Ingabe I-Preemie Yakho Kudinga Uhlobo Oluthile Lokisi?
Kunezinhlobo eziningi zamantombazane emashalofini esitolo futhi zingashiya omama abasha bedidekile ngomkhiqizo ongcono wezingane ezisencane. Ukukhetha ifomula nakanjani isinqumo okufanele senziwe nge- neonatologist noma udokotela wezingane. Kodwa-ke, ukufunda ngezinhlobo ezahlukene ezitholakalayo kungakusiza ukuba nengxoxo enolwazi nodokotela.
Ifomula evamile
Amafomula amaningi ezinganeni ayenziwa ubisi lwezinkomo futhi awenzelwe izingane ezigcwele. Nakuba isayensi ingakwazi ukukhiqiza ukudla kokusana nazo zonke izinzuzo zokudla okunomsoco nezokuzivikela kobisi lwebele, usana lwe-infant is a alternative ephephile. Ifomula yamanje yenziwe nge-iron namafutha acids ukuthuthukisa ukuthuthukiswa kobuchopho, kanye nazo zonke izakhi ezikhulayo ezinganeni ezidinga.
Izibonelo zefomula yama-baby evamile zihlanganisa i-Similac Advance, i-Enfamil LIPIL, ne-Nestle Good Start.
Ama-Preemie Formulas
Izingane ezingaphambi kokuzalwa kanye nezinsana zokuzalwa zesisindo esiphansi ngokuvamile zidinga amafomula akhethekile ukuze zibambe ekukhuleni kwazo. Ngokusho kwe-American Academy of Pediatrics (AAP), udokotela wakho uzofuna ukuqinisekisa ukuthi umntwana uthola inani elanele lamakhalori nokuthi zonke izidingo zakhe zokudla okunempilo zihlangene. Ekuqaleni, lokhu kungase kusho ukusondeza okufakiwe futhi, njengoba ekhula ngamandla, qhubekela phambili ekufomeni amafomula engeziwe ku- NICU nangemva kokufika ekhaya.
Uma uhlose ukondla kodwa ingane yakho ayikwazi ukuyenza ngqo ngokushesha, kuhle ukuqhubeka ukuyiveza. Udokotela wakho angancoma ukuthi angondliwe ubisi lwakho lwebele ngenxa yokuthi, ngokusho kwe-AAP, inikeza izakhi ezingcono kakhulu ezinganeni ezinesibindi. Kungenzeka nokuthi isithasiselo, njenge-fortifier lebisi lomuntu (HMF), sizophakanyiswa ubisi lwakho lwebele.
Ungaphinda ubisize ubisi lwakho lwesifuba bese uyilondolozela ukuqhuma okuqhubekayo nokuqhubekayo kuzoqinisekisa ukuthi ukunikezwa ubisi kwakho akuphazanyiswa.
Amafomula wangaphambi kokukhipha
Lapho izitha kuqala ziqala ukuthatha ukondla ubisi, odokotela baqala ngezinga elincani lefomula esikhaleni sekhalori esilinganisa ubisi lwebele. Njengoba abantwana bethola okuningi okusetshenziselwa ukondla, odokotela bangase baqale ukusebenzisa ubisi oluphakeme-khalori ukusiza izingane zikhule ngokushesha.
Ku-NICU, odokotela basebenzisa imikhiqizo eyenzelwe izithasana ezisanda kuzalwa, njengeSimilac Special Care ne-Enfamil Premature LIPIL. Lezi fomula zinamaprotheni amaningi kunezinye futhi zingaxutshwa ndawonye ukuze zinikeze amalungiselelo aphezulu-khalori.
Amafomu okukhishwa kwe-Preemie
Ngaphambi kwezinsana ezingenasisindo noma ezisezincane zokubeletha zikhishwa esibhedlela, zijwayele ukuguqulwa zibe yifomula ye-preemie yokususwa. Lezi zihlanganisa imikhiqizo efana ne-Similac Neosure, i-Enfamil Enfacare, ne-Cow & Gate Nutriprem 2. Inama-calories aphezulu kanye namaprotheni amaningi, amavithamini, namaminerali kunama-formula amancane avamile, ukuze ukukhula okubanjwe kulesi sibhedlela kungaqhubeka nokukhishwa kwangaphambili.
Ama-Milk Fortifiers
Izingane ezisanda kusengaphambili ezibelethwe ngamabele noma ezitholayo ubisi lwebele ezibonisiwe zingadinga amakholori amaningi kunokuba ubisi lwebele luhlinzeke.
Ezimweni lapho odokotela bezwa sengathi ukuqinisa ubisi lwebele kuyisinqumo esingcono kakhulu sokwandisa ukukhula, isisifisi sobisi lomuntu (HMF) sisetshenziswa.
Ama-HMF angama-powders noma uketshezi okwengezwa ubisi lwebele ukwandisa inani lamaprotheni nama-khalori ebisi. Zisetshenziselwa izingane ezingaphambi kwesikhathi futhi ezincane ukuzisiza ukuba zithole isisindo ngokushesha futhi zibambe kunontanga yabo.
Ngokuvamile, amafomula asebenzisa ubisi lwezinkomo, nakuba i-soy, i-hypoallergenic, namafomu e-lactose mahhala nawo angasetshenziselwa ukuqinisa ubisi lwebele. Ezinye izinkampani nazo zinikeza ama-fortifiers akhiqizwa ubisi lwebele lomnikelo.
Uma uphonsa ubisi ingane yakho ngaphambi kwesikhathi , udokotela wakho angase anike i-HMF ukuba yengezwe ebisi lwebele lomntanakho.
Nakuba amama omama angaphambi kwesikhathi anesibisi sesifuba esivame ukwedlula amamorikhi kunabantwana besikhathi esigcwele, kusabalulekile ukungeza amaprotheni engeziwe ebisi lakho.
Izentuthuko zisenziwa kulezi zakhiwo. Isibonelo, isifundo esisodwa saqhathanisa imiphumela ye-HMF entsha emapulini eyayinamaprotheni amaningi angamaphesenti angu-16 kanye neminye micronutrients engaphezu kwesinye i-HMF. Umphumela wukuthi ubisi lwebele lwama-protein nolwamafutha alukhulisa ukuzuza isisindo ezinsana ezingakafiki.
Amafomu Okuthola Izinkinga Zokugaya
Izingane ezingaphambi kwesikhathi ezinomdlavuza zingase zizuze ngokushintsha ifomula yazo evamile ukuya ehlanganisweni ehlukile. Amafomula ezisu ezibucayi zenzelwe izingane ezigcwele futhi zingase zingabi namakholori anele ezitha. Ngenxa yalesi sizathu, kubalulekile ukuthi ungashintshi kwenye yale mikhiqizo ngaphandle kokukhuluma nodokotela wezingane kuqala.
- I-Soy Formulas: I-protein emanzini ka-cow ingaba nzima kwabanye abantwana ukugaya. Izingane ezinomsoco wobisi zingase zibe nesifo sohudo (ngezinye izikhathi ngegazi) noma isikhumba noma izinkinga zokuphefumula. I-protein ye-Soy ayinalo ubisi lwezinkomo, kodwa isekelwe ekusizeni, futhi ingasiza ekunciphiseni izimpawu zokungabekezelelani. La mafomula afaka iSimilac Isomil, i-Enfamil ProSobee, ne-Nestle Good Start Soy.
- Amafomu e-Hypoallergenic: Ezinye izingane ziphikisana nazo zombili amaprotheni omsoka wezinkomo kanye namaprotheni we-soy. Amafomu ama-hypoallergenic aqukethe amaprotheni ase-pre-digested, ngakho-ke abantwana abanciphisa amaprotheni obisi ngokuvamile bayakwazi ukubekezelela izingxube ze-hypoallergenic. Le mikhiqizo nayo i-lactose-free futhi ifaka iSimilac Alimentum ne-Enfamil Nutramigen .
- Amafomu Okungenayo I-Lactose: Ngesinye isikhathi, ingane ingase ingabi ne-lactase eyanele, i-enzyme esetshenziselwa ukugaya ushukela lobisi lwe-lactose. Ngenxa yokuthi lezi zingane azigubisi kahle ushukela ubisi, zingase zishaye noma zikhale ngokweqile. Amafomu ama-Lactose-mahhala afana ne-Similac azwelayo noma afanela A + i-Lactose Free angasiza lezi zingane zikhala kancane futhi zizizwe zikhululekile.
- I-Amino Acid-Based Formmu: Izinsana ezinezinkinga ezinkulu zesisu zingase zingakwazi ukuwaphula ngisho namaprotheni asetshenziswe ngaphambili athola amafomu e-hypoallergenic. Kulezi zinsana, ifomula eliqukethe ama-amino acids mahhala (izakhi zokwakha amaprotheni) ingaba yedwa okukhethwa kukho. Ama-formula ama-amino acid afaneleka izingane ezinezinkinga zokudla ezinzima noma ezisongela ukuphila, eziye zahlinzwa emathunjini, noma zinezinye izinkinga ezinzima zamathumbu. Le mikhiqizo, njenge-EleCare, i-Enfamil Nutramigen AA, ne-Neocate, ayikho i-lactose futhi ingaqukatha amafutha akhethekile ezinganeni ezinenkinga yokumnika amafutha ngamafomula avamile.
Izwi elivela ku-Verywell
Izinsana zangaphambi kwesikhathi zingenza abazali bakhathazeke, ikakhulu uma kuziwa ekudleni ngoba kubalulekile ekukhuleni kwabo. Kubalulekile ukuthi ukhulume nodokotela wakho nganoma yikuphi ukukhathazeka onakho, uzokwazi ukukuqondisa kumafomula amahle kanye nezinqaba ezidingekayo ingane yakho.
> Imithombo:
> I-American Academy of Pediatrics. Ukunakekela Umntwana Okhulile: Lokho Abazali Abadinga Ukukwazi. HealthyChildren.org. 2015.
> I-American Academy of Pediatrics. Ukuhlinzeka Ngokubeletha Ngezinsana Zangaphambi Kokuqala Nezifo. HealthyChildren.org. 2015.
> Rigo J, et al. Izitshalo ezikhulayo kanye nezomsoco wezinsana zangaphambi kokugcoba i-New Powdered Milk Fortifier: I-Trial Randomised. I-Journal ye-Gastroenterology ye-Pediatric ne-Nutrition. 2017; 65 (5): e83-e93. doi: http://dx.doi.org/10.1097/MPG.0000000000001686.