Isigaba Sase-Caesarea: Ukunikeza Ukuzalwa Ngesigaba C

Isigaba sokuqeda isisodwa indlela eyodwa yokuba izingane zizalwe. Lolu hlobo lokubeletha lwenziwa ngokufaka ukuhlinzwa okusesiswini esiswini nesisu sokuvumela umntwana noma izinsana ukuba zizalwe ngokuphepha lapho ukuzalwa kwesisu kungesiyindlela ephephile. Kuvame ukubizwa ngokuthi isigaba c. Isilinganiso samanje se-cearean e-United States singaphezu kuka-32%.

Ngenkathi kunezizathu zokuthi isigaba se-cearean singahlelwa ngaphambi kokuqala komsebenzi, ngokokuqala ngqa omama noma besifazane abangakaze bavele esikhathini esithile sokuzalwa, isinqumo sokubeletha sizokwenziwa ngomsebenzi.

Abaningi balaba bantu abangekho izimo eziphuthumayo, kodwa bahlelwa nje kuphela kuze kube yilapho inkambo yezabasebenzi itho njalo.

Izizathu Zokuzalwa KwaseSesariya

Ungase uzibuze ukuthi ingabe ingxenye ye-cearean ingaba yindlela engcono kakhulu yokwenza wena nomntanakho. Isigaba sokuqapha singase senziwe ngezizathu eziningana, kubandakanya:

• I-Placenta previa : Lapho ingxenye ye-placenta ihlanganisa umlomo wesibeletho, ukuvula lapho umntwana ephuma khona kwesibeletho.
• I- baby breech : Uma ingane ingekho endaweni ephansi, ngokuvamile inyawo noma phansi kuqala.
• Ukucindezeleka kwe-Fetal : Lapho ingane ingabekezeleli abasebenzi noma inenkinga ekukhulelweni okungase kudingeke ukuba kube nokulethwa ngokushesha, ukweqa ukungeniswa.
• Ukuphindaphinda kwe-oda eliphezulu (triplets, quadruplets, njll)
• Ezinye izinkinga zomama noma ze-fetus

Ukukhuluma nodokotela wakho ngaphambi kokubeletha mayelana nokuthi kungani i-cearean ingadingeka kuwe ungakunika imininingwane ethile ngokuqondile ekukhulelwe kwakho.

Kumele ubuze udokotela noma umbelethisi wakho ngamanani akhethekile wesigaba se-cearean, ngisho noma ungacabangi ukuthi uzoba ne-cearean. Qinisekisa ukubuza mayelana nesilinganiso sabo esincane se-cerean. Lokhu kusekelwe kwinani labesifazane abawela esigabeni esibizwa ngokuthi i-NTSV (i-nulliparous term singleton vertex), noma okokuqala omama ngesikhatsi, nekhanda elilodwa phansi kwezingane.

Isilinganiso se-NTSV sokulibazisa sinembile ekunqumeni izingozi zakho zokudinga i-cearean.

I-NTSV noma izinga eliphansi lokunciphisa ubungozi libalwe ngumhlinzeki ngamunye futhi okungenzeka kube umkhuba odokotela wakho noma umbelethisi onakekelayo. Ungase ubuze esibhedlela lapho uhlela ukuzala khona. Qonda ukuthi umhlinzeki wakho angase angazi lolu lwazi ngqo ku-bat futhi angadinga ukuthola futhi abuyele kuwe. Kumele futhi ukwazi ukushayela futhi ubuze umphathi womkhuba wale lwazi. Isihluthulelo sezwe esibekwe ngu-23,9% sabo bonke ababeletha, esingaphansi kwenani lezingane zokubeletha kanye nokucabangela isidingo esikhulu sabesifazane abathile ukuba bazalwe futhi bahlukanise nabesifazane abasengozini encane, abangenalo amathuba okuba isidingo sokuhlinzwa ukuzalwa ngokuphepha.

Izingozi

Isigaba sokugaya isifo esikhulu sokuhlinzwa esiswini. Ezimweni lapho kunesidingo esicacile sokuhlinzwa njengethuluzi lokulondoloza impilo, kulula ukukala izinzuzo ezihambisana nezingozi . Yini elula ukuchaza ukuthi lezi zingozi ezengeziwe azivunyelwanga nini. Iqiniso liwukuthi lokhu kuzohluka kusuka kumsebenzi kuya kumsebenzi nomndeni kumndeni.

Kunezigaba eziningana zezingozi ezinkulu. Kukhona izingozi kumama.

Lezi zingozi zihlanganisa:

• ukutheleleka
• ama-clots wegazi
• ukulimala kokuhlinzwa emgodini we-urinary
• ukuphuma kwegazi kakhulu (ukubola kwesisu)
• abadinga i-hysterectomy (ukulahlekelwa isisu sayo)
• ingozi encane kakhulu, yanda, ingozi yokufa

Kukhona futhi izingozi kumntwana, nakuba ezinye izingozi kunzima ukuzinyusa uma ingozi eyengeziwe ingenxa yokuthi i-cearean iyadingeka, ikakhulukazi uma kwenzeka ukucindezeleka komntwana. Lezi zingozi zihlanganisa:

• ithuba elikhudlwana lokubhekana nokuphefumula
• ingozi eyengeziwe yokuba yinkampani yokunakekelwa kwezingane ezincane (NICU)
• i-prematurity ye-iatrogenic (prematurity ngenxa yengozi lapho kuhlinzwa khona)

• amathuba okuba nengane yokuncelisa
• ukulimala noma ukusika ngesikhathi sokuhlinzwa

Kukhona nezingozi ezingase zibe khona ekukhulelweni okuzayo. Lezi zingozi zihlanganisa:

• ukuphuluka komzimba (lapho uhlamvu luhlukanisa khona ngesikhathi sokukhulelwa noma emsebenzini)
• ingozi eyengeziwe yokubeka i-placental engavamile ekuzalweni okuzayo, kufaka phakathi i-placenta previa
• ukuhlinzwa okuphuthumayo kwe-hysterectomy
• engozini yokuthi i-placenta yayiyokhula ngodonga lwe-uterine
• engozini yokuthi umama angeke avunyelwe ukuzama ukuzalwa kwesisu, ngisho noma omele ukhetho ngenxa yemigomo yesibhedlela
• ingozi yokuphazamiseka kwamapayipi (lapho i-placenta ihlukanisa ngaphambi kwesikhathi odongeni lwe-uterine)
• ingozi engase ibe khona yokwanda kwezinkinga zokuzala, ukukhulelwa kwesisu, ukubeletha

Nakuba kunezingozi ezengeziwe ezivela ekuzalweni kwe-cearean, kufanele kuphawulwe ukuthi lena yindlela ejwayelekile kakhulu yokuhlinzwa e-United States, enezinhlinzeko ezingaphezu kuka-1.3 million ezenziwa minyaka yonke. Lokhu kusho ukuthi kunomsebenzi oqhubekayo nokuthuthukiswa, uma kunokwenzeka, ukunciphisa lezi zingozi kuzo zonke izingxenye.

Amakilasi okubeletha

Ukuthatha isigaba sokubeletha kungakunikeza ulwazi oluthe xaxa mayelana ne-ceareans futhi uma kungadingeka, ukuthi ungagwema kanjani ukuphepha okungadingekile, nolwazi mayelana nokubuyiswa. Lokhu kungakusiza ukuba uhlele imibuzo yokubuza obabili ochwepheshe bakho kodwa ngesikhathi uvakashela izibhedlela noma izikhungo zokuzalwa.

• Kungani ungenalo i-cearean engakahlelwa?
• Kungani ungadinga ukuhlela uhlelo lwe-cearean?
• Izingozi zeCesarean Section

Inqubo yeC-Section

Kunezindlela ezimbili eziyisisekelo lapho isinqumo senziwa ukwenza i-cearean. Enye lapho isinqumo senziwa ngemuva kokuqala komsebenzi, ngakho-ke usuvele uhlolwe esibhedlela futhi mhlawumbe usebenza. Ungase futhi usuvele une-epidural endaweni. Esinye isimo lapho uhlela ukuyeka ukusebenza ngaphambi kokusebenza futhi uhlole esibhedlela, ikakhulukazi ngenhloso yokuba nomntwana wakho ngengxenye c .

Ngokuvamile uzongena esibhedlela noma esebenza noma ngaphambi kwesigaba c esihleliwe . Kusuka lapho bazokwenza umsebenzi wegazi ukuqinisekisa ukuthi banolwazi ukukusiza uthole imithi efanele kanye nokwelashwa. Uzonikwa imithi yokusiza ukunciphisa i-asidi esiswini sakho futhi uzonikezwa i-IV. Ungase ube nengxenye yezinwele zakho ze-pubic ezinqunywe, ezingahlungiwe. Uma ungenayo i-epidural, uzonikezwa i- anesthesia ye- epidural noma yomgogodla , noma okungavamile, i-anesthesia ejwayelekile (okubeka "ukulala" kokuhlinzwa). Emva kwe-anesthesia , uzoba nokuhlinzwa kokuzalwa kwengane yakho.

Ukuhlinzwa kuqala ngokukhipha isisu sakho, nokulungisa izinsimbi. Kuzobe kunezintambo eziningi namakhethini afakwe ukuvimbela ukutheleleka futhi kukuvimbele ukuba ubuke ukuhlinzwa uma ungathandeki ukwenza kanjalo. Izingalo zakho zivame ukufakwa emabhokisini abambelela ngaphandle, emzimbeni wakho. Kungenzeka noma kungabanjwanga kula mabhodi. (Lokhu kungenye indawo ongavumela ukukhetha kwakho kwaziwe. Omama abaningi bakhetha ukuthi okungenani banesandla esisodwa mahhala.)

Ukuhlinzwa kuzoqala ngokuhlola ukuqinisekisa ukuthi ulahlekile ngokuphelele endaweni lapho ukufakwa komshini kuzokwenziwa khona. Khona-ke izingqimba ezihlukene zizonqunyulwa futhi zihlukaniswe. Lezi zigaba zihlanganisa isikhumba sakho, isidumbu, ama-fascia (amafutha), i-peritoneum, isisu, ne-sac amniotic. Le ngxenye yokuhlinzwa ivame ukushesha ngokuqhathaniswa nobude obuphelele bokuhlinzwa, imizuzu emi-5-10. Kungathatha isikhathi eside ukufika kumntanami uma unomlando wokuhlinzwa kwesisu, ikakhulukazi ukushiya kwangaphambili, lokhu kubangelwa izicubu ezibomvu. Kukhona nezinye izinto ezenzeka phakathi kwalesi sabelo, kufaka phakathi isivivinya sakho sivikelwe, imithwalo yegazi egazini iyalwelwa ukuze kuvinjelwe ukulahlekelwa kwegazi okungeziwe. Lesi esinye sezizathu ezenza isazi sakho sezinambuzane sisebenzise umuntu wesibili ukuba asize. Lokhu kungaba omunye udokotela ovela kulo mkhuba, umhlengikazi wakho, noma othile oqashiwe esibhedlela osebenza njengomsizi wendawo yokusebenza (omunye udokotela, umsizi odokotela, umhlengikazi obhalisiwe obhalisiwe, njll).

Uma kufika isikhathi sokuzalwa kwangempela, ungase uzizwe ucindezelekile futhi ugijime. Udokotela wakho uzokukhumbuza lokhu futhi akulungiselele. Abanye omama bathi lokho okwesikhashana, bazizwa benesizungu kakhulu ngenxa yokucindezelwa. Kuyinto evamile kakhulu. I-anesthesiologist noma i-anesthetist ihlangothini lwakho futhi izokusiza ukuba ubhekane nalezi zizwa kanye nanoma yiziphi ezinye izinto ongase uzizwe ngesikhathi sigaba , okungakaze kube buhlungu. Zinezinkampani eziningi, ezinye zazo ziyimithi, kodwa ezinye azikho. Veza okuthandayo ngaphambili ngaphambi kwesikhathi.

Ungase ukwazi ukubona umzuzu wokubeletha uma ukhetha. Ezinye izakhiwo zinikeza ama-drapes ecacile okuvumela ukuthi ubone ukuthi ingane iphakanyisiwe kusuka esiswini sakho. Ungase futhi ucele ukuthi umdwebo ongacacile uncishiswe okwesikhashana. Futhi kukhona ithuba lokusebenzisa isibuko esivela kuBasebenzi nokuThuthukiswa esibekwe eceleni kwakho, isibuko sibheke phansi futhi sibheke phansi ukuze ubukele. Umlingani wakho kanye / noma i-doula ngokuvamile yikhanda lakho. Bangabuye babukele kuyadingeka.

Uma ingane yakho iphilile, uzokwazi ukukhuluma ngokuthi ingane yakho ibekwe isikhumba ukuze isikhumba esifubeni sakho ngezingubo zokufudumala ezifudumele. Umlingani wakho, i-doula, umhlengikazi kanye / noma i-anesthesiologist ingasiza ukukusiza lokhu. Amanye amantombazane ayoze avuleke futhi anakekele ekamelweni lokusebenza.

Ezinye izingane zidinga usizo lokuqala okokuqala futhi lokho kuzovame ukwenzeka ekamelweni lokusebenza. Umlingani wakho angacelwa ukuba eze emfudumeni ngenkathi ingane yakho ihlolwa. Uma kunokwenzeka, bayokubuyisela ingane ngemuva kokuhlolwa.

Ngenkathi konke lokhu kuqhubeka, isazi sakho sezinambuzane sigcwalisa ngokucophelela ukuhlinzwa kwakho. I-placenta isuswa ngesandla. Isibeletho sihlolwa futhi sihlanzwa. Kuyinto i-sutured futhi inqubo iqala ngokuthunga nokulungisa izigaba ezihlukahlukene. Lokhu kuthatha isikhathi eside kunengxenye yangempela yokuhlinzwa. Nakuba isilinganiso se-cearean esingaqondakali cishe emaminithini angu-35-45 kusukela ekuqaleni kuya ekupheleni, isikhathi eside ukufaka phakathi kwakho ukufika ekamelweni lokutakula.

Izinhlelo zokuzalwa kanye nezinketho

Ukuzalwa kokubeletha kungenza wenze ucabange ukuthi awunazo izinketho. Akulona iqiniso. Kukhona okwanele ongakhetha kukho ukuthi unqume ngaphambi kokuba usuqedile ukuzala, kufaka phakathi okunye okuzokusiza ukuba uzalwe ngokuphephile . Lokhu kuyiqiniso kungakhathaliseki ukuthi unesitoreji esihleliwe noma i-ceareans engakahlelwa.

Ezinye zezinketho zingase zifake:

• Ubani ongaya nawe ekamelweni lokusebenza nawe ukuhlinzwa / ukuzalwa?
• Ukusebenzisa i-doula ukuze ikusekele kanye / noma umlingani wakho noma ngesikhathi sokuzalwa noma emva kokuzalwa.
• Ingabe ufuna umculo udlale?
• Ungayisebenzisa yini isibuko ukuze ubukele ingane ephuma? Isibuko? Enye indlela?
• Ingabe ingane yakho izonikezwa ngqo kuwe isikhumba ukukhathalela ku-OR? Ikamelo lokutakula?
• Ungakwazi ukuthatha izithombe?

Khuluma nodokotela wakho ukuze ubone ukuthi yiziphi izinketho abazinikezela njalo . Uma kukhona into ongayizwa kodwa enesithakazelo, qiniseka ukuthi ubuza. Udokotela wakho ufuna ukuthi ube nokuzalwa okuphephile, kepha ngokuvamile uyohlala ngokuthanda kwakho okusemandleni akho, ngangokunokwenzeka, ngaphandle kokuyekethisa ukuphepha. Ungase ubuze futhi ubone amasampula amalungiselelo okubeletha ase- cearean .

Ukubuyisela

Ihora elisha ngemuva kokuzalwa, uzobuyela endaweni ekhethekile yesibhedlela ebizwa ngokuthi igumbi lokuphumula. Izibhedlela eziningi zinekamelo lokuhlenga elihlukile labesifazane abasanda kubeletha, kepha ngokuvamile igumbi elinamandla angaphezu komuntu oyedwa ngesikhathi. Lokhu kusho ukuthi inombolo yabantu ovunyelwe ukuyibona ingaphansi kunalokho uma ngabe ubelethwe ngesisu. Ngemuva kwehora lokuqala, uzovame ukuya ekamelweni lakho elivamile lokubheka ukuqapha okuncane. Lapha ungaba nezivakashi eziningi, inqubomgomo yesibhedlela ngasinye.

Enye yezinto ezinhle kakhulu ongayenza ukusheshisa ukutakula kwakho ukuvuka nokuhambisa. Abaningi besifazane bangakwenza lokhu kanye lapho ama-numbness ephela, ngokusekelwa kwabasebenzi. Lokhu kuhamba kukusiza ukuthi uphulukise futhi kunciphise ingozi yezinye izinkinga, njengama-clots egazi. Uzonikezwa amabhuzu akhethekile, ngezinye izikhathi ngaphambi kokuhlinzwa, ukugqoka emilenzeni yakho ephansi echofoza. Lokhu kuzama ukuvimbela ama-clots egazi ukusuka ekusebenzeni okungasebenzi.

Ukuhlala esibhedlela ngemuva kokubeletha kungakapheli izinsuku ezine. Abanye omama bazama ukuya ekhaya ngaphambili, kodwa abanye omama bayajabulela ukuhlala noma badinga ukuhlala. Lokhu kungumuntu siqu. Kukhona nabanye omama abangaqediwe ngokwemithi ukuze bakhululwe, ngisho nangemva kwezinsuku ezine.

Imithi Yokuhlunguphaza

Uzonikezwa imithi yokwelapha ukukusiza ukuthi ululame ebuhlungu bokuhlinzwa. Abesifazane abaningi ekuqaleni banikezwa imithi nge-cathterter epidural ukusiza ekunciphiseni ubuhlungu phakathi kwamahora okuqala kuze kube semini emva kokuzalwa. Lokhu kungase kwenezelwe ngemithi yomlomo njengezintatheli.

Imithi yokwelapha i-narcotic isetshenziswe ngomlomo emva kokuqala kwamahora ambalwa emva kokuhlinzwa. Kungase kudingeke lokhu ngemuva kokubeletha, kodwa abanye besifazane bayakwazi ukuguqula imithi noma imithi engeyona imithi ezinsukwini ezimbalwa ngokuphatha okujwayelekile. Ukulawulwa kahle kobuhlungu kubaluleke kakhulu ekutheni ululame. Akufanele uweqe imithi yokwelashwa. Kuphephile ukuthi uthathe ngenkathi ukondla futhi yingxenye ebalulekile yokutakula kwakho.

Njengoba i-c-section iyindlela yokuhlinzwa, ukutakula kwakho kuzoba isikhathi eside kunokuthi ukuzalwa kwesisu. Ukuqubuka kwakho kuzoba kubi futhi abesifazane abaningi bayothi ukuthi ukuhamba izikhathi ezimbalwa zokuqala emva kokuzalwa kuyabuhlungu kakhulu. Khumbula ukuthi ukuhamba empeleni kuyinto enhle njengoba ihamba ngokuphulukisa. Amasonto ambalwa okuphumula aphumule futhi ayithwali lutho kunomntwana.

I-Cesarean Scar

Uyothola isikhala lapho udokotela wakho ohlinzayo egawula khona . Ngokuvamile ngamasentimitha amane futhi atholakale ngaphezu kwendawo yakho yezinwele ze-pubic. Ngezinye izikhathi, uzoba nombala ohlukile endaweni noma isiqondiso. Ukucwiliswa kwakho kuvaliwe ngezinto eziyinhloko, izinto zokwakha noma i-glue, kuye ngokuthi lokho odokotela abahlinzayo babecabanga ukuthi kungcono kakhulu. Ngemuva kwezinsuku ezimbalwa, ungase ube nezintambo ezisele noma izitshalo ezisusiwe . Lokhu kungase kwenzeke noma kungabi khona ngemuva kokuhamba kwakho esibhedlela.

Kumele ubuze umhlengikazi wakho wokuthuma ukukhuluma nawe mayelana nendlela yokunakekela umshini wakho. Buza ukuthi yini evamile nokuthi yini engekho. Isibonelo, kancane kokugqama kwezinsuku ezimbalwa zokuqala kuvamile. Kodwa akumelwe neze iphunga ukungcola, futhi akumele ube nemifudlana ebomvu. Lezi zibonakaliso zokutheleleka, noma ngaphandle komkhuhlane, futhi kufanele zibikwe ngokushesha.

Ukuvakashelwa kweSonto eliyisithupha

Ukonakala kwakho kuzoguqula indlela ebukeka ngayo phakathi kwamasonto ayisithupha. Futhi ezinyangeni eziyisithupha emva kokubeletha, kuzobukeka okuhluke kakhulu kunalokho okwenzeke ngaleso sikhathi. Ungaqaphela ukuthi ngemuva kokuba ubuhlungu bokubeletha buphelile, uhlamvu lwakho lungase lube lulukhuni futhi / noma lube ludaka. Lokhu kujwayelekile, kodwa ngokuqinisekile into ongayicela mayelana nesonto lakho lesithupha lihlole noma ngefoni uma kudingeka.

Cishe amasonto ayisithupha emva kokubeletha kwakho, uzovakashela nodokotela noma umbelethisi wakho. Leli thuba lokukhuluma ngokutholwa kwakho kuphela, kodwa umsebenzi wakho kanye / noma ukuzalwa, ukulawulwa kokuzalwa, nokuzalwa okuzayo. Uma unemibuzo, bhala phansi bese ubaletha. Ukuvakasha kuvame ukuhlola ukuhlolwa ngokomzimba, kubandakanya ukuhlolwa kwe-pelvic kanye ne-pap smear. Ungaphinde unikezwe umshwalense wokulawulwa kokuzalwa ngalesi sikhathi.

Uma usho ukuthi uphilisiwe, uvame ukunikezwa ukukhanya okuluhlaza okwesini . Khumbula, lokhu kuyisivumelwano sangokomzimba, ngezinye izikhathi, awunakulungele ngokomzwelo futhi okulungile. Khuluma nomlingani wakho mayelana nezifiso zakho, izifiso zabo, nokuthi yini ongayenza ukuze ulungele noma uma ulinde.

Ukubeletha

Ukubeletha emva kokuphela kwe-cearean kunokwenzeka , nakuba izifundo nomama zisitshela ukuthi ngezinye izikhathi kunzima. Ngezinye izikhathi kungenxa yokuhlukaniswa kokuqala ngemuva kokuzalwa noma ukuqala ukulibeleka kokuncelisa. Uma kunokwenzeka, ukuvimbela lezi zilibaziseko nokuhlela phambili kungasiza. Ungase futhi ufune ukusebenzisa izikhundla ezahlukene ezinsukwini zokuqala ngemva kokuzalwa kwakho. Omama abaningi bathola ukuthi ukusebenzisa ibhola lebhola lokuncelisa ibele kusiza ukuvikela indawo yabo yesikhumba. Qinisekisa ukucela usizo uma unenkinga yokuncelisa, noma ufune nje amanye amathiphu avela kuhlelo mayelana nokuthi ungamncelisa kanjani emva kokubeletha nge-cearean.

Izinhlelo Zokuzalwa Zesikhathi Esizayo

Abaningi besifazane abanesibeletho sokubeletha ukukhulelwa okulodwa kungaba nokubeletha kwesisu nangabantwana abalandela. Lokhu kubizwa ngokuthi ukuzalwa kwesisu emva kwe-cearean noma i-VBAC (ebizwa ngokuthi i-vee-back). Le ngxoxo ingenye okufanele ifakwe nodokotela wakho. Ngokuvamile kuxhomeke esizathu sokuthi u-firstarean owokuqala kanye nohlobo lwe-incision kwisibeletho sakho.

Njengoba ngaphambili yayine-cearean, kunezingozi ezengeziwe zokukhulelwa esikhathini esizayo. Ezinye zazo zihloselwe ukukhulelwa futhi, nakuba ezinye zanda kancane emsebenzini. Kube nokucwaninga okwenziwe okwenziwe okungcono kunazo zonke noma ngabe unomntwana ongeyona engcono futhi impendulo yukuthi iningi labamama nezingane - abe ne-VBAC kuyindlela engcono kakhulu. Lokhu ekugcineni isinqumo esenziwe phakathi kwakho, umndeni wakho kanye nodokotela wakho.

Ukugwema isigaba saseCesarean

Kukhona abanye abesifazane abafuna ngempela ukwenza konke abakwaziyo ukuvimbela learean engadingekile . I-Cesareans eyenzelwe iziphuthumayo zezokwelapha zangempela ayikwazi futhi akufanele igwenywe. Abanye odokotela bazokwenza lezi zinsuku ngaphambi kokuba baphenduke kwezinye izindlela, kuhlanganise nokulinda abasebenzi ukuba bathathe inkambo yabo, bezama ezinye izindlela ezifana nokusebenzisa i-Pitocin ukusheshisa noma ukukhulisa umsebenzi omncane, noma ngisho nokusebenzisa umshini wokugcoba noma ukuphoqa ukusiza ekulethwe kwengane. Uma nje unina nomntwana bephilile, ingxoxo phakathi kwakho nomsebenzi wakho ngokuvamile iwusizo ekugwemeni izidakamizwa ezingadingeki. Kubuye kube nengxoxo ephelele yokuba nomsebenzi wakho ngaphambi kokusebenza. Kunezindlela zokugqugquzela ukuzalwa kwesisu, okungukuthi uqiniseke ukuthi udokotela wakho unesilinganiso esiphansi se-cearean.

> Imithombo:

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