Ingabe nawe uzwa ubuhlungu ohlangothini lwesokudla lwesisu sakho? Ake sifunde ngamatshe enyongo.

Zicabange udla ukudla okumnandi bese uzizwa ubuhlungu obukhulu engxenyeni ephezulu kwesokudla yesisu sakho. Ngezinye izikhathi kuzwakala sengathi kuyisicanucanu futhi ungase uhlanze. Lokhu kungaba ngenxa yamatshe enyongo, akheka enyongo yakho. Abantu abaningi abazi ngalokhu. Ngakho ake sixoxe ngamatshe enyongo ngemininingwane ethe xaxa namuhla, kulungile?

Ziyini lezi zinhlayiya zenyongo?

Kalula nje, amatshe enyongo ayizingcezu zenyongo eziqinile, ezifana namatshe ezakha enyongweni yakho noma emigudwini yenyongo. Igama elithi "Gall" lisho inyongo. Ngakho-ke elithi "Gallstones" lisho "amatshe enyongo." Inyongo yakho ifana nesikhwama esincane esiqoqa futhi sigcine inyongo. Sigcina inyongo ukuze isetshenziswe kamuva. Isibindi sethu senza lenyongo, bese sihamba ngemigudwini yenyongo siye ezithweni ezisesimisweni sethu senyongo. Ngezinye izikhathi odokotela babiza lesi simo ngokuthi "i-cholelithiasis." Igama elithi "Chole" lisho inyongo, kanti elithi "lithiasis" lisho ukwakheka kwamatshe. Lawa matshe enyongo akheka lapho izinto ezithile enyongweni ziqoqana futhi ziqine ngokuhamba kwesikhathi. Lokhu kuvame ukwenzeka lapho kungezwa kakhulu esinye sezithako eziyinhloko ebhodleleni.

Lawa matshe enyongo angaba yingozi kangakanani?

Ukuba namatshe enyongo (i-cholelithiasis) akukubangela izinkinga ngempela. Abantu abaningi banawo futhi abazi nokuthi uyawathola. Kodwa uma la matshe eqala ukuhamba emigudwini yakho yenyongo futhi ebhajwa ndawana thize, angaba yingozi. Uma ebhajwa, angavimba imigudwini yakho yenyongo, okubangela ubuhlungu obukhulu nezinkinga ezinkulu. Inkinga ukuthi la matshe ayakhula. Aqala njengezinhlayiya zesihlabathi, futhi njengoba inyongo iqhubeka nokugeleza phezu kwawo, izinto eziningi ziyabekwa, okwenza itshe libe likhulu. Ngezinye izikhathi la matshe angaba makhulu ngokwanele ukuvimba ukugeleza kwenyongo, ikakhulukazi uma ebhajwa endaweni encane njengenyongo.

Zivame kangakanani lezi zinto?

Kulinganiselwa ukuthi cishe abantu abadala abayi-10% e-United States banamatshe enyongo, kanti abangama-75% babo bangabesifazane. Kodwa-ke, ama-20% kuphela alabo abatholakale benalesi sifo aba nezimpawu noma abadinga ukwelashwa. Lesi simo singabonakala ngezinga elikhulu noma elincane ezweni lakithi, iSri Lanka.

Ziyini izimpawu zamatshe enyongo?

Amatshe enyongo ngokuvamile awabangeli izimpawu aze ahlale enyongweni futhi abangele ukuvaleka. Lokhu kuvaleka yikho okubangela izimpawu. Izimpawu ezivame kakhulu ubuhlungu besisu esingenhla kanye nesicanucanu. Lokhu kungase kuvele kudlule, noma kungase kube njalo. Uma ukuvaleka kukhulu noma kuthatha isikhathi eside, ungase ube nezinye izimpawu, njenge:

• Ukujuluka .
• Imvelo enomkhuhlane.
• Ukwanda kwesilinganiso senhliziyo .
• Ukuvuvukala kanye nobuhlungu uma kuthintwa.
• I-Jaundice (ukuphuzi kwesikhumba sakho namehlo))`.
• Umchamo omnyama kanye nendle enombala okhanyayo.

Ubuhlungu obubangelwa amatshe enyongo buzwakala kanjani?

Ubuhlungu be-gallstone evamile bubuhlungu obungazelelwe, obukhulu. Bungase buzwe sengathi isisu sakho sizoqhuma. Lokhu kubizwa nangokuthi "ukuhlaselwa yi-gallstone" noma "ukuhlaselwa yi-gallbladder." Ungase uzizwe lobu buhlungu kakhulu ngemva kokudla. Lokhu kungenxa yokuthi i-gallstone yakho iyafinyela, okubeka ingcindezi eyengeziwe ohlelweni lwakho lwe-biliary. Ngezinye izikhathi ungase uvuke ebuthongweni nalolu buhlungu. Ubuhlungu obukhula kancane kancane, bufinyelele esicongweni, bese buncipha kancane kancane bubizwa ngokuthi "i-biliary colic." Buvela ngezikhathi ezithile. Bungahlala kusukela emizuzwini kuya emahoreni. Ubuhlungu buvame ukuphela lapho itshe linyakaza noma ingcindezi yehla. Abantu abahlushwa yilolu buhlungu bathi bukhulu kakhulu, buhlaba, bucindezela, noma bucindezela . Bungaba bukhulu kangangokuthi awukwazi ukuma unganyakazi.

Buphi ubuhlungu benyongo?

Umgudu wakho wenyongo utholakala ohlangothini oluphezulu kwesokudla lwesisu sakho, ngaphansi nje kwekheji lakho lesokudla. Iningi labantu lizwa ubuhlungu bamatshe enyongo lapha. Kodwa ngezinye izikhathi ubuhlungu bungasakazekela kwezinye izindawo. Abanye abantu bezwa ubuhlungu engalweni yabo yesokudla, ehlombe, noma emhlane phakathi kwamahlombe. Abanye abantu bezwa ubuhlungu bamatshe enyongo phakathi kwesisu noma esifubeni sabo. Lokhu kungaba yinto edidayo kancane, ngoba ubuhlungu bungafana nezinye izimo. Abanye abantu bacabanga ukuthi ubuhlungu benyongo buyisicanucanu noma isilungulela. Abanye bangase bacabange ukuthi ukuhlaselwa yinhliziyo, okuyisimo esiphuthumayo sezokwelapha.

Ingabe izimpawu ze-gallstone zihlukile kwabesifazane?

Cha, izimpawu ngokuvamile ziyafana. Kodwa abesifazane banamathuba amaningi okuba "nobuhlungu obudluliselwe" - okungukuthi, ubuhlungu obuzwakala kwenye indawo ngaphandle kwalapho buqale khona. Ngakho-ke bangase babe namathuba amaningi okuzwa ubuhlungu bamatshe enyongo engalweni, ehlombe, esifubeni noma emhlane. Abesifazane banamathuba amaningi okuzwa ubuhlungu obungapheli. Ngakho-ke bangase banganaki kakhulu ubuhlungu obufikayo nobuhambayo, njenge-"biliary colic". Into ebaluleke kakhulu ukubona udokotela uma unobuhlungu obukhulu noma obuphindaphindayo, noma ngabe buyaphela. Uma wake waba "nokuhlaselwa yinyongo" kanye, kungenzeka ukuthi ube nobuhlungu obunye.

Yini ebangela lobu buhlungu benyongo?

Ubuhlungu benyongo bubangelwa ukudla inyongo ebhajwe emgudwini wakho wenyongo, okubangela ukuvaleka. Uma kuvimbekile okukhulu, uzokuzwa ngokushesha. Uma kuvimbekile okuncane, okugcwele ubomvu, ungase ungakuboni kuze kube yilapho inyongo yakho ivimbekile futhi kubeke ingcindezi enkulu ohlelweni. Lokhu kuvimbeka kubangelwa ukudla, ikakhulukazi ukudla okunzima nokunamafutha .Uma udla, inyongo iyafinyela kahle. Cabanga uma udla i-biryani enhle, ilayisi elithosiwe, noma ukudla kwelayisi okunososo we-chili owenziwe ngamafutha, khona-ke amathumbu ethu amancane athola inani lamafutha kulokho kudla futhi atshele inyongo ukuthi idinga inyongo engakanani ukuze isize ekugayeni. Ngenxa yalokho, inyongo ikhipha inani elidingekayo lenyongo bese iyithumela emigudwini yenyongo. Yilapho ubuhlungu buvela khona kulelo tshe elinamathele.

Yiziphi izimpawu ezibalulekile zokuxwayisa ngamatshe enyongo?

"I-Biliary Colic" ingaba uphawu lwesixwayiso kuphela olutholayo. Kwenzeka lapho itshe lenyongo livimba okwesikhashana umgudu wenyongo, bese lihamba liqala ukugeleza futhi. Ngisho noma ubuhlungu buphela ekugcineni, kubalulekile ukuqaphela lezi zimpawu zesixwayiso.

Uma itshe lenyongo like lavimba uhlelo lwakho lwenyongo kanye, kungenzeka kakhulu ukuthi liphinde lenzeke.

Mhlawumbe itshe liyahambahamba endaweni efanayo lapho libhajwe khona, likhula kakhulu. Noma mhlawumbe kunezinye izimbobo zenyongo. Ngolunye usuku, itshe lenyongo lingabhajwa lihlale libhajwe lapho. Lokho kungaba yisimo esiphuthumayo.

Yiziphi izinkinga ezingaba khona ngamatshe enyongo?

Uma itshe lenyongo livimba ukugeleza kwenyongo ohlelweni lwenyongo, lingathinta noma yisiphi isitho kulolo hlelo. Inyongo engakwazi ukugeleza ingabuyela emuva emigudwini yenyongo nasezithweni zomzimba, okubangela ukuvuvukala okukhulu kanye nokutheleleka ngamagciwane . Lezi zimo zingaba yingozi empilweni uma ziba zimbi kakhulu. Izinkinga zingabandakanya:

• I-Cholecystitis : Ukuvuvukala kwenyongo.
• I-Pancreatitis : Ukuvuvukala kwe-pancreas .
• I-Cholangitis: Ukuvuvukala kwemigudu ye-bile .
• I-Hepatitis: Ukuvuvukala kwesibindi.
• I-jaundice: ukunqwabelana kwenyongo egazini (ukuphuzi kwesikhumba).
• I-Septicemia: Amagciwane angena egazini.

Ingabe amatshe enyongo abangela ukukhathala kanye nesiyezi?

Isiyezi nokukhathala kuyizimpawu zomfutho wegazi ophansi. Lezi akuzona izimpawu ezivamile zamatshe enyongo. Kodwa-ke, umfutho wegazi ophansi ungaba umphumela wezinkinga ezibangelwa amatshe enyongo. Uma unokuvuvukala okukhulu noma ukutheleleka ohlelweni lwakho lwenyongo, izinga lokushaya kwenhliziyo yakho lingakhuphuka futhi umfutho wegazi wakho ungase wehle.

Ziyini izimbangela zamatshe enyongo?

Amatshe enyongo akheka uma kunezingxenye eziningi kakhulu zenyongo. Le ngxenye eningi ihlala enyongweni noma emigudwini yenyongo, iqina kancane kancane ibe amatshe. Amatshe e-cholesterol yiwona avame kakhulu. Olunye uhlobo ngamatshe "e-pigment", angamatshe e-bilirubin. Izici ezahlukahlukene zingathinta le nqubo, okuhlanganisa:

• Ukuba ne-cholesterol eningi kakhulu: Isibindi sakho sithatha i-cholesterol egazini lakho ukuze senze i-bile. Uma une-cholesterol eningi kakhulu egazini lakho, isilinganiso sezingxenye ze-bile yakho siyashintsha. Kudingeka kube nokulinganisela phakathi kwamafutha nama-asidi ukuze kuhlanganiswe yonke into e-bile yakho. Uma unento eningi kakhulu, iyabekwa.
• I-bilirubin ephezulu: I-Bilirubin ingumkhiqizo obangelwa ukuwohloka kwamaseli abomvu egazi amadala. Uma unesifo segazi (esibangela ukubhujiswa okukhulu kwamaseli abomvu egazi), noma uma isibindi sakho sonakele futhi sinobunzima bokuguqula inani elijwayelekile le-bilirubin libe yi-bile, ungase ube namazinga aphezulu e-bilirubin emzimbeni wakho.
• Ama-asidi e-bile anganele (abizwa nangokuthi usawoti we-bile): Ezinye izifo zibangela ukuthi ama-asidi e-bile angamuncwa kahle ngumzimba (i-bile acid malabsorption) futhi akhishwe endle. Uma kunokulahleka kwe-asidi ye-bile okuningi, isibindi asinawo ama-asidi e-bile anele okwenza i-bile. Uma ama-asidi e-bile enganele, inani lama-lipid (i-cholesterol) e-bile liyanda.
• I-Cholestasis noma i-gallbladder stasis: "I-Stasis" isho isimo sokungasebenzi. Uma imisele yakho ye-bile noma i-gallbladder ingahambisi i-bile ohlelweni lwe-biliary kahle, i-bile inamathuba amaningi okwakha amatshe. Lokhu kungaba yinkinga ngemisipha noma izimpawu zamakhemikhali ezitshela ukuthi isebenze.

Yiziphi izinto ezibangela ingozi yokuthola amatshe enyongo (i-Cholelithiasis)?

Izifo nezimo ezahlukahlukene zingathinta ukuhamba kwenyongo yakho noma amazinga e-cholesterol yakho, i-bilirubin, kanye ne-bile acid. Kodwa akuwona wonke umuntu onamatshe enyongo onesimo sezokwelapha esiyimfihlo. Ezinye zezinto ezivame kakhulu eziyingozi zivamile, njengobudala bakho, izakhi zofuzo, amazinga ama-hormone, kanye nokushintsha kwesisindo. Izici eziyingozi zifaka:

• Ubudala: Kuthatha isikhathi ukuthi amatshe enyongo akheke futhi abe makhulu ngokwanele ukubangela ukuvaleka. Amadoda anamathuba amaningi okuwathola ngemva kweminyaka engu-60. Abesifazane banamathuba amaningi okuwathola phakathi neminyaka yabo yokuzala, phakathi kweminyaka engu-20 no-50.
• Ama-hormone: Abesifazane banamathuba aphindwe kathathu okuthola amatshe enyongo. Le ngozi iyanda futhi yehle ngokwamazinga abo ama-hormone i-estrogen ne-progesterone. I-estrogen inyusa amazinga e-cholesterol, kanti i-progesterone ibambezela ukuphuma kwenyongo enyongweni.
• Isisindo:Njengoba amafutha omzimba ekhula, ukukhiqizwa kwe-estrogen nakho kuyanda, okwandisa amazinga e-estrogen kanye namazinga e-cholesterol. Ngakolunye uhlangothi, ukwehla kwesisindo ngokuzumayo, isibonelo ngemva kokuhlinzwa kokunciphisa isisindo, nakho kungabangela amatshe enyongo. Lapho amafutha omzimba ehla ngokuzumayo, inani elikhulu le-cholesterol liyaqongelela enyongweni.
• Izakhi zofuzo: Uma ungowomdabu (Native American) noma (Mexican) , ukwakheka kwezakhi zofuzo zakho kungakubeka engcupheni enkulu yokuthola amatshe enyongo ngenxa yamazinga aphezulu e-cholesterol enyongweni yakho. Uma othile emndenini wakho eke waba namatshe enyongo, kungenzeka kakhulu ukuthi nawe uwathole, kungakhathaliseki ukuthi ungowaluphi uhlanga.

Uthola kanjani ukuthi unamatshe enyongo?

Uma unezimpawu zamatshe enyongo, udokotela wakho uzoyala ukuhlolwa kwegazi kanye nokuhlolwa kwezithombe. Ukuhlolwa kwegazi kungathola ukuvuvukala, ukutheleleka, noma i-jaundice, futhi kungakunikeza nombono wokuthi yiziphi izitho zomzimba ezithintekile. Ukuhlolwa kwezithombe kungasiza ekutholeni ukuthi ukuvaleka kukuphi ohlelweni lwakho lwenyongo.

Yiziphi izivivinyo ezisetshenziswa ukuxilonga amatshe enyongo?

Okokuqala, udokotela wakho uzokwenza i-ultrasound yesisu. Kuyisivivinyo esisheshayo nesilula esingadingi ukulungiswa okukhethekile. I-ultrasound ingathola amatshe amaningi enyongo ngaphakathi naseduze kwenyongo. Kodwa-ke, uma itshe lenyongo linamathele kwenye indawo ohlelweni lwenyongo, kuzodingeka uhlobo oluhlukile lokuhlolwa ukuze litholakale. Ezinye izivivinyo ezingenziwa zifaka:

• I-MRCP (i-Magnetic Resonance Cholangiopancreatography)
• Ukuskena kwe-HIDA `(ukuskena kwe-HIDA)`
• I-ultrasound ye-endoscopic
• I-ERCP (i-endoscopic retrograde cholangiopancreatography)

Yiziphi izindlela zokwelapha amatshe enyongo?

Uma ungakaze ube nenkinga ngamatshe enyongo, ungase ungadingi ukwelashwa ngawo. Kodwa uma amatshe enyongo evimba umgudu wakho wenyongo, udokotela wakho uzozama ukuwasusa—hhayi nje kuphela ukuvaleka kwawo, kodwa nawo wonke. Ngoba uma usuvalekile ngamatshe enyongo, kungenzeka ukuthi uphinde uwathole. Iningi labantu abadinga ukwelashwa ngamatshe enyongo bahlinzwa ukuze bawasuse. Ukuhlinzwa kuyindlela kuphela yokuqinisekisa ukuthi amatshe enyongo awabangeli izinkinga futhi. Kodwa uma ungakwazi noma ungafuni ukuhlinzwa, kunezinye izindlela zokwelapha ongazizama, okuhlanganisa imithi nezinye izinqubo.

Ukuhlinzwa kwamatshe enyongo

I-Cholecystectomy iyona kuphela ikhambi elithembekile nelihlala isikhathi eside lamatshe enyongo.Lokhu ukuhlinzwa okuvamile emhlabeni wonke, ngokuvamile okwenziwa nge-laparoscopically (ngokusebenzisa ukuhlikihla okuncane kanye nekhamera). Ungaphila kahle ngaphandle kwenyongo. Yilapho inyongo evela esibindini ingena ngqo emathunjini akho amancane. Ngezinye izikhathi, abanye abantu abadinga ukwelashwa ngamatshe enyongo bangase bangabi nempilo enhle ngokwanele ukuba bahlinzwe ukuze kususwe inyongo yabo. Ezimweni ezinjalo, i-"cholecystostomy" iyindlela yokukhetha. Lena inqubo encane ehilela ukufaka i-catheter enyongweni kanye nokususa inyongo namatshe.

Ukwelashwa (imithi) yamatshe enyongo

Odokotela abavamile ukunikeza imithi yamatshe enyongo ngoba ayisebenzi kahle kakhulu. Imithi efana ne-Ursodiol ne-Chenodiol isebenza kuphela kumatshe amancane e-cholesterol alula, alula. Angathatha izinyanga kuya eminyakeni ukuthi ancibilike, futhi angaphinde abuye. Lena akuyona indlela ewusizo yokwelapha amatshe enyongo kubantu abaningi. Kodwa-ke, kwezinye izimo ezilinganiselwe, imithi ingaba usizo njengesinyathelo sesikhashana noma sokuvimbela. Uma ungeyena umuntu ofanele ukuhlinzwa kwamatshe enyongo, udokotela wakho uzoxoxa nawe ngezincomo zakhe.

Sizoba njani isimo sami ngemva kokwelashwa ngamatshe enyongo (i-Cholelithiasis)?

Ngemva kokuhlinzwa, abantu abaningi abadingi ukwelashwa ngamatshe enyongo futhi. Izinkinga azivamile, kodwa abanye abantu bangase babe nezimo ezifana nesifo sohudo esingamahlalakhona. Lokhu kungenxa yokuthi inyongo manje igeleza emathunjini njalo, hhayi nje lapho kudingeka. Lokhu kungelashwa ngemithi ebizwa ngokuthi "ama-bile acid binders."

Ngingakuvimbela kanjani amatshe enyongo?

Ayikho indlela eqinisekile yokuvimbela amatshe enyongo ngokuphelele. Kodwa ungathatha izinyathelo ezithile zokunciphisa ingozi yakho iyonke. Isibonelo, unganciphisa ingozi yakho yokuthola uhlobo oluvame kakhulu lwetshe le-cholesterol ngokunciphisa inani le-cholesterol ekudleni kwakho. Kodwa-ke, lokhu ngeke kuvimbele ukwakheka kwamatshe "e-pigment". Uma ukhuluphele noma ukhuluphele, ukunciphisa isisindo esincane kunganciphisa ingozi yakho yokuthola amatshe e-cholesterol. Kodwa-ke, ukunciphisa isisindo ngokuzumayo kungandisa ingozi yakho. Uma unethemba lokunciphisa isisindo ngokushesha ngendlela noma ngokwelashwa, udokotela wakho angase ancome ukuthi uthathe imithi yokuvimbela amatshe enyongo kusenesikhathi.

Ingabe amatshe enyongo ayaphela ngokwawo?

Amatshe enyongo awapheli ngaphandle kokwelashwa. Ngezinye izikhathi amatshe enyongo angaphuma emzimbeni wakho ngendle yakho, kodwa hhayi wonke. Ngisho noma udokotela wakho ekhipha itshe lenyongo kwenye yemigudu yakho yenyongo, kungase kusele amatshe, futhi ungase ukhule amasha. Ukususa inyongo yakho kuyindlela kuphela yokuwavimba unomphela ukuthi angakheki.

Amatshe enyongo aphuma kanjani kanye nendle?

Itshe lenyongo elingene emgudwini wenyongo ovamile, uma lingavimbekile, lingadlulela emathunjini bese likhishwa kanye nendle. Lokho kuyinhlanhla, kodwa akuwona wonke amatshe enyongo azokwenza kanjalo, futhi awukwazi ukuliphoqa ukuba lenze kanjalo. Ayikho indlela yokuphoqa amatshe akho enyongo ukuba angene emgudwini wenyongo ovamile, futhi akukho siqinisekiso sokuthi azodlulela emathunjini ngokuphepha. Angase ahlale emgudwini futhi akhule abe makhulu. Ngokuvamile, kuyingozi ukuba namatshe enyongo emgudwini wenyongo ovamile kwasekuqaleni.

Kuzwakala kanjani uma itshe lenyongo lidlula?

Cishe ngeke uzwe itshe lenyongo lidlula emzimbeni wakho. Itshe lenyongo kudingeka libe lincane kune-5 millimeters ukuze lidlule emgudwini wenyongo ovamile. Lokho akukhulu ngokwanele ukuthi ukuzwe emathunjini akho, kodwa ungase uzwe ubuhlungu njengoba lidlula emgudwini wenyongo ovamile.

Amatshe enyongo avela kanjani endlini yangasese?

Itshe lenyongo elincane ngokwanele ukuthi lidlule emgudwini wenyongo ovamile lingase libe lincane kakhulu ukuthi lingabonakala esitulweni sakho, noma ngabe ulifuna. Kodwa uma ubona itshe lenyongo endlini yangasese, lizobukeka njengetshe elincane. Lingase libe nesimo esingajwayelekile, libe ne-engela kancane. Iningi liphuzi, kodwa amanye angaba nsundu.

Ingabe amatshe enyongo angadluliselwa ngomchamo?

Awukwazi ukuthola amatshe enyongo emchameni wakho ngoba amatshe enyongo awakwazi ukufika emgudwini wakho womchamo. Amatshe asemgudwini womchamo abizwa ngokuthi amatshe ezinso. Amatshe enyongo namatshe ezinso ayafana, kodwa ahamba ngezindlela ezahlukene. Ukuchama okubuhlungu kuwuphawu lwamatshe ezinso, hhayi amatshe enyongo.

Kufanele ngimbone nini udokotela mayelana namatshe enyongo?

Uma uzizwa ubuhlungu obuhlabayo esiswini sakho esingaphezulu kwesokudla noma ehlombe, ikakhulukazi ngemva kokudla, kungaba ukuhlaselwa yinyongo. Funa usizo lwezokwelapha ngokushesha. Ungalindi ukuthi buphele, ngoba kungenzeka bungapheleli. Udokotela angakusiza ukuthola imbangela yobuhlungu bakho ngenkathi ephinde ekuqeda. Uma ucabanga ukuthi uke waba nesiqephu sangaphambilini se-biliary colic, noma ngabe sesiphelile, bona udokotela. Bangenza ukuskena kwesistimu yakho yenyongo ukuhlola amatshe enyongo. Uma ekhona, bangase batuse ukuthi uwaphathe ngaphambi kokuba adale izinkinga ezengeziwe. Ngaphandle kokwelashwa, amatshe enyongo angaqhubeka nokwakheka nokukhula. Amatshe enyongo avamile, futhi abantu abaningi abakaze babe nezinkinga ngawo. Uma esendaweni eyodwa, ungase ungazi nokuthi akhona. Kodwa lapho eqala ukuhambahamba, aba yingozi. Lezi zinto ezincane, ezifana namatshe zingadala umonakalo omkhulu uma zibhajwa ezindaweni eziqinile zesistimu yakho yenyongo ebucayi.

Ukulinda "ukuhlaselwa yitshe lenyongo" ukuthi kukutshela ukuthi unamatshe enyongo kungaba yinto engathandeki kakhulu. Ungase ukhathazeke nakakhulu uma uthola ukuthi ukwelashwa okunconywayo kuwukuhlinzwa. Kodwa-ke, ukuhlinzwa kokususwa kwenyongo kuyindlela evamile enemiphumela emihle kakhulu. Lonke usizi lwakho lungase luphele emahoreni ambalwa ngemva kwezimpawu zokuqala.

Umyalezo oya nawo ekhaya

Ngakho-ke, amatshe enyongo ayinto engagcinwa ingakhulumi, kodwa uma eqala ukukukhathaza, angaba buhlungu kakhulu. Into ebaluleke kakhulu ukuthi, uma uzwa ubuhlungu obungavamile, obukhulu ohlangothini oluphezulu kwesokudla lwesisu sakho, isicanucanu, noma ezinye izimpawu, ungazinaki. Ikakhulukazi uma zenzeka ngemva kokudla ukudla okunamafutha, qiniseka ukuthi ubona udokotela ukuze uthole iseluleko. Ukutholwa kusenesikhathi kungavimbela izinkinga ezinkulu. Hlala uphilile!

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