Izinsana Zomsoco Wezingane
Ukunciphisa i-formula yezingane, kungakhathaliseki ukuthi yenza kube lula njenge- breastmilk noma ukumane uphendule ekufuneni izimfuno zokumaketha, ngokuqinisekile akuwona umqondo omusha.
Abanye abazali noma ugogo nomkhulu bazokhumbula ukuthi bevame ukuthenga ifomula encane ye-iron kuze kube yilapho i-American Academy of Pediatrics Committee isetshenziswe ukuthi "akukho nhlobo yokusetshenziswa kwamafomu asezingeni eliphansi ekusondiseni izingane nokuncoma ukuthi le ndlela yokusebenzisa izinsimbi isetshenziselwa zonke izinsana ezisondelene nefomula. "Ngaphambi kwalokho, ama-formula asezingeni elincane lezinsimbi ayithengiswa ngoba abazali abaningi bakholelwa ukuthi insimbi efomini ingabangela igesi, i-colic, i-fussiness, ne-reflux, njll.
Ukuphuza imfucuza ye-iron ephansi kubeka lezo zingane engozini yokunakekelwa kwe-anemia, kodwa.
Imfucumfucu ye-iron encane yaqhubeka idayiswa futhi ithengiswa naphezu kokuthi i-AAP, ngo-1971, yathi banxusa kakhulu ukuthi "lapho amafomu okufaka impahla echazwe ukuthi amafomu okuxhaswa nge-iron asetshenziselwa njalo njengendlela evamile."
Lesi isibonelo esihle ukuthi ngenkathi amanye amafomula amasha asana "anezibonakaliso zangempela zomtholampilo," amanye asetshenziswa ngenxa yokuthi "ukhetho lwabazali," ikakhulukazi lawo mafomula "athengiswa ngentshisekelo yobusana, i-colic, nezindaba ezibonakalayo zomzimba."
Lokhu akubonakali ukugcina abazali bengabathengi. Ucwaningo olusanda kutholakala ukuthi lwezingane ezisengabelisisi, kuphela u-69% abaphuza inkomishi ejwayelekile yobisi lwezinkomo. Abanye babephuza ifom-based based, amafomula akhethekile, ifomula elincishisiwe noma elincinci, noma ubisi lwezinkomo ezivamile.
Izinhlobo Ezijwayelekile ze-Baby Formula
Amafomula omntwana alawulwa yi-FDA's Center for Safety Food and Applied Nutrition ngaphansi kwe-Federal Food, Drug, and Cosmetic Act.
Ngokuvamile ziyahlukahluka emthonjeni wabo wamaprotheni (ubisi lweenkomo vs soy), ushukela (i-lactose vs isiraphu ye-corn), namafutha (amafutha yemifino), njll, inhlanganisela ehlukahlukene eyenza:
- I-Baby Formula yaseBlue Based Based
- I-Soy Based Baby Formula
- I-Elemental Baby Formula - Enfamil Nutramigen ne-Similac Alimentum
- Ama-formula Formula-based Amino-based amino acid, njenge-PurAmino, EleCare, ne-Neocate, ama-formula ama-hypoallergenic ezinsana ezinamaprotheni obisi olunzima kakhulu
- Amafomula akhethekile - avela ku-BCAD 1 (kubantwana abane-maple syrup isifo se-urine) ku-Phenyl-Free (PKU) ne-Enfaport (ukulahlekelwa kwe-Chylothorax noma i-LCHAD), kunamafomu akhethekile kakhulu kubantwana abanezimo ezingavamile.
Izindinganiso zakamuva zakamuva ezidinga izingane eziningi zanconywa ukuthi zingamafomula amantombazane okuphalaza kanye nalabo abancanyana abangaphambi kwesikhathi . Amafomu ezinsana ezingaphambi kwesikhathi, kuhlanganise ne-Enfamil Premature ne-EnfaCare ne-Similac NeoSure, yenza umqondo omkhulu. Zihlanganisa amakholori amaningi ne-calcium, okuyinto izingane ezingakabiphi zidinga.
Njengoba uzobona, ezinye izinhlobo eziningi zefomula yezingane manje zikhuthazwa ngenkuthalo, kodwa iningi lalezi zinhlobo zamafomula omntwana empeleni ziyadingeka ezinganeni?
Cishe cha.
Isibonelo, ngisho nefomula ye-soy standard ayifanele isetshenziswe kaningi njengoba kunjalo. I-American Academy of Pediatrics ithi "ukuthi kunezimo ezimbalwa lapho ama-soy formula kufanele akhethwe khona esikhundleni sezinyosi ezisekelwe ngobisi lwezinkomo ezinganeni ezisencane. Enye yalezi zimo kuzinsana ezinezinkinga ezingavamile ezibizwa ngokuthi i-galactosemia. "
Kwezinye izimo, uma umntwana enesibindi sokungaboni ngaso sonke isikhathi, kufanele ahambe ngqo eqenjini eliyisisekelo esikhundleni se-soy, induduzo, noma ifomula elincane, njengoba noma yikuphi kulabo okungase kubangele izimpawu ezifanayo.
Amafomu e-elemental ayabiza kunamanye amafomula, noma kunjalo, okungenzeka ukuthi abazali bakhetha ukuzama amanye amafomula kuqala. Kodwa-ke, uma izimpawu zomntanakho zibe ngcono ngenduduzo noma ngomuthi omnene, kungenzeka ukuthi wayenalo ubisi lweqiniso olungenalo ubisi, ngoba nalawo aqukethe amaprotheni obisi.
Izingane zakamuva ze-Formula Trends
Ngisho nazo zonke izinhlobo ezintsha zefomula yezingane ezibalwe ngezansi, i-United States empeleni ibuyele kancane emcimbini uma kuziwa emathangeni ekufomeni yabantwana.
Isibonelo, u-Nestle uqalise uhlelo lwawo lwe-BabyNes pod olususelwe ekutheni uhlelo lokulungiselela amantombazane kwamanye amazwe abuyele emuva ngo-2011 futhi awukwazi ukuwuthenga lapha.
Amanye amathrendi wefomula yezingane abasebenza e-United States afaka:
- I-Non-GMO Baby Formula
- I-Baby Formula ye-Organic
- I-Formule ye-Baby for Breastfeeding Supplementation
- Ukuzwela / Okunene / Okunethezeka kweFomu
- I-Formula ye-Calorie enciphile - ngenkathi amafomula amaningi amantombazane enama-calories ajwayelekile angu-20 ngehora ngalinye, amafomu amaningi aseSimilac aguqulwe ama-calories angu-19 nge-ounce ukuze 'afane kangcono nobukhulu be-caloric ubisi obisi lwebele.'
Futhi-ke, iningi lala mafomula asana lanezela i-DHA ne-ARA. Abanye banama-prebiotic kanye nama-nucleotide. Abambalwa ngisho banama- probiotics .
Futhi, ezinye izinhlobo ezintsha zefomula lesana zenza umqondo omkhulu. Isibonelo, izinsana eziningi zikhahlela futhi abazali bebevele befaka uketshezi lwelayisi kumfomula njengokwelashwa kwe-acid reflux, ngakho-ke ifomu lelayisi lalibonakala lingenalo-brainer.
Kodwa kuthiwani mayelana nefomula ye-colic? Ochwepheshe abacabangi ukuthi i-colic ibangelwa ukungahambisani nokudla, ngakho kungani sidinga ifomula ekhethekile ye-colic. Abacabangi ukuthi izinsana eziningi zizalwa ngokungahambisani ne-lactose, ngakho-ke kungani sidinga i-lactose mahhala noma i-reduced-lactose formula?
Singazikhumbuli futhi sihlale sikhumbula ukuthi lezo akuzona izimangalo zezempilo zangempela kulawo makani omuthi wezingane. Esikhundleni salokho, "izinkampani zenkampani zibeka izimangalo emikhiqizweni yazo esebenzisa ulimi ukusho ubudlelwane be-product-disease ngaphandle kokwenza izimangalo zempilo eziqondile ezizobekwa ngaphansi kwe-premarket yi-FDA." Ngakho isimangalo sokumaketha kulo ilebula sithi "ngenxa yokukhathazeka negesi ngenxa yokuzwela kwe-lactose," esikhundleni sezimangalo zezempilo zangempela ezifana "nokunciphisa ukukhathazeka kanye negesi."
Izigaba ze-Baby Formula
Kwaqala ngeFomily Formulas, kodwa manje sekukhona 'ama-baby' amafomula azo zonke izigaba zokuphila kwengane yakho encane, kuhlanganise:
- Izinsana
- Izinsana
- Ukwengeza izinsana
- Izinsana ezindala
- Izinsana
Kodwa mhlawumbe akudingeki ushintshe ifomula ezimbili noma kathathu nje ngoba ingane yakho ikhula. Awudingi ifomula ekhethekile yokwengeza ingane yakho yokubeletha .
Kukhona futhi ukukhathazeka ngokuthi indlela lezi zimfomu ezithengiswa ngayo, zingase zisiphakamise omama abancancisayo ukuthi kufanele bayeke ukubeletha bese bezishintsha lapho ingane yabo ifika kuleyo minyaka.
Gcina i-Brand Baby Formula
Ukutholakala kwamafomu omkhiqizo wesitolo akuyona into entsha.
Kuyinto umkhuba omusha ukuthi lezi zindlela zama-brand esitolo zizama ukuhambisana nazo zonke izitayela zakamuva esizibonayo kumagama amakhulu wefomu lamagama.
Ngakho manje sibona ithenda, Ubumnene, Ubumnene, kanye nesimiso somkhiqizo wesitolo se-Organic. Lokhu kuyamangaza kusuka embonini ebiza ukuthi "ukukhiqiza komnyango wokuthengisa" yenkampani akufanele kube yinto ebaluleke kakhulu mayelana nefomula.
Ukudideka kwe-Baby Formula
Njengoba kunezinhlobo eziningi zezinhlobo zamantombazane ezitholakala manje, akufanele kusimangaze ukuthi abanye abazali badidekile.
Ngaphezu kokudideka mayelana nokuthi iyiphi ifomula yokukhetha ingane yakhe uma ingabelisi isisu, kukhona manje ukudideka mayelana nezithako kwifomula futhi.
Ingabe kufanele ukhathazeke mayelana noshukela lomhlanga kwezinye izinhlobo zemvelo?
Kuthiwani ngesiraphu yeganga kumfomula? Akukubi yini lokho?
Njengomuthi wesifuba, zonke izinhlobo zomntwana kufanele zibe nomthombo we-carbohydrate noma ushukela. Ngesikhathi amafomula asekelwe ngobisi lwebele neenkomo basebenzisa i-lactose (i-glucose plus galactose), nezinye izinhlobo zokusebenzisa i-sucrose (ushukela wemoba) kanye nama-solid solids (i-glucose).
Futhi cha, isiraphu ye-corn solids ayihlangene ne-high fructose corn isiraphu, ngakho-ke akufanele ukhathazeke ngokusondeza lezi zinhlobo zefomula kumntanakho uma udinga.
Ingabe i-New Baby Formslas Marketing Health noma i-Hype?
UDkt. Steven A. Abrams, ekuhlaziyeni kwakhe "Ingabe sekuyisikhathi sokubeka ukuxoshwa kwamafomu amasha amasha angaphenywa ngokwanele?" iphakamisa ukuthi kunezinkinga zokuba nawo wonke la mafomula amasha.
Uchaza ukuthi "Inkinga eyodwa ngokusetshenziswa kwalokhu kanye nokuhluka okufanayo emafomulini ukuthi ngokuvamile imindeni izoshintshwa ngokuphindaphindiwe phakathi kwamafomula emasontweni okuqala noma ezinyangeni zokuphila. Lezi zinguquko zivame ukwenza ngaphandle kwemiphumela eyingozi, kodwa ngaphandle kokukhomba cishe ukuxazulula izinkinga noma ukuqaphela ukuthi ukuziphatha kwezinsana okujwayelekile kwenzeka. "
Ngeshwa, lokhu kungabangela ukukhathazeka kwabazali, ikakhulukazi uma becabanga ukuthi kukhona okungalungile nengane yabo.
Ezinye izinkinga ezingase zibe khona uma amafomula amaningi kangaka athengiswa ngaphandle kobufakazi bokuthi basebenza kubandakanya ukuthi:
- Bangase bancintisane ngokuncelisa - ingabe umama wokubeletha uzoshintshela kwifomula ye reflux, igesi, noma i-colic uma ecabanga ukuthi ingane yakhe inenkinga noma isebenzisa ifomula lokungezelela ngokungadingekile?
- Izinhlobo eziningi zakamuva zamakhompiyutha ziyabiza kakhulu kunefomula ejwayelekile, ngisho noma ukhetha ifomula lomkhiqizo wesitolo
- "Ukubhalisa izinsana ezibonisa ukuhlukahluka kwezingane ezijwayelekile ezikhalayo ngezimo zezokwelapha ezifana nokubekezelelana kwe-lactose abangenazo" kungabangela ukukhathazeka kubazali
Uma ucabanga ngokushintsha phakathi kwala mafomula, abazali kufanele baqonde ukuthi ngenkathi amafomula amancane kufanele ahlangabezane nezimpawu ezithile zemithi, akudingeki ukuba avunywe yi-FDA ngaphambi kokuba athengiswe.
Kufanele sonke sikhumbule ukuthi i-Institute of Medicine ibika ukuthi, "I-Formula Yomntwana: Ukuhlola Ukuphepha Kwezingubo Ezintsha," ithola ukuthi "nakuba izinkombandlela ezikhona zomthetho nezinqubo zokuhlola ukuphepha kwezithako zokudla ziye zasebenza kahle ngezinto ezivamile (isib. amavithamini, amaminerali), akwanele ukubhekana nokuhlukahluka kwezithako ezintsha ezihlongozwa ngabakhiqizi ukuthuthukisa amafomula afana nobisi lomuntu. "
Ngaphezu kokulandela imihlahlandlela ekhishwe yilo mbiko we-IOM ka-2004, singasiza abazali benze izinqumo ezisekelwe ekuqinisekisweni zokunakekela izingane zabo ngokulandela i-World Health Organization Code 1981 ye-World Health Organisation Code of Breast Milk Substitutes. Akumangalisi ukuthi i-United States ayilona lamazwe angu-69 avinjelwe ukukhangisa kwefomula lesana ngqo kubazali, elihlanganiswe nesigaba sesi-5 se-WHO Code.
UDkt. Abrams uphakamisa ukuthi kuyoba usizo ukuqhubeka nokuqalisa uhlelo lokubeletha esibhedlela saseB Baby Friendly Hospital kwezinye izibhedlela bese usungula amaqembu okusebenza ukuhlola amafomu amasha.
Kuze kube yileso sikhathi, khuluma nodokotela wezingane ngaphambi kokuba unqabe ukubeletha noma ushintshe ifomu lakho lomntwana.
Imithombo:
Abrams SA. Ingabe yisikhathi sokubeka ukuxoshwa kwamafomu amasha amasha angaphenywa ngokwanele? J Pediatr. 2015; 166: 756-760
I-Belamarich PF, Ukubuyekezwa Okubalulekile Kwezimangalo Zokukhangisa Imikhiqizo Yezingane Zomntwana e-United States. I-Clin Pediatr (Phila). 2015 Jun 7.
I-IOM: Ifomula yezingane: Ukuhlola ukuphepha kwezingubo ezintsha, kukhishwe ngo-1 Mashi 2004.
Rosen, Lauren. Izinhlobo Zamafomu Omntwana Aphethwe E-United States. I-CLIN PEDIATR July 6, 2015
WHO. Ukuqaliswa kwezwe kweKhomishana Yomhlaba Wonke Yokuthengisa Ubisi lwebele-Isikhwama Sombiko Wesiko 2011. Kushicilelwe 2013.
WHO. Ulwazi oluphathelene nokusetshenziswa nokukhangisa kwefomula yokulandela. Julayi 2013.