Inqubo yokomisa ubisi lwakho ingathatha izinsuku ukuya emasontweni kuye ngokuthi umzimba wakho ukhiqize ubisi isikhathi esingakanani. Ngokujwayelekile, uma usukhulile isikhathi eside, kuyothatha isikhathi eside ukumelela ubisi lwakho. Eqinisweni, abanye omama babika ukuthi bayakwazi ukuveza ubisi oluncane besibisi eside ngemuva kokuba ingane yabo imise ukunakekelwa.
Ngokuvamile, uzoqala ukwenza inani elincane lobisi lwebele ngenkathi ukhulelwe .
Khona-ke, ngemva kokuba ingane yakho izalwe, ukukhiqizwa ubisi lwebele kuyanda . Ngosuku lwesithathu noma lwesine emva kokubeletha kwakho, ubisi lwakho "luzofika" futhi cishe luzozizwa ezibelethweni zakho. Uzoqhubeka nokwenza ubisi lwebele okungenani amasonto ambalwa. Uma ungasipompi noma uncelise, umzimba wakho uzogcina uyeka ukukhiqiza ubisi, kodwa ngeke kwenzeke ngokushesha.
Ukuvimbela Ukukhiqizwa Kwamanzi
Uma ukhetha ukungamncelisi nhlobo, cishe uyazibuza ukuthi kukhona yini ongayenza ukuze uvimbele ukwelashwa ngaphambi kokubeletha. Azikho izinketho. Uyothola izinqubo ezifanayo ze-hormonal ukuthi wonke owesifazane okhulelwe ahlangane nakho, kubandakanya lezo ezikhuthaza ukukhiqizwa ubisi. Ngemuva kokubeletha, ubisi lwebele lwakho luyokoma uma lungasetshenzisiwe, okusho ukuthi ngaphansi kokugqugquzela ama-nipples noma amabele emva kokuzalwa, ngokushesha uzomiswa.
Nini Ukuqala Ukumisa Ukunikezela
Abanye omama bazokhetha ukungamncelisi futhi bazokhetha ukomisa ubisi lwabo lwebele ngesikhathi sokuqala.
Omama abathola ukulahlekelwa futhi abangafuni ukupompa nokunikela ubisi lwebele bangase bafune ukuyeka ukwenza ubisi ngokushesha. Noma kunjalo, abanye bathola ukuthi kudingeka bayeke ukwenza ubisi ngesizathu sezokwelapha, ngisho noma kuncike okwesikhashana. (Qinisekisa ukuthi uthintana ne-International Board Certified Lactation Consultant (IBCLC) uma utshelwe ukuthi udinga ukuncika ngenxa yezizathu zezokwelapha.)
Okubalulekile ukuthi kungukuthi wena nesimo sakho esithile. Uma kunesidingo, xoxani isikhathi nomeluleki we-lactation noma umhlinzeki wakho wezempilo.
Indlela Yokuhlanza Okuhle kakhulu
Ngemuva kokuthi wenze isinqumo sokomisa ubisi lwakho, nquma ukuthi iyiphi indlela ozoyithatha. Abanye omama bazothatha isinqumo sokuhamba ngendlela engokwemvelo futhi abanye bazosebenzisa imithi yokusiza ukomisa izimpahla zabo zobisi. Zombili izindlela zingasetshenziswa futhi, kodwa ngaso sonke isikhathi qiniseka ukubuza udokotela wakho ngaphambi kokuthatha noma yimiphi imithi noma amakhambi.
Imithi Eyomisa Ubisi Ubisi
Eminye imithi igwenywa ngamama okuncelisa ngoba iyaziwa ukunciphisa ubisi lwebele lwebele. Ngakho-ke, omama abafuna ukunciphisa ngenhloso ukudla bangase bathathe le mithi ngezinye izikhathi.
Iphilisi Yokulawula Ukuzalwa
Uhlobo lokuqala lwemithi (futhi oludinga umshwalense) luyisipilisi sokulawula ukuzalwa. Amaphilisi okuhlanganiswa aqukethe i-estrogen ne-progestin (iphilisi encane, evunyelwe ukondla omama, iqukethe kuphela i-progestin.) I-estrogen emapilisi ivimbela ukukhiqizwa kokunikezwa ubisi.
Khumbula ukuthi lokhu kuyiphilisi yokukhulelwa, ngakho-ke uma uhlela ukukhulelwa futhi maduzane, lokhu ngeke kube yindlela yakho.
Ama-decongestants
Isigaba sesibili semithi yizidakamizwa, ezivame ukusetshenziselwa lapho umuntu ebanda. I-Pseudoephedrine (igama elithi brand Sudafed) liyaziwa ukunciphisa imfihlo, kubandakanya ubisi lwebele. Kwesinye isifundo, ama-60mg we-pseudoephedrine wehla ubisi ngamaphesenti angu-24.
Ngenxa ye-off-ilebuli futhi ngezinye izikhathi ukusetshenziswa okungekho emthethweni kwe-pseudoephedrine, iningi elithi ukuthengwa kwe-pseudoephedrine kunqunyelwe, nakuba kutholakala ngaphezu kwekhayiphi. Ukusebenzisa lesi sidakamizwa kungaba nemiphumela emibi kakhulu, ngakho khuluma nomhlinzeki wakho ngaphambi kokucabangela le ndlela.
Ezinye Izinketho
Kukhona imithi ethile esetshenziswe esikhathini esidlule ukuze isule amabele.
Le mithi ayiphuthumanga kakhulu le nqubo kodwa yayingavamile kulabo abakhetha ukungawuncelisi. Qaphela ukuthi imithi efana ne-pyridoxine, i-Parlodel (i-bromocriptine), kanye nokulinganisa okuphezulu kwe- estrogen kungabi ngempumelelo noma kuyingozi. Ayisetshenzisiwe ngenxa yokungasebenzi noma imiphumela emibi kakhulu.
Umama wakho noma ugogo kungenzeka bakutshele ukuthi bathole isibhamu esibhedlela ukuze bome ubisi babo. Lokhu akusatholakali e-United States, njengoba itholakale ibe nemiphumela emibi emibi.
Izinketho zemvelo
Kubomama abafuna indlela engokwemvelo yokomisa ubisi babo, amakhambi ahlukahlukene asetshenziswe ngamasiko ahlukene amakhulu eminyaka. Amakhambi angenza njengemithi, ngakho-ke, khuluma nodokotela wakho ngaphambi kokuthatha lokhu.
I-sage kanye ne-peppermint ngokuvamile ama-herbs anconywa okokuqala. I-Sage ingatholakala ezitolo zokudla ezempilo ku-tincture, iphilisi, noma ifomu letiye. Abaningi bezemithi batusa izinkomishi eziningana zetiye ezihlukahlukene nsuku zonke.
Ezinye izinkampani ziye zakha ama-herbal teas specially-made to decrease supply. Eyodwa itiye yi-No More Milk Tea Emhlabeni Mama Angel Baby.
Ukugcoba okwesikhashana
Uma utshelwe ukuthi uzodinga ukondla ingane yakho okwesikhashana ubisi lwebele, ukuqonda ukuthi kungani udinga ukondla kuzokusiza ukunquma ukuthi yini okudingeka yenzeke. Isibonelo, uma unenkambiso yezokwelapha okudinga ukuba uthathe imithi okuzodinga ukususa ubisi lwebele ngaphambi kokuba ukondle umntwana, uzolandela izinqubo ezahlukene kunokuthi uma ingane yakho idinga ukuhamba ngaphandle kobisi lwebele ukuze kuvivinywe isikhathi esifushane.
Yini eyisihluthulelo sokulonda okwesikhashana ukugcinwa kobunikazi bakho. Ukulondoloza ukondla ubisi lwakho kuyoba yinto ofuna ukukhuluma nomxhumanisi we-lactation mayelana. Uzosebenzisa ipompo lesifuba noma ukukhuluma ngezandla ukuze ulingise isimiso sokudla komntwana ngokuseduze. Lokhu kuzokusiza ukuba ulungele ukubuyela emuva ekunceliseni ingane yakho esifubeni.
Uma isizathu sokulonda okwesikhashana sasingekho mayelana nobisi lwebele olunezidakamizwa, khuluma nomuntu mayelana nokugcina kahle ubisi lwebele ukuze ulisebenzise ingane yakho esikhathini esizayo.
Amathiphu wokunciphisa i-Lactation
Ngenxa yokuthi sigxila kakhulu ekubalukeni kokuncelisa nokuncelisa ubisi, ukusekela okuyisisekelo ngezinye izikhathi kweqa. Kubalulekile ukuqonda ukuthi ubisi lwebele lwenziwa ngesidingo kanye nesistimu yokunikezela, ngakho-ke ukunciphisa ubisi bakho obunikazi udinga ukunciphisa ukufunwa. Lokhu kusho ukuthi uzofuna ukuveza ubisi lwakho lwesifuba ngangokunokwenzeka.
Uma ubukade usondla ingane yakho noma uphonsa, ukwehlisa lezo zondlo noma ukuqhuma kancane kancane kuzokubangela ubuhlungu obuncane. Uma ubungabonisi ubisi lwebele, gwema ukudonsa induduzo futhi ugweme ukugqugquzela ingono, okubandakanya ukugqugquzela ngokocansi. Gwema isilingo sokucindezela izingono zakho ukuhlola ukuthi usazokwenza ubisi lwebele. Ukukhuthaza amabele noma izingono zakho ngenkathi usomile kungaholela ekukhiqizeni okuncane kwesibisi sebele.
Omama futhi bathola ukuthi ukuma eshisheni eshisayo kungenza i-ejection reflex yobisi (ngezinye izikhathi ibizwe ngokuthi "yehla"). Ukuma ngemuva kwakho eshaweni kungenza lokhu kungenzeki. Uma kufanele ubhekane neshazi, ithawula eligugile phezu kwamabele akho lingasiza. Futhi, gwema ukudla ukudla kwe-lactogenic ngesikhathi. Lezi zizobandakanya ama-oats, i-flax, kanye nemvubelo yokugubha.
Ungase uzizwe ungajabuli ngesikhathi senqubo yokugaya. Nanka amathiphu okunciphisa ubuhlungu.
- Gqoka i-bra efanelekayo. I-bra elula kancane kunejwayelekile izokubangela ubuhlungu obuningi futhi ingakwandisa ingozi yokuthola amathanga ebisi yobisi noma i- mastitis .
- Thatha ngaphezulu kokunciphisa ubuhlungu be-counter like Tylenol (acetaminophen) noma i- Motrin (ibuprofen) ukukusiza ukubhekana nobuhlungu nokucindezelwa.
- Ukucindezeleka kwamazinyo kungasiza ngezinhlungu futhi kuzosiza ukunciphisa ukuthumba. Ngesikhathi besetshenziselwa ukunconywa ukuthi omama babeka amaqabunga eklabishi ebhodini labo, ucwaningo alutholanga umehluko enduduzo phakathi koomama abasebenzisa amaqabunga eklabishi noma ezinye izingcindezi ezibandayo.
- Gwema ukushisa okushisayo noma ukucindezeleka okufudumele emabeleni akho. Amanzi afudumele noma ashisayo angakhuthaza ukukhiqizwa ubisi lwebele.
- Amabele akho angavuza ubisi lwebele uma egcwele kakhulu noma lapho ucabanga ngomntanakho noma ukuzwa noma ukukhala kwakhe. Ukuze ugoqe ukuvuza okungalindelekile , ungagqoka amaphethini webele esifubeni sakho.
- Uma usubuhlungu obunzima, kungase kudingeke ukususa kancane ubisi lwebele kusuka emabeleni akho ngezizathu zokududuza. Uma wenza lokhu, ungalutholi lonke isifuba. Veza kuphela ubisi lwebele olwanele ukuze unciphise ubuhlungu nokucindezelwa. Ukuhlanza noma ukuveza isandla esihle ngobisi lwebele noma ukukhipha isifuba kuzothengisa umzimba wakho ukugcina ubisi oluningi lwebele.
Inothi Nge-Mastitis
Omama abazama ukuyeka ngokushesha ubisi lwebele basengozini enkulu yokugaya isisu . Qinisekisa ukuthi uxhumane nodokotela wakho uma ubona noma yiziphi izimpawu ezilandelayo:
- Fever
- Ama-Chills
- Ukuphunga
- Izitshalo ezibomvu esifubeni
- Amabele afudumele kulokhu okuthinta
- Izwa sengathi i-flu
- Izibindi ezinzima esifubeni ezihambisana nalezi zimpawu
Lokhu kungase kube izibonakaliso ukuthi unesifo sofuba. Ukulinywa okuncane kuzokusiza ukuvimbela lokhu.
Izwi elivela ku-Verywell
Ukumisa ubisi lwakho kuyinkqubo. Kungakhathaliseki ukuthi ubelethise yini ngaphambi kwalokho, inqubo izothatha isikhathi. Ukubekezela kanye namaqhinga ambalwa kuzohamba ngendlela ende ngokuphepha futhi kalula ukunciphisa ubisi bakho ngaphandle kobuhlungu noma ukutheleleka. Ungalokothi unqikaze ukufinyelela ochwepheshe bezokwelapha, njenge-IBCLC, uma unemibuzo.
> Imithombo:
> Aljazaf K, Hale TW, Ilett KF, Hartmann PE, Mitoulas LR, Kristensen JH, Hackett LP. I-pseudoephedrine: imiphumela ekukhiqizeni ubisi kwabesifazane nokulinganisa ukutholakala kwezinsana ngebele. I-Br J Clin Pharmacol. 2003 Jul; 56 (1): 18-24.
> AlSaad D, Awaisu A, Elsalem S, Abdulrouf PV, Thomas B, AlHail M. Ingabe i-pyridoxine isebenzayo futhi iphephile ekuvimbeleni i-post-partum lactation inhibition? Ukubuyekezwa okuhlelekile. J Clin Pharm Ther. 2017 Ngama-19 Ngama-do: 10.1111 / jcpt.12526. [I-Epub ngaphambi kokuphrinta]
> I-American Academy of Pediatrics. Umhlahlandlela Womama Omusha Wokuncelisa I-Breastfeeding. Izincwadi ze-Bantam. I-New York. 2011.
> Cole, M. Lactation emva kokubeletha kokubeletha, i-Neonatal, noma i-Infant Loss. I-Lactation yezokwelapha. 2012. 3 (3): 94-100.
> Hernandez P, Kisamore AN. Ukuphathwa kokunakekelwa kokunakekelwa nokunakekelwa komlomo kokuncelisa isikhathi eside ngokususelwa ekuthandweni komndeni. J Am Dent Assoc. 2017 Jun; 148 (6): 392-398. doi: 10.1016 / j.adaj.2017.01.025. Epub 2017 Mar 11.
> Lawrence, uRuth A., MD, Lawrence, uRobert M., MD. Ukuncelisa Ukubeletha Umhlahlandlela Wezokwelapha Umsebenzi We-Eighth Edition. I-Elsevier Health Sciences. 2015.