Ulwazi lwami ngokwelashwa kwesifuba somoya futhi yini okufanele isiguli esiphethwe yisifuba somoya siyigweme?

Ulwazi lwami ngokwelashwa kwesifuba somoya

Okuhlangenwe nakho komuntu ngokwelashwa kwesifuba somoya kuncike kakhulu ebukhulwini besifo kanye nesiqondiso sezokwelapha esitholiwe.
Okuhlangenwe nakho kwami ​​ekwelashweni kwesifuba somoya kwaqala ngokuxilongwa okunembile kwesifo kanye nokuqinisekiswa kwaso nguchwepheshe wezempilo onekhono, futhi lo mthombo unendima enkulu ekunikezeni isiqinisekiso nenduduzo esigulini.
Ngabe sengilandela iziyalezo zikadokotela ngokunembile futhi ngasebenzisa imithi engiyinikeziwe njalo.

Ngaba nokuqubuka kaningi ngesikhathi ngiphethwe isifuba somoya, kodwa ngenxa yesiqondiso sezisebenzi zezokwelapha nokusetshenziswa kwemithi efanele, ngakwazi ukulawula ukuminyana nobunzima bokuphefumula.
Le mithi ibilokhu isiza ekwandiseni izindlela zami zokuphefumula futhi yehlise ukuvuvukala kwe-bronchi, ithuthukisa ikhono lami lokuphefumula ngokukhululeka nokubamba iqhaza emisebenzini evamile ngaphandle kokuvinjelwa.

Yini okufanele isiguli esiphethwe yisifuba somoya siyigweme?

Iziguli ezinesifuba somoya zizama ngangokunokwenzeka ukugwema ezinye zezinto ezaziwa ngokubhebhethekisa isimo sazo.
Wazi kahle ukuthi ukulondoloza impilo yakhe nokuvimbela izinkinga eziyingozi kudinga izinyathelo ezithile zokuphepha.
Phakathi kwezinto ezibaluleke kakhulu iziguli ezine-asthma ezigwemayo:

• Ukubhema nokuchayeka ekubhemeni: Ukubhema nokudla ababhemayo eduze nesiguli sesifuba somoya kuyingozi kakhulu.
  Intuthu iqukethe izinto ezinobuthi ezingase zicasule uhlelo lokuphefumula futhi zibangele ukuhlaselwa yisifuba somoya.
• Ukuchayeka ephunga lamakhemikhali: Iziguli ezinesifuba somoya zizama ukugwema ukuchayeka ephunga lamakhemikhali elinamandla njengamapende, izinto zokuhlanza, nempepho, ezingacasula isimiso sokuphefumula futhi zibangele ukuhlaselwa yisifuba somoya.
• Ukuchayeka othulini nasezilokazaneni: Iziguli ezinesifuba somoya kufanele zigweme ukuthintana ngokuqondile nothuli lwasendlini kanye nezinambuzane ezingase zicasule isimiso sokuphefumula futhi zandise izimpawu zesifuba somoya.
• Ukuchayeka ekushintsheni kwesimo sezulu esibandayo noma kungazelelwe: Iziguli eziphethwe yisifuba somoya zizama ukuziqhelelanisa namakhaza adlulele kanye nokushintsha kwesimo sezulu kungazelelwe, njengoba kungase kubangele ukucinana kwemithambo nokwanda kobunzima bokuphefumula.
• Ukungalandeli uhlelo lokwelapha: Iziguli eziphethwe Isifuba somoya zigwema ukuziba noma ukungalandeli uhlelo lokwelapha olunqunywe udokotela, njengoba ukwelashwa okuvamile kanye nemithi enqunyiwe kusiza ukulawula ukuhlasela kwesifuba somoya futhi kudambise izimpawu.
• Ukucindezeleka nokucindezeleka kwengqondo: Iziguli ze-asthma ziyazi ukuthi ukucindezeleka kwengqondo nokucindezeleka kuholela ezimpawu zesifuba ezi ziba zimbi.
  Ngakho uzama ukubalekela izimo eziholela ekucindezelekeni futhi aphumule ngezindlela ezivumelana naye.

Wazi kanjani ukuthi une-asthma?

Kunezimpawu nezimpawu ezimbalwa ezikhombisa ukuthi umuntu unesifuba somoya Ukuzazi kusiza ekuxilongeni ngokushesha nasekuqaleni ukwelashwa okufanele.
Nazi ezinye izimpawu ezivamile ze-asthma:

• Ukuphefumula: Ukuphefumula kungenye yezimpawu ezigqamile zesifuba somoya, njengoba umuntu ezwa ubunzima bokuphefumula nokuhogela, ikakhulukazi lapho ezikhandla ngokomzimba noma lapho ebhekene nezimbangela ezithile.
• Ukukhwehlela okungapheli: Ukukhwehlela okungapheli kungase kube olunye uphawu lwesifuba somoya, futhi kungase kuhambisane nokuminyana kwamafinyila emaphashini.
  Ukukhwehlela kungase kube kubi kakhulu ebusuku noma ekuseni kakhulu.
• Ukwenyuka kwenhliziyo: Isiguli singase sibone ukwanda kwenhliziyo yaso, ngenxa yokusabela ngokomzimba ekuphefumuleni kanye nokuntuleka komoya-mpilo egazini.
• Ukuhogela: Ukuhogela kungenye yezexwayiso zesistimu yokuphefumula phezu kokucasuka, njengoba umsindo wokudlikiza noma womlozi uvela lapho uphefumula.
• Ukubhebhetheka kwezimpawu ezimweni zomkhuhlane noma ukungezwani komzimba nezinto ezithile: Umuntu ophethwe yisifuba somoya angase abone ukuwohloka kwezimpawu zakhe lapho echayeka ezintweni ezithile ezibangela umkhuhlane noma impova.
  Futhi, ukuthola umkhuhlane ovamile kungase kwandise ukungezwani kwe-bronchial futhi kubangele izimpawu zibe zimbi kakhulu.

Yiziphi iziphuzo ezizuzisa isifuba somoya?

Isifuba somoya yisimo sempilo esingelapheki lapho abagulayo beba nobunzima bokuphefumula ngenxa yokuncipha kwemigudu yokuphefumula.
Ngakho-ke, kubalulekile ukugwema iziphuzo ezingase ziqhubeke nokucasula amashubhu e-bronchial futhi zandise izimpawu.
Kodwa-ke, kuneziphuzo ezinenzuzo ezingasiza ekudambiseni izimpawu futhi zikhuthaze impilo yamaphaphu ku-asthmatics.
Lezi ziphuzo zihlanganisa:

• Itiye elihlaza: Itiye elihlaza liqukethe ama-antioxidants asiza ukunciphisa ukucinana kwemigudu yokuphefumula nokuthuthukisa ukusebenza kwamaphaphu.
Kunconywa ukuphuza inkomishi yetiye eliluhlaza nsuku zonke.

• Amajusi emvelo: Amajusi amasha ezithelo nemifino anothile ngamavithamini, amaminerali kanye nama-antioxidants.
Amanye amajusi, njengejusi yewolintshi nekalamula, aqukethe uvithamini C, osiza ekuqiniseni amasosha omzimba nasekuthuthukiseni impilo yokuphefumula.
Kodwa qaphela amajusi anoshukela ngokweqile.

• Amanzi: Ukuphuza amanzi anele kusiza ukuthambisa isimiso sokuphefumula futhi kunciphise ukuphelelwa amanzi emzimbeni.
Kuyasiza futhi ekudambiseni izimpawu zokuphefumula ezihambisana nesifuba somoya.

Ngibhekana kanjani nesiguli se-asthma?

Isifuba somoya siyisifo esicasulayo futhi esingamahlalakhona esithinta isimiso sokuphefumula.
Ngakho-ke, iziguli ezinesifuba somoya zidinga ukwesekwa nokunakwa okukhethekile ukuze zithuthukise izinga lempilo yazo.
Nawa amanye amathiphu okuthi ungabhekana kanjani ne-asthma:

• Nikeza indawo ehlanzekile nengenakho ukungcola, lapho isiguli kufanele siqhelelane nezinto ezingcolisa umoya njengentuthu, uthuli, nezilwane ezifuywayo.
• Qinisekisa ukuthi uphuza imithi yakho njalo Imithi elwa nesifuba somoya isiza ukunweba imigudu yokuphefumula futhi yehlise ukucasuka nokuvuvukala.
• Kukhuthalele ukwazi izimpawu ezingaba khona zesifuba somoya futhi uqaphe isimo sempilo yesiguli njalo.
  Lokhu kusiza ekutholeni kusenesikhathi noma yiziphi izinguquko kanye nesinyathelo esisheshayo uma kunesidingo.
• Siza isiguli sifinyelele ukuphumula futhi sinciphise ukucindezeleka.
  Imisebenzi yokuzijabulisa efana nokufunda noma imidlalo ethule ingasetshenziswa njengezindlela zokuthuthukisa isimo sakhe sengqondo nokuphumula.
• Ukunikeza ukusekelwa ngokomzwelo nokuziphatha esigulini, njengoba iziguli zingazizwa zicasukile futhi zikhathazekile ngesimo sempilo yazo.
  Kufanele bazizwe besekelwe futhi benikezwa ukusekelwa okudingekayo emndenini nakubangane babo.
• Ukuba khona kukadokotela onguchwepheshe olandela isimo sesiguli futhi amqondise mayelana nokwelashwa kanye nezinyathelo ezifanele zokuvimbela.

Ingabe ikhona isifuba somoya sesikhashana?

Abanye bethu kwesinye isikhathi baba nezinkinga zokuphefumula noma ukuphefumula kanzima ngenxa yezinto zesikhashana ezifana nokungezwani komzimba nezinto ezithile noma umkhuhlane.
Enye yalezi zinkinga zesikhashana isifuba somoya sesikhashana.
Isifuba somoya ( temporary asthma ) yisimo esenzeka lapho umuntu echayeka ezintweni ezithize noma izinto eziholela ekuncipheni kwemigudu yokuphefumula emaphashini kanye nobunzima bokuphefumula.
Nakuba isifuba somoya sesikhashana sibuhlungu futhi sikhathaza, ngokuvamile siyazelapha futhi sixazulule lapho umuntu eyeka ukuchayeka ezibangeli zesikhashana.
Kodwa-ke, kubalulekile ukunaka impilo yokuphefumula futhi uqaphe izimpawu ezihambisana nesifo somoya sesikhashana ukuze uqinisekise ukuthi asiphenduki sibe isimo esingelapheki noma esibucayi kakhulu.

Ingabe i-asthma ibangela ukuntuleka komoya-mpilo?

Isifuba somoya yisifo esingelapheki esithinta imigudu yokuphefumula.
Omunye wemibuzo evame ukubuzwa ukuthi isifuba somoya sibangela ukwehla kwezinga le-oxygen emzimbeni.
Eqinisweni, isifuba somoya asibangeli ngokuqondile ukwehla kwezinga lomoya-mpilo, kodwa kunalokho sithinta ikhono lemvelo lomuntu lokuphefumula ngokushelela nokunikeza inani elanele lomoya-mpilo.
Lokhu kwenzeka ngenxa yokuncipha nokuvinjelwa kwemigudu yomoya ngenxa yokuvuvukala kanye ne-infarction yemisipha ezungezile.
Lapho lokhu kuncipha kwenzeka, kuba nzima ngomuntu ukuphefumula umoya ngendlela evamile, ngezinye izikhathi okuholela ekwehleni kancane kokuqukethwe komoya-mpilo emzimbeni.

Iyiphi i-inhaler engcono kakhulu ye-asthma?

Kunama-nebulizer amaningi asetshenziselwa ukwelapha isifuba somoya nokuthuthukisa ukuphefumula.
Kubalulekile ukuthi i-inhaler ihambisane kangcono nezidingo zomuntu ogulayo.
Phakathi kwezifutho ezitholakalayo, kunezinye izinketho odokotela abacabanga ukuthi ziphumelela kakhulu futhi zisebenza kahle.
Iziguli kufanele zithintane nodokotela wazo ukuze zinqume ukuthi yiluphi uhlobo lwe-nebulizer olulungele zona.
Kodwa-ke, kukhona ama-nebulizers ajwayelekile futhi aqashelwa ngokujwayelekile e-asthma, kufaka phakathi:

• I-anti-inflammatory steroid spray: Lezi zifutho zinikeza umphumela onamandla wokunciphisa ukuvuvukala kumashubhu e-bronchial futhi kuthuthukise ukuphefumula.
  Ezinye izibonelo zifaka izifutho ze-Combivent ne-Symbicort.
• Isifutho se-Bromide: Iqukethe into esiza ukwandisa i-bronchi futhi ikhulule ukufinyela kwemisipha emaphashini, okusiza ukuphefumula kalula.
  Izibonelo zalolu hlobo lwesifutho yiVentolin neProventil.
• I-Leukotriene spray: Isebenza ukunciphisa ukwanda kwezimpawu zesifuba somoya kanye nokunciphisa ukuvuvukala kumashubhu e-bronchial.
  Lolu hlobo lwe-inhaler luhlanganisa i-salmeterol ne-montelukast.

Uyini umehluko phakathi kokungezwani komzimba nesifuba somoya?

Enye yezinkinga zempilo ezivamile abaningi abangase babhekane nazo ukungezwani komzimba nesifuba somoya.
Umehluko phakathi kwabo ungase ungacaci kwabanye abantu, kodwa empeleni ukuqonda umehluko phakathi kwabo kubaluleke kakhulu.
Nawa amanye amaphuzu agqamisa umehluko phakathi kwe-allergies ne-asthma:

I-Allergies:

• Kwenzeka ngenxa yokusabela kwamasosha omzimba entweni ethile evela endaweni yethu, njengothuli lwasendlini noma impova yesihlahla.
• Izimpawu zokungezwani komzimba zingavela ngokushesha ngemva kokuchayeka entweni eyimbangela noma ngemva kwesikhathi esifushane sokuchayeka.
• Izibonelo zezimpawu zokungezwani komzimba ezivamile zihlanganisa ukuthimula, ukulunywa, i-tinnitus, namehlo abomvu.
• Izimpawu zingahluka kakhulu kumuntu nomuntu, futhi ubunzima bezimpawu bungakhula ngokuchayeka kaningi entweni eyimbangela.

isifuba somoya:

• Kuyisifo esingelapheki esithinta uhlelo lokuphefumula, okubangela ukufiphala komgudu wokuphefumula kanye nobunzima bokuphefumula.
• Isifuba somoya singadinga ukwelashwa okuvamile nokuqhubeka nokusetshenziswa kwemithi.
• Izimpawu ezivamile zesifuba somoya zihlanganisa umuzwa wokucinana esifubeni, umsindo ongajwayelekile wokuhogela lapho uphefumula, kanye nokukhwehlela okungapheli.
• Ubukhulu bezimpawu buyahlukahluka ezigulini ezinesifuba somoya, futhi izimpawu zingase zibe zimbi kakhulu ezimeni zokuhlaselwa kakhulu kwesifuba somoya.

Ingabe ijusi ka-anyanisi ilungele isifuba somoya?

U-anyanisi yimifino enomsoco namavithamini azuzisa umzimba onempilo.
Kungase kuphakame umbuzo mayelana nokusebenziseka kwejusi ka-anyanisi ezimweni ze-asthma, ingabe ingaba nomphumela omuhle? Ijusi ka-anyanisi ingumthombo omuhle wefayibha, amavithamini namaminerali afana novithamini C kanye ne-potassium, konke okubalulekile ohlelweni lokuphefumula olunempilo.
U-anyanisi uqukethe nenhlanganisela ye-caprol ne-quercetin, enezinto ezilwa nokuvuvukala futhi kucatshangwa ukuthi iyasiza ekudambiseni izimpawu zesifuba somoya.
Nakuba zingekho izifundo ezanele ngokusebenza kwejusi ka-anyanisi ekwelapheni isifuba somoya, abanye abantu babika ukuthuthuka kwezimpawu zabo ngemva kokudla ijusi ka-anyanisi.
Sekukonke, ukudla ijusi ka-anyanisi kungase kube isengezo esizuzisayo ekudleni okunempilo kubantu abanesifuba somoya.
Kodwa-ke, kungcono ukubonana nodokotela ngaphambi kokufaka noma yikuphi ukudla okusha ekwelashweni kwakho kwesifuba somoya noma ohlelweni lokuvimbela.

Ngabe ukungezwani komzimba kuphenduka nini kube yisifuba somoya?

I-Allergies kanye nesifuba somoya yizifo ezivamile ezithinta isimiso sokuphefumula.
Abanye bangase bazibuze ngobudlelwano phakathi kwabo nokuthi ukungezwani komzimba kuphenduka nini kube yisifuba somoya.
Iqiniso liwukuthi ukungezwani komzimba kuwukusabela ngokweqile kwamasosha omzimba entweni ethile, kungakhathaliseki ukuthi uthuli lwasendlini, izilwane ezifuywayo, impova, noma amanye amakhemikhali.
Lapho umuntu echayeka kulezi zinto ezingezwani nomzimba, angase abe nezimpawu ezinjengokugeleza kwekhala, ukuthimula, ukulunywa, namehlo abomvu.

Lapho umuntu evezwa kaningi entweni engezwani nomzimba isikhathi eside, isifuba somoya singase sibe khona.
Lo muntu uba nezikhathi eziphindaphindayo zokuphefumula, ukuhefuzela esifubeni, nomuzwa wokungakhululeki nokuqina.
Lezi ziqephu zibangela ukuncipha kwemigudu yokuphefumula kanye nokwanda kokukhiqizwa kwamafinyila, okuthinta ikhono lomuntu lokuphefumula ngendlela evamile futhi kubangele ukugogeka kwemisipha.

Ingabe i-asthma isifo esiyingozi?

Isifuba somoya yisifo esingelapheki esithinta imigudu yokuphefumula.
Nakuba ngokuvamile kungesona isifo esibi kakhulu, singaba nomthelela omkhulu kanye nomthelela ezimpilweni zalabo abathintekile.
Abantu abanesifuba somoya babhekana nokuncipha kwemigudu yokuphefumula emaphashini, okuholela ekubeni nobunzima bokuphefumula kanye nezimpawu ezingakhululekile ezifana nokuhogela nokukhwehlela njalo.

Kwezinye izimo, isifuba somoya singaholela ekuhlaselweni okubi kakhulu okubangela ukuwohloka kwesimo sezempilo kanye nesidingo sesiguli sokunakekelwa kwezokwelapha okuphuthumayo.
Kwesinye isikhathi, isifuba somoya singadala izinkinga ezinzima zokuphefumula ezingase zisongele impilo yesiguli.
Ngakho-ke, kunconywa ukuba uqaphele futhi unake izimpawu ezingase zithuthuke futhi zithinte kabi isimo sezempilo.

Kodwa-ke, abantu abanesifuba somoya bangasiphatha kahle isimo sabo ngokuthatha imithi efanele kanye nendlela yokuphila enempilo.
Kubalulekile futhi ukuthi ungavezwa izinto ezibangela isifuba somoya njengothuli, umlotha, nezinye izinto ezingezwani nomzimba.
Iziguli zelulekwa ukuthi zivakashele udokotela njalo futhi zilalele izincomo zakhe ukuze zigweme ukushuba kwezimpawu futhi ziqinisekise ukulawulwa okuqhubekayo kwesifo.

Okutholakele kwakamuva kwesayensi ekwelapheni isifuba somoya?

Eminyakeni yamuva, ososayensi baye bakwazi ukuzuza inqubekelaphambili ebalulekile emkhakheni wokwelashwa kwe-asthma.
Kuye kwasungulwa imithi eminingi emisha nezindlela ezisiza ukulawula izimpawu nokunciphisa ukuhlaselwa yisifuba somoya abantu abanazo.
Phakathi kwentuthuko ebaluleke kakhulu okufinyelelwe kuyo isayensi ekwelapheni isifuba somoya kungashiwo:

• Ukwelashwa okulwa nokuvuvukala: Ososayensi baye bazuza ukuqonda okujulile kwenqubo yokuvuvukala eyenzeka emigudwini yomoya yabantu abanesifuba somoya.
  Ngakho-ke, kuye kwasungulwa izidakamizwa ezilwa nokuvuvukala njenge-corticosteroids ezinomthelela ekwehliseni ukuvuvukala nokucasuka emigwaqweni yomoya futhi ngaleyo ndlela kuthuthukiswe ukuphefumula.
• Ukwelashwa okuqondiswe kumshini wesifuba somoya: Kutholwe imithi eminingana yakamuva eqondise indlela ethile yesifuba somoya emzimbeni.
  Esikhundleni sokuhlinzeka ngokwelashwa okuvamile kwezimpawu, lolu hlobo lwemithi lusebenza ukuze lulawule futhi luthuthukise imisebenzi yezinhlelo nezinqubo ezibhekene nesifuba somoya.
• Imithi yokwelapha ye-Biologic: Kuye kwathuthukiswa ubuchwepheshe obusha kusetshenziswa i-microbiome yomuntu ukwelapha isifuba somoya Amagciwane awusizo namanye amagciwane asetshenziselwa ukukhuthaza impilo yokuphefumula nokunciphisa ukuhlaselwa yisifuba somoya.
• Ukuqwashisa kanye nemfundo: Ososayensi bakubona ukubaluleka kokufundisa iziguli ngesifuba somoya nokuzifundisa indlela yokubhekana nalesi sifo nokugwema izici ezibangela ukuquleka.
  Ngakho-ke, izinhlelo zenzelwe ukufundisa nokweseka iziguli emkhakheni wokuzinakekela kanye nesiqondiso esiqhubekayo ukuze kuzuzwe izinga eliphezulu lempilo.

Uyini umehluko phakathi kwe-asthma ye-bronchial kanye ne-asthma ye-bronchial?

Isifuba somoya yisifo esingelapheki esidala ukuphefumula kanzima nokuvuvukala kwemigudu yokuphefumula.
Isifuba somoya singakhula sibe izinhlobo ezihlukene, okuhlanganisa isifuba somoya esinesifuba somoya kanye nesifuba somoya.
Nakuba zombili izinhlobo zihlobene nemigudu yomoya futhi zinomthelela ekuphefumuleni, ziyahluka kwezinye izici.
Kulesi sihloko, sizobheka umehluko phakathi kwe-asthma ye-bronchial kanye ne-asthma ye-bronchial.

I-asthma ye-bronchial:

• I-asthma ye-bronchial ivame kakhulu kune-asthma ye-bronchial, ithinta cishe amaphesenti angama-70-80 we-asthmatics.
• Ukuncipha kwemigudu yokuphefumula emaphashini kwenzeka ngenxa yokuvuvukala nokuvuvukala kwezicubu ezizungezile.
• Izimpawu ezijwayelekile ze-asthma ye-bronchial ukuphefumula kanzima, ukushaywa umoya, nokukhwehlela okomile.
  Lezi zimpawu zingase zande ngezikhathi zokubhebhetheka kwalesi sifo.
• I-asthma ye-bronchial ilawulwa ngokusebenzisa ama-anti-inflammatory agents nama-bronchodilators.

I-asthma ye-bronchial:

• I-asthma ye-bronchial ayijwayelekile kune-asthma ye-bronchial, ithinta amaphesenti angama-20-30 we-asthmatics.
• Kubangelwa ukuvuvukala okungapheli kanye nokuvuvukala kwamashubhu e-bronchial, okuthinta ukugeleza komoya emaphashini.
• Ukukhwehlela okungapheli kubonakala ikakhulukazi njengophawu lwesifuba somoya.
  Lolu hlobo lwesifuba somoya lungase luhambisane nemikhuhlane engapheli kanye nokuvuvukala komlomo wesibeletho.
• I-asthma ye-bronchial ilawulwa ngokusebenzisa ama-anti-inflammatory agents nama-bronchodilators.

Ithebula elibonisa umehluko phakathi kwe-asthma ye-bronchial kanye ne-asthma ye-bronchial:

Iyini i-pseudo-asthma?

I-Pseudoasthma yisimo abantu abaningi abaphethwe yiso, esibonakala ngokubukeka kwezimpawu ezifana nesifuba somoya sangempela, kodwa empeleni akukho ngcono okucacile lapho kusetshenziswa imithi evamile yokwelapha isifuba somoya.
I-asthma insipidus iyadida ezigulini nakodokotela ngokufanayo, njengoba izimpawu zibonakala zifana nesifuba somoya sangempela esinjengobunzima bokuphefumula, ukukhwehlela, nokuminyana kwesifuba.
Kodwa-ke, naphezu kokubonakala okuvamile kwalezi zimpawu, ukuhlolwa kwe-spirometer (ukuhlolwa kwesifuba somoya) kuqinisekisa ukuthi awukho umphumela obalulekile wokwelashwa kwe-asthma.
I-asthma insipidus inselele ukuyixilonga futhi ngokuvamile iwumphumela wezimbangela ezingokwengqondo ezifana nokukhathazeka noma ukucindezeleka.
Ngokombono wokwelapha, uhlelo lokwelapha ngokuvamile lunqunywa ukunciphisa ukukhathazeka nokuthuthukisa impilo yengqondo nengokomzimba yesiguli.