Ingaba unekopolo eninzi emzimbeni wakho? Masifunde ngqo ngeSifo sikaWilson!

Ngaba ngamanye amaxesha uziva udiniwe? Okanye ngaba ufumana izinto ezifana nokuziva ubuthathaka, ukungonwabi esiswini, nokudideka kwengqondo ngaphandle kwesizathu? Kukho izifo ezingaqhelekanga ezichaphazela umzimba ngeendlela esingenakuzicinga. Namhlanje siza kuthetha ngesifo esingaqhelekanga, kodwa ukuba unolwazi olufanelekileyo, ungasibona kwangethuba kwaye unciphise umonakalo esinokuwubangela ebomini bakho. Oku kubizwa ngokuba yiWilson Disease .

Yintoni isifo sikaWilson?

Ngamafutshane, iSifo sikaWilson sisifo esingaqhelekanga semfuza esibangela ukuba imizimba yethu iqokelele ithusi elingaphezulu kunelo lifunekayo. Le thusi iqokelelana esibindini nasebuchotsheni bethu. Imizimba yethu ifuna ithusi elincinci ekutyeni ukuze ihlale isempilweni. Nangona kunjalo, ukuba umntu onesifo sikaWilson akanyangwa kakuhle, amanqanaba ethusi emzimbeni anokunyuka kakhulu, nto leyo ebangela umonakalo osongela ubomi kumalungu omzimba.

Ngubani ochaphazeleka kakhulu sisifo sikaWilson?

Isifo sikaWilson sisifo esidluliselwa kubazali ukuya ebantwaneni . Ukuze umntwana akhule, kufuneka afumane i-gene enye engaqhelekanga kumzali ngamnye. Oku kubizwa ngokuba yi-autosomal recessive inheritance. Kunzima kakhulu ukutsho ngqo ukuba ngubani oza kukhula. Oku kungenxa yokuba uninzi lwexesha, abazali ababonisi zimpawu zokuba nale gene engaqhelekanga emizimbeni yabo. Ngenxa yoko, abazi ukuba 'bathwali' bale gene. Nangona kunjalo, ukuba isalamane esisondeleyo kusapho lwakho sinale gene, nawe unokuba sengozini.

Isifo sikaWilson sixhaphake kangakanani?

Esi sisifo esingaqhelekanga . Kuqikelelwa ukuba malunga nomntu omnye kwabangama-30,000 uba nesifo. Nangona kunjalo, ukuba umntu kusapho unesifo, amathuba okuba abanye basifumane aphezulu. Abantu abaninzi ngakumbi bane-gene enye eneengxaki, ebizwa ngokuba yi-carriers. Ngokwesiqhelo abanazo iimpawu, kodwa banokudlulisela esi sifo kubantwana babo. Ekubeni abathwali be-gene bengenazo iimpawu, kunzima ukutsho ngokuthe ngqo ukuba bangaphi abantu kuluntu ngokubanzi abane-gene eneengxaki.

Isifo sikaWilson siwuchaphazela njani umzimba wam?

Isifo sikaWilson, ukuba asiqatshelwa kwaye sinyangwe kwangethuba, sinokukhokelela kwiingxaki ezisongela ubomi . I-Copper iqokelelana emzimbeni iye kumanqanaba anobuthi, ingakumbi esibindini nasebuchotsheni. Oku kunokubangela umonakalo kula malungu omzimba. Xa amanqanaba e-copper emzimbeni esanda, indlela oziva ngayo inokutshintsha. Ungaziva udiniwe kakhulu, ubuthathaka, kwaye unentlungu. Ukuba ubuthathaka obungapheliyo, ukudinwa, okanye iintlungu, kungcono ukufuna ingcebiso kagqirha.

Zithini iimpawu zesifo sikaWilson?

Iimpawu zesifo sikaWilson zinokwahluka kakhulu kumntu nomntu.Nangona esi sisifo sokuzalwa, iimpawu ziqala ukubonakala emva kokuba i-copper iqokelelene esibindini, engqondweni, emehlweni, okanye kwezinye izitho zomzimba. Abantu abanesifo sikaWilson badla ngokuba neempawu phakathi kweminyaka emi-5 ukuya kwengama-40 ubudala. Nangona kunjalo, abanye abantu banokuba neempawu besebancinci okanye bebadala.

Khumbula, ngamanye amaxesha ezi mpawu ziyafana nezinye izifo zesibindi okanye iingxaki zempilo yengqondo, ngoko ke abantu banokucinga ngempazamo ukuba yinto eyahlukileyo. Kunokuba nzima ukuqiniseka ukuba sisifo sikaWilson na de uvavanye amanqanaba akho ekopolo.

Iimpawu ezinxulumene nesibindi

Abantu abaninzi abanesifo sikaWilson baba neempawu ze-hepatitis. Banokungaphumeleli kwesibindi ngequbuliso. Iimpawu ziquka:

• Ndihlala ndidiniwe.
• Isicaphucaphu nokuhlanza.
• Ukutya akunancasa.
• Intlungu kwicala lasekunene lesisu, kanye phezu kwesibindi.
• Umchamo omnyama.
• Izitulo ezinombala okhanyayo.
• Ukutyheli kwamhlophe emehlweni naselusu (i-jaundice).

Abanye abantu banokufumana iimpawu kuphela xa isifo sikaWilson sikhula iingxaki ezifana nesifo sesibindi esingapheliyo kunye ne-cirrhosis. Ezi ziquka:

• Ukudinwa rhoqo kunye nobuthathaka.
• Ukunciphisa umzimba ngendlela engaqhelekanga.
• Ukudumba kwesisu (i-ascites).
• Ukudumba kwemilenze esezantsi, amaqatha, kunye neenyawo (i-edema).
• Ulusu olurhawuzelelayo.
• I-jaundice ebuhlungu kakhulu.

Iimpawu ezinxulumene nenkqubo ye-nervous central

Xa ubhedu luqokelelana emzimbeni, abantu abanesifo sikaWilson banokuba neempawu ezichaphazela inkqubo yemithambo-luvo ephakathi, ezinokuchaphazela impilo yengqondo. Nangona ezi zixhaphake kakhulu kubantu abadala, zinokubakho nakubantwana.

Iimpawu ezinxulumene nenkqubo ye-nervous zingabandakanya:

• Iingxaki zokuthetha, ukuginya, okanye ukulungelelaniswa komzimba.
• Ukuqina kwemisipha.
• Ukungcangcazela okanye iintshukumo ezingalawulekiyo (ukungazinzi).

Iimpawu zesifo sikaWilson ezichaphazela impilo yengqondo:

• Ixhala.
• Utshintsho kwimo yengqondo, ubuntu, okanye indlela yokuziphatha.
• Uxinzelelo.
• Imeko apho iingcinga neemvakalelo ziphazamiseka khona kwaye kunzima ukwahlula phakathi kwenyaniso nobuxoki (i-psychosis).

Iimpawu ezinxulumene namehlo

Abantu abaninzi abanesifo sikaWilson banezangqa eziluhlaza, ezigolide, okanye ezimdaka (iindandatho zikaKayser-Fleischer) ezijikeleze umphetho we-cornea (inxalenye emnyama yeliso). Ezi "zangqa zikaKayser-Fleischer" zibangelwa kukuqokelelana kobhedu elisweni. Ugqirha wakho unokuzibona ezi zangqa ngexesha lovavanyo olukhethekileyo lwamehlo (uvavanyo lwesibane esitshixwayo).

Abantu abaninzi abaneempawu ezichaphazela inkqubo yemithambo-luvo kwaye bafunyaniswe benesifo sikaWilson banazo ezi "rings zikaKayser-Fleischer." Kuphela malunga nesiqingatha sabantu abaneempawu ezichaphazela isibindi kuphela abanokubona ezi rings.

Ezinye iimpawu zesifo sikaWilson

Isifo sikaWilson sinokuchaphazela nezinye iindawo zomzimba wakho, okubangela iimpawu ezifana nezi:

• I-hemolytic anemia ibangelwa kukwaphuka kweeseli zegazi.
• Iingxaki zamathambo namalungu (i-arthritis okanye i-osteoporosis).
• Isifo semisipha yentliziyo `(cardiomyopathy)`.
• Iingxaki zezintso (i-renal tubular acidosis okanye amatye ezintso).

Yintoni ebangela isifo sikaWilson?

Eyona nto ibangela isifo sikaWilson kukuguquka kwejini ekuthiwa yi-ATP7B . Le jini inoxanduva lokususa i-copper engaphezulu emzimbeni wethu.

Ngokwesiqhelo, isibindi sikhupha ubhedu olongezelelweyo kwi-bile (i-bile). Le bile igcinwa kwi-gallbladder. Inceda ekugayeni ukutya. I-bile isusa ubhedu, kunye nezinye iityhefu kunye nenkunkuma, emzimbeni ngendlela yokugaya ukutya. Ukuba unesifo sikaWilson, isibindi sakho sikhupha ubhedu oluncinci kwi-bile. Oku kubangela ukuba ubhedu olongezelelweyo luhlale emzimbeni wakho.

Ngaba ndingakwazi ukufumana isifo sikaWilson njengelifa?

Ewe, ungayifumana i-mutation kwi-gene ye-ATP7B ebangela isifo sikaWilson. Oku kuthetha ukuba i-mutation idluliselwa ukusuka komnye umzali ukuya komnye. Ukuze umntu abe nesifo sikaWilson, kufuneka afumane ii-gene ezimbini ezinesiphako - enye evela kumama wakhe kunye nenye evela kuyise (i-autosomal recessive) .

Abantu abane-gene enye ye-ATP7B engena-mutation kunye nenye ene-mutation abafumani isifo sikaWilson. Kodwa bangabathwali besifo. Oku kuthetha ukuba, ngokuxhomekeke kwimeko yemfuza yeqabane labo, banokudlulisela i-gene esempilweni, imeko ye-carrier, okanye isifo kubantwana babo.

Isifo sikaWilson sichongwa njani? (Ukuxilongwa)

Ukuze afumanise isifo sikaWilson, ugqirha wakho uza kubuza ngembali yezonyango yosapho lwakho kunye nembali yakho yezonyango ukuze azame ukufumanisa ukuba iimpawu zakho zinokubangelwa yile meko.

Oogqirha baza kukuxilonga ukuze babone ukuba kukho naziphi na ezinye iimpawu ezibonisa iingxaki kwisibindi sakho, ingqondo, okanye amehlo. Ngexesha lovavanyo lwamehlo, ugqirha uza kwenza uvavanyo lwe-"slit-lamp". Olu luvavanyo olusebenzisa isibane esikhethekileyo ukukhangela "iindandatho zeKayser-Fleischer."

Ukuba kurhanelwa ukuba unesifo sikaWilson, ugqirha wakho uya kuyalela ukuba uvavanye igazi nomchamo.

Zeziphi iimvavanyo ezisetyenziswayo ukufumanisa isifo sikaWilson?

Isifo sikaWilson sifunyanwa ngovavanyo lwegazi, uvavanyo lomchamo, uvavanyo lwemfuza, okanye i-biopsy yesibindi.

Uvavanyo lwegazi

Uvavanyo lwegazi lunokujonga izinto ezininzi egazini lakho:

• I-Ceruloplasmin: I-Ceruloplasmin yiproteni ethwala ubhedu egazini. Abantu abanesifo sikaWilson banezinga eliphantsi le-ceruloplasmin.
• I-Copper: Abantu abanesifo sikaWilson banokuba namanqanaba aphezulu okanye aphantsi e-copper egazini labo.
• I-Alanine transaminase (ALT) kunye ne-aspartate transaminase (AST): I-ALT kunye ne-AST zii-enzymes zesibindi ezikhula xa isibindi sonakele.
• Iiseli ezibomvu zegazi: Abantu abanesifo sikaWilson banokuba nenani eliphantsi leeseli ezibomvu zegazi (i-anemia).

Ukuba ezinye iimvavanyo zonyango azikwazi ukuqinisekisa okanye ukuthintela isifo sikaWilson, ugqirha wakho unokuyalela uvavanyo lwegazi ukuze kuhlolwe utshintsho lwemfuza olubangela isifo sikaWilson.

Uvavanyo lokuqokelelwa komchamo oluthatha iiyure ezingama-24

Kwisithuba seeyure ezingama-24, uza kuqokelela umchamo wakho ekhaya, kwisitya esikhethekileyo esingenakobhedu esibonelelwe ngugqirha wakho. Ilebhu iya kuvavanya ubungakanani bekopolo kumchamo wakho. Abantu abanesifo sikaWilson banezinga eliphezulu kuneliqhelekileyo lekopolo kumchamo wabo.

i-biopsy yesibindi

Ukuba uvavanyo lwegazi nomchamo alukwazi ukuqinisekisa okanye ukuthintela isifo sikaWilson, ugqirha wakho unokuyalela ukuba kwenziwe i-biopsy yesibindi. Kule nkqubo, ugqirha wakho uthatha isampuli encinci yezicubu esibindini sakho. Ingcali yezifo ihlola izicwili phantsi kwe-microscope ukujonga iimpawu zezifo ezithile zesibindi ezifana nesifo sikaWilson, umonakalo wesibindi, kunye ne-cirrhosis. Iqhekeza lezicwili zesibindi lithunyelwa kwilebhu ukuze livavanywe i-copper.

Uvavanyo lokufota

Ukuba uneempawu ezinxulumene nenkqubo yakho yemithambo-luvo, ugqirha wakho angasebenzisa uvavanyo lwemifanekiso ukujonga iimpawu zesifo sikaWilson okanye ezinye iimeko engqondweni. Ezi zingabandakanya:

• I-MRI (Umfanekiso weMagnetic Resonance)
• `I-X-reyi`
• `I-CT scan` (I-Computerized Tomography Scan)

Isifo sikaWilson sinyangwa njani?

Eyona nto iphambili kunyango lwesifo sikaWilson kukunciphisa amanqanaba e-copper enobuthi emzimbeni wakho, ukuthintela ukonakala kwamalungu omzimba, kunye nokuthintela iimpawu ezenzekayo xa amalungu omzimba engasebenzi kakuhle . Unyango luquka:

• Ukuthatha amayeza asusa ubhedu emzimbeni (ii-chelating agents - umz. i-D-penicillamine, i-Trientine, i-Tetrathiomolybdate).
• Ukusela i-zinc ukuthintela ukufunxwa kobhedu emathunjini.
• Ukutya ukutya okune-copper encinci.

Abantu abanesifo sikaWilson bafuna unyango lobomi bonke. Ukuba unyango luyekiswa, isibindi singasebenza kakuhle. Ugqirha wakho uya kwenza uvavanyo lwegazi nomchamo rhoqo ukujonga ukuba unyango lusebenza kakuhle kangakanani na.

Ngawaphi amayeza esifo sikaWilson?

Ugqirha wakho unokucebisa amayeza ahlukeneyo okunciphisa ubungakanani bekopolo emzimbeni wakho.

Iiarhente zokuthambisa

Ii-chelating agents zisebenza ngokususa i-copper emzimbeni wakho. Imizekelo yezi ziquka:

• I-Penicillamine
• I-Trientine

Xa unyango luqala, oogqirha bayawonyusa kancinci kancinci umthamo wee-chelating agents. Kufuneka iidosi eziphezulu de kususwe i-copper engaphezulu emzimbeni. Nje ukuba iimpawu zesifo sikaWilson ziphucuke kwaye uvavanyo luqinisekisa ukuba i-copper ikwinqanaba elikhuselekileyo, ugqirha unokumisela iidosi eziphantsi zee-chelating agents njengonyango lokugcina. Unyango lokugcina ubomi bonke luthintela i-copper ekuqokeleleni kwakhona.

La mayeza anokuba nemiphumo emibi, ngoko ke kubalulekile ukubuza ugqirha wakho ukuba ufuna ukuthatha naziphi na izongezo, ezifana neevithamini, okanye uthathe naziphi na izilumkiso ngaphambi kotyando.

Izinki

I-Zinc ithintela ukufunxwa kobhedu emathunjini. Ugqirha wakho angakunika i-zinc njengonyango lokugcina emva kokususa ubhedu obuninzi ngee-chelating agents. Ukuba unesifo sikaWilson kodwa ungenazo iimpawu, ugqirha wakho angakunika i-zinc.

Isifo sikaWilson sinyangwa njani ngexesha lokukhulelwa?

Ukuba ukhulelwe, kufuneka ubuze ugqirha wakho ukuba angasilawula njani isifo sikaWilson kulo lonke ixesha lokukhulelwa kwakho. Ngenxa yokuba umntwana ongekazalwa ufuna i-copper encinci, ugqirha wakho unokukunika amayeza okunciphisa ulusu olungenazo iidosi ezifunekayo. Kunganceda ukuba nogqirha oqhelene nesifo sikaWilson.

Kwakhona, buza ugqirha wakho ukuba kukhuselekile na ukuncancisa umntwana ngelixa unyangwa isifo sikaWilson.

Zeziphi ukutya ekungafanele uzitye ukuba unesifo sikaWilson?

Ukuba unesifo sikaWilson, ugqirha wakho unokukucebisa ukuba uziphephe ezinye iintlobo zokutya ezine-copper eninzi. Ngokukodwa, kufuneka uziphephe:

• Iintlanzi zeShellfish, ezifana neeclams kunye neeoyster
• Isibindi

Ezinye ukutya ezinekopolo eninzi:

• Itshokolethi
• Iziqhamo ezomisiweyo
• Iimbotyi ezomileyo kunye neembotyi
• Iikhowa
• Amandongomane (afana neecashews, amandongomane)

Emva kokuba amanqanaba akho ekopolo ehlile ngenxa yonyango kwaye unyango lokulungisa luqalile, thetha nogqirha wakho malunga nokuba ungatya na ezinye zezi zinto ngokulinganiselweyo.

Ukuba amanzi akho empompini avela emthonjeni okanye ngemibhobho yobhedu, jonga inqanaba lobhedu emanzini akho. Ungafuna nokusebenzisa isihluzo samanzi ukususa ubhedu emanzini akho empompini.

Ukuba ucinga ngokuthatha izongezo, ezifana neevithamini, thetha nogqirha wakho ngaphambi kokuba uzithathe. Ezinye izongezo zinokuba nekopolo.

Ngaba kukho naziphi na iingxaki kunyango?

Isifo sikaWilson sinokubangela iingxaki, kodwa ukubonwa kwangethuba kunye nonyango kunokunciphisa umngcipheko weziphumo ebezingalindelekanga. Amayeza asetyenziswa ukunyanga isifo sikaWilson nawo anokuba neziphumo ebezingalindelekanga, ngoko buza ugqirha wakho ukuba yintoni omawuyilumkele.

Ukungasebenzi kakuhle kwesibindi

Isifo sikaWilson sinokubangela ukungasebenzi kakuhle kwesibindi. Kulapho isibindi siphelelwa ngamandla ngaphandle kwesilumkiso. Malunga ne-5% yabantu abanesifo sikaWilson banesifo sokungasebenzi kakuhle kwesibindi ngexesha lokuxilongwa. Le meko ingafuna ukufakelwa isibindi.

Abantu abanesifo sesibindi esikhawulezileyo ngenxa yesifo sikaWilson badla ngokuba nokusilela kwezintso okukhawulezileyo kunye nohlobo lwe-anemia olubizwa ngokuba yi-hemolytic anemia.

Isifo sokuqina kwesibindi

I-Cirrhosis yimeko apho izicubu zesibindi ezisempilweni zithathelwa indawo yizicubu zesilonda, nto leyo eyenza isibindi singakwazi ukusebenza kakuhle. Izicubu zesilonda zikwathintela ukuhamba kwegazi esibindini ukuya kwinqanaba elithile. Njengoko isifo sesibindi siqhubeka, isibindi siqala ukungasebenzi kakuhle.

Phakathi kwama-35% nama-45% abantu abafunyaniswe benesifo sikaWilson bane-cirrhosis ngexesha lokuxilongwa.

Isifo sofuba (cirrhosis) sinyusa umngcipheko wokuba nomhlaza wesibindi. Nangona kunjalo, oogqirha bafumanise ukuba abantu abanesifo sofuba ngenxa yesifo sikaWilson abanamathuba amaninzi okuba nomhlaza wesibindi kunabo banesifo sofuba ngenxa yezinye izizathu.

Ukungasebenzi kakuhle kwesibindi

Isifo sokuqaqamba kwesibindi ekugqibeleni sinokukhokelela ekungasebenzini kwesibindi. Ukungasebenzi kakuhle kwesibindi kuxa isibindi sakho sonakele kakhulu kangangokuba siyeke ukusebenza. Oku kukwabizwa ngokuba sisifo sesibindi esikwinqanaba lokugqibela. Le meko ingafuna ukufakelwa isibindi.

Zinyangwa njani iingxaki zesifo sikaWilson?

Ukuba isifo sikaWilson sibangela isifo sesibindi (cirrhosis), ugqirha wakho unokukwazi ukunyanga iingxaki zakho ngamayeza okanye ngotyando.

Ukuba isifo sikaWilson sibangela ukungasebenzi kakuhle kwesibindi okanye ukungasebenzi kakuhle kwesibindi ngenxa yesifo sesibindi, ungadinga ukufakelwa isibindi. Abanye abantu abafakelwe isibindi bayachacha ngokupheleleyo kwisifo sikaWilson. Kodwa ugqirha wakho uya kukujonga ngokusondeleyo ukuqinisekisa ukuba ukufakelwa isibindi kuphumelele.

Ndiza kuziva bhetele nini emva konyango?

Unyango lwesifo sikaWilson yinkqubo ethatha ubomi bonke . Ixesha elithathayo ukuze uzive ungcono lixhomekeke kubukhali beempawu zakho. Nangona kunjalo, emva kweenyanga ezine ukuya kwezintandathu zonyango, kulandele unyango oluqhelekileyo, iimpawu zakho zinokuncitshiswa kakhulu. Ugqirha wakho uya kwenza uvavanyo oluqhelekileyo ukujonga ukuba unyango lwakho lwesifo sikaWilson lusebenza kakuhle kangakanani na. Uya kulungisa nedosi yamayeza akho ukuze ahambelane neemfuno zomzimba wakho.

Ukuba ndinesifo sikaWilson, ndimele ndilindele ntoni?

Ngokuxhomekeke kwisifo sakho, usenokuba uneempawu ezinxulumene nesifo sikaWilson okanye ungabi nazo. Ukuba unazo iimpawu, zinokuba yingozi ebomini ukuba awufumani unyango. Eyona nto ibalulekileyo kukulandela isicwangciso sonyango sikagqirha wakho ngokuchanekileyo ukuze ususe i-copper enobuthi emzimbeni wakho kwaye uthintele ukonakala kwamalungu omzimba.

Isifo sikaWilson sisifo sobomi bonke, kwaye akukho nyango. Isifo sikaWilson esinganyangwanga sinobomi obufutshane. Abantu abafunyaniswe benesifo sikaWilson baze bafakelwe isibindi ngempumelelo banobomi obuhle. Nangona kunjalo, nokuba emva kokufakelwa, kuya kufuneka babe phantsi kweliso likagqirha ubomi babo bonke.

Ngaba isifo sikaWilson singathintelwa?

Isifo sikaWilson sisiphumo sokuguquka kwezakhi zofuzo okuzuzwe njengelifa, ngoko ke asinakuthintelwa. Ukuba unembali yosapho lwakho yesifo sikaWilson, thetha nogqirha wakho malunga novavanyo lwezakhi zofuzo ukuze uqonde umngcipheko wakho wokuba nesifo sikaWilson okanye ukuba nomntwana onesi sifo sezakhi zofuzo.

Ndingazinyamekela njani?

Ukuba unesifo sikaWilson, ungazinyamekela ngokuthatha amayeza akho njengoko ugqirha wakho ekuyalele kwaye ususe ukutya okune-copper eninzi ekutyeni kwakho. Ngonyango, unokunciphisa iimpawu zakho kwaye uthintele iingxaki ezisongela ubomi.

Ndifanele ndimbone nini ugqirha wam?

Ukuba iimpawu zesifo sakho sikaWilson ziya zisiba mandundu, ingakumbi ukuba beziphucukile ngaphambili, kuya kufuneka ubone ugqirha wakho. Oku kuthetha ukuba umthamo wamayeza akho kufuneka utshintshwe.

Ukuba iimpawu zesifo sakho sikaWilson ziyakuthintela ekwenzeni imisebenzi yakho yemihla ngemihla, ingakumbi ukuba awukwazi ukutya, ukuhlanza rhoqo, unesifo sengqondo, ulusu lwakho luba tyheli (i-jaundice), okanye unentlungu enkulu esiswini, yiya kwigumbi likaxakeka ngoko nangoko okanye utsalele umnxeba ku-911.

Ndingayibuza yiphi imibuzo ugqirha wam?

• Ngaba ndiza kufuna ukufakelwa isibindi?
• Zithini iziphumo ebezingalindelekanga zamayeza anikwe unyango lwesifo sikaWilson?
• Ukuba ndikhulelwe, ngaba umntwana wam uza kufumana isifo sikaWilson?
• Ndingawasela amayeza am ukuba ndikhulelwe?
• Kufuneka ndithathe amayeza owandinike wona ixesha elingakanani?

Okokugqibela, khumbula (Umyalezo Wokuya Ekhaya)

Ukuxilongwa kwangoko kunye nonyango lwesifo sikaWilson zezona ndlela zibalaseleyo zokunyanga esi sifo sofuzo ubomi bonke. Kusenokufuneka wenze utshintsho kwindlela ophila ngayo ukuze unciphise i-copper ekutyeni kwakho. Qiniseka ukuba ubona ugqirha wakho ukuqinisekisa ukuba unyango lwakho luyasebenza ukunciphisa ubungakanani be-copper emzimbeni wakho. Unyango olufanelekileyo lunokukunceda uphile kakuhle kwaye uthintele iingxaki ezisongela ubomi. Musa ukoyika, eyona nto ibalulekileyo kukwazi kwaye ulandele icebiso likagqirha wakho.

Isifo sikaWilson , ubhedu, isibindi, ubuchopho, izifo zemfuza, isifo sokuqina kwesibindi, iiringi zikaKeiser-Fleischer