Ɔkwan bɛn so na wo nipadua yɛ nufusu ma wo ba? (Lactation) Momma yɛnka eyi ho asɛm nkɔ akyiri!

So woreyɛ abɛyɛ ɛna? Anaasɛ woyɛ akokoaa bi a wodɔ no maame dedaw? Nanso, ebia wowɔ nsɛmmisa pii fa nufu a wɔde ma ho, kyerɛ sɛ, ɔkwan a wɔfa so yɛ nufusu (Lctation). Momma yɛnka ne nyinaa ho asɛm nnɛ wɔ ɔkwan a ɛyɛ mmerɛw so a wubetumi ate ase, ɛyɛ?

Ɔkwan bɛn so na wɔyɛ nufusu? Dɛn na ɛkɔ so wɔ nufu no mu?

Okay, afei momma yɛnhwɛ afiri a ɛyɛ nwonwa a wɔde yɛ nufusu yi, kyerɛ sɛ, nea ɛkɔ so wɔ wo nufu mu. Fa nufu ntini a ɛwɔ wo nufu mu no sɛ adwumayɛbea ketewaa bi a wɔyɛ nufusu. Wɔwɔ afã atitiriw kakraa bi:

• Alveoli: Eyinom ne nkotoku nketewa a ɛte sɛ bobe aba no. Ɛha na wɔyɛ nufusu na wɔkora so bere tiaa bi. Wɔaka saa ntini ahorow yi mu pii akuwakuw ayɛ ntini ahorow akuwakuw a wɔfrɛ no lobules. Lobule bi bata lobe bi ho.
• Nufusu ntini: Lobe biara wɔ nufusu kwan biako. Ebia ntini a ɛkɔ soro kodu 20 na ɛwɔ wo nufu mu. Saa ntini ahorow yi de nufusu fi ntini no mu kɔ nufusu no mu.
• Areola: Wɔfrɛ baabi a ɛyɛ sum a atwa nufu no ho ahyia no areola. Ɛwɔ ntini ahorow pii a ɛyɛ mmerɛw yiye. Sɛ akokoaa no nufu a, saa ntini ahorow yi ka kyerɛ amemene no sɛ, "Okay, ma nufusu no mfi adi mprempren." Nufusu ba bere a wɔkanyan areola no nyinaa no.
• Nufusu: Ntokuru nketenkete bɛyɛ 20 na ɛwɔ nufusu no mu, na nufusu fi saa ntokuru yi mu. Sɛ akokoaa no nufusu (anaasɛ wode nsa da no adi, anaasɛ wode nufu mu pɔmpɛ bɔ no) a, ntini a ɛwɔ saa nufusu yi mu no kanyan. Saa nkanyan yi de sɛnkyerɛnne bi kɔ amemene no mu ma nufusu a efi ntini no mu no sian fi nufusu no mu na efi nufu no mu.

Sɛ yɛbɛka no tiawa a, susuw nhyehyɛe a wɔde yɛ nufusu yi ho sɛ dua kɛse. Wo nufu yɛ dua no dua. Nufusu nhama no ne nkorabata no. Alveoli no ne nhaban no.

Dɛn nti na yenya nufusu?

Enti, ade titiriw nti a ɛte saa ne sɛ yɛbɛma yɛn ba no aduan. Eyi yɛ adebɔ mu ade a wɔde hormone di dwuma. Wɔyɛ nufusu wɔ saa kwan yi so bere a wɔrewo akokoaa ne bere a wɔawo no akyi na ama abofra a wɔawo no foforo no anya aduannuru a ɛho hia. Nnuru titiriw a ɛwɔ yɛn nipadua mu ne nea efi nufusu a wɔyɛ yi ase na nufusu fi mu ba. Mmoa a wɔnom nufu nyinaa ma wɔn mma aduan wɔ saa kwan yi so. Nea ɛyɛ nwonwa ne sɛ, sɛ wode hormone nnuru a ɛfata di dwuma a, wubetumi mpo ama obi a onnyinsɛn no ayɛ nufusu.

Ɔkwan bɛn so na wofi ase yɛ nufusu? Dɛn ne eyi mu akwan horow?

Adeyɛ a wɔde yɛ nufusu no fi ase denam nkwaadɔm mu nsakrae ahorow a ɛba bere a woanyinsɛn akyi no so. Yɛfrɛ saa adeyɛ yi ``Lactogenesis.'' Nneɛma atitiriw abiɛsa na ɛwɔ eyi mu.

Stage one lactogenesis - efi ase wɔ nyinsɛn mu!

Saa fã yi fi ase bɛyɛ adapɛn 16 wɔ wo nyinsɛn no mu na ɛkɔ so kosi nna kakraa bi wɔ akokoaa no awo akyi.

• Nkwammoaa a wɔfrɛ no estrogen ne progesterone no kɔ soro.Eyi ma nufusu ntini a ɛwɔ wo nufu mu no kɛse ne ne kɛse yɛ kɛse. Ebia wo nufu bɛyɛ kɛse kakra na ayɛ ma. Nufu mu ntini no resiesie ne ho sɛ ɛbɛyɛ nufusu.
• Wo nufu no bɛyɛ tuntum na wo areola nso ayɛ kɛse.
• Nsõ nketewa (`Montgomery glands`) a ɛwɔ areola no mu no yi ade bi a ɛte sɛ ngo fi mu ma nufu no kɔ so yɛ nwini.
• Nea ɛho hia sen biara no, wo nipadua no befi ase ayɛ colostrum, nufusu a edi kan a wo ba no benya, a ahoɔden wom kɛse.

Stage two lactogenesis - Sɛnea nufusu ba bere a woawo akokoaa akyi!

Saa fã yi fi ase bɛyɛ nna abien kosi abiɛsa wɔ akokoaa no awo akyi. Eyi ne bere a nufusu a wɔyɛ no yɛ ntɛmntɛm.

• Sɛ wɔwo wo ba ne awotwaa no wie a, estrogen ne progesterone dodow so tew mpofirim. Afei hormone bi a wɔfrɛ no prolactin fi ase yɛ adwuma.
• Prolactin ne hormone titiriw a ɛma nufusu.
• Wobɛhyɛ no nsow sɛ nufusu a wonya no kɔ soro mpofirim kɛse wɔ saa bere yi mu. Yɛka sɛ 'nufusu resen', ɛno ne nea ɛte.
• Mpɛn pii no nnansa yi , wo nufu betumi ate nka sɛ nufusu ahyɛ mu ma, ayɛ den, ``ɛyɛ den'', na ɛyɛ yaw.

Stage abiɛsa (`Stage abiɛsa lactogenesis`) - bere a ɛsɛ sɛ wɔtoa so ma nufu!

Eyi ne bere a woma wo nufu no nyinaa.

• Mpɛn pii no, nufusu a wɔyɛ no bɛkɔ so bere tenten a wo nufu no mu nsu fi mu no.
• Bere a nufusu dodow a woyi fi mu no kɔ soro no, wo nipadua no yɛ nufusu pii de hyɛ baabi a ɛda hɔ no ma. Wubetumi anya nufusu pii denam wo ba a wobɛma no nufu mpɛn pii anaasɛ wobɛma no pɔmpɛ so.

Nnuru bɛn na ɛboa ma wonya nufusu?

Ebia woate sɛnea hormone ahorow ho hia ma nufusu a wɔyɛ yi ase mprempren. Ade titiriw a ɛhwɛ nufusu dodow a woyɛ so ne hormone bi a wɔfrɛ no prolactin. Wo nipadua no fi ase yɛ saa prolactin yi wɔ nyinsɛn no mfiase. Nanso mfiase no, wosiw prolactin adwuma no ano kakra esiane nkwaadɔm te sɛ estrogen ne progesterone dodow a ɛkɔ soro bere a wɔyem nti. Bere a awotwaa no fi adi akyi no, bere a saa nyinsɛn mu nkwaadɔm no so tew no, prolactin di dwuma.

Sɛ akokoaa no nufu nufu no a, ɛkanyan ntini ahorow na ɛka kyerɛ amemene no sɛ onnyi nkwaadɔm abien a wɔfrɛ no prolactin ne oxytocin . Prolactin ma nufusu ba wɔ ntini no mu. Oxytocin ma ntini no twetwe na ɛpia nufusu no fi ntini no mu kɔ nufusu ntini no mu.

Yɛfrɛ nufusu a ɛrepue no sɛ ‘letdown’.Saa ``letdown'' yi ba bɛyɛ sikɔne 30 akyi bere a akokoaa no afi ase renom nufu. Saa hormone ahorow yi nyɛ nufu biako nkutoo, enti ``letdown'' betumi ama nufusu aguan afi nufu abien no nyinaa mu bere koro mu.

Sɛ wunnyinsɛn a, nea ɛka ho ne sɛ wode nnuru a ɛsuasua hormone ahorow a wo nipadua yɛ bere a wonyinsɛn no bedi dwuma. Wo nufu a wobɛkanyan – sɛ wode nufu pɔmpɛ anaa nufu a wode bɛma – betumi aboa ma woafi ase ayɛ wo nufusu. Eyi yɛ adeyɛ a ɛyɛ den, enti ɛho hia sɛ wo ne oduruyɛfo a ɔte w’ahiade ase na ne ho akokwaw wɔ eyi mu yɛ adwuma.

So nufusu fi ase ba bere a nyinsɛn no?

Yiw, ebia ɛbɛyɛ te sɛ nea ɛyɛ nwonwa, nanso wubetumi afi ase ayɛ nufusu ntɛm ara wɔ adapɛn kakraa bi akyi wɔ wo nyinsɛn akyi na woahyɛn ɔsram abiɛsa a ɛto so abien no mu. Bere a estrogen ne progesterone dodow kɔ soro no, wo nipadua siesie ne ho sɛ ɛbɛyɛ nufusu. Nufusu ntini dodow a ɛwɔ wo nufu mu no kɔ soro. Saa ntini yi de nufusu fi ntini no mu kɔ nufusu no mu. Bɛyɛ nyinsɛn no mfinimfini no, wo nipadua no fi ase yɛ colostrum . Eyi ne nufusu a edi kan a wo ba no benya.

So wubetumi ama nufu a wunnyinsɛn?

Yiw, wubetumi ayɛ nufusu a wunnyinsɛn. Wɔfrɛ eyi sɛ inducing lactation. Ɛyɛ adeyɛ a ɛyɛ den kakra. Mpɛn pii no, egye asram pii nnuru a wɔde suasua hormone na wɔde ayɛ nufusu. Nufusu a wɔyɛ no fã a ɛto so abien ne nufusu a woyi fi nufusu no mu. Sɛ akokoaa bi nufu, ɔde nufusu pɔmpɛ di dwuma, anaa ɔde ne nsa yi nufusu fi mu a, amemene no de nsɛnkyerɛnne kɔ nufu no so ma nufusu no fi adi. Oduruyɛfo betumi aboa wo wɔ saa adeyɛ yi mu.

Mɛyɛ dɛn agyae nufusu a ɛreba no?

Nneɛma pii nti na ebia wobɛpɛ sɛ wugyae nufusu a wɔyɛ. Wubetumi agyae nufusu a wobɛyɛ wɔ awosu mu, anaasɛ wubetumi de nnuru a ɛma hormone ayɛ eyi.

Sɛnea wɔbɛtew nufusu a wɔde ma so wɔ awosu mu:

Nufusu a wɔyɛ no yɛ adeyɛ a wɔde ma a wɔhwehwɛ . Eyi kyerɛ sɛ bere a wo ba no ahotoso a ɔde to nufusu so no so tew, anaasɛ wotew mpɛn dodow a ɔma nufu anaasɛ ɔbɔ no so no, wo nufusu a wode ma no so bɛtew nkakrankakra. Sɛ yɛbɛka no tiawa a, sɛ wotew nufusu dodow a wuyi fi wo nufu mu no so a, wo nipadua no bɛtew nea ɛyɛ no so nkakrankakra.

Sɛ wo nufusu gyae ba a, ebia wobɛte nka sɛ wo ho nyɛ wo dɛ kakra. Nnipa pii nya engorgement. Eyi betumi afi nufusu a ɛretu anaasɛ nufusu kwan a asiw mu aba. Nanso, wubetumi atew ɛyaw yi so denam aduru a wɔde sa ɛyaw a wɔtɔn a wɔmfa nnuru nni dwuma wom a wode bedi dwuma, bra a ɛboa a wobɛhyɛ, anaasɛ nsukyenee a wode bɛto wo nufu so no so.

Sɛnea wɔde nnuru gyae nufu a wɔde ma:

Nnuru bi nso wɔ hɔ a ebetumi agyae nufusu a ɛba. Wo duruyɛfo betumi aka nnuru yi, mfaso a ɛwɔ so, ne nea efi mu ba no ho asɛm pii akyerɛ wo.

Ɛhe na nufu mu ntini no wɔ?

Nufu mu ntini ne nea yɛtaa frɛ no nufu. Obiara wɔ wɔn. Wɔwɔ koko no mu. Wɔyɛ ntini a ɛka bom, srade, ne ntini titiriw a ɛma nufusu. Mmea ntini mu ntini yɛ soronko kakra, efisɛ wɔwɔ ntini ne ntini a ɛma nufusu. Mmea nso wɔ ntini mu ntini pii.

Dɛn ne tebea horow a ɛtaa ba a ɛka tumi a obi tumi ma nufu?

Ɛsono sɛnea obi tumi ma nufusu ne bere tenten a wubetumi ama nufusu. Nnipa binom tumi ma nufusu mfe pii, bere a ebia ɛbɛyɛ den ama afoforo sɛ wɔbɛyɛ nufusu ama wɔn ba.

Nneɛma bi a ɛtaa ba a ebetumi aka nufu a wɔde ma anaa nufu a wɔde ma ni:

• Hormone dodow ne tebea horow a ɛfa hormone ho.
• Aduru a wonom.
• Sɛ woadi kan anya radiation therapy a.
• Apirakuru a ɛba nufu anaa nufu mu.
• Sɛ wɔayɛ wo nufu a wɔama ayɛ kɛse, wɔasan ayɛ, anaa wɔayɛ wo nufu oprehyɛn foforo a.
• Ayaresa mu tebea afoforo, te sɛ HIV yare mmoawa.
• Nnubɔne ne nsa a wɔde di dwuma.

Sɛ worema wo ba nufu anaa worema no nufu wɔ toa mu a, ɛsɛ sɛ wo ne wo duruyɛfo kasa bere nyinaa ansa na woafi aduru anaa ayaresa foforo biara ase. Nnuru pii betumi akɔ nufusu mu na ebetumi apira wo ba no.

Dɛn ne brayɛ a enni hɔ bere a wɔrema nufu (Lactational amenorrhea)?

Lactational amenorrhea yɛ bere a wugyae brayɛ esiane sɛ worenom nufu nti. Sɛ worema nufu a, wo nipadua no yɛ hormone bi a wɔfrɛ no prolactin, a ɛno ne hormone a ɛma nufusu. Saa prolactin yi ma luteinizing hormone (LH) dodow a ɛwɔ wo nipadua mu no so tew. Saa LH yi boa wo nipadua no ma wogyae nkesua bere a ovulation rekɔ so no. Sɛ wo nipadua no antumi annye LH a, worenkɔ ovulate na worennya wo bra. Saa brayɛ a ɛyera esiane nufu a wɔma nti yi betumi atra hɔ asram pii, kosi sɛ wubegyae nufu a woma koraa.

So nufu a mema no ma asiane a ɛwɔ hɔ sɛ menya nyarewa no so tew?

Yiw, ɛyɛ nokware. Nhwehwɛmu ahorow ada no adi sɛ nufu a wobɛma no ma asiane a ɛwɔ hɔ sɛ wubenya awotwaa mu kokoram ne nufu mu kokoram no so tew . Ɛboa nso ma asiane a ɛwɔ hɔ sɛ wubenya asikreyare a ɛto so abien ne mogya mmoroso so tew.

Ɔkwan bɛn so na wɔbɛkɔ so akura nufusu a wonya mu?

Nufusu a wɔbɛkɔ so ayɛ no gyina nea wɔde ma ne nea wɔhwehwɛ so kɛse.Dodow a wo ba no nufu, anaasɛ wode nufu mu pɔmpɛ da no adi no, dodow no ara na wo nipadua no bɛyɛ nufusu pii. Akwan bi wɔ hɔ a wobɛfa so atew nufusu a wode ma no so, sɛ́ ɛyɛ nea ɛnam hormone anaa nnuru a wɔde siw awo ano so. Sɛ wopɛ sɛ wokɔ so ma nufu a, nneɛma kakraa bi a wubetumi ayɛ ni:

• Ma wo ba no aduan bere biara a obebisa no, anaasɛ bɔ no mpɛn pii (bɛyɛ nnɔnhwerew anan biara).
• Di aduan pa a ahoɔdennuru a ɛdɔɔso wom. Nnuan a ahoɔdennuru nnim betumi atew nufusu a wɔde ma no so.
• Nom nsu pii na kɔ so nya nsu pii. Nufusu dodow no ara yɛ nsu.
• Kwati sigaretnom, nnubɔnenom, anaa nsa. Eyinom betumi atew nufusu a wode ma no so na wobetumi de aka wo nufusu nso ho.

Nsonsonoe bɛn na ɛwɔ Lactation ne Colostrum ntam?

Nufusu a wɔde ma no yɛ adeyɛ a ɛma woyɛ nufusu na woyi fi wo nufu mu nyinaa. Colostrum ne nufusu a edi kan a wo nufu yɛ bere a worema nufu, ne nufusu a edi kan a wo ba no nom. Ɛyɛ den, ɛyɛ kɔkɔɔ, na wɔtaa frɛ no ‘sika kɔkɔɔ a ɛyɛ nsu’. Protein, mineral, vitamin, ne nnuru a ɛko tia nyarewa pii wɔ colostrum mu.

Dɛn na hormone ayaresa a wɔde ma nufusu yɛ no kyerɛ?

Ebia awarefo anaa mmusua a wɔpɛ sɛ wɔma wɔma wɔn nufu esiane nneɛma te sɛ mmofra a wɔfa wɔn sɛ wɔn mma anaa mmofra a wɔde wɔn si ananmu nti no bɛpɛ sɛ wɔsɔ hormone ayaresa hwɛ. Nufusu a wɔde ma no yɛ adeyɛ a ɛma wonya nufusu a wonnyinsɛn. Nea ɛka eyi ho ne sɛ wobɛnom nkwaadɔm te sɛ estrogen ne progesterone asram pii de adaadaa wo nipadua ma woasusuw sɛ woanyinsɛn. Eyi siesie wo nufu ma ɛyɛ nufusu. Wogye di sɛ nnuru ne nhabannuru bi nso boa ma wonya nufusu.

Adapɛn kakraa bi ansa na wo ba no aba no, ɛsɛ sɛ wufi ase de nufu mu pɔmpɛ bɔ wo nufu. Eyi kanyan wo nipadua no ma ɛma prolactin fi mu, na ɛno ne nea ɛma nufusu. Ɔkwan foforo so no, ɛsɛ sɛ woyi wo nufusu mu mpɛn pii da biara, te sɛ nea wobɛyɛ wɔ akokoaa ho no. Eyi bɛboa ma wo nufusu a wode bɛma wo no ayɛ kɛse. Wubetumi nso de nufusu a woyɛ de ama wo ba bere a wadu hɔ no ahyɛ nwini mu.

Sɛ woredwen eyi ho a, ɛsɛ sɛ wo ne wo duruyɛfo kasa fa ɔpɛ a wowɔ sɛ wobɛma wo ba no nufu ho. Nufu a wɔde ma no di yiye ma nnipa pii, nanso ɛnyɛ yiye mma obiara.

Nea etwa to no, nneɛma a ɛsɛ sɛ yɛkae

Sɛ wopɛ sɛ woma wo ba no nufu a, ɛho hia sɛ wote ɔkwan a wɔfa so ma nufu no ase sɛnea ɛbɛyɛ a wubehu nea wobɛhwɛ kwan. Wo ne wo duruyɛfo nkasa mfa sɛnea wubetumi asiesie wo ho yiye ama nufusu anaa nufusu a wɔde bɛma no ho.Kae sɛ nufu a wɔde ma no betumi ayɛ soronko wɔ onipa biara ho, a egyina wo tebea ne w’akwahosan ho abakɔsɛm so.

Sɛ wowɔ ɔhaw bi wɔ nufu a woma ho a, ebia wobɛte aniwu anaa wo werɛ mpo. Nanso ɛtaa ba sɛ wubenya ɔhaw ahorow wɔ nufu a wɔde ma ho. Nufu a wɔde ma ho abenfo ne akwahosan ho adwumayɛfo afoforo betumi aboa wo ma woadi saa nsɛnnennen yi so.

` Nufu a wɔde ma, Nufu a wɔde ma, Nufu Akwahosan, Hormones, Nyinsɛn, Colostrum