Dapɛn a etwaam no, bere a na mereyɛ ayaresabea nhwehwɛmu wɔ awo dan mu no, mihyiaa Rashmi (wadi mfe 27). Ná ɔyɛ ɛna a ɔwoo ne ba a odi kan nna abien a atwam ni. Ná okura ne ba no na ɔresu.
"Doctor Priya, me nufusu nnya mmaa mu. Akokoaa no resu efisɛ ɔkɔm de no. Misuro sɛ akokoaa no rennya nufusu a ɛdɔɔso na ɔbɛyare. So ɛsɛ sɛ mema no formula?" Rashmi bisaa me a na ehu aka no na na ne ho yeraw no.
Metenaa ne nkyɛn, maa ne bo dwoe, na mekyerɛkyerɛɛ mu sɛ: "Rashmi, mma ɛnhaw wo koraa. Wɔ awo akyi nnafua 2-3 a edi kan no, nufusu kakraa bi pɛ na efi nufu no mu. Wɔfrɛ eyi colostrum (sika kɔkɔɔ nufusu a edi kan) . Akokoaa no yafunu kɛse te sɛ marble ketewaa bi saa bere yi. Enti, colostrum dodow a wunya fi wo nipadua mu, teaspoons kakraa bi, dɔɔso koraa sɛ ɛbɛhyɛ akokoaa no yafunu ma na anya ahoɔden a ɛko tia nyarewa a wɔde besi hɔ no yɛ adeyɛ a ɛsɛ sɛ wɔde boasetɔ ne akwan a ɛfata yɛ no yiye Ɛnnɛ, momma yɛnhwɛ sɛnea wobefi ase ama nufu yiye wɔ nna a edi kan wɔ akokoaa no awo akyi.
🚨 Red Flags a ɛhia ayaresa ntɛm ara
Sɛ asiane ho sɛnkyerɛnne a edidi so yi da adi wɔ nufu a woma no mfiase no mu a, ɛsɛ sɛ wokɔ oduruyɛfo anaa awogyefo nkyɛn ntɛm ara:
- Akokoaa no da paa, na ɛma ɛyɛ den sɛ wɔbɛkanyan no, na n’ani nnye ho sɛ ɔbɛnom nufusu (eyi betumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ asikre a ɛwɔ mogya mu no so atew anaasɛ nsu a ɛho ayɛ fĩ).
- Akokoaa no ntwam wɔ mpaboa anaa nsu a ɛyɛ nsu mu nnafua 3 wɔ awo akyi (Day 3 Red Flag).
- Akokoaa no honam ani ne n’ani a ɛyɛ kɔkɔɔ (Jaundice - a ɛyɛ jaundice ho sɛnkyerɛnne a ɛtrɛw ntɛmntɛm wɔ nkokoaa mu).
- Ɛna no wɔ atiridiinini kɛse, atiridiinini, ne ɛyaw a emu yɛ den wɔ ne nufu mu, ne nsensanee kɔkɔɔ (nsɛnkyerɛnne a ɛkyerɛ sɛ ɔwɔ nufu mu yare).
Anamɔn atitiriw a wobɛfa so afi nufu a wɔde ma no ase yiye
Di anammɔn yi akyi na ama woanya nufusu a wɔde ma no yiye bere a wɔawo wo ba no ara pɛ:
1. Mfiase: Bɔ mmɔden sɛ wode akokoaa no bɛto nufu no ho wɔ dɔnhwerew a edi kan wɔ awo akyi. Eyi kanyan hormone prolactin ne oxytocin a ɛwɔ ɛna no nipadua mu na ɛma nufusu yɛ ntɛmntɛm.
2. Wora ne Wora a Wɔde Di Dwuma: Sɛ wokura akokoaa no a ɔda adagyaw wɔ ɛna no koko a ɛda adi (Skin-to-skin) so a, ɛkanyan akokoaa no fi awosu mu ɔpɛ a ɔwɔ sɛ ɔbɛma nufu, na ɛma akokoaa no nipadua mu hyew ne ne koma bɔ nso gyina.
. Mpɛn pii no, ɛho hia sɛ wɔma wɔn aduan 8 kosi 12 wɔ nnɔnhwerew 24 mu.
4. Nkitahodi a ɛteɛ (Latch-on / Attachment):Akokoaa no a wɔde bɛbata nufu no ho yiye no ho hia na ama nufu no anyɛ no yaw na ama nufusu no akɔ yiye.
Colostrum ne Nufusu a Ɛho Anyin a Wɔde Toto Ho
| Su a ɛwɔ hɔ | Colostrum (nufusu a edi kan) . | Nufusu a Ɛho Anyin |
|---|---|---|
| Bere a wɔde yɛ nneɛma | Nnafua 1-3 a edi kan wɔ awo akyi. | Nnafua 4-5 wɔ awo akyi. |
| Mmaeɛ | Kɔkɔɔ a ɛyɛ den na ɛyɛ sika kɔkɔɔ. | Ɛyɛ tratraa, ɛyɛ fitaa anaasɛ ɛyɛ bruu. |
| Kɛseɛ | Dodow kakraa bi pɛ (teaspoon kakraa bi). | Dodow kɛse (te sɛ nea nufu no mu ayɛ ma). |
| Aduannuru a ɛsom bo | Nnuru a ɛko tia nyarewa ne protein pii (te sɛ abofra aduru a edi kan a wɔde bɔ no ho ban). | Nsu, srade, ne carbohydrates pii wom (a ɛbɛboa ma wo mu duru ayɛ kɛse na ama sukɔm awu). |
Nea Wobɛyɛ & Nea Ɛnsɛ sɛ Woyɛ
| ✔️ Nneɛma a ɛsɛ sɛ woyɛ (Yɛ) . | ❌ Ɛnsɛ sɛ woyɛ saa |
|---|---|
| Hwɛ sɛ akokoaa no bebue n’ano kɛse na wafa baabi a ɛyɛ sum a atwa nufu no ho ahyia (areola) no fã kɛse no ara akɔ n’anom. | Mpere wo ho mma no nufusu anaa nufusu/nufusu bere a wo ba no su ara pɛ, a wususuw sɛ nufusu nnɔɔso. |
| Ansa na ɛna no bɛma akokoaa no aduan no, ɛsɛ sɛ ɔtra ase yiye, na ɔde apɔw-mu-teɛteɛ hyɛ n’akyi de boa no. | Mma nufu a wɔde ma no nyɛ simma 10 pɛ; ma akokoaa no nnom nufu kosi sɛ obegyae nufu no wɔ n’ankasa so. |
| Sɛ akokoaa no ada mpo a, bɔ mmɔden sɛ anyɛ yiye koraa no wobɛnyane no nnɔnhwerew 3 biara wɔ adapɛn kakraa a edi kan no mu ma wama no nufu. | Sɛ wote ɛyaw nka a, ngyina ano; sɛ ɛnyɛ nea ɛka bom yiye a, fa nsateaa hyɛ mu, gyae nkitahodi no, na san fa hyɛ mu. |
❓ Nsɛmmisa afoforo bi a ebia wowɔ (FAQ) .
Sɛ wuntumi nhu nufusu biara bere a woda no adi wɔ nna abien a edi kan no mu a, so nufusu biara nni hɔ? ▼
Dabi, colostrum a wɔyɛ wɔ nna kakraa a edi kan no mu no yɛ den yiye na ne dodow sua koraa. Ebia ɛnyɛ nea wobetumi ahu denam nufu no a wɔbɛpiapia no ara kwa so. Nanso, sɛ wɔde akokoaa no si baabi a ɛfata na wɔhyɛ no nkuran sɛ ɔnnom nufu a, akokoaa no betumi anom nufu dodow a wɔhwehwɛ.
Wobɛyɛ dɛn ahu sɛ wo ba no renya nufusu a ɛdɔɔso? ▼
Sɛ akokoaa no da yiye bere a wama no aduan akyi, ɔtow ne ho bɛboro mpɛn 6 da biara na ne ho yɛ kɔkɔɔ a ɛyɛ mmerɛw, na akokoaa no mu duru kɔ soro nkakrankakra wɔ adapɛn 2 mu a, ɛda adi pefee sɛ akokoaa no renya nufusu a ɛdɔɔso.
Ɔkwan bɛn so na wobetumi asiw nufu a ɛyɛ yaw ano? ▼
Nea ɛde nufu a ɛyɛ yaw ba titiriw ne latch a ɛnyɛ papa. Ɛnyɛ nufu no nko na ɛsɛ sɛ akokoaa no fa na mmom baabi a ɛyɛ sum a atwa ho ahyia no nso kɔ n’anom. Sɛ wɔma no aduan wie a, sɛ wode nufusu kakra gu nufusu no so na woma ɛyow nso a, ebetumi aboa ma akuru no asa.
So ɛyɛ den sɛ wobɛma nufu bere a wɔayɛ oprehyɛn (C-Section) awie no? ▼
Dabi, ebia ɛbɛyɛ den sɛ wobɛkura akokoaa no mu esiane ɛyaw nti wɔ oprehyɛn akyi, nanso wubetumi ayɛ nufu a wobɛma no yiye denam da a wode bɛda wo nkyɛn (gyinabea a wobɛda nkyɛn) anaasɛ wode pillow bɛkura akokoaa no mu wɔ wo yafunu so (bɔɔlbɔ a wode bɛkura mu) so.
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