So wunnya nufusu a ɛdɔɔso nso mma wo ba no? (Low Milk Supply) Momma yɛnka eyi ho asɛm!

Anigye kɛse a ɛba w’adwenem bere a wobɛyɛ ɛna foforo ne sɛ wobɛma w’ankasa wo ba nufu. Ɛyɛ abusuabɔ soronko koraa. Nanso ɛtɔ mmere bi a nsɛmmisa te sɛ ‘So me ba no benya nufusu a ɛdɔɔso?’ ‘So me nufusu a mede ma no sua?’ Ɔkae. ba w’adwene mu, na wote ehu nka kakra. Nokwarem no, eyi yɛ ɔhaw a ɛtaa ba ɛnanom pii so na ɛyɛ biribi a emu yɛ duru wɔ wɔn adwene mu. Enti, ɛnnɛ yɛreka saa tebea yi a wɔfrɛ no ``hypolactation'', anaa sɛnea nnuruyɛfo frɛ no no ho asɛm.

Dɛn ne Nufusu a Ɛba Fam?

Sɛ yɛbɛka no tiawa a, nufusu a ɛba fam no kyerɛ sɛ wo nipadua no nnya nufusu a ɛdɔɔso mma wo ba no. Eyi yɛ ade a abu so wɔ ɛnanom mu. Afei nso, ɛnanom betumi adwennwen kɛse, na wɔahaw wɔn ho sɛ ebia wɔn ba no renya aduannuru a ɛdɔɔso anaa. So wunim sɛ nneɛma pii ka nufusu a ɛyɛ mmerɛw, anaa nufusu a wɔde ma? Ebia nkokoaa binom mpɛ sɛ wɔbɛnom nufusu anaasɛ wɔrennom yiye, ɛnyɛ sɛ wo nufusu sua nti, na mmom esiane nneɛma afoforo nti.

Sɛ wote nka sɛ nufusu a wode ma no nnɔɔso a, ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wo ne obi a ɔhwɛ nufusu a wɔde ma anaa nufu a wɔde ma ho ɔbenfo behyia . Mobɛbom ahu sɛ ebia munni nufusu a ɛdɔɔso ankasa, anaasɛ ntease afoforo wɔ hɔ a enti wo ba no nnom nufusu a ɛdɔɔso anaasɛ ne mu duru reyɛ kɛse anaa. Wobetumi nso aboa wo ma woanya ano aduru a ɛfata.

Mɛyɛ dɛn ahu sɛ nufusu a mede ma no sua anaa?

Ebia wubesusuw sɛ nufusu a wode ma no sua sen sɛnea wohwɛ kwan sɛ wo ba no da sɛnkyerɛnne ahorow yi bi adi a:

• Sɛ akokoaa no mu duru nyɛ kɛse anaasɛ onnyin a.
• Sɛ ɛte sɛ nea wo ba no nmene nufusu bere a ɔrema nufu a, ebetumi aba sɛ wo ba no renom nufu no ara kwa, nanso ɔmene nufusu.
• Sɛ wo ba no mfa mpaboa a ɛyɛ nsu ne mpaboa a ɛyɛ nsu a ɛdɔɔso nni dwuma da biara a. Mpɛn pii no, bere a wo ba no bedi bɛyɛ nnafua 4 no, anyɛ yiye koraa no, ɛsɛ sɛ onya mpaboa a ɛyɛ nsu 6 ne mpaboa 3 a ɛyɛ poopy da biara.

Nanso, ɛtɔ da bi a, ebia ɛhaw wo sɛ wunnya nufusu a ɛdɔɔso bere a wuhu nneɛma a edidi so yi. Nanso, eyinom taa yɛ nneɛma a ɛfata, na nsakrae betumi aba a nufusu a wode ma mfa ho:

• Adapɛn kakraa bi akyi no, wo nufu no bɛte nka sɛ ɛyɛ mmerɛw sen kan no (eyi ba bere a wo nipadua no sakra ma ɛne nufusu hyɛ mu ma no).
• Ebia wo ba no rebisa nufusu mpɛn pii , anaasɛ ɛtɔ mmere bi a, titiriw anwummere no, ɔsrɛ nufusu mpɛn pii a ɛtoatoa so (`Cluster Feeding`).
• Akokoaa no nufu a wubeyi ntɛm sen sɛnea wususuw, anaasɛ ɛte sɛ nea w’ani nnye nufu a wobɛma ho bere a akokoaa no anyin kakra na otumi ma nufu no.

Nanso, ɛbɛyɛ papa sɛ wobɛka biribiara a wubehu ho asɛm akyerɛ wo duruyɛfo, ɛmfa ho sɛnea ɛyɛ ketewaa no.

So nufusu a ɛdɔɔso nni hɔ ankasa? Anaasɛ yesusuw saa?

Ɛtɔ da bi a yɛte nka sɛ yenni nufusu a ɛdɔɔso. Wɔfrɛ eyi `Perceived Low Milk Supply`, a ɛkyerɛ sɛ yɛte nka saa ɛwom mpo sɛ yenni nufusu a ɛdɔɔso ankasa de. Akokoaa a wɔawo no foforo a wobɛhwɛ no nyɛ mmerɛw, enti ɛyɛ ade a ɛfata sɛ wobɛhaw wo ho bere nyinaa sɛ biribi anyɛ yiye.

Nanso kae sɛ, ɛtɔ mmere bi a nea wususuw no betumi ayɛ nokware. Nanso mma ɛnhaw wo. Ano aduru wɔ hɔ a ɛbɛma woanya nufusu a ɛdɔɔso, na wo nufusu ho ɔfotufo betumi aboa wo.

Dɛn nti na nufusu a wɔde ma no so atew saa? Dɛn ne nea enti a ɛte saa?

Nufu a wɔde ma no nyɛ mmerɛw sɛnea ɛte no, ɛyɛ adeyɛ a ɛyɛ den kakra. Nneɛma pii ka nufusu dodow a wo nipadua no yɛ. Wɔn titiriw ne:

• Wo ba no nnyi nufusu mfi wo nufu mu yiye. Afei wo nufu susuw sɛ, "Oh, mihia nufusu kakraa bi," na enti ɛtew nufusu a ɛba so.
• Wo ne wo ba no ntam atetew bere tenten (sɛ nhwɛso no, sɛ wokɔ adwuma a). Eyi betumi ama nea wode ma no so atew efisɛ wuntumi mma nufu mpɛn pii saa. Kae sɛ wo nufu no bɛsow nufusu bere a wɔkanyan no nkutoo. Sɛ wɔtew nkanyan no so a, nufusu a wonya no so bɛtew.
• Wowɔ aduruyɛ mu tebea bi a ɛka nufusu a wode ma no.

Ɛna akwahosan tebea horow a ebetumi aka nufusu a wɔde ma

Akwahosan tebea ne nneɛma bi betumi atew ɛna a ɔrema nufu nufusu so, te sɛ:

• Nyinsɛn a wubenyin (yiw, wubetumi anyinsɛn bio bere a worenom nufu mpo).
• Wɔnom nnuru bi a oduruyɛfo nkyerɛw krataa (Over-the-Counter - OTC) na ebi nso wɔnom a oduruyɛfo nkyerɛw (Prescription Medications).
• Placental Encapsulation (nyansahu mu adanse kakraa bi na ɛwɔ hɔ a ɛkyerɛ sɛ eyi yɛ, na ebia asiane wom).
• Ntini a ɛma nufusu a ɛnyɛ nea ɛfata wɔ nufu no mu (Breast Hypoplasia).
• Nufu mu oprehyɛn a wɔadi kan ayɛ.
• Polycystic Ovarian Syndrome (PCOS) a ɛma obi nya awotwaa mu ntini pii.
• Ntini a ɛma mogya tu no dwumadi so tew (Hypothyroidism).
• Awotwaa a Wɔakora so.
• Mogya a ɛtɔ dodo wɔ awo akyi no betumi ama hormone prolactin a ɛboa ma wonya nufusu no dodow so tew.
• Ɔhaw afoforo a ɛfa hormone ho.

Afei nso, tawa, wii, anaa nsa a wɔnom boro so nso betumi atew nufusu a wɔde ma no so.

Ɔkwan bɛn so na oduruyɛfo hu eyi?

Wo duruyɛfo bɛhwɛ wo ne wo ba no nyinaa. Wɔbɛkasa afa wo nufu a woma ho osuahu ne nea woahu ho. Obi a ɔhwɛ nufusu ho ɔfotufo nso betumi ahwɛ wo sɛ worema wo ba no nufu.

So wubetumi asusuw nufusu dodow no pɛpɛɛpɛ denam ``Pump'' a wobɛyɛ so?

Dabi, ɛno ara ne no.Ɛnyɛ susudua pɔtee. Ɔkwan a wo ba no fa so yi nufusu fi nufu no mu ne ɔkwan a `(Breast Pump)` fa so yi nufusu no yɛ soronko (mpɛn pii no akokoaa no yɛ adwuma yiye). Enti, ɛnyɛ nokware sɛ wobɛfa no sɛ wo ba no renom nsa dodow koro no ara sɛ wo `(Pump)`. Nanso, ebetumi ama woanya adwene bi. Ɛtɔ da bi a, ɛwom sɛ wo ba no renya nufusu a ɛdɔɔso de, nanso ebia ɛbɛyɛ te sɛ nea nufusu dodow no sua bere a wo `(Pump)`.

Ɛho hia sɛ worenhwehwɛ wo ho mu anaasɛ womfa wo ho ntoto mmaatan afoforo ho. Ebia wobɛte afotu te sɛ, "Pump nnɔnhwerew 24 na hwɛ nufusu dodow a wubenya." Nanso ɛno nkyerɛ wo nufusu dodow a wo ba no renya ankasa. Afei nso, akwankyerɛ ahorow bi a wuhu wɔ nufusu ɔuns dodow a wo ba hia da biara ho no yɛ nkokoaa a wɔma wɔn nufusu, na ɛnyɛ nkokoaa a wɔma wɔn nufu.

Ɛno nti na ɛho hia yiye sɛ wo ne nufusu ho ɔfotufo bi kasa fa wo haw ahorow ho. Wɔbɛma wo mmuae ne mmoa a wuhia.

Dɛn na wobetumi ayɛ de asa nufusu a ɛba fam no yare?

Nufusu a ɛba fam a wɔde sa yare no gyina nea ɛde ba no so. Wo nufusu ho ɔfotufo ne wo bɛyɛ adwuma de ahu nea ɛde ba na waboa wo ma woasi ayaresa a eye sen biara ho gyinae. Mpɛn pii no, wo fotufo no bɛyɛ nneɛma te sɛ:

• Wo duruyɛfo bɛka w’aduruyɛ ho abakɔsɛm ho asɛm, ayɛ wo nipadua mu nhwehwɛmu, na wahwehwɛ biribiara a ebetumi ama nufusu a ɛba fam aba. Ebia nea ɛka eyi ho ne ayaresa tebea horow bi anaa nneɛma bi a wɔde di dwuma (te sɛ nsa anaa tawa). Ebia wo duruyɛfo nso bɛkamfo akyerɛ sɛ wobɛyɛ nsakrae wɔ w’asetra mu bere a ɔresa aduruyɛ mu tebea biara a ɛda adi no.
• Munsusuw mpɛn dodow ne sɛnea wo ba no retwe nufusu afi nufu no mu yiye ho. Ma afotu a ɛbɛboa ma nufusu no akɔ yiye.
• Wo ne no nkasa mfa dadwen anaa ɔhaw biara a ebia wowɔ wɔ nufu a woma ho no ho. Ɔbɛma wo afotu wɔ sɛnea wobɛma nufu a wɔde ma no ayɛ osuahu a ɛyɛ ahomegye ne ahotɔ kɛse ho.
• Wɔ tebea titiriw bi mu no, wobetumi akamfo `Galactogogue` (nufusu a ɛma nufusu yɛ kɛse) nso akyerɛ.

Dɛn ne saa ``Galactogogues'' yi? So ɛyɛ nokware sɛ wɔma nufusu a wɔde ma no yɛ kɛse?

Nnuruyɛfo frɛ galactogogues nneɛma a mmea de di dwuma de kɔ so kura wɔn nufusu mu anaasɛ wɔma ɛkɔ soro. Mfe ɔhaha pii ni no, mmea a wɔwɔ amammerɛ ahorow mu de nneɛma ahorow adi dwuma de ama nufusu a wonya no ayɛ kɛse. Eyinom bi ne nhabannuru te sɛ dandelion ne asparagus, kosi nnuan ne anonne ahorow so (ebinom mpo ka sɛ beer).

Ɛho hia paa sɛ wudi kan hu eyi:

Mfa saa ``Galactogogues'' yi nni dwuma sɛ aduru a wɔde sa nufusu a enni hɔ a wo ne oduruyɛfo nkasa. Ɛsɛ sɛ wohwɛ yiye paa, efisɛ:

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* Saa nneɛma yi mu pii tumi ne nnuru afoforo a wonom no di nkitaho, na nkitahodi bi nso betumi ayɛ nea asiane wom.

* Eyinom neEbia asiane ne nea efi mu ba no bɛboro mfaso a ɛwɔ so, na ebinom nso betumi ayɛ aniberesɛm.

* Sɛ ɛba nhabannuru ``galactogogues'' dodow no ara so a, nyansahu mu adanse a ɛdɔɔso nni hɔ a ɛkyerɛ sɛ ebia wɔyɛ adwuma ankasa ne/anaasɛ ahobammɔ wom. Afei nso, wɔmfa nnuru dodow a wɔde di dwuma ho nyansahyɛ biara nni hɔ a wɔahyɛ da ayɛ.

Efi afe 2023 no, U.S. Aduan ne Nnuru Dwumadibea (FDA) nmpene nnuru biara a wɔde bɛsa nufusu a ɛba fam no so. Nnuruyɛfo binom kamfo nnuru a ɛboa ma nufusu a wɔde ma no yɛ kɛse kyerɛ. Wobu eyinom sɛ aduru no “a wɔde di dwuma wɔ ɔkwan a ɛnyɛ nea wɔakyerɛw so.” Eyi kyerɛ sɛ FDA apene so sɛ aduru no bɛsa biribi foforo, nanso wo duruyɛfo gye di sɛ ebetumi aboa wo nufusu a ɛba fam nso. Sɛ wogye di sɛ mfaso a ɛwɔ aduru no so boro asiane biara a ɛwɔ hɔ ma wo nkutoo a, na wɔbɛyɛ eyi.

So eye sɛ wobɛbɔ pɔmpɛ na ama nufusu a wɔde ma no akɔ soro?

Nea ɛbɛboa ma wo nufusu a wode ma no akɔ soro, anaasɛ sɛ wo ba no nyi nufusu mfi wo nufu mu yiye a, ebia wo nufusu ho ɔfotufo bɛkamfo akyerɛ sɛ fa pɔmpɛ nka wo dwumadi ho.

Ɔfotufo no de akwankyerɛ a egyina wo ne wo ba no ahiade pɔtee so ma.

Sɛ nufusu sua a, dɛn na wubetumi ahwɛ kwan?

Wo duruyɛfoɔ anaa wo fotufoɔ bɛtumi aboa wo ama woanya akwan foforɔ a wobɛfa so ama wo nufusuo akɔ soro na/anaasɛ ama wo ba no nufu. Nufusu a ɛba fam no nyɛ wo mfomso, enti nhwe wo ho anaasɛ nte nka sɛ woadi nkogu wɔ ɔkwan bi so. Mfa wo ho ntoto mmaatan afoforo ho anaasɛ nsusuw sɛ wonyɛ nea ɛdɔɔso a ɛbɛboa wo nufusu a wode ma no.

Mmom no, wo ne wo nufu ho ɔfotufo nyɛ adwuma na hwehwɛ ano aduru a ɛbɛyɛ adwuma ama wo ne wo ba no nyinaa. Wɔ tebea horow bi mu no, ebia nea ɛka eyi ho ne sɛ wɔde nnuru a wɔde yɛ aduan bɛka ho. Anaasɛ, ebia ebehia sɛ wode pɔmpɛ na wode toa ma wo ba no aduan de ka nufusu dodow a ɔrenya afi nufu no mu no ho. Bere a worefa eyi mu no, wo fotufo no de akwankyerɛ bɛma na watie nea wowɔ ka.

So yentumi nsiw nufusu a ɛho yɛ na yi ano?

Ebia worentumi nsiw nufusu a ɛso tew ano. Nanso wubetumi ne nufusu ho ɔfotufo bi ayɛ adwuma de ahu nneɛma a ebia ɛrenya nufusu a wode ma no so nkɛntɛnso. Ɛnyɛ ntɛm dodo da sɛ wubefi nkɔmmɔbɔ yi ase. Sɛ woka nufusu a wɔde ma ne nufu a woma ho asɛm wɔ wo nyinsɛn no mfiase a, ebetumi aboa wo ma woasiesie wo ho na woahu nea wobɛhwɛ kwan.

Ɛtɔ mmere bi a, sɛ wukura mu duru ne asetra kwan a ɛfata wo mu, ne tebea biara a enni sabea a ebia wubenya no ho dwuma yiye a, ebetumi aboa ma woasiw nufusu a ɛba fam no ano.

Wobɛyɛ dɛn ahwɛ wo ho? Eyi ho hia paa!

Saa bere yi de, ebia ɛbɛyɛ te sɛ paipu dae sɛ wobɛyɛ biribi ama wo ho. Nanso wo ho a wobɛhwɛ sɛnea wubetumi biara – honam ne adwene mu nyinaa – ho hia yiye ma wo ne wo ba no nyinaa. Eyi ne bere a ɛsɛ sɛ wokɔ abusuafo ne nnamfo nkyɛn kɔhwehwɛ mmoa. Akwan bi a wubetumi afa so anya saa mmoa no ni:

• Ka kyerɛ w’adamfo bi a wowɔ ne mu ahotoso sɛ ɔmmra fie na ɔnhwɛ akokoaa no kakra, bere a woreda.
• Ma w’aduannoafo nsiesie nnuan kakraa bi na wɔmfa nhyɛ nwini mu, afei ɛbɛyɛ mmerɛw ama dapɛn no.
• Bisa wo hokafo anaa obi foforo ma ɔmmoa wo mma wo de toa mma wo ba no aduan anadwo, sɛnea ɛbɛyɛ a wubetumi ada nnɔnhwerew kakraa bi tẽẽ.

Sɛ wote nka sɛ wonyɛ nufusu a ɛdɔɔso a, ɛyɛ den sɛ wubegyae ho adwene. Nea ɛka ho no, sɛ woka wo dadwen kyerɛ afoforo a, afotu bɛba a ɛbɛhwie agu – nnamfo binom a wɔwɔ adwempa bɛba wo pon ano de raspberry ahaban tii. Nanso ɛtɔ da bi a, dodow a wote sɛ "Eyi ne nea ɛsɛ sɛ ɛyɛ pɛpɛɛpɛ!", dodow no ara na wote nka sɛ woayɛ basaa na wuntumi nhu nea wobɛyɛ.

Bere a mmere pii wɔ hɔ a afotu a efi w’adɔfo hɔ betumi aboa no, sɛ ɛba nufusu a ɛba fam so a, ebia sɛ wo nkutoo wobɛkɔ a, ɛremmoa wo kɛse. Ebetumi nso de ɔhaw ahorow a wɔmpɛ aba. Enti, sɛ́ anka wobɛbɔ mmɔden sɛ w’ankasa wubedi nneɛma ho dwuma no, wo ne nufusu ho ɔfotufo bi hyia. Wobetumi de afotu ne ayaresa a ɛfata w’ahiade ama wo na wɔakyerɛ wo ɔkwan a wobɛfa so akɔ w’anim.

Adeɛ a ɛho hia paa a yɛpɛ sɛ yɛde kɔ fie firi saa asɛm yi mu (Take-Home Message) .

Enti, maame, sɛ wowɔ adwenem naayɛ ketewaa bi mpo sɛ worennya nufusu a ɛdɔɔso a, mesrɛ wo, mma ɛnhaw wo. Ɛnyɛ wo nko ara, eyi yɛ biribi a ɛnanom pii hyia.

Ade a ɛho hia sen biara ne sɛ wo ne wo duruyɛfo anaa obi a ɔhwɛ nufusu ho ɔfotufo bɛkasa afa eyi ho. Wɔbɛkyerɛ wo kwan na wɔaboa wo ma woanya ano aduru a eye sen biara ama wo ne wo ba no. Kae sɛ nufu a wɔde ma no yɛ ɔkwan biako pɛ, akwan foforo wɔ hɔ a wobɛfa so ama wo ba no ɔdɔ ne aduannuru. W’adwene mu akwahosan nso ho hia paa. Wo yiyedi ne ade a eye sen biara ma wo ba!

` Nufusu a Wɔma, Nufusu a Ɛnnɔɔso, Nufusu a Wɔde Ma, Akokoaa a Wɔma No Nufu, Maame Foforo, Nufusu a Wɔde Ma, Nufusu Ho Ɔhaw