Ake sifunde kabanzi ngokulimala komgogodla.

Sonke siyazi ngokubaluleka komgogodla, akunjalo? Kufana nomsele omkhulu womyalezo emzimbeni wethu. Ngakho-ke, kwenzekani uma kukhona umonakalo kulo mgogodla, okungukuthi, `(Ukulimala Komgogodla)`? Lokhu kungaba yisimo esincane, esilawulekayo ngezinye izikhathi, noma kungaba yingozi kakhulu, mhlawumbe impilo yonke. Ake sixoxe ngalokhu ngokuningiliziwe nanamuhla.

Iyini intambo yomgogodla?

Kalula nje, inqwaba yemicu yezinzwa edlula emgogodleni idlulisela ulwazi phakathi kobuchopho bethu nazo zonke ezinye izingxenye zomzimba wethu . Lena ingenye yezingxenye ezimbili eziyinhloko zeSistimu Yethu Yezinzwa Ephakathi (i-CNS). Enye ubuchopho.

Cabanga ngesimiso sethu sezinzwa njengohlelo olukhulu lomgwaqo. Lunemizila ethwala imiyalezo evela ebuchosheni, kanye nemizila ethwala imiyalezo eya ebuchosheni. Umgogodla uyindlela enkulu. Uxhunywe nemithambo yomgogodla. Ifana nemigwaqo evulekile kanye nemigwaqo evulekile emgwaqweni omkhulu. Lezi migwaqo evulekile ixhumeka nemithambo engaphandle egijima kuwo wonke umzimba. Izimpawu zemizwa zifana nezimoto ezihamba kule migwaqo.

Manje, umonakalo womgogodla ufana nomgwaqo omkhulu ovinjiwe. Kodwa, njengomgwaqo wangempela ovinjiwe, akukho ndlela ephambukayo. Imiyalezo edinga ukuhamba emigwaqweni evinjiwe ayikwazi ukufika lapho iya khona. Uma umonakalo umkhulu, ukuvalwa komgwaqo kungaba unomphela. Yilapho kuvela khona izimpawu ezinzima njengokukhubazeka.

Lezi zinkinga zihlukaniswe kanjani?

Ochwepheshe bahlukanisa ukulimala komgogodla ngezinhlobo ezimbili eziyinhloko: ngokusekelwe endleleni ukulimala okuthinta ngayo umgogodla kanye nokuthi ukulimala kwenzeka kuphi emgogodleni. Ngokulimala komgogodla (SCI), izimpawu zemizwa zingaphazamiseka noma kuphi ngaphansi kwendawo yokulimala.

Ngokwendawo:

Umgogodla uhlukaniswe izingxenye eziningana. Imiphumela iyahlukahluka kuye ngokuthi iyiphi ingxenye yomgogodla eyonakele.

• Umgogodla Wesibeletho: Lokhu kutholakala entanyeni yakho, kusukela phansi kwekhanda lakho kuya ezingeni lamahlombe.
• Umgogodla Wesifuba: Lokhu kudlula kusukela emhlane ongaphezulu kuya ngaphansi kwekheji lezimbambo.
• Umgogodla Wethambo: Lokhu kutholakala emhlane ongezansi. Kufinyelela cishe phezulu kwezinqe, kodwa umgogodla uphela kancane ngaphezu kwalokho.
• Umgogodla weSacral: Le ndawo iqukethe izimpande zemizwa eziqala ezinqeni ziye ethanjeni lomsila.

Ngobunzima:

Kunezinhlobo ezimbili kuye ngokuthi umonakalo ungakanani:

• I-SCI engaphelele: Lokhu kufana nomgwaqo omkhulu onemizila embalwa kuphela evaliwe. Eminye imizila ivuliwe, okuvumela eminye imisebenzi ukuthi iqhubeke ngaphansi kwephuzu lomonakalo.
• I-SCI ephelele:Lapha, yonke leyo migwaqo ivaliwe. Akukho miyalezo engadlula. Ezimweni eziningi, lokhu kusho ukuthi wonke amakhono angaphansi kwephuzu lomonakalo alahleka unomphela, okuhlanganisa nokukhubazeka .

Kunezingxenye ezingu-31 emgogodleni wethu (lezi zihambisana namapheya angu-31 `(Spinal Nevers)`). Ochwepheshe basebenzisa inhlanganisela yezinhlamvu nezinombolo ukubhekisela kuzo. Incwadi ibhekisela engxenyeni yomgogodla, kanti inombolo ibhekisela eqenjini elihambisanayo. Isibonelo, i-C8 iyiqembu lesishiyagalombili (futhi eliphansi kakhulu) ku-`(Cervical Spine)`.

Ngokuvamile kunezigaba ezimbili ze-SCI. Esokuqala ukulimala kokuqala . Kodwa-ke, phakathi namahora noma izinsuku ezimbalwa, ukulimala kwesibili kungenzeka. Lokhu kungabangela ukuthi umgogodla uvuvuke futhi kubangele umonakalo owengeziwe.

Kuvame kangakanani ukulimala komgogodla?

Eqinisweni, ukulimala komgogodla akuvamile kangako. Ukulimala okunjalo okuphakathi kuka-250,000 no-500,000 kubikwe emhlabeni wonke minyaka yonke.

E-United States, kunezimo ezintsha ezingaba ngu-18,000 ze-SCI ebuhlungu minyaka yonke. Cishe u-78% walezi ziguli ezintsha ze-SCI ngabesilisa. Isilinganiso seminyaka yobudala ngesikhathi sokulimala cishe siyiminyaka engu-43.

Ziyini izimpawu zalokhu? (Izimpawu)

Izimpawu zokulimala komgogodla (SCI) zincike ekutheni yiziphi izimpawu zemizwa eziphazamisekile. Izinhlobo ezintathu eziyinhloko zezimpawu zingathinteka: imizwa, ukunyakaza, kanye ne-autonomic.

Izimpawu Zokuzizwa:

Izimpawu zezinzwa yizo ezithwala ulwazi ebuchosheni bethu. Zitshela ubuchopho ngomhlaba osizungezile nokuthi kwenzekani emzimbeni wethu.

Intambo yethu yomgogodla icubungula kakhulu izimpawu zokuthinta. Isibonelo, izinto ezifana nokushisa, ingcindezi, ukudlidliza, kanye nokuthungwa kwendawo. Iphinde ilawule umuzwa wethu wesimo somzimba (proprioception). Cabanga nje, usegumbini elimnyama ngokuphelele bese uletha isandla sakho ebusweni bakho, kodwa ungamisa isandla sakho ngaphambi kokuba sishaye ubuso bakho. Yilokho okushiwo i-proprioception.

Izibonelo zezimpawu zokuzwa:

• Ubuhlungu
• Ukuba ndikindiki
• Izikhonkwane nezinaliti noma umuzwa wokucasuka (`Paresthesia`)

Izimpawu Zemoto:

Izimpawu zokunyakaza yilezo ezihamba zisuka ebuchosheni bethu ziye emisipheni yethu. Ubuchopho bethu busebenzisa lezi zimpawu ukuhambisa izingxenye zomzimba wethu.

Izimpawu zemoto zingafaka:

• Ubuthakathaka - ukulahlekelwa amandla
• Ukukhubazeka - ukungakwazi ukulawula imisipha
• Ukuqaqamba kwemisipha okungalawuleki (i-Spasticity)

Izimpawu Zokuzimela:

Izimpawu ezizenzakalelayo yilezo ezilawula izinqubo zomzimba ezenzeka ngokuzenzakalelayo, ngaphandle kokuthi sicabange ngazo. Igama elithi "autonomic" lifana nelithi "automatic," okusho izinto ezenzeka ngokuzenzakalelayo.

Izimpawu ze-Autoimmune zingabandakanya:

• Izinguquko ekushayeni kwenhliziyo, ikakhulukaziIsilinganiso senhliziyo esiphansi (i-Bradycardia)
• Izinguquko ekucindezelweni kwegazi, ikakhulukazi umfutho wegazi ophansi (i-hypotension)
• Izinguquko ekushiseni komzimba, ikakhulukazi i-hypothermia
• Ukungakwazi ukulawula ukuchama noma ukuphuma kwendle (`Ukungasebenzi Kokuchama` noma `Ukungasebenzi Kokuchama`)
• Ukungasebenzi kahle kwe-Erectile

Yiziphi izimbangela zokulimala komgogodla?

Kunezimbangela eziningi ezingaba khona zokulimala komgogodla. Nazi ezinye zezimbangela eziyinhloko:

• Izingozi Zezimoto: Lena imbangela evame kakhulu, ebangela amacala e-SCI angaphezu kuka-37%.
• Ukuwa: Cishe ama-31% ama-SCI abangelwa ukuwa.
• Ukulimala Okuhlobene Nobudlova: Ukulimala okubangelwa izinto ezifana nezinhlamvu noma izikhali ezibukhali njengemimese. Cishe u-15% wamacala e-SCI awela kulesi sigaba.
• Ukulimala Okuhlobene Nezemidlalo: Lokhu kubalelwa cishe ku-8% we-SCI. Ukuntywila kuyindlela evame kakhulu yokulimala komgogodla okuhlobene nezemidlalo.

Ezinye izimbangela ezivamile kanye nezici ezibangela lokhu:

• Izimo ezenza amathambo aqhekeke, isibonelo, i-Osteopenia kanye ne-Osteoporosis.
• Izimila zomgogodla, okuhlanganisa nomdlavuza (`(Izimila Zomgogodla)`).
• Ama-cyst noma imigodi egcwele uketshezi ngaphakathi komgogodla (`(Syringomyelia)`).
• Izifo ezihlasela umgogodla, noma izifo ezibangela ukuba izicubu ezizungezile zivuvuke futhi zicindezele umgogodla.
• Ukwehla kokugeleza kwegazi kuya emgogodleni (`(Ischemia)`).
• Izinkinga zokuzalwa, isibonelo `(Myelomeningocele)` noma `(Spina Bifida)`.
• Izimo zokuzivikela komzimba noma zokungezwani komzimba, isibonelo `(Guillain-Barré Syndrome)`, `(Multiple Sclerosis)`, `(Neuromyelitis Optica)` noma `(Transverse Myelitis)`.
• Izimo zofuzo, isibonelo `(I-Hereditary Spastic Paraplegia)`.
• Ukushaqeka kukagesi (uma ugesi udlula noma useduze nomgogodla).

Yiziphi izinkinga ezingase zivele ngenxa yalezi zinkinga?

I-SCI ingabangela izinkinga ezinkulu, ngezinye izikhathi ezihlala njalo. Okuvame kakhulu ukulahlekelwa okuphelele noma okuyingxenye kokusebenza emzimbeni ngaphansi kokulimala. Lokhu kungaholela kwezinye izinhlobo zokukhubazeka:

• I-Tetraplegia (ngezinye izikhathi ibizwa ngokuthi i-Quadriplegia): Lesi yisimo lapho umzimba ukhubazeka khona kusukela entanyeni kuye phansi. Lokhu kwenzeka lapho umgogodla womlomo wesibeletho wonakele. Izinkinga zingahluka kuye ngokuthi umonakalo wenzeka kuphi.
• Ukukhubazeka: Lokhu kwenzeka lapho ingxenye engezansi yomzimba kuphela ikhubazekile. Lokhu kwenzeka lapho izingxenye zomgogodla zesifuba, ze-lumbar, noma ze-sacral zonakele. Futhi, izinkinga zingahluka kuye ngokuthi umonakalo wenzeka kuphi, kodwa ngokuvamile zithinta imisebenzi yomzimba kusukela esifubeni kuye ezansi.

Ezinye izinkinga ezingaba khona:

• I-Autonomic dysreflexia (uma kwenzeka umonakalo ku-T6 noma ngaphezulu kwayo, okungukuthi, umthambo wesithupha wesifuba).
• Ukushaqeka Komgogodla (I-Neurogenic).
• Ubuhlungu be-Neuropathic.
• I-pneumonia (`(I-pneumonia)`).
• Ukutheleleka Kwendlela Yomchamo (`(Ukutheleleka Kwendlela Yomchamo)`).
• Amahlule egazi emilenzeni nasemaphashini.
• Izilonda zokucindezeleka (`(Izilonda zokucindezeleka)`).
• I-Sepsis (ushevu wegazi).
• Ukufa (ikakhulukazi uma ingxenye engenhla yomgogodla yonakele).

Udokotela wakho ungumuntu ongcono kakhulu ukukutshela kabanzi ngezinkinga ongase ubhekane nazo. Uzophinde akuchazele ukuthi ungazibona kanjani futhi uziphendule kanjani kulezo zinkinga.

Ungakuthola kanjani ngokunembile ukulimala komgogodla? (Ukuxilongwa)

Udokotela ngokuvamile usebenzisa izindlela eziningana ukuxilonga isifo somgogodla:

• Ukuhlolwa Komzimba: Udokotela wenza lokhu ukuze afune izinkomba noma ubufakazi mayelana nobukhulu bomonakalo.
• Ukuhlolwa Kwezinzwa: Lokhu kwenzelwa ukuhlola imisebenzi ethile yesimiso sakho sezinzwa. Lokhu kuhlanganisa ukuhlola ikhono lakho lokuhambisa izingalo nemilenze yakho, ukuhlola amandla akho, kanye nokuhlola umuzwa wakho kanye nokusabela kwakho.
• Ukuskena Kwezithombe: Izibonelo zifaka phakathi ukuskena kwe-computed tomography (CT) kanye nokuskena kwe-magnetic resonance imaging (MRI). Ukuskena kwe-CT kuyashesha futhi kungabonisa udokotela wakho noma yimuphi umonakalo noma izinkinga zamathambo. Ukuskena kwe-MRI kuthatha isikhathi eside kodwa kukhiqiza izithombe ezinemininingwane eminingi yezinto ezifana namathambo, izicubu ezithambile, kanye nemizwa.
• Ukuhlolwa Kokuxilonga: Izibonelo zifaka phakathi i-Electromyography (EMG) kanye nokuhlolwa kokuqhuba imizwa. Lokhu kulinganisa izimpawu zikagesi ezithunyelwa emisipheni. Lokhu kungasiza ekuboneni izindawo lapho izimpawu ziphazamiseka khona ngenxa yomonakalo wemizwa noma umgogodla.

Yiziphi izindlela zokwelapha lokhu? (Ukwelashwa)

Ukwelashwa kwe-`(SCI)` kuyahlukahluka kakhulu. Into yokuqala okufanele uyicabangele ukuthi ngabe ibangelwe yingozi noma cha. Uma kukhona ukungabaza ukuthi i-`(SCI)` ibangelwe yingozi, kuhlale kuyisimo esiphuthumayo sezokwelapha. Ezinye izimbangela ze-`(SCI)` nazo ziyizimo eziphuthumayo zezokwelapha. Izimo eziphuthumayo ezinjalo zifaka:

• Ukutheleleka: Lokhu kungaba yingozi ngokushesha uma kungelashwa.
• Ukuncipha kokugeleza kwegazi (`Ischemia`): Ukubuyisela ukugeleza kwegazi kuyinto eza kuqala ekusindiseni impilo nasekuphuthumeni.
• Izimo Zokuzivikela Emzimbeni: Uma zenzeka ngokuzumayo, njenge-Guillain-Barré Syndrome, izinkinga ezinkulu zingavela ngaphandle kokwelashwa ngokushesha.

Ukwelashwa kokulimala komgogodla okubangelwe ingozi:

Qaphela njalo futhi wenze konke okusemandleni ukuvimbela ukulimala okwengeziwe emgogodleni noma kwezinye izingozi. Abasebenzi abangaqeqeshiwe nabafanelekayo akufanele bahambise noma bahambise umuntu ongase abe ne-"SCI". Okuwukuphela komehluko lapho kukhona ingozi yokufa noma ukulimala okukhulu uma umuntu olimele engasuswa (isibonelo, engozini yemoto nomlilo).

I-SCI ebangelwa ingozi ivame ukuhlolwa kuqala ngabasebenzi bezokwelapha eziphuthumayo. Umgomo wabo ukuvimba umgogodla nokunciphisa noma ukuvimbela ukulimala okwengeziwe emgogodleni (ngenkathi belapha nezinye izimo eziphuthumayo).

Esibhedlela, i-SCI ebangelwe ingozi ivame ukwelashwa e-Intensive Care Unit (ICU) ngoba lokhu kulimala kubi kakhulu. Lapho welapha i-SCI, ukulimala kuvame ukwelashwa ngqo. Kunezindlela eziningi zokusiza:

• Ukuhlinzwa: Umgomo oyinhloko wokuhlinzwa ukunciphisa ingcindezi emgogodleni. Kungalungisa nomonakalo obangelwe ukulimala okuzungezile okubangele ukuthi umgogodla ucindezelwe.
• Imithi: Imithi efana nama-steroid inciphisa ukuvuvukala nokuvuvukala okuzungeze umgogodla.
• Ukudonsa: Lokhu kukusiza ukuthi uhlale endaweni eyodwa, kunciphisa ukunyakaza okuzungeze i-(SCI).
• Ama-Splint, Ama-Braces, Ama-Halos: Njenge-Traction, lezi zisiza ekuqiniseni indawo ezungeze i-SCI. Kodwa-ke, ngokungafani ne-Traction, ungazigqoka ngenkathi uhambahamba.

Ukwelashwa okusekelwe ocwaningweni:

Kukhona futhi izindlela eziningi zokwelapha zokuhlola abacwaningi abazihlolayo. Ezinye zazo zifaka:

• I-Hypothermia Ebangelwa Yimithi: Ukwehlisa izinga lokushisa lomzimba wakho kungasiza ekunciphiseni ukulimala kwezicubu emgogodleni futhi kunciphise ukuvuvukala nokuvuvukala. Nakuba kungasetshenziswa kabanzi okwamanje, ukusetshenziswa kwayo kuyanda.
• Ukwelashwa Okuvikela Izinzwa: Lokhu kuyimithi noma ezinye izindlela zokwelapha ezikhawulela noma ezivimbela umonakalo owengeziwe ngemva komonakalo wokuqala.
• Ukwelashwa Kokuvuselela Ubuchopho: Lezi yimithi noma ukwelashwa okusiza ukuvuselela nokulungisa umgogodla owonakele noma izicubu zemizwa.

Ukwelashwa kwezinkinga ezibangelwa yizimbangela ezingezona eziyingozi:

Ukwelashwa kokulimala komgogodla okungeyona ingozi (SCI) kungahluka kakhulu. Kuncike kakhulu embangela, kodwa nezinye izici zingadlala indima. Udokotela wakho ungumuntu ongcono kakhulu ongakhuluma naye mayelana nokwelashwa okufanele wena nokukutshela okwengeziwe ngakho.

Ukunakekelwa kwesikhathi eside kanye nokusekelwa:

Umuntu one-"(SCI)" angadinga ukunakekelwa okwengeziwe amasonto noma izinyanga ngemva kokulimala. Ezinye izinhlobo zokunakekelwa zingaqhubeka iminyaka, ngisho nokuphila konke. Ezinye izibonelo yilezi:

• Ukwelashwa Komzimba Noma Komsebenzi: Lezi zinhlobo zokwelapha zingakusiza ukuthi wakhe amandla, uphathe imiphumela yokulimala kwakho, futhi ufunde ukuzivumelanisa nakho.
• Ukwelashwa Ngenkulumo: Abantu abanokulimala komgogodla ongenhla bangase bazuze ekwelashweni ngenkulumo. Kungasiza ekugwinyeni nasekukhulumeni.
• Ukunakekelwa Kwengqondo: Ukulimala kobuchopho okubuhlungu (SCI) kuwukulimala kwengqondo okungaphezu kwemiphumela yomzimba. Lesi sigameko ngokwaso singaba imbangela yokucindezeleka kwengqondo. Ngaphezu kwalokho, abantu abane-SCI bangase babe nesifo sokucindezeleka ngemva kokucindezeleka (PTSD) noma babe sengozini enkulu yokuzibulala.
• Ukunakekelwa Nokusekelwa Ekhaya: Abantu abane-SCI embi kakhulu, ikakhulukazi labo abanokulimala komgogodla ongaphezulu, bangadinga ukunakekelwa nokusekelwa ekhaya. Lolu hlobo lokunakekelwa lunganikezwa izinsizakalo ezahlukene zezempilo zasekhaya.

Ingabe ukulimala komgogodla kungavinjelwa? (Ukuvimbela)

`(SCI)` ivame ukuba yinto eyenzeka ngengozi, ngokungalindelekile. Kodwa-ke, kunezinto ongazenza ukuze unciphise leyo ngozi. Lezi yizi:

• Sebenzisa njalo imishini yokuphepha enconywayo kanye nezivikelo (isib. amabhande esihlalo, izigqoko zokuzivikela uma ugibela izimoto).
• Shayela ngokucophelela nangokuphepha.
• Vimbela ukuwa noma nini lapho kungenzeka (isib., susa izindawo ezishelelayo eminyango, qaphela lapho usebenza ezindaweni eziphakeme).
• Qaphela kakhulu ngaso sonke isikhathi uma usebenzisana nezibhamu.
• Ungalokothi ugxumele noma ugxumele emanzini lapho ungeke ukwazi ukubona khona phansi.
• Gwema ukusebenzisa kabi imithi ebhalwe ngudokotela, izidakamizwa kanye notshwala.

Yini engingayilindela uma ngilimele emgogodleni?

Lokho ongakulindela kuncike ebunzimeni bokulimala kwakho, lapho ukulimala kwenzeke khona, ukwelashwa okutholayo, nezinye izinto eziningi. Udokotela wakho ungumuntu ongcono kakhulu ukukutshela okwengeziwe ngalokho ongakulindela. Angakunikeza ulwazi oluhambisana nesimo sakho kanye nezimo zakho.

Lezi zimpawu zihlala isikhathi esingakanani?

Uma uthola ukwelashwa kusenesikhathi ukuze unciphise umonakalo, imiphumela ye-SCI ilinganiselwe, futhi unethuba elingcono lokululama. Kodwa-ke, intambo yakho yomgogodla ayivuseleli kabusha njengemizwa kwezinye izingxenye zomzimba wakho. Yingakho i-SCI ivame ukuba - kodwa hhayi njalo - unomphela. Udokotela wakho ungumthombo ongcono kakhulu wolwazi mayelana nokuthi izimpawu zakho zizohlala isikhathi esingakanani.

Iyini ikusasa lalesi simo?

Umbono wabantu abane-SCI uvame ukungacaci, kuye ngezinga kanye nobukhulu bomonakalo, kodwa kube nentuthuko enkulu ekunakekelweni kwabantu abane-SCI. Izizathu ezenza umbono ungaqiniseki yilezi:

• Ingozi yezinkinga: Umuntu olimale emgogodleni (SCI) usengozini enkulu yokuthola izinkinga ezihlobene nokulimala kwakhe. Lokhu kufaka phakathi i-pneumonia, izifo zomgudu womchamo, ukuqunjelwa, amahlule egazi, izinkinga zesikhumba ezifana nezilonda zokucindezeleka, nokunye okuningi.
• Imithelela yempilo yengqondo: Ukuba ne-SCI akuthinti nje kuphela impilo yomzimba. Kuphinde kube nomthelela omkhulu empilweni yengqondo. Ukuba ne-SCI kwandisa ingozi yokuthola izimo ezifana nokucindezeleka. Kuphinde kwandise nengozi yokuzibulala.
• Izindleko: Abantu abaningi abane-SCI badinga ukunakekelwa kwesikhathi eside noma ukusetshenziswa kwamadivayisi okusiza. Lokhu kungabiza kakhulu. Futhi, ukuthola izinsiza ezingakusiza kungaba nzima noma kudle isikhathi.

Kufanele ubonane nini nodokotela? Kunini lapho kudingeka khona ukwelashwa okuphuthumayo?

Noma nini lapho ucabanga ukuthi kungenzeka ukuthi ulimele umgogodla (SCI) ngenxa yengozi, udinga usizo lwezokwelapha ngokushesha. Ukulibazisa ukwelashwa kungaba nomthelela omubi emphumeleni wokulimala kwakho kanye nokwelashwa. Futhi, uma usola ukuthi unesifo esingamahlalakhona esibangela ukulimala komgogodla, kufanele ubonane nodokotela ngokushesha okukhulu.

Uma une-SCI, udokotela wakho uzoncoma ukuvakashelwa okulandelayo ngemva kokwelashwa kwakho kokuqala. Kufanele ubonane nodokotela wakho njengoba kunconyiwe.

Kunezinkinga eziningi ze-SCI ezidinga ukwelashwa okuphuthumayo. Izinkinga ezingaba khona ziyahlukahluka kuye ngokuthi ukulimala kwakho kubucayi kangakanani, indawo yokulimala, nezinye izici. Ngakho-ke, udokotela wakho ungumthombo ongcono kakhulu wolwazi mayelana nokuthi yiziphi izimpawu noma izinkinga ezithile ongase ube nazo ezidinga ukwelashwa okuphuthumayo.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma wena noma othandekayo wakho ene-SCI, ungase ube nemibuzo eminingi ofuna ukuyibuza udokotela wakho. Nazi ezinye izibonelo:

• Uphi umonakalo?
• Umonakalo ungakanani?
• Yimaphi amakhono athintekayo yilo monakalo?
• Ingabe umonakalo uzoba unomphela?
• Ingabe kukhona ukwelashwa okungalungisa umonakalo noma ukuwuvimbela ukuthi ungabi mubi kakhulu?
• Yiziphi izinkinga ezingaba khona ngenxa yalo monakalo?
• Yiziphi izimpawu okufanele ngiziqaphele ezingadinga usizo lwezokwelapha?
• Hlobo luni lokunakekelwa kanye nezinsizakalo ezizodingeka?
• Ingabe zikhona izinhlangano noma amaqembu endaweni yami angasiza?

Izinto ezibaluleke kakhulu okufanele uzikhumbule kulokho esixoxe ngakho (Umyalezo Wokuya Ekhaya)

Ukulimala Kwentambo Yomgogodla (ama-SCI) kungenye yezehlakalo ezimbi kakhulu nezisongela impilo umuntu angabhekana nazo. Imiphumela yazo ivame ukushintsha impilo.

Kodwa-ke, ngentuthuko kwesayensi yezokwelapha kanye nocwaningo oluqhubekayo, kunethemba lokwelashwa okuphumelelayo kakhulu kwalokhu kulimala. Lokhu kusho ukuthi abantu abaningi abanalokhu kulimala bangakwazi ukuzivumelanisa nemiphumela yokulimala futhi bakwenze baphile impilo evamile. Ungalokothi uphelelwe yithemba. Kubalulekile ukufuna iseluleko nokusekelwa okufanele kwezokwelapha.

Ukulimala Kwentambo Yomgogodla, I - SCI, Umgogodla, Isimiso Sezinzwa, Ukukhubazeka, Ubuhlungu Bomhlane