Isimo lapho umama ekuncelisayo ehlushwa ukhetho olunzima, ukuphonsa i-GW, noma ukuqhubeka, uma impilo entsha ingaphansi kwenhliziyo, akuyona into engavamile. Ungaqonda uma ufunda ngokubeletha ngesikhathi sokukhulelwa ngokuningiliziwe futhi ulinganisa zonke izinhlangothi eziqondile nezimbi.
Ngiyakwazi ukukhulelwa ngesikhatsi se-lactation?
Ngeshwa, ama-mummies amaningi anamuhla asengaphansi kwethonya lwazi olungalungile olufikile kithi kusukela ezikhathini zasendulo. Khona-ke labesifazane bayazi impendulo yombuzo othi "ngingakwazi yini ukukhulelwa nge-lactation," futhi waye- "cha." Ngalezo zinsuku, lona wesifazane wayondla umntwana kuphela uma efuna, futhi ukuya esikhathini akuzange kubuyiselwe ngokwemvelo ngenxa yezinga eliphezulu leprolactin egazini, elizokhishwa njalo futhi ngokulinganayo.
Manje isimo sesishintshile kakhulu. Oomama abaningi abakwazi ukukhulisa ingane yabo ngokugcwele, futhi basebenzise imicube njengomsizi. Okusho ukuthi, ubisi alukhiqizi ngokwanele futhi izinga leprolactin, elibhekele ukusebenza komsebenzi wokukhiqiza, lisezingeni eliphansi. Ngakho-ke, ukuya esikhathini kuqala ngemuva kokubeletha futhi, yiqiniso, ngesikhathi esisodwa kukhona ukuvunguza. Okuthinta kakhulu ukwehla komthelela wokukhulelwa wokudla lokho umama akhetha ukulala ebusuku ngaphandle kokubeka ingane. Iphutha elinjalo liphenduka ukukhulelwa okusha.
Ukuqinisekisa ukuthi ukubeletha ngesikhathi sokukhulelwa kungabi yinkinga eyodwa, ngaphandle kwe-amenctrhea ye-lactational (ukungabikho kokuya esikhathini ngesikhathi sokudla), kubalulekile ukuzivikela ngesikhathi se-GW nezinye izindlela zokuvimbela ukukhulelwa:
- ukusungula idivayisi ye-intrauterine ;
- khetha i-mini-second njengendlela yokukhulelwa engenangozi ;
- sebenzisa ikhondomu.
Izimpawu zokukhulelwa nge-lactation
Uma owesifazane odla umntwana obisi ubamba ukukhulelwa okusha, khona-ke kufanele aqaphele izimpawu zinkimbinkimbi ezingakhuluma ngayo ngomklomelo wokutholwa. Nazi izibonakaliso ezivame kakhulu zokukhulelwa ku-HBV :
- uma ukuya esikhathini sekuqalile, ukuphela kwayo;
- ukwehla okubukhali ebunini lobisi, nakuba lesi simo sivame ukubhekana nenkinga yokushaywa kwesisu;
- ukuguqula ekuziphatheni kwengane esifubeni - ingane ishibilikile, iyabuya, ikhala, nakuba ilambile;
- ukungathandeki ezindlini nasezifuba;
- isifuba sokwandisa;
- izikhwama esiswini esingaphansi;
- ukunxanxathela, ukuphuza, ukulala, ukubekezelelana kwamakha - izibonakaliso ezijwayelekile ze-toxicosis.
Ukuhlolwa kokukhulelwa kwe-Lactation
Ukubona ukukhulelwa ngesikhathi se-HBV kungaba ngendlela efanayo nokukhulelwa okujwayelekile. Uma kukhona izinsolo, umama omncane angasebenzisa izindlela ezithile ezifakazelwe:
- thola uhlolo ekhemisi bese uliqhuba cishe;
- banikele igazi kwi-hCG ebhokisatri.
Uma izibonakaliso zokukhulelwa ngesikhathi se-lactation zicacile, futhi ukuhlolwa ngesizathu esithile kubonisa umdwebo owodwa, kungenzeka ukuthi emva kokukhulelwa kwakungekho isikhathi esanele. Ungalinda elinye iviki uphinde uphinde uphinde uphinde uphinde uphinde uphinde uzibonele, noma unikeze ukuhlonza i-hormone yokukhulelwa kwabachwepheshe be-laboratory. Umphumela ongathandabuzeki obonisa ukuhlushwa okuncane kwe-hCG egazini - isizathu sokuthola ukuhlaziywa ezinsukwini ezimbili. Uma isibalo sabantu ababili, amathuba okukhulelwa angama-99%.
Ngingamncelisa ngesikhathi sokukhulelwa?
Ngokuvamile, umama akafuni ukuqhubeka nokondla ngesikhathi sokukhulelwa ngenxa yokucindezeleka okukhulu emzimbeni kanye nokwesaba kwakhe impilo entsha. Kodwa lesi sinqumo asilungile ngaso sonke isikhathi. Ngempela, ngezinye izikhathi kunesithakazelo kuzo zonke izinhlangano zomphakathi ukuyeka i-GW, kodwa kaningi umama omncane angondla ingane yakhe ngisho nangaphezulu, futhi aphinde athole ukudla emva kokuvela komntwana wesibili. Ukuze uthole ukuthi kungenzeka yini ukuncelisa ingane ngesikhathi sokukhulelwa, umuntu kufanele abe nomjozi wezifo ezibelethayo owazi isimo sesifazane kangcono kunanoma ubani omunye.
Kungani ungazitholi ngesikhathi sokukhulelwa?
Kwezinye izimo, ukuncelisa ngesikhathi sokukhulelwa kuvunyelwe. Lokhu kufaka:
- Usongo lokuqeda ukukhulelwa. Kukholelwa ukuthi umphumela wezinsipho ezilandelwa ukukhiqizwa kwe-oxytocin, okuvusa ukukhipha isisu noma ukulethwa, akuqali ngaphambi kwamaviki angu-20. Yilokho, kuze kube yilesi sikhathi owesifazane akakwazi ukukhathazeka ngokuthi kungenzeka ukukhulelwa kwesisu ngenxa yokugqugquzela ngokweqile isifuba. Lokhu kufanele kuphela uma kungekho usongo oluqondile, kodwa uma owesifazane ethola ukuthi unesifo "sokushulelwa kwesisu", ukubeletha kwandisa ingozi yombutho we-placenta, ngakho-ke umntwana kufanele ayeke ukudla.
- I-toxicosis enamandla ingaba yisithiyo sokuncelisa ngesikhathi sokukhulelwa. Ngaphezu kwalokho, ukuthi isimo esiningi somfazi, ngesifiso esiningi sokuhlanza, ukukhanda ikhanda kanye nokuhlushwa okuqhubekayo, akugcini ekukhulumisaneni okuqinile nengane, ukondla kungaba yinto engalungile ingane isebenzisa ubisi lomama - kwezinye izimo, isimo se-toxicosis sabhaliswa usana .
- Uma umama enesifo esingelapheki, umzimba wakhe unobuthakathaka ngokukhulelwa kwamuva kanye nokudla, bese umthwalo ophindwe kabili emzimbeni ungaholela emiphumeleni emibi. Ngakho-ke, owesifazane onjalo uzodinga ukuvala ngokushesha i-HS, eyingozi empilweni yakhe.
Ungamisa kanjani ukulahla ngesikhathi sokukhulelwa?
Ukuqeda i-H ngesikhathi sokukhulelwa kuyadingeka kancane kancane, uma kunethuba elinjalo, futhi akukho ukuphikisana okunzima. Ingane kufanele ifinyelele kunani lebisi eliwusizo kuye. Okufanelekile, uma ukuxoshwa ngokugcwele kungenzeki ngaphambi kwezinyanga ezingu-12, lapho ingane isuvele ithola ukukhishwa okugcwele futhi kungenjalo isidingo sokuncelisa.
Uma nje umama ezwa ngokukhulelwa, kufanele aqale ukuhlanza ukudla okulodwa, esikhundleni sakhe ngenhlanganisela yokufakelwa. Ukukhipha okuphelele okuphelele kwesifuba somntwana kulandelwa ifomula ehambisanayo. Kulesi simo, ingane ayifinyeleli ngokuqondile komunye umkhiqizo, futhi ingozi yokungezwani komzimba iyanciphisa.
Ukubeletha nokukhulelwa okusha
Uma umama efuna, futhi udokotela akaphikisi, khona-ke ukukhulelwa nge-lactation kunokwenzeka kakhulu, ikakhulu uma ingane isincane kakhulu. Ukuqaphela indlela ingane isondeza ngayo esifubeni sakhe, singaphetha ngokuthi ukuqhubeka kokudla. Uma engenalo ukuqhuma, uziphatha ngendlela ehlala njalo, futhi ukuphuza akubanga ubuhlungu obunzima, bese kudla okunjalo kuzosiza ingane nomama, okungeke kudingeke ukuphuze ingane yomkhiqizo ayidingayo.
Ingabe ukunambitheka kobisi lwebele kushintshe ngesikhathi sokukhulelwa?
Kuye kwafakazelwa ngokwesayensi ukuthi ubisi lwebele ngesikhathi sokukhulelwa lushintsha ukwakheka kwalo nokunambitha ngaphansi kwethonya lamahomoni. Akekho owaziyo uma ingane izwa lokhu kunambitha okusawoti, okubabayo noma okumuncu, kodwa uma ingashiyi isifuba sayo ngenxa yezinguquko, konke kulungile. Ngesikhathi sokubeletha, ingane enjalo iyoba nekhefu elifushane, kanti uma umama ebeletha futhi ebuyela ekhaya, ukugqama okukhulu kobisi kuzokwanela umntwana osanda kuzalwa nomntwana omdala.
Ingabe ibele ilahlekile ngesikhathi sokukhulelwa kwesibili?
Asikho isizathu sokucabanga ukuthi ukukhulelwa ngesikhathi sokukhulelwa kungathinta kakhulu inani lobisi. Yebo, kwezinye izimo, amasonto okuqala ubisi lungase bube kancane kancane, kodwa lesi simo siphila isikhathi esifushane. Umama kufanele aqhubeke nokupha ingane, uma efuna, futhi uma kunesidingo, ungayifakezela ngengxube uma umntwana elambile kakhulu. Inani lobisi lingancipha kuphela ku-trimester yesibili ngaphansi kwethonya lama-hormone. Uma ngalesi sikhathi ingane ingasidingi isifuba, kungcono ukuyisusa kahle.
Imithetho yokondla ngesikhathi sokukhulelwa
Ukukhulelwa ngesikhathi sokulahlwa kwakungokwesifazane ngaphandle kokulahlekelwa, kufanele ulandele imithetho elula:
- Yidla ukudla okunempilo okunempilo, njengokwamawele amabili okukhulelwa.
- Ngesikhathi sokuphumula okuphezulu, ukunakekelwa kokunakekelwa kwemvuthuluka ekhaya.
- Isikhathi esiningi sokuchitha ekuhambeni.
- Ukwamukela multivitamins eziyinkimbinkimbi eziyinkimbinkimbi.
- Ngesikhathi sokulala kancane, buza udokotela.