Ingabe nawe uhlangabezana nokunyakaza okungajwayelekile nokungalawuleki emzimbeni wakho? Ake sixoxe ngezinkinga zokunyakaza!

Ingabe ngezinye izikhathi uzizwa sengathi izingxenye zomzimba wakho ziyanyakaza, ziyathuthumela, noma ziyanyakaza ngokungalawuleki? Mhlawumbe unenkinga yokulawula ingalo, umlenze, noma ukubukeka kobuso. Kulungile uma lezi zinto zenzeka kanye noma kabili, kodwa uma unalezi zinyathelo ezingavamile ngaso sonke isikhathi, kungaba ukuphazamiseka kokunyakaza. Ake sixoxe ngalokhu ngokuningiliziwe namuhla, akunjalo?

Yiziphi lezi zinkinga zokunyakaza? Masiqonde kalula!

Kalula nje, ukuphazamiseka kokunyakaza yizimo lapho ukunyakaza komzimba kuba okungajwayelekile ngenxa yezinkinga ohlelweni lwethu lwezinzwa. Kunezimo ezimbili ezingaba khona. Esinye ukuthi ukunyakaza komzimba kwanda ngokungadingekile (isibonelo, ukudlikiza, ukuthuthumela, ukusonta). Esinye ukuthi ukunyakaza komzimba kuba kuncane kakhulu, noma kwenzeka kancane kakhulu.

Cabanga nje, yonke intshukumo esiyenzayo, kungaba ukuphakamisa ingalo, ukubeka umlenze phambili, noma ukuvula umlomo wethu ukuze sikhulume, yenzeka ngendlela eyinkimbinkimbi kakhulu. Uhlelo Lwezinzwa Oluphakathi, oluhlanganisa ubuchopho bethu kanye nomgogodla , kanye neMizila Yezinzwa kanye Nemisipha Yethu Yamathambo, zonke lezi zinqubo zixhumene ndawonye. Ngakho-ke, uma kukhona umonakalo ezingxenyeni zobuchopho ezilawula le ntshukumo, noma uma kukhona ukungasebenzi kahle ekusebenzeni kwazo, khona-ke lezi zinkinga zokunyakaza ziyavela.

Into ebalulekile ukuthi lezi zinkinga zokunyakaza zihlukile. Ezinye zingathinta ingxenye eyodwa yomzimba kuphela, kanti ezinye zingathinta umzimba wonke. Ngezinye izikhathi zingaphazamisa imisebenzi elula njengokubhala, kodwa kwezinye izimo, zingaba nomthelela omkhulu ezintweni ezifana nokuhamba nokuhambahamba.

Ngezinye izikhathi izimo eziqeda ngokuphelele ukunyakaza, njengokukhubazeka komzimba, noma izifo ezenza imisipha ibe buthaka, njenge-muscular dystrophy, aziweli kulesi sigaba sokuphazamiseka kokunyakaza, ngoba ukuphazamiseka kokunyakaza kuhilela kakhulu ukwenzeka kokunyakaza okungafuneki nokungajwayelekile.

Kunezinhlobo ezimbili eziyinhloko zokunyakaza okungajwayelekile!

Lezi zinyathelo ezingavamile esikhuluma ngazo zingahlukaniswa zibe izingxenye ezimbili eziyinhloko.

1. Ukunyakaza Okunamandla: Lokhu kusho ukuthi kunezinyakazo eziningi kakhulu.

2. Ukunyakaza kwe-Hypokinetic: Lokhu kusho ukuthi ukunyakaza kuncane futhi kuhamba kancane.

Kwezinye izinkinga zokunyakaza, zombili izinhlobo zingase zibonakale, noma eyodwa kuphela engaba khona.

1. Kuyini ukunyakaza kwe-Hyperkinetic?

Igama elithi "Hyper" lisho "okweqile" kanye nelithi "kinetic" lisho "ukunyakaza". Lokhu kusho ukwanda kokunyakaza okungadingekile. Lokhu kungaba ukunyakaza okuzithandela noma ukunyakaza okungazikhetheli.

Nazi ezinye izinhlobo zokunyakaza okunamandla kakhulu:

• U-Akathisia: Lokhu ukungaphumuli okwenza kube nzima kakhulu ukuhlala unganyakazi noma ukuhlala unganyakazi. Lesi simo singabangelwa eminye imithi yokugula kwengqondo, ikakhulukazi imithi ethi "Antipsychotic" noma "Neuroleptic".
• I-Ataxia: Lesi yisimo lapho umzimba ulahlekelwa khona ibhalansi kanye nokuxhumana, okubangela ukunyakaza okungazinzile nokungajwayelekile. Ngezinye izikhathi, kungabonakala sengathi umuntu uhamba sengathi udakiwe. "I-Ataxia" ingaba yisifo esihlukile, noma kungaba uphawu lwesinye isifo.
• I-Chorea, i-Athetosis kanye ne-Ballism:
• I-Chorea: Lokhu ukunyakaza kwemisipha okungalawuleki, okungalindelekile. Kungabonakala sengathi uyadansa noma uhambahamba ngokungaphumuli. Lokhu kuvame ukubonakala ezifweni ezifana nesifo sikaHuntington.
• (I-Athetosis): Lokhu kubonakala ngokuhamba kancane, okunyakazisayo, okufana nezimpethu kwezingalo nemilenze.
• (Ukudlala ibhola): Lokhu kuhilela ukunyakaza okungazelelwe, okunobudlova, njengokuphonsa ingalo noma umlenze ngokushesha.
• I-Dystonia: Lesi yisimo lapho imisipha ifinyela khona njalo noma ngezikhathi ezithile, okubangela ukunyakaza noma ukuma okungavamile, okuvame ukuphindaphinda. Lokhu kungabonakala ku-cerebral palsy kanye nezinye izimo ze-neurodegenerative. Cabanga ngentamo edonswa ohlangothini olulodwa, noma ingalo egobile ngendlela exakile.
• I-Myoclonus: Lokhu kuwukudikiza noma ukugxumagxuma kwemisipha okungazelelwe, okungalawuleki. Ngezinye izikhathi sivuka ngokuzumayo ngenkathi silele, yileyo ndlela okwenzeka ngayo. Kodwa uma kukhulunywa ngesimo sempilo, kungenzeka kaningi.
• Ukuvaleka kwemisipha: Lesi yisimo lapho amaphethini okunyakaza kwemisipha ephazamiseka khona, okubangela ukuthi eminye imisipha iqine ngokuzumayo lapho sizama ukunyakaza noma lapho sima nje. Lokhu kungaphazamisa ukunyakaza futhi kungathinta inkulumo nokuhamba.
• Ama-stereotypies: Lokhu ukunyakaza okuyinkimbinkimbi, okunephethini okuvame ukuthinta izinhlangothi zombili zomzimba. Kuhlala kwenzeka ngendlela efanayo noma ngendlela efanayo kakhulu. Isibonelo, ukunyakazisa, ukushaya izandla, ukunyakazisa, nokuqina. Lokhu kungabonakala ezimweni ezifana ne-autism spectrum disorder kanye ne-Rett syndrome.
• Ama-Tics: Lokhu futhi ukunyakaza okuphindaphindayo, okunesigqi okwenzeka ngendlela ethile. Ama-'(tics)' alula amancane, anqunyelwe emisipheni embalwa, njengokucwayiza, ukufinya, ukugoba kwentamo, noma ukuhlanzeka komphimbo. Ama-'(tics)' ayinkimbinkimbi angaba awesikhashana futhi ahilele imisipha eminingi. Isibonelo, ukugxuma, ukusho amagama noma imishwana ethile. Lawa ma-'(tics)' ayisici esibalulekile sesimo esibizwa ngokuthi `(Tourette's syndrome)`.
• Ukuthuthumela:Lesi yisimo lapho izingxenye zomzimba zithuthumela ngokungalawuleki. Lokhu kuthuthumela kubangelwa ukuqina nokuphumula kwemisipha ngokuphindaphindiwe. Lokhu kungenzeka ezindaweni ezifana nezandla, imilenze, ikhanda, kanye nezwi.

2. Kuyini ukunyakaza kwe-Hypokinetic?

Igama elithi “Hypo” lisho “okuncane.” Lokhu kusho ukuthi ukunyakaza akuvamile, kuhamba kancane kakhulu. Lokhu kuvame ukuthinta ukunyakaza esikwenzayo ngamabomu.

• I-Parkinsonism: Lolu uhlobo oluyinhloko lwe-hypoactive movement disorder. Lubhekisela ezimweni eziningana zobuchopho ezibangela ukunyakaza okuhamba kancane, ukuqina, ukuthuthumela, noma izinkinga ngokulinganisela.

I-Parkinsonism, isifo sokuwohloka kwemizwa, sivame ukubonakala ngesifo sikaParkinson . Kodwa-ke, singavela nakwezinye izimo ezifana nokuwohloka kwesistimu eminingi, ukuwohloka kwe-corticobasal, i-progressive supranuclear palsy, kanye ne-Lewy body dementia.

Ngaphezu kwalokho, i-Parkinsonism ingabangelwa yizinto ezifana nokulimala ekhanda njalo, ubuthi, imithi yezifo ezithile zengqondo, kanye nokwehla kokugeleza kwegazi ezingxenyeni ezithile zobuchopho.

• I-Bradykinesia: Lokhu futhi kuwukunyakaza okuhamba kancane. Uma ukunyakaza sekuqalile, kuyehla noma kume phakathi nendawo. Lokhu kuyisibonakaliso esikhulu sesifo sikaParkinson .

Izinhlobo eziningana ezinkulu zezinkinga zokunyakaza

Kunezinhlobo eziningi zezinkinga zokunyakaza. Ake sibheke ezimbalwa zazo:

• Ukuthuthumela okubalulekile: Lokhu kwenzeka lapho izingxenye zomzimba, ikakhulukazi izandla nezingalo, zinyakaza ngokungalawuleki. Kungathinta nezindawo ezifana nekhanda nezwi.
• Isifo sikaHuntington: Lesi yisifo esibangelwa izakhi zofuzo. Sithinta ubuchopho futhi sibangela ukunyakaza okungalawuleki (i-chorea) ezandleni, ezinyaweni nasebusweni. Izimpawu ziya ziba zimbi ngokuhamba kwesikhathi.
• Ukuwohloka kwesistimu eminingi (i-MSA): Lesi yisifo esingavamile. Ezinye izingxenye zobuchopho ziyabhujiswa kancane kancane. Lokhu kungabangela izimo ezifana ne-"Ataxia" kanye ne-"Parkinsonism".
• Isifo sikaParkinson: Lesi yisifo sobuchopho esibangela ukunyakaza okungalawuleki, izinkinga ngokulinganisela kanye nokuxhumana. Singabangela nokwehla kwengqondo.
• Isifo sokunyakaza kwezitho ngezikhathi ezithile (i-PLMD): Lesi yisimo lapho izitho, ikakhulukazi imilenze, zihamba ngokuphindaphindiwe ngenkathi zilele. Lokhu kungaphazamisa ubuthongo.
• I-Progressive supranuclear palsy (PSP): Lesi futhi yisifo esingavamile esiwohloza izinzwa. Silimaza izingxenye ezithile zobuchopho. Sithinta ukuhamba, ukucabanga, ukugwinya, kanye nokunyakaza kwamehlo.
• I-RLS (i-RLS): Isifo somlenze ongaphumuli:Lokhu kuyisifo sokulala. Sibonakala ngesifiso esingenakuphikiswa sokunyakaza imilenze (noma ngezinye izikhathi izingalo noma umzimba wonke). Sihambisana nemizwa engavamile njengokuzwa ukudonsa, umuzwa wokuthile okunyakazayo, ukungazweli, noma ukusha.
• I-Rett syndrome: Lesi yisimo esingavamile sofuzo esithinta ukukhuluma, ikhono lokusebenzisa izandla, kanye nokuxhumana.
• I-Tardive dyskinesia: Lokhu kungabangelwa ukusetshenziswa isikhathi eside kwemithi ethile yokulwa nesifo sengqondo. Kungabangela ukunyakaza okungahleliwe njengokuthuthumela kobuso kanye nokushaya izindebe.
• I-Tourette syndrome: Lokhu kuyisifo esithinta uhlelo lwezinzwa. Sibangela ukunyakaza noma imisindo engajwayelekile, engajwayelekile. Singase sihlotshaniswe nezimo ezinjengokukhathazeka, ukuphazamiseka kokunganaki (ADHD), kanye ne-obsessive-compulsive disorder (OCD).
• Isifo sikaWilson: Lesi futhi yisimo esingavamile sofuzo. Sibangelwa ukunqwabelana kwethusi emzimbeni, ikakhulukazi esibindini nasebuchosheni. Ukuqina kwemisipha, ukuthuthumela, kanye nokunyakaza okungalawuleki kungenzeka.

Yiziphi izinkinga zokunyakaza ezivame kakhulu?

Izinkinga ezimbili ezivame kakhulu zokunyakaza yisifo sikaParkinson kanye nokuthuthumela okubalulekile .

Ziyini izimpawu zokuphazamiseka kokunyakaza?

Izimpawu zokuphazamiseka kokunyakaza ziyahlukahluka kakhulu. Zonke izinkinga zokunyakaza zihilela ukunyakaza okungajwayelekile. Ezinye izinkinga zokunyakaza zingase zihambisane nezinye izimpawu, njengokushintsha kokucabanga kanye nesimo sengqondo. Lezi zimpawu zingahluka kusukela kokuncane kuya kokukhulu futhi zingaphazamisa imisebenzi yansuku zonke.

Ezinye zezimpawu ezivame ukubonakala yilezi:

• Ukunyakaza okungalawulwa - njengokudlikiza, ukudlikiza, ukuthuthumela, nokujika.
• Izinkinga ngokulinganisela nokuxhumana.
• Ubunzima ngemisebenzi ethile yokunyakaza komzimba, njengokubhala, ukugwinya, nokukhuluma.
• Ubunzima bokuhamba noma ukushintsha indlela yokuhamba.
• Ukuqina emalungeni nasesiqwini.

Lokhu kunyakaza okungajwayelekile kungathinta ingxenye eyodwa noma eziningana zomzimba. Isibonelo:

• Izandla nezinyawo
• Izandla neminwe
• Izinyawo nezinzwane
• Imisipha yobuso
• Ikhanda nentamo
• Isiqu nesimo somzimba
• Izwi

Ngingazi kanjani ukuthi nginenkinga yokunyakaza?

Sonke sizwa ukudikiza kwemisipha, ukujikijela okungazelelwe ngesikhathi sokulala (ukujikijela okungajwayelekile), kanye nokunyakaza okungazikhetheli njengokujikijela. Kodwa-ke, uma lezi zimpawu ziqhubeka, kungaba uphawu lokuphazamiseka kokunyakaza. Uma ubona ushintsho oluqhubekayo ekunyakazeni kwakho noma kwengane yakho, kubalulekile ukubona udokotela ngokushesha ukuze kutholakale ukuxilongwa nokwelashwa.

Yiziphi izimbangela zokuphazamiseka kokunyakaza?

Ukuphazamiseka kokunyakaza kuvame ukubangelwa umonakalo noma ukungasebenzi kahle kwezingxenye ezithile zobuchopho ezilawula ukunyakaza kwethu. Lezi zingxenye yilezi:

• I-cortex eyinhloko ye-motor:Lena yingxenye efana neribhoni yengxenye engaphambili yobuchopho bethu. Isiza ekuqaliseni ukunyakaza esikwenzayo ngezingqondo zethu. Uma yonakele, ingabangela ukuqaqamba, i-myoclonus, kanye nezinkinga zokunyakaza okuncane.
• I-basal ganglia: Lezi yizingxenye ezijulile ebuchosheni bethu. Zisisiza ukuthi siqalise futhi silawule ukunyakaza kwemisipha ngokuzithandela, siyeke ukunyakaza okungahleliwe, futhi sihlele izinguquko ekumeni komzimba. Ukulimala kwalokhu kungaholela ezimweni ezifana ne-`(Chorea)`, `(Athetosis)`, `(Dystonia)`, kanye ne-`(Parkinsonism)`.
• I-Cerebellum: Lena yingxenye yobuchopho bethu ngemuva, phansi. Iqondisa ukunyakaza kwethu, igcina izitho zethu zihamba kahle nangokunembile, futhi isisiza silondoloze ibhalansi. Uma yonakele, ukuhlangana komzimba kuyalahleka.
• I-Thalamus: Lesi isakhiwo esimise okweqanda. Sitholakala ekujuleni kobuchopho, nhlangothi zombili. Sifana nesikhungo lapho kudlula khona yonke imininingwane yokunyakaza kanye nezinzwa ezifika emzimbeni wethu. Uma sonakele, kungenzeka ukuthuthumela kanye nokuphazamiseka kokunyakaza.

Nazi ezinye zezimo lapho lezi zingxenye zobuchopho zingalimala khona:

• Izimo zofuzo kanye nokuguqulwa kwezakhi zofuzo.
• Ukulimala kobuchopho okubuhlungu.
• Izifo.
• Ubuthi.
• Izinkinga ze-metabolic eziba khona lapho kuzalwa noma ezikhula kamuva.
• Isifo sohlangothi kanye nezifo zemithambo yegazi.
• Imiphumela emibi yemithi ethile.

Ezinye izinkinga zokunyakaza zingalandelelwa ziye esibangweni esisodwa esithile. Kodwa-ke, isikhathi esiningi, lezi zimo zibangelwa yinhlanganisela yezici. Imbangela eqondile yezinye izinkinga zokunyakaza ayaziwa.

Ungahlonza kanjani izinkinga zokunyakaza?

Ngenxa yokuthi izinkinga zokunyakaza ziyinkimbinkimbi futhi zivame ukulingisa ezinye izimo, ithimba lakho lezokwelapha lizovame ukwenza uchungechunge lwezivivinyo ukuze lithole ukuthi unesifo yini. Isinyathelo sokuqala ukukubuza umbuzo onemininingwane, ukwenza ukuhlolwa ngokomzimba, kanye nokwenza ukuhlolwa kwezinzwa.

Kuye ngezimpawu zakho, lezi zivivinyo zingenziwa:

• Ukuhlolwa kwegazi: Ukuthola ezinye izinkinga zokunyakaza, noma ukuhlola ezinye izimbangela.
• I-Electromyography (EMG): Hlola impilo yemisipha kanye nezinzwa ezilawulayo.
• I-Electroencephalogram (EEG): Buka umsebenzi kagesi wobuchopho.
• Ukubhoboza i-Lumbar: Hlola uketshezi lomgogodla.
• Ukuhlolwa kwemisipha: Ukuhlukanisa phakathi kwezinkinga zemizwa nemisipha.
• Ucwaningo lokuqhutshwa kwemizwa: Lulinganisa isivinini lapho ugesi uhamba khona ngemizwa ngaphambi kokufinyelela emisipheni.

Odokotela basebenzisa nokuhlolwa kwezithombe ukuze bathole izinkinga zokunyakaza. Lokhu kungabheka ubuchopho, umgogodla, noma imizwa. Izibonelo:

• I-CT scan (i-CT scan - i-computed tomography)
• Ukuskena kwe-MRI (i-Magnetic resonance imaging)

Yiziphi izindlela zokwelapha izinkinga zokunyakaza?

Ukwelashwa kwezinkinga zokunyakaza kuyahlukahluka kuye ngesifo. Izinkinga eziningi zokunyakaza azikwazi ukwelapheka ngokuphelele. Ngakho-ke, umgomo oyinhloko wokwelashwa ukulawula izimpawu. Kodwa-ke, ezinye izinkinga zokunyakaza, njengalezo ezibangelwa imithi (i-Parkinsonism), zingelapheka.

Nazi ezinye izindlela zokwelapha:

• Imithi: Kunezinhlobo eziningana zemithi engasiza ekulawuleni izimpawu zokuphazamiseka kokunyakaza. Isibonelo, imithi yokuphumula imisipha ingasiza ekucindezelekeni. Imithi ye-dopaminergic ingasiza ngesifo sikaParkinson kanye ne-restless leg syndrome. Imithi yokuvimbela ukukhathazeka ingasiza nge-dystonia. Kukhona nemithi eqondene nesimo ngasinye.
• Ukwelashwa ngokomzimba: Lokhu kusiza ekuthuthukiseni indlela umzimba ohamba ngayo. Abelaphi bomzimba basiza ekuphatheni izimpawu ezenza kube nzima ukunyakaza, njengobuhlungu, ukuqina, kanye nokungakhululeki.
• Ukwelashwa Kwemisebenzi: Lokhu kusiza ekuthuthukiseni ikhono lokwenza imisebenzi yansuku zonke. Uchwepheshe wezokwelapha imisebenzi uyakusiza ukuthi ume, uhlale, uzulazule ngokuphephile, futhi usebenzise imishini ehlukahlukene ukwenza umsebenzi wakho.
• Izinsiza zokuhamba: Ungasebenzisa izinto ezifana nezinduku, izihlalo zabahamba ngezinyawo, kanye nezihlalo zabakhubazekile ukuze uhambe ngokuphepha futhi wandise ukuzimela kwakho.
• Ukwelapha ngenkulumo: Lokhu kusiza ekuthuthukiseni ukukhuluma, amakhono olimi, kanye nokugwinya.
• Ukwelapha Ngengqondo: Lokhu kuhilela ukuhlonza nokusiza ekushintsheni imizwa, imicabango, kanye nokuziphatha okungenampilo. Izinkinga zokunyakaza zivame ukubangela izinkinga zempilo yengqondo njengokucindezeleka nokukhathazeka. Ukwelapha Ngengqondo kungasiza ngalokhu.
• Imijovo ye-Botulinum toxin (Botox®): Uma une-`(Dystonia)` noma `(Spasticity),` le mijovo ingasiza ekuphumuzeni imisipha.
• Ukuvuselela ubuchopho ngokujulile: Lokhu ukuhlinzwa kobuchopho okwenziwa kubantu abanesifo sikaParkinson esibi kakhulu, i-dystonia, kanye nokunye ukuthuthumela. Kunganciphisa ukunyakaza okungazikhetheli.
• Izivivinyo zemitholampilo: Lolu uhlobo locwaningo oluhlola izivivinyo ezintsha kanye nokwelashwa kwezimo ezithile zezokwelapha. Kungase kube novivinyo lwemitholampilo ongahlanganyela kulo.

Hlobo luni lwezimo umuntu onenkinga yokunyakaza abhekana nazo?

Akuwona wonke umuntu onenkinga yokunyakaza othinteka ngendlela efanayo. Into engcono kakhulu ongayenza ukukhuluma nochwepheshe abacwaninga futhi belapha isimo sakho.

Ungadinga usizo lwethimba lodokotela. Lokhu kungafaka:

• Odokotela bezinzwa
• Odokotela abahlinza izinzwa
• Odokotela bezokwelapha umzimba
• Abelaphi bomsebenzi
• Abelaphi benkulumo
• Izazi zengqondo

Abantu abanjalo bangafakwa.

Ngingazinakekela kanjani mina kanye nengane yami?

Uma wena noma ingane yakho ninenkinga yokunyakaza, kubalulekile ukufuna ukunakekelwa kwezokwelapha okungcono kakhulu ukuze nithuthukise ikhwalithi yempilo yenu.

Kungaba usizo kuwe nomndeni wakho ukujoyina iqembu lokusekelana lapho ningahlangana khona nabantu abake baba nokuhlangenwe nakho okufanayo.

Kufanele ngimbone nini udokotela?

Uma ubona noma yiziphi izinguquko endleleni ovame ukuhamba ngayo, noma uma unenkinga ethinta imisebenzi yakho yansuku zonke, bona udokotela ngokushesha. Uma udokotela wakho esheshe athole ukuphazamiseka kokunyakaza, kulapho ungaqala khona ukwelashwa ngokushesha.

Uma usuvele unesifo sokunyakaza, funa iseluleko sezokwelapha ngisho nakulezi zimo:

• Uma ithimba lakho lezokwelapha likuhlelele i-aphoyintimenti: Ukuya kulezi zikhathi kusiza ithimba lakho lezokwelapha ukuthi liqaphele isimo sakho futhi lenze noma yiziphi izinguquko ezidingekayo ekwelashweni kwakho.
• Uma ubona ushintsho ezimpawini zakho: Lezi zinguquko zingaba ulwazi olubaluleke kakhulu eqenjini lezokwelapha eliqapha isimo sakho futhi likwelaphe.
• Uma ubona imiphumela emibi evela ekwelashweni kwakho noma izinguquko ekusebenzeni kahle kokwelashwa kwakho: Kungathatha isikhathi ukuthola ukwelashwa okufanele, noma ukusebenza kahle komuthi wakho kungase kwehle ngokuhamba kwesikhathi. Uma ukwelashwa kwakho kungasebenzi, noma unemiphumela emibi ekhathazayo, tshela ithimba lakho lezokunakekelwa kwempilo.

Ithimba lakho lezokwelapha lingakutshela ngezimpawu okufanele uziqaphele kakhudlwana, kanye nokuthi kufanele ufune nini iseluleko sezokwelapha ngokushesha.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukutholwa unesifo sokunyakaza kungaba yinto enzima kakhulu. Lokho kuyinto evamile. Kodwa khumbula, awuwedwa. Ithimba lakho lezokunakekelwa kwempilo lingakusiza ukuthola uhlelo lokwelashwa olufanele wena. Kubalulekile ukuqinisekisa ukuthi uthola ukwesekwa okudingayo, futhi uhlale ugxile empilweni yakho. Futhi ungakhohlwa ukuthi ithimba lakho lezokunakekelwa kwempilo lihlala likhona ukukusekela. Ngokwelashwa nokuphathwa okufanele, ungaphila impilo enhle ngalezi zimo. Ungesabi, yiba nesibindi!

Izinkinga zokunyakaza, isifo sikaParkinson, ukuthuthumela okubalulekile, izifo zezinzwa, izinkinga zobuchopho, ukunyakaza okungavamile, izinkinga zemisipha