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ʻIke ʻoe i ka mea i loko o kāu meaʻai? Ua ʻike ʻia ka waiū makuahine he meaʻai pēpē kū hoʻokahi a kūpono hoʻi. Akā, no ke aha kēia ʻano? Ke aʻo mau nei ka poʻe ʻepekema mai ka honua holoʻokoʻa i kāna haku ʻana no nā makahiki he nui, e hoʻāʻo ana e wāwahi i kēia hemolele o ke ʻano i nā kumu nui. Mahalo i ka ʻenehana kiʻekiʻe, ua aʻo hou mākou e pili ana i ka waiū umauma, akā ua uhi ʻia kekahi mau mea a me nā hana o kēia hana mana o ke ʻano i ka pohihihi.
Maikaʻi i hoʻololi ʻole ʻia
ʻOiai he nui nā haʻawina e pili ana i ka hoʻohui ʻana o ka waiū umauma, ʻaʻole i pane ʻia nā nīnau he nui e pili ana i ka waiū kanaka. Eia naʻe, hoʻokahi mea hiki ʻole ke hoʻopaʻapaʻa ʻia - he meaʻai waiwai nui ka waiū umauma no kahi pēpē. Manaʻo nā poʻe loea mai ka World Health Organization (WHO) i ka hānai wale ʻana no nā mahina 6 mua o ke ola o kahi pēpē. a me kona hoomau ana a hiki i ka 2 makahiki a oi aku paha, me ka hoonui like ana o ka ai o ke keiki. ʻO ka mea mahalo, ʻaʻole hiki ke hoʻopau piha i ka meaʻai wahine. No ke aha mai? ʻO ke ʻano o ka waiu wahine he mea hoʻokahi - ʻO kēlā me kēia makuahine, ma muli o ke kaiapuni āna e noho ai, ke kūlana olakino a i ʻole ka meaʻai, he ʻano ʻokoʻa iki ka meaʻai. ʻO ke ʻano o ka waiū umauma e pili pū ana i ka manawa o ka lā - e laʻa i ka pō, nui ka momona o loko.
Hoʻopili kēia i kēia mau mea hana i ke ʻano o ke ʻano
ʻAʻole maopopo ka poʻe a pau i ka mana nui o ka waiū makuahine - ma muli o nā loiloi o nā ʻepekema, ua ʻike ʻia aia i loko o nā meaʻai āpau e pono ai i nā nui kūpono a me nā ʻāpana (koe wale nā huaora D a me K, pono e hoʻohui ʻia e like me kuhikuhi ʻia e ke kauka). Hoʻokumu pū lākou a pau i kahi hui kūʻokoʻa o nā meaʻai, kokoke i nā pono o ke keiki. Pono e ʻōlelo ʻia ma waena o lākou:
- nā mea ʻokoʻa - me nā antibodies, nā hormones a me nā enzymes;
- nucleotides - he mea koʻikoʻi o nā kaʻina metabolic he nui. Hoʻoulu lākou i ka hana ʻana o nā antibodies a hoʻonui i ka hana o nā cell antimicrobial;
- nā minelala a me nā huaora - kākoʻo i ka ulu ʻana, ka hana ʻana o nā kino a me ke ʻano o nā niho a me nā iwi o ke keiki [1]; l oligosaccharides [2] - i loko o ka meaʻai a ka makuahine aia ma luna o 1000 oligosaccharides pōkole a lōʻihi-ʻokoʻa i ka ratio 9: 1, i hana ʻia ma kahi o 200 mau hale like ʻole;
- nā momona - ke kumu nui o ka ikehu. Aia ma waena o lākou he mau momona momona polyunsaturated, mea nui no ka ulu ʻana o ka lolo a me ka ʻike;
- carbohydrates – ʻo ka ʻai a ka wahine ka nui o ka lactose, ʻo ia hoʻi ka waiu kō, ka mea paʻa nui o ka waiū umauma.
- nā mea ʻokoʻa - me nā antibodies, nā hormones a me nā enzymes;
- nucleotides - he mea koʻikoʻi o nā kaʻina metabolic he nui. Hoʻoulu lākou i ka hana ʻana o nā antibodies a hoʻonui i ka hana o nā cell antimicrobial;
- nā minelala a me nā huaora - kākoʻo i ka ulu ʻana, ka hana ʻana o nā kino a me ke ʻano o nā niho a me nā iwi o ke keiki [1]; l oligosaccharides [2] - i loko o ka meaʻai a ka makuahine aia ma luna o 1000 oligosaccharides pōkole a lōʻihi-ʻokoʻa i ka ratio 9: 1, i hana ʻia ma kahi o 200 mau hale like ʻole;
- nā momona - ke kumu nui o ka ikehu. Aia ma waena o lākou he mau momona momona polyunsaturated, mea nui no ka ulu ʻana o ka lolo a me ka ʻike;
- carbohydrates – ʻo ka ʻai a ka wahine ka nui o ka lactose, ʻo ia hoʻi ka waiu kō, ka mea paʻa nui o ka waiū umauma.
Maopopo anei iā ʻoe ke kumu e ʻae maʻalahi ai kahi pēpē i ka ʻono o ka meaʻai a ka makuahine?
Mahalo i ka lactose maʻiʻo, loaʻa i ka waiū umauma kahi ʻono ma hope. Hānau ʻia kahi pēpē me ka makemake maoli no ka ʻono ʻono, a no laila makemake nui e ʻai i ka ʻai a ka makuahine.
He mea nui ka pili ʻana…
Makemake kēlā me kēia makuahine e noho me kāna keiki. Mahalo i ka pili kokoke, manaʻo ka pēpē i ke aloha a me ka palekana. Akā, he mea koʻikoʻi ka pili kokoke i nā ʻano ʻē aʻe, e like me ke ʻano o kā mākou ʻai ʻana. ʻO ka waiū makuahine kahi kokoke loa i nā pono o ke pēpē - ʻO ka hui kūikawā o nā meaʻai e hāʻawi i ke kino'ōpiopio i nā mea e pono ai no ka ulu pono. Ke hiki ʻole ka hānai ʻana me ka meaʻai maoli, pono nā mākua e koho i ke ʻano kūpono ma hope o ka nīnau ʻana i kā lākou pediatrician. Pono e hoʻomanaʻo i kēlā inā he haku mele ka huahana i hoʻoulu ʻia e ka waiū o ka makuahine, ʻaʻole ia he mea hoʻokahi, akā ʻo kā lākou hana holoʻokoʻa.. Ke aʻo nei nā kānaka ʻepekema Nutricia i ka ʻokoʻa o nā meaʻai o ka makuahine no nā makahiki he 40, e hoʻāʻo ana e hoʻoikaika ʻia e ka hemolele o ke ʻano. ʻO ia ke kumu i hana ʻia ai ʻo Bebilon 2 – kahi haku mele piha [3] i loaʻa pū kekahi mau mea i hana maoli ʻia i ka waiū makuahine. Mahalo i kēia, hāʻawi ia i ke keiki i nā pono he nui, me ke kākoʻo ʻana i ka hoʻomohala kūpono, me ka hana ʻana o ka ʻōnaehana pale, a me ka hoʻomohala ʻana i nā hana cognitive [4]. ʻO ia ka mea e hana ai waiu hoʻololi ʻia i ʻōlelo pinepine ʻia e nā pediatricians ma Polani[5].
nui 'ike: ʻO ka hānai ʻana ke ala kūpono a maikaʻi loa o ka hānai ʻana i nā pēpē a ua ʻōlelo ʻia no nā keiki liʻiliʻi me nā meaʻai like ʻole. Aia i loko o ka waiū makuahine nā meaʻai e pono ai no ka ulu pono ʻana o ka pēpē a pale iā ia mai nā maʻi a me nā maʻi. Hāʻawi ka hānai i nā hopena maikaʻi loa ke hānai pono ʻia ka makuahine i ka wā hāpai a me ka lactation, a i ka wā ʻaʻohe hānai pono ʻole i ka pēpē. Ma mua o ka hoʻoholo ʻana e hoʻololi i ke ʻano hānai, pono ka makuahine e nīnau i kāna kauka.
[1] Ballard O, Morrow AL. ʻO ka hui waiu kanaka: nā meaʻai a me nā mea bioactive. Pediatr Clin North Am. 2013;60(1):49-74.
[2] Moukarzel S, Bode L. Oligosaccharides waiu kanaka a me ke keiki preterm: he huakaʻi i ka maʻi a me ke olakino. Clin perinatol. 2017;44(1):193-207.
[3] ʻO Bebilon 2 haku mele e like me ke kānāwai. Aia i loko o ka waiū makuahine kekahi mau mea ʻokoʻa, me nā antibodies, nā hormones a me nā enzymes.
[4] ʻO Bebilon 2, e like me ke kānāwai, aia nā huaora A, C a me D koʻikoʻi no ka hana o ka ʻōnaehana pale a me ka iodine a me ka hao nui no ka hoʻomohala ʻana i nā hana cognitive.
[5] Ma waena o ka waiū e hiki mai ana, e pili ana i kahi noiʻi i alakaʻi ʻia e Kantar Polska SA ma Pepeluali 2019.