Ingabe nawe unamanxeba emilenzeni akho angapholi? Ake sifunde ngalesi 'Silonda Semithambo'!

Wake waphawula ukuthi ngezinye izikhathi amanxeba avela emilenzeni yakho, ikakhulukazi endaweni yesinqe noma eqakaleni, futhi kuthatha isikhathi eside ukuphola? Kungenzeka ukuthi nawe uke wabhekana nalokhu. Lawa akuwona amanxeba avamile. Siwabiza ngokuthi 'ama-Vascular Ulcers', okusho ngesiSinhala ukuthi 'ama-vein ulcers '. Kalula nje, lawa amanxeba avela esikhumbeni ngenxa yokujikeleza kwegazi okungekuhle emzimbeni wethu. Ake sixoxe ngalokhu ngemininingwane ethe xaxa namuhla, ngoba lokhu kuyinto engathinta abantu abaningi.

Ziyini izilonda zemithambo yegazi?

Kalula nje, izilonda zemithambo yegazi ziyizilonda ezenzeka esikhumbeni sethu. Kodwa lezi akuzona nje noma yiziphi izilonda. Zibangelwa izinkinga zokugeleza kwegazi emzimbeni wethu, okungukuthi, uhlelo lokujikeleza kwegazi. Ngokuvamile, lezi zilonda zibonakala ezithweni zethu, ikakhulukazi emilenzeni nasezinyaweni ezingezansi. Kodwa zingavela nakwezinye izindawo. Lezi zilonda zithatha isikhathi eside ukuphola, futhi ngezinye izikhathi ukwelashwa okukhethekile njengokuhlinzwa kungadingeka.

Kunezizathu ezimbili eziyinhloko ezenza lezi zilonda zemithambo yegazi zenzeke.

1. Esinye ubuthakathaka bokujikeleza kwegazi emithanjeni yethu. Imithambo yilapho umzimba uthola khona izakhamzimba nomoya-mpilo owudingayo. Ngakho-ke uma kunenkinga ngalokhu, kwakheka amanxeba.

2. Esinye isizathu ukungasebenzi kahle kwegazi emithanjeni yethu. Kungemithambo lapho igazi, kanye nemfucuza emzimbeni, kubuyiselwa khona enhliziyweni. Uma kunenkinga ngalokhu, kuvela ukulimala.

Okuvame kakhulu kulawa amanxeba avela emithanjeni, esiwabiza nangokuthi ama-venous ulcers .

Kuvame kangakanani lokhu kulimala?

Eqinisweni, lezi zilonda zemithambo yegazi zivame kakhulu kunalokho ongakucabanga, ikakhulukazi njengoba ukhula. Ngokwesilinganiso, cishe u-1% wabantu abadala bangaba nalesi simo. Phakathi kwabantu abangaphezu kweminyaka engu-65, leli phesenti lingaba phakathi kuka-3% no-5%. Ngakho lokhu akuyona into okufanele ithathwe kalula.

Lezi zilonda zemithambo yegazi zithinta kanjani imizimba yethu?

Lokhu kulimala kungaba nemiphumela emibi ehlukahlukene empilweni yakho. Cabanga nje...

• Ingozi eyengeziwe yokutheleleka: Isikhumba sethu sifana nesivikelo esisivikela emagciwaneni. Ngakho-ke inxeba elinjengaleli liwukuphuka kwaleso sivikelo, okuvumela amagciwane ukuthi angene kalula emzimbeni.
• I-Sepsis: Uma ukutheleleka kungelashwa kahle, kungasakazeka emzimbeni wonke futhi kuholele esimweni esiyingozi kakhulu esibizwa ngokuthi i-sepsis . Yilapho amasosha omzimba ethu esabela ngokweqile ekuthelelekeni okukhulu bese eqala ukulimaza izingxenye ezahlukene zomzimba.
• I-Gangrene: Kungaba ngenxa yokutheleleka noma ukuntuleka kwegazi eliya enxebeni, amaseli azungeze inxeba aqala ukufa. Lokhu kungaholela esimweni esibizwa ngokuthi i-gangrene . Uma ingelashwa, ingasakazeka futhi iholele ngisho nasekufeni.
• Ubuhlungu nobunzima bokuhamba:Lezi zilonda zemithambo yegazi zingaba buhlungu kakhulu. Kuye ngokuthi isilonda sikuphi, ungase ungakwazi ukusebenza, ukulala, noma ukwenza imisebenzi yansuku zonke. Njengoba umsebenzi womzimba uthuthukisa ukujikeleza kwegazi, uma ungakwazi ukuhamba ngenxa yesilonda esibuhlungu, isilonda singaba sibi kakhulu.

Kubaluleke kakhulu: Ungakushayi indiva lokhu kulimala ngoba kuncane. Kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha.

Ziyini izimpawu?

Izimpawu zesilonda esisemithambo yegazi zincike esibangweni, futhi ngezinye izikhathi kungaba nezimbangela eziningana ngesikhathi esisodwa.

Izimpawu ze-Venous Ulcers / Stasis Ulcers

Lezi zimpawu zivame ukuvela ngaphambi kokuba kuvele izilonda emithanjeni:

• Inyama emilenzeni iphenduka ibe bomvu futhi ivuvukele.
• Isikhumba siyaqina, siqine, futhi siphenduke umbala omnyama (ngokuvamile obomvu, onsomi, noma onsundu).
• Kungase kube nokungezwani nokuvuvukala endaweni ethintekile (lokhu sikubiza ngokuthi 'i-stasis dermatitis' ).
• Imithambo ye-Varicose iyisibonakaliso esivamile sokuthuthukiswa kwezinkinga zemithambo.

Izilonda ze-stasis ngokuvamile ziba nezici ezilandelayo:

• Ukulimala kuvame ukwenzeka eduze kweqakala.
• Amanxeba awajulile futhi angase ambozwe ngesembozo esibomvu kuya kophuzi.
• Isimo sezilonda asijwayelekile, sinemiphetho engalingani.
• Isikhumba esizungeze inxeba singase sikhanye futhi singase sibonakale sinwebekile.
• Leyo ndawo ingase izwakale ifudumele kunezinye izindawo.
• Izilonda zibuhlungu futhi zingase zikhiphe uketshezi, njengegazi noma amanzi. Uma zithelelekile, zingase zibe nephunga elibi kanye nobomvu.

Izimpawu Zezilonda Zemithambo

Lezi zimpawu zingase zivele ngaphambi kokuba kuvele izilonda zemithambo yegazi:

• Isikhumba esizungeze inxeba siyacwebezela futhi somile. Singase sibonakale siqinile futhi siqhekekile.
• Ukulahlekelwa izinwele kwenzeka engalweni/emlenzeni othintekile noma eduze kwesilonda ngenxa yokujikeleza kwegazi okungekuhle.
• Ukugeleza kwegazi kungavinjelwa uma ulala phansi noma uphakamisa imilenze yakho. Lokhu kungenza imilenze yakho izwakale iphaphathekile futhi ibanda. Imilenze yakho ingase ibe buhlungu uma uphakamisa imilenze yakho noma ulala phansi. (Lobu buhlungu bungancishiswa ngokuvumela imilenze yakho ilenga. Imilenze yakho ingase ibe bomvu njengoba ukugeleza kwegazi kubuyela esimweni esijwayelekile.)

Izilonda zemithambo yegazi zivame ukuba nezimpawu ezilandelayo:

• Izilonda ziqala ukwakheka ezingxenyeni zomzimba ezikude kakhulu nenhliziyo, ikakhulukazi ezinzwaneni naphakathi kwezinzwane.
• Izilonda zibonakala zimnyama ngombala (ikakhulukazi obomvu, ophuzi, ompunga, omnyama).
• Amanxeba ajulile, ngezinye izikhathi aze aveze imisipha noma imisipha.
• Izinhlangothi ezizungeze inxeba zibukeka sengathi ziphushelwe ngaphandle.
• Amanxeba angase angophi, futhi angase angabi khona ubuhlungu.

Ubani othinteka kakhulu yilesi simo?

Izilonda zemithambo yegazi zivame kakhulu kubantu abadala noma labo abanezinkinga ezithile zempilo, ikakhulukazi labo abanezinkinga zenhliziyo kanye nokujikeleza kwegazi. Izimo ezihlobene nalokhu zifaka:

• Isifo Sikashukela (i-Diabetes Mellitus)
• Ukukhuluphala ngokweqile
• Izifo Zemithambo Yegazi Engaphazamisi - okungukuthi, Isifo Semithambo Yegazi Engaphazamisi (i-PAD) noma Isifo Semithambo Yegazi Engaphazamisi (i-PVD)
• Isifo senhliziyo
• Umfutho wegazi ophezulu (i-Hypertension)
• Ukubhema nokusebenzisa imikhiqizo kagwayi

Ngisho noma kungekho sifo, izilonda zemithambo yegazi zingavela uma ukugeleza kwegazi kuvimbekile ngezinye izizathu. Isibonelo:

• Ukulimala: Ukuphuka, ukusha, kanye nokulimala kwemisipha kungalimaza imithambo yegazi eseduze futhi kubangele izinkinga ngokujikeleza kwegazi.
• Ukuma isikhathi eside: Abantu abama isikhathi eside benganyakazi (njengabakhi bemali, abasebenzi bebhikawozi, abasebenzi basehhotela) bangaba negazi elihlangana emithanjeni yemilenze yabo. Uma ama-valve emithanjeni engasebenzi kahle, igazi aligelezi kahle libuyele enhliziyweni. Lokhu kubeka ingcindezi enkulu emithanjeni futhi kubangele ukuthi ikhule, okubangela 'i-Varicose Veins'. Uketshezi bese luphuma emithanjeni luye ezicutshini ezizungezile, okubangela ukuba zivuvuke. Lolu ketshezi, kanye negazi namaprotheni, lungabangela amabala ansundu emilenzeni, ikakhulukazi ngaphakathi kwendawo yesinqe. Lokhu kungaba lukhwehlela, futhi isikhumba singase some futhi siqhekeke. Amabhaktheriya angangena kulezi ziqhekeko futhi abangele ukutheleleka kwesikhumba okubizwa ngokuthi 'i-Cellulitis' noma isilonda esihlobene nemithambo.
• Umlando womndeni: Uma othile emndenini wakho eye waba nalezi zinhlobo zokulimala, ungase ube sengozini yokuthola naye.

Kungani kwenzeka lezi zinhlobo zokulimala? Ziyini izimbangela?

Izilonda zemithambo yegazi ngokuvamile zingahlukaniswa ngokwezimbangela zazo eziyisisekelo. Kodwa-ke, isilonda esisodwa singaba nezimbangela eziningi. Isibonelo esihle salokhu ukukhula kwezilonda zemithambo yegazi ngenxa yesifo sikashukela.

• Izilonda Eziqinile: Lezi zibangelwa izinkinga ngemithambo yegazi. Iningi lezilonda ezibangelwa yimithambo yegazi ziwela kulesi sigaba. Zivame kakhulu emilenzeni nasezinyaweni njengoba ukhula. Lokhu kwenzeka lapho ama-valve emithambo yegazi emilenzeni ehluleka ukwenza umsebenzi wawo kahle. Lokhu kusho ukuthi igazi okufanele likhuphukele enhliziyweni alinakuvinjelwa ukuthi ligeleze phansi ngenxa yamandla adonsela phansi. Ngenxa yalokho, igazi eliningi liyaqongelela emilenzeni nasezinyaweni, okubeka ingcindezi eyengeziwe emithanjeni yegazi. Lokhu kucindezela kungabangela ukuthi imithambo yegazi ivuza uketshezi futhi iqhume. Ngokuhamba kwesikhathi, lokhu kungaholela ezilondeni.
• Izilonda Zemithambo: Lezi zibizwa nangokuthi 'Ischemic Ulcers' . Zibangelwa ukuntuleka kwegazi endaweni ethintekile. Lokhu sikubiza ngokuthi 'Ischemia'.Kubizwa nangokuthi. Ngenxa yokuntuleka kokujikeleza kwegazi, ingxenye yomzimba ethintekile (ngokuvamile ingalo noma umlenze) iqala ukufa kancane kancane.

Ukubona kanjani lokhu? Odokotela bakuxilonga kanjani?

Udokotela angasheshe abone isilonda esisemithambo yegazi ngokusihlola. Uzosibhekisisa inxeba, mhlawumbe ashaye indawo elizungezile, futhi ahlole noma yiziphi izimpawu ezikhethekile.

Kodwa-ke, udokotela udinga nokuthola ukuthi yini ebangele ukulimala. Ulwazi olutholwe ngesikhathi sokuhlolwa kokulimala luzosiza kulokhu. Kodwa-ke, ezinye izivivinyo zizophinde zilandelwe ukuze kuqondwe imbangela eqondile. Lokhu kungenxa yokuthi kungaba nezimbangela eziningana ezithinta ukulimala kwemithambo yegazi, futhi lezi zimbangela zingahlobene.

Yiziphi izivivinyo ezenziwayo?

Udokotela wakho noma uchwepheshe angenza lezi zivivinyo:

• Ukulinganisa umfutho wegazi: Udokotela uzolinganisa umfutho wegazi engalweni yakho. Uzolinganisa nomfutho wegazi emilenzeni yakho ukuze abone ukuthi ukhona yini umehluko phakathi kwalokhu okubili. Lokhu kuhlola kubizwa ngokuthi ukuhlolwa kwe-Ankle-Brachial Index (ABI) .
• Ukulalela inhliziyo yakho nokuhlola ukushaya kwenhliziyo yakho: Ngokulalela inhliziyo yakho nokuphefumula, udokotela wakho angabheka ubufakazi besifo senhliziyo esingaphansi esingaba nomthelela ezilonda zemithambo yegazi. Angazizwa futhi ukushaya kwenhliziyo (ukushaya kwenhliziyo okungaphandle) emilenzeni nasezinyaweni zakho ezingezansi. Amandla alezi zinkinga zokushaya kwenhliziyo - noma uma kungekho ukushaya kwenhliziyo okuzwakalayo - angasiza udokotela wakho ukuthi athole ukuxilongwa okucacile.
• Ukuhlolwa kwegazi: Ukuhlolwa kwegazi kungasiza udokotela wakho ukuthi athole isifo futhi anqume ukuthi angakwelapha kanjani ukulimala kwakho. Ukuhlolwa okukodwa okuqondile ukuhlolwa kwe-hemoglobin ye-A1C . Lokhu kungasiza ekunqumeni ukuthi unesifo sikashukela yini, futhi uma kunjalo, ukuthi sibi kangakanani.
• Ukuthwebula Izithombe: Udokotela wakho angase acele ukuhlolwa kwezithombe ukuze angabheki nje kuphela ukulimala kodwa futhi nokugeleza kwegazi okuzungezile. Angase acele ukuhlolwa kwezithombe kwemithambo emikhulu kanye nemithambo kwenye indawo emzimbeni, njengoba lokhu kungabonisa nezinkinga ezihlobene nokulimala kwemithambo yegazi. Lokhu kuhlolwa kungafaka phakathi ama-X-ray, ama-MRI, ama-CT scan , kanye nama-ultrasound .

Ingabe la manxeba angaphola? Yiziphi izindlela zokwelapha?

Ezimweni eziningi, isilonda esisemithambo yegazini singaphulukiswa. Kodwa-ke, amathuba okuthi isilonda siphole ancike ekutheni sibi kangakanani. Ngakho-ke, ukwelapha izilonda ezisemamithambo yegazini ngokushesha kubaluleke kakhulu ukuze kube nomphumela omuhle.

Kubalulekile futhi ukubhekana nenkinga eyisisekelo ebangele ukulimala. Udokotela wakho uzokwelapha ukulimala futhi ancome ukwelashwa kwanoma yiziphi izinkinga zempilo eziyisisekelo ongase ube nazo. Ezinye zezincomo zakhe zizohilela ukwenza izinguquko endleleni yakho yokuphila. Lezi zinguquko zingasiza ekunciphiseni ingozi yakho yokuthola okunye ukulimala futhi zithuthukise ikhwalithi yakho yokuphila iyonke.

Izindlela zokwelapha

Kusetshenziswa izindlela zokwelapha ezahlukene kuye ngokuthi izilonda zemithambo yegazi zimbi kangakanani nokuthi yini ezibangele zona.

Imithi

• Ama-antibiotic: Lawa angelapha izifo futhi, kwezinye izimo (njengangemva kokuhlinzwa), nawo anikezwa ukuvimbela ukutheleleka.
• Amajeli namafutha okugcoba: Lokhu kusiza ukususa izicubu ezifile noma ezinegciwane, kuthuthukise ukugeleza kwegazi endaweni ethintekile, kuvimbele ukutheleleka, futhi kusize inxeba ukuba liphilise ngokushesha.
• Imithi yokwelapha inkinga eyisisekelo: Izinto ezifana nokulawula umfutho wegazi lakho kanye ne-cholesterol, ukuyeka ukubhema, nokulawula amazinga kashukela egazini lakho kungasiza amanxeba ukuba aphole.
• Imithi yokubulala izinhlungu noma yokubulala izinhlungu: Izilonda zemithambo yegazi kanye neminye yemithi yazo ingaba buhlungu. Kuvamile ukusebenzisa imithi yokubulala izinhlungu noma yokubulala izinhlungu ngesikhathi sokwelashwa.

Amabhandeji nama-dressing

Amabhandeshi nezinhlobo ezahlukene zezinto ezigqokwayo zivame ukusetshenziswa ukwelapha izilonda zemithambo yegazi. Lokhu kufanele kusetshenziswe kuphela njengoba kuqondiswe udokotela wakho. Uma kusetshenziswe kabi, isilonda semithambo yegazi singaba sibi kakhulu kunokuba sibe ngcono.

• Ukubopha inxeba: Ukumboza inxeba ngebhandeji elivikelayo kungasiza ekuvikeleni ekuthelelekeni. Amanye amabhandeji angase abe nemithi, engasiza inxeba ukuba liphilise ngokushesha.
• Izingubo zokucindezela: Lezi zifaka amasokisi, amasokisi, nezinye izinto. Zifaka ingcindezi emlenzeni wonke, zisize ekunciphiseni noma ekumiseni ukuvuvukala. Zivame ukusetshenziswa ezilondeni zemithambo yegazi. Zisiza ekuvimbeleni ukunqwabelana kwegazi emilenzeni nasezinyaweni.
• Izicathulo ezikhethekile, amasokisi noma amadivayisi okulungisa amalunga: Izilonda eziningi zemithambo yegazi, ikakhulukazi izilonda zesifo sikashukela, zibangelwa ukungqubuzana okulula kanye nokucindezela. Ngokuvamile, uma uzwa ubuhlungu, ushintsha indlela ohamba ngayo futhi unciphise umonakalo endaweni ethintekile. Kodwa-ke, akunjalo ngezilonda zesifo sikashukela. Ngokuvamile zibangelwa ukulahlekelwa ngokuphelele noma ingxenye yemizwa ezinyaweni.

Izindlela ezithuthukisiwe

Lezi zindlela zokwelapha ezithuthukisiwe zingasetshenziswa ezilonda ezinkulu, noma ezithatha isikhathi eside ukuphola.

• Ukuvuselelwa Kwemithambo Yegazi: Ukuvaleka kwemithambo yegazi ebalulekile kungabangela izilonda zemithambo yegazi. Ukwelashwa kokuvuselelwa kwemithambo yegazi kuzama ukususa lokhu kuvinjelwa, ukuphulukisa izilonda ezikhona, nokuvimbela ukwakheka kwezilonda ezintsha.
• Ukuhlinzwa: Kungase kwenziwe ukuhlinzwa kwamanxeba anegciwane noma amakhulu futhi okunzima ukuwaphola. Udokotela ohlinzayo angenza ukuhlinzwa ukuze asuse izicubu ezifile noma ezinegciwane esilondeni esijulile ( 'Debridement' ), okwenza kube lula ngenxeba ukuphola. Lokhu kungafaka:Kungasetshenziswa izingcezu zesikhumba nezinye izindlela zokulungisa. (Kodwa-ke, ezimweni ze-gangrene enzima kakhulu noma umonakalo omkhulu wemithambo yegazi, ngezinye izikhathi ukunqunywa kwengxenye yonyawo noma umlenze kuyadingeka. Lokhu kwenzelwa ukusindisa izimpilo nokuvimbela izinkinga ezinkulu kakhulu. Ngeshwa, abantu abanesifo sikashukela banamathuba aphindwe ka-30 okuthola i-gangrene ezinyaweni zabo kunabantu abaningi.)
• Ukuhamba ngomyalelo: Umsebenzi womzimba, ikakhulukazi uma wenziwa ngeseluleko sezokwelapha, kusiza ekuthuthukiseni ukujikeleza kwegazi nokuvimbela ukwakheka kwezilonda ezintsha zemithambo yegazi.
• Ukwelashwa nge-oxygen e-hyperbaric: Izinga elijwayelekile le-oxygen elisizungezile lingu-21%. 'Ku-Hyperbaric oxygen therapy', ubekwa ekamelweni elinomthamo we-oxygen ongu-100% kanye nomfutho womoya ophakeme. Ngaphansi kwalezi zimo, amanxeba, ikakhulukazi amanxeba emithambo yegazi, angaphola ngokushesha.
• Ukungcoliswa: Izicubu ezifile nezinegciwane ngaphakathi nangaphandle kwesilonda esijulile zingabambezela ukuphola futhi ziholele ezinkingeni eziyingozi njenge-gangrene. Ukungcoliswa kuhilela ukususa lesi zicubu ezifile noma ezinegciwane, kusale izicubu ezinempilo kuphela.

Ungazilawula kanjani izimpawu futhi unciphise ingozi?

Uma usengozini yokuthola isilonda semithambo yegazi, kunezinto ongazenza ukuze uvikele impilo yakho futhi uvimbele isilonda ukuthi singakhuli. Lokhu kubaluleke kakhulu uma unesifo sikashukela noma esinye isimo esinciphisa ukuzwa ezinyaweni zakho.

• Zihlole: Hlola izinyawo zakho nsuku zonke. Naka ngokukhethekile phakathi kwezinzwane, ezizungeze amaqakala, kanye nasezithendeni zezinyawo.
• Vikela izinyawo zakho: Vikela izinyawo zakho ekulimaleni ngokugqoka izicathulo namasokisi afanele kahle.
• Thola ukunakekelwa okufanele kwezinyawo: Uma unesifo sikashukela, kufanele ubonane nodokotela wezinyawo njalo ukuze ahlole izinyawo zakho ukuze ahlole izimpawu zezilonda. Uzokweluleka ngendlela engcono kakhulu yokunakekela izinyawo zakho.
• Lawula izimo zezokwelapha eziyisisekelo: Ukunakekela izinto ezifana nomfutho wegazi lakho, i-cholesterol, amazinga kashukela egazini, kanye nesisindo kungasiza ekuvimbeleni ukulimala.

Uma usuvele unesilonda esinomphimbo, udokotela wakho uzokuqondisa ukuthi ungasinakekela kanjani. Uzovame ukukweluleka ngalokhu okulandelayo:

• Gcina inxeba lihlanzekile: Sebenzisa amabhandeji bese uwashintsha njengoba kuqondiswe udokotela.
• Phumula njengoba kucebisiwe: Uma unesilonda esisemithambo yegazi, udokotela wakho uzokutshela ukuthi ugcine imilenze yakho iphakeme ukuze uvimbele ukuvuvukala.
• Thatha imithi yakho ngendlela efanele: Thatha imithi yakho ngesikhathi, ikakhulukazi ama-antibiotic, umfutho wegazi, isifo sikashukela, kanye nemithi ye-cholesterol ephezulu.

Yini ongayilindela ngenkathi uphila nalokhu kulimala?

Uma unesilonda semithambo yegazi, noma uke waba naso ngaphambili, usengozini enkulu yokuthola esinye. Ukunakekela impilo yakho kuyindlela engcono kakhulu yokulibazisa ukwakheka kwesilonda esisha. Uma uphatha impilo yakho, cishe uzophila isikhathi eside futhi ungenazo izinkinga zempilo eziningi.

Ngakolunye uhlangothi, uma ungayinakekeli impilo yakho, isilonda semithambo yegazi - kanye nempilo yakho iyonke - cishe sizoba sibi kakhulu. Ezimweni ezimbi kakhulu, uma ungasinaki isilonda kanye nempilo yakho, singaholela ekunqunyweni kwezicubu zomzimba, ngisho nasekufeni.

Kufanele ubonane nini nodokotela?

Bona udokotela womndeni wakho okungenani kanye ngonyaka ukuze uhlolwe ngokuphelele ngokomzimba. Lokhu kubalulekile ukuze kutholakale izinkinga zempilo, okuhlanganisa nalezo ezingaholela ezilondeni zemithambo yegazi, noma ngabe azibonisi zimpawu.

Futhi, khuluma nodokotela wakho uma unezinye zalezi ezilandelayo:

• Uma inxeba emlenzeni noma onyaweni lwakho lithatha isikhathi eside kunokulindelekile ukuphola.
• Uma unezimpawu ezibonisa ukuthi unezinkinga ngokujikeleza kwegazi emilenzeni yakho (ikakhulukazi ukuvuvukala, ubuhlungu, ukushintsha kombala, noma ubuhlungu obushintsha kuye ngokuthi ubamba kanjani umlenze wakho).
• Uma ubuhlungu emilenzeni yakho buba ngcono uma uphumule.

Kufanele uye nini eGumbini Eliphuthumayo?

Uma unesilonda esinemithambo yegazi, sitheleleka futhi uba nalezi zimpawu, kufanele uye ekamelweni eliphuthumayo:

• Uma isikhumba esizungeze indawo ethintekile siphenduka sibe nsundu noma sibe mnyama, ikakhulukazi eminweni.
• Uma unomkhuhlane noma ubanda futhi uqhaqhazela.
• Uma kukhona iphunga elibi elivela enxebeni lemithambo yegazi.
• Uma inxeba elisemithambo yegazi liphuma uketshezi noma igazi eliningi kunokujwayelekile, ikakhulukazi uma uketshezi oluphumayo lunamafu noma luphuzi.
• Uma inxeba nendawo elizungezile livuvukele, libomvu, futhi lizizwa lifudumele uma ulithinta.

Ngamafuphi, umyalezo okufanele uwuthathe uye nawo ekhaya:

Izilonda zemithambo yegazi zivame ukuba uphawu lwesifo esingamahlalakhona esingaphansi. Nakuba lezi zimo zimbi kakhulu, zingalawulwa futhi ungajabulela impilo yakho. Ungesabi noma wesabe.

Udokotela wakho angakuqondisa, akunike izinsiza ezidingekayo, futhi akunikeze olunye usekelo. Konke lokhu kuzokusiza ukuvimbela izifo ezingamahlalakhona ukuthi zingaphazamisi impilo yakho futhi uphile impilo oyifunayo. Kubalulekile ukufuna iseluleko sezokwelapha kusenesikhathi. Nakekela izinyawo zakho, nakekela impilo yakho.

Amanxeba emithambo yegazi, izinkinga zokujikeleza kwegazi, amanxeba ezinyawo, amanxeba emithambo yegazi, amanxeba emithambo yegazi, amanxeba anesifo sikashukela, amanxeba angapholi