Ngesonto eledlule, ngesikhathi ngenza ukuhlolwa kwezokwelapha ewadini labakhulelwe, ngahlangana noRashmi (oneminyaka engu-27). Wayengumama owayebelethe ingane yakhe yokuqala ezinsukwini ezimbili ngaphambili. Wayephethe ingane yakhe futhi ekhala.
"Dokotela Priya, ubisi lwami alukafiki. Ingane iyakhala ngoba ilambile. Ngesaba ukuthi ingane ngeke ithole ubisi olwanele futhi izogula. Ingabe kufanele ngiyinike ubisi lwebhodlela?" kubuza uRashmi kimi, esaba futhi ethukile.
Ngahlala eceleni kwakhe, ngamthulisa, ngase ngichaza: "Rashmi, ungakhathazeki nhlobo. Ezinsukwini zokuqala ezingu-2-3 ngemva kokubeletha, ubisi oluncane kakhulu olukhishwa emabeleni. Lokhu kubizwa ngokuthi i-colostrum (ubisi lokuqala lwegolide) . Isisu somntwana silingana ne-marble encane kakhulu ngalesi sikhathi. Ngakho-ke, inani le-colostrum olithola emzimbeni wakho, amathisipuni ambalwa, lanele ngokuphelele ukugcwalisa isisu somntwana nokuthuthukisa amasosha omzimba. Ukusungula ukuncelisa kuyinqubo edinga ukwenziwa ngempumelelo ngesineke nangokulandela izindlela ezifanele. Namuhla, ake sibone ukuthi singaqala kanjani ukuncelisa ngempumelelo ezinsukwini zokuqala ngemva kokuzalwa komntwana."
🚨 Amafulegi Abomvu adinga ukunakekelwa kwezokwelapha okusheshayo
Uma kuvela izimpawu ezilandelayo eziyingozi ezinsukwini zokuqala zokuncelisa, kufanele ubonane nodokotela noma umbelethisi ngokushesha:
- Ingane ilele kakhulu, okwenza kube nzima ukuyivusa, futhi ayibonisi sithakazelo ekuphuzeni ubisi (lokhu kungaba uphawu loshukela ophansi egazini noma ukuphelelwa amanzi emzimbeni).
- Ingane ayikaze iphume inabukeni noma indle emanzi izinsuku ezintathu ngemuva kokuzalwa (Ifulegi Elibomvu Losuku Lwesithathu).
- Ukuphuzi kwesikhumba namehlo omntwana (i-Jaundice - ukusabalala okusheshayo kwezimpawu ze-jaundice ezinganeni).
- Umama unomkhuhlane omkhulu, amakhaza, kanye nobuhlungu obukhulu ebeleni, kanye nebala elibomvu (izimpawu zokutheleleka nge-mastitis).
Izinyathelo ezibalulekile zokuqala ngempumelelo ukuncelisa
Landela lezi zinyathelo ukuze ukhuthaze kahle ukuphakelwa kobisi lwebele ngokushesha nje lapho ingane yakho izalwa:
1. Ukuqala Komntwana: Zama ukumnika ibele zingakapheli ihora lokuqala ngemva kokuzalwa. Lokhu kuvuselela ama-hormone i-prolactin ne -oxytocin emzimbeni kamama futhi kusheshise ukukhiqizwa kobisi.
2. Ukuthintana Kwesikhumba Nesikhumba: Ukubamba ingane inqunu esifubeni sikamama esiveziwe (Isikhumba Nesikhumba) kuvuselela isifiso semvelo sengane sokuncela, futhi kuqinise izinga lokushisa lomzimba wengane kanye nokushaya kwenhliziyo.
3. Ukondla Ngokusabela: Esikhundleni sokuphakela ngesikhathi esithile ngokusekelwe ewashini, ncelisa noma nini lapho ingane yakho ibonisa izimpawu zokufuna ukuncelisa (ukuchama kwamazinyo, ukuvula umlomo, ukukhala). Ngokuvamile, kudingeka ukondla izikhathi ezingu-8 kuya kwezingu-12 esikhathini samahora angu-24.
4. Ukuxhumeka okulungile (Ukunamathisela / Okunamathiselwe):Ukunamathela kahle kwengane ebeleni kubalulekile ukuvimbela ubuhlungu bezingono nokuqinisekisa ukugeleza kobisi okuhle.
Ukuqhathanisa i-Colostrum nobisi oluvuthiwe
| Isici | I-Colostrum (ubisi lokuqala) | Ubisi Oluvuthiwe |
|---|---|---|
| Isikhathi sokukhiqiza | Izinsuku zokuqala ezingu-1-3 ngemva kokubeletha. | Izinsuku ezingu-4-5 ngemuva kokubeletha. |
| Ukubukeka | Uphuzi ojiyile, ogolide. | Mncane, umhlophe noma uluhlaza okwesibhakabhaka. |
| Usayizi | Inani elincane kakhulu (izipuni ezimbalwa). | Inani elikhulu (njengokungathi amabele ayachichima). |
| Inani lokudla okunempilo | Icebile ngama-antibodies namaprotheni (njengomuthi wokugomela ingane wokuqala). | Ucebile ngamanzi, amafutha, kanye nama-carbohydrate (ukusiza ekukhuliseni isisindo nokuqeda ukoma). |
Okumele Ukwenze Nokungafanele Ukwenze
| ✔️ Izinto okufanele uzenze (Okufanele Uzenze) | ❌ Okungafanele ukwenze |
|---|---|
| Qiniseka ukuthi umntwana uvula umlomo wakhe kabanzi futhi ufaka ingxenye enkulu yendawo emnyama ezungeze ingono (i-areola) emlonyeni wakhe. | Ungasheshi ukunikeza ubisi noma ama-pacifiers/ama-teat ngokushesha nje lapho ingane yakho ikhala, ucabanga ukuthi ubisi alwanele. |
| Ngaphambi kokuncelisa umntwana, umama kufanele ahlale ngokukhululeka, ephethe imicamelo ngemuva kwakhe ukuze ayisekele. | Ungagcini ukuncelisa imizuzu eyi-10 kuphela; vumela umntwana ancele aze akhulule ibele lakhe yedwa. |
| Ngisho noma umntwana elele, zama ukumvusa okungenani njalo emahoreni amathathu emasontweni ambalwa okuqala ukuze ancelise. | Uma uzwa ubuhlungu, ungabubekezeleli; uma bungaxhunywanga kahle, faka umunwe, ukhulule uxhumano, bese uxhuma kabusha. |
❓ Eminye imibuzo ongase ube nayo (Imibuzo Ebuzwa Njalo)
Uma ungaboni ubisi uma ulukhipha ezinsukwini ezimbili zokuqala, ingabe alukho ubisi? ▼
Cha. I-colostrum ekhiqizwa ezinsukwini ezimbalwa zokuqala ijiyile kakhulu futhi incane kakhulu ngobuningi. Ingase ingabonakali ngokumane ucindezele ibele. Kodwa-ke, uma umntwana ebekwe kahle futhi ekhuthazwa ukuba ancele, umntwana uzokwazi ukuncela inani elidingekayo.
Wazi kanjani ukuthi ingane yakho ithola ubisi olwanele? ▼
Uma ingane ilala kahle ngemva kokuncelisa, ichama izikhathi ezingaphezu kweziyisithupha ngosuku futhi iphuzi ngokuphaphathekile, futhi isisindo somntwana sikhula kancane kancane phakathi namasonto amabili, kusobala ukuthi ingane ithola ubisi olwanele.
Ungazivimbela kanjani izingono ezibuhlungu? ▼
Imbangela eyinhloko yezingono ezibuhlungu ukungabambeki kahle. Umntwana akufanele athathe ingono kuphela kodwa nendawo emnyama eyizungezile ayifake emlonyeni wakhe. Ngemva kokuncelisa, ukufaka ithonsi lobisi engonweni bese uyiyeka yome nakho kungasiza ekwelapheni izilonda.
Ingabe kunzima ukuncelisa ngemva kokuhlinzwa (C-Section)? ▼
Cha. Kungaba nzima ukubamba umntwana ngenxa yobuhlungu ngemva kokuhlinzwa, kodwa ukuncelisa ingane kungafezwa ngempumelelo ngokulala ngohlangothi (ukulala eceleni) noma ngokubeka umcamelo bese ubamba umntwana esiswini sakho (ukubamba ibhola).
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