Ngakho usanda kuba nomntwana futhi uthola ukuncelisa ukubeletha - ukuhalalisela! Mhlawumbe kunezinsuku eziningi zokulala, futhi awukwazi ngisho nokucabanga ukuthi kuzoba njani uma uzophinde ukhulelwe. Ngenxa yokuthi uncelisa, ungahle uthande ukuthatha ukulawulwa kwama-hormonal njengamanje, njengoba ufuna ukuqinisekisa ukuthi akukho lutho oluthinta impatho yakho yobisi noma ingane yakho.
Uzwile ulwazi oluphikisanayo mayelana nokuzala kwakho ngenkathi ukondla, kodwa yiziphi amaqiniso? Kuyini iqiniso?
Ukulandela ukukhulelwa nokubeletha, owesifazane ongeyena olahlayo angabuyela ekubeni nama-mens avamile ngemuva kwamasonto amathathu ngemuva kokubeletha. Kodwa abesifazane abancancisayo izingane zabo bavame ukuthola ukuthi ama-mens abo abambezelekile phakathi nesikhathi sokunakekelwa okukhethekile. Abanye besifazane bathola ukuthi abanawo umjikelezo wokuya esikhathini sokuba nobuhlobo bokuncelisa, ngisho noma kuthatha iminyaka. Ukuqaphela lo mkhuba kuzo zonke izinhlobo ezihlukahlukene zamasiko, amakilasi ezomphakathi kanye nezilungiselelo emhlabeni wonke, abacwaningi baqala ukuhlola ukuthi ukubeletha kwathinta kanjani ukuzala. Lokho abakutholile ukuthi ukubeletha kuhloswe ukulibazisa i- ovulation , into eyaziwa ngokuthi i-Lactational Amenorrhea Method (LAM). Izifundo zibonise ukuthi zingaphezu kuka-98% eziphumelelayo njengokulawulwa kokuzalwa uma kutholakala izindlela ezintathu eziyisihluthulelo. I-LAM iphumelela kakhulu kunepilisi yokulawula i-progestin kuphela kanye nezindlela ezihlukahlukene zokuvimbela.
3 Izingxenye ze-LAM Zokusebenza
- Ingabe umjikelezo wakho wokuya esikhathini ubuyele? Amazinyo akufanele abuyele ngemuva kokubeletha kwe-LAM ukuze asebenze. Ukukhipha amafutha emasontweni okuqala ngemva kokuzalwa, nokubhekwa kwezinsuku ezingu-56 zokuqala, kuvamile futhi akufanele kuthathwe njengokubuyiselwa kumjikelezo wakho. Nokho, ngaphezu kwamasonto ayisishiyagalombili okuqala, uma owesifazane ephuma ezinsukwini ezimbili noma ngaphezulu, noma egazini ocabanga ukuthi kungaba ngumjikelezo wakhe wokuya esikhathini, kufanele acabange ukuthi ama-mens abuyele.
- Ingabe ukubeletha kuphela ekufuneni, kokubili imini nobusuku? Njengoba izinguquko ze-hormone emzimbeni wesifazane kusiza ukuvimbela ama-menses ngenkathi kuncelisa, kubalulekile ukuncelisa ngesidingo, ubusuku nemini, ukuze uthembele ku-LAM njengendlela ephumelelayo yokuvimbela ukukhulelwa. Nakuba ukunambitheka kwesinye isikhathi sokudla noma okunye uketshezi kuvunyelwe, akumelwe neze kuthathe isikhundla sebele. Njengokuxhaswa, ukulala phakathi nobusuku kunganika umzimba wesifazane isikhathi eside ngaphandle kokuncelisa, okungaveza ukuthi umzimba awusakwazi ukuvimbela ukuvuthwa.
- Ingane yakho ingaphezu kwezinyanga eziyisithupha ubudala? I-LAM ingathembeka lapho ingane yakho ingaphansi kwezinyanga eziyisithupha. Kodwa-ke, cishe phakathi nonyaka wokuqala wokuphila, ingane iqala ukudla ukudla okuqinile, okunganciphisa ukuvama kokubeletha noma isikhathi eside, okwenza amathuba okuvuthwa kwe-ovulation akhule.
Uma lezi zitho ezintathu zikhona - ingane engaphansi kwezinyanga eziyisithupha ubudala, i-breastfed kuphela ekufuneni, futhi ingabuyeli emahlathini - kanti i-LAM ingaphezu kuka-98% esebenzayo njengendlela yokulawula ukuzalwa. Kuphephile kumama nomntwana, njengoba kungekho amahomoni ahilelekile, futhi kulula. Kodwa uma kunoma yikuphi lapho owesifazane eqala ukuzizwa engakhululekile ukuthembela ngale ndlela, enye indlela yokwelapha kufanele isetshenziswe uma lo mbhangqwana usazama ukugwema ukukhulelwa.
Nakuba i-LAM ivame ukuhlotshaniswa nokulinganiselwa ezinyangeni zokuqala eziyisithupha zokuphila komntwana, ucwaningo luye lwabonisa ukuthi uma umama eqhubeka engenawo ama-sosi, ama- solids anikezwa ingane ngemuva kokuncelisa (kunokuba ngaphambili), futhi umama akayi ' Ukuhamba isikhathi esingaphezu kwamahora amane emini - namahora ayisithupha ebusuku - phakathi kokuncelisa, abambalwa abafazi abakhulelwe.
Ukuncelisa ukubeletha kwandisa amathuba okuthi uma umama enesisindo sokuya esikhathini, owokuqala ngeke aqale ukuvota. Njengoba ukuvuthwa kuyadingeka ukuze ukhulelwe, lokhu kuphuma ngaphandle kokuvuthwa kunika owesifazane "isixwayiso" sokuthi ukuzala kwakhe kubuyele, nokuthi kufanele acabange ngokunye kokukhulelwa kunokuthembela kuphela ekunceliseni i-LAM.
Kodwa uma umjikelezo wesifazane wesimiso isikhathi eside uhlezi ngaphambi kwezinyanga eziyisithupha zokuqala emva kokuzalwa, amathuba okuba i-ovulation izokwenzeka ngaphambi komjikelezo wokuqala. Uma ama-mens angazange abuyele ngonyaka, isibonelo, kunomthelela omkhulu ukuthi owesifazane obelethayo uzogcoba ngaphambi kokuphuma kwesikhatsi sokuqala kokuya esikhathini kunokuthi uma ukuphuma esikhathini esikhathini esizayo kwenzeka ezinyangeni eziyisithupha emva kokubeletha.
Uma isetshenziswe phakathi nezinyanga eziyisithupha zokuqala, ukuncelisa kanye ne-Lactational Amenorrhea Method kungaba yindlela ephumelela kakhulu yokulawula ukuzalwa okuvumela isikhathi esithile emva kokuzalwa ukuthi sinqume ukuthi yiluhlobo luni lokubeletha olulungile kubo.
> Imithombo:
UColy, uShirley. I-LAM - I-Lactational Amenorrhea Method. I-World Alliance for Breastfeeding Action http://www.waba.org.my/resources/lam/index.htm
Kennedy, KI (2002). Ukusebenza nokusebenza kwe-LAM. KuMK Davis, C. Isaacs, LA Hanson & AL Wright (Ed.), Intuthuko emithini yokuhlola kanye ne-biology; ukuhlanganiswa kwemiphumela yabantu, izindlela eziphilayo kanye nezindlela zokucwaninga ekuhloleni ubisi lomuntu kanye ne-lactation (2002/05/25 ed., pp.207-216). I-New York: I-Kluwer Academic / Plenum Publishers.
I-Labbok, MH et al. Ukutadisha okuningi kwe-lactational amenorrhea (LAM): I. Ukusebenza, ubude, kanye nemiphumela yesicelo somtholampilo. Ukwelashwa 1997; 55 (6): 327-36.
I-Labbok, MH (2007). Ukubeletha, ukuzalelwa kokuzalwa, nokuhlela umndeni. Ku-TW Hale & PF Hartmann (u-Ed.), Incwadi kaHale & Hartmann ye-lactation yabantu (pp.305-318). Amarillo, TX: Ukushicilela kwe-Hale.
UNichols-Johnson, uVictoria. I-Dyast Breeding ne-Contraception. Izitha Zokubeletha NgoNovemba 2001, Umqulu 21, Inombolo 2, iphe. 11-12.