So worehyia nufusu a wɔyɛ boro so nso? So ɛyɛ den ma akokoaa no? Momma yensua (Hyperlactation Syndrome) ho ade!

Sɛ woyɛ ɛna a woma nufu a, ebia woasusuw sɛ, "Oo, mewɔ nufusu pii dodo." So wo nufu da so ara te nka sɛ ɛyɛ ma bere a wo ba no ama no aduan awie no? Anaasɛ wɔsan hyɛ ma bere a woama wo aduan awie no ara pɛ? So wote nka sɛ wo ba no renom nufu mpofirim? Eyinom yɛ tebea bi a wɔfrɛ no hyperlactation syndrome a yɛrebɛka ho asɛm nnɛ no ho sɛnkyerɛnne ahorow bi. Sɛ yɛbɛka no tiawa a, eyi kyerɛ sɛ wo nipadua no renya nufusu pii asen nea wo ba no hia. Eyi betumi ayɛ nea ɛnyɛ dɛ kakra ama wo ne wo ba ketewa no. Nanso mma ɛnhaw wo, nneɛma bi wɔ hɔ a wubetumi ayɛ wɔ ho. Momma yɛnka ho asɛm nkɔ akyiri.

Dɛn nti na eyi ba? Ma yɛnhwɛ sɛnea wɔyɛ nufusu.

Eyi ne nea ɛtaa ba. Wo nipadua fi ase yɛ nufusu bere a woanyinsɛn no. Sɛ wowo wo ba wie a, nufusu a wode ma no kɔ soro kɛse mpo. Sɛ wo ba no fi ase ma nufu daa a, wo nipadua no nam anwonwakwan so yɛ nufusu a ɛdɔɔso a ebetumi adi wo ba no ahiade ho dwuma. Ɛte sɛ nea nneɛma a wɔde ma no hyia nea wɔhwehwɛ.

Nanso, ɛtɔ mmere bi a, nufusu dodow a wonya ne nufusu dodow a akokoaa no nom no betumi ahyia kakra. Eyi ne bere a tebea a wɔfrɛ no hyperlactation syndrome yi ba. Eyi nyɛ ade a ɛntaa nsi. Ɛnanom pii wɔ saa osuahu yi, titiriw wɔ nufu a wɔma wɔn mfiase no mu.

Mɛyɛ dɛn ahu sɛ mewɔ nufusu pii? Nsɛnkyerɛnne bɛn na ɛna betumi ate nka?

Sɛ wowɔ saa tebea yi (Hyperlactation Syndrome) , a, ebia wubehu sɛnkyerɛnne ahorow a edidi so yi wɔ wo nufu mu:

• Nufu a ɛyɛ den: Ebia nufu no mu yɛ den na ɛyɛ yaw, te sɛ abo abien.
• Nufu mu yaw (Mastalgia): Ebia ɛbɛyɛ te sɛ nea wo nufu ayɛ wo yaw kɛkɛ.
• Nufu a ɛnda mpan koraa bere a wɔama no aduan akyi: Nufu a ɛda so ara te nka sɛ ayɛ ma bere a akokoaa no ama no awie mpo no. Anaasɛ, nufu a ɛsan yɛ ma ntɛmntɛm bere a wɔama no aduan bere tiaa bi akyi.
• Nufusu Ntini a Asiw: Ebia wobɛte nka sɛ nufu no fã biako ayɛ den na ɛyaw te sɛ akuru.
• Nufusu a ɛtaa pue: Sɛ wo nufusu no pue araa ma ɛma wo ntade yɛ nsu bere nyinaa a.
• Nufu mu Mpaapaemu: Nufu betumi ayow, apaapae, na ayɛ kuru.
• Nipple Blebs: Ebia akisikuru fitaa nketenkete bɛpue wɔ nufu no so.
• Ɛtɔ da bi a mogya ntini a ɛwɔ nufu no mu no twetwe (vasospasm): Sɛ wɔma nufu wie a, nufu no betumi ayɛ fitaa, ayɛ no yaw, anaasɛ ayɛ mmerɛw.

Fa no sɛ Nilanthi yɛ ɛna. Wawo ne ba a odi kan ɔsram biako ni. Ɔte nka bere nyinaa sɛ ne nufu ayɛ ma. Sɛ akokoaa no ma no wie mpo a, nufusu da so ara wɔ hɔ. Nna bi wɔ hɔ a, ontumi nna anadwo mpo efisɛ ne nufu yɛ no yaw. Eyi abɛyɛ ɔhaw kɛse ama no. Ebia saa Nilanthi ɛna yi wɔ (Hyperlactation Syndrome) .

So nufusu no fi adi mpofirim? So wɔfrɛ eyi (OMER)?

Yiw, sɛ wowɔ nufusu a ɛboro so a, wo nufusu betumi apue mpofirim ntɛmntɛm paa. Wɔfrɛ eyi Overactive Milk Ejection Reflex (OMER) anaasɛ "abasamtu a ɛba ntɛmntɛm." Sɛ eyi ba a, ebetumi ayɛ den ama wo ba no sɛ ɔbɛnom nufu saa ahoɔhare no. Ebia wo ba no bɛfefe, ne menewa, anaasɛ ɛbɛyɛ den ama no sɛ ɔbɛmene bere a ɔrenom nufu no.

So nufusu a ɛdɔɔso a menya no bɛka me ba no? Nsɛnkyerɛnne bɛn na me ba no bɛda no adi?

Yiw, koraa. Sɛ wowɔ hyperlactation , wo ba no nso betumi anya nea edidi so yi:

• Ɔmpɛ sɛ ɔma nufu anaasɛ ɔtwe ne ho fi nufu no ho bere a ɔrema nufu no: Ebia akokoaa no reyɛ eyi efisɛ nufusu no reba ntɛmntɛm araa ma biribiara nni hɔ a obetumi ayɛ wɔ ho.
• Nipadua no a ɛyɛ den na ɔkotow n’akyi bere a ɔrema nufu no: Ebia akokoaa no bɛyɛ eyi efisɛ ne ho nyɛ no dɛ.
• Ɔfe, amene, anaa mene ntɛmntɛm dodo bere a wɔrema nufusu akɔ fam: Ɛyɛ den sɛ wubedi nufusu a ɛsen ntɛmntɛm no so.
• Osu anaa ahomegye bere a ɔrema nufu no: Eyi betumi aba esiane ɔhaw a ɛma ne ho nyɛ no dɛ nti, sɛ mpo akokoaa no ayɛ ma a.
• Mu duru a ɛkɔ soro anaa ɛtɔ mmere bi a ne mu duru so tew: Nea enti a ɛte saa ne sɛ akokoaa no ntumi mma nufusu.
• Wo ba no nsu mu yɛ nsu, ahabammono anaa ahuru mpofirim, na ebia mogya kakra wɔ mu: Eyi fi nsakrae a ɛba wɔ nufusu no mu. Yɛbɛka saa asɛm no ho asɛm kakra.
• Mpɛn pii no, ɔteɛteɛm: Eyi betumi asi bere a yafunu no nya nufusu pii anaasɛ ɛyɛ ntɛm dodo no.

Dɛn nti na akokoaa yafunu yɛ no yaw? Abusuabɔ a ɛda nufusu a edi kan ne nufusu a ɛwɔ akyi ntam

Biribi a ɛsɛ sɛ yɛte ase ni. Sɛ yɛma yɛn ba no nufu a, nsonsonoe ketewaa bi da anim nufusu ne akyi nufusu ntam.

• Nufusu a edi kan: Eyi yɛ nufusu a nsu kakra wom, carbohydrate pii wom (titiriw lactose) na srade nnim. Ɛyɛ nufusu a edi kan a ɛba bere a wɔafi ase ama nufu no.
• Nufusu a ɛwɔ akyi: Eyi ne nufusu no fã a srade wom na ahoɔden wom. Ɛba bere a wɔde nufusu ma no awiei.

Afei, sɛ wowɔ nufusu pii na nufusu a wɔma ɛba fam (OMER) kɛse a, akokoaa no bɛhyɛ nufusu a edi kan no ma ntɛm ara . Afei akokoaa no benya akyi nufusu a srade pii wom no kakraa bi. Wɔkyerɛ sɛ lactose dɔɔso wɔ nufusu a ɛwɔ anim no mu . Sɛ saa lactose yi kɔ yafunu no mu a, mframa bɛhyɛ akokoaa no yafunu mu ma, obesu bere a wayɛ ma, ne nsu mu ayɛ nsu, na obefi ase ayɛ ahabammono. Akokoaa no nso betumi ate nka sɛ ne ho nyɛ no dɛ, te sɛ yafunu a ɛyɛ no yaw.

Dɛn nti na nufusu dodow no reba saa? Dɛn ne nea enti a ɛte saa?

Ɛyɛ den sɛ wobɛkyerɛ nea enti biako pɛ a enti ɛte saa. Ɛtɔ mmere bi a, wo nipadua no tumi ma nufusu pii a ntease biara nnim, titiriw wɔ mfiase no. Nanso, sɛ woma wo ba no nea ohia nkutoo, anaasɛ wobɔ pɔmpɔ a, eyi bɛtaa afi hɔ wɔ nna kakraa bi mu.

Ade biako a ɛho hia sɛ ɛsɛ sɛ wohyɛ no nsow ne sɛ pɔmpɛ a wobɛbɔ mpɛn pii sen sɛnea wo ba no hia no betumi ayɛ ade titiriw a ɛde nneɛma a ɛboro so ba. Eyi te saa efisɛ dodow a wobɔ pɔmpɛ no, dodow no ara na w'amemene no de nkrasɛm kɔma sɛ "wuhia nufusu pii." Afei eyi ma wo nipadua no yɛ nufusu pii.

Dɛn ne asiane ahorow a ɛma obi nya Hyperlactation Syndrome?

• Ebia ɛnanom binom wɔ awosu mu tumi a ɛma wonya nufusu pii.
• Sɛ wowɔ tebea bi a ɛma woyɛ prolactin hormone pii dodo (hyperprolactinemia) , ɛno nso betumi ama nufusu a wɔde ma no akɔ soro.
• Nnuru bi nso betumi aka nufusu a wɔde ma, enti sɛ worenom nnuru biara a, ɛyɛ papa sɛ wo ne wo duruyɛfo bɛkasa.

Ɔkwan bɛn so na oduruyɛfo hu eyi (Hyperlactation Syndrome) pɛpɛɛpɛ?

Mpɛn pii no, wo duruyɛfo anaa nufusu ho ɔfotufo bi begyina nsɛm a efi wo ne wo ba no hɔ so akyerɛ tebea yi. Wɔbɛbisa wo nsɛm te sɛ:

• Akokoaa no nufusu te dɛn?
• Akokoaa no akwahosan te dɛn? (mu duru a ɛkɔ soro, nsu a ɛwɔ nsu mu no su, ne nea ɛkeka ho) .
• Dɛn ne ɔhaw ahorow a wote nka wɔ wo nufu ho?

Mpɛn pii no, wobetumi agyina sɛnkyerɛnne ahorow a woka ho asɛm no so ahu eyi. Wɔntaa nhia sɛ wɔyɛ sɔhwɛ titiriw.

Dɛn na wobetumi ayɛ de atew nufusu a wonya so? Dɛn ne ayaresa ahorow no?

Ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wo ne wo duruyɛfo anaa obi a ɔhwɛ nufusu ho ɔfotufo bɛkasa na wahwehwɛ ɔkwan a ɛbɛyɛ adwuma ama wo. Ebia wɔbɛkyerɛ nneɛma te sɛ:

• Ma nufu bere a wo ba no bisa nkutoo: Sɛ́ anka wobɛma wo ba no aduan wɔ nhyehyɛe bi a wɔahyɛ so no, ma no aduan bere a ɔkɔm de wo ba, ɔresu, anaa wada sɛnkyerɛnne ahorow adi sɛ ɔpɛ nufusu nkutoo. Eyi bɛboa wo nufusu a wode ma no ma ayɛ nsakrae nkakrankakra ma ɛne wo ba no ahiade ahorow ahyia.
• Nufu no gyinabea a wobɛsesa: Sɛ worema nufu wɔ baabi a ɛda nkyɛn anaasɛ woadan wo ho kakra a, wubetumi ahwɛ sɛnea nufusu no sen ntɛmntɛm no so. Eyi bɛma ayɛ mmerɛw ama akokoaa no sɛ ɔbɛma nufu, na OMER tebea no so atew.

Akwan foforo a wɔfa so tew nufusu a wɔde ma so

• Block Feeding: Eyi yɛ biribi a ɛsɛ sɛ wɔde ahwɛyiye bi yɛ. Kɔ oduruyɛfo anaa ɔfotufo bi nkyɛn ansa na woayɛ eyi. Sɛ yɛbɛka no tiawa a, sɛ woma wo ba nufu da mũ no nyinaa a, woma no nufu biako pɛ bere bi a wɔahyɛ ato hɔ (sɛ nhwɛso no, nnɔnhwerew abiɛsa). Afei woma nufu foforo no aduan nnɔnhwerew abiɛsa a edi hɔ no. Sɛ wo sesa aduane wɔ "blocks" mu te sɛ yei a, nkanyan a wo nufu nya no so tew. Afei, nkakrankakra, nufusu dodow a wonya wɔ nufu biara mu no fi ase so tew. Ɛtɔ mmere bi a, wotumi hu nea efi mu ba wɔ da koro ne fã kosi abien ( nnɔnhwerew 36) akyi mpo.
• Nufusu dodow a wɔde gu pɔmpɛ mu a wɔbɛtew so nkakrankakra:Sɛ wotaa bɔ pɔmpɛ a, nnyae pɔmpɛ mpofirim. Saa a wɔbɛyɛ no betumi ama ntini ahorow no asiw anaasɛ tebea horow te sɛ nufu mu yare . Enti, wo ne wo duruyɛfo nkasa na nkakrankakra tew nufusu a wobɔ no mpɛn pii ne dodow a wode bɔ no so wɔ nna anaa adapɛn kakraa bi mu.

So aduru bi wɔ hɔ a ɛbɛtew nufusu a wɔde ma no so?

Ɛtɔ mmere bi a, nnuruyɛfo betumi akyerɛw nnuru a ɛbɛboa ma nufusu a wɔde ma no so atew. Nanso, ɛho hia sɛ wo ne wo duruyɛfo kasa fa eyi ho na wopaw ɔkwan a ahobammɔ wom sen biara ma wo ne wo ba no.

Sɛ mewɔ (Hyperlactation Syndrome) a, dɛn na ɛsɛ sɛ mehwɛ kwan?

Ebia wo nufu bɛte yaw kakra kosi sɛ wo nufusu a wode ma no bedi wo ba no ahiade ho dwuma. Wo ne wo duruyɛfo nkasa mfa akwan a wobɛfa so abrɛ ɔhaw no ase na ama woakɔ so ayɛ nea asiane biara nni ho ama wo ne wo ba no ho asɛm. Boasetɔ yɛ ade titiriw wɔ ha.

Saa tebea yi (Hyperlactation Syndrome) di bere tenten ahe?

Eyi yɛ soronko ma obiara. Nanso sɛ wotɔ wo bo ase na wodi ho dwuma yiye a, awiei koraa no wo nufusu a wode ma no befi ase adi wo ba no ahiade ho dwuma. Nufusu ho ɔfotufo betumi aboa wo ma woafa akwantu yi mu, akyerɛ wo sɛnea wobɛhwɛ wo ba no nufusu a wɔde ma no so, na waboa wo ma woadi wo yare no ho sɛnkyerɛnne ahorow ho dwuma.

So wobetumi asiw Hyperlactation Syndrome ano?

Ebia ɛnyɛ bere nyinaa na eyi betumi aba. Nanso, wubetumi atew asiane no so denam akokoaa akwankyerɛ akyi. Kwati sɛ wobɛbɔ pɔmpɛ pii. Kae sɛ dodow a wobɔ pam no, dodow no ara na wubenya nufusu pii.

Mɛyɛ dɛn ahwɛ me ho?

Nufusu a ɛboro so yi betumi ayɛ adwennwen ama wo ne wo ba no nyinaa. Enti, nna pii sɛnea wubetumi na nom nsu pii (mma nsu nnsɛe wo). Sɛ wo ho atɔ wo nkutoo a, wubetumi ahwɛ wo ba no yiye.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

• Sɛ wo nufu yɛ yaw kɛse anaasɛ wowɔ sɛnkyerɛnne ahorow a ɛte sɛ atiridii , ebetumi ayɛ tebea bi a wɔfrɛ no mastitis ho sɛnkyerɛnne . Sɛ saa a, kɔ oduruyɛfo nkyɛn ntɛm ara. A doctor can treat it with antibiotics .
• Sɛ ɛyɛ den ma wo ba no sɛ ɔbɛma nufu , anaasɛ ɛyɛ den ma no mpofirim sɛ ɔbɛfa nsu mu a , ɛbɛyɛ papa sɛ wode no bɛkɔ oduruyɛfo nkyɛn.

Awiei koraa no, ɛsɛ sɛ meka sɛ... (Take-Home Message)

Nufusu a wɔde ma boro so, tebea bi a wɔfrɛ no Hyperlactation Syndrome , betumi ama nufu a wobɛma ayɛ den kakra ama wo ne wo ba no nyinaa. Ebia wo nufu bɛyɛ wo yaw, na sɛ wo ba no pow sɛ ɔbɛma nufu anaa osu a, wubetumi ate dadwen ne adwennwen nka. Nanso mma ɛnhaw wo, nneɛma bi wɔ hɔ a wubetumi ayɛ wɔ ho.Wubetumi ayɛ nneɛma bi de atew nufusu a wode ma no so. Wo ne wo duruyɛfoɔ anaa ɔfotufoɔ a ɔhwɛ nufusuo so nkasa na sua akwan a wobɛfa so ama nufu a wɔma wo ne wo ba no nyinaa ayɛ ahotɔ. Ɛnyɛ wo nkutoo na wowɔ hɔ, na mmoa wɔ hɔ a wobetumi anya.

` Nufusu a wɔde ma, nufusu a ɛdɔɔso, nufusu a wɔma no boro so, akokoaa akwahosan, ɛna akwahosan, nufusu a wɔde ma ho haw, nufusu a wɔhwɛ so