Kaumaha kaumaha ma hope o ka hānau ʻana

Kūpono ke kaumaha ma hope o ka hānau ʻana a kaumaha nui loa i ka wahine ma hope o kona hānau ʻana. Hiki koke ia ma hope o ka lawe ʻana a i kahi makahiki i hala. ʻO ka hapanui o ka manawa, hana ia i loko o nā mahina 3 mua ma hope o ka lawe ʻana.

ʻAʻole maopopo nā kumu kūpono o ke kaumaha postpartum. Hiki ke hoʻololi i nā pae hormone i ka wā a ma hope o ka hāpai ʻana e pili i ka naʻau o ka wahine. Hiki i nā kumu non-hormonal ke hoʻopili i ke ʻano i kēia wā:

• Nā loli i kou kino mai ka hāpai ʻana a me ka lawe ʻana
• Nā loli i ka hana a me ka pilina pili
• Loaʻa ka manawa liʻiliʻi a me ke kūʻokoʻa nou iho
• Ka nele o ka hiamoe
• Hopohopo e pili ana i kou hiki ke lilo i makuahine maikaʻi

Loaʻa paha iā ʻoe kahi manawa kiʻekiʻe o ke kaumaha postpartum inā ʻoe:

• Aia ma lalo o 25 mau makahiki
• I kēia manawa e hoʻohana i ka waiʻona, e lawe i nā mea kū ʻole i ke kānāwai, a i ʻole ka uahi (ʻo kēia pū kekahi ke kumu o nā pilikia olakino koʻikoʻi no ka pēpē
• ʻAʻole i hoʻolālā i ka hāpai ʻana, a i ʻole nā ​​manaʻo hui e pili ana i ka hāpai ʻana
• Loaʻa i ke kaumaha, bipolar maʻi, a i ʻole kahi maʻi pīhoihoi ma mua o kou hāpai ʻana, a i ʻole me kahi hāpai mua
• He hanana koʻikoʻi i ka wā o ka hāpai ʻana a hānau paha, e like me ka maʻi pilikino, ka make a i ʻole ka maʻi o kahi mea i aloha ʻia, kahi hānau paʻakikī a ulia pōpilikia paha, ka hānau mua ʻana, a i ʻole nā ​​maʻi a hānau hānau paha i ka pēpē.
• Loaʻa i kahi lālā pili o ka ʻohana i loaʻa i ke kaumaha a hopohopo paha
• Loaʻa ka pilina maikaʻi ʻole me kāu mea ʻē aʻe a i ʻole hoʻokahi
• Loaʻa i nā pilikia kālā a home paha
• Loaʻa iā ʻoe ke kākoʻo iki mai ka ʻohana, nā hoaaloha, a i ʻole ʻo kāu wahine a pākahi paha

ʻO nā manaʻo o ka hopohopo, ka huhū, ka waimaka, a me ka hoʻomaha ʻole ka mea maʻamau i hoʻokahi pule a ʻelua paha ma hope o ka hāpai ʻana. Kāhea pinepine ʻia kēia mau manaʻo i ka postpartum a i ʻole "blues pēpē." ʻAneʻane hele aku lākou i kahi manawa koke, me ka ʻole o ka lāʻau.

Hiki paha ke kaumaha kaumaha ma hope o ka hala ʻole ʻana o nā blues o ka pēpē a i ka wā e hoʻomaka ai nā hōʻailona o ke kaumaha 1 a ʻoi paha mau mahina ma hope o ka hānau ʻana.

ʻO nā ʻōuli o ke kaumaha postpartum e like me nā ʻōuli o ke kaumaha i kū ʻia i nā manawa ʻē aʻe o ke ola. Me kahi ʻano kaumaha a luʻuluʻu paha, loaʻa paha iā ʻoe kekahi o nā hōʻailona aʻe:

• Hoʻonāukiuki a huhū paha
• Hoʻololi i ka makemake
• Nā manaʻo o ka waiwai ʻole a i ʻole ka hewa
• Manaʻo ʻoe ua huki ʻia ʻoe a pili ʻole paha
• Ka nele o ka leʻaleʻa a hoihoi paha i ka hapa nui a i ʻole nā ​​hana āpau
• Lilo i ka noʻonoʻo
• Lilo o ka ikehu
• Nā pilikia e hana nei i nā hana ma ka home a hana paha
• Hopohopo nui
• Nā manaʻo o ka make a me ka pepehi kanaka paha
• Pilikia hiamoe

ʻO kekahi makuahine me ke kaumaha postpartum paha:

• ʻAʻole hiki ke mālama iā ia iho a i kāna pēpē paha.
• E makaʻu i ka noho hoʻokahi me kāna pēpē.
• Loaʻa nā manaʻo maikaʻi ʻole i ka pēpē a i ʻole noʻonoʻo e pili ana i ka hōʻino ʻana i ka pēpē. (ʻOiai weliweli kēia mau manaʻo, ʻaneʻane hana ʻole ʻia lākou. Eia naʻe ʻoe e haʻi koke i kāu kauka e pili ana iā lākou.)
• E hopohopo nui e pili ana i ka pēpē a i ʻole hoihoi iki i ka pēpē.

ʻAʻohe hōʻoia hoʻokahi e hōʻoia i ke kaumaha postpartum. Hoʻokumu ʻia ka hōʻailona ma nā ʻōuli āu e wehewehe ai i kāu kauka olakino.

E kauoha paha kāu mea hāʻawi i nā hoʻokolohua koko e nānā no nā kumu olakino o ke kaumaha.

ʻO kahi makuahine hou i loaʻa nā ʻōuli o ke kaumaha postpartum e hoʻokaʻaʻike koke aku i kāna mea lawelawe e kiʻi i ke kōkua.

Eia kekahi ʻōlelo aʻoaʻo ʻē aʻe:

• E noi i kāu pakanā, ʻohana, a me nā hoaaloha no ke kōkua me nā pono o ka pēpē a ma ka home.
• Mai hūnā i kou mau manaʻo. E kamaʻilio e pili ana iā lākou me kāu hoa, ʻohana, a me nā hoa aloha.
• Mai hoʻololi i kekahi ola nui i ka wā hāpai a i ʻole ʻākau ma hope o ka hānau ʻana.
• Mai hoʻāʻo e hana nui, a i ʻole e hemolele.
• E hoʻolālā i ka manawa e hele i waho, e kipa aku i nā hoaaloha, a i ʻole noho manawa hoʻokahi me kāu hoa.
• E hoʻomaha a hiki i kou hiki. Moe ke hiamoe ka pēpē.
• E kamaʻilio me nā makuahine ʻē aʻe a hui paha i kahi hui kākoʻo.

ʻO ka mālama ʻana no ke kaumaha ma hope o ka hānau ʻana, ʻo ia hoʻi ka lāʻau lapaʻau, therapy therapy, a i ʻole ʻelua paha. He mea nui ka hānai hānai ʻana i ka lāʻau a ka mea hāʻawi aku ai i ka lāʻau. E ʻae ʻia ʻoe i kahi loea olakino noʻonoʻo. ʻO ka Cognitive behavioral therapy (CBT) a me ka interpersonal therapy (IPT) he ʻano like me ka therapy therapy e kōkua pinepine ai i ke kaumaha postpartum.

Kōkua paha nā pūʻulu kākoʻo, akā ʻaʻole pono lākou e kāpae i ka lāʻau a i ʻole ke kūkā kamaʻilio inā loaʻa ʻoe i ke kaumaha postpartum.

Loaʻa i ke kākoʻo kaiaulu maikaʻi mai ka ʻohana, nā hoaaloha, a me nā mea hana i hiki ke kōkua i ka hōʻemi ʻana i ke koʻikoʻi o ke kaumaha postpartum.

Hiki i ka lāʻau lapaʻau a me ke kūkā kamaʻilio ʻana ke hoʻoliʻiliʻi a hoʻopau loa i nā ʻōuli.

ʻAʻole i mālama ʻia, hiki i ke kaumaha postpartum ke hala i mau mahina a mau makahiki paha.

ʻO nā kūpikipiki wā lōʻihi hiki ke like ia me ke kaumaha nui. ʻO ka kaumaha postpartum i hoʻomaʻamaʻa ʻole ʻia e hiki iā ʻoe ke makaʻu iā ʻoe iho a i kāu pēpē paha.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe kekahi o kēia mau mea:

• ʻAʻole hele aku kāu blues pēpē ma hope o 2 mau pule
• ʻOi aku ka ikaika o nā ʻōuli o ke kaumaha
• Hoʻomaka nā ʻōuli o ke kaumaha i kēlā me kēia manawa ma hope o ka hānau ʻana, a ʻoi paha mau mahina ma hope
• He mea paʻakikī iā ʻoe e hana i nā hana ma ka hana a home paha
• ʻAʻole hiki iā ʻoe ke mālama iā ʻoe iho a i kāu pēpē paha
• He mau manaʻo kou no ka hōʻino ʻana iā ʻoe iho a i kāu pēpē paha
• Hoʻolālā ʻoe i nā manaʻo i hoʻokumu ʻole ʻia i ka ʻoiaʻiʻo, a i ʻole hoʻomaka ʻoe i ka lohe a ʻike ʻana paha i nā mea i makemake ʻole ʻia e nā poʻe ʻē aʻe

Mai makaʻu e ʻimi koke i ke kōkua inā ʻike ʻoe i ke kaumaha a makaʻu hoʻi ʻoe o ʻeha ʻoe i kāu pēpē.

Loaʻa i ke kākoʻo kaiāulu maikaʻi mai ka ʻohana, nā hoaaloha, a me nā mea hana i hiki ke kōkua i ka hōʻemi ʻana i ke koʻikoʻi o ke kaumaha postpartum, akā ʻaʻole paha e pale aku iā ia.

ʻO nā wahine i loaʻa i ke kaumaha postpartum ma hope o ka hāpai ʻana o ka wā ma mua, ʻaʻole paha e hoʻomohala hou i ke kaumaha postpartum inā hoʻomaka lākou e lawe i nā lāʻau antidepressant ma hope o ka hānau ʻana. Kōkua paha ke kūkā kamaʻilio me ka pale ʻana i ke kaumaha.

Kaumaha - postpartum; Paʻi hānau hope; Nā hopena psychological postpartum

ʻAhahui Psychiatric ʻAmelika. Nā maʻi kaumaha. Nānā Diagnostic a me Statistic o nā maʻi noʻonoʻo. 5th lā. Arlington, VA: Ka Hoʻolaha Psychiatric ʻAmelika, 2013: 155-233.

Nonacs RM, Wang B, Viguera AC, Cohen LS. ʻO ka maʻi psychiatric i ka wā hāpai a me ka wā post-partum. I: Stern TA, Fava M, Wilens TE, Rosenbaum JF, eds. ʻO ka haukapila laulima ʻo Massachusetts General Hospital. ʻElua ed. Piladelapia, PA: Elsevier; 2016: chap 31.

Siu AL; ʻO ka Hana Hana Hana Hana US (USPSTF), Bibbins-Domingo K, et al. ʻO ka loiloi no ke kaumaha i nā mākua: ʻO ka ʻōlelo aʻoaʻo a ka US Preventive Services Task Force. JAMA. 2016; 315 (4): 380-387. PMID: 26813211 pubmed.ncbi.nlm.nih.gov/26813211/.