Los Imilebe idumbile enjeni banokuba luphawu lweengxaki ezahlukeneyo. Ngamanye amaxesha iba ziziphumo zokonzakala okuncinci okanye ukubetha kancinci, kodwa ngamanye amaxesha ziyintsingiselo yento enzulu ngakumbi. Ke ngoko, kufanelekile ukuba siyazazi ezi zinto zinokwenzeka kwaye sinogqirha wezilwanyana sivavanye inja yethu ukuba ibonakalisa olu hlobo lokudumba.
Enye yezona zinto zibangela le ngxaki yile ukulunywa sisinambuzane. Xa ukuluma kwenzeka kwelinye ilungu lomzimba, akusoloko kubangela iingxaki ezinkulu, kodwa yonke into iyanzima ukuba isinambuzane senza ngokuchasene nentloko, impumlo okanye umlomo. Kwaye kukuba kwezi ndawo kukho ukudumba okunamandla okuphazamisana namandla abo okuphefumla, kubangele ukurhaxwa. Ngenxa yesi sizathu kufuneka siye kwangoko kwiklinikhi yezilwanyana ngokukhawuleza xa sijonga olu phawu.
Ngamanye amaxesha kwanele ukuba ukuluma kwenzeka naphina emzimbeni. Le yimeko yokulunywa ngamakhalane, enokuthi inyuse umnxeba Umkhuhlane oneNtaba eRocky (RMSF), nto leyo ebangela ukudumba okunamandla kweendlebe, imilenze, amalungu esini kunye nemilebe. Kwakhona, amabala egazi anokuvela emilebeni nasezintsinini.
Ukudumba kukwayimpawu eqhelekileyo ukungahambi kakuhle. Inokwenzeka ngenxa yokuxubana kwesityalo, njengesiphumo secala lesitofu okanye iyeza, okanye ngenxa yokungenisa into. Kule meko, ukudumba kuhlala kubonakala ezindlebeni, empumlweni, kwiinkophe kunye imilebe. Inokusasazeka ukuya kwinqanaba lokuntywila, yiyo loo nto ungenelelo olungxamisekileyo lobuchwephesha luyimfuneko.
Okokugqibela, ukudumba ngamanye amaxesha kubangelwa melanoma enobungozi, Uhlobo lomhlaza oluvelisa izitenxo kwiindawo ezinje ngemilebe. Ihlala ihamba kunye nokudumba kobuso, iingxaki zamazinyo, kunye nokugcwala okukhulu. Kwenzeka rhoqo kwizinja ezindala, kwaye kufuna unyango olunzulu.