Phakathi kobunzima okuhlangabezwana nabo ngesikhathi sokuncelisa, ubuhlungu bengono umugqa wokuqala. Noma kunjalo, ukuncelisa ingane yakho ibele akufanele kube buhlungu. Ubuhlungu ngokuvamile buwuphawu lokuthi indawo yengane kanye/noma ukuncela ayilungile. Kubalulekile ukuwalungisa ngokushesha ukuze ugweme ukungena embuthanweni ononya ongaphazamisa ukuqhubeka nokuncelisa. 

Omama abaningi baba nobuhlungu obuncane lapho bencelisa. Okuvame ukuhileleka, isimo esibi sokuncelisa ibele kanye / noma ukumunca okubi kwengane, okubili ngokusobala kuvame ukuhlotshaniswa. Uma ingane ingami kahle, ixhunywe ibele, inganceli kahle, yelula futhi iyicindezele ingono ngendlela engavamile, okwenza ukuncelisa kungabi lula futhi kube buhlungu.  

Uma bungelashwa, lobu buhlungu bungaqhubekela phambili bube yimifantu. Lesi silonda sesikhumba sengono sisukela ekugugulekeni okulula, okunemigqa emincane ebomvu noma imifantu emincane, kuya emanxebeni angempela angopha. Njengoba la manxeba amancane ewumnyango ovulekile wamagciwane, umfantu ungaba indawo yokutheleleka noma i-candidiasis uma ingelashwa kahle.

Njengoba ukuncelisa kubuhlungu, kungakhathaliseki ukuthi kunemifantu noma cha, kubalulekile ukulungisa isimo sokuncelisa kanye nokubamba umlomo wengane. Ngaphezu kwakho konke, ungavumeli lezi zinhlungu zingene, zingase ziphazamise ukuqhubeka kokuncelisa.  

Izikhundla zokumunca ngempumelelo

Njengesikhumbuzi, ukumunca okusebenzayo: 

• ikhanda lengane kufanele ligobeke kancane emuva;
• isilevu sakhe sithinta isifuba;
• ingane kufanele ivule umlomo wayo ukuze ithathe ingxenye enkulu ye-areola yebele, hhayi ingono kuphela. Emlonyeni wakhe, i-areola kufanele ishintshelwe kancane enkalweni;
• ngesikhathi sokuncelisa, ikhala lakhe livuleke kancane futhi izindebe zakhe zigobele ngaphandle. 

Izikhundla ezahlukahlukene zokuncelisa ibele

Ukuze uthole lokhu kuncela okuhle, akukhona nje indawo eyodwa yokuncelisa kodwa eziningana, ezidume kakhulu kuzo yilezi:

• okwenziwa,
• uMadonna oguquliwe,
• ibhola lombhoxo,
• indawo yokulala.

Kukumama ukukhetha evumelana naye. Into eyinhloko ukuthi isikhundla sivumela umntwana ukuba athathe ingxenye enkulu yengono emlonyeni, kuyilapho ekhululekile kumama. Izesekeli ezithile, njengomcamelo wabahlengikazi, kufanele zikusize ukuthi ulungele ukuncelisa. Qaphela, nokho: ngezinye izikhathi bakwenza kube nzima kakhulu kunalokho abakwenza kube lula. Usetshenziswa endaweni ka-Madonna (indawo evamile kakhulu) ukusekela umzimba wengane, umcamelo wokuncelisa uvame ukususa umlomo wakhe kude nebele. Ube esezifaka engozini yokwelula ingono.  

Le "ukunakekelwa kwebhayoloji"

Eminyakeni yamuva, ukunakekelwa kwebhayoloji, indlela engokwemvelo yokuncelisa. Ngokomklami wayo uSuzanne Colson, ongumeluleki waseMelika mayelana nokuncelisa, ukukhuliswa kwebhayoloji kuhlose ukukhuthaza ukuziphatha okuzalwa kukamama nengane. Ekukhuliseni izinto eziphilayo, umama unikeza ingane yakhe ibele imile kunokuhlala, ingane yakhe ibheke esiswini. Ngokwemvelo, uzoqondisa ingane yakhe, yona, ezokwazi ukusebenzisa ingqondo yakhe yokuzalwa ukuze ithole ibele likanina futhi ancelise ngokuphumelelayo. 

Akulula ngaso sonke isikhathi ukuthola indawo efanele, ngakho ungangabazi ukuthola usizo. Uchwepheshe wokuncelisa ibele (umbelethisi one-IUD yokuncelisa, umeluleki wokuncelisa we-IBCLC) uzokwazi ukuqondisa umama ngezeluleko eziphusile futhi amqinisekise ngekhono lakhe lokondla ingane yakhe. 

Ngesikhathi esifanayo, kubalulekile ukwenza lula ukuphulukiswa komgodi, ngokuphulukiswa endaweni enomswakama. Kungahlolwa izindlela ezehlukene:

• ubisi lwebele okufanele lufakwe engonweni amathonsi ambalwa ngemva kokuncelisa, noma ngendlela yebhandishi (cwilisa i-compress oyinyumba ngobisi lwebele futhi uyigcine isendaweni yengono phakathi kokuncelisa ngakunye).
• i-lanolin, okufanele ifakwe engonweni phakathi kokuphakelwa, ngenani elincane elishiswe ngaphambili phakathi kweminwe. Iphephile kumntwana, akudingekile ukuyisusa ngaphambi kokuyincelisa. Yikhethe ihlanzwe futhi i-100% lanolin.
• amafutha kakhukhunathi (i-extra virgin, i-organic kanye nephunga elimnandi) ozogcotshwa engonweni ngemva kokuncelisa.
• i-hydrogel compresses eyakhiwe ngamanzi, i-glycerol nama-polymers ikhulula ubuhlungu futhi isheshise ukuphulukiswa kwemifantu. Afakwa engonweni, phakathi kokuncelisa ngakunye.

Uma ngemuva kokulungisa isikhundla, ukuphakelwa kuhlala kubuhlungu, kuyadingeka ukubona ukuthi ingane ayivezi yini inkinga emvimbela ukuthi angamunyi kahle.  

Izimo ezingase zithiye ukuncela kwengane kahle

Izimo ezihlukene zingavimbela ukuncela kwengane:

I-frenulum yolimi emfushane kakhulu noma eqinile:

Ulimi lwe-frenulum, olubizwa nangokuthi i-lingual frenulum noma i-frenulum, lubhekisela kulesi sakhiwo esincane semisipha kanye nolwelwesi oluxhumanisa ulimi phansi nomlomo. Kwezinye izingane, lolu limi lwe-frenulum lufushane kakhulu: sikhuluma nge-ankyloglossia. Kuyinto encane engavamile ye-anatomical, ngaphandle kokuncelisa ibele. I-frenum yolimi emfushane kakhulu ingakhawulela ukuhamba kolimi. Umntwana uyobe esenenkinga yokuxhugela ibele emlonyeni, futhi uyoba nokuthambekela kokuhlafuna, ukumpintsha ingono ngezinsini zakhe. I-frenotomy, ukungenelela okuncane okuhlanganisa ukusika yonke noma ingxenye ye-frenulum yolimi, kungase kudingeke. 

Okunye okungavamile kwe-anatomical yengane:

Ulwanga olungenalutho (noma idome) noma i-retrognathia (isilevu esibuyiselwe emuva emlonyeni).

Isizathu somshini esimvimbela ekuphenduleni ikhanda ngendlela efanele:

I-Congenital torticollis, ukusetshenziswa kwe-forceps ngesikhathi sokubeletha, njll. 

Zonke lezi zimo akulula ngaso sonke isikhathi ukuzibona, ngakho unganqikazi, futhi, ukuthola usizo kuchwepheshe wokuncelisa ozobona ukuqhubeka kokuncelisa, uzonikeza iseluleko mayelana nesimo sokuncelisa. ijwayelane nemininingwane yengane, futhi uma kunesidingo, izobhekisa kuchwepheshe (ENT udokotela, i-physiotherapist, i-manual therapist…). 

I-Candidiasis:

Kuyisifo semvubelo yengono, esibangelwa ukhunta candida albicans, obonakaliswa ubuhlungu obuphuma engonweni ukuya ebeleni. Umlomo wengane nawo ungafinyelelwa. Lena i-thrush, evame ukubonakala njengamachashaza amhlophe emlonyeni wengane. Ukwelashwa kwe-antifungal kuyadingeka ukwelapha i-candidiasis. 

I-vasospasm:

Okuhlukile kwe-Raynaud's syndrome, i-vasospasm ibangelwa ukufinyela okungavamile kwemithambo emincane engonweni. Kubonakaliswa ubuhlungu, ukuvutha noma uhlobo lokuba ndikindiki, ngesikhathi sokudla kodwa nangaphandle. Kwandiswa ngamakhaza. Izenzo ezihlukahlukene zingathathwa ukuze kukhawulwe lesi simo: gwema ukuchayeka emakhazeni, ubeke umthombo wokushisa (ibhodlela lamanzi ashisayo) ebeleni ngemva kokuncelisa, gwema i-caffeine (umphumela we-vasodilator) ikakhulukazi.