Ungalukhetha kanjani ubisi oluhle kakhulu lwengane esanda kuzalwa

-Delile

• Unika nini ingane ubisi olufanele
• Yiluphi ubisi okufanele ulunikeze umntwana osanda kuzalwa
• 1. Ubisi lwezingane olujwayelekile
• 2. Ubisi lwezingane oluneprotheni yokungezwani nobisi lwenkomo
• 3. Amasi wezingane ane-reflux
• 4. Ifomula yezingane engabekezelelani ne-lactose
• 5. Ubisi lwezingane olunokungaphatheki kahle kwamathumbu
• 6. Ubisi lwezingane ngaphambi kwesikhathi
• Ungalusebenzisa kanjani ubisi olufanele

Inketho yokuqala yokondla ingane ezinyangeni zokuqala zokuphila kufanele kube ubisi lwebele njalo, kepha lokhu akwenzeki ngaso sonke isikhathi, futhi kungadingeka ukusebenzisa ubisi lwezinsana njengezindlela zobisi lwebele, ezinokwakheka okunomsoco ofanayo, ebangeni lokukhula kwengane ngayinye.

Ngaphezu kwalawa mafomula, ubisi lwezinsana luyatholakala ngezinhloso ezithile zezokwelapha, ezivumela ukondleka okwanele noma ngabe kukhona ukungezwani komzimba, ukubuyiswa kwesisindo, ukungabekezelelani kokudla kanye nokuphazamiseka kwamathumbu.

Unika nini ingane ubisi olufanele

Ungakhetha ubisi oluyimpuphu lapho umama engakwazi ukuncelisa, noma lapho ingane inenkinga ethile yokugaya ubisi lwebele. Ngakho-ke, ingane ingathatha ibhodlela lapho:

• Umama uthola ukwelashwa: njenge-chemotherapy, ukwelashwa kwesifo sofuba noma ukuthatha umuthi othile odlulela ebisini lwebele;
• Umama usebenzisa izidakamizwa ezingekho emthethweni;
• Ingane ine-phenylketonuria: ubisi olungisiwe lungasetshenziswa ngaphandle kwe-phenylalanine futhi, uma udokotela encoma, phuza ubisi lwebele ngokuqapha okukhulu, ulinganisa amazinga e-phenylalanine egazini masonto onke. Funda ukuthi ungancelisa kanjani umntwana nge-phenylketonuria.
• Umama akanalo ubisi noma unciphise umkhiqizo;
• Ingane ingaphansi kakhulu kwesisindo esifanelekile, futhi kungahle kube nokuqiniswa kokuncelisa ubisi olushintshiwe;
• Umama uyagula: uma ene-HIV, umdlavuza noma ukuphazamiseka kwengqondo okungathi sína, uma enezifo ezibangelwa amagciwane, isikhunta, amabhaktheriya, i-hepatitis B noma u-C onomthamo wegciwane eliphakeme, noma i-herpes esebenzayo esifubeni noma kwingono, kufanele ayeke ukuncelisa ibele okwesikhashana, uze uxazulule inkinga.
• Ingane ine-galactosemia: kufanele yondliwe ngamafomula asuselwa ku-soy afana neNan Soy noma i-Aptamil Soy. Bona okuningi mayelana nokuthi ingane ene-galactosemia kufanele idle ini.

Ezimweni zesikhashana, kuzofanele ukhethe ubisi lwezinsana futhi ulondoloze ukukhiqizwa kobisi, ukulikhipha ngepompo yebele, uze ukwazi ukuncelisa futhi, ngemuva kokwelashwa. Ezimweni lapho singekho esinye isisombululo, umuntu kufanele akhethe ifomula yezinsana bese ekhuluma nodokotela ukuze omise ubisi. Funda ukuthi ungomisa kanjani ubisi lwebele.

Yiluphi ubisi okufanele ulunikeze umntwana osanda kuzalwa

Ezimweni lapho ingane ingakwazi ukuphuza ubisi lwebele, ubisi lwenkomo akufanele nanini lunikezwe, ngoba lungaphazamisa ukukhula kwalo, ngoba ukwakheka kwalo kuhluke kakhulu kubisi lwebele.

Ngakho-ke, ngosizo lukadokotela wezingane, umuntu kufanele akhethe ubisi olulungele ingane, okuthi, yize lungafani nobisi lwebele, lube nokwakheka okucishe kufane, kuthuthukiswe ukunikezela izakhamzimba ezidingwa yingane esigabeni ngasinye. Izinketho kungaba:

1. Ubisi lwezingane olujwayelekile

Ubisi olwenziwe njalo lungasetshenziswa yizingane ezinempilo ngaphandle kwengozi yokungezwani komzimba, ukungaphatheki kahle kwamathumbu noma ukuphazamiseka komzimba.

Kunemikhiqizo eminingana etholakalayo edayiswayo, yonke inokwakheka okufanayo kwezakhi zomzimba, okungenzeka noma kungezelelwe ngama-probiotic, ama-prebiotic, i-chain chain polyunsaturated fatty acids kanye nama-nucleotide.

Ukukhethwa kwefomula yezinsana kufanele kucatshangelwe iminyaka yengane, ngoba kukho konke ukukhula kwakhe unezidingo ezithile. Ngemuva kwalokho, kufanele kusetshenziswe ubisi oluphakathi kwezinyanga eziyi-0 nezingu-6, njenge-Aptamil profutura 1, iMilupa 1 noma iNan supreme 1, futhi kusuka ezinyangeni eziyisithupha kuqhubeke, ubisi lokushintshela kufanele lunikezwe, njenge-Aptamil 2 noma iNan supreme 2, ngokwesibonelo.

2. Ubisi lwezingane oluneprotheni yokungezwani nobisi lwenkomo

Ukungezwani komzimba namaprotheni obisi lwenkomo kungukudla okwaliwa kakhulu ebuntwaneni, lapho amasosha omzimba engakakhuli futhi ezwela kuma-antigen, ngakho-ke aphendula lapho kukhona iprotheni yobisi lwenkomo edala izimpawu ezinjengokubomvu okwenziwe ngokujwayelekile kanye nokulunywa, ukuhlanza kanye nohudo. Funda kabanzi mayelana nokungezwani nobisi lwezingane.

Kunezinhlobonhlobo zobisi zale nkinga ethile, evame ukuba namaprotheni obisi lwenkomo ahlukaniswe abe izingcezu ezincane, noma ahlukaniswe abe ama-amino acid, ukuze angabangeli ukungezwani komzimba, noma angatholwa naku-soy:

• Kakhulu hydrolyzed, amafomula angenayo i-lactose njenge: I-Pregomin pepti, i-Alfaré, iNutramigen Premium;
• Amafomula amaningi aphethwe yi-hydrolyzed, ane-lactose njengo: U-Aptamil pepti, u-Althéra; 
• Amafomula asuselwa kuma-amino acid anjenge: Neocate LCP, Neo kusengaphambili, Neoforte;
• Amafomula weSoy afana nalokhu: I-Aptamil Proexpert soy, iNan soy.

Cishe i-2 kuya ku-3% yezingane iyaphikiswa namaprotheni obisi lwenkomo ebuntwaneni, ikakhulukazi ithuthukisa ukubekezelelana obisini lwenkomo phakathi kweminyaka emithathu nengu-5 ubudala. Ezimweni zezingane ezidinga ukuphuza ubisi lokwenziwa futhi zibe nomlando wokungezwani komzimba nomndeni, kufanele zithathe ubisi lwe-hypoallergenic, olwaziwa ngokuthi ubisi lwe-HA.

3. Amasi wezingane ane-reflux

I-reflux ye-Gastroesophageal ivamile ezinganeni ezinempilo, ngenxa yokungavuthwa kwe-esophageal sphincter futhi iqukethe ukudlula kokudla kusuka esiswini kuye emmangweni, okuholela ekushayweni kaningi. Ezimweni ezinjalo, kungaholela ekunciphiseni isisindo kanye nokungondleki okuyingozi ekukhuleni kwengane. Bona okuningi mayelana ne-reflux ezinganeni.

Ngakho-ke, kukhona ubisi lwe-anti-reflux njenge-Aptamil AR, i-Nan AR noma i-Enfamil AR Premium, lapho ukwakheka kufana namanye amafomula, kepha ajiyile ngenxa yokwengezwa kommbila, amazambane noma isitashi selayisi, ubhontshisi wesikhonyane noma i-jatai gum.

Ukuba khona kwalezi thickeners kusho ukuthi, ngenxa yobukhulu bayo, ubisi alutholi i-reflux kalula futhi ukukhishwa kwesisu kwenzeka ngokushesha okukhulu.

4. Ifomula yezingane engabekezelelani ne-lactose

I-Lactose yakhiwe ngoshukela ababili okufanele bahlukaniswe yi-enzyme ekhona emzimbeni, i-lactase, ukuze imuncwe. Kodwa-ke, kungahle kube nezimo lapho le enzyme ingekho noma inganele, ibangela amajaqamba nohudo. Ukungabekezelelani kwe-Lactose kuvame kakhulu ezinganeni ngoba amathumbu azo awakakhuli.

Ngalokhu, umuntu kufanele akhethe amafomula wezinsana angenayo i-lactose, lapho i-lactose idilizwe yaba ushukela olula, osengamuncwa ngumzimba, njengoba kunjalo nge-Aptamil ProExpert ngaphandle kwe-lactose noma i-Enfamil O-Lac Premium.

5. Ubisi lwezingane olunokungaphatheki kahle kwamathumbu

Ukungaphatheki kahle kwamathumbu kuvame kakhulu ezinganeni ngoba amathumbu awakavuthwa, abangela amajaqamba nokuqunjelwa.

Kulezi zimo, umuntu kufanele akhethe ubisi olucebiswe ngama-prebiotic, njenge-Neslac Comfort noma i-Nan Confort, okuthi ngaphezu kokuncamela ubukhona bama-bacterium amahle emathunjini, futhi kunciphise i-colic kanye nokuqunjelwa.

6. Ubisi lwezingane ngaphambi kwesikhathi

Izidingo zokudla okunempilo kwezingane ezizalwe ngaphambi kwesikhathi zihlukile kunezingane ezinesisindo esijwayelekile. Kulezi zimo, kuzodingeka ukhethe amafomula aguqulelwe kulesi simo, kuze kube yilapho udokotela ekhombisa ushintsho kubisi olujwayele ukuguqulwa, noma ukuncelisa ibele kungenzeka.

Ungalusebenzisa kanjani ubisi olufanele

Ngaphezu kokukhetha ifomula efanele, kubalulekile ukwamukela izixwayiso ezithile lapho uyilungiselela. Ngakho-ke, ubisi kufanele lulungiswe ngamanzi abilisiwe ngaphambilini, njalo unakekele ukuvumela amanzi aphole ngaphambi kokulungiswa, ukuze ungashisi umlomo wengane noma uqede ama-probiotic akhona obisini.

Ibhodlela kanye nengono kufanele futhi kugezwe futhi kubulawe inzalo futhi ukuhlanjululwa kwempuphu emanzini kufanele kwenziwe njengoba nje kunconyiwe kupakethe. Bona ukuthi ungayigeza kanjani futhi uyihlanzele ibhodlela kahle.

I-World Health Organisation incoma ukuncelisa ibele kuze kube yinyanga yesithupha yokuphila, njengomthombo okhethekile womntwana wokudla.