Yonke into ofuna ukuyifumana malunga neRheumatoid Arthritis

Umxholo

• Iimpawu zesifo samathambo
• Ukuxilongwa kwesifo samathambo
• Uvavanyo lwegazi kwisifo samathambo
• Unyango lwe-rheumatoid arthritis
• Amayeza e-rheumatoid arthritis
• Unyango lwasekhaya lwe-rheumatoid arthritis
• Zilolonge
• Phumla ngokwaneleyo
• Faka ubushushu okanye ukubanda
• Zama izixhobo zoncedo
• Thenga amayeza asekhaya
• Ukutya kwesifo samathambo
• Iindidi zesifo samathambo
• Isifo samathambo esinganyangekiyo
• Isifo samathambo sibangela
• Isifo samathambo ezandleni
• Imifanekiso yesifo samathambo
• Umahluko phakathi kwe-rheumatoid arthritis kunye ne-osteoarthritis
• Ngaba i-rheumatoid arthritis ifa?
• Thetha nomboneleli wakho wezempilo

Sibandakanya iimveliso esicinga ukuba ziluncedo kubafundi bethu. Ukuba uthenga amakhonkco kweli phepha, sinokufumana ikhomishini encinci. Nantsi inkqubo yethu.

Yintoni isifo samathambo?

I-rheumatoid arthritis (RA) sisifo esizimelayo esinokubangela iintlungu kunye nomonakalo emzimbeni wakho.

Umonakalo odibeneyo odalwa yiRA uhlala usenzeka kumacala omabini omzimba.

Ke, ukuba indibaniselwano ichaphazelekile kwenye yeengalo zakho okanye imilenze, indibaniselwano efanayo kwenye ingalo okanye umlenze iya kuchaphazeleka nayo. Le yenye yeendlela oogqirha abahlula ngayo i-RA kwezinye iindlela zesifo samathambo, ezinje nge-osteoarthritis (OA).

Unyango lusebenza kakuhle xa i-RA ifunyenwe kwangethuba, ke kubalulekile ukuba ufunde imiqondiso. Funda ukuze ufunde yonke into ofuna ukuyazi malunga neRA, ukusuka kwiindidi kunye neempawu ukuya kunyango lwasekhaya, ukutya, kunye nolunye unyango.

Iimpawu zesifo samathambo

I-RA sisifo esinganyangekiyo esiphawulwe ziimpawu zokudumba kunye nentlungu kumalungu. Ezi mpawu kunye neempawu zenzeka ngamaxesha abizwa ngokuba ziiflare okanye ukwanda. Amanye amaxesha aziwa njengamaxesha okuxolelwa-oku kuxa iimpawu ziphele nya.

Ngelixa iimpawu zeRA zinokuchaphazela amalungu aliqela emzimbeni, iimpawu ezidibeneyo zeRA zibandakanya:

• intlungu edibeneyo
• ukudumba ngokudibeneyo
• ukuqina ngokudibeneyo
• Ukuphulukana nokusebenza ngokudibeneyo kunye neziphene

Iimpawu ziyahluka ukusuka kubumnene ukuya kubunzima. Kubalulekile ukuba ungazihoyi iimpawu zakho, nokuba ziza kwaye zihambe. Ukwazi imiqondiso yokuqala ye-RA kuya kukunceda wena kunye nomboneleli wakho wezempilo ukuba uyiphathe kakuhle kwaye uyilawule.

Ukuxilongwa kwesifo samathambo

Ukuchonga i-RA kungathatha ixesha kwaye kunokufuna iimvavanyo ezininzi zelebhu ukuqinisekisa iziphumo zovavanyo lweklinikhi. Umboneleli wakho wezempilo uya kusebenzisa izixhobo ezininzi ukufumanisa i-RA.

Okokuqala, baya kubuza malunga neempawu zakho kunye nembali yonyango. Kananjalo baya kwenza uvavanyo lomzimba lwamalungu akho. Oku kuya kubandakanya:

• ujonge ukudumba nobomvu
• kuvavanywa ukusebenza ngokudibeneyo kunye noluhlu lwentshukumo
• ukuchukumisa amalungu adibeneyo ukujonga ubushushu kunye nokuthamba
• ukuvavanya ukucinga kwakho kunye namandla omzimba

Ukuba barhanela i-RA, baya kukuthumela kwingcali ebizwa ngokuba yingcali yamathambo.

Kuba alukho uvavanyo olunye olunokuqinisekisa ukuxilongwa kwe-RA, umboneleli wakho wezempilo okanye i-rheumatologist unokusebenzisa iintlobo ezahlukeneyo zovavanyo.

Banokuvavanya igazi lakho lezinto ezithile ezinjenge-antibodies, okanye bajonge inqanaba lezinto ezithile ezinje eziphakanyisiweyo ngexesha lokudumba. Oku kunokuba ngumqondiso we-RA kwaye kuncedise ukuxhasa ukuxilongwa.

Banokucela iimvavanyo ezithile zokucinga, ezinje nge-ultrasound, X-ray, okanye iMRI.

Uvavanyo alubonisi kuphela ukuba umonakalo odibeneyo wenzekile kodwa nokuba ungakanani na umonakalo.

Uvavanyo olupheleleyo kunye nokubeka esweni ezinye iinkqubo zomzimba kunokucetyiswa kwabanye abantu abaneRA, nabo.

Funda ngakumbi malunga nenkqubo yokufumanisa i-RA.

Uvavanyo lwegazi kwisifo samathambo

Kukho iintlobo ezininzi zeemvavanyo zegazi ezinceda umboneleli wakho wezempilo okanye i-rheumatologist ichonge ukuba unayo i-RA. Olu vavanyo lubandakanya:

• Uvavanyo lweRheumatoid factor. Uvavanyo lwegazi lweRF lujonga iprotein ebizwa ngokuba yirheumatoid factor. Amanqanaba aphezulu e-rheumatoid factor ayanyaniswa nezifo ezisebenza ngokuzimela, ngakumbi i-RA.
• Uvavanyo lwe-anti-CCP ye-anticrullinated protein (anti-CCP). Olu vavanyo lukhangela kwi-antibody ehambelana ne-RA. Abantu abane-antibody bahlala benesi sifo. Nangona kunjalo, ayinguye wonke umntu oneemvavanyo ze-RA oqinisekileyo kule ntsholongwane. I-anti-CCP Ab icacise ngakumbi i-RA kunovavanyo lweRF
• Uvavanyo lwe-antibody yenyukliya. Iphaneli yeantinuclear antibody ivavanya amajoni akho omzimba ukubona ukuba ivelisa ii-antibodies. Umzimba wakho unokwenza ii-antibodies njengempendulo kwiintlobo ezahlukeneyo zeemeko, kubandakanya i-RA.
• Inqanaba le-sedimentation ye-Erythrocyte. Uvavanyo lwe-ESR luyanceda ukumisela inqanaba lokudumba emzimbeni wakho. Iziphumo zixelela ugqirha wakho ukuba ngaba kukho ukudumba. Nangona kunjalo, ayibonisi unobangela wokudumba.
• Uvavanyo lweprotheni esebenzayo yeC. Usulelo olomeleleyo okanye ukudumba okubonakalayo naphina emzimbeni wakho kunokubangela isibindi sakho ukuba senze iprotein esebenzayo yeC. Amanqanaba aphezulu esi siphawuli sokudumba sinxulunyaniswa neRA.

Fumana ngakumbi malunga novavanyo lwegazi olwahlukeneyo lweRA.

Unyango lwe-rheumatoid arthritis

Akukho lunyango lweRA, kodwa lukhona unyango olunokukunceda ukuba ulawule.

I-rheumatoid arthritis (RA) inokugcina abaguli kunye noogqirha kwizwane zabo njengoko befumana ezona ndlela zokunyanga iimpawu kunye nokucothisa ukuqhubela phambili kwemeko.

Kutshanje, inkqubela phambili kwizicwangciso zonyango zikhokelele kwiziphumo ezihlala ziphucuka kunye nomgangatho wobomi kwabo bane-rheumatoid arthritis. Ukunyanga ekujoliseni iRheumatoid Arthritis yifilosofi yonyango esetyenziswa zii-rheumatologists ukulawula esi sifo.

Indlela yokuphatha ekujolise kuyo ikhokelele kwiimpawu ezimbalwa kunye neqondo lokuxolelwa okuphezulu kwabo bane-RA. Isicwangciso sonyango sibandakanya:

• ukuseta injongo yovavanyo ethile ebonisa ukuba uxolelo okanye imeko yesifo esezantsi
• kuvavanywa izinto ezihambelana nesigaba esibi kunye nokwenza uhlolo rhoqo ngenyanga ukuvavanya inkqubela phambili yonyango kunye nesicwangciso solawulo
• ukutshintsha irejimeni yonyango ngokukhawuleza ukuba inkqubela phambili ayenziwanga.

Unyango lweRA lunceda ukulawula iintlungu kunye nokulawula impendulo yokuvuvukala enokuthi inokubangela ukuxolelwa kwiimeko ezininzi. Ukuncipha kokudumba kunokunceda ekuthinteleni ukuqhubeka komdibaniso kunye nelungu.

Unyango lunokubandakanya:

• amayeza
• enye okanye amayeza asekhaya
• utshintsho kwindlela otya ngayo
• iintlobo ezithile zomthambo

Umboneleli wakho wezempilo uya kusebenza nawe ukumisela esona sicwangciso sonyango sonyango lweemfuno zakho zonyango.

Kubantu abaninzi, olu nyango lubanceda ukuba baphile ubomi obusebenzayo kwaye banciphise umngcipheko weengxaki zexesha elide.

Funda ngakumbi malunga nonyango oluthile lweRA kunye nendlela yokunyanga ii flares.

Amayeza e-rheumatoid arthritis

Zininzi iintlobo zamayeza eRA. Amanye ala mayeza anceda ukunciphisa iintlungu kunye nokudumba kweRA. Abanye banceda ukunciphisa ii-flares kunye nokunciphisa umda kwi-RA kumalungu akho.

La mayeza alandelayo e-counter athengisa ukunciphisa intlungu kunye nokuvuvukala ngexesha le-RA flares:

• iziyobisi ezingasebenziyo ezichasayo (ii-NSAID)
• icorticosteroids
• acetaminophen

La machiza alandelayo asebenza ukucothisa umonakalo onokubangelwa yi-RA emzimbeni wakho:

• Iziyobisi eziguqula amachiza e-antirheumatic (DMARDs). Ii-DMARD zisebenza ngokuthintela ukuphendula komzimba wakho. Oku kunceda ukunciphisa inkqubela phambili yeRA.
• Ibhayoloji. Ezi zizukulwana zintsha ze-biologic DMARD zibonelela ngempendulo ekujolise kuyo kunokubamba impendulo yomzimba wonke. Banokuba lunyango olusebenzayo kubantu abangaphenduliyo kwii-DMARD zemveli ngakumbi.
• UJanus kinase (JAK) inhibitors. Eli licandelo elitsha le-DMARD elithintela iimpendulo ezithile zomzimba. La ngamachiza anokubonelelwa ngumboneleli wakho wezempilo ukunceda ukukhusela ukudumba kunye nokuyeka ukonakala kumalungu akho xa ii-DMARD kunye nee-DMARD zebhayoloji zingasebenzi kuwe.

Unyango lwasekhaya lwe-rheumatoid arthritis

Unyango oluthile lwasekhaya kunye nohlengahlengiso lwendlela yokuphila lunokunceda ekuphuculeni umgangatho wobomi bakho xa uhlala neRA. Oku kubandakanya ukuzivocavoca, ukuphumla kunye nezixhobo zoncedo.

Zilolonge

Ukuzivocavoca kwefuthe elisezantsi kunokunceda ekuphuculeni uluhlu lokuhamba kumalungu akho kunye nokwandisa ukuhamba kwakho. Ukuzivocavoca kunokuqinisa izihlunu, ezinokukunceda ukunciphisa uxinzelelo kumalungu akho.

Unokufuna ukuzama i-yoga emnene enokukunceda uphinde ubenamandla kunye nokuguquguquka.

Phumla ngokwaneleyo

Unokufuna ukuphumla ngakumbi ngexesha lokuphakama kunye nokuncipha ngexesha lokuxolelwa. Ukulala ngokwaneleyo kuya kunceda ukunciphisa ukudumba kunye neentlungu kunye nokudinwa.

Faka ubushushu okanye ukubanda

Iipakethe ze-Ice okanye ukunyanzeliswa okubandayo kunokunceda ukunciphisa ukuvuvukala kunye nentlungu. Zingasebenza ngokuchasene nokuqaqanjelwa yimisipha.

Unokutshintsha ukubanda ngonyango olushushu olufana nemvula eshushu kunye noxinzelelo olushushu. Oku kunokunceda ukunciphisa ukuqina.

Zama izixhobo zoncedo

Ezinye izixhobo ezinje ngezikrelemnqa kunye nebrashi ezinokubamba amalungu akho kwindawo yokuphumla. Oku kunokunceda ukunciphisa ukudumba.

Iikhetshi kunye neentonga zinokukunceda ugcine ukuhamba, nkqu ngexesha lokutsha. Unako nokufakela izixhobo zekhaya, ezinje ngemivalo yokubamba kunye neentsimbi zokubamba kwigumbi lokuhlambela nakwizinyuko.

Thenga amayeza asekhaya

• Imiqulu yomkhenkce
• imisimelelo
• bamba imivalo
• zokubamba
• Ii-NSAID

Funda ngakumbi ngezi kunye nezinye iindlela zokukunceda ukulawula ubomi kunye neRA.

Ukutya kwesifo samathambo

Umboneleli wakho wezempilo okanye ugqirha wezidlo unokucebisa ukutya okuchasayo ukunceda kwiimpawu zakho. Olu hlobo lokutya lubandakanya ukutya okunamafutha amaninzi omega-3.

Ukutya okuphezulu kwi-omega-3 fatty acids kubandakanya:

• Iintlanzi ezinamanqatha njenge salmon, ityhuna, i-herring kunye ne-mackerel
• iimbwe zechai
• iimbewu zeflax
• iminqwazi

Antioxidants, ezinjengeevithamini A, C, kunye no-E, kunye ne-selenium, nazo zinokunceda ukunciphisa ukudumba. Ukutya okuphezulu kwii-antioxidants kubandakanya:

• amajikijolo, afana ne-blueberries, i-cranberries, i-goji berries kunye ne-strawberries
• itshokholethi emnyama
• ispinatshi
• iimbotyi zezintso
• pecans
• iartichokes

Ukutya iifayibha ezininzi kubalulekile. Ngokwabaphandi abathile, ifayibha inokunceda ukunciphisa iimpendulo ezitshisayo ezinokuthi zinciphise amanqanaba eprotheyini asebenza no-C. Khetha ukutya okuziinkozo okupheleleyo, imifuno emitsha, kunye neziqhamo ezintsha. Ierberberries zinokuba luncedo ngakumbi.

Ukutya okuqukethe i-flavonoids kunokunceda ekulweni nokudumba emzimbeni. Ziquka:

• Iimveliso zesoya, ezinje nge tofu kunye nemiso
• amaqunube
• iti eluhlaza
• ibrokholi
• iidiliya

Into ongayityiyo ibaluleke njengale uyityayo. Qiniseka ukuthintela ukutya okubangela ukutya. Oku kubandakanya ukucutshungulwa kwee-carbohydrate kunye namafutha agcwalisiweyo okanye agqithisiweyo.

Ukuphepha ukutya okuqala kunye nokukhetha ukutya okufanelekileyo xa uzama ukulandela ukutya okuchasayo kunokukunceda ulawule iRA yakho.

Iindidi zesifo samathambo

Kukho iintlobo ezahlukeneyo zeRA. Ukwazi ukuba loluphi uhlobo olunokukunceda umboneleli wakho wezempilo ukuba akunike olona hlobo lonyango lonyango.

Iindidi zeRA zibandakanya:

• Iseropositive RA. Ukuba une-RA ene-seropositive, unesiphumo esifanelekileyo se-rheumatoid factor test test. Oku kuthetha ukuba uneentsholongwane ezibangela amajoni akho omzimba ahlasele amalungu.
• I-RA enegunya. Ukuba unesiphumo esibi sokuvavanywa kwegazi kwi-RF kunye nesiphumo esichaseneyo ne-CCP, kodwa usenazo iimpawu zeRA, unokuba ne-seronegative RA. Ekugqibeleni ungaphuhlisa ii-antibodies, utshintshe isifo sakho kwi-RA engathandekiyo.
• Ulutsha lwe-idiopathic arthritis (JIA). I-juvenile idiopathic arthritis ibhekisa kwi-RA kubantwana abaneminyaka eli-17 ubudala nangaphantsi. Le meko ngaphambili yayisaziwa njenge-juvenile rheumatoid arthritis (JRA). Iimpawu ziyafana nezo zezinye iintlobo ze-RA, kodwa zinokubandakanya ukudumba kwamehlo kunye nemicimbi ngokukhula komzimba.

Fumana iinkcukacha ezithe kratya kwiindidi zeRA kunye nokwahluka kwazo.

Isifo samathambo esinganyangekiyo

I-RA ene-Seropositive lolona hlobo luqhelekileyo lwe-RA. Olu hlobo lwe-arthritis lunokuqhuba kwiintsapho. I-RA ene-seropositive inokuza neempawu ezibi ngakumbi kune-seronegative RA.

Ukunikezela iimpawu ze-RA ene-seropositive kunokubandakanya:

• ukuqina kwasekuseni okuhlala imizuzu engama-30 okanye ngaphezulu
• ukudumba kunye neentlungu kumalungu amaninzi
• ukudumba kunye neentlungu kumalungu adibeneyo
• amaqhuqhuva rheumatoid
• ifiva
• ukudinwa
• ukuhla ukusinda

I-RA ayisoloko ivalwe kumalungu. Abanye abantu abane-RA ene-seropositive banokufumana ukudumba emehlweni, amadlala amathe, imithambo-luvo, izintso, imiphunga, intliziyo, ulusu kunye nemithambo yegazi.

Isifo samathambo sibangela

Isizathu ngqo seRA asaziwa. Nangona kunjalo, izinto ezithile zibonakala ngathi zidlala indima ekwandiseni umngcipheko wokuphuhlisa i-RA okanye ukubangela ukuqala kwayo.

Izinto ezinokunyusa umngcipheko we-RA zibandakanya:

• ukuba ngumfazi
• ukuba nembali yosapho yeRA

Izinto ezinokubangela ukuqala kweRA zibandakanya:

• Ukuvezwa kweentlobo ezithile zebacteria, ezinje ngezi zinxulunyaniswa nesifo sexeshaonta
• ukuba nembali yosulelo lwentsholongwane, njenge-Epstein-Barr virus, ebangela i-mononucleosis
• ukwenzakala okanye ukwenzakala, njengokuqhekeka kwethambo okanye ukwaphuka, ukususwa kwendibaniselwano, kunye nomonakalo wegigament
• ukutshaya icuba
• ukutyeba kakhulu

Isizathu sinokungaziwa kodwa kukho umngcipheko kunye nezinto ezibangela oko.

Isifo samathambo ezandleni

Isifo samathambo ezandleni zingaqala njengokuziva kwinqanaba lokutshisa kwinqanaba lokuziva uziva ekupheleni kosuku. Ekugqibeleni, unokufumana iintlungu ezingekhoyo ekusebenziseni izandla zakho. Le ntlungu inokuba nzima kakhulu ukuba awuyiphathi.

Unokuziva kwakhona:

• ukudumba
• bomvu
• ubushushu
• ukuqina

Ukuba intlala kumalungu akho iyaphela, unokubona ezinye iziphene ezandleni zakho. Unokuba nemvakalelo yokugaya kumalungu ezandla zakho, iminwe, kunye namalungu amakhulu, ukuba intlala iyawohloka ngokupheleleyo.

Njengokuba isifo siqhubeka, iisaka ezigcwele ulwelo okanye ii-cyno syal cysts zihlala zikhula ezihlahleni, emadolweni, engqinibeni, emaqatheni nakwindawo ezijikeleza amalungu amancinci ezandla. Ezi cysts azinangxaki kwaye ukugqabhuka kwethoni kunokubakho kwezinye iimeko.

Unako kwakhona ukuhlakulela amaqhina, abizwa ngokuba ngamathambo, kumalungu achaphazelekayo. Ixesha elingaphezulu, i-bone spurs inokwenza kube nzima kuwe ukusebenzisa izandla zakho.

Ukuba unayo i-RA ezandleni zakho, umboneleli wakho wezempilo uya kusebenza nawe kwimithambo enokukunceda ugcine intshukumo kunye nokusebenza.

Ukuzivocavoca, kunye nezinye iintlobo zonyango, kunokunceda ukunciphisa ukudumba kunye nokuphelisa ukuqhubela phambili kwesi sifo.

Bona kanye ukuba injani imiphumo yeRA ezandleni zakho.

Imifanekiso yesifo samathambo

I-RA inokubonakala kakhulu ezandleni nasezinyaweni, ngakumbi njengoko isifo siqhubeka kwaye ngakumbi ukuba awunaso isicwangciso sonyango.

Ukudumba kweminwe, izihlahla, amadolo, amaqatha neenzwane kuyinto eqhelekileyo. Ukonakala kwemisipha kunye nokudumba kweenyawo kunokubangela ukuba umntu one-RA abe nengxaki yokuhamba.

Ukuba awufumani nyango lwe-RA, unokuhlakulela ukukhubazeka okukhulu ezandleni nasezinyaweni zakho. Ukukhubazeka kwezandla kunye neminwe kunokubangela ukuvela okugobileyo, okufana nokuzipho.

Iinzwane zakho zinokuthatha ukubonakala okufana neenzipho, ngamanye amaxesha zigobele phezulu kwaye ngamanye amaxesha zigobe phantsi kwebhola yonyawo.

Unokwazi kwakhona izilonda, iibhontshisi kunye neefowuni kwiinyawo zakho.

Amaqhuma, abizwa ngokuba ngamaqhuqhuva e-rheumatoid, anokuvela naphi na emzimbeni wakho apho amalungu adlamkileyo. Ezi zinokuhluka ngokobungakanani ukusuka kwincinci encinci ukuya kubukhulu be-walnut okanye enkulu, kwaye zinokubakho ngokwamaqela.

Yile nto maqhuqhuva erheumatoid kunye neminye imiqondiso ebonakalayo yeRA ibonakala ngathi.

Umahluko phakathi kwe-rheumatoid arthritis kunye ne-osteoarthritis

Njengo-RA, abantu abane-osteoarthritis (OA) banokuba namava abuhlungu kwaye aqine enza ukuhamba nzima.

Abantu abane-OA banokudumba ngokudibeneyo emva komsebenzi owandisiweyo, kodwa i-OA ayibangeli nakuphi na ukusabela okubalulekileyo kokudumba okubangela ukuba bomvu kwamalungu achaphazelekayo.

Ngokungafani neRA, i-OA ayisosifo esizenzekelayo. Inxulumene nokunxiba kwendalo kunye nokuqhekeka kwamalungu njengoko uneminyaka yobudala, okanye inokukhula njengesiphumo sengozi.

I-OA ihlala ibonwa kubantu abadala. Nangona kunjalo, ngamanye amaxesha kunokubonwa kubantu abadala abancinci abasebenzisa gwenxa indibaniselwano ethile - enje ngabadlali bethenisi nabanye abadlali beembaleki - okanye abo bathe bafumana ukonzakala okukhulu.

I-RA sisifo sokuzimela. Umonakalo odibeneyo ovela kwiRA awubangelwa kukuwohloka okuqhelekileyo kunye neenyembezi. Kubangelwa kukuzihlasela komzimba wakho.

Funda ngakumbi ngezi ntlobo zimbini zesifo samathambo.

Ngaba i-rheumatoid arthritis ifa?

I-rheumatoid arthritis ayithathwa njengesifo esifa, kodwa kubonakala ngathi iyasebenza kwiintsapho. Oku kunokuba ngenxa yezizathu zokusingqongileyo, izizathu zofuzo, okanye ukudityaniswa kwazo zombini.

Ukuba unamalungu osapho anaye okanye anayo i-RA, thetha nomboneleli wakho wezempilo, ngakumbi ukuba unayo nayiphi na impawu yeentlungu ezidibeneyo, ukudumba, kunye nokuqina okungahambelani nokusetyenziswa gwenxa okanye ukwenzakala.

Ukuba nembali yosapho yeRA kuyonyusa umngcipheko wokufumana esi sifo, kwaye ukuxilongwa kwangoko kunokwenza umahluko omkhulu kwindlela unyango oluza kusebenza ngayo.

Ke, ngaba ungalidla ilifa iRA? Mhlawumbi-funda ngakumbi apha.

Thetha nomboneleli wakho wezempilo

I-RA sisifo esinganyangekiyo ngoku esinganyangekiyo. Oko kwathiwa, uninzi lwabantu abaneRA abanazo iimpawu ezingapheliyo. Endaweni yoko, bane-flare-ups elandelwa ngamaxesha angenazimpawu abizwa ngokuba kukuxolelwa.

Isifundo sesi sifo siyahluka ukusuka komnye umntu ukuya komnye, kwaye iimpawu zingahluka ukusuka kumnene ukuya kunzima.

Nangona iimpawu zinokuyeka ixesha elide, iingxaki ezidibeneyo ezibangelwa yi-RA zihlala ziba mandundu ngokuhamba kwexesha. Kungenxa yoko le nto unyango kwangoko lubaluleke kakhulu ekuncedeni ukulibaziseka komonakalo omkhulu ngokudibeneyo.

Ukuba ufumana naziphi na iimpawu okanye unenkxalabo malunga neRA, thetha nomboneleli wakho wezempilo.