I-Telmisartan, ithebhulethi yomlomo
-Delile
- Amaphuzu avelele we-telmisartan
- Izexwayiso ezibalulekile
- Isexwayiso se-FDA: Sebenzisa ngesikhathi sokukhulelwa isexwayiso
- Ezinye izexwayiso
- Yini iTelmisartan?
- Kungani kusetshenziswa
- Isebenza kanjani
- Imiphumela emibi ye-Telmisartan
- Imiphumela emibi ejwayelekile
- Imiphumela emibi kakhulu
- I-Telmisartan ingaxhumana neminye imithi
- Imishanguzo yegazi
- Imithi yezinhlungu
- I-Digoxin
- ILithium
- Izexwayiso zeTelmisartan
- Isexwayiso somzimba
- Ukusebenzisana kotshwala
- Izexwayiso zabantu abanezimo ezithile zempilo
- Izexwayiso kwamanye amaqembu
- Ungayithatha kanjani i-telmisartan
- Amafomu namandla
- Isikali somfutho wegazi ophakeme
- Isikali sokunciphisa ubungozi bokuhlaselwa yisifo senhliziyo, ukushaywa unhlangothi, noma ukufa ngenxa yesifo senhliziyo
- Ukucatshangelwa okukhethekile komthamo
- Thatha njengoba kuqondisiwe
- Ukucatshangelwa okubalulekile kokuthatha i-telmisartan
- Jikelele
- Isitoreji
- Ukugcwalisa kabusha
- Ukuvakasha
- Ukuzilawula
- Ukuqapha komtholampilo
- Izindleko ezifihliwe
- Ingabe zikhona ezinye izindlela?
Amaphuzu avelele we-telmisartan
- Ithebhulethi yomlomo yeTelmisartan iyatholakala njengezidakamizwa ezijwayelekile nezegama. Igama lomkhiqizo: Micardis.
- I-Telmisartan iza kuphela njengethebhulethi oyithatha ngomlomo.
- Ithebhulethi yomlomo yeTelmisartan isetshenziselwa ukwelapha umfutho wegazi ophezulu. Ingasetshenziswa futhi ukunciphisa ingozi yokuhlaselwa yisifo senhliziyo, isifo sohlangothi noma ukufa ngenxa yesifo senhliziyo uma uneminyaka engama-55 noma ngaphezulu futhi usengozini enkulu yemicimbi yezifo zenhliziyo futhi awukwazi ukuthatha i-angiotensin-converting enzyme (ACE) inhibitors. .
Izexwayiso ezibalulekile
Isexwayiso se-FDA: Sebenzisa ngesikhathi sokukhulelwa isexwayiso
- Lo muthi unesixwayiso se-Black Box. Lesi yisexwayiso esibi kakhulu esivela ku-Food and Drug Administration (FDA). Isexwayiso sebhokisi elimnyama sixwayisa odokotela neziguli ngemiphumela engaba yingozi.
- Akufanele uthathe lesi sidakamizwa uma ukhulelwe noma uhlela ukukhulelwa. Kungalimaza noma kuqede ukukhulelwa kwakho. Uma ukhulelwa, yeka ukuthatha i-telmisartan bese ushayela udokotela wakho ngokushesha.
Ezinye izexwayiso
- Umfutho wegazi ophansi: I-Telmisartan ingadala ukuthi umfutho wegazi lakho wehle kakhulu. Lokhu kungakwenza uzizwe unesiyezi noma unekhanda elincane noma kubangele ikhanda. Ubungozi bakho bungaba ngaphezulu uma uphelelwe amanzi emzimbeni noma uthatha imithamo ephezulu yamaphilisi amanzi (isisu).
- Amazinga aphezulu e-potassium: I-Telmisartan ingakhuphula amazinga akho e-potassium. Ingozi yakho ingaba phezulu uma unezinkinga zezinso noma ukwehluleka kwenhliziyo. Udokotela wakho kufanele ahlole amazinga akho e-potassium ngenkathi uthatha lo muthi.
Yini iTelmisartan?
Ithebhulethi yomlomo yeTelmisartan umuthi kadokotela otholakala njengomuthi wegama lomkhiqizo Micardis. Iphinde itholakale njengomuthi ojwayelekile. Imithi ejwayelekile ijwayele ukubiza imali encane kunohlobo lwamagama. Kwezinye izimo, kungenzeka zingatholakali ngawo wonke amandla noma amafomu njengomuthi wegama lomkhiqizo.
Kungani kusetshenziswa
I-Telmisartan isetshenziselwa ukwehlisa umfutho wegazi ophakeme. I-Telmisartan ingasetshenziselwa ukunciphisa ingozi yokuhlaselwa yinhliziyo, isifo sohlangothi, noma ukufa ngenxa yesifo senhliziyo. Inikezwa abantu abadala abaneminyaka engama-55 noma ngaphezulu futhi abasengozini enkulu yemicimbi emikhulu yezifo zenhliziyo abangakwazi ukuthatha i-angiotensin-converting enzyme (ACE) inhibitors.
Ukwelapha umfutho wegazi ophakeme, i-telmisartan ingathathwa ihlanganiswe neminye imishanguzo yokwehlisa umfutho wegazi.
Isebenza kanjani
I-Telmisartan ingeyesigaba semithi ebizwa ngama-angiotensin receptor blockers (ARBs). Isigaba semithi siyiqembu lemithi esebenza ngendlela efanayo. Zivame ukusetshenziselwa ukwelapha izimo ezifanayo.
I-Telmisartan isebenza ngokuvimba umphumela we-angiotensin. Lokhu kwenza imithambo yakho yegazi ikhululeke kakhudlwana. Kubuye kuvumele izinso zakho ukuthi zisuse amanzi nosawoti okweqile. Lokhu kusiza ukwehlisa umfutho wegazi.
Imiphumela emibi ye-Telmisartan
Ithebhulethi yomlomo yeTelmisartan ayibangeli ukozela. Noma kunjalo, kungadala eminye imiphumela emibi.
Imiphumela emibi ejwayelekile
Imiphumela emibi ejwayelekile eyenzeka nge-telmisartan ifaka:
- ubuhlungu besono nokucinana
- ukuhlungu obusemhlane
- isifo sohudo
- Umphimbo obuhlungu
- izimpawu ezinjengomkhuhlane, njengomkhuhlane kanye nokuqaqamba komzimba
- isisu esibuhlungu
- ubuhlungu bemisipha
- ikhanda
- isiyezi
- ukukhathala
- isicanucanu
Uma le miphumela imnene, ingahle ihambe zingakapheli izinsuku ezimbalwa noma amasonto ambalwa. Uma zinzima kakhulu noma zingahambi, khuluma nodokotela wakho noma usokhemisi.
Imiphumela emibi kakhulu
Shayela udokotela wakho ngokushesha uma uneminye yale miphumela emibi kakhulu. Shayela u-911 uma izimpawu zakho zizizwa zisongela impilo noma uma ucabanga ukuthi unezimo eziphuthumayo zezokwelapha.
- Umfutho wegazi ophansi. Izimpawu zifaka:
- ukuquleka
- isiyezi
- Isifo sezinso. Uma usuvele unesifo sezinso, lo muthi ungasenza sibi kakhulu. Izimpawu zifaka:
- ukuvuvukala ezinyaweni zakho, emaqakaleni, noma ezandleni
- ukuzuza kwesisindo okungaqondakali
- Ukusabela okweqile. Izimpawu zifaka:
- ukuvuvukala kobuso bakho, ulimi, noma umphimbo
- inkinga yokuphefumula
- ukuqubuka kwesikhumba
Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zithinta umuntu ngamunye ngokuhlukile, asikwazi ukuqinisekisa ukuthi lolu lwazi lubandakanya yonke imiphumela emibi engaba khona. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Hlala uxoxa ngemiphumela emibi engaba khona nomhlinzeki wezokunakekelwa kwempilo owazi umlando wakho wezokwelapha.
I-Telmisartan ingaxhumana neminye imithi
Ithebhulethi yomlomo yeTelmisartan ingaxhumana neminye imithi, amakhambi, noma amavithamini ongahle uwathathe. Ukusebenzisana kulapho into iguqula indlela umuthi osebenza ngayo. Lokhu kungaba yingozi noma kubangele ukuthi imishanguzo oyiphuzayo ingasebenzi futhi. Ukusiza ukuvimbela ukuxhumana, udokotela wakho kufanele aphathe yonke imithi yakho ngokucophelela. Ukuthola ukuthi lo muthi ungahlangana kanjani nokunye okuthathayo, khuluma nodokotela wakho noma usokhemisi.
Izibonelo zemithi engadala ukusebenzisana ne-telmisartan zibalwe ngezansi.
Imishanguzo yegazi
I-Telmisartan ithinta uhlelo lwe-renin-angiotensin-aldosterone emzimbeni wakho. Akufanele uthathe lesi sidakamizwa neminye imithi ethinta lolu hlelo. Le mithi ihlanganisa:
- aliskiren. I-Telmisartan ne-aliskiren akufanele zisetshenziswe ndawonye kubantu abadala abanesifo sikashukela noma isifo sezinso esilinganiselwe.
- ama-angiotensin receptor blockers (ama-ARB), anjenge:
- sbongile
- eprosartan
- busisiwe
- losartan
- lindokuhle
- valsartan
- umabhebhana
- ama-angiotensin-converting enzyme (ACE) inhibitors, njenge:
- umabhebhana
- bongiwe
- indilaphril
- fosinopril
- lisinopril
- umagazine
- perindopril
- quinapril
- sbucwa
- ebandla
Imithi yezinhlungu
Ukuthatha izidakamizwa ezingezona ukuvuvukala (ama-NSAID) nge-telmisartan kungakhuphula ubungozi bakho bezinkinga zezinso. Ubungozi bakho bungaba bukhulu uma umdala, uphelelwe amanzi emzimbeni, uphuza amaphilisi amanzi (isisu), noma unezinkinga zezinso. Le mithi ihlanganisa:
- ibuprofen
- umabhebhana
I-Digoxin
Amazinga e-digoxin egazini lakho angakhuphuka lapho ethathwa nge-telmisartan. Udokotela wakho angaqapha amazinga akho egazi lapho eqala, elungisa, noma emisa i-telmisartan.
ILithium
Amazinga e-lithium egazini lakho angakhuphuka lapho ethathwa nge-telmisartan. Udokotela wakho angaqapha amazinga akho egazi lapho eqala, elungisa, noma emisa i-telmisartan.
Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zisebenzisana ngokwehlukile kumuntu ngamunye, asikwazi ukuqinisekisa ukuthi lolu lwazi lubandakanya konke ukuxhumana okungenzeka. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Hlala ukhuluma nomhlinzeki wakho wezokunakekelwa kwempilo mayelana nokuhlangana okungenzeka ngayo yonke imishanguzo kadokotela, amavithamini, amakhambi nezithako, kanye nemithi oyithenga uphuza yona.
Izexwayiso zeTelmisartan
Ithebhulethi yomlomo yeTelmisartan iza nezixwayiso eziningana.
Isexwayiso somzimba
I-Telmisartan ingadala ukusabela okweqile komzimba. Izimpawu zifaka:
- inkinga yokuphefumula
- ukuvuvukala kobuso bakho, umphimbo, noma ulimi
- isifuba
Ungaphinde uwuthathe lo muthi uma ngabe uke waba nokungezwani komzimba nawo. Ukuyithatha futhi kungaba yingozi (kungadala ukufa).
Ukusebenzisana kotshwala
Ukusebenzisa utshwala ngalo muthi kungakhuphula ubungozi bokuthola umfutho wegazi ophansi. Lokhu kungadala ukuquleka noma isiyezi.
Izexwayiso zabantu abanezimo ezithile zempilo
Kubantu abanokwehluleka okukhulu kwenhliziyo: ITelmisartan inganciphisa inani lomchamo owukhiqizayo noma inyuse ingozi yokulimala kwezinso.
Kubantu abanezinkinga zezinso: ITelmisartan inganciphisa inani lomchamo owukhiqizayo noma inyuse ingozi yokulimala kwezinso.
Izexwayiso kwamanye amaqembu
Kwabesifazane abakhulelwe:Ucwaningo lukhombisa ubungozi bemiphumela emibi engathi sína embungwini lapho umama ethatha lesi sidakamizwa, ikakhulukazi ngesikhathi samathathu wesibili nowesithathu. I-Telmisartan ingalimaza noma iqede ukukhulelwa kwakho. Kodwa-ke, ezimweni ezithile, izinzuzo zokuthatha lo muthi ngesikhathi sokukhulelwa zingadlula izingozi ezingaba khona.
Tshela udokotela wakho uma ukhulelwe noma uhlela ukukhulelwa. I-Telmisartan kufanele isetshenziswe ngesikhathi sokukhulelwa kuphela uma inzuzo engaba khona iqinisekisa ubungozi obungaba khona.
Uma ukhulelwa ngenkathi uthatha i-telmisartan, yeka ukuyithatha bese ushayela udokotela wakho ngokushesha.
Kwabesifazane abancelisayo: Akwaziwa ukuthi i-telmisartan idlula ibisi lwebele. Uma kunjalo, kungadala imiphumela emibi enganeni encelisa ibele. Wena nodokotela wakho kungadingeka ukuthi ninqume ukuthi uzowuphuza yini lo muthi noma uncelise.
Okwabadala: Abantu abadala bangase bacubungule izidakamizwa kancane. Umthamo wabantu abadala ojwayelekile ungadala ukuthi amazinga alo muthi abe phezulu kunokujwayelekile emzimbeni wakho. Uma ungumuntu ophakeme, ungadinga umthamo ophansi noma uhlelo oluhlukile.
Okwezingane:Le mithi ayikaze ifundwe ezinganeni futhi akufanele isetshenziswe ezinganeni ezingaphansi kweminyaka engu-18.
Ungayithatha kanjani i-telmisartan
Lolu lwazi lokulinganisa olwenzelwe ithebhulethi yomlomo ye-telmisartan Yonke imithamo namafomu okungenzeka angafakwa lapha. Udokotela wakho uzokutshela ukuthi imuphi umthamo olungele wena. Umthamo wakho, ifomu, nokuthi ulithatha kangaki kuzoya ngokuthi:
- iminyaka yakho
- isimo esilashwa
- sinzima kangakanani isimo sakho
- ezinye izimo zezokwelapha onazo
- ukuthi usabela kanjani esilinganisweni sokuqala
Amafomu namandla
Okujwayelekile: I-Telmisartan
- Ifomu: Ithebhulethi yomlomo
- Amandla: 20 mg, 40 mg, 80 mg
Umkhiqizo: Micardis
- Ifomu: Ithebhulethi yomlomo
- Amandla: 20 mg, 40 mg, 80 mg
Isikali somfutho wegazi ophakeme
Isilinganiso sabadala (abaneminyaka engu-18 nangaphezulu)
- Umthamo ojwayelekile wokuqala ungama-40 mg, uthathwe ngomlomo, kanye ngosuku.
- Umthamo wesondlo ungama-20-80 mg, uthathwe ngomlomo, kanye ngosuku.
Isilinganiso sengane (iminyaka yobudala engu-0-17)
Le mithi ayikaze ifundwe ezinganeni futhi akufanele isetshenziswe ezinganeni ezingaphansi kweminyaka engu-18.
Umthamo omkhulu (oneminyaka engama-65 nangaphezulu)
Azikho izincomo ezithile zomthamo omkhulu. Abantu abadala bangase bacubungule izidakamizwa kancane. Umthamo wabantu abadala ojwayelekile ungadala ukuthi amazinga alo muthi abe phezulu kunokujwayelekile emzimbeni wakho. Uma ungumdala, ungadinga umthamo ophansi noma uhlelo oluhlukile.
Isikali sokunciphisa ubungozi bokuhlaselwa yisifo senhliziyo, ukushaywa unhlangothi, noma ukufa ngenxa yesifo senhliziyo
Isilinganiso sabadala (abaneminyaka engama-55 nangaphezulu)
- Kubantu abaneminyaka engama-55 nangaphezulu abangakwazi ukuthatha i-angiotensin-converting enzyme (ACE) inhibitors, isilinganiso esijwayelekile singama-80 mg, sithathwa ngomlomo, kanye ngosuku.
Isikali sabadala (iminyaka eyi-18-55)
I-Telmisartan ayisetshenziswanga kuleli qembu lobudala ngale nkomba.
Isilinganiso sengane (iminyaka yobudala engu-0-17)
Le mithi ayikaze ifundwe ezinganeni futhi akufanele isetshenziswe ezinganeni ezingaphansi kweminyaka engu-18.
Umthamo omkhulu (oneminyaka engama-65 nangaphezulu)
Azikho izincomo ezithile zomthamo omkhulu. Abantu abadala bangase bacubungule izidakamizwa kancane. Umthamo wabantu abadala ojwayelekile ungadala ukuthi amazinga alo muthi abe phezulu kunokujwayelekile emzimbeni wakho. Uma ungumdala, ungadinga umthamo ophansi noma uhlelo oluhlukile.
Ukucatshangelwa okukhethekile komthamo
Udokotela wakho angakuqala ngomthamo ophansi futhi akhuphule umthamo wakho ngokunensa uma kudingeka uma unezinkinga zesibindi.
Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zithinta umuntu ngamunye ngokuhlukile, asikwazi ukuqinisekisa ukuthi lolu hlu lubandakanya yonke imithamo engenzeka. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Njalo ukukhuluma nodokotela wakho noma usokhemisi ngemithamo ekufanele.
Thatha njengoba kuqondisiwe
Ithebhulethi yomlomo yeTelmisartan isetshenziselwa ukwelashwa isikhathi eside. Kuza nezingozi ezinkulu uma ungayithathi njengokuyalelwe.
Uma uthatha kakhulu: Ukuthatha kakhulu i-telmisartan kungakwenza uzizwe unesiyezi noma sengathi inhliziyo yakho ishaya ngokushesha okukhulu noma ihamba kancane. Uma ucabanga ukuthi uthathe kakhulu, shayela udokotela wakho noma uye egumbini lezimo eziphuthumayo ngokushesha.
Uma ungayithathi nhlobo:
Ukwelapha umfutho wegazi ophezulu: Ingcindezi yakho ingase ibe yimbi kakhulu. Lokhu kuzokwandisa ingozi yokuhlaselwa yisifo senhliziyo noma isifo sohlangothi.
Ukunciphisa ubungozi bokuhlaselwa yinhliziyo, isifo sohlangothi, noma ukufa: I-Telmisartan inciphisa amathuba okuhlaselwa yisifo senhliziyo noma isifo sohlangothi. Uma ungayithathi, ingozi yakho inganda.
Uma uyeka ukuthatha ngokuzumayo:
Ukwelapha umfutho wegazi ophakeme: Ungayeki ukuthatha i-telmisartan ngaphandle kokukhuluma nodokotela wakho kuqala. Ukumisa lesi sidakamizwa ngokungazelelwe kungadala ukuthi umfutho wegazi lakho ukhuphuke. Lokhu kungandisa ingozi yokuhlaselwa yisifo senhliziyo noma isifo sohlangothi.
Ukunciphisa ubungozi bokuhlaselwa yisifo senhliziyo, isifo sohlangothi, noma ukufa: Ungayeki ukuthatha i-telmisartan ngaphandle kokukhuluma nodokotela wakho.
Uma ungayithathi ngesikhathi: Ukwelapha umfutho wegazi ophezulu: Ingcindezi yakho ingase ibe yimbi kakhulu. Ungase ungazizwa uhlukile, kepha umfutho wegazi lakho kungenzeka ungalawulwa kahle. Lokhu kungandisa ingozi yokuhlaselwa yisifo senhliziyo noma isifo sohlangothi.
Ukunciphisa ubungozi bokuhlaselwa yisifo senhliziyo, isifo sohlangothi, noma ukufa: Uma ungasebenzisi lesi sidakamizwa usuku nosuku, ingozi yakho yokuhlaselwa yisifo senhliziyo noma isifo sohlangothi ingakhula.
Okufanele ukwenze uma uphuthelwa umthamo: Uma ukhohlwa ukuthatha umthamo wakho, wuthathe ngokushesha lapho ukhumbula. Uma kusemahoreni ambalwa ngaphambi kwesikhathi somthamo wakho olandelayo, ke linda bese uthatha umthamo owodwa kuphela ngaleso sikhathi. Ungalokothi uzame ukuthola ngokuthatha amanani amabili ngasikhathi sinye. Lokhu kungadala imiphumela emibi enobuthi.
Ungasho kanjani ukuthi umuthi uyasebenza: Ungase ungazizwa uhlukile lapho uthatha lo muthi. Ungahle ukwazi ukutshela ukuthi lesi sidakamizwa siyasebenza uma uhlola umfutho wegazi lakho futhi uphansi. Udokotela wakho uzokwazisa uma lo muthi usebenzela wena.
Ukucatshangelwa okubalulekile kokuthatha i-telmisartan
Gcina lokhu kucatshangelwa engqondweni uma udokotela wakho ekunikeza ithebhulethi yomlomo ye-telmisartan.
Jikelele
- I-Telmisartan ingathathwa ngokudla noma ngaphandle kokudla.
- Ungakwazi ukuchoboza noma ukusika ithebhulethi.
Isitoreji
- Gcina i-telmisartan ekamelweni lokushisa kusuka ku-56-89 ° F (15-30 ° C).
- I-Telmisartan akufanele isuswe emaphaketheni ayo (i-blister pack) kuze kube kwesokudla ngaphambi kokuthatha umthamo wakho.
- Yigcine kude nokushisa okulula nokushisa okuphezulu.
- Ungawugcini lo muthi ezindaweni ezinomswakama noma ezinomswakama, njengezindlu zangasese.
Ukugcwalisa kabusha
Imibhalo kadokotela yalomuthi iyagcwaliseka. Akudingeki ukuthi unikezwe umuthi omusha kadokotela ukuze ugcwaliswe futhi lo muthi. Udokotela wakho uzobhala inani lama-refill eligunyazwe kudokotela wakho.
Ukuvakasha
Lapho uhamba nemithi yakho:
- Ngaso sonke isikhathi phatha imithi yakho. Lapho undiza, ungalokothi uwufake esikhwameni esihloliwe. Yigcine esikhwameni sakho sokuthwala.
- Ungakhathazeki ngemishini ye-X-ray yesikhumulo sezindiza. Ngeke zilimaze imithi yakho.
- Ungadinga ukukhombisa abasebenzi bezindiza ilebula lekhemisi lemithi yakho. Ngaso sonke isikhathi phatha isitsha sokuqala esinelebula kadokotela.
- Ungafaki lo muthi egumbini legilavu lemoto yakho noma uwushiye emotweni. Qinisekisa ukugwema ukwenza lokhu lapho isimo sezulu sishisa kakhulu noma sibanda kakhulu.
Ukuzilawula
Ungadinga ukuhlola umfutho wegazi lakho ekhaya. Ukuze wenze lokhu, ungadinga ukuthenga owakho umfutho wegazi.
Kufanele ugcine ilog nosuku, isikhathi sosuku, kanye nokufundwa kwengcindezi yegazi lakho. Letha le dayari lapho uya kudokotela wakho.
Ukuqapha komtholampilo
Ngesikhathi sokwelashwa ngalo muthi, udokotela wakho uzohlola okulandelayo:
- ukushaya kwegazi
- ukusebenza kwezinso
- amazinga e-electrolyte
Izindleko ezifihliwe
Kungase kudingeke ukuthi uthenge okokuqapha umfutho wegazi, ukuze ukwazi ukuhlola umfutho wegazi lakho usekhaya. Laba baqaphi bayatholakala emakhemisi amaningi.
Ingabe zikhona ezinye izindlela?
Kuneminye imithi etholakalayo yokwelapha isimo sakho. Ezinye zingakulungela kangcono kunabanye. Khuluma nodokotela wakho ngezinye izinketho ezingakusebenzela.
Ukuzikhulula:Izindaba Zokwelapha Namuhla wenze yonke imizamo yokuqinisekisa ukuthi lonke ulwazi luyiqiniso, luphelele futhi lusesikhathini. Kodwa-ke, le ndatshana akufanele isetshenziswe njengokungena esikhundleni solwazi nobungoti bochwepheshe bezokunakekelwa kwezempilo onelayisense. Kufanele uhlale uthintana nodokotela wakho noma omunye uchwepheshe wezokunakekelwa kwempilo ngaphambi kokuthatha noma imuphi umuthi. Imininingwane yezidakamizwa equkethwe lapha ingashintsha futhi ayihloselwe ukumboza konke ukusetshenziswa okungaba khona, izinkomba, izixwayiso, izexwayiso, ukuxhumana kwezidakamizwa, ukungezwani komzimba, noma imiphumela emibi. Ukungabikho kwezixwayiso noma olunye ulwazi lomuthi othile awukhombisi ukuthi inhlanganisela yezidakamizwa noma yezidakamizwa iphephile, iyasebenza, noma ilungele zonke iziguli noma konke ukusetshenziswa okuthile.