Basics Nutrition Basics
Ukunciphisa i-formula yomntwana, nokuba yenze ukuba ibe njenge- breastmilk okanye ukuphendula ngokukhawuleza kwiimfuno zokuthengisa, ngokuqinisekileyo akuyiyo ingcamango entsha.
Abanye abazali okanye ootatomkhulu baya kukhumbula ukuba bebenokukwazi ukuthenga ifomula encinci ye-iron kuze kube yi-1989 i-American Academy ye-Pediatrics Committee kwiNkcazo yokuNondla iphakanyisiwe ukuba "akukho nxaxheba ekusebenziseni iifomula ezisezantsi ezondla abantwana kunye nokucebisa I-formula echanekileyo yensimbi isetyenziselwa zonke iintsana ezisondeza iifom. "Ngaphambi koko, iifomula zentsimbi ezantsi zithengiswa kuba abazali abaninzi bakholelwa ukuba insimbi ekwenzeni ifom ingenza i-gas, i-colic, i-fussiness, kunye ne-reflux, njl.
Ukusela okuncibilikiweyo kwesinyithi kubeka loo ntsana engozini yokunqongophala kwe-anemia, nangona kunjalo.
Ifom ephantsi yentsimbi yaqhubeka ithengiswa kwaye ithengiswa nangona i-AAP, ngowe-1971, yathi ikhuthaze ngamandla ukuba "xa iifomula zenkampani zichazwe ukuba iifomula ezongeziweyo zesebe zisetyenziswe ngokuqhelekileyo njengomgangatho."
Lo ngumzekelo omhle ukuba ngelixa ezinye iifomula zintsana "zibonakaliso zonyango," ezinye zisetyenziselwa "ukhetho lwabazali," ngokukodwa ezo ifomu ezi "zithengiswa ngentsana, i-colic, kunye nemibandela yokuxhamla."
Oko akubonakali ukugcina abazali bengabathengi. Uphando olutshanje lufumene ukuba kwiintsana ezingazange zancelise, i-69% kuphela yayiphuza ifom ye-milk-based standard. Abanye babesela i-formula-based based form, iifomula ezizodwa, i-softness okanye i-lactose-enciphise ifom, okanye ubisi lweenkomo eziqhelekileyo.
Iintlobo zeeNtsana zeBantwana
Iifomula zeintsana zilawulwa yiziko le-FDA loKhuseleko loKutya kunye nesondlo esisetyenziswa phantsi kwe-Federal Food, Drug, and Cosmetic Act.
Zihluke kakhulu kumthombo wazo weeprotheni (ubisi lweenkomo vs soy), iswekile (i-lactose vs isiraphu yengqolowa), kunye namafutha (i-oyile yemifuno), njl., Inhlanganisela eyahlukileyo ephakanyisiweyo:
- I-Baby Based Based Formula
- I-Soy Based Baby Formula
- Elemental Baby Formula - Enfamil Nutramigen kunye neSimilac Alimentum
- I-Ammoni-based Formula ye-Amino-i-amino acid esekelwe kwiifomula, ezifana ne-PurAmino, EleCare, kunye ne-Neocate, iifomula ze-hypoallergenic zintsana ezinobunzima beprotein
- Iifomula ezizodwa - ukusuka kwi-BCAD 1 (kubantwana abane-maple syrup urine disease) kwi-Phenyl-Free (PKU) ne-Enfaport (i-Chylothorax okanye iLCHAD ukusilela), kukho iifomula ezikhethekileyo kubantwana abaneemeko ezinqabileyo.
Izandiso zangoku zakutshanje kwimigangatho yamandulo abaninzi bezilwanyana ezicetyiswayo bayincwadana yemfesane yokutshatyalaliswa kunye nalabo beintsana ezingaphambi kwexesha . Iifomula zeintsana ezingekafiki, kuquka i-Enfamil Premature kunye ne-EnfaCare ne-Similac NeoSure, yenza ingqiqo eninzi. Ziquka iikhalori ezingaphezulu kunye ne-calcium, ezifundwayo iintsana ezingekafiki.
Njengoko uza kubona, ezinye ezininzi iintlobo zefomula yomntwana ngoku zikhuthazwa ngokunyanisekileyo, kodwa ngaba zininzi zezi ntlobo zefomula eziyimfuneko kubantwana?
Mhlawumbi akunjalo.
Umzekelo, nokuba umgangatho osemgangathweni we-soy ayifanele usetyenziswe rhoqo njengoko kunjalo. I-American Academy ye-Pediatrics ithi "ukuba kukho iimeko ezimbalwa apho i-soy formula ikhethwa khona kunokuba ifom ye-milk-based based formula kwiintsana ezisezantsi. Enye yeemeko zisezinsaneni ezineentsholongwane ezingaqhelekanga ezibizwa ngokuba yi-galactosemia. "
Kwezinye iimeko, xa umntwana ephethe ubisi bonyango, kufuneka ukuba ahambe ngqo kwi-formulaal ye-elemental esikhundleni se-soy, induduzo, okanye u-formula, njengokuba nayiphi na loo nto iya kubangela iimpawu ezifanayo.
Iifomula ezongezelelweyo zibiza kakhulu kunezinye iifomula, nangona kunjalo, nokuba yintoni eyenza abazali bakhethe ukuzama ezinye iifomula kuqala. Kodwa ke, ukuba iimpawu zomntwana wakho zilunge ngakumbi kwintuthuzelo okanye ngomnxeba omnene, mhlawumbi wayengenalo ubisi bokwenene, kuba ezo ziqulethe iiprotheni zobisi.
I-Latest Formula Forward Trends
Ngaphandle kwazo zonke iintlobo zentlobo ye-baby echazwe ngezantsi, iUnited States imele ihambe ixesha elide kwiqela xa ifika kumathambo kwindlela yobuntwana.
Ngokomzekelo, uNestle uqalise uhlelo lwawo lwe-BabyNes olususela kwi-system yokulungiselela i-BabyNes kumanye amazwe ukubuyela ngo-2011 kwaye awukwazi ukuyithenga apha.
Olunye uhlobo lweendlela zomntwana ezisebenza eMelika ziquka:
- I-GMO Baby Formula
- Baby Formula Formula
- I-Formula yaseBantwana yokuNcedisa ukuSondeza
- Ivakalelo / Ubumnene / I-Formula ye-Comfort
- I-Formula ye-calorie eyancitshisiwe - ngelixa amaninzi amafomula asetsana anama-calorie angama-20 ngeeyure enye, amafomula amaninzi e-Similac aguqulelwe kwii-calorie ezingama-19 ngeeyunithi ukuba 'ulungelelanise kangangoko ubukhulu be-caloricity of milk.'
Kwaye, ke, ininzi yale mafomula omntwana sele enezele iDHA ne-ARA. Abanye banemithi ye-prebiotics kunye ne-nucleotides. Abambalwa banayo iiprobiotics .
Kwakhona, ezinye iindidi ezintsha zefomula yobusana zenza ingqiqo. Ngokomzekelo, ezininzi iintsana zitshiza kunye nabazali sele bebancedisa irayisi yokutya kwimifomula njengonyango lwe-aclux reflux, okongezwayo irayisi ibonakala ngathi ayikho-brainer.
Kodwa kuthekani ngomlinganiselo we-colic? Iingcali azicingi ukuba i-colic ibangelwa ukunganyamezeli kokutya, ngoko kutheni sifuna umzekelo okhethekileyo we-colic. Kwakhona abacingi ukuba iintsana ezininzi zizalwa ngokunyamezela kwe-lactose, ngoko kutheni sifuna i-lactose-free okanye i-lactose ifomula?
Mhlawumbi asiyikukhumbula kwaye loo nto ayiyiyo ibango lempilo yinyaniso kulawo makane omncinci womntwana. Kunoko, "iinkampani zenkomfa zibeka iibango kwimveliso yazo ezisetyenziselwa ulwimi ukuba zichaze ubudlelwane bezilwanyana ngaphandle kokuba zenze amabango ezempilo ezizodwa eziya kuhambelana ne-premarket imvume yi-FDA." Ngoko ibango lokumaketha kwilebula lithi "ngenxa yobundlobongela kunye negesi ngenxa yokukhathazeka kwe-lactose," esikhundleni sebango lokwenyaniso lempilo elinjengathi "kuncitshitshisa ubuqili kunye negesi."
Iimpawu zeBantwana
Kwaqala ngeTrafler Formulas, kodwa kukho ngoku 'umntwana' amafomula kuwo onke amanqanaba obomi bomntwana wakho omncinci, kuquka:
- Iintsana
- Iintsana
- Ukongeza abantwana
- Iintsana ezindala
- Bantwana
Kodwa mhlawumbi akudingeki utshintshe iifom ezimbini okanye kathathu ngenxa yokuba umntwana wakho ukhula. Awunayo imfuno ekhethekileyo yokongeza umntwana wakho wokuncelisa .
Kukho nkxalabo yokuba indlela ezi fomula zithengiswa ngayo, zinokubonisa ukuba oomama abancancisayo ukuba bafanele bayeke ukuncelisa kunye nokutshintshela kubo xa abantwana babo befikelela kuloo minyaka.
Gcina i-Brand Baby Formula
Ukufumaneka kweefom yefowuni yeevenkile ayikho entsha.
Yindlela entsha yokugcina iifomula zorhwebo zizama ukuqhubeka nazo zonke iindwendwe ezitsha esizibonayo kwiimpawu ezinkulu zamagama.
Ngoko ngoku sibona iTender, Ubumnene, Ubuninzi, kunye nefom ye-Organic brand formula. Le nto ibamangalisa ukusuka kwishishini elibiza ukuba "ubuchule benkampani yokuthengisa" akufanele kube yinto ebaluleke kakhulu malunga nefomula.
Ukudideka komntwana
Ngeentlobo ezininzi ezahlukeneyo zefomula yomntwana ekhoyo ngoku, akufanele kusimangalise ukuba abanye abazali badidekile.
Ukongeza kokudideka malunga naluphi uhlobo olukhethiweyo lokukhetha umntwana wabo ukuba bengabalanga, kukho ukudideka malunga nezithako kwifom.
Ngaba kufuneka ukhathazeke ngentshukela yomdaka kwiimfomula ezithile?
Kuthiwani ngesiraphu yengqolowa kwindlela? Ngaba akunjalo okubi kubo?
Njengombele, yonke imfomfesane yomntwana kufuneka ibe nomthombo we-carbohydrate okanye ushukela. Nangona iifom e-milkmil kunye neenkomo zenkomo zenkomo zisebenzisa i-lactose (i-glucose kunye ne-galactose), ezinye iindidi ze-formula use sucrose (ushukela werhasi) kunye ne-soyidi yengqolowa ye-solids (i-glucose).
Yaye akukho, isiraphu yengqolowa ayikho nto enokuyenza ngayo isiraphu yengqolowa ephezulu ye-fructose, ngoko akufanele ukhathazeke ngokusondeza le ntlobo yesimo kumntwana wakho ukuba ufuna.
Ngaba iNew Baby Formulas Marketing Marketing okanye Hype?
UDkt. Steven A. Abrams, kwingcaciso yakhe "Ngaba ixesha lokubeka umyalelo wokutshatyalaliswa kwintsholongwane emitsha engenakulinganiswa ngokufanelekileyo?" Ucetyisa ukuba kukho iingxaki zokuba nazo zonke ezi fomula ezintsha.
Uchaza ukuba "enye ingxaki ngokusetyenziswa kwezi zinto kunye nokuhlukahluka okufanayo kwiifomu kukuba rhoqo iintsapho ziya kutshintshwa ngokuphindaphindiweyo phakathi kwamafomula kwiiveki zokuqala okanye kwiinyanga zokuphila. Ezi zinguqu zidlalwa ngaphandle kwemiphumo emibi, kodwa ngaphandle kokuchaza iingxaki zokusondeza okanye ukuqonda ukuba ukuziphatha kwintsana ngokuqhelekileyo kwenzeka. "
Ngelishwa, oku kungabangela uxhalaba kubazali, ngakumbi ukuba bacinga ukuba into ephosakeleyo ngumntwana wabo.
Ezinye iingxaki ezikhoyo xa iifomula ezininzi zithengiswa ngaphandle kobungqina bokuba basebenzayo ziquka ukuba:
- Basenokukhuphisana nokuncelisa - ngaba umama oncelisayo uya kutshintshela kwifom ye reflux, igesi, okanye colic ukuba ucinga ukuba umntwana wakhe unenkathazo okanye asebenzise ifomula engeyomfuneko?
- Uninzi lweefom zefomula zakutshanje zibiza kakhulu kunefomula eqhelekileyo, nokuba ukhetha uhlobo lwe-brand brand
- "Ukubhalisa iintsana ezibonakalisa iindidi eziqhelekileyo zentsana eziqhelekileyo zikhala ngeemeko zonyango ezifana nokunyanzeliswa kwe-lactose engenazo" kunokubangela ukuba uxhalabe kubazali
Xa becinga ngokutshintshela phakathi kwala mafomula, abazali baqonde ukuba ngelixa iifomula zentsana kufuneka zihlangabezane neenkcukacha ezithile zezondlo, akufuneki ukuba zivunywe yi-FDA phambi kokuba zithengiswe.
Kufuneka sonke sihlale sikhumbula ukuba i-Institute of Medicine ithi, "I-Formula yaseMntwaneni: Ukuphonononga ukuKhuselwa kweZitsha zokuNgcwaba," yafumanisa ukuba "nangona izikhokelo zomgaqo-nkqubo ezikhoyo zikhoyo zenzele kakuhle izinto eziqhelekileyo (umzekelo, iivithamini, amaminerali), akwanele ukulungisa ulwahlulo lwezilwanyana ezintsha ezicetywayo ngabavelisi ukuvelisa iifomula ezilinganisa ubisi lwabantu. "
Ukongeza kokulandela izikhokelo ezikhutshwe ngxelo ye-IOM ka-2004, sinokubanceda abazali benze ukhetho olusekelwe kubungqina ngokunyusa iintsana zabo ngokulandela i-World Health Organization ye-1981 yeNkqubo yokuThengiswa kweeMathambo. Akumangalisi ukuba iUnited States ayiyona yeeyure ezingama-69 eziye zavalwa ukuthengiswa kwefomula kubantwana ngokucacileyo kubazali, ehlanganiswe yinqaku yesi-5 ye-WHO Code.
UDkt. Abrams uphakamisa ukuba kuya kuba luncedo ukuqhubela phambili ukuphumeza iSicwangciso soBhedlele saseBantwana eSibhedlele kwezinye izibhedlele kwaye kuseke amaqela asebenzayo ukuvavanya iifomula ezintsha.
Kuze kube ngoko, ncokola nodokotela wakho wezilwanyana ngaphambi kokuba unqamle okanye utshintshe ifomu lakho lomntwana.
Imithombo:
Abrams SA. Ingaba lixesha lokubeka umyalelo wokutshitshiswa kwimihlambane entsha yeentsana ezingabhekanga ngokwaneleyo? J Pediatr. 2015; 166: 756-760
Belamarich PF, Ukuhlaziywa Okubalulekileyo kweebango zoThengiso lweMveliso yeeNtsana zaseMelika e-United States. I-Clinic Pediatr (Phila). 2015 Juni 7.
IOM: Ifomula yomntwana: Ukuphonononga ukuKhuseleko kweZithako ezintsha, Ukukhishwa kwe-1 Matshi 2004.
URosen, uLauren. Iintlobo zeeFomula zeNtana zenziwa kwi-United States. ICLINED PEDIATR Julayi 6, 2015
WHO. Ukuphunyezwa kwelizwe kwe-Code International yokuThengiswa kobisi lwebhesini Iingxelo zengxelo yeNgxelo ka-2011.
WHO. Ulwazi malunga nokusetyenziswa kunye nokuthengiswa kwefomu yokulandelelana. Julayi 2013.