Ko Preemie Yako Inoda Nyaya Inokosha Yehuchi?
Iko kune mazita akawanda emucheche pamashefu ezvitoro uye inogona kusiya vana vatsva kuvhiringidzika pamusoro pezvakanakisisa zvevana vasati vasvika. Kusarudza chimiro chaicho ndicho chisarudzo chinofanira kuitwa neononatologist yako kana vanachiremba vevana. Zvisinei, kudzidza pamusoro pemhando dzakasiyana-siyana zviripo kunogona kukubatsira kuti uwane hurukuro yakananga nachiremba.
Regular Formula
Nzira dzakawanda dzevecheche dzakagadzirwa nemukaka wemhou uye dzakagadzirirwa vana vacheche. Kunyange zvazvo sayenzi isingakwanisi kugadzira zvokudya zvevana nezvose zvinovaka muviri uye zvekudzivirira mafungiro emukaka wemucheche, mukomana wemucheche ndiyo nzira yakachengeteka. Mazuva ano mashandisirwo anoitwa eine iron uye mafuta acids kukurudzira uropi hunobudirira, pamwechete nemichero yose inokura vana vanoda.
Mienzaniso yenguva dzose yevana mazita inosanganisira Similac Advance, Enfamil LIPIL, uye Nestle Good Start.
Preemie Formulas
Vana vasati vatanga uye vashoma kuberekwa vana vanowanzodikanwa mazano chaiwo kuti vawane kukura kwavo. Maererano neAmerican Academy of Pediatrics (AAP), chiremba wako achada kuve nechokwadi kuti mwana ari kuwana huwandu hwemakori uye kuti zvose zvinodiwa zvake zvekudya zvinosangana. Pakutanga, izvi zvinogona kureva kudyidzana kwezvokudya uye, sezvo achikura akasimba, famba kuwedzera mazano muNICU uye mushure mokunge vasvika kumba.
Kana iwe uchida kuyamwisa asi mwana wako haagoni kuzviita zvakananga pakarepo, zvakanaka kuti urambe uchitaura. Chiremba wako anogona kukurudzira kuti apiwe mukaka wako wezamu nokuti, maererano neAAP, inopa mishonga yakanakisisa yevana vasina simba. Zvinogona zvakare kuti kuwedzera, kwakadai semukaka wemucheka wenyama (HMF), kuchakurudzirwa pamakaka ako pachavo.
Iwe unogonawo kuisa mukaka wako wemuzamu uye woichengetera kwekupedzisira nekuenderera mberi kupomha kuchaita kuti huni hwekuwanika kwako hurege kupindurudzwa.
Pre-Discharge Formulas
Apo vatongi vanotanga kutora mukaka wekudya, vanachiremba vanotanga nechinguva chiduku chemuti paikoriori yehuwandu inoshandisa mukaka wemukaka. Sezvo vana vachiwana zvakanyanya kudyidzana, vanachiremba vangatanga kushandisa mukaka wakakura-koriori kuti vabatsire vana kukura nokukurumidza.
MuNICU, vanachiremba vanoshandisa mishonga yakagadzirirwa vavengi vanozvarwa, zvakadai seSimilac Special Care uye Enfamil Premature LIPIL. Aya majekiseni ane mapuroteni akawanda kupfuura mamwe uye anogona kusanganiswa pamwechete kuti ape huwandu hwe-calorie kugadzirira.
Preemie Discharge Formulas
Vasati vasvika kana kuti vashoma-kuberekwa-kurema vana vanobudiswa kubva kuchipatara, vanowanzoshandurwa kuva preemie discharge formula. Izvi zvinosanganisira michina yakadai seSimilac Neosure, Enfamil Enfacare, uye Cow & Gate Nutriprem 2. Vane makirori akakura uye akawanda mapuroteni, mavitamini, uye minerals kupfuura nguva dzose dzevana vaduku, kuitira kuti kukura-kukura kwakatanga muchipatara kunogona kupfuurira mberi kwekubuda.
Mushonga Wekudzivirira Misi
Kusati kwavacheche vacheche avo vanoyamwisa kana kunogamuchirwa mukaka wechipfuva zvinogona kuwedzera mamwe makoriki kupfuura mukaka wemucheche unopa.
Mune zviitiko apo vanachiremba vanonzwa sokuda kusimbisa mukaka wemuzamu ndicho chisarudzo chakanakisisa chekusimudza kukura, mukaka womukaka womukaka (HMF) unoshandiswa.
HMFs zvipfepa kana zvinwiwa zvinowedzerwa kumukaka wemvere kuti kuwedzere huwandu hweprotheni nemakori mumukaka. Inoshandiswa nevana vasati vasvika uye vaduku kuti vabatsire kuwedzera kukurumidza uye kubata kune vezera ravo.
Kazhinji kacho, maitiro acho anoshandisa mukaka wemhou, kunyange soy, hypoallergenic, uye ma-lactose-asina mahwendefa anogonawo kushandiswa kusimbisa mukaka wemvere. Mamwe makambani anopawo zvigadziri zvinokonzerwa nemukaka waamai.
Kana uri kuputira mukaka wevana vako vasati vasvika , chiremba wenyu anogona kupa HMF kuwedzerwa kumukaka wemwana wako.
Kunyange zvazvo amai vemwana vasati vasvika vane mukaka wamazamu unowanzokwirira mumakoriyori kupfuura vanaamai vemakore ekupedzisira, zvichiri kukosha kuwedzera mamwe mapuroteni kumukaka wako.
Kubudirira kwechiri kuve kuchigadzirwa mune izvi. Semuenzaniso, kumwe kuenzanisa kwakaenzanisa migumisiro yeHMF yakatsva yeupfu yakanga ine 16 muzana mapuroteni akawanda uye mamwe micronutrients kupfuura imwe HMF. Chigumisiro chacho ndechokuti mukoroti wemaprotheni- uye mafuta-akavakirirwa mukaka wehadziro wakagadzirisa kuwedzera kuwanda mucheche asati azvarwa.
Zvinyorwa zveDambudziko reMagestive
Vana vasati vasvika vane zvinetso zvekudya zvinogona kubatsirwa nokuchinja maitiro avo ezvimwe zvemajeri. Maitiro ekurwadziwa kwemimba yakagadzirirwa vana venguva yakareba uye inogona kunge isina huwandu hwemazana evanhu vanotora. Nokuda kwechikonzero ichi, zvakakosha kuti iwe usashanduki kune chimwe chezvibereko izvi usingatauri nevana vako vekutanga.
- Soy Formulas: Muproteti wemukaka wemhou unogona kuva wakaoma kune vamwe vana vachichera. Vacheche vane mazamu emukaka vanogona kunge vane chirwere (dzimwe nguva neropa) kana kuti ganda kana matambudziko ekuputika. Soy mapuroteni haana mukaka wemhou, iwo ari e-soy-based, uye anogona kubatsira kuderedza zviratidzo zvekuderedza kusawirirana. Aya mazita anosanganisira Similac Isomil, Enfamil ProSobee, uye Nestle Good Start Soy.
- Hypoallergenic Formulas: Vamwe vana vanokonzera mapuroteni emombe ose emombe uye soy protini. Hypoallergenic formula ine mapuroteni akafananidzwa kare, saka vana vanoraramika kumapuroteni omukaka vanowanzokwanisa kutsungirira hypoallergenic blends. Izvozvi zvigadzirwawo zve-lactose-uye zvinosanganisira Similac Alimentum uye Enfamil Nutramigen .
- Lactose-Free Formulas: Pane imwe nguva, mwana angasava neakakwana ye lactase, iyo enzyme inoshandiswa kugadzira mukaka wekushusha lactose. Nemhaka yokuti vana ava havachengeki mashizha emukaka zvakanaka, vangave vachishushikana kana kuchema zvakanyanya. Zvinyorwa zvisingabatsiri zvakadai seSimilac Sensitive kana Enfamil A + Lactose Free inogona kubatsira vana ava kuchema zvishoma uye vanonzwa vakasununguka.
- Amino Acid-Based Formmulas: Vana vane zvinetso zvakakomba mumimba vangasakwanise kuputsa kunyange mapuroteni anonzi predigested anowanikwa mu hypoallergenic mazano. Nezvicheche izvi, chirongwa chinosina mahwanda amino acids (chivako chezvidzivirira zvepuroteni) chingava choga chisarudzo. Amino acid mafomu akakodzera vana vane zvirwere zvakanyanya zvinotyisa kana zvinopisa upenyu, avo vakavhiyiwa mumatumbo avo, kana kuti vane zvimwe zvinetso zvakakomba zvepamuviri. Zvimwe zvinhu, zvakadai seEleCare, Enfamil Nutramigen AA, uye Neocate, zvine ma-lactose uye zvinogona kuva nemafuta chaiwo evana vane ruzivo rwekunwa mafuta kubva pamafomu anowanzo.
Shoko Rinobva Kunyanya
Vana vasati vasvika vanogona kuita kuti vabereki vazvidye mwoyo, kunyanya kana zvichiuya pakudya nokuti zvinokosha pakukura kwavo. Zvakakosha kuti iwe utaure nachiremba wako pamusoro pezvinetso zvako zvaunenge uine, achakwanisa kukutungamirira kune zvakanakisisa zvigadziro uye zvigadziro zvinodiwa nemwana wako.
> Sources:
> American Academy of Pediatrics. Kuchengetedza Mwana Akangoberekwa: Zvinotarisirwa Nevabereki Kuziva. HealthyChildren.org. 2015.
> American Academy of Pediatrics. Kupa Breastmilk yeChembere uye Vechipiri Vechirwere. HealthyChildren.org. 2015.
> Rigo J, et al. Kukura uye Nutritional Biomarkers ye Preterm Vana Vechifu Idzva Rinofuridzirwa Mishonga Yekudzivirira Nyuchi Yomunhu: Chirongwa Chisingaridzi. Zvinyorwa zveMwana Gastroenterology uye Nutrition. 2017; 65 (5): e83-e93. doi: http://dx.doi.org/10.1097/MPG.0000000000001686.