Ngaba kufuneka uqeshe uMcebisi ngezeLactation?

Umxholo

• Wenza ntoni umcebisi wezokuncancisa?
• Itshintshe njani le nto ngexesha le-COVID-19?
• Yintoni ekufuneka uyijongile kumcebisi we-lactation?
• Ngaba iinkonzo zokubonisana nokuncancisa zihlawulelwa yi-inshurensi?
• Ukuba kufuneka uhlawule, uza kutya malini kutyelelo?
• Kunini apho kufuneka ucinge ngokuqesha umcebisi wokuncancisa?
• Uphengululo lwe

Kuphela yimizuzu nje emva kokubeleka intombi yam, ngeCawa, kwiminyaka emibini edlulileyo, ndikhumbula ngokucacileyo umongikazi wam we-OB ejonge kum, esithi, "Kulungile, ngaba ukulungele ukuncancisa?"

Bendingenguye- kwaye bendingazi ukuba ndenza ntoni kodwa, ndothuke kakhulu xa umntwana ebotshelelwe kwaye besiphumile.

Izibonelelo zempilo zokuncancisa - leyo iWorld Health Organisation (WHO) icebisa ukuba oomama abatsha benze iinyanga ezintandathu kuphela - zibhalwe kakuhle: Ubisi lwebele lunokunceda ukukhusela iintsana ekuguleni kunye nokunciphisa umngcipheko wemiba efana nesifo sombefu, ukutyeba, kunye nequbuliso. isifo sokufa kweentsana (i-SIDS), ngokophando. Isenzo sikunceda ukuba uphilise emva kokubeleka (ngezo ntsuku zokuqala, isibeleko sakho sineekhontrakthi xa usana lwakho lutsala, luyinceda ukuba ibuyele kubungakanani obabungaphambi komntwana), kwaye yehlisa nomngcipheko wemicimbi enje ngohlobo lweswekile 2 kunye Iindidi zomhlaza kumama kwixesha elizayo. Kwaye kulungile-eco-friendly: akukho bhotile yeplastiki, imveliso okanye inkunkuma yezothutho, njl.

Njengomama, ndiziva ndinethamsanqa: Uhambo lwam lokuncancisa luhlala malunga nonyaka kwaye ndinemichilo embalwa. Kodwa njengomseki weCawa ethandekayo, iqonga le-Intanethi loomama abatsha nabalindeleyo, ndihlala ndiba noomama bandixelele indlela bothuke ngayo ngamava.

Emva kwayo yonke loo nto, ngenxa yokuba ukuncancisa indalo akuthethi ukuba kuhlala kuza ngokwendalo. Ngaphezu koko, kuchitha ixesha (ngaba ubusazi ukuba iintsana ezitsha zingadla ngaphezu kwamaxesha e-12 ngosuku?!) Kwaye-ukuba imiba ivela - uxinzelelo. (Uphando olwenziwe sisibhedlele sabantwana i-UC Davis Hospital lufumanise ukuba iipesenti ezingama-92 zoomama abatsha banengxaki yokuncancisa ibenye kwisithuba seentsuku ezintathu zokubeleka.) - kwaye inyani kukuba, ayingabo bonke abantu basetyhini abakwazi ukuncancisa. (Jonga: Eli bhinqa livuma ukuvuma malunga nokuncancisa ibele iyinyani)

Iingcali zicebisa ukucinga malunga nokuncancisa njengobugcisa-into ekufuneka ifundwe kwaye yenziwe.Kwaye ngethamsanqa, kukho lonke udidi lweengcali ezibizwa ngokuba ngabacebisi nge-lactation abanceda abantu abakhulelweyo kunye noomama abatsha ukuba benze njalo.

Ukuba uthatha isigqibo soku? Nantsi into ekufuneka uyazi malunga nabacebisi be-lactation, abakwenzayo, kunye nendlela yokuqesha omnye ngexesha okanye emva kokukhulelwa kwakho.

Wenza ntoni umcebisi wezokuncancisa?

Ngamafutshane, abacebisi bezoncanciso babelana ngeenjongo ezifanayo: ukuxhasa abasetyhini abakhetha ukuncancisa, utshilo uEmily Silver, M.S., N.P.-C., IBCLC., ingcali yomongikazi wosapho, umcebisi wezokuncancisa, kunye nomseki we-Boston NAPS. "Abacebisi beLactation banceda abafazi baseke i-latch enzulu ukuze bangabi nantlungu xa besondla; izicwangciso zokondla abafazi abancancisayo kunye nokuncedisa; ubukhulu besifazane kwaye babafundise ukupompa; kwaye uncede abafazi ukuba bahambe kwiingxaki ezithile, iintlungu, okanye usulelo. "

Ingcali yokuncancisa kufuneka ikwazi ukwahlula phakathi kokutyisa okusebenzayo kunye nokungasebenzi kakuhle, wongeza u-Sharon Arnold-Haier, IBCLC, umcebisi wokuncancisa ose-New York odweliswe kuluhlu lwenkonzo yempilo yomama eRobyn. "Unxibelelwano oluninzi lokuncancisa luza kubandakanya uvavanyo lwebele, uvavanyo lomlomo ngeentsana, kunye nokuqwalaselwa kokondliwa. Eminye imiba yokuncancisa iya kuba lula kwaye eminye iya kuba nzima, ifuna ukhathalelo oluqhubekayo."

Rhoqo, ingcali yokuncancisa inokubonelela ngaphezu kwenkxaso yokuncancisa kuphela, iphawula iSilivere. “Sinokubonelela ngenkxaso yeemvakalelo kunye novavanyo kunye nokubhekisa kuxinzelelo lwasemva kokubeleka,” utshilo. "Rhoqo, utyelelo lwethu lubandakanya iingcebiso zokuphila ngokuba ngumzali kunye nendlela yokusebenza kunye njengeqela ukungena kwiindlela ezilungileyo kwizinto ezinje ngemikhwa yokulala esempilweni. Sijonge ukwazana nezigulana zethu kwinqanaba lomntu ukubanceda benze ukhetho olufanelekileyo kubo nosapho lwabo luphela xa kufikwa kumba wesondlo. "

Kwaye ngelixa kubaluleke kakhulu ukuba umcebisi we-lactation asebenze ngaphakathi kwendawo yokusebenza kwabo, abanye iingcali ngabacebisi be-lactation kwaye abongikazi, i-M.D.s, okanye ezinye iintlobo zababoneleli bezempilo, oku kuthetha ukuba bangakwazi ukubhala imimiselo kunye nokunyanga iimeko ezinzima ngakumbi, utsho u-Allyson Murphy, IBCLC., Umcebisi we-lactation waseNew Jersey.

Itshintshe njani le nto ngexesha le-COVID-19?

Ngelixa olunye utyelelo emakhaya lusenzeka ngezixhobo ezifanelekileyo zokukhusela (i-PPE) kunye nokuhlolwa kwindawo, kukho ubukho obukhulu kakhulu kunye nesidingo sokundwendwela okubonakalayo kunye nokufowuna kunye neengcali zokuncancisa. "Siphantse saphindeka kathathu inqanaba lethu lokundwendwela okubonakalayo kunye nenkxaso yefowuni ngexesha lobhubhane ukubonelela ngononophelo kwabo banokuba semngciphekweni we-COVID, abantu abasesichengeni abangenakho ukubonelela ngomboneleli, okanye abo bahlala kwenye indawo engenatoni. yenkxaso yokuncancisa,” utshilo uSilver. (Eyeleleneyo: Oomama babelana ngokuba kunjani ukubeleka ngexesha le-COVID-19)

Ukutyelelwa ngokukuko-ngakumbi kwiintsuku zokuqala usekhaya-kunokuba luncedo kakhulu. “Abathengi abaninzi baziva ngathi utyelelo oluqinisekileyo aluzukuba luncedo, kodwa ndifumanisa ukuba utyelelo lokwenene luphumelele kakhulu kwiintsapho ezininzi,” utshilo uArnold-Haier.

Yintoni ekufuneka uyijongile kumcebisi we-lactation?

Ngokubanzi, kukho iindidi ezimbini eziphambili zabacebisi abavunyiweyo bokuncancisa — abaCebisi abaQinisekisiweyo beBhodi yeZizwe ngezizwe (IBCLCs) kunye nabaCebisi abaQinisekisiweyo bokuncancisa (CLCs). Ii-IBCLC kufuneka zigqibe iiyure ezingama-90 zemfundo yokuncancisa kunye namava ezonyango asebenza neentsapho. Kufuneka baqondwe njengoochwephesha bezempilo (njengogqirha, umongikazi, ingcali yezokutya, umbelekisi, njl.njl.) okanye bagqibezele izifundo zesayensi yezempilo ezili-14 phambi kokuba bahlalele iimviwo. Ii-CLCs, kwelinye icala, zigqiba iiyure ezingama-45 zemfundo phambi kokuba ziphumelele uvavanyo kodwa akufuneki zibe namava ekliniki angaphambili esebenza nezigulana phambi kokuba zifumane isiqinisekiso.

Umahluko wezatifikethi ecaleni, ufuna ukukhetha umntu okwiphepha elifanayo nawe kwaye ngokuhambelana neenkolelo zakho, phawula iSilivere. Mhlawumbi oku kuthetha ukuba ngumcebisi we-lactation onokucinga ngaphandle kwebhokisi. "Njengogqirha wabantwana, lo mntu usondelelana naye kwaye ufuna ukubuyela kuye ukuze ufumane uncedo kunye nenkxaso ngendlela engagwebanga," utshilo. "Zininzi iindlela zokondla umntwana, kubandakanya ukuncancisa kuphela, ukuncancisa kunye nokusebenzisa iibhotile, ukupompa nokusebenzisa ubisi lwebele, okanye ukuncancisa kunye nokusebenzisa ubisi olungumgubo. Imalunga nokuchonga elona cebo lililo." Ukuba uziva ngathi ukuncancisa akusebenzi, i-IBCLC inokukunceda ukusombulula ingxaki kwaye ufumane esona sisombululo silungileyo kusapho lwakho. (Inxulumene: UShawn Johnson Ufumene Ngokwenene 'Ngomama Onetyala' Emva Kokuthatha Isigqibo sokunganyanzeliswa)

Ukwafuna umntu oza kukuphatha ngobubele novelwano, utsho uMurphy. Ngelixa umntu efikelela kum, bahlala beziva ngathi bakwimo yonxunguphalo: babhale kuGoogle, bathumele i-SMS kubo bonke abahlobo babo, kwaye bayoyika, ngaphezulu kokudinwa kunye nehomoni.

Ngaba iinkonzo zokubonisana nokuncancisa zihlawulelwa yi-inshurensi?

FWIW, iinkonzo zisanyisa zi kuthathelwe ingqalelo ukhathalelo njengenxalenye yoMthetho woKhathalelo ongenakufikeleleka (i-ACA), oko kuthetha ukuba kufanele zigqunyiwe. Kodwa, yiya kumfanekiso: "Indlela umnikezeli we-inshurensi ngamnye awutolika ngayo umthetho yohluka kakhulu, okuthetha ukuba abanye abantu abanethamsanqa bafumana utyelelo oluthandathu emva kokubeleka ngaphandle kweendleko kwaye abanethamsanqa phakathi kwethu babambelele ekuhlawuleni ngaphandle kwepokotho kwaye bafuna imbuyekezo emva koko. inokwenzeka okanye ingenzeki, utshilo uMurphy.

Elona khondo lakho lilungileyo lezenzo: Jonga kunye nenkampani yeinshurensi yakho ngaphambi kokuba ubone umcebisi we-lactation ukuze ucace koku kugutyungelweyo. Elinye icebiso? "Uyakwenza ngcono ngembuyekezo ukuba umcebisi wakho wokuncancisa ukwangumqeqeshi wezempilo onelayisensi njengogqirha, umongikazi, umongikazi obhalisiweyo, umncedisi kagqirha, okanye, kwimeko yam, ingcali yezidlo ebhalisiweyo," ucacisa uArnold-Haier.

Ukuba kufuneka uhlawule, uza kutya malini kutyelelo?

Ukuba awukwazi ukuba neenkonzo ze-inshurensi yakho yokugubungela i-inshurensi, indleko zokuqesha umntu ziya kwahluka ngokuxhomekeka apho uhlala khona kunye nokuba ungakanani amava kumcebisi ocingayo. Kodwa iingcali zenze udliwanondlebe nesi siqwenga siqikelela ukuba utyelelo lokuqala luya kubiza naphi na ukusuka kwi-75 ukuya kwi-450 yeedola, ngokuqeshwa kwabalandelayo kube kufutshane kwaye kusenokwenzeka ukuba kubize.

"Ndikucebisa ukuba uthethe nengcali ye-lactation ngaphambi kokucwangcisela utyelelo ukufumanisa ukuba baqhuba njani kunye nendlela onokuyilindela ngayo," ucebisa watsho uArnold-Haier. Inokuba isusela kutyelelo olunye-lweeyure ezimbini ukuya kwisicwangciso sokhathalelo olubhaliweyo, okanye nonxibelelwano olulandelayo. Inani lamaxesha obona udibana (phantse okanye i-IRL) nomcebisi wakho liya kuxhomekeka ngokupheleleyo ekubeni ungathanda kangakanani inkxaso.

Kunini apho kufuneka ucinge ngokuqesha umcebisi wokuncancisa?

Okokuqala, masicacise intsomi enkulu: awudingi kuphela umcebisi we-lactation xa kukho into engalunganga. Ndihlala ndisithi, sukulinda de kubekho into engahambi kakuhle okanye de ube kwindawo engeyiyo ukuze ungene kumcebisi wezokuncancisa, utshilo uSilver. (Eyeleleneyo: Ngaba ufanele uqeshe iDoula ukuze ikuncede ngokuKhulelwa kunye nokubeleka?)

"Ndiyakholelwa kakhulu kwiiklasi zaphambi kokubeleka. Ndiyazifundisa, ndiyazithanda, ndiyazibona ziyasebenza," utsho uMurphy. "Ukuncancisa sisakhono esitsha ekufuneka sifundwe. Ukuya kuyo ukwazi ukuba yintoni eqhelekileyo kwaye yintoni engakuncedisiyo ukuze uzithembe, ikuncede ubone amaqhuqhuva kwindlela engaphambi kokuba ibeyingozi, kwaye ikuvumela ukuba wakhe ubudlelwane kunye i-IBCLC phambi kokuba uhambise. "

Kuyafaneleka ukuba uqaphele ukuba, ngokuqhelekileyo, esibhedlele okanye kwiziko lokubeletha, wena Ngaba Unethuba lokudibana nomcebisi wezokuncancisa. Ngelishwa, i-COVID ikwenzile oku kunqabile. UArnold-Haier, osebenza esibhedlele nangasese, uthi phakathi kwesi sifo, abazali abatsha kunye neentsana bakhutshwa ngokukhawuleza kunesiqhelo. "Ngenxa yoko, uninzi alunakho ukudibana nomcebisi wezokuncancisa ngaphambi kokuya ekhaya kunye nokondla iintsana kunokubonakala kwahluke kakhulu kusuku lokuqala ukuya kumhla wesihlanu ukuya phambili, ngenxa yoko ukukhutshwa ngokukhawuleza kushiya uninzi ngaphandle kwenkxaso ebafaneleyo." (Kwinqaku elifanayo: Inqanaba lokufa okuNxulumene nokuKhulelwa e-U.S. Liphezulu ngendlela eyothusayo)

Nje ukuba ubisi lwakho lungene (ngokuqhelekileyo xa sele ukhutshiwe), kukho ithuba lokuba ufumane i-engorgement. Ukufakwa engorgement kungakhokelela kwingxaki yokubambeka kwaye kunokwenzeka ukuba utshintshe indlela ozibeka ngayo ngenxa yobisi lwakho olungenayo, utshilo uSilver. "Lixesha lobuninzi bemibuzo kwaye yindlela yethu yokuvavanya oomama emva kokubeleka: Unjani? Uziva njani?"

Ukuba ukhona hayi ucinga ngokuqesha umcebisi we-lactation ngaphambi kokuzama ukuncancisa? Qiniseka ukuba udibana nomntu ngokukhawuleza xa kuvela umba. Imiba engasonjululwanga ngamanye amaxesha inokudityaniswa ibe mikhulu efana nemijelo yobisi evaliweyo, imastitis, ukutyeba kancinci komntwana, okanye imiba yobisi, utshilo uMurphy. "Amaqela enkxaso aqhutywa yi-IBCLC okanye amavolontiya aqeqeshiweyo afana neLa Leche League okanye iBreastfeeding USA nayo inokuba yindawo elungileyo ukuqala ngolwazi oluthembekileyo nolusekwe kubungqina." Ngamanye amaxesha, unokufumana iimpendulo kwimibuzo elula ngaphandle kokubhukisha ukuze ubone umntu.

Uphengululo lwe