Ngaba I-Preemie Yakho Iyadinga Uhlobo Oluthile Lokomama?
Kukho amafomula amaninzi kwieshefu zetrhasi kwaye kunokushiya omama abatsha badidekile malunga nomveliso ongcono kunabantwana abasanda kuzalwa. Ukukhetha i-formula ngokuqinisekileyo isigqibo esimele senziwe kunye neonatologist okanye udokotela wezilwanyana. Nangona kunjalo, ukufunda ngeentlobo ezahlukeneyo ezinokufumaneka kunokukunceda ukuba ube nengxoxo enolwazi kunye nogqirha.
Ifomula rhoqo
Iifomula ezininzi zentsana zenziwe ngobisi lweenkomo kwaye zenzelwe iintsana ezizeleyo. Nangona inzululwazi ayizange ikwazi ukuvelisa ukutya kosana nayo yonke inzuzo yokunondlo kunye ne-immunological yobisi lwebele, ifom yobisi yindlela ekhuselekileyo. Ifom yamanje iyenziwa nge-iron kunye namafutha acids ukukhuthaza ukuphuhliswa kwengqondo, kunye nazo zonke izondlo ezikhulayo iintsana .
Imizekelo yefomula yeentsana eziqhelekileyo ziquka i-Similac Advance, i-Enfamil i-LIPIL, ne-Nestle Good Start.
Preemie Formulas
Iintsana ezisemgangathweni kunye nesisindo sokuzalwa esiphantsi kweentsana zidla ngokufuna iimfomula ezikhethekileyo ukufumana ukukhula kwazo. Ngokwe-American Academy ye-Pediatrics (AAP), ugqirha wakho uya kufuna ukuqinisekisa ukuba umntwana ufumana inani elaneleyo leekhalori kwaye zonke iimfuno zakhe zondlo. Ekuqaleni, oku kungathetha ukunyusa ukutya kwaye, njengoko ekhula ngamandla, qhubela phambili kwiifomula ezongezelelweyo kwi- NICU kwaye emva kokubuya ekhaya.
Ukuba unenjongo yokuncelisa kodwa umntwana wakho akakwazi ukukwenza ngokukhawuleza, kukuhle ukuqhubeka uvakalisa. Ugqirha wakho unokuncoma ukuba atyiswe ubisi lwakho lwebele ngenxa yokuba, ngokutsho kwe-AAP, unikeza izondlo ezingcono kwiintsana ezinokukhubazeka. Kwakhona kunokwenzeka ukuba isongezelelo, njengomgqugquzeli webisi lomntu (HMF), siya kunconywa ubisi lwakho lwebele.
Ungaphinda ubhinqe ubisi lwakho lwesifuba uze uyilondoloze ukuqhuma kwepompoza emva koko kuya kuqinisekisa ukuba ukunikezela ngobisi lwakho akuphazamiseki.
Iifomula zangaphambili zokuLahla
Xa izitha kuqala ziqala ukuthatha ukondla ubisi, oogqirha baqala ngexabiso elincinci le-calorie isilinganiso esilinganisa ubisi lwebele. Njengokuba iintsana zisetyenziselwa ukondla, oogqirha bangase basebenzise ubisi obuninzi be-calories ukuze bancede iintsana zikhule ngokukhawuleza.
Kwi-NICU, oogqirha basebenzisa iimveliso ezenzelwe iintshaba ezisanda kuzalwa, ezifana ne-Similac Care Care kunye ne-Enfamil Premedature IPILIL. Ezi fomyula zinamaprotheni amaninzi kunabanye kwaye zixutywe kunye ukuze zinike amalungiselelo aphezulu eekhalori.
Iifomula zokuLawula i-Preemie
Ngaphambi kokuba iintsana zokuqala zisezantsi okanye ezisezantsi zikhutshwe esibhedlele, zitshintshelwe ukuba zifake ifom ye-preemie. Ezi ziquka iimveliso ezinjenge-Similac Neosure, i-Enfamil Enfacare, kunye neCow & Gate Nutriprem 2. Zineekhalori eziphezulu kunye neeprotheyini ezingaphezulu, iivithamini, kunye neemaminerali ngaphezu kwamafomula aqhelekileyo, ukuze ukukhula okubanjwe esibhedlele kuqhubeke ukukhutshwa kwangaphambili.
Abasebenzi beMilk Fortifiers
Iintsana ezinokuqala ezinamabele okanye ezamkelayo ubisi lwebele zingadinga iikhalori ezingaphezulu kunokuba ubisi lwebele lubonelela.
Kwiimeko apho oogqirha banomuva wokuqinisa ubisi lwebele kubaluleke kakhulu ukunyusa ukukhula, isisitifi se-milk (HMF) isetyenziswe ngabantu.
Ii-HMF ziyi-powders okanye i-liquids ezongezwayo kubisi lwebele ukwenzela ukwandisa inani leprotheni kunye neekhalori ebisi. Zisetyenziselwa iintsana ezingaphambi kwexesha kunye nezincinci ukuba zibancede zithathe isisindo ngokukhawuleza kwaye zibambe kwiontanga zabo.
Ngokuqhelekileyo, iifomula zisebenzisa ubisi lweenkomo, nangona i-soy, i-hypoallergenic, kunye nefomula-free lalase zingasetyenziselwa ukuqinisa ubisi lwebele. Ezinye iikhampani nazo zinika i-fortifiers eziveliswa kubisi lobisi.
Ukuba uphazamisa ubisi umntwana wakho osanda kuzalwa, ugqirha wakho unokuyalela i-HMF ukuba yongezwe ubisi lwebele.
Nangona ama-mama asebantwaneni abengaphambi kwangoko abengabisi lwebele olusoloko lukhudlwana ngeekhalori ngaphezu koomama beintsana ezizeleyo, kubalulekile ukuba ungeze iprotheni eyongezelelweyo kubisi lwakho.
Uphuhliso lusetshenziswe kulezi zixhobo. Ngokomzekelo, uphando oluthile luqhathanise nemiphumo yeHMF entsha yempuphu eyayineeprotheni ezingaphezulu kweepesenti ezili-16 kunye nezinye i-micronutrients kunezinye i-HMF. Isiphumo sokuba ubisi lwebele lwama-protein nolwamafutha olusisiseko luphucule ukufumana ubunzima kwiintsana ezingaphambi kwexesha.
Iifomula zeengxaki zeDesign
Iintsana ezinokuqala ezinemiba yokutya zingenelwa ngokuguqula umhlathi wazo oqhelekileyo ukuya kumxube ohlukeneyo. Iifomula zesisu ezibuhlungu zenzelwe iintsana ezizeleyo kwaye zingenakho iikhalori ezaneleyo kwiintshaba. Ngenxa yoko, kubalulekile ukuba ungatshintshi kwenye yale mveliso ngaphandle kokuthetha nodokotela wezilwanyana kuqala.
- Iifom ye- Soy: Iprotheni yobisi lweenkomo inokuba nzima ukuba ezinye iintsana zime. Iintsana kunye nobisi obushushu zingabinokuhanjiswa (ngamanye amaxesha ngegazi) okanye isikhumba okanye iingxaki zokuphefumula. I-protein ye-Soy ayinayo ubisi lweenkomo, isekelwe kwesoya, kwaye inokunceda ekunciphiseni iimpawu zokunyamezela. Ezi fomula ziquka uSimilac Isomil, i-Enfamil ProSobee kunye neNestle Good Start Soy.
- Iifomula ze-Hypoallergenic: Ezinye iintsana zixhomekeke kwiiprotheni zobisi zeenkomo kunye neeprotheni ze-soy. Iifomula ze-hypoallergenic ziqulethe iiprotheni zangaphambili ezigayiweyo, ngoko ke iintsana ezithintekayo kwiiprotheni zobisi zikwazi ukunyamezela i-hypoallergenic. Le mveliso nayo i-lactose-free kwaye iquka iSimilac Alimentum ne-Enfamil Nutramigen .
- Iifomula ze-Lactose-Free: Ngezinye izihlandlo, umntwana usenokungenayo i-lactase eyaneleyo, i-enzyme esetyenziselwa ukugaya ubisi ishukela lactose. Ngenxa yokuba le ntsana ayigcini ubisi ushukela kakuhle, ingaba yintlanzi okanye ikhale ngokugqithiseleyo. Iifomula ze-Lactose ezingenanto ezifana ne-Similac Inomdla okanye i-Enfamil A + i-Lactose Simahla inokusinceda le ntwazana ikhale ngaphantsi kwaye iziva ikhululekile.
- Amino-based Based Form: Iintsana ezineengxaki zesisu ezingenakukwazi ukuphula phantsi iiprotheyini eziphambili ezitholakala kwiifomula ze-hypoallergenic. Kule ntsana, ifom equlethe i-amino acids yamahhala (iibhloko zokwakha zeprotheni) ingaba yodwa inketho. Ama-amino amafomula amachiza afanelekileyo kubantwana abanobuhlungu obunzima okanye obunobungozi bokutya, abaye baphelelwa emathunjini abo, okanye abanezinye iingxaki ezinzima zesisu. Ezi mveliso, ezifana ne-EleCare, i-Enfamil Nutramigen AA, kunye ne-Neocate, zi-free-lactose kwaye zingaba neefayili ezikhethekileyo kubantwana abanenkinga yokufumanisa amafutha kwiifomula eziqhelekileyo.
Igama elivela kwi-Verywell
Iintsana ezinokuqala zingenza abazali baxhalabele, ngakumbi xa kuziwa kukutya kuba kubalulekile ekukhuleni kwabo. Kubalulekile ukuba uthethe ugqirha wakho malunga naluphi na uxhalabisayo onako, uya kukwazi ukukukhokela kwiimfomula ezifanelekileyo kunye neengqinamba ezithandayo umntwana wakho.
> Imithombo:
> I-American Academy yePediatrics. Ukunyamekela Ubantwana Bokuqala: Oko Abazali Abafuna Ukukwazi. HealthyChildren.org. 2015.
> I-American Academy yePediatrics. Ukubonelela ngesisu seNtshonalanga kunye neNtsana yokuzalwa. HealthyChildren.org. 2015.
> URigo J, et al. Ukukhula kunye neZondlo zezilwanyana ze-Preterm Iintsana Zisetyenziselwa ukuHlahlwa kweMveliso yoMlambo omtsha: I-Trial-Tried Trial. Umbhalo we-Gastroenterology kunye neZondlo. 2017; 65 (5): e83-e93. i-doi: http://dx.doi.org/10.1097/MPG.0000000000001686.