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October 10, 2025
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I-Cyclic vomiting syndrome yisimo lapho uhlushwa khona izikhathi eziningi zokugabha okukhulu nokuhlupha okubonakala sengathi kuvela nje. Lezi zikhathi zingaphela kusukela emahoreni ambalwa kuya ezinsukwini eziningi, kulandele isikhathi lapho uzizwa uphilile ngokuphelele. Kufana nomzimba wakho uvaleleke esikhathini sokuhlupheka okukhulu, bese uya kululama, bese uhlupheka futhi.
Nakuba lesi simo singase sibonakale sisabisa, ukuqonda ukuthi kwenzekani emzimbeni wakho kungakusiza uzizwe ulawula kakhulu. Abantu abaningi abane-cyclic vomiting syndrome baqhubeka belawula izimpawu zabo ngokuphumelelayo uma nje bekwazi ukuthi baphathwe yini.
I-Cyclic vomiting syndrome, evame ukubizwa nge-CVS, yisimo sezisu esenza iphethini eqondakalayo yezikhathi zokugabha okukhulu. Cabanga ngayo njengesisu lakho eliyeka ukusebenza isikhashana ngendlela ethile. Phakathi nalezi zikhathi, ngokuvamile uzizwa uphilile ngokuphelele, okuyinto eyenza lesi simo sibe yingxaki kubantu abaningi.
Lesi simo sithinta kokubili izingane nabantu abadala, nakuba ngokuvamile siqala ebuntwaneni. Iphethini yomuntu ngamunye iyodwa, kodwa uphawu olukhulu luhlala lufanayo: izikhathi zokugabha okukhulu ezivela futhi zihamba ngezikhathi. Akuwona nje ukuphazamiseka okuncane kwesisu, kodwa kunalokho izikhathi ezinkulu ezingakushiya uzizwa udiniwe ngokuphelele.
Okwenza i-CVS ihluke kwezinye izinkinga zesisu yiyona ndlela yayo ephindaphindayo. Ungaba nesikhathi esiphela izinsuku ezintathu, bese uzizwa uphilile amasonto noma izinyanga ngaphambi kokuba kube khona esinye isikhathi. Lesi sikhathi esingalindelekile singenza ukuphila kwansuku zonke kube inselele, kodwa ukuqaphela iphethini yisinyathelo sokuqala sokuthola usizo.
Isimptomi eyinhloko ukugabha okukhulu, okuphindaphindayo okwenzeka ngezigaba ezahlukene. Phakathi nesigaba esisebenzayo, ungagabha izikhathi eziningi ngehora, okwenza kube nzima ukugcina noma yini phansi, kufaka phakathi amanzi. Lokhu kugabha okukhulu kuvame ukuba nemisindo yokuphefumula okunzima engaphenduli ezikwelapheni zesisu ezivamile.
Nawa ama-symptom abalulekile ongawahlangabezana nawo phakathi nesigaba:
Phakathi kwezigaba, cishe uzizwa uphilile ngokuphelele. Lesi sikhathi esingenazo izimpawu singathatha amasonto, izinyanga, noma ngisho neminyaka. Abanye abantu bachaza ukuzizwa sengathi baphila kabusha phakathi kwalezi zikhathi, okwenza isigaba esilandelayo sizizwe sibuhlungu nakakhulu.
Ngokungavamile, abanye abantu bahlangabezana nezimpawu zezeshwa ngaphambi kokuba isigaba siqale. Lezi zingase zibe ukugabha okuncane, ukushintsha kwesifiso sokudla, noma ukuzizwa ukhathele kakhulu. Ukufunda ukuqaphela lezi zimpawu zokuqala kungakusiza ukulungiselela lokho okuzayo.
Odokotela ngokuvamile bahlukanisa i-cyclic vomiting syndrome ngokuthi yaqala nini nokuthi yini engayibangela. Ukuqonda lezi zindlela ezahlukene kungakusiza wena nodokotela wakho ukuthuthukisa indlela yokwelapha engcono kakhulu yesimo sakho esithile.
Ukuhlukaniswa okuvamile kwahlukanisa i-CVS ibe yohlobo lobuntwana nohlobo lwabantu abadala. I-CVS eqala ebuntwaneni ngokuvamile iqala phakathi kweminyaka engu-3 no-7, kuyilapho eyabantu abadala iqala ngemuva kweminyaka engu-18. Uhlobo ngalunye lunezimpawu ezihlukile kanye nezibangela ezingase zibe khona.
I-CVS eqala ebuntwaneni ivame ukubonisa ubuhlobo obuqinile nezinhlungu zikhanda ze-migraine futhi ingaba nezingxenyekazi zezofuzo. Abantwana abanelilo hlobo bavame ukuba namalungu omndeni ababhekana ne-migraine. Izehlakalo kubantwana zivame ukuphela izinsuku eziyi-1-4 futhi zingase zibangelwe ukucindezeleka, ukutheleleka, noma ukudla okuthile.
I-CVS eqala ebuntwini ihambisana kakhulu nokusetshenziswa kwe-cannabis, nakuba lokhu kungelona njalo icala. Abantu abadala bangase babhekane nezehlakalo ezide, ngezinye izikhathi ziphela kuze kube yisonto. Izici eziyibangela zingase zihlukahlukene futhi zingase zihlanganise ukucindezeleka, ukushintsha kwehomoni, noma imithi ethile.
Abanye odokotela nabo bayabona uhlobo oluhambisana ne-cannabis, lapho ukusetshenziswa okukhulu kwe-marijuana kubonakala kubangela iphethini yokugabha okujikelezayo. Lolo hlobo luthuthuka ngokuvamile uma ukusetshenziswa kwe-cannabis kuphelile, nakuba inqubo yokutakula ingathatha izinyanga eziningi.
Imbangela eqondile ye-cyclic vomiting syndrome ayiqondakali ngokuphelele, kodwa abacwaningi bakholelwa ukuthi ihilela izinkinga zendlela ubuchopho bakho nesisu senu ezihlanganyela ngayo. Isisu sakho nobuchopho bakho buxhumene ngokuthile okuthiwa yi-gut-brain axis, futhi uma le nqubo yokuxhumana iphazamiseka, ingabangela iphethini ejikelezayo yezimpawu.
Izici eziningi zingase zifake isandla ekuthuthukiseni i-CVS:
Ukuqina kungenzeka kube nomthelela omkhulu ezimweni eziningi. Isistimu yomzimba wakho yokulwa nokuqina ingase isebenze kakhulu, okubangela izimpawu zokuthuthumela ezinzima ze-CVS. Lokhu akusho ukuthi isimo “sikuphakathi kwekhanda lakho,” kodwa kunalokho ukuthi ukucindezeleka kwengqondo kungaba nemiphumela yangempela emzimbeni wakho wokugaya ukudla.
Ezimweni ezingavamile, i-CVS ingahlotshaniswa nezinye izimo eziyinkimbinkimbi njengezifo ze-mitochondrial noma ezinye izifo ezivela egazini. Lezi zimo eziyisisekelo zithinta indlela amakhemikhali akho asebenza ngayo futhi zingenza isimiso sakho sokuhlanza ukudla sibe nomuzwa omkhulu ezinye izinto ezibangela.
Kufanele ufuna ukunakekelwa kwezokwelapha uma uhlangabezana neziqephu ezilandelayo zokugabha okunzima, ikakhulukazi uma zilandela iphethini. Ungalindi ukuthi kube khona iziqephu eziningi, njengoba ukuxilongwa kwasekuqaleni kungasiza ukuvimbela ubunzima nokwenza impilo yakho ibe ngcono.
Xhumana nodokotela wakho ngokushesha uma uqaphela noma yiziphi izimpawu zezexwayiso ngesikhathi sokuqopha ukugabha:
Ngisho noma izimpawu zakho zibonakala zilawuleka, kufanele ukuxoxe nazo nodokotela uma zikuphazamisa impilo yakho yansuku zonke. I-CVS ingaba nzima ukuyihlonzwa ngoba ifana nezinye izimo, ngakho ukuba nodokotela oqonda iphethini yakho kubalulekile.
Gcina idayari yezimpawu ubhale ukuthi iziqephu zenzeka nini, isikhathi eside zingakanani, nokuthi yini engase ibibangela. Ulwazi olukhulu luzosiza uma uhlangana nodokotela wakho futhi lungasheshisa inqubo yokuxilonga.
Izici ezithile zingandisa amathuba akho okukhula i-cyclic vomiting syndrome. Ukuqonda lezi zici ezingozi kungakusiza wena nodokotela wakho ukuthi nihlolwe isimo sakho ngokuqondile, yize ukuba nezici ezingozi akusho ukuthi uzokuthola lesi simo.
Izici ezingozi ezibaluleke kakhulu zihlanganisa:
Abantwana abane-CVS bavame ukuba nezinye izimo ezibonisa uhlelo lwezinzwa oluzwelayo. Lokhu kungafaka ukugula kokunyakaza, ubunzima ngokukhanya okukhulu, noma ukuthambekela ekukhathazekeni. Uma ingane yakho inalezi zici kanye nomlando womndeni we-migraines, ingase ibe sengozini enkulu.
Abantu abadala abathuthukisa i-CVS kamuva ekuphileni bangaba nezici ezahlukile ezingozi. Ukuqina kwengcindezi, ukuguquka kwe-hormonal, noma ukusetshenziswa kwezidakamizwa konke kungadlala indima. Abesifazane ngezinye izikhathi baphawula ukuthi iziqephu zabo zihambisana nesikhathi sabo sokuya esikhathini, okubonisa imiphumela ye-hormonal.
Ukuba nezici ezingozi akusho ukuthi uqondisiwe ukuthuthukisa i-CVS. Abantu abaningi abanezi zici abazange bahlangabezane nokugula kokugula okuphindaphindayo. Cabanga ngezici ezingozi njengezingcezu ze-puzzle kunokuba kube yisiprofetho sempilo yakho yangempela.
Nakuba i-cyclic vomiting syndrome ngokwayo ingabi yingozi eyingozi, iziqephu eziphindaphindayo zingadala ubunzima obuthile uma zingalawulwa kahle. Ukukhathazeka okukhulu kunokushona kwamanzi, okungenzeka ngokushesha uma ungakwazi ukugcina izinto ezinwetshiwe isikhathi eside.
Ubunzima obuvamile obuningabhekana nabo buhlanganisa:
Ukuphelelwa amanzi emzimbeni okukhulu kungaba yingozi kakhulu futhi kungadinga ukwelashwa okusheshayo. Qaphela izimpawu ezinjengokuomilela okukhulu, umlomo owomile, ukungapisi noma ukungapisi, noma ukuzizwa ukhulu uma ukuma. Lezi zimpawu zisho ukuthi umzimba wakho udinga ukufakwa kwamanzi ngokushesha.
Ukuhlupheka ngokomzwelo kwe-CVS akufanele kuqakathekwe. Ukuphila nezehlakalo ezingaqondakali kungadala ukukhathazeka mayelana nokuthi elandelayo lizoba nini. Abanye abantu bathuthukisa ukukhathazeka okungaphambi kwesikhathi noma ukucindezeleka okuhlobene nesimo sabo. Lokhu kuqondakala ngokuphelele futhi kuphathekayo ngokusekelwa okufanele.
Ezimweni ezingavamile, izehlakalo ezinkulu kakhulu zingadala izinhlungu ezinkulu ezinjengobunzima bezinso noma ukungahluzeki okukhulu kwama-electrolyte. Noma kunjalo, ngokunakekelwa komtholampilo okufanele kanye namasu okuphatha, abantu abaningi abane-CVS bangavimbela lezi zinkinga ezinkulu ukuba zenzeke.
Nakuba ungakwazi ukugwema ngokuphelele izehlakalo ze-cyclic vomiting syndrome, ukuqonda nokuqeda izinto ezibangela izehlakalo kunganciphisa kakhulu ubukhulu bazo. Cabanga ngokuvikela njengokufunda ukusebenza nomzimba wakho kunokulwa nawo.
Abantu abaningi bathola impumelelo ngalezi zindlela zokuvikela:
Ukuphathwa kokucindezeleka kuvame ukuba yindlela ephumelelayo kakhulu yokuvikela. Lokhu kungafaka umsebenzi womzimba ojwayelekile, ukucamngca, ukwelashwa, noma nje ukuqinisekisa ukuthi unezikhathi zokuphumula ezanele ehlelweni lakho. Lokho okusebenza kuyahlukahluka kumuntu ngamunye, ngakho-ke bekezela njengoba uthola indlela yakho engcono kakhulu.
Abanye abantu bayazuza ngokugcina idayari eningiliziwe yokuqalisa. Qaphela ukuthi ukudlile ini, indlela osule ngayo, amazinga akho okucindezeleka, nanoma yiziphi ezinye izinto ezinsukwini eziholele esigabeni. Ngokuhamba kwesikhathi, izindlela zivame ukuvela ezingakusiza emizamweni yakho yokuvikela.
Kwabo izigaba zabo ezihlotshaniswa nokusetshenziswa kwe-cannabis, ukuyeka ngokuphelele kuvame ukudingeka ukuze kuvikelwe. Lokhu kungaba inselele, futhi ungadinga ukwesekwa kwabahlinzeki bezempilo noma ochwepheshe bokuqothula ukusetshenziswa kwe-cannabis.
Ukuxilonga i-cyclic vomiting syndrome kungaba inselele ngoba ayikho i-test eyodwa eqinisekisa isimo. Esikhundleni salokho, udokotela wakho uzosebenzisa ukuxubana komlando wakho wezokwelapha, izindlela zezimpawu, nokukhipha ezinye izimbangela ezingaba khona. Le nqubo idinga ukuzekazeka, kodwa ukuthola ukuxilongwa okulungile kubalulekile ekwelapheni okuphumelelayo.
Udokotela wakho uzokubuza imibuzo eminingi mayelana nezehlakalo zakho. Uzothanda ukwazi ukuthi zenzeka kangakanani, isikhathi eside zingakanani, izimpawu ozibona, nokuthi yini ebonakala iyabangela. Ulwazi oluqondile ongalunikeza, luzosiza kangcono ukuqonda isimo sakho.
Ukuvimbela ezinye izimo, udokotela wakho angase anikeze ukuhlolwa okuningi:
Inqubo yokuxilonga ingase ibe nzima, ikakhulukazi uma ukuhlolwa okuningi kuphuma njengokujwayelekile. Khumbula ukuthi imiphumela yokuhlolwa ejwayelekile iyasiza ngoba isusa ezinye izimo ezingathi sína futhi ibonisa i-CVS njengesizathu esingaba khona sezinkinga zakho.
Kwezinye izimo, udokotela wakho angase akuqondise kudokotela we-gastroenterologist noma i-neurologist ukuze uthole ukubhekwa okukhethekile. Laba ochwepheshe banolwazi oluthe xaxa ngezimo ezifana ne-CVS futhi bangase banikeze izindlela zokuxilonga eziqondiswe ngokwengeziwe.
Ukuphathwa kwe-cyclic vomiting syndrome kuvame ukubandakanya izindlela ezimbili eziyinhloko: ukuphatha izehlakalo ezibuhlungu uma zenzeka nokuvimbela izehlakalo zesikhathi esizayo. Udokotela wakho uzosebenza nawe ukuze uthuthukise uhlelo oluqondene nezidingo zakho olukhomba kokubili izici zesimo sakho.
Phakathi nezehlakalo ezibuhlungu, imigomo eyinhloko ukumisa ukugabha, ukuvimbela ukuphelelwa amanzi, nokuphatha ubuhlungu. Udokotela wakho angase anikeze imithi efana ne-ondansetron yokugabha, amafutha e-IV ukuphelelwa amanzi, kanye nemithi yobhlungu uma kudingeka. Abanye abantu bathola impumuzo ngemithi yokulwa nobuhlungu, njengoba i-CVS ne-migraines zinezinqubo ezifanayo.
Ukwelapha okuvimbelayo kugxile ekunciphiseni ukwenzeka njalo nobunzima bezehlakalo:
Abantu abaningi bayazuza ngokuba neqophelo lenqubo yesenzo esiphuthumayo lapho izehlakalo ziqala. Lokhu kungafaka imithi ethile okumele ithathewe esimweni sokuqala sezibonakaliso, ukuthi nini kufanele ufunesekelo kwezokwelapha, nokuthi ungayilawula kanjani ukugcwala kwamanzi ekhaya. Ukuba neqophelo kungakusiza uzizwe ulawula kakhulu futhi kunganciphisa isikhathi sezehlakalo.
Ukwelapha kuvame ukudinga ukuzama nokuhluleka ukuthola ukuthi yini ekuhambela kahle kuwe. Ungadangali uma indlela yokuqala ingasebenzi ngokuphelele. Umhlinzeki wakho wezinsizakalo zezempilo angalungisa imithi neqhinga ngokususelwa ekuphenduleni kwakho.
Ukulawula i-cyclic vomiting syndrome ekhaya kudinga ukulungiselela nokuqonda okucacile kokuthi nini ungazwelapha ngokuphephile na nini lapho udinga ukunakekelwa kwezokwelapha. Ukuba nekhitshi lokwelapha ekhaya eligcwele kahle neqophelo eliqinile kungenza izehlakalo zibe lula futhi zingabi yingozi.
Ngesikhathi sezehlakalo ezilula, gxila ekuhlaleni ugcwele amanzi futhi ukhululeke. Ukumunca amanzi amancane, njalo njalo kusebenza kangcono kunokuzama ukuphuza amanzi amaningi ngesikhathi esisodwa. Izixazululo ze-electrolyte, ukhilimu oqhelile, noma ama-ice chips angasiza ekuphindiseni lokho okulahlekile ngokugabha. Phumula ekamelweni elizolile, elimnyama ukuze unciphise izinto ezibangela izimpawu zakho.
Ikitshi lakho lokwelapha ekhaya kufanele lifake:
Abanye abantu bathola ukuthi izindlela zokududuza ziwasiza ngesikhathi sezigameko. Lokhu kungafaka iziqephu ezibandayo ebusweni, ukumomotheka okumnene esiswini, noma ukumiswa okuthile okubenza bazizwe bekhululekile. Nakuba lokhu kungayekisi isigameko, kungaba nokunciphisa ubuhlungu ngesikhathi esinzima.
Yazi imingcele yakho yokwelashwa ekhaya. Uma ungakwazi ukugcina izinto ezincelisayo phansi ngaphezu kwamahora angu-12-24, uma ubonisa izimpawu zokuphelelwa amanzi okukhulu, noma uma uhlushwa ubuhlungu obukhulu, sekufanele ufuna ukunakekelwa kwezokwelapha. Ungazami ukukhuthazelela uma izimpawu zakho ziya ziba zimbi.
Ukulungiselela kahle ukuya kudokotela kungenza umehluko phakathi kokuthola ukuxilongwa okuchane ngokushesha noma uchithe izinyanga uzamile ukuthola ukuthi yini ephosakele. Njengoba i-cyclic vomiting syndrome ingaba inselele ukuyixilonga, ulwazi olukuphelayo luyoba lwesibili kudokotela wakho.
Qala ngokudala idayari enemininingwane yezimpawu zakho ngaphambi kokubona udokotela. Faka izinsuku nezikhathi zezigameko, ukuthi zithathe isikhathi esingakanani, izimpawu ozihlushwe yizo, nanoma yiziphi izinto ezingase zibe yizimbangela ozibonile. Phawula futhi ukuthi udle ini, amazinga akho engcindezi, izindlela zakho zokulala, nanoma iyiphi imithi oyithathe ezinsukwini eza ngaphambi kwesigameko ngasinye.
Lungiselela uhlu oluphelele lolwazi okufanele ulwabelane ngalo:
Cabanga ukuthi ulethe umngane noma ilungu lomndeni omethembayo ekuqokweni kwakho. Bangakusiza ukuba ukhumbule imininingwane ebalulekile, ubuze imibuzo ongazi khumbula, futhi unikeze ukwesekwa phakathi kwalokho okungaba ingxoxo enzima ngokomzwelo mayelana nezimpawu zakho.
Unganqikazi ukuba uchaze ngokucacile ukuthi izimpawu zakho zikuthinta kanjani impilo yakho. Odokotela badinga ukuqonda hhayi nje ukuthi kwenzekani ngokomzimba, kodwa nokuthi isimo sithinta kanjani umsebenzi wakho, ubuhlobo bakho, kanye nempilo yakho yonke. Lesi sithombe esiphelele siyabasiza ukuqonda ukuphazamiseka kokuthola ukwelashwa okuphumelelayo.
I-Cyclic vomiting syndrome iyisimo sezempilo sangempela, esilawuleka esithinta kokubili izingane nabantu abadala. Nakuba ukungakhombisi kwesikhathi sezimo kungazizwa kukhulu, ukuqonda isimo sakho kuyisinyathelo sokuqala sokubuyisela ukulawula impilo yakho. Awucabangi izimpawu zakho, futhi awudingi ukuhlupheka zodwa.
Into ebaluleke kakhulu okumele uyikhumbule ukuthi kukhona ukwelashwa okuphumelelayo. Abantu abaningi abane-CVS bafunda ukulawula isimo sabo ngempumelelo ngokusebenzisa ukuhlanganiswa kwezindlela zokuvimbela, ukuguqulwa kwesitayela sempilo, kanye nokukhathalelwa kwezokwelapha okufanele. Kungathatha isikhathi ukuthola indlela efanele kuwe, kodwa ungalahli ithemba.
Ukuba nobudlelwano obuqinile nodokotela oqonda i-CVS kubalulekile. Lesi simo sidinga ukuphathwa okuqhubekayo, futhi ukuba neqembu lezokwelapha elithatha izimpawu zakho ngokungathi sína kwenza umehluko omkhulu. Unganqikazi ukufuna umbono wesibili uma uzizwa sengathi ukukhathazeka kwakho akulungiswanga kahle.
Khumbula ukuthi awuwedwa kule ndlela. Amaqembu wokusekela, kokubili ku-inthanethi nakwi-inthanethi, angakuxhumanisa nabanye abaqonda lokho okukudlulayo. Ukwahlukanisa okuhlangenwe nakho nezindlela zokubhekana nezinkinga nabantu abaqonda ngempela kungaba usizo kakhulu kokubili ngamacebo asebenzayo nangesekelo lokuzwelana.
Okwamanje, ayikho impilo ehlala njalo ye-cyclic vomiting syndrome, kodwa lesi simo singaphathwa kahle kubantu abaningi. Abantu abaningi babona ukuthuthuka okukhulu ezimpawu zabo ngokwelashwa okuqondile nokuguqulwa kwendlela yokuphila. Abanye abantu, ikakhulu izingane, bangase bakhule lesi simo njengoba bekhula. Umgomo wokwelapha ukunciphisa ukwanda nobunzima bezehlakalo ngenkathi uthuthukisa ikhwalithi yakho yokuphila.
Nakuba i-cannabis hyperemesis syndrome ihlangene ne-cyclic vomiting syndrome, zibhekwa njengezimo ezihlobene kodwa ezihlukile. I-Cannabis hyperemesis syndrome ivela ngokukhethekile kubantu abasebenzisa i-marijuana njalo futhi ivame ukuthuthuka uma ukusetshenziswa kwe-cannabis kuphela. Noma kunjalo, abanye odokotela bayibheka njengohlobo lwe-CVS. Umehluko oyinhloko ukuxhumana okucacile nokusetshenziswa kwe-cannabis kanye nokuphumula okufunwa abantu ngokuphuza amanzi ashushu noma ukugqoka.
Iziqephu zingase zihluke kakhulu kumuntu ngamunye, ngisho naseziqephini ezahlukene kumuntu oyedwa. Izinto eziningi zihlala phakathi kwamahora ambalwa kuya ezinsukwini eziningi, isilinganiso singama-1-4 izinsuku. Abanye abantu bahlangabezana neziqephu ezifushane ezithatha amahora ambalwa nje, kanti abanye bangaba neziqephu ezihlala kuze kube yiviki. Isikhathi sivame ukuba silula kakhulu kumuntu ngamunye ngokuhamba kwesikhathi.
Yebo, ukucindezeleka kungenye yezizathu ezivame kakhulu zeziqephu ze-CVS. Lokhu kungabandakanya ukucindezeleka komzimba okuvela ekuguleni noma ekuswelekeni ubuthongo, kanye nokucindezeleka ngokomzwelo okuvela ezingxenyeni zokuphila, ecindezelweni lomsebenzi, noma ekukhathazekeni. Noma kunjalo, ubudlelwano phakathi kokucindezeleka neziqephu buyinhlanganisela, futhi akusiyo yonke isimo esicindezelayo esizokwenza isiqephu. Ukufunda amakhono okulawula ukucindezeleka kuvame ukuba yingxenye ebalulekile yokuvimbela iziqephu zesikhathi esizayo.
Abantwana abaningi abane-CVS bayabona ukuthuthuka noma ukuphela kwezinkinga zabo njengoba bekhula, ikakhulukazi phakathi kwesikhathi sobuntombi. Noma kunjalo, lokhu akuqinisekisiwe kumntwana ngamunye. Abanye bangase baqhubeke beba neziqephu kuze kube ebudaleni, kanti abanye bangase bathuthukise izikhathi zokukhathazeka endaweni yeziqephu zokugabha. Indlela engcono kakhulu ukugxila ekuphatheni okuphumelelayo ngesikhathi sobuntwana ngenkathi ugcina ithemba lokuthi izimpawu zingase zithuthuke ngokuya ngeminyaka. Ukulandelela njalo nodokotela womntanakho kubalulekile ukuze ulungise ukwelashwa njengoba bekhula.
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