I naute hnute pek chungchanga i hriat tur zawng zawng chu hetiang hi a ni!

Nu thar nih hlimna ber pakhat chu i naute hnute pek hi a ni. Bond bik tak a siam a ni. Chuvangin vawiin hian nau hnute pek hi eng nge a nih, nang leh i naute tan eng hlawkna nge a thlen tih leh engtin nge dik taka tih tur tih te kan sawi dawn a ni.

Nau hnute pek hi eng nge ni?

A awlsam zawngin, hnute pek hi i taksain hnute a siam chhuah chu i naute pekna a ni. I naute chu i hnute a latch a, a hnim chuan a hmui atanga lo chhuak a ni. Nausen tam zawk chuan an pian atanga darkar tlemte chhungin hnute an pe tan thin.

Pakhatnaah chuan i taksa hian hnute chi khat `(Colostrum)` tih chu a siam chhuak thin. Hei hi a thik hle a, protein a pai tam hle bawk. Tin, antibodies a pai bawk a, chu chu naute natna laka vengtu thil a ni. Ni thum atanga ni nga vel hnuah he `(Colostrum)` hi a inthlak a, nu hnute tui pangngai a rawn lut tan a, hemi chhung hian naute chu a rihna tlem a tlahniam ang. Hei hi thil pangngai a ni a, lungngai suh . I hnute tui a lo lut dik chuan a rihna a sang leh ang.

Nau hnute pek hian nang leh i naute tan hlawkna tam tak a nei a ni. I tan postpartum depression tihziaawmna atan a pui a, i naute immune system a tichak bawk. A theih chuan i naute chu thla ruk hmasa berah hnute chauh pe rawh. Tichuan, complementary foods rawn luhtir chungin hnute pek chhunzawm zel ang che. Nu hnute hlutna avang hian i naute chu kum hnih thleng emaw, a aia rei emaw chhung chu i hnute i pe thei a ni.

Mahse, i naute chaw pek dan tur kawng tam tak a awm tih hre reng ang che. Direct-in hnute i pe thei bawk. A nih loh leh bawnghnute express la, bottle-ah i pe thei bawk. Nu hnute tui nen formula pek a ngai mai thei. A nih loh leh formula chauh pawh i hmang thei bawk. Nang leh i naute mamawh chu hun kal zelah a danglam thei.

A pawimawh ber chu naute hian a thanlenna leh a thanlenna atana a mamawh chaw tha a dawn hi a ni.

I doctor chuan i dinhmun atana tha ber tur a kaihruai thei che a ni.

Engtin nge nu hnute siam chhuah dan mak tak hi a lo awm?

Tunah chuan he nau hnute pek dan hian engtin nge hna a thawh tih i en ang u. Mak tak maiin a thleng thin.

• A hmasa berin naute chu i hnuteah a latch a (hei hi ``Latch on'' kan ti a ni ).
• I naute hian a hnute a hnek hian i nervous system-ah signal a thawn a, hormone thenkhat a chhuah tir thin. A lian ber pahnih chu Prolactin leh Oxytocin te an ni .
• Hormone `(Prolactin)` hian i hnute chhunga bawnghnute siamtu bawm ang chi (`(Alveoli)`) te chu hnute siam turin a hrilh a ni.
• Hormone `(Oxytocin)` tih hian hnute tui chu hnute kawng atanga bawnghnute kawngkhar kaltlangin a chhuah tir thin a ni. Hei hi `(Let-down)` tih a ni.

I doctor chuan bawnghnute hi ‘supply and demand’ atanga siam a nih thu a hrilh che a ni mai thei.Per-basis basis-ah a ni. Chu chu i taksain i naute ‘a mamawh’ zat chauh bawnghnute a ‘pe’ tihna a ni. I naute hian i hnute chhunga bawnghnute awm zawng zawng a in vek chuan i taksa chuan chutiang zat chu bawnghnute a siam leh ang. I naute hian solid foods a ei tan tirh atanga hnute a in tlem chuan i taksa chuan a insiamrem ang a, bawnghnute a siam tlem ang.

Hei vang hian i naute atanga i hlat laiin pumping hian i hnute supply a ti sang thei a ni. I hnute a tlak hniam chuan i taksa chuan hnute tam zawk siam a ngai tih a hria a. Tin, overproduction problem i neih chuan engorgement tihziaawm nan "i hnute kha empty" hi a tha lo. Hei hian i taksain bawnghnute a siam tam tan tir ang.

Engtin nge nau hnute i pek tan ang?

Awle, tunah chuan nau hnute pek tan dan tur kan en ang. Hemi kawngah hian health worker chuan i naute a pian veleh a pui ang che. Nang leh i naute pahnih in hrisel chuan i naute chu vun atanga vun thlengin darkar hnih tal an chelh ang. Hetianga inzawmna hnai tak hian i naute chu nangmah nena inzawmna nei turin a pui a, hnute pe turin a fuih bawk.

Naute chu rei vak lo hnuah i hnuteah a lo kal tan ang. Hei hi instinctive thil a ni a, i hmuh tur thil danglam tak a ni! Health worker chuan naute chu a latching tha em tih leh a hnute a pe tan em tih hriat theih nan a pui thei che a ni.

Tichuan, i hnute i pek apiangin a hnuaia mi ang hian i ti tur a ni:

• Nang leh naute tan pawh hmun nuam tak zawng la, naute chu i bulah hnaih takin chelh rawh.
• I naute hmui chu i hnute lam hawiin kawhhmuh rawh. Nipple chu a hnar lam hawi tur a ni. Naute hmui chu i hnute hnuai lamah a innghat tur a ni.
• I naute chu i hnute chu a latch on theih nan pui rawh. A hmui chu a inhawng zau tur a ni a, i hnute chhehvel hmun thim tam zawk, areola chu a hmui chhungah a nei tur a ni. A hmui chunglam chungah i areola tlem tal a lang tur a ni.
• I naute chu a hnute bulah hnute pe rawh. Suck leh chawlh rei vak lo lak inkar rhythm a hmang thiam tawh ang. Naute a ei ri i hre tur a ni. He hnute hi a hnute a chawlhsan thlengin, a ei tawh loh thlengin, amah chauhin a bânsan thlengin hnute pe rawh se.
• Naute chu Goodus-ah minute engemaw zat kal tir rawh.
• I naute chu i hnute dang pe rawh. Naute pum a khat a nih chuan a hawi sawn ang a, chu chu a pawi lo.

I naute i pek leh hunah chuan hnute hring lo zawk atang hian tan la rawh. Bawnghnute a tam zawk avangin a khat deuhin a hria ang.

Naute chu a ril a tam em? Naute chu a khat em? Engtin nge i hriat?

I naute hian heng chhinchhiahnate hi a lantir chuan a riltam mai thei:

• I harh chhuak zau hle mai.
• I hnute en turin an lu an hawi a, a nih loh leh an lam an rawn pan a.
• An kut an su a, an hmui an purse a, an lei an chhuah chhuak bawk.
• An kut chu an hmuiah an rawn keng a, an kut zungtang an hrual a, a nih loh leh an kut zungtang an hrual (mahse nau piang thar hun hnuah hei hi riltam vang ni lovin, hriat duhna avanga an tih a ni thei).

Naute pum chu a khat thei a, chu chu:

• Hnute chu bânsan.
• I rilru a hahdam hmel hle.
• Fists clenched te chu a inhawng a.
• I hnute atanga hla taka hawi (mahse nau piang thar period hnuah hei hi distraction chhinchhiahna a ni thei bawk).

Nu hnute i pek lai hian heng ei leh in te hi inthiarfihlim rawh!

Naupai lai ang bawkin nau hnute i pek laiin i ei leh in tur i fimkhur a ngai a ni. Naupai lai aiin khapna a tlem zawk a, mahse thil thenkhat chu tihkhawtlai emaw, tihtawp vek emaw a ngai mai thei.

• Caffeine hi tihtlem rawh. Caffeine tlem tal ei hi a pawi lo, mahse ni khatah milligram 300 (mg) aia tam ei loh tur. Chu chu coffee regular cup hnih vel a ni. Tea (cup pangngaiah 37 mg vel), soft drinks (can khatah 23 atanga 83 mg vel) leh chocolate-ah te pawh caffeine a awm tih theihnghilh suh ang che.
• Zu hi tihtlem rawh. Tunah hian ni khata standard drink pakhat in hian harsatna a thlen tih hriat a la ni lo. Mahse hnute pek hma darkar hnih tal in tur a ni. Hei hian zu chu i taksa chhuahsan hun a pe ang.
• Mercury tamna sangha ei suh. I sangha chhunga mercury awm chu i naute hnenah hnute hnute hmangin a kal a. I naute thluak leh nervous system a tichhe thei a ni. Mercury tamna sangha, king mackerel, marlin, orange roughy, shark, leh tilefish te hi ei ngai suh.
• Nicotine ei loh tur. Meizial emaw vaping emaw hian i hnute tui nutritional value a tihtlem bakah i hnute supply a ti tlem thei bawk. Secondhand smoke hian i naute chu allergy, upper respiratory infection, leh Sudden Infant Death Syndrome (SIDS) a neih theihna a tipung a ni.
• Marijuana hman loh tur. Mithiamte chuan marijuana hian naute a nghawng dan chiang takin an la hre lo. A pawi thei hle. Chuvangin marijuana hman loh leh midangin an hman hunah meikhu thawh loh hi a tha ber.
• Damdawi hi Doctor-in a pek loh chuan hman loh tur a ni. Thil chi hrang hrang `(Opioids)`, `(Benzodiazepines)`, `(Stimulants)`, cocaine `(Cocaine)`, leh phencyclidine `(Phencyclidine - PCP aka "angel dust")` te hian i naute a tichhe thei a ni. Ruihhlo (Substance Use Disorder) addict i nih chuan i doctor chuan a pui thei che a ni.
• Damdawi thenkhat ei loh tur. Damdawi hman tlanglawn tam tak hi nau hnute pek laiin ei a him. Mahse, ṭhenkhat chuan i naute a tichhe thei a, i hnute tui pek chu a ti tlem thei bawk. Damdawi emaw supplement emaw i ei hmain doctor emaw pharmacist emaw zawt hmasa phawt a tha.

Nau hnute ka pek laiin birth control ka hmang thei ang em?

Ni e, mahse i doctor nen eng chi nge i tan a tha ber tih leh engtikah nge i tan tur tih i sawipui tur a ni. Hengte hi hman tlanglawn tak a ni:

• Barrier hmanrua (condom emaw vaginal diaphragm emaw ang chi).
• Intrauterine devices (IUDs) (hengte hi naute pian hnu lawkah dah theih a ni fo).
• Progestin chauh hmanga hormone hman dan (entir nan, mini-pill).

Hormone birth control methods, estrogen awmna (pill thenkhat, patch, leh vaginal rings te) hian i hnute tui supply a ti tlem thei a ni. Chuvangin i doctor chuan chutiang chu pumpelh turin a hrilh thei che a, i naute i neih hnu thla khat tal (dose hniam berah) nghah turin a hrilh thei che a ni.

Naupai laiin nau i la pai thei tih hre reng ang che, i period i la tan lo a nih pawhin.

Nu hnute pek loh tur special case a awm em?

Doctor-te chuan nau hnute pek an rawt fo thin a, mahse a hnuaia thil awm danah hian hnute pek loh tur a ni:

• I naute chu ``Galactosemia'' (nu hnute hnute tuiah sugar chi khat ei harsa ti thei dinhmun) a vei tih hmuhchhuah a nih chuan.
• Nu hnute tui hmanga kai theih natna thenkhat i neih chuan, entirnan HIV (criteria thenkhat, virus load hriat theih nei neih ang chi te nen), HTLV-1, HTLV-2, Brucellosis emaw Ebola virus natna emaw i neih chuan.
• I hnute ah herpes sores i neih chuan.
• Hepatitis C i vei a, i hnute a chhe emaw, thisen a chhuak emaw a nih chuan.

Heng dinhmun thenkhat hi chu hun eng emaw chen atan a ni. I doctor chuan engtikah nge hnute pek a him tih a hrilh ang che. I naute chaw pek dan tur dang, formula leh donor breast milk te pawh an hrilhfiah bawk ang.

Naupai lai hian eng harsatna nge lo awm thei?

Naupai laiin harsatna i tawk a nih chuan – emaw, i tan tirh lamah harsatna i neih mai mai pawhin – nangmah chauh i ni lo. Hetiang harsatna hi a awm fo thin:

• Breast engorgement tih hi a ni
• Duhthusamin bawnghnute siam tam lutuk (Hyperlactation) .
• Bawnghnute supply a tlem
• Milk Ducts Clogged a ni
• Hnute natna/inflammation `(Mastitis)` (Mastitis) .
• Nipple Blebs a awm
• Hnute na, chhe, emaw, na emaw
• Ha chhuah/chewing avanga natna emaw thisen chhuak emaw
• Hnute chunga latching on harsat (naute hian tongue-tie emaw cleft lip/cleft palate emaw a neih chuan hei hi a thleng thei)
• I hnute pianzia avanga harsatna (flat emaw inverted emaw) .
• Duhthusamin, kut hmanga emaw, hnute pump hmanga emaw, bawnghnute express harsat
• Nau hnute hnek harsat

A pawimawh ber chu tanpuina a awm tih hriat hi a ni. A tam zawkah chuan heng harsatnate hi chinfel theih a ni. Hriselna lama thawktute chuan heng harsatnate hi i enkawl theih nan an pui thei che a, chuvang chuan i duh hun chhung chu hnute i pe chhunzawm thei ang.

Nau hnute pek chungchangah tute nge tanpuina ka hmuh theih ang?

Nau hnute pek dan i zir emaw, harsatna chinfel i tum emaw pawh ni se, tu nge ṭanpuina dil ang tih i ngaihtuah mai thei. I chhungkaw doctor emaw obstetrician-gynecologist emaw atang hian i tan thei reng a ni. A nih loh leh, hnute pek chungchanga training bik nei mi i hmu duh mai thei bawk. Entirna thenkhat chu hetiang hi a ni:

• Breastfeeding Medicine Specialist: Hei hi board-certified physician a ni a, nau hnute pek danah training sang tak a dawng tawh a ni. Nau hnute pek chungchanga harsatna zawng zawng, hnute natna atanga mastitis thlengin an hmuchhuak thei a, an enkawl thei bawk. Zirna leh puihna an pe bawk.
• International Board Certified Lactation Consultant (IBCLC®): Nau hnute pek dan tur consultant chuan damdawi lam enkawlna a pe thei a. Hei hian i medical history an la thei tihna a ni a, i naute hnute pek dan an zir thei a, tanpui turin ruahmanna an siam thei bawk.
• Nu hnute pek leh hnute pek zirtirtu emaw Counsellor emaw: Heng mite hian zirtirna bulpui leh counseling an pe thin. Hei hian hnute pek dan leh bawnghnute siam dan an zirtir thei che a, i zawhnate pawh an chhang thei tihna a ni. He category chhungah hian role hrang hrang 20 vel a awm a. Chung zingah chuan Certified Breastfeeding Counselor (CBC) leh Certified Lactation Educator (CLE) te an tel a ni.
• Breastfeeding Peer Supporter: Hei hi nu hnute pek chungchanga tawnhriat nei, chu thil tawn chu i tanpui nan hmang duhtu a ni. Peer-to-peer angin zirtirna leh tanpuina an pe thin. Breastfeeding Peer Counselor (BPC) leh La Leche League Leader (LLLL) tih ang chi title i hmu ang.

A châng chuan specialist i mamawh lo va, kut dang pahnih chauh i mamawh ṭhin. Hei hi i thlawptute hnen atanga thlawpna i hmuh theihna hmun a ni. I hnute i pek lai hian i kawppui emaw, i hmangaih tak emaw chu i bula awm turin ngen hreh suh. Thil an lei thei che a, baby goodies an thawn thei che a, boost i mamawh hunah i tan an awm mai thei bawk.

Nu hnute pek chungchangah zawhna i nei em?

Mi tam tak chuan hnute pek chungchangah hian ngaihtuahna leh hlauhna an nei a. A pawimawh ber chu i naute enkawl chungchanga i hriat tur zawng zawng zawt vek tur a ni tih hre reng tur a ni. I rilru a awm reng reng chu i doctor hnenah sawi chhuah hlau suh. Nau hnute pek chungchanga thutlukna pawimawh siam hmain hriat chian a tha ber.

Zawhna leh chhanna tlanglawn thenkhat chu hetiang hi a ni:

Ka hnute hi a te lutuk em, hnute pek theih loh?

Ni lo, hnute lian leh te hian i hnute pek theihna a nghawng lo. I hnute hian hnute a siam zat hi i hriselna zawng zawng leh i naute ei zat a innghat a ni.

Nau hnute pek hian a ti na em?

Nau hnute pek hi a na tur a ni lo. A awm a nih chuan i naute chu a latching on tha lo vang a ni mai thei. I healthcare provider chuan latch on leh latch on dan dik tak zir turin a pui thei che a ni. Natna i la neih chuan doctor hnenah hrilh la, chutiang chuan a chhan dang an zawng thei ang.

Nau hnute pek hi a harsa em?

Mi tinin kan tawnhriat a inang lo. A tlangpuiin nau hnute pek hi zir leh tih ngai thil a ni.

Kar hmasa pahnih emaw, kar thum emaw chhung chuan, chutiang ti tur chuan kut pali mamawh angin i inhria mai thei. Mahse hnute pek zir chu bike khalh zir ang a ni. Thupek chhiar hian a bulpui ber chu i hrethiam thei a, mahse nangmah ngeiin i tih hian i ti thei tak zet a ni.

Damdawi in tam takah chuan naupai laiin naupai lai class i kal thei a. Vawi tam tak chu nurse leh naupai lai consultant te chu information leh support pe turin an awm thin.

Naute lakah ka inthiarfihlim a ngai a nih chuan engtin nge ni ang?

I naute atanga hla taka awm a ngai a nih chuan i hnute chu pump emaw hand express emaw i ti thei bawk. Fridge emaw freezer emaw ah bawnghnute chu dah la. Naute enkawltu hnenah bawnghnute chu bottle-ah i pe thei a ni.

Hnathawh leh tur i nih chuan i company nen hnute pek chawlh chungchanga an policy chungchang sawipui rawh. (Sri Lanka-ah pawh hetiang facility hi i company hnenah zawt la a tha. Company thenkhat chuan hei hi ruahmanna bik an siam thin).

I naute hnen atanga hla taka i awm laiin bawnghnute express hian thil pahnih a ti a. Pakhat chu a hnua ei tur atana bawnghnute dahkhawm theihna a ni. A dang chu i bawnghnute supply vawng reng turin a pui a ni.

In lama hruai tur thuchah.

Nau hnute pek hi i nunah i hriatrengna hlu ber pakhat a ni thei. Mahse, a pianphungah emaw, awlsam takin emaw a lo thleng ngai lo tih hre reng ang che. Nau hnute pek dan i hriat nghal beisei suh. Ruahman anga thil a kal loh chuan inhnek suh.

Chu ai chuan i theih ang anga hriatna khawlkhawm la, i theih ang tawkin zawhna zawt la, nau hnute pek leh bawnghnute siamna lama training bik nei health worker nen hna thawk ho rawh. Anni hian bul tan dan tur leh harsatna i neih chuan eng nge tih tur tih te an zirtir thei che a ni.

He zinkawngah hian nangmah chauh i ni lo tih hre reng la, tanpuina a awm reng bawk!

` Nau hnute pek, nau hnute pek, nu thar, bawnghnute express, ei leh in, naute hriselna, nau hnute pek hlawkna