Siyakwamukela kulesi sikhungo sokuhlinzwa esiphuthumayo esikhethekile kakhulu. Isisu esibuhlungu kakhulu akusona isimo esingalinda; siyisixwayiso umzimba wakho osithumelayo uma sidinga ukungenelela okuqondile kobuchwepheshe.
Njengochwepheshe abanesizinda sokufundisa, siyaqonda ukuthi ukukhathazeka kwesiguli lapho sibhekene nobuhlungu besisu obungazelelwe kukhulu kakhulu; ngakho-ke, inqubo yethu ayifuni nje kuphela ukuxilongwa, kodwa futhi ifuna isisombululo esiphumelelayo ngamasu asezingeni eliphezulu.
Ngaphambi kokubukeza izimpawu eziyisixwayiso ezidinga ukuhlinzwa, ukubaluleka kokuhlolwa komtholampilo kochwepheshe kanye nendlela inqubo yethu yokuhlinzwa engangenisi kakhulu impilo yakho.
Ngiyakumema ukuthi ukhulule ukucindezeleka ezandleni zakho futhi uphefumule ngokuthula; ulwazi lobuchwepheshe luyisinyathelo sokuqala sokululama. Ngaphansi kwesiqondiso sezemfundo sikaDkt. Jorge Delgado, sizohlaziya izici ezibalulekile zokuhlinzwa okuphuthumayo.
imibuzo ejwayelekile ukubuzwa
Yini ehlukanisa isisu esibuhlungu "sezokwelapha" nesisu "sokuhlinzwa"?
Umehluko phakathi kokuphila nokufa. Isisu "sezokwelapha" (isb., i-gastroenteritis, i-renal colic) singaphela ngokwelashwa okulondolozayo. Isisu esiphuthumayo esihlinzwayo sihilela ukulimala kwezitho (i-peritonitis, ukuvaleka, i-necrosis) okudinga ukuhlinzwa ukuze kusindiswe isitho kanye nokuphila.
Yiziphi izimpawu zesixwayiso ezingaxoxiswana ngazo?
Uma ubuhlungu buhlala njalo, buhambisana nesisu "esifana nebhodi" (esiqinile uma usithinta), umkhuhlane omkhulu, noma ukungakwazi ukukhipha igesi, lokhu kuyisimo esiphuthumayo. Ungazami ukwelapha lokhu ekhaya; ukuhlolwa ngudokotela ohlinzayo ukuphela kwendlela yokwenza umsebenzi wobungcweti.
Kungani kubalulekile ukuxilonga udokotela ohlinzayo kusenesikhathi?
Isikhathi siyizicubu. Esiswini esibuhlungu, ihora ngalinye lokulibaziseka landisa ukuvuvukala kanye nokungcola komgodi wesisu. Njengabafundisi, sifundisa ukuthi ukuhlinzwa ngesikhathi kuyindlela engangenisi kakhulu, kuyilapho ukuhlinzwa okulibazisekayo kuphumela ekwakheni kabusha okuyinkimbinkimbi.
Iphrothokholi yanamuhla iqinisekisa kanjani ukuthi isinqumo siphumelele?
Ngokusebenzisa ukuxilongwa okunembile kwezokwelapha, kuhlanganiswe nezithombe zesimanje, sigwema ukuhlinzwa okungadingekile kokuhlola. Siqonda ngqo emthonjeni wenkinga, sinciphise ukulimala futhi sandise ukuphepha kwesiguli.
Kuyisimo sezokwelapha esibangela ubuhlungu obukhulu besisu futhi sidinga ukunakekelwa kwezokwelapha ngokushesha noma ngesikhathi esifanele.
Kulo mhlahlandlela, sizoxoxa ngezimpawu ezahlukene, izimbangela, kanye nezinketho zokwelapha isisu esibuhlungu, "esibhalwe ngabantu, ngenxa yabantu ," okuhlanganisa nezindlela zezokwelapha nezokuhlinzwa.
Kungakhathaliseki ukuthi ubhekene nobuhlungu besisu obuqeda amandla noma ufuna ukufunda kabanzi ngalesi simo esibucayi sokuthuthukiswa kwakho komuntu siqu, okukuvumela ukuthi uhlale unesimo sengqondo sokuzikhandla futhi ubhekane nezinkinga zokuzethemba noma imithi yokuzelapha eyesabekayo.
Izenzo ezimbili ezimbi ezibambezela usizo lwezokwelapha ezibhedlela noma emitholampilo yezempilo ngohlelo lokunakekelwa kwempilo lukahulumeni noma oluzimele , futhi ezingameli nje izibalo ezibandayo zezinkinga ezinkulu, lesi sihloko sizohlinzeka ngolwazi oluwusizo noluqondayo. Ake siqale!
Isisu Esibuhlungu Esishaqisayo
Ubuhlungu obukhulu besisu bungenye yezizathu ezivame kakhulu zokuvakashela iminyango yezimo eziphuthumayo.
Ubuhlungu obukhulu besisu bungabangelwa yizimo eziningi, kusukela ezinhlotsheni ezingengozini kuya ezifweni noma ezinkingeni ezinkulu. E-United States, ubuhlungu obukhulu besisu bubangela u-5-10% wazo zonke izinkonzo zomnyango ophuthumayo.
Izimbangela ezivame kakhulu zobuhlungu obukhulu besisu yi-appendicitis, i-cholecystitis (i-gallbladder ethelelekile), ukuvaleka kwamathumbu amancane, i-pancreatitis, kanye nezifo zamathumbu ezivuvukalayo.
Izimpawu ezihambisana nokuhlaselwa yisisu okukhulu zivame ukuhluka ngobukhulu futhi zifaka phakathi ukuqaqamba noma ubuhlungu obukhulu endaweni yokuvuvukala, isicanucanu noma ukuhlanza, umkhuhlane, izinguquko ekufiseni ukudla kanye nomuzwa wokuqunjelwa, kanye nokungagayi kahle ukudla noma uhudo.
Izinkinga ezivela esimweni sobuhlungu besisu obungapheli zingaba zimbi kakhulu futhi zibulale.
Ukwehluleka ukuthola ukunakekelwa isikhathi eside (amahora angu-24 kuya kwangu-72) kungaholela ku-peritonitis ngenxa yokutheleleka noma ukubhoboka, okuholela ekushayweni yi-sepsis okusongela ukuphila, okusabalalisa ukutheleleka kuwo wonke umzimba futhi kubangele ukuvuvukala kwezitho zomzimba.
Ngakho-ke, ukuqaphela izimpawu ezihambisana nesigameko sezokwelapha esithinta ubuhlungu besisu obubukhali kubalulekile ukuthi uchwepheshe wezempilo ezibhedlela noma emitholampilo yezempilo abelaphe ngesikhathi.
Umhlahlandlela ophelele: Incazelo kanye nokuhlukaniswa
Isisu esibuhlungu siyisimo esiphuthumayo sezokwelapha esibonakala ngobuhlungu obukhulu besisu. Sihlanganisa izimbangela eziningi ezingaba khona, kokubili ukuhlinzwa kanye nokungahlinzwa.
Ukuhlukaniswa kwesisu esibuhlungu ngokuvamile kuhlanganisa izindlela ezibalulekile, njengokuba khona kokucasuka kwe-peritoneal, okubonisa isimo esiphuthumayo sokuhlinzwa, kanye nokwehlukaniswa kwendawo yobuhlungu besisu.
Lokhu kuhlukaniswa kubalulekile ekunqumeni inkambo efanele yesenzo, kungakhathaliseki ukuthi ukungenelela kwezokwelapha okuphuthumayo noma ukuhlinzwa.
Izimpawu ezivamile zesisu esibuhlungu zihlanganisa ubuhlungu obukhulu besisu, ukuphazamiseka kwesisu , kanye nomthelela omkhulu empilweni yesiguli iyonke. Kubalulekile ukuhlonza nokubhekana nembangela eyinhloko ngokushesha, njengoba lesi simo singathuthuka ngokushesha futhi siholele ezinkingeni ezisongela ukuphila uma singelashwa.
Izimpawu eziyinhloko
Izimpawu eziyinhloko zesisu esibuhlungu zihlanganisa izinhlobo eziningi zezibonakaliso zomzimba nezomzimba. Lokhu kufaka phakathi, kodwa akugcini lapho, ubuhlungu obukhulu besisu, ukuhlanza, ukukhukhumala, kanye nezimpawu zokucindezeleka komzimba njenge-tachycardia kanye nokwehla komfutho wegazi.
Ngaphezu kwalokho, iziguli zingase zibe nezimpawu ezibangelwa izimbangela ezithile eziyisisekelo, okwenza inqubo yokuxilonga ibe nzima nakakhulu.
Ubuhlungu besisu luwuphawu oluphawulekayo lwesisu esibuhlungu; luvame ukubonakala ngokuqala kwaso ngokuzumayo kanye nokuqina okukhulu. Iziguli zingachaza ubuhlungu njengobuhlala njalo, obunama-colicky, noma obungahleliwe , futhi indawo yobuhlungu esiswini inganikeza izinkomba ezibalulekile mayelana nembangela eyinhloko.
Ezinye izimpawu, njengokuqunjelwa kwesisu, ubuhlungu bomhlane, ubuhlungu behlombe, kanye nobuhlungu besitho sangasese, nazo zingase zibe khona futhi kufanele zihlolwe ngokucophelela ukuze kusizwe enkambisweni yokuxilonga.
ubuhlungu obukhulu besisu
Isici esiyinhloko sesisu esibuhlungu kakhulu yibuhlungu obukhulu besisu ; ngokuvamile buholela abantu ekufuneni usizo oluphuthumayo lwezokwelapha. Ubuhlungu bungase bube sendawo noma busabalale futhi bungase buhambisane nokuvikela okungahleliwe noma ukuqina kwemisipha yodonga lwesisu.
Ngaphezu kwalokho, ukuba khona kokuzwela okukhulu ekucindezelweni kwedijithali, noma ukuthamba okuphindaphindekayo okwaziwa ngokuthi uphawu oluhle lwe-Blumberg, lapho ubuhlungu buvela khona lapho kukhishwa ingcindezi ngesandla esiswini, kubonisa ukucasuka kwe-peritoneal futhi kuyisibonakaliso esikhathazayo esidinga ukuhlolwa nokungenelela ngokushesha.
Ubukhulu kanye nendawo yobuhlungu kunganikeza ulwazi olubalulekile mayelana nezimbangela ezingaba khona, njengoba izifo ezahlukene zibonisa amaphethini ahlukene obuhlungu.
Kubalulekile ukuthi thina, njengabahlinzeki bezempilo, senze ukuhlolwa okuphelele kobuhlungu, njengoba kusebenza njengesiqondiso esiyinhloko enkambisweni yokuxilonga kanye nokuphathwa kwalesi simo okulandelayo.
Ukuphelelwa amanzi emzimbeni ngenxa yokuhlanza
Ezimweni zesisu esibuhlungu, ukuhlanza kungabangela ukuphelelwa amanzi emzimbeni okukhulu kanye nokungalingani kwama-electrolyte , okwenza isimo sesiguli sibe sibi kakhulu.
Ukuhlanza okuqhubekayo, ikakhulukazi uma kuhambisana nokungakwazi ukubekezelela ukudla ngomlomo, kungaholela ngokushesha ekuncipheni komthamo wemithambo yegazi kanye nokuphazamiseka kwe-metabolic.
Lezi zinkinga zingadala izimpawu zesiguli zibe zimbi kakhulu futhi kumele zixazululwe ngokushesha ukuqinisekisa imiphumela emihle nokuvimbela ukuwohloka okukhulu kwempilo yabo iyonke.
Ukuphatha ukuntuleka kwamanzi emzimbeni kanye nokungalingani kwama-electrolyte kubantu abanesisu esibuhlungu kuyisici esibalulekile sokunakekelwa kwabo futhi kuvame ukuxazululwa kanye nokwelashwa kwembangela eyinhloko.
Ngokubuyisela nokugcina ibhalansi efanele yoketshezi kanye ne-electrolyte , abahlinzeki bezempilo bangasiza ekuqiniseni isiguli futhi basekele umsebenzi waso womzimba, okubaluleke kakhulu esimweni esiphuthumayo sezokwelapha esibucayi njengesisu esibuhlungu.
Ukuxilongwa
Ukuxilongwa kwesisu esibuhlungu kuyinqubo eyinkimbinkimbi futhi enezici eziningi esekelwe ekuhlolweni okuphelele kokwethulwa kwesiguli emtholampilo, umlando wezokwelapha, okutholakele ekuhlolweni ngokomzimba, kanye, uma kufaneleka, ukusetshenziswa kwezivivinyo zelebhu kanye nezifundo zezithombe zezokwelapha.
Njengoba kunezimbangela eziningi ezingaba khona , ukuthola ukuxilongwa okunembile kubalulekile ekuqondiseni amasu okuphatha afanele futhi afike ngesikhathi ukuze kulungiswe imbangela ethile ebangela izimpawu zesiguli.
Uma kuhlolwa isiguli esinobuhlungu obukhulu besisu, kufanele kutholakale umlando ophelele wezokwelapha ukuze kucaciswe ukuqala, uhlobo, kanye nokuvela kwezibonakaliso.
Kufanele kuqashelwe ngokukhethekile noma yiziphi izehlakalo zangaphambilini, njengokuhlukumezeka, ukungalungi kokudla, noma izimo zezokwelapha ezikhona kakade ezingase zibangele umuntu ukuba abe nezifo ezithile zesisu.
Ngaphezu kwalokho, ukubuza ngokungezwani okuhambisana nakho, ukusetshenziswa kwemithi, kanye nomlando wokuhlinzwa kwesiguli kunganikeza ulwazi olubalulekile mayelana nezimbangela ezingaba khona zobuhlungu obukhulu besisu.
Ukubuyekezwa komlando wezokwelapha
Umlando wezokwelapha usebenza njengethuluzi elibalulekile lokuhlonza izici ezingaba yingozi, njengomlando wezifo zesisu, izinqubo zokuhlinzwa zakamuva, noma izici ezaziwayo ezibangela izimo ezithile.
Ngokuqonda okuphelele ngesimo sezokwelapha sesiguli esidlule nesamanje , odokotela abasezikhungweni zezimo eziphuthumayo banganciphisa ngempumelelo uhlu lwezifo ezihlukile futhi bavumelanise indlela yethu yokuxilonga nesimo esithile somtholampilo somuntu ngamunye.
Ngaphezu kwalokho, ukuhlola umlando wesiguli wezenhlalo nomndeni kubalulekile, njengoba izici ezithile zofuzo noma zemvelo zingaba nomthelela ekuthuthukisweni kwezifo zesisu ezibukhali.
Isibonelo, umlando womndeni wesifo samathumbu esivuvukalayo noma umdlavuza wesisu ungandisa inkomba yokusolakala kwezimo ezihlobene, okubangela uphenyo lokuxilonga oluhlose ukuqinisekisa noma ukususa izimbangela ezinjalo.
Hlola físico
Ukuhlolwa ngokomzimba kwesiguli esinesisu esibuhlungu kuyingxenye ebalulekile yenqubo yokuxilonga, njengoba kungaveza izimpawu ezibalulekile ezibonisa izifo ezithile eziyisisekelo.
Abahlinzeki bezokunakekelwa kwempilo kumele benze ukuhlolwa okuhlelekile okuhlanganisa amasu anjengokuhlola , ukulalela i-auscultation, ukuhlikihla, kanye nokushaya ukuze bathole ulwazi oluphelele mayelana nesimo sesisu sesiguli kanye nesimo somzimba jikelele.
Izimpawu zokucasuka kwe-peritoneal, njengokuvikela okungazikhetheli, ukuzwela okukhulu ekucindezelweni kwedijithali, kanye nokuqina , kuyizinto ezibalulekile ezidinga ukuhlolwa okuphuthumayo kanye nokungenelela.
Ngaphezu kwalokho, ukuhlonza izixuku zesisu ezizwakalayo, imisindo engavamile yamathumbu, noma ukukhukhumala kunganikeza izinkomba ezibalulekile mayelana nokuthi yini ebangela izifo zesiguli, kuqondise ukuhlolwa okwengeziwe kokuxilonga kanye nokwakhiwa kohlelo lokuphatha oluqondiwe.
Ukuhlolwa kwegazi kanye nokuhlolwa kwezithombe
Ukuhlolwa kwelabhorethri, okuhlanganisa ukubalwa kwegazi okuphelele, iphaneli ephelele ye-metabolic, kanye nezimpawu zokuvuvukala, kusetshenziswa njalo ukuhlola isimo somzimba sesiguli sonke nokusiza ekuboneni izifo ezingaba khona eziyisisekelo.
Nakuba lezi zivivinyo ngokuvamile zingaqondile, zinganikeza ulwazi olubalulekile mayelana nokuba khona kokutheleleka, ukuvuvukala, noma ukuphazamiseka kwe-metabolic , okungaqondisa ukungenelela okulandelayo kokuxilonga nokwelapha.
Izithombe zezokwelapha, njenge- ultrasound yesisu, i-computed tomography (CT) kanye ne-diagnostic laparoscopy , zidlala indima ebalulekile ekuchazeni imbangela ethile yesisu esibuhlungu esigulini.
Lezi zindlela zivumela ukubona ngeso lengqondo izakhiwo zangaphakathi zesisu, okusiza ekutholeni izinqubo ze-pathological ezifana nokubhoboka kwamathumbu, ukuvuvukala, noma ukungasebenzi kahle kwemithambo yegazi.
Ngokuhlanganisa okutholakele kulezi zifundo zezithombe nokwethulwa kwesiguli emitholampilo kanye nemiphumela yelabhorethri, abahlinzeki bezempilo bangakwazi ukusungula ukuxilongwa okunembile futhi basebenzise amasu okuphatha ahloselwe ukubhekana nezimbangela ezitholakele.
⚠️ INOTHI EBALELEKILE:
Sicela uqaphele ukuthi lolu hlelo lungolwezinjongo zolwazi kuphela futhi akufanele lubhekwe njengeseluleko sezokwelapha. Kubalulekile njalo ukubonisana nochwepheshe wezempilo endaweni yakini ukuze uthole ukuxilongwa okufanele kanye nohlelo lokwelashwa olufika ngesikhathi.
Izimbangela eziyinhloko
Izimbangela eziyinhloko zesisu esibuhlungu ziyahlukahluka futhi zingavela ezithweni nasezinhlakeni ezahlukene zesisu.
Lezi zimbangela zihlanganisa izinhlobo eziningi zezifo, kusukela ezinkingeni zesisu kuya eziphuthumayo zemithambo yegazi , ngasinye sazo sidinga izindlela ezihlukile zokuxilonga nokuphatha.
Ukubhoboka kodonga lwamathumbu, okuvame ukuhambisana nezimo ezifana ne- acute appendicitis kwabesilisa, i-diverticulitis, noma izilonda ze-peptic, kuyimbangela ebalulekile yesisu esibuhlungu.
Ukubhoboka kwamathumbu kubangela ukuvuza kokuqukethwe kwesisu kungene emgodini we-peritoneal, okuholela ekuvuvukeni okukhulu kanye nokukhula kwe-peritonitis eyesabekayo, isimo esisongela ukuphila esidinga ukungenelela okuphuthumayo kokuhlinzwa ukulawula umthombo wokutheleleka nokuvimbela i-systemic sepsis.
Ukubhoboza kwamathumbu
Ukubhoboka kwamathumbu kuvame ukuhlotshaniswa nobuhlungu obukhulu besisu, izimpawu zendawo ye-peritoneal, kanye nokuwohloka okusheshayo kwesiguli.
Ukuqashelwa okusheshayo kanye nokuphathwa kwezokwelapha nokuhlinzwa kubalulekile ukunciphisa izinkinga ezingaba khona ezihlobene nokubhoboka kwamathumbu kanye nokwenza ngcono ukubikezela kwesiguli.
Esinye isizathu esikhulu sesisu esibuhlungu ukuqhuma kwe-aortic aneurysm yesisu , okuyisenzakalo esingaba yinhlekelele esibonakala ngokuqala ngokuzumayo kobuhlungu obukhulu besisu kanye nokungazinzi kwe-hemodynamic.
Njengoba izinga lokufa eliphezulu elihambisana nokuqhekeka kwe-aneurysm, ukuxilongwa okusheshayo kanye nokungenelela kokuhlinzwa okuqondile kubalulekile ukuvimbela i-exsanguination nokuthuthukisa amathuba okusinda kwesiguli.
I-aneurysm ephukile
Ukuqhuma kwe-aorta yesisu kuvame ukuveza ubuhlungu obukhulu besisu obuhlabayo obuphuma emhlane , obuvame ukuhambisana nokwehla okukhulu kwegazi kanye nezimpawu zokushaqeka kwegazi.
Kubalulekile ukuqaphela lesi simo esingasongela ukuphila ngesikhathi esifanele, futhi ukulungiswa kokuhlinzwa okusheshayo kubalulekile ukuze kuvinjelwe ukopha okubulalayo kanye nezinkinga ezihambisana nakho.
Ukwelashwa kwezokwelapha nokuhlinzwa
Ukuphathwa kwesisu esibuhlungu kudinga indlela esheshayo nebanzi yokuhlonza imbangela eyisisekelo kanye nokuzinzisa isimo sempilo sesiguli.
Ezimweni eziningi, ukungenelela okuphuthumayo kokuhlinzwa kuyadingeka ukulawula umthombo wokutheleleka nokuvimbela ukuqhubeka kwezifo zangaphakathi kwesisu ezisongela ukuphila.
Kodwa-ke, indlela ethile yokwelapha incike ku-etiology etholakele, isimo sempilo sesiguli sonke, kanye nokuba khona kwezinto eziyingozi ezingathinta isu lokuphatha.
Iziguli ezifika nesisu esibuhlungu zivame ukudinga izinyathelo zokuvuselela ngokushesha, okuhlanganisa nokufakwa koketshezi ngemithambo yegazi, ukuqeda ubuhlungu, futhi, kwezinye izimo, ukuqaliswa kwama-antibiotic e-broad-spectrum ukunciphisa ingozi yezinkinga ze-septic.
Uma isiguli sesizinzile, ngokuvamile kucelwa ukubonisana okuphuthumayo ngokuhlinzwa ukuze kunqunywe isidingo sokungenelela okuphuthumayo ngokuhlinzwa kanye nokuhlanganisa ukuphathwa kwesiguli okulandelayo ngesikhathi sokuhlinzwa kanye nangemva kokuhlinzwa.
Ezimweni lapho isisu esibuhlungu sibangelwa yizimbangela ezingadingi ukuhlinzwa , njenge- pancreatitis noma izinhlobo ezithile zokuvinjelwa kwesisu , ukwelashwa kuqaliswa okuhloselwe ukulawula ukungakhululeki, ukunikeza ukunakekelwa okusekelayo, kanye nokubhekana nesifo esiyisisekelo.
Lokhu kungafaka izinyathelo ezifana nokuphumula kwamathumbu, ukwesekwa kokudla okunempilo, ukuphathwa kobuhlungu, kanye nokuqapha ngokucophelela izinkinga, kugxilwe kakhulu ekuvimbeleni ukungasebenzi kahle kwezitho zomzimba kanye nokubola kwesistimu.
Ukwelashwa ngokuhlinzwa kwesisu esibuhlungu kungase kuhilele ukungenelela okufana ne-laparotomy yokuhlola, ukunqunywa kwezingxenye zamathumbu ezigulayo, ukukhipha amanzi amathumbu angaphakathi kwesisu, kanye nokulungiswa kokulimala kwemithambo yegazi noma kwesisu.
Ukukhethwa kwendlela yokuhlinzwa efaneleke kakhulu kusekelwe ekuhlolweni okujulile kwemiphumela yesiguli ngesikhathi sokuhlinzwa kanye nokuba khona kwezinto eziyingozi, ngenhloso eyinhloko yokufeza ukuxazululwa okuphelele kwesifo esiyisisekelo kanye nokunciphisa ingozi yezinkinga zangemva kokuhlinzwa.
Kuzo zonke izimo, ukuphathwa kwesisu esibuhlungu kudinga indlela ehlelekile nehlanganisa imikhakha eminingi ehilela ukubambisana okuseduze phakathi kodokotela bezokwelapha eziphuthumayo, odokotela abahlinzayo, odokotela ababulala izinzwa, kanye nochwepheshe bezokunakekelwa okubucayi.
Lo mzamo ohlanganyelwe ubalulekile ukuqinisekisa ukulethwa kokunakekelwa ngesikhathi nangempumelelo ezigulini ezinesisu esibuhlungu, ngenhloso yokwenza ngcono imiphumela yazo yezokwelapha kanye nokunciphisa ingozi yokugula nokufa okuhambisanayo.
Ukuvimbela isisu esibuhlungu
Ubuhlungu obukhulu besisu buyisimo esibucayi esidinga usizo lwezokwelapha ngokushesha. Lolu hlobo lobuhlungu besisu kanye nokungakhululeki kungavinjelwa ngokushintsha indlela yokuphila.
Ukukhuluphala ngokweqile kanye nendlela yokuphila yokungahlali phansi yizici ezimbili ezibangela kakhulu izinkinga zesisu ezibukhali, ngakho-ke ukudla okunempilo, okungenazo ukudla okuguqulwe izakhi zofuzo kanye nombala otholakala ku-petroleum, izinongo kanye nezilondolozi, kanye nokuqinisa imisipha, kubalulekile ukuvimbela lezi zimo.
Ukudla ukudla okunomsoco okucebile nge-fiber yokudla , ukuthola izindlela ezijabulisayo zokuzivocavoca, njengokugijima, ukubhukuda noma ukugibela ibhayisikili, ukulandela uhlelo lokuzivocavoca noma ukwenza izivivinyo eziyisisekelo, njenge-plank noma i-sit-up, kungasiza ekunciphiseni ingozi yokuthola izimpawu zesisu esibuhlungu.
Ukuthatha izinyathelo zokuthatha isinyathelo sokunakekela impilo yakho manje kuzoba nezinzuzo zesikhathi eside empilweni nasenhlalakahleni yawo wonke umuntu.
Isiphetho
Sesifinyelele eqophelweni lapho ulwazi olubaluleke kakhulu luqedwa khona: isisu esibuhlungu yisimo sezokwelapha esibucayi nesiphuthumayo, esibonakala ngobuhlungu besisu obungazelelwe nobunzima . Singaba nezimbangela ezahlukahlukene, sibangele ukungakhululeki, futhi sidinga ukunakekelwa kwezokwelapha okusheshayo ukuze kutholakale ukuxilongwa nokwelashwa okufanele.
Izimbangela ezivamile zifaka phakathi izinkinga zesisu, ukuqhekeka kwezitho zomzimba, kanye nokutheleleka . Ukwelashwa kungafaka ukungenelela kwezokwelapha noma kokuhlinzwa, kuye ngembangela eyinhloko. Kubalulekile ukufuna usizo lwezokwelapha ngokushesha ngenxa yobuhlungu obukhulu noma obuqhubekayo besisu.
Kuyithuba lobumbano ngokwabelana ngolwazi lwezempilo lokuvimbela ubuhlungu besisu obubukhali ezinkundleni zokuxhumana ngaleyo ndlela, ndawonye, ukuqinisekisa ukuthi umndeni, abangani kanye nabantu abaningi banolwazi lokubona ukungakhululeki nokugwema izinkinga ezinkulu.
Ngiyabonga ngokushiya amazwana akho kanye neziphakamiso zebhulogi yezempilo yokugaya ukudla. Ngikufisela okuhle, futhi sizobonana ngesikhathi esizayo!
UDkt. Jorge Delgado, Udokotela Ohlinzayo. Isisu Esibuhlungu Esihlinzayo Esishaqisayo.
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