Ngaba ubisi obunikelayo lukhuselekile kwiintshaba?
Xa i-preemie yakho i-NICU, kunokwenzeka ukuba uya kucelwa ukuba ucinge ngokusebenzisa ubisi lwe-donor, ngolunye uhlobo okanye kwelinye. Ingaba kunika ubisi ngenxa yokuba awukwazi ukuvelisa ubisi obaneleyo kumntwana wakho, okanye kukubonelela ngokubaluleka okubalulekileyo okongeza iikhalori kunye nezondlo kubisi lwakho lobisi, into yokuba imveliso yobisi yoluntu iya kuba yindawo eqhelekileyo.
Xa abazali abatsha baziswa ngale ngcaciso, banokuba baxakeke ngayo.
Ngoko makhe sijonge oko kubandakanyekayo.
Ziziphi iintlobo zemveliso yobisi yobunikazi ezikhoyo kwiintshaba kwiNICU?
Kukho iindlela ezimbini ezibalulekileyo zobisi lwebonyeni olunikezwayo kwi-NICU: ukulungele ukunyusa ubisi lwebele, kunye nobisi lwebele yobisi.
1. Ukunika Ubisi. Xa umama ozelwe ngumntwana engakwazi okanye engafuneki ukupompa ubisi, i-Donor Milk ingasetyenziswa. Kwi-NICU, oku kuya kubakho ubisi obuncatshisiwe ukusuka kwibhankini yobisi eqinisekisiwe, kwaye kusetyenziswa ngokufanayo njengoko ubisi lomama lungasetyenziswa.
2. Umququzeleli wamanzi omzimba (HMF) ngowomnye umthombo obalulekileyo wesondlo kwiintshaba. Oku kufakwa kubisi lwebele - nokuba ubisi lomama okanye ubisi obunikelayo-ukuze unike iikhalori ezixabisekileyo kunye nezondlo ekudleni komntwana. Kunokuba kwenziwe kwilisi yobisi (inkomo) yobisi, njengoko kuye kwaba ngumgangatho weminyaka, ngoku kungenziwa ngokubisi yobisi.
Oku kuyindlela entsha yokuzonwabisa kuba iintshaba zinyamezela izidlo zobisi lwabantu bhetele kunokuba zixhomekeke kwiidlo zesondlo esekelwe kwi-milk.
Ngelixa i-HMF ininzi isekelwe kubisi, kukho enye inkampani eyenza ngoku kubumba ubisi lwabantu-based based HMF - Prolacta Bioscience, esekelwe eCalifornia.
Ngaba i-Donor Milk ne-Fortifier ikhuselekile?
Lo ngumbuzo oyintloko umbuzo wabazali, kwaye uyisilumko ukubuza.
Impendulo emfutshane kukuba ewe, ikhuselekile. Kodwa makhe sijonge. Sinokukwazi njani ukuba ukhuselekile?
Phantse zonke i-NICU iya kufuna ukuba nayiphi na ubisi obunikazi esetyenziswayo livela kwibhankini yobisi eqinisekisiwe. Iibhanki zobisi eziqinisekisiweyo ziya kulandela izikhokelo eziqinileyo ezisungulwe nguMbutho weBlack Milk Bank of North America. Abaxhasi bahlolwe kakuhle, kunye nodliwano-fowuni kunye neenkcukacha zokuhlola iimeko ezinzulu kunokuba zifunwa ngegazi. Emva koko, ukunikezela ubisi kungagciniwe kwaye kuhlolwe ukuba kukho nawuphi na ukukhula kancinci, kunye naluphi na ukukhula okubangelwa ubisi.
Unokufunda lonke uluhlu lweendlela zokukhusela ezenziwa yiPlacta malunga nokuba ubisi lukhutshwe ngokukhuselekileyo kwiwebhusayithi yabo, kodwa ezinye izinto ezigqwesileyo ziyi:
- Abaxhasi bazalisa iimbali zonyango ngokupheleleyo
- Abaxhasi kufuneka babe nemvume ebhaliweyo yonyango wakhe kunye nodokotela wengane yakhe
- Ukuhlolwa kwegazi kunye ne-DNA swabs zenziwa kwi-screen ye-HIV, i-Hepatitis B ne-C, i-syphilis. (I-DNA swab yenziwe ukwenzela ukuba zonke iibhotile zobisi zingatshekishwa ukuqinisekisa ukuba ngokwenene zivela kumama kwaye akukho mntu)
- Umnikeli ngamnye uyahlolwa kwakhona emva kweenyanga ezine ukuba unqwenela ukuqhubeka nokunikela.
- Ubisi obonelelwe luvavanywa kwizonyango zokuzonwabisa kunye nezigulane ezikhoyo kubisi
- Iqela elipheleleyo le-microbiological kuquka isibalo se-Aerobic, B. i-cereus , E. coli , i- Salmonella , i- Pseudomonas aeruginosa , i- coliforms , i- Staphylococcus aureus , imvubelo kunye nesibhobho igqityiweyo kwibhodlela ngalinye elincinciweyo.
Ngubani obanikela ngobisi? Abafazi bahlolwe ukuba baqiniseke ukuba:
- ephilileyo kwimpilo
- ungasebenzisi iziyobisi okanye iteksi
- bazimisele ukuhlolwa kwegazi ukuze baqinisekise impilo yabo
- ngokukhuselekileyo ube nobisi oluninzi ukunikela
Xa kunikelwe, kwenzekani na? Khangela imigangatho yokucwangciswa kwemithombo emibini yobisi abanikizi-mveliso e-US:
- Ukucubungula kwiprolacta (ubisi be-donor kunye nabaqulunqo)
- Ukucwangciswa ngeHMBANA (ubisi bezoncedisi kuphela)
Kutheni kubalulekile kwiintshaba?
Ingxoxo ejulile malunga neenzuzo zobisi lwabantu kwiintshaba kwiNICU ingaphaya kwelo nqaku, kodwa ezinye izinto ezibalulekileyo kufuneka ziqwalaselwe ziquka:
1. I-American Academy ye-Pediatrics incoma ubisi obunikelayo kwiintshaba kunye neentsana ezisezantsi zokubeletha kwiNICU xa ubisi lobamama abufumaneki.
2. Ukondla intsana yabantu ubisi:
- unciphisa iziganeko kunye nobuchopho be-bacterial meningitis, i-bacteria, isifo sohudo, ukusuleleka kwintsholongwane yokuphefumula, ukungena kwi-enterocolitis, i-otitis media, i-infection ye-urinary, kunye ne-sepsis kwiintsana zokuqala.
- Inganciphisa amazinga omntwana oswele ngokukhawuleza ukufa
- Unokunciphisa iziganeko zokuxhomekeka kwe-insulini (uhlobo 1) kunye nomntu ongeyena-insulin (kuxhomekeke kwi-2) isifo sikashukela, i-lymphoma, i-leukemia, isifo sikaHodgkin, ukugqithisa umzimba kunye nokukhuluphala, i-hypercholesterolemia, kunye ne-asthma.
- Unokubangela ukuba i-IQ enkulu kunezidlo zesitya esenziwe ngobisi
- Inganciphisa ubude beNICU
Ufuna ukunikela ubisi?
Ukuba ucinga ukunikela ngobisi obuninzi obuninzi, usenokukunceda ukugcina ubomi be-preemie. Yisipho esibalulekileyo sokuphila.
Ukutyelela i-Human Milk Bank Association yeNorth America page okanye iNzuzo ye-Milk-Bank.
Kwezinye iibutho zebhanki zebhanki zamazwe, nceda ubone iBhanki yamaBiko eMhlaba okanye i-United Kingdom Association ye-Milk Banking.
Iingxelo
Cristofalo, uElizabeth A., et al. Iilingo ezinokuthi zenziwe ngobisi olusisiseko ngokubhekiselele kwisidlo sesondlo se-preterm kwiintsana ezinengqondo kakhulu. " Umbhalo wezonyango 163.6 (2013): 1592-1595.
Eidelman, uArthur I., et al. "Ukusela nokusebenzisa ubisi lwabantu." Iingcali 129.3 (2012): e827-e841.
Sullivan S, Schanler RJ, Kim JH, et al. Ukutya okusetyeneni kubisi kuphela kuhambelana nezinga eliphantsi lokungena kwi-enterocolitis kunokutya kwesitye somntu kunye nemveliso ye-milk-based bovine. J Pediatr. 2010; 156 (4): 562-567, e1pmid: 20036378
UVohr BR, i-Poindexter BB, i-Dusick AM, kunye ne-., IsiZiko seSizwe soMntwana wezeMpilo kunye noPhuhliso loPhuhliso lwaBantu beSizwe. Iziphumo eziqhubekayo ezincedisayo zobisi lwebele olunyulwe kwiyunithi yokunakekelwa kwengqondo engapheliyo kwiziphumo zezintwana ezincinci zokuzalwa eziphantsi kakhulu kwiinyanga ezingama-30 ubudala. Pediatrics. 2007; 120 (4). Ifumaneka kwi: www.pediatrics.org/cgi/content/full/120/4/e953 pmid: 17908750
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3508468/
Perrine, Cria G., kunye noKelley S. Scanlon. "Ukuxhaphaka kokusetyenziswa kwebisi lomntu e-US kwimeko yokunakekelwa kweeyunithi zonyango." Iingcali 131.6 (2013): 1066-1071.