I naute tan pawh bawnghnute i dawng tlem em? (Low Milk Supply) Hemi chungchang hi han sawi ila!

Nu thar i nih huna i rilrua hlimna lian ber chu mahni naute hnute pek hi a ni. Bond bik tak a ni. Mahse, a châng chuan ‘Ka naute hian bawnghnute a nei tling ang em?’ tih ang chi zawhnate hi a awm ṭhin. 'Ka bawnghnute supply a tlem em?' i rilruah a lo lang a, i hlauthawng deuh bawk. Dik tak chuan hei hi nu tam tak tan chuan buaina awm fo leh an rilruah phurrit phur tak a ni. Chuvangin, vawiin hian he dinhmun hi ``hypolactation'' an tih, emaw doctor-te'n an tih ang chi hi kan sawi dawn a ni.

Low Milk Supply tih hi eng nge ni?

A awlsam zawngin sawi ila, bawnghnute supply tlem tih awmzia chu i taksain i naute tan hnute a siam chhuak tawk lo tihna a ni. Hei hi nute zingah a awm fo thin. Tin, nute chu an stress nasa hle thei a, an naute hian ei leh in a dawng tawk em tih an ngaihtuah thei bawk. Thil tam takin bawnghnute letdown, a nih loh leh bawnghnute supply a nghawng tih i hria em? Naute thenkhat chuan bawnghnute in duh lo emaw, in tha lo emaw pawh a ni thei a, hei hi i bawnghnute supply a tlem vang mai ni lovin, chhan dang vang a ni.

I bawnghnute supply a tawk lo nia i hriat chuan, a tha ber chu lactation consultant emaw, hnute pek dan tur specialist emaw nen inhmuh hi a ni . In thawhhona chuan bawnghnute in nei tlem tak tak em tih te, i naute hian bawnghnute a in tlem vang emaw, a thau lutuk vang emaw chhan dang a awm em tih te in hre thei ang. Anni hian solution dik tak zawng turin an pui thei bawk che.

Engtin nge ka bawnghnute supply a tlem tih chiang taka ka hriat theih ang?

I naute hian heng chhinchhiahnate hi a lantir chuan i bawnghnute supply chu beisei aia hniam niin i ngai mai thei:

• Naute chu a thau lo emaw, a thang lo emaw a nih chuan.
• I naute hian hnute a pek laiin bawnghnute a ei lo ang tih a hriat chuan i naute hian hnute a hrual mai mai a, mahse hnute a ei lo a ni thei.
• I naute hian ni khatah wet diaper leh poopy diaper a hmang tlem a nih chuan. A tlangpuiin i naute chu ni 4 vel a tlin meuh chuan ni khatah wet diaper 6 tal leh poopy diaper 3 tal an nei tawh tur a ni.

Mahse, a châng chuan a hnuaia thilte i hmuh hian bawnghnute i dawng tlem hle tih i ngaihtuah mai thei. Mahse, hengte hi thil pangngai a ni fo va, i bawnghnute supply chu eng pawh ni se, inthlak danglamna a awm thei a ni:

• Kar engemaw zat hnuah chuan i hnute chu a hma aiin a nem zawkin a lang ang (hei hi i taksain bawnghnute a tihpun dan a insiamrem angin a thleng thin).
• I naute hian bawnghnute a dil fo mai thei , a nih loh leh a chang chuan, a bik takin tlai lamah, vawi tam tak a zawnin hnute a dil mai thei (`Cluster Feeding`).
• Naute hnute chu i ngaihtuah aia hmaa lak chhuah emaw, naute chu a upa deuh a, nausen hnute pek kawngah a thiam zawk laiin nausen hnute pek duh lo ang maia lang emaw.

Amaherawhchu, i thil hmuh apiang, eng anga te pawh ni se, i doctor hnenah hrilh la a tha ber.

Bawnghnute a tlem tak tak em? Nge kan ngai em?

A chang chuan bawnghnute kan nei tlem hle niin kan inhria. Hei hi `Perceived Low Milk Supply` an ti a, chu chu bawnghnute kan neih tak tak loh lai pawhin chutiang chuan kan inhria tihna a ni. Nausen piang thar enkawl hi thil awlsam a nih loh avangin thil dik lo a awm tih ngaihtuah reng reng hi thil pangngai a ni.

Mahse, a châng chuan i ngaih dân chu a dik thei tih hre reng ang che. Mahse, lungngai suh. Duhthusamin bawnghnute ei tlem theihna tur solution a awm a, i lactation consultant pawhin a pui thei che a ni.

Engvangin nge ka bawnghnute supply a tlahniam? A chhan engte nge ni?

Nau hnute pek hi a lan dan angin a awlsam lo a, a buaithlak deuh a ni. Thil tam takin i taksain bawnghnute a siam chhuah zat a nghawng a ni. A bulpui berte chu:

• I naute hian i hnute a\angin bawnghnute a la chhuak \ha lo a ni. Tichuan i hnute chuan, "Aw, bawnghnute ka mamawh tlem zawk," tiin a ngaihtuah a, chuvang chuan bawnghnute siam chhuah a tihtlem phah a ni.
• Nang leh i naute hi hun rei tak chhung in inthen a (entir nan, hnathawhna hmuna in kal chuan). Hei hian i supply a tlahniam thei a, a chhan chu i hnute i pek tam theih loh vang a ni. I hnute hian a tihchak hunah chauh hnute a siam chhuak dawn tih hre reng ang che. Stimulation tihtlem a nih chuan bawnghnute siamchhuah a tlahniam ang.
• I bawnghnute supply tichhe thei medical condition i nei a.

Nu hriselna dinhmun, bawnghnute supply tichhe thei

Hriselna lama harsatna leh thil thenkhat chuan nau hnute pe lai nu hnute pek zat a tihtlem thei a, chungte chu:

• Naupai (ni e, naupai lai pawhin i naupai leh thei).
• Damdawi thenkhat chu Doctor-in a pek loh (Over-the-Counter - OTC) a ei a, a then chu doctor-in a pek (Prescription Medications) a ei thin a ni.
• Placental Encapsulation (hei hi scientific evidence a tlem hle a, a risky thei bawk).
• Hnute chhunga bawnghnute siamtu glandular tissue tling lo (Breast Hypoplasia).
• Tun hmaa hnute surgery neih tawhte.
• A rilru a buai em em a, a rilru a hah em em bawk a. Polycystic Ovarian Syndrome (PCOS).
• Thyroid gland hnathawh a tlahniam (Hypothyroidism).
• Placenta chu a vawng reng a.
• Nau neih hnua thisen chhuah tam lutuk hian bawnghnute siamna atana puitu hormone prolactin level a ti tlahniam thei a ni.
• Hormone nena inzawm harsatna dangte.

Tin, zuk leh hmuam, marijuana, a nih loh leh zu in tam lutuk hian bawnghnute supply a ti tlem thei bawk.

Engtin nge doctor hian hei hi a hmuh theih?

I doctor chuan nang leh i naute chu a enfiah vek ang. I hnute pek dan leh i thil hmuhte an sawipui ang che. Lactation consultant pawhin i naute hnute i pek lai a hmu thei bawk.

``Pump'' tih hmangin bawnghnute awm zat dik takin i teh thei ang em?

Ni lo, chu chu a ni.A tehna dik tak a ni lo. I naute hnute atanga hnute lak chhuah dan leh `(Breast Pump)` in hnute a lak chhuah dan hi a danglam (a tam zawkah chuan naute hi a thawk tha zawk). Chuvangin, i naute hian i `(Pump)` in ang zat zat a in ang tih hi a dik lo. Mahse, ngaihtuahna engemaw zat a pe thei che a ni. A châng chuan i naute hian bawnghnute a dawng tlem hle chung pawhin `(Pump)` i tih hian bawnghnute hi a tlem hlein a lang thei.

Mahni inhriatthiamna (self-diagnose) emaw, mom dangte nena in tehkhin loh emaw a pawimawh. "Darkar 24 chhung pump la, bawnghnute i hmuh zat en rawh" tih ang chi thurawn i hre mai thei. Mahse chu chuan i naute hian bawnghnute engzat nge a dawn tih a hril tak tak lo. Tin, i naute hian ni khata bawnghnute ounces engzat nge a mamawh tih chungchanga kaihhruaina i hmuh thenkhat chu naute hnute pek ni lovin formula-fed naute tan a ni.

Chuvangin i ngaihtuahna te chu lactation consultant nen inbiakna neih a pawimawh em em a ni. I mamawh chhanna leh thlawpna an pe ang che.

Bawnghnute supply tlem enkawlna atan eng nge tih theih ang?

Bawnghnute supply tlem enkawlna chu a chhan bulpuiah a innghat a ni. I lactation consultant chuan a chhan zawng turin a thawkpui ang che a, enkawlna tha ber tur ngaihtuah turin a pui ang che. A tlangpuiin i consultant hian hetiang hi a ti ang:

• I doctor chuan i medical history a sawipui ang a, taksa enfiahna a nei ang a, bawnghnute supply tlem chhan awm thei zawng zawng a zawng ang. Hei hian damdawi lam dinhmun thenkhat emaw, thil engemaw (zu emaw, zuk leh hmuam emaw ang chi) hman emaw a huam thei. I doctor chuan damdawi lam dinhmun hnuaia awm eng pawh enkawl laiin nunphung thlak danglam turin a rawt thei bawk.
• I naute hian hnute atanga hnute a chhuah tam dan leh a chhuah that dan sawiho rawh. Bawnghnute tui chhuahna tur tips pe rawh.
• Nau hnute pek chungchanga i lungkhamna emaw, i lungawi lohna emaw awm thei chu sawipui rawh. Nau hnute pek chu a rilru hahdam zawk leh nuam zawka siam dan tur thurawn a pe ang che.
• Thil bik thenkhatah chuan `Galactogogue` (milk enhancer) pawh hman a tha thei bawk.

Heng ``Galactogogues'' te hi engte nge ni? Bawnghnute supply an tipung tih hi a dik em?

Doctor-te chuan galactogogues hi hmeichhiate’n an bawnghnute supply vawn reng emaw tihpun emaw atana an hman thin substance an ti a. Kum za tam tak chhung chu hnam hrang hranga hmeichhiate hian bawnghnute thar chhuah tihpun nan thil chi hrang hrang an lo hmang tawh a. Chung zingah chuan dandelion leh asparagus ang chi thlai chi hrang hrang, ei leh in chi hrang hrang (thenkhat chuan beer pawh an ti) te pawh a tel.

Hei hi hriat hmasak a pawimawh hle:

Heng ``Galactogogues'' te hi doctor nena inbiakna nei lovin hnute tui tlakchhamna enkawlna atan hmang suh. I fimkhur hle a ngai a, a chhan chu:

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* Heng thil tam tak hi damdawi dang i ei te nen a inzawm thei a, inpawhna thenkhat chu a hlauhawm thei bawk.

* Chungte chuA hlauhawmna leh a nghawng ṭha lote chuan a hlawkna aiin a tam thei a, ṭhenkhat chu a na hle thei bawk.

* Herbal ``galactogogue'' tam zawk chungchang sawi dawn chuan, an thawk tak tak em tih leh/ emaw, an him em tih finfiahna tur scientific evidence a awm tawk lo. Tin, standard dosage recommendation pawh a awm lo.

Kum 2023 thleng khan US Food and Drug Administration (FDA) chuan bawnghnute supply tlem enkawlna tur damdawi engmah a pawm lo. Doctor thenkhat chuan bawnghnute supply tipung thei damdawi an rawt thin. Hengte hi damdawi “off-label uses” anga ngaih a ni. Hei hian damdawi hi thil dang enkawlna atan FDA-in a pawm tihna a ni a, mahse i doctor chuan i bawnghnute supply tlem zawkah pawh a pui thei niin a ngai. Hei hi damdawi hlawknain i tana hlauhawmna zawng zawng aiin a tam zawk tih an rin phawt chuan an ti ang.

Bawnghnute supply tihpun nan pump hi a tha em?

I bawnghnute supply tihpunna tura pui turin emaw, i naute hian i hnute atanga hnute a la chhuak tha lo a nih chuan, i lactation consultant chuan i routine-ah pumping tih belh turin a rawt thei ang.

Counselor chuan nang leh i naute mamawh bik a zirin kaihhruaina a pe thin.

Bawnghnute supply tlem i neih chuan eng nge i beisei theih ang?

I doctor emaw counselor emaw chuan i bawnghnute supply tihpunna tur leh/ emaw i naute hnute pek theihna tur kawng dang zawng turin a pui thei che a ni. Bawnghnute supply tlem hi i sualna a ni lo va, chuvangin mahni inhnek emaw, eng emaw kawnga hlawhchham ang maia inhriat suh. Mom dangte nen in tehkhin suh la, i bawnghnute supply pui turin i ti tawk lo tih ngaihtuah suh.

Chu ai chuan i lactation consultant nen thawk ho la, nang leh i naute tan pawha tha thei tur solution zawng rawh. A then phei chuan hei hian formula nena supplementing a huam thei bawk. A nih loh leh, i naute chu hnute atanga hnute an dawn zat bakah pump leh bottle-a pek i mamawh mai thei bawk. Hei hi i paltlang zel chuan i consultant chuan kaihhruaina a pe ang a, i thusawi tur chu a ngaithla ang.

He bawnghnute tlakchhamna hi kan veng thei lo em ni?

Bawnghnute supply tlahniam chu i veng thei lo mai thei. Mahse lactation consultant nen thawkdunin i bawnghnute supply tichhe thei thilte chu i hmuchhuak thei a ni. He inbiakna hi tan hi a hma lutuk ngai lo. I naupai tirh lamah hnute pek dan leh hnute pek chungchang sawi hian inbuatsaihna leh beisei tur hriatna kawngah a pui thei che a ni.

I taksa rihna leh nunphung hrisel tak, i duh ang taka vawn reng bakah, natna khirh tak i neih theih apiang uluk taka enkawl hian, a chang chuan bawnghnute supply tlem lo turin a pui thei a ni.

Engtin nge i in enkawl ang? Hei hi a pawimawh hle mai!

Hetih lai hian nangmah tan thil tih hi pipe dream ang mai a ni mai thei. Mahse i theih ang anga in enkawl hi – taksa leh rilru lamah pawh – nang leh i naute tan pawh a pawimawh hle. Hei hi chhungte leh ṭhiante hnena ṭanpuina dilna i thlen a ngaih hun a ni. Chu ṭanpuina chu i hmuh theih dân kawng ṭhenkhat chu hetiang hi a ni:

• I ṭhian rintlak tak chu in lama lo kal a, naute chu rei vak lo enkawl turin hrilh la, chutih lai chuan i muhil bawk ang.
• I chaw siamtute chu chaw tlemte buatsaih la, freeze-ah dah la, chutah chuan kar khat chhung atan a awlsam tawh ang.
• I kawppui emaw, midang emaw hnenah zanah i naute chu bottle-a chaw pek tir turin hrilh la, chutiang chuan darkar engemaw zat a zawnin i mu thei ang.

Duhthusamin bawnghnute siam tling lo anga i inhriat lai hian ngaihtuah tawh loh a har thin. Plus, i lungkhamna chu midangte i hrilh chuan thurawn a rawn luang lut ang – ṭhian ṭha tak tak ṭhenkhat chu raspberry leaf tea kengin i kawngka bulah an lo kal ang. Mahse a chang chuan "Hei hi a tih tur dik tak chu a ni!"

I hmangaih tak takte thurawn chu a \angkai theih hun tam tak a awm laiin, bawnghnute supply tlem chungchangah chuan kal mai mai chuan a \angkai vak lo mai thei. Duh loh side effect a thlen thei bawk. Chuvangin, mahni chauha thil tih tum ai chuan lactation consultant nen inhmu rawh. I mamawh ang zela thurawn leh enkawlna an pe thei che a, hmalam panna kawng an kawhhmuh thei bawk.

He thawnthu atang hian kan in lama kan hruai duh ber (Take-Home Message) .

Chuvangin, mom, bawnghnute i dawng tlem hle tih rinhlelhna tlemte pawh i neih chuan khawngaihin lungngai suh. Nangmah chauh i ni lo, hei hi nu tam takin an hmachhawn thin a ni.

A pawimawh ber chu i doctor emaw lactation consultant emaw nen hemi chungchang hi sawipui a ni. Anni hian an kaihruai ang che a, nang leh i naute tan solution tha ber zawng turin an pui ang che. Nau hnute pek hi duhthlan tur pakhat chauh a ni tih hre reng ang che, i naute tan hmangaihna leh chawmna pek dan dang a awm bawk. I rilru hriselna pawh a pawimawh hle. I damna hi i naute tan chuan a tha ber!

` Nau hnute pek, Bawnghnute tlem, bawnghnute pek dan, Naute hnute pek, Nu thar, hnute pekna, hnute pek harsatna