswa kwe-albuterol inhaler iba namandla noma iphindele kakhulu cishe njalo kuyisiginali somthamo kunokuba yinkinga yokubekezelelana nomuthi. Amaphuphu engeziwe asho umuthi owengeziwe ofika emsipa ephilayo nase nhliziyweni, futhi ukuthuthumela kuyalingana ngokufanele. Lena ingxenye efanele ukuhlala kuyo: "imiphumela yami eqalayo iba yimbi kakhulu" kanye "ngisebenzisa i-inhaler yami kaningi" ngokuvamile kuyinto efanayo echazwa ngezindlela ezimbili ezihlukene.

Lokho kuphindelela kuyalinganiseka. Isiqondiso seMedlinePlus ngemithi yokusiza ngokushesha yomkenketho sibeka umkhawulo kuphindwe kabili ngeviki: ukudinga i-inhaler yokusiza kaningi kangako, ngaphandle kokuzivocavoca, kusho ukuthi umkenketho awulawulwa kahle futhi imithi yansuku zonke yokulawula cishe idinga ukulungiswa. Umthamo owabelwe yi-FDA kubantu abadala yikuphupha okubili njalo emva kwamahora angu-4 kuye kwangu-6, futhi abanye abantu badinga ukuphupha okukodwa njalo emva kwamahora angu-4. Ukudinga njalo kudinga ukuhlolwa kabusha.

Ukucacisa mayelana nalesi sigijimi: ungakuzihleleli umthamo wakho wokusiza ngokushesha. Ukulungiswa okulungisa zombili izimpawu nemiphumela eqalayo kuvame ukuba kuhlelo lokulawula, futhi lokho kuyisinqumo sikadokotela. Okuningi ngokulawula izimpawu zomkenketho nokuthola izindlela zokuphinda uzuze i-inhaler online.

Uma iziqukathi zakho ziphela ngokushesha kunangaphambili, ukuhlolwa okungadala izindleko ezingama-dollar angu-39 online okuphuthumayo ne-August kuyindawo efanelekile yokubuyekeza uhlelo noma ukuqedela ukugcwalisa kabusha. Udokotela onemvume yase-US unquma ukuthi i-resipi iyayidingeka yini. Lokho okungeke kwenziwe ukuvakasha kwe-telehealth ukuhlola noma ukwelapha ukuhlaselwa komkenketho okwenzeka manje, okuyinto ephuthumayo yokubona.

Ukushaya Okusheshayo Ngemuva Kwe-Albuterol Kuyalindeleka, Kodwa Ubuhlungu Besifuba Nayo Akulona

Ukushaya okusheshayo kwe-Albuterol kungenye yezimpawu ezimbili ezifunwa kakhulu ngesizathu: kuzwakala kukhohlisa futhi kufika ngokushesha. I-Tachycardia yenzeka cishe kubantu abadala nabancane abangu-7% kudatha yokuvivinywa kwe-FDA. Iphethini ejwayelekile ukushaya okukhuphukayo ngemizuzu ngemuva kokuphefumula, okufinyelela esiqongweni cishe emizuzwini engama-30, bese kubuyela emuva emahoreni alandelayo.

Izibonakaliso ezithile azixoxisani. I-MedlinePlus incoma ukunakekelwa kwezokwelapha okungahle kwenzeke ngokushesha kwenhliziyo esheshayo, ekhukhuma, noma engajwayelekile, noma ubuhlungu besifuba, ngenkathi kusetshenziswa i-albuterol. Ilebuli ye-FDA iphethe isexwayiso esifanayo sokuthi i-beta-agonists ingakhiqiza imiphumela yenhliziyo nenomgogodla ebalulekile, okuhlanganisa izinguquko ekushayeni kwenhliziyo, ingcindezi yegazi, kanye ne-ECG.

Nansi into amakhasi amaningi angayitsheli: akukho mingcele esemthethweni yokushaya kwenhliziyo ehlukanisa "ilungile" kuye "kuphuthumayo" ngemuva komthamo. Lokhu okulandelayo kungumthetho olusebenzayo, hhayi umkhawulo wokuxilonga.

  • Ukushaya okufushane kokuphakathi kwama-100 kuye kwabangu-120 bpm okuyaphela kungakapheli ihora: kufanele kushiwo ekuvakasheni kwakho okulandelayo.
  • Ukushaya okuseleyo kusengaphezulu kwama-120 bpm, noma ukushaya okuhlala isikhathi esingaphezu kwamahora angu-2 ngemuva komthamo ojwayelekile: shayela ngalolo suku.
  • Ukushaya okudlulele kanye nobuhlungu besifuba, ukuba nesiyezi, ukucishe kube nesiyezi, noma ukushaya okungajwayelekile: kuphuthumayo, kungakhathaliseki inombolo.

Izandla Ezithuthumelayo Zivela Emisipha Yakho, Hhayi Emithanjeni Yakho, Futhi Abantu Abadala Bazizwa Kakhulu

Ukuthuthumela kwe-Albuterol, okwaziwa ngokuthi ukuthuthumela kwe-albuterol, kuthinte cishe ama-7% abantu abadala nabancane ezivivinyweni ze-FDA, lapho izibalo ezihlangene zibika amazinga afinyelela ku-24% kumithamo ephezulu. Kuyinto encane, evumelanayo eyenziwa izamukeli ze-beta-2 emsipa ephilayo. Lokho kuhlukahluka kubaluleke kakhulu kunalokho okuzwakala: le yimiphumela yemisipha, hhayi eyenhliziyo, futhi ayisho ukuthi umuthi ulilimaza uhlelo lwakho lwezinzwa.

Abantu abadala bayakuqaphela kakhulu kunabantwana. Kumalungiselelo ezinto ezenzekayo, ukuthuthumela nokukhathazeka kubikwa kakhulu kubantu abadala nabancane kunasezigulini ezingane, yingakho umzali angabuka ingane ithatha umuthi ofanayo ngaphandle komthelela obonakalayo bese ezwa izandla zakhe zidideka.

Ukuthuthumela nakho kuyancipha ngokusebenzisa njalo, yingakho abasebenzisi besikhathi eside bavame ukubika ukuthuthumela okuncane kakhulu kunabasebenzisi bokuqala. Uma ufuna i-physiology ephelele, bona ukuthi kungani i-albuterol ikwenza uthuthumele.

Ubude Bemiphumela Eqalayo Ye-Albuterol Buyahluka Ngokwe-Emphumelela Ozama Ukuyisho

Ubude bemiphumela eqalayo ye-albuterol buyahluka ngokuya ngesimo, yingakho impendulo eyodwa "yamahora ambalwa" ayizuzisi. Ububanzi obujwayelekile bokuphefumula okubili okuvela ku-metered-dose inhaler:

  • Ukuthuthumela: kuqala cishe emizuzwini engama-15 kuye kwengama-30, kufinyelela esiqongweni cishe emizuzwini engama-30 kuye kwengama-60, kuyaphela kungakapheli amahora angu-1 kuye kwangu-2.
  • Ukushaya kwenhliziyo: kufinyelela esiqongweni kungakapheli cishe imizuzu engama-30, nemiphumela yenhliziyo iyancipha cishe amahora angu-2 kuye kwangu-6.
  • Ubuhlungu bekhanda nokungazinzisi: ngokuvamile kuyacaca kungakapheli amahora ambalwa.
  • Ukucasuka komphimbo, umlomo owomile, ukunambitheka okushintshiwe: kuyacaca kungakapheli imizuzu yokugeza.

Umphumela we-bronchodilator uhamba cishe amahora angu-4 kuye kwangu-6, yingakho-ke umthamo we-FDA uphakathi kwamahora angu-4 kuye kwangu-6. Ukwelashwa kwe-Nebulized nemithamo ephindaphindiwe ngesikhathi sokuqeqebula okubucayi kuhlala isikhathi eside futhi kunamandla kunezibubanzi ezibekwe lapha.

Umgomo owodwa wokubeka yonke into: noma yimiphi imiphumela eqalayo esasekhona lapho umthamo wakho olandelayo ubhalwe khona, noma ohlala kuze kube usuku olulandelayo, kufanele ubuyele ekuphuzeni kunokuba uphuze omunye umthamo.

Unganciphisa Ukuthuthumela Nokushaya Okusheshayo Ngaphandle Kokushintsha Umthamo Wakho

Imiphumela eqalayo ye-albuterol inhaler kubantu abadala iphendula ngendlela yokusetshenziswa kunokuba abantu abaningi abakubona, ngoba ingxenye ngayinye yomthamo ofika emqaleni wakho bese iginqikizwa yiyona ingxenye enezinkinga kakhulu ngaphandle kokusiza amaphaphu akho.

Inguquko ephakeme kunazo zonke yi-spacer noma i-valved holding chamber. Iyanqamisa i-aerosol, ithumele umuthi owengeziwe emoyeni, futhi ishiye okungaphansi emlonyeni nasemqaleni.

  • Geza umlomo wakho bese ukhafule ngemuva kokusetshenziswa ukuze unciphise ukucasuka komphimbo, ukukhwehlela, nokushintsha ukunambitheka.
  • Linda cishe umzuzu phakathi kwamaphuphu amabili, uphefumule kancane futhi kakhulu, bese ubamba umoya wakho cishe imizuzwana eyi-10.
  • Hlala phansi imizuzu embalwa ngemuva kokuthatha umthamo esikhundleni sokuqonda ngqo emsebenzini.
  • Gwema ukuqoqa i-caffeine, iziphuzo zamandla, noma izidakamizwa zomlomo ngesikhathi sokuthatha umthamo.
  • Cela usizo kusochwephesheshe wezemithi noma udokotela ukuba akubheke usebenzisa i-inhaler okungenani kanye.

Lokho kokugcina akufunwa kakhulu. Ukusebenzisa okungalungile kunikeza umuthi omncane emaphaphu, okuholela abantu ekufuneni amaphuphu engeziwe, okuholela emiphumeleni eqalayo. Ukulungisa ukubambisana kuvame ukunciphisa zombili. Lokho okungeke kwenze umthamo wakho: amabili inhalations njalo emva kwamahora angu-4 kuye kwangu-6 yihlelo le-FDA leabantu abadala, futhi ukuliguqulela kuyisinqumo sikadokotela.

Izimpendulo Ezimbili Zisho Ukuthi Uyayeka I-Inhaler Kunokuba Ukuqhubeke

I-bronchospasm ye-paradoxical ye-albuterol yimpendulo ephazamisa konke okungenhla. Ilebuli ye-FDA iyichaza njengeyingozi kakhulu, idinga ukuthi i-inhaler iyeke ngokushesha bese kutholwa ukwelashwa okwehlukile. Uyayibona ngokuya ngokushintsha: ukukhwehlela, ukuqina kwesifuba, noma ukuphelelwa umoya okwanda ngemuva kokuphefumula esikhundleni sokuba kube ngcono.

Okokuqala ukushoda kwe-potassium ye-albuterol. Ilebuli ye-FDA iphawula ukuthi i-albuterol ingabangela ukwehla okubalulekile, okungenzeka kube okwesikhashana, kwe-serum potassium. Ngolimi olulula, lokho kubonakala njengezimpawu zemisipha, ubuthakathaka obungajwayelekile, ukuqunjelwa, nokushaya okunamandla noma ukushaya okungajwayelekile kwenhliziyo. Ubungozi buqoqana ezimweni ezimbalwa: i-albuterol ephezulu noma i-nebulized, imithamo ephindaphindiwe ngesikhathi sokuhlaselwa okubi, kanye nama-diuretics angaphambili athi yi-thiazide noma i-loop diuretics.

Ngaphandle kwalokho, i-MedlinePlus ibala ukubhebhetheka komphimbo, ulimi, izindebe, noma ubuso, kanye ne-hives njengezimpawu zokungezwani nezidingo zokunakekelwa okungahle kwenzeke.

Nini Imiphumela Eqalayo Ye-Albuterol Idla Udokotela, Futhi Ngokushesha Kanjani

Shayela u-911 noma uye egumbini lezimo eziphuthumayo manje uma:

  • Ukukhwehlela noma ukuphelelwa umoya kuba kubi ngemuva kokusebenzisa i-inhaler.
  • Unenhliziyo esheshayo, ekhukhuma, noma engajwayelekile, noma ubuhlungu besifuba.
  • Umphimbo wakho, ulimi lwakho, izindebe zakho, noma ubuso bakho buyabhebhetheka, noma uba ne-hives.
  • Unokuphelelwa umoya okunzima, izindebe ezimnyama noma izinkalazo, noma awukwazi ukukhuluma imisho ephelele.
  • Ukuphefumula kwakho akuthuthuki ngemuva kokusebenzisa i-inhaler yokusiza njengoba kushiwo.

Bhukha ukuvakasha kungakapheli isonto elilandelayo uma:

  • Udinga i-inhaler yokusiza kabili ngeviki noma kakhulu ngaphandle kokuzivocavoca.
  • Imiphumela eqalayo iba namandla noma iphindele kakhulu kunangaphambili.
  • Ukuthuthumela noma ukushaya okunamandla kuhlala isikhathi esingaphezu kwamahora ambalwa ngemuva komthamo ojwayelekile.
  • Uvuka ebusuku udinga i-inhaler.
  • Uphuma kuziqukathi ngokushesha kunangaphambili.

Khuluma nodokotela ngaphambi kokuba uqale uma:

  • Unesifo senhliziyo esaziwayo noma i-arrhythmia, umfutho wegazi ophakeme, umuntu onhlangano ye-thyroid ephakeme, isifo sikashukela, isifo sokuqunjelwa, noma i-potassium ephansi eyaziwayo.
  • Uthatha ama-diuretics, ama-beta-blockers, ama-MAO inhibitors, noma ama-tricyclic antidepressants.

Uma uhlala nazimo ezinjalo, ukuzihlola okwusizo ukubuyisela kunokuba ukubekezelela. Wazi iphethini yakho yangemuva kokuphefumula. Izimpawu ezintsha, ezimbi kakhulu kunalokho okujwayelekile, noma ezihambisana nobuhlungu besifuba, isiyezi, noma ukushaya okungajwayelekile zifanelwe ukunakekelwa ngalolo suku kunokulinda ngokucophelela. Uma ungazi ngempela ukuthi yiluphi uhlu olufaka kulo, isihloli sezimpawu samahhala se-August AI singakusiza ukuthi uhlole ubungakhathazeki ngaphambi kokunquma ukuthi uzoya kuphi.

Imibuzo Evame Ukubuzwa

Ingabe i-albuterol ingadala ukukhathazeka noma ukuhlaselwa ukwethuka?

Ngezinye izikhathi. Ukukhathazeka kwabikwa cishe kubantu abadala abangu-7% ezivivinyweni ze-FDA, futhi izinzwa zomzimba i-albuterol ezikhiqizayo (ukushaya okusheshayo kwenhliziyo, izandla ezithuthumelayo, ukungazinzisi) zilingisa kakhulu ukuhlaselwa kokwethuka, okungabangela ukukhathazeka kwangempela kubantu abanekuthambekele kukuphathwa. Okuhlukahlukene ukuthi kuthatha isikhathi esingakanani: izimpawu ezishayelwa umuthi zilandelwa umthamo, zifika ngemizuzu futhi zinciphe kungakapheli amahora ambalwa.

Ngingaphuzwa ikhofi noma iziphuzo zamandla ngenkathi ngisebenzisa i-albuterol inhaler?

Yebo, kodwa isikhathi sibalulekile. Ayikho ingozi eqala ngezibonakaliso ezenziwe umsebenzi, yize i-caffeine iyimishayo eyengeza ukuzidideka kwayo nokushaya komfutho phezu kokwe-albuterol. Uma usuvele uthola ukuthuthumela kungabekezeleki, ukulungisa okulula ukukuhlukanisa: gwema ikhofi elikhulu noma isiphuzo samandla ngesikhathi sokuthatha umthamo esikhundleni sokuqeda i-caffeine ngokuphelele.

Ingabe imiphumela ye-nebulizer imbi kunemiphumela ye-inhaler?

Ngokuvamile, yebo. Ukwelashwa kwe-nebulizer kuvame ukudala umthamo omkhulu ngesikhathi esibambalwa kunamaphuphu amabili avela ku-metered-dose inhaler, ngakho ukuthuthumela nokushaya kwenhliziyo kuvame ukuba namandla futhi kuhlale isikhathi eside. Lokho kulindelekile, hhayi isibonakaliso sokuthi kukhona okungahambanga kahle. Yilokho futhi okwenza i-nebulized kanye nomthamo ophindaphindiwe kunobungozi obukhulu be-hypokalemia.

Kwenzekani uma ngithatha amaphuphu amaningi e-albuterol?

Lindela izibonakaliso ezinkulu zezimiphumela ezijwayelekile: ukuthuthumela okucacile, ukushaya okunamandla kwenhliziyo, ubuhlungu bekhanda, isicanucanu, ngezinye izikhathi ubuhlungu besifuba. Iningi lezimo zokusebenzisa ngokweqile ziyayiyeka ngemva kwamahora ambalwa. Shayela i-Poison Control noma ufune usizo uma unobuhlungu besifuba, ukushaya okungajwayelekile kwenhliziyo, isiyezi, noma ukuqunjelwa. Ukusebenzisa ngokweqile okuphindaphindiwe kuyinkinga ehlukile edinga ukubuyekezwa komthamo wokulawula.

Ukushintsha ku-levalbuterol (Xopenex) kubangela ukuthuthumela okuncane?

Akunakwethenjwa. I-Levalbuterol yenzelwe umqondo wokuthi ukuhlukanisa i-isomer eyodwa ye-albuterol kuzonciphisa ukuthuthumela nemiphumela yenhliziyo, kodwa ubufakazi obuqondile kumithamo efanayo ye-bronchodilating buye babandakanya futhi umehluko, lapho ukhona, uyancipha. Kufanele kudingidwe uma imiphumela eqalayo ivimbela ngempela ukwelashwa kwakho, yize izindleko zayo ziphakeme kakhulu.

Ingabe i-albuterol iphephile ukuyisebenzisa ngesikhathi sokukhulelwa?

Ngokuvamile yebo, futhi umkenketho ongaphansi kwelashwa uyingozi enkulu. Umkenketho ongakulawulwa kahle wehlisa ukunikezwa komoya-mpilo ku-fetus, okubhekwa odokotela abaningi njengokuyingozi kune-albuterol ewafakwe emoyeni, okuyinto yokumunca komzimba encane. Ungayeki i-inhaler yakho yokusiza ngoba ukhulelwe. Tshela udokotela wakho wokubeletha ukuthi uyayisebenzisa ukuze uhlelo lwakho lokulawula lubuyekezwe ngesikhathi sokukhulelwa.

Ingabe i-albuterol ingangigcina ngivuke ebusuku?

Yebo. Umthamo wokugcina ntambama ungakushiya ugcwele amahora ambalwa ngenxa yemiphumela efanayo enjengemishayo ebangela ukungazinzisi emini. Umbuzo obaluleke kakhulu ukuthi kungani uwudingile ebusuku. Ukulala kuvuke izimpawu ezidinga imithi yokusiza kuyisibonakaliso esivamile somkenketho ongakakulawulwa kahle futhi sifanelwe ukubuyekezwa kwezokwelapha.

Isiphetho

Imiphumela eqalayo ye-albuterol inhaler kubantu abadala iyindleko elindelekile yomuthi owenza umsebenzi wawo: cishe ama-7% abantu bathola ukuthuthumela, ukukhathazeka, noma ukushaya okusheshayo kwenhliziyo, futhi leyo miphumela ilandela umgomo owaziwayo ofinyelela esiqongweni cishe emizuzwini engama-30 futhi iyaphela kungakapheli amahora ambalwa. Indlela engcono ne-spacer izokunciphisa. Lokho okufanele kukuthathe ingqondo akulona ukuthuthumela uqobo kodwa uhambo lwayo. Imiphumela eqalayo eba namandla ngokuvamile kusho ukuthi ufuna i-inhaler kaningi, futhi lokho kuyisignali yokuthi uhlelo lokulawula lubuyekezwe kunokuba kube into okumele ibekezelelwe. Ukuphefumula okuba kubi ngemuva kokuphefumula, ubuhlungu besifuba, ukushaya okungajwayelekile kwenhliziyo, noma ukubhebhetheka kobuso kuyinye isigaba ngokuphelele, futhi kufanele kube se gumbini lezimo eziphuthumayo.

Isitatimende: Lesi sihloko sihloselwe imininingwane kuphela futhi akusona iseluleko sezokwelapha. Njalo thintana nomhlinzeki wezempilo onekhono ngezinqumo zokuxilonga nokwelapha. Uma ubhekana nesimo esiphuthumayo sezokwelapha, shayela u-911 noma uye egumbini lezimo eziphuthumayo eliseduze ngokushesha.