Main >> Izidakamizwa Vs. Umngani >> I-Dexamethasone vs. prednisone: Umehluko, ukufana, nokuthi yikuphi okungcono kuwe

I-Dexamethasone vs. prednisone: Umehluko, ukufana, nokuthi yikuphi okungcono kuwe

I-Dexamethasone vs. prednisone: Umehluko, ukufana, nokuthi yikuphi okungcono kuweIzidakamizwa Vs. Umngani

Ukubuka konke kwezidakamizwa nokwehluka okuyinhloko | Izimo zilashwa | Ukusebenza | Ukutholakala komshuwalense nokuqhathaniswa kwezindleko | Okuqhamuka uma udla imishanguzo | Ukusebenzisana kwezidakamizwa | Izexwayiso | Imibuzo evame ukubuzwa





Nge-COVID-19 esezindabeni nsuku zonke, kungenzeka ukuthi uzwile ngokwelashwa kwe-steroid. Noma, uma wake waba yisiguli segumbi lezimo eziphuthumayo, kungenzeka ukuthi uphathwe nge-steroids. Imithi ye-steroid isetshenziswa ezimeni ezahlukahlukene zezokwelapha eziphuthumayo kanye nakwezinye izimo eziningi zokuvuvukala ezibucayi nezingapheli. I-Dexamethasone ne-prednisone yimithi emibili kadokotela evunyelwe yi-United States Food and Drug Administration (FDA).



Zombili lezi zidakamizwa ziyi-corticosteroids, eyaziwa nangokuthi i-glucocorticoids noma i-steroids. Zisetshenziselwa izimo ezahlukahlukene zokuvuvukala ezinhlelweni eziningi zomzimba. I-Corticosteroids isebenza ngokubangela imiphumela ye-metabolic futhi iguqule ukuphendula komzimba ku-stimuli. Yize i-dexamethasone ne-prednisone zombili zingama-steroids, zinokungafani okuthile, esizokuchaza ngezansi.

Uyini umehluko omkhulu phakathi kwe-dexamethasone ne-prednisone?

I-Dexamethasone (amakhuphoni e-Dexamethasone | Yini i-Dexamethasone?) I-corticosteroid, noma i-steroid, umuthi. Yize igama lomkhiqizo lalaziwa njengeDecadron, umkhiqizo wegama lomkhiqizo awusatholakali ngokuthengisa. I-Dexamethasone iyatholakala njengomkhiqizo ojwayelekile, njengethebhulethi, umjovo, isisombululo somlomo, nemikhiqizo ye-ophthalmic. I-Dexamethasone yaziwa njengesidakamizwa esisebenza isikhathi eside. Ingxenye yokuphila kwayo ingamahora angama-36-72.

I-Prednisone (amakhuphoni e-Prednisone | Yini i-Prednisone?) Futhi umuthi we-steroid. Igama lomkhiqizo le-prednisone lingabizwa nge-Deltasone, kepha igama lomkhiqizo alisatholakali. IPrednisone iyatholakala njengomkhiqizo ojwayelekile, njengethebhulethi, nanjengesixazululo somlomo. IPrednisone yaziwa njengesidakamizwa esiphakathi nendawo. Ingxenye yokuphila kwayo cishe amahora amathathu kuya kwamane. I-Orn prednisone ijwayele ukubekwa njengethebhulethi ekhishwa ngokushesha, kepha kukhona nethebhulethi ye-prednisone ebambezelekile ebizwa ngeRayos.



Umehluko omkhulu phakathi kwe-dexamethasone ne-prednisone
I-Dexamethasone Prednisone
Isigaba sezidakamizwa I-Corticosteroid (i-steroid), eyaziwa nangokuthi i-glucocorticoid I-Corticosteroid (i-steroid), eyaziwa nangokuthi i-glucocorticoid
Isimo somkhiqizo / ejwayelekile Okujwayelekile Okujwayelekile, uphawu (iRayos— amaphilisi akhiphe ukubambezeleka)
Ngubani igama lomkhiqizo? I-Decadron (ayisatholakali ngokuthengisa) IDeltasone (ayisatholakali ngokuthengisa),
Imisebe (amaphilisi okukhipha okulibazisekile)
Izidakamizwa zingena ngaziphi izinhlobo? Ithebhulethi, umjovo, isisombululo somlomo, amaconsi e-ophthalmic (eyedwa futhi ehlanganiswe nezinye izithako), amafutha okugcoba (ngokuhlanganiswa nezinye izithako) Ithebhulethi, isisombululo somlomo
Uyini umthamo ojwayelekile? Iyahluka ngokukhombisa nokuphendula ekwelashweni Iyahluka ngokukhombisa nokuphendula ekwelashweni
Yelashwa isikhathi esingakanani? Isikhathi esifushane; kuyehluka Isikhathi esifushane; ezinye iziguli zithatha isikhathi eside ngaphansi kokunakekelwa ngummeli
Ubani ovame ukusebenzisa umuthi? Abantu abadala, kwesinye isikhathi ezinganeni Abantu abadala, kwesinye isikhathi ezinganeni

Ufuna intengo engcono kakhulu ku-dexamethasone?

Bhalisela izexwayiso zentengo ye-dexamethasone bese uthola ukuthi intengo ishintsha nini!

Thola izexwayiso zentengo

Izimo eziphathwa nge-dexamethasone ne-prednisone

I-Dexamethasone ne-prednisone zinezinkomba ezifanayo. Yomibili le mithi ikhonjisiwe ukuthi isetshenziswe ezimeni ezahlukahlukene zokuvuvukala ezinhlelweni ezahlukahlukene. Isibonelo, yomibili le mithi ingasetshenziselwa izimo ezingezwani, lapho ukwelashwa okuvamile kungasebenzi. Izimo ze-allergen ne-dermatologic i-dexamethasone ne-prednisone engayiphatha zingabandakanya ukukhuphuka okukhulu kwesifuba somoya, i-atopic noma i-contact dermatitis, ukusabela kwe-drug hypersensitivity, i-rhinitis engapheli noma yonyaka, i-Stevens-Johnson syndrome, nokugula kwe-serum.



Ngoba isigaba ngasinye sinezinkomba eziningi, kuningi kakhulu ongakwenza ohlwini. Eshadini elingezansi, sizoklelisa izibonelo ezimbalwa zesigaba ngasinye. Xhumana nomhlinzeki wakho wezokunakekelwa kwempilo ukuthola eminye imininingwane.

Isimo I-Dexamethasone Prednisone
Izimo zokungezwani komzimba nezesikhumba (ukukhubazeka okukhulu kwesifuba somoya, i-dermatitis, i-rhinitis) Yebo Yebo
Izinkinga ze-Endocrine (ukungasebenzi kahle kwe-adrenocortical — ngokuhambisana nesidakamizwa se-mineralocorticoid njenge-fludrocortisone, i-congenital adrenal hyperplasia) Yebo Yebo
Izifo zamathumbu (i-enteritis, i-ulcerative colitis) Yebo Yebo
Ukuphazamiseka kwe-Hematology (izinhlobo ezithile ze-anemia, idiopathic thrombocytopenic purpura) Yebo Yebo
Izifo ze-Neoplastic (leukemia, lymphoma) Yebo Yebo
Isistimu yezinzwa (ukukhubazeka okukhulu kwe-multiple sclerosis, i-edema yobuchopho ehambisana nesimila sobuchopho esiyinhloko noma se-metastatic, i-craniotomy, noma ukulimala ekhanda) Yebo Yebo
Izifo ze-ophthalmic (i-temporal arteritis, uveitis) Yebo Yebo
Izifo ze-renal (idiopathic nephrotic syndrome, lupus) Yebo Yebo
Izifo zokuphefumula (izinhlobo ezithile zesifo sofuba noma i-pneumonia) Yebo Yebo
Izinkinga ze-rheumatic (izinhlobo ezithile ze-arthritis, lupus) Yebo Yebo

Ingabe i-dexamethasone noma i-prednisone isebenza kahle kakhulu?

Izifundo eziqhathanisa ikhanda lezidakamizwa ezimbili ekhanda ikakhulu zibheke i-dexamethasone vs. prednisone ezinganeni ezincane ezine-asthma enamandla. Eyodwa ukubuyekezwa kwezifundo kubhekwe i-dexamethasone kuqhathaniswa ne-prednisone ezinganeni ezine-asthma ebhebhethekisa kakhulu. Kuphethe ngokuthi ubufakazi buyakweseka ukusetshenziswa kwanoma imuphi umuthi. Ukubuyekezwa kushiwo ukuthi i-dexamethasone ingabekezelelwa kangcono, kepha ukuthi kudingeka olunye ucwaningo.

Ngoba umuthi ngamunye ungasetshenziswa ukwelapha izimo ezahlukahlukene zezokwelapha, kunzima ukusho ukuthi imuphi umuthi osebenza kangcono. Umhlinzeki wakho wezokunakekelwa kwempilo angakhetha i-dexamethasone uma udinga okuthile okusebenza isikhathi eside futhi okunamandla kakhulu, noma i-prednisone uma udinga okuthile okwenza okufishane. Isidakamizwa esingcono kakhulu kuwe singanqunywa kuphela ngumhlinzeki wakho wezokunakekelwa kwempilo, ongacabangela umlando nezimo zakho zezokwelapha, neminye imishanguzo oyisebenzisayo engahle isebenzisane ne-dexamethasone noma i-prednisone.



Ufuna intengo engcono kakhulu ku-prednisone?

Bhalisela izexwayiso zentengo ye-prednisone bese uthola ukuthi intengo ishintsha nini!

Thola izexwayiso zentengo



Ukuhlanganiswa kanye nokuqhathaniswa kwezindleko kwe-dexamethasone vs. prednisone

I-Dexamethasone imbozwa imishwalense yangasese kanye neMedicare. Intengo ephuma ephaketheni yamathebulethi angama-30 4 mg ingaba ngama- $ 40 noma ngaphezulu. Ngekhuphoni le-SingleCare, lingaphansi kwama- $ 10 emakhemisi abambe iqhaza (amakhuphoni eDecadron | Imininingwane yeDecadron).

IPrednisone nayo ivame ukumbozwa ngumshuwalense wangasese kanye neMedicare. Intengo ephaketheni lamaphilisi ayi-10 20 mg icishe ibe ngama- $ 20. Sebenzisa isigqebhezana se-SingleCare ukuthola incwadi kadokotela engaphansi kwama- $ 5.



Thola ikhadi lesaphulelo se-SingleCare

Qaphela: Ngokuya ngokuxilongwa, ukufakwa kwe-Medicare kungawela ngaphansi kweNgxenye B noma Ingxenye D.



I-Dexamethasone Prednisone
Ngokuvamile embozwe umshwalense? Yebo Yebo
Imbozwe ngokujwayelekile yi-Medicare? Yebo Yebo
Umthamo ojwayelekile 4 mg 30 amaphilisi 20 mg amaphilisi ayi-10
I-Medicare copay ejwayelekile $ 0- $ 1 $ 0- $ 1
Izindleko ze-SingleCare $ 10 $ 5

Imiphumela emibi ejwayelekile ye-dexamethasone vs. prednisone

Uma unikezwa umuthi we-steroid, kubalulekile ukuthatha imishanguzo njengokuyalelwa, bese uthepha umthamo njengoba uqondiswe ngumhlinzeki wakho wezokunakekelwa kwempilo lapho eyalelwa ukuthi akwenze lokho. Ngezansi kunohlu lwemiphumela emibi engahle ivele nge-dexamethasone noma i-prednisone. Lolu akulona uhlu olugcwele lwemiphumela emibi. Xhumana nomhlinzeki wakho wezokunakekelwa kwempilo ukuthola uhlu olugcwele lwemiphumela emibi.

Uhlelo Imiphumela emibi engaba khona ye-dexamethasone noma i-prednisone
Ukungezwani komzimba Ukusabela okweqile, i-anaphylaxis, i-angioedema
Senhliziyo Ukuboshwa kwenhliziyo / i-arrhythmia, ukukhuliswa kwenhliziyo, izinguquko ekushayeni kwenhliziyo, ukuwa kwegazi, ukwehluleka kwenhliziyo, umfutho wegazi ophezulu, i-edema, i-syncope, i-tachycardia, i-thromboembolism
isikhumba Izinduna, i-dermatitis yokungezwani komzimba, isikhumba esomile / esikhuni, i-erythema (ububomvu), ukuphola kwesilonda okungakhubazekile, ukujuluka okwandayo
I-Endocrine Ukwehla kokubekezelelana kwe-carbohydrate / glucose, ukukhula kwesimo se-cushingoid, i-hyperglycemia (ushukela ophakeme wegazi), i-hirsutism (ukukhula ngokweqile kwezinwele), ukungahambi kahle esikhathini, ukucindezela ukukhula kweziguli ezingane
Ukuphazamiseka kwe-Fluid / electrolyte Ukwehluleka kwenhliziyo, ukugcinwa koketshezi, ukulahleka kwe-potassium, ukugcinwa kwe-sodium
Amathumbu Ukwanda kwesifiso sokudla, isicanucanu, i-pancreatitis, i-peptic ulcer, ukugcwala kwamathumbu amancane namakhulu, i-ulcerative esophagitis
Imisipha Ukulahleka kwemisipha, ubuthakathaka bemisipha, ukukhumuzeka kwamathambo, ukuqhekeka kwamathambo amade, ukuqhekeka kwethambo, ukuqhekeka kwe-vertebral compression
I-Neurological / psychiatric Ukudlikizela, ukudana, ukungazinzi ngokomzwelo, i-euphoria, ikhanda elibuhlungu, ukukhuphuka kwengcindezi yokungasebenzi nge-papilledema (pseudotumor cerebri) imvamisa kulandela ukuyeka ukwelashwa, ukuqwasha, ukuguquguquka kwemizwelo, i-neuropathy, i-paresthesia, izinguquko zobuntu, i-vertigo
Oththalmic I-glaucoma, i-cataract, ukubona okungaboni kahle
Okunye Amafutha angavamile, ukwanda kokuthambekela koku izifo ezithathelwanayo , ama-hiccups, ubuso benyanga, ukukhuluphala

Umthombo: DailyMed ( dexamethasone ), IDailyMed ( mthoko )

Ukusebenzisana kwezidakamizwa kwe-dexamethasone vs. prednisone

Iziguli ezithatha i-anticoagulant, njenge-warfarin, kufanele ziqashwe ngenkathi zithatha umuthi we-steroid. Imithi esetshenziselwa isifo sikashukela ingadinga ukulungiswa ngoba ama-steroids angathinta amazinga eglucose egazini. Imithi ethile ehlanganiswa ne-enzyme ebizwa nge-CYP3A4 ingathinta imetabolism ye-steroid, edinga ukulungiswa komthamo. Lolu akulona uhlu olugcwele lokusebenzisana kwezidakamizwa. Xhumana nomhlinzeki wakho wezokunakekelwa kwempilo ukuthola uhlu oluphelele lokuhlangana kwezidakamizwa.

Izidakamizwa Isigaba sezidakamizwa I-Dexamethasone Prednisone
I-Warfarin I-Anticoagulant Yebo Yebo
I-Digoxin I-glycoside yenhliziyo Yebo Yebo
IGlipizide
I-Glyburide
I-insulini
I-Metformin
UPioglitazone
Ama-antidiabetic agents Yebo Yebo
ICarbamazepine
I-Phenobarbital
Phenytoin
I-Rifampin
Ama-inducers we-CYP3A4 Yebo Yebo
I-Azithromycin
I-Erythromycin
Ketoconazole
I-CYP3A4 enzyme inhibitors Yebo Yebo
I-Aspirin
Ibuprofen
UMeloxicam
I-Naproxen
Ama-NSAID Yebo Yebo

Izexwayiso ze-dexamethasone ne-prednisone

Izexwayiso zokwelashwa kwe-corticosteroid nge-dexamethasone noma i-prednisone zifaka:

  • Imvamisa, ukungezwani komzimba noma i-anaphylactic kungenzeka. Funa ukwelashwa okuphuthumayo uma lokhu kwenzeka.
  • Ukusetshenziswa kwe-dexamethasone noma i-prednisone kungakhuphula umfutho wegazi, kubangele ukugcinwa kwe-sodium namanzi, nokulahleka kwe-potassium. Ama-steroid kufanele asetshenziswe ngokuqapha ezigulini ezinokwehluleka kwenhliziyo, umfutho wegazi ophakeme, kanye / noma izinkinga zezinso.
  • I-Steroids ingadala ukulahleka kwe-calcium. Lokhu kungaholela ekukhuleni okunciphisayo ezinganeni nase-osteoporosis nganoma yisiphi isikhathi. Sebenzisa ngokuqapha.
  • Kukhona ukuhlangana phakathi kokusetshenziswa kwe-steroid nokuqhekeka kodonga lwamahhala lwama-ventricular ngemuva kwesifo se-myocardial infarction yakamuva. Ama-steroid kufanele agwenywe noma asetshenziswe ngokuqapha okukhulu kulezi ziguli.
  • I-Steroids ingadala ukucindezelwa kwe-axis ye-hypothalamic-pituitary-adrenal (HPA) eguquguqukayo, noma ukungasebenzi kahle kwe-adrenal, kanye nokungakwazi ukusebenza kahle kwe-glucocorticosteroid, ngemuva kokwelashwa. Ukwehluleka kwe-adrenocortical, okungaphikelela izinyanga ngemuva kokuyekiswa kwe-steroid, kungenzeka uma i-steroids imiswa ngokushesha okukhulu. Ubungozi bungancishiswa ngokuncipha kancane kancane emithini ye-steroid. Futhi, kufanele kusetshenziswe isilinganiso esiphansi kunazo zonke.
  • Ngenxa yokuthi i-steroids icindezela amasosha omzimba, iziguli eziphathwa ngama-steroids zisengozini yokutheleleka, ikakhulukazi ngemithamo ephezulu ye-steroids. I-Steroids ingabhebhethekisa ukutheleleka kwe-fungal systemic futhi akufanele isetshenziswe kulezi zimo ngaphandle uma kudingeka ukulawula ukusabela kwezidakamizwa ezisongela impilo.
  • I-chickenpox nesimungumungwane kungaba kubi kakhulu noma kubulale iziguli ezithatha i-steroids, ngenxa yesistimu yomzimba ecindezelwe. Gwema ukuvezwa yizinkukhu nesimungumungwane. Uma udalulwa, funa usizo lwezokwelashwa khona manjalo.
  • Iziguli ezithola imithamo ye-immunosuppressive ye-steroids akufanele zithole umuthi wokugoma obukhoma.
  • I-Steroids ingadala ingcindezi ye-intraocular, i-cataract, i-glaucoma, kanye / noma izifo zamehlo. Iziguli ezakha izimpawu zamehlo, noma ezisebenzisa i-steroids isikhathi esingaphezu kwamasonto ayisithupha, kufanele zibone udokotela wezifo zamehlo. Ama-steroids omlomo akufanele asetshenziselwe ukwelapha i-optic neuritis noma i-herpes simplex elula esebenzayo.
  • Ama-steroid kufanele asetshenziswe ngokuqapha ezigulini ezinezimo zamathumbu kanye / noma nezinkinga zesibindi.
  • I-Steroids ingadala ukuguquka kwemizwelo, ukushintsha kobuntu, ukuqwasha, noma ukubonakaliswa kwengqondo. Thintana nomhlinzeki wakho wezokunakekelwa kwempilo ngokushesha uma ubona ushintsho esimweni sengqondo noma ekuziphatheni.
  • Landela uhlelo lokulinganisa nokuthinta ukwelashwa kwakho kwe-corticosteroid. Ungayeki i-steroids ngokungazelelwe noma ngaphandle kokuqondiswa okuvela kumhlinzeki wakho wezokunakekelwa kwempilo.
  • Ukusetshenziswa kweSteroid ekukhulelweni kungadala ukuthi umntwana abe nenkalakahla noma izinkinga ngokukhula / ukuzuza kwesisindo. Ama-steroid kufanele asetshenziswe kuphela ekukhulelweni uma izinzuzo zidlula izingozi. Uma usuvele uthatha umuthi we-steroid futhi uthola ukuthi ukhulelwe, thintana nomhlinzeki wakho wezokunakekelwa kwempilo ngokushesha.

Imibuzo ebuzwa njalo mayelana ne-dexamethasone vs. prednisone

Yini i-dexamethasone?

I-Dexamethasone yisidakamizwa se-steroid esisetshenziswa ekwelapheni izimo ezahlukahlukene zokuvuvukala.

Yini i-prednisone?

Njenge-dexamethasone, i-prednisone yisidakamizwa se-steroid esisetshenziswa ezimeni eziningi zokuvuvukala ngemiphumela yaso yokulwa nokuvuvukala.

Ngabe i-dexamethasone ne-prednisone ziyefana?

Yize zifana, azifani ncamashi. Imininingwane engenhla ukuqhathanisa okuwusizo phakathi kwale mithi emibili. Ezinye izidakamizwa ze-steroid okungenzeka ukuthi uzizwile zifaka phakathi IMedrol (i-methylprednisolone), webhilo , kanye ne-hydrocortisone.

Ngabe i-dexamethasone noma i-prednisone ingcono? / Ngabe i-dexamethasone iphephe kune-prednisone?

Ayikho idatha eningi eqhathanisa lezi zidakamizwa ezimbili ngqo. Ukubuyekezwa okukodwa kwezifundo uphethe ngokuthi noma imuphi umuthi wamukelekile ekwelashweni kwezingane ezine-asthma ebhebhethekisa kakhulu. Ngoba kunezinkomba eziningi ezahlukahlukene zokusetshenziswa kwemithi ye-steroid, umhlinzeki wakho wezokunakekelwa kwempilo uzocabangela isimo esiphathwa kanye nomlando wakho wezokwelapha neminye imithi oyiphuzayo, lapho unquma ukuthi imuphi umuthi ongcono kuwe.

Ngokuphepha, wonke ama-steroids anamandla emiphumela emibi (bheka isigaba sezexwayiso), kanti amanye angaba sibi kakhulu. Umhlinzeki wakho wezokunakekelwa kwezempilo uzonquma ukuthi imuphi umuthi ophephe kakhulu kuwe futhi anikeze indlela yokwelashwa emfushane kakhulu. Imvamisa, uzokhipha i-steroid ukuze ungami ngokungazelelwe. Lokhu kusiza izindlala zakho ze-adrenal zibuyele emsebenzini ojwayelekile.

Ngingayisebenzisa i-dexamethasone noma i-prednisone ngenkathi ngikhulelwe?

I-Corticosteroids efana ne-dexamethasone noma i-prednisone ikhonjisiwe ukuthi ilimaza umbungu ezinhlotsheni eziningi lapho unikezwa ngemithamo elingana nomthamo umuntu angawuthatha, okudala ukwanda kwesigaxa senkalakahla enzalweni yezilwane. I-Steroids nayo ingadala umkhawulo wokukhula futhi yehlise isisindo sokuzalwa. Azikho izifundo ezanele, ezilawulwa kahle ze-dexamethasone noma i-prednisone kwabesifazane abakhulelwe. Ngakho-ke, i-dexamethasone noma i-prednisone kufanele isetshenziswe ekukhulelweni kuphela uma inzuzo idlula ingozi enganeni. Izinsana ezizalwe komama abathole imithamo ephezulu ye-steroids ngesikhathi sokukhulelwa kufanele zigcinwe ngezimpawu ze-hypoadrenalism.

Ngingasebenzisa i-dexamethasone noma i-prednisone ngotshwala?

Ngokuvamile, utshwala akufanele buhlanganiswe ne-steroids. Xhumana nomhlinzeki wakho wezokunakekelwa kwezempilo ukuthola iseluleko sezokwelapha.

Ingabe i-dexamethasone iyi-steroid enamandla?

I-Dexamethasone isebenza isikhathi eside futhi kuthathwa njenge-steroid enamandla, noma eqinile . Inamandla aphindwe ka-25 kune-hydrocortisone. Umthamo wokuqala we-dexamethasone ungahluka kusuka ku-0.75 kuye ku-9 mg ngosuku, kuya ngesimo eselashwa. Izidingo zesilinganiso ziyahlukahluka futhi kufanele zihlukaniswe ngokuya ngesimo esiphathwa kanye nokuphendula ekwelashweni.

Ngabe i-prednisone ne-decadron ziyefana?

I-Prednisone ne-Decadron (i-dexamethasone) womabili ama-steroids, asetshenziswa ezimeni ezahlukahlukene zokuvuvukala kanye / noma ze-autoimmune, kepha anokuhluka okuthile, njengoba kuchaziwe ngenhla. Isibonelo, i-Decadron (i-dexamethasone) inamandla amakhulu futhi isebenza isikhathi eside kune-prednisone.

Isebenza kanjani ngokushesha i-dexamethasone?

Kuya ngokuthi umuthi uphathwa kanjani. Njengoba inikezwe ngomjovo, i-dexamethasone izoqala ukusebenza ngokushesha. Ithathwe ngomlomo njengethebhulethi, imiphumela ingathatha kusuka ehoreni elilodwa kuye emahoreni amaningana.