Ukunqoba izinkinga zokuncelisa

Ochwepheshe bezempilo bayavuma ukuthi ukuncelisa ibele kuyindlela enempilo kunazo zonke kumama nasenganeni. Bancoma ukuthi izingane zondle ubisi lwebele kuphela ezinyangeni eziyisithupha zokuqala, bese ziqhubeka nokuba nobisi lwebele njengengxenye eyinhloko yokudla kwazo zize zibe neminyaka okungenani eyodwa kuya kwemibili ubudala.

Kuyiqiniso ukuthi ukuncelisa ibele akulula ngaso sonke isikhathi komama nasezinsaneni. Kungathatha isikhashana ukuthi nobabili nithole i-hang yayo. Kubalulekile ukwazi lokhu ngaphambili, ukuze uqiniseke ukuthi unakho konke ukwesekwa nokuzinikela okudingayo uma kuvela inkinga.

Ukuncelisa ibele ingane yakho kungaba yinto enhle kubo bobabili umama nengane. Kuthatha isikhathi nokuzilolonga ukukhululeka ngokuncelisa ibele. Izinto ongazenza ukusiza inqubo ifaka phakathi:

• Qala ukuncelisa ingane yakho ibele esibhedlela, ngemuva nje kokuzalwa.
• Cela usizo kumxhumanisi we-lactation noma umhlengikazi ukuze uqalise.
• Funda ngokuncelisa ingane yakho ingakazalwa.

UKUZWALA KWE-NIPPLE

Iningi labesifazane liyakwazi ukuncelisa ngaphandle kobuhlungu. Kwesinye isikhathi, ubumnene besifuba nobuhlungu bengono kuzokwenzeka esontweni lokuqala. Ukuthola usizo nge-latch efanele ngaso leso sikhathi kumuntu wokuxhasa ukuncelisa ibele kungasiza lokhu ukuthi kusheshe kusheshe.

Ukukhathazeka kwengono kungabangelwa izinto eziningi, kufaka phakathi:

• Izindlela zokudla ezingezinhle
• Isikhundla esingalungile sengane lapho incelisa
• Ukungazinakekeli izingono zakho

Kwabesifazane abaningi, asikho isizathu esicacile sokukhathazeka kwengono. Ukushintsha okulula kwesikhundla sengane yakho ngenkathi usondla kunganciphisa ubuhlungu.

Ungaba nezingono ezibuhlungu uma ingane yakho iqhubeka incela njengoba iphuma ebeleni. Ungasiza ingane yakho ifunde ukuyidedela ngokufaka ngobumnene umunwe ohlangothini lomlomo ukwephula ukuncela.

Isikhumba esome kakhulu noma esimanzi kakhulu futhi singadala ukudumba kwengono.

• AmaBras enziwe ngezindwangu ezenziwe ngabantu (synthetic) kungenza umswakama uqoqeke. Lezi zindwangu zingakhuphula ukujuluka nokuhwamuka kancane.
• Kusetshenziswa insipho noma izixazululo ezisusa uwoyela wesikhumba wemvelo kungadala isikhumba esomile. Amafutha omnqumo, ubisi oluveziwe, namafutha aqukethe i-lanolin angasiza ekunciphiseni izingono ezomile noma eziqhekekile.

Ezinye izingane zihlafuna noma zilume izingono lapho ziqala ukukhuza.

• Ukunikeza ingane into ebandayo futhi emanzi ukuba ihlafune imizuzu embalwa ngaphambi kokuncelisa ibele kungasiza ukugwema le nkinga. Indwangu yokugeza ehlanzekile emanzi evela esiqandisini isebenza kahle.
• Nikeza ingane enye indwangu yokugeza ebandayo, emanzi ngaphambi kokuncelisa elinye ibele.

UKUTHUTHUKISWA KWESIBELE NOMA UKUGCWALA KWESIBELE

Ukugcwala kwamabele ukwakhiwa kancane kwegazi nobisi esifubeni ezinsukwini ezimbalwa ngemuva kokuzalwa. Kuwuphawu lokuthi ubisi lwakho luyangena. Ngeke kukuvikele ekunceliseni ibele.

Ukufakwa kwesifuba kubangelwa ukubuyela emuva emithanjeni yegazi esifubeni. Amabele avuvukele, aqinile, futhi abuhlungu. Izingono kungenzeka zinganamatheli ngokwanele ukuvumela ingane ukuthi inamathele kahle.

I-reflex ye-let-down iyingxenye evamile yokuncelisa. Ubisi olwenziwe ezingxenyeni zobisi lukhishelwa emapayipini obisi. Ubuhlungu, ukucindezeleka nokukhathazeka kungaphazamisa ukucabanga. Ngenxa yalokho, ubisi luzokwakha. Ukwelashwa kufaka:

• Ukufunda ukukhululeka nokuthola indawo enethezekile
• Ukunciphisa iziphazamiso ngesikhathi somhlengikazi, ukwenza i-massage emnene, nokufaka ukushisa ebeleni

Ubuhlengikazi kaningi (amahlandla ayisishiyagalombili noma ngaphezulu emahoreni angama-24) futhi okungenani imizuzu eyi-15 kokuphakelwa ngakunye nakho kungavimbela i-engorgement.

Ezinye izindlela zokunciphisa ukufakwa kwesifuba:

• Yondla kaningi noma ukhiphe ubisi ngesandla noma ngepompo. Amapompo wamabele kagesi asebenza kahle kakhulu.
• Okunye phakathi kokuthatha imvula efudumele nokusebenzisa izingcindezi ezibandayo ukusiza ukunciphisa ukungakhululeki.

AKWENELE UBISI OLWENELE IZIDINGO ZENGANE

Cishe bonke abesifazane bangakhiqiza ubisi olwanele izingane zabo. Yize abesifazane abaningi bekhathazeke kakhulu ngalokhu, akuvamile ukuthi umama akhiqize ubisi oluncane kakhulu.

Ukwenza ubisi oluncane kakhulu kungenzeka ngezizathu ezimbalwa, kufaka phakathi ukusebenzisa ifomula losana ukondla ingane yakho ngaphezu kokuncelisa. Uma ukhathazekile ngokuthi ingane yakho ikhula kanjani, kufanele ukhulume nodokotela wengane zisuka ngaphambi kokuba uqale ukwengeza ngefomula.

Ukutholwa kukamama kusekelwe ekufunweni kwengane ubisi. Ukondliwa njalo, ukuphumula okwanele, ukudla okunomsoco, nokuphuza uketshezi olwanele kungasiza ekugcineni ukutholakala kobisi okuhle.

UKUTHUTHWA KWENDAWO YOKUSEBENZISA UBISI

Umsele wobisi ungaxhunywa. Lokhu kungenzeka uma ingane ingondli kahle, uma umama yeqa ukuphakelwa (okuvamile lapho ingane ilunyulwa khona), noma uma ubra kanina uqinile kakhulu. Izimpawu zomgudu wobisi oxhunyiwe zifaka:

• Ubumnene
• Ukushisa nokubomvu endaweni eyodwa yesifuba
• Isigaxa esingazwakala sisondele esikhunjeni

Kwesinye isikhathi, ichashazi elincane elimhlophe liyabonakala lapho kuvulwa imbobo engonweni. Ukubhucunga indawo nokuyifaka ingcindezi emnene kungasiza ukususa ipulaki.

UKUTHELELEKA KWESIBELE

Ukutheleleka kwesifuba (i-mastitis) kubanga imisipha ebuhlungu, umkhuhlane, nendawo ebomvu, eshisayo, nethenda esifubeni esisodwa. Shayela umhlinzeki wakho wezokunakekelwa kwezempilo uma uthuthukisa lezi zimpawu.

Ukwelashwa kuvame ukufaka:

• Ukuthatha ama-antibiotic wokutheleleka
• Ukufaka ukucindezela okumanzi nokufudumele endaweni enegciwane
• Ukuthola ukuphumula
• Ukugqoka ubhodisi okhululekile phakathi kokuphakelayo

Ukuqhubeka nokuncelisa ibele elinegciwane kuzosiza ukwelashwa kwenzeke. Ubisi lwebele luphephile enganeni, noma ngabe unegciwane lesifuba. Lokhu kuzovimbela ukuqhubeka kokufakwa kwamabele.

Uma ubuhlengikazi bungakhululeki kakhulu, ungazama ukupompa noma ukubonakaliswa ngesandla ukuze ususe ubisi usuke ebeleni. Ungazama ukunikeza isifuba esingathintekile kuqala kuze kuvele ukwehla, ukuvimbela ukungaphatheki kahle. Khuluma nomhlinzeki wakho ngezindlela zokuphatha inkinga.

UKUSHUBA

I-Thrush yisifo esivamile semvubelo esingadluliselwa phakathi komama nengane ngesikhathi sokuncelisa. Imvubelo (AmaCandida albicans) ichuma ezindaweni ezifudumele, ezinomswakama.

Umlomo wengane kanye nezingono zikanina yizindawo ezinhle zokuthi le imvubelo ikhule. Ukutheleleka ngemvubelo kuvame ukwenzeka phakathi noma ngemuva kokwelashwa kwama-antibiotic.

Izimpawu zokutheleleka ngemvubelo kumama izingono ezijulile ezibomvana ezinethenda noma ezingakhululeki ngesikhathi, nangemva nje kobuhlengikazi. Amachashazi amhlophe nokubomvu okukhulayo emlonyeni wengane kuyizimpawu zokutheleleka ngemvubelo emlonyeni wengane.

Ingane ingaba nokuqubuka kwenabukeni, ukushintsha kwemizwelo, futhi izofuna ukuncela kaningi. Shayela umhlinzeki wakho ukuthola incwadi kadokotela yamakhambi omndeni wakho athintekayo.

UKUGULA

Uma uba nomkhuhlane noma ukugula, thintana nomhlinzeki wakho. Ungaqhubeka nokuncelisa ngokuphepha ngesikhathi sokugula okuningi. Ingane kungenzeka ihlomule ngama-antibody akho.

Amapayipi obisi axhunyiwe; Ukukhathazeka kwengono lapho uncelisa; Ukuncelisa ibele - ukunqoba izinkinga; I-reflex yokuvumela phansi

• Ukuncelisa ibele

UFurman L, uSchanler RJ. Ukuncelisa ibele. Ku: Gleason CA, Juul SE, ama-eds. Izifo zika-Avery Zomntwana osanda kuzalwa. Umhlaka 10. IPhiladelphia, PA: Elsevier; 2018: isahluko 67.

ULawrence RA, uLawrence RM. Ukuphathwa okusebenzayo kombhangqwana onakekela izingane nosana. Ku: Lawrence RA, Lawrence RM, ama-eds. Ukuncelisa: Umhlahlandlela Womsebenzi Wezokwelapha. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2016: isahluko 8.

INewton ER. Ukumunca nokuncelisa. Ku: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Ama-Obstetrics: Ukukhulelwa Okujwayelekile Nenkinga. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2017: isahluko 24.