Utywala kunye nokukhulelwa

Abafazi abakhulelweyo bayabongozwa ukuba bangaseli tywala ngexa lokukhulelwa.

Ukusela utywala ngelixa ukhulelweyo kubonisiwe ukuba kunokwenzakalisa umntwana njengoko kukhula esibelekweni. Utywala obusetyenziswa ngexesha lokukhulelwa bunokukhokelela kwiingxaki zonyango lwexesha elide kunye neziphene zokuzalwa.

Xa umfazi okhulelweyo esela utywala, utywala buhamba ngegazi lakhe kwaye bungene kwigazi lomntwana, izicwili kunye namalungu. Utywala buyehla kancinci kancinci emzimbeni wosana kunasebudaleni. Oko kuthetha ukuba inqanaba lotywala egazini lomntwana lihlala linyuka ixesha elide kunelonina. Oku kunokulimaza umntwana kwaye ngamanye amaxesha kunokukhokelela kumonakalo wobomi bonke.

IINGOZI ZOTYWALA NGXA YOKUKHULELWA

Ukusela utywala obuninzi ngexesha lokukhulelwa kunokukhokelela kwiqela leziphene kusana olubizwa ngokuba sisifo esiswini somntwana. Iimpawu zingabandakanya:

• Iingxaki zokuziphatha kunye nengqwalaselo
• Iziphene zentliziyo
• Utshintsho kubume bobuso
• Ukukhula kakubi phambi nasemva kokuzalwa
• Ithoni yemisipha engalunganga kunye neengxaki zokuhamba kunye nokulingana
• Iingxaki ngokucinga nokuthetha
• Iingxaki zokufunda

Ezi ngxaki zonyango zezobomi bonke kwaye zinokwahluka ukusuka kubumnene ukuya kubunzima.

Iingxaki ezibonwe kusana zinokubandakanya:

• Umvakalelo yokitazo
• Ukuhanjiswa kwangaphambi kwexesha
• Ukuphulukana nokukhulelwa okanye ukuzala umntwana oswelekileyo

BUKHUSELEKILE BUNGakanani UTYWALA?

Akukho mali "ikhuselekileyo" eyaziwayo yokusetyenziswa kotywala ngexesha lokukhulelwa. Ukusetyenziswa kotywala kubonakala kuyingozi kakhulu kwiinyanga ezintathu zokuqala zokukhulelwa; nangona kunjalo, ukusela utywala nangaliphi na ixesha ukhulelwe kunokuba yingozi.

Utywala buquka ibhiya, iwayini, izinto ezipholisa iwayini kunye notywala.

Isiselo esinye sichazwa njenge:

• I-12 oz yebhiya
• 5 oz yewayini
• 1.5 oz yotywala

Indlela osela ngayo ibalulekile njengokuba usela rhoqo kangakanani.

• Nokuba awuseli rhoqo, ukusela isixa esikhulu ngexesha eli-1 kunokulimaza umntwana.
• Ukuzinkcinkca ngotywala (ezi-5 okanye ngaphezulu kweziselo xa uhleli 1) kuyonyusa kakhulu ingozi yokuba umntwana aphuhle umonakalo onxulumene notywala.
• Ukusela utywala obulinganiselweyo xa ukhulelwe kungakhokelela ekuphumeni kwesisu.
• Abantu abasela kakhulu (abo basela ngaphezu kwezi-2 iziselo ezinxilisayo ngemini) basemngciphekweni omkhulu wokuzala umntwana one-fetal alcohol syndrome.
• Okukhona usela, kokukhona uwukhulisa umntwana wakho emngciphekweni wokwenzakala.

Musa ukusela ngexa lokukhulelwa

Abasetyhini abakhulelweyo okanye abazama ukukhulelwa kufuneka bakuphephe ukusela naliphi na inani lotywala. Ekuphela kwendlela yokuthintela isifo se-fetal alcohol syndrome kukungaseli utywala ngexesha lokukhulelwa.

Ukuba ubungazi ukuba ukhulelwe kwaye usela utywala, yeka ukusela kwakamsinya nje wakufunda ukuba ukhulelwe. Ngokukhawuleza uyeke ukusela utywala, uya kuba sempilweni umntwana wakho.

Khetha iinguqulelo ezingekho phantsi kotywala ozithandayo.

Ukuba awukwazi kulawula ukusela kwakho, kuphephe ukuba phakathi kwabantu abasebenzisa utywala.

Abafazi abakhulelweyo abanotywala kufuneka bajoyine inkqubo yokuvuselela iziyobisi. Kufuneka zilandelwe ngokusondeleyo ngumboneleli wezempilo.

Lo mbutho ulandelayo ungaluncedo:

• Ukusetyenziswa gwenxa kweziyobisi kunye noLawulo lweeNkonzo zeMpilo yeNgqondo-1-800-662-4357 www.findtreatment.gov
• Iziko leLizwe leSizwe ngokuSetyenziswa gwenxa kotywala kunye notywala - www.rethinkingdringing.niaaa.nih.gov/about.aspx

Ukusela utywala ngexa lokukhulelwa; Utywala fetal syndrome - ukukhulelwa; I-FAS - isifo esiswini somntwana; Iziphumo zotywala ezingekazalwa; Utywala ekukhulelweni; Utywala obunxulumene nokuzalwa kweziphene; Ukuphazamiseka kokubonakalayo kotywala

UPrasad MR, uJones HE. Ukusetyenziswa gwenxa kweziyobisi ngexesha lokukhulelwa. Ku: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Isilivere RM, ii-eds. I-Creasy kunye neResnik's Maternal-Fetal Medicine: Imigaqo kunye nokuziqhelanisa. Ngomhla we-8. IPhiladelphia, PA: Elsevier; I-2019: isahluko 68.

IPrasad M, iMetz TD. Ukuphazamiseka kokusetyenziswa kweziyobisi xa ukhulelwe. Ku: Landon MB, Galan HL, Jauniaux ERM, et al, ii-eds. Ii-Obstetrics zikaGabbe: Ukukhulelwa okuqhelekileyo kunye neengxaki. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2021: isahluko 8.

I-Wallen LD, iGleason CA. Ukuvezwa kweziyobisi kwangaphambi kokubeleka. Ku: Gleason CA, Juul SE, ii-eds. Izifo zika-Avery Zomntwana osandul 'ukuzalwa. Ngomhla we-10. IPhiladelphia, PA: Elsevier; I-2018: isahluko 13.