Konke Mayelana Nokunikezwa Kwamabele Kwisisu

by UDonna Murray, uRN, BSN; Ibukezwe nguMeredith Shur, MD

Okuthinta Ukukhiqizwa Kwamanzi Nendlela Yokuyilawula

Umzimba wakho wenzelwe ukwenza ubisi lwebele . Ngemuva nje kokuba ingane yakho izalwe, uzokwenza kuphela inani elincane le-colostrum (okungaphezulu kuka-ounce). Khona-ke, ngesonto lokuqala ngemuva kokubeletha njengoba ubisi lwakho lwebele luqala ukushintsha kusuka kumbala we-colostrum kuze kube nobisi lwezansi , uzobona ukwanda okukhulu kokunikezwa kwakho. Ngosuku lwesihlanu, abesifazane abaningi benza ama-ounces angaphezu kwangu-16 (ubisi-500 ml) obisi lwebele ngehora lama-24.

Ukusuka lapho, ukukhiqizwa ubisi lwebele kuqhubekeka kancane kancane lapho ingane yakho ikhula futhi idinga okungaphezulu.

Ingabe Uyokwenza Ukwanela Ubisi Banele?

Abesifazane abaningi bakhathazeka ngokunikezwa ubisi lwabo nokwenza ubisi oluncelisayo ngokwanele, kepha ngokuvamile kuyinkinga engadingekile. Cishe bonke abesifazane bangadala ubisi oluncelisayo lwebele lwebele kumntanakho. Uma umama enesibisi esincane se-milk, cishe kungenzeka ngenxa ye-latch empofu noma ukungamelisi okwanele kunenkinga yangempela yokunikezela ubisi .

Ukukwakha ubisi oluncelisayo olunomsoco kumntanakho kufanele:

Indlela Yokutshela Uma Ukunikezwa Kwakho Ubisi Kuphansi

Uma ingane yakho iguqa ngendlela efanele futhi uncelisa njalo amahora amabili kuya kwamathathu, kufanele ukwazi ukwenza ubisi lwebele olwanele.

Kodwa, uma unenkinga ethile, bheka lezi zibonakaliso ezizokuxwayisa ngobisi lwebele oluphansi olunikezwayo:

Umntanakho ukondla imizuzu engaphezu kwengu-45 ekudleni ngamunye.
Ingane yakho ibonakala ilambile ngemuva kokuncelisa.
Awuzwa ingane yakho igwinya njengoba ehola.
Amabele akho azizwa agcwele ngaphambi kokudla ngamunye.

Amabele akho azizwa engapheli futhi egcwele ngokugcwele ngemva kokuncelisa.
Ingane yakho ayinaso okungenani amathayi ayisithupha amanzi ngosuku ngemuva kosuku lwesihlanu.
Omncane wakho akatholi isisindo .

Uma ukholelwa ukuthi ubisi lwakho lwebele lubuncane futhi ubona noma iyiphi yalezi zimpawu, shayela udokotela nodokotela wengane yakho. Uma kukhona inkinga, ngokushesha wena nodokotela ungayibona, ngokushesha ungayilungisa futhi uphinde ubelethele ithrekhi.

Yini Engayithinta Ukondliwa Kwakho Ubisi?

Kukhona izinto eziningi ezingathinta ukondla ubisi lwebele. Ukucindezeleka, ukukhathala , isikhathi sakho , ukukhulelwa okusha, amaphilisi okulawula ukubeletha , i- caffeine , ukubhema , ukuphuza utshwala , nezinkinga zezempilo kungabangela ukwehlisa ubisi obusweni obusenzayo. Ngakho-ke, uma ubona ukwehla kokunikezwa ubisi , bheka ukuthi kwenzekani empilweni yakho ukuze ubone ukuthi ungakwazi yini ukubona ushintsho lwakamuva olungahle lubambe kulo.

I-Pacifiers, i-Formula, ne-Supplemental Feedings

Noma yini esusa ekunceliseni ibele ingabuye ibe nemiphumela emibi ekunikezeni ubisi lwebele. Uma unikeza ingane yakho ifomula esibhedlela ngoba ukhathazekile ukuthi ayitholi ngokwanele ubisi lwebele, noma uvumela abasebenzi basebhedlela ukuba bamnike ibhodlela ekliniki ukuze ulale ebusuku, kungenza kube nzima kakhulu ukuthola ukuncelisa ukuqala ekuqaleni .

Kuyafana ne-pacifier . Emasontweni amane kuya ayisithupha okubeletha, kungcono ukugwema kokubili pacifier kanye nebhodlela ngokuphelele. Esikhundleni salokho, faka ingane yakho esifubeni noma nini lapho ebonisa izimpawu zokulamba . Uma ukubeletha kuhamba kahle, futhi usungula ukunikezwa ubisi, ukusetshenziswa kwe-pacifier noma ibhodlela lezinye izikhathi akumele kube yinkinga.

Ingabe Ukudla Kwakho Kungathinta Ukunikezwa Kwamata Ubisi?

Amamama okubeletha angenza ubisi oluncelisayo lwesibisi kungakhathaliseki ukudla kwabo. Ngisho nabesifazane abanokudla okungenampilo bangakhipha ubisi ngokwanele. Kodwa-ke, ukuncelisa ukubeletha kusebenzisa amandla amaningi.

Ngakho-ke, uma udla kahle futhi uthatha amakholori angaphezu kuka-500 ngosuku, ungakwazi ukunikeza umzimba wakho lokho okudingekayo ukuze ushintshe izakhi namandla okulahlekelwa njengoba kubangela ubisi lwebele. Futhi, ngoba ubisi lwebele lubunjwa ngamanzi amaningi, ufuna ukuhlala u-hydrated . Ngokuphuza izibuko zamanzi ayisithupha kuya kweziyisishiyagalombili noma ezinye iziphuzo ezinempilo nsuku zonke, uzoqiniseka ukuthi uzothola okudingayo.

Ngaphandle kokudla okulinganiselayo, kukholelwa ukuthi ukudla okuthile kukhulisa ukukhiqizwa ubisi lwebele . Ukusekela uketshezi, ungakwazi ukwengeza ama-oatmeal , imifino eluhlaza okomnyama, ama-alimondi, nama-chickpeas ezinhlelweni zakho zokudla nsuku zonke.

Indlela Yokuvame Ukwandisa Ubisi Ubisi

Indlela elula futhi ephumelelayo kakhulu yokwandisa ukondla ubisi lwebele iwukubeletha kaningi. Ungase futhi uzame ukusebenzisa ipompo lesifuba noma isiteji sokukhuluma ngezandla ukususa ubisi oluningi lwebele ngemuva noma phakathi kokuphakelayo. Ukuvuselelwa okunye nokwehlisa isifuba kungasiza ekwandiseni ukondla ubisi lwakho. Uma unomntwana olele, ungasebenzisa ukuguqula ukwelashwa nokucindezelwa kwebele ukuze ugcine ingane yakho ibelebele isikhathi eside. Futhi, uma usana udinga ukwesekwa, idivaysi yokwesekwa kwabahlengikazi ngumkhiqizo omuhle okuvumela ukuba unike ingane yakho ukudla okunomsoco okweyengeziwe lapho ebeletha futhi ekhuthaza umzimba wakho ukuba wenze ubisi oluningi lwebele.

I-Herbs yokubeletha

Emakhulwini eminyaka, amasiko ahlukene ahlinzekele ama-ARV ekunceliseni ukondla omama ukubasiza ukuba benze ubisi oluningi lwebele. Abesifazane basasebenzisa eziningi zalezi zitshalo namuhla. Zivame ukuhlanganiswa ukudala ifomula ekhethekile yokondla. Amanye amakhambi asetshenziselwa ukusekela i-lactation yilezi:

Ungathenga amakhemikhali okuncelisa ukwelashwa nokubeletha esitolo, ikhemisi noma i-vitamin shop. Lezi zinhlobo zamakhambi ngokuvamile ziphephile lapho zisetshenziselwa ukulinganisela. Noma kunjalo, amakhambi athengwa emithonjeni engaziwa noma asetshenziselwa ngokweqile kungaba yingozi. Ngenxa yalesi sizathu, kungcono ngaso sonke isikhathi ukukhuluma nodokotela wakho ngaphambi kokuba uthathe noma iyiphi yale mikhiqizo noma yiluphi olunye uhlobo lokungezela.

Imithi yokwandisa ukuhlinzekwa kobisi lwebele

Ezimweni ezithile, imithi ingahle ibekwe ukuze kusize owesifazane akhiqize noma akhiphe ukondla ubisi lwebele. Imithi yokwelashwa ingaba usizo kumama abafisa ukuncelisa ingane eyamukelwa ngoba imithi ethile ingathola ukukhiqizwa ubisi lwebele kuqala ngisho nalapho kungakaze kube nokukhulelwa. Imithi yokwelapha ingasiza nabomama abanenkinga yokwakha ubisi lwe-preemie noma labo abafisa ukuqala ukubeletha futhi ngemuva kokuma isikhashana.

Ingabe Ubhiya Newayini Kungakusiza Ukwandisa Ukunikezwa Kwamanzi?

Ubhiya lwenziwa ngama-hops kanye nebhali. Lezi zinto ezimbili zikholelwa ukuthi zandisa i- prolactin , i-hormone ebhekene nokukhiqizwa ubisi. Futhi, kuthiwa iwayini lizosiza umama aphumule, okungahle kube kuhle ekuziphenduleleni phansi . Ngakho-ke, lezi ziphuzo ezidakayo zingasiza ekunceliseni ingane. Kodwa-ke, izingozi zokuphuza utshwala uma ubeletha kakhulu kunezinzuzo utshwala obunganikeza.

Utshwala udlula ubisi lwebele, futhi lungathinta ingane yakho. Nakuba ukuphuza utshwala ngezikhathi ezithile kungeke kubangele izinkinga, uma uphuza kakhulu, kuyingozi nakakhulu. Uma ubheka ukwandisa ukondla ubisi lwebele, kunezindlela eziphephile zokuhamba ngazo.

Ukunikezwa Kwamabisi Okubisi Nokukhula Kwama-Breast

Uma izingane ezincelisayo zihamba ngokukhula , ziqala ukubonisa izimpawu zokungatholi ubisi oluncelisayo . Bancoma kaningi, sebenzisa isikhathi esiningi esifubeni, futhi abonakala benganeliseki phakathi kokuphakelayo. Kodwa, akusikho ukuhlinzeka ubisi lwebele lwephansi.

Okwenzekayo ukuthi ingane ikhula futhi idinga ubisi oluningi lwebele. Ngakho-ke, nakuba kuyinkathazo, qhubeka ubeletha. Ukudla okuqhubekayo ngesikhathi sokukhula kwesitshalo kukutshela umzimba wakho ukwandise ukukhiqizwa ubisi lwebele. Khona-ke, kungakapheli izinsuku ezimbalwa, uzokwenzela ubisi oluningi lwebele kanti ingane yakho izophinde iyaneliseka. Nakuba kungase kube izinsuku ezimbalwa ezinzima, kuyisigaba evamile sokuncelisa nokukhula. Akuyona inkinga nge-milk supply yakho.

Kuthiwani Uma Unesisindo Esikhulu Sebele?

Ngenkathi abanye besifazane behluleka ukwenza ubisi lwebele olwanele, abanye balwela ukunikezwa ngobisi obuningi . Ukuba nobisi oluningi kungase kuzwakale njengesibusiso kunenkinga, kodwa kulabo abanesibonelelo esikhulu kakhulu, akulula ngaso sonke isikhathi. Ubisi oluningi kakhulu lwebele lungabangela izinkinga zesifuba ezibuhlungu, njenge- engorgement yebele kanye nama- ducts ebisikiwe . Kungase futhi kusho ukugeleza okusheshayo kobisi lwebele kanye ne-reflex-down-reflex eqinile, engabangela izinkinga zokuncelisa ingane. Amantombazane anesisindo esiningi kakhulu angase agweme futhi aqambe ngenkathi ebeletha. Bavame ukuthatha umoya omningi, ngakho-ke bangase babe gassy, fussy, futhi babe izimpawu colic-like. Bangase futhi basindise ngokushesha kakhulu .

Indlela Yokutshala Ukunikezwa Kwebisi Lesisu

Uma ukhetha ukungamncelisi, noma uma usulungele ukukhula, uzofuna ukumisa ubisi lwebele. Uma ukhula, kungcono ukuzama ukukhula kancane kancane. Ukuphumula kancane kancane kuvumela umzimba wakho ukuba uvumelane nokunciphisa ukunikezwa ubisi kancane kancane. Uma ukunikezwa kwakho kwehle kancane, awunamathuba okuzwa ubuhlungu bokungenwa kwemvelo okungenzeka uma ukhula ngokushesha.

Uma ufuna ukusomisa kusukela ekuqaleni , gcina engqondweni ukuthi umzimba wakho uzoyeka ukwenza ubisi lwebele uma ungamncelisi ingane yakho. Kodwa, ngeke kwenzeke ngokushesha. Kungathatha amasonto ambalwa, kanti okwamanje, ungase ubhekane nobuhlungu nesisu sebele. Ukuze uzame ukunciphisa ukukhathazeka, ungakwazi ukugqoka ubhiya obusekelayo nokubeka ukucindezeleka okubandayo emabeleni akho . Uma udinga ukupompa ukuze unciphise ingcindezi, vele ukhiphe ngokwanele ukuzizwa ungcono. Ukupompa kaningi noma ukuphuza ubisi oluningi emathunjini akho kungashukumisela ukwenziwa koketshezi oluningi lwebele.

_Imithombo:

_{I-Academy ye-Breastfeeding Medicine Protocol Committee.} _{I-ABM protocol yomtholampilo # 5: Ukuphathwa kokuncelisa i-Peripartum kumama ophilile nosana ngesikhathi sokubuyekezwa kwesikhathi, ngo-June 2008.}

_{Eidelman AI, Schanler RJ, Johnston M, Landers S, Noble L, Szucs K, Viehmann, L. Isitatimende Senqubomgomo.} _{Ukubeletha nokusetshenziswa koMlenze Wabantu.} _{Isigaba sokubeletha.} _{2012. Izifo zokwelapha, 129 (3), e827-e841.}

_{Lawrence RA, Lawrence RM.} _{Ukuncelisa Ukubeletha Umhlahlandlela Wezokwelapha Umsebenzi We-Eighth Edition.} _{I-Elsevier Health Sciences.} _2015.

_{I-Riordan J, i-Wambach K. Ukuncelisa Ukwelashwa Ne-Human Lactation Edition Okwesine.} _{UJones noBartlett Ukufunda.} _2014.