Ingabe Kufanele Uqashe Uchwepheshe Wokuncelisa?

-Delile

• Wenzani umeluleki wokuncelisa?
• Lokhu kushintshe kanjani ngesikhathi se-COVID-19?
• Yini okufanele uyibheke kumxhumanisi we-lactation?
• Ingabe izinsizakalo zokubonisana nokuncelisa zimbozwa umshwalense?
• Uma kufanele ukhokhe, kuzobiza malini ukuvakasha?
• Kufanele ucabange nini ukuqasha umeluleki wokuncelisa?
• Buyekeza kwe-

Ngemva kwesikhashana nje ngibelethe indodakazi yami, ngeSonto, eminyakeni emibili edlule, ngikhumbula ngokucacile umhlengikazi wami wakwa-OB engibuka, ethi, "Kulungile, usulungele ukuncelisa?"

Bengingekho - futhi bengingazi ukuthi ngenzani kodwa, okwangimangaza kakhulu ukuthi ingane yanamathela futhi sasihamba.

Izinzuzo zezempilo zokuncelisa ibele - okushiwo yiWorld Health Organisation (WHO) ukuthi omama abasha benza izinyanga eziyisithupha kuphela - zibhalwe kahle: Ubisi lwebele lungasiza ukuvikela izinsana ekuguleni futhi lwehlise ubungozi bezinkinga ezifana nesifuba somoya, ukukhuluphala ngokweqile nokuzuma i-infant death syndrome (i-SIDS), ngokusho kocwaningo. Lesi senzo sikusiza ukuthi welaphe ngemuva kokubeletha (ngalezo zinsuku zokuqala, isibeletho sakho sisebenza ngokoqobo lapho ingane yakho ibambeka, siyisiza ukuthi ibuyele kusayizi eyayikade ingaphambi kwengane), futhi yehlisa nengozi yezinkinga ezinjengesifo sikashukela sohlobo 2 nokunye izinhlobo zomdlavuza kumama ngokuzayo. Futhi, i-eco-friendly: awekho amabhodlela epulasitiki, ukukhiqizwa noma imfucuza yezokuthutha, njll.

Njengomama, ngizizwa nginenhlanhla: Uhambo lwami lokuncelisa lwathatha cishe unyaka futhi lwalunama-snags ambalwa. Kodwa njengomsunguli weSonto Elithandekayo, inkundla ye-inthanethi yomama abasha nabalindele, ngihlala ngiba omama bangitshele ukuthi bashaqeke kangakanani ngesipiliyoni.

Phela, ukuncelisa ibele kungokwemvelo akusho ukuthi kuhlale kuzenzakalela. Ngaphezu kwalokho, kudla isikhathi (ubuwazi ukuthi izingane ezintsha zingadla izikhathi ezingaphezu kweziyi-12 ngosuku?!) futhi - uma kuphakama izinkinga - kuyacindezela. (Ucwaningo lweSibhedlela Sezingane sase-UC Davis luthole ukuthi amaphesenti angu-92 omama abasha aba nenkinga okungenani eyodwa yokuncelisa phakathi nezinsuku ezintathu zokubeletha.) Futhi ngiyakholelwa kakhulu ekondleni ingane yakho ngendlela engcono kakhulu ekusebenzela wena nomndeni wakho. - futhi iqiniso liwukuthi, akubona bonke abesifazane abakwazi ukuncelisa. (Bheka: Lokhu Kuvuma Kwesifazane Okubuhlungu Ngokubeletha Kuyiqiniso Kangaka)

Ochwepheshe basikisela ukucabanga ngokuncelisa ibele njengobuciko - into okudingeka ifundwe futhi yenziwe.Futhi ngenhlanhla, kunesigaba sonke sabachwepheshe esibizwa ngokuthi abeluleki be-lactation abasiza abantu abakhulelwe nomama abasha benze lokho kanye.

Uma uthatha isinqumo? Nakhu okudingeka ukwazi mayelana nababonisi be-lactation, abakwenzayo, nokuthi ungaqasha kanjani ngesikhathi sokukhulelwa noma ngemuva kokukhulelwa kwakho.

Wenzani umeluleki wokuncelisa?

Ngamafuphi, abeluleki bezokuncelisa banomgomo owodwa ofanayo: ukusekela abesifazane abakhetha ukuncelisa, kusho u-Emily Silver, M.S., N.P.-C., I.B.C.L.C., umhlengikazi womndeni, umeluleki wokuncelisa, kanye nomsunguli we-Boston NAPS. "Abacebisi be-lactation basiza abesifazane ukuthi basungule i-latch ejulile ukuze bangabi nezinhlungu ngokuncelisa; izinhlelo zokudla ezincomekayo zabesifazane abancancisayo nabanezela; ubukhulu besifazane futhi babafundise ngokupompa; futhi basize abesifazane ukuthi babhekane nezinkinga ezithile, izinhlungu, noma izifo. "

Uchwepheshe wokuncelisa kufanele akwazi ukuhlukanisa phakathi kokuncelisa okusebenzayo nokungasebenzi kahle, kwengeza u-Sharon Arnold-Haier, IBCLC, umeluleki wokuncelisa ozinze eNew York osohlwini lwesevisi yohlu lwezempilo kamama u-Robyn. "Iningi lokubonisana ne-lactation lizobandakanya ukuhlolwa kwebele, ukuhlolwa komlomo wengane, kanye nokubhekwa kokuncelisa. Ezinye izinkinga zokuncelisa zizoba lula kanti ezinye zizoba yinkimbinkimbi, ezidinga ukunakekelwa okuqhubekayo."

Ngokuvamile, uchwepheshe wokuncelisa anganikeza okungaphezu nje kokusekela ukuncelisa, kuphawula iSilver. "Singanikeza ukusekelwa ngokomzwelo nokuhlolwa futhi sibhekisele ekucindezelekeni kwangemva kokubeletha," esho. "Imvamisa, ukuvakasha kwethu kufaka amathiphu okusinda kubazali nokuthi singasebenzisana kanjani njengethimba ukungena ezinhlelweni ezinhle ezintweni ezifana nemikhuba yokulala enempilo. Sihlose ukwazi iziguli zethu ezingeni elizimele ukuzisiza ukuthi zizenzele izinqumo ezingcono kakhulu nomndeni wabo wonkana maqondana nokondla. "

Futhi yize kubaluleke kakhulu ukuthi umxhumanisi we-lactation asebenze ngokwenqubo yabo, abanye abasebenza ngabeluleki bezokuncelisa futhi abahlengikazi, abahlengikazi, i-M.D.s, noma ezinye izinhlobo zabahlinzeki bezempilo, okusho ukuthi bangakwazi ukubhala imiyalelo futhi belaphe izimo eziyinkimbinkimbi, kusho u-Allyson Murphy, IBCLC., umeluleki wokuncelisa ozinze eNew Jersey.

Lokhu kushintshe kanjani ngesikhathi se-COVID-19?

Ngenkathi okunye ukuvakasha ekhaya kusenzeka ngemishini efanele yokuvikela umuntu (i-PPE) kanye nokuhlolwa endaweni, kukhona nokuba khona okukhudlwana nesidingo sokuvakasha okubonakalayo nezingcingo nochwepheshe bokuncelisa. "Sesicishe saphinda kathathu izinga lethu lokuvakasha okubonakalayo kanye nokusekelwa kwezingcingo phakathi nalolu bhubhane ukuze sinikeze ukunakekelwa kwalabo okungenzeka babe sengozini ye-COVID, abantu abasengozini abangakwazi ukuthi kungene umhlinzeki, noma labo abahlala ndawana thize abangenawo amathani. yokuxhaswa kwe-lactation, "kusho uSilver. (Okuhlobene: Omama Babelana Ngokuthi Kunjani Ukubeletha Ngesikhathi SE-COVID-19)

Ukuvakashelwa okubonakalayo - ikakhulukazi ezinsukwini ezimbalwa zokuqala usekhaya - kungasiza kakhulu. "Amakhasimende amaningi abona sengathi ukuvakasha okubonakalayo ngeke kusizakale, kepha ngibona ukuvakashelwa okubonakalayo kuphumelela kakhulu emindenini eminingi," kusho u-Arnold-Haier.

Yini okufanele uyibheke kumxhumanisi we-lactation?

Ngokuvamile, kunezinhlobo ezimbili eziyinhloko zabaluleki abaqinisekisiwe be-lactation - I-International Board Certified Lactation Consultants (IBCLCs) kanye ne-Certified Lactation Consultants (CLCs). Ama-IBCLC kumele aqedele amahora angama-90 emfundo yokuncelisa kanye nesipiliyoni somtholampilo esebenza nemindeni. Kumele futhi babhekwe njengabachwepheshe bezempilo (njengodokotela, umhlengikazi, udokotela wezokudla, umbelethisi, njll.) Noma izifundo ezi-14 zesayensi yezempilo ngaphambi kokuhlala ukuhlolwa. Ngakolunye uhlangothi, ama-CLC, aqedela amahora angama-45 emfundo ngaphambi kokuphasa isivivinyo kodwa akudingeki ukuthi abe nolwazi oluphambili lomtholampilo olusebenza neziguli ngaphambi kokuthola isitifiketi.

Ukuhlukaniswa kwezitifiketi eceleni, ufuna ukukhetha umuntu osekhasini elifanayo nawe futhi ngokuhambisana nezinkolelo zakho, kuphawula iSiliva. Mhlawumbe lokhu kusho umeluleki wokuncelisa ongacabanga ngaphandle kwebhokisi. "Njengodokotela wezingane, lo ngumuntu osondelana naye futhi ofuna ukukwazi ukuphendukela kuye ukuze asizakale futhi angamsekeli ngendlela engahluleli," usho kanje. "Kunezindlela eziningi zokondla ingane, kufaka phakathi ukuncelisa ibele kuphela, ukuncelisa ibele nokusebenzisa amabhodlela, ukupompa nokusebenzisa ubisi lwebele, noma ukuncelisa ibele noma nokusebenzisa ifomula ethile. Kumayelana nokuhlonza uhlelo olungcono kakhulu kuwe." Uma uzwa sengathi ukuncelisa ibele akusebenzi, i-IBCLC ingakusiza ukuthi uxazulule inkinga futhi uthole isixazululo esingcono kakhulu somndeni wakho. (Okuhlobene: UShawn Johnson Uthole Okungokoqobo Ngokuthi 'Unecala Lomama' Ngemuva Kokunquma Ukungamunyisisi)

Ufuna nomuntu ozokuphatha ngomusa nangozwela, kusho uMurphy. "Ngesikhathi othile ethintana nami, uvame ukuzizwa sengathi usesimweni esibucayi: usebhale ku-Google, uthumela imiyalezo kubo bonke abangani bakhe, futhi bayatatazela, ngaphezu kokukhathala nama-hormone."

Ingabe izinsizakalo zokubonisana nokuncelisa zimbozwa umshwalense?

I-FWIW, izinsizakalo zokuncelisa kukhona kubhekwe ukunakekelwa kokuvimbela njengengxenye ye-Affordable Care Act (ACA), okusho ukuthi bona kufanele zimbozwe. Kodwa, bheka: "Indlela umhlinzeki womshwalense ngamunye awuhumusha ngayo umthetho iyehluka kakhulu, okusho ukuthi abanye abantu abanenhlanhla bathola ukuvakashelwa izikhathi eziyisithupha ngemva kokubeletha ngaphandle kwezindleko futhi abaneshwa phakathi kwethu babambelele ekukhokheleni ngaphandle kwephaketheni bafuna imbuyiselo ngemva kwalokho, okuwukuthi. kungenzeka noma kungenzeki, "kusho uMurphy.

Inkambo yakho ehamba phambili: Buza inkampani yakho yomshuwalense ngaphambi kokuthi ubone umxhumanisi we-lactation ukuze ucace kulokho okuhlanganisiwe. Elinye icebiso? "Cishe uzokwenza kangcono ngembuyiselo uma umeluleki wakho wokuncelisa futhi enguchwepheshe wezempilo onelayisensi njengodokotela, umhlengikazi, umhlengikazi obhalisiwe, umsizi kadokotela, noma, esimweni sami, udokotela wezokudla obhalisiwe," kuchaza u-Arnold-Haier.

Uma kufanele ukhokhe, kuzobiza malini ukuvakasha?

Uma ungeke ukwazi ukuthi izinsizakalo zomxhumanisi wakho we-lactation zimbozwe ngomshuwalense, izindleko zokuqasha umuntu zizohluka ngokuya ngokuthi uhlala kuphi nokuthi unolwazi olungakanani umxhumanisi ocabangelayo onalo. Kepha ochwepheshe okuxoxiswene nabo ngalesi siqephu balinganisela ukuvakashelwa kokuqala ukubiza noma yikuphi kusuka ku- $ 75 kuya ku- $ 450, ngokuqokwa kokulandelwa okufushane futhi okungenzeka kushibhile.

"Ngincoma ukukhuluma nochwepheshe bokuncelisa ngaphambi kokuhlela ukuvakasha ukuze uthole ukuthi baqhuba kanjani umkhuba wabo nokuthi yini ongayilindela ngenkokhelo yabo," kusikisela u-Arnold-Haier. Kungase kusuke ekuvakasheni okukodwa kwehora elilodwa kuye kwamabili kuya ohlelweni lokunakekela olubhaliwe, noma ngisho nokulandelela ukuxhumana. Inombolo yezikhathi ohlangana nazo (cishe noma i-IRL) nomxhumanisi wakho kuzoncika ngokuphelele ekutheni ungathanda ukwesekwa okungakanani.

Kufanele ucabange nini ukuqasha umeluleki wokuncelisa?

Okokuqala, ake sicacise inganekwane enkulu: awudingi kuphela umxhumanisi we-lactation lapho kukhona okungahambi kahle. “Ngihlale ngithi, ungalindi kuze kube kukhona okungahambi kahle noma uze usendaweni embi ukuze uyobonana nochwepheshe bezokuncelisa,” kusho uSilver. (Okuhlobene: Ingabe Kufanele Uqashe IDoula Yokukusiza Ngokukhulelwa Nokubeletha?)

"Ngikholelwa kakhulu ezifundweni zokuncelisa izingane ngaphambi kokubeletha. Ngiyazifundisa, ngiyazithanda, ngiyazibona zisebenza," kusho uMurphy. "Ukuncelisa ibele yikhono elisha okufanele lifundwe. Ukungena kulo wazi okujwayelekile nokuthi yini okungakusizi ukuthi uzethembe kakhudlwana, kukusiza ukuthi ubone izigaxa emgwaqeni ongaphambi kokuba zihlasele ngokuphelele, futhi kukuvumela ukuthi wakhe ubuhlobo no i-IBCLC ngaphambi kokuletha. "

Kuyafaneleka futhi ukuthi, ngokujwayelekile, esibhedlela noma esikhungweni sokubeletha, wena intando unethuba lokuxhumana nomxhumanisi we-lactation. I-COVID, ngeshwa, yenze lokhu kwaba mancane amathuba. U-Arnold-Haier, osebenza esibhedlela nangasese, uthi phakathi nalolu bhubhane, abazali abasha kanye nezinsana badedelwa ngokushesha kunokujwayelekile. "Ngenxa yalokhu, abaningi abakwazi ukuhlangana nomxhumanisi we-lactation ngaphambi kokuya ekhaya futhi ukuncelisa izingane kungabukeka kwehluke kakhulu kusuka osukwini lokuqala kuze kube lusuku lwesihlanu kuya phambili, ngakho-ke ukukhishwa ngokushesha kushiya abaningi bengekho ukwesekwa okufanele." (Encwadini efanayo: Izinga Lokufa Okuhlobene Nokukhulelwa E-U.S liphezulu Ngokumangazayo)

Uma ubisi lwakho selungene (imvamisa uma usuvele ukhishiwe), kunethuba lokuthi uzobhekana ne-engorgement. Futhi i-engorgement ingaholela enkingeni yokubamba futhi kungashintsha ushintsho endleleni ozibeka ngayo ngenxa yobisi lwakho olungena, kusho uSilver. "Yisikhathi senqwaba yemibuzo futhi kuyindlela yokuthi sihlole omama ngemva kokubeletha: Unjani? Uzizwa unjani?"

Uma ukhona hhayi ucabanga ukuqasha umxhumanisi we-lactation ngaphambi kokuzama ukuncelisa? Qiniseka ukuthi uthinta umuntu ngokushesha lapho kuvela inkinga. "Izinkinga ezingakhulunywanga kwesinye isikhathi zingahlangana zibe zinkulu njengezimbobo ezivalekile zobisi, imastitis, ukukhuluphala kwesisindo enganeni, noma izindaba zokuhlinzeka ngobisi," kusho uMurphy. "Amaqembu okusekela aphethwe yi-IBCLC noma amavolontiya aqeqeshiwe afana neLa Leche League noma iBreastfeeding USA nawo angaba yindawo enhle yokuqala ulwazi oluthembekile, olusekelwe ebufakazini." Kwesinye isikhathi, ungathola izimpendulo zemibuzo elula ngaphandle kokubhuka ukuze ubone othile.

Buyekeza kwe-