Ngo ubisi eyodwa webele akwanele - yini okumele ngiyenze? Indlela bancelise

Okwehlela omama abasebasha mayelana lokuthi ngendlela ubisi ambalwa webele, ivamile impela. Izingxoxo ngesikhathi lwabesifazane Forum yenkinga - Kuyaziwa. Okufanele ukwenze futhi indlela yokulungisa isimo? Izizathu kungani kwelinye amabele ukukhiqiza ubisi esingaphansi kwesinye, kukhona eziningana.

Wamabele ukungalingani: kusukela zofuzo ukuze ingane imikhuba

Asymmetry zamabele kungadalwa isakhiwo zabo ezicacile zomzimba (nomehluko omncane ngaphakathi usayizi ofanayo ke likhona cishe amaphesenti angu-70 abesifazane). kungalingani Okuningi obonakalayo yalezi nemingcele lingandile kangako, futhi lihlotshaniswa a hypoplasia zofuzo izicubu yezindlala, lapho webele ayikhuphuki ngisho nalapho ngikhulelwe, nakuba inani elincane ubisi wayesalokhu ukhiqiza. Ngaphezu azalwa naso asymmetry umehluko obonakalayo e usayizi webele futhi kwenzeka ngenxa ukuma ingono. Ngesikhathi ibele kungenzeka ebeleni elingakwesokudla lincane kwesokunxele, noma, kunalokho, ngenxa bethulula yabo ukungalingani.

isicelo ngokungalingani umthamo wamandla ubisi lwebele ziyahlukahluka bedle:

• ekunciphiseni engu- Amapayipi excretory ngenxa ebubanzini nasekujuleni kwazo non-ezifanayo;
• okunamathiselwe abampofu ukuba omunye webele;
• ukudonsa engalingani;
• izintandokazi ngokuya wenduduzo silondoloze imvuthu abe esifubeni ngokunethezeka (isibonelo, uma umama ithwala kuyo ngendwayimane eceleni komunye);
• ebusuku feedings ohlangothini olulodwa (ezivezwa lemali ubisi, futhi uma umntwana niyoncela webele elilodwa kuphela, khona-ke elinye iyoba kubonakale kancane kule isikhathi sosuku);
• ukwelashwa lactostasis ngosizo abanye amakhambi abantu (vodka, utshwala noma camphor, okuyinto zivimbela ukukhiqizwa le oxytocin hormone, esiza balahle imihlola amile kanyekanye ne ukunyamalala lactation).

izinkinga sokugembula kungase futhi kube isizathu ukuthi kwelinye webele ubisi olwanele. Lokhu ezihlukahlukene izicubu yezindlala ukulimala, ukuhlinzwa noma izifo: lactostasis ukuvuvukala, mastitis. indima enkulu ubisi iyunifomu oncelayo kamama, nokunye, play imikhuba umntwana. Ngokwesibonelo, ingane ibamba ingono akuyona ngokuphelele, okungaholela waphuka ezibuhlungu. Ngenxa yokuphatheka kabi owesifazane ufunza a webele kancane, ivinjiwe ukugeleza ubisi yensimbi kuyehla ngosayizi.

Prolactin reflex - kuyini?

Hlakaniphile Mother Nature awahlinzeke webele ngesikhathi ukusuthisa ubisi njalo ahlanganiswe. Ngakho-ke, lo mshini ukukhuthazwa eziyimpumelelo emsipheni we ingono is ukugijima njalo imvuthuluka liqala ukumunca ukudla. Ngalesi sikhathi, isiginali ezinzwa ifika pituitary anterior, unesibopho ukulawulwa lactation futhi ukukhiqiza ubisi i-hormone okuthiwa i ezifanele. Ukukhuthazwa ingono, elibangela uketshezi kakhudlwana umkhiqizo kanye ukulethwa aso wendlala yabesilisa, ngokuthi prolactin reflex. Ukudla ukudla okukhethekile futhi ephuza uketshezi oluningi - it is kuphela ngesisekelo yokudla okunempilo ekukhiqizeni ubisi. Okunamathiselwe ingane ebeleni kaningi ngangokunokwenzeka, bese inqubo oncelayo ikhulisa omama ibele. Futhi kwandisa umthamo ubisi kuzo.

omama alamu

Ngo abesifazane, elingafunwa ukubukeka izibulo laliyisenzakalo Okuyınqo, lactation enganele kwelinye webele ingabangela ukucindezeleka okungabekezeleleki okukhulu. Ochwepheshe baxwayisa ngokuthi uphatheke kabi ngakho hhayi zinkulu. Ngokwezibalo yezokwelapha, ukungakwazi ukuncelisa ingane yakho ahlupheke angaphansi kwamaphesenti amathathu asanda ezenziwe omama. Lesi simo sibangelwa iziyaluyalu ezinzima hormone. Ngaphansi kwezimo ezivamile ezinyangeni ezimbalwa zokuqala ngemva kokuzalwa (ngaphakathi emibili kuya kwemithathu) omama ibele othola inqubo yemvelo lithathelwe.
A webele ezincane, njengoba umthetho, kumele babhekane ukushukuma njalo futhi isikhathi eside. Ngakho kungenzeka ukuvumelanisa izicelo ukukhiqizwa umkhiqizo, kanjalo kube nokulingana le ngokudayisa ngobukhulu nhlangothi zombili. Sekuyisikhathi eside Ochwepheshe wathola ukuthi inani kwezintathu yokudla okukhiqizwayo akuxhomekile ubukhulu wendlala ingane. Kaningi kuyenzeka ukuthi ubisi ebeleni ngaphezulu ukhiqiza kancane, futhi abesifazane nge inombolo yokuqala sondliwa izinsana kuze unyaka noma ngaphezulu. Ukubuyekezwa wathola izibonelo wayethole i-HBV nabonina usayizi amancane eminyakeni nengxenye noma ngisho unyaka nezinyanga eziyisishiyagalombili.

Izimbangela ubuhlungu esifubeni lapho ondla

Kabi ingono wamabele ngokuvamile, ubuhlengikazi omama ngesikhathi lactation kujwayeleke lingaphathelaniswa ne kwatheleka eqinile ubisi (njengoba distension ukukhanya) balimaze esifubeni isikhumba obucayi ngaphandle qakala ngokwanele (ngokuvamisile ku lithathelwe yabo kuthatha cishe ezimbili amasonto). Uma owesifazane owayejwayele ngokuhambisana umbuso kanye nemithetho isicelo imvuthu ukuba izindlala, ubuhlungu zemvelo esifubeni lapho ondla ngokushesha kakhulu sihamba.

Uma ubunzima asivelanga ezinsukwini zokuqala ezimbalwa lactation, nokunye kamuva, lapho mode yokudla kuyalingana kakade, Zingaba yini izizathu zabo:

• inflow eqinile ubisi ngqo ngesikhathi senqubo;
• kumiswa imifantu futhi izilonda ingono, isifo ukulimala amagciwane noma isikhunta;
• ubisi yokujama tsi (noma lactostasis);
• mastitis;
• webele.

Ukuze sithole izimpendulo, kusukela lapho kukhona ubuhlungu esifubeni uma ukudla futhi uthole iseluleko sendlela ukugwema ngukulimala esifubeni ukusungula inqubo elungile ukuqinisekisa ingane ubisi lwakho lwebele noma ukwelapha lesi sifo, kubalulekile ukuya kudokotela ngokushesha.

Kusukela okubonakala lactostasis futhi kanjani naso ngokuphumelelayo?

Ungavali ngophawu esifubeni, kokuvela ngenxa yokuthi ngenxa clove avimbekile uyaphuma ubisi lwebele - Kuyaziwa phakathi omama abasebasha, okokuqala sibhekene nezindlala ezibuhlungu. Yini kungaba imbangela lactostasis?

Ziyakwazi:

• zikhawu likhulu kakhulu phakathi feedings, okubangela yokujama tsi ubisi (Imikhandlu ukugcina umkhiqizo ukuba anele phambili kusihlwa ukuba seal!);
• isikhathi esilinganiselwe, ukudla, lapho ingane has isikhathi baphuze ubisi phambi kuphela futhi usinda ngoba abancela, kodwa zinothile izinsalela okunomsoco ku Amapayipi webele beshaya;
• Udla ngo isimo evamile lapho tincetu efanayo akhishwe, futhi abanye kukhona izimvu zamanzi;
• nokunwetshiwe ubuthongo ohlangothini olulodwa (ubuso ingane), okuholela ukubukeka izigaxa ku ikhwapha;
• zangaphansi enyinyekile futhi ungakhululekile;
• ukukhathala, futhi ezingalapheki ukungalali ngokwanele;
• umsebenzi wesikole okuyisidina;
• nokudlanga okunamafutha ekudleni;
• snap ebandayo (kufanele sinake ngokukhethekile lactostasis zokuvimbela).

Ngenxa yalokho, umthelela yimaphi zici ezimbi kwelinye webele iba ubisi kancane. Okufanele ukwenze kuleli cala? Gynecologists belulekwa ukuqeda mechanical nomkhombe izigaxa esifubeni, engalimaza, ukugebenga esebenzisa isihluku lesi simo. Ngaphezu kwalokho akunakwenzeka ukhawule baphuza uketshezi. Insumansumane yokuthi bancelise lactostasis ethintekile kungavunyelwe, kuyinto untenable. Lokhu kumele kwenziwe ngempela, ngoba ingane ngosizo oncelayo kungaba kakhulu ngokuphephile nangendlela efanele ukukhulula tincetu clog ubisi yokujama tsi. Ngaphambi nje ibele, udinga ukuhlela ukuze kwesilevu womntwana kwaba ngqo ngaphansi kophawu - ngakho umphumela esiphezulu bungatholakala, ngoba ingane esiqine kuvusa indlala usebenzisa cleaner ngaphansi kolimi ngesikhathi abancela. Ngokusebenzisa a imvuthuluka e zibhekise ezahlukene, umama ungathola omnene bethulula zonke lobules. Uma ingane kunzima ukunikeza ukukhathala ephelele ubisi lukamama, kubalulekile ukuba sithuthele izinsalela.

lactation zinhlekelele

Uma, ngesikhathi ukunikeza ingane ikhombisa ukukhathazeka ke mhlawumbe akusiyo ubisi olwanele webele. izimo ezinjalo zenzeka ngezindlela ezingafani yilowo nalowo wesifazane, ngenxa kuzuba ekuthuthukiseni Malisch lapho okwandisa izidingo zayo yokudla okunempilo. Isigaba sokuqala sale ukushoda ubisi zingavela izinsuku 21-45 emva kokuzalwa, kulandela ekushintshashintsheni isilinganiso "kwaneliswe isidingo" kungase kubonakale 3, 7, 11 kanye izinyanga 12 ibele. Isikhathi lactation zinhlekelele kuyinto ngabanye kanye kungaba ngokujwayelekile kusuka izinsuku ezingu-2-3 ngesonto. Lokhu akusho ukuthi unina waba ubisi kancane, indlala okwamanje isikhathi ukuzivumelanisa nezimfuno ezintsha. Phakathi nale nkathi, abesifazane nulliparous, ukukhathazeka ukuthi ingane idla kungenjalo, ungenza iphutha bese uqale aphelele yokudla Izingxube.
Ngokuvamile umphumela uba ukuthi akathandi bayoncela ubisi ingane webele, ikakhulukazi ngemuva izakhi. Ngakho-ke, odokotela bezingane ukuncoma ukubeka ingane ngalesisikhathi kaningi ngangokunokwenzeka ukuze ukuncelisa futhi isikhathi eside kunokuvamile, kuhlanganise esihle ukukhiqizwa ubisi ebusuku. Kubhekwe iseluleko eziyingozi ukunikeza izingane isikhohliso dopaivat amanzi, sebenzisa ibhodlela nge ingono, ukungabaza khona imali eyanele ubisi lwebele futhi bangayeki, hhayi uyakuhlupha ukulwela webele ukusuthisa ingane.

Inani ezahlukene ubisi ku nezindlala mammary akuyona izaba kokulunyulwa

Ezinyangeni ezintathu zokuqala emva kokubeletha kwenzeka ekubuyiseleni ibhalansi phakathi izidingo ukukhiqizwa ingane nobisi Mommy. Ngokuhamba kwesikhathi Amapayipi ukwandisa umkhiqizo iba ngaphansi amafutha kanye nenani iqala bounce emuva, afanayo izidingo ingane. Kodwa uma umuntu eza ubisi lwebele ngaphezulu, owesifazane uzizwa ungakhululekile: aminyene webele ubuhlungu kanye nobuhlungu bomzimba. Kuyinto ngokuvamile kuncike lactostasis. Ingane ihlangabezana ukungakhululeki, ukuqonda ingono, sokuqala esiminyanisa kanyekanye iphuza emoyeni izingxenye, okuholela ekugcineni regurgitation futhi kubuhlungu amajaqamba lesisu. Umama kulokhu yokudla futhi kubangela hhayi kuphela ubuhlungu: ubisi kusukela embeleni washaywa out streaks obukhulu, smudges, wets izingubo futhi kuholela isikhumba ukucasuka. Ngaphezu kwalokho, umkhiqizo ngokweqile kwenza abantu bakuphathe ukubukeka striae (elula).

Yini obusa ukuze ayeyisebenzisa njalo lapho ondla ukuze ungazizwa ukungakhululeki? Kudingeka:

• ingane ukusuthisa eyodwa webele yokwamukela;
• ukulandela inqubo wasithatha ingane ingono (areola okwenza bamba okungalungile ezingafinyeleleki ezingemuva ubisi okunomsoco, futhi phambi amnandi kufakwe ngokushesha - kid elambile ecela ukudla by inkanuko ukukhiqizwa entsha futhi ukuthutheleka ezandayo umkhiqizo);
• Amabele esisheshayo kudingeka sithuthele kancane ngaphambi yokondla ukuvumela ingane ukuthatha ingono kalula.

Okuphakelayo ngayo phambili isikhundla oluqondile noma ubambe ingane engela (ekhanda lwalungenhla ngaphezu esiswini). Uma ubisi eyodwa webele ezingaphezu kuka kwakudingeka ondle imvuthuluka ngesikhathi, lonke ukucwenga yakhe ukuze kuvinjelwe ingozi yokujama tsi (lactostasis) nokuvela izigaxa. Yakhelwe ukuze amabele angase avuze, ngakho udinga ukubeka ubhodisi e yokuhlanzeka sihloko umswakama. indlala Okwesibili futhi kudingeka sithuthele, uma ingane isivele igcwele. Iqiniso lokuthi e-kokulunyulwa (ngisho okwesikhashana) obisini lukamama ebeleni, lapho incane, involution okusheshayo.

Imikhuba wengane, uma uthatha webele elilodwa kuphela

Zisuka nje, okwemvelo ukusuthisa ingane yakho ubisi lwebele kufanele ngokuqinile ukuqinisekisa ukuthi imvuthu awekho "intandokazi" webele. I umkhuba wokuqamba amanga ohlangothini olulodwa e unina kwesisu ngesikhathi sokukhulelwa kungaholela yokuthi uyokunika ezithanda leyo ndlala mammary, esemgwaqweni eduze isikhundla ngendlela yakudala. Kuyadingeka ukuze ujike ukunikela ilungelo, isifuba kwesokunxele ngesikhathi yokudla, qiniseka ngekhanda iluphi uhlangothi imvuthuluka isicelo okokugcina. Phakathi lactation esibucayi lapho ubisi iba ngaphansi, ungasebenzisa kokubili amabele kwelinye ibele, kodwa isidlo esilandelayo ukunikeza ingane, okuyinto ngaphambili wesibili. Ukuze kukhuthaza ukukhiqizwa kwe umkhiqizo umama wazibonela ngokuvamile belulekwa ukubeka encane webele kancane. Futhi ngemuva kokuhlukumezeka yokudla kubalulekile ukuba sithuthele wonke amaconsi. Lokhu kuzosiza ukuba landise inani lawo omzalayo komkhiqizo kwelinye ibele (ubisi olwanele kuwo, ngakho-ke ingane uyenqaba ncela ke).
consultant GV ngokuvamile belulekwa ukubeka umntwana ibele ebusuku, ikakhulukazi kusukela 3 kuya 5 ezimpondweni ekuseni, lapho umzimba ngenkuthalo kwemiqondo prolactin - hormone athonya kumiswa ubisi ebeleni zesifazane. Akukhona lokho kuphela, kungenzeka imvuthuluka ukuwozela kuqashelwe ukuthi ukuze anelise iphango kwamnikeza hhayi esifubeni, yena uthanda. Kwandzisa linani ubisi ngaphambi yokudla kusiza eshaweni emathileyi efudumele noma amaphakethe ngamanzi ngokulinganisela ashisayo - izinqubo ekhuthaza futhi lula ukunwebeka imbobo inqubo osancela umntwana ubisi. Lapho ekhetha lokushisa lamanzi eliphezulu lezi manipulations, kufanele kuqashelwe masingoni isikhumba obucayi ingono kanye nomdlavuza bebonke.

Omunye webele ukhiqiza ubisi, kanti eyesibili - akukho

Kungani-ke ngakho kwenzeka ukuthi omunye webele ubisi kancane, kuyilapho ezinye kwanela? Phela, prolactin futhi oxytocin, kukhuthaza ukukhiqizwa kwe umkhiqizo umzali, ungene webele ngamunye. Control phezu ukukhiqizwa kokudla umntwana baphathe ngokwabo indlala ngenxa inhibitor eziqukethwe webele umkhiqizo. Uma, ukwenza isibonelo, ebeleni elingakwesokudla baba ubisi ngaphansi, lezi izinto zishukumisa uketshezi ngokwengeziwe nge amaseli yezindlala. Ngalé kwalokho, zivimbela ukwakheka umkhiqizo, ekuvimbeleni umdlavuza kusukela nesichichimayo.
Nature enikeziwe isici ekunqanyulweni osancela umntwana: kulesi simo, kanye ubisi kusukela ndlala isuswe "litmus test" (inhibitor) ukuze uthole okunye umkhiqizo kumiswa. Uma ubisi eyodwa webele kakhudlwana futhi ingane encela kuphela areola kuso, khona-ke umkhiqizo izofika ncamashi kule ndawo, okwandisa ubukhulu wendlala. Nakuba ngakolunye uhlangothi webele uzokwehla, ekunciphiseni lactation, baveze uma hhayi njalo ubisi. Amathiphu ukuba udle kakhulu, baphuze zezinkambi akhethekile "herbal itiye nezinye izicelo Apilak 'kwezokwelapha ngeke sizuze uma leyo ngane ngeke ncela esifubeni ethize. Ukuze kube khona uketshezi njalonjalo ubisi, kubalulekile ukuba ulungise imvuthuluka futhi ngokuvamile kwavusa izingono.

Izinganekwane imibono eyiphutha

A kahle mayelana nendlela ukuncelisa ingane yakho, ngisho kulonyaka ukukhanyiselwa, kunezindlela eziningi. Ngokwesibonelo, eMkhandlwini lokuthi usana ebeleni azinakugcinwa imizuzu engaphezu kwengu-5 ukugwema ukubonakala imifantu, akuyona neonatologists tenable. indlela abasabela ngayo kuchaza ukuthi kudingeka sizondle ingane yakho kuze kube ngomzuzu lapho izokhipha esifubeni. A ufa ukwakheka ngenxa yezizathu ezimbili: ngokweqile yokulungiswa ingono (insipho zelenkoj) ukubhubhisa zokuzivikela ungqimba areola futhi bamba yayo ayilungile ingane ncela.

Isibuyekezo esiphikisayo esiguli, lapho udokotela Kunconywa ukugcina ubisi ukondla ingane njalo ngalobobusuku lalingaphansi ngokwanele kuye dinner, kulekelelwa amazwana ukuthi kuleli cala kubalulekile ukulinda kuncishiswe inani ubisi kanye Ukuwohloka inqubo lactation. Umbono okwandile ukuthi izingane ncela ingxenye ezanele umkhiqizo umzali yokuqala 5-10 imizuzu yokudla, ivumelekile izingane ezindala kuphela. Newborn kunzima bazogcwalisa ngokushesha ngakho ngoba namanje ukufunda indlela ncela futhi neze kuvela elikhiqizayo. Ngaphezu kwalokho, indima eside kule nqubo ijubane isimo e obisini lukamama, ngoba kwezinye abesifazane uketshezi komkhiqizo senzeka izingxenyana ezincane futhi zinikwa izikhathi eziningana ngesikhathi yokudla olulodwa.

Futhi ekugcineni ...

Yenza omama ibele snap lesinesitfombe-sibuko. Ukuze wenze lokhu, ngendlela efanele usaqala ukuziqhakambisa inkinga, ulungise inqubo ibele, enika ingane engaphezu kweyodwa webele, futhi ababili kubo, banikane ematfuba. yensimbi Ngaphansi kumele kusetshenziswe kaningi. Uma kungenakwenzeka ukuba ngokuzimela ukubhekana izici we GV lesifanele, kungenzeka kudingeke abone udokotela abazokusiza ukuhlela inqubo ukuze phakela of ingane baletha injabulo kamama nomntwana siyimiqemane.