Ingabe nawe uzizwa unezinguquko ekhanda lakho? Ake sifunde ngqo ngamathumba obuchopho!

Ubuchopho bethu buyisitho esiyinkimbinkimbi kakhulu nesimangalisayo esilawula umzimba wethu wonke. Ngakho-ke, kuyinto evamile ukuthi noma ubani esaba kancane lapho into engavamile, isibonelo, "isimila" sivela endaweni ebaluleke kangaka? Cishe uke wezwa "ngesimila sobuchopho" noma, njengoba sibizwa ngesiNgisi, isimila sobuchopho . Kuyiqiniso ukuthi uma uzwa leli gama, wesaba kancane, kodwa into ebaluleke kakhulu ukwazi konke ngalo ngokucacile nangokunembile. Khona-ke ngeke ube nokwesaba okungadingekile.

Iyini isimila sobuchopho?

Kalula nje, isimila sobuchopho siyisigaxa noma inqwaba yamaseli akhula ngendlela engavamile ebuchosheni bakho noma eduze kwakho. Kufana nesitshalo esingafuneki esikhula engadini yakho. Ubuchopho bethu kanye nomgogodla kwakha uhlelo lwezinzwa oluphakathi (i-CNS) . Ngakho-ke izimila zingakheka kuzo zombili lezi zindawo.

Kunezinhlobo ezimbili zezimila zobuchopho. Ezinye ziyingozi , okusho ukuthi zakhiwe ngamaseli omdlavuza futhi zingasakazeka ngokushesha. Olunye uhlobo alunabungozi . Lawa akuwona amangqamuzana omdlavuza, ngakho ngokuvamile awasakazeki.

Kodwa nansi into ebalulekile. Ngisho noma isimila singesona umdlavuza, okungukuthi, singesibi , singadala izinkinga uma sikhula ngaphakathi kobuchopho. Cabanga ngakho, ikhanda lethu liyinto eqinile kakhulu, njengegobolondo likakhukhunathi. Ngakho isikhala esingaphakathi silinganiselwe. Njengoba isimila sikhula, siqala ukucindezela imizwa ebucayi, imithambo yegazi, kanye nezicubu ebuchosheni. Ngemuva kwalokho imisebenzi yobuchopho ingaphazamiseka.

Amathumba akhula ebuchosheni abizwa ngokuthi amathumba ayinhloko . Kodwa ngezinye izikhathi, amangqamuzana omdlavuza avela kwenye ingxenye yomzimba, njengamaphaphu, angasakazeka aye ebuchosheni futhi akhe amathumba. Lawa abizwa ngokuthi amathumba esibili noma amathumba obuchopho asakazeka kalula . Kulesi sihloko, sizokhuluma kakhulu ngamathumba ayinhloko akhula ebuchosheni.

Yiziphi izinhlobo zezimila zobuchopho ezikhona?

Eqinisweni, abacwaningi bathole izinhlobo ezingaphezu kuka-150 zezimila zobuchopho. Kodwa ikakhulukazi sizihlukanisa ngokwezigaba. Esinye silandela amangqamuzana ezakha kuwo. Izimila ze-Glial ziyizimila ezakha emaseli asekelayo obuchopho abizwa ngokuthi amaseli e-glial , kanti izimila ezingezona eze-glial ziyizimila ezakha kwezinye izingxenye zobuchopho, njengemizwa, imithambo yegazi, kanye nezindlala. Ngaphezu kwalokho, njengoba sixoxile ngaphambili, sizihlukanisa njengezingenabungozi (ezingenabo umdlavuza) kanye nezimbi (ezinomdlavuza).

Izinhlobo ezivame kakhulu zezimila zobuchopho azinawo umdlavuza (ezingenabungozi).

Ezinye zalezi ziyi:

• Ama-Chordoma: Lawa avame kakhulu phansi kwekhanda kanye nomgogodla ongezansi. Akhula kancane.
• (I-Craniopharyngiomas): Lawa atholakala ngaphansi kobuchopho (i-pituitary gland)Izimila ezakheka kule ndawo kunzima ukuzisusa ngoba ziseduze nezindawo ezibucayi kakhulu zobuchopho.
• (Ama-Gangliocytomas, ama-Gangliomas, ama-Anaplastic Gangliogliomas): Lawa amathumba angavamile akhiwa kumaseli ezinzwa (ama-Neurons).
• (Glomus jugulare): Lokhu kukhulela ngaphansi kwesisekelo sekhanda, eduze komthambo omkhulu entanyeni (umthambo we-jugular).
• Ama-Meningioma: Lawa uhlobo oluvame kakhulu lwesimila sobuchopho esiyinhloko . Akheka ezimbozweni ezimboza ubuchopho kanye nomgogodla (okuthiwa ama-meninge) . Ngokuvamile akhula kancane. Kodwa-ke, awavamile ukuba nomdlavuza.
• Ama-Pineocytomas: Uhlobo lwesimila esikhula kancane esikhula endlaleni ye-pineal , ekhiqiza i-hormone i-melatonin , etholakala ekujuleni kobuchopho.
• Ama-adenoma e-pituitary: Lawa amathumba akhula e -pituitary gland phansi kobuchopho. Le ndlala ilawula ama-hormone emzimbeni wethu. Lawa mathumba ngezinye izikhathi angabangela ukukhishwa kwama-hormone engeziwe.
• Ama-Schwannoma: Lawa ama-tumors angewona umdlavuza avame kakhulu kubantu abadala. Avela kumaseli e-Schwann, asiza ekuqhubeni imizwa yezinzwa. Ama-neuromas e-acoustic ayindlela evame kakhulu yesimila. Akhula emthanjeni we-vestibular, osuka endlebeni uye ebuchosheni.

Izinhlobo zezimila zobuchopho ezinobungozi

Ama-glioma akha u-78% wezimila zobuchopho eziyinhloko . Lawa avela kumaseli e-glial azungeze futhi asekele amaseli ezinzwa.

• I-Astrocytoma: Lolu uhlobo oluvame kakhulu lwe -glioma . Luvela kumaseli anesimo sezinkanyezi abizwa ngokuthi ama-astrocyte . Angakhula ezingxenyeni ezahlukene zobuchopho, kodwa avame ukutholakala ebuchosheni.
• Ama-Ependymomas: Lawa akheka kuma-ventricles obuchopho.
• (I-Glioblastoma - GBM): Lezi futhi izimila ezivela kumaseli abizwa ngokuthi (ama-Astrocyte) . Kodwa-ke, lezi yizona ezikhula ngokushesha, okusho ukuthi ziyizinhlobo ze- (Astrocytoma) ezinolaka kakhulu.
• I-Oligodendroglioma: Lolu uhlobo olungavamile lwesimila oluqala emaseli enza isembozo sokuvikela (i-myelin ) esizungeze imizwa ebuchosheni.

Ngaphezu kwalokho, kukhona uhlobo lwesimila esinomdlavuza esibizwa ngokuthi (i-Medulloblastoma) . Lezi zikhula ngokushesha futhi zakheke phansi kwekhanda. Lesi isimila sobuchopho esinomdlavuza esivame kakhulu ezinganeni ezincane.

Ubani othola la mathumba obuchopho kakhulu?

Noma ubani angaba nezimila zobuchopho, kodwa zibonakala zivamile kancane kwabesilisa .

Kodwa-ke, uhlobo lwesimila esikhulume ngaso ngaphambilini, esibizwa ngokuthi i-Meningioma , esivame ukungabi nomdlavuza, sivame kakhulu kwabesifazane.

Uhlobo olubi kakhuluKubonakala sengathi i-glioblastoma iyanda njengoba abantu bekhula.

Zivame kangakanani lezi zimila zobuchopho (eziyinhloko)?

Izimila zobuchopho eziyinhloko empeleni azivamile kangako. Ngisho nasezweni elifana ne-United States, cishe abantu aba-5 kwabayi-100,000 kuphela abatholakala benalolu hlobo lwesimila minyaka yonke.

Futhi, phakathi kwezingane ezingaphansi kweminyaka eyi-15, abantu abangaba ngu-4,100 e-United States batholakala benesifo somdlavuza wobuchopho noma wesimiso sezinzwa esiyinhloko minyaka yonke. Nakuba izibalo zaseSri Lanka zingaqondile, singathola umbono othile kulokhu.

Ingakanani ingozi yomdlavuza wobuchopho?

Isimila sobuchopho, kungakhathaliseki ukuthi sinomdlavuza noma cha, singadala izinkinga ezinkulu. Isizathu esiyinhloko salokhu ukuthi ugebhezi lwethu luqinile kakhulu, okusho ukuthi isimila esingaphakathi asinandawo yokukhula noma yokusabalala. Sifana nokuthile okukhulayo ngaphakathi ebhokisini elinamathele.

Futhi, uma isimila sikhula eduze kwezindawo zobuchopho ezilawula imisebenzi ebalulekile, kungase kube nezimpawu ezahlukahlukene. Isibonelo:

• Ukuzizwa ungenampilo.
• Ubunzima bokuhamba.
• Ukulahlekelwa ibhalansi emzimbeni.
• Ukulahlekelwa umbono okuyingxenye noma okuphelele.
• Ukuqonda okushiwoyo, noma ukuba nobunzima bokukhuluma.
• Ukuba nezinkinga zenkumbulo.

Izimila zobuchopho zingabangela izinkinga ngezindlela ezilandelayo:

• Zihlasela ngqo futhi zibhubhise izicubu zobuchopho ezinempilo.
• Kubangela ingcindezi ezicutshini ezizungezile.
• Kukhulisa ingcindezi yangaphakathi kwekhanda .
• Kubangela ukuthi uketshezi luqoqeke ngaphakathi kobuchopho.
• Iphazamisa ukugeleza koketshezi lomgogodla (CSF) ngemigodi engaphakathi kobuchopho, okubangela ukuthi leyo migodi ikhule.
• Ukopha ngaphakathi ebuchosheni nakho kungenzeka.

Kodwa abanye abantu banamathumba ebuchosheni, kodwa angase angalokothi abonise izimpawu noma akhule ngokwanele ukuba acindezele izicubu ezizungezile.

Ziyini izimpawu zesimila sobuchopho?

Abanye abantu banesimila sobuchopho kodwa ababonisi zimpawu, ikakhulukazi uma sincane kakhulu.

Izimpawu zesimila sobuchopho ziyahlukahluka kuye ngendawo, usayizi, kanye nohlobo lwesimila. Lokhu kusho ukuthi akuwona wonke umuntu ozoba nezimpawu ezifanayo.

Nazi ezinye izimpawu ezivamile:

• Ikhanda elibuhlungu: Lokhu kungaba nzima kakhulu ekuseni, noma kungaba nzima kakhulu kangangokuthi kukuvuse ebusuku.
• Ukuquleka: Ukuquleka okungazelelwe kanye nokulahlekelwa ukwazi.
• Ubunzima bokucabanga, ukukhuluma, noma ukuqonda ulimi.
• Izinguquko ekuziphatheni komuntu kanye nobuntu bakhe .
• Ubuthakathaka noma ukukhubazeka ohlangothini olulodwa noma ingxenye yomzimba.
• Izinkinga zokulinganisela noma isiyezi.
• Izinkinga zokubona: Ukubona okufiphele, njengokubona ngezingxenye ezimbili.
• Imibuzo yokulalela.
• Ukuba ndikindiki noma ukuqaqamba ebusweni.
• Ukucanuzela noma ukuhlanza.
• Ukudideka nokudideka.

Okubalulekile: Uma unesinye noma ngaphezulu salezi zimpawu, kubalulekile ukubona udokotela ukuze akunike iseluleko. Akuzona zonke lezi zimpawu ezibangelwa umdlavuza wobuchopho, kodwa kubalulekile ukuthola imbangela.

Yini ebangela izimila zobuchopho?

Abacwaningi bayazi ukuthi izimila zobuchopho ziyavela lapho izakhi zofuzo ezithile kuma-chromosome eseli zilimala futhi ziyeka ukusebenza kahle. Kodwa abasazi kahle ukuthi kungani. I-DNA emaseli akho itshela amangqamuzana emzimbeni wakho ukuthi enzeni - ukuthi akhule nini, ukuthi ahlukane nini, nokuthi afe nini.

When the DNA of brain cells changes, those cells receive new instructions. Then, abnormal brain cells form in the body, which grow and multiply faster than normal cells, and sometimes live longer than normal cells. When this happens, these abnormal cells gather and take up space inside the brain, which is what appears as a tumor.

Kwezinye izimo, umuntu angazalwa enalezi zinguquko zofuzo. Kamuva, izici zemvelo, njengokuchayeka emazingeni aphezulu emisebeni evela kuma-X-ray noma ekwelashweni komdlavuza kwangaphambilini, zingabangela umonakalo owengeziwe.

Kwezinye izimo, ukulimala kwemvelo kwezakhi zofuzo kungaba yimbangela kuphela.

Kunezinhlobo eziningana zezifo zofuzo ezingavamile, ezizuzwe njengefa ezihlobene nezimila zobuchopho:

• (I-Neurofibromatosis uhlobo 1 - i-NF1 gene)
• (I-Neurofibromatosis uhlobo 2 - i-gene ye-NF2)
• (I-Turcot syndrome - i-APC gene)
• (I-Gorlin syndrome - i-PTCH gene)
• (I-Tuberous sclerosis complex - izakhi zofuzo ze-TSC1 kanye ne-TSC2)
• (I-Li-Fraumeni syndrome - i-TP53 gene)

Kodwa-ke, abantu abangu-5% kuya ku-10% kuphela abanomdlavuza wobuchopho abanomlando womndeni walesi sifo. Lokhu kusho ukuthi ezimweni eziningi, asizuzisi ngofuzo.

Uthola kanjani ukuthi unesimila sobuchopho?

Ukuxilonga isimila sobuchopho kungaba inqubo eyinkimbinkimbi ngezinye izikhathi, ehilela ochwepheshe abaningana. Kodwa-ke, ngezinye izikhathi odokotela bathola isimila sobuchopho ngengozi lapho benza izivivinyo zezithombe zenkinga yezokwelapha.

Uma unezimpawu zesimila sobuchopho, udokotela wakho uzokwenza ukuhlolwa ngokomzimba kuqala. Bazokubuza nangezinto ezifana nalezi:

• Izimpawu zakho.
• Izifo zesikhathi esidlule nezamanje.
• Izinhlobo zemithi esetshenziswa njengamanje.
• Ukuhlinzwa kanye nokwelashwa kwezokwelapha kwenziwe.
• Umlando wezokwelapha womndeni.

Ngaphezu kwalokho, udokotelaUkuhlolwa kwezinzwa nakho kungenziwa. Lokhu kuzobheka noma yiziphi izinguquko ku:

• Ukulinganisela nokuhlanganisa.
• Isimo sengqondo.
• Ukuzwa.
• Umbono.
• Ukuzindla.

Lezi zinguquko zinikeza inkomba yokuthi iyiphi ingxenye yobuchopho engase ithintwe yi-tumor.

Uma udokotela wakho esola ukuthi ungaba nesimila ebuchosheni, isinyathelo esilandelayo ngokuvamile ukwenza i-brain scan. Lokhu kuvame ukuba yi- MRI .

Yiziphi izivivinyo ezisetshenziswa ukuxilonga isimila sobuchopho?

Odokotela basebenzisa izivivinyo eziningana ukuze bathole isimila sobuchopho:

• I-Brain MRI noma i-CT scan: I-Magnetic resonance imaging (MRI) iyisivivinyo esingcono kakhulu sokuthola izimila zobuchopho. Uma ungakwazi ukwenza i -MRI , i-computed tomography (CT) scan iyindlela engcono yokuyithatha. Ngaphambi kwalezi zivivinyo, i- contrast agent ifakwa emthanjeni wakho ukuze i-tumor ibonakale kakhulu. Lezi zivivinyo zingabonisa ubukhulu besimila nendawo yaso eqondile ngemininingwane eminingi. Ngezinye izikhathi udokotela wakho uzohlola nezinye izingxenye zomzimba wakho, njengephaphu lakho, ikholoni, noma ibele, ukuze abone ukuthi isimila sisakazekile yini.
• I-Biopsy: Ukuze kutholakale ukuthi uhlobo luni lwesimila nokuthi luwumdlavuza yini, ingxenye encane yesimila ivame ukususwa bese ihlolwa ngaphansi kwe-microscope ( i-biopsy ). Udokotela ohlinza izinzwa angenza le biopsy ngesikhathi sokuhlinzwa ukuze asuse yonke noma ingxenye yesimila. Uma isimila kunzima ukusifinyelela, i- stereotactic biopsy ingenziwa ngokwenza imbobo encane ekhanda bese kusetshenziswa inalithi ukususa isampula yezicubu esimila.
• Ukumpompa komgogodla/ukubhoboza i-Lumbar: Kulolu vivinyo, udokotela usebenzisa inalithi encane ukususa inani elincane loketshezi lwe-cerebrospinal (CSF) esikhaleni esizungeze umgogodla wakho. Uketshezi luhlolwa elebhu ukuze kubonakale ukuthi kukhona yini amangqamuzana omdlavuza. Lokhu kuhlolwa kwenziwa lapho kusolwa ukuthi isimila sisakazekele olwelwesini olumboze ubuchopho ( ama-meninges ).
• Ukuhlolwa okukhethekile: Ngezinye izikhathi kunezivivinyo ezikhethekile ezingasiza ekuxilongweni. Isibonelo, udokotela wakho angase a-ode izivivinyo zokuhlola igazi lakho kanye noketshezi lomgogodla ukuthola izinto ( izimpawu zomdlavuza ) ezikhishwa yizimila ezithile. Angase futhi ahlole ukukhubazeka okuthile kwezakhi zofuzo okuvame kakhulu ezimila ezithile.

Yiziphi izindlela zokwelapha izimila zobuchopho?

Ukwelashwa kwezimila zobuchopho kuncike ezintweni eziningana:

• Indawo yesimila, ubukhulu baso, kanye nohlobo lwaso.
• Inani lamantongomane.
• iminyaka yakho.
• Impilo yakho iyonke.

Akuyona umdlavuza (i-Benign)Izimila zobuchopho ngokuvamile zingasuswa ngempumelelo ngokuhlinzwa, futhi azivamile ukubuya. Kodwa-ke, kuncike kakhulu ekutheni udokotela wakho wezinzwa angakwazi yini ukususa lesi simila ngokuphelele nangokuphephile.

Ukwelashwa okuphephile ukuthi abantu abadala bakubekezelele ngaphandle kokulimala okukhulu ebuchosheni, njengokwelashwa ngemisebe , kungaphazamisa ukukhula okuvamile kobuchopho bengane encane, ikakhulukazi engaphansi kweminyaka emihlanu. Yingakho odokotela beqaphela kakhulu lapho belapha izingane.

Odokotela bavame ukusebenzisa inhlanganisela yezindlela zokwelapha ukwelapha isimila. Nazi ezinye zezindlela zokwelapha ongase ube nazo:

• Ukuhlinzwa kwe-craniotomy: Noma nini lapho kungenzeka, odokotela abahlinza izinzwa basusa isimila. Benza ukuhlinzwa ngokucophelela, ngezinye izikhathi ngenkathi uvukile (awuzwa ubuhlungu), ukuze banciphise umonakalo ezindaweni ezibalulekile zokusebenza kobuchopho.
• Ukwelashwa ngemisebe: Lokhu kuhilela ukusebenzisa imithamo ephezulu ye-X-ray ukubhubhisa amangqamuzana esimila sobuchopho noma ukunciphisa isimila.
• Ukuhlinzwa Ngemisebe: Lolu futhi uhlobo lokwelashwa ngemisebe. Kodwa-ke, lusebenzisa imisebe yemisebe eqondiswe kakhulu (imisebe ye-gamma noma imisebe ye-proton) ukubhubhisa isimila. Lokhu akusikho ukuhlinzwa empeleni, njengoba kungadingi ukusikwa.
• I-Brachytherapy: Lolu futhi uhlobo lokwelashwa ngemisebe. Kulokhu, imbewu noma ama-pellets anemisebe afakwa ngokuhlinzwa ngaphakathi noma eduze kwesimila somdlavuza.
• Ukwelashwa ngamakhemikhali: Lokhu kusebenzisa imithi yokulwa nomdlavuza ukubulala amangqamuzana omdlavuza ebuchosheni bakho nasemzimbeni wakho wonke. Ungase uthole ukwelashwa ngamakhemikhali ngemithambo yegazi noma njengephilisi. Udokotela wakho angancoma ukwelashwa ngamakhemikhali ukubulala noma yimaphi amangqamuzana omdlavuza asele ngemva kokuhlinzwa, noma ukuvimba ukukhula kwanoma yimaphi amangqamuzana omdlavuza asele.
• Ukwelashwa Ngezifo Ezithathelwana Ngomzimba: Okubizwa nangokuthi ukwelashwa kwezinto eziphilayo, lokhu kusebenzisa amasosha omzimba wakho ukulwa nomdlavuza. Ngokuyisisekelo kuvuselela amasosha omzimba wakho futhi kusize ukuthi enze umsebenzi wawo ngempumelelo enkulu.
• Ukwelashwa okuqondiwe: Kulokhu kwelashwa, izidakamizwa ziqondisa izici ezithile zamangqamuzana omdlavuza ngaphandle kokulimaza amangqamuzana anempilo. Udokotela wakho angancoma lokhu uma unenkinga yokubekezelela imiphumela emibi ye -chemotherapy , njengokukhathala kanye nesicanucanu.
• Ukulinda okuqaphile/ukuqapha okusebenzayo: Uma isimila sakho sobuchopho sincane kakhulu futhi ungenazo izimpawu, udokotela wakho angase akuncome ukuthi usiqaphelisise lesi simila ngokuhlolwa njalo ukuze abone ukuthi siyakhula yini.

Kunezinye izindlela zokwelapha ezingasiza ngezimpawu ezibangelwa yizimila zobuchopho:

• Ama-Shunt: Uma isimila sibangela ingcindezi eyengeziwe ngaphakathi kogebhezi, kungadingeka ukuthi uhlinzwe nge -shunt (ithubhu) ebuchosheni bakho ukuze kususwe uketshezi oluningi lwe-cerebrospinal .
• Imithi efana neMannitol kanye neCorticosteroids : Le mithi isiza ukunciphisa ingcindezi ngaphakathi kogebhezi futhi inciphise ukuvuvukala okuzungeze isimila.
• Ukunakekelwa kobuhlungu: Lolu uhlobo lokunakekelwa olukhethekile olunikeza ukukhululeka ezimpawini, induduzo, kanye nokusekelwa kubantu abanezifo ezingathi sína. Luphinde lunikeze ukwesekwa kulabo abanakekela isiguli kanye nalabo abathintekile yisimo sesiguli.

Iyini inkomba yalesi simo?

Umbono wabantu abanezimila zobuchopho uyahlukahluka kakhulu. Izici ezithinta lokhu zifaka:

• Uhlobo, izinga, kanye nendawo yesithelo.
• Ukuthi isimila sisuswe ngokuphelele ngokuhlinzwa.
• Ubudala bakho kanye nempilo yakho iyonke.

Ezimweni eziningi, odokotela bangayiphatha ngempumelelo isimila sobuchopho. Abanye abantu baphila impilo esebenzayo neyanelisayo ngezimila zobuchopho ezingenazo izimpawu. Kwabanye abantu, izimila zobuchopho zingabuya (ziphinde zibuye) ngemva kokwelashwa. Uma lokhu kwenzeka kuwe, kungadingeka uqhubeke nokwelashwa, njengokwelashwa ngamakhemikhali noma ngemisebe, ukuze uvimbele isimila ukuthi singakhuli noma sisabalale.

Lingakanani izinga lokululama?

Amazinga okusinda ayahlukahluka kuye ngohlobo lwesimila sobuchopho. Ayahlukahluka futhi kuye ngeminyaka yakho, uhlanga, kanye nempilo yakho iyonke. Lawa mazinga ayizilinganiso ezisekelwe kuzilinganiso. Izinga lokusinda leminyaka emihlanu liyiphesenti labantu abaphila okungenani iminyaka emihlanu ngemva kokuxilongwa ukuthi banesimila sobuchopho.

Isibonelo, izinga lokusinda kweminyaka emihlanu yesifo esivame kakhulu esingesona umdlavuza (i-Meningioma) simi kanje:

• Ngaphezu kwama-96% ezinganeni ezineminyaka engu-14 nangaphansi.
• 97% kulabo abaneminyaka ephakathi kuka-15 no-39.
• Ngaphezu kwama-87% kubantu abadala abaneminyaka engama-40 nangaphezulu.

Njengoba amazinga okululama ehluka kakhulu futhi encike ezintweni eziningana, kungcono ukukhuluma nodokotela wakho ngalokho ongakulindela uma unesifo.

Ingabe izimila zobuchopho zingavinjelwa?

Ngeshwa, akunakwenzeka ukuvimbela ngokuphelele isimila sobuchopho. Kodwa-ke, unganciphisa ingozi yakho yokuthola isimila sobuchopho ngokugwema izingozi zemvelo, njengokugwema ukubhema kanye nokuchayeka kakhulu emisebeni.

Uma ilungu lomndeni eliseduze (umfowethu, udadewethu, noma umzali) libe nomdlavuza wobuchopho, kubalulekile ukutshela udokotela wakho. Bangase bakuthumelele ukwelulekwa ngofuzo ukuze babone ukuthi unesifo sofuzo esihlobene nomdlavuza wobuchopho.

Kufanele ngimbone nini udokotela wami?

Uma kutholakale ukuthi unesimila sobuchopho, kuzodingeka uhlangane nethimba lakho lezokwelapha njalo ukuze uthole ukwelashwa nokuqapha izimpawu zakho.

Uma izimpawu zesimila sobuchopho bakho ziba zimbi kakhulu, noma uma kuvela izimpawu ezintsha, kufanele nakanjani ubone udokotela.

Ngisho nangemva kokwelashwa komdlavuza wobuchopho, kubalulekile ukuthi uhlale uxhumana nodokotela wakho.

Yimiphi imibuzo okufanele uyibuze udokotela mayelana nomdlavuza wobuchopho?

Uma kutholakale ukuthi unesimila sobuchopho, kungaba usizo ukubuza udokotela wakho le mibuzo:

• Ingabe lesi simila sinomdlavuza (siyingozi) noma asisona umdlavuza (singesihle)?
• Hlobo luni lwesimila enginaso?
• Yikuphi ukwelashwa okungcono kakhulu kimi?
• Ingabe ukwelashwa kwami ​​​​kuzodala imiphumela emibi?
• Obani ochwepheshe abahilelekile ekunakekelweni kwami?
• Iyini iphrojekthi yami?
• Ingabe amalungu omndeni wami asengozini yokuba nomdlavuza wobuchopho?
• Uyazi noma yimaphi amaqembu okusekelana aku-inthanethi noma mathupha abantu abanezimila zobuchopho?

Umyalezo obaluleke kakhulu okufanele uwuthathe uye nawo ekhaya

Kuvamile ukuzizwa wesaba futhi ukhungathekile uma uthola ukuthi unesimila sobuchopho. Kodwa khumbula, akuzona zonke izimila zobuchopho ezibangela umdlavuza. Eqinisweni, cishe izingxenye ezimbili kwezintathu azinabungozi . Kodwa-ke, zisengadala izinkinga ebuchosheni bakho. Into ebaluleke kakhulu ukwethemba ukuthi ithimba lakho lezokwelapha lizosebenzisana nawe ukudala uhlelo lokwelapha oluphelele olukusebenzelayo, lwelaphe isimila, futhi luthuthukise ikhwalithi yempilo yakho. Ungesabi, thola ulwazi olufanele, bese ulandela iseluleko sikadokotela wakho.

Isimila Sobuchopho, Umdlavuza, Umdlavuza Wobuchopho, Izimpawu, Ukwelashwa, Isimiso Sezinzwa