Ngaba nawe unamanxeba emilenzeni akho angapholiyo? Masifunde ngesi 'Silonda seMithambo'!

Ngaba wakha waphawula ukuba ngamanye amaxesha kuvela amanxeba emilenzeni yakho, ingakumbi kwindawo engaphakathi okanye eqatheni, kwaye kuthatha ixesha elide ukuphola? Usenokuba ukhe wahlangabezana noku. La asimanxeba aqhelekileyo. Siwabiza ngokuba yi-'Vascular Ulcers', nto leyo ngesiSinhala ethetha 'izilonda zemithambo '. Ngamafutshane, la ngamanxeba ayenzeka eluswini ngenxa yokujikeleza kwegazi okungalunganga emzimbeni wethu. Makhe sithethe ngale nto ngokweenkcukacha namhlanje, kuba le yinto enokuchaphazela abantu abaninzi.

Zithini izilonda zemithambo yegazi?

Ngamafutshane, izilonda zemithambo yegazi ngamanxeba ayenzeka eluswini lwethu. Kodwa la asingomanxeba nje kuphela. Abangelwa ziingxaki zokuhamba kwegazi emzimbeni wethu, oko kukuthi, inkqubo yokujikeleza kwegazi. Amaxesha amaninzi, la manxeba abonakala emilenzeni yethu, ingakumbi emilenzeni esezantsi nasezinyaweni. Kodwa anokubakho nakwezinye iindawo. La manxeba athatha ixesha elide ukuphola, kwaye ngamanye amaxesha unyango olukhethekileyo olufana notyando lunokufuneka.

Kukho izizathu ezibini eziphambili zokuba ezi zilonda zemithambo yegazi zenzeke.

1. Enye kukuncipha kokujikeleza kwegazi kwimithambo yethu. Le mithambo yilapho umzimba ufumana khona izondlo kunye neoksijini oyidingayo. Ngoko ke xa kukho ingxaki ngezi zinto, kuvela amanxeba.

2. Esinye isizathu kukungajikelezi kakuhle kwegazi emithanjeni yethu. Kungemithambo apho igazi, kunye nenkunkuma esemzimbeni, zithunyelwa khona zibuyele entliziyweni. Ukuba kukho ingxaki ngezi zinto, kwenzeka ukwenzakala.

Ezona zixhaphakileyo kwezi ngamanxeba ayenzeka emithanjeni, esiwabiza ngokuba zizilonda zemithambo yegazi .

Ziqheleke kangakanani ezi zingozi?

Enyanisweni, ezi zilonda zemithambo zixhaphake kakhulu kunokuba ucinga, ingakumbi njengoko ukhula. Ngokomyinge, malunga ne-1% yabantu abadala banokuba nale meko. Phakathi kwabantu abangaphezu kwama-65 eminyaka, eli pesenti linokuba phakathi kwe-3% kunye ne-5%. Ngoko ke oku akuyonto ifanele ithathwe lula.

Ezi zilonda zemithambo yegazi ziyichaphazela njani imizimba yethu?

Ezi ngozi zinokuba nemiphumo emibi eyahlukeneyo ebomini bakho. Cinga nje...

• Umngcipheko owandayo wokosuleleka: Ulusu lwethu lufana nekhaka elisikhusela kwiintsholongwane. Ngoko ke inxeba elinje lingumqobo kuloo khaka, nto leyo evumela iintsholongwane ukuba zingene emzimbeni ngokulula.
• I-Sepsis: Ukuba usulelo alunyangwa kakuhle, lunokusasazeka emzimbeni wonke kwaye lukhokelele kwimeko eyingozi kakhulu ebizwa ngokuba yi-sepsis . Oku kwenzeka xa inkqubo yethu yomzimba isabela ngokugqithisileyo kusulelo olukhulu kwaye iqalise ukonakalisa iindawo ezahlukeneyo zomzimba.
• Ukubola kwenxeba: Nokuba kungenxa yosulelo okanye ukungabikho kwegazi eliya enxebeni, iiseli ezijikeleze inxeba ziqala ukufa. Oku kunokukhokelela kwimeko ebizwa ngokuba yi-gangrene . Ukuba ayinyangwa, inokusasazeka ize ikhokelele ekufeni.
• Intlungu kunye nobunzima bokuhamba:Ezi zilonda zemithambo zinokuba buhlungu kakhulu. Ngokuxhomekeke kwindawo esikuyo isilonda, usenokungakwazi ukusebenza, ukulala, okanye ukwenza imisebenzi yemihla ngemihla. Ekubeni umsebenzi womzimba uphucula ukujikeleza kwegazi, ukuba awukwazi ukuhamba ngenxa yesilonda esibuhlungu, isilonda sinokuba sibi kakhulu.

Kubaluleke kakhulu: Musa ukuyityeshela le mingxunya kuba incinci. Kubaluleke kakhulu ukufuna iingcebiso zonyango ngokukhawuleza.

Zithini iimpawu?

Iimpawu zesilonda esikwimithambo yegazi zixhomekeke kwisizathu, kwaye ngamanye amaxesha kunokubakho izizathu ezininzi ngaxeshanye.

Iimpawu zeZilonda zeVenous / Stasis Ulcers

Ezi mpawu zihlala zibonakala ngaphambi kokuba izilonda zemithambo zivele:

• Inyama esemilenzeni ijika ibe bomvu kwaye idumbile.
• Ulusu luyaqina, luqine, luze lube mnyama (ngesiqhelo lube bomvu, mfusa, okanye mdaka).
• Kusenokubakho ukungakhululeki kunye nokurhawuzelelwa kwindawo echaphazelekayo (esiyibiza ngokuba yi -'stasis dermatitis' ).
• Imithambo ye-Varicose luphawu oluqhelekileyo lokuba neengxaki zemithambo.

Izilonda ze-stasis zihlala zineempawu ezilandelayo:

• Ukulimala kudla ngokwenzeka kufutshane neqakala.
• Amanxeba akanzulu kwaye asenokugqunywa ngombala obomvu ukuya kotyheli.
• Imilo yezilonda ayilunganga, inemiphetho engalinganiyo.
• Ulusu olujikeleze inxeba lunokukhanya kwaye lunokubonakala lunwebekile.
• Loo ndawo isenokuvakala ishushu kunezinye iindawo.
• Izilonda zibuhlungu kwaye zinokukhupha ulwelo, njengegazi okanye amanzi. Ukuba zisulelekile, zinokuba nevumba elibi kunye nobomvu.

Iimpawu zezilonda zemithambo

Ezi mpawu zinokubonakala ngaphambi kokuba izilonda zemithambo zivele:

• Ulusu olujikeleze inxeba luyakhazimla kwaye lome. Lusenokubonakala luqinile kwaye luqhekekile.
• Ukulahleka kweenwele kwenzeka engalweni/emlenzeni ochaphazelekayo okanye kufutshane nenxeba ngenxa yokungahambi kakuhle kwegazi.
• Ukuhamba kwegazi kunokuthintelwa xa ulala phantsi okanye uphakamisa imilenze yakho. Oku kungenza imilenze yakho ibonakale imhlophe kwaye ibanda. Imilenze yakho inokuba buhlungu xa uphakamisa imilenze yakho okanye ulala phantsi. (Le ntlungu ingancitshiswa ngokuvumela imilenze yakho ixhomeke. Imilenze yakho ingajika ibe bomvu njengoko ukuhamba kwegazi kubuyela esiqhelweni.)

Izilonda zemithambo zihlala zineempawu ezilandelayo:

• Izilonda ziqala ukwakheka kwiindawo zomzimba ezikude nentliziyo, ingakumbi ezinzwaneni naphakathi kweenzwane.
• Izilonda zibonakala zimnyama ngombala (ingakumbi obomvu, otyheli, ongwevu, omnyama).
• Amanxeba anzulu, ngamanye amaxesha ade aveze izihlunu okanye imisipha.
• Imiphetho ejikeleze inxeba ibonakala ngathi ityhalelwe ngaphandle.
• Amanxeba asenokungophi, kwaye kusenokungabikho ntlungu.

Ngubani ochaphazeleka kakhulu yile meko?

Izilonda zemithambo yegazi zixhaphake kakhulu kubantu abadala okanye abo baneengxaki ezithile zempilo, ingakumbi abo baneengxaki zentliziyo kunye nokujikeleza kwegazi. Iimeko ezinxulumene noku ziquka:

• Isifo Seswekile (iDiabetes Mellitus)
• Ukutyeba kakhulu
• Izifo zeMithambo eziPheleleyo - oko kukuthi, iSifo seMithambo esiPheleleyo (i-PAD) okanye iSifo seMithambo esiPheleleyo (i-PVD)
• Isifo sentliziyo
• Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu)
• Ukutshaya nokusetyenziswa kweemveliso zecuba

Nokuba akukho sifo, izilonda zemithambo yegazi zinokuvela ukuba ukuhamba kwegazi kuthintelekile ngenxa yezinye izizathu. Umzekelo:

• Ukulimala: Ukuqhekeka, ukutsha, kunye nokwenzakala kwemisipha kunokonakalisa imithambo yegazi ekufutshane kwaye kubangele iingxaki ngokujikeleza kwegazi.
• Ukuma ixesha elide: Abantu abama ixesha elide bengashukumi (njengabathengisi beekheshi, abasebenzi bebheki, abasebenzi basehotele) banokuqokelelana kwegazi kwimithambo yemilenze yabo. Xa iivalvu ezisemithanjeni zingasebenzi kakuhle, igazi alihambi kakuhle libuyele entliziyweni. Oku kubeka uxinzelelo olukhulu kwimithambo kwaye kubangele ukuba ikhule, okubangela 'iVaricose Veins'. Ulwelo luphuma emithanjeni luye kwiithishu ezijikelezileyo, lubangele ukuba zidumbe. Olu lwelo, kunye negazi kunye neeproteni, lunokubangela amabala amdaka emilenzeni, ingakumbi ngaphakathi kwindawo yemiphunga. Oku kunokuba lurhawuzelelo, kwaye ulusu lunokoma kwaye luqhekeke. Iintsholongwane zingangena kwezi mingxunya kwaye zibangele usulelo lolusu olubizwa ngokuba yi -'Cellulitis' okanye inxeba elinxulumene nemithambo.
• Imbali yosapho: Ukuba kukho umntu kusapho lwakho oye waba nolu hlobo lokulimala, nawe usenokuba sengozini yokuba naye akwenzeke.

Kutheni le nto ezi ntlobo zokulimala zenzeka? Zithini izizathu?

Izilonda zemithambo yegazi zihlala zihlelwa ngokwezizathu zazo ezisisiseko. Nangona kunjalo, isilonda esinye sinokuba nezizathu ezininzi. Umzekelo omhle woku kukukhula kwezilonda zemithambo yegazi ngenxa yesifo seswekile.

• Izilonda ze-Stasis: Ezi zibangelwa ziingxaki zemithambo yegazi. Uninzi lwezilonda zemithambo yegazi ziwela kolu didi. Zixhaphake kakhulu emilenzeni nasezinyaweni njengoko ukhula. Oku kwenzeka xa iivalvu zemithambo yegazi emilenzeni zingawenzi kakuhle umsebenzi wazo. Oku kuthetha ukuba igazi ekufanele ukuba liye entliziyweni alinakuthintelwa ukuba lihle ngenxa yomxhuzulane. Ngenxa yoko, igazi elininzi liyaqokelelana emilenzeni nasezinyaweni, nto leyo ebeka uxinzelelo olungakumbi kwimithambo yegazi. Olu xinzelelo lunokubangela ukuba imithambo yegazi ivuza ulwelo kwaye ide iqhume. Ekuhambeni kwexesha, oku kunokukhokelela kwizilonda.
• Izilonda zemithambo: Ezi zikwabizwa ngokuba yi-'Ischemic Ulcers' . Zibangelwa kukungabikho kokuhamba kwegazi kwindawo echaphazelekayo. Oku sikubiza ngokuba yi-'Ischemia'.Ikwabizwa ngokuba yi. Ngenxa yokunqongophala kokujikeleza kwegazi, inxalenye yomzimba echaphazelekayo (ngokuqhelekileyo ingalo okanye umlenze) iqala ukufa kancinci kancinci.

Uyibona njani le nto? Oogqirha bayixilonga njani?

Ugqirha angasibona ngokukhawuleza isilonda esikwimithambo yegazi ngokusihlola. Uza kujonga inxeba ngononophelo, mhlawumbi achukumise indawo ejikelezileyo, aze ajonge naziphi na iimpawu ezikhethekileyo.

Nangona kunjalo, ugqirha kufuneka afumanise ukuba yintoni ebangele ukwenzakala. Ulwazi olufunyenweyo ngexesha lokuhlolwa kwenzakala nalo luya kunceda koku. Nangona kunjalo, ezinye iimvavanyo ziya kuyalelwa ukuqonda unobangela ochanekileyo. Oku kungenxa yokuba kunokubakho izizathu ezininzi ezichaphazela ukwenzakala kwemithambo yegazi, kwaye ezi zizathu zinokunxulumana.

Zeziphi iimvavanyo ezenziwayo?

Ugqirha wakho okanye ingcali ingenza olu vavanyo:

• Uvavanyo loxinzelelo lwegazi: Ugqirha uza kulinganisa uxinzelelo lwegazi olungalweni yakho. Uza kulinganisa noxinzelelo lwegazi olusemilenzeni yakho ukuze abone ukuba kukho umahluko phakathi kwezi zimbini. Olu vavanyo lubizwa ngokuba luvavanyo lwe-Ankle-Brachial Index (ABI) .
• Ukumamela intliziyo yakho nokujonga ukubetha kwentliziyo yakho: Ngokumamela intliziyo yakho nokuphefumla, ugqirha wakho unokukhangela ubungqina besifo sentliziyo esingaphantsi esinokuba negalelo kwizilonda zemithambo yegazi. Banokuziva neempundu (iimpundu ezijikeleze imilenze yakho) kwimilenze yakho esezantsi neenyawo. Amandla ezi mpundu - okanye ukuba akukho mpundu uvakalayo - anokunceda ugqirha wakho ukuba enze uxilongo olucacileyo.
• Uvavanyo lwegazi: Uvavanyo lwegazi lunokunceda ugqirha wakho ukuba afumanise kwaye agqibe ngendlela yokunyanga ukwenzakala kwakho. Olunye uvavanyo oluthile luvavanyo lwe-A1C hemoglobin . Oku kunokunceda ekuqinisekiseni ukuba unesifo seswekile na, kwaye ukuba kunjalo, ukuba sibi kangakanani.
• Ukufota: Ugqirha wakho unokuyalela uvavanyo lokufota ukuze ajonge kungekuphela nje ukwenzakala kodwa kunye nokuhamba kwegazi okukujikelezileyo. Anokuyalela uvavanyo lokufota lwemithambo emikhulu kunye nemithambo kwenye indawo emzimbeni, njengoko oku kunokubonisa iingxaki ezinxulumene nokwenzakala kwemithambo. Olu vavanyo lunokubandakanya ii-X-ray, ii-MRI, ii-CT scans , kunye nee-ultrasounds .

Ngaba la manxeba angaphola? Zithini iindlela zonyango?

Kwiimeko ezininzi, isilonda esikwimithambo yegazi sinokuphiliswa. Nangona kunjalo, amathuba okuphiliswa kwenxeba axhomekeke ekubeni linzima kangakanani. Ke ngoko, ukunyanga izilonda ezikwimithambo yegazi ngokukhawuleza kubaluleke kakhulu kwisiphumo esihle.

Kubalulekile nokujongana nengxaki ebangela ukwenzakala. Ugqirha wakho uza kunyanga ukwenzakala aze acebise unyango lwazo naziphi na iingxaki zempilo onokuba nazo. Ezinye zeengcebiso zakhe ziza kubandakanya ukwenza utshintsho kwindlela ophila ngayo. Olu tshintsho lunokunceda ekunciphiseni umngcipheko wokuba nenye ingozi kwaye luphucule umgangatho wobomi bakho bonke.

Iindlela zonyango

Kusetyenziswa iindlela ezahlukeneyo zonyango ngokuxhomekeke ekubeni zinzima kangakanani izilonda zemithambo yegazi kunye nokuba yintoni ebangele ezo zilonda.

Amayeza

• Ii-antibiotics: Ezi zinokunyanga izifo kwaye, kwezinye iimeko (ezifana notyando), zikwanikwa ukuthintela izifo.
• Iijeli kunye namafutha okugcoba: Ezi zinceda ukususa izicwili ezifileyo okanye ezinentsholongwane, ziphucula ukuhamba kwegazi kwindawo echaphazelekayo, zithintele usulelo, kwaye zinceda inxeba ukuba liphilise ngokukhawuleza.
• Amayeza okunyanga ingxaki engundoqo: Izinto ezinje ngokulawula uxinzelelo lwegazi kunye ne-cholesterol, ukuyeka ukutshaya, kunye nokulawula amanqanaba eswekile egazini lakho zinokunceda amanxeba aphole.
• Amayeza okubulala iintlungu okanye amayeza okubulala iintlungu: Izilonda zemithambo kunye nonyango lwazo lunokuba buhlungu. Kuqhelekile ukusebenzisa amayeza okubulala iintlungu okanye amayeza okubulala iintlungu ngexesha lonyango.

Iibhandishi kunye neebhandishi

Iibhandishi kunye neentlobo ngeentlobo zezinto ezinxitywayo zihlala zisetyenziselwa ukunyanga izilonda zemithambo yegazi. Ezi kufuneka zisetyenziswe kuphela njengoko kuyalelwe ngugqirha wakho. Ukuba zisetyenziswe gwenxa, isilonda semithambo yegazi sinokuba sibi endaweni yokuba silunge.

• Ukubopha inxeba: Ukuvala inxeba ngebhandishi yokukhusela kunokunceda ekukhuselekeni kwizifo. Amanye amabhandishi anokuba namayeza, anokunceda inxeba liphole ngokukhawuleza.
• Iimpahla zokucinezela: Ezi ziquka iikawusi, iikawusi, nezinye izinto. Zibeka uxinzelelo emlenzeni wonke, zinceda ekunciphiseni okanye ekumiseni ukudumba. Zisetyenziswa rhoqo kwizilonda zemithambo yegazi. Zinceda ekuthinteleni igazi ukuba lingadibani emilenzeni nasezinyaweni.
• Izihlangu ezikhethekileyo, iikawusi okanye izixhobo zokulungisa amathambo: Izilonda ezininzi zemithambo yegazi, ingakumbi izilonda zeswekile, zibangelwa kukungqubana okulula kunye noxinzelelo. Ngokwesiqhelo, xa uziva iintlungu, utshintsha indlela ohamba ngayo kwaye unciphise umonakalo kwindawo echaphazelekayo. Nangona kunjalo, oku akunjalo ngezilonda zeswekile. Zidla ngokubangelwa kukulahlekelwa ngokupheleleyo okanye inxalenye yeemvakalelo ezinyaweni.

Iindlela eziphambili

Olu nyango luphambili lungasetyenziswa kumanxeba amakhulu, okanye emithambo yegazi athatha ixesha elide ukuphola.

• Ukuvuselelwa kwemithambo yegazi: Ukuvaleka kwemithambo yegazi ebalulekileyo kunokubangela izilonda zemithambo yegazi. Unyango lokuvuselelwa kwemithambo yegazi luzama ukususa ezi zivimbelo, ukuphilisa izilonda ezikhoyo, kunye nokuthintela ukwakheka kwezilonda ezintsha.
• Utyando: Utyando lunokwenziwa kumanxeba anentsholongwane okanye amakhulu kwaye kunzima ukuphola. Ugqirha angenza utyando lokususa izicwili ezifileyo okanye ezinentsholongwane kwinxeba elinzulu ( 'Debridement' ), okwenza kube lula ukuba inxeba liphole. Oku kungabandakanya:Kungasetyenziswa iindlela zokulungisa ulusu kunye nezinye iindlela zokulungisa. (Nangona kunjalo, kwiimeko zesifo esibi kakhulu okanye umonakalo omkhulu wemithambo yegazi, ngamanye amaxesha ukunqunyulwa kwenxalenye yonyawo okanye umlenze kuyimfuneko. Oku kwenzelwa ukusindisa ubomi nokuthintela iingxaki ezinzulu. Ngelishwa, abantu abanesifo seswekile banamathuba angama-30 okuba nesifo esibi ezinyaweni zabo kunabantu ngokubanzi.)
• Ukuhambahamba ngokumiselweyo: Umsebenzi womzimba, ingakumbi xa usenziwa ngeengcebiso zonyango, unceda ukuphucula ukujikeleza kwegazi nokuthintela ukwakheka kwezilonda ezintsha zemithambo yegazi.
• Unyango lwe-oksijini egqithisileyo: Inqanaba eliqhelekileyo le-oksijini esingqongileyo yi-21%. Kwi-'Hyperbaric oxygen therapy', ubekwa kwigumbi eline-100% ye-oxygen concentration kunye noxinzelelo oluphezulu lomoya. Phantsi kwezi meko, amanxeba, ingakumbi amanxeba emithambo yegazi, anokuphola ngokukhawuleza.
• Ukungcoliswa kwesikhumba: Izicwili ezifileyo nezisulelekileyo ngaphakathi nangaphandle kwenxeba elinzulu zinokulibazisa ukuphola kwaye zikhokelele kwiingxaki eziyingozi ezifana nokubola kwesikhumba. Ukungcoliswa kwesikhumba kubandakanya ukususa esicwili esifileyo okanye esisulelekileyo, kushiyeke izicwili eziphilileyo kuphela.

Ungazilawula njani iimpawu kwaye unciphise umngcipheko?

Ukuba usemngciphekweni wokuba nesilonda esibangela imiphunga, kukho izinto onokuzenza ukukhusela impilo yakho nokuthintela ukuba isilonda singabi naso. Oku kubaluleke kakhulu ukuba unesifo seswekile okanye esinye isifo esinciphisa ukuva ezinyaweni zakho.

• Zihlole: Zihlole iinyawo zakho yonke imihla. Nika ingqalelo ekhethekileyo phakathi kweenzwane, ezijikeleze amaqatha, nasezinyaweni zeenyawo.
• Khusela iinyawo zakho: Khusela iinyawo zakho ekulimaleni ngokunxiba izihlangu kunye neekawusi ezilingana kakuhle.
• Fumana unyango olufanelekileyo lweenyawo: Ukuba unesifo seswekile, kufuneka ubonane nogqirha weenyawo rhoqo ukuze ahlole iinyawo zakho ukuba azinazo na iimpawu zezilonda. Uza kukunika iingcebiso ngeyona ndlela ilungileyo yokunyamekela iinyawo zakho.
• Lawula iimeko zempilo ezisisiseko: Ukunyamekela izinto ezifana noxinzelelo lwegazi, i-cholesterol, amanqanaba eswekile egazini, kunye nobunzima kunokunceda ukuthintela ukwenzakala.

Ukuba sele unesilonda esikwimithambo yegazi, ugqirha wakho uya kukubonisa indlela yokusinyamekela. Uhlala ekunika iingcebiso ngale nto ilandelayo:

• Gcina inxeba licocekile: Sebenzisa amabhandeji uze uwatshintshe njengoko ugqirha eyalele.
• Phumla njengoko kucetyisiwe: Ukuba unesilonda esikwimithambo yegazi, ugqirha wakho uya kukuxelela ukuba ugcine imilenze yakho iphakanyisiwe ukuze uthintele ukudumba.
• Sela amayeza akho ngokuchanekileyo: Sela amayeza akho, ingakumbi amayeza okubulala iintsholongwane, uxinzelelo lwegazi, isifo seswekile, kunye namayeza e-cholesterol ephezulu, ngexesha elifanelekileyo.

Yintoni onokuyilindela ngelixa uphila nale ngozi?

Ukuba unesilonda esikwimithambo yegazi, okanye ukhe waba naso ngaphambili, usemngciphekweni omkhulu wokufumana esinye. Ukunyamekela impilo yakho yeyona ndlela ilungileyo yokulibazisa ukuphuhliswa kwesilonda esitsha. Ukuba ulawula impilo yakho, unethuba lokuphila ixesha elide ngokubanzi kwaye ungabi neengxaki zempilo ezininzi.

Kwelinye icala, ukuba awuyikhathaleli impilo yakho, isilonda semithambo yegazi – kunye nempilo yakho iyonke – kusenokwenzeka ukuba sibe sibi kakhulu. Kwiimeko ezimbi kakhulu, ukuba awuyikhathaleli isilonda kunye nempilo yakho, inokukhokelela ekunqunyulweni kwelungu, kwanokufa.

Ufanele uye nini kugqirha?

Bona ugqirha wosapho lwakho ubuncinane kanye ngonyaka ukuze uhlolwe ngokupheleleyo. Oku kubalulekile ukuze kuchongwe iingxaki zempilo, kuquka nezo zinokubangela izilonda zemithambo yegazi, nokuba azibonisi zimpawu.

Kwakhona, thetha nogqirha wakho ukuba unayo nayiphi na kwezi zilandelayo:

• Ukuba inxeba emlenzeni okanye elunyaweni lwakho lithatha ixesha elide kunokuba bekulindelwe ukuba liphole.
• Ukuba uneempawu ezibonisa ukuba uneengxaki zokujikeleza kwegazi emilenzeni yakho (ingakumbi ukudumba, iintlungu, ukutshintsha kombala, okanye iintlungu ezitshintshayo kuxhomekeke kwindlela obamba ngayo umlenze wakho).
• Ukuba unentlungu emilenzeni yakho, oko kuya kuba ngcono xa uphumla.

Ufanele uye nini kwiGumbi loNgxamiseko?

Ukuba unenxeba eliphuma kwimithambo yegazi, liyasuleleka kwaye ubonakalise ezi mpawu, kuya kufuneka uye kwigumbi likaxakeka:

• Ukuba ulusu olujikeleze indawo echaphazelekayo luba mdaka okanye lube mnyama, ingakumbi kwiminwe.
• Ukuba unomkhuhlane okanye ugodola kwaye uyaqhaqhazela.
• Ukuba kukho ivumba elibi elivela kwinxeba elisemithambo yegazi.
• Ukuba inxeba elisemzimbeni likhupha ulwelo okanye igazi elininzi kunesiqhelo, ingakumbi ukuba ulwelo oluphumayo lunamafu okanye lutyheli.
• Ukuba inxeba kunye nendawo elijikelezileyo lidumbile, libomvu, kwaye livakala lifudumele xa ulichukumisa.

Ngamafutshane, umyalezo oya nawo ekhaya:

Izilonda zemithambo yegazi zihlala ziluphawu lwesifo esingapheliyo esingabonakaliyo. Nangona ezi meko zinzima, zinokulawulwa kwaye unokonwabela ubomi bakho. Musa ukoyika okanye uxhalabe.

Ugqirha wakho unokukukhokela, akunike izixhobo ezifunekayo, aze akunike nenye inkxaso. Konke oku kuya kukunceda uthintele izifo ezingapheliyo ukuba zingaphazamisi ubomi bakho kwaye uphile ubomi obufunayo. Kubalulekile ukufuna iingcebiso zonyango kwangethuba. Nyamekela iinyawo zakho, nyamekela impilo yakho.

Amanxeba emithambo yegazi, iingxaki zokujikeleza kwegazi, amanxeba eenyawo, amanxeba emithambo yegazi, amanxeba emithambo yegazi, amanxeba eswekile, amanxeba angapholiyo