Ukukhulelwa kweVeki ye-34: Iimpawu, uPhuhliso lwaBantwana kunye noTshintsho loMzimba

Amagama Aphezulu Ebantwaneni

Umgangatho:

Umhla Wokuzalwa:

Thumela

Ndithumele Nge-Imeyile Veza Kwindawo

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• Zingaphi iinyanga ozithwele kwiiveki ezingama-34?
• Ungakanani umntwana wakho kwiiveki ezingama-34?
• Ukukhula komntwana kule veki
• Ziziphi iimpawu zokukhulelwa ozifumanayo ngeveki ye-34?
• Ukutshintsha komzimba kwiveki ye-34 yokukhulelwa
• Ukunyakaza kwe-Fetal kunye nesikhundla kwiveki ye-34
• Iimvavanyo zokukhulelwa kwiiveki ezingama-34
• Ukuchonga iimpawu zomsebenzi kwiveki ye-34
• Iingcebiso zokujongana neempawu zabasebenzi kwiiveki ezingama-34
• Xa ubiza ugqirha?
• Isondlo kunye nokuphila kakuhle kwiiveki ze-34
• Iingcebiso zokukhulelwa okunempilo kwiveki ye-34

Zingaphi Iinyanga eziKhulelwayo kwiiVeki ezingama-34?

Kwiiveki ze-34, ukwinyanga yesibhozo, oko kukuthi, i-trimester yesithathu yokukhulelwa kwaye usondele kumhla wakho omiselweyo.

I-MomJunction ichaza indlela umzimba wakho oguquka ngayo kunye nokukhula komntwana wakho phakathi kwezinye izinto oya kuba nazo kule veki.

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Mkhulu kangakanani umntwana wakho kwiiveki ezingama-34?

Usana lwakho lulingana necantaloupe (muskmelon) kule veki (Nye) . Ulinganisa malunga ne-12.6in (32cm) ukusuka kwisithsaba ukuya kwirump kwaye unobunzima obumalunga ne-5lb (2.25kg) (Mbini) .

Funda ukuze wazi malunga nokukhula komntwana wakho kule veki.

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Uphuhliso lomntwana kwiVeki ye-34 yokukhulelwa

iileta ezintle zokubhalela isoka lakho

Njengoko usana luqhubeka lukhula ngaphakathi kuwe, usenokuba neempawu ezithile.

[Funda: IVeki yama-35 yokukhulelwa ]

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Zeziphi iimpawu zokukhulelwa ozifumana kwiiveki ezingama-34?

Nazi ezinye iimpawu onokuzifumana kule veki:

Ukudinwa:Ubunzima obongezelelweyo bomntwana kukushiya udiniwe, ngakumbi kwimeko yamawele.Ukuqunjelwa:Iprogesterone ikhulula izihlunu zamathumbu, nto leyo ebangela ukuba ukutya kuhlale kumzila wokwetyisa ixesha elide. Oku kudibanisa iphecana kwaye iphazamise umsebenzi wayo oqhelekileyo, okubangela ukuqunjelwa.I-Hemorrhoids:Ubunzima obukhulayo bomntwana bubeka uxinzelelo kwimithambo ejikeleze indawo ye-rectal, ebangela ukudumba kwemithambo okanye i-hemorrhoids. (7) . Ukuqunjelwa kunokongeza kuxinzelelo, kubangele ukuba imithambo iqhume.Ukudumba okanye i-edema:Ukuqokelelana kolwelo lomzimba kwiithishu ngenxa yokwanda kokuhamba kwegazi kubangela ukudumba kweenyawo namaqatha. Ukunyuka kobunzima kunokubangela ukuba iinyawo zidumbe.Uxinzelelo lwesisu:Njengoko umntwana ehla ezantsi kwi-pelvis, uya kufumana uxinzelelo kwisisu esisezantsi.Ukuchama rhoqo:Uxinzelelo olwenziwa sisibeleko esandisiweyo kwi-bladder kwandisa umnqweno wokuchama.Ukuphuthelwa:Ukubetha kwemilenze kunye nokuchama rhoqo kuphazamisa ubuthongo bakho, kubangela ukuphuthelwa. Ibhafu efudumeleyo kunye nekomityi yobisi olushushu ngaphambi kokuba ulale kunokukunceda ulale ngcono. Ukugcina imiqamelo phakathi kwemilenze yakho nako kuya kunceda.Ukuvuza komthubi:Ibele liqalisa ukukhupha amathontsi ambalwa olwelo olutyheli olubizwa ngokuba ngumthubi. Lubisi lwaphambi kokuba usana lwakho alusele msinyane nje emva kokubeleka.Ukutya okunempilo:Ukulahleka kweenwele kuyeka ngexesha lokukhulelwa, okwenza i-tresses yakho ibonakale inamandla kwaye ikhazimle.Ukuqhawukelwa ngumphefumlo:Njengoko isisu sisiba sikhulu, senza uxinzelelo kwi-diaphragm ebangela ubunzima bokuphefumla.Umqolo obuhlungu:Umntwana okhulayo ubeka uxinzelelo olungakumbi kumqolo ongaphantsi obangela umqolo obuhlungu. Ukuzolula kunye nokuhamba kunokunceda ukunciphisa ukungonwabi. Kwakhona, kuphephe ukuhlala kwindawo enye iiyure ezinde.Iintlungu zomlenze:Udla ngokuba neecramps ebusuku. Ukolula imilenze yakho kunye nokuhamba kunokunceda ukukhulula ukungonwabi.Ukonyuka kokuphuma kwilungu lobufazi:Ukuya mva s'landela i-noopener noreferrer'>(8) .Isitshisa:Uxinzelelo olwenziwa esiswini ngumntwana okhulayo, lutyhalela iiasidi zesisu kummizo obangela isitshisa.Ukucutheka kweBraxton Hicks:Ngexesha lale veki, unokuqalisa ukufumana ukufinyela okungaqhelekanga. Ukuba i-contraction iyenzeka rhoqo, iyenzeka iyure okanye ngaphezulu, kwaye ihamba kunye nokopha kwelungu lobufazi okanye iintlungu ezisezantsi, oko kunokubonisa ukubeleka kwangaphambili. (9) . Qinisekisa ukuba ubize ugqirha wakho ngokukhawuleza.Ngokukhulelwa okuqhubekayo, umzimba wakho nawo uyaqhubeka nokutshintsha. Makhe sifunde ngayo apha.

[Funda: IVeki yama-36 yokukhulelwa ]

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Utshintsho kuMzimba Ngeveki ye-34 yokukhulelwa

Njengoko ungena kwiveki ye-34 yokukhulelwa, ubona utshintsho oluninzi lomzimba kunye nengqondo eyenzekayo emzimbeni wakho.

Iqhuma lomntwana likhulu, kwaye umntwana kwiimeko ezininzi uya kufumana isikhundla esisezantsi kufuphi ne-pelvis.

2. I ibele liya likhula kwaye ugcwele njengoko usondela kumhla omiselweyo. Ikwavakala nokurhawuzelelwa ngamanye amaxesha, ngenxa yokolula ulusu kuloo ndawo. Unokufuna ibra enkulu ukuxhasa amabele akho.

3. I-areolas kunye ne iingono ziba mnyama kwaye imile.

Amanqaku okuzolulazicace ngakumbi njengoko isisu sikhula. Ezi mpawu zibangelwa ziinyembezi ezincinci zezicubu ezingaphantsi kwesikhumba kwaye zenze isisu sirhawuzelelwe. Ukusebenzisa isithambiso okanye isithambiso esithambisayo, okanye isithambiso secalamine kunokunika isiqabu. Unokongeza i-oatmeal kumanzi okuhlamba afudumeleyo kwaye uzifake kuwo.

Imithambo eluhlazazibonakale emabeleni akho nasemathangeni akho. Zibonakala njengoko ukunikezelwa kwegazi kule mimandla kuyanda.

Kwimeko yokukhulelwa kwamawele, iiveki ezingama-34 ziiveki nje ezintathu kude nomhla omiselweyo kuba iiveki ezingama-37 zithathwa njengexesha elipheleleyo.

Ngezi veki, usana lwakho luya kuzama ukufikelela kwindawo efanelekileyo ngaphakathi esibelekweni ukuze ubeleke. Qhubeka ufunda ukuze wazi ngakumbi malunga nokuhamba komntwana kunye nokuma okuthathayo kule veki.

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Ukuhamba kweFetal kunye nesikhundla kwiVeki ye-34 yokukhulelwa

Intshukumo: Ngeveki ye-34 yokukhulelwa, iintshukumo zomntwana zincinci xa kuthelekiswa nangaphambili, ngenxa yokungonelanga kwendawo ngaphakathi kwesisu nangenxa yokuba umntwana udla ngokulala ngakumbi kule veki.

Isampula yokubulela ileta ngexesha lokuzithandela

Isikhundla: Kule veki, umntwana ushukuma ezantsi kwi-pelvis ejonge phantsi, imilenze isongelwe phezulu kwaye isilevu sifakwe esifubeni. (Shumi elinanye) . Yeyona ndawo ifanelekileyo yokubeleka, ekwabizwa ngokuba yi-cephalic presentation.

Kodwa kwezinye iimeko, umntwana unokufumana indawo engafanelekanga eyenza kube nzima ukuzala. Ukuma kwebreche (apho unyawo lujongise kumjelo wokuzala) okanye indawo yokulala enqamlezayo (apho usana lulele emacaleni) kufuna ungenelelo lonyango.

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Ukuchongwa kweempawu zokuSebenza kwiiveki ezingama-34

Ukubeleka kwangaphambili kwenzeka phambi kweeveki ezingama-37 zokukhulelwa. Ezinye zeempawu zomsebenzi wangaphambi kwexesha ngeli veki zibandakanya (12) :

• Ukucutheka okuhlanu nangaphezulu kwiyure enye.

• Amanzi avuza kwilungu lobufazi, nto leyo ebonisa ukuqhawuka kwamanzi

• Ukukrala kwesisu kunye okanye ngaphandle kohudo, okukhokelela ekuqhawuleni okugqithisileyo

• I-Pelvic cramping, efana naleyo yentlungu yokuya exesheni, kwipatheni yesingqisho

• Uxinzelelo lwe-pelvic

• Umqolo obuhlungu obungatshintshiyo okanye obungatshintshiyo

• Ukukhutshwa kwe-vaginal kunye ne-pink tint okanye i-streaks yegazi, ukunyuka kokuphuma, okanye utshintsho kwindlela ehambelana ngayo

Icandelo elilandelayo likuxelela indlela yokujongana neempawu zabasebenzi, ukuba unokuzifumana kule veki.

[Funda: IVeki yama-37 yokukhulelwa ]

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Iingcebiso zokujongana neempawu zabasebenzi kwiiveki ezingama-34

Nanga amanye amanyathelo onokuthi uwathathe xa uneempawu zabasebenzi:

Utsalo:Nje ukuba uqalise ukuva ukuthotywa, hamba ujikeleze okanye ulale phantsi ngecala lakho lasekhohlo kwaye ubone ukuba ziya ziqina kwaye zihlala rhoqo. Ukuba ngumsebenzi wobuxoki, ke izifinyezo ziya kuhamba njengoko uqala ukuhamba. Ngaphandle koko, qaphela inani lemincili odibana nayo kwaye uxelele ugqirha malunga nalo. Ugqirha unokukunika iyeza lokunqanda ukuqhawuka ukuba akukho zingxaki zokukhulelwa.

Ikhefu lamanzi:Ukuba ufumana ukukhutshwa kwamanzi okuqhubekayo, faka i-sanitary pad kwimpahla yakho yangaphantsi ukukhusela naluphi na usulelo. Xa amanzi eqhekeza, usengozini yosulelo olunokuchaphazela wena nosana lwakho. Ngoko sebenzisa i-sanitary pad ukukhusela izifo kwaye undwendwele isibhedlele ngokukhawuleza.

Ukopha:Ukuba ubona nakuphi na ukopha kwilungu lobufazi, sebenzisa iphedi kwaye ufike kwiziko lonikezelo. Oku kuya kunceda ugqirha ukuba ahlole nakuphi na ukugqabhuka kwe-placenta.

Iintlungu ze-pelvic okanye umqolo:Ukuba une-pelvic okanye umqolo obuhlungu, thambisa ngobunono loo ndawo okanye usebenzise i-compress efudumeleyo yokukhululeka. Ukuba intlungu iyaqhubeka, ngoko qhagamshelana nodokotela wakho.

Ukuba ugqirha uyaqinisekisa ukuba uyabeleka, umntwana uya kubeleka ngaphambi kwexesha. Iintsana ezizelwe kule veki ziya kulunga ukuba zinobunzima obufanelekileyo kwaye zisempilweni. Ubunzima beentsana ezizelwe kwiiveki ezingama-34 bumalunga ne-2500g, kwaye izinga labo lokuphila linokuba phezulu ukuya kuma-95%. (13) .

Nangona kunjalo, iintsana ezingaphambi kwexesha ziya kufuna ukhathalelo olongezelelweyo ukuze ziphefumle kwaye zondle kakuhle. Usana luya kufuneka lubekwe esweni ngokusondeleyo iintsuku ezimbalwa, ezifuna ukuhlala ixesha elide esibhedlele.

Ukongeza kule miqondiso ingentla, kufuneka ubone ugqirha phantsi kwezinye iimeko ezimbalwa.

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Ndithanda kangakanani iikowuti zonyana wam

Ubiza nini ugqirha

Fowunela ugqirha wakho ukuba:

• Kukho naluphi na utshintsho oluphawulekayo kwiipatheni zokuhamba komntwana wakho okanye ukunyakaza kunciphile.

• Ufumana ubunzima ngokukhawuleza, ukudumba kwezandla nobuso, ukubona luzizi, intloko ebuhlungu ethe gqolo, ukuphefumla nzima, intloko ebuhlungu, kunye neentlungu zesisu.

• Umbala womchamo umnyama tyheli okanye orenji kunye okanye ngaphandle kwevumba kwaye ukhatshwa yintlungu yesisu okanye esezantsi.

• Uziva utshisa okanye ukurhawuzelelwa kwilungu lobufazi, nto leyo enokubonisa i-UTI.

• Uziva unxaniwe kakhulu kwaye womile emlonyeni, kunye nokungaboni kakuhle, ukudinwa, kunye nesiyezi.

• Uqaphela ukuvuvukala kwe-unilateral kunye okanye ngaphandle kweentlungu kunye nokuthamba emlenzeni.

Ukuba awunazo naziphi na iimpawu zokubeleka okanye olunye utshintsho olungaqhelekanga, oko kuthetha ukuba ukukhulelwa kwakho kuqhubeka kakuhle. Kwimeko enjalo, unokucwangcisa utyelelo lwesiqhelo lwe-OB/GYN xa kufanelekile.

Qhubeka ufunda ukuze wazi ukuba ulindele ntoni ngexesha lotyelelo lwakho lwe-OB/GYN kule veki.

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Ukutyelela kwe-OB / GYN: Iimvavanyo zokukhulelwa kwiiveki ze-34

Ukongeza kwi-check-ups yesiqhelo njengoxinzelelo lwegazi kunye nokukhangela ubunzima, iimvavanyo ezilandelayo zenziwa ngeveki ye-34 yokukhulelwa.

I-Ultrasound: I-ultrasound ngeveki ye-34 inceda ukujonga iingxaki ezifana ne-placenta ephantsi. Kwakhona kunceda ukuvavanya indawo kunye nempilo yomntwana.

Uvavanyo olungenaxinzelelo: Yenziwa phakathi kweveki ye-33 kunye ne-34, okanye ngamanye amaxesha kwiveki ye-28. Kurekhodwa ukubetha kwentliziyo yosana olunceda ugqirha ukuba azi malunga nokuba sempilweni komntwana (14) .

Uvavanyo lodidi lwe-Rh: Uvavanyo lwegazi lokumisela uhlobo lwakho lwe-Rh luqhele ukwenziwa ekukhulelweni kwangoko (Shumi elinantlanu) . Ukuba uhlobo lwakho lwe-Rh lune-Rh kwaye umntwana wakho une-Rh, impilo yomntwana wakho inokuba sengozini. Kodwa ekubeni udidi lwegazi lomntwana lungenakwaziwa de luzalwe, uya kunikwa inaliti ye-Anti-D kwiiveki ezingama-26-28 kunye neeveki ezingama-34-36 zokukhulelwa ukunciphisa imingcipheko yempilo. Le naliti ikunceda ukuba uphuhlise ukhuseleko kwigazi le-Rh-positive.

Emva kokuzalwa, igazi elivela kwintambo ye-umbilical livavanywa ukufumanisa uhlobo lwe-Rh yomntwana. Ukuba usana lwakho lune-Rh kwaye wena awunayo i-Rh, uya kunikwa esinye isitofu se-Anti-D.

Uvavanyo lweQela B: Uvavanyo lokuhlola i-swab yelungu lobufazi lwenziwa kule veki ukujonga usulelo lwe-Streptococcus group B. Ukuba ngaba ufunyaniswe une-GBS, ngoko ke amayeza okubulala iintsholongwane aya kunikwa xa uqalisa ukubeleka kwakho. Oku kuya kunciphisa nayiphi na ingozi emntwaneni (16) .

Njengoko umzimba wakho usebenza nzima ukukhulisa ubomi obuncinci ngaphakathi kuwe, kufuneka uqhubeke nokutya okufanelekileyo. Okulandelayo, sikunika iingcebiso ngezondlo kunye nezempilo ekufuneka uzilandele kwiveki yama-34.

[Funda: IVeki yama-38 yokukhulelwa ]

Ubusazi?

Ukuhamba kwegazi kwi-placenta kwi-fetus kuyanda kulo lonke ixesha lokukhulelwa kwaye kujikeleze i-600-700 ml / min ngexesha lexesha. (17) .

Malunga nama-80% abantwana abazalwa phakathi kwama-38 nama-42 eeveki zokukhulelwa kunye ne-5% ngomhla wokuzalwa. (18) .

Imithambo yegazi ye-placenta inokukhula ukuya kuma-320 eekhilomitha ngexesha elipheleleyo lemayile.

Igazi likamama kunye nosana alize lixutywe.

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Isondlo kunye nokuba sempilweni Kwiiveki ezingama-34

Isondlo:

Nalu uluhlu lokutya onokuqhubeka ube nalo ngeveki ye-34 yokukhulelwa.

Iziqhamo kunye nemifunoezifana neebhanana, iiapile, iimango, isipinatshi, i-broccoli, njl.njl ezityebileyo kwiivithamini kunye nefiber.

Iimveliso zederiezifana nobisi, itshizi, kunye iyogathi ukwenzela calcium.

Ukutya okutyebileyo kwiicarbohydrateskuquka ukutya okupheleleyo, isonka, ipasta, kunye neetapile. Ezi zingumthombo olungileyo wamandla. Ukutya ukutya okuziinkozo kunye nokutya okuziinkozo kunokuthintela ukuqhinwa.

Ukutya okuneprotheyini eninzikuquka inkukhu, intlanzi, kunye neqanda. Iprotheyini inceda ekwakheni izicubu zomzimba.

• Bandakanya uninzi lwemifuno enamagqabi aluhlaza, irayisi emdaka, isonka esiqinisiweyo, kunye neecereals ekutyeni. Ezi zingumthombo olungileyo we-folic acid.

• I-Vitamin D inokufumaneka ngokutya amaqanda kunye neentlanzi ezinamafutha. I-vitamin supplement equkethe i-vitamin D inconywa ngeli xesha.

• Yiphephe iti okanye ikofu ngelixa usitya kuba yenza ukufunxa intsimbi kube nzima.

• Hlala kude nokutya okungenamsoco kule veki.

Impilo:Ukongeza kokutya okunempilo, kufuneka wenze imisebenzi yomzimba enokugcina inqanaba lamandla akho kwaye ukhulule imisipha yakho. Nantsi eminye imisebenzi yomzimba onokuthi uyenze ngeveki ye-34 yokukhulelwa:

uKegel wenza umthamboyenye yezona ziqhelo zokuqinisa imisipha ye-pelvic floor. Ikwanceda ekunciphiseni izinga lokuqhawuka ngexesha lokubeleka kwelungu lobufazi (19) .

Ukuthambeka kwePelvicinceda ekwandiseni ukuguquguquka kwezihlunu zesisu kunye nokunciphisa intlungu yomqolo (Amashumi amabini) .

Umthungi ehleliinceda ekomelezeni ithanga kunye nezihlunu zomqolo kunye nokuphucula ukuhamba kwegazi kumzimba ongezantsi. Ekwabizwa ngokuba 'kukuhlala-ngelixa-unqamleze imilenze', kubandakanya la manyathelo alandelayo (amashumi amabini ananye) :

• Hlala emgangathweni umqolo uqonde kwaye iintende zeenyawo zakho kunye.

• Ncamisa ngobunono i-torso yakho phambili de uzive usolulele kancinane ethangeni nakwimisipha yesinqe.

• Bala ukuya kutsho ku-5 uze ubuyele kwindawo yokuqala ngokucothayo.

Ngaphandle kolu qheliselo, unokuya kwiyoga yangaphambi kokubeleka, ukuhamba, kunye nemithambo yokuqubha ukomeleza amalunga nezihlunu zakho kwaye ulungiselele ukubeleka kunye nokubeleka.

Qhubeka ufunda ukufumana iingcebiso ezingaphezulu malunga nokuhlala ukhululekile kule veki.

[Funda: IVeki yama-39 yokukhulelwa ]

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Ungayisebenzisa iviniga kumgangatho okhuni

Iingcebiso zokuKhulelwa kweVeki ye-34 esempilweni

• Xa ulele, phakama kancinci ukuze uphephe naziphi na iintshukumo ezixhuzulayo. Ukushukuma ngesiquphe kunokuthoba uxinzelelo lwegazi kwaye kukwenze ube nesiyezi.

• Ibhafu efudumeleyo yokunciphisa amahlaba emilenzeni, i-hemorrhoids, kunye neentlungu zomqolo.

• Ukuze ugweme isitshisa, thintela iziselo zekhabhoni, ukutya okuneziqholo kunye ne-citrus.

• Sela amanzi amancinci okanye ungabi nawo ubuncinci iyure enye ngaphambi kokuba ulale ukunciphisa umnqweno wokuchama ebusuku kwaye ulale ngokuvakalayo.

• Gcina umkhondo weentshukumo zomntwana kwaye ubale inani lamaxesha umntwana wakho ekhaba ngawo ngexesha elithile. Ikunceda uqonde ipateni yeentshukumo zomntwana kwaye iqinisekise ukukhula okufanelekileyo komntwana wakho omncinci.

• Nxiba iimpahla ezikhululekileyo nezikhululekileyo.

• Tyelela ugqirha wakho kwidinga ezicwangcisiweyo.

• Yiya kwiiklasi zokubeleka kunye nokukhathalela umntwana.

• Bhukisha idinga kunye ne-masseuse eyingcali enamava ekuphatheni abasetyhini abakhulelweyo. I-massage inokunceda ukunciphisa intlungu yakho kunye neentlungu zomzimba.

• Qala ukubuza malunga nentambo yegazi bank. Ukuba unomdla, yibhalisele kwiziko lezempilo elilungileyo.

• Fumanisa malunga nokubeleka kunye neendlela zokuthomalalisa iintlungu ezinikezelwa liziko lezempilo.

• Qala ukukhangela amagama abantwana.

• Chitha ixesha kunye neqabane lakho, usapho kunye nabahlobo. Zigcine kwindawo entle.

• Lungiselela ukhathalelo lwabantwana, ukuba unomntwana omdala. Banokuba luncedo olukhulu ekunyamekeleni umntwana wakho.

• Funda ngakumbi malunga nokuncancisa usana lwakho.

Iqabane lakho linokukunika uncedo ukwenza ubomi bube lula kuwe ngeli xesha.

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Iingcebiso kuTata oza kuba

Nantsi indlela iqabane lakho elinokunceda ngayo.

• Khangela ugqirha wabantwana olungileyo.

• Ukukunceda ngemisebenzi yasekhaya kwaye ube nawe ngexesha lotyelelo lwaphambi kokubeleka.

• Pakisha isikhwama sesibhedlele kunye nazo zonke izinto eziyimfuneko kwaye ulungele ukukuqhubela esibhedlele.

• Ukuhamba nawe ngexesha lokuhamba kunye neeklasi zokukhulelwa.

Ixhala liphezulu nanjengoko uzakuba seluhambeni lwekhaya kule veki. Zigcine wonwabile, phumla kwaye ubeke iliso ngononophelo imiba yomzimba onokuthi uhlangabezane nayo. Ukuthatha amanyathelo okhuseleko kunye nokulandela iinkqubo ezinempilo kwenza ukukhulelwa kwakho kube ngcono. Kwiiveki nje ezimbalwa ngaphezulu kwaye isithandwa sakho esincinci siya kuphuma nawe, kwihlabathi lokwenyani.

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