Ukuzalwa Okufile: Okudingeka Ukwazi

Iphupho lawo wonke umama noma ubaba okhulelwe ukwamukela umntwana onempilo emhlabeni. Kodwa-ke, ngendlela engenakucatshangwa, ngezinye izikhathi ngesikhathi sokukhulelwa, ikakhulukazi ngemva kwamasonto angama-20, umntwana angalahleka esibelethweni. Lesi simo esidabukisayo kakhulu yilokho esikubiza ngokwezokwelapha ngokuthi `(Ukuzalwa Okufile)`. NgesiSinhala, siphinde sikubize ngokuthi `ukuzalwa Okufile''. Lokhu kuyinto ebuhlungu ngempela futhi ebuhlungu ngendlela engachazeki.

Kuyini ngempela `(Ukuzalwa Okuthile)`?

Kalula nje, "Ukuzalwa kwengane ifile" kusho ukufa komntwana esibelethweni ngemva kwamasonto angama-20 okukhulelwa. Abantu abaningi bacabanga ukuthi lokhu kwenzeka kuphela uma ukushaya kwenhliziyo komntwana kuyeka ngesikhathi sokuzalwa. Kodwa empeleni, izingane eziningi zifela esibelethweni. Akuvamile kakhulu ukuthi lokhu kwenzeke ngesikhathi sokubeletha, lapho umntwana eseseduze nokuzalwa. Ezimweni eziningi, odokotela bangasibona lesi simo kusenesikhathi futhi bathathe izinyathelo ezidingekayo ngaphambi kosuku lokubeletha.

Ukuzalwa kwengane efile kunzima ukukuthwala njengokuzalwa kwengane efile. Kodwa-ke, ekuphumeni kwengane efile, umntwana ulahleka ngaphambi kwamasonto angama-20 okukhulelwa. Ekuphumeni kwengane efile, kwenzeka ngemva kwamasonto angama-20. Kodwa-ke, uma kwenzeka into efana nale, ungase udinge isikhathi esiningi sokuthwala usizi futhi ululame kulo, futhi ukusekelwa okuqinile kwabathandekayo bakho kubalulekile.

Yiziphi izinhlobo eziyinhloko ze-`(Stillbirth)`?

Odokotela bahlukanisa ukuzalwa kwengane ifile ngokusekelwe enanini lamasonto okukhulelwa adlule lapho umntwana eshona esibelethweni.

• Ukuzalwa kwengane isishonile kusenesikhathi: Ingane ishona phakathi kwamasonto angama-20 nama-27.
• Ukuzalwa kwengane isishonile sekwephuzile: Ingane ishona phakathi kwamasonto angama-28 nama-36.
• Ukuzalwa kwengane ifile: Ingane ishona ngemva kwamasonto angu-37.

Sivame kangakanani lesi simo?

Ukwanda kokuzalwa kwezingane ezifile kuyahlukahluka kakhulu ezingxenyeni ezahlukene zomhlaba. Emazweni asathuthuka, ngezinye izikhathi kuba nokuzalwa kwezingane ezifile okungu-22 kwabayi-1,000 abazalwayo. Kodwa-ke, emazweni athuthukile, leli nani liphansi kakhulu. Isibonelo, e-United States, kuba nokuzalwa kwezingane ezifile okungu-6 kuphela kwabayi-1,000 abazalwayo, kanti e-United Kingdom, kuba nokuzalwa kwezingane ezifile okungu-3.5 kuphela kwabayi-1,000 abazalwayo.

Amanani okuzalwa kwengane eshonile ehlile emhlabeni wonke njengoba ukunakekelwa kokubeletha sekuthuthukile. Kodwa-ke, kuningi okudingeka kwenziwe ukunciphisa ukungalingani ekunakekelweni kwezempilo okwenza abanye abantu babe namathuba amaningi okuzalwa kwengane eshonile kunabanye.

Ubani osengozini enkulu yokuba ne-`(Stillbirth)`?

Eqinisweni, ukuzalwa komntwana eseshonile kungenzeka nganoma yikuphi ukukhulelwa. Kodwa-ke, izici ezifana nempilo yakho, indlela yokuphila, kanye nendawo ohlala kuyo zingandisa noma zinciphise le ngozi.

• Ubudala: Le ngozi iphakeme kancane komama abasebasha abangaphansi kweminyaka engama-20 kanye nakomama abaneminyaka engaphezu kwengama-35 ubudala.
• Izimo zezempilo:Ungase ube sengozini enkulu uma unezimo ezithile zezokwelapha, njengesifo sikashukela, umfutho wegazi ophakeme, izinkinga zokujiya kwegazi, izinkinga ze-thyroid, i-lupus, kanye nokukhuluphala (i-body mass index (BMI) engaphezu kuka-30).
• Uhlobo lokukhulelwa: Ingozi iphezulu uma ulindele amawele noma ngaphezulu.
• Izinkinga zokukhulelwa kwangaphambilini: Uma uke wabeletha ingane ifile ngaphambili, noma ezinye izinkinga njengokubeletha ngaphambi kwesikhathi, cishe uzobe ubeletha ingane ifile futhi.
• Ukusetshenziswa kwezidakamizwa: Ukusetshenziswa kwezidakamizwa, ukubhema, kanye notshwala kungabangela ukuzalwa kwengane isishonile. Ingozi iyanda uma lokhu kusetshenziswa ndawonye.
• Ukucindezeleka: Ingozi inganda nalapho ubhekene nezinto ezibangela ukucindezeleka okukhulu empilweni, njengobunzima obukhulu bezezimali noma izingxabano zomndeni.
• Ukunakekelwa kwemvelo kanye nezempilo: Uma uhlala ezweni noma endaweni lapho ukunakekelwa kwangaphambi kokubeletha kungatholakali kalula, ingozi yokuzalwa kwengane iphakeme. Izici zezenhlalo nezomnotho nazo zidlala indima. Kwezinye izingxenye zomhlaba, abantu abathile babhekana nokuzalwa kwengane ifile ngesilinganiso esiphindwe kabili kunezinye. Lokhu kungenxa yezithiyo kanye nokungafani ekufinyeleleni ukunakekelwa kwezempilo.

Yiziphi izimbangela ze-`(Ukuzalwa Okufile)`?

Ngokudabukisayo, koyedwa kwabathathu abazalwa beshonile, odokotela abakwazi ukuthola ukuthi kungani umntwana elahlekile. Izimbangela zingaba nzima kakhulu. Zingabangelwa yizinkinga ezithinta umama, izinkinga ezithinta umntwana, noma izinkinga ngezicubu nezitho zomzimba ezigcina ukuxhumana phakathi kukamama nomntwana.

Izifo

Ukutheleleka okubangelwa amagciwane, izimuncagazi, amabhaktheriya, noma amanye amagciwane (amagciwane) kubalelwa cishe ku-50% wezingane ezizalwa zishonile emazweni asathuthuka kanye no-25% emazweni athuthukile. Ngezinye izikhathi, lokhu kutheleleka akubangeli zimpawu, ngakho-ke ungase ungazi ukuthi kunenkinga kuze kube yilapho iba yinkinga ngesikhathi sokukhulelwa.

Ingozi yokuzalwa kwengane isishonile ngenxa yokutheleleka ingancishiswa ngokuthola ukunakekelwa kokubeletha kwekhwalithi enhle.

Izinkinga ze-Placenta noma i-umbilical cord

I-placenta iyisitho esisiza ukwabelana ngezakhamzimba ezivela kuwe ziye enganeni yakho ngentambo yesisu. Uma kunenkinga ngalezi zindlela zokuphila, ingane yakho ingase iyeke ukuthola umoya-mpilo, igazi, kanye nezakhamzimba ezidingayo ukuze iphile.

• Ukuphazamiseka kwe-placenta: Lokhu ukuhlukaniswa kwe-placenta esibelethweni . Kubangela phakathi kuka-10% no-20% wabo bonke abantwana abazalwa beshonile.
• Ukubopha intambo yesisu:Uma intambo yesisu ijijekile futhi umntwana engawutholi umoya-mpilo awudingayo, kungabangela "Ukuzalwa Kwengane Efile". Lokhu kubalelwa cishe ku-10% "Ukuzalwa Kwengane Efile".

Izimo ezithinta ingane

Ngezinye izikhathi, ingane ingaba nenkinga yokukhula noma ukukhubazeka kokuzalwa/isici sokuzalwa. Ingane ingaba nesifo sofuzo. Izakhi zofuzo ziyimiyalelo etshela umzimba wengane ukuthi ikhule futhi isebenze kanjani. Uma kukhona amaphutha kule miyalelo, izitho zomntwana zingase zingakhuli noma zingasebenzi kahle. Isibonelo, izimo ezifana ne-Down syndrome.

Ingane ingase ingatholi izakhamzimba ezidingayo ukuze ikhule kahle. Lokhu kubizwa ngokuthi ukuvinjelwa kokukhula kwe-intrauterine . Lokhu futhi kuyimbangela evamile yokuzalwa kwengane isishonile.

Izinkinga zokukhulelwa

Uma unesifo esingamahlalakhona njengesifo sikashukela, i-lupus, umfutho wegazi ophakeme, ukukhuluphala ngokweqile, noma izinkinga zokujiya kwegazi, kungenzeka kakhulu ukuthi ube nezinkinga ngesikhathi sokukhulelwa.

Kodwa-ke, ukuthi unesifo esingamahlalakhona akusho ukuthi uzoba nezinkinga nakanjani. Udokotela angakusiza ukuthi uphathe izimo zakho ezingamahlalakhona futhi anciphise ingozi yakho ngokuqapha impilo yakho njalo.

Ezinye zezinkinga zokukhulelwa ezingabangela ukuzalwa kwengane ishonile yilezi:

• I-Preeclampsia: Isimo somfutho wegazi ophakeme esiqala engxenyeni yesibili yokukhulelwa.
• I-Cholestasis yokukhulelwa: Isifo sesibindi esenzeka ekupheleni kokukhulelwa.
• Ukuzalwa ngaphambi kwesikhathi: Ingane izalwa ngaphambi kwesikhathi (ngaphambi kwamasonto angu-37).
• Ukuqhuma kwe-membrane ngaphambi kwesikhathi (PPROM): Ukuqhuma kwesikhwama sokuvikela esigcwele uketshezi esizungeze umntwana ngaphambi kwesikhathi.

Yiziphi izimpawu ze-`(Stillbirth)`?

Ngokuvamile, okuwukuphela kwesibonakaliso esiyisixwayiso sokuzalwa kwengane ishonile ukuthi uzizwa sengathi ingane ayisasebenzi njengakuqala, noma ukuthi ayisenawo amandla amaningi. Abanye abantu bangase babe nobuhlungu besisu kanye nokopha kwegazi esithweni sangasese.

Okubalulekile: Lezi zimpawu azisho njalo ukuthi ingane izozalwa ishonile. Kodwa-ke, uma ubona noma yiluphi lwalezi zinguquko, kufanele ubonane nodokotela ngokushesha.

Kwenziwa kanjani ukuxilongwa?

Iningi lokubeletha umntwana eseshonile kwenzeka ngaphambi kokubeletha. Udokotela wakho uzokwenza i-ultrasound ukuhlola ukushaya kwenhliziyo komntwana.

Yiziphi izivivinyo ezenziwayo ukuthola imbangela `(Ukuzalwa Okufile)`?

Kwabanye abazali, ukwazi imbangela yokuzalwa komntwana eseshonile kungabasiza ukuba babhekane nobuhlungu futhi banqume. Futhi, ukuqonda ukuthi into efana nale yenzeke kanjani kungasiza ekunciphiseni ingozi yezinkinga ekukhulelweni kwesikhathi esizayo.

Udokotela wakho uzobuyekeza ngokucophelela amarekhodi akho ezokwelapha kanye nezimo ezizungeze lesi sigameko. Bangase bahlole nomntwana, intambo yesisu, noma i-placenta ukuze bathole imbangela.

Lezi zivivinyo zingafaka:

• Ukuhlolwa kokutheleleka: Odokotela bazothatha amasampula omchamo wakho, igazi, noma amaseli avela esithweni sakho sangasese sowesifazane noma emlonyeni wesibeletho ukuze bahlole ukutheleleka.
• Ukuhlolwa kwegazi: Ukuhlolwa kwegazi kungabonisa ukuthi unesifo esihlobene nenkinga yokukhulelwa.
• Ukuhlolwa kofuzo: Udokotela uzohlola isampula evela entanyeni ukuze abone ukuthi ingane inezinkinga zofuzo, njenge-Down syndrome, engabangela ukuzalwa kwengane isishonile.
• Ukuhlolwa kwesidumbu: Ukuhlolwa kwesidumbu inqubo yokuhlinzwa. Ivumela udokotela ukuthi ahlole ingane ngokucophelela ukuze athole imbangela yokufa. Lokhu kungase kuhilele ukwenza izimbobo ezincane ukuze kuhlolwe izitho zomntwana. Ezimweni eziningi, unelungelo lokunquma ukuthi uzoluhlola yini noma cha lolu hlolo. Ungasho nokuthi kwenziwa ukuhlolwa kwesidumbu okungakanani.

Kufanele nginqume nini ukwenza ukuhlolwa kwesidumbu somntwana wami?

Lesi yisinqumo esinzima kakhulu. Kwabanye abazali, umcabango wokuhlolwa kwesidumbu ngemva kwesehlakalo esibuhlungu kangaka awubekezeleleki. Akuzona zonke izinhlelo zomshuwalense ezimboza ukuhlolwa kwesidumbu somntwana, ngakho-ke izindleko nazo ziyisici.

Inzuzo enkulu yokwenza ukuhlolwa kwesidumbu ukuthi kwandisa amathuba okuthola imbangela yokuzalwa kwengane ifile. Ucwaningo lwamuva lubonise ukuthi ukuhlolwa kwesidumbu kungandisa amathuba okuthola imbangela kusukela phansi kuya ku-20% kuya ngaphezu kuka-90%. Lolu lwazi lungasiza udokotela wakho ukuvimbela izinkinga zokukhulelwa kwesikhathi esizayo.

Kodwa-ke, isimo ngasinye sihlukile, futhi lesi yisinqumo somuntu siqu. Khuluma nodokotela wakho ukuze unqume ukuthi yikuphi okungcono kakhulu kuwe.

Kwenzekani ngemva kokushona komntwana?

Udokotela wakho uzoncoma inketho ephephile yokubeletha ingane yakho. Lokhu kuzozwakala njengokubeletha ingane ephilayo. Ithimba lakho lokunakekela ukukhulelwa lizokuqondisa futhi likunike imithi yokusiza ekunciphiseni ubuhlungu.

• Ukubeletha Okubangela Ukubeletha: Odokotela batusa ukubeletha ngokushesha okukhulu ngemva kokuzalwa komntwana oshonile. Uma unesifo esithile sezokwelapha, ukubeletha okubangela ukubeletha kungaba ngcono kakhulu empilweni yakho. Ngokuvamile uzonikezwa imithi yokubangela ukubeletha zingakapheli izinsuku ezimbili kusukela ekubelethweni.
• Ukubeletha ngokwemvelo: Uma ufuna ukulinda isikhashana ngaphambi kokubeletha, lokho kungenzeka. Ukubeletha kuvame ukuqala ngokwemvelo zingakapheli amasonto amabili ngemuva kokulahlekelwa umntwana. Kodwa-ke, uma ukhetha ukubeletha ngokwemvelo, kungaba nzima kakhulu ukwenza ukuhlolwa kwesidumbu.
• Ukuhlinzwa kwebele / Ukuhlinzwa kwebele:Uma isimo sakho sempilo sisengozini, kungadingeka ukuthi wenze ukuhlinzwa kwe-C-section okuphuthumayo. Kodwa-ke, ukuhlinzwa kwe-C-section akuvamile kakhulu ezimweni zokuzalwa kwengane isishonile.

Kwenzekani ngemva kokubeletha?

Unezinketho mayelana nokuthi uxhumana kangakanani nengane yakho. Akukho muzwa noma impendulo efanele noma engalungile okwamanje.

Isibonelo, ungabamba umntwana ngezandla zakho uma uthanda. Ungacela izikhumbuzo, njengokukhiya izinwele zomntwana noma ithegi kamazisi wesibhedlela. Izibhedlela eziningi zikhipha isitifiketi sokuzalwa. Ungacela futhi ukuthi isandla somntwana kanye nezinyathelo zakhe kufakwe kuso.

Zinike isikhathi esiningi ngangokunokwenzeka futhi ungalokothi unqikaze ukucela usizo kwabanye. Ukuba nabathandekayo bakho eceleni kwakho kuzoba usizo olukhulu ekubhekaneni nalolu sizi nasekubuyiseleni ingqondo yakho endleleni efanele.

Ngizophuza ubisi ngemva kokubeletha ingane ishonile?

Ubisi luvame ukufika zingakapheli izinsuku ezimbalwa ngemva kokubeletha. Ngaphandle kokuthi une-preeclampsia, ungathatha imithi ebizwa ngokuthi i-dopamine agonists ukuvimba amabele akho ekukhiqizeni ubisi. Noma, uma uthanda, ungalinda inqubo ime ngokwemvelo. Khuluma nodokotela wakho ngalokho ocabanga ukuthi kulungile kuwe.

Kungenzeka yini ukukhulelwa futhi ngemva kokubeletha ingane ishonile?

Yebo, kungenzeka. Abantu abaningi baye baqhubeka nokukhulelwa okuvamile kanye nezingane ezinempilo. Uma ukuzalwa kwengane ifile kubangelwe ukukhubazeka kokuzalwa noma inkinga ye-umbilical cord, kunethuba elincane lokuzalwa kwengane ifile. Uma imbangela kuyisifo noma ukuphazamiseka kofuzo, kunethuba elingu-3% kuphela lokuzalwa kwengane ifile ekukhulelweni kwakho okulandelayo.

Kufanele uphinde ukhulelwe isikhathi esingakanani ngemva kokuzalwa kwengane eshonile?

Ezinye izifundo zibonise ukuthi abesifazane abalinda okungenani unyaka ngemva kokubeletha ingane ishonile ukuze baphinde bakhulelwe bancipha ukucindezeleka nokukhathazeka ngesikhathi sokukhulelwa kwabo okulandelayo. Kodwa-ke, ukulungela ngokomzimba nangokwengqondo ukuzama futhi kuyahlukahluka kuye ngomuntu nomuntu.

Khuluma nodokotela wakho ngokukhulelwa kwakho okulandelayo.

Ingabe ukuzalwa kwengane ifile kungavinjelwa?

Esikhathini esiningi, akukho ongakwenza ukuvimbela ukuzalwa kwengane isishonile. Ngokuvamile kubangelwa yisimo sezokwelapha noma inkinga engaphezu kwamandla akho. Kodwa-ke, ungathatha lezi zinyathelo ukwandisa amathuba akho okubeletha umntwana onempilo:

• Gwema izidakamizwa, ugwayi, notshwala: Ukusetshenziswa kwezidakamizwa akugcini nje ngokwandisa ingozi yokuzalwa kwengane isishonile, kodwa futhi kwandisa nezinye izinkinga ezifana ne-fetal alcohol syndrome kanye ne-sudden infant death syndrome.
• Lungisa ukudla kwakho: Shintsha ukudla kwakho ngesikhathi sokukhulelwa. Khulisa ukudla kwakho kwama-calorie ukuze unikeze ukudla okunomsoco okudingayo wena nomntwana wakho, futhi udle ukudla okunomsoco. Kufanele futhi ugweme ukudla okuthile okunengozi yezifo ezibangelwa ukudla.
• Gcina isisindo esinempilo: Ngaphambi kokukhulelwa, zama ukufinyelela isisindo esinempilo esikufanele.
• Vimbela ukutheleleka: Lokhu kuhlanganisa ukulandela imikhuba emihle yokuhlanzeka (njengokugeza izandla, ukupheka ukudla kahle), kanye nokuthola imijovo enconywayo ngaphambi, ngesikhathi, nangemva kokukhulelwa.
• "Inani lokukhahlela" kwansuku zonke: Cishe emavikini angama-26-28, yazi ukunyakaza kwengane yakho. Funda ukuthi yini evamile enganeni yakho. Uma ingane yakho ingasebenzi kahle, xhumana nodokotela wakho.
• Ungalali ngomhlane, lala ngohlangothi: Uma unezinyanga ezingu-28 ukhulelwe noma ngaphezulu, ukulala ngomhlane kungandisa ingozi yokuzalwa kwengane isishonile. Isizathu esiqondile salokhu asicaci, kodwa ochwepheshe basola ukuthi kuhlobene nokugeleza kwegazi nomoya-mpilo enganeni.
• Thola ukuhlolwa njalo, ukuhlolwa nge-ultrasound, kanye/noma ukuqapha inhliziyo yengane uma kudingeka: Ukuhlolwa njalo kwezokwelapha kungasiza udokotela wakho ukuthi athole noma yiziphi izimo ezingathinta ukukhulelwa kwakho. Lokhu kubaluleke kakhulu uma usengozini enkulu yezinkinga zokukhulelwa.
• Bika izimpawu ngokushesha: Uma unezimpawu ngesikhathi sokukhulelwa, njengobuhlungu besisu noma ukopha kwesitho sangasese sowesifazane, xhumana nodokotela ngokushesha.

Ngingazinakekela kanjani ngemva kokuzalwa kwengane ifile?

Zinike isikhathi esiningi ngangokunokwenzeka ukuze ulile futhi ulungise ngemva kokuzalwa komntwana oshonile. Zile ngendlela ezwakala ikhululekile kuwe. Lokhu kungafaka phakathi ukubamba inkonzo yesikhumbuzo nabangani nomndeni abazimisele ukukusiza ngalesi sikhathi. Noma kungasho ukuthatha isikhathi sokucubungula imizwa yakho wedwa, noma ukucela usizo ngokunakekela izingane.

Amaqembu okusekela abantu abalahlekelwa ukukhulelwa nawo ayizinsiza ezibalulekile kulesi sikhathi. Kungakhathaliseki ukuthi ukusiphi isigaba sokukhulelwa, usengumama nobaba. Isibopho owasikhulisayo singokoqobo. Kuvamile ukuzwa ukucindezeleka kanye nesifo sokucindezeleka ngemva kwenhlekelele (PTSD), okudinga usizo lochwepheshe ukuze kubhekane nokulahlekelwa okukhulu kangaka.

Ukuzalwa kwengane ifile kuwukulahlekelwa okukhulu. Kungathatha isikhathi ukululama kukho. Khumbula ukuthi kuyinto evamile ukuzizwa ucindezelekile ngezikhathi ezinjengalezi. Akukho okubi ngokufuna usizo emaqenjini okusekela kanye nochwepheshe bezempilo yengqondo ukuze bakusize kulokhu.

Uma ukhathazekile ngengozi yokuzalwa kwengane ishonile esikhathini esizayo ngemva kokulahlekelwa, cela iseluleko kumhlinzeki wakho wokunakekelwa kokukhulelwa noma uchwepheshe wezokwelapha umama nomntwana (i-MFM). Bangase batuse ukuhlolwa noma ukwelulekwa ngofuzo ukuze kuhlolwe ingozi yakho. Isinqumo sokuzama ukukhulelwa futhi sibaluleke kakhulu. Kukhona ochwepheshe abangakweluleka futhi bakusekele.

Ekugcineni, umyalezo okufanele uwuthathe uye ekhaya:

Ukuzalwa kwengane ifile kuyinto ebuhlungu ngempela futhi enzima. Kubalulekile ukuqaphela lokhu, ukuqonda izici eziyingozi, nokufuna usizo uma kudingeka.

• Awuwedwa: ​​Awuwedwa obhekene nalolu hlobo losizi. Kunezindawo lapho ungathola khona ukwesekwa nokuqonda.
• Izimbangela ziyahlukahluka futhi ngezinye izikhathi azicaci: Akuwona wonke umuntu ozalwa eseshonile onesizathu esicacile. Ungazibeki icala ngaso.
• Funa iseluleko sezokwelapha: Qaphela ukunyakaza kwengane yakho ngesikhathi sokukhulelwa, futhi ubone udokotela ngokushesha uma uhlangabezana nanoma yiziphi izimpawu ezingavamile.
• Zinike isikhathi sokulila: Kuzothatha isikhathi ukudlula kulokhu. Zivumele uzizwe imizwa yakho, bese ucela usizo lochwepheshe uma kudingeka.
• Yiba nethemba ngekusasa: Abantu abaningi bayaqhubeka nokuthola izingane eziphilile ngemva kokuzalwa kwengane isishonile. Khuluma nodokotela wakho ngezinhlelo zakho zesikhathi esizayo.

Sithemba ukuthi lolu lwazi lukusizile ukuthi uthole ukuqonda okuthile ngalesi sihloko esinzima. Uma uke waba nokuhlangenwe nakho okufanayo, sithandazela ukuthi uthole amandla.

Ukuzalwa Kwengane Efile, Ukuzalwa Kwengane Efile, Ukukhulelwa, Ukulahlekelwa Yingane, Ukufa Esibelethweni, Izinkinga Zokukhulelwa, Impilo Yomama