Ngoko usanda kuba nosana kwaye ufumana ukunyamezela ukuxilisa - ukuvuyisana! Mhlawumbi kukho ubusuku obuninzi bokulala, kwaye awukwazi ukucinga ukuba kuya kuba njani ukuba ubuya kuphinda ukhulelwe kwakhona. Ngenxa yokuba uncelisa, ungasifuni ukuthatha ulawulo lokuzalwa kwe-hormonal ngoku, njengoko ufuna ukuqiniseka ukuba akukho nto ifuthe kakubi ekunikezeni ubisi lwakho okanye umntwana wakho.
Uvile ulwazi oluphikisanayo malunga nokuzala kwakho ngelixa uncelisa, kodwa yintoni na inyaniso? Iyintoni inyaniso?
Ukulandela ukukhulelwa nokubeletha, umfazi ongekho umntu onokulahla angabuyela ekuhlaleni rhoqo emva kweeveki ezintathu emva kokuhamba. Kodwa abafazi abancincile abantwana babo bafumana i-delayed delays ngexesha lonke loongikazi. Abanye abasetyhini bafumanisa ukuba abanakho umjikelezo wokuya esikhathini ukuya kubudlelwane bebele, nokuba luhlala iminyaka. Ukuqaphela le ndlela kwiintlobo ezahlukeneyo zeenkcubeko, iiklasi zentlalo, kunye nezicwangciso emhlabeni wonke, abaphandi baqala ukuhlola indlela ukunyamezela ngayo kwathintela njani ukuzala. Oko bakufumanisa kukuba ukuncelisa ibele kuyalinda ukulibazisa i- ovulation , into eyaziwa njenge-Lactational Amenorrhea Method (LAM). Izifundo zibonisile ukuba zingaphezulu kwe-98% efanelekileyo njengokulawulwa kokuzalwa xa kulandelwa iimpawu ezintathu eziphambili. I-LAM iphumelele ngakumbi kunepilisi yokulawula iprogramin kuphela kunye neendlela ezahlukeneyo zokukhawulela.
3 Iimpawu zeLAM ukuba ziphumelele
- Ngaba umjikelezo wakho wokuya esikhathini uya kubuya? Ama-MENS akufanele abuyele emva kokubeletha kwe-LAM ukuze asebenze. Ukuhlamba kwiiveki zokuqala emva kokuzalwa, nokubonakala kwiintsuku ezingama-56 zokuqala, kuqhelekileyo kwaye akufanele kuthathelwe ingqalelo ukubuyela kumjikelezo wakho. Nangona kunjalo, ngaphaya kweeveki zokuqala eziyi-8, ukuba umfazi uphala ngeentsuku ezimbini okanye ngaphezulu, okanye unako ukuphuma kwamanzi acinga ukuba unokuba ngumjikelezo wakhe wokuya esikhathini, kufuneka aqikelele ukuba abuyele.
- Ngaba uncelisayo kuphela ekufuneni, imini nobusuku? Ukususela ekubeni utshintsho lwe-hormones kumzimba wesifazane luyakunceda ukukhusela i-menses ngelixa beluncelisayo, kubalulekile ukuba uncelise imfuno, ubusuku nemini, ukwenzela ukuba uthembele kwi-LAM njengendlela efanelekileyo yokukhulelwa. Nangona ikhefu lexesha lokutya okanye olunye utywala lugunyaziwe, akufanele liphinde lithathe ibele. Njengokuxhaswa, ukulala ebusuku kuya kunika umzimba womfazi ithuba elide ngaphandle kokuncelisa, okuza kubonisa ukuba umzimba awusayi kuphinda unqande i-ovulation.
- Ngaba umntwana wakho uneminyaka engaphezu kweenyanga ezintandathu? I-LAM inokuthenjwa xa umntwana wakho engaphantsi kweenyanga ezintandathu. Nangona kunjalo, malunga nomda wokuqala wonyaka wobomi, umntwana usuqala ukudla ukutya okunzulu, oku kunokunciphisa ukunyuka kwebele okanye ixesha elide, okwenyuka amathuba okwanda.
Xa ezi zintathu zikhona - umntwana oneminyaka engaphantsi kweenyanga ezintandathu ubudala, ngokunyanzeliswa ngokunyanzeliswa kwebele, kwaye akayi kubuya kwi-mens - ke i-LAM ingaphezu kwe-98% esebenzayo njengendlela yolawulo lokuzalwa. Kukhuselekile kumama nomntwana, njengoko kungekho mahomoni abandakanyekayo, kwaye kulula. Kodwa ukuba kukho nawuphi na umfazi oqala ukuziva engakhululekile ukuthembela ngale ndlela, enye indlela yokukhulelwa kufuneka isetyenziswe ukuba eso sibini sizama ukuphepha ukukhulelwa.
Nangona i-LAM ihambelana nokukhawulelwa kwiinyanga ezintandathu zokuqala zobomi bentsana, uphando luye lwabonisa ukuba ukuba umama uyaqhubeka engenawo umonakalo, isondlo sondliwa umntwana emva kokuncelisa (kunokuba ngaphambili), kwaye umama akayi Ukuhamba ixesha elide kuneeyure ezine emini - kunye neeyure ezintandathu ebusuku-phakathi kokuncelisa, ukuba bambalwa abafazi abakhulelwe.
Ukuncelisa isondlo kwandisa amathuba okuba xa umama enesiqhelo sokuya esikhathini, owokuqala akayi kulandelwa yi-ovulation. Ekubeni i- ovulation iyimfuneko yokuba ukhulelwe, ukuphuma kwegazi ngaphandle kokuvuthwa kunika umfazi "isilumkiso" sokuthi ukuzala kwakhe kubuyele, kwaye kufuneka acinge ngenye indlela yokukhulelwa ngaphandle kokuthembela kuphela ekunceliseni i-LAM.
Kodwa ixesha elide lomjikelezo wesisu liye lithatha ixesha elidlulileyo kwiinyanga ezintandathu zokuqala emva kokuzalwa, lukhulu amathuba okuba i-ovulation iza kwenzeka ngaphambi komjikelezo wokuqala. Ukuba ama-mens ayengabuyanga unyaka, umzekelo, kukho inkolelo enkulu yokuba ibhinqa elincancisayo liza kuhoxisa ngaphambi kokuphuma kwexesha lokuqala kokuya esikhathini kunokuba ukuphuma kwindoda kuhamba emva kweenyanga ezintandathu emva kokuhamba.
Xa isetyenziswe kwiinyanga ezintandathu zokuqala, ukuncelisa kunye ne-Lactational Amenorrhea Indlela ingaba yindlela efanelekileyo kakhulu yokulawula ukuzalwa okuvumela ixesha elithile emva kokuzalwa ukugqiba ukuba yeyiphi indlela yokukhulelwa kwayo.
> Imithombo:
UColy, uShirley. I-LAM - I-Lactational Amenorrhea. I-World Alliance for Breastfeeding Action http://www.waba.org.my/resources/lam/index.htm
Kennedy, KI (2002). Ukusebenza nokusebenza kwe-LAM. KuMK Davis, C. Isaacs, LA Hanson & AL Wright (Ed.), Intuthuko kwiyeza lokulinga kunye ne-biology; ukudibanisa iziphumo zabemi, iindlela ze-biological kunye nezindlela zophando ekuhloliseni ubisi lomntu kunye nokuhlamba (2002/05/25 ed., iphe.207-216). I-New York: I-Kluwer Academic / Plenum Publishers.
ULabbok, MH et al. Ukufundwa kwamanqaku emfundo ye-lactational amenorrhea (LAM): I. Ukusebenza, ixesha, kunye neziphumo zesicelo sekliniki. U kuqhawula 1997; 55 (6): 327-36.
ULebbok, MH (2007). Ukuncelisa, ukuzalelwa kunye nokucwangcisa intsapho. Ku-TW Hale & PF Hartmann (u-Eds.), Incwadi yeHale & Hartmann ye-lactation yabantu (iphe.305-318). Amarillo, TX: Ukushicilelwa kweHale.
UNichols-Johnson, uVictoria. Dyad Breastfeeding and Contraception. Izithintelo zokuxhatshazwa ngoNovemba 2001, uMqulu 21, iNombolo 2, iphe. 11-12.