Ngaba umntwana wakho uza kuba sengozini ngexesha lokuzalwa? Masifunde ngokwenzakala kokuzalwa.

Bonke umama notata bayoyika kancinci xa belindele umntwana, akunjalo? Bayazibuza ukuba umntwana uza kuba sempilweni na, nokuba kuza kubakho naziphi na iingxaki. Uninzi lwexesha yonke into ihamba kakuhle, kodwa ngamanye amaxesha xa umntwana efika kweli hlabathi, kunokubakho ukwenzakala okuncinci, okubizwa ngokuba 'kukwenzakala kokuzalwa'. Kodwa ungakhathazeki, ezi zihlala zizinto ezincinci.

Yintoni le ngxaki yokuzalwa?

Ngamafutshane, ukwenzakala kokuzalwa, okanye njengoko oogqirha bekubiza, 'ukwenzakala kokuzalwa kosana', yiyo nayiphi na ingozi eyenzeka kumntwana ngexesha lokuzalwa. Ezi azixhaphakanga kakhulu, kwaye uninzi lwexesha ziingozi ezincinci. Nangona kunjalo, kunqabile kakhulu, iimeko ezinzima zinokwenzeka kwaye zifuna unyango olongezelelweyo.

Oogqirha nabahlengikazi abanyanga wena nomntwana wakho bonke bazama ukuthintela ezi ngozi okanye ubuncinane ukunciphisa impembelelo yazo. Kodwa khumbula, akukho mntu unokulawula ngqo indlela oza kubeleka ngayo. Kwakhona, khumbula ukuba ukuba kwenzeka into efana nale, ayilotyala lakho konke konke .

Kodwa oko akuthethi ukuba awunakwenza nto. Ukuba unemibuzo okanye iinkxalabo malunga nokuzala, buza umboneleli wakho we-Ob/Gyn. Angakunika isikhokelo aze mhlawumbi akufundise neendlela zokunciphisa umngcipheko wokuzala okunzima.

Ziziphi iintlobo zokulimala kokuzalwa?

Ukulimala kokuzalwa kunokwahlulwahlulwa kwiindidi ezininzi eziphambili. Makhe sibone ukuba zeziphi:

• Ukulimala kwentloko yomntwana: Ukulimala kwentloko yomntwana. Ezi zezona zixhaphakileyo.
• Ukuqhekeka kwamathambo: Ngamanye amaxesha, xa umntwana ephuma, ithambo elingalweni, emlenzeni, okanye entanyeni linokuqhekeka.
• Ukulimala kwamehlo: Kunokubakho imivumbo emincinci elisweni kunye nokopha okuncinci ngaphakathi.
• Ukopha ngaphakathi ekhayeni: Le yimeko efuna inkxalabo ethile.
• Ukonakala kwemithambo-luvo: Ngexesha lokubeleka, eminye imithambo-luvo inokonakala ngokucinezelwa.
• Ukulimala kwengqondo: Oku nako kunqabile, kodwa kunokuba yingozi ukuba kwenzeka.

Ukulimala kokuzalwa akuqhelekanga ngokubanzi. Uphononongo lwango-2021 lufumanise ukuba bekukho ukwenzakala kokuzalwa okungama-29 kuphela kwi-1,000 yokuzalwa okuphilayo. Kuloo 29, ama-23 yayikukwenzakala kwentloko. Ngoko ke akukho nto ingako yokukhathazeka ngayo, akunjalo?

Ziziphi iingozi eziqhelekileyo zokuzalwa?

Makhe sithethe ngezinye zezona ziganeko zixhaphakileyo zokulimala ekuzalweni. Usenokuba ukhe weva ngezinye zazo.

• Amathambo ekhola/ama-clavicle aphukileyo:Oku kwenzeka rhoqo ngexesha lokubeleka ukuba umntwana unobunzima bokuphuma, njengokuba igxalaba libambekile. Kodwa liphola ngokukhawuleza, kwaye ngamanye amaxesha akukho nyango lukhethekileyo lufunekayo.
• 'Caput Succedaneum': Kulapho ulusu olusentlokweni yosana olusandul' ukuzalwa ludumba khona. Lubonakala ngathi liqhuma entlokweni. Oku kuya kuphela ngokwako kwiintsuku ezimbalwa. Akukho nto ifanele ixhalabe ngayo.
• I-Cephalohematoma: Le yingqokelela encinci yegazi phantsi kwesikhumba sentloko yomntwana. Ifumaneka kakhulu kune-'caput'. Oku kudla ngokuziphilisa ngokwako kwiiveki ezimbalwa.
• I-Erb's Palsy: Oku kwenzeka xa i-brachial plexus, inethiwekhi yemithambo-luvo ebaleka ukusuka entanyeni ukuya engalweni, yonakele. Oku kunokubangela ubuthathaka okanye ukukhubazeka engalweni yomntwana. Oku kunokufuna unyango olufana nonyango lomzimba.
• Ukudumba kwamehlo: Oku nako kuyinto encinci kwaye kuya kuphola ngokukhawuleza.
• I-subcutaneous fat necrosis yosana olusandul’ ukuzalwa: Le yindawo encinci yomonakalo kumaleko wamafutha phantsi kolusu lomntwana. Ingabonakala ngathi ngamaqhuqhuva amancinci eluswini. Oku kudla ngokuziphilisa ngokwako.
• Ukukhubazeka kwemithambo-luvo yobuso: Kwimeko enjalo, umthambo kwicala elinye lobuso bomntwana uyacinezelwa, nto leyo ebangela ukuba elo cala liwe kancinci. Umzekelo, umlomo unokuwelela kwelinye icala xa ukhala. Uninzi lwexesha, oku kwenzeka okwexeshana kwaye kuyaphela kwiintsuku ezimbalwa.
• Ukwaphuka kwethambo lengalo engentla (iHumerus).
• Ukuqhekeka kwe-femur. Oku kuqheleke kancinci njengokuqhekeka kwe-collarbone.
• Ukopha kwegazi ngaphakathi kwentloko - umzekelo, ukopha kwegazi ngaphantsi kwentloko. Ezi ziimeko ezifuna ingqalelo ethile.
• Ukuqhekeka kobuso okanye ulusu lwentloko.
• Ukwenzakala empumlweni, umzekelo, i-septum ephambukile.
• Ukuphuma kwegazi kwi-retinal okanye kwi-subconjunctival. Oku kudla ngokubangela ukuba iliso libe bomvu, kodwa kuphola ngokukhawuleza kwaye akuchaphazeli umbono.
• Ukuqhekeka kwentloko. Ezi aziqhelekanga.

Ukulimala Okungaqhelekanga Nokungaqhelekanga Kokuzalwa

Ngoku makhe sijonge ezinye zezona zingozi zokuzalwa ezingaqhelekanga, okanye ezingaqhelekanga. Ezinye zezi zinokuba zimbi kakhulu, ngoko ke kulungile ukuzazi nezi.

• Iintlobo zokopha engqondweni, ezifana nokopha kwe-epidural okanye i-subarachnoid, ziimeko ezifuna unyango olukhawulezileyo.
• Ukonakala kwengqondo ngenxa yokunqongophala kweoksijini (Hypoxic-Ischemic Encephalopathy / HIE).Le yimeko embi kakhulu. Oku kunokwenzeka ukuba kukho ingxaki yokuba umntwana afumane ioksijini ngexesha lokubeleka.
• Ukonakala kwamalungu angaphakathi, umzekelo, ukopha esibindini okanye kwipleyini.
• Ukuqhekeka kwembambo.
• Ukulimala komqolo. Le yimeko engaqhelekanga kakhulu, kodwa imbi kakhulu.
• Ukopha kwegazi okungaphantsi kwesikhumba: Oku kukopha okukhulu phakathi kolusu lwentloko kunye ne-membrane egqume intloko. Le yimeko efuna ingqalelo ekhawulezileyo.

Ezinye zezi ngozi zingaqhelekanga zinokuba zimbi kakhulu. Ugqirha wakho uza kukuchazela kakuhle ukuba ingozi imbi kangakanani kumntwana wakho. Kubalulekile ukumamela oko bakuthethayo ngaphandle kokukhathazeka.

Zithini iimpawu zokulimala kokuzalwa?

Ukwenzakala kokuzalwa kunokubangela iimpawu ezahlukeneyo, kuxhomekeke kuhlobo lokulimala. Nazi imizekelo embalwa:

• Utshintsho lwangaphandle: Ukudumba (Ecchymosis) , ukudumba (Edema) , amabala amancinci atshintshe umbala wolusu (Petechiae) . Amanye amalungu omntwana anokuba luhlaza okwesibhakabhaka kwaye adumbile.
• Ukungakwazi ukuhambisa amalungu athile omzimba: Oku kusenokuba ngenxa yokwaphuka kwethambo okanye umonakalo wemithambo-luvo. Umzekelo, ukuba awukwazi ukuhambisa ingalo enye, oko kungaba luphawu lwemeko ebizwa ngokuba yi-Erb's Palsy.
• Ubunzima bokuncancisa. Ukuba umntwana akancanci kakuhle okanye uyahlanza emva kokuncancisa, oko kufanele kujongwe.
• Utshintsho kwindlela yokuziphatha, njengokulila rhoqo nokungazoli. Ukuba umntwana wakho ukhala rhoqo okanye kunzima ukumthuthuzela, xelela ugqirha wakho ngaloo nto.
• Ilizwi elitshothozayo, ukuphefumla xa ukhala (Stridor).
• Ubunzima bokuphefumla.
• Iimeko ezifana nokuxhuzula.

Ukuba ubona enye okanye ngaphezulu kwezi mpawu, kungcono ukufuna ingcebiso kagqirha ngokukhawuleza.

Zithini izizathu zokulimala kokuzalwa?

Kukho izizathu ezininzi eziphambili zokulimala kokuzalwa. Makhe sijonge ukuba zeziphi:

• Ukuba umntwana unobunzima bokuphuma kumjelo wokuzalwa: Umzekelo, kwiimeko ezifana ne -shoulder dystocia okanye i-macrocephaly , intloko yomntwana iba nkulu kakhulu. Njengoko umntwana ekhula, kuba nzima ukuphuma kumjelo wokuzalwa kamama.
• Xa bezama ukuhambisa umntwana baze bambeke ngendlela efanelekileyo ngexesha lokubeleka, oogqirha ngamanye amaxesha kufuneka batshintshe indawo ahlala kuyo umntwana.
• Ngenxa yeziphumo zokubhitya emjelweni wokuzala. Ezi zibhitya zezona zityhala umntwana ngaphandle, kodwa ngamanye amaxesha olo xinzelelo lunokubangela ukwenzakala okuncinci.
• Xa usebenzisa izixhobo zokuncedisa: Umzekelo, xa ususa umntwana nge-'vacuum' (Ukuhanjiswa kweVacuum Extraction)Utyando lwe-C-section , okanye i- Forceps Delivery , ngamanye amaxesha lunokubangela ukwenzakala okuncinci. Ezi zixhobo zisetyenziswa kwiimeko ezingxamisekileyo, ngenxa yokhuseleko lomama nosana.

Ziziphi izinto ezibangela ukonzakala kokuzalwa?

Kukho izinto ezininzi ezinokubangela ukwenzakala xa umntwana ezalwa. Nazi:

• Ubunzima bokuzalwa obunyukileyo: Lo mngcipheko uphezulu kwiintsana ezinobunzima obungaphezulu kweekhilogram ezi-4 (iikhilogram ezi-8 kunye nee-ounces ezili-13), oko kukuthi, iintsana ezine-'fetal macrosomia '.
• Ukuzalwa komntwana kuncinci okanye ukuzalwa kwangethuba: Lo mngcipheko uphezulu kwiintsana ezizelwe ngaphambi kwexesha okanye iintsana ezincinci kakhulu, kuba imizimba yazo ibuthathaka kakhulu.
• Indawo yomntwana: Ukuba umntwana akabekwanga ngendlela eyiyo, umzekelo, kwindawo enomphetho womqolo , kukho amathuba amakhulu okwenzakala.
• Ubungakanani bentloko: Oku kunokwenzeka kwiintsana ezinentloko enkulu. Kwakhona, ezinye iimeko zonyango zinokubangela intloko enkulu.
• Ukuzala okunzima: Xa ukuzala kunzima kwaye kuthatha ixesha elide kakhulu, amathuba okuba neengozi aphezulu.
• Ukuzalwa ngokukhawuleza: Le ngozi ikhona nangona umntwana ezalwa ngokukhawuleza kakhulu kunesiqhelo.
• Isifo seswekile: Iintsana ezizelwe ngoomama abanesifo seswekile zisengozini enkulu yokwenzakala ekuzalweni. Oku kungenxa yokuba isifo seswekile sinokubangela ukuba umntwana abe mkhulu. Kungoko ke, kubaluleke kakhulu ukulawula amanqanaba eswekile egazini ngexesha lokukhulelwa.
• Iimpawu zomzimba zikamama: Ngamanye amaxesha, iimpawu ezithile zomzimba kamama, umzekelo, ukuma kwe- pelvis , zinokwenza kube nzima ukuzala. Kwakhona, ubukhulu bentloko yomntwana kunye ne-pelvis kamama zinokuchaphazela loo nto.

Zithini iingxaki zokulimala kokuzalwa?

Uphando lufumanise ukuba ukwenzakala ekuzalweni kunokukhokelela kwiingxaki ezahlukeneyo. Ezinye zazo zezi:

• I-Cerebral Palsy: Le yingxaki yokushukuma kunye nokuma komzimba ebangelwa kukonakala kwengqondo.
• Ubunzima bomntwana ongekazalwa: Umntwana ufumana ukungakhululeki okuthile xa esesibelekweni.
• I-jaundice esandul’ ukuzalwa yenzeka ngenxa yokunyuka kwamanqanaba e-bilirubin (hyperbilirubinemia).
• I-Meconium Aspiration Syndrome: Oku kwenzeka xa usana lukhupha inkunkuma ngoxa lusesesibelekweni luze luphefumle ulwelo. Oku kunokukhokelela kwiintsholongwane zemiphunga.
• Isifo Sokuxhalaba Kwasekuphefumleni: Ubunzima bokuphefumla.
• Imfuneko yoomatshini bokungenisa umoya okanye oomatshini be-CPAP (Continuous Positive Airway Pressure).
• Ukuxhuzula.
• I-Sepsis: Usulelo olunzima olusasazeka emzimbeni wonke.
• I-Transient Tachypnea: Ukuphefumla okukhawulezileyo okwethutyana.

Ezi ngxaki azifumaneki kuzo zonke iingozi zokuzalwa, kodwa kubalulekile ukuba uzazi.

Indlela yokubona ukwenzakala kokuzalwa?

Iingcali zokubelekisa kunye neengcali zezifo zabesifazane (Ob/Gyns), iingcali zeentsana ezisandul’ ukuzalwa, okanye iingcali ze-perinatologists zixilonga ezi zingozi zokuzalwa. Basebenzisa indibaniselwano yeendlela:

• Uvavanyo lomzimba: Yinkqubo eqhelekileyo ukuba ugqirha ahlole umntwana kwangoko emva kokuzalwa. Oku kwenzelwa ukujonga iimeko zokuzalwa kunye nokwenzakala kokuzalwa. Intloko, amalungu, kunye nesifuba zonke zihlolwa ngononophelo.
• Imifanekiso yokuxilonga: Uvavanyo olufana ne-brain ultrasound , i-CT scans , okanye i-X-rays lunokunceda ekuchongeni ukwenzakala kunye nokuqhekeka emzimbeni womntwana. Azifane zisetyenziswe ii-MRIs .
• Uvavanyo lwegazi: Uvavanyo lwelebhu lunokunceda oogqirha ukuba babone ukwenzakala okanye iingxaki ezithile ekuzalweni, ezinje ngezifo kunye namanqanaba e-bilirubin.

Ezinye iimvavanyo zinokwenziwa ngokuxhomekeke kwimeko. Ugqirha womntwana wakho angakuxelela okungakumbi ngezi mvavanyo kunye nesizathu sokuba ziluncedo.

Inyangwa njani inxeba lokuzalwa?

Unyango lokwenzakala kokuzalwa luxhomekeke kakhulu kuhlobo lokwenzakala. Ezinye zezona ndlela zonyango zixhaphakileyo ziquka:

• Ukuqwalaselwa Nokujongwa: Iingozi ezininzi zokuzalwa ziyaphola ngokwazo. Umzekelo, ukwaphuka kwethambo lentamo, i-caput succedaneum, kunye nomonakalo omncinci kwimithambo-luvo ye-brachial plexus. Oogqirha baya kuzijonga ezi mpawu zokulimala.
• Ukungakwazi ukuhambahamba: Ukuba ithambo elingalweni okanye emlenzeni laphukile, umntwana kuya kufuneka angakwazi ukuhambahamba kangangeeveki eziliqela de aphole. Oku kunokubandakanya ukunxiba i-splint okanye i-harness eyenzelwe ngokukodwa.
• Unyango lomzimba: Unyango lomzimba luluncedo kakhulu kwimithambo-luvo eyenzakeleyo kwi-brachial plexus. Lunceda ekuthinteleni iingxaki ezinje ngomonakalo ongakumbi wemithambo-luvo okanye ubuthathaka bemisipha. Umntwana unikwa umthambo wokuqinisa izihlunu.
• Utyando:Kwezinye iimeko, utyando lunokufuneka ukuze kulungiswe izinto ezifana nemikrwelo. Utyando lwenziwa ukuze kuthintelwe igazi ukuba lingaqokeleli ngaphakathi kwentloko yomntwana kwaye kubekwe uxinzelelo engqondweni. Ngamanye amaxesha utyando lunokunceda ekonakaleni kwemithambo-luvo ngokunceda ukuthumela imiqondiso yemithambo-luvo ijikeleze ingqondo.

Ngokuxhomekeke kwimeko, iqela lakho lezonyango linokucebisa ezinye iindlela zonyango. Ugqirha womntwana wakho angakuxelela okungakumbi ngale nto aze akucebise ngeendlela zonyango.

Kuza kwenzeka ntoni xa umntwana wam efumana ukwenzakala ekuzalweni?

Imbonakalo yokwenzakala kokuzalwa ixhomekeke kakhulu kuhlobo lokwenzakala kunye nokuba kuyingozi kangakanani. Kodwa ngokubanzi, imbonakalo yokwenzakala okuninzi kokuzalwa—ingakumbi okuqhelekileyo—ilungile kakhulu. Kwiminyaka embalwa edlulileyo, iingcali zisebenze nzima ukuphucula umngcipheko wokwenzakala kokuzalwa kunye neendlela eziphathwa ngazo. Ukulimala okukhulu kokuzalwa akuxhaphakanga kakhulu ngoku njengoko kwakunjalo kwiminyaka engama-30 eyadlulayo. Ngo-1993, ukwenzakala kokuzalwa kwakungoyena nobangela we-11 wokufa kwiintsana ezisandul’ ukuzalwa. Kodwa ukusukela ngo-2007, ukwenzakala kokuzalwa akukabikho kolo luhlu. Ayisiyonto ilungileyo leyo?

Yintoni endimele ndiyilindele xa umntwana wam efumana ukwenzakala ekuzalweni?

Ukuba umntwana wakho wenzakele ekuzalweni, iqela lakho lezonyango liya kwenza konke okusemandleni alo ukulawula ukwenzakala nokuthetha nawe malunga nento eyenzekayo. Uninzi lweengozi ekuzalweni azincinci kwaye azidingi nyango lungako. Kodwa kwezinye iimeko, ugqirha wakho unokucebisa ukuba wena nomntwana wakho nihlale esibhedlele de umntwana wakho aphile ngokwaneleyo ukuba aye ekhaya.

Xa ubuyela ekhaya, ugqirha wakho uza kuthetha nawe ngendlela yokunyamekela umntwana wakho, into omawuyiqaphele, kunye nezinye izinto. Kunokuba lula ukulibala izinto ezinokubangelwa kukungakwazi ukulala okuza nokuzala, ngoko ke kunokuba luncedo ukubhala phantsi le miyalelo okanye ucele ikopi eprintiweyo.

Eyona nto ibalulekileyo kukuba, ukuba kukho into ongayiqondiyo, ukuba kukho uloyiko okanye amathandabuzo, ungaze unqikaze ukuxelela ugqirha. Abakhathali kukuchazela izinto nokukuphumza ingqondo. Kuba nabo bafuna ukwenza okulungileyo kuwe nakumntwana wakho.

Ngaba Iingozi Zokuzalwa Zingathintelwa?

Ukulimala kokuzalwa akunakuthintelwa ngokupheleleyo, kodwa kukho izinto onokuzenza ngexesha lokukhulelwa ezinokunciphisa umngcipheko wakho wokulimala.

• Thetha nogqirha wakho wezifo zabesifazane/ugqirha wezifo zabesifazane (Ob/Gyn) ngokukhawuleza. Angakunceda ulungiselele ngaphambi kokuba ukhulelwe. Ukuba kuyimfuneko, angakuthumela kwiingcali ezifana neengcali zezifo zabesifazane.
• Lawula izifo zakho ezingapheliyo.Ingcali yakho yonyango lokubelekisa okanye lomntwana ongekazalwa ingakukhokela kwindlela yokulawula ezi meko. Oku kunokunciphisa umngcipheko wokwenzakala kokuzalwa okubangelwa zizifo ezifana nesifo seswekile.
• Yenza isicwangciso sokubeleka. Ugqirha wakho unokukunika iingcebiso ngeenkqubo ezithile okanye iindlela ezinokunciphisa umngcipheko wokwenzakala kokuzalwa. Banokukuxelela nangezicwangciso zokuncedisa, njengaxa utyando lwe-C-section lukhetho olungcono kuwe nakukhuseleko lomntwana wakho.

Iqela lakho lezonyango liza kwenza konke okusemandleni alo ukunciphisa umngcipheko wokwenzakala kokuzalwa. Oogqirha, abahlengikazi, kunye nabanye abasebenzi beklinikhi baza kusebenzisana ukunceda wena nomntwana wakho.

Yeyiphi imibuzo endifanele ndiyibuze ugqirha womntwana wam?

Kungcono ukubuza ugqirha womntwana wakho le mibuzo:

• Luhlobo luni lokulimala umntwana wam azalwa nalo?
• Inzulu kangakanani loo nto?
• Ngaba ifuna unyango?
• Loluphi unyango (ukuba lukhona) olucebisayo?
• Umntwana wam angaya nini ekhaya?
• Yintoni endifanele ndiyiqwalasele xa ndisa umntwana wam ekhaya?
• Ndingafowunela nini iofisi yakho okanye ndizise umntwana esibhedlele?

Ndifanele ndimse nini umntwana wam kugqirha?

Ugqirha womntwana wakho uza kumisela ishedyuli yokulandelela, okanye akuthumele kugqirha wabantwana onokuqhubeka nokunyamekela umntwana wakho. Baza kuba notyelelo rhoqo ukujonga indlela umntwana wakho aphila ngayo aze aqinisekise ukuba yonke into ihamba kakuhle. Banokwenza utshintsho kwisicwangciso sonyango ukuba kuyimfuneko.

Ndifanele ndimse nini umntwana wam esibhedlele?

Ugqirha womntwana wakho uza kukuxelela ngezinto ezifuna unyango olungxamisekileyo. Umzekelo (kodwa akupheleli apho):

• Ukuba umntwana unengxaki yokuphefumla .
• Ukuba umsebenzi unciphile (Ukudinwa) , oko kukuthi, ukuba kukho ukuziva ulele, ungenabomi.
• Ukuba ulusu lubanda, luphaphathekile, okanye lutshintshile umbala .
• Ukuba inapukeni yomile kangangeeyure ezili-12 nangaphezulu (oko kukuthi, ukuba akukho mchamo).
• Ukuba awuphumli ngendlela engaqhelekanga okanye ulele .
• Ukuba awuseli ubisi.

Ukuba ubona izinto ezinje, funa ingcebiso kagqirha ngoko nangoko, kwaye ukuba kuyimfuneko, zise esibhedlele.

Okokugqibela, izinto ekufuneka uzikhumbule

Mhlawumbi ubucinga ukuba ukuzalwa komntwana wakho lixesha elimnandi neligqibeleleyo. Ukufumanisa ukuba umntwana wakho wenzakele ekuzalweni akuyonto ingaqhelekanga kumzali omtsha. Ukulimala ekuzalweni akuqhelekanga. Kodwa nokuba wena kunye nabo bonke abakukhathalelayo kunye nomntwana wakho nenza yonke into ngokuchanekileyo, ngamanye amaxesha izinto ezinje zinokwenzeka.

Kodwa into evuyisayo kukuba,Uninzi lweengozi zokuzalwa azincinci kwaye ziyaphela ngokwazo ngoncedo oluncinci okanye kungekho ncedo. Kwiimeko ezinzulu ngakumbi, oogqirha bomntwana wakho baya kuba lapho ukuqala unyango ngokukhawuleza.

Ukuba kukho into ongayiqondiyo, okanye ukuba ukhathazekile okanye uyoyika into ethile, thetha nogqirha womntwana wakho. Banokukuchazela izinto baze bakudibanise nezinye iingcali ezinokukunceda ulawule kwaye ujongane nale meko. Ungakhathazeki, awuwedwa!

Iingozi zokuzalwa, ukwenzakala kokuzalwa, usana olusandul' ukuzalwa, ukuzala, ukwenzakala kosana, ukwenzakala kwentloko, umonakalo wemithambo-luvo, iingcebiso zonyango