Kungani Uphansi Lwerabha Olulwa Namagciwane Lubalulekile Ezikhungweni Zokunakekelwa Kwempilo

Udinga iphansi lerabha elilwa namagciwane ukuze uvikele iziguli nabasebenzi emagciwaneni ayingozi. Izitezi ezibhedlela zivame ukuba nomthelela ekudluliseleni ukutheleleka, njengoba kuboniswe yi amanani aphezulu e-CLABSIs, CAUTIs, VAEs, SSIs, MRSA, kanye ne-C. difficile kudatha yakamuva:

Uhlobo Lokutheleleka	Izifo Eziqashelwayo	Izifo Ezibikezelwe	Isilinganiso Sokutheleleka Esijwayelekile (SIR)
Ama-CLABSI	Idatha kusukela ngo-2024	Kususelwa kudatha ka-2015	I-SIR ebaliwe
ISEXWAYISO	Idatha kusukela ngo-2024	Kususelwa kudatha ka-2015	I-SIR ebaliwe
Ama-UAE	Idatha kusukela ngo-2024	Kususelwa kudatha ka-2015	I-SIR ebaliwe
Ama-SSI	Idatha kusukela ngo-2024	Kususelwa kudatha ka-2015	I-SIR ebaliwe
I-MRSA	Idatha kusukela ngo-2024	Kususelwa kudatha ka-2015	I-SIR ebaliwe
C. kunzima	Idatha kusukela ngo-2024	Kususelwa kudatha ka-2015	I-SIR ebaliwe

Izindawo ezingenamthungo nezingenazimbobo zivimba ukukhula kwamagciwane. Uthola ukumelana okungenamsebenzi namagciwane futhi uthuthukise ukuhlanzeka ngalokhu isixazululo sephansi.

Izinto Ezibalulekile Okufanele Uzicabangele

• Iphansi lerabha elilwa namagciwane kuvimbela ukukhula kwamagciwane ayingozi, kunciphisa izingozi zokutheleleka kweziguli kanye nabasebenzi.
• Izindawo ezingenamthungo nezingenazimbobo zenza ukuhlanza kube lula, okusiza ekugcineni amazinga okuhlanzeka aqinile ezikhungweni zezempilo.
• Lolu hlobo lwephansi luhlala isikhathi eside futhi ludinga ukulungiswa okuncane, okuholela ekongeni izindleko zesikhathi eside kanye nokuphazamiseka okuncane ekunakekelweni kweziguli.
• Iphansi lerabha lithuthukisa induduzo futhi linciphisa umsindo, lidala indawo ezolile esekela ukuphulukiswa kweziguli kanye nokukhiqiza kwabasebenzi.
• Ukukhetha phansi kwerabha okulwa namagciwane kuhambisana nemigomo yokulawula ukutheleleka, okwenza kube ukutshalwa kwezimali okuhlakaniphile ezindaweni zesimanje zokunakekelwa kwempilo.

Ukulawulwa Kokutheleleka Ngephansi Lerabha Elilwa Namagciwane Kwezempilo

Ukuvimbela Ukusabalala Kwamagciwane

Ubhekene nezinsongo eziqhubekayo ezivela kumagciwane namagciwane ezindaweni zokunakekelwa kwempilo. Iphansi lerabha elilwa namagciwane ngoba ukunakekelwa kwezempilo kuyayivimba le mingcipheko ngaphambi kokuba yande. Izibhedlela kanye nemitholampilo zidinga izindawo ezingavumeli amagciwane ukuba akhule. Uyazuza ku- phansi okubangelwa amagciwane ngoba ivimbela ukukhula kwamagciwane ngaphandle kokuthembela kuma-antibacterial agents anamandla. Le ndlela ikusiza ukuthi ugweme amagciwane angamelani nemithi futhi isekela ukuphepha kwesiguli.

• Ukufaka phansi okumelana namagciwane kubalulekile ekuvimbeleni ukutheleleka kanye nezifo.
• Uphansi olune-bacteria luvimbela ukwanda kwamagciwane, lugcine indawo yakho iphephile.
• Uphansi lwerabha ludala ukujiya, indawo engangeni manzi okususa amagciwane kanye nama-microorganism.
• Unciphisa amathuba okusabalala kwamagciwane, isikhunta, nezinye izifo.

Izikhungo zomthetho ziqokomisa ukubaluleka kokukhetha phansi ekulawuleni ukutheleleka. Izitezi zasesibhedlela zingaba yimithombo yokutheleleka. Amagciwane ezitezi adluliselwa kalula ezandleni nasezindaweni ezithinta kakhulu. Kumelwe usebenzise izinto ezingenamthungo, ezingenamibhobho, futhi ezilula ukuzihlanza ukuze unciphise ukutheleleka okutholakala esibhedlela.

Uphansi lwezempilo kumele lube Ihlala isikhathi eside futhi kulula ukuyihlanza. Iphansi eliqinile njengerabha linikeza izakhiwo zokulwa namagciwane ezilwa namagciwane avamile. Uvikela iziguli nabasebenzi ngokukhetha phansi kwerabha elilwa namagciwane ukuze kunakekelwe impilo.

Isivikelo Esingenamthungo, Esingenazimbobo

Udinga izindawo ezingenamthungo, ezingenazimbobo ukuze ugcine amazinga okuhlanzeka aqinile. Iphansi lerabha ayimunci umswakama noma amabhaktheriya. Lesi sici sibalulekile ezindaweni ezibucayi njengamaphiko eziguli kanye namagumbi okuhlinzwa. Ungahlanza futhi ubulale amagciwane kahle kulezi zindawo, ngisho nangesikhathi sokuqubuka kwezifo ezithelelanayo.

Ukusebenzisa imithungo eshiselwe ngokushisa kanye nokuhlanganisa okuhlanganisiwe kudala indawo ebushelelezi neqhubekayo. Ususa izikhala lapho ukungcola namagciwane kungacasha khona. Le ndlela yokufaka yenza ukuhlanza kube lula futhi isekela izindlela zokulawula ukutheleleka.

Icebiso: Uphansi lwerabha olungenamthungo lukusiza ukuthi uhlangabezane nezidingo eziqinile zokuhlanzeka ezindaweni ezinabantu abaningi njengamagumbi okuphuthumayo kanye nezindawo zokuhlinza.

Nansi indlela iphansi lerabha elilwa namagciwane lokunakekelwa kwempilo elisekela ngayo ukulawulwa kokutheleleka ezindaweni ezidinga kakhulu:

Isici	Inzuzo Yokulawula Ukutheleleka
Indawo engenamthungo, engenazimbobo	Kuvimbela ukubanjwa kwamagciwane kanye noketshezi
Izakhiwo zemvelo zokulwa namagciwane	Kuthuthukisa ukunakekelwa kwenhlanzeko
Imelana nezinto zokuhlanza ezinzima	Ifanele izinqubo zokuhlanzeka eziqinile

Ugcina indawo enempilo ngokukhetha phansi ekwazi ukumelana namagciwane futhi isekela ukuhlanza okulula. imvelo eqinile, engenazimbobo Ukufakwa phansi kwerabha okuvundisiwe kukuvumela ukuthi ubulale amagciwane ezindaweni ngokushesha nangokuphelele. Unciphisa ingozi yokutheleleka futhi udale indawo ephephile kuwo wonke umuntu.

Ukuhlanza Nokunakekela Okulula

Izinqubo Zokuhlanzeka Ezisebenzayo

Udinga iphansi elisekela amazinga okuhlanzeka aqinile esikhungweni sakho sezempilo. Iphansi lerabha elilwa namagciwane I-for healthcare ikunikeza indawo exinene, engangeni manzi eyenza ukuhlanza kube lula futhi kusheshe. Ungasula noma ubulale amagciwane phansi ngaphandle kokukhathazeka ngamagciwane afihleke emifantwini noma emithungweni. Le phansi ayimunci okuchithekile noma amabala, ngakho-ke ususa ukungcola kalula. Abasebenzi bakho bokuhlanza bachitha isikhathi esincane behlanza futhi bachitha isikhathi esiningi begxile ekunakekelweni kweziguli.

Icebiso: Uphansi lwerabha olungenamthungo lukusiza ukuthi uhlangabezane nemigomo yokulawula ukutheleleka ngomzamo omncane.

Ungabona umehluko ezindleleni zokuhlanzeka uma uqhathanisa phansi kwerabha okulwa namagciwane nezinketho zendabuko:

Isici	Iphansi Elilwa Namagciwane	Izitezi Zendabuko
Uhlobo Lomphezulu	Ayinazo izimbobo, ayinamthungo	Imbobo
Ukugcinwa Kwezinto Ezibangela Izifo	Okuncane	Phezulu
Ukusebenza Kokuhlanza	Okuphakeme	Ngokuvamile akwanele
Ingozi Yokukhula Kwamagciwane	Phansi	Phezulu
Umthelela Wezempilo	Ukutheleleka okuncishisiwe	Ukwanda kwezifo

Uvikela iziguli nabasebenzi ngokukhetha indawo engavumeli amagciwane ukuba akhule noma asakazeke.

Ukunciphisa Ukusetshenziswa Kwamakhemikhali

Ufuna ukugcina indawo yakho iphephile ngenkathi uvikela nemvelo. Iphansi lerabha elilwa namagciwane Ukuze ukunakekelwa kwempilo kuhlale kuhlanzekile, akudingi upende owengeziwe noma amakhemikhali aqinile. Ukumelana kwayo kwemvelo namagciwane kusho ukuthi usebenzisa izibulala-magciwane kanye nezihlanzi ezimbalwa. Lokhu kunciphisa ukuchayeka kwamakhemikhali kubasebenzi bakho kanye neziguli.

Uphinde usize imvelo ngokunciphisa ukusetshenziswa kwamakhemikhali. Iphansi likhipha ama-volatile organic compounds ambalwa (ama-VOC), okuthuthukisa ikhwalithi yomoya wangaphakathi. Ugwema ama-wax kanye nama-stripper aphansi, ngakho-ke unciphisa izindleko zokulungisa kanye nokungcola kwamakhemikhali.

Inzuzo Yemvelo	Incazelo
Ukukhishwa Okuphansi kwe-VOC	Iphansi likhipha amakhemikhali ambalwa ayingozi emoyeni, okuthuthukisa ikhwalithi yomoya ezibhedlela.
Ukumelana Kwemvelo Nezilokazane Ezincane	Izakhiwo zayo ezingokwemvelo zivimbela ukukhula kwamagciwane kanye nesikhunta, okuthuthukisa ukuphepha kweziguli.
Imvelo Engenazo Izikhala	Lesi sici sivimbela ukungcola kanye nezinto ezibangela ukungezwani komzimba ukuthi zingaqongelelani, okubangela ikhwalithi yomoya yangaphakathi engcono.
Ukususwa Kwezingubo Zaphansi	Kunciphisa isidingo sama-wax nama-stripper, kunciphisa ukusetshenziswa kwamakhemikhali kanye nezindleko zokulungisa.

Udala indawo yokunakekelwa kwempilo ehlanzekile, ephephile, futhi eqhubekayo ngalolu khetho lwephansi.

Izici Zokuphepha

Ukumelana Nokushelela

Udinga iphansi eligcina wonke umuntu ephephile, ngisho nasezimweni ezimatasa noma ezimanzi. Iphansi lerabha elilwa namagciwane kwezempilo kukunikeza indawo ebambekayo ngokwemvelo. Lesi sici sivelele uma siqhathaniswa ne-linoleum noma i-vinyl. Uphansi ngerabha lusebenza kangcono ezindaweni ezimanzi, okukusiza ukunciphisa ukushelela nokuwa. Uvikela iziguli, abasebenzi, kanye nezivakashi ezingozini, ikakhulukazi ezindaweni lapho ukuchitheka noma umswakama kuvame khona.

Icebiso: Khetha phansi kwerabha ezindleleni zokungena, emaphaseji, nasemagumbini eziguli ukuze unciphise ingozi yokuwa.

Izingozi eziningi ezikhungweni zezempilo zenzeka ngenxa yokuchitheka, udoti, noma izindawo ezingalingani. Ungabona ukuthi iphansi lerabha elilwa namagciwane lokunakekelwa kwempilo likusiza kanjani ukubhekana nalezi zingozi:

• Izitezi ezibushelelezi nezinakekelwe kahle zinciphisa amathuba okushelela nokukhubeka.
• Izipesheli zephansi lerabha ukumelana okuhle kokushelela, ngisho noma kunezimoto eziningi.
• Ubuso obugoqekile busekela iziguli ezima isikhathi eside.
• Izakhiwo zokulwa namagciwane ezakhelwe ngaphakathi zengeza olunye ungqimba lokuphepha.

Udala indawo ephephile ngokukhetha iphansi elisebenzela wonke umuntu, kuhlanganise nalabo abangakwazi ukuhamba kahle.

Ukuphepha Kwezempilo Kwabasebenzi Neziguli

Ufuna ukuvikela abasebenzi kanye neziguli ezingozini zempilo. Iphansi lerabha elilwa namagciwane Ukunakekelwa kwezempilo kusekela ukulawulwa kokutheleleka futhi kunciphisa ukuchayeka kumakhemikhali ayingozi. Ungahlanza futhi unakekele lawa phansi kalula, okukusiza ukuvimbela ukutheleleka. I-CDC kanye neKaiser Permanente baqokomisa lokhu ukubaluleka kokuhlanza okufanele ukulawula ukutheleleka.

Ugwema nokusebenzisa amakhemikhali anamandla, okuphephile kubantu abane-allergies noma ukuzwela. Ama-scrubbers azenzakalelayo kanye nezinhlelo zokuhlanza ngomusi zikuvumela ukuthi ugcine phansi kuhlanzekile ngaphandle kokuphazamisa ukunakekelwa kweziguli.

Nansi indlela iphansi lerabha elithuthukisa ngayo ukuphepha kwezempilo endaweni yakho:

Uhlobo Lobufakazi	Incazelo
Ukulawulwa Kokutheleleka	Ukuhlanza nokugcina phansi kwerabha ngendlela efanele kubalulekile ekuvimbeleni ukutheleleka, njengoba kugcizelelwe yi-CDC kanye neKaiser Permanente.
Ukuphepha Kwezempilo	Iphansi lerabha lekhwalithi ephezulu alidingi amakhemikhali ayingozi, okunciphisa izingozi kubantu abazwelayo ezindaweni zokunakekelwa kwempilo.
Ukusebenza Kahle Kokusebenza	Ukusetshenziswa kwezihlanzi ezizenzakalelayo kanye nezinhlelo zokuhlanza ngomusi kuvumela ukuhlanza okuphumelelayo ngaphandle kokuphazamisa ukunakekelwa kweziguli.

Usekela indawo yokusebenza enempilo kanye nendawo yesiguli ngokukhetha phansi okubeka ukuphepha kuqala.

Ukunciphisa Induduzo Nomsindo

Okuhlangenwe nakho Kwesiguli

Ufuna iziguli zizizwe zikhululekile futhi zizolile esikhungweni sakho. Iphansi lerabha elilwa namagciwane kukusiza ukuthi udale indawo enokuthula. Izakhiwo ezithinta umsindo zephansi lerabha nciphisa amazinga omsindo ngamaphesenti afinyelela kwangu-20. Ubona umsindo omncane kanye neziphazamiso ezimbalwa emaphasishi nasemakamelweni eziguli. Lesi simo esithule sisekela ukuphulukiswa futhi sithuthukisa ukwaneliseka kwesiguli.

Icebiso: Izindawo ezithule zisiza iziguli ukuba ziphumule futhi zelaphe ngokushesha.

Ungabona ukuthi phansi kwerabha kuthinta kanjani induduzo nokwaneliseka kwesiguli:

Uhlobo Lobufakazi	Incazelo
Ucwaningo	Ucwaningo olwenziwe yiFlorida Hospital bathole ukuthi abasebenzisi babike okuhlangenwe nakho okuhle ngokufakwa phansi kwerabha, okugqamisa umthelela wako entuthuzelweni nasekwanelisekeni.
Ubufakazi	UDenise Dexter, umqondisi wokuklama izikhungo, waphawula ukuthi phansi imunca umsindo, inegalelo endaweni ethule yeziguli.
Ucwaningo	Izifundo ezisekelwe ebufakazini zibonisa ukuthi ukunciphisa umsindo osuka phansi kungathuthukisa ukuphulukiswa ngokunciphisa ukuphazamiseka kokulala kanye nezidingo zemithi.

Usiza iziguli ukuba zilale kangcono futhi unciphise ukucindezeleka kwazo. Iphansi lerabha limunca umsindo, okuholela endaweni ezolile kakhudlwana. Unciphisa nesidingo semithi ehlobene nokuphazamiseka kokulala.

Ukusekelwa Kwabasebenzi

Udinga ukusekela abasebenzi bakho njengoba bedlula emisebenzini ematasa. Abahlengikazi bavame ukuhamba amakhilomitha angu-4 kuya kwangu-8 ngesikhathi somsebenzi wabo. Lokhu kuhamba njalo kungabangela ukukhathala nokulimala. Iphansi lerabha elilwa namagciwane linikeza ukwesekwa okusebenzayo. Uyazuza ekubuyiselweni kwamandla kanye nokunciphisa amandla, okuvimbela ukucindezeleka emalungeni futhi kunciphise ukukhathala.

• Uphansi oluyi-Ergonomic lubalulekile ukunciphisa ukukhathala phakathi kwabasebenzi basesibhedlela abama ngezinyawo isikhathi eside.
• Uphansi olufanele lulinganisela ukubuyiselwa kwamandla kanye nokunciphisa amandla ukuze kuvinjelwe ukucindezeleka emalungeni.
• Udala indawo yokusebenza ephephile futhi usize abasebenzi bahlale bekhululekile phakathi nesikhathi sabo sokusebenza.

Iphansi lerabha liphinde limunce umsindo, okwenza indawo yakho ithule kuwo wonke umuntu. Uthuthukisa ukuxhumana futhi unciphise ukuphazamiseka. Abasebenzi bangagxila ekunakekelweni kweziguli ngaphandle komsindo wezinqola, izinyathelo, noma imishini.

Qaphela: Izitezi ezikhululekile nezithule zisiza ithimba lakho ukuthi lihlale liqaphile futhi likhiqiza.

Ukhetha iphansi lerabha elilwa namagciwane ukuze uthuthukise induduzo futhi unciphise umsindo. Lesi sinqumo sisekela kokubili ukuphulukiswa kwesiguli kanye nenhlalakahle yabasebenzi.

Ukuqina Nezindleko

Inani Lesikhathi Eside

Ufuna phansi ehlangabezana nezidingo zokunakekelwa kwempilo. Iphansi lerabha elilwa namagciwane ikunikeza ukuqina okungenakuqhathaniswa. Le nto imelana nokuklwebheka, ukugoba, kanye namabala. Imishini esindayo, izinqola ezigingqikayo, kanye nokuhamba ngezinyawo okuqhubekayo akukugugi ngokushesha. Ungathembela phansi ngerabha ukuze ubukeke futhi usebenze kahle iminyaka eminingi.

Iphansi lerabha nalo lidinga ukulungiswa okuncane kunezindlela eziningi zendabuko. Awudingi ukulivala noma ukuligcoba nge-wax. Imikhuba yokuhlanza ihlala ilula futhi ingabizi kakhulu. Ngokuhamba kwesikhathi, wonga imali futhi unciphise isikhathi sokungasebenzi sokulungisa.

Qaphela: Ukutshala imali ezindlini eziqinile kusho ukuphazamiseka okuncane ekusebenzeni kokunakekelwa kweziguli kanye nezikhungo.

Ungaqhathanisa inani lesikhathi eside lophansi lwerabha nezinye izinto:

Uhlobo Lwephansi	Izidingo Zokulungisa	Izindleko Zesikhathi Eside
I-Cork	Kudinga ukuvalwa ngezikhathi ezithile	Izindleko zokuvala ziphezulu ngenxa yezindleko zokuvala
Irabha	Ukunakekelwa okuncane	Kuphansi ngenxa yokuqina nokuphila isikhathi eside

Iphansi lerabha likusiza ukulawula izindleko ngenkathi ugcina indawo ephephile nehlanzekile.

Izindleko Eziphansi Zokufaka Esikhundleni

Ufuna ukugwema ukushintshwa njalo phansi. Iphansi lerabha lihlala isikhathi eside kunezinye izindlela eziningi. Isakhiwo salo esiqinile simelana nomonakalo ovela ekuchithekeni, ukushayisana, kanye namakhemikhali okuhlanza. Akudingeki ukhathazeke ngokuqhekeka noma ukugoba, ngisho nasezindaweni ezinabantu abaningi.

Uma ukhetha iphansi lerabha elilwa namagciwane, unciphisa isidingo sokulungiswa okubizayo kanye nokufakwa esikhundleni kwalo. Leli phansi ligcina ukubukeka nokusebenza kwalo iminyaka eminingi. Uvikela utshalomali lwakho futhi ugcine indawo yakho isebenza kahle.

• Iphansi lerabha libekezelela ukuguguleka kwansuku zonke.
• Uchitha imali encane ekulungiseni nasekushintsheni.
• Isikhathi eside sokuphila kwephansi lerabha sisekela imigomo yakho yesabelomali.
• Icebiso: Ukukhetha phansi okuhlala isikhathi eside kusho ukuthi ungagxila kakhulu ekunakekelweni kweziguli futhi ungagxili kakhulu ekunakekelweni kwezikhungo.

Uthatha isinqumo esihlakaniphile sezezimali ngokukhetha phansi kwerabha elwa namagciwane yesikhungo sakho sokunakekelwa kwempilo.

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Wenza ukukhetha okuhlakaniphile uma ukhetha iphansi lerabha elilwa namagciwane ukuze uthole ukunakekelwa kwempilo. Leli phansi kunciphisa izingozi zokutheleleka, kusekela ukuhlanzwa okulula, futhi kugcina abasebenzi bakho neziguli ziphephile. Amaphrojekthi ezempilo angaphezu kwama-62% manje zidinga phansi okulwa namagciwane, futhi cishe ingxenye yabaholi bezibhedlela igxile ekulawuleni ukutheleleka. Uzuza futhi ngenduduzo, ukuqina, kanye nezindleko eziphansi.

Inzuzo	Incazelo
Amathuba okutheleleka ancishisiwe	Iziguli zibhekene nezingozi ezimbalwa zokutheleleka ezindaweni ezinalolu phahla.
Ukulawula okungcono phakathi kokuhlanza	Uphatha amabhaktheriya ngempumelelo enkulu phakathi nezikhathi zokuhlanza.
Isivikelo ekuqhekekeni	Iphansi liyamelana nemifantu, livimbele amagciwane ukuthi afihleke.

Usiza ekubekeni indinganiso entsha yezindawo zesimanje zokunakekelwa kwempilo ngokwenza lolu phansi lube yinto eza kuqala.

Imibuzo Evame Ukubuzwa

Yini eyenza iphansi lerabha elilwa namagciwane lihluke kunephansi elijwayelekile?

Uthola indawo engenamthungo, engenazimbobo emelana namagciwane kanye nomswakama. Uphansi olujwayelekile luvame ukumunca okuchithekile futhi lugcine amagciwane. Uphansi wezambathisi olulwa namagciwane lukusiza ukuthi ugcine inhlanzeko eqinile futhi lusekela ukulawulwa kokutheleleka ezindaweni zokunakekelwa kwempilo.

Kukangaki udinga ukuhlanza phansi kwerabha elwa namagciwane?

Kufanele uyihlanze nsuku zonke ezindaweni ezinabantu abaningi. Indawo engenazo izimbobo ivumela ukuhlanzwa okusheshayo nokulula. Awudingi amakhemikhali akhethekile noma ukwelashwa ukuze ugcine phansi kuphephile futhi kuhlanzekile.

Ungakwazi yini ukufaka phansi kwerabha elwa namagciwane emakamelweni okuhlinza?

Yebo, ungakwazi. Umklamo ongenazimbobo futhi ongenazimbobo uhlangabezana nezindinganiso zokuhlanzeka eziqinile. Unciphisa ingozi yokungcola futhi wenza ukuhlanza kube lula ezindaweni ezibucayi njengamagumbi okuhlinzwa.

Ingabe iphansi lerabha elilwa namagciwane liyasiza ekunciphiseni umsindo?

Yebo, kuyakwenza lokho. Izinto zerabha ezijiyile zimunca umsindo. Udala indawo ethule yeziguli nabasebenzi, esekela ukuphulukiswa futhi inciphise ukucindezeleka.

Ingabe iphansi lerabha elilwa namagciwane lingabizi kakhulu ezikhungweni zezempilo?

Wonga imali ngokuhamba kwesikhathi. Iphansi lihlala isikhathi eside, lidinga ukulungiswa okuncane, futhi linciphisa izindleko zokufaka esikhundleni. Usebenzisa imali encane ezintweni zokuhlanza kanye nabasebenzi.