Unofanira Kuhaya Muongorori Wekuyamwisa Here?

Zvemukati

• Chii chinoitwa nemubatsiri we lactation?
• Izvi zvachinja sei panguva yeCOVID-19?
• Chii chaunofanira kutarisa kune mubatsiri wezvekuyamwisa?
• Masevhisi ekubvunzira kuyamwisa anovharirwa neinishuwarenzi here?
• Kana uchifanira kubhadhara, kushanya kunoda marii?
• Ndepapi paunofanira kufunga nezvekuhaya mubatsiri wekuyamwisa?
• Ongororo ye

Nguva pfupi mushure mekusununguka mwanasikana wangu, Svondo, makore maviri apfuura, ndinoyeuka zvakajeka mukoti wangu weOB akanditarisa, achiti, "Zvakanaka, wagadzirira kuyamwisa here?"

Ini ndanga ndisiri - uye ndanga ndisingazive zvandaiita asi, zvakatondishamisa kuti mwana akachekwa uye isu takanga taenda.

Mabhenefiti ehutano ekuyamwisa - ayo World Health Organisation (WHO) inoratidza kuti vanaamai vatsva vanongoitwa kwemwedzi mitanhatu chete - zvakanyorwa zvakanaka: Mukaka wezamu unogona kubatsira kudzivirira vacheche kubva kurwara uye kuderedza njodzi yenyaya dzakadai seasthma, kufutisa, uye kamwe kamwe. infant death syndrome (SIDS), maererano nekutsvakurudza. Chiito ichi chinokubatsira kuporesa mushure mekusununguka (mumazuva iwayo ekutanga, chibereko chako chinobatana kana mwana wako achikandira, zvichimubatsira kuti adzokere pakukura kwaaive asati azvarwa), uye zvinotodzikisa njodzi yenyaya dzakadai serudzi rwechipiri chirwere cheshuga uye zvimwe. mhando dzegomarara kuna amai mune ramangwana. Uyezve, eco-inoshamwaridzika: hapana mabhodhoro epurasitiki, kugadzirwa kana kutakura marara, nezvimwe.

Saamai, ndinonzwa rombo rakanaka: Rwendo rwangu rwekuyamwisa rwakatora rinenge gore uye maive nezvikwiriso zvishoma. Asi semuvambi weSvondo Inodiwa, nhandare yepamhepo yevanaamai vatsva uye vakatarisira, ndinogara ndichiita kuti vanaamai vandiudze kuvhunduka kwavanoita nechiitiko ichi.

Mushure mezvose, nekuda kwekuti kuyamwisa zvakasikwa hazvireve kuti zvinogara zvichingoitika zvega. Uyezve, inotora nguva (waiziva here kuti vacheche vatsva vanogona kudya kanokwana kagumi pazuva?!) Uye - kana nyaya dzikamuka - dzinonetsa. . - uye chokwadi ndechokuti, havasi vakadzi vose vanokwanisa kuyamwisa. (Ona: Uyu Mukadzi Anoshungurudza Kureurura NezveKuyamwisa Ndekwechokwadi Chaizvo)

Nyanzvi dzinokurudzira kufunga nezvekuyamwisa sehunyanzvi - chimwe chinhu chinoda kudzidzwa nekuitwa.Uye nerombo rakanaka, pane chikamu chese chehunyanzvi chinonzi vanachipangamazano vanobatsira vanobatsira vanhu vane nhumbu uye vanaamai nyowani kuti vaite izvozvi.

Kana iwe ukafunga? Hezvino izvo zvaunoda kuti uzive nezvea lactation vanopa mazano, izvo zvavanoita, uye maitiro aungaita nezve yekuhaya imwe panguva kana mushure mekubata kwako.

Chii chinoitwa nemubatsiri we lactation?

Muchidimbu, vanachipangamazano vanogovana chinangwa chimwe chete: tsigira vakadzi vanosarudza kuyamwisa, anodaro Emily Silver, MS, N.P.-C., IBCLC., mukoti wemhuri, murapi wezano, uye mubatsiri weBoston NAPS. "Vanachipangamazano mukaka vanobatsira vakadzi kumisikidza chihuri chakadzika kuitira kuti vasarwadziwe nekupa chikafu "

Nyanzvi yekuyamwisa inofanira kukwanisa kusiyanisa kudya kunoshanda nekusaita basa, inowedzera Sharon Arnold-Haier, IBCLC, chipangamazano weLactation wezvekuNew York akanyorwa pane hukama hwehukama hwehukama hwebasa raRobyn. "Kubvunzana kukuru kwekuyamwisa kunosanganisira kuongorora zamu, kuongorora mukanwa kwevacheche, uye kucherechedzwa kwekudyisa. Dzimwe nyaya dzekuyamwisa dzichava nyore uye dzimwe dzichava dzakaoma, dzichida kuchengetedzwa kwenguva dzose."

Kazhinji, nyanzvi yekuyamwisa inogona kupa zvinopfuura rubatsiro rwekuyamwisa, anodaro Silver. "Tinogona kupa rutsigiro rwepfungwa uye kuongorora uye kutaura nezvekusununguka mushure mekusununguka," anodaro. "Kazhinji, kushanya kwedu kunosanganisira matipi ekupona kwevabereki uye mashandiro pamwe seboka kuti vapinde munzira dzakanaka pazvinhu zvakaita sekurara zvine hutano. Tine tarisiro yekuziva varwere vedu padanho rega kuvabatsira kuita sarudzo dzakanakisa kwavari "uye mhuri yavo yose kana zvasvika pakudya."

Uye kunyangwe zvichinyanya kukosha kuti mupi wezano reactation ashande mukati meyakajairwa maitiro avo, vamwe varapi ndivo vanopa mazano uye vanamukoti varapi, MDs, kana mamwe marudzi evanoona nezvehutano, zvinoreva kuti vanogona kunyora zvirevo uye kurapa mamwe matambudziko akaomarara, anodaro Allyson Murphy, IBCLC., New Jersey-based lactation consultant.

Izvi zvachinja sei panguva yeCOVID-19?

Nepo kumwe kushanya kumba kuchiri kuitika nemidziyo yekudzivirira yemunhu (PPE) uye zvivheneko zviri munzvimbo, pane zvakare kuvepo kwakakura uye kudiwa kwekushanya chaiko uye kufona nenyanzvi dzekuyamwisa. "Takada kupeta katatu chiyero chedu chekushanya nerutsigiro rwenhare panguva yedenda kuti tipe rubatsiro kune avo vangangove nenjodzi dzeCCIDID, vanhu vanotambura vasingakwanise kuwana mupi anouya, kana avo vanogara kumwe kusina tani. "" akadaro lactation. " (Yakabatana: Vanamai Vanogovana Izvo Zvinoita Mukuzvara Panguva yeCOVID-19)

Kushanya chaiko - kunyanya mumazuva mashoma ekutanga iwe uri kumba - kunogona kubatsira zvakanyanya. "Vatengi vazhinji vanonzwa kushanya chaiko hakuzove kunobatsira, asi ini ndinoona kushanya chaiko kuchibudirira kwazvo kumhuri zhinji," anodaro Arnold-Haier.

Chii chaunofanira kutarisa kune mubatsiri wezvekuyamwisa?

Kazhinji kutaura, kune maviri akakosha marudzi evanozivikanwa ekuvhenekesa vanopa mazano - International Board Certified Lactation Consultants (IBCLCs) uye Certified Lactation Consultants (CLCs). IBCLCs inofanirwa kupedzisa maawa makumi mapfumbamwe edzidzo yekuyamwisa uye ruzivo rwekiriniki ruchishanda nemhuri. Vanofanirawo kuzivikanwa senyanzvi dzehutano (sachiremba, mukoti, chiremba wezvekudya, nyamukuta, nezvimwewo) kana kupedza makosi gumi nemana ezvehutano asati agara bvunzo. MaCLCs, kune rimwe divi, anozadza maawa makumi mana nemashanu edzidzo vasati vapasa bvunzo asi havafanirwe kunge vaine chiitiko chekiriniki chekare vachishanda nevarwere vasati vapihwa chitupa.

Kusarudzika kwechitupa parutivi, iwe unoda kusarudza mumwe munhu ari papeji imwe chete newe uye zvinoenderana nezvaunotenda, anonyora Silver. Zvichida izvi zvinoreva mubatsiri wezvekuyamwisa uyo anogona kufunga kunze kwebhokisi. “Sezvinongoita chiremba wevana, uyu munhu waunoshamwaridzana naye uye anoda kuti awane rubatsiro nerutsigiro nenzira isina mufungo,” anodaro. "Kune nzira dzakawanda dzekudyisa mwana, dzinosanganisira kuyamwisa chete, kuyamwisa uye kushandisa mabhodhoro, kupomba nekushandisa mukaka wechipfuva, kana kunyangwe kuyamwisa uye kushandisa imwe fomura. Ndezvekuziva chirongwa chakanakira iwe." Kana iwe uchinzwa sekunge kuyamwisa kusiri kushanda, iyo IBCLC inogona kukubatsira iwe kunetsekana uye nekuwana mhinduro yakanakisa yemhuri yako. (Zvakafanana: Shawn Johnson Akawana Chokwadi Nezve 'Amai Mhosva' Mushure mekunge Vafunga Kusayamwisa)

Unodawo mumwe munhu ari kuzokubata nemutsa uye netsitsi, anodaro Murphy. "Panguva iyo mumwe munhu anosvika kwandiri, ivo vanowanzo kunzwa kunge vari mudambudziko modhi: ivo vaGoogled, vakatumira mameseji shamwari dzavo dzese, uye vari kutya, pamusoro pekunge vaneta uye mahormone."

Masevhisi ekubvunzira kuyamwisa anovharirwa neinishuwarenzi here?

FWIW, masevhisi ekuyamwisa vari vakafunga kudzivirira kudzivirira sechikamu cheAffordable Care Act (ACA), zvinoreva kuti ivo anofanira kuvharwa. Asi, enda mufananidzo: "Madudziro emutemo wega wega weinishuwarenzi anosiyana zvakanyanya, izvo zvinoreva kuti vamwe vanhu vane rombo rakanaka vanoshanya katanhatu mushure mekusununguka pasina muripo uye vasina rombo rakanaka pakati pedu vanoramba vachibhadhara kunze kwehomwe uye kutsvaga kudzoserwa mushure, izvo zvinogona kana kusazoitika, "anodaro Murphy.

Yako yakanaka nzira yekuita: Tarisa nekambani yako yeinishuwarenzi usati waona chipangamazano wea lactation saka iwe unonzwisisa pane zvakafukidzwa. Rimwe zano? "Iwe uchaita zviri nani nekudzorera kana mubatsiri wako wekuyamwisa ariwo nyanzvi yehutano ine rezinesi yakadai sachiremba, mukoti, mukoti akanyoreswa, mubatsiri wachiremba, kana, ini, kana ini, chiremba wezvokudya akanyoreswa," anotsanangura kudaro Arnold-Haier.

Kana uchifanira kubhadhara, kushanya kunoda marii?

Kana iwe usingakwanisi kuva nemasevhisi emuongorori wea lactation akavharwa kuburikidza neinishuwarenzi, mari yekubhadhara imwe ichasiyana zvichienderana nekwaunogara uye kuti ruzivo rwakadini mupi wezano wauri kufunga ane. Asi nyanzvi dzakabvunzurudzwa pachikamu ichi vanofungidzira kushanya kwekutanga kudhura chero kupi kubva pamadhora makumi manomwe nemashanu kusvika pamazana mazana mana emadhora mazana masere, nekugadzwa kwekutevera kuri kupfupi uye kungangoita kwakachipa.

"Ndinokurudzira kutaura nenyanzvi yekuyamwisa usati waronga kushanya kuti uzive kuti vanoita sei tsika yavo uye zvaunogona kutarisira kuti vabhadharwe," anodaro Arnold-Haier. Inogona kubva pakushanya kweawa imwe chete kusvika kuawa maviri kune chirongwa chekunyora chekuchengetedza, kana kunyange kukurukurirana kwekutevera. Huwandu hwenguva dzaunoona dzichisangana (zvingangoita kana IRL) nemubatsiri wako zvinobva zvinoenderana zvakanyanya nerutsigiro rwaungade.

Ndepapi paunofanira kufunga nezvekuhaya mubatsiri wekuyamwisa?

Kutanga, ngativhenekesei nhema hombe: haudi kungoda mupi wezano reactation kana paine chakaipa. "Ndinogara ndichiti, usamirira kusvikira chimwe chinhu chisina kumira zvakanaka kana kuti usati wave panzvimbo yakaipa kuti utarise nemubatsiri wezvekuyamwisa," anodaro Silver. (Zvakafanana: Unofanira Kuhaya Doula Kuti Ikubatsire Nepamuviri uye Nekusununguka?)

"Ndiri mutendi akakura mumakirasi ekuyamwisa asati aberekwa. Ndinoavadzidzisa, ndinovada, ndinovaona vachishanda," anodaro Murphy. "Kuyamwisa unyanzvi hutsva hunofanira kudzidzwa. Kupinda mauri uchiziva zvakajairwa nezvisiri izvo zvinokubatsira kuti unzwe uine chivimbo, zvinokubatsira kuona mapundu munzira kumberi asati aita tsaona, uye kunoita kuti utange hukama IBCLC usati waendesa."

Zvakakoshawo kuziva kuti, kazhinji kutaura, kuchipatara kana nzvimbo yekuzvarira, iwe kuda kuve nemukana wekubatana nemubatsiri weanoyamwisa. COVID, zvinosuruvarisa, yakaita kuti izvi zvisanyanya kuitika. Arnold-Haier, anoshanda muchipatara uye ari pachivande, anoti pakati pedenda iri, vabereki vatsva nevacheche vari kuburitswa nekukurumidza kupfuura zvamazuva ese. "Nekuda kweizvozvo, vazhinji havakwanise kuonana nenyanzvi dzekuyamwisa vasati vaenda kumba uye kudya kwevacheche kunogona kutaridzika zvakasiyana kubva pazuva rekutanga kusvika pazuva reshanu zvichienda mberi, saka kubuda nekukurumidza kuri kusiya vazhinji vasina rubatsiro rwavanofanirwa." (Pamusoro pechinyorwa chakafanana: Mwero wekufa kwepamuviri-kune hukama muU.S. Inokatyamadza Yakakwira)

Kamwe mukaka wako uchipinda (kazhinji kana watoburitswa), pane mukana wekuti uchaona engorgement. Uye engorgement inogona kukonzeresa kunetsekana latching uye ingangoita shanduko munzira yaunozviisa iwe nekuda kwemukaka wako unouya, anodaro Silver. "Inguva yemibvunzo yakawanda uye inzira yekuti tiongorore vanaamai mushure mekusununguka: Uri sei? Uri kunzwa sei?"

Kana uri kwete uchifunga kuhaya mubatsiri wezvekuyamwisa usati waedza kuyamwisa? Iva nechokwadi chekusvika kune mumwe munhu nekukurumidza kana nyaya yamuka. "Nyaya dzisingataurwe dzimwe nguva dzinogona kuumbana kuita hombe dzakaita semakomba akavharika emukaka, mastitis, kunonoka kurema mumwana, kana nyaya dzemukaka," anodaro Murphy. "Mapoka ekutsigira anotungamirwa neIBCLC kana vazvipiri vakadzidziswa vakaita saLa Leche League kana Breastfeeding USA inogona zvakare kuve nzvimbo yakanaka yekutanga kune inovimbika, humbowo-hwakavakirwa info." Dzimwe nguva, iwe unogona kuwana mhinduro kumibvunzo yakapusa pasina kubhuka kuti uone mumwe munhu.

Ongororo ye