Okuhlangenwe nakho kwami ​​​​ngediski ye-herniated futhi yiziphi izindlela zokwelapha i-disc herniated?

Okuhlangenwe nakho kwami ​​​​ngediski ye-herniated

Ukuba ne-herniated disc kuyinto enzima futhi ebuhlungu kubantu abaningi.
I-disc ye-herniated ichazwa njengesimo esithinta umgogodla, ikakhulukazi i-cartilage phakathi kwama-vertebrae, okubangela ubuhlungu obukhulu kanye nenani elihlukahlukene lokulinganiselwa kokunyakaza.
Ngokuhlangenwe nakho kwakhe nge-disc ye-herniated, umuntu ubhekene nobunzima ekuhambeni nokwenza imisebenzi elula yansuku zonke, ngaphezu kobuhlungu obunzima obuthinta izinga lokuphila kwakhe kwansuku zonke.

Okuhlangenwe nakho kwakhe nge-disc herniated kungase kudinge ukuhlinzwa ukuze kulungiswe i-cartilage eyonakele, futhi ngezinye izikhathi umuntu angase adinge isikhathi sokuvuselela ukuze aphinde athole amandla akhe nokunyakaza okuvamile.
Umuntu futhi udinga ukulandela ukudla okulinganiselayo nokuzivocavoca njalo ukuze akhuthaze impilo yomgogodla futhi aqinise imisipha ezungezile.

Umuntu kufanele aqaphele indlela yokuphila enempilo kanye namathiphu abalulekile okusiza ukugwema i-disc herniated futhi abuyele empilweni evamile.
Kunconywa ukugwema ukunyakaza okunzima nokunzima futhi unciphise ukungezwani emgogodleni, ngaphezu kwesidingo sokugcina indawo enhle yokuhlala nokulala.

Okuhlangenwe nakho kwe-disc ye-herniated kungase kube inselele enkulu empilweni yomuntu, kodwa ngokunakekela kahle impilo nokunakekela umgogodla, ngaphezu kokulandela imiyalelo edingekayo evela kudokotela oya khona, umuntu angakwazi ukuthuthukisa isimo sakhe futhi abuyisele. impilo yakhe evamile.

Wazi kanjani ukuthi une-disc ye-herniated?

Kunezibonakaliso eziningana zokuthi ungase ube ne-herniated disc emgogodleni.
Nazi izimpawu eziyinhloko okufanele uzazi:

1. Ubuhlungu obubukhali: Ubuhlungu bungase bube nzima futhi kungazelelwe endaweni ethintekile yomgogodla.
   Umkhuba Ubuhlungu buyanda lapho wenza imisebenzi yomzimba noma uhlezi isikhathi eside.
2. Ukuba ndikindiki kanye nokuluma: Ungase uzwe ukuba ndikindiki futhi uluma emaphethelweni angaphansi noma angaphezulu omzimba.
   Lokhu kubangelwa ukucindezela kwe-disc eyonakele emithanjeni ezungezile.
3. Ubuthakathaka bemisipha: Abanye abantu bangabona ubuthakathaka emisipha ethintekile nge-disc herniated.
   Ukwenza ukunyakaza okuvamile kwansuku zonke kungase kube nzima kakhulu kunangaphambili.
4. Ukucindezeleka kwemisipha: Ukucindezeleka kwemisipha ezungeze indawo ethintekile kungenzeka ngenxa yediski ye-herniated.
   Lokhu kushuba kungabangela ukungakhululeki nokuqina kwemisipha.

Uma uzwa noma yiziphi zalezi zimpawu, kungcono ukuthi uxhumane nodokotela wakho ukuze uthole ukuhlolwa okufanele kwesimo sakho.
Udokotela angasebenza ekunikezeni ukwelashwa okufanele futhi akuqondise ezinyathelweni ezidingekayo ukuze ululame ku-disc ye-herniated.

Ngiziphatha kanjani ngediski ye-herniated?

I-disc ye-herniated yisimo esivamile esithinta abantu abaningi futhi sibangele ubuhlungu nama-spasms emhlane.
Kodwa kunezinyathelo ongazithatha ukuze unciphise izimpawu zalesi simo:

• Ukuphumula futhi unciphise umsebenzi womzimba: Kunconywa ukuba ugweme imisebenzi eyandisa ubuhlungu emuva, njengokuhlala isikhathi eside nokuthwala izinsimbi ezinzima.
  Ukuphumula futhi ugweme imisebenzi ekhandlayo bayelulekwa ukuze ugcine ukuqina komzimba.
• Imithi: Imithi edambisa izinhlungu njengezidakamizwa ezingezona ukuvuvukala noma ukwelapha ukushisa okushisayo okufana nokuminyanisa okushisayo noma okubandayo kunganikeza ukukhululeka kobuhlungu besikhashana.
• I-Physiotherapy: I-Physiotherapy ingasebenza ngempumelelo ekwelapheni i-disc ye-herniated ngokuqinisa nokuzivocavoca umzimba okusiza ukuqinisa imisipha yangemuva nokuthuthukisa ukuguquguquka komgogodla.
• Ukwelashwa ngomjovo: Esimeni lapho izimpawu zingaphenduli ekwelashweni okuvamile, udokotela angase atuse ukulashwa ngomjovo njengama-steroids noma ama-anesthetics asendaweni endaweni yokushelela ukuze kudambise ubuhlungu.
• Ukuhlinzwa: Uma izimpawu ziphikelela futhi zingaphenduli kwezinye izindlela zokwelapha, udokotela wakho ohlinzayo angase aphakamise ukuhlinzwa ukuze asuse ingxenye ye-disc ye-herniated futhi akhulule ingcindezi emithanjeni ecindezelwe.

Kungakhathaliseki ukuthi iyiphi indlela yokwelashwa ekhethiwe, kufanele kukhulunywe nochwepheshe bezokwelapha ukuze kuhlolwe okunembile kanye nohlelo olufanele lokwelashwa.
Ukuphumula nokululama okuphelele kungase kuthathe isikhathi nokubekezela, ngakho-ke kubalulekile ukuthi isiguli sinamathele emiyalweni yokwelashwa, sisebenze ukuqinisa imisipha ezungezile ngemuva, futhi senze ukunyakaza ngendlela efanele ukuvimbela ukuphinda kuvele i-disc ye-herniated.

Kungenzeka yini ukubuyisela ngokugcwele i-disc ye-herniated?

I-disc herniated yisifo esivamile esithinta umgogodla.
Kuyisimo lapho i-disc cartilage ishelela phakathi kwama-vertebrae, okubangela ukucindezela emithanjeni kanye nezicubu ezizungezile.
Ubuhlungu obukhulu, ukuba ndikindiki, nokuba buthakathaka kwemisipha ngokuvamile kuyizimpawu ezivamile zalesi sifo.
Nakuba i-herniated disc ingesona isifo esingelapheki ngokuphelele, ukwelashwa okuhlukahlukene kungasiza ekudambiseni ubuhlungu nokuthuthukisa isimo sesiguli.
Ukwelashwa okuvamile kuhlanganisa ukwelapha ngokomzimba ukuqinisa imisipha, ukuthuthukisa ukuguquguquka komgogodla, nokuthuthukisa ukuma, ukuhlala nokuma.
Imithi ye-analgesic ingase isetshenziselwe ukukhulula ubuhlungu nokunciphisa ukuvuvukala.
Ezimweni ezimbi kakhulu, odokotela bangase batuse ukuhlinzwa ukuze kulungiswe uqwanga olonakele futhi kukhululwe ingcindezi ezinzwa.
Ukwazi ngendlela yokuphila enempilo nokulandela izinyathelo ezifanele zokuvimbela kungasiza futhi ukulondoloza umgogodla futhi kunciphise ingozi ye-disc herniated.

Yiziphi izindlela zokwelapha i-herniated disc?

I-disc ye-herniated yisimo esenzeka lapho i-disc ye-cartilage esebenza njenge-cushion phakathi kwe-vertebrae yomgogodla ishelela.
I-disc ye-herniated ingase ibangele ubuhlungu obunzima, obuphindaphindiwe ngemuva, intamo, nemikhawulo ephansi.
Kunezindlela eziningana zokwelapha i-herniated disc, ukukhulula ubuhlungu, nokukhuthaza ukuphulukiswa kwe-cartilage.
Phakathi kwalezi zindlela:

• Ukwelashwa ngokomzimba: Ukwelashwa ngokomzimba kungasiza ukuqinisa imisipha ezungeze umgogodla futhi kunciphise ingcindezi ku-disc ye-herniated.
• Izivivinyo zokuvuselela: Umelaphi womzimba uklama uhlelo olukhethekile lokuzivocavoca ukuze aqinise imisipha ebuthaka futhi athuthukise ukuguquguquka nokuzinza okuvamile komhlane.
• Ukwelashwa kokushisa nokubanda: Ukushisa noma ukubanda kungasetshenziswa ukunciphisa ubuhlungu nokuvuvukala okuhambisana ne-herniated disc.
• Imithi: Odokotela bangase banikeze imithi yobuhlungu noma izidakamizwa ezingezona ukuvuvukala (ama-NSAID) ukunciphisa ubuhlungu nokuvuvukala okuhambisana ne-disc herniated.
• Ukungenelela kokuhlinzwa: Endabeni ye-disc ye-herniated enzima futhi engapheli engaphenduli ekwelapheni okuvamile, ukuhlinzwa kungaba yindlela yokubuyisela ukusebenza okuvamile komgogodla nokukhulula ubuhlungu.

Kungakhathaliseki ukuthi iyiphi indlela ekhethiwe yokwelapha i-disc ye-herniated, uchwepheshe kufanele axoxwe ukuze athole ukuxilongwa okufanele futhi anikeze uhlelo olufanele lokwelapha.

Iyini isikhathi sokubuyisela i-disc ye-herniated?

Isikhathi sokubuyisela i-disc ye-herniated siyahlukahluka kuye kwesinye futhi kuncike ezicini eziningana.
Kodwa-ke, i-disc herniated ngokuvamile ithatha isikhathi ukuphulukisa.
Nazi ezinye izinto ezingathinta ukuthi ukululama kwakho kuthatha isikhathi esingakanani:

• Ubukhulu bediski ye-herniated: Uma i-disc ye-herniated inkulu futhi icindezela emithanjeni, cishe kuzothatha isikhathi eside ukuphulukisa.
• Indawo ye-disc ye-herniated: Uma i-disc ye-herniated ithinta izingxenye ezibucayi zomgogodla, njenge-nerve yokuzwa noma intambo yomgogodla, ukutakula kungase kube kancane futhi ukunakekelwa okwengeziwe kwezokwelapha kuyadingeka.
• Ubudala kanye nempilo ejwayelekile: Ukubuyiselwa okuvela ku-disc ye-herniated kungase kuthinteke izici ezifana nobudala nempilo evamile.
  Abantu abasha kanye nabantu abaphile saka ngokuvamile banezinga elingcono lokululama ngokushesha.

Ngisho nangemva kokuba isiguli sesiluleme, kungase kube nezincomo ezithile zokulondoloza impilo eqondile njengokuqinisa imisipha yangemuva, ukusebenzisa amasu okwelapha ngokomzimba, nokugcina ukuma okuhle ngenkathi uhlezi futhi ulele.

Kodwa-ke, kuhlale kwelulekwa ukuthi ubone udokotela onguchwepheshe ukuze ahlole i-disc yakho ye-herniated, anqume isikhathi esilindelekile sokululama, futhi akuqondise ngokwelashwa nokunakekelwa okufanele.

Amathiphu kulabo abaphethwe herniated disc?

I-herniated disc ingenye yezinkinga zempilo ezicasulayo abantu abaningi ababhekana nazo.
Nawa amanye amathiphu abalulekile kubantu abaphethwe yile nkinga:

• Ukuzivocavoca ngamandla ukuze uqinise imicu yemisipha ezungeze uqwanga, njengokuvivinya umzimba okuncane ukuze uqinise imisipha eyisisekelo ngemuva, esiswini nezinqe.
• Gwema ukuthwala izinsimbi ezisindayo kanye nokuchayeka emiphumeleni enamandla emgogodleni, njengokuwuphakamisa esindayo noma ukugoba ngokweqile.
• Ukulungisa ibhalansi futhi ungahlali isikhathi eside ezindaweni ezingakhululekile, ngokusetshenziswa kwemicamelo yokwesekwa ngemuva uma kunesidingo.
• Yidla ukudla okunempilo, okunomsoco okuhlanganisa ukudla okunothe nge-calcium novithamini D ukuze kuthuthukiswe impilo yamathambo noqwanga.
• Zijwayeze izindlela zokuphumuza umzimba futhi uhlikihle imisipha njalo ukuze udambise ukushuba nokushuba ezindaweni ezizungeze uqwanga.
• Ukugcina indawo efanele lapho uhlezi, uhamba futhi ulele, futhi ulungisa ukuma kwemicamelo ukunikeza ukusekela okudingekayo kwentamo nomhlane.
• Qaphela ukugcina isisindo esinempilo futhi ugweme ukukhuluphala, njengoba ukukhuluphala kuholela ekwenyukeni kwengcindezi ku-cartilage futhi kubangela ezinye izinkinga.
• Xhumana nodokotela onguchwepheshe ukuze uthole isiqondiso somuntu ngamunye kanye nezeluleko ezifanele esimweni se-disc herniated.

inothi: Abantu abane-disc ye-herniated kufanele babonane nodokotela ngaphambi kokwenza noma yimuphi umsebenzi womzimba noma ukulandela noma yisiphi iseluleko, ukuqinisekisa ukuthi kufanelekile isimo sabo sezempilo ngabanye.

Ingabe i-herniated disc ivimbela ukuhamba?

I-disc ye-herniated ingenye yezifo ezithinta umgogodla, futhi ingabangela umphumela obonakalayo emandleni okuhamba.
Lapho i-disc ye-herniated ivela, i-cartilage evimbela ama-vertebrae emgogodleni iphuma endaweni yayo evamile futhi ingase icindezele izinzwa ezizungezile.
Lokhu kucindezela kungaholela ebuhlungu obukhulu bokubuyela emuva kanye nokungahambi kahle, futhi kungase kubangele ubunzima ngokunyakaza okujwayelekile komzimba, kuhlanganise nokukwazi ukuhamba ngokujwayelekile.
Ngakho-ke, uma uhlushwa i-disc herniated, kubalulekile ukuthi uthintane nodokotela wakho ukuze uhlole kahle isimo sakho futhi uthole ukwelashwa okufanele ukuze uthuthukise isimo sakho futhi ubuyisele ikhono lokuhamba.

Kunini lapho i-herniated disc iyingozi?

I-disc ye-herniated yisimo esivamile esithinta abantu abaningi, futhi ngokuvamile sivela ngenxa yethonya elinamandla emgogodleni noma ukunyakaza okungavamile komzimba.
Nakuba i-disc ye-herniated ingase ibe buhlungu futhi ibangele ama-muscle spasms nokucindezela emithanjeni, ezimweni eziningi, akuyona into engathi sína futhi ingelashwa ngezinyathelo zokuzihlola kanye nokwelashwa ngokomzimba.
Kodwa kunezimo ezingavamile lapho i-disc ye-herniated ingaba yingozi, lapho kunezimpawu ezibucayi ezifana nobuthakathaka obukhulu bemisipha, ubuhlungu obungenakubekezeleleka noma ukuphazamiseka emaphethelweni.
Ezimweni ezinjalo, udokotela kufanele abonane ngokushesha ukuze ahlole isimo futhi aqondise ukwelashwa okufanele.

Isiguli se-disc kufanele silale kanjani?

Iziguli zama-disc zihlushwa izinhlungu ezingase zibe zimbi kakhulu phakathi nokulala, ngakho-ke isiguli kufanele silandele iziqondiso ezithile ukuze siqinisekise ukulala okunempilo.
Nawa amanye amathiphu okuthi ungalala kanjani unempilo ezigulini ezine-dyslexic:

• Isikhundla esifanele: isiguli kufanele sikhethe indawo yokulala enikeza inani elincane lokucindezela kwi-disc.
Kungcono ukulala ngecele ngomcamelo okhululekile ukusekela umgogodla.

• Umcamelo ongakwesokudla: Kufanele kukhethwe umcamelo onikeza ukusekela okwanele kwentamo nekhanda.
Umcamelo we-memory foam ungasiza ekudambiseni ingcindezi emgogodleni.

• Umatilasi ofanelekayo: Kumelwe ukhethe umatilasi onethezekile futhi ofanelekayo onikeza ukusekela okudingekayo komhlane nomgogodla.
Uchwepheshe emkhakheni wefenisha angasetshenziswa ukuqondisa isiguli ekukhetheni umatilasi ongcono kakhulu kuye.

• Izinga lokushisa elifanele: Izinga lokushisa ekamelweni kufanele lilawulwe ngendlela efanele, njengoba isimo sezulu esibandayo noma esishisayo asifanele ukugwema ukuqina kwemisipha nokwanda kobuhlungu.

• Ukuzivocavoca kwansuku zonke: Isiguli kufanele senze izivivinyo ezilula nezifanelekile zokuguquguquka kwemisipha nokuqinisa umgogodla.
Ukuzivocavoca okuqhubekayo kungase kunciphise ubuhlungu futhi kuthuthukise ukulala.

• Isiguli kufanele siphumule futhi sigweme ukucindezeleka nokukhathazeka ngaphambi kokulala.

Kuye ngesimo sesiguli ngasinye, kufanele abonane nodokotela mayelana nendlela yokulawula ukulala futhi athuthukise izinga lakho ngokusekelwe ezicini zesimo sakhe somuntu ngamunye.
Ukunamathela eziqondisweni zokulala okunempilo kungasiza ekunciphiseni ubuhlungu nokuthuthukisa induduzo yesiguli esinenkinga ye-disc.

Zingaki izikhathi zokwelapha ngokomzimba ze-herniated disc?

I-Physiotherapy ingenye yezindlela eziphumelelayo zokubhekana nenkinga ye-disc herniated, njengoba ihlose ukukhulula ubuhlungu nokuthuthukisa isimo sesiguli.
Inani lezikhathi zokwelapha ngokomzimba ze-disc ye-herniated liyahlukahluka kuye kwelinye icala, ngokusho kobunzima nokuqhubeka kwecala.
Ngokuvamile, inani lezikhathi linqunywa i-physiotherapist ngokusekelwe ekuhloleni kokuqala kwesiguli.
I-Physiotherapy ingase ihlanganiswe futhi ihlanganise izikhathi eziningi ezivela ku-6 kuya ku-12 sessions, lapho izivivinyo ezikhethekile zenziwa khona ukuze kuqiniswe imisipha nokwandisa ukuguquguquka, ngaphezu kwamanye amasu afana nokwelapha nokushisa.
Ukunamathela ezinhlelweni zokwelapha ezinikezwa i-physiotherapist nokuzilandela njalo kubalulekile ekuzuzeni imiphumela emihle kanye nokwenza ngcono impilo yesiguli.

Ingabe i-herniated disc ithinta izinzwa?

I-disc ye-herniated yisimo esivamile esithinta umgogodla, ikakhulukazi intamo nangemuva.
Uma i-disc ye-herniated ivela, ingxenye ye-disc phakathi kwe-vertebrae iyaphambuka, ethinta izinzwa ezizungezile.
I-disc ye-herniated ingafaka ingcindezi ezimpandeni zezinzwa noma umgogodla, okuholela ebuhlungu, ukuba ndikindiki, nobuthakathaka bemisipha ezindaweni lezi zinzwa ezidlulayo.
Ubunzima bomthelela buncike ekutheni unamandla kangakanani futhi lapho i-disc ye-herniated itholakala emgogodleni.
Ngakho-ke, ukuxilongwa kusenesikhathi kanye nokwelashwa okufanele kungasiza ekunciphiseni umthelela emithanjeni futhi kuthuthukise isimo esijwayelekile sesiguli.

Ingabe i-cupping iwusizo ekwelapheni i-herniated disc?

Abantu abaningi bahlushwa izinkinga nge-disc herniated, isimo esithinta umgogodla futhi sibangele ubuhlungu nokungahambi kahle.
Abanye bakholelwa ukuthi i-cupping ingase iphumelele ekwelapheni lesi simo.
I-Cupping inqubo yendabuko esetshenziswa kwezinye izindlela zokwelapha, okubandakanya ukubeka izinkomishi ezicacile esikhumbeni nokudala ukumunca ukuze kushukumise ukugeleza kwegazi nokukhipha ubuthi emzimbeni.
Kodwa-ke, azikho izifundo zesayensi eziqinile futhi ezinokwethenjelwa ezifakazela ukuthi i-cupping iyasiza ekwelapheni i-herniated disc ngokuqiniseka.
Kubalulekile ukuthi iziguli zithinte futhi zithintane nodokotela bazo ngaphambi kokuzama enye indlela yokwelapha.
Kwezinye izimo, kungase kusize ukuzama ukwelapha ngokomzimba, ukwelashwa kokuvuselela ugesi, noma ukwelashwa ngemithi kadokotela ukuze kudambise ubuhlungu nokukhuthaza ukuphulukiswa.

Ingabe izikhathi zokwelapha ngokomzimba zinomonakalo?

Izikhathi ze-Physiotherapy zibhekwa njengenye yezindlela eziphumelelayo ekwelapheni izinkinga eziningi zempilo nokulimala.
Kodwa-ke, abanye bangase babuze umbuzo wokuthi lezo zikhathi zingadala noma yimuphi umonakalo.
Nawa amanye amaphuzu angase acacise lesi sici:

• Ikakhulukazi, izikhathi ze-physiotherapy azibangeli monakalo.
  Kubhekwa njengendlela ephephile futhi engenangozi yokwelapha izifo nokuthuthukisa imisebenzi yomzimba.
• Kodwa-ke, abanye abantu bangase bazwe ubuhlungu obuncane noma ukungezwani kwesikhashana ngemva kweseshini yokuqala yokwelapha ngokomzimba.
  Lokhu kungenxa yokuthi imisipha nezicubu kungase kungasetshenziswa isikhathi eside futhi kudinga isikhathi sokujwayela ukuzivocavoca, ukubhucungwa, kanye namasu okwelapha asetshenziswa.
• Izinkinga zempilo ezingathi sína noma imiphumela emibi kakhulu ayitholakali ngenxa yezikhathi ze-physiotherapy.
  Nokho, abantu abanezinkinga zempilo ezikhethekile noma abaphuza imithi ethile kufanele babonane nodokotela wabo ngaphambi kokuqala ukwelashwa ngokomzimba.
• I-Physiotherapy ingaba ephephile futhi iphumelele uma yenziwa ochwepheshe abaqeqeshwe kahle nabaqeqeshiwe.
  Ngakho-ke, abantu kufanele baqinisekise ukuthi bakhetha isikhungo esithembekile se-physiotherapy kanye nabasebenzi babo.
• Ngokuvamile, kungashiwo ukuthi izinzuzo zezikhathi zokwelashwa ngokomzimba zidlula kude noma yiziphi izingozi ezingaba khona.
  Lokhu kwelashwa kungasiza ukukhulula ubuhlungu, ukuthuthukisa ibhalansi namandla emisipha, kuthuthukise ukuhamba nokuvumelana nezimo, futhi kukhuthaze ukululama ngemva kokulimala noma ukuhlinzwa.

Ngakho-ke, kungashiwo ngokuqiniseka ukuthi izikhathi ze-physiotherapy ziphephile futhi zisebenza kahle uma zisetshenziswe ngendlela efanele futhi njengoba ziqondiswa ochwepheshe.

Izimpawu ezilula ze-disc herniated

Izimpawu ze-disc herniated elula zivela lapho i-disc phakathi kwe-vertebrae emgogodleni ihamba kancane endaweni yayo evamile.
Lezi zimpawu zihlanganisa:

• Ubuhlungu: Isiguli singase sihlupheke ngenxa yobuhlungu endaweni yangemuva, futhi lobu buhlungu bungase budlulele ezinqulwini noma emilenzeni.
  Ubuhlungu ngokuvamile buyanda lapho wenza ukunyakaza okufana nokugoba noma ukuguqa.
• Ukuba ndikindiki nokushoshozela: Isiguli singase sizwe ukuba ndikindiki noma ukuncenceza ezindaweni ezithinteke umthambo osuka kumgogodla ocindezelwe.
  Lezi zimpawu zivame ukutholakala endaweni ethile yomzimba, njengomlenze noma unyawo.
• Ubuthakathaka bemisipha: Isiguli singase sizizwe sibuthakathaka emisipha ethintekayo, futhi lokhu kungase kubangele ubunzima ekwenzeni ukunyakaza okulula.
• Ukuba ndikindiki: Isiguli singase sizwe ukuba ndikindiki endaweni ethintekile, futhi lokhu kuba ndikindiki kungase kuqhubeke noma kunqamuke.
• I-Muscle Contraction: Ngenxa ye-disc ephuzile, imisipha ezungezile ingase ivume noma i-spasm, ibangele ubuhlungu obengeziwe kanye nomkhawulo ekuhambeni.

Izimpawu eziningi ezibaliwe zingathuthuka ngokwazo ngokuphumula nokuzinakekela.
Kodwa-ke, uma ubuhlungu buqhubeka noma izimpawu ziba zimbi kakhulu, isiguli kufanele siye kudokotela ukuze sihlolwe ngokugcwele kanye nohlelo olufanele lokwelashwa.