Silawule kokubeka ngebhandishi kunye tourniquet. IMimiselo ngokuphathelele zokubopha bintovyh. Imimiselo yokubeka ngebhandishi xi

uncedo lokuqala kumaxhoba belimele, kwizaphuko, komsipha, ukonzakala lungu, nemivumbo, ukutsha kunye nezinye iba ayikhankanyi ngaphandle ngexesha nangokuchanekileyo nokusebenzisa isiziba. Eneneni, sibonga tubal luthintela usulelo ngakumbi enxebeni ayeke ukopha kwenzeka, i-nitrogen of Ukophuka nkqu ukuqala nempembelelo nezinyangayo kwi inxeba.

Avale iintlobo

A yesebe yamayeza lifunda imithetho bandaging kunye bencokola, iintlobo zabo izicelo, ngokuba desmurgy (desmos Greek - nezikrweqe, avale Ergon - ityala lokubulawa).

Ngokwengcaciso, ukuba kungabotshwa - indlela unyango zokonzakala amanxeba, nto leyo ukusebenzisa:

• material olusetyenziswa ngqo inxeba ukunxiba;
• Kuyibopha isabelo engaphandle, leyo ilungisa lokunxibela.

Xa indima lokubopha, ngenxa yezizathu ezahlukeneyo, kungaba:

• iipakethi avale ezizodwa;
• kwamalweyile;
• namalaphu okusula cotton;
• iibhola igozi.

Iintlobo indlela zokubopha eyalekeneyo

umbono	incazelo	uhlobo
Kukhuseleko okanye ezithambileyo	Siqulathe material olusetyenziswa enxebeni, nokukhusela walisusa Isetyenziswa kwiimeko ezininzi; ngokuba ukutsha, nemivumbo, namanxeba avulekile	bintovye; elastic; colloid; kosynochnye; asasaze -tubular
Immobilization okanye eziqinileyo	Luquka ezi yokugquma kunye ivili Ezisetyenziselwa ukuthutha ixhoba, kwi unyango yokwenzakala amathambo kunye ukuxhumana abo elastic	ibhasi (ngotyando, ucingo, nezikhonkwane); gypsum; glue; izithuthi

ukhathalelo lwempilo Primary ngenxa yokulimala

Inkqubo yokwenza isicelo nesiziba ebizwa tubal. Injongo yalo imfuneko ukuvala inxeba:

• ngokuba kuthintelo losuleleko ngakumbi;
• ukunqanda ukopha;
• ukuba namandla isiphumo therapeutic.

imithetho jikelele nokufaka amabhandeji emanxebeni nokwenzakala:

1. Hlamba izandla ngesepha namanzi, ukuba oku akwenzeki, kufuneka ubuncinane ukubaphatha kubola ezizodwa.
2. Ukuba ukonzakala - onenxeba elivulekileyo, inwebu kuyo ngobunono ukuphatha isisombululo ezinxilisayo hydrogen peroxide okanye iodine.
3. Beka ixhoba (isigulane) kwindawo ekhululekile (ehleli, elele phantsi), ngaloo ndlela ukufikelela lula kwisiza yonakele.
4. Yibani umntu phambi isigulane ukubukela reaction yakhe.
5. Qala ukuba anxibe "vula" iqhiya ukusuka ekhohlo ukuya ekunene, ukususela kwimida alo mlenze malunga emzimbeni, oko kukuthi ukusuka ezantsi ukuya phezulu, esebenzisa ngezandla zozibini.
6. Ingalo ngebhandishi kufuneka maxa kwi engqinibeni, karhulumente, kunye nomlenze - nkqo.
7. Akubuya ezimbini okanye ezintathu zokuqala (ngeenxa) kufuneka ondithinteleyo le umhlabelo ambathe engumngqandandana kwindawo kwaza lomelele.
8. swathe Further kulandela ukungaqondani efanayo ngaphandle nemibimbi.
9. turnover nganye yokubopha elidlulileyo lugubungela malunga enye ububanzi wesithathu.
10. Xa endaweni elimele enkulu, umhlabelo, ngeke kwanele, ngoxa phantsi ekupheleni yokuqala Somrhaqa ekuqaleni yesibini, ekubetheleleni le ngongoma setyhula coil.
11. Gqibezela lokunxibela, ukwenza amabini okanye amathathu ingeniso ithengise bandage.
12. Njengoko i ngebhandishi nitrogen zifakelwayo kunqunyulwa ibe ngamaqela amabini isiphelo bawele phakathi kwabo, ukuba kwisangqa yokugquma nizibophe iqhina womelele.

iintlobo ezisisiseko amabhandeji bintovyh

Phambi kokuba ufunde imithetho zokumiswa bintovyh zokubopha kufuneka bawuqhele kwiindidi bencokola kunye nokusetyenziswa kwazo iinketho.

iintlobo amabhandeji	ukusebenzisa
amabhandeji Thin, ububanzi 3 cm, 5 cm, 7 cm kunye nobude m 5	Bona perebintovyvayut iminwe owenzakeleyo
ngebhandishi ububanzi Umyinge cm-10 ukuya ku-12 kunye nobude m 5	Ifanelekile tubal kunye ukonzakala entloko, kunene, eliphezulu kunye iziphelo asezantsi (izandla, iinyawo)
ngebhandishi enkulu ukuba ububanzi mkhulu kuno-14 cm, kunye ubude 7 m	Isebenziselwa isicelo amabhandeji phezu kwesifuba, amathanga

zokubopha Classification bintovyh:

1. ngu hlobo:

• Aseptic owomileyo;
• owomileyo kubola;
• lwegazi liyalila manzi;
• ngokucindezela;
• occlusive.

2. Xa ukumisa indlela:

• setyhula okanye spiral;
• vosmiobraznaya okanye limise;
• yeNyoka okanye izilwanyana;
• spicate;
• ufudo ngebhandishi: Ukwahlukana convergent.

3. kwasendaweni:

• phezu kwentloko yakhe;
• sitho eliphezulu;
• ngecala lasezantsi;
• kwi esisu kunye isinqe;
• phezu kwesifuba;
• entanyeni.

Imigaqo ephathelene amabhandeji ezithambileyo

Bintovye zokubopha ezifanelekileyo kwiimeko ezininzi iingozi. Ukuba ungosulelwa eziziisekondari inxeba kunye nokunciphisa iziphumo ezibi kakhulu kokusingqongileyo.

Imimiselo ephathelele ngebhandishi ethambileyo zezi zilandelayo:

1. Le isigulane wabekwa kwisikhundla lelokuphumza;

• e amanxeba entloko, entanyeni, esifubeni, amalungu aphezulu - ekuhlaleni;
• uhlukunyezwe esiswini, isinqe, amacala asentla emathangeni - ekuthanda.

2. Khetha umhlabelo, ngokutsho uhlobo lomonakalo.

3. Chitha perebintovki inkqubo usebenzisa imithetho ezisisiseko lokunxibela ukudlulela.

Ukuba wenze umhlabelo, ngokugcina imithetho okubekwe of amabhandeji ludlolo, Oluma iya kuhlangana ezi khrayitheriya zilandelayo:

• zizobandakanya indawo umonakalo ngokupheleleyo;
• akuyiphazamisi igazi yesiqhelo kunye nkovu ejikeleza;
• kamnandi umguli.

IMimiselo ngokuphathelele amabhandeji bintovyh kwiindidi yalekeneyo.

uhlobo	Ngokubanzi ukunxiba
abnet	Kuthelekiswa kwindawo kwisihlahla, inowuthi umzantsi womlenze, ebunzi njalo njalo. Bint ngaphezulu kwezinto ngathi olahlwa, kwaye ngaphandle kwazo. Ngebhandishi kunye olahlwa kungcono lwenziwa amalungu omzimba ukuba babe uhlobo ezakha
ngebhandishi ehamba	It esilala ngenjongo nitrogen lokuqala le kungabotshwa ukuya indawo elimele
ngebhandishi cross	Ngaphezulu yi esimbaxa yoqwalaselo intsimi Ekuhambeni yokunxiba umhlabelo kufuneka ukuchaza ezisibhozo. Umzekelo, patch limise phezu kwesifuba eyenziwa ngolu hlobo lulandelayo: Ikhosi 1 - yenza neziphithiphithi setyhula lonke esifubeni ezininzi; 2 ngesibetho - umhlabelo liphela esifubeni sakhe naperekos ukuqhutywa ndawo ekunene axillary ukuya zengalo ekhohlo; Cycle 3 - unokuyijika phezu umva kwi ngesa- ngaphesheya ukusuka apho iqhiya kwakhona athwalwa esifubeni ukuya kwekhwapha ekhohlo, kunye ezabekwa umaleko wangaphambili; stroke 4 no-5 - walisusa kwakhona kwenziwe kuzo ngasemva kwicala kwekhwapha ekunene, esenza vosmiobrazny inyathelo; ukulungisa le khosi - umhlabelo ibhijelwe esifubeni ezisisigxina
spica	It is a uhlobo vosmiobraznoy. sommandla wayo, ezifana kwegxalaba lwenziwa ngolu hlobo lulandelayo: Ikhosi 1 - umhlabelo lwenziwa nge esifubeni a axilla okunempilo ukuze egxalabeni esahlukileyo; stroke 2 - Front igxalaba iqhiya isondo, kwicala elingaphandle, ngasemva, axilla, yaye ngenxa nomlenze layo obliquely akavukanga, khon 'ukuze kuwela umaleko edlulileyo; khosi yesi-3 - tirhisa iqhiya ngaphesheya kwekhwapha umva emva kwezempilo; stroke 4 no-5 - ukuphindaphindwa nangemivumbo wokuqala wesithathu, bebona ukuba umaleko ngamnye omtsha enyanzeliswa phezu iqhiya ngentla kancinci kowangaphambili, ekusekeni ipateni ekudibaneni kwe "spike"
Turtle ngebhandishi	Isebenziselwa ukunxibisa amalungu Eziphambukileyo ufudo ngebhandishi: kwi embindini welungu yenza omnye ekujikeni walisusa; ngokuphindaphindiweyo phezulu setyhula kunye ujikele ezantsi umaleko odlulileyo izihlandlo eziliqela, ngokuthe ngcembe yokuvala yonke isayithi owenzakeleyo; umaleko nganye entsha esilala kunye odlulileyo ngentende idolo; ukulungisa turnover ngeenxa esinqeni Ziyahlangana ufudo ngebhandishi: ukwenza ukhenketho neuropathy ngaphezulu nangaphantsi entlanganweni kakhulu kanti crisscrossing walisusa em- popliteal; zonke Akubuya alandelayo umhlabelo wenza efanayo, ezihamba embindini entlanganweni; ukulungisa ingeniso kwenziwa kwinqanaba welungu phakathi

tubal intloko

Kukho iintlobo ezininzi amabhandeji phezu kwentloko yakhe;

1. "cap";

2. Easy;

3. "nomkhala";

4. "cap Hippocratic";

5, elinye;

6. amehlo omabini;

7 Neapolitan (indlebe).

Bandaging imeko ngokuvumelana uhlobo lwabo

igama	xa isicelo
"Chepets"	Xa amanxeba le ngokungqalileyo kunye umva intloko
elula	Xa izitshanguba umphunga we-Occipital, Parietal, inxalenye ngokungqalileyo intloko
"Ukulawula"	Xa amanxeba inxalenye ngokungqalileyo lukakayi, ubuso kunye umhlathi ongezantsi
"Cap of noHippocrates"	Kukho yinxalenye umonakalo Parietal
Elinye lagcina	Xa kukho umdlali olimeleyo lweliso enye
amehlo zombini	Xa kwalimala amehlo omabini
Neapolitan	Xa ukulimala indlebe

Isiseko imithetho okunyanzelisa amabhandeji phezu kwentloko yakhe kukuba kungakhathaliseki uhlobo zokubopha ezenziwe amabhandeji ububanzi avareji - 10 cm.

Njengayo nayiphi na ukwenzakala, kubalulekile ukubonelela ngexesha unyango, ngoko kucetyiswa umonakalo iyonke lwentloko ukwenza inguqulelo elula ukuba kungabotshwa - "cap".

Imithetho nokusebenzisa patch "cap":

1. Ukususela umhlabelo, ukuba itshone iqhekeza malunga omnye yemitha ubude, eza kusetyenziswa neengcingo.

2. isabelo sayo eliphakathi lisetyenziswa phezulu entloko.

3. iziphelo iirholithi ezi bebambene ngezandla zozibini, oku kunokwenziwa nokuba abancedisayo okanye isigulane ngokwakhe, ukuba lisezingqondweni na.

4. sebenzisa umaleko ukulungiswa le iqhiya entloko, ngaphambi kokuba afike imitya.

5. Qala evala walisusa malunga neqhina kwaye ngoko, entloko.

6. Ngomhla afike ekupheleni icala drawstring, walisusa isongwe phezu ezijikeleze ukakayi lwenziwa ngentla kancinci umaleko wokuqala.

7. izenzo ephindiwyo ukubopha ngokupheleleyo awugubungele entlonzeni.

8. Ukwenza Kumjikelo wokugqibela, ekupheleni iqhiya bopha ukuya kwenye ezizibeni.

9. ezizibeni ezo nto zibambene nayo phantsi kwesilevu.

Imizekelo okunyanzelisa ezinye izinto zokubopha ezithile

uhlobo	Ngokubanzi ukunxiba
elula	Chitha walisusa kabini ijikeleza entloko. Inyathelo elilandelayo phambili ukwenza ukugoba kwaye uqale ukusebenzisa iqhiya obliquely (ukusuka ebunzi ukuya Nape entanyeni), ngaphezulu kancinane nwebu setyhula. Emva intloko yenye indawo inflection yaye sele ukubopha ukusuka kwelinye icala intloko. Zithuthwa ukulungisa, uze uphinde inkqubo ukutshintsha ulwalathiso walisusa. Technique iyaphindwa de phezulu igutyungelwe ngokupheleleyo, ngoxa ndizilibala ukuba abhale yonke ezimbini stroke bandage elibhalwe ngokumileyo
"Ukulawula"	Yenza amathuba amabini entloko. ngebhandishi Okulandelayo nkxu phantsi kwemihlathi asezantsi, ndinamasoldati phantsi indlebe yokunene. Mna ndoyakha kwakhona emva temechko ngalo indlebe ngasekhohlo, ngokulandelelana. Yenza loo coil ezintathu nkqo, ebezikuyo iqhiya sendlebe yasekunene okwenzelwa ngaphambili entanyeni, intloko obliquely nge kwaye entloko, ngaloo ukulungisa oomaleko zangaphambili. Inyathelo elilandelayo singaphindi kwicala lasekunene phantsi kwemihlathi ephantsi, ezama layigubungela tye ngokupheleleyo. Ngoko ke walisusa lwenziwa ukuya ngasemva, ukuphindaphinda eli nyathelo. Ndiyaphinda kwakhona ngapha entanyeni, aze ekugqibeleni nokukhusela iqhiya entloko
Elinye lagcina	Kuqala ukunxiba kunye nokubethelela ngeengcamba ezimbini umhlabelo, oluqhutywa kwimeko iliso yokwenzakala ekunene ukusuka ekhohlo ukuya ekunene, ekhohlo - ekunene. Ngoko ke walisusa uvikivwa yi ukonzakala entloko, ubekwa phantsi indlebe, obliquely nge esidleleni iquka iliso, wayifaka ikhondo setyhula. Inyathelo amaxesha gqolo eziliqela, umaleko esitsha ngasinye ukuyigubungela iqhiya elidlulileyo malunga nesiqingatha

Tubal for ukopha

Ukopha - ilahleko igazi waphula umthetho ingqibelelo imithambo yegazi.

IMimiselo ngokuphathelele lokunxibela ngenxa ukopha iintlobo ezahlukeneyo

uhlobo ukopha	incazelo	Ngokubanzi ukunxiba
lwemithambo	Igazi ukhanya obomvu ngombala kwaye jet enamandla eliguquguqukayo	Nefuthe kusini na kwindawo ngaphezu inxeba ngesandla, iingcingo, okanye ukujijwa kusini na ilaphu. Uhlobo ngebhandishi - yokuwela
lwemithambo	Igazi zipeyintwe cherry umbala emnyama kwemali ngokufanayo	Inxalenye eyonakeleyo lomzimba baphakamise ngaphezulu, ukunyanzela inxeba igozi abulawe umhlabelo ngokuqinileyo, oko kukuthi ukwenza umhlabelo, xi Tourniquet sifakwa ukusuka ezantsi isilonda!
capillary	Igazi ohluka ngokulinganayo kuzo zonke amanxeba	Faka umhlabelo okungenazintsholongwane, emva koko ukopha kufuneka ayeke ngokukhawuleza
enziwe	It idibanisa iimpawu zeentlobo zangaphambili	Inyanzelise ngebhandishi xi
Parenchymal (ngaphakathi)	Capillary ezophayo emazikweni zangaphakathi	Yenza lokunxibela usebenzisa engxoweni yeplastiki ice

imithetho jikelele bandaging nge opha lomzimba:

1. Ngebhandishi obekwe phantsi kwesebe ngentla kancinci site inxeba.
2. An pack ice (kuhle).
3. Tourniquet elula kakhulu.
4. Tie iphela.

Eyona ulawulo tirhisa isiziba - a tourniquet zibekwe phezu iimpahla okanye ilaphu ndatyala ngokukodwa (igozi, itawuli, isikhafu, njalo njalo).

Nge izenzo ekunene, ukopha kufuneka simiswe, kwanendawo awayezinxibile - blanch. Qiniseka ukuba ifakwe umhlabelo, phantsi inqaku kunye nomhla kunye nexesha (kwi yure nemizuzu) zokubopha. Emva zoncedo lokuqala akuyi kudlula kwiiyure omnye 1.5-2 ukuba ahlangule owonzakeleyo ukuya esibhedlele, kungenjalo umlenze owenzakeleyo akayi kuba nako ukusindisa.

Imimiselo yokubeka ngebhandishi xi

Pressure ngebhandishi kufuneka isetyenziswe ukunciphisa zonke iintlobo ukopha lwangaphandle kwisayithi umdlali olimeleyo, kwakunye ukunciphisa ubungakanani ukudumba.

Imimiselo yokubeka ngebhandishi uxinzelelo:

1. Omelene enxebeni kwesikhumba (cm malunga ezimbini ukuya kwezine) iphathwa kubola.
2. Ukuba inxeba kukho into langaphandle, kufuneka ngoko nangoko zisuswe ngononophelo.
3. Njengento yokugquma usebenzise impahla lilungile-ezenziwe lokunxibela okanye walaliswa yomqhaphu-igozi incwadi esongwayo, ukuba kukho into enjalo, loo nto iya kuthetha ukuba ibotshwe ngezithandelo, itshefu ecocekileyo, ndiyibeke eqhiyeni.
4. Ngebhandishi zigxunyekwe inxeba usebenzisa umhlabelo, isikhafu, okanye ngezikafu.
5. Zama ukwenza umhlabelo tight, kodwa musa ukuyiqinisa kakhulu indawo yonakele.

Ngokomgangatho ngaphezulu ngebhandishi compressive kufuneka ukunqanda ukopha. Kodwa ukuba ndandingakwazi nkxu egazini, akukho mfuneko yokuba ukususa phambi kokuba eze esibhedlele. Kufuneka ube nje tight podbintovat top ngaphambili Mfuleni phantsi ibotshwe omtsha omnye umqulu igozi.

Iimpawu occlusive zokubopha

lokunxibela Occlusive lisetyenziswa ukuqinisekisa indawo yokwambathisa hermetic ezonakeleyo ukuthintela amanzi kunye nomoya. Isetyenziswa angena amanxeba.

IMimiselo ngokuphathelele zokubopha occlusive:

1. Cwangcisa ixhoba kwindawo ekuhlaleni.
2. Inkqubo omelene nolusu kwenxeba arhente kubola (iperoksayidi yehidrojeni, chlorhexidine, utywala).
3. Inxeba kunye nakwiindawo ezikufutshane lomzimba owela ngaphakathi kwama-cm emihlanu ukuya kwelishumi isicelo usula kubola.
4. Umaleko olandelayo wamisa bonga eziphathekayo air-kungenwa (icala ngokuyimfuneko engenazintsholongwane), umzekelo, ingxowa yeplastiki, izisongeli zeplastiki, ilaphu rubberized, iphepha irabha.
5. Umaleko wesithathu iquka izikhuseli cotton-igozi, nto leyo edlala indima kwesisu.
6. Zonke zoleko iyalungiswa ngokuqinileyo ngokubopha ngokubanzi.

Xa ngebhandishi nokuveza kufuneka kukhunjulwe ukuba maleko esitsha ngasinye kungabotshwa kufuneka libelikulu yangaphambili 5-10 cm.

Kakade ke, ukuba kukho ithuba enjalo, kuhle ukusebenzisa i-IPP - Individual package yokuxhela, nto leyo umhlabelo eqhotyoshelweyo pads ezimbini zomqhaphu-igozi. Enye yazo fixed kunye nezinye oshukunyiswa ngesisa ngalo.

Nokubekwa zokubopha aseptic

ngebhandishi Aseptic lisetyenziswa kwiimeko apho kukho inxeba elivulekileyo kwaye ufuna sikuphephe ukwenza ukungcola kwakhe kunye amasuntswana amazwe. Oku kufuna kuphela ilungelo inyanzele yokuxhela, leyo kufuneka ludlolo, kodwa ukholosile uyivale.

IMimiselo ngokuphathelele zokubopha aseptic:

1. Phatha inxeba ezikhethekileyo kubola, kodwa nayiphi na imeko ukuba ukusebenzisa amanzi ukulungiselela le njongo.
2. Encamathisela ngqo ukuya igozi kukwenzakala, bawubopha ezinkulu kuno-5 cm, pre-ezityikitywe ngokwemaleko eziliqela.
3. Top ukusibeka inwebu yomqhaphu izifunxi (lula peelable) nguwuphi na omkhulu ngaphezu igozi ukuba iisentimitha ezimbini ukuya kwezintathu.
4. Angenziwa ukulungisa ukunxiba usebenzisa umhlabelo, lonyango okanye udaka enamathelayo.

Kungakuhle, kungcono ukuba usebenzise iqhiya ekhethekileyo owomileyo aseptic. Ziqulethe uluhlu umaleko wezinto izifunxi, nto leyo kakuhle kakhulu afunxa igazi kunye osushivaet inxeba.

Ukuze kungcono ukukhusela inxeba ubumdaka nosuleleko, ukongeza kulu zomqhaphu-igozi iqhiya macala onke nolusu usebenzisa enamathelayo. Kwaye ngoko silungise zonke walisusa.

Xa iqhiya buzane ngokupheleleyo ngegazi, kufuneka kufakwe ngobunono entsha; ngokupheleleyo okanye kuphela umaleko ongaphezulu. Ukuba oku akwenzeki, umzekelo, ngenxa yokunqongophala omnye yokunxiba kit okungenazintsholongwane, oko kwenxeba podbintovat, pre-lubricated umhlabelo te iodine tincture.

Nokubekwa zokubopha sidinwe

Xa Ukophuka kuqala ku pfunaka ebalulekileyo - ukuba icele isiza ukwenzakala, kubangele iintlungu elincitshisiweyo nokuthintela ukubana amaqhekeza kwamathambo kwixesha elizayo.

Eyona engundoqo zimpawu zaphuka:

• ubuhlungu obukhulu kwindawo umdlali olimeleyo, engaquki beme iiyure eziliqela.
• yashiya Ebuhlungu.
• Xa ivaliwe ukwa - ukudumba, nokudumba, izicwili deformation kwisiza yokwenzakala.
• Ngenxa ukwa evulekileyo - inxeba apho iziqwenga ithambo.
• intshukumo Limited okanye ukungabikho ngokupheleleyo yalo.

imithetho esisiseko tell amabhandeji ngenxa kwamathambo yesiqephu:

1. Walisusa kufuneka uhlobo immobilization.
2. Xa kungekho lwamavili ispetsialnyh zingasetyenziswa izinto eyenziwa: umsimelelo, udondolo, ibhodi encinane, umlawuli njalo njalo.
3. Ukuze yenze ixhoba.
4. Ukusebenzisa ezimbini tire ngokwaphulwa nitrogen bujikelwe ngeqhiya ethambileyo okanye cotton.
5. Faka i ivili ngapha nangapha ezinjengokwaphuka, ukuba makafake amalungu ngaphezulu nangaphantsi umonakalo.
6. Ukuba ezinjengokwaphuka ihamba onenxeba elivulekileyo, yophela lweenkcukacha, ngoko:

• ngaphezu ezinjengokwaphuka inxeba kongezwe kulo nezikrweqe;
• walisusa inxeba;
• emacaleni kwesebe eyonakeleyo ukuba kongezwe kulo amavili amabini.

Ukuba zingawisi naluphi na uhlobo umhlabelo ephosakeleyo, endaweni zoncedo lokuqala, kunokubangela umonakalo noqhekeko kwimpilo ixhoba, nto leyo inokukhokelela ekufeni.