I-Prevnar 13 vs. Pneumovax 23: Umehluko, ukufana, nokuthi yikuphi okungcono kuwe
Izidakamizwa Vs. UmnganiUkubuka konke kwezidakamizwa nokwehluka okuyinhloko | Izimo zilashwa | Ukusebenza | Ukutholakala komshuwalense nokuqhathaniswa kwezindleko | Okuqhamuka uma udla imishanguzo | Ukusebenzisana kwezidakamizwa | Izexwayiso | Imibuzo evame ukubuzwa
I-pneumonia ukutheleleka kwelilodwa noma womabili amaphaphu, okungasongela impilo, ikakhulukazi ezinganeni nasezinganeni, ezigulini ezingenakuzivikela, kanye nabantu abadala abangaphezu kweminyaka engama-65. Ngokwe-CDC , cishe abantu abangama-50 000 bafa e-US minyaka yonke ngenxa ye-pneumonia. I-Prevnar 13 ne-Pneumovax 23 yimithi yokugoma yamagama amabili evunyelwe yi-FDA. Yomibili imijovo yokugoma isetshenziselwa ukuvimbela i-pneumococcal pneumonia kanye nezinkinga zayo, kepha inokuhluka okuthile njengokuthi kunikezwa kanjani, nezinhlobo zamagciwane eziwavikela. Ake siqhathanise lezi ezimbili ezingezansi.
Uyini umehluko omkhulu phakathi kwe-Prevnar 13 ne-Pneumovax 23?
I-Prevnar 13 ne-Pneumovax 23 yomibili imishanguzo enegama lomkhiqizo. I-Prevnar 13 yaziwa nangokuthi umjovo wokugoma we-pneumococcal 13-valent conjugate (noma i-PCV13) -ivikela ezinhlotsheni eziyi-13 ezahlukahlukene zamagciwane e-pneumococcal. I-Prevnar 13 ijovwe nge-IM (emsipheni).
I-Pneumovax 23 yaziwa nangokuthi umjovo we-pneumococcal vaccine polyvalent injection (noma umuthi wokugoma we-PPSV23) -uyivikela ezinhlotsheni ezingama-23 zamagciwane e-pneumococcal. I-Pneumovax 23 ingajovwa nge-IM noma nge-SQ (ngaphansi kwesikhumba, noma ngaphansi kwesikhumba).
Cishe uzothola umuthi wokugoma owodwa nge-Prevnar 13, nomuthi owodwa wokugoma one-Pneumovax 23, cishe unyaka owodwa uhlukene, njengomuntu omdala.
| Umehluko omkhulu phakathi kwe-Prevnar 13 ne-Pneumovax 23 | ||
|---|---|---|
| Okwedlule 13 | Pneumovax 23 | |
| Isigaba sezidakamizwa | Umuthi wokugoma | Umuthi wokugoma |
| Isimo somkhiqizo / ejwayelekile | Umkhiqizo | Umkhiqizo |
| Ngubani igama elijwayelekile? | Umjovo wokugoma we-pneumococcal 13-valent conjugate, ukumiswa noma Umuthi wokugoma we-13-valent pneumococcal conjugate noma Umuthi wokugoma we-Pneumococcal conjugate noma PCV13 | Umjovo we-pneumococcal injection polyvalent, isisombululo noma Umuthi wokugoma wama-23-valent pneumococcal polysaccharide noma Umuthi wokugoma we-pneumococcal polysaccharide noma PPSV23 |
| Izidakamizwa zingena ngaziphi izinhlobo? | Ukujova | Ukujova |
| Uyini umthamo ojwayelekile? | U-0.5 ml ujovwe nge-IM (intramuscularly) | U-0.5 ml ujove nge-IM (nge-intramuscularly) noma nge-SQ (ngaphansi komgudu) |
| Yelashwa isikhathi esingakanani? | Umthamo owodwa, ophindwayo ngeshejuli ngayinye (uchungechunge lwezithombe ezi-4 zezingane ezingaphansi kweminyaka emibili) | Umthamo owodwa |
| Ubani ovame ukusebenzisa umuthi? | Izinsana, izingane, izingane, abantu abadala | Ngaphansi kweminyaka emibili ubudala abasengozini eyengeziwe yesifo se-pneumococcal, abadala abaneminyaka engama-50 noma ngaphezulu |
Izimo eziphathwe yi-Prevnar 13 ne-Pneumovax 23
I-Prevnar 13 ikhonjiselwe:
Izingane ezinamasonto ayisithupha kuya eminyakeni emihlanu (ngaphambi kosuku lokuzalwa olungu-6):
- Ukugoma okusebenzayo ukuvikela izifo ezingahlaseli ezibangelwa yi-Streptococcus pneumoniae serotypes 1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F kanye ne-23F
- Ukugoma okusebenzayo ukuvimbela i-otitis media (ukutheleleka kwezindlebe) okubangelwa yi-S. pneumoniae serotypes 4, 6B, 9V, 14, 18C, 19F, no-23F
Izingane ezineminyaka engu-6 kuya kwengu-17 ubudala (ngaphambi kosuku lokuzalwa olungu-18):
- Ukugoma okusebenzayo ukuvikela izifo ezingahlaseli ezibangelwa yi-S. pneumoniae serotypes 1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F kanye no-23F
Abantu abadala abaneminyaka engu-18 nangaphezulu:
- Ukugoma okusebenzayo ukuvikela inyumoniya kanye nesifo esihlaselayo esibangelwa yi-S. pneumoniae serotypes 1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F kanye no-23F
I-Pneumovax 23 ikhonjisiwe nge ukugoma okusebenzayo ukuvikela isifo se-pneumococcal esihlaselayo esidalwa ama-serotypes angama-23 aqukethwe kulo mgomo (1, 2, 3, 4, 5, 6B, 7F, 8, 9N, 9V, 10A, 11A, 12A, 12, 14, 15B , 17F, 18C, 19F, 19A, 20, 22F, 23F, no-33F). Kuvunyelwe ukusetshenziswa ezigulini ezineminyaka engama-50 noma ngaphezulu, kanti iziguli ezineminyaka engama-≥2 ezisengozini enkulu yesifo se-pneumococcal.
Ufuna intengo engcono kakhulu ku-Prevnar 13?
Bhalisela izexwayiso zentengo ye-Prevnar 13 bese uthola ukuthi intengo ishintsha nini!
Thola izexwayiso zentengo
I- I-ACIP (IKomidi Elelulekayo Lemikhuba Yokugoma) lenza izincomo zomuthi wokugomela i-CDC (Izikhungo Zokulawulwa Nokuvikelwa Kwezifo). Imininingwane engaphezulu evela ku-CDC mayelana nokugonywa kwe-pneumococcal, kufaka phakathi amashejuli wokugoma, ingatholakala lapha . CDC.gov indawo efundisayo nehloniphekile yolwazi lomuthi wokugoma.
| Isimo | Okwedlule 13 | Pneumovax 23 |
| Ukugoma okusebenzayo ukuvikela izifo ezihlaselayo ezibangelwa yi-Streptococcus pneumoniae serotypes 1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F kanye no-23F ezinganeni ezinamasonto ayisithupha kuye eminyakeni emihlanu ubudala | Yebo | Akunjalo |
| Ukugoma okusebenzayo ukuvimbela i-otitis media (ukutheleleka kwezindlebe) okubangelwa yi-S. pneumoniae serotypes 4, 6B, 9V, 14, 18C, 19F, no-23F ezinganeni ezineminyaka ephakathi kwamasonto ayisithupha kuya eminyakeni emihlanu | Yebo | Akunjalo |
| Ukugoma okusebenzayo ukuvikela izifo ezingahlaseli ezibangelwa yi-S. pneumoniae serotypes 1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F kanye no-23F ezinganeni ezineminyaka eyisithupha kuya kwengu-17. | Yebo | Akunjalo |
| Ukugoma okusebenzayo ukuvikela inyumoniya kanye nesifo esihlaselayo esibangelwa yi-S. pneumoniae serotypes 1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F kanye no-23F kubantu abadala | Yebo | Akunjalo |
| Ukugoma okusebenzayo ukuvikela isifo se-pneumococcal esibangelwa ama-serotypes angama-23 | Akunjalo | Yebo |
Ingabe i-Prevnar 13 noma i-Pneumovax 23 isebenza kangcono?
Siyakwazi lokho kokubili Okwedlule 13 futhi Pneumovax 23 ziphephile, futhi ziyasebenza nasekuvikeleni inyumoniya, ngakho-ke sibheka kwi-CDC ukuthola izincomo. Iningi labantu abadala abaneminyaka engaphezu kwengama-65 bazothola isilinganiso esisodwa se-Prevnar 13 nesilinganiso esisodwa se-Pneumovax 23, unyaka owodwa ngaphandle, ngaphandle kokuhlukile.
Uhlelo oluyisisekelo olunconyiwe luchazwe ngezansi, kepha ungathola imininingwane eningiliziwe lapha .
I-CDC incoma:
- Ukuphathwa okuvamile kwe-Prevnar 13 yazo zonke izingane ezingaphansi kweminyaka engu-2 njengochungechunge lwemithamo emine eneminyaka emibili (isilinganiso sokuqala se-PCV13), izinyanga ezine (umthamo wesibili), izinyanga eziyisithupha (isilinganiso sesithathu), nezinyanga eziyi-12-15 (umthamo wesine).
- Ukuphathwa okuvamile kwe-Pneumovax 23 kubo bonke abantu abadala abaneminyaka engama-65 noma ngaphezulu.
- Ukuphathwa kwe-Prevnar 13 yabantu abadala abaneminyaka engama-65 noma ngaphezulu abangenaso isimo sokuzivikela, i-cerebrospinal fluid leak, noma ukufakwa kwe-cochlear, futhi abakaze bathole umthamo we-Prevnar 13.
* Ngokuhlukile nokuhlelwa kokubanjwa, bheka isixhumanisi ngenhla.
Xhumana nomhlinzeki wakho wezokunakekelwa kwempilo mayelana nokugonywa kwe-pneumonia.
Ufuna intengo engcono kakhulu ku-Pneumovax 23?
Bhalisela izexwayiso zentengo ze-Pneumovax 23 bese uthola ukuthi intengo ishintsha nini!
Thola izexwayiso zentengo
Ukuqhathaniswa kanye nezindleko zokuqhathaniswa kwe-Prevnar 13 vs. Pneumovax 23
Ukutholakala komshuwalense kuyahlukahluka kokubili ku-Prevnar 13 naku-Pneumovax 23. Uma wena noma ingane yakho nithola umthamo ehhovisi lomhlinzeki wezokunakekelwa kwezempilo, ingahlanganiswa ngaphansi komshwalense wakho wezokwelapha. Iningi lamakhemisi manje selinikezela ngezinsizakalo zokugoma, okubandakanya imijovo yokugomela i-pneumonia, kubantu abadala, ukuze ukwazi ukuthola umuthi wakho wokugoma esitolo sendawo esiseduzane (ithiphu — shayela ngaphambi kokungena, ukuze uqiniseke ukuthi usokhemisi unesikhathi!). I-Medicare imvamisa ayikhokhi izindleko zomuthi wokugoma.
Ngaphandle komshuwalense, umthamo we-Prevnar 13 ubiza cishe u- $ 240, kanti umthamo we-Pneumovax 23 ubiza cishe ama- $ 135. Ungathola i-Prevnar 13 mayelana ne- $ 195 ne-Pneumovax 23 ngo- $ 109 ngokusebenzisa ikhadi lesaphulelo le-SingleCare noma isigqebhezana.
| Okwedlule 13 | Pneumovax 23 | |
| Ngokuvamile embozwe umshwalense? | Iyahlukahluka | Iyahlukahluka |
| Imbozwe ngokujwayelekile yi-Medicare Part D? | Akunjalo | Akunjalo |
| Umthamo ojwayelekile | 1 isipetu | 1 isipetu |
| Inkokhelo ejwayelekile yeMedicare Part D | $ 232 | $ 120 |
| Izindleko ze-SingleCare | $ 195- $ 220 | $ 109- $ 130 |
Imiphumela emibi ejwayelekile ye-Prevnar 13 vs. Pneumovax 23
Imiphumela emibi ye-Prevnar 13 iyahluka ngokuya ngamaqembu eminyaka yobudala.
Ezinganeni nasezinsaneni (izinyanga ezi-2, 4, 6 nezingu-12-15 ubudala), ukusabela okubi kakhulu nge-Prevnar 13 yile:
- Ukuthukuthela (> 70%)
- Ubumnene besiza somjovo (> 50%)
- Ukwehla kwesifiso sokudla (> 40%)
- Ukwehla kokulala (> 40%)
- Ukulala ngokwengeziwe (> 40%)
- Umkhuhlane (> 20%)
- Ububomvu besiza somjovo (> 20%)
- Ukuvuvukala kwesayithi lokujova (> 20%)
Ezinganeni ezincane ezineminyaka emihlanu kuya kwengu-17 ubudala, ukusabela okubi kakhulu nge-Prevnar 13 yile:
- Ubumnene besiza somjovo (> 80%)
- Ububomvu besiza somjovo (> 30%)
- Ukuvuvukala kwesayithi lokujova (> 30%)
- Ukuthukuthela (> 20%)
- Ukwehla kwesifiso (> 20%)
- Ukulala ngokwengeziwe (> 20%)
- Umkhuhlane (> 5%)
- Ukwehla kokulala (> 5%)
Kubantu abadala abaneminyaka engu-18 nangaphezulu, ukusabela okubi kakhulu kwe-Prevnar 13 yile:
- Ubuhlungu esizeni sokujova (> 50%)
- Ukukhathala (> 30%)
- Ubuhlungu bekhanda (> 20%)
- Ubuhlungu bemisipha (> 20%)
- Ubuhlungu obuhlangene (> 10%)
- Ukwehla kwesifiso sokudla (> 10%)
- Ukubomvu kwesiza somjovo (> 10%)
- Ukuvuvukala kwesayithi lokujova (> 10%)
- Umkhawulo wokunyakaza kwengalo (> 10%)
- Ukuhlanza (> 5%)
- Umkhuhlane (> 5%)
- Ukugodola (> 5%)
- I-Rash (> 5%)
Imiphumela emibi kakhulu ehlotshaniswa ne-Pneumovax 23 yile:
- Ubuhlungu besiza sokujova, ubuhlungu, noma isisa (60.0%)
- Ukuvuvukala kwesayithi lokujova noma ukuqinisa (ukuqina) (20.3%)
- Ubuhlungu bekhanda (17.6%)
- Ububomvu besiza somjovo (16.4%)
- Ubuthakathaka noma ukukhathala (13.2%)
- Ubuhlungu bemisipha (11.9%)
Lolu akulona uhlu oluphelele lwemiphumela emibi — eminye imiphumela emibi ingavela. Xhumana nomhlinzeki wakho wezokunakekelwa kwempilo ngohlu oluphelele lwemiphumela emibi engahle yenzeke nge-Prevnar 13 noma i-Pneumovax 23.
Umthombo: DailyMed ( Okwedlule 13 ), IDailyMed ( Pneumovax 23 )
Ukusebenzisana kwezidakamizwa kwe-Prevnar 13 vs. Pneumovax 23
Ezinganeni nasebusheni, ayikho idatha eyanele yokwazi ukuthi ngabe iPrevnar 13 inganikezwa ngasikhathi sinye njenge-Human Papillomavirus Vaccine (HPV), Meningococcal Conjugate Vaccine (MCV4) kanye neTetanus Toxoid, Reduced Diphtheria Toxoid ne-Acellular Pertussis Vaccine, Adsorbed ( Tdap).
Kubantu abadala, ayikho idatha etholakalayo ekuphathweni kwe-Prevnar 13 kanye nemithi yokugoma equkethe i-diphtheria toxoid neminye imigomo esetshenziswa kubantu abadala abaneminyaka engama-50 nangaphezulu.
Lapho i-Prevnar 13 inikezwa ngasikhathi sinye njengomunye umjovo wokujova, le mithi yokugoma kufanele ifakwe ngemijovo ehlukene futhi ijovwe ezindaweni ezahlukahlukene. I-Prevnar 13 akufanele ixutshwe neminye imigomo esirinji efanayo.
Ukunikeza iTylenol (i-acetaminophen) ngaphambi kwe-Prevnar 13 kunganciphisa ukuphendula komzimba kumuthi wokugoma. Iziguli ezingenakunyakaziswa amandla ngenxa yokwelashwa kwama-immunosuppressive (i-irradiation, i-corticosteroids, i-antimetabolites, ama-alkylating agents, kanye nama-cytotoxic agents) kungenzeka zingaphenduli ngokufanele emuthini wokugoma.
Iziguli ezithola umuthi wokugomela i-shingles, i-Zostavax, zingathola impendulo ephansi yomzimba lapho zithola umuthi wokugoma ngasikhathi sinye ne-Pneumovax 23. Imithi emibili yokugoma kufanele yehlukaniswe okungenani amasonto ama-4. Lokhu akufanele kube yinkinga, noma kunjalo, njengoba iShingrix manje sekuwumuthi wokugomela owukhethayo. Kunemininingwane elinganiselwe ephathelene neminye imithi yokugoma enikezwa ngasikhathi sinye ne-Pneumovax 23. Xhumana nomhlinzeki wakho wezokunakekelwa kwezempilo ukuze uthole isiqondiso.
Okunye ukuxhumana kungahle kwenzeke. Xhumana nomhlinzeki wakho wezokunakekelwa kwempilo mayelana nokuthi kungenzeka yini ukuhlangana kwezidakamizwa noma umuthi wokugoma ne-Prevnar 13 noma i-Pneumovax 23.
| Izidakamizwa | Isigaba Sezidakamizwa | Okwedlule 13 | Pneumovax 23 |
| I-Acetaminophen | I-Antipyretic | Yebo | Akunjalo |
| Ama-alkylating agents Ama-Antimetabolites Ama-Corticosteroids Ama-cytotoxic agents Imisebe | Ukwelashwa kwama-immunosuppressive | Yebo | Akunjalo |
| Zostavax | Imigomo | Akunjalo | Yebo |
Izexwayiso ze-Prevnar 13 ne-Pneumovax 23
Okwedlule 13
- Kwezinye izinsana ezizalwe ngaphambi kwesikhathi, i-apnea yenzeke ngemuva kokugonywa. Uma ingane yakho izalwe ngaphambi kwesikhathi, thintana nomhlinzeki wakho wezokunakekelwa kwezempilo ngezinzuzo nezingozi zokugoma.
- Ukusebenza kwe-Prevnar 13 akukasungulwa ezinganeni ezizalwe ngaphambi kwesikhathi, izingane ezinesifo se-sickle cell, iziguli ezine-hematopoietic stem cell transplant, noma iziguli ezine-HIV.
- Iziguli akufanele zithole i-Prevnar 13 uma ngabe ziye zathola ukusabela okweqile komuthi wokugoma owenziwe nge-diphtheria toxoid (njenge-DTaP) noma enye inguqulo yesibhamu se-pneumonia esibizwa nge-PCV7 (Prevnar).
Pneumovax 23
- Iziguli ezizizwa zigula (ngokulingene kuya kwezinzima) akufanele zigonywe zize zizizwe zingcono.
- Iziguli ezinomlando wokusabela okweqile komzimba kulo mgomo akufanele zithole umuthi wokugoma.
- Sebenzisa ukuqaphela ezigulini ezinomsebenzi okhubazeke kakhulu wenhliziyo kanye / noma wamaphaphu.
- Iziguli ezidinga i-antibiotic prophylaxis ekulweni nokutheleleka kwe-pneumococcal zisazodinga i-prophylaxis, noma ngabe zithola umuthi wokugoma.
- Iziguli ezinezimo zokuzivikela emzimbeni (noma ukuthatha imishanguzo yokuvikela imishanguzo) zingancipha ekuphenduleni umuthi wokugoma.
- I-Pneumovax 23 kungenzeka ingasebenzi ekuvikeleni i-pneumococcal meningitis ezigulini ezine-cerebrospinal fluid evuzayo ngenxa yezilonda zokuzalwa, ukuqhekeka kogebhezi, noma izinqubo ze-neurosurgical.
Imibuzo ebuzwa njalo mayelana ne-Prevnar 13 vs. Pneumovax 23
Yini i-Prevnar 13?
I-Prevnar 13 ngumuthi wokugoma owenziwe yi-Wyeth Pharmaceuticals futhi omakethwa yi-Pfizer Inc., ovikela izinhlobo eziyishumi nantathu zamagciwane e-pneumococcal.
Kuyini iPneumovax 23?
I-Pneumovax 23 ngumuthi wokugoma owenziwe ngabakwaMerck & Co, Inc. ovikela izingcindezi ezingama-23 zamagciwane e-pneumococcal.
Ingabe i-Prevnar 13 ne-Pneumovax 23 ziyefana?
Akunjalo impela. Bobabili bavikela amabhaktheriya e-pneumococcal. I-Prevnar 13 ivikela izinhlobo eziyi-13 zebhaktheriya, kanti i-Pneumovax 23 ivikela izinhlobo ezingama-23 zamagciwane. I-Prevnar 13 inikezwa emsipheni (IM), kuyilapho i-Pneumovax 23 inganikezwa kusisipha (i-IM) noma ngaphansi kwesikhumba (ngaphansi kwesikhumba). Iningi labantu abadala abaneminyaka engaphezu kwengama-65 bazothola umthamo owodwa womuthi wokugoma ngamunye, ngokuhlukana konyaka.
Ingabe i-Prevnar 13 noma i-Pneumovax 23 ingcono?
Yomibili imijovo yokugoma iphephile futhi isebenza ngempumelelo ekuvikeleni ukutheleleka kwe-pneumococcal. Iningi labantu abadala abangaphezu kweminyaka engama-65 badinga umthamo owodwa womuthi wokugoma ngamunye.
Ngingayisebenzisa yini i-Prevnar 13 noma i-Pneumovax 23 ngikhulelwe?
Ayikho imininingwane eyanele mayelana nale mithi yokugoma lapho ukhulelwe. Khuluma ne-OB-GYN yakho ukunquma ukuthi uyawudinga yini umuthi wokugomela i-pneumonia ngaphambi kokukhulelwa.
Ngingasebenzisa i-Prevnar 13 noma i-Pneumovax 23 ngotshwala?
Imininingwane ebekwayo yokugoma yomibili ayisho ukusetshenziswa kotshwala. Xhumana nomhlinzeki wakho wezokunakekelwa kwempilo.
Ngabe ngidinga zombili i-PCV13 ne-PPSV23?
Yebo, ukuthola umthamo owodwa womuthi wokugoma ngamunye kubalulekile ukunciphisa ubungozi be-pneumonia. Kodwa-ke, i- I-CDC incoma ngokumelene nokuthola i-PCV13 ne-PPSV23 ngasikhathi sinye. Uma udinga imishanguzo yomibili, i-CDC incoma ukuthola i-PCV13 kuqala, kulandele ukudubula kwe-PPSV23 kokunye ukuvakasha. Buza uchwepheshe wakho wezokunakekelwa kwezempilo ukuthi kufanele ubuye nini ukuthola umuthi wokugoma wesibili.
I-pneumonia idutshulwe ilungele iminyaka emingaki?
Kubalulekile ukuthola imigomo yakho ye-pneumonia, ikakhulukazi uma ungaphezu kweminyaka engama-65 futhi / noma unezimo ezithile zezokwelapha / izinto ezinobungozi (iziguli ezisengozini enkulu zibandakanya labo ababhemayo noma abane-asplenia, izifo ezingapheli zesibindi, i-nephrotic syndrome noma ukwehluleka kwezinso, i-asthma isifo samaphaphu esingapheliyo, isifo senhliziyo esingapheli, noma isifo sikashukela). Ikona kunconyiwe ukuthi uthola umthamo owodwa womuthi wokugoma ngamunye, ohlukanisa unyaka owodwa, ozohlinzeka ngokuzivikela iminyaka eminingi.
Abantu abadala kufanele bavame kangaki ukuthola i-Prevnar 13? / Ihlala isikhathi esingakanani iPrevnar?
I-Prevnar 13 iyisikhathi esisodwa umuthi wokugoma kubantu abadala asebekhulile. Xhumana nomhlinzeki wakho wezempilo ukuze ubone ukuthi ngabe udinga umuthi wokugoma nge-Prevnar 13 kanye / noma ne-Pneumovax 23. Futhi, qiniseka ukuthi uthola umkhuhlane wadutshulwa minyaka yonke, bese ubuza umhlinzeki wakho wezokunakekelwa kwezempilo ukuthi ufanele yini noma imiphi eminye imigomo .











