Imeko xa umama ekuncelisayo ejongene nokukhetha okunzima, ukuphosa i-GW, okanye ukuqhubeka, ukuba ubomi obutsha buphantsi kwentliziyo, akunjalo. Unokuqonda ukuba ufunda malunga nokubelesa ngexesha lokukhulelwa ngokubanzi kwaye ulinganise onke amanqaku afanelekileyo kunye namacandelo.
Ngaba ndiyakhulelwa ngethuba lokutya?
Ngelishwa, amaninzi amamememanje amanamhlanje asengaphantsi kwefuthe lenkcazelo engalunganga efikile kuthi kumandulo. Emva koko abafazi babesazi impendulo kumbuzo othi "ndiyakwazi ukukhulelwa ngethambo," kwaye wayekho-"hayi." Ngaloo mihla, lo mfazi wayondla umntwana kuphela ngenxa yokufunwa, kwaye ukuya esikhathini akuzange kubuyiselwe ngokwemvelo ngenxa yezinga eliphezulu leprolactin egazini, eliza kukhutshwa rhoqo kwaye lilingane.
Ngoku imeko yatshintshile kakhulu. Oomama abaninzi abanako ukukhusela ngokupheleleyo umntwana wabo, kwaye baqhelathe ukuxubusha njengomxube. Okokuthi, ubisi aluvelwanga ngokwaneleyo kwaye inqanaba leprolactin, elijongene nokusebenza komsebenzi wokuvelisa, liphantsi kwinqanaba eliphantsi. Ngako oko, ukuya esikhathini kuya kudala emva kokubeleka kwaye, ngokuqinisekileyo, ngexesha elifanayo kukho i-ovulation. Eyona nto ichaphazela ukunciphisa umonakalo wokukhusela ukunyusa oko uMama ukhetha ukulala ebusuku ngaphandle kokubeka umntwana. Iphutha elinjalo lijika libe ngowokukhulelwa okusha.
Ukuqinisekisa ukuba ukunyamezela ngexesha lokukhulelwa akuyi kuba yinkalo enye, ngaphandle kwe-amenctrhea ye-lactational (ukungabikho kwimihla ngexesha lokutya), kuyimfuneko ukuzikhusela ngexesha le-GW nezinye iindlela zokukhulelwa:
- ukuseka i- intrauterine ;
- ukhethe i-mini-yesibini njengento yokukhusela ingozi ;
- benzisa iikhondom.
Iimpawu zokukhulelwa kunye ne-lactation
Ukuba ibhinqa elondla umntwana nobisi ligxeka ukukhulelwa okutsha, ngoko kufuneka ibeke ingqalelo kwiimpawu eziyinkimbinkimbi ezikwazi ukuthetha ngomntu ongenamkelo. Nazi iimpawu eziqhelekileyo zokukhulelwa kwi-HBV :
- ukuba ukuya esikhathini sele kuqalile, ukuphela kwayo;
- Ukunciphisa ngokukhawuleza kwimali yobisi, nangona le meko ifana neengxaki zengxube;
- utshintshe ekuphatheni komntwana esiswini - usana olunqabileyo lusana, lujika, lukhala, nangona lulambile;
- ukungathandeki kwiimbumba kunye nesifuba;
- isifuba sokunyuka;
- iincampu kwisisu esezantsi;
- isicongconi, ukunyamezela, ukulala, ukunyamezela kweevumba - iimpawu eziqhelekileyo zesifo se-toxicosis.
Uvavanyo lokukhulelwa kwe-Lactation
Ukuchonga ukukhulelwa ngexesha le-HBV kunokufana nokukhulelwa okuqhelekileyo. Ukuba kukho ukusola, umama omncinci unokusebenzisa iindlela ezithile ezibonakalisiweyo:
- ufumane uvavanyo kwi-pharmacy kwaye uqhube malunga naloo nto;
- nikela igazi kwi-hCG kwibhubhoratri.
Ukuba iimpawu zokukhulelwa ngexesha lokuhlamba zicacile, kwaye ukuvavanywa ngesizathu esithile kubonisa umgca omnye, ngoko kwenzeka ukuba emva kokukhulelwa kwakungekho ixesha elaneleyo. Unokulinda elinye iiveki uze uphinde uphinde uphinde uphinde uphinde ubeke uphawu lwe-hormone yokukhulelwa kwiingcali ezivela kwibhubhoratri. Umphumo ongathandabuzekiyo obonisa ingxinano encinci yeHCG egazini - isizathu sokufumana uhlalutyo kwiintsuku ezimbini. Ukuba inani eliphindwe kabini, ithuba lokukhulelwa li-99%.
Ngaba ndingamncelisa ngexesha lokukhulelwa?
Ngokuqhelekileyo, umama akafuni ukuqhubeka nokuncelisa ngexesha lokukhulelwa ngenxa yokuxinezeleka emzimbeni kunye nokwesaba kwakhe ubomi obutsha. Kodwa esi sigqibo asisoloko sigwetyelwe. Enyanisweni, kwezinye iimeko kukho inxaxheba kuwo onke amaqela emithathu ukuba ayeke i-GW, kodwa ngokuphindaphindiweyo umama omncinci unako ukunyusa umntwana wakhe ngakumbi, kunye nokutya emva kokuvela komntwana wesibini. Ukufumana ukuba kunokwenzeka yini ukuba uncelise umntwana ngexesha lokukhulelwa, umntu kufuneka abe ne-gynecologist eyazi ukuba imeko yowesifazane ibhetele kunomnye umntu.
Kutheni ungayi kuncancisa ngexesha lokukhulelwa?
Kwezinye iimeko, ukuncelisa ngexesha lokukhulelwa akuvumelekile. Ezi ziquka:
- Ubungozi bokupheliswa kokukhulelwa. Kukholelwa ukuba umphumo kwiimbumba ezilandelwa ngumkhiqizo we-oxytocin, obangela ukukhipha isisu okanye ukuhanjiswa, akaqalanga ngaphaya kwamaviki angama-20. Okokuba, ngoku kubekho umfazi akakwazi ukuxhalaba malunga nokukhulelwa kwesisu ngenxa yokuvuselela ngokweqile isifuba. Oku kufanelekile kuphela xa kungekho nengozi ngqo, kodwa ukuba ibhinqa ifunyanwa "yengozi yokutshatyalaliswa kwegazi," ukunyamezela kwandisa ingozi yenkampani ye-placenta, ngoko ke umntwana uya kufuneka ayeke ukutyisa.
- I-toxicosis eqhelekileyo ingaba ngumqobo wokuncelisa ngexesha lokukhulelwa. Ukongezelela, ukuba imeko epheleleyo yowesifazane, ngokunyanzelwa ukuba ahlambulule, intloko yesifo kunye nesisindo sokuhlala sisiswini, asinakunxibelelana ngokukhawuleza kunye nosana, ukutyisa kungalunganga kumntwana usebenzisa ubisi lonina - ngezinye iimeko, isimo sobutyhefu sisibhalisiwe kwintsana .
- Ukuba unina unesifo esingapheliyo, umzimba wakhe unobuthakathaka ngokukhulelwa kwangoku kwaye ukondla, ngoko umthwalo ophindwe kabini emzimbeni unokukhokelela kwimiphumo emibi. Ngoko ke, loo mfazi uya kufuna ukukhawuleza i-HS, eyingozi kwimpilo yakhe.
Unokumisa njani ukucima i-lactation ngexesha lokukhulelwa?
Ukugqiba i-HS ngexesha lokukhulelwa kuyinqweneleka ngokuthe ngcembe, ukuba kukho ithuba elinjalo, kwaye akukho zichaso ezinzulu. Umntwana kufuneka afumane ubuninzi obisi obuncedo kuye. Eyona nto, ukuba ukuxothwa ngokukodwa kuqhutywe kungekho ngaphaya kweenyanga ezili-12, xa umntwana sele sele efumana ukunyanzela okupheleleyo kwaye kungenjalo kunesidingo sokuncelisa.
Ngokukhawuleza xa uMama efunda ngokukhulelwa, kufuneka aqale ukucoca isondlo esisodwa, atshintshe ngomxube wokufakelwa. Ukuchithwa okungafanelekanga kwesifuba somntwana esilandelwa yindlela yokongeza. Kule meko, umntwana akaxhamli ngokugqithisileyo kwenye into, kwaye ingozi yokungabikho komzimba iyanciphisa.
Ukuncelisa nokukhulelwa okusha
Ukuba uMama ufuna, kwaye ugqirha akaphikisi, ukukhulelwa kunye ne-lactation kunokwenzeka, ngakumbi ukuba umntwana uncinci kakhulu. Ukuqwalasela indlela umntwana athatha ngayo isifuba sakhe, sinokugqiba ekubeni ukuqhubeka kokutya. Ukuba akanakho ukukhawuleza, uyaziphethe njengento yonke, kwaye ukusondeza akubangeli intlungu ebuhlungu, ngoko ukutya okunjalo kuya kunceda umntwana kunye nonina, ongeke afune ukumnciphisa umntwana weemveliso afunayo.
Ingaba ingcamango yobisi lwebele iguquka ngexesha lokukhulelwa?
Kuye kwangqiniswa ngokwesayensi ukuba ubisi lwebele ngexesha lokukhulelwa litshintshe ukubunjwa kwalo kunye nentlaba phantsi kweempembelelo zamahomoni. Akekho owaziyo ukuba umntwana unomuva onobukrakra, obunomuncu okanye omuncu, kodwa ukuba akayikushiya isifuba sakhe ngenxa yeenguqu, konke kulungile. Ngexesha lokunikezelwa, umntwana onjalo uya kuba nekhefu elifutshane, kwaye xa umama ebeleka aze abuyele ekhaya, ukukhawuleza okukhulu kobisi kuya kukwanela umntwana osanda kuzalwa kunye nomntwana omdala.
Ngaba ibele ilahlekile ngexesha lokukhulelwa kwesibili?
Akukho sizathu sokucinga ukuba ukukhulelwa ngethuba lokukhwabanisa kunokuchaphazela kakhulu inani lobisi. Ewe, kwezinye iimeko, kwiibisi zokuqala zobisi zingabancinci, kodwa le meko ihlala ifutshane. Umama kufuneka aqhubeke nokunyusa umntwana, ukuba ufuna, kwaye xa kuyimfuneko, unokuyongeza ngokuxuba xa umntwana elambile kakhulu. Isixa sebisi singancipha kuphela kwi-trimester yesibini phantsi kweempembelelo zamahomoni. Ukuba ngelo xesha umntwana akasoloko efuna isifuba, kungcono ukuwuthambisa kakuhle.
Imithetho yokuncelisa ngexesha lokukhulelwa
Ukukhulelwa ngexesha lokuhlaselwa kwaba ngowesifazane ngaphandle kokulahlekelwa, kufuneka ulandele imithetho elula:
- Yidla ngokutya okuninzi okunempilo, kwendalo, njengokuba kukho ukukhulelwa kwamawele.
- Ekuphumleni okuphezulu, ukunyamekela ukunakekelwa kweemvumba kumakhaya.
- Uninzi ixesha lokuchitha xa uhamba.
- Ukwamkela i-multivitamins eziyinkimbinkimbi.
- Kwi-malaise encinci, qhagamshelana nogqirha.