Indlela Ubisi Bomzimba Osiza Ngayo Ingane Yakho Engaphambi Kwesimanga
Izinzuzo zokubeletha izitha eziningi, kusukela ekuhloleni okuncane kwezifo zendlebe ezinsana ezisencelisayo kuze kube usizo oluncane lokulahlekelwa isisindo samama. Akukona nje ukubeletha ingane engakafiki ngaphambi kwesikhathi kunikeze zonke izinzuzo ezifanayo zokuncelisa ukuthi ingane iyakwamukela, kepha ingane engakafiki isithole izinzuzo ezimbalwa ze-preemie eziqondene nobisi lwebele.
Izinzuzo Zempilo Yokuncelisa Ukubeletha i-Preemie
Izinsana zangaphambi kwesikhathi zinezinhlelo zokugaya ukudla okuncane, futhi isifuba siwukudla okuphelele kwezibeletho zabo ezincane. Ucwaningo lubonisa ukuthi izingane ezingakabiphi zingakabisi ubisi lwebele lungcono kunokuba zifake ifomula.
- Amaprotheni: Amaprotheni angakunzima emathunjini amancane okugaya. Lapho izingane zinomsoco wobisi, yizinhlelo zamaprotheni obisi ukuthi ziyingozi. Enye inzuzo yokuncelisa ingane ngaphambi kwesikhathi ukuthi amaprotheni obisi lwebele abulula kakhulu. Ubisi lwebele lubandakanya whey lula-digest kunokuba ifomula lwenza, futhi umzimba uginya whey kalula, futhi kanjalo ubisi lwebele ngokushesha.
- Amafutha: Ngoba izinsana ezingakazalwa zisinda kancane kakhulu ekuzalweni, ukukhula okuhle kubalulekile ekuthuthukiseni kwabo. Ubisi lwebele luqukethe i-lipase, olusiza izingane ezingakafiki ngaphambi kokugaya amafutha emthini webele. Ukuncelisa amafutha okungcono kunenzuzo ebalulekile yokuncelisa ingane engakafiki.
- Ama-carbohydrate: Ubisi lwebele lubandakanya kokubili i-lactose (ushukela) nama-oligosaccharide (uhlobo lwe-carbohydrate). Izingane ezingaphambi kwesikhathi zithatha ama-90% we-lactose ebisi lwebele, ezisiza ukuba zithole amaminerali kalula. Ama-oligosaccharides avimbela ukunamathiselwa kwamabhaktheriya ayingozi emkhathini wezinambuzane, okucatshangwa ukuthi kunegalelo lokunciphisa ingozi yokufaka i-enterocolitis (necrotizing enterocolitis (NEC) ebonwe ezitheni zesitha.
Izinzuzo Zomzimba Zokuncelisa Ukubeletha i-Preemie
Iningi lezandulela zisengozini yokutheleleka okungase kube yinkimbinkimbi kakhulu, ngakho izinzuzo zokuzivikela komzimba zingenye zezinzuzo ezibaluleke kakhulu zokuncelisa ingane ngaphambi kwesikhathi.
- Ukutheleleka okunciphise: Ama-carbohydrate ebisi lwebele abasiza ukuvimbela amabhaktheriya ukuba 'anganamatheli' ezinganeni zangasese zomntwana. Le nzuzo yokuncelisa ingane ngaphambi kwesikhathi isisiza izitha ukuba zigule kaningi.
- Ivikela izifo ezithile: Akukona nje ukuthi ukubeletha kuvikela izingane ezingakafiki ngaphambi kokugula okuvamile, kodwa ucwaningo lubonisa ukuthi ubisi lwebele luyanciphisa ingozi yengane ngaphambi kwesikhathi. Izitha ze-Breastfed zinengozi encane ye-NEC, ukuhlukunyezwa okukhulu kwe-prematurity. Ukuncelisa ukubeletha kunciphisa ingozi ye-preemie ye-sepsis, i-meningitis, nezifo zokuphefumula ezifana ne-pneumonia ne-bronchiolitis.
- Izinzuzo ezengeziwe: Njengoba zikhula, izinzuzo zokuncelisa izingane zisanda kukhula. Nakuba ubuhlobo phakathi komzimba omama nomzimba wesisu akuqondakali ngokucacile, omama badlulisa ama-antibodies wamanje kumantombazane abo asebelethwe. Uma umama nomntanakhe bebhekene nomkhuhlane, isimiso somzimba sokuvikela omama sizoqala ukuthumela amantombazane omzimba okubandayo kubisi ngokusebenzisa ubisi lwebele. Njengoba izingane ezingakazalwa zingagula kakhulu yi-RSV nezinye izifo ezivamile, lokhu kuyinzuzo ebalulekile.
Izinzuzo Zengqondo Ukuza Ukubeletha
Ngaphandle kwezinzuzo zokudla okunomsoco nokuzivikela nge-ubisi lwebele, ukuncelisa ingane kungasiza izitha zangaphambili zifike phambili ngokwengqondo . Ngenxa yokuthi izitha zangasengozini yokulibaziseka kwentuthuko kanye nokusebenza kahle kwezikole, izinzuzo zokuzicabangela zobisi lwebele zibaluleke kakhulu ezinganeni zangaphambi kwesikhathi.
- Izinzuzo zokuqala ezingqondweni: Izinsana ezitholayo ubisi lwebele zisencane empilweni ziningi amathuba okusebenza okungaqondakali njengabantwana abancane. Ucwaningo olulodwa, ikakhulukazi, lubonise ukuthi izinsana eziphansi zokuzala ezithole ubisi lwebele (ngisho nalapho zihlangene nefomula) ziphakeme kakhulu ekuvivinyeni okulinganisela ukuthuthukiswa kwengqondo ezinyangeni ezingama-30.
- Izinzuzo zokuhlala ezinengqondo: Izinzuzo zomqondo zobisi lwebele aziyeki lapho ingane isuliwe. Ngisho nalapho beneminyaka engu-7 1/2 kuya ku-8 ubudala, izingane ezithole ubisi lwebele njengezinsana ezingaphambi kwesikhathi zineziqu eziphakeme ze-IQ kunabantwana abazalwa ekuqaleni ababengatholi ubisi lwebele.
Izinzuzo zikaMama
Izingane ezingaphambi kokuzalwa akuzona kuphela ezizuza ekunceliseni ingane. Amama nawo azuza ekunceliseni izingane zabo ngaphambi kwesikhathi.
- Ukuzwa okufeziwe: Ku- NICU , kulula ukuba abazali bazizwe bengenamandla. Izingane zingase zigule kakhulu ukuba zingagcini, futhi imishini ye-NICU ivame ukwesabisa abazali. AmaMama abanikeza ubisi lwebele ezenzweni zabo zangaphambili enza okuthile okubalulekile, okungekho omunye umuntu ongawenzela izingane zabo.
- Izinzuzo zezempilo: Kungakhathaliseki ukuthi ingane izalwa kusenesikhathi noma ngesikhathi, ukubeletha kunika omama ngezinzuzo eziningi zezempilo. Amakholori engeziwe ancelisa ukubeletha angasiza abomama babuyele ekuziphatheni kwabo ngaphambi kokukhulelwa masinyane, kanti amahomoni abancancisayo akhiqiza ukusiza isibeletho sibuyele esayizi sangaphambilini ngokushesha. Ukubeletha kunganciphisa ubungozi bomama webele kanye ne-ovarian kansa, kanye nohlobo lwesifo sikashukela sesi-2.
Yiqiniso, ukuncelisa isinqumo somuntu siqu. La maqiniso ukunikeza ulwazi olungasiza ekuqondiseni isinqumo sakho. Ekugcineni, kufanele wenze lokho ozizwa kulungile kumntanakho nomntanakho.
Imithombo:
Callen, Jennifer RNC, MSc noPinelli, Janet RNC, MScN, DNS. "Ukubukezwa Kwezincwadi Ukuhlola Izinzuzo Nezinselele, Isikhathi Nesikhathi, Nezivimbelo Zokubeletha Ezinsaneni Zokuqala." Izinqubekela phambili ekunakekelweni kwezingane ezitholakala nge-Neonatal April 2005; 5, 72-88.
I-La Leche League International. "I-FAQ: Ingabe Ukubeletha Kubalulekile Kubantwana Bangaphambi Kwangaphambi?" Ifinyelele ngo-Septhemba 10, 2009 kusuka ku- [link url-http: //www.llli.org/FAQ/premimportant.html] http://www.llli.org/FAQ/premimportant.html
March we-Dimes. "Ama-Sheet Fact Fact Sheet: Ukubeletha" Kufinyelele ngo-Septemba 10, 2009 kusuka ku-http: //www.marchofdimes.com/professionals/14332_9148.asp