Nu hnute pek: Engorgement, hnute engorgement, leh bawnghnute tlakchhamna atana damdawi lam solution Naupai 🤱🍼

Nirupama (kum 25) chu nikum Thawhlehni khan ka clinic-ah a lo kal a, nu thar a ni a, ni 4 kalta khan a fa hmasa ber a nei a. A chau hle a, a mittui a tla bawk.

"Dr. Priya, ka hnute pahnih hi lungpui ang maiin a khauh a, a na hle bawk. Naute hi a hnute a latch theih loh avangin a tap a ni. Naute pek tur hian hnute ka nei tlem em tih ka ngaihtuah a ni," tiin Nirupama chuan a hlauhthawn leh a natna chu a sawi.

Ka ti thlamuang a, heti hian ka hrilhfiah a: "Nirupama, damdawi lam hawi chuan breast engorgement tia hriat natna tlanglawn tak i hmachhawn mek a ni. Nau neih hnu kar hmasa berah chuan hnute chu a ruala thisen leh lymph fluid a luang lut leh hnute a siam chhuah avangin a hring a, a khauh ta a ni. Tichuan, hnute leh a chhehvel hmun thim (areola) chu a flatten leh stretch a, chu chuan a ti harsa a ni." the baby to latch on properly Mi tam tak chuan hei hi ‘lack of milk’ (lack of milk) niin an ngai.Mahse, a nihna takah chuan , bawnghnute luang chhuak tur chuan let-down reflex hi activate a ngai a, chu chu hormone oxytocin a ni a, chu chu nu thluaka pituitary gland atanga chhuak a ni dik takin."

🚨 Damdawi lam pan vat ngai Red Flags

Nu hnute pek lama harsatna pangngai chu ni engemaw zat hnuah a reh mai ang a, mahse a hnuaia vaukhânna chhinchhiahnate hi i hmuh chuan doctor i pan nghal tur a ni:

• Hnute pakhat chauhah natna nasa tak, natna, sen, leh khawsik (hei hi mastitis, hnute natna chhinchhiahna a ni thei).
• Nipple discharge na tak emaw thisen chhuak emaw, nipple crack emaw, na emaw.
• Naupang hian tui tlakchhamna chhinchhiahna a lantir a - darkar 24 chhunga vawi 6 aia tlem zun, zun dum dum, mut tam lutuk, emaw a rihna tlahniam te hi a ni.
• Nausen pian hnu ni 10 hnuah pawh a rih zawng hi a pung zel lo.

Bawnghnute supply tlem chhan ber

Nu tam tak chuan bawnghnute tlakchham tak tak nei lo mah se, hmanraw dik lo vangin an hnute siam chhuah an tihtlem phah thin:

• Poor Latch: Naute hian hnute a latching tha lo a, chu chuan hnute a la chhuak tha lo a ni.
• Naupai tamna tlahniam: Darkar 3 aia rei hnute pek loh.
• Artificial milk leh soup hman: Naute chu formula pek hian a hnute tui a in zat a ti tlem a ni.
• Stress leh hlauhna: Nu chu stress na tak a neih chuan pituitary gland atanga hormone oxytocin secretion a titawp a, "let-down reflex" chu a deactivate a ni.

Engtin nge hnute engorgement hi control theih ang?

I hnute a tight hunah a hnuaia step te hi zawm la, physical therapy leh clinical advice angin:

1. Warm Compress Before Breastfeeding: Naupai hma minute engemaw zat i hnute chungah towel lum dah emaw, shower lum tak lak emaw hian bawnghnute kawng a ti hahdam thei a, bawnghnute a luang awlsam thei bawk.
2. Manual Expression: Hnute hi a engorg lutuk a nih chuan, naute latch theih tur khawpa hnute chhehvel a nêm thlengin kut hmangin hnute tlem tal express tur a ni.
3. Chaw pe fo leh pek fo tur: Nautein a dil apiangin (Responsive feeding) emaw darkar 2-3 danah emaw tal chaw pe thin ang che. Zanah chaw pek pawh a pawimawh hle.
4. Nau hnute pek hnua Cold Compress: Nau hnute pek zawhah hnute chungah ice pack dah la, chu chuan a hring leh a natna a tiziaawm ang. Cabbage hnah silfai, tihfai leh refrigerator-a dah chu hnute chungah dah hi tualchhung leh khawthlang lam damdawi lam pawhin an rawt dan a ni.

Nu hnute pek dan dik tak Positioning & Latching

• Chest-to-Chest: Naute taksa pum pui chu nu lam hawiin, naute rilru chu nu rilru hnaih takah dah la.
• Chin on Breast: Naute hmui chu a hnuteah hmet tlat tur a ni.
• Kawng hawn: Naute chuan a hmui zau takin a hawng tur a ni a, a hnute chauh ni lovin a chhehvel hmun thim tam zawk pawh a la lut tur a ni.

Tih tur & Tih loh tur

Scientific lam atanga lak chhuah (References) .

• 📚 Hnute na leh hnute pek - NHS
• 📚 ABM Clinical Protocol #20: Engorgement, Kum 2016-a siamthat - PMC