Ingabe ubisi obunikazi luphephile kuma-preemies?
Uma i-preemie yakho i-NICU, kungenzeka ukuthi uzocelwa ukuba ucabange ukusebenzisa ubisi lwebele lomnikelo, ngesinye isimo noma kwenye. Kungakhathaliseki ukuhlinzeka ubisi ngoba awukwazi ukukhiqiza ubisi olwanele kumntanakho, noma ukunikeza ukwesekwa okubalulekile okwengeza amakholori nezakhi kumbisi wakho webele, okuyiqiniso ukuthi imikhiqizo yobisi yomuntu iyaba yindawo evamile kakhulu.
Lapho abazali abasha behliswa ngalolu lwazi, bangase babe nemizwa ehlangene ngakho.
Ngakho ake sibheke ukuthi yini ehilelekile.
Yiziphi izinhlobo zemikhiqizo yobisi abazinikelayo ezikhona ezenzweni ze-NICU?
Kunezinhlobo ezimbili ezisetshenziswa kakhulu zobisi lwebele lomuntu olunikeziwe ku-NICU: ukulungele ukondla ubisi lwesifuba, nesifuba sobisi lwebele.
1. I- Donor Milk. Uma umama wokubeletha engakwazi noma engazimisele ukupompa ubisi, i-Donor Milk ingasetshenziswa. Ku-NICU, lokhu kuzoba ubisi olungasetshenzisiwe kusuka ebhange lobisi eligunyaziwe, futhi lisetshenziswe ngokunjalo njengoba ubisi lomama lungasetshenziswa.
2. I- Human Milk Fortifier (HMF) ingenye imithombo ebalulekile yokudla izitha. Lokhu kwengezwa ubisi lwebele - kungaba ubisi lomama noma ubisi obunikazi bomhlaba - ukuze wengeze amakholori ayigugu nezondlo ekudleni komntwana. Esikhundleni sokwenziwa kobisi lobisi lwezinyosi, njengoba sekuyisikhathi seminyaka, manje kungenziwa ngokonini lomuntu olunikeziwe.
Lokhu kuyindlela entsha ejabulisayo ngoba izitha zezilwane zibekezelela ukudla okunobisi olungcono kunokuba zibekezelele izidlo zezidlo ezisetshenziselwa ubisi.
Nakuba iningi le-HMF lingu-milk based based, kunenkampani eyodwa okwamanje eyenza ubisi lobuntu olusekelwe ku-HMF - Prolacta Bioscience, esekelwe eCalifornia.
Ingabe i-Donor Milk ne-Fortifier iphephile?
Lona ngumbuzo oyinhloko abazali abahlala nabo, futhi ohlakaniphile ukuwubuza.
Impendulo emfushane nguyebo, kuphephile kakhulu. Kodwa ake sibheke eduze. Singazi kanjani ukuthi kuphephile?
Cishe yonke i-NICU izofuna ukuthi noma yikuphi ubisi obunikazi obusetshenzisiwe buvela ebhange eliqinisekisiwe. Amabhange amabisi aqinisekisiwe azolandela iziqondiso eziqinile ezisungulwe yi-Human Milk Bank Association yaseNyakatho Melika. Abanikeli bahlolwa ngokucophelela, ngokuxoxisana ngefoni kanye nokubukwa kwemibono kunzima kakhulu kunokudinga ukunikezwa ngegazi. Khona-ke, ukunikela ubisi kungagciniwe futhi kuvivinywe kunoma yikuphi ukukhula kwamagciwane, nanoma yikuphi ukukhula okubangelwa ubisi ukwenqatshwa.
Ungafunda lonke uhlu lwezinyathelo zokuphepha ukuthi i-Prolacta yabelana ngayo ukuthi ubisi lusetshenzwa ngokuphepha kanjani kuwebhusayithi yabo, kodwa okunye okuvelele yilokhu:
- Abanikeli baqedela imlando yezokwelapha ngokuphelele
- Abanikeli kufanele babe nemvume ebhaliwe kadokotela wakhe nodokotela wengane yakhe
- Ukuhlolwa kwegazi kanye ne-DNA swabs kuqhutshwa ukuze kuhlolwe i-HIV, i-Hepatitis B & C, i-syphilis. (I-swab ye-DNA yenziwe ukuze wonke amabhodlela ebisi angabhekwa ukuqinisekisa ukuthi empeleni ivela kumama futhi akekho omunye umuntu)
- Umnikezeli ngamunye uphinde ahlolwe ngemva kwezinyanga ezine uma efisa ukuqhubeka nokunikela.
- Ubisi olunikeziwe luhlolwe izidakamizwa zokungcebeleka nezidakamizwa ezikhona ebisi
- Iplanethi egcwele microbiological kuhlanganise isibalo se-Aerobic, B. cereus , E. coli , i- Salmonella , i- Pseudomonas aeruginosa , ama-coliforms , i- Staphylococcus aureus , imvubelo nokubunjwa kugcwaliswa ebhodini ngalinye eligcotshwe.
Ubani onika ubisi? Abesifazane bahlolwa ukuze baqiniseke ukuthi:
- basempilo enhle
- ungasebenzisi izidakamizwa noma ugwayi
- bazimisele ukuhlolwa kwegazi ukuze baqinisekise impilo yabo
- uvikele ubisi obuningi ngokuphepha
Uma inikezwa, kwenzekani nayo? Hlola izindinganiso zokucubungula kwemithombo emikhulu yobisi obunikazi e-US:
- Ukucubungula ku-Prolacta (ubisi be-donor nama-fortifiers)
- Iyacubungula nge-HMBANA (ubisi be-donor kuphela)
Kungani kubalulekile kumazitha?
Ingxoxo ejulile mayelana nezinzuzo zobisi lwabantu ngenxa yezitha ze-NICU ingaphezu kwalesi sihloko, kodwa ezinye izinto ezibalulekile okufanele zicatshangelwe zihlanganisa:
1. I-American Academy of Pediatrics iphakamisa ubisi lwababanikazi bezilwane kanye nezinsana ezincane zokubeletha eNICU lapho ubisi bomama lungatholakali.
2. Ukondla izingane ubisi lomuntu:
- kunciphisa izigameko nobuqili be-bacterial meningitis, i-bacteria, isifo sohudo, ukutheleleka kokuphefumula, ukungena kwe-enterocolitis, i-otitis media, ukutheleleka kwamagciwane, kanye nokwehla kwezingane ezisencane.
- Kungase kunciphise amazinga we-infant syndrome ngokuzumayo
- Kungase kuncishiswe ukukhubazeka kwe-insulin (uhlobo 1) kanye non-insulin-dependent (uhlobo 2) isifo sikashukela mellitus, i-lymphoma, i-leukemia, isifo sikaHodgkin, ukwedlula ngokweqile nokukhuluphala, i-hypercholesterolemia, nesifo se-asthma.
- Kungase kubangele i-IQ enkulu kunezingondlo zobisi olusekelwe ku-bovine
- Kunganciphisa ubude beNICU ukuhlala
Ufuna ukunikela ubisi?
Uma ucabangela ukunikela ubisi lwebele, ungase usisize ukulondoloza impilo ye-preemie. Kuyinto isipho esimangalisayo sokuphila.
Vakashela i-Non-profit ye-Human Milk Bank Association ye-North America Donation page noma ikhasi le-Prolacta Biosciences Find-a-Milk-Bank.
Kwezinye izinhlangano zezinkampani zobisi zobisi, sicela ubheke i-International Milk Banking noma i-United Kingdom Association ye-Milk Banking.
Izinkomba
Cristofalo, Elizabeth A., et al. "Isivivinyo esingenakuqhathaniswa nesidlo samakhemikhali okuqhathaniswa nobisi obuseduze nabangaphambi kokuqala kwangaphambi kwezinsana ezisencane kakhulu." I Journal of pediatrics 163.6 (2013): 1592-1595.
U-Eidelman, u-Arthur I., et al. "Ukubeletha nokusebenzisa ubisi lomuntu." Izifo zengqondo 129.3 (2012): e827-e841.
Sullivan S, Schanler RJ, Kim JH, et al. Ukudla okuwukuphela kobisi okuhlobene nobisi kuhlotshaniswa nesilinganiso esincane sokungena kwe-enterocolitis kunokudla ubisi lomuntu kanye nemikhiqizo yobisi lwe-bovine. J Pediatr. 2010; 156 (4): 562-567, e1pmid: 20036378
I-Vohr BR, i-Poindexter BB, i-Dusick AM, ne-al., INational Institute of Health Child kanye nokuThuthukiswa koMphakathi iNational Research Network. Imiphumela eqhubekayo ezuzisayo yobisi lwebele elungiswe ku-unit neonatal yokunakekelwa okunamandla emiphumeleni yezinsana ezincane kakhulu zokuzala ezineminyaka engu-30 ubudala. Izingane zokwelapha. 2007; 120 (4). Itholakala ku-: www.pediatrics.org/cgi/content/full/120/4/e953 pmid: 17908750
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3508468/
Perrine, Cria G., noKelley S. Scanlon. "Ukusetshenziswa kwebisi lomuntu ekudlukeni kwe-US kuthuthukiswe ama-neonatal units". Izifo ezingama-131.6 (2013): 1066-1071.