Pono ʻoe e hoʻolimalima i kahi mea kūkākūkā lactation?

Anter

• He aha ka hana a ke kākā'ōlelo lactation?
• Pehea i loli ai i ka manawa o COVID-19?
• He aha kāu e nānā ai i kahi kūkā kūkā lactation?
• Uhi ʻia nā lawelawe kūkā lactation e ka ʻinikua?
• Inā pono ʻoe e uku, ehia nā uku kipa?
• Āhea ʻoe e noʻonoʻo ai i ka hoʻolimalima ʻana i kahi aʻoaʻo aʻoaʻo lactation?
• Nānā no

He mau manawa wale nō ma hope o ka hānau ʻana i kaʻu kaikamahine, ʻo ka Lāpule, ʻelua mau makahiki i hala, ua hoʻomanaʻo maopopo wau i koʻu kahu hānai OB e nānā mai ana iaʻu, me ka ʻōlelo ʻana, "ʻAe, ua mākaukau ʻoe e hānai?"

ʻAʻole wau - a ʻaʻohe oʻu manaʻo i ka mea aʻu e hana nei, akā, pūʻiwa wau i ka pili ʻana o ka pēpē a hele mākou.

ʻO nā pono olakino o ka hānai ʻana i ka waiū - ka mea a ka World Health Organization (WHO) e hōʻike nei i nā makuahine hou e hana wale ai no ʻeono mahina - ua kākau maikaʻi ʻia: hiki i ka Breastmilk ke pale aku i nā pēpē mai ka maʻi ʻana a hoʻohaʻahaʻa i ka pilikia o nā pilikia e like me ka hānō, ka momona, a me ka hikiwawe. maʻi make pēpē (SIDS), e like me ka noiʻi. Kōkua ka hana iā ʻoe e hoʻōla i ka postpartum (i kēlā mau lā mua, kūʻē maoli kāu kōpū i ka wā o kāu pēpē latches, e kōkua ana iā ia e hoʻi i ka nui ma mua o ka pēpē), a hoʻoliʻiliʻi hoʻi ia i ka makaʻu o nā pilikia e like me ka maʻi diabetes type 2 a me kekahi ʻano maʻi kanesa no ka makuahine i ka wā e hiki mai ana. Hoʻohui, he ʻoluʻolu kaiaola: ʻaʻohe ʻōmole plastik, hana a lawe ʻole ʻia, etc.

Ma koʻu makuahine, laki wau: ʻO kaʻu huakaʻi hānai hānai ua lōʻihi ma kahi o hoʻokahi makahiki a he liʻiliʻi nā snags. Akā ma ke ʻano he mea hoʻokumu i ka Lāpule Aloha, kahi kahua pūnaewele no nā makuahine hou a me ka manaʻo, he mau makuahine koʻu e haʻi mai iaʻu i ka pīhoihoi o lākou i ka ʻike.

Ma hope o nā mea a pau, no ka mea maʻamau ka hānai ʻana, ʻaʻole ia he mea maʻamau. Eia kekahi, hoʻopau manawa (ua ʻike paha ʻoe hiki i nā pēpē hou ke ʻai i luna o 12 mau manawa i ka lā?!) a - inā kū mai nā pilikia - pilikia. (Ka noiʻi a ka UC Davis Children's Hospital i loaʻa i ka 92 pakeneka o nā makuahine hou i loaʻa i hoʻokahi pilikia hānai i loko o ʻekolu lā o ka hānau ʻana.) He manaʻoʻiʻo nui nō hoʻi au i ka hānai ʻana i kāu pēpē ma ke ala maikaʻi loa e hana ai no ʻoe a me kou ʻohana. - aʻo ka ʻoiaʻiʻo, ʻaʻole hiki i nā wahine āpau ke hānai. (E nānā: He ʻoiaʻiʻo ka ʻōlelo hōʻeha o kēia wahine no ka hānai ʻana.)

Manaʻo ka poʻe akamai e noʻonoʻo e pili ana i ka hānai ʻana ma ke ʻano he hana noʻeau - he mea pono e aʻo a hoʻomaʻamaʻa.A ʻo ka mea pōmaikaʻi, aia kekahi mahele o ka poʻe loea i kapa ʻia he mau loio lactation nāna e kōkua i ka poʻe hāpai a me nā makuahine hou e hana pēlā.

Inā hoʻoholo ʻoe? Eia ka mea e pono ai ʻoe e ʻike e pili ana i nā mea aʻoaʻo lactation, nā mea a lākou e hana ai, a pehea e hele ai e pili ana i ka hoʻolimalima ʻana i hoʻokahi ma hope a ma hope paha o kou hāpai ʻana.

He aha ka hana a ke kākā'ōlelo lactation?

I ka pōkole, hoʻokaʻawale nā ​​mea aʻoaʻo lactation i hoʻokahi pahuhopu like: kākoʻo i nā wahine i koho i ka hānai ʻana, wahi a Emily Silver, MS, NP.-C., I.B.C.L.C., kahi loea kahu hānai ʻohana, kūkā kūkā lactation, a me ka hoa hoʻokumu o Boston NAPS. "Kōkua nā mea aʻoaʻo lactation i nā wahine e hoʻokumu i kahi latch hohonu no laila ʻaʻohe o lākou ʻeha me ka hānai ʻana; nā papa hana hānai curate no nā wahine e hānai a hānai ana; hoʻonui i nā wahine a aʻo iā lākou i ka pauma ʻana; a kōkua i nā wahine e hoʻokele i nā pilikia, nā ʻeha, a me nā maʻi. "

E hiki i kahi loea lactation ke hoʻokaʻawale ma waena o ka hana a me ka hana pono ʻole o ka hana ʻana, hoʻohui ʻo Sharon Arnold-Haier, IBCLC, kahi mea aʻoaʻo lactation ma New York i helu ʻia ma ka lawelawe inoa olakino makuahine Robyn. "ʻO ka hapa nui o nā kūkākūkā lactation e hoʻopili i ka loiloi umauma, ka loiloi waha o ka pēpē, a me ka nānā ʻana i ka hānai ʻana. E maʻalahi kekahi mau pilikia lactation a ʻo nā mea paʻakikī kekahi, e koi ana i ka mālama mau."

ʻO ka manawa pinepine, hiki i kahi loea lactation ke hāʻawi i nā mea hou aʻe ma mua o ke kākoʻo lactation, nā memo Silver. "Hiki iā mākou ke hāʻawi i ke kākoʻo naʻau a me ke kānana ʻana a me ke kuhikuhi ʻana no ke kaumaha postpartum," i ʻōlelo ʻo ia. "ʻO ka manawa pinepine, kipa ʻia kā mākou kipa ʻana i nā ʻōlelo aʻoaʻo ola a nā mākua a pehea e hana pū ai ma ke ʻano he hui e komo i nā hana maʻamau i nā mea e like me nā ʻano hiamoe olakino a me ko lākou ʻohana holoʻokoʻa ke pili i ka hānai ʻana. "

A ʻoiai he mea nui ia no ka mea aʻoaʻo lactation e hana i loko o ka laulā o kā lākou hana, ʻo kekahi mau mea hana he loea kūkā lactation a nā kahu hānai, M.D.s, a i ʻole nā ​​ʻano lawelawe lawelawe olakino, ʻo ia hoʻi hiki iā lākou ke kākau i nā kuhikuhi a mālama i nā hihia ʻoi aku ka paʻakikī, i ʻōlelo ʻia ʻo Allyson Murphy, IBCLC.

Pehea i loli ai i ka manawa o COVID-19?

ʻOiai kekahi mau kipa home ʻana e hana nei me nā lako pono pilikino pilikino (PPE) a me nā kānana ʻana ma kahi, aia kahi ʻoi aku ka nui a me ka pono no nā kipa uila a me nā kelepona me nā ʻoihana lactation. "Ua aneane pālua mākou i ka uku no ke kipa ʻike uila a me ke kākoʻo kelepona i ka wā o ka maʻi ahulau e hāʻawi i ka mālama i ka poʻe e loaʻa paha nā pilikia no COVID, nā poʻe nāwaliwali i hiki ʻole ke hāʻawi i kahi mea hāʻawi, a i ʻole nā ​​poʻe e noho ana ma kahi i ʻaʻohe tona. o ke kākoʻo lactation, "wahi a Silver. (Pili: Māhele ʻo Māmā i ke ʻano o ka hānau ʻana ma COVID-19)

ʻO nā kipa ʻike - ʻoi aku i nā lā mua o kou home - hiki ke kōkua nui. "Manaʻo ka hapa nui o nā mea kūʻai aku ʻaʻole maikaʻi kahi kipa ʻike, akā ʻike wau i ke kūleʻa maikaʻi ʻana o nā kipa pūnaewele no ka hapa nui o nā ʻohana," wahi a Arnold-Haier.

He aha kāu e nānā ai i kahi kūkā kūkā lactation?

Ma ka ʻōlelo maʻamau, aia ʻelua mau ʻano nui o nā kūkā lactation i hōʻoia ʻia - International Board Certified Lactation Consultants (IBCLCs) a me nā Certified Lactation Consultants (CLCs). Pono nā IBCLC e hoʻopau i 90 mau hola o ka hoʻonaʻauao lactation a me ka ʻike pilikino e hana pū ana me nā ʻohana. Pono lākou e ʻike ʻia ma ke ʻano he ʻoihana olakino (e like me ke kauka, kahu hānai, kahu hānai, palekeahine, a pēlā aku) a i ʻole hoʻopiha i nā papa ʻepekema 14 ma mua o ka noho ʻana no kahi hōʻike. ʻO CLCs, ma ka ʻaoʻao ʻē aʻe, hoʻopau he 45 mau hola o ka aʻo ma mua o ka hala ʻana o kahi hoʻokolohua akā ʻaʻole koi ʻia e loaʻa kahi ʻike olakino mua e hana pū ana me nā mea maʻi ma mua o ka hōʻoia ʻana.

Ma kahi ʻokoʻa ka hōʻoia ʻana, makemake ʻoe e koho i kekahi ma ka ʻaoʻao like me ʻoe a e kūlike me kāu mau manaʻoʻiʻo, nā leka Silver. Maliʻa paha kēia he kūkā kūkā lactation i hiki ke noʻonoʻo ma waho o ka pahu. "E like me ka pediatric, ʻo kēia kahi āu e hoʻokokoke aku nei a makemake e hiki ke huli i ke kōkua a me ke kākoʻo ma ke ʻano hoʻokolokolo ʻole," i ʻōlelo ʻo ia. "Nui nā ala e hānai ai i kahi pēpē, me ka hānai wale ʻana, ka hānai ʻana a me ka hoʻohana ʻana i nā ʻōmole, ka pauma ʻana a me ka hoʻohana ʻana i ka umauma, a i ʻole ka hānai ʻana i ka waiū a me ka hoʻohana ʻana i kekahi ʻano hana. E pili ana i ka ʻike ʻana i ka hoʻolālā maikaʻi loa nāu." Inā manaʻo ʻoe ʻaʻole holo ka hānai ʻana, hiki i kahi IBCLC ke kōkua iā ʻoe e hoʻopilikia a loaʻa ka hopena ʻoi loa no kou ʻohana. (Pili: Loaʻa ʻo Shawn Johnson e pili ana iā 'Māmā Māmā' ma hope o ka hoʻoholo ʻana ʻaʻole e hānai hānai)

Makemake pū ʻoe i kahi mea e mālama iā ʻoe me ka ʻoluʻolu a me ke aloha, wahi a Murphy. "I ka manawa a kekahi e hele mai ai iaʻu, manaʻo pinepine lākou e like me ke ʻano o ka pilikia: ua hele a Google, ua leka uila i kā lākou mau hoaaloha a pau, a ua panic lākou, ma luna o ka luhi a me ka hormonal."

Uhi ʻia nā lawelawe kūkā lactation e ka ʻinikua?

FWIW, lawelawe lawelawe lactation he noonoo i ka pale pale ʻana ma ke ʻano he ʻāpana o ke Kanawai mālama kūpono (ACA), ʻo ia hoʻi pono e uhi ʻia. Akā, e hele i ka helu: "Ke ʻano o ka wehewehe ʻana o kēlā me kēia ʻinikua i ke kānāwai. hiki ʻole paha, "wahi a Murphy.

ʻO kāu papa hana ʻoi loa: E hōʻoia me kāu ʻoihana ʻinikua ma mua o kou ʻike ʻana i kahi mea aʻoaʻo lactation no laila maopopo ʻoe i ka mea i uhi ʻia. Hoʻokahi kihi ʻē aʻe? "E ʻoi aku paha ka maikaʻi o kāu hana me ka uku ʻana inā ʻo kāu mea aʻoaʻo lactation kekahi loio olakino laikini e like me ke kauka, kahu hānai, kahu hānai i hoʻopaʻa inoa ʻia, kōkua o ke kauka, a i ʻole, i kaʻu papa inoa, he dietitian i hoʻopaʻa inoa ʻia," i wehewehe ai ʻo Arnold-Haier.

Inā pono ʻoe e uku, ehia nā uku kipa?

Inā ʻaʻole hiki iā ʻoe ke uhi ʻia i nā lawelawe a kou kākā'ōlelo lactation ma o ka inikua, e loli ke kumukūʻai o ka hoʻolimalima ʻana ma muli o kahi e noho ai a me ka nui o ka ʻike o ka mea aʻoaʻo āu e noʻonoʻo nei. Akā ua ninaninau ʻia ka poʻe loea no kēia ʻāpana i kahi kipa mua e uku ʻia ma nā wahi āpau mai $ 75 a $ 450, me nā wā e ukali ai nā wā e ʻoi aku ana ka pōkole a me ka liʻiliʻi paha.

"Paipai wau i ke kamaʻilio ʻana me ka loea lactation ma mua o ka hoʻonohonoho ʻana i kahi kipa e ʻike ai pehea lākou e holo ai i kā lākou hana a me nā mea āu e manaʻo ai no kā lākou uku," ʻōlelo a Arnold-Haier. Hiki iā ia ke kipa mai hoʻokahi a hoʻokahi a i ʻelua mau hola kipa i kahi papa mālama mālama palapala, a i ʻole ke kamaʻilio ukali. ʻO ka helu o nā manawa āu e ʻike ai e hui (virtually a i ʻole IRL) me kāu kūkākūkā e hilinaʻi nui ʻia i ka nui o kāu kākoʻo āu e makemake ai.

Āhea ʻoe e noʻonoʻo ai i ka hoʻolimalima ʻana i kahi aʻoaʻo aʻoaʻo lactation?

ʻO ka mea mua, e hoʻomaʻemaʻe kāua i kahi kaʻao nui: ʻaʻole pono ʻoe i kahi kākāʻōlelo lactation ke hewa kekahi mea. "ʻ saylelo mau wau, mai kali a hiki i ka hewa ʻana o kekahi mea a hiki i kou wā i kahi maikaʻi ʻole e nānā ai me kahi kūkā lactation," wahi a Silver. (Pili: Pono ʻoe e hoʻolimalima i kahi Doula e kōkua iā ʻoe me ka hāpai ʻana a me ka hānau ʻana?)

"He manaʻoʻiʻo wau i nā papa lactation prenatal. Ke aʻo aku nei wau iā lākou, aloha wau iā lākou, ʻike wau iā lākou e hana nei," wahi a Murphy. "ʻO ka hānai hānai kahi mākau hou e pono e aʻo ʻia. Ke hele nei i loko e ʻike i nā mea maʻamau a me nā mea kōkua ʻole e ʻike ʻoe i ka hilinaʻi nui, kōkua iā ʻoe e ʻike i nā puʻupuʻu i ke ala ma mua o ka lilo ʻana o kahi ulia piha, a hāʻawi iā ʻoe e hoʻokumu i kahi pilina me he IBCLC ma mua o kou hāʻawi ʻana. "

He mea kūpono nō hoʻi ia e hoʻomaopopo, ma ka ʻōlelo maʻamau, ma kahi haukapila a i ʻole kahi hānau hānau, ʻo ʻoe makemake loaʻa ka manawa kūpono e hoʻohui me kahi kākā'ōlelo lactation. Minamina, ua hana iki ʻo COVID i kēia. ʻO Arnold-Haier, ka mea hana ʻelua ma kahi haukapila a me kahi pilikino, ua ʻōlelo ʻo ia i waenakonu o ka maʻi ahulau, ke hoʻokuʻu ʻia nei nā mākua a me nā pēpē wikiwiki ma mua o ka maʻamau. "Ma ke ʻano he hopena, ʻaʻole hiki i nā mea he nui ke hui pū me ke kūkā lactation ma mua o ka hoʻi ʻana i ka home a hiki i ka hānai pēpē ke ʻano ʻokoʻa loa mai ka lā ʻekahi a hiki i ka lā ʻelima a ʻoi aku, no laila ke waiho nei nā hoʻokuʻu wikiwiki i nā mea he nui me ke kākoʻo ʻole kūpono ʻole iā lākou." (Ma kahi memo like: ʻO ke kiʻekiʻe o nā make e pili ana i ka hāpai ʻana ma US he kiʻekiʻe loa.

Ke hele mai kāu waiū (i ka manawa maʻamau ua hoʻokuʻu ʻia ʻoe), aia kahi manawa e ʻike ʻoe i ka engorgement. A hiki i ka hoʻopaʻa ʻana ke alakaʻi i kahi latching pilikia a hoʻololi paha i ke ʻano o kou hoʻonohonoho ʻana iā ʻoe iho ma muli o kāu waiū e hele mai ana, wahi a Silver. "He manawa kēia o ka nui o nā nīnau a he ala ia no mākou e loiloi ai i ka lawe ʻana o nā mākuahine: pehea ʻoe? Pehea kou ʻano?"

Inā ʻoe ʻaʻole ke noʻonoʻo nei i ka hoʻolimalima ʻana i kahi kūkā lactation ma mua o ka hoʻāʻo ʻana e hānai? E mālama pono i kekahi i ka wā e puka mai ai kahi pilikia. "Hiki i nā pilikia i uhi ʻole ʻia i kekahi manawa ke hoʻohui i loko o nā mea nui e like me nā duck waiū paʻa, mastitis, ka loaʻa lohi o ke kaumaha i ka pēpē, a i ʻole nā ​​pilikia hāʻawi waiū," wahi a Murphy. "ʻO nā pūʻulu kākoʻo e holo ʻia e kahi IBCLC a i ʻole nā ​​mea manawaleʻa i hoʻomaʻamaʻa e like me La Leche League a i ʻole Breastfeeding USA hiki ke lilo i wahi maikaʻi e hoʻomaka ai no ka ʻike pili pono, hōʻike hōʻike ʻike paʻa." I kekahi manawa, hiki iā ʻoe ke kiʻi i nā pane i nā nīnau maʻalahi me ka ʻole e kau inoa ʻana e ʻike ai i kekahi.

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