So wo ba no kɔ so bisa nufusu? Momma yɛnka Cluster Feeding ho asɛm!

Sɛ wobɛyɛ ɛna foforo a, wunya nsɛmmisa ahorow nyinaa, ɛnte saa? Titiriw wɔ sɛnea wo ba ketewa no rema nufu ho. Ɛtɔ da bi a, ebia wubehu sɛ wo ba no srɛ nufusu bere nyinaa nnɔnhwerew pii, ɔnom kakra, na ɔsan bisa bio. Ɛno ne nea yɛfrɛ no wɔ aduruyɛ mu ``Cluster Feeding`` bere a wo ba no renom aduan pii wɔ baabi a ɛbɛn no. So yɛbɛka eyi ho asɛm akɔ akyiri kakra? Afei wubetumi anya eyi ho ntease pa.

Dɛn nti na nkokoaa ``cluster feed''? Ɛne sɛ, wɔsrɛ nufusu bere nyinaa?

Wiɛ, ade a edi kan a ɛsɛ sɛ yɛka ne sɛ mpɛn pii no eyi yɛ ade a ɛfata koraa . Sɛ wo ba no reyɛ eyi a, biribiara nni hɔ a ɛsɛ sɛ wohaw wo ho dodo. Nneɛma pii nti na nkokoaa ma wɔn aduan akuwakuw. Wɔn mu binom yɛ nea ɛfata koraa na ɛsɛ sɛ wɔhwɛ kwan. Nanso ɛtɔ mmere bi a ebetumi ayɛ ɔhaw bi a ɛda adi ho sɛnkyerɛnne.

Eyinom ne nneɛma a ɛtaa ma wɔma nkokoaa aduan akuwakuw.

• Akokoaa no yafunu sua koraa:

Susuw ho hwɛ, akokoaa a wɔawo no foforo yafunu sua koraa. Ɛnyɛ nea ne kɛse te sɛ gooseberry kɛse mpo. Enti entumi nkura nufusu pii prɛko pɛ. Ɛno nti na ɛsɛ sɛ wɔnom nufusu nkakrankakra, mpɛn pii no. Wɔ awo akyi nnɔnhwerew 24 a edi kan no, akokoaa bɛnom nufusu mililita 2 kosi 10 (mL) pɛ bere koro mu. Ɛno sua sen ɔfe aduru dodow a wobɛnom. Bɛyɛ nnansa akyi no, dodow yi bɛkɔ soro akodu mililita 30 (bɛyɛ ɔuns 1). Edu dapɛn a edi kan no awiei no, wobetumi anom nufusu ɔuns 1 anaa 2 bere koro mu. Afei, bere a wɔn yafunu yɛ ma kakra no, ebia ɛho behia sɛ wɔmma wɔn aduan mpɛn pii.

• Nsakrae a ɛba ɛna no hormone (Prolactin) dodow mu:

`(Prolactin)` yɛ hormone a "ɛka kyerɛ" ɛna no nipadua sɛ ɛnyɛ nufusu. Sɛ woma wo ba nufu a, saa `(Prolactin)` hormone yi dodow nyɛ pɛ da mũ no nyinaa. Ɛsakra kakra da mũ no nyinaa, na ɛno yɛ ade a ɛfata koraa. Mpɛn pii no, `(Prolactin)` dodow no so tew kakra anwummere. Afei ahoɔhare ne nufusu dodow so betumi atew kakra. Enti, sɛnea ɛbɛyɛ a akokoaa no benya nufusu dodow a ohia no, ɛsɛ sɛ ɔma no nufu kyɛ kakra na ɔtaa ma no. Ɛno nti na nkokoaa tumi `(Cluster Feed)` anwummere.

• Akokoaa hia awerɛkyekye:

Nufu a wɔma no nyɛ akokoaa no yafunu a wɔbɛhyɛ no ma kɛkɛ, ɛnte saa? Ɛyɛ biribi a ɛde awerɛkyekye, ahobammɔ, ne ɔhyew kɛse brɛ akokoaa no. Ɛna no bɛn, ne koma bɔ... eyinom nyinaa ho hia akokoaa no yiye. Enti sɛ akokoaa no te nka sɛ ɔyare ketewaa bi mpo, anaasɛ biribi haw no a, sɛ ɔkɔm nkum no mpo a, ɔbɛnom nufusu bi afi ne maame hɔ na wabɔ mmɔden sɛ ɔbɛkyekye ne ho werɛ, ne ne maame abɔ ne ho atuu.

• Nkokoaa nyin fã ahorow bi:

Bere a nkokoaa nyin no, sɛnea wɔn nyin no sesa bere ne bere mu. Ɛtɔ mmere bi a, wonyin ntɛmntɛm paa na wɔn mu duru yɛ kɛse. Yɛfrɛ eyinom ``nkɔso spurts``. Wɔ mmere a ɛtete saa mu no, wohia ahoɔden ne aduannuru pii. Ɛno nti na ebia wɔbɛtaa abisa nufusu no.

Afei nso, sɛ nkokoaa di bɛyɛ asram 4 kosi 6 a, wohu nneɛma a atwa wɔn ho ahyia no yiye, wofi ase twitwiw wɔn ho na wɔyɛ basaa. Afei wɔn adwene dan kɔ nneɛma afoforo so ntɛmntɛm. Ebia wɔanom nufu biako, na mpofirim ara nnyigyei anaa ade a wohu no twetwe wɔn adwene na wogyae nufu. Afei, esiane sɛ wɔn yafunu nnyɛ ma nti, wɔsan bisa nufusu bio wɔ bɛyɛ dɔnhwerew biako mu.

Nneɛma afoforo a ɛde ba a ɛfa akokoaa no ho pɔtee

Ebia ɛho behia sɛ wɔma nkokoaa binom aduan akuwakuw esiane wɔn ankasa ntease soronko a ɛyɛ soronko nti.

• Sɛ nhwɛso no, akokoaa a wɔwo no a ne mu duru sua no hia aduannuru pii na ama watumi adu ne nyin a ɛfata ne mfe ho ntɛm. Ebia eyi bɛhwehwɛ sɛ wɔtaa ma wɔn nufu.
• Anaasɛ, ebia sɛ akokoaa no wɔ ayaresa tebea bi te sɛ ``Congenital heart disease`` (komayare a ɛwɔ hɔ bere a wɔawo no) a, obehia calories pii da biara asen akokoaa a ɔte ase.

Wɔ nsɛm titiriw te sɛ eyinom mu no, wo mmofra oduruyɛfo bɛkyerɛkyerɛ eyi mu akyerɛ wo na watu wo fo wɔ sɛnea wobɛma nufu sɛnea wo ba no ahiade te ho.

So ɛtɔ mmere bi a aduan a wɔde ma akuwakuw yɛ ɔhaw bi ho sɛnkyerɛnne?

Nanso, ɛnyɛ bere nyinaa na nneɛma a wɔtaa de ma akuwakuw no fi ntease ahorow a yɛaka ho asɛm wɔ atifi hɔ no. Ɛtɔ mmere bi a ebetumi ayɛ ɔhaw bi a ɛda adi ho sɛnkyerɛnne . Titiriw sɛ wo ba no bisa nufusu bere nyinaa da mũ nyinaa, ɛkame ayɛ sɛ da biara da , ɛsɛ sɛ wodwen ho kakra.

• Lactogenesis a ɛkyɛ:

``Delayed lactogenesis`` yɛ, sɛ yɛbɛka no tiawa a, ɛna no nufusu a ɛba mu no kyɛ Mpɛn pii no, bɛyɛ nnɔnhwerew 72 wɔ akokoaa no awo akyi no, nufusu a edi kan, anaa ``Colostrum``, na nufusu a ɛho akokwaw di akyi. Nanso, eyi betumi akyɛ esiane nneɛma bi nti.

Nhwɛsoɔ:

• Sɛ ɛna no wɔ akwahosan tebea horow bi, sɛ nhwɛso no, kɛseyɛ mmoroso, asikreyare, anaa mogya mmoroso.
• Sɛ woyɛɛ ``awo a ɛbaa bere ansa na bere aso`` (awo ansa na da a ɛsɛ sɛ wowo no adu) ansa na wɔrewo akokoaa no, anaasɛ sɛ wɔde ``C-section`` (cesarean section) na ɛwo akokoaa no.

Sɛ nufusu ba akyiri kakra esiane nneɛma te sɛ eyinom nti a, ebia na akokoaa no nnya nufusu a ɛdɔɔso bere koro mu, enti ebia ɔkɔm de no na mpɛn pii no ɔbɛsrɛ nufusu. Sɛ akokoaa no kɔ so srɛ nufusu wɔ nnanan anaa anum akyi mpo a, sɛ ɛnyɛ nnɔnhwerew abien anaa abiɛsa biara mpo a, ebetumi akyerɛ sɛ akokoaa no nnya nufusu a ɛdɔɔso a ɛbɛhyɛ ne yafunu ma.

Nanso mma ɛnhaw wo, saa ``Delayed lactogenesis`` yi nyɛ ɔhaw a ɛtra hɔ daa . Egye bere kakra bio kɛkɛ ansa na ɛna no nipadua no ama nufusu a ɛyɛ kɛse. Saa bere yi nyinaa, oduruyɛfo no betumi atu akokoaa no fo sɛ ɔmma no nufusu a wɔayam anaa nea ɔde ma no.

• Nufusu a ɛba fam:

Eyi kyerɛ sɛ nufusu dodow a ɛna no nipadua yɛ no nnɔɔso mma akokoaa no ahiade. Eyi nso yɛ ɔhaw a ɛtaa ba a ɛnanom pii hyia. Ɛtɔ da bi a, nufusu a wɔde ma no betumi ayɛ papa mfiase no na afei so atew mpofirim. Ɛno mpo no, akokoaa no bɛkɔ so abisa nufusu da mũ nyinaa, nna pii. Efisɛ ɔkɔm de no na onnya nufusu a ɛdɔɔso.

Wobetumi ahu nea ɛde eyi ba na wɔasa no sɛnea ɛfata. Wo duruyɛfoɔ anaa nufusuo ho ɔfotufoɔ (`nufusuo ho ɔfotufoɔ` anaa `nufusuo ho ɔbenfoɔ`) bɛma akwankyerɛ a ɛhia a egyina wo tebea so.

• Latch a ɛmfata:

`Latch` yɛ ɔkwan a akokoaa fa so de ne ho hyɛ nufu no ne beae a ɛyɛ den na ɛyɛ kurukuruwa a atwa ne ho ahyia (`areola`) wɔ ɔkwan a ɔfa so nufusu no mu. Sɛ akokoaa no `latch` yiye, a ɛkyerɛ sɛ wankɔ nufu no so yiye a, ɔrentumi nnya nufusu a ɛdɔɔso. Yɛfrɛ eyi `transfer issue`. Eyi kyerɛ sɛ ɛna no nipadua yɛ nufusu, nanso ɛnkɔ akokoaa no ano ne ne yafunu mu yiye. Ne saa nti, akokoaa no nnya nufusu a ɛdɔɔso wɔ aduan biako a ɔde ma no mu, enti ɔbɛpɛ nufusu mpɛn pii asen sɛnea na ɔhwɛ kwan.

Eyi nso yɛ bere tiaa mu ɔhaw na mpɛn pii no ɛnyɛ den sɛ wobedi ho dwuma . Nufu a wɔde ma ho ɔbenfo betumi aboa wo ma woanya nufu a wobɛma wo ne wo ba no ma wo ho atɔ wo. Wobetumi nso atu wo fo wɔ akwan foforo a wobɛfa so aboa wo ba no ma wabɔ ne ho mu yiye, ne sɛ wo ba no wɔ aduruyɛ mu ahiade biara a.

Nkokoaa (cluster feed) di bere tenten ahe?

Enti ebia woresusuw ho sɛ, " Bere tenten ahe na saa `(Cluster Feeding)` yi bɛtra hɔ?" Eyi fi ase fi da a wɔwo wo ba no. Ɛyɛ ade a ɛfata, na ɛyɛ biribi a yɛhwɛ kwan. Wohia sɛ wɔtaa ma wɔn aduan (ebia pɛnkoro dɔnhwerew biara) na ama wɔanya aduannuru a ɛdɔɔso. Wɔ saa `(Cluster Feeding)` mmere a edi kan yi mu, bere a akokoaa no yafunu yɛ kɛse kakra na ɛna no nufusu reba yiye no, mpɛn pii no ebedu dapɛn a edi kan no awiei no, ɛsɛ sɛ wugyae `(Cluster Feeding)` da mũ no nyinaa .

Nanso kae sɛ, saa ``Cluster Feeding'' yi nyɛ ade a wɔyɛ no pɛnkoro pɛ. Bere a wo ba no nyin no, ebia obehia sɛ wɔma no aduan mpɛn pii na aboa no ma wanyin, akyekye no werɛ, anaa ama wadi ahiade afoforo ho dwuma. Enti hwɛ saa nso.

Mɛyɛ dɛn ahu sɛ me ba no renya nufusu a ɛdɔɔso?

Asɛmmisa kɛse a ebia wowɔ mprempren ne sɛ, "Mɛyɛ dɛn ahu no yiye sɛ me ba no renya nufusu a ɛdɔɔso?" Eyi yɛ asɛmmisa a ɛnanom pii wɔ ankasa.

• Ɔkwan a eye sen biara na wotumi de ho to so sen biara a wobɛfa so ahu eyi ne sɛ wobɛhwɛ sɛnea wo ba no mu duru akɔ soro daa . Wo mmofra oduruyɛfo bɛhwɛ wo ba no mu duru na ɔde atoto ne nyin ho nhyehyɛe ho de ahu sɛ ebia ɔrenya nufusu a ɛdɔɔso anaa.
• Ɔkwan foforo ne sɛ wobɛma obi a ɔma nufu ho ɔfotufo (anaasɛ nufu a wɔde ma ho ɔbenfo) ahwɛ wo ma wo ba no nufu na wahwɛ nneɛma te sɛ ebia wubetumi ate sɛ akokoaa no remene, sɛ ebia nufu no rekɔ soro ne fam yiye, ne sɛ ebia akokoaa no renom nufu yiye anaa.

Sɛ w’adwene mu yɛ wo naa kakra, anaasɛ wote nka sɛ wo ba no nnya nufusu a ɛdɔɔso a, ntwentwɛn wo nan ase da sɛ wubebisa oduruyɛfo anaa oduruyɛfo titiriw bi ho asɛm.

Nea etwa to no, nneɛma a ɛho hia sen biara a ɛsɛ sɛ wokae

Sɛ́ ɛna foforo no, ebia woabisa wo ho asɛm yi mpɛn ɔha fi da a wowoo wo ba no. Ɛyɛ ade a ɛfata sɛ ɛna foforo bɛte nka sɛ ne ho yeraw no na ɔhaw ne ho wɔ ade ketewaa biara ho. Nanso ma menka nkyerɛ wo, mpɛn pii no, nkokoaa ma wɔn aduan akuwakuw, na ɛnyɛ biribiara a ɛsɛ sɛ wohaw wo ho.

Nanso, sɛnea yɛkaa ho asɛm no, sɛ wo ba no bisa nufusu bere nyinaa da mũ nyinaa a , ma ɛntra w’adwenem sɛ ebetumi ayɛ nufusu a onni, latch ho asɛm, anaa biribi foforo bi.

Sɛ wote biribi a ɛyɛ nwonwa nka wɔ w’adwene mu a , sɛ wuhu nsakrae kɛse mpofirim wɔ wo ba no nufusu mu a, akyinnye biara nni ho sɛ kɔ wo mmofra oduruyɛfo nkyɛn. Ɛmfa ho sɛnea ɔhaw no te biara no, nnuruyɛfo ne afotufo wɔ nufu a wɔde ma ho a wobetumi aboa wo ma woanya ano aduru na wɔaboa wo. Wɔasiesie wɔn ho sɛ wɔbɛboa wo ma woakɔ so ama wo ba no nufu anigye so. Enti, ma w’adwene nyɛ wo dɛ, na nya akwantu foforo yi mu anigye.

` Nufu a wɔde ma, nkokoaa a wɔde ma, aduan a wɔde ma wɔ akuwakuw mu, nkokoaa aduan pa, nufusu a wonnya nni, mmofra a wɔawo wɔn foforo, nufu a wɔde ma ho haw