Kuthiwani uma umthambo wegazi ebuchosheni bakho uvaleka? Masiqaphele 'i-Thrombotic Stroke'!

Wake wezwa ngesifo sohlangothi esenzeka lapho ukugeleza kwegazi kuya ebuchosheni kuvinjiwe? Ngezinye izikhathi ulahlekelwa ikhono lakho lokukhuluma ngokuzumayo, noma uzizwa sengathi ulahlekelwa ukulawula uhlangothi olulodwa lomzimba wakho. Lokhu yilokho esikubiza ngokuthi 'isifo sohlangothi esihambisana ne-thrombotic.' Lesi yisimo esiphuthumayo esisongela impilo, ngakho-ke kubalulekile kuwe nakubathandekayo bakho ukwazi ukuthi yini okufanele uyilindele.

Kuyini 'i-Thrombotic Stroke'? Ake sithole kalula!

Kalula nje, i-thrombotic stroke yi -stroke eyenzeka lapho kwakheka i-blood clot (i-thrombus) ngaphakathi komthambo wegazi ebuchosheni bakho bese uyivimba. Cabanga ngayo njengengcezu kadoti ebhajwa epayipini lamanzi bese ivimba amanzi ukuthi angagelezi. Lokhu kugoba kwegazi kuvimbela izingxenye zobuchopho ekutholeni igazi ezilidingayo, okusho ukuthi i-oxygen nezakhamzimba. Amangqamuzana obuchopho awakwazi ukuphila ngaphandle kwe-oxygen isikhathi eside, futhi uma lokho kwenzeka, lawo maseli aqala ukufa.

Noma yiluphi uhlobo lokushaya kwenhliziyo olubangelwa ukuvaleka komthambo wegazi onjengalona lubizwa ngokuthi 'i-ischemic stroke'. 'I-Thrombotic stroke' uhlobo olukhethekile 'lwe-ischemic stroke'.

Lesi yisimo esiphuthumayo sezokwelapha esingasongela impilo. Ngakho-ke uma wena noma othile omaziyo ebhekene nalezi zimpawu, shayela u-911 ngokushesha bese ushayela i-ambulensi, noma umyise esibhedlela esiseduze ngokushesha okukhulu. Khumbula, umzuzwana ngamunye ubalulekile. Uma uthola ukwelashwa ngokushesha, kulapho amathuba okuba unciphise ukulimala kobuchopho futhi usindise impilo.

Ziyini izimpawu 'zokushaya kwenhliziyo okubangelwa yi-thrombosis'?

Izimpawu zesifo sohlangothi esihambisana nemithambo yegazi zifana kakhulu nezezinye izinhlobo zesifo sohlangothi esihambisana nemithambo yegazi. Esinye noma ngaphezulu salezi zingase zenzeke ngokuzumayo, ngaphandle kwesixwayiso :

• Ukubona kabili (i-diplopia) yilapho umbono weso elilodwa ufiphala ngokuzumayo.
• Ikhanda elibuhlungu elingazelelwe, elingabekezeleleki.
• Ukulahlekelwa ukulawula imisipha ohlangothini olulodwa lobuso, njengomlomo odonswa ohlangothini olulodwa, noma ukungakwazi ukuvala iso elilodwa kahle.
• Ukuqala okusha kokucasuka nokuhlanza.
• Ukuquleka / Ukuquleka.
• Ukungakhulumi kahle kwamagama ngenkathi ukhuluma, njengokungathi uyangingiza, kanye nokungakhulumi kahle kwamagama (i-Dysarthria).
• Ukulahlekelwa imizwa ngokuzumayo kwenye yezinzwa zakho noma ngaphezulu. Lokhu kusho ukuthi izinto ezifana nokubona, ukuzwa, ukuhogela, ukunambitha, kanye nokuthinta ziyalahleka ngokuzumayo.
• Ubunzima bokukhuluma, noma ukungakwazi ukuthola amagama okufanele uwasho, noma ngisho nokulahlekelwa yinkulumo ngokuphelele (i-aphasia).
• Ubunzima bokuhamba, uzizwa sengathi umzimba ulahlekelwe yibhalansi yawo, sengathi awunyatheli kahle phansi (ukuhamba okungazinzile).
• Ukungaphenduli lutho. Kungase kungabikho mpendulo ekukhulumeni noma ekuthinteni.
• Ukukhubazeka noma ubuthakathaka bohlangothi olulodwa lobuso nomzimba (ohlangothini lwesokudla noma lwesobunxele).

Ngenxa yokuthi lezi zimpawu zenzeka ngokuzumayo, kubaluleke kakhulu ukukunaka lokhu.

Izimpawu eziyisixwayiso zesifo sohlangothi: Khumbula 'UKUSHESHA'!

Ukuze ubone ukuthi wena noma othandekayo wakho unesifo sohlangothi, khumbula lezi zinhlamvu zesiNgisi ezisho ukuthi 'BE FAST'. Ake sibone ukuthi zisho ukuthini:

• B - Ibhalansi: Hlola ukulahlekelwa yibhalansi ngokuzumayo noma ukungazinzile lapho uhamba.
• E - Amehlo: Bheka ukulahlekelwa umbono ngokuzumayo, ukubona okufiphele, noma ukubona okubili kwelinye noma kuwo womabili amehlo.
• F - Ubuso: Cela umbukeli ukuthi amamatheke. Bheka ukuthi uhlangothi olulodwa lobuso lubonakala lugobile noma lugobile.
• A - Izingalo: Bacele ukuthi baphakamise zombili izingalo ziqonde phambi kwabo. Bheka ukuthi ingalo eyodwa iyawa noma ibonakala ibuthakathaka, ayikwazi ukuphakama phezulu njengenye.
• S - Inkulumo: Bheka ukuthi amagama akho ayaphambana yini, ukuthi unenkinga yokukhetha amagama afanele, noma awukwazi ukukhuluma nhlobo. Bheka ukuthi ungasho umusho olula kahle yini uma ubuzwa.
• T - Isikhathi: Isikhathi sibaluleke kakhulu! Zama ukukhumbula kahle ukuthi lezi zimpawu zaqala nini. Uma kungenzeka, bheka iwashi noma ifoni bese ubhala phansi isikhathi. Lokhu kuzosiza odokotela ukuthi bakhethe ukwelashwa. Uma unezinye zalezi zimpawu, shayela u-1990 ngokushesha ngaphandle kokulibala!

Ziyini izimbangela 'zokushaya kwenhliziyo okubangelwa yi-thrombosis'?

Manje sesiyazi ukuthi 'i-thrombotic stroke' ibangelwa ukuvaleka kwemithambo yegazi ngaphakathi kobuchopho bakho. Igama elithi 'Thrombus' igama lezokwelapha elisho i-blood clot. Igama elithi 'Thrombosis' inqubo lapho kwakheka khona i-blood clot. Ngakho-ke, 'i-thrombotic stroke' 'i-thrombus', okusho i-stroke ebangelwa i-blood clot.

Kunezimo eziningana zempilo ezingaba nomthelela ekwakhekeni kwamahlule egazi ngale ndlela:

• I-atherosclerosis (ukuqina/ukuvaleka kwezindonga zemithambo yegazi): Lokhu kwenzeka lapho i-cholesterol namafutha kwakheka ngaphakathi kwemithambo yegazi yethu, okwenza izindonga zemithambo yegazi ziqine kancane kancane, zinciphise indlela yegazi. Kufana nokugqwala okwakheka ngaphakathi kwepayipi lamanzi elidala. Lezi zindawo ezincishisiwe cishe zizokwenza amahlule egazi.
• I-Atrial Fibrillation: Lesi yisimo lapho inhliziyo ishaya khona ngokungajwayelekile. Ngenxa yokuthi inhliziyo ayishayi kahle, amahlule egazi angakheka ngaphakathi kwenhliziyo, angaya ebuchosheni futhi avimbe imithambo yegazi.
• Izinkinga zokugoba:Abanye abantu bangase babe nomkhuba wokuba negazi labo lijiye kalula, kungaba kusukela ekuzalweni noma ngenxa yezifo ezikhula kamuva.
• I-Covid-19: Ukutheleleka kwe-Covid-19 kutholakale ukuthi kwandisa ingozi yokuqhekeka kwegazi kwezinye izimo.
• Umfutho wegazi ophezulu (Umfutho wegazi ophakeme): Umfutho wegazi ophezulu wonakalisa imithambo yegazi futhi wandisa ingozi yokwakheka kwamahlule egazi kuyo.
• I-cholesterol ephezulu / i-Hyperlipidemia: Njengoba amazinga e-cholesterol ekhuphuka, ingozi yokuthola i-atherosclerosis iyanda.
• Ukutheleleka: Amahlule egazi angakheka futhi ngenxa yezinto ezifana nokutheleleka okuthile kwamagciwane noma isikhunta, i-sepsis, kanye nokutheleleka kwe-valve yenhliziyo.

Ake sifunde futhi 'ngokuhlasela kwe-Ischemic okufushane' (TIA).

'Ukuhlasela kwe-ischemic okudlulayo' kubizwa nangokuthi 'i-mini-stroke' ngabanye. Kufana ne-stroke, kodwa izimpawu zingezesikhashana. Lezi zimpawu zivame ukuphela ngaphansi kwamahora angama-24, ngokuvamile zingakapheli imizuzu embalwa. Izimpawu ze-TIA zifana neze-stroke.

I-TIA akuyona nje into encane. Kuyisixwayiso esingathi sína! Umuntu oke waba ne-TIA usengozini enkulu kakhulu yokuba nesifo sohlangothi sangempela maduze. Ngakho-ke, uma izimpawu ze-TIA zivela, noma ngabe ziyanyamalala, kubalulekile ukufuna iseluleko sezokwelapha ngokushesha.

Ubani osengozini enkulu 'yokushaywa yi-thrombotic stroke'?

Nakuba noma ubani angaba nesifo sohlangothi esibangela i-thrombosis, abanye abantu basengozini enkulu:

• Abantu abangaphezu kweminyaka engama-65. Ingozi iyanda njengoba iminyaka ikhula ngenxa yokushintsha kwemithambo yegazi.
• Amanye amaqembu ezinhlanga emhlabeni wonke nawo atholakale esengozini enkulu. (Isihloko sokuqala sikhuluma ngabantu "abamnyama"; kungcono ukukuchaza lokhu kubantu baseSri Lanka ngaphandle kokuthi kucashunwe idatha ethile yendawo.)
• Kulabo ababhemayo noma abasebenzisa eminye imikhiqizo esekwe kugwayi/nicotine (njengokubhema i-vaping). Ukubhema kuyingozi kakhulu emithanjeni yegazi.
• Kulabo abasebenzisa izidakamizwa ezingekho emthethweni.

Futhi, abantu abanezimo ezithile zempilo basengozini enkulu:

• Kulabo abaphuza ngokweqile (isifo sokusebenzisa utshwala).
• Kulabo abanomfutho wegazi ophezulu (i-Hypertension).
• Kubantu abanesifo sikashukela. Isifo sikashukela singalimaza nemithambo yegazi.

Odokotela bakuthola kanjani ukuthi 'unesifo sohlangothi esihambisana ne-thrombosis'?

Uma usola ukuthi unesifo sohlangothi, odokotela bazokwenza ukuhlolwa kwezinzwa kuqala. Lokhu kusho ukuthi bazohlola inkumbulo yakho, inkulumo, amandla, kanye nokulinganisela. Bazokwenza nokuhlolwa ngokomzimba kanye nezinye izivivinyo ezimbalwa. Uma ulethwa egumbini lezimo eziphuthumayo, odokotela lapho bazoqala lezi zivivinyo ngokushesha.

Ukuhlolwa okufana nalokhu kungasetshenziswa ukuqinisekisa isifo sohlangothi:

• Ukuhlolwa kwegazi: Hlola izinto ezifana nezinkinga zokujiya kwegazi, amazinga kashukela, kanye namazinga e-cholesterol.
• I-Carotid ultrasound: Lokhu kusiza ukubona ukuthi kukhona yini ukuvinjelwa emithanjeni yegazi eyinhloko entanyeni (imithambo ye-carotid).
• I-CT scan kanye/noma i-CT angiogram: Lokhu kuthatha izithombe zobuchopho futhi kunganquma ngokushesha ukuthi kukhona ukopha, ihlule legazi, noma ukulimala kobuchopho. I-CT angiogram ingasibona kahle isimo semithambo yegazi.
• I-Echocardiogram: Lokhu kuhlolwa kwenziwa ukuhlola ukusebenza kwenhliziyo nokuthi ngabe kukhona yini amahlule egazi enhliziyweni.
• I-MRI kanye/noma i-MRI angiogram: Lokhu kungathatha nezithombe ezinemininingwane zobuchopho nemithambo yegazi. Kungabonisa ukulimala kobuchopho ngokucacile kune-CT scan.

Yiziphi izindlela zokwelapha 'i-thrombotic stroke'?

Into ebaluleke kakhulu lapho welapha isifo sohlangothi esihambisana ne-thrombotic ukubuyisela ukugeleza kwegazi ebuchosheni ngokushesha okukhulu. Odokotela bazama ukwenza lokhu ukuze banciphise ingozi yokulimala kobuchopho unomphela, ukukhubazeka okusha, nokufa.

Kunezindlela ezimbili eziyinhloko zokwelapha ezisetshenziswayo:

1. Ukuhlinzwa kwe-thrombectomy ngomshini: Lokhu kuhilela ukususa ihlule legazi kusetshenziswa ithubhu elincane, elincane (i-catheter). Udokotela ufaka ithubhu emthanjeni osesihlakaleni sakho noma esinqeni bese elifaka eqhubu legazi ebuchosheni bakho. Udokotela ube esesusa ihlule ngokushesha noma aliphule libe yizicucu bese esusa izicucu. Lokhu kwelashwa kungenziwa zingakapheli amahora angama-24 kusukela ekuqaleni kwezimpawu.

2. Ukwelashwa nge-Thrombolytic: Lena imithi encibilikisa amahlule egazi. Kodwa-ke, le mithi inganikezwa kuphela zingakapheli amahora amane nesigamu (4.5) kusukela ekuqaleni kwezimpawu. Yingakho bethi isikhathi sibaluleke kakhulu.

Ngaphezu kwalezi zindlela zokwelapha eziyinhloko, ungadinga ezinye izindlela zokwelapha:

• Ukuphathwa koshukela egazini: Ukugcina amazinga kashukela egazini lakho elawulwa kusiza ubuchopho bakho ukuthi buphulukise.
• Izinto zokunciphisa igazi:Ezimweni eziningi, kuzodingeka uthathe imithi yokulwa nama-platelet, njenge-aspirin. Uma une-atrial fibrillation noma isifo sokujiya kwegazi, ungase unikezwe imithi enamandla yokulwa nama-coagulant. Le mithi inciphisa ingozi yokwakheka kwama-blood clots futhi.
• Ukususwa kwe-Endarter: Lokhu kuyindlela yokuhlinzwa yokususa i-plaque, uhlobo lwezinto ezinamafutha, emithanjeni yegazi emincane noma evalekile. Lokhu kunganciphisa ingozi yokwakheka kwelinye ihlule legazi.
• Ukushisa komzimba okungekuhle okungekuhle: Kwezinye izimo, odokotela behlisa izinga lokushisa lomzimba wakho kancane ngokuphepha. Lokhu kunganciphisa ukulimala kobuchopho ngesikhathi nangemva kokuhlaselwa yisifo sohlangothi.
• Ukwelashwa nge-oxygen: Ngemva kokuhlaselwa yisifo sohlangothi, ubuchopho abutholi umoya-mpilo owanele. Ngakho odokotela bangase bakunike umoya-mpilo owengeziwe ngepayipi elifakwe ekhaleni lakho. Lokhu kwenza kube lula ukuphefumula futhi kusiza umzimba wakho ukuthi uthole umoya-mpilo owengeziwe ebuchosheni bakho.
• Ukubopha: I-stent iyipayipi elincane kakhulu elifana ne-mesh elifakwa ngaphakathi komthambo wegazi futhi lisiza ukuwugcina uvulekile, okuvumela igazi ukuthi ligeleze kalula.

Kubaluleke kangakanani ukuvuselelwa ngemva kokuhlaselwa yisifo sohlangothi esibangelwa yi-thrombosis?

Ukuvuselelwa kubaluleke kakhulu ngemva kokuhlaselwa yisifo sohlangothi. Ukuhlaselwa yisifo sohlangothi kubangela izinguquko ebuchosheni nasemzimbeni wakho. Ukwelashwa kokuvuselelwa kungakusiza ukuthi uvumelane nalezo zinguquko, uphinde uthole amakhono akho angaphambilini, noma ufunde ukuphila nokukhubazeka okusha. Ungadinga okukodwa noma inhlanganisela yalezi zindlela zokwelapha ezilandelayo:

• Ukuvuselelwa kwengqondo: Lokhu kusiza ukuthuthukisa amakhono engqondo njengenkumbulo yakho, isikhathi sokunaka, kanye namakhono okuxazulula izinkinga.
• Ukwelashwa Komsebenzi: Lokhu kwelashwa kukusiza ukuthi wenze imisebenzi yakho yansuku zonke ngokuphephile, ikakhulukazi imisebenzi edinga ukunyakaza okuhle (isib. ukudla, ukugqoka, ukubhala).
• Ukwelashwa ngokomzimba: Lokhu kusiza ukuqinisa imisipha yomzimba, ukuthuthukisa ibhalansi, nokubuyisela ukusetshenziswa kwezingalo nemilenze.
• Ukwelashwa kokukhuluma: Lokhu kwelashwa kukusiza ukuthi uphinde uthole amakhono akho olimi nokukhuluma, kanye nokulawula imisipha ekusiza ukuthi ukhulume, uphefumule, udle, futhi ugwinye.

Inqubo yokuvuselela ingaba nzima kancane, kodwa imiphumela iyakufanelekela.

Angakanani amathuba okusinda 'ku-thrombotic stroke'?

Ngenhlanhla, njengoba kuthuthukiswa izindlela ezintsha nezisheshayo zokwelapha isifo sohlangothi, inani labantu abasinda isifo sohlangothi liyakhula. Kodwa kunzima ukusho ukuthi yisiphi isikhathi esifanele sokululama noma umbono wawo wonke umuntu.

Ukushaywa yi-Thrombotic (nezinye izinhlobo zokushaywa yi-ischemic) ngokuvamile kunamathuba amaningi okusinda kunokushaywa yi-hemorrhagic, okubangelwa ukuqhuma komthambo wegazi ebuchosheni. Kodwa lokho akusho ukuthi kungenzeka kakhulu ukuthi usinde kunabanye. Umzimba womuntu wonke usabela ngendlela ehlukile ekushayweni yi-stroke, ngakho kunzima kodokotela ukunikeza isibikezelo esinembile esisebenza kuwo wonke umuntu.

Iyini iphrojekthi?

Uhlobo lwesimo ongalulindela luncike ezintweni eziningana:

• Indlela othole ngayo ukwelashwa ngokushesha.
• Yiziphi izingxenye zobuchopho ezonakele?
• Injani impilo yakho iyonke?

Ngokuvamile kuthatha izinyanga eziningana ukululama ngokuphelele. Kwabanye, kungathatha isikhathi eside. Udokotela wakho uzokutshela ukuthi yini ongayilindela. Ungakhathazeki, bazokusiza ukuthi ubeke futhi ufeze imigomo yokululama efanele wena.

Ingabe isifo sohlangothi esibangela i-thrombosis singavinjelwa?

Yebo, ungakwazi! Ukugcina impilo enhle iyonke kuyindlela engcono kakhulu yokuvimbela ukushaywa yi-thrombotic kanye namahlule egazi abangela lokhu. Zama lezi zinto:

• Yidla ukudla okunempilo. Yidla izithelo, imifino, okusanhlamvu okuphelele, kanye ne-fiber eningi. Yehlisa uwoyela, usawoti, noshukela. Gcina isisindo esinempilo esikufanele.
• Zivocavoce njalo. Yenza uhlobo oluthile lokuzivocavoca olukwenza ujuluke, okungenani imizuzu engama-30 ngosuku, izinsuku ezi-5 ngesonto.
• Gcina amazinga akho e-cholesterol, umfutho wegazi, kanye nezinye izimo zempilo (njengesifo sikashukela) zilawulwa. Thatha imithi yakho njengoba kuyalelwe udokotela wakho.
• Uma ubhema, yeka ngokuphelele. Uma udinga usizo lokuyeka, funa usizo kudokotela noma ezinhlelweni ezikusiza ukuthi uyeke.

Bona udokotela okungenani kanye ngonyaka (noma njengoba udokotela wakho encoma) ukuze uhlolwe impilo yakho ngokuphelele. Izinkinga eziningi zempilo ezibangela 'ukushaywa yi-thrombotic stroke' zikhula kancane kancane. Ungase ungaziboni izimpawu zazo. Ngakho-ke, ukuhlolwa kwezokwelapha kungabona izimpawu ezinjalo eziyisixwayiso kusenesikhathi futhi kuzilawule.

Ngingazinakekela kanjani ngemva 'kokuhlaselwa yi-thrombosis'?

Ukululama nokulungisa ngemva kokuhlaselwa yisifo sohlangothi akulula, kuwumzamo omkhulu. Landela uhlelo lokwelashwa wena nodokotela wakho eniluthuthukisa ndawonye eduze ngangokunokwenzeka. Ngokuvamile, nakekela lezi zinto:

• Qiniseka ukuthi uyaya emtholampilo wakho wokwelapha kanye nakwezinye izikhathi zokwelashwa. Uma kukhona okukwenza uzizwe ungakhululekile noma ungaphephile, tshela umelaphi wakho. Ukwelashwa kabusha kunzima, kodwa akudingeki ube nobuhlungu ngaso sonke isikhathi.
• Ungakhohlwa nempilo yakho yengqondo.Ukucindezeleka nokukhathazeka kuvame kakhulu ngemva kokuhlaselwa yisifo sohlangothi. Impilo yakho yengqondo ibaluleke njengempilo yakho yomzimba. Ungacabangi ukuthi ukuzizwa udangele noma ukhathazekile kukwenza ube buthakathaka. Uma uzizwa sengathi udinga usizo ekululameni kwakho, khuluma nodokotela noma umeluleki wezempilo yengqondo .
• Phuza imithi yakho njengoba nje uyalelwe, ngezikhathi ezifanele, nangemithamo efanele. Ikakhulukazi uma uthatha imithi yokunciphisa igazi, qiniseka ukuthi uyisebenzisa ngendlela efanele. Ukuthatha imithi yakho ngendlela efanele kubalulekile ukunciphisa ingozi yokuba namahlule egazi esikhathini esizayo.

Kunini lapho kudingeka ngiye khona eMnyangweni Wezimo Eziphuthumayo (i-ETU) futhi?

Uma ucabanga ukuthi unesinye isifo sohlangothi (njengezimpawu ze-BE FAST esikhulume ngazo ekuqaleni), shayela u-1990 ngaphandle kokulibala, noma uye esibhedlela ngokushesha. Uma unesifo sohlangothi sesibili, ingozi yezinkinga ezinkulu kanye nokulahlekelwa yimpilo iphakeme kakhulu.

Umuntu oke waba nesifo sohlangothi esihambisana ne-thrombosis usengozini yokuthola ezinye izinkinga ezinkulu, njenge:

• Amahlule egazi emithanjeni ejulile yemilenze (i-Deep vein thrombosis - DVT)
• Isifo senhliziyo
• I-embolism yamaphaphu
• Inyumoniya
• Izimo zesifo sokuwa/ ukuquleka

Uma uzwa izimpawu zalolu hlobo lwenkinga, shayela izinsizakalo eziphuthumayo noma uye esibhedlela ngokushesha.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

• Yiziphi izinguquko okudingeka ngizenze empilweni yami yansuku zonke?
• Kungani ngibe nalesi sifo sohlangothi?
• Igazi laqhekeka lakhiwa kuphi ebuchosheni bami?
• Yimiphi imithi okufanele ngiyithathe futhi kufanele ngiyithathe kanjani?
• Iyini ingozi yami yokuba nesifo sohlangothi futhi? Yini engingayenza ukuze ngiyinciphise?

Ekugcineni, yini okufanele uyikhumbule! (Umyalezo Wokuya Ekhaya)

Nakuba isifo sohlangothi esibangelwa yi-thrombotic siyisimo esiphuthumayo esingazelelwe, izinkinga ezisibangela zivame ukukhula kancane ngokuhamba kwesikhathi. Yingakho kubalulekile ukubona udokotela okungenani kanye ngonyaka ukuze uhlole impilo yakho. Ngaleyo ndlela, ungazibona izimpawu eziyisixwayiso futhi uzilawule ngaphambi kokuba kwakheke ihlule legazi futhi kubangele isifo sohlangothi. Khuluma nodokotela wakho ngengozi yakho yesifo sohlangothi. Angakusiza ukuthi unakekele impilo yakho iyonke futhi uphathe izici zakho eziyingozi.

Uma uke waba nesifo sohlangothi futhi okwamanje uyalulama, jabula ngayo yonke intuthuko encane oyenzayo ohambweni lwakho lokululama.Ezinye izinsuku zizoba nzima kunezinye, kodwa kufanele uziqhenye ngawe. Ukululama kuwumzamo omkhulu, futhi kufanele uzihloniphe ngakho. Ungakhathazeki, awuwedwa. Kukhona odokotela, abelaphi, umndeni, nabangane abangakusiza.

` Isifo Sokushaywa Yisifo Sokusha Kwegazi, Isifo Sokusha Kwegazi, Isifo Sokusha Kwegazi, Izimpawu Zokusha Kwegazi, Ukwelashwa Kokusha Kwegazi, Ukuvimbela Isifo Sokusha Kwegazi