Kodi Muyenera Kulemba Ntchito Lactation Consultant?

Zamkati

• Kodi mlangizi wa lactation amachita chiyani?
• Kodi izi zasintha bwanji pa COVID-19?
• Kodi muyenera kuyang'ana chiyani kwa mlangizi wa lactation?
• Kodi chithandizo choyamwitsa chimaperekedwa ndi inshuwaransi?
• Ngati muyenera kulipira, kodi kuchezako kumawononga ndalama zingati?
• Kodi muyenera kuganizira liti kulemba ntchito mlangizi wa lactation?
• Onaninso za

Patangopita nthawi yochepa nditabereka mwana wanga wamkazi, Lamlungu, zaka ziwiri zapitazo, ndimakumbukira bwino namwino wanga wa OB akundiyang'ana, akuti, "Chabwino, mwakonzeka kuyamwitsa?"

Sindinali - ndipo sindimadziwa zomwe ndimachita koma, ndinadabwa kuti mwanayo adatsika ndipo tinali kupita.

Ubwino wathanzi loyamwitsa - womwe World Health Organisation (WHO) umati amayi atsopano amachita kwa miyezi isanu ndi umodzi yokha - zalembedwa bwino: Mkaka wa m'mawere ungathandize kuteteza ana kuti asadwale ndikuchepetsa chiopsezo cha matenda monga mphumu, kunenepa kwambiri, komanso mwadzidzidzi khanda imfa syndrome (SIDS), malinga ndi kafukufuku. Mchitidwewu umakuthandizani kuti muchiritse pambuyo pobereka (m'masiku oyambilira, chiberekero chanu chimakakamira mwana wanu akamakula, kumathandizira kuti abwererenso kukula komwe anali asanabadwe), komanso kumachepetsa chiopsezo cha matenda monga matenda a shuga a 2 ndi zina. mitundu ya khansa ya amayi m'tsogolomu. Kuphatikiza apo, ndizosangalatsa zachilengedwe: palibe mabotolo apulasitiki, kupanga kapena zinyalala zonyamula, ndi zina.

Monga mayi, ndimakhala ndi mwayi: Ulendo wanga woyamwitsa unatenga pafupifupi chaka ndipo unali ndi zigoli zochepa. Koma monga woyambitsa Dear Sunday, nsanja yapaintaneti ya amayi atsopano ndi oyembekezera, nthawi zonse ndimakhala ndi amayi kundiuza momwe amadzidzimuka ndi zomwe zawachitikira.

Kupatula apo, chifukwa kuyamwitsa mwachilengedwe sizitanthauza kuti nthawi zonse zimangobwera mwachilengedwe. Kuphatikiza apo, ndiwotenga nthawi (mumadziwa kuti ana akhanda amatha kudya kangapo kawiri patsiku?!) Ndipo - ngati nkhani zibuka - zopanikiza. (Kafukufuku wopangidwa ndi a UC Davis Children's Hospital adapeza kuti 92% ya amayi omwe adabereka kumene anali ndi vuto limodzi loyamwitsa mkaka m'masiku atatu atabereka.) Ndimakhulupiriranso kwambiri kudyetsa mwana wanu m'njira yabwino kwambiri yomwe ingagwire ntchito kwa inu ndi banja lanu - ndipo chowonadi ndichakuti, siamayi onse omwe amatha kuyamwitsa. (Onani: Chivomerezo Chomvetsa Chisoni Chachikazi Chokhudza Kuyamwitsa Ndi Chowonadi)

Akatswiri amati kuganizira zoyamwitsa mkaka wa m'mawere monga luso - chinthu chomwe chiyenera kuphunziridwa ndi kuchitidwa.Ndipo mwamwayi, pali gulu lonse la akatswiri otchedwa lactation consultants omwe amathandiza amayi apakati ndi amayi atsopano kuchita zomwezo.

Ngati mwaganiza? Izi ndi zomwe muyenera kudziwa za alangizi a lactation, zomwe amachita, ndi momwe mungapangire ganyu pa nthawi yomwe muli ndi pakati kapena pambuyo pake.

Kodi mlangizi wa lactation amachita chiyani?

Mwachidule, alangizi oyamwitsa amagawana cholinga chimodzi: kuthandiza amayi omwe amasankha kuyamwitsa, akutero Emily Silver, M.S., N.P.-C., I.B.C.L.C., namwino wabanja, mlangizi woyamwitsa, komanso woyambitsa nawo Boston NAPS. "Alangizi a lactation amathandiza amayi kukhazikitsa latch yakuya kuti asamve kupweteka ndi kudyetsa; ndondomeko yodyetsera amayi omwe akuyamwitsa ndi kuwonjezera; kukula kwa amayi ndi kuwaphunzitsa kupopera; ndikuthandizira amayi kuthana ndi mavuto, zowawa, kapena matenda. "

Katswiri wokhudza mkaka wa m'mawere akuyenera kusiyanitsa pakati pa chakudya chofunikira ndi chosagwira ntchito, akuwonjezera Sharon Arnold-Haier, IBCLC, mlangizi wa zamkaka ku New York omwe adatchulidwa pamndandanda wa ntchito yokhudzana ndi thanzi la amayi. "Kufunsidwa kambiri pa mkaka wa m'mawere kumakhudzana ndikuwunika mawere, kuyesa mkamwa kwa ana, ndikuwona kuyamwitsa. Nkhani zina za mkaka wa m'mawere zidzakhala zosavuta ndipo zina zidzakhala zovuta, zomwe zimafunikira chisamaliro chopitilira."

Nthawi zambiri, katswiri woyamwitsa amatha kupereka zambiri kuposa kungoyamwitsa, akutero Silver. "Titha kupereka chithandizo chamalingaliro ndikuwunika ndikutchula za kupsinjika kwapambuyo pathupi," akutero. "Nthawi zambiri, maulendo athu amaphatikizapo malangizo okhudzana ndi kupulumuka kwa makolo komanso momwe tingagwirire ntchito limodzi monga gulu kuti tipeze zizoloŵezi zabwino pa zinthu monga kugona kwabwino. Tikufuna kudziwa odwala athu payekhapayekha kuti tiwathandize kupanga zisankho zabwino kwa iwo. ndi banja lawo lonse pankhani yodyetsa."

Ndipo ngakhale kuli kofunika kwambiri kuti mlangizi woyamwitsa azigwira ntchito mogwirizana ndi momwe amachitira, asing'anga ena ndi alangizi othandizira kuyamwitsa. ndipo namwino ogwira ntchito, M.D.s, kapena mitundu ina ya opereka chithandizo chamankhwala, zomwe zikutanthauza kuti akhoza kulemba zolemba ndi kuchiza milandu yovuta kwambiri, akutero Allyson Murphy, IBCLC., mlangizi wa lactation ku New Jersey.

Kodi izi zasintha bwanji pa COVID-19?

Pomwe maulendo ena akunyumba akadali ndi zida zoyenera zodzitetezera (PPE) komanso zowunikira m'malo mwake, pamakhalanso kufunikira kokulirapo komanso kufunikira koyendera ndi kuyimba foni ndi akatswiri oyamwitsa. "Tachulukitsa pafupifupi katatu kuchuluka kwathu komwe timayendera komanso chithandizo chamafoni panthawi ya mliriwu kuti tithandizire omwe atha kukhala ndi ziwopsezo za COVID, anthu omwe ali pachiwopsezo omwe sangakhale ndi wothandizira abwere, kapena omwe amakhala kwinakwake komwe alibe matani. za chithandizo cha mkaka wa m'mawere, "akutero Silver. (Zogwirizana: Amayi Gawani Zomwe Zimakhala Zobereka Pakati pa COVID-19)

Maulendo enieni - makamaka m'masiku ochepa omwe mwakhala kunyumba - atha kukhala othandiza kwambiri. "Makasitomala ambiri amawona kuti kuchezetsa komweko sikungakhale kopindulitsa, koma ndimawona kuti kuyendera kuli kothandiza kwambiri m'mabanja ambiri," akutero a Arnold-Haier.

Kodi muyenera kuyang'ana chiyani kwa mlangizi wa lactation?

Nthawi zambiri, pali mitundu iwiri yayikulu ya alangizi othandizira ma lactation - International Board Certified Lactation Consultants (IBCLCs) ndi Certified Lactation Consultants (CLCs). Ma IBCLC amayenera kumaliza maphunziro a mkaka wa m'ma 90 komanso luso lazachipatala logwira ntchito ndi mabanja. Ayeneranso kudziwika kuti ndi akatswiri azaumoyo (monga dokotala, namwino, wodyetsa zakudya, mzamba, ndi zina zotero) kapena kumaliza maphunziro a sayansi yaumoyo 14 asanakonzekere mayeso. Komano, ma CLC amamaliza maphunziro a maola 45 asanadutse mayeso koma safunikira kukhala ndi chidziwitso chachipatala chogwira ntchito ndi odwala asanalandire chiphaso.

Kusiyanitsa kwa ziphaso pambali, mukufuna kusankha munthu yemwe ali patsamba lomwelo ndi inu komanso mogwirizana ndi zikhulupiriro zanu, akutero Silver. Mwina izi zikutanthauza mlangizi wa lactation yemwe angaganize kunja kwa bokosilo. “Monga dokotala wa ana, uyu ndi munthu amene mumayandikana naye ndipo mukufuna kutembenukirako kuti akuthandizeni ndi kuthandizidwa mopanda chiweruzo,” akutero. "Pali njira zambiri zodyetsera mwana, kuphatikiza kuyamwitsa kokha, kuyamwitsa komanso kugwiritsa ntchito mabotolo, kupopera ndikugwiritsa ntchito mkaka wa m'mawere, kapena kuyamwitsa komanso kugwiritsa ntchito njira ina. Ndikufuna kudziwa njira yabwino kwambiri kwa inu." Ngati mukumva ngati kuyamwa sikugwira ntchito, IBCLC itha kukuthandizani kuthana ndi mavuto ndikupeza yankho labwino kwambiri pabanja lanu. (Zokhudzana: Shawn Johnson Amakhala Weniweni Zokhudza 'Amayi Olakwa' Atasankha Kusayamwitsa)

Mufunanso munthu yemwe angakuchitireni zabwino komanso akumvera chisoni, akutero Murphy. "Pamene wina amandifikira, nthawi zambiri amadzimva ngati ali m'mavuto: adalemba pa Google, atumizirana mameseji ndi anzawo onse, ndipo akuchita mantha, komanso kutopa komanso kutulutsa mahomoni."

Kodi chithandizo choyamwitsa chimaperekedwa ndi inshuwaransi?

FWIW, ntchito zoyamwitsa ndi ankawona chisamaliro choteteza monga gawo la Affordable Care Act (ACA), zomwe zikutanthauza kuti ayenera kuphimbidwa. " mwina kapena sizingachitike, "atero a Murphy.

Zomwe mungachite: Fufuzani ndi kampani yanu ya inshuwaransi musanawone mlangizi wa lactation kuti mumvetsetse zomwe zaphimbidwa. Langizo lina? "Mosakayikira mungachite bwino kubwezeredwa ngati mlangizi wanu wa zamkaka alinso ndi chilolezo chazaumoyo monga sing'anga, namwino, namwino wovomerezeka, wothandizira adotolo, kapena, kwa ine, katswiri wazakudya," akufotokoza Arnold-Haier.

Ngati muyenera kulipira, kodi kuchezako kumawononga ndalama zingati?

Ngati simungathe kulandira chithandizo cha alangizi anu kudzera mu inshuwaransi, mtengo wogwiritsira ntchito munthu umasiyana malinga ndi komwe mumakhala komanso zokumana nazo zomwe mlangizi amene mukumuganizira ali nazo. Koma akatswiri omwe adafunsidwa za chidutswachi akuti kuyerekezera koyamba kumawononga ndalama kuchokera $ 75 mpaka $ 450, ndikusankhidwa komwe kumakhala kofupikitsa komanso kotchipa.

"Ndikupangira kuti ndiyankhule ndi akatswiri azamayendedwe asanakonzekere ulendo kuti mudziwe momwe amayendetsera masewera awo komanso zomwe mungayembekezere kuti awalipire," akutero a Arnold-Haier. Zitha kukhala kuchokera paulendo umodzi wa ola limodzi mpaka awiri kupita ku dongosolo la chisamaliro cholembedwa, kapenanso kulankhulana kotsatira. Kuchuluka kwa nthawi yomwe mumakumana (pafupifupi kapena IRL) ndi mlangizi wanu kumadalira kwathunthu thandizo lomwe mungafune.

Kodi muyenera kuganizira liti kulemba ntchito mlangizi wa lactation?

Choyamba, tiyeni tiwone nthano yayikulu: simufunikira kokha mlangizi wa lactation pakavuta. "Nthawi zonse ndimanena kuti, musadikire mpaka chinachake chitalakwika kapena mutakhala pamalo oipa kuti muyang'ane ndi mlangizi wa lactation," akutero Silver. (Zokhudzana: Kodi Muyenera Kulemba Doula Kuti Akuthandizeni Pakati pa Pakati ndi Kubereka?)

"Ndine wokhulupirira kwambiri makalasi oyamwitsa asanabadwe. Ndimawaphunzitsa, ndimawakonda, ndimawawona akugwira ntchito, "akutero Murphy. "Kuyamwitsa ndi luso latsopano lomwe muyenera kuphunzira. Kuchita izi mukudziwa zomwe zili zabwinobwino komanso zomwe sizimakuthandizani kuti mukhale olimba mtima, kumakuthandizani kuti muone ziphuphu mumsewu musanachitike, ndikuwonetsani ubale ndi IBCLC musanapereke. "

Ndikoyeneranso kudziwa kuti, nthawi zambiri, kuchipatala kapena kumalo oberekera, inu ndidzatero kukhala ndi mwayi wolumikizana ndi mlangizi wa lactation. Tsoka ilo, COVID yapangitsa izi kukhala zochepa. Arnold-Haier, yemwe amagwira ntchito m'chipatala komanso mwachinsinsi, akuti mkati mwa mliriwu, makolo atsopano ndi makanda akutulutsidwa mwachangu kuposa masiku onse. "Zotsatira zake, ambiri sangathe kukumana ndi mlangizi wa lactation asanapite kunyumba ndipo kudyetsa ana kumawoneka mosiyana kuyambira tsiku loyamba mpaka tsiku lachisanu ndi mtsogolo, kutulutsidwa mwachangu kumasiya ambiri opanda chithandizo choyenera." (Pamutu wofananawo: Mlingo wa Imfa Yokhudzana Ndi Mimba Ku US Ndiwowopsa)

Mukangobwera mkaka wanu (kawirikawiri mutangotulutsidwa kale), pali mwayi woti mudzakhala ndi engorgement. Ndipo engorgement imatha kubweretsa vuto kukumba komanso kusintha momwe mumadziyikira chifukwa cha mkaka wanu ukubwera, akutero Silver. "Ndi nthawi ya mafunso ochuluka ndipo ndi njira yoti tiwunikire amayi pambuyo pobereka: Mukuyenda bwanji? Mukumva bwanji?"

Ngati inu muli ayi kuganizira kulemba ntchito mlangizi woyamwitsa musanayese kuyamwitsa? Onetsetsani kuti mwalankhula ndi munthu wina mukadzangobwera kumene. "Nkhani zosadandaula nthawi zina zimatha kukhala zazikulu monga zotsekeka za mkaka, mastitis, kuchepa kwa mwana, kapena nkhani za mkaka," akutero Murphy. "Magulu othandizira omwe amayendetsedwa ndi IBCLC kapena odzipereka ophunzitsidwa ngati La Leche League kapena Breastfeeding USA amathanso kukhala malo abwino kuyambirapo zodalirika, zogwiritsa ntchito umboni." Nthawi zina, mutha kupeza mayankho amafunso osavuta osasungitsa malo kuti muwone wina.

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