Ko mukaka wemupiro wakachengeteka kune vavengi?
Apo preemie yako iri muNICU, zvinonyanya kunge iwe uchakumbirwa kufunga nezvekushandisa mukaka wemupiro wevabereki, mune imwe nzira kana imwe. Kunyangwe kuri kupa mukaka nokuti haugoni kubereka mukaka wakakwana kumwana wako, kana kuti kugovera kuwedzerwa kunokosha kunowedzera makoriro uye mishonga mumukaka wako wepamuviri, chokwadi ndechokuti mukaka wemiti wevanhu unowedzera nzvimbo yakawanda.
Apo vabereki vatsva vanopa ruzivo urwu, vangangodaro vakavhiringidzika pamusoro pazvo.
Saka regai titarise zvinobatanidzwa.
Ndeapi marudzi emhando yemukaka anowanikwa kune vavengi muNICU?
Pane zvinhu zviviri zvinoshandiswa zvekupa mukaka wemukaka wemunhu muNICU: kugadzirira-ku-kudya mazamu omukaka, uye mukaka wekugadzirisa mukaka.
1. Ipai Miri Milk. Apo amai vakaberekerwa vana vasingakwanisi kana vasingadi kuputira mukaka, Donor Milk inogona kushandiswa. MuNICU, ichi chichava mukaka usina kupererwa kubva kubhangi rakabvumidzwa, uye inoshandiswa chaizvo sezvinoitwa mukaka wamai chaiwo.
2. Mushonga Wevanhu Wemaoko (HMF) mumwewo unokosha wekudya kunovaka vavengi. Izvi zvinowedzerwa mukaka wemvere - kana mukaka wamai chaiwo kana mukaka wakavhenganisa - kuti uwedzere marori anokosha uye michina kune kudya kwevana. Panzvimbo pokugadzirwa kubva mumukaka wemhou (cow), sezvo wakanga uri muyero wemakore, zvino unogona kugadzirwa kubva pakunikirwa mukaka wemunhu.
Iyi inosarudzo itsva inonakidza nokuti vavengi vanorega kudya mishonga yemukaka wemunhu zviri nani kupfuura ivo vanorega kudya zvekudya zvakakosha.
Kunyange zvazvo huzhinji hweHMF huri hwehuta hunoshandiswa, pane imwe kambani ino inobudisa vanhu-mukaka huchibva HMF - Prolacta Bioscience, yakabva muCalifornia.
Is Donor Milk neFortifier yakachengeteka here?
Uyu ndiwo mubvunzo mukuru preemie vabereki, uye ndeye wakachenjera kubvunza.
Mhinduro shoma ndeyekuti, yakachengeteka. Asi ngatitarisei pedyo. Tingaziva sei kuti yakachengeteka?
Zvinenge zvose zvese zveNICU zvinoda kuti chero mukaka wemupi wekushandisa unoshandiswa unobva kune mukaka wakavhenganiswa wemukaka. Mabhangi emakaka akavhenekera achatevera mazano akaoma akaiswa neThe Human Milk Bank Association yeNorth America. Vapei vakanyatsorongedzwa, nehurukuro yekukurukurirana kwefoni uye kuongororwa kwemibvunzo yakaoma zvakanyanya kudarika zvinodikanwa kupiwa ropa. Zvadaro, kupa mukaka hakuna kuputika uye kuongororwa chero kukura kwebhakitiriya, uye chero kukura kunounza mukaka uchirambwa.
Iwe unogona kuverenga zvose zvakachengetedzwa zvekuchengetedza izvo Prolacta inogovera pamusoro pekuti mukaka hwakachengetedzwa zvakachengeteka sei pawebsite yavo, asi zvimwe zvinowanikwa ndezvekuti:
- Vopa vanopedzisa zvakakwana mishonga yezvokurapa
- Vanopa mvumo vanofanira kuva nemvumo yakanyorwa yechiremba wavo uye chiremba wechecheche
- Kuyera ropa uye DNA swabs inoitwa kuvharavha yeHIV, Hepatitis B & C, syphilis. (DNA swab yakaitwa kuitira kuti mabhodhoro ose emukaka aongororwa kuti ave nechokwadi chokuti inobva kuna amai uye hakuna mumwe munhu)
- Mupi wega wega anoongororwazve mushure memwedzi mina kana achida kuramba achipa.
- Makaka anopiwa anowanikwa kune zvinodhaka uye zvinodhaka zvinowanikwa mumukaka
- Yakazara microbiological panel inosanganisira Aerobic count, B. cereus , E. coli , Salmonella , Pseudomonas aeruginosa , coliforms , Staphylococcus aureus , mbiriso, uye mold zvinopedzwa pamabhodhoro ega ega.
Ndiani anopa mukaka? Vakadzi vanoongororwa kuti vave nechokwadi chokuti:
- vane utano hwakanaka
- usashandisa zvinodhaka kana fodya
- vari kuda kuongororwa ropa kuti vasimbise hutano hwavo
- kuchengeteka uine mukaka wakawandisa kuti upiwe
Kana ichipiwa, chii chinoitika nayo? Tarisa maitiro ekugadzirisa maitiro ezvinyorwa zviviri zvinokonzera mukaka mu US:
- Kuchengetedzwa paPlacta (mukaka wavanopa uye masimba)
- Inoshandiswa kuburikidza neHMBANA (mukaka wavanopa chete)
Sei zvakakosha kune vavengi?
Kukurukurirana kwakadzama pamusoro pemigumisiro yemukaka wemunhu nekuda kwevadzivisi muNICU hakupfuuri nenyaya yenyaya ino, asi zvimwe zvikonzero zvinokosha zvokufungisisa zvinosanganisira:
1. IAmerican Academy yePediatrics inokurudzira mukaka wavanopa vavengi uye vana vashoma-kuberekwa-mucheche muNICU apo mukaka waamai hahupo.
2. Kudyisa vana mukaka wemunhu:
- inoderedza kuitika uye kuoma kwebhakitiriya meningitis, bacteremia, chirwere, kuputika kwepachiviriko, utachiona hunokanganisa, otitis media, urinary tract infection, uye sepsis muvana vanotangira.
- Inogona kuderedza mutengo wekuzvarwa kamwe kamwe kamuviri kanonzi syndrome
- Zvingaita kuti kuderedzwa kwechiitiko che insulini-inotarisirwa (rudzi rwekutanga) uye isiri-insulini-inotarisira (rudzi rwechipiri) chirwere cheshuga mellitus, lymphoma, leukemia, chirwere chaHodgkin, kunyanya kuwandisa uye kuneta, hypercholesterolemia, uye asthma.
- Zvingaguma neIQ yakakura kudarika mhuka yemukaka wakabatwa
- Inogona kuderedza urefu hweNICU kugara
Unoda kupa mukaka here?
Kana uri kufunga kugovera mukaka wako wechipfuva, unogona kunge uri kubatsira kuchengetedza hupenyu hwe preemie. Ichi chipo chinoshamisa chehupenyu.
Enda kune peji risina purogiramu reMadamu Milk Bank Association reNorth America Mipiro kana yepro-profit Prolacta Biosciences Tsvaga-a-Milk-Bank peji.
Kune dzimwe nyika mazamu emabhangi emabhangi, tapota ona International Milk Banking kana United Kingdom Association yeMilk Banking.
References
Cristofalo, Elizabeth A., uye al. "Randomized muedzo wemukaka wakakwana wemunhu pamwe nekutanga kwekudya kudya kwevana vaduku vasati vasvika." Journal of pediatrics 163.6 (2013): 1592-1595.
Eidelman, Arthur I., et al. "Kuyamwisa nekushandisa mukaka wemunhu." Pediatrics 129.3 (2012): e827-e841.
Sullivan S, Schanler RJ, Kim JH, et al. Chikafu chega chega chekuita mukaka chinosanganiswa nehuwandu hwezasi hwekushaya nekrotizing enterocolitis kupfuura kudya kwekaka romunhu uye mukaka wemukaka-based products. J Pediatr. 2010; 156 (4): 562-567, e1pmid: 20036378
Vohr BR, Poindexter BB, Dusick AM, et al., National Institute of Child Health and Human Development National Research Network. Kuramba uchibudirira zvinobudirira zvemukaka wemukaka wakadyiwa muineonatal yakasimba yekuchengetedza hutano pamigumisiro yezvishoma zvakanyanya kuberekwa kwevana vaduku pamwedzi makumi matatu nemakore. Pediatrics. 2007; 120 (4). Inowanika pa: www.pediatrics.org/cgi/content/full/120/4/e953 pmid: 17908750
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3508468/
Perrine, Cria G., naKelley S. Scanlon. "Kuwanda kwekushandiswa kwemukaka wemunhu muUnited States kutarisira neonatal unit." Pediatrics 131.6 (2013): 1066-1071.