Pehea ka lōʻihi o ke kaumaha hope loa o ka Postpartum - a hiki iā ʻoe ke hoʻopōkole?

Anter

• He aha ke kaumaha postpartum?
• Kaumaha postpartum: ʻaʻole wale no nā wahine me nā pēpē
• Āhea e hoʻomaka pinepine ai ke kaumaha postpartum?
• Aia kekahi noiʻi e pili ana i ka lōʻihi o ka maʻamau o ka PPD?
• No ke aha e lōʻihi ai ka lōʻihi iā ʻoe
• Pehea e hiki ai i ka PPD ke hoʻololi i kou ola
• Ke hoʻokaʻaʻike aku ʻoe i ke kauka
• Ke hana maikaʻi nei ʻoe
• Pehea e loaʻa ai ka hoʻomaha
• ʻO ka lawe lawe ʻana

Inā he roller coaster naʻau, a laila he naʻau ka wā postpartum puahiohio, piha pinepine i nā loli hou o ke ʻano, nā ʻūlū uwē, a me ka huhū. ʻAʻole wale ka hānau ʻana e hele ai i kou kino i loko o nā hoʻoponopono hormonal hihiu, akā he kanaka hou kāu e noho nei i kou hale.

Hiki i kēlā mau haunaele a pau ke alakaʻi i nā kaumaha a me ke kaumaha, a me ka hopohopo ma mua o ka hauʻoli a me ka hauʻoli āu e manaʻo nei. Nui nā poʻe e ʻike i kēia mau "blues pēpē" ma ke ʻano he mahele maʻamau o ka hoʻōla hānau, akā hele pinepine lākou i 1-2 mau pule ma hope o ka hānau ʻana.

Eia nō naʻe, e paio mau ana nā māmā hou ma ʻō aku o ka milestone 2-pule i loaʻa i ke kaumaha postpartum (PPD), kahi i ʻike ʻia e nā ʻōuli ʻoi loa i ʻoi aku ka lōʻihi ma mua o nā blues o ka pēpē.

Hiki i ke kaumaha postpartum ke noho no nā mahina a i ʻole mau makahiki inā haʻalele ʻole ʻia - akā ʻaʻole pono ʻoe e hana me ia i ka hāmau a hiki i kona hala ʻana.

Eia nā mea āpau āu e ʻike ai e pili ana i ka lōʻihi o ka lōʻihi o ka PPD - a he aha kāu e hiki ai ke hana e ʻike i ka ʻoi aku o ka maikaʻi.

He aha ke kaumaha postpartum?

ʻO ke kaumaha postpartum, a i ʻole PPD, kahi ʻano o ke kaumaha kaumaha e hoʻomaka ma hope o ka hānau ʻana o kahi pēpē. ʻO nā ʻōuli maʻamau ka:

• nalo ʻai ʻole
• uē nui a luhi paha
• pilikia i ka hoʻopaʻa ʻana me kāu pēpē
• hoʻomaha ʻole a me ka hiamoe ʻole
• hopohopo a me ka weliweli weliweli
• ke kaumaha loa, huhū, manaʻolana ʻole, a hilahila paha

ʻAʻohe mea maopopo leʻa ke kumu o ka PPD, akā e like me nā ʻano kaumaha ʻē aʻe, he mau mea like ʻole paha.

ʻO ka wā postpartum kahi manawa nāwaliwali loa kahi o nā kumu maʻamau o ke kaumaha haukapila, e like me nā loli olaola, koʻikoʻi koʻikoʻi, a me nā loli ola nui, i ka manawa hoʻokahi.

ʻO kahi laʻana, hiki ke hana i kēia ma hope o ka hānau ʻana:

• ʻaʻole ʻoe e hiamoe nui
• ke kū nei kou kino me nā fluctuations o ka hormone nui
• ke ola nei ʻoe mai ka hanana kino o ka hānau ʻana, a ua komo pū paha me ka lāʻau lapaʻau a i ʻole ke ʻoki kino
• iā ʻoe nā kuleana hou a paʻakikī hoʻi
• hoʻohoka paha ʻoe i ka hopena o kāu hana a me ka lawe ʻana
• hiki iā ʻoe ke manaʻo he kaʻawale, mehameha, a huikau

Kaumaha postpartum: ʻaʻole wale no nā wahine me nā pēpē

He mea pono e hoʻomanaʻo i ka "postpartum" ke ʻano nui o ka hoʻi ʻana i ka hāpai ʻole ʻana. No laila, ʻo ka poʻe i loaʻa i ka hāpai ʻole a i ʻole ka hāpai keiki hiki ke ʻike i nā hopena o ka noʻonoʻo a me ke kino o ka noho postpartum, me PPD.

ʻO ka mea hou aku, hiki ke ʻike ʻia nā hoa kāne pū me ia. ʻOiai ʻaʻole paha lākou e ʻike i nā loli kino i lawe ʻia mai e ka hānau ʻana, ua ʻike lākou i nā ʻano nohona like ʻole. Hōʻike ʻo A ma kahi o 10 pākēneka o nā makuakāne i ʻike ʻia me PPD, keu hoʻi ma waena o 3 a me 6 mau mahina ma hope o ka hānau ʻana.

Pili: I ka makuakāne hou me ke kaumaha postpartum, ʻaʻole ʻoe hoʻokahi

Āhea e hoʻomaka pinepine ai ke kaumaha postpartum?

Hiki i ka PPD ke hoʻomaka ke hānau ʻoe, akā ʻaʻole paha ʻoe e ʻike koke ia mai ka manawa i manaʻo ʻia he maʻamau ke kaumaha, luhi, a ma ke ʻano he "ma waho o nā ʻano" i nā lā mua ma hope o ka hōʻea ʻana o ka pēpē. ʻAʻole paha ia ma hope o ka hala ʻana o ka manawa polū pēpē maʻamau e ʻike ʻoe i kahi mea ʻoi aku ke koʻikoʻi e hana nei.

ʻO ka wā ma hope o ka manawa hānau nā 4-6 mau pule ma hope o ka hānau ʻana, a he nui nā hihia o ka PPD e hoʻomaka i kēlā manawa. Akā hiki i ka PPD ke hoʻomohala i ka wā hāpai a hiki i 1 makahiki ma hope ka hānau ʻana, no laila mai hōʻemi i kou mau manaʻo inā lākou e hana ana ma waho o ka manawa maʻamau postpartum.

Aia kekahi noiʻi e pili ana i ka lōʻihi o ka maʻamau o ka PPD?

Ma muli o ka hiki ʻana o PPD ma kahi ʻē aʻe mai kahi mau pule ʻelua a i 12 mau mahina ma hope o ka hānau ʻana, ʻaʻohe awelika o ka lōʻihi o ka manawa. Hōʻike kahi loiloi 2014 o nā noiʻi e hoʻomaikaʻi i nā hōʻailona PPD ma luna o ka manawa, me nā hihia he nui o ke kaumaha e hoʻoholo ana i 3 a 6 mau mahina ma hope o ka hoʻomaka.

ʻO kēlā i ʻōlelo ʻia, i kēlā loiloi like, maopopo leʻa ka nui o nā wahine e pili pū ana me nā ʻōuli PPD ma ʻō aku o ka māka 6 mahina. Ma hea mai 30% –50% pākēneka i kū i nā pae hoʻohālikelike no PPD 1 makahiki ma hope o ka hānau ʻana, ʻoiai ka liʻiliʻi ma mua o ka hapalua o nā wahine i aʻo ʻia e hōʻike mau nei i nā ʻōuli depressive 3 makahiki lā hānau

No ke aha e lōʻihi ai ka lōʻihi iā ʻoe

ʻOkoʻa ka palena manawa no PPD no nā mea āpau. Inā loaʻa iā ʻoe kekahi mau pilikia, ʻike paha ʻoe i kāu PPD e ʻoi aku ana me ka lāʻau lapaʻau. ʻO ke koʻikoʻi o kāu mau hōʻailona a me ka lōʻihi o kāu loaʻa ʻana i nā hōʻailona ma mua o ka hoʻomaka ʻana o ka mālama ʻana e hiki ke hoʻopili i ka lōʻihi o kāu PPD.

ʻO nā kumu pilikia me:

• kahi moʻolelo o ke kaumaha a i ʻole nā ​​maʻi noʻonoʻo ʻē aʻe
• nā pilikia hānai
• kahi hāpai hāpai paʻakikī a hānau paha
• kahi nele o ke kākoʻo mai kāu hoa a ʻohana paha a me nā hoaaloha
• nā loli ola nui ʻē aʻe e kū nei i ka wā postpartum, e like me ka neʻe a nalowale paha o ka hana
• kahi moʻolelo o PPD ma hope o ka hāpai mua

ʻAʻohe mea hoʻohālikelike e hoʻoholo i ka mea e ʻike i ka PPD a ʻo wai ka ʻole, a no ka lōʻihi o kona lōʻihi. Akā me ka lapaʻau kūpono, keu hoʻi i ka loaʻa mua ʻana, hiki iā ʻoe ke ʻike i ke kōkua inā loaʻa iā ʻoe kekahi o kēia mau pilikia pilikia.

Pehea e hiki ai i ka PPD ke hoʻololi i kou ola

Ua ʻike ʻē ʻoe i ka PPD e hoʻonāukiuki nei iā ʻoe i kekahi mau hōʻailona paʻakikī, a ʻo ka mea pōʻino, hiki ke hoʻopili ʻia i kāu pili pili. ʻAʻole kēia kou hewa. (E heluhelu hou i kēlā, no ka mea ke kumu mākou.) ʻO ia ke kumu he kumu kūpono e loaʻa ai ka lāʻau lapaʻau a hoʻopōkole i ka lōʻihi o kou kaumaha.

Maikaʻi ke noi ʻana i ke kōkua no ʻelua a me kou mau pilina, me ia me:

• Kou hoapili. Inā ua haʻalele ʻia ʻoe a ua kaʻawale paha, hiki ke hoʻopili ʻia kou pilina me kāu hoa. Wahi a ka American Academy of Pediatrics (AAP), ke loaʻa ka PPD i kekahi kanaka, lilo ʻelua mau hoa i mea e hoʻomohala ai iā ia.

• ʻO kou ʻohana a me nā hoaaloha. Manaʻo paha kekahi poʻe ʻē aʻe he hewa kekahi a ʻike paha ʻoe ʻaʻole ʻoe e hana e like me ʻoe iho, akā ʻaʻole paha lākou i ʻike pehea e kōkua ai a kamaʻilio pū ai me ʻoe. Hiki i kēia mamao ke hoʻonui i nā manaʻo o ke kaʻawale iā ʻoe.

• ʻO kāu keiki (ren). Hiki i ka PPD ke hoʻopili i kāu pilina ulu me kāu pēpē. Ma waho o ka hoʻopili ʻana i ke ʻano o kou mālama kino ʻana i kāu pēpē, hiki i ka PPD ke hoʻopili i ke kaʻina hana hoʻopaʻa makuahine a pēpē hoʻi ma hope o ka hānau ʻana. Hiki paha iā ia ke hōʻino i kāu pili pili me nā keiki nui.

Manaʻo kekahi o nā kānaka noiʻi he hiki i ka PPD o ka makuahine ke loaʻa i nā hopena lōʻihi i ka ulu ʻana o ka nohona kanaka a me ka naʻau o kāna keiki. Ua ʻike ʻia nā keiki a nā makuahine i loaʻa iā PPD ka pilikia o ka lawena ma ke ʻano he keiki ʻōpio a me ke kaumaha i ka wā ʻōpio.

Ke hoʻokaʻaʻike aku ʻoe i ke kauka

Inā ʻaʻole ʻoe e ʻoi aku ka maikaʻi ma hope o 2 mau pule postpartum, e launa me kāu kauka. ʻOiai e nānā ʻia ʻoe no PPD i kāu koho ʻana ma hope o 6 mau pule, ʻaʻole pono ʻoe e kali no ka lōʻihi. ʻO ka ʻoiaʻiʻo, ke hana pēlā hiki ke hoʻolōʻihi i kāu PPD e hoʻomaikaʻi ai.

Ma hope o 2 mau pule, inā e ʻike mau nei ʻoe i nā manaʻo nui, ʻaʻole paha ia ʻo "blues pēpē." Ma kekahi ʻano, he nūhou maikaʻi kēlā: ʻO ia hoʻi hiki iā ʻoe ke hana i kekahi mea e pili ana i kou manaʻo. ʻAʻole pono ʻoe e "kali iā ia."

Ke noi ʻoe no ke kōkua, e like me ka hiki. ʻIke mākou he paʻakikī e kamaʻilio e pili ana i nā manaʻo maikaʻi ʻole e pili ana i ka makua hou, a hiki i ka makaʻu ke hōʻike wale i ka nui o kou hakakā ʻana. Eia nō naʻe, ʻo ka nui o ka hāmama e pili ana i kāu PPD, ʻo ka ʻoi aku ka maikaʻi - a me ka wikiwiki - e hiki i kāu mea hāʻawi ke kōkua iā ʻoe.

Ke hana maikaʻi nei ʻoe

E hoʻomanaʻo, ʻaʻole ʻoe ka hewa no kāu PPD. ʻAʻole e manaʻo kāu mea hāʻawi he makua "maikaʻi" a palupalu paha ʻoe. Mālama ʻia ka ikaika e kikoo aku ai, a ke noi nei i ke kōkua he hana aloha ia - no ʻoe a me kou ʻohana.

Pehea e loaʻa ai ka hoʻomaha

ʻAʻole hiki iā ʻoe ke mana ma o PPD iā ʻoe iho - pono ʻoe i ka lāʻau olakino a me ka noʻonoʻo olakino. Ke loaʻa nei iā ia me ka wikiwiki e hiki iā ʻoe ke hoʻomau i ke aloha a me ka mālama ʻana i kāu pēpē i ka maikaʻi o kou hiki.

Nui a hewahewa nā koho no ka mālama ʻana iā PPD, a pono ʻoe e hoʻohana i kahi hoʻolālā ma mua o hoʻokahi. Aia kekahi mau loli nohona e wikiwiki ai ka hoʻōla. Mai kū a hiki i ka wā e loaʻa ai kahi hui o nā lapaʻau e kūpono iā ʻoe. Hiki ke kōkua mai PPD me nā hana kūpono.

• Nā Antidepressants. Kauoha paha kāu mea hāʻawi i kahi serotonin reuptake inhibitor (SSRI) e mālama i kou kaumaha. Loaʻa kekahi mau SSRI. E hana pū ana kāu kauka me ʻoe e ʻike i kahi e mālama pono ai i kāu mau hōʻailona me nā hopena liʻiliʻi loa. Kūlike nā SSRI he nui me ka hānai ʻana i ka waiū, akā e ʻike pono inā ʻike kāu mea hāʻawi inā hānai ʻoe i hiki iā lākou ke koho i nā lāʻau kūpono a me nā mea hana.
• ʻLelo aʻoaʻo. ʻO ka Cognitive behavioral therapy (CBT) kahi papahana mua no ka mālama ʻana i ke kaumaha, me nā ʻōuli o PPD. Inā makemake ʻoe i kōkua e ʻimi i kahi mea hoʻolako i kāu wahi, hiki iā ʻoe ke ʻimi no hoʻokahi ma aneʻi.
• Pūʻulu hui. He mea kōkua paha iā ʻoe e kaʻana like i kāu mau ʻike me nā mākua ʻē aʻe i loaʻa iā PPD. Ke loaʻa nei i kahi hui kākoʻo, ma ke kino a ma ka pūnaewele paha, hiki ke lilo i ola ola. E ʻimi ai i kahi hui kākoʻo PPD i kou wahi, e hoʻāʻo e huli ma ka mokuʻāina ma aneʻi.

ʻO ka lawe lawe ʻana

ʻO ka hapa nui o nā hihia o PPD mau no kekahi mau mahina. Hoʻopilikia ke kaumaha i kou kino holoʻokoʻa - ʻaʻole wale i kou lolo - a he manawa ka manawa e manaʻo hou e like me ʻoe iho. Hiki iā ʻoe ke hōʻola wikiwiki aʻe ma ke kiʻi ʻana i kōkua no kāu PPD i ka wā hiki loa.

ʻIke mākou he paʻakikī e hoʻopā i ka wā e hakakā nei ʻoe, akā e hoʻāʻo e kamaʻilio me kāu hoa, kahi lālā ʻohana a i ʻole he hoaaloha i hilinaʻi ʻia, a i ʻole kāu mea mālama ola inā manaʻo ʻoe e pili ana kou kaumaha i kou ʻano o ke ola a i ʻole kou hiki ke mālama i kāu. pēpē. ʻO ke kiʻi ʻana i ke kōkua, ʻo ka wikiwiki nō ia o kou manaʻo.

Inā ʻoe a i ʻole kekahi mea āu e ʻike nei e noʻonoʻo nei i ka pepehi kanaka, ʻaʻole ʻoe hoʻokahi. Loaʻa ke kōkua i kēia manawa:

• Kāhea iā 911 a i ʻole kāu helu pilikia kūloko, a i ʻole kipa i kahi keʻena pilikia.
• Kāhea i ka National Suicide Prevent Lifeline 24 mau lā i ka lā ma 800-273-8255.
• Kikokikona HOME i ka Crisis Textline ma 741741.
• ʻAʻole ma ka U.S. E ʻike i kahi kōkua kōkua i kou ʻāina me Befrienders Worldwide.

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