Masifunde ngakumbi ngokulimala komqolo.

Sonke siyazi ngokubaluleka kwentambo yomqolo, akunjalo? Ifana nomjelo omkhulu womyalezo emzimbeni wethu. Ngoko ke, kwenzeka ntoni ukuba kukho nawuphi na umonakalo kule ntambo yomqolo, oko kukuthi, `(Ukulimala kwentambo yomqolo)`? Oku ngamanye amaxesha kunokuba yimeko encinci, elawulekayo, okanye kunokuba yingozi ngakumbi, mhlawumbi ubomi bonke. Makhe sithethe ngale nto ngokweenkcukacha nangokulula namhlanje.

Injani i-spinal cord?

Ngamafutshane, inqwaba yee-nerve fibers ezihamba kwi-spinal cord zidlulisela ulwazi phakathi kwengqondo yethu kunye nayo yonke enye inxalenye yomzimba wethu . Eli lelinye lamacandelo amabini aphambili kwiCentral Nervous System yethu (CNS). Elinye liyingqondo.

Cinga ngenkqubo yethu yemithambo-luvo njengenkqubo enkulu yendlela. Ineendlela ezithwala imiyalezo esuka engqondweni, kunye neendlela ezithwala imiyalezo eya engqondweni. Umqolo yindlela ephambili. Iqhagamshelwe kwimithambo-luvo yomqolo. Zifana neendlela eziya kwimiqolo kunye neendlela eziya kwimiqolo. Ezi ndlela zingena kwimiqolo ziqhagamshelwa kwimithambo-luvo ejikeleze umzimba wonke. Imiqondiso yemithambo-luvo ifana nezithuthi ezihamba kwezi ndlela.

Ngoku, umonakalo womqolo ufana nomgaqo omkhulu ovalwayo. Kodwa, njengendlela yokwenyani evalwayo, akukho ndlela ijikayo. Imiyalezo ekufuneka ihambe kwiindlela ezivalekileyo ayinakufikelela apho iya khona. Ukuba umonakalo mkhulu, ukuvalwa kwendlela kunokuba yinto engapheliyo. Kulapho kuvela khona iimpawu ezinzima ezifana nokukhubazeka.

Zahlulwe njani ezi ngxaki?

Iingcali zahlula ukwenzakala komqolo zibe ziintlobo ezimbini eziphambili: ngokusekelwe kwindlela ukwenzakala okuchaphazela ngayo umqolo kwaye ngokusekelwe kwindawo apho ukwenzakala kwenzeka khona kumqolo. Ngokwenzakala komqolo (SCI), imiqondiso yemithambo-luvo inokuphazamiseka naphi na ngaphantsi kwendawo yokwenzakala.

Ngokwendawo:

Umqolo wahlulwe waba ziinxalenye ezininzi. Iziphumo ziyahluka ngokuxhomekeke ekubeni loluphi umqolo owonakeleyo.

• Umqolo Wesibeleko: Oku kukwintamo yakho, ukusuka kwisiseko sentloko yakho ukuya kwinqanaba elimalunga negxalaba.
• Umqolo Wesifuba: Oku kususela emqolo ongasentla ukuya ngaphantsi kwembambo.
• Umqolo weLumbar: Oku kukwindawo esezantsi yomqolo. Kufikelela phantse phezulu kweempundu, kodwa umthambo womqolo uphela kancinci ngaphezu koko.
• Umqolo weSacral: Le ndawo ineengcambu zemithambo-luvo eziqala ezinqeni ukuya kwithambo lomsila.

Ngobunzima:

Kukho iintlobo ezimbini ngokuxhomekeke kubukhulu bomonakalo:

• I-SCI engaphelelanga: Oku kufana nomgaqo omkhulu oneendlela ezithile ezivaliweyo. Ezinye iindlela zivuliwe, nto leyo evumela ukuba eminye imisebenzi iqhubeke ngaphantsi komonakalo.
• I-SCI epheleleyo:Apha, zonke ezo ndlela zivaliwe. Akukho miyalezo inokudlula. Kwiimeko ezininzi, oku kuthetha ukuba zonke izakhono ezingaphantsi kwendawo eyonakeleyo zilahleka ngokusisigxina, kuquka nokukhubazeka .

Kukho amacandelo angama-31 kumqolo wethu (ahambelana neesibini ezingama-31 ze-`(Spinal Neves)`). Iingcali zisebenzisa indibaniselwano yoonobumba namanani ukubhekisa kwezi. Unobumba ubhekisa kwicandelo lomqolo, kwaye inani libhekisa kwiqela elihambelanayo. Umzekelo, i-C8 liqela lesibhozo (kwaye liphantsi) kwi-`(Cervical Spine)`.

Kukho izigaba ezibini ze-SCI. Elokuqala kukwenzakala kokuqala . Nangona kunjalo, kwiiyure okanye kwiintsuku ezimbalwa, ukwenzakala kwesibini kunokwenzeka. Oku kunokubangela ukuba umqolo udumbe kwaye kubangele umonakalo ongakumbi.

Ziqheleke kangakanani iingozi zomqolo?

Enyanisweni, ukwenzakala komqolo akuqhelekanga kangako. Phakathi kwama-250,000 nama-500,000 okwenzakala okunjalo kuxelwa kwihlabathi liphela minyaka le.

E-United States, kukho malunga ne-18,000 lamatyala amatsha e-SCI ebuhlungu minyaka le. Malunga ne-78% yezi zigulane zintsha ze-SCI ngamadoda. Ubudala obuqhelekileyo ngexesha lokwenzakala bumalunga neminyaka engama-43.

Zithini iimpawu zoku? (Iimpawu)

Iimpawu zokulimala komqolo (SCI) zixhomekeke ekubeni zeziphi iimpawu zemithambo-luvo eziphazamisekileyo. Zintathu iintlobo eziphambili zeempawu ezinokuchaphazeleka: i-sensory, i-motor, kunye ne-autonomic.

Iimpawu zeemvakalelo:

Imiqondiso yeemvakalelo zezona zithwala ulwazi engqondweni yethu. Zixelela ingqondo ngehlabathi elisingqongileyo kunye nento eyenzekayo emzimbeni wethu.

Intambo yethu yomqolo ikakhulu isebenza ngemiqondiso yokuchukumisa. Umzekelo, izinto ezinje ngobushushu, uxinzelelo, ukungcangcazela, kunye nokuthungwa komphezulu. Ikwalawula indlela esivakalelwa ngayo ngesimo somzimba (proprioception). Khawuthelekelele, ukwigumbi elimnyama ngokupheleleyo kwaye usondeza isandla sakho ebusweni bakho, kodwa ungasimisa isandla sakho ngaphambi kokuba sibethe ebusweni bakho. Yiyo loo nto i-proprioception.

Imizekelo yeempawu zeemvakalelo:

• Intlungu
• Ukuba ndindisholo
• Iiphini kunye neenaliti okanye imvakalelo yokurhawuzelela (`Paresthesia`)

Iimpawu zeMoto:

Imiqondiso yentshukumo yeyokuhamba ukusuka kwingqondo yethu ukuya kwimisipha yethu. Ingqondo yethu isebenzisa le miqondiso ukuhambisa amalungu omzimba wethu.

Iimpawu zemoto zingabandakanya:

• Ubuthathaka - ukulahlekelwa ngamandla
• Ukukhubazeka - ukungakwazi ukulawula izihlunu
• Ukuqaqamba kwemisipha okungalawulekiyo (Spasticity)

Iimpawu Zokuzimela:

Imiqondiso ye-Autonomic zezo zilawula iinkqubo zomzimba ezenzeka ngokuzenzekelayo, ngaphandle kokuba sicinge ngazo. Igama elithi "autonomic" lifana nelithi "automatic," elithetha izinto ezenzeka ngokuzenzekelayo.

Iimpawu ze-Autoimmune zingabandakanya:

• Utshintsho kwisantya sentliziyo, ngakumbiIsantya sentliziyo esicothayo (iBradycardia)
• Utshintsho kuxinzelelo lwegazi, ingakumbi uxinzelelo lwegazi oluphantsi (hypotension)
• Utshintsho kubushushu bomzimba, ingakumbi i-hypothermia
• Ukungakwazi ukulawula ukuchama okanye ukuphuma kwesisu (`Ukungabikho kokuchama` okanye` Ukungakwazi ukuchama`)
• Ukungasebenzi kakuhle kwe-Erectile

Zithini izizathu zokwenzakala komqolo?

Zininzi izinto ezinokubangela ukwenzakala komqolo. Nazi ezinye zezona ziphambili:

• Iingozi zeMoto: Le yeyona nto ixhaphakileyo, ibangela ngaphezu kwama-37% eemeko ze-SCI.
• Ukuwa: Malunga ne-31% yee-SCIs zibangelwa kukuwa.
• Ukulimala Okunxulumene Nobundlobongela: Ukulimala okubangelwa zizinto ezifana neembumbulu okanye izixhobo ezibukhali ezifana neemela. Malunga ne-15% yamatyala e-SCI awela kolu didi.
• Ukulimala Okunxulumene Nemidlalo: Oku kubalelwa malunga ne-8% ye-SCI. Ukuntywila lolona hlobo luqhelekileyo lokulimala komqolo okunxulumene nemidlalo.

Ezinye izizathu eziqhelekileyo kunye nezinto ezibangela oku:

• Iimeko ezenza amathambo abe buthathaka, umzekelo, i-Osteopenia kunye ne-Osteoporosis.
• Iithumba zomqolo, kuquka nomhlaza (`(Iithumba zomqolo)`).
• Ii-cysts okanye imingxunya ezele lulwelo ngaphakathi kwintambo yomqolo (`(Syringomyelia)`).
• Iintsholongwane ezihlasela umqolo, okanye iintsholongwane ezibangela ukuba izicubu ezingqongileyo zidumbe kwaye zicinezele umqolo.
• Ukuncipha kokuhamba kwegazi ukuya kwi-spinal cord (`(Ischemia)`).
• Iziphene zokuzalwa, umzekelo `(Myelomeningocele)` okanye `(Spina Bifida)`.
• Izifo zokuzikhusela komzimba okanye iimeko ze-allergy, umzekelo `(Guillain-Barré Syndrome)`, `(Multiple Sclerosis)`, `(Neuromyelitis Optica)` okanye `(Transverse Myelitis)`.
• Iimeko zemfuza, umzekelo `(I-Hereditary Spastic Paraplegia)`.
• Umothuko wombane (ukuba umsinga wombane udlula okanye ukufutshane nomthambo womqolo).

Ziziphi iingxaki ezinokubakho ngenxa yezi ngxaki?

I-SCI inokubangela iingxaki ezinzima, ngamanye amaxesha ezingapheliyo. Eyona ixhaphakileyo kukulahlekelwa ngokupheleleyo okanye inxalenye yokusebenza komzimba ngaphantsi kwengozi. Oku kunokukhokelela kwiintlobo ezithile zokukhubazeka:

• I-Tetraplegia (ngamanye amaxesha ibizwa ngokuba yi-Quadriplegia): Le yimeko apho umzimba ukhubazekile ukusuka entanyeni ukuya ezantsi. Oku kwenzeka xa umqolo wesibeleko wonakele. Iingxaki zinokwahluka ngokuxhomekeke kwindawo apho umonakalo wenzeka khona.
• I-Paraplegia: Oku kwenzeka xa kuphela inxalenye esezantsi yomzimba ikhubazekile. Oku kwenzeka xa iindawo zomqolo ezisemathunjini, ezisezantsi, okanye ezisezantsi zomqolo zonakele. Kwakhona, iingxaki zinokuhluka ngokuxhomekeke kwindawo apho umonakalo wenzeka khona, kodwa zihlala zichaphazela imisebenzi yomzimba ukusuka esifubeni ukuya ezantsi.

Ezinye iingxaki ezinokubakho:

• I-Autonomic dysreflexia (ukuba umonakalo wenzeka kwi-T6 okanye ngaphezulu kwayo, oko kukuthi, kwi-sixth thoracic nerve).
• Ukothuka koMgogodla (i-Neurogenic).
• Intlungu ye-Neuropathic.
• Isifo semiphunga (`(Isifo semiphunga)`).
• Izifo Zomchamo (`(Izifo Zomchamo)`).
• Ukuqhekeka kwegazi emilenzeni nasemiphungeni.
• Izilonda zoxinzelelo (`(Izilonda zoxinzelelo)`).
• I-Sepsis (ityhefu egazini).
• Ukufa (ingakumbi ukuba inxalenye ephezulu yomqolo yonakele).

Ugqirha wakho ngumntu ongcono ukukuxelela ngakumbi ngeengxaki onokuthi uzifumane. Uza kukuchazela nendlela yokuzibona nokuphendula ezo ngxaki.

Ungayichonga njani ngokuchanekileyo ingozi yomqolo? (Ukuxilongwa)

Ugqirha usebenzisa iindlela ezahlukeneyo zokuxilonga isifo somqolo:

• Uvavanyo Lomzimba: Ugqirha wenza oku ukuze akhangele izikhokelo okanye ubungqina malunga nobungakanani bomonakalo.
• Uvavanyo lwe-Neurological: Oku kwenzelwa ukujonga imisebenzi ethile yenkqubo yakho ye-nervous. Oku kuquka ukujonga amandla akho okushukumisa iingalo nemilenze yakho, ukuvavanya amandla akho, kunye nokujonga indlela oziva ngayo kunye nokusabela komzimba wakho.
• Ii-Imaging Scans: Imizekelo ibandakanya ii-computed tomography (CT) scans kunye nee-magnetic resonance imaging (MRI) scans. Ii-CT scans zikhawuleza kwaye zinokubonisa ugqirha wakho nawuphi na umonakalo okanye iingxaki zethambo. Ii-MRI scans zithatha ixesha elide kodwa zivelisa imifanekiso eneenkcukacha ezininzi zezinto ezinje ngamathambo, izicubu ezithambileyo, kunye nemithambo-luvo.
• Uvavanyo lokuxilonga: Imizekelo ibandakanya i-Electromyography (EMG) kunye novavanyo lokuHanjiswa kweNerve. Ezi zilinganisa imiqondiso yombane ethunyelwa kwimisipha. Oku kunokunceda ekuchongeni iindawo apho imiqondiso iphazamiseka khona ngenxa yomonakalo kwimithambo-luvo okanye kwintambo yomqolo.

Zithini iindlela zokunyanga oku? (Unyango)

Unyango lwe-`(SCI)` lwahluka kakhulu. Into yokuqala ekufuneka uyiqwalasele kukuba ingaba ibangelwe yingozi okanye akunjalo. Ukuba kukho amathandabuzo okuba i-`(SCI)` ibangelwe yingozi, isoloko iyingxamiseko yezonyango. Ezinye izizathu ze-`(SCI)` nazo ziingxamiseko zezonyango. Ezi ngxamiseko ziquka:

• Iintsholongwane: Ezi zinokubulala ngokukhawuleza ukuba azinyangwa.
• Ukuncipha kokuhamba kwegazi (`Ischemia`): Ukubuyisela ukuhamba kwegazi yinto ephambili esindisa ubomi, nengxamisekileyo.
• Iimeko Zokuzikhusela Ngokwasemzimbeni: Xa zisenzeka ngequbuliso, njengeGuillain-Barré Syndrome, iingxaki ezinkulu zinokwenzeka ngaphandle konyango olukhawulezileyo.

Unyango lokwenzakala komqolo okubangelwe yingozi:

Soloko ulumka kwaye wenze konke okusemandleni akho ukuthintela umonakalo ongakumbi kumqolo okanye kwezinye iingozi. Abasebenzi abangaqeqeshwanga nabafanelekileyo akufuneki bashukumise okanye bashukumise umntu onokuba ne-"SCI". Okukuphela kokwahlukileyo kukuba kukho umngcipheko wokufa okanye ukwenzakala okukhulu ukuba umntu owenzakeleyo akasuswanga (umzekelo, kwingozi yemoto nomlilo).

I-SCI ebangelwe yingozi idla ngokuhlolwa kuqala ngabasebenzi bezonyango abangxamisekileyo. Injongo yabo kukuyithintela intambo yomqolo kwaye inciphise okanye ithintele umonakalo ongakumbi kwintambo yomqolo (ngaxeshanye ikwanyanga ezinye iimeko ezingxamisekileyo).

Esibhedlele, i-SCI ebangelwe yingozi idla ngonyango kwiYunithi yoKhathalelo oluPhezulu (ICU) kuba ezi nzakala zinzima kakhulu. Xa kunyangwa i-SCI, ukwenzakala kudla ngonyango ngokuthe ngqo. Zininzi iindlela zokunceda:

• Utyando: Eyona njongo iphambili yotyando kukunciphisa uxinzelelo kumqolo. Lungalungisa nomonakalo obangelwe kukwenzakala okungqongileyo okubangele ukuba umqolo ucinezelwe.
• Amayeza: Amayeza afana nee-steroids anciphisa ukudumba kunye nokudumba okujikeleze umqolo.
• Ukutsala: Oku kukunceda uhlale kwindawo enye, kunciphisa intshukumo ejikeleze i-(SCI).
• Ii-Splints, iiBraces, iiHalos: NjengeTraction, ezi zinceda ukuzinzisa indawo ejikeleze i-SCI. Nangona kunjalo, ngokungafaniyo neTraction, ungazinxiba ngelixa uhambahamba.

Unyango olusekelwe kuphando:

Kukwakho neendlela ezininzi zonyango zovavanyo abaphandi abazijongayo. Ezinye zazo ziquka:

• I-Hypothermia Ebangelwa Yimpembelelo: Ukunciphisa ubushushu bomzimba wakho kunokunceda ukunciphisa umonakalo kwizicubu zomqolo kunye nokunciphisa ukudumba kunye nokudumba. Nangona ingasetyenziswa kakhulu okwangoku, ukusetyenziswa kwayo kuyanda.
• Unyango olukhusela ingqondo: La ngamayeza okanye ezinye iindlela zonyango ezithintela okanye ezithintela umonakalo ongaphezulu emva komonakalo wokuqala.
• Unyango lwe-Neuroregenerative: La ngamayeza okanye unyango olunceda ekuvuseleleni nasekulungiseni intambo yomqolo okanye izicubu zemithambo-luvo ezonakeleyo.

Unyango lweengxaki ezibangelwa zizizathu ezingezizo eziyingozi:

Unyango lokulimala komqolo okungengokwenzakalisi (SCI) lunokwahluka kakhulu. Luxhomekeke kakhulu kwisizathu, kodwa nezinye izinto zinokudlala indima. Ugqirha wakho ngumntu ongcono onokuthetha naye malunga nonyango olukufaneleyo kwaye akuxelele okungakumbi ngalo.

Ukhathalelo kunye nenkxaso yexesha elide:

Umntu one-"(SCI)" unokufuna unyango olongezelelweyo kangangeeveki okanye iinyanga emva kokwenzakala. Ezinye iintlobo zonyango zinokuqhubeka iminyaka, kwanobomi bonke. Eminye imizekelo yile:

• Unyango Lomzimba okanye Lomsebenzi: Olu hlobo lonyango lunokukunceda wakhe amandla, ulawule iziphumo zokwenzakala kwakho, kwaye ufunde ukuziqhelanisa nazo.
• Unyango Lokuthetha: Abantu abenzakeleyo kumqolo ongasentla banokungenelwa lunyango lokuthetha. Lunokunceda ekuginyeni nasekunxibelelaneni.
• Ukhathalelo lwengqondo: Ukulimala kwengqondo okubuhlungu (SCI) kukwenzakala kwengqondo okungaphaya kwemiphumo yomzimba. Esi siganeko ngokwaso sinokuba sisizathu sokuxinezeleka kwengqondo. Ukongeza, abantu abane-SCI banokufumana isifo soxinzelelo emva kokwenzakala (PTSD) okanye babe semngciphekweni omkhulu wokuzibulala.
• Ukhathalelo Nenkxaso Ekhaya: Abantu abane-SCI enzima kakhulu, ingakumbi abo benzakeleyo kumqolo ongasentla, banokufuna unyango nenkxaso emakhaya. Olu hlobo lokhathalelo lunokubonelelwa ziinkonzo ezahlukeneyo zempilo emakhaya.

Ngaba ukwenzakala komqolo kungathintelwa? (Ukuthintela)

`(SCI)` idla ngokuba yinto eyenzeka ngengozi, ngokungalindelekanga. Nangona kunjalo, kukho izinto onokuzenza ukunciphisa loo mngcipheko. Nazi:

• Sebenzisa izixhobo zokhuseleko ezicetyiswayo kunye nemiqobo (umz. iibhanti zezihlalo, iintloko xa ukhwela izithuthi).
• Qhuba ngononophelo nangokukhuselekileyo.
• Thintela ukuwa nanini na xa kunokwenzeka (umz., susa iindawo ezityibilikayo emnyango, lumka xa usebenza kwiindawo eziphakamileyo).
• Lumka kakhulu ngamaxesha onke xa usebenzisana nezibhamu.
• Ungaze utsibe okanye untywilele emanzini apho ungenakubona khona ezantsi.
• Kuphephe ukusebenzisa kakubi amayeza amiselweyo, iziyobisi kunye notywala.

Ndingalindela ntoni ukuba ndenzakele emgogodleni?

Oko unokukulindela kuxhomekeke kubukhulu bokwenzakala kwakho, apho kwenzeke khona ingozi, unyango olufumanayo, nezinye izinto ezininzi. Ugqirha wakho ngumntu ongcono ukukuxelela okungakumbi ngoko unokukulindela. Angakunika ulwazi oluhambelana nemeko yakho ethile kunye neemeko zakho.

Ezi mpawu zihlala ixesha elingakanani?

Ukuba ufumana unyango kwangethuba ukuze unciphise umonakalo, iziphumo ze-SCI zincinci, kwaye unethuba elingcono lokuchacha. Nangona kunjalo, umqolo wakho awuphinde uvelise njengemithambo-luvo kwezinye iindawo zomzimba wakho. Yiyo loo nto i-SCI idla ngokuba yi-emiyo - kodwa ayisoloko injalo - ehlala ihleli. Ugqirha wakho ngoyena mthombo wolwazi malunga nokuba iimpawu zakho ziya kuhlala ixesha elingakanani.

Iyintoni ikamva lale meko?

Ikamva labantu abane-SCI lidla ngokungaqinisekanga, kuxhomekeke kwinqanaba kunye nobungakanani bomonakalo, kodwa kubekho inkqubela phambili enkulu ekunyamekeleni abantu abane-SCI. Izizathu zokuba eli kamva lihlala lingaqinisekanga zezi:

• Umngcipheko weengxaki: Umntu onokwenzakala kwi-spinal cord (SCI) usemngciphekweni omkhulu wokufumana iingxaki ezinxulumene nokwenzakala kwakhe. Ezi ziquka i-pneumonia, usulelo lomchamo, ukuqhina, amahlwili egazi, iingxaki zolusu ezifana nezilonda zoxinzelelo, nezinye ezininzi.
• Impembelelo kwimpilo yengqondo: Ukuba ne-SCI akuchaphazeli impilo yomzimba kuphela. Kukwachaphazela kakhulu impilo yengqondo. Ukuba ne-SCI kwandisa umngcipheko wokufumana iimeko ezifana nokudakumba. Kukwanyusa nomngcipheko wokuzibulala.
• Ixabiso: Abantu abaninzi abane-SCI bafuna unyango lwexesha elide okanye ukusebenzisa izixhobo zokuncedisa. Ezi zinokubiza kakhulu. Kwakhona, ukufumana izixhobo ezinokukunceda kunokuba nzima okanye kuthathe ixesha.

Ufanele uye kugqirha nini? Kufuneka unyango olungxamisekileyo nini?

Nanini na xa ucinga ukuba usenokuba wenzekele kwi-spinal cord (SCI) ngenxa yengozi, udinga uncedo lwezonyango ngokukhawuleza. Ukulibazisa unyango kunokuchaphazela kakubi iziphumo zokwenzakala kwakho kunye nonyango. Kwakhona, ukuba ukrokrela ukuba unesifo esingapheliyo esibangela ukwenzakala kwi-spinal cord, kufuneka ubone ugqirha ngokukhawuleza.

Ukuba une-SCI, ugqirha wakho uya kukucebisa ukuba ubuye emva konyango lwakho lokuqala. Ufanele ubonane nogqirha wakho njengoko kucetyisiwe.

Kukho iingxaki ezininzi ze-SCI ezifuna unyango olungxamisekileyo. Iingxaki ezinokubakho ziyahluka ngokuxhomekeke kubukhulu bokwenzakala kwakho, indawo yokwenzakala, kunye nezinye izinto. Ke ngoko, ugqirha wakho ngoyena mthombo wolwazi malunga neempawu okanye iingxaki ezithile onokuba nazo ezifuna unyango olungxamisekileyo.

Ndingayibuza yiphi imibuzo ugqirha wam?

Ukuba wena okanye umntu omthandayo une-SCI, usenokuba nemibuzo emininzi ofuna ukuyibuza ugqirha wakho. Nazi ezinye zemizekelo:

• Uphi umonakalo?
• Ungakanani umonakalo?
• Ziziphi izakhono ezichaphazeleka yile monakalo?
• Ngaba umonakalo uza kuhlala uhleli?
• Ngaba kukho unyango olunokulungisa umonakalo okanye luthintele ukuba ungabi mbi?
• Ziziphi iingxaki ezinokubakho ngenxa yalo monakalo?
• Zeziphi iimpawu ekufuneka ndizijonge ezinokufuna unyango?
• Luhlobo luni lokhathalelo kunye neenkonzo eziza kufuneka?
• Ngaba kukho imibutho okanye amaqela kwindawo endihlala kuyo anokunceda?

Izinto ezibalulekileyo ekufuneka sizikhumbule kwizinto esizithethileyo (Umyalezo Wokubuyela Ekhaya)

Ukulimala kweNtlambo yoMgogodla (ii-SCI) zezinye zeziganeko ezinobungozi nezisongela ubomi umntu anokuhlangabezana nazo. Iziphumo zazo zihlala zitshintsha ubomi.

Nangona kunjalo, ngenxa yenkqubela phambili kwisayensi yezonyango kunye nophando oluqhubekayo, kukho ithemba lonyango olusebenzayo ngakumbi kwezi nzakala. Oku kuthetha ukuba abantu abaninzi abanale nzakala banokuqhelana nemiphumo yokwenzakala kwaye baphile ubomi obuqhelekileyo. Ungaze unikezele. Kubalulekile ukufuna iingcebiso zonyango ezifanelekileyo kunye nenkxaso.

Ukulimala koMgogodla, i - SCI, umqolo, inkqubo yeemvakalelo, ukukhubazeka, iintlungu zomqolo