Posakhalitsa, mayi aliyense akudyetsa mwana wake ndi mkaka wa m'mawere, amaganiza za kusiya lactation. Izi zikhoza kukhala chisankho chodzidzimutsa, chifukwa cha zinthu zosiyanasiyana, ndi mwadala. Mulimonsemo, kuthetsa chakudyacho chiyenera kuyankhidwa ndi udindo wonse, kuti asawononge mwanayo komanso thanzi lake.
Kodi ndi liti pamene mungaleke kuyamwa?
Pakati pa amai saimitsa mkangano pa mutu wakuti "kuchuluka kwa kuyamwa". Wina amaganiza kuti chaka chimodzi ndikwanira, pambuyo pake, palibe phindu lililonse la mkaka. Ena amalimbikitsa kudya kwa nthawi yaitali pafupi ndi benchi. Chowonadi chiri, monga nthawizonse, kwinakwake pakati. Ngati palibe chofunika kwambiri choletsa kuchepetsa chakudya, WHO imalimbikitsa kuyamwitsa mpaka zaka ziwiri. Musanayambe mwamsanga kusiya lactation, muyenera kulingalira za zotsatira za sitepe yotereyi - kuthandizira kwambiri masoka achilengedwe kungasokoneze chikhalidwe cha mahomoni.
Njira zothetsera lactation
Kudziwa momwe mungaletse kuyamwitsa ndi kuvulaza kochepa kwa thanzi lanu, simungathe kudandaula za momwe mukuchitira. Kutha kuyamwitsa kumsinkhu uliwonse kungatheke m'njira ziwiri:
- mosamala;
- pang'onopang'ono.
Mothandizidwa ndi njira yoyamba n'zotheka kuyamwa mwana kuchokera pachifuwa mwamsanga (masiku 1-3). Pa nthawi imodzimodziyo, munthu sayenera kuiwala kuti kutha kwa chipatala kunyumba kungakhale ndi zotsatira zoipa pa umoyo wa amayi. Ndipotu, mawere mpaka pano amachotsedwa nthawi zonse ndi mwana, ndipo kuimitsa kwadzidzidzi kungayambitse lactostasis kapena mastitis. Komanso, mayi ayenera kukonzekera kuti popanda mankhwala ndi zopweteka maganizo sangakhoze kuchita.
Ndi bwino ngati kutha kwa lactation kukuchepetsanso, kuwonongeka bwino mwachilengedwe. Pankhaniyi, mwanayo amachotsedwa kuchokera pachifuwa kwa miyezi 2-3. Pachifukwa ichi, chiberekero cha mammary chimayamba kutulutsa mkaka pang'ono. Kuonjezera apo, simusowa kugwiritsa ntchito mankhwala alionse kapena mankhwala ochiritsira, monga momwe mungathere kuchotsedwa modzidzimutsa.
Kukonzekera kutha kwa lactation
Kuchepetsa madokotala achipatala mwamsanga kumagwiritsa ntchito mankhwala osiyanasiyana. Sikuti zonse zimakhudza thupi mofulumira, ndipo aliyense ali ndi zotsatira zosiyana siyana ndi zosiyana. Choncho, mayi yemwe adasankha kumwa mapiritsi kusiya lactation ayenera kuyesedwa kuchipatala kuti azindikire momwe angathere. Kuonjezerapo, muyenera kuchotsa mimba, chifukwa, monga momwe zimadziwira, panthawi yopuma, zimatha kuzindikiritsidwa kwa mayi woyamwitsa. Kuchotsedwa kwa madyerero aliwonse kumaphatikizapo kugwiritsa ntchito mankhwala ozikidwa pa:
- estrogen;
- testosterone;
- gestagen.
Mankhwala osokoneza bongo ochokera ku estrogen ndi testosterone amaonedwa ngati akukwiyitsa thanzi la amayi, ndipo amachititsa kuti kusamvana kwakukulu kwambiri kwa amayi. Pachifukwachi, iwo sanagwiritsidwe ntchito kuti athetse lactation. Izi zikuphatikizapo Sinestrol ndi testosterone propionate. Ndi bwino kumvetsera njira zomwe zili ndi gestagen, zomwe zimapangitsa kuti prolactin ipangidwe, yomwe imayambitsa mkaka.
Bromampaphor pofuna kusiya lactation
Pang'ono pang'ono kuchepetsa kuchuluka kwa mkaka wotulutsidwa kungakhale kugwiritsa mapiritsi kapena Bromcomfour powder. Mankhwalawa ndi a gulu la mankhwala osokoneza bongo ndipo alibe kuchepa kwa lactation mndandanda wa zizindikiro zogwiritsiridwa ntchito. Komabe, mankhwalawa adziwonetsera okha m'munda uno. Amachepetsanso ntchito ya ubongo (pituitary gland) yomwe imayang'aniridwa ndi lactation, motero amachepetsa kuchuluka kwa mkaka wopangidwa.
Mankhwala oletsa bromkamfora lactation ayamba kuchitapo kanthu tsiku lachisanu ndi kuvomereza kawiri. Komabe, musapitirire mlingo kuti mukwaniritse zotsatira mwamsanga, chifukwa si mapiritsi opanda vuto. Mankhwalawa ali ndi zotsatira zake, kuphatikizapo chizungulire, matenda osokonezeka, kumutu kwa mutu komanso ngakhale kutaya.
Bromocriptine kuthetsa lactation
Osadziŵa momwe angasiyitse kuyamwa kwa mkaka, mkazi sayenera kudzipangira yekha mankhwala - amafunikira kufufuza kuchokera kwa dokotala wa zachipatala. Malingana ndi thanzi labwino, adokotala adzamuika mankhwala omwe angathandize kuthana ndi kuthetsa mkaka. Nthaŵi zina dokotala amaika Bromocriptine, yomwe iyenera kugwiritsidwa ntchito kwa milungu iwiri pawiri. Izi zikutanthauza, zomwe zimakhudza kupanga prolactin, zimathandiza kuchetsa mkaka bwino, komabe wina ayenera kukumbukira zotsatira zake zoipa. Izi zikuphatikizapo:
- mutu;
- chizungulire;
- mdima m'maso ndi kutaya;
- chisokonezo;
- chiwonetsero;
- ululu m'matumbo;
- kudzimbidwa kapena kutsekula m'mimba.
Amuna amatha kuthetsa lactation
Mankhwalawa akhoza kuuzidwa kuti asamangidwe la lactation (mwamsanga atangobereka), ndi kuimitsa lacation kale. Nthawi yotsatila idzakhala yofanana. Amayi ambiri amatamanda mapiritsi poletsa lactation ya Dostinex , chifukwa chakuti akupereka kale zotsatira zochepa (masiku 1-3). Zotsatira za mankhwalawa zimachokera ku kuchotsa chifuwa cha pituitary, motero, mkaka umayamba kumasulidwa pang'ono.
Njira zamakono zothetsa lactation
Anthu omwe salola kuvomereza mkaka, ndibwino kuti tipeze njira zowonetsera kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda. Awa ndiwo mankhwala a zitsamba omwe mwachikondi ndi mwachibadwa amathandiza mkazi kumaliza njira yodyera. Zitsamba zingathe kudyedwa mwa mawonekedwe a kulowetsedwa, koma ndi bwino ngati ali madontho, chifukwa madzi owonjezera sali a mkazi tsopano.
Kutha kwa lactation ndi nzeru
Pali zitsamba zamankhwala zomwe zimakhala ndi phytohormones, zomwe zimachita monga estrogen yogwiritsidwa ntchito m'mizere. Musanagwiritse ntchito, muyenera kuphunzira momwe mungagwiritsire ntchito masewera kuti musiye lactation. Chitsambachi chikugulitsidwa:
- Mu mawonekedwe owuma. Sage ikhoza kuswedwa ndipo imatengedwa ngati tiyi popanda kusiya chakudya, pokhapokha ngati mayi ndi mwana samakhala ndi chifuwa.
- Monga tincture mowa. Mankhwalawa amakhala abwino chifukwa sichiyenera kumwa madzi ambiri ndipo amatsata mkazi pamene mwanayo sakugwiritsanso ntchito pachifuwa.
- Mafuta ofunika kwambiri a sage kuletsa lactation. Zingatengedwe mkati mwawo ndipo mkati mwake zimaphatikizapo pachifuwa kuti zikwaniritse zotsatira zofulumira.
Manyowa kuti asiye lactation
Pogwiritsa ntchito zitsamba kuimitsa lactation, musaiwale za timbewu tonunkhira. Ndi bwino kuligwiritsa ntchito mowa. Musaike 200 ml madzi kuposa supuni 1, chifukwa zotsatira za udzu m'thupi zikhoza kukhala zosiyana kwambiri ndi momwe mkaka wa mkaka udzawongolera. Pamapeto pake kudyetsa peppermint, mitundu yambiri pazinthu izi sizigwira ntchito.
Matenda atatha kumwa lactation
Pochepetsa kuchepa kwa lactostasis mutatha kumwa lactation, malamulo otsatirawa ayenera kutsatira:
- Musamamwe tiyi otentha, khofi, musadye supu.
- Kutalika kumapatula madzi mu zakudya (mwa kulingalira).
- Kwa masiku angapo, pita zakudya - idyani zakudya zokhazokha zokha.
- Musati muwombere dzuwa, musapite ku sauna ndi kusamba, musasambe kusambira.
Madzi osachepera omwe amapezeka mu mkaka, mkaka wochepa udzatulutsidwa ndipo zovuta zidzatsika kuchokera pachifuwa raspiraniya. Pakutha kuthetsa lactation, compaction mu chifuwa sizolowereka. Ayenera kukhala otukuka mofatsa, pofotokoza mkaka pang'ono kuti awathandize. Kugwiritsa ntchito mapepala kapena zikopa zotsekemera sikuletsedwa, chifukwa ndi zoipa kwa thanzi. Njira yowonongeka kwa mwanayo, yomwe idzayendetse bwino, idzapindula mbali ziwiri zonsezi, makamaka ngati zikuchitika ndi dokotala.