I-Colitis yiyiphi? Ukwelashwa kwe-ulcerative: izimpawu, ukwelashwa

I-Colitis yisifo esivamile esithinta kakhulu abantu abadala. Lesi yisifo esingathandeki kakhulu, esibucayi kakhulu izinga lokuphila komuntu. Uma kungekho ukwelashwa, inqubo yokuvuvukala ingabangela imiphumela eminingi engathandeki.

Yingakho abantu bevame ukuthakazelisa ngombuzo wokuthi lesi sifo siyini. Yiziphi izimpawu zokuqala zokuvuvukala? Kufanele ngibone nini udokotela ngokushesha? Uhlobo luni lwezokwelapha olunikezwayo? Ingabe kukhona izindlela zokuvimbela? Lolu lwazi luzosiza abafundi abaningi. Ngakho, ngokulandelayo sizocubungula izinhlobo ezahlukene ze-intestinal colitis kanye nokwelashwa kwazo.

Iyini i-colitis?

I-colitis yisifo esibangela ukuvuvukala esithinta izitho zangasese zomathumbu ezinkulu. Ngokusho kwedatha yemininingwane, amadoda aphakathi kweminyaka engama-40 kuya ku-60 avame ukuthinteka yilokhu kugula, futhi kwabesifazane umlinganiso weminyaka usuke uphansi: phakathi kweziguli, ngisho neminyaka engamashumi amabili ubudala ivela.

Kuze kube manje, kunezinhlobo eziningi zalesi sifo. Izizathu zalo zingase zihluke. Ngokuyinhloko, inqubo yokuvuvukala ihlotshaniswa nomsebenzi wama-bacterial microorganisms kanye nama-virus. Izifo ezibangelwa ingozi nazo ziyiziphazamiso esimisweni somzimba sokuzivikela emzimbeni, ukungeneli kwegazi okwenziwe emathunjini emathumbu (okubhekene nokucindezelwa okwanda, i-vasospasm, isifo sikashukela, ukuqina kwesifo sofuba), kanye nokungondleki (imfucuza yokuntuleka), imikhuba emibi (ukubhema), ukutholakala kwezifo eminye iminyango Uhlelo lokugaya. Ngaphezu kwalokho, kunesimo esithile sezakhi zofuzo.

Ezimweni eziningi, ukwelashwa kwe-colitis kutholakala kahle ekunakekeleni izidakamizwa, ikakhulu uma ngabe ukwelashwa kwaqala ngesikhathi esifanele. Yingakho kubalulekile ukwazi ngezimbangela ezinkulu kanye nezimpawu zokuqala zesifo.

Izinhlobo eziyinhloko zamathumbu emathunjini kanye nezimbangela zenzeke

Ngeshwa, lesi sifo asikwazi ukubizwa ngokuthi singavamile. Akumangalisi ukuthi iziguli eziningi zinesithakazelo kolwazi olwengeziwe mayelana nalesi sifo. Enye yemibuzo evame kakhulu: "Iyini ukulonda kwe-ulcerative colitis emathunjini?" Izimpawu, ukwelashwa kanye nezimbangela ze-pathology futhi azimi eceleni. Noma kunjalo, kuyazuzisa ukwazi ukuthi kunezinhlobo eziningi ezihlukahlukene zokuvuvukala kwamathumbu kanye nezinhlelo eziningi zokusetshenziswa ngezikhathi eziningi.

Isibonelo, kuye ngokuthi inkinga yesifo siyini, kunzima ukunikeza (izimpawu zibizwa futhi zivele ngokushesha, ukuvuvukala kwamathumbu kuvame ukuhlotshaniswa ne-gastritis noma i-enteritis) kanye ne-colitis engapheli (izimpawu ziyahamba, bese zikhuphuka).

Kuye indawo yenqubo yokuvuvukala, amafomu afana ne-proctitis (ukuvuvukala kwe-rectum), i-sigmoiditis (i- sigmoid colon ethintekile ), i- transversitis (i-colon transverse) ne-tiflitis (ukuvuvukala kwe- caecum) ayodwa. Kwezinye izimo, i-mucosa ye-intestine enkulu iyashisa - isimo esifanayo sibizwa nge-pancolitis. Ngaphezu kwalokho, kungenzeka ukuba kunqobe iminyango eminingana ngesikhathi esisodwa.

Ngokuya ngezimbangela zokuthuthukiswa kwesifo, kuyisiko ukuhlukanisa izinhlobo ezilandelayo:

• I-colitis ephathekayo. Iqala ngokumelene nokwaziswa komsebenzi we-bacterial microflora. Lesi sifo singabangelwa yi-streptococci noma i-staphylococci. Ukutheleleka kungangena ohlelweni lokugaya ngaphandle, isibonelo, ukubola kwesibindi kuvela ngemuva kwesifo somuthi. Ngaphezu kwalokho, ukuvuvukala kwenzeka ngemuva kokuncipha komsebenzi wesimiso somzimba sokuzivikela, ngenxa yalokho ukuphindaphinda okujulile kwe-microflora enenzuzo kuqala.
• Ischemic colitis. Kuqala lapho kwenzeka ukuthi igazi elivamile lomathumbu omkhulu liphulwe, okubonwa, isibonelo, ekutheni i-atherosclerosis yamagatsha we-aorta esiswini.
• Abantu abanokugula okungapheli kwe-radiation bahlakulela okuthiwa i-radiation colitis.
• Kukhona uhlobo oluyingozi lwe-colitis, olubangelwa ukuvezwa kwezidakamizwa noma imithi. Isibonelo, ngokuvamile, ukuvuvukala kwe-mucosa emathunjini kanye nezinye izitho zomgogodla wokugaya kuholela ekutheni okungalawulwa kwemithi engeyona i-steroidal anti-inflammatory.
• Kuvamile futhi kuyingozi ukulonda kwe-ulcerative, okuhambisana nokubunjwa kwezilonda emadongeni emathumbu. Ngeshwa, i-etiology eqondile yalesi sifo ayingaziwa - ososayensi bakwazi ukuthola ukuthi inqubo yokuzimela, ukuzalwa kwezakhi zofuzo kanye nama-agent angeneleleko adlala indima ekusungulweni kwesifo.

Ngokwemvelo, kunezinye izinhlelo zokuhlukanisa, kanye nezinhlobo zokuvuvukala. Isibonelo, i-colitis ingathuthuka ngokumelene nesimo semvelo. Ngaphezu kwalokho, ngokufanayo, ukuguguleka kwe-mucosa noma i-atrophy yayo kancane kancane.

Ziyini izimpawu ze-acute colitis?

Njengoba ubona, kunezinhlobonhlobo zezinhlobo zamathumbu emathumbu emathumbu. Izimpawu zamafomu amahle kakhulu zibukeka ngendlela efanayo, kungakhathaliseki ukuthi isifo sini, ngakho-ke kufaneleka ukuzijwayeza.

Ngokuvamile, inqubo evuthayo yokuvuvukala iqala ngokunyuka kokushisa nokubonakala kwezibonakaliso zokudakwa komzimba. Ikakhulukazi, iziguli zikhononda ngobuthakathaka, izifo zomzimba, ubuhlungu emisipha, ukukhanda ikhanda, ukulahlekelwa isifiso sokudla, ukushisa.

Kunezimpawu ezicacile ezihambisana ne-colitis. Lesi sifo sibonakala kanjani? Okokuqala, ukuphazamiseka kwesimiso sokugaya ukudla. Ikakhulukazi, iziguli eziningi zikhononda ngezihlungu ezincane zesisu, ikakhulukazi emvelweni. Ngokuvamile, noma yikuphi ukudla kuhambisana nokuqhuma, ukuvuvukala.

Isici sokuvuvukala emathunjini amakhulu yisifo sohudo oluhlala unomphela - izenzo zokuhlukunyezwa zikhuphukela izikhathi ezingu-5-6 ngosuku. Ngokuvamile iziguli zizwa isifiso ngokushesha ngemva kokudla, ekuseni noma ngisho nokuvuka ebusuku. Izixuku ze-Fecal, njengombuso, ziyi-liquid ne-fetid, ehlobene nomsebenzi wama-bacteria emathumbu.

Kunezinye izimpawu eziyingozi kakhulu ze-ulcerative colitis emathunjini. Ikakhulukazi, phambi kokulimala okungathí sina ku-mucosa, ukubonakala kokungcola kwegazi emasimini e-fecal. Uma igazi elingaguquki livela njalo, kufanele nakanjani utshele udokotela ngakho.

Ukwelashwa okungapheli kanye nokuzikhethela kwenkambo yayo

Ukwelashwa okungapheli kwamathumbu yisifo esiyingozi kakhulu. Izinkathi zokukhuphuka ziyashintshwa ngezikhathi zokuzola okuncane, lapho umuntu ezwa ejwayelekile, ngakho-ke akacabangi ukuthi udinga usizo lwezokwelapha. Ngaphezu kwalokho, isimo esingapheli sesifo kunzima kakhulu ukuphatha.

Lesi sifo sihambisana nokuphulwa kwenqubo yokugaya ukudla. Iziguli zivame ukubhekana nezinkinga ezinezibilini - isifo sohudo sivame ukufakwa esikhundleni sokuqothulwa, futhi ngokufanayo. Ngezinye izikhathi isenzo sokuhlukunyezwa sihambisana nobuhlungu esiswini. Ngaphezu kwalokho, inqubo yokuvuvukala ingasakazeka kwezinye izingxenye zesistimu yokugaya.

Kufanele kuqaphele ukuthi uma kungekho ukwelashwa, izinguquko ezincane ziyabonakala kuzo zonke izinhlaka zomzimba. Abantu abagulayo balahlekelwa isifiso sabo, okuholela ekulahlekelweni kwesisindo somzimba. Ngaphezu kwalokho, ukudla akugcini ngokugcwele, okuholela kancane ekuthuthukiseni i-anemia, hypo-and avitaminosis, ukwephulwa kwemali ejwayelekile ye-electrolytes, ukukhathala. Lesi sifo sithinta isimo sengqondo somuntu - ukucindezeleka, ukuwohloka komzwelo, ukukhubeka okukhulu, izinkinga zokulala, ukukhathala okuqhubekayo kubonakala. Ngakho-ke, kungenjalo akufanele ukungazinaki inkinga.

Izindlela zesimanje zokuxilonga

Yini okufanele ngiyenze uma ukhathazekile ngezimpawu ezifana ne-colitis? Yini okufanele uyenze ezimweni ezinjalo? Yiqiniso, okokuqala futhi okubalulekile udinga ukuya kudokotela. Iqiniso liwukuthi ngaphansi kwezibonakaliso ezifanayo kungabamba ezinye izifo ezibi kakhulu, kuhlanganise nomdlavuza.

Okokuqala, udokotela kumele aqoqe umlando ophelele wezokwelapha. Mhlawumbe uzokubuza mayelana nezimpawu ezikhona, ukuqina kwazo, isikhathi sokwenzeka, njll. La maqiniso abaluleke kakhulu, ngakho qiniseka ukuthi unikeza ochwepheshe lonke ulwazi oludingekayo.

Esikhathini esizayo, ukuhlolwa okujwayelekile kulandela. Udokotela uzosusa isisu ukuze athole izitho ezingavamile. Uma usola u-colitis, udinga ukuhlolwa kwe-rectal, lapho ochwepheshe bezokwazi ukubona ngokushesha i-edema noma ukuvuvukala emgqeni .

Isiguli kudingeka futhi sidlulise ukuhlolwa kwegazi (ukubona ukuvuvukala, ukuphuma kwamathambo, ukuphazamiseka kwegazi) kanye namafutha (ukutheleleka noma ukungcola kwegazi kungatholakala). Imiphumela yezifundo ze-laboratory kulokhu zifundisa kakhulu.

Uma kunesidingo, ibeka i-rheumatoscopy ne-colonoscopy - lezi zifundo zisiza ukuhlola ngokucophelela i-mucosa emathumbu amakhulu. Uma imbangela ye-colitis ayikwazi ukutholakala, noma uma kukhona ukusola ukuthi kukhona khona inqubo embi, i-biopsy nayo yenziwa ngesikhathi sokuqoqwa kwezicubu zokuhlolwa nokuhlolwa okuqhubekayo kwama-laboratory amasampuli.

Kukhona ezinye izifundo ezisiza ukuthi zingaboni nje kuphela ukuthi i-colitis, kodwa futhi ukuhlola izinga lomonakalo we-mucosal, ukuthola indawo yendlela yokuvuvukala, njll. Ngokwesibonelo, ukuhlolwa kwe-x-ray ne-barium enema kuvumela udokotela ukuba afunde izici ze-anatomy futhi ahlole isimo samathumbu amakhulu. Ngokuvamile, iziguli zinconywa futhi zenziwe ngekhompyutheni yekhomphyutha, okuvumela ukuthi ochwepheshe abeke ukuxilongwa okuthile, ehlola izici zenqubo yokuvuvukala.

Kunoma yikuphi, ekucubunguleni ukubaluleka akubalulekile nje ukuthola ukuthi isiguli sine-colitis. Izimbangela, i-degree of lesion, indawo yendawo, isiteji sokuthuthukiswa - konke lokhu akuwona amaphuzu abalulekile lapho ukhetho lwezokwelapha luxhomeke ngqo.

Izindlela zokwelashwa zokwelapha

Yini okufanele uyenze ngemuva kokuba uthola ukuthi une-colitis? Indlela yokuphatha ngayo, udokotela kuphela owaziyo, ngakho-ke akunjalo uma kufanele uzame ukubhekana nale nkinga ngokwakho. Ukukhethwa kwezidakamizwa ngokuqondile kuxhomeke ekubambeni kwesifo.

Isibonelo, ngesimo esithathelwanayo sesifo, kubalulekile ukuthatha izidakamizwa zokulwa ne-antibacterial. Ukwelashwa kwe-ulcerative colitis emathunjini kuhilela ukusetshenziswa kwemithi eminingi. Ngokuyinhloko, aminosalicillates kanye ne-glucocorticoids (izinto ze-hormonal ezivimbela inqubo yokuvuvukala) ziyasetshenziswa.

Uma usolwa ukuthi une-autoimmune reaction, isisetshenziswa se-cytostatics, izidakamizwa ezivimbela umsebenzi wesimiso somzimba. Ngokuvamile, iziguli zinqunywe ukwamukela "Mercaptopurine", "Methotrexane", "Azathioprine" nezinye izidakamizwa.

Ngokwemvelo, ingxenye ebalulekile ukuphathwa ngendlela efanele. Lapho ubuhlungu obukhulu, ama-analgesics anqunywe, okusiza ekunciphiseni isimo sesiguli. Izidakamizwa ze-spasmolytic, ikakhulukazi i- "Papaverin" no-"No-Shpa", kusiza ukubuyisela okuvamile emathunjini omzimba. Ngaphambi kokuba uhudo oluqinile, luchaze "Loperamide" noma ezinye izidakamizwa zokulwa nesifo sofuba. Ukutholakala kwegazi kudinga ukusetshenziswa kwezidakamizwa ze-haemostatic, isibonelo, iTranexam noma i-Dicinone.

Kwezinye izimo, imisebenzi edingekayo iyadingeka. Isibonelo, ngokuphazamiseka okukhulu kokugaya, iziguli ziboniswa ukuphathwa okunamandla kwezakhi. Ihudo eliphazamisekile lingabangela ukuphelelwa amandla kwamanzi, ngakho-ke iziguli zijojowe ngezixazululo zamaminerali ezisiza ukugcina ibhalansi yamanzi kanye ne-electrolytes.

Ngokushesha kufanele kuqaphele ukuthi isinqumo esibhedlela senziwa udokotela. Ezimweni ezinzima, ukwelashwa ekhaya kungenzeka, kodwa kuphela uma zonke izincomo zesipiliyoni sokuphatha zigcinwa. Uma isiguli sisesimweni esibucayi (ukuphuma kwamathumbu emathunjini, ukuphelelwa amanzi emanzini, ukukhathala), khona-ke kumele ahlale eqondiswa ngabasebenzi bezokwelapha - ukwelapha okunjalo ukuvuselelwa kungenziwa kuphela esibhedlela.

Ukuhlinzwa kuyadingeka nini?

Ngeshwa, ukwelashwa okulondolozayo kokulonda kwe-ulcerative colitis emathunjini (noma yiziphi ezinye izinhlobo zalesi sifo) akusebenzi ngaso sonke isikhathi ngokwanele. Ezimweni ezinjalo ukuhlinzwa kuyadingeka.

Isibonakaliso sokusebenza ukungahambi kahle kwezidakamizwa ezidakamizwa ngezinhlobo ezimbi zesifo. Ngaphezu kwalokho, inqubo yokuhlinzwa yenziwa uma isiguli sikhula izimo ezibizwa ngokuthi "eziphuthumayo" ezisongela ukuphila. Ikakhulukazi, ukuxilongwa okunobuthi, ukuqala kokukhubazeka kwezicubu ezimbi, kanye nokugcoba emathunjini, ukuphuma kwegazi okukhulu, njll.

Ngokuvamile, kwenziwa izinqubo ezinkulu lapho intumbu enkulu isuswe ngokuphelele. Kwezinye izimo, odokotela bafaka ileostomy unomphela odongeni lwangaphakathi lomzimba ukuze baxoshe, kuyilapho begcina isisindo somathumbu. Ngeshwa, ukwelashwa okunjalo kuholela ekulahlekelweni kwekhono lokuhlukunyezwa kwesilwane, okwenza iziguli zikhubazeke. Ukususwa ngokukhethekile kwamathumbu nakho kwenziwa, kepha iphesenti lokuphindaphinda liphakeme kakhulu phakathi kweziguli.

Amafomu angapheli alesi sifo aphathwa kanjani?

Ngeshwa, ukuqeda ukuvuvukala okungapheli kunzima kakhulu. Ngakho-ke, ukwelapha kulokhu kuwuphawu oluphawulekayo, futhi luhlose ukugcina umsebenzi ojwayelekile wamathumbu nokuvimbela izinkinga.

Phakathi nesikhathi sokukhuphuka, okungukuthi, ngokulandelanayo, kuhambisane nezibonakaliso ezifanayo njengamafomu amahle, iziguli zinqunywe ukulwa nokuvuvukala, izidakamizwa zokulwa, izidakamizwa ze-analgesic. Kubuye kubaluleke kakhulu ukuhlinzeka ngomzimba ngesamba esidingekayo samanzi ukuze kuvikelwe ukuphelelwa amandla kwamanzi.

Phakathi nesikhathi sokuxoxwa, ukudla okulungile kuphezu kwezokwelapha. Ngokuyinhloko, kubalulekile ukukhipha ukudla okucasula umuthi wamathumbu. Ngaphezu kwalokho, odokotela bancoma ukuthi badle ukudla okufudumele kuphela (okufanayo nokuphuza). Kodwa phakathi nokucindezeleka ukudla kufanele kube okuqinile kakhulu. Ngaphezu kwalokho, odokotela abathile banikezela iziguli ukudla ngezikhathi ezithile ze-vitamin-mineral complexes, ezisiza ekuvimbeleni ukuthuthukiswa kwe-beriberi, futhi ziphinde zivuselele umsebenzi wesimiso somzimba.

Ukudla okufanele kuyingxenye ebalulekile yokwelapha

Namuhla, abantu abaningi banesithakazelo emibutheni mayelana nokuthi yini empeleni i-ulcerative colitis emathunjini. Izimpawu, ukwelashwa kanye nezimbangela zalesi sifo esesixoxe ngazo. Kodwa kufanele kuqondwe ukuthi ukudla okunempilo kuyingxenye ebalulekile yokwelapha. Ngaphezu kwalokho, ngezimo ezinzima zesifo kanye nezinqubo zokuvuvukala okungapheli, ukudla okukhethekile kufanele kugcinwe ngisho nangemva kokuphela kwenkambo yokwelapha.

I-colitis yukuvuvukala kwamathumbu, okuyinto, ngokufanele, kuthinta izinqubo zokugaya. Yingakho ukudla okufana nesifo esifanayo kumele kube nokugcizelela. Okokuqala, kufanele kuqashelwe ukuthi zonke izitsha kufanele zibekwe noma ziphekwe (ukulinganisa kungahlukahluka ngokudla okubhaka). Iziguli zinconywa ukudla okuyingxubevange - kunesidingo kaningi (ngezinye izikhathi kuze kube izikhathi eziyi-8-8 ngosuku), kodwa ezinxenyeni ezincane ukuvimbela ukulima nokuvuthwa kokudla emathunjini amakhulu. Ngendlela, isidlo sokugcina akufanele sibe ngemva kuka-7 ntambama.

Kubalulekile ukufaka ekudleni inani elanele leprotheyini yezilwane - lingaba amaqanda, inyama enamafutha aphansi (isibonelo, izinkukhu, i-veal, unogwaja), kodwa kungenjalo izidlo ezithosiwe.

Kunemikhakha ezithile ukudla obulimaza le mucosa emathunjini, okuholela izimpawu anda. ukudla okunjalo kusukela ekudleni kufanele bungaveli ngokuphelele. Ikakhulukazi, iziguli abavunyelwe ukudla okunamafutha inyama, imifino eluhlaza (fibre, yebo, uma kunesidingo, kodwa udinga Bilisa imifino), kanye ubhontshisi, ummbila, amakhowe, izinongo. Imenyu akumele kuqukethe okuthosiwe, okunamafutha kanye nokudla okunosawoti. imikhiqizo okunqatshelwe futhi zihlanganisa imbewu sunflower, iziphuzo carbonated, utshwala, amabhilikosi omisiwe futhi asithena.

Uma isiguli akusho uhlushwa isisindo okweqile, ekudleni kumele kube okunama-kilojoule amaningi (okungenani 2-3 ayizinkulungwane. Kcal ngosuku) ukugwema okungazelelwe kwesisindo.

nesifo samathumbu: Ukwelashwa amakhambi abantu

Yiqiniso, abantu abaningi banesithakazelo imibuzo mayelana nokuthi zikhona yini ezinye izindlela ukuqeda lesi sifo. Ingabe kungenzeka ukwelapha ekhaya, isibonelo, izilonda emathunjini?

Ukwelashwa amakhambi abantu ngokwemvelo ukhona. Kodwa lapha kumelwe niqaphelisise. Okokuqala, kufanele uxhumane nodokotela wakho ngaphambi kokuqala ukusetshenziswa kwanoma yiliphi ikhambi ekhaya - nguye kuphela okufanele ukuhlola izinzuzo ezingaba khona noma umonakalo.

Ezimweni eziningi, abantu abelaphi Sisikisela uthatha decoction of chamomile, sage kanye centaury. Ukuze silungiselele ke udinga ukuthatha ithisipuni elilodwa amakhambi omisiwe ngayinye izitshalo, uhlanganise futhi uthele ingilazi yamanzi abilayo. Ngemva imbiza infusions, uketshezi kungaba sokukhipha. Kunconywe ukuthatha omunye isipuni njalo ngemva kwamahora amabili. Isikhathi ukwelashwa kufanele kube okungenani inyanga - kuphela bese ziqala ukuvela Imiphumela ebonakalayo yokwelapha ezinjalo.

Kukhona nezinye izindlela. Ngokwesibonelo, e nesifo kubhekwe uqweqwe ewusizo omisiwe ikhabe. 100 g soma ukuthulula 400 ml amanzi ashisayo kanye ake ume. Udinga baphuze isigamu ingilazi izikhathi 4 kuya ku-6 ngosuku. Ungase futhi lungiselela decoction we ikhasi of emhlophe. 2 g soma omisiwe uthele ingilazi yamanzi kanye ibila for isigamu sehora. Kunconywe ukuthatha wezipuni ezimbili okungenani kabili ngosuku.

Kunoma ikuphi, eyisicefe ukuqonda ukuthi ukwelashwa kwabantu yesifo kungenzeka kuphela njengoba indlela asizayo kanye noma kunjalo ayikwazi bamelele yokwelapha umnyuziki wezokwelapha.

Ukuvimbela nesifo

Nesifo - iyisifo evame kakhulu ukuvuvukala futhi, ngeshwa, abanye izinyathelo eziqondile zokuvimbela kuze kube manje akekho. Ngokwemvelo, kungenzeka ukuba agcine imithetho ethile ukuthi kuzosiza ukunciphisa ingozi yokuba lesi sifo. Ikakhulu, i-Isidingo sokugada ngokucophelela izinga imikhiqizo yakho namanzi kudliwe, ukuhambisana nayo yonke imithetho ukupheka, anamathele ezindinganisweni eziyisisekelo inhlanzeko, geza izandla ngaphambi kokudla, nokunye. D.

Njengoba ngokuvamile ukuthuthukiswa yesifo kubangelwa okungafanele amasosha omzimba yomzimba, udinga unakekele mayelana nesimo se-isimiso somzimba sokuzivikela. Ingxenye ebalulekile noma yiziphi izinhlelo zokuvimbela ilungile, ecebile amavithamini namaminerali, ekudleni kanye umsebenzi ngokomzimba Kuyinto nokwenzeka.

Yathandwa ukuthi izinhlobo ezithile zama nesifo kukhona okuningi cishe ukuthuthukisa ku isizinda enganele kwegazi, ngakho-ke kubalulekile ukugcina nokuvinjelwa kwezifo ezifana isifo sokuqina kwemithambo yegazi nomfutho wegazi ophezulu, futhi ukubhema lokuphela.

Ephambi kwezinduna izimpawu zokuqala isixwayiso okufanele ngokushesha kudokotela: phambilini sifo sitholakale futhi ngiqale ukwelashwa ezanele, kubalula balahle lesi sifo ngaphandle eziyingozi.