Kuyini Ukopha Ngesikhathi Sokukhulelwa? Izimpawu, Izimbangela, & Nokwelashwa Ekhaya

Ukuphuma igazi ngesikhathi sokukhulelwa kunoma yikuphi ukuphuma kwegazi ngasesithweni sowesifazane okwenzeka ngenkathi ulindele ingane. Kungahluka kusukela ekuthini ukopha okuncane okungabonakali kalula kuya ekopheni okukhulu okufana nokuya esikhathini. Ngenkathi ukuphuma kwegazi kungesabisa, empeleni kuvamile, ikakhulukazi ekuqaleni kokukhulelwa, futhi akusho ngaso sonke isikhathi ukuthi inkinga enkulu.

Kuyini ukuphuma kwegazi ngesikhathi sokukhulelwa?

Ukuphuma kwegazi ngesikhathi sokukhulelwa kubhekisela kunoma iyiphi inani legazi eliphuma esithweni sakho sowesifazane ngenkathi ukhulelwe. Lokhu kungenzeka kunoma yisiphi isigaba sokukhulelwa, kusukela emavikini okuqala kuze kufike ekuzalweni. Ukuphuma kwegazi kungase kube bomvu ngqayizivele, nsundu ngqabavu, noma pinki ngombala.

Inani nesikhathi sokuphuma kwegazi kungahluka kakhulu kumuntu nomuntu. Abanye besifazane bazwa amaconsi ambalwa nje egazi, kanti abanye bangase babe nokuphuma kwegazi okufana nokuya esikhathini okuncane. Ukuqonda ukuthi yini ejwayelekile nokuthi yini edinga ukunakekelwa kwezokwelapha kungakusiza ukuthi uzizwe uqiniseka kakhulu ngalesi sikhathi esibalulekile.

Kuzizwa kanjani ukuphuma kwegazi ngesikhathi sokukhulelwa?

Ukuphuma kwegazi ngesikhathi sokukhulelwa kungazizwa ngendlela ehlukile kuye ngembangela nokuthi ulahlekelwa kangakanani igazi. Ungase kuqala ukukuqaphela lapho usula ngemuva kokusebenzisa indlu yangasese, noma ungase ubone amabala ezingutsheni zakho zangaphansi noma ku-panty liner.

Ukuphuma kwegazi okuncane noma ukubona amabala ngokuvamile akuzizwa lutho ngokomzimba. Ungase ungazizwa ubuhlungu noma ukuqaqamba, futhi ukuphuma kwegazi kungase kuze futhi kuhambe ngokungaqondakali. Abanye besifazane bakuchaza njengokuzizwa njengokuqala noma ukuphela kokuya esikhathini.

Ukuphuma kwegazi okukhulu kungase kuhambisane nokuqaqamba, ubuhlungu emhlane, noma umuzwa wokucindezela ezinqeni zakho. Ukugeleza kwegazi kungase kube njalo noma kuze ngamajuba, futhi kungase kudingeke usebenzise iphedi ukulawula. Uma ukuphuma kwegazi kuhambisana nobuhlungu obukhulu, kubalulekile ukufuna ukunakekelwa kwezokwelapha ngokushesha.

Yiziphi izimbangela zokuphuma kwegazi ngesikhathi sokukhulelwa?

Ukuphuma igazi ngesikhathi sokukhulelwa kungavela ezintweni eziningi ezahlukene, futhi imbangela ivame ukuncika ekutheni useyiphi i-trimester. Ake sihlolisise amathuba ahlukahlukene ukukusiza ukuthi uqonde ukuthi yini engase yenzeke.

Ngesikhathi se-trimester yokuqala, izimbangela eziningana ezivamile futhi ngokuvamile ezingalimazi zingaholela ekuphumeni kwegazi:

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• Ukuphuma kwegazi lokufakwa lapho iqanda elivundisiwe linamathela odongeni lwakho lwesibeletho
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• Ushintsho lwe-cervical ngenxa yokwanda kokugeleza kwegazi kanye namahomoni
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• Ukuhlangana ngokocansi noma ukuhlolwa kwe-pelvic okucasula i-cervix ebucayi
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• Izifo esithweni sangasese noma e-cervix
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• I-Subchorionic hematoma, okuyigazi eliphakathi kwe-placenta nodonga lwesibeletho
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Izimbangela ezingathi sína ze-trimester yokuqala, nakuba zingavamile, zihlanganisa ukukhulelwa okungaphumelelanga, ukukhulelwa okungaphandle kwesibeletho, noma ukukhulelwa kwe-molar. Lezi zimo zidinga ukunakekelwa kwezokwelapha ngokushesha nokuxilongwa okufanele.

Ukuphuma kwegazi kwe-trimester yesibili nesithathu kungaba nezimbangela ezahlukene ngokuphelele. Izinkinga ze-Placental njenge-placenta previa noma i-placental abruption zingabangela ukuphuma kwegazi kamuva ekukhulelweni. Ukubeletha ngaphambi kwesikhathi, ukungasebenzi kahle kwe-cervical, noma

Kodwa-ke, ukopha kungasho nezimo ezingathi sína ezidinga ukunakekelwa kwezokwelapha. Ukukhulelwa okungaphumelelanga, okwenzeka ngeshwa cishe kuma-10-20% okukhulelwa okwaziwayo, kuvame ukuqala ngokopha kanye nokuba namajaqamba. Ukukhulelwa okungaphandle kwesibeletho, lapho i-embryo ifakwa ngaphandle kwesibeletho, kungabangela ukopha kanye nobuhlungu obukhulu besisu.

Kamuva ekukhulelweni, ukopha kungase kubonise izinkinga nge-placenta. I-placenta previa yenzeka lapho i-placenta imboza i-cervix, kuyilapho i-placental abruption yenzeka lapho i-placenta ihlukana nodonga lwesibeletho ngaphambi kwesikhathi. Zombili lezi zimo zingabangela ukopha futhi zidinga ukunakekelwa kwezokwelapha ngokushesha.

Ngezinye izikhathi ukopha kuyisibonakaliso sokuthi umsebenzi uyaqala.

Udktela wakho angakwazi ukwenza izivivinyo ukuze anqume ukuthi ukopha bekungenabungozi yini noma ngabe kunesimo esingaphansi esidinga ukuqashwa noma ukwelashwa. Lokhu kuhlola kukunika ukuthula kwengqondo futhi kuqinisekisa ukuthi wena nomntwana wakho nithola ukunakekelwa okufanele.

Ungakwelapha kanjani ukopha ngesikhathi sokukhulelwa ekhaya?

Ngenkathi kufanele ngaso sonke isikhathi uthintane nomhlinzeki wakho wezempilo mayelana nanoma yikuphi ukopha ngesikhathi sokukhulelwa, kunezinyathelo ezithile ezithambile ongazithatha ekhaya ukuze usekele umzimba wakho ngenkathi ulinde isiqondiso sezokwelapha.

Okokuqala futhi okubaluleke kakhulu, zama ukuphumula ngangokunokwenzeka. Lala ngonyawo lwakho luphakeme uma ukwazi, futhi gwema ukuphakamisa izinto ezisindayo noma imisebenzi eqinile. Lokhu akusho ukuthi udinga ukuphumula embhedeni ngokuphelele ngaphandle uma udokotela wakho ekuncoma ngqo, kodwa ukwenza izinto kalula kungasiza umzimba wakho uma ubhekene nokopha okuncane.

Nawa amanye amasu okusekela ongawathatha ekhaya:

• Sebenzisa iphedi ukuqapha inani nombala wokopha
• Gwema ama-tampon, ukushawa, noma ukuhlangana ngokocansi kuze kube yilapho udokotela wakho ekuhlanza
• Hlala unamanzi ngokuphuza amanzi amaningi
• Gcina umkhondo wanoma yiziphi izimpawu eziphelezelayo njengokuqina noma ubuhlungu
• Zama ukuhlala uzolile futhi unciphise ukucindezeleka ngemisebenzi ethambile efana nokufunda noma ukulalela umculo

Khumbula ukuthi ukunakekelwa ekhaya kuhloswe ukukusekela ngenkathi ufuna ukuhlolwa okufanele kwezokwelapha, hhayi ukufaka esikhundleni sokunakekelwa kwezokwelapha okuchwepheshile. Gcina amanothi anemininingwane mayelana nezimpawu zakho ukuze wabelane ngazo nomhlinzeki wakho wezempilo, njengoba lolu lwazi lubasiza ukuthi benze izinqumo ezingcono kakhulu zokwelashwa esimweni sakho esithile.

Yini ukwelashwa kwezokwelapha kokopha ngesikhathi sokukhulelwa?

Ukwelashwa kwezokwelapha kokopha ngesikhathi sokukhulelwa kuncike ngokuphelele embangela engaphansi, ukuthi usukhulelwe kangakanani, nobukhulu bezimpawu zakho. Umhlinzeki wakho wezempilo uzosebenza kuqala ukukhomba ukuthi yini ebangela ukopha ngaphambi kokuncoma noma yikuphi ukwelashwa okuthile.

Ngezizathu ezincane njengokucasuka kwesitho somlomo wesibeletho noma ukopha kokufakelwa, udokotela wakho angase ancome nje ukuqapha nokuphumula. Cishe bazofuna ukukubona ukuze ulandelele ama-aphoyintimenti ukuze baqinisekise ukuthi ukopha kuyayeka nokuthi ukukhulelwa kwakho kuqhubeka ngendlela ejwayelekile.

Izimo ezingathi sína zidinga izindlela ezihlukene. Uma uhlangabezana nokuphuphuma kwesisu okusongelayo, udokotela wakho angase anikeze imithi yokuphumula embhedeni kanye nezithasiselo ze-progesterone ukusiza ukusekela ukukhulelwa. Ezimweni ezinjenge-placenta previa, ungase udinge ukugwema imisebenzi ethile futhi ube nokuqapha okuningi ngesikhathi sokukhulelwa kwakho.

Ezimweni eziphuthumayo, njengokopha okukhulu okuvela ku-placental abruption noma ukukhulelwa okungaphandle kwesibeletho, ukungenelela kwezokwelapha ngokushesha kuyadingeka. Lokhu kungabandakanya uketshezi lwe-IV, ukumpontshelwa igazi, imithi yokumisa ukopha, noma ngisho nokuhlinzwa okuphuthumayo ukuvikela wena nomntwana wakho.

Ithimba lakho lezempilo lizohlala lichaza uhlelo lwabo lokwelashwa olunconyiwe futhi likusize uqonde ukuthi kungani ukungenelela okuthile kudingekile. Unganqikazi ukubuza imibuzo mayelana nanoma yikuphi ukwelashwa abakusikisela, njengoba ukuqonda ukunakekelwa kwakho kukusiza ukuthi uzizwe uqiniseka futhi uhilelekile ohambweni lwakho lokukhulelwa.

Kufanele ngibone nini udokotela ngokopha ngesikhathi sokukhulelwa?

Kufanele uthinte umhlinzeki wakho wezempilo mayelana nanoma yikuphi ukopha ngesikhathi sokukhulelwa, kungakhathaliseki ukuthi kulula kangakanani. Nakuba kungakho konke ukopha okungathi sína, ngaso sonke isikhathi kungcono ukuthi kuhlolwe uchwepheshe wezokwelapha ongahlola kahle isimo sakho.

Shayela ihhovisi likadokotela wakho ngamahora avamile uma uhlangabezana nokubona okuncane ngaphandle kobuhlungu noma ukuqaqamba. Ngokuvamile bangahlinzeka ngesiqondiso ngocingo futhi bahlele i-aphoyintimenti uma kudingeka. Abahlinzeki abaningi banemigqa yomhlengikazi etholakalayo ukusiza ukuhlola izimpawu zakho nokunquma ukuphuthuma kwesimo sakho.

Nokho, izimpawu ezithile zidinga ukunakekelwa kwezokwelapha ngokushesha. Kufanele uye egumbini eliphuthumayo noma ushayele ku-911 uma uhlangabezana nalokhu okulandelayo:

• Ukuphuma kwegazi eliningi eligcwala iphedi ngehora elilodwa noma ngaphansi
• Ubuhlungu obukhulu besisu noma besinqe kanye nokuphuma kwegazi
• Isiyezi, ukuquleka, noma izimpawu zokushaqeka
• Umkhuhlane kanye nokuphuma kwegazi
• Izicubu eziphuma esithweni sakho sangasese
• Ubuhlungu obukhulu ehlombe, obungabonisa ukuphuma kwegazi ngaphakathi

Thembela emizweni yakho ngomzimba wakho. Uma kukhona okungahambi kahle noma ukhathazekile ngezimpawu zakho, unganqikazi ukufuna ukunakekelwa kwezempilo. Abahlinzeki bezempilo bajwayele izinkinga zokukhulelwa futhi bafuna ukusiza ukuqinisekisa ukuthi wena nomntwana wakho niphephile futhi ninempilo.

Yiziphi izici eziyingozi zokuthuthukisa ukuphuma kwegazi ngesikhathi sokukhulelwa?

Izici eziningana zingakhuphula amathuba akho okuba nokopha ngesikhathi sokukhulelwa. Ukuqonda lezi zici eziyingozi kungakusiza kanye nomhlinzeki wakho wezempilo ukuthi niqaphe ukukhulelwa kwakho ngokucophelela uma kudingeka.

Iminyaka idlala indima engozini yokuphuma kwegazi ngesikhathi sokukhulelwa. Abesifazane abaneminyaka engaphezu kwengama-35 banamathuba aphezulu okuba nezinkinga ezithile ezingabangela ukuphuma kwegazi, njengokuphuphuma kwesisu noma izinkinga ze-placental. Ngokufanayo, omama abasebancane kakhulu bangase futhi babhekane nezingozi ezengeziwe ngenxa yezici ezihlukahlukene.

Umlando wakho wezokwelapha uthonya kakhulu izinga lakho lengozi. Izinkinga zokukhulelwa zangaphambilini, njengokuphuphuma kwesisu, ukukhulelwa okungaphandle kwesibeletho, noma izinkinga ze-placental, zingakhuphula amathuba akho okuba nokopha ekukhulelweni okuzayo. Izimo ezithile zezokwelapha njengobhubhane lukashukela, umfutho wegazi ophezulu, noma izifo zokuqina kwegazi nazo zingakhuphula ingozi yakho.

Izici zokuphila nazo zingaba nomthelela engozini yokuphuma kwegazi. Ukubhema ngesikhathi sokukhulelwa kwandisa ingozi yezinkinga ze-placental kanye nezinkinga zokuphuma kwegazi. Ukuphuza utshwala obuningi kanye nokusebenzisa izidakamizwa ezingekho emthethweni kungaholela ezinkingeni zokukhulelwa ezingase zibangele ukuphuma kwegazi.

Ezinye izinto eziyingozi zihlanganisa ukuthwala izinto eziningi njengamawele noma amathathu, ukuba nezifo ezithile, noma ukuzwa ukulimala esiswini. Uma unazo lezi zinto eziyingozi, umhlinzeki wakho wokunakekelwa kwezempilo cishe uzoncoma ukuqapha kaningi futhi angase asikisele izinyathelo ezithile zokukusiza ukuvikela ukukhulelwa kwakho.

Ziyini izinkinga ezingaba khona zokuphuma igazi ngesikhathi sokukhulelwa?

Ukuphuma igazi ngesikhathi sokukhulelwa ngezinye izikhathi kungaholela ezinkingeni, nakuba abesifazane abaningi abazwa ukuphuma igazi beqhubeka nokuba nokukhulelwa okuhle nezingane ezinempilo. Ukuqonda izinkinga ezingaba khona kukusiza ukuthi ubone ukuthi nini okufanele ufune ukunakekelwa kwezempilo ngokushesha.

Inkinga esheshayo enkulu kakhulu ukulahlekelwa igazi okukhulu, okungaholela ekuqongekeni kwegazi noma ukushaqeka. Uma ulahlekelwa igazi eliningi ngokushesha, umzimba wakho kungenzeka ungenalo okwanele ukugcina ukujikeleza okufanele. Lokhu kungakwenza uzizwe unesiyezi, ubuthakathaka, noma uzozela, futhi kudinga ukwelashwa kwezimo eziphuthumayo.

Ukulahlekelwa ukukhulelwa ngeshwa kuyinkinga engaba khona yezinhlobo ezithile zokuphuma igazi. Ukuphuphuma kwesisu, okwenzeka emasontweni okuqala angu-20 okukhulelwa, kuthinta cishe u-10-20% wokukhulelwa okwaziwayo. Nakuba ukuphuma igazi kungaholeli ngaso sonke isikhathi ekuphuphumeni kwesisu, kungaba uphawu lokuqala oludinga ukuhlolwa kwezokwelapha.

Kamuva ekukhulelweni, izinkinga zokuphuma igazi zingahlanganisa umsebenzi ngaphambi kwesikhathi noma ukubeletha. Izimo ezinjengokuhlukana kwesitho somzimba zingabangela umsebenzi ngaphambi kwesikhathi, okungase kuholele ekutheni ingane yakho izalwe ingakavuthwa ngokugcwele. Lokhu kungaholela ezinseleleni ezihlukahlukene zempilo yengane yakho esanda kuzalwa.

Ukunyuka kwamagciwane kungenye inkinga engaba khona, ikakhulukazi uma ukuphuma igazi kubangelwa izifo zomlomo wesibeletho noma zesitho sangasese sowesifazane ezingelashwa. Lezi zifo ngezinye izikhathi zingasakazekela esibelethweni futhi zingase zithinte ingane yakho ekhulayo.

Izindaba ezinhle ukuthi ngokunakekelwa okufanele kwezokwelapha nokuqapha, izinkinga eziningi zingavinjelwa noma ziphathwe ngempumelelo. Umhlinzeki wakho wezempilo uzosebenza nawe ukukhomba noma yiziphi izingozi kusenesikhathi futhi athathe izinyathelo ezifanele zokuvikela wena nomntwana wakho.

Yini ukopha ngesikhathi sokukhulelwa okungase kudidaniswe nayo?

Ukuphuma kwegazi ngesikhathi sokukhulelwa ngezinye izikhathi kungadidaniswa nezinye izimo, yingakho ukuhlolwa kwezokwelapha okuchwepheshile kubaluleke kakhulu. Ukuqonda ukuthi yini ukopha okungase kudidaniswe nayo kungakusiza ukuthi unikeze imininingwane enembile kumhlinzeki wakho wezempilo.

Ukuphuma kwegazi okuvamile kwesikhathi cishe kuyinkohlakalo evame kakhulu, ikakhulukazi ekuqaleni kokukhulelwa. Abanye besifazane abaqapheli ukuthi bakhulelwe futhi bacabanga ukuthi ukuphuma kwegazi okuncane kuyisikhathi esingajwayelekile. Lokhu kuvamile ikakhulukazi ngokuphuma kwegazi lokufakelwa, okungenzeka cishe ngesikhathi obungase ulindele ngaso isikhathi sakho.

Izifo zamathumbu zomchamo ngezinye izikhathi zingabangela umchamo opinki noma obomvu ongase udidaniswe nokuphuma kwegazi emithanjeni. Igazi empeleni livela esinyeni sakho noma e-urethra kunokuba ohlelweni lwakho lokuzala. Ama-UTI avamile ngesikhathi sokukhulelwa futhi angabangela ukusha ngesikhathi sokuchama kanye nomchamo onombala.

Ama-hemorrhoids, okuyimithambo yegazi evuvukele endaweni ye-rectal, angabangela ukuphuma kwegazi okungase kudidaniswe nokuphuma kwegazi emithanjeni. Ama-hormone okukhulelwa kanye nomntwana okhulayo kungaholela ekuthuthukisweni kwama-hemorrhoid, futhi ukuphuma kwegazi kuvamile ukwenzeka ngesikhathi noma ngemva kokuhamba kwamathumbu.

Izifo zomlomo wesibeletho noma zomlomo wesitho sangasese sowesifazane zingabangela ukukhishwa okuxutshwe negazi, okungase kubukeke njengokuphuma kwegazi kokukhulelwa. Lezi zifo zingabangela ukuluma, ukusha, noma iphunga elingavamile kanye nokukhishwa okungajwayelekile.

Ngesinye isikhathi ukuphuma kwegazi okuvela ekuqhekekeni okuncane noma ukucasuka endaweni yesitho sangasese sowesifazane okuvela ocansini noma ekuhlolweni kwezokwelapha kungase kudidaniswe nokuphuma kwegazi okungathi sína kokukhulelwa. Lolu hlobo lokuphuma kwegazi luvame ukuba luncane futhi luyeka ngokushesha, kodwa kusafanele ukuthi ukusho kumhlinzeki wakho wezempilo.

Imibuzo evame ukubuzwa mayelana nokuphuma kwegazi ngesikhathi sokukhulelwa

Kujwayelekile yini ukuphuma igazi ekuqaleni kokukhulelwa?

Ukuphuma kwegazi okuncane noma ukuthintana ngesikhathi sokukhulelwa ekuqaleni kuvamile impela futhi kuthinta cishe ama-25-30% wabesifazane abakhulelwe. Lokhu kuphuma kwegazi kuvame ukungalimazi futhi kungase kubangelwe ukufakwa, izinguquko zamahomoni, noma ukwanda kokugeleza kwegazi emlonyeni wesibeletho. Kodwa-ke, noma yikuphi ukuphuma kwegazi ngesikhathi sokukhulelwa kufanele kuhlolwe ngumhlinzeki wakho wezempilo ukuze kuqedwe izimbangela ezingathi sína futhi kuqinisekiswe ukuthi konke kuhamba kahle.

Kungakanani ukuphuma kwegazi okuningi kakhulu ngesikhathi sokukhulelwa?

Ukuphuma kwegazi okuningi okumanzisa iphedi ngehora elilodwa noma ngaphansi kuthathwa njengokuningi kakhulu futhi kudinga ukunakekelwa kwezokwelapha ngokushesha. Kufanele futhi ufune ukunakekelwa okuphuthumayo uma ukuphuma kwegazi kuhambisana nokuhamba kabi okukhulu, isiyezi, noma ukudlula kwesicubu. Ngisho nokuphuma kwegazi okuncane okuqhubekayo noma okuhambisana nobuhlungu kufanele kuhlolwe ngumhlinzeki wakho wezempilo kungakapheli amahora angama-24.

Ingabe ukucindezeleka kungabangela ukuphuma kwegazi ngesikhathi sokukhulelwa?

Ngenkathi ukucindezeleka ngokwako kungabangeli ngokuqondile ukuphuma kwegazi ngesikhathi sokukhulelwa, ukucindezeleka okukhulu kungaholela ezinkingeni ezingase ziholele ekuphumeni kwegazi. Amazinga aphezulu okucindezeleka angathinta amazinga akho e-hormone nempilo yonke, okungenzeka ukuthi andise ingozi yakho yezinkinga zokukhulelwa. Ukuphatha ukucindezeleka ngamasu okuphumula, ukulala okwanele, nokunakekelwa okufanele ngaphambi kokubeletha kubalulekile kuwe nakwinhlalakahle yengane yakho.

Uyini umehluko phakathi kokuthintana nokuphuma kwegazi ngesikhathi sokukhulelwa?

Ukubona kubhekisela ekuphumeni kwegazi okuncane kakhulu okungase kuvele kuphela uma usula noma njengamachashazi amancane ezingutsheni zakho zangaphansi. Ngokuvamile kuba pinki noma nsundu ngombala futhi akudingi iphedi. Ukuphuma kwegazi kunzima kakhulu, ngokuvamile kubomvu ngqayizivele, futhi kudinga iphedi ukuze kulawulwe. Kokubili ukubona nokuphuma kwegazi kufanele kubikwe kumhlinzeki wakho wokunakekelwa kwezempilo, kodwa ukuphuma kwegazi okukhulu kudinga ukunakwa okuphuthumayo.

Ngingakwazi yini ukuvimbela ukuphuma kwegazi ngesikhathi sokukhulelwa?

Ngenkathi ungeke ukwazi ukuvimbela zonke izimbangela zokuphuma kwegazi ngesikhathi sokukhulelwa, ukugcina ukunakekelwa okuhle kwangaphambi kokuzalwa kungasiza ukuhlonza nokuphatha izici eziyingozi kusenesikhathi. Ukuthatha amavithamini angaphambi kokuzalwa, ukugwema ukubhema notshwala, ukuphatha izimo zezempilo ezingapheli, nokuya kuwo wonke ama-aphoyintimenti angaphambi kokuzalwa kungasiza ukunciphisa ingozi yakho yezinkinga ezingase zibangele ukuphuma kwegazi. Ukulandela izincomo zomnikezeli wakho wokunakekelwa kwezempilo ngamazinga omsebenzi nomsebenzi wezocansi kungasiza futhi ekuvimbeleni ezinye izimbangela zokuphuma kwegazi.