Impilo, Izifo nemibandela
Burn - ke ... Ukwelashwa, usizo lokuqala, degree ukusha
Cishe wonke umuntu okungenani kanye empilweni yakhe wazithola ngokomthetho ezimweni ezimbi kakhulu noma ubekade nesimo esisongela ukuphila. Ngenxa yalokho, ungathola ezihlukahlukene ukulimala ezibangela umonakalo enkulu empilweni. Kulesi sihloko sizohlola lokho burns, izinhlobo, ngokwezinga, ngisize nge ukulimala ezinjalo.
Uyini ukusha
Thola ukuhlukumezeka kungenzeka ngisho ekhaya, ingasaphathwa ukukhiqizwa. Burn - umonakalo yesikhumba, okuyinto zibangelwa ezishisayo, amakhemikhali, kagesi, ukuchayeka emisebeni eyingozi. Ezimweni eziningi, lezi ukulimala abathintekayo izingqimba engenhla isikhumba, kodwa ezimweni ezinzima kungenteka uhlushwe imisipha, kwakheka imithambo yegazi ngisho nethambo.
Uma uzibuza ukuthi ukwelapha ukusha, impendulo kuzoncika degree kanye nobungako umonakalo. Kungenzeka kwezinye izimo ukuphatha imithi ekhaya, kodwa ngezinye izikhathi kuthatha ukunakekela sina ezikhethekile.
Ubangela ukusha
Imbangela ukusha kungaba yezizathu ezihlukahlukene, izimpawu izimpawu zabo futhi izimpawu umonakalo. Burns kungaba avuse:
- izici ezishisayo;
- chemical;
- Amandla kagesi;
- njalo yokuchayeka emisebeni ye;
- amagciwane (okuthiwa umlilo okulimaza).
Zonke lezi zici kungathinta nge ntshashintshe ngakho eshe kuyodingeka izimpawu zabo futhi zidinga ukwelashwa abathile.
izinhlobonhlobo ukusha
I ezivamile ukusha ezishisayo, okungukuthi, lezo etholakala ngenxa ukuchayeka:
- Fire. Isikhathi esining impela ezilimele elingenhla ipheshana zokuphefumula, ubuso. Uma kukhona ukulahleka izingxenye zomzimba, into enzima nakakhulu yinqubo ekususeni izingubo ezivela ezindaweni wokushiswa.
- Amanzi abilayo. Cishe zonke wabhekana nalokhu. Le ndawo ingaba yincane, kodwa abalulekile ukujula.
- Steam. Umonakalo onjalo ngokuvamile akakubangeli eziningi izinkinga.
- izinto Izıshısayo: bavame ukuhamba ngayo imingcele ecacile futhi izilonda ezijulile.
Lapho ukusha ezishisayo izinga lomonakalo kuxhomeke ezicini eziningana:
- lokushisa;
- umthelela isikhathi;
- degree of conductivity ezishisayo;
- isimo jikelele impilo kanye isikhumba abathintekayo.
Chemical bashise - a lesion isikhumba okubangelwa izinto ezihlukahlukene ezonakalisayo ezifana:
- acid (ngemva kuzichaya lesion ngokuvamile engajulile).
- alkalis;
- esindayo zensimbi ezifana esiliva nitrate, zinc chloride, okuvame ukubangela ukusha ebusweni isikhumba.
ukusha agesi ingatholakala emva ukuxhumana izinto conductive. Yamanje ngokushesha isatshalaliswa imisipha, igazi, cerebrospinal fluid. Ubungozi zokuvuleleka womuntu ingaphezu 0.1 A.
I lolwehlukanisa kuba phambi yokuthi umuntu abanjwe ugesi entry kanye ophumayo amaphuzu. Lokhu okuthiwa ilebuli yamanje. Lesion endaweni ngokuvamile encane kodwa ejulile.
Kushisa bhé kule ndawo ukusha zingahlanganiswa:
- Nge emisebe ye-UV. ukusha ezinjalo zingaphenduka kalula nje uhola abalandeli ukuze sunbathe esikhathini emini. Lesion endaweni ngokuvamile ezinkulu, kodwa ngokuvamile abakwazi ukubhekana ngosizo amakhambi ekhaya.
- Nge ukuchayeka ionizing emisebeni. Uma lokhu asithinti nje kuphela isikhumba, kodwa futhi izitho eduze nezicubu.
- Nge amaza okushisa. It ngokuvamile kubangela corneal ezishile, i-retina, isikhumba. Ukunqotshwa incike ubude umthelela lo isici ezimbi.
Futhi omunye hlobo lokusha - kuba umlilo okulimaza, okungase kubangele uhlobo oluthile nezilwanyana ezincane. Umonakalo obangelwa futhi kuhluka izilonda ezincane nodular esimweni ezingase zisongele ngisho kokuphila komuntu, ezifana nokuthuthukiswa staphylococcal syndrome isikhumba wokushiswa.
Degree ukusha ngekukhula zabo
Burn ingatholakala iwubala ngokuphelele, futhi yokuthi kudingeka esibhedlela esiphuthumayo. Kuye yinkimbinkimbi lesion, ukuthi le miphumela engemihle futhi ngokuphongoza nomunye. Kukhona degrees eziningana ukusha:
- Izinga lokuqala (I) ubhekwa elula. Uma sithinta ububomvu kwesikhumba endaweni esakhiweni lapho ushe, ukuvuvukala kancane. Nale umonakalo kuthinta kuphela izingqimba olukha phezulu kwesikhumba, ngakho asikho eziyingozi abekho, ukuphathwa ngendlela ekhethekile kungadingeki, futhi ezinsukwini ezimbalwa, cishe noluncane ukusha.
- Ibanga II kuyingozi: imakwe ubuhlungu ezindaweni wokushiswa, ububomvu, ukuvuvukala. Ngenxa lamabutho we epidermis zingabuka kumiswa amanxeba okusha. Uma you epha them bo Yimpi yabo, cishe ngemva kwamasonto amabili, ukuphulukisa ephelele kwenzeka ngaphandle iminonjana.
- III-Iziqu. Nale ukunqotshwa asithinti nje kuphela epidermis, kodwa futhi ingxenye follicle izinwele, izindlala etholakala esikhunjeni. ISidlo ukufa kwezicubu ngenxa yezinguquko semithambo ukuvuvukala lisakazeka phezu lonke ukushuba kwesikhumba. Degree ashise emva 3 uqobo yakha grey uqweqwe noma ukukhanya umbala onsundu, kodwa-ke ngaphambi liyadingeka amabhamuza ongafinyelela osayizi umxhwele. Healing isikhathi eside futhi edinga wezokwelapha.
- III-B ezingeni. Burn esiqukethe zonke izingqimba kwesikhumba, kuhlanganise amafutha ongama. amashashaza Kwakheka egcwele uketshezi, igazi-ezinemishwe. Ubuhlungu kungenzeka okuncane noma ngingekho ngokuphelele. Bhekana ukulimala ezinjalo cishe ukuphumelela.
- Burn 4 degrees. Uhlobo oluyingozi kakhulu. It kugujwa kokunqotshwa zonke zamatshe isigxingi ukuthunjwa imisipha, imisipha ngisho amathambo. Kwakheka emnyama uqweqwe cishe black ngombala, kungabonwa ngokusebenzisa izitsha emithambo yegazi. Ngenxa kokunqotshwa ezilimele kwalapho, ngakho isiguli engazizwa besezinhlungwini cishe. ingozi eliphezulu kakhulu ubuthi kanye nokuthuthukiswa yezinkinga ezihlukahlukene.
Ngokuvamile bashise - lokhu akukona degree, kodwa inhlanganisela eziningana. Kobukhulu isimo njengoba kunqunywe indawo ethintekayo. Kuye lokhu, zikhona ukusha:
- Olubanzi lapho abangaphezu kuka-15% we isikhumba ethintekile.
- Neobshirnye.
Uma isilonda sokusha olunzulu futhi abathintekayo abangaphezu kuka-25% of the isikhumba, kukhona amathuba ezinkulu zezifo kuvuthe.
Siyini isifo ezishile?
I okwenziwe ngaleli inkinga nokugasela kuxhomeke ezicini eziningana:
- Yobudala isisulu.
- Indawo ukusuka endaweni yenhlekelele.
- ezishile Degree.
- umonakalo endaweni.
Burn isifo elandelayo izigaba ekuthuthukisweni yayo:
1. Shock. Akuhlali kusukela amahora ambalwa kuya ezinsukwini ezimbalwa, konke kuncike indawo ethintekayo. degrees eziningana abahlukene ukushaqeka:
- Eyokuqala libhekene evutha ubuhlungu, ingcindezi evamile nokushaya kwenhliziyo ku ekupha 90 amabhithi ngeminithi.
- Ngesikhathi yesibili degree inhliziyo ishaya kaningi, ingcindezi amathonsi, izinga lokushisa komzimba encishisiwe, ukoma livela.
- Lapho ezingaphezu kuka-60% lesion kwesikhumba siyenzeka 3 degree ukushaqeka. Isimo ezibucayi. Pulse ngokulambisa selitholakala, ingcindezi ongaphakeme.
2. ashise toxemia. Kwenzeka ngenxa ithonya imikhiqizo izicubu ukuwohloka emzimbeni. Ngokuvamile kwenzeka ezinsukwini ezimbalwa ngemva ukulimala futhi ihlala amasonto 1-2. Ngesikhathi esifanayo lo muntu azizwa ubuthakathaka, isicanucanu, mhlawumbe ukuhlanza, imfiva.
3. septicotoxemia. Luqala ngokunikela izinsuku ezingu-10 futhi kuthathe amasonto amaningana. Ukubusa ukutheleleka. Uma Dynamics ukwelashwa kuyoba negative, usongela ukufa. Lokhu kungenzeka uma ezishile kwaba 4 degrees noma izilonda zesikhumba ezijulile.
5. ukululama. ukwelashwa izidakamizwa Ngempumelelo eqeda ukuphulukiswa kushe kanye nokubuyisela izitho zangaphakathi.
Ukuvimbela ukuthuthukiswa isifo ezishile, kumele ushise izisulu bangeniswe esibhedlela. Odokotela uzokwazi ukuhlola degree of kobukhulu ukulimala kuyodingeka usizo ngempumelelo.
Usizo lokuqala for ukusha
Kungakhathaliseki isici kungenzeka kubangelwa ezishile, okokuqala udinga ukwenza izinyathelo ezilandelayo:
- Ukuphungula umthombo ekubhujisweni.
- Ngokushesha cool abathintekayo isikhumba endaweni.
- Ukwelashwa yasha nokusebenzisa avale oyinyumba.
- Okudambisa ubuhlungu.
- Shayela ambulensi uma kudingeka.
Kubalulekile ukuba ulahleke esimweni nendlela izici ezilimazayo noma ezilimele ukuletha abantu ngokushesha kunokuba luqedwe endaweni ephephile. Lokhu kuzoncika degree of Izilonda. Ukupholisa Rapid kusiza ukuvimbela ukubhujiswa inyama ephilile. Uma isilonda sokusha 3 degrees, isilinganiso esinjalo akwenziwa.
Kuye isici esiphawuleka, izinyathelo zosizo lokuqala angase abe umehluko wemisindo nemiqondo yamagama abo. Ake sixoxe ngazo phambili.
Usizo lokuqala for ukusha ezishisayo
Ngalezi ukulimala cishe wonke umuntu empilweni yakho itholakala, ngakho-ke kuyadingeka ukwazi ukuthi ukusiza kwakho noma komkhaya wakho kulesi simo. ukunakekelwa ekhaya ukuze uthole ukusha yalolu hlobo simiswe ngalendlela lelandzelako:
- Kanjani ungakwazi ukuqeda umthelela izici elimazayo ngokushesha, okungukuthi, ukuba bahoxe ekungeneleni endaweni umlilo, ukususa noma acime izingubo evutha.
- Uma isilonda sokusha encane, kubalulekile ukuba kuphole indawo ethintekayo ngamanzi agobhozayo imizuzu 10-15 bese wenza indwangu ehlanzekile emanzi.
- Ukuze ukusha ngaphezulu, Ukupholisa akudingekile, kodwa kubalulekile ukuba amboze ezishile nge napkin.
- Susa kungenzeka ubuciko.
- Thatha isidambisa-zinhlungu, njengokuthi "ibuprofen", "paracetamol".
It kungavunyelwa ukusha ezishisayo:
- Hlubulani izingubo uma wanamathela isilonda.
- Ibhoboze amabhamuza.
- Ukuthinta endaweni ethintekile.
- Balimaze smear ibhotela, ukhilimu, i-iodine peroxide kanye nezinye izinto.
- Awukwazi ukubeka uvolo, ice nezimagqabhagqabha.
Uma isilonda sokusha sina, uzodinga ukwelashwa.
ezishile ezonakalisayo
Ngokuvamile, lezi izilonda bakule mboni ngamakhemikhali, kodwa kungenzeka futhi eklasini amakhemikhali nokusebenzelana kwawo, uma ungenawo ukuhambisana nemithetho yokuphepha. Lapho eyizwa chemical kufanele kube ngokushesha iwukudambisa umphumela wawo.
Siza nge chemical ukusha acid siqukethe ekwelapheni isixazululo amanxeba soda noma amanzi soapy. Uma nomthelela alikhali, khona-ke kufanele kuqala kahle siyakazwe ngamanzi, bese ziphathwe 2% acetic noma citric acid.
Uma uthola chemical burns sina ngaphezulu kwakudingeka afune usizo ochwepheshe.
Siza ukusha kagesi
Thola washisa umuntu abanjwe ugesi kungaba ekhaya noma emsebenzini. Okokuqala kubalulekile iwukudambisa umthombo ekubhujisweni. ukwenza kuphela lokhu ngendlela ephephile. Isilonda kumele embozwe napkin.
Ungathola olimele, futhi kuyoba okwanele ukuba baphuze itiye efudumele futhi ukunikeza sine ukuze isisulu. Ukuze balimale kanzima kungenzeka nokulahlekelwa ukwazi. Kulokhu-ke kubalulekile ukuba iphendukele ezengeziwe izinyathelo zosizo:
- Thola isikhundla ukhululekile ukuba isisulu.
- Qiniseka ukuthi kube khona kwatheleka nomoya opholile.
- Liberate yomoya zokugqoka ngokweqile.
- Inhloko ivuliwe eceleni elilodwa.
- Kwaze kwaba yilapho kufika i-ambulensi ukuba ulandele ishayela kanye ukuphefumula.
- Uma ukulimala ibaluleke kakhulu kangangokuthi kwaba khona ukuboshwa inhliziyo, kuba ngokushesha kudingekile ukwenza CPR ngezinhlungu esifubeni compressions of imisipha yenhliziyo.
Kumele kukhunjulwe ukuthi zikhona izimo lapho isivinini zosizo lokuqala incike umuntfu lakhetsa kuphila ngato.
Kushisa bhé kule ndawo ukusha kanye nosizo lokuqala
Thola nomonakalo onjalo kungadalwa ultraviolet, infrared nemisebe eyingozi. Lolu hlobo ukusha kakhulu kuhluke abanye ukuthi izicubu ionization elibangela izinguquko isakhiwo engqamuzaneni amaprotheni.
Kwemisebe ukusha babe degree abo lobunzima:
- Izinga lokuqala libhekene ububomvu, ukulunywa futhi esivuthayo.
- Lapho yesibili amandla amabhamuza ukuvela.
- degree Okwesithathu kunalawo izimpawu ezibalwe zihlanganisa izicubu necrosis kanye nezinkinga ngokujoyina.
Lapho ukuhlinzeka usizo lokuqala ngemuva kokuthola ukusha ngemisebe, ungalilahli:
- Thinta isilonda ngezandla zakho noma uyibeke izinto ezingewona oyinyumba.
- Uma avele Bubbles ke abakwazi abamhlaba.
- Sebenzisa ngoba impatho yezimonyo amanxeba.
- Sebenzisa ice. Lokhu ngeke kuholele frostbite, kodwa futhi kubangele ukushaqeka ezishile kusuka ushintsho okungazelelwe lokushisa.
iso ukusha
Imbangela iso ukusha bangaba zonke lezo zici eziye okuxoxwe ngawo ngenhla. I kwasendaweni zingase zihluke, kuncike kule ahlukanisa
- ezishile corneal;
- mbuzeni
- I-retina inezinhlobo;
- lens.
I degree of ukubhujiswa kungaba ezahlukene, futhi uma sokuqala ngempela amenable ekwelashweni ekhaya futhi umphumela omuhle, ukulimala sina ngaphezulu zidinga ukuhlala esibhedlela, futhi imiphumela ingaba ebuhlungu.
Izimpawu ezokwenza ukhombe okuholela iso ukusha, lokhu okulandelayo:
- Ububomvu nokuvuvukala.
- sebuhlungwini obunzima.
- Lacrimation.
- Ukwesaba ukukhanya.
- Nciphisa e acuity ezibukwayo.
- Ushintsho ingcindezi intraocular ukuphendukela kunoma iluphi uhlangothi.
Uma kwakuba khona umonakalo emisebeni amehlo, ezinye izimpawu ngenhla angeke ukuzibonakalisa.
Endabeni ka contact kufanele kube ngokushesha ngamanzi egijima emaminithi la-15 emehlweni amakhemikhali. Iconsa amathonsi isinqandakuvunda, isibonelo, "Floksal". Skin ezizungeze amehlo kungenziwa ugcobe, amboze ngendwangu bese uthumela isiguli kudokotela wezifo zamehlo.
Burn ngu Welding, esiphathelene umshayo ube munye, kungenzeki ngokushesha, kodwa ngemuva kwamahora ambalwa ngemuva ukuchayeka. izimpawu Isici nge izilonda ezifana yilezi:
- eqinile ubuhlungu ahlabayo emehlweni;
- amehlo zamanzi;
- ukwehla okungazelelwe umbono;
- Ukwesaba ukukhanya.
Uma sithinta amehlo kudingeka sinikeze usizo ngokushesha. Kule kuzoncika ukuphumelela ukwelashwa.
ukuphathwa ukusha
Njengoba kobukhulu ukusha zingase zihluke, futhi uphathwa zezinhlobo ezimbili:
- olandelanayo;
- ngokushesha.
Kukhethwa zokwelapha kuxhomeke ezicini eziningana:
- Imininingwane endaweni lesion;
- lo lapho ushe ukujula;
- indawo yokulimala;
- imbangela ukuthi wayithukuthelisa ezishile;
- ukuthuthukiswa isifo ezishile;
- yobudala isisulu.
Uma sicabangela indlela avaliwe ukwelashwa yasha, wenza isicelo isilonda ukugqoka nge izidakamizwa zokwelapha. Lapho kukhona engajulile ezishile nobumnene, bese ngebhandeshi akazange ngisho kuye kudingeke ukuba bashintshe njalo - isilonda uphulukisa ngokushesha.
Ephambi kwezinduna ngezinga yesibili ashise esikhundleni esikhulu amagciwane yokugcoba, isibonelo, "levomikol" noma "Silvatsin". Bona zivimbela ukukhula kwamagciwane. Shintsha ibhandishi kuyadingeka zonke izinsuku ezimbili.
Uma kwenzeka yasha idigri 3 no-4, ukwakheka uqweqwe ngakho ekuqaleni kudingekile ukuba aphathe kule ndawo emhlabeni isinqandakuvunda futhi emva uqweqwe zinyamalale (njengoba ngokuvamile kwenzeka amasonto 2-3) ungasetshenziswa amagciwane yokugcoba.
Ngo indlela avaliwe ukwelashwa kunezinzuzo zako siqu kanye nobubi obuthile. Lo mqeqeshi owake wapheka zihlanganisa lezi ezilandelayo:
- I sigqoka engakutholi ngegciwane isilonda.
- Kuvikela isilonda ekulimaleni lokukhanda.
- Ukuthaka imithi ngendlela abantu bakhuthaza ukuphulukiswa ngokushesha.
kuphakama Okumbi kulokhu okulandelayo:
- Uma ushintsha ibhandishi nakho nesineke ukungakhululeki.
- Dying izicubu angase avuse ukudakwa.
Ngo indlela avaliwe ukwelashwa ngekusebentisa emasu ekhethekile, njengemishado emisebeni ultraviolet, umshini elwa namagciwane. Ziyakwazi ngokuvamile atholakale ezikhethekile ezishile izikhungo.
Le ndlela yokwelashwa ikhuthaza kumiswa okusheshayo a uqweqwe. Ngokuvamile isetshenziselwa ukusha ebusweni, perineum nentamo.
ukwelashwa op
Kwezinye izimo, lapho ukusha kakhulu ashaqa izindawo ezinkulu, kubalulekile iphendukele kokungenela kuhlinzwa. Isebenzisa lezi zinhlobo ezilandelayo:
- Necrotomy. Udokotela unqamula uqweqwe, ukuqinisekisa igazi eligciniwe ezicutshini. Uma ungaphenduki, ungase ukuthuthukisa necrosis.
- Necrosectomy. Ngokuvamile kwenziwa 3 degree ukusha ukuze kusikwe izicubu efile. Isilonda bahlanza kahle, kuvimbela suppuration.
- Isenzakalo esiyingqopha-mlando necrectomy. It eyayenziwa ngesikhathi ukusha ezijulile futhi umnene ngaphezulu ziqhathaniswa indlela odlule. Ukususwa kwezicubu wenziwa maqembu eziningana.
- Ukunqunywa. Amacala olunzima, lapho ukwelashwa akusebenzi, kubalulekile ukususa esitho ukuvimbela ukusabalala kwaleso necrosis.
Zonke izindlela lokuhlinzwa, ngaphandle zokugcina ngalesosikhathi phetho nge ukufakelwa kwesikhumba. Ngokuvamile abakwazi kabusha iziguli isikhumba siqu, othathwe kwamanye amasayithi.
Izindlela ethandwa ukwelapha ukusha
Abaningi uyazibuza kanjani ukwelapha ezishile ekhaya? Ngokuphathelene umonakalo grade 3 no-4, umbuzo lapha ngisho okuxoxwe - futhi kufanele kuthathwe kuphela esibhedlela. Ikhanya ukusha kungenzeka zizame ukwelapha isifo endlini.
Ziningi izindlela efakazelwe kusuka abelaphi bendabuko, phakathi kwawo ithandwa kakhulu futhi babe ukusebenza elandelayo:
- Uma uthola yilanga, inhlawulo ngeke amsize abekezelele baking soda.
- A cindezela itiye eqinile unamandla okudambisa isimo abathintekayo.
- Njengoba yenziwe kusukela 1 ithebula spoon of isitashi namanzi ingilazi Ukwakheka kanye nokukusebenzisa izikhathi eziningana ngosuku ukuba ezindaweni ezithintekile.
- Uma impregnate gauze uwoyela ulwandle ijikijolo lingase futhi zisebenza eshe ke ukuphulukiswa ngizoya ngokushesha.
- Abanye bakholelwa ukuthi ukushiswa 2 degrees kungenzeka ngokushesha belashwa namazambane eluhlaza. Kumele kusetshenziswe njalo ngemva kwemizuzu engu 3 fresh amazambane amagejambazo. Amashashaza avele uma ukuqalisa lokhu ekwelashweni ngokushesha emva ukulimala.
- Lungiselela wamafutha 3 wezipuni zamafutha sunflower 1 spoon ngengcina yezinyosi. Sebenzisa lokhu kwakhiwa kumele kube 3-4 izikhathi ngosuku.
Kumele kukhunjulwe ukuthi ukuba babhekane bebodwa kungekho empilweni kungaba ezishile okuncane. ukulimala kabi ezidinga ukuthi kungenelelwe wezokwelapha.
yezinkinga ukusha
Ukuze noma yikuphi ukulimala ezishile akuyona engenamali kuphela, ikakhulukazi endaweni enkulu, kodwa futhi ngegciwane okungukuthi e isiphi isikhathi angajoyina. Izinto eziyingozi ezingabangela i zihlanganisa amacala sleduyuie:
- Uma ushaya angaphezu kuka-30% surface body endaweni.
- Burn esiqukethe zonke izingqimba kwesikhumba.
- Kwezinsana nokuguga.
- Ukumelana nemithi ye-bacterium ezibangele ukutheleleka.
- ukunakekelwa okungafanele nokunakekela isilonda.
- Ngemva ukufakelwa kwenqatshwa iphutha.
Ukuze kuncishiswe ingozi yezinkinga, ukwelashwa kufanele kwenziwe imitholampilo ezikhethekile. Burn - kuba ukulimala kakhulu, ikakhulukazi ezinganeni, nabo enhlekeleleni eqinile ngokwengqondo.
Isibikezelo ukwelashwa ezishile njalo kuxhomeke ezicini eziningana, kodwa ngokushesha Isisulu uphuthunyiswe esibhedlela, ephumelela kakhulu ukwelashwa kuyoba, futhi yokutakula kuyofika ngokushesha futhi ingozi sakugcina ukuxakeka. Imiphumela ezishile kungaba engelapheki, uma kungekhona zokubasiza ngesikhathi esifanele.
Similar articles
Trending Now