Ngaba ungalithatha ngenene iyeza elikhutshelwa ukukhulisa ubisi lwakho?

Imfundo yezeMpilo

Le yinxalenye yothotho lokuncancisa ukuxhasa iNyanga yeSizwe yokuNcelisa (ngeyeThupha). Fumana ingxelo epheleleyo Apha .

Ukuncancisa kuhlala kubizwa ngokuba yindlela yendalo yokondla umntwana, kodwa ngenxa yokuba into yendalo ayithethi ukuba kulula. Ngapha koko, ukuncancisa kunokuba nzima kakhulu: imiba ye-latch, iingono eziqhekekileyo, i-engorgement, kunye nokubonelelwa ngobisi olusezantsi konke kuxhaphake iiveki zokuqala kunye neenyanga zokuncancisa.

Kuzo zonke ezi ngxaki, ubisi oluncinci lobisi yeyona nto iphazamisayo-ke kuyaqondakala ukuba kutheni oomama abaninzi abatsha bejika baba ziinombolo ezahlukeneyo amacebo okwenza ubisi oluninzi , kubandakanya ukubuza kugqirha amayeza amiselweyo amarhe kuwo ukwandisa ubisi .

E-United States, inye kuphela ichiza i-FDA evunyiweyo yokusetyenziswa kwenkxaso ye-lactation: metoclopramide, igama lophawu Reglan . (Abantu baseKhanada bahlala bemiselwe i-domperidone endaweni yoko, kodwa kunjalo ayivunyelwanga ukuba ithengiswe e-U.S. ngenxa yenkxalabo yeziphumo ebezingalindelekanga.) NgokukaChristine Masterson, MD, inkosi yamakhosikazi kunye nomnxeba wenkonzo yabantwana e Summit Iqela lezonyango eNew Jersey, i-metoclopramide sisiyobisi esisetyenziselwa ukunyanga ezahlukeneyo imiba zesisu ; kwenzeka nje ukuba enye yeempembelelo zeziyobisi kukunyuka kwemveliso yobisi.

IMetoclopramide icima ikhemikhali kwingqondo ebizwa ngokuba yidopamine, evumela ukuphakama kweprolactin, utshilo uGqirha Masterson. (IProlactin yi i-hormone ekhuthaza ukuveliswa kobisi Inokwahluka kakhulu ekusebenzeni kakuhle ekuncanciseni, nangona ezinye izigulana zinokufumana ukwanda kweepesenti ezingama-50 ukuya kwi-100 kunikezelo lobisi.

Ke yintoni ingxaki ngokusebenzisa iReglan ekuncanciseni? Ngapha koko, uGqirha Masterson uthi baninzi. Kwesinye, ukusetyenziswa kwe-metoclopramide yokuvelisa ubisi akufundiswanga kakuhle. Okwesibini, akukho sibonakaliso sicacileyo malunga nedosi yokuvelisa ubisi xa kuthelekiswa neempawu ze-GI. Kwaye okokugqibela, kuba i-metoclopramide idlula kubisi lwebele, kunokubakho iziphumo ebezingalindelekanga kubo bobabini umama kwaye umntwana.

Ukugxininiswa kweziyobisi egazini lomntwana kunokuhluka kakhulu, kodwa kunokuba ngaphezulu kweepesenti ezili-10 zedosi yomama, utshilo uGqirha Masterson. Oku kunokuchaphazela iphecana le-GI yosana: ukubangela ukubakho kwegesi ngakumbi kunye nokungahambi kakuhle kwesisu okanye ukutshintsha ukuhamba kwabo emathunjini kuhudo.

Njengokungathandeki njengaleyo yosana, iziphumo ebezingalindelekanga kumama zinokuba zibi kakhulu. Ugqirha Masterson uthi ukongeza kwimicimbi efanayo ye-GI, intloko, ukudinwa, umlomo owomileyo, kunye nokuqinisekileyo iingxaki zokuhamba , Abafazi banokufumanisa ukuba i-metoclopramide ibangela okanye ibangele ukuba mandundu kweempawu zoxinzelelo kunye noxinzelelo. Ngexesha laxa oomama besesichengeni sokutshintsha kwemood okuziswa ziihormoni zasemva kokubeleka kunye noxinzelelo lokondla umntwana osana olusanda kuzalwa ubusuku nemini, ichiza elinomngcipheko omkhulu woxinzelelo ayinakuba lolona khetho lufanelekileyo.

Indlela esizala ngayo inefuthe kwindlela esivakalelwa ngayo emva siyazala, utshilo umcebisi osondayo oseNew York U-Leigh Anne O'Connor , IBCLC. Ukuba ubunengxaki yokuzalwa, kunye nec-c okanye icandelo elingacetywanga [okanye olunye ungenelelo olungalindelekanga], ukuncancisa nako kuya kuba ngumceli mngeni.

Ezinxulumene: Inkxaso inokunceda njani oomama ngexesha lokuncancisa

Ezi zinto zidibeneyo zinokwenza iresiphi Ukudakumba emva kokubeleka , nokuba umama omtsha unembali yoxinzelelo okanye hayi (nangona amathuba aphezulu ukuba enawo); U-O'Connor uthi ubone uninzi lwabasetyhini bafumana iimpawu zoxinzelelo kunye noxinzelelo ngelixa bethatha i-metoclopramide ukuze bazive bekhululekile ukuyincoma kwizigulana zakhe.

Endaweni yoko, ugxininisa ukubaluleka kokufumana inkxaso ngeentsuku zokuqala zokuncancisa. Indawo elungileyo onokuthi uqale kuyo kuvavanyo lwe-lactation olupheleleyo Umcebisi ngeLactation eLactation yeBhodi yeHlabathi (IBCLC), enokuveza ukuba ingaba ngumama okanye hayi ngokwenene unikezelo olusezantsi (amaxesha amaninzi kukho enye ingxaki elungiswe ngokulula ezenza umba wonikezelo). Nokuba unikezelo lukamama luphantsi ngokwenene, ukusebenza ne-IBCLC kunokuchonga unobangela-kwaye kummise kwikhondo lokulungisa ingxaki nokwakha isiseko esiqinileyo sokuncancisa ikamva.

Abantu abaninzi bafuna ukuncancisa, kodwa abayiqondi into yokuba inkqubo yethu yokhathalelo lwempilo ayimiselwanga ukuxhasa okanye ukufundisa abantu ukuba injani kanye kanye kwaye zeziphi izithintelo, utshilo u-O'Connor. Abantu baziva ngathi bayasilela xa ingahambi kakuhle kwangoko.

Oko kwathiwa, kukho iimeko ezithile xa ichiza elinje nge-metoclopramide yokwandisa ubisi kunokuba kufanelekile. NgokukaGqirha Masterson no-O'Connor, abantu abanokuxhamla ekusebenziseni iReglan ekuncanciseni ibandakanya:

• Abasetyhini abanamanqanaba asezantsi eprolactin;
• Abasetyhini abaye banalo naluphi na uhlobo lotyando lwebele, kubandakanya ukunciphisa;
• Abasetyhini abane-herpes esebenzayo okanye i-HIV;
• abafazi abane webele hypoplasia ;
• kunye noomama abamkelekileyo abafuna ukuncancisa umntwana wabo owamkelekileyo.

Ngokubanzi, kungcono ukujongana nezizathu ngoba ukuncancisa akusebenzi endaweni yokuxhomekeka kugqirha ukusombulula ingxaki. Ugqirha Masterson uthi oomama abatsha mabahlale bondlekile kwaye banamanzi, balale ngokwaneleyo, balawule uxinzelelo, kwaye bazingqonge ngabantu abaxhasayo, abancancisayo.

Kodwa ngokungafaniyo no-O'Connor, yena yenza isekhona i-metoclopramide njengokhetho kwizigulana zakhe ezisokola ukuncancisa-okoko zingenayo imbali yemicimbi ye-GI okanye uxinzelelo.

Ukuba umntu uza kum ekhalaza malunga nokuncancisa, ndiyamkhankanya [Reglan] kuba ukumisela ukuncancisa kubaluleke kakhulu kwiiveki ezimbini ukuya kwezintathu zokuqala emva kokuzalwa, uGqirha Masterson uyacacisa. Ukuba uyisebenzisa [ukuya kuthi ga] kwiiveki ezili-12 — akusekho-ke ngethemba lokuba ukuncancisa kwakho kuya kusekwa ngcono kwaye awuzukufuna ukongezeleka.

Ukuba unengxaki yokuncancisa, unokufumana i-IBCLC kwindawo yakho Apha . Ukuba wena okanye umntu omthandayo unempawu zoxinzelelo lwasemva kokubeleka, funa uncedo kumboneleli wezempilo yengqondo kwangoko.