Ukuncelisa ibele kuyisenzo esingokwemvelo, kodwa akulula ngaso sonke isikhathi ukusisebenzisa. Phakathi kwezinto ezikhathaza omama abancelisayo, ubuhlungu bungenye yezimbangela ezihamba phambili zokuyeka ukuncelisa ibele kusenesikhathi. Amanye amathiphu okuvimbela.

Lapho ingane incela ngokuyimpumelelo, ama-receptors amaningi atholakala e-areola yebele azokhuthazeka futhi ukukhiqizwa kwamahomoni e-lactation kukhuphuke kakhulu. Ingane encela kahle ibuye isiqinisekiso sokuncelisa ibele ngaphandle kwezinhlungu. Uma ingalithathi kahle ibele, ingane izifaka engozini yokwelula ingono ngokuyincelisa futhi iyenze ibe buthaka.  

Indlela yokudonsa ngempumelelo 

Ukuze kudonswe ngempumelelo, kufanele kuhlangatshezwane nemibandela embalwa:

• ikhanda lomntwana kufanele ligobe kancane emuva
• isilevu sakhe sithinta isifuba
• umntwana kufanele uvule umlomo wakhe ukuze athathe ingxenye enkulu ye-areola yebele, hhayi nje ingono. Emlonyeni wakhe, i-areola kufanele iguqulwe kancane ibheke olwangeni.
• ngesikhathi sokudla, ikhala lakhe kufanele livuleke kancane nezindebe zakhe zigobe ngaphandle.

Isikhundla somntwana ngesikhathi sokuncelisa kubaluleke kakhulu ukuhlonipha lezi zindlela ezahlukene. Asikho isikhundla esisodwa sokuncelisa, kodwa izikhundla ezihlukene lapho umama azokhetha khona esimfanela kakhulu, kuye ngokuthanda kwakhe nezimo.  

I-Madonna: isikhundla sakudala

Lesi yisikhundla sokuncelisa okujwayelekile, imvamisa leso esikhonjiswa komama ewadini labakhulelwe. Imanuwali :

• hlala kahle ufulathele kancane, usekelwe ngomcamelo. Izinyawo zibekwe kahle esitulweni esincane, ukuze amadolo aphakeme kunama-hips.
• beka ingane ilale ngohlangothi, isisu sibhekane nesikanina, kube sengathi uyisongile. Asekele izinqe ngesandla esisodwa bese eyeka ikhanda lakhe lihlale ekhwapheni, ekugwegweni kwendololwane. Umama akufanele athwale ingane yakhe (engozini yokucindezelwa nokumlimaza emhlane), kodwa umane ameseke.
• ikhanda lomntwana kufanele libe sezingeni lebele, ukuze likwazi ukulithatha kahle emlonyeni, ngaphandle kokuthi umama aguqe phansi noma ame.

Umcamelo wabahlengikazi, okufanele wenze ukuncelisa kube lula futhi ukhululekile, uthandwa kakhulu omama. Kodwa qaphela, ukusetshenziswa kabi, kungasebenza ukuncelisa ngaphezu kokusiza. Ukulalisa ingane phansi emcamelweni ngezinye izikhathi kudinga ukuba ikhishwe ebeleni, okungenza kube nzima ukumbamba futhi andise ingozi yobuhlungu bengono. Ukungasho ukuthi umcamelo ungashelela ngesikhathi sokudla. Isesekeli sokuncelisa okufanele sisetshenziswe ngokucophelela okukhulu ...

Isikhundla sokuqamba amanga: ukuphumula okuphezulu

Isikhundla sokuqamba amanga sikuvumela ukuthi uncelise ingane yakho ngenkathi uphumule. Lokhu kuvame ukuba yisikhundla esamukelwa komama abalala ndawonye (ngokufanele ngombhede ohlangothini, ukuthola ukuphepha okwengeziwe). Ngenxa yokuthi ayifaki ingcindezi esiswini, ukulala phansi kuyanconywa futhi ngemva kokuhlinzwa, ukunciphisa ubuhlungu. Ngokusebenza: 

• lala ngohlangothi ngomcamelo ngaphansi kwekhanda lakho nomunye ngemuva kwakho uma kudingeka. Goba futhi uphakamise umlenze wakhe ongenhla ukuze uzinze.
• lala ingane ngohlangothi, uyifake, esiswini uye esiswini. Ikhanda lakhe kufanele libe ngaphansi kancane kunebele, ukuze aliguqule kancane ukuze alithathe.

Ukondla ngokwebhayoloji: "ukuncelisa okungokwemvelo" ukuncelisa

Okungaphezu kwesikhundla sokuncelisa, ukukhuliswa ngokwemvelo kuyindlela engokwemvelo yokuncelisa. Ngokusho komklami wayo uSuzanne Colson, ongumxhumanisi waseMelika wezokuncelisa, ukukhuliswa ngokwemvelo kuhlose ukukhuthaza isimilo sokuzalwa kukamama nengane, ukuze kube nokuncelisa nokuthula.

Ngakho, ekukhuliseni izinto eziphilayo, umama unikeza ingane yakhe ibele ihlezi ihlezi esikhundleni sokuhlala phansi, okuyinto entofontofo kakhudlwana. Ngokwemvelo, izokwakha isidleke ngezingalo zayo ukuze iqondise ingane yayo, yona, ezokwazi ukusebenzisa zonke izingqondo zayo ukuze ithole ibele likanina futhi incele ngokuphumelelayo. 

Ngokwenzayo: 

• hlala ngokunethezeka, uhlezi ne-torso yakho itshekele emuva noma endaweni yokulala kancane, evulekile. Ikhanda, intamo, amahlombe nezingalo kufanele kusekelwe kahle ngemicamelo isibonelo.
• beka ingane ngokumelene nawe, ibheke phansi esifubeni sakho, izinyawo zakhe zincike kuwe noma phezu komcamelo.
• vumela ingane "ikhase" ngasebeleni, futhi uyiqondise uma kunesidingo ngokuthinta okubonakala kungokwemvelo.

Ukondla kufanele kwenzeke endaweni ethule, ukuze ingane nonina bakhululeke. Ukuze uncelise ibele ngempumelelo futhi okungenabuhlungu, nansi inqubo okufanele uyilandele:

Nikeza ingane yakho ibele ngezimpawu zokuqala zokuvuka

Ukunyakaza kwe-Reflex ngenkathi ukozela noma ukuvula umlomo, ukububula, umlomo oseshayo. Akudingekile (noma ngisho akunconywa) ukulinda aze akhale ukuze amnike isifuba

Nikeza ingane ibele lokuqala

Futhi lokho aze ayidedele.

Uma ingane ilele ebeleni noma iyeka ukuncela kusenesikhathi

Cindezela ibele ukuze ukhiphe ubisi oluncane. Lokhu kuzomgqugquzela ukuthi aphinde aqale ukuncela.

Anikele elinye ibele enganeni

Ngombandela wokuthi usafuna ukumunca. 

Ukukhipha ibele lomntwana uma engenzi yedwa

Qinisekisa ukuthi "uphula ukumunca" ngokufaka umunwe ekhoneni lomlomo wakhe, phakathi kwezinsini zakhe. Lokhu kuvimbela ukuthi ingampintsha futhi yelule ingono, okungagcina kudale iminkenke.

Wazi kanjani ukuthi ingane yakho incelisa kahle?

Umkhondo omncane wokuqinisekisa ukuthi umntwana uncela kahle: amathempeli akhe anyakaza, ugwinya ngokumunca ngakunye ekuqaleni kokuphakelwa, bese kuthi kabili kuya kwezintathu ukuncela ekugcineni. Athi ukuma kancane phakathi kokumunca, avule umlomo, aphuze ubisi.

Ehlangothini likamama, ibele liyathamba njengoba ukudla kuqhubeka, ukugedla okuncane kuvele futhi azizwe ekhululekile (umphumela we-oxytocin).  

Ukuncelisa ibele akudingekile ukuba ungakhululeki, ingasaphathwa eyobuhlungu. Ubuhlungu buwuphawu oluyisixwayiso sokuthi izimo zokuncelisa azilungile.  

Imbangela yokuqala yezinhlungu zokuncelisa ibele ukuqhekeka, ngokuvamile ngenxa yokungamunyi kahle. Uma ukuncelisa kubuhlungu, ngakho-ke okokuqala kudingekile ukuhlola indawo efanele yengane ebeleni kanye nokumunca kwayo. Ungangabazi ukubiza umbelethisi okhethekile ekunceliseni (IUD Lactation and Breastfeeding) noma umeluleki we-IBCLB lactation (I-International Board Certified Lactation Consultant) ukuze uthole iseluleko esihle futhi uthole indawo ekahle yokuncelisa.  

Indlela yokukhulula umfantu?

Ukuze kuthuthukiswe inqubo yokuphulukiswa komfantu, kunezindlela eziningana ezikhona:

Ubisi lwebele:

Ngenxa yezinto zayo ezilwa nokuvuvukala, izici zokukhula kwe-epidermal (EGF) kanye nezici ezilwa nokutheleleka (i-leukocyte, i-lysozyme, i-lactoferrin, njll.), ubisi lwebele lukhuthaza ukuphulukiswa. Umama angagcoba amaconsi ambalwa engonweni ngemva kokuncelisa noma ayisebenzise njengebhandishi. Ukuze wenze lokhu, mane nje ucindezele oyinyumba ngobisi lwebele bese uligcina engonweni (usebenzisa ifilimu yokudla) phakathi kokudla ngakunye. Shintsha njalo emahoreni ama-2.

I-Lanolin:

le nto yemvelo ekhishwe ezindlala ze-sebaceous zezimvu inezindawo eziqabulayo, ezipholile futhi ezithambisayo. Ifakwe engonweni ngesilinganiso se-hazelnut eshisiswe ngaphambili phakathi kweminwe, i-lanolin iphephile enganeni futhi ayidingi ukusulwa ngaphambi kokuncelisa. Yikhethe ihlanzwe futhi i-lanolin engu-100%. Qaphela ukuthi kunengozi ephansi kakhulu ye-allergen ekhona engxenyeni yotshwala yamahhala ye-lanolin.  

Ezinye izimbangela zomfantu

Uma, ngaphandle kokulungisa indawo yokuncelisa ibele kanye nalezi zindlela zokwelapha, imifantu iqhubeka noma iba yimbi kakhulu, kuyadingeka ukubona ezinye izimbangela, njenge:

• i-torticollis ezalwa nayo evimbela umntwana ekujikiseni ikhanda kahle,
• ulimi oluqinile kakhulu oluphazamisa ukuncela,
• izingono eziyisicaba noma ezihoxisiwe ezenza kube nzima ukubamba ingono

Esinye isizathu esiphindaphindwayo sobuhlungu bokubeletha yi-engorgement. Kuvamile ngesikhathi sokugeleza kobisi, kepha futhi kungenzeka ngemuva kwesikhathi. Indlela engcono kakhulu yokuphatha i-engorgement kodwa futhi ukukuvimbela ukuzijwayeza ukuncelisa ibele ngokufunwa, ngokuncelisa ibele njalo. Kuyadingeka futhi ukuhlola indawo efanele yengane ebeleni ukuze kuqinisekiswe ukuthi ukuncela kwayo kusebenza kahle. Uma ingamunyi kahle, ibele alikwazi ukuthululwa kahle, okwandisa ingozi yokuqunjelwa. 

Ukuqunjelwa kwebele: nini ukubonisana?

Izimo ezithile zidinga ukuthi uxhumane nodokotela noma umbelethisi wakho:

• isimo esifana nomkhuhlane: imfiva, ubuhlungu bomzimba, ukukhathala okukhulu;
• umfantu one-superfected;
• iqhubu eliqinile, elibomvu, elishisayo ebeleni.