Ese wabanje gutekereza kuri ibi bintu mbere yo kubyara? Reka twige ku bujyanama mbere yo kubyara!

Iyi nkuru izaba ingenzi cyane kuri wowe ufite inzozi zo kuba umubyeyi cyangwa se. Abantu benshi batekereza ko ugomba kwita ku mwana wawe nyuma yuko ikizamini cyo gutwita kigaragaje ko ari ubwa mbere. Ariko niba koko ushaka umwana muzima, ugomba kwitegura mbere yuko utwita. Ni cyo inama mbere yo gutwita igamije. Mu by'ukuri, niba uteganya kubyara, ni bwo uhura na muganga ukaganira kuri ibyo.

Ubujyanama ku gihe cyo gufata indorerwamo ni iki?

Muri make, iki ni ikiganiro ugirana na muganga mbere yuko utwita. Gutwita neza bitangira mbere yuko ubona ibisubizo by'ibizamini byerekana ko utwite. Rero, kubona inama nk'izi mbere yuko utwita bishobora kugabanya cyane ibyago kuri wowe cyangwa ku mwana wawe mu gihe utwite.

Intego z'ingenzi z'iyi nama ni izi zikurikira:

• Kugufasha gusama neza .
• Bifasha kugukomeza wowe n'umwana wawe ukiri mu nda mukagira ubuzima bwiza bushoboka.
• Kugabanya ingorane zishobora kubaho mu gihe cyo gutwita.

Ikibabaje ni uko, kubera ko gutwita kenshi biba bitateguwe, abantu benshi ntibabona inyungu z'ubu bujyanama mbere yo gutwita. Ariko ni ingenzi cyane . Ubu bujyanama buzagufasha kwitegura gutwita neza no kugira umwana muzima.

Ni iki kivugwa muri iyi nama?

Muganga wawe azasuzuma ibintu bishobora gutera ingorane zo gutwita, akwigishe uburyo bwo kubikemura, kandi agufashe kubona amakuru ushobora gukenera.

Ibi bintu bikunze kubaho mu gihe cyo kugisha inama mbere yo gutwita:

• Isuzuma ry'ibyago: Amateka yawe y'ubuzima, amateka y'ubuzima bw'umuryango wawe (harimo n'ay'uwo mwashakanye), n'ibindi bintu bishobora kugufasha kumenya ibyago bishobora kubaho mu gihe utwite. Ingeso zo kubaho nk'imirire yawe no kunywa itabi cyangwa inzoga nabyo bishobora kugira ingaruka kuri ibi. Muganga wawe ashobora kugufasha kumenya ibyo byago no kugufasha kubigabanya uko bishoboka kose.
• Ingamba: Ushobora gukenera guhindura imiti cyangwa imibereho yawe kugira ngo witegure gutwita. Muganga wawe azakubwira intambwe ugomba gufata.
• Kohereza: Muganga wawe ashobora kukwohereza ku bikoresho bishobora kugufasha gusama umwana. Urugero, gahunda yawe yo gutwita ishobora gusaba ibikoresho by'ubuvuzi nk'intanga ngabo cyangwa ibindi bikoresho bisimbura ibyawe. Ushobora kuvuga kuri aya mahitamo muri iki kiganiro.

Ni ryari nkwiye kujya muri iyi nama?

Iyi nama igomba kuba nibura amezi atatu mbere yuko utangira kugerageza kubyara .

Icyiza ni uko ubu bujyanama mbere yo gutwita bugomba kuba kimwe mu bikorwa bihoraho byo kwita ku bana buri wese ushobora kubyara, haba ubu cyangwa mu gihe kizaza, arimo guhabwa.

Imiryango nka Koleji y’Abanyamerika y’Abaganga b’Ababyeyi n’Abagore (ACOG) isaba ko abaganga b’ibanze n’abaganga b’abagore bakunze kubaza abarwayi bati “Ese wifuza gutwita mu mwaka utaha?” mu gihe cyo gusura abarwayi mu buryo busanzwe. Intego ni ugufata ingamba zo kunoza umusaruro w’inda.

Ni iki kibaho muri iki kiganiro?

Gahunda yo kugisha inama mbere yo gutwita ishobora kuba irimo ibizamini byo kugenzura ubuzima bwawe, gusuzuma amateka y'ubuzima bwawe kugira ngo hamenyekane ibintu bishobora gutera ibyago, n'inama z'uburyo bwo kongera amahirwe yo gutwita.

• Isuzuma ry'umubiri: Muganga wawe ashobora kugukorera isuzuma kugira ngo apime ubuzima bwawe muri rusange. Ashobora kugenzura ingingo zawe z'ingenzi (nk'umutima n'ibihaha) n'ibimenyetso by'ubuzima bwawe (nk'umuvuduko w'amaraso). Ashobora kandi gupima ikibuno.
• Ibizamini: Ushobora gukenera ibizamini byo muri laboratwari kugira ngo urebe niba hari ubwandu, indwara, cyangwa indwara zikeneye kuvurwa. Wowe n'umukunzi wawe mushobora kandi gukenera ibizamini bya genetiki kugira ngo urebe niba hari indwara zandujwe, nka Tay-Sachs Disease cyangwa Sickle Cell Disease.
• Amateka y'ubuvuzi: Muganga azasuzuma uburwayi bwawe, imiti ufata, n'uko wabazwe. Bazareba kandi amateka yawe y'ububyeyi n'ay'abagore, harimo niba ukoresha uburyo bwo kuboneza urubyaro, ukwezi kwawe guhoraho, ndetse niba warigeze gutwita mbere.
• Amateka y'umuryango: Amateka y'ubuzima bw'umuryango wawe ashobora gutanga amakuru y'ingenzi yerekeye indwara cyangwa imiterere y'uturemangingo ushobora kwanduza umwana wawe. Ni ngombwa kureba amateka y'ubuzima bw'umukunzi wawe n'ay'umuryango kubera iyo mpamvu imwe. (Amabanki y'intanga ngabo nayo akusanya aya makuru mu gihe asuzuma abatanga inkunga.)

Muganga wawe ashobora kandi kugufasha kumenya gahunda zawe zo gutwita. Ashobora kugufasha kumenya ibintu nk'ibi:

• Igihe cyiza cyo gutwita umwana: Muganga wawe ashobora kugufasha kumenya igihe cyo gutwita buri kwezi. Ibi bizagufasha kumenya igihe ushobora gutwita.
• Igihe cyiza cyo kubyara undi mwana: Bitewe n'imyaka yawe n'ubuzima bwawe, kugerageza kubyara undi mwana nyuma yo kubyara (cyangwa nyuma yo gukuramo inda) bishobora kongera ibyago byo kubyara. Muganga wawe azakubwira igihe ntarengwa cyo kugerageza kongera kubikora.
• Gahunda nziza n'ibisabwa kugira ngo umwana abyare:Ushobora kuba wifuza umwana, ariko ushobora kuba utarabyitegura. Muganga wawe ashobora kugufasha kumenya ibintu ugomba kuzirikana mu gihe uteganya ejo hazaza. Urugero, bashobora gusobanura uburyo imyaka yawe igira ingaruka ku burumbuke bwawe. Bashobora kandi kuvuga ku micungire y'imari n'imibereho myiza ugomba kugira mbere yo kugerageza kubyara. Urugero, abaganga bashobora kureba ibintu nk'ihohoterwa rishingiye ku gitsina. Bashobora kugufasha kubona ahantu hatekanye kandi hagufasha.
• Uburyo bwo kubungabunga ubuzima bwawe bwiza: Muganga wawe ashobora kugufasha guhangana n'indwara zose ushobora kuba ufite. Azasuzuma amateka y'ubuzima bwawe kandi akumenyeshe inkingo ukeneye kubona.

Tekereza kuri ibi, kumenya niba witeguye kubyara cyangwa niba utarabyara ni ingenzi kimwe no kumenya uko wakongera amahirwe yo gutwita neza.

Ni gute muganga asuzuma ibyago byawe?

Muganga azasuzuma ibintu bitandukanye bishobora kugira ingaruka ku mibereho yawe yo gutwita n'ingaruka zayo.

Indwara zidakira

Hari indwara zidakira zishobora kongera ibyago byo kugira ibibazo byo gutwita. Muganga wawe azasuzuma amateka y'ubuzima bwawe kandi agufashe gusobanukirwa uburyo gutwita bigira ingaruka kuri gahunda yawe yo kuvurwa. Urugero, ushobora gukenera guhindura imiti cyangwa guhindura ingano yayo. Ushobora kandi gukenera gahunda yo kujya kwa muganga kenshi kugira ngo ukurikirane ubuzima bwawe.

Zimwe mu ndwara zidakira zishobora gutera gutwita ni izi:

• Asima
• Ihungabana
• Diyabete `(Diabete Mellitus)`
• Indwara z'umutima
• Umuvuduko ukabije w'amaraso
• Indwara y'impyiko
• Indwara ya Tiroyide

Ni ngombwa cyane kudahindura uburyo bwo kwivuza (nk'aho guhagarika imiti mu buryo butunguranye) kugeza igihe muganga wawe abivuzeho ko nta kibazo. Vugana na muganga wawe ku byo ushobora guhindura n'ibyo ugomba kuguma uko byari bimeze.

Indwara z'uturemangingo

Amateka y'ubuvuzi n'ay'umuryango ni ingenzi cyane mu kumenya indwara ushobora kwanduza umwana wawe. Ushobora gukenera gupimwa imiterere y'umubiri cyangwa ubujyanama kugira ngo usobanukirwe ingaruka zishobora gutuma umwana wawe avukana indwara y'umubiri. Bitewe n'ingaruka ufite, muganga wawe ashobora kukugira inama zo gukemura ibibazo.

Urugero, ibizamini bya genetiki mbere yo gutera umwana bishobora gukoreshwa kugira ngo harebwe niba igi ryavutse, cyangwa urusoro, rifite genetiki zarazwe zishobora gutera indwara ya genetiki iturutse kuri wowe cyangwa ku mukunzi wawe. Ushobora kuganira kuri ubu buryo na muganga wawe mu gihe cyo kwita ku babyeyi bawe.

Indwara zandurira mu mubiri

Muganga wawe ashobora gusuzuma indwara zandurira mu mibonano mpuzabitsina, zishobora kukugirira nabi cyangwa ku mwana wawe ukiri mu nda. Indwara zongera ibyago byo gutwita zirimo:

• Hepatite B
• VIH `(VIH)`
• Indwara y'iseru
• Rubela
• Tetanus
• Indwara y'inkoko (Varicella/Inkoko)
• Virusi ya Zika

Ni ingenzi cyane ko uhabwa inkingo zose mbere yuko utwita. Muganga wawe azagusaba inkingo ugomba guhabwa mbere yuko utwita n'igihe ugomba gutegereza mbere yo gutwita.

Imiti, ibyatsi n'inyongeramusaruro

Muganga wawe azasuzuma niba imiti yose ufata - imiti yanditswe na muganga n'iyishyurwa na muganga (OTC), ibyatsi, n'inyongeramusaruro - ari nta kibazo ushobora gufata mu gihe utwite. Azakwigisha kandi uburyo bwo kubona vitamine n'imyunyungugu ukeneye kugira ngo ukomeze kugira ubuzima bwiza.

Bashobora kukubwira gutangira gufata vitamine yo mu gihe cyo kubyara irimo mikorogarama 400 na 800 (mcg) za aside folike. Aside folike ishobora gufasha mu gukumira ibibazo byo kubyara, cyane cyane ibibazo byo mu miyoboro y'ubwonko, bigira ingaruka ku ruti rw'umugongo rw'umwana no ku bwonko bwe. Ni byiza gutangira gufata aya mezi atatu kugeza kuri atandatu mbere yuko utwita.

Indyo n'imyitozo ngororamubiri

Uzavuga kandi ku mirire yawe n'urwego rw'ibikorwa byawe, ndetse n'impinduka zose ugomba gukora mbere no mu gihe utwite. Urugero, muganga wawe azakugira inama ku masoko meza y'intungamubiri mu gihe utwite n'ingano ya karori ukeneye ku munsi. Azakubwira kandi ibyo kurya ugomba kwirinda, nk'amafi arimo mercure nyinshi. Muganga wawe ashobora kandi kuvuga ku rugero rwo kwiyongera ibiro bikwiye mu gihe utwite.

Bazakubwira kandi imyitozo ngororamubiri itekanye mu gihe utwite. Muri rusange, ugomba gukora imyitozo ngororamubiri iciriritse iminota 30 iminsi itanu mu cyumweru. Ariko, si byiza gukora imyitozo ngororamubiri kugeza unaniwe, cyangwa gukora imyitozo igushyira mu kaga ko kugwa. Muganga wawe azagufasha muri ibi.

Uburemere

Niba utekereza ko ufite umubyibuho ukabije cyangwa ufite ibiro bike, ushobora gukenera guhindura imibereho yawe cyangwa ukabonana n'inzobere mu mirire. Kugira ibiro bike (BMI) biri munsi ya 18.5) byongera ibyago byo kubyara umwana utarageza igihe cyangwa kubyara umwana ufite ibiro bike. Kugira umubyibuho ukabije (BMI irenga 30) byongera ibyago byo:

• Diyabete yo mu gihe cyo gutwita
• Umuvuduko ukabije w'amaraso mu gihe cyo gutwita
• Ingorane mu gihe cyo kubyara

Muganga wawe azagufasha gutegura gahunda yo kongera ibiro bizima mu gihe utwite.

Kunywa itabi, inzoga n'ibiyobyabwenge

Ni ngombwa kureka kunywa itabi, inzoga n'ibiyobyabwenge mu gihe utegura umubiri wawe gutwita.Gukoresha ibiyobyabwenge bifitanye isano n'ingorane nyinshi zo gutwita, harimo n'urupfu rw'umwana uri mu nda. Kunywa inzoga mu gihe utwite bishobora gutera indwara y'inzoga y'umwana uri mu nda. Kimwe no gukoresha ibiyobyabwenge, kunywa itabi nabyo bishobora guteza ibibazo mu mikurire y'umwana uri mu nda, harimo no gukuramo inda no kubyara umwana wapfuye. Kunywa umwotsi w'itabi na byo byongera ibyago byo kwangiza umwana uri mu nda.

Mu buryo bunyuranye, kureka kunywa itabi bishobora kugabanya ibyago byo kugira ibibazo bimwe na bimwe byo gutwita byibuze 20% .

Muganga wawe ashobora kuguha ibikoresho, nka gahunda zo guhagarika kunywa itabi, kugira ngo agufashe gukora izi mpinduka.

Uburozi

Ibintu by’uburozi mu rugo rwawe cyangwa aho ukorera bishobora guteza ibyago mu gihe utwite. Muganga wawe azasuzuma ibyago byawe byo kwandura. Ibintu by’uburozi bishobora kugira ingaruka ku gutwita kwawe birimo:

• Arsenic
• Asbestos
• Fluoride
• Umuyobozi
• Imiti yica udukoko
• Ibinyabutabire mu kazi
• Amase y'imbeba

Bigenda bite nyuma yo kugisha inama?

Muganga wawe ashobora kukugira inama yo guhindura imibereho yawe n'inama z'ubuzima. Ibi bishobora kuba birimo:

• Kugabanya cyangwa kongera ibiro.
• Gushyiraho indyo yuzuye intungamubiri.
• Gukora gahunda nziza yo gukora imyitozo ngororamubiri.
• Reka kunywa itabi cyangwa kunywa inzoga.
• Kuvugurura uburyo bwo gukingira indwara.
• Kwirinda imihangayiko cyangwa kwiga kuyicunga neza.
• Gufata vitamine zisabwa (harimo na vitamine zo mu gihe cyo kubyara).
• Abaganga b'inzobere basura abaganga ku bibazo by'ubuzima mbere yo gutwita.
• Kutanywa imiti yangiza ubuzima bwawe cyangwa umwana uri mu nda ( banza uganire na muganga wawe mbere yo gutangira cyangwa guhagarika imiti iyo ari yo yose ).

Ese hari amabwiriza cyangwa urutonde rw'ibi?

Nta murongo ngenderwaho umwe na umwe ukoreshwa na buri wese. Ahubwo, imiryango itandukanye, nka Ikigo gishinzwe kurwanya indwara (CDC) na Koleji y’Abanyamerika y’Abaganga b’Ababyeyi n’Abagore (ACOG), itanga urutonde rw’ingingo zigomba kwigwaho mu gihe cyo gutanga inama mbere yo gusama. Harimo:

• Kuboneza urubyaro (kwifuza gutwita).
• Indwara.
• Amateka y'ubuzima bw'umuryango.
• Imiti.
• Gusuzuma indwara.
• Ubudahangarwa bw'umubiri.
• Imirire n'imyitozo ngororamubiri.
• Vitamine zo mu gihe cyo kubyara.
• Guhura n'uburozi.
• Ikoreshwa ry'ibiyobyabwenge, inzoga n'itabi.
• Ahantu hatekanye (guhura n'ihohoterwa ryo mu muryango).

Muganga wawe azavuga ku ngingo zitandukanye , akurikije ubuzima bwawe muri rusange . Kuko hari ibintu byinshi bishobora kugira ingaruka ku gutwita neza.

Ikintu cy'ingenzi cyane ugomba kuzirikana (Ubutumwa bwo kujyana mu rugo)

Tekereza kuri ubu bushakashatsi mbere yo gutwita nk'inama y'ubuzima bwiza, ejo hazaza hawe, utwite, bigufasha. Kimwe no kubonana na muganga w'abagore buri mwaka kugira ngo ukomeze ubuzima bw'imyororokere yawe, ubu bushakashatsi bushobora kugufasha gukomeza gutwita kwawe no kugabanya ibyago byo guhura n'ibibazo.

Niba rero uteganya kubyara umwana ubu cyangwa mu gihe kizaza, reba muganga w’umuryango wawe cyangwa umuganga w’abagore ubaze iby’ubu bujyanama mbere yo gutwita. Intangiriro nziza yo gutwita neza ni ukubimenyeshwa mbere yuko ubona igisubizo cy’ibizamini by’inda.

Ubujyanama mbere yo gutwita, gutwita, gutwita neza, uburumbuke, inama z'ubuzima, kuboneza urubyaro, kwitegura gutwita