Icandelo le- laarean yindlela enye yokuba iintsana zizalwe. Olu hlobo lokuzalwa lwenziwa ngophakanyiswa kwisisu nangesibeleko ukuvumela umntwana okanye iintsana ukuba zizalwe ngokukhuselekileyo xa ukuzalwa kwesisu kungeyona ndlela ekhuselekileyo. Kuqhelekileyo kuthiwa yi-c-section. Isilinganiso samanje sokungabikho kwi-United States singaphezu kwama-32%.
Nangona zikho izizathu zokuba icandelo le-calarha lingacwangciswa ngaphambi kokuqala komsebenzi, ngokokuqala ngangoko oomama nabasetyhini abangazange bayeke ukuza kubakho ukuzalwa, isigqibo sokuba nokuzalwa ngokugqithisa siya kwenziwa kwimivuzo.
Uninzi lwaloo mgca aluyixakeka, kodwa alulungelelwanga kude kube yinkqubo yabasebenzi ithetha ngenye indlela.
Izizathu zokuzalwa kosaSareya
Unokuzibuza ukuba icandelo le-quarantine lingaba yinkqubo engcono yezenzo kuwe nakumntwana wakho. Icandelo le-cearean linokuthi lenziwe ngenxa yezizathu ezininzi, kubandakanywa:
- I-Placenta previa : Xa inxalenye yecalamente ihlanganisa umlomo wesibeleko, ukuvula apho umntwana ephuma khona kwisibeleko.
- Umntwana osiswini : Xa umntwana engasesikhundleni esiphantsi, ngokuqhelekileyo unyawo okanye phansi.
- Uxinzelelo lwe-Fetal : Xa umntwana enganyamezeli umsebenzi okanye enenkinga yokukhulelwa okungayimfuneko yokunikezela ngokukhawuleza, ukunqumla kwi-induction.
- Iziphindaphindo eziphezulu eziphezulu (ezintathu, ama-quadruplets, njl.
- Ezinye iingxaki zomama okanye zesisu
Ukuthetha nodokotela wakho ngaphambi kokuba usebenze malunga nokuba kutheni ukuba i-cearean ibe yimfuneko kuwe unokunika ulwazi oluthe ngqo malunga nokukhulelwa kwakho.
Kufuneka kwakhona ubuze ugqirha okanye umbelethisi malunga neerhafu ezizodwa kwicandelo lekota, nangona ungacingi ukuba uya kuba ne-cearean. Qinisekisa ukuba ubuze malunga nezinga eliphantsi lokunciphisa ingozi. Oku kusekelwe kwinani labasetyhini abawela kwicandelo elibizwa ngokuba ngu-NTSV (i-term nulliparous term singleton vertex), okanye ngowamaxesha okuqala oomama kwixesha, enentloko enye umntwana.
Inqanaba le-NTSV elinqabileyo lichanekile ngakumbi ekuqaliseni ingozi yakho yokufuna i-cearean.
I-NTSV okanye inqanaba eliphantsi lomngcipheko we-alearean libalwe ngamnye ngumboneleli kwaye kungenzeka ukuba umgqirha okanye umbeleki wakho unika inkxaso. Ungacela kwakhona esibhedlele apho uceba ukuzala. Qonda ukuba umboneleli wakho akanako ukwazi le ngcaciso ngaphandle kwebhet kwaye unokufuna ukufumana kwaye abuyele kuwe. Kufuneka ube nako ukubiza umnxeba kwaye ucele umphathi wezobugcisa ngale nkcazelo. Iinjongo ezijoliswe kuzwelonke zi-23.9% yazo zonke izibeleko, ezisezantsi kunani labantu abazalwa ngokuzalwa kunye nokuqwalasela isidingo sokwanda kwabantwana abathile ukuba bazalwe kwaye bahlule ukuba basetyhini abasemngciphekweni. kufuneka ukuhlinzwa ukuzalwa ngokukhuselekileyo.
Mngcipheko
Icandelo le-cearean lugqirha olukhulu lomzimba. Kwiimeko apho kunesidingo esicacileyo sokuhlinzwa njengethuluzi lokugcina ubomi, kulula ukulinganisa iintlawulo ngokubhekiselele kwimingcipheko . Yintoni enzima ukuchaza ukuba yiyiphi ingozi eyongeziweyo engavumelekanga. Inyaniso kukuba le nto iya kuhluka ukusuka kwiingcali ukuya kwiingcali kunye nosapho kwintsapho.
Kukho amacandelo ambalwa emingcipheko . Kukho ingozi kumama.
Ezi ngozi ziquka:
- sulelo
- iifutha zegazi
- ukulimala kwiprato
- ukuphuma kwegazi kakhulu (isisu)
- efuna i-hysterectomy (ukulahlekelwa kwesisu sakhe)
- umngcipheko omncinane kakhulu, ukwanda, ingozi yokufa
Kukho ingozi kumntwana, nangona ezinye iingozi zilukhuni ukucima ukuba ingozi eyongeziweyo ingenxa yesizathu sokuba i-cearean iyimfuneko, ingakumbi kwimeko yoxinzelelo lomntwana. Ezi ngozi ziquka:
- kwandisa amathuba okuphefumla
- ingozi eyongeziweyo yokuba yinkampani yokunakekelwa kakhulu ye-neonatal (NICU)
- i-prematurity (i-prematurity) ngenxa yokuqalisa ukuhlinzwa)
- kunokwenzeka ukuba uncelise ubunzima
- ukwenzakaliswa okanye ukunqunyulwa ngexesha lotyando
Kukho iingozi ezinokuthi ukhulelwe ngokuzayo. Ezi ngozi ziquka:
- ukuphuka komzimba (apho ulwaphulo luhlukanisa ngexesha lokukhulelwa okanye kubasebenzi)
- ukwanda komngcipheko wokubekwa kweplantshi ngokwemvelo kwixesha elizayo lokuzalwa, kuquka i-placenta previa
- ukuhlinzwa ngokukhawuleza kwi-hysterectomy
- umngcipheko wokuba i-placenta yayiza kukhula ngodonga lwe-uterine
- umngcipheko wokuba unina akavumelekanga ukuba azame ukuzalwa kwesisu, nokuba ngaba ngumviwa ofanelekileyo ngenxa yemigaqo-bhedlele
- umngcipheko wokuphazamiseka kwamaplazi (apho i-placenta ihamba ngokukhawuleza ukusuka eludongeni lwe-uterine)
- ingozi eyongeziweyo yokwanda kwemiba yokuzala, ukukhulelwa kwesisu, ukuzala
Nangona kukho iingozi ezongezelelweyo ezivela ekuzalweni kwe-laarean, kufuneka kuphawulwe ukuba le yindlela eqhutywayo yokuhlinzwa kwi-United States, kunye nokuhlinzwa okungaphezu kwe-1.3 million ngonyaka. Oku kuthetha ukuba kunokusebenza rhoqo kunye nokuphucula, xa kunokwenzeka, ukunciphisa le mngcipheko kuwo wonke umda.
Iiklasi zokubeletha
Ukuthatha iklasi yokubeletha kunokukunika ulwazi oluthe xaxa malunga neentareli kunye nokuba zifuneka nini, ukuphepha ukuthintela okungabalulekanga, kunye nolwazi malunga nokubuyiselwa. Oku kunokukunceda ukuba wenze imibuzo ukuze ubuze oogqirha bakho bobabini kodwa ngexesha lokutyelela izibhedlele okanye amaziko okuzalwa.
Inkqubo yeC-C
Kukho iindlela ezimbini ezibalulekileyo ukuba kwenziwe isigqibo sokwenza i-cearean. Enye xa isigqibo senziwa emva kokuba umsebenzi sele uqalile, ngoko sele usuhlolwe esibhedlele kwaye mhlawumbi usebenza. Unokuba usenayo i-epidural endaweni. Enye imeko xa ubeka ishedyuli phambi kokuba usebenze kwaye ukhangele esibhedlele, ngokukodwa ngenjongo yokuba usana lwakho ngecandelo le-c .
Ngokuqhelekileyo uzakujonga kwisibhedlele okanye kubasebenzi okanye phambi kwecandelo elicwangcisiweyo . Ukususela apho baya kwenza umsebenzi wegazi ukuze baqinisekise ukuba banolwazi lokukunceda ukufumana amayeza afanelekileyo kunye nonyango. Uya kunikwa imishanguzo yokuncedisa i-asidi kwisisu sakho kwaye uya kunikwa i-IV. Unako nokuba nenxalenye yeenwele zakho ze-pubic ezicwangcisiweyo, ezingahlanjwanga. Ukuba awunayo i-epidural, uya kunikwa i- anesthesia okanye i-anesthesia yomgulane , okanye ngokungaqhelekanga, i-anesthesia jikelele (ebeka "ukulala" kwindlela yokuhlinzwa). Emva kwe-anesthesia , uya kuba nokuhlinzwa ngokuzalwa komntwana wakho.
Utyando luqala ngokutshiza isisu sakho, nokulungiselela izixhobo. Kuya kubakho ezininzi kunye neepaleni ezibekwe ukukhusela intsholongwane kwaye kukuthintele ukuba ubukele ukuhlinzwa xa ungekho ukuthatha ukwenza njalo. Iingalo zakho ziya kufakwa kwiibhodi ezigxothayo, kude nomzimba wakho. Bangakwazi okanye bangabanjwanga kwiibhodi. (Le ndawo yindawo ongayenza ukuba ukhetho lwakho luziwe. Oomama abaninzi banqwenela ukuba ubuncinane ingalo enye ngaphandle.)
Utyando luya kuqalwa ngokujonga ukuqinisekisa ukuba unzima kakhulu kwindawo apho kuya kwenziwa. Kwaye ke iindawo ezahlukileyo ziya kunqunyulwa kwaye zichithwe. Ezi zihloko ziquka isikhumba sakho, umsizi, i-fascia (i-fat), i-peritoneum, i-uterus, kunye ne-sac amniotic. Le nxalenye yokuhlinzwa iyadla ngokukhawuleza ngokuthelekiswa nobude obubanzi bokuhlinzwa, imizuzu emi-5-10. Kungathatha ixesha elide ukuba ufike kumntwana ukuba unembali yokuhlinzwa kwangasese, ngokukodwa ukugqithiswa kwangaphambili, oku kubangelwa izicubu ezinobumba. Kukho nezinye izinto ezenzekayo kule ngxenye, kubandakanyeka isilwanyana sakho, ukukhupha imithambo yegazi kuyenziwa ukukhusela ukulahleka kwegazi. Enye yezizathu ukuba umgqirha wakho uzakusebenzisa umntu wesibini ukuze abancedise. Oku kungabakho ugqirha ovela kumkhwa, umhlengikazi wakho, okanye umntu oqeshwe esibhedlele osebenza njengomncedisi wegumbi lokusebenza (omnye ugqirha, uncedisayo ogqirha, umongikazi ogqityiweyo obhalisiweyo, njl.).
Xa kufika ixesha lokuzalwa kwangempela, unokuziva uxinzelelo kwaye uhamba. Ugqirha wakho uya kukukhumbuza oku kwaye akulungiselele. Abanye oomama bathi ngaloo ngcaciso emfutshane, baziva banomdla kakhulu kwixinzelelo. Ngokuqhelekileyo imfutshane kakhulu. I-anesthesiologist okanye i-anesthetist yecala lakho kwaye iya kukunceda ukujamelana nale miva kunye naziphi na ezinye izinto onokucinga ngazo kwinqanaba le-c , elingafanele libuhlungu. Zineenkcukacha ezininzi, ezinye zazo ziyimithi, kodwa ezinye azikho. Bhengeza izinto ozikhethile phambi kwangoko xa kunokwenzeka.
Unokwenene ukwazi ukubona umzuzu wokuzalwa xa ukhetha. Amanye amaziko anikezela iifayile ezicacileyo ezikuvumela ukuba ubone umntwana ephakanyisiwe esiswini sakho. Unokuphinda ucele ukuba umgca ongacacileyo uncitshiswe umzuzwana. Kwaye kukho nenye indlela yokusebenzisa isibuko esivela kuBasebenzi kunye nokuDluliselwa okubekwe kufuphi nawe, isibuko sijongene phantsi kwaye sifana nomgangatho ukujonga. Iqabane lakho kunye / okanye i-doula ngokuqhelekileyo yintloko yakho. Banokubukela bafunwa.
Ukuba umntwana wakho usempilweni, uya kuba nokuthetha malunga nokuba usana lwakho lubeke isikhumba ukuba lukhumbule esifubeni sakho kunye neengubo ezifudumele ezimbini. Umlingani wakho, doula, umongikazi kunye / okanye i-anesthesiologist unokuncedisa ukulungiselela oku. Ezinye iintsana ziya kukhwela kunye nokunyanga kwigumbi lokusebenza.
Ezinye iintsana zidinga uncedo lokuqala kwaye oko kuya kwenzeka ngokuqhubekayo kwigumbi lokusebenza. Umlingane wakho unokucelwa ukuba eze kwifudumala ngelixa umntwana wakho uvavanywa. Xa kunokwenzeka, baya kukubuyisela umntwana emva kokuvavanya.
Nangona konke oku kuqhubekayo, udokotela wakho wesigqirha ugqiba ngokugqibeleleyo utyando lwakho. I-placenta isuswe ngesandla. Isibeleko sihlolwe kwaye sihlambulukile. Yona i-sutured kwaye inkqubo iqalisa ukuthunga nokulungisa izicwangciso ezahlukeneyo. Oku kuthatha ixesha elide kunengxenye yokuqala yovavanyo. Nangona umyinge wesigxina esingenakunzima sithetha malunga nemizuzu engama-35-45 ukusuka ekuqaleni ukuya ekugqibeleni, ixesha elide ukufaka phakathi kwakho ukuya kwigumbi lokubuyisela.
Izicwangciso zokuzalwa kunye neenketho
Ukuba nokuzalwa kwe-laarean kunokukwenza ukuba ucinge ukuba awunakho ukhetho. Akunjalo. Kukho uninzi lwezinto ongakhetha kuzo ukuba uthathe isigqibo ngaphambi kokuba uzalwe ngokuzala, kubandakanya ezinye ezokukunceda ukuba uzalwe ngokukhuselekileyo . Oku kuyinyaniso ukuba ngaba unesitoreji esilungiselelwe okanye ulungelelanisi olungalindelekanga.
Ezinye zezi zikhetho zingabandakanya:
- Ngubani onokuhamba nawe ekamelweni lokusebenza kunye nawe ngokuhlinzwa / ukuzalwa?
- Ukusebenzisa i-doula ukuxhasa wena kunye / okanye iqabane lakho okanye ngexesha lokuzalwa.
- Ngaba ufuna umdlalo udlala?
- Ngaba ungasebenzisa isibuko ukuba ubukele umntwana okhulayo? Isibuko? Enye indlela?
- Ingaba umntwana wakho uya kuhanjiswa ngqo kuwe ukuze ulusu lukhuphe i-OR? Igumbi lokubuyisela?
- Ngaba unako ukuthatha iifoto?
Thetha ugqirha wakho ukuze ubone ukuba yiziphi iinketho abanikeza ngazo rhoqo . Ukuba kukho into ongayiphuliyo kodwa unomdla kuyo, qi niseka ukuba ubuze. Ugqirha wakho ufuna ukuba uzalwe ngokukhuselekileyo, kodwa uya kufaka ukukhetha okukhethiweyo kwakho, ngaphandle kokunciphisa ukhuseleko. Unokucela ukuba ubone ama-sampuli amacebo okuzalwa .
Ukubuyisela
Ixesha elide emva kokuzalwa, uya kubuya kwindawo ekhethekileyo yesibhedlele esibizwa ngokuba yindawo yokubuyisela. Uninzi lwezibhedlele zinegumbi lokuzimela elilodwa labasetyhini abasanda kuzala, kodwa ngokuqhelekileyo igumbi elinamandla angaphezu komntu omnye ngexesha. Oku kuthetha ukuba inani labantu ovumelekileyo ukuba lubone lingaphantsi kunokuba ubenokuzalwa kwesisu. Emva kweyure yokuqala, ngokuqhelekileyo uya kujongela kwigumbi lakho eliqhelekileyo lokuphumla ukubeka iliso elincinci. Apha unako ukufumana iindwendwe ezininzi, ngomgaqo-nkqubo wesibhedlele.
Enye yezona zinto ezintle ongayenza ukukhawuleza ukubuyiswa kwakho ukuvuka nokuhamba. Abasetyhini abaninzi banokukwenza oku kanye emva kokuba i-numbness igqoke, kunye nenkxaso evela kubasebenzi. Le ntshukumo inceda ukuphilisa nokunciphisa umngcipheko wezinye iingxaki, njengama-clots egazi. Uya kunikwa iibhothi ezikhethekileyo, ngamanye amaxesha ngaphambi kokuhlinzwa, ukugqoka kwimilenze yakho engaphantsi. Oku kukuzama ukukhusela ama-clots egazi ukususela ekusebenzeni.
Isibhedlele esiqhelekileyo sihlala emva kokuzalwa kokubeleka malunga neentsuku ezine. Abanye oomama bazama ukuya ekhaya ngaphambili, kodwa abanye oomama bayakujabulela ukuhlala okanye badinga ukuhlala. Lo mntu. Kukho nabanye oomama abangacwangciswanga ngempilo ukukhululwa, nangemva kweentsuku ezine.
IiMpawu zoPhando
Uya kunikwa amayeza enzantlungu ukukunceda ukuba uphinde ufumane intlungu yokuhlinzwa. Abasetyhini abaninzi baqale banikwe unyango nge-catheter epidural ukusiza ukunciphisa intlungu ngexesha lokuqala kwiiyure ukuya kutsho emva kokuzalwa. Oku kunokuxhaswa ngamachiza omlomo njengama-narcotics.
Amachiza enomdakatho asetyenziswa ngomlomo emva kweeyure ezimbalwa zokuqala emva kokuhlinzwa. Unokuzifuna ezi zithuba emva kokubeleka, kodwa abanye abafazi banako ukutshintshela ngaphezu kweyeza zamanxeba okanye amayeza angenayo i-narcotic phakathi kweentsuku ezimbalwa kunye nolawulo oluqhelekileyo. Ukulawula kakuhle intlungu kubaluleke kakhulu ekubuyiseni kwakho. Akufanele unqumle amayeza enzantya. Kukhuselekile ukuba uthathe ngexesha lokuncelisa kunye nxalenye ebalulekileyo yokubuyiswa kwakho.
Ekubeni icandelo le-c lugqirha, ukubuyiswa kwakho kuya kudla ixesha elide kunelo lokuzalwa kwesisu. Ukuzibandakanya kwakho kuya kuba buhlungu kwaye abaninzi abafazi baya kuthetha ukuba ukuhamba okuqala emva kwamaxesha emva kokuzalwa kubuhlungu kakhulu. Khumbula ukuba ukuhamba ngokwenene kuyinto entle njengoko ihamba ngokuphulukisa. Iiveki ezimbalwa zokuqala ziphumle kwaye zingathwali nto inzima kunomntwana.
Cesarean Scar
Uya kuba nenqabana apho ugqirha wakho ugqirha khona . Ngokuqhelekileyo malunga neeyintshi ezine kwaye zifumaneka ngaphaya kweefayile zakho zesikhumba se-pubic. Ngamanye amaxesha, uya kuba nenqabileyo ekwahlukileyo okanye kwindawo eyahlukileyo. Ukufakela kwakho kuvaliwe kunye neziqu, izixhobo zoguqu, okanye i-glue, kuxhomekeke kwinto enyango yakho yokuzibona eyona nto ibhetele. Emva kweentsuku ezimbalwa, unakho naziphi na izibonda eziseleyo okanye izitshalo ezisuswe . Oku kunokwenzeka okanye kungabi khona emva kwekhefu kwisibhedlele.
Kufuneka ucele umhlengikazi wakho emva kokutsala ukuba akhulume nawe malunga nendlela yokunyamekela ukukhangela kwakho. Buza into eqhelekileyo kunye nento engekho. Umzekelo, ukugqithisa kweentsuku ezimbalwa zokuqala kuqhelekileyo. Kodwa akufanele nanko kuhombe inkohlakalo, kwaye akufanele ube nemifuno ebomvu. Ezi zibonakaliso zentsholongwane, kunye okanye ngaphandle kwemfiva, kwaye kufuneka zixelwe ngokukhawuleza.
Ukutyelela kweeveki ezintandathu
Ubomvu bakho buya kutshintsha indlela ekhangeleka ngayo kwiiveki ezintandathu. Kwaye emva kweenyanga ezintandathu emva kokubeleka, kuya kukhangeleka ngakumbi kunoko. Unokuqaphela ukuba emva kokuba intlungu yokubeleka ihambe, isiqhwala sakho sinokuthi sinqabile kwaye / okanye sikhathele. Oku kuqhelekileyo, kodwa ngokuqinisekileyo unokubuza malunga nokuba yeyiphi iiveki ezintandathu ukujonga okanye ngefowuni ukuba kuyimfuneko.
Emva kweeveki ezintandathu emva kokubeleka kwakho, uya kutyelela ugqirha okanye umbelethisi wakho. Leli thuba lokuthetha malunga nokubuyiselwa kwakho kuphela, kodwa umsebenzi wakho kunye / okanye ukuzalwa, ulawulo lokuzalwa, kunye nokuzalwa kwangaphambili. Ukuba unemibuzo, bhala phantsi uze ubazise. Olu tyelelo ngokuqhelekileyo lubandakanya ukuhlolwa ngokomzimba, kuquka ukuhlolwa kweplavic kunye nepap smear. Unokuphinda unikwe umyalelo wokulawulwa kokuzalwa ngeli xesha.
Xa uvakalisiwe ukuba uphilise, udla ngokukhanya okuluhlaza okwesini . Khumbula, oku kusisigxina somzimba, ngamanye amaxesha, awunako ukuvakalelwa ngokomoya kwaye kulungile. Thetha nomlingane wakho malunga neminqweno yakho, iminqweno yabo kunye nento enokuyenza ukuze ulungele okanye xa ulinde.
Ukuncelisa
Ukutshatyalaliswa emva kokusasaza kunokwenzeka , nangona uphando noomama basitshela ukuba ngamanye amaxesha kunzima. Ngamanye amaxesha kungenxa yokuhlukana kokuqala emva kokuzalwa okanye ukuqaliswa kokulibeleka kokulibaziseka. Xa kunokwenzeka, ukuthintela ukulibaziseka nokucwangcisa phambili kunokuba luncedo. Ungaphinda ufune ukusebenzisa izikhundla ezahlukileyo kwiintsuku zokuqala emva kokuzalwa kwakho. Oomama abaninzi bafumanisa ukuba ukusebenzisa ibhola lebhola ekunceliseni ukuncelisa kunceda ukukhusela indawo yabo yobunzima. Qiniseka ukuba ubuze uncedo xa unemiba yokuncelisa, okanye ufuna nje iingcebiso ezivela kwiprogram malunga nendlela yokunyamezela emva kokubeletha nge-cearean.
Cwangciso so kuzalwa
Ininzi yabasetyhini abanesifo sokubeleka , ukukhulelwa okukodwa kunokukwazi ukuzalwa kwesisu kunye neentsana ezalandelayo. Oku kubizwa ngokuba ngumama wesisu emva kwe-laarean okanye i-VBAC (i-vee-back back). Le ncoko yinto ekufuneka ibe nayo kunye nongcali yakho. Ngokuqhelekileyo kuxhomekeke kwisizathu sokuqala ukuhlaselwa kunye nohlobo lwesicatshulwa kwisibeletho sakho.
Ekubeni sele ine-cearean, kukho iingozi ezongezelelweyo zokukhulelwa kwangaphambili. Ezinye zalezi zinto zihambelana nokukhulelwa kwakhona, nangona ezinye zinyuka kakhulu emsebenzini. Kukho uphando olwenziweyo olwenziwe malunga nokuba unomntwana ongeyena mntwana kwaye ungayiphendulanga kwaye impendulo yinto yokuba ininzi lonina kunye neentsana - eneVBAC yona khetho. Oku ekugqibeleni isigqibo esenziwe phakathi kwakho, intsapho yakho, kunye neengcali zakho.
Ukuphepha kwiCandelo lamaSareya
Kukho abanye abafazi abafuna ngokwenene ukwenza okusemandleni abo ukukhusela i-cearean engadingekile . Ama-Caesare owenziweyo okwenkxamiseko lwezokwelapha azinako kwaye akafanele agwenywe. Abanye ogqirha baya kwenza amagosa ngaphambi kokuba bajike kwezinye iindlela, kuquka ukulinda abasebenzi ukuba bathathe ikhosi yabo, bazame ezinye iindlela ezifana nokusebenzisa i-Pitocin ukukhawuleza okanye ukunyusa abasebenzi abancinci, okanye nokusebenzisa i-vacuum okanye ukunyanzelisa ukuncedisa ukuhanjiswa kwengane. Ngethuba nje umama nosana bephilile, ingxoxo phakathi kwakho kunye neengcali zakho zisoloko zikunceda ekugwemeni abo bantu abangafunekiyo. Kwakhona ingxoxo epheleleyo ukuba ibe neyomsebenzi wakho ngaphambi komsebenzi. Kukho neendlela zokukhuthaza ukuzalwa kwesisu, oko kukuqinisekisa ukuba ugqirha wakho unesilinganiselo esincinane sokumisa.
> Imithombo:
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