Kudingeka Nini I-Cervical Spine Fusion?

Ukuhlanganiswa komlomo wesibeletho kuyadingeka uma unezinkinga ezinkulu. Lokhu kuhlanganisa ukungazinzi kwentamo embi, ukucindezeleka kwezinzwa ezingeke zime, noma ubuhlungu obungaba ngcono ngokunye ukunakekelwa. Odokotela bangase futhi baphakamise lokhu kuhlinzwa kwezinto ezifana nokuphuka komgogodla, ukukhubazeka, noma uma okunye ukuhlinzwa kungazange kusebenze. Ithebula elingezansi libonisa izizathu ezibalulekile zokudinga ukuhlangana komlomo wesibeletho:

Ungayethemba i-XC Medico kanye ne Uhlelo Lomgogodla . Banikeza izixazululo eziphephile nezisezingeni eliphezulu. Lezi zihlangabezana nezindinganiso zezokwelapha zanamuhla.

Okuthathwayo Okubalulekile

• Ukuhlanganiswa komlomo wesibeletho kuyadingeka ngenxa yokungaqini kahle kwentamo embi, ubuhlungu obuqhubekayo, noma ukucindezeleka kwemizwa engaba ngcono ngezinye izindlela zokwelapha.

• Ezinye izizathu ezivamile zokuhlanganiswa komlomo wesibeletho yi-disc degenerative, i-herniated discs, i-spinal fractures, kanye nezimila.

• Izimpawu ezifana nobuhlungu bentamo obuqhubekayo, izimpawu zokucindezelwa kwezinzwa, nenkinga yokuhambisa intamo yakho kungase kusho ukuthi udinga ukuhlanganiswa komlomo wesibeletho.

• Odokotela bavame ukuzama izindlela zokwelapha ezingahlinzeki kuqala ngaphambi kokuba baphakamise ukuhlangana komlomo wesibeletho, ukuze baqiniseke ukuthi zonke izinqumo ziyazanywa.

• Ukuhlanganiswa komlomo wesibeletho kungasiza ngobuhlungu, kunikeze ukuzinza okungcono, futhi kukusize uhambe kangcono, okungenza impilo yakho ibe ngcono kakhulu.

Kudingeka Nini I-Cervical Fusion

Ukuhlanganiswa komlomo wesibeletho kuyadingeka lapho intamo yakho idinga ukwesekwa okwengeziwe. Odokotela basikisela lokhu kuhlinzwa ngezinkinga ezinkulu. Ungase uyidinge uma unokungaqini kahle okubi, ubuhlungu obungeke buyeke, noma ukulimala kwenzwa okungaba ngcono ngokunye ukunakekelwa. I-XC Medico Spine System inika odokotela izimila namathuluzi akhethekile. Lezi zisiza odokotela abahlinzayo ukuphatha lezi zinkinga ngokuphepha.

Nali ithebula elibonisa izizathu ezivamile zokuhlangana komlomo wesibeletho nokuthi kungani odokotela bekhetha lokhu kuhlinzwa:

Ukungazinzi Okubi

Ukungazinzi okukhulu kusho ukuthi amathambo noma imigqa esentanyeni yakho ayikwazi ukugcina umgogodla wakho uqinile. Lokhu kungenzeka ngemva kokushaywa kanzima, ithambo eliphukile, noma ukulimala kwe-ligament. Ukungazinzi kungalimaza umgogodla wakho nezinzwa. Odokotela bavame ukwenza ukuhlanganiswa komlomo wesibeletho ukuze bagcine imizwa yakho iphephile futhi bamise ukulimala okwengeziwe.

Ezinye izimbangela nezimpawu zokungaqini kahle okukhulu yilezi:

• Ukuphuka okungazelelwe komgogodla noma ithambo elingekho endaweni

• Ukulimala kwemisipha engozini

• Ukucindezela kwenzwa ngemva kokuphuka

• Amathumba noma ama-cysts aphula amathambo

• Amagciwane afana nesifo sofuba noma i-distitis

• Ukungazinzi kwe-Atlantoaxial (phakathi kwamathambo amabili entamo yokuqala)

• Ukukhubazeka okukhulu ngezinkinga zezinzwa

Uma unokungazinzi, ungase uzwe ubuhlungu, ubuthakathaka, noma ukuba ndikindiki. Ungase ubone ikhanda lakho litshekile noma ube nenkinga yokuhambisa intamo yakho. Ukuhlanganiswa komlomo wesibeletho kungagcina lezi zinkinga zingabi zimbi kakhulu.

Odokotela bakhetha ukuhlangana komlomo wesibeletho ngenxa yokungazinzi ngoba intamo inyakaza kakhulu. Ukunyakaza kakhulu kungamisa amathambo ukuthi angapholi. Odokotela abahlinzayo basebenzisa izimila eziqinile kanye nokuxhunyelelwa amathambo ukuze basize amathambo akhule ndawonye. Ezimweni ezinzima, bangasebenzisa zombili izindlela zangaphambili nangemuva ukuze bathole ukwesekwa okwengeziwe.

I-Degenerative Disc Disease

Isifo se-disc degenerative senzeka lapho ama-disc phakathi kwamathambo entamo yakho eguga. Lokhu kuvamile njengoba abantu bekhula. Ama-disc agugile angabangela ubuhlungu, ukuqina, nezinkinga zemizwa. Uma umuthi, ukwelapha, noma ukudutshulwa kungasizi, udokotela wakho angase asikisele ukuhlangana komlomo wesibeletho.

Ishadi elingezansi libonisa ukuthi le nkinga yenzeka kaningi kangakanani:

• Cishe u-28% wabantu ubonisa izinguquko zediski kuma-X-ray.

• Cishe i-13% inezimpawu.

• Cishe u-6% udinga okunye ukuhlinzwa.

Ukuhlanganiswa komlomo wesibeletho kungasiza ngokumisa ukunyakaza okubuhlungu nokuvikela izinzwa. Abantu abaningi benza kahle ngemva kokuhlinzwa. Izinkinga azivamile, ikakhulukazi ngokufakelwa okusha njengalezo eziku-XC Medico Spine System. Odokotela abahlinzayo babona imiphumela emihle, ikakhulukazi ekuhlanganiseni kweleveli eyodwa.

I-Herniated Discs

I-disc ye-herniated isho ukuthi ingxenye ethambile yediski iphushela ngaphandle bese icindezela inzwa. Lokhu kungabangela ubuhlungu obubukhali, ukushotshozela, noma ubuthakathaka ezingalweni zakho. Uma ukuphumula, imithi, noma ukwelashwa kungasizi, kungase kudingeke ukuhlanganiswa komlomo wesibeletho.

Odokotela basebenzisa ukuhlinzwa okubizwa ngokuthi i-anterior cervical discectomy and fusion (ACDF). Bakhiphe i-disc embi bahlanganise amathambo. Lokhu kumisa ubuhlungu futhi kugcina intamo yakho iqinile.

Nali ithebula elibonisa lapho kudingeka ukuhlanganiswa komlomo wesibeletho kumadiski e-herniated:

Kokubili ukuhlanganiswa komlomo wesibeletho nokushintshwa kwe-disc kungasiza ubuhlungu nokunyakaza. I-Fusion imisa ukunyakaza endaweni ephathwayo, kuyilapho ukushintshwa kwediski kukuvumela ukuthi uhambise kakhudlwana. Ukuphulukiswa kusuka ekuhlanganiseni kuthatha isikhathi eside, kodwa kokubili ukuhlinzwa kusebenza kahle.

Ukuphuka Komgogodla

Ukuphuka komgogodla kusho ukuphuka kwethambo elilodwa noma ngaphezulu kwentamo. Lokhu kungenzeka ezingozini zezimoto, ukuwa, noma ezemidlalo. Amanye ama-fracture aphulukiswa nge-brace, kodwa amanye adinga ukuhlinzwa. Uma amathambo enyakaza kakhulu noma ecindezela izinzwa, ukuhlangana komlomo wesibeletho kuyisixazululo esingcono kakhulu.

Ama-fractures ajwayelekile adinga ukuhlanganiswa yilezi:

• Ukuphuka kwe-C1-C2 (amathambo amabili entamo aphezulu)

• I-C1 iphuka ngokunyakaza okukhulu

• Ukulimala okuphezulu komlomo wesibeletho okungapholi ngezinsimbi zokuqondisa izinyawo

Odokotela babona cishe izinga lempumelelo elingu-90% lokuhlangana komlomo wesibeletho kweleveli eyodwa noma amabili kulezi zimo. Izinkinga zakuqala ngokufakwa kwezinto azivamile.

Amathumba kanye Nezifo

Izimila kanye nezifo kungenza amathambo entamo yakho abe buthaka. Lokhu kungabangela ubuhlungu, ukungazinzi, nokulimala kwezinzwa. Ukuhlanganiswa komlomo wesibeletho kusiza ngokukhipha izicubu ezigulayo nokwenza umgogodla wakho uqine.

Odokotela basebenzisa inhlanganisela yomlomo wesibeletho ukuze:

• Yelapha izimila emathanjeni, ezicutshini ezithambile, noma ezinzwa

• Lungisa ukungazinzi ngemva kokukhipha isimila noma ukutheleleka

• Yehlisa ingcindezi yezinzwa ekuvuvukeni noma ekulahlekelweni amathambo

Ithebula elingezansi libonisa ukuthi ukuhlanganiswa komlomo wesibeletho kusiza kanjani kulezi zimo:

Ungase udinge lokhu kuhlinzwa uma unobuhlungu, imfiva, noma izinkinga zemizwa ezintsha ezingabi ngcono ngomuthi.

Ukukhubazeka Komgogodla

Ukukhubazeka komgogodla kusho ukuthi intamo yakho igobile ngendlela eyinqaba. Lokhu kungenzeka kusukela ekuzalweni, izinkinga zemisipha, noma ezinye izifo. Ukukhubazeka okuvamile i-scoliosis (ijika elibheke eceleni) kanye ne-kyphosis (ijika eliya phambili).

Odokotela basebenzisa inhlanganisela yomlomo wesibeletho ukuze:

• Lungisa ijika futhi usize ukuma

• Misa izinkinga zemizwa ukuthi zingabi zimbi kakhulu

• Vimbela ubuhlungu nezinkinga zesikhathi esizayo

Izinhlobo zokukhubazeka eziphathwa ngokuhlangana komlomo wesibeletho:

• Idiopathic scoliosis

• I-Congenital scoliosis

• I-Neuromuscular scoliosis

• I-Postural kyphosis

• I-kyphosis kaScheuermann

• I-Congenital kyphosis

Ucwaningo lubonisa ukuhlanganiswa komlomo wesibeletho kungasiza ukuma kwentamo nokusebenza kwezinzwa. Odokotela abahlinzayo bangasebenzisa izimila ezikhethekile nezindlela zamajika aqinile. I-XC Medico Spine System inikeza izinketho eziningi zalokhu kuhlinzwa okunzima.

I-XC Medico Spine System isiza odokotela abahlinzayo belaphe zonke lezi zinkinga. Inokufakwa kwekhwalithi ephezulu namathuluzi wamacala alula naqinile. Ungathemba ukuthi umkhiqizo ngamunye uhlangabezana nemithetho eqinile yokuphepha nekhwalithi.

Izimpawu Eziholela Ekuhlanganiseni Komlomo Wesibeletho

Uma ucabanga ngokuhlangana komlomo wesibeletho, kufanele ubheke izimpawu ezithile ezingasuki ngokunakekelwa okuvamile. Lezi zimpawu zivame ukubonisa ukuthi intamo yakho idinga ukwesekwa okwengeziwe noma ukuthi izinzwa zibhekana nokucindezeleka.

Ubuhlungu Bentamo Eziphikelelayo

Ungase uzwe ubuhlungu bentamo obungaba ngcono ngokuphumula, imithi, noma ukwelashwa. Odokotela babiza lobu buhlungu obuqhubekayo bentamo. Cishe u-27% wabantu abadinga ukuhlanganiswa komlomo wesibeletho banalolu hlobo lobuhlungu. Lobu buhlungu bungenza imisebenzi yansuku zonke ibe nzima. Ungase uqaphele ukuthi ubuhlungu buhlala amasonto noma izinyanga, ngisho nangemva kokuzama ukwelashwa okuhlukile.

Uma ubuhlungu bentamo yakho bulokhu bubuya noma buba bubi nakakhulu, kufanele ukhulume nodokotela wakho.

Izimpawu Zokucindezelwa Kwezinzwa

Ukucindezelwa kwemizwa kwenzeka lapho okuthile kucindezela izinzwa zakho zomgogodla. Ungase uqaphele:

• Ubuhlungu obehla ngengalo yakho

• Ukuba ndikindiki noma ukushoshozela ezandleni noma eminweni

• Ubuthakathaka bemisipha ezingalweni zakho

Lezi zimpawu zisho ukuthi imizwa yakho ayisebenzi kahle. Ungase uzwe 'izikhonkwane nezinaliti' umuzwa. Ubuthakathaka noma ukukhalipha okunensa nakho kungavela.

Ukulahlekelwa Ukuhamba noma Umsebenzi

Ungase ukuthole kunzima ukuhambisa intamo yakho. Ukuphendula ikhanda lakho noma ukubheka phezulu naphansi kungase kube buhlungu. Abanye abantu baphelelwa amandla ezingalweni noma ezandleni. Ungase ulahle izinto noma ube nenkinga yokuphakamisa izinto. Ukunyakaza okulinganiselwe kungenza ukushayela noma ukufunda kube nzima.

Ukushoda Kwezinzwa

Odokotela babheka ukushoda kwemizwa lapho benquma ngokuhlinzwa. Lokhu kubandakanya:

Uma ubona noma iyiphi yalezi zimpawu, kufanele ubone uchwepheshe womgogodla. Ukunakekelwa kusenesikhathi kungasiza ekuvimbeleni izinkinga ezengeziwe.

Indlela Odokotela Abanquma Ngayo Nge-Cervical Fusion

Uma ubona udokotela wakho ngenxa yobuhlungu bentamo, balandela izinyathelo zokusiza ukunquma ukuthi kuyadingeka yini ukuhlanganiswa komlomo wesibeletho. Odokotela basebenzisa izivivinyo, babheke izindlela zokwelapha zakho ezedlule, futhi bahlole ukuthi inkinga yakho imbi kangakanani.

Izivivinyo zokuxilonga

Odokotela baqala ngokubuza ngezimpawu zakho. Bafuna ukwazi ukuthi unezinhlungu zentamo noma ubuthakathaka. Baphinde bakubuze ukuthi ingabe uzwa ubuhlungu bezinzwa engalweni yakho. Okulandelayo, benza ukuhlolwa ngokomzimba. Babheka ukuthi ulihambisa kanjani intamo yakho. Bahlola amandla akho emisipha kanye nokukhalipha.

Nali ithebula elibonisa ukuhlola okuvamile nokuthi uhlolo ngalunye lwenzani:

Ithiphu: Izikena ze-MRI ne-CT zisiza odokotela babone umgogodla wakho ngokucacile. Lezi zivivinyo zibonisa ukuthi izinzwa zicindezelwe noma amadiski alimele.

Ukunakekela Kwehlulekile

Odokotela abakhethi ukuhlinzwa ngokushesha. Baqale bazame umuthi, ukwelapha, noma ukuphumula. Uma lokhu kungasebenzi, ungadinga ukuhlanganiswa komlomo wesibeletho. Odokotela babheka izimpawu zokuthi ubuhlungu noma ubuthakathaka bakho akubi ngcono ngemva kwalokhu kwelashwa.

Nali ithebula elibonisa lapho ukunakekelwa okuvamile kwehlulekile:

Uma usenobuhlungu noma ubuthakathaka ngemva kokuzama konke, udokotela wakho angase akhulume ngokuhlinzwa.

Ukuqina Kwesimo

Odokotela basebenzisa amaphuzu ukuze babone ukuthi ubuhlungu bentamo yakho buthinta kangakanani impilo yakho. I-Neck Disability Index (NDI) yiphuzu elilodwa. Kukhombisa ukuthi ubuhlungu bentamo bukuvimba kangakanani ukwenza izinto. Amanye amaphuzu i-Visual Analogue Scale (VAS) yobuhlungu kanye ne-Japanese Orthopedic Association scores (JOA).

Nali ithebula elichaza amazinga e-NDI:

Ucwaningo lukhombisa ukuthi abantu abanamaphuzu aphezulu e-NDI bangathatha isikhathi eside ukuphola ngemuva kokuhlinzwa. Odokotela basebenzisa lawa maphuzu ukusiza ukunquma ukuthi ukuhlangana komlomo wesibeletho kuyisinqumo esihle yini.

Qaphela: Uma ubuhlungu bentamo bukuvimbela ekwenzeni izinto ezijwayelekile, khuluma nodokotela wakho ngalokho ongakwenza.

Ezinye izindlela zokuhlanganisa iCervical Fusion

Uma unezinhlungu zentamo noma izinkinga zezinzwa, ungase ufune ezinye izinketho ngaphandle kokuhlanganiswa komlomo wesibeletho. Abantu abaningi bazizwa bengcono ngokwelashwa okungadingi ukuhlinzwa noma ngokuhlinzwa okuncane. Lezi zinketho zingakusiza ukuthi ugweme ukuhlanganisa noma ulinde isikhathi eside ngaphambi kokuyidinga. Ziphinde zikusize uqhubeke nokunyakazisa intamo yakho.

Izinketho Ezingahlinzeki

Odokotela bavamise ukuzama izindlela zokwelapha ezingahlinzeki kuqala. Lezi zingasiza ngobuhlungu futhi zenze kube lula ukunyakaza. Ziphinde zikusize ukuthi ubuyele empilweni yakho evamile. Nazi ezinye izinketho ezivamile ezingezona ukuhlinzwa:

Ithiphu: Ukwelashwa ngokomzimba nemijovo yomgogodla kusiza abantu abaningi. Ungase ungadingi ukuhlinzwa uma lezi zindlela zokwelapha zikusebenzela.

Ezinye Izinqubo Zokuhlinza

Uma ukunakekelwa okungahlinzeki kungasizi, usenokunye ukuhlinzwa okumele uzame. Lokhu kuhlinzwa kulungisa inkinga futhi kusiza intamo yakho ukuthi ihlale iguquguquka.

• I-Cervical Disc Replacement (CDR): Igcina intamo yakho ihamba futhi ikhipha ingcindezi emithanjeni.

• I-Endoscopic Lumbar Discectomy: Isebenzisa ikhamera encane namathuluzi ukuze isuse i-disc futhi idambise ubuhlungu.

• I-Coflex Lumbar Interlaminar Device: Inikeza ukusekelwa komgogodla wakho futhi ikuvumela ukuthi uqhubeke uhamba.

• I-Endoscopic Rhizotomy: Yelapha ubuhlungu obuhlala isikhathi eside ngekhamera encane namathuluzi. Idala ukulimala okuncane ezicutshini.

• Inqubo ye-Intracept: Iqondisa izinzwa ezibuhlungu ngaphakathi kwethambo ngaphandle kokusikeka okukhulu.

Kufanele ukhulume nodokotela wakho mayelana nalezi zinqumo. Inketho engcono kakhulu incike kuzimpawu zakho, ubudala, nempilo. Abantu abaningi bazizwa bengcono ngaphandle kokudinga ukuhlanganiswa komlomo wesibeletho.

Izingozi Nezinzuzo Ze-Cervical Fusion

Izinzuzo Ezigulini

Ungase ubuze ukuthi ukuhlanganiswa komlomo wesibeletho kusiza kanjani. Abantu abaningi bazizwa bengcono kakhulu ngemva kwalokhu kuhlinzwa. Nazi ezinye izinzuzo eziyinhloko:

• Ukukhululeka kobuhlungu: Cishe uzoba nobuhlungu obuncane bentamo. Ukuhlinzwa kumisa ukunyakaza okubuhlungu futhi kunciphisa umfutho wezinzwa.

• Ukuzinza okuthuthukisiwe: Intamo yakho izozizwa izinzile. Lokhu kwehlisa amathuba akho okuphinda ulimale.

• Ukuhamba okuthuthukisiwe: Abantu abaningi bangakwazi ukuhambisa intamo yabo kangcono. Imisebenzi yansuku zonke iba lula.

• Ukuvimbela ukuwohloka okwengeziwe: Ukuhlinzwa kungagcina inkinga yakho ingabi nakakhulu.

• Izinga lempilo elikhulayo: Ngobuhlungu obuncane nokunyakaza okungcono, ungenza izinto eziningi ozijabulelayo.

Iziguli eziningi zithi ubuhlungu nokunyakaza kwazo kuba ngcono ngemva kokuhlinzwa. Ucwaningo olulodwa lwathola ukuthi i-71% yayinobuhlungu obuncane. Cishe u-88% uthe impilo yabo isingcono.

Ithiphu: Uma uhlinzwa ngokushesha, ungase ululame kangcono.

Izingozi Ezingenzeka

Konke ukuhlinzwa kunezingozi. Kufanele wazi ukuthi yini okufanele uyibheke ngemuva kokuhlanganiswa komlomo wesibeletho. Ezinye izingozi ezivamile yilezi:

• Ukutheleleka lapho ukuhlinzwa kwenziwa khona

• Ukopha noma amahlule egazi

• Ukulimala kwemizwa noma ubuthakathaka

• Inkinga yokugwinya noma yokukhuluma

Amathuba ezinkinga ngemva kokuhlanganiswa komlomo wesibeletho wangaphambili aphakathi kuka-13.2% no-19.3%. Ngokuhlanganiswa kwangemuva, cishe ku-15% kuya ku-25%.

'Abantu abaningi bangathola ukukhubazeka kwe-segmental motor ngemva kokuhlanganiswa kwangemuva. Lokhu kungenzeka uma umgogodla unyakaziswa phakathi nokuhlinzwa. Kungase kukhame impande yemizwa futhi kubangele ukukhubazeka. Abantu abanezinkinga zokuphefumula, njengesifuba somoya, basengozini enkulu yokutheleleka ngemva kokuhlinzwa kunalabo abangenaso isifuba somoya.'

Kufanele ukhulume nodokotela wakho mayelana nempilo yakho ngaphambi kokuhlinzwa. Lokhu kungasiza ukwehlisa ubungozi bakho futhi kukunike imiphumela engcono.

Ungase udinge ukuhlanganiswa komlomo wesibeletho uma unezinhlungu ezinamandla noma intamo yakho ingazinzile. Ngezinye izikhathi, izinkinga zezinzwa azibi ngcono ngokunye ukwelashwa. Lokhu kuhlinzwa kungakusiza ngezindlela eziningi:

• Yehlisa ubuhlungu futhi igcine intamo yakho iqinile.

• Kuthatha ingcindezi entanjeni yakho yomgogodla kanye nezinzwa.

• Kukusiza ukuthi uhambe kangcono futhi ujabulele ukuphila kakhulu.

Amathuluzi amasha afana nokuzulazula namarobhothi asiza odokotela ukuthi bahlinze ngokuphepha. Benza futhi ukuhlinzwa ngokuqondile. Kufanele ngaso sonke isikhathi ucele iseluleko kuchwepheshe womgogodla. I-XC Medico's Spine System ikunikeza ukunakekelwa okuphephile nosizo lochwepheshe ongalethemba.

FAQ

Kuyini ukuhlangana komgogodla wesibeletho?

I-Cervical spine fusion ukuhlinzwa okuhlanganisa amathambo amabili noma ngaphezulu entanyeni yakho. Lokhu kusiza ukumisa ukunyakaza okubuhlungu futhi kuvikela umgogodla wakho. Odokotela basebenzisa izifakelo ezikhethekile, njengalezo kusuka ku-XC Medico , ukugcina intamo yakho izinzile.

Kuthatha isikhathi esingakanani ukululama ekuhlanganisweni komlomo wesibeletho?

Abantu abaningi babuyela emisebenzini evamile emasontweni ayisi-6 kuye kwayi-12. Udokotela wakho angase asikisele ukwelashwa ngokomzimba. Isikhathi sokuphulukisa sincike empilweni yakho kanye nohlobo lokuhlinzwa.

Ingabe ngizolahlekelwa ukunyakaza kwentamo ngemva kokuhlanganiswa komlomo wesibeletho?

Ungase ulahlekelwe ukunyakaza okuthile lapho amathambo ehlanganiswa khona. Iningi labantu lisanyakazisa izintamo kahle. I-XC Medico's Spine System isiza ukugcina intamo yakho izinzile ngenkathi ivumela ukunyakaza okuphephile.

Ingabe ukuhlanganiswa komlomo wesibeletho kuphephile?

Ukuhlanganiswa komlomo wesibeletho kuwukuhlinzwa okuvamile nokuphephile. Odokotela basebenzisa izifakelo zekhwalithi ephezulu, njengalezo ezivela ku-XC Medico, ukuze banciphise izingozi. Iningi leziguli lizizwa lingcono ngemva kokuhlinzwa.

Kufanele ngikhulume nini nodokotela mayelana nokuhlangana komlomo wesibeletho?

Kufanele ukhulume nodokotela uma unobuhlungu bentamo, ubuthakathaka, noma ukuba ndikindiki okungaba ngcono. Ukunakekelwa kusenesikhathi kungakusiza ugweme izinkinga ezengeziwe.