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He aha ka loiloi kaumaha o ka postpartum?

ʻO ka maʻamau ka loaʻa ʻana o nā manaʻo hoʻohuihui ma hope o ka hānau ʻana o kahi pēpē. Me ka pīhoihoi a me ka hauʻoli, nui nā makuahine hou i hopohopo, kaumaha, huhū, a kaumaha loa. ʻIke ʻia kēia ma ke ʻano he "blues pēpē." He kūlana maʻamau ia, e hoʻopili ana a 80 pākēneka o nā makuahine hou. ʻOi aku ka maikaʻi o nā ʻōuli o nā pēpē blues i loko o ʻelua mau pule.

ʻO ke kaumaha hope o ka hānau hānau (kaumaha ma hope o ka hānau ʻana) ʻoi aku ke koʻikoʻi a ʻoi aku ka lōʻihi ma mua o ka blues o ka pēpē. Hiki i nā wahine me ke kaumaha postpartum ke loaʻa i nā manaʻo kaumaha o ke kaumaha a me ka hopohopo. Hiki iā ia ke paʻakikī i ka wahine e mālama iā ia iho a i kāna pēpē paha. Hiki i kahi loiloi kaumaha postpartum ke kōkua e ʻike inā loaʻa kēia ʻano iā ʻoe.

Hoʻokumu pinepine ʻia ke kaumaha postpartum e ka hoʻololi ʻana i nā pae hormone. Hoʻokumu ʻia paha ia e nā kumu ʻē aʻe, e like me ka nele o ka ʻohana a i ʻole ke kākoʻo kaiāulu, he makuahine ʻōpio, a / a i ʻole he pēpē me nā pilikia olakino. ʻO ka hapa nui o kēia ʻano kaumaha e hiki ke mālama ʻia me ka lāʻau a me / a i ʻole ke olakino kamaʻilio.


Nā inoa ʻē aʻe: loiloi kaumaha kaumaha postpartum, hōʻike EPDS

No ke aha ia e hoʻohana ai?

Hoʻohana ʻia ka loiloi e ʻike inā loaʻa i kahi makuahine hou ke kaumaha hope o ka postpartum. Hāʻawi paha kāu kauka hānau / gynecologist, ka palekeiki, a i ʻole mea mālama mua iā ʻoe i kahi kānana kaumaha postpartum ma ke ʻano he ʻāpana o ka hōʻike ma hope o ka lā ma hope o ka hānau ʻana a i ʻole e hōʻike ana ʻoe i nā hōʻailona o ke kaumaha loa i ʻelua a ʻoi paha mau pule ma hope o ka hānau ʻana.

Inā hōʻike kāu kānana iā ʻoe ke kaumaha o ka postpartum, pono nui ʻoe i ka lāʻau mai kahi mea mālama ola noʻonoʻo. ʻO kahi mea lawelawe olakino kahi loea mālama ola i loea i ka diagnostical a me ka mālama ʻana i nā pilikia olakino noʻonoʻo. Inā ʻoe e ʻike nei i kahi mea mālama ola ma mua o ka hānau ʻana, loaʻa paha iā ʻoe kahi loiloi kaumaha i ka wā hāpai a ma hope paha o ka hānau ʻana.

No ke aha e pono ai iaʻu ke nānā i ke kaumaha hope o ka postpartum?

Pono paha ʻoe i kahi kānana kaumaha postpartum inā loaʻa iā ʻoe kekahi mau pilikia a a i ʻole e hōʻike ana i nā hōʻailona o ke ʻano ʻelua a ʻoi paha mau pule ma hope o ka hānau ʻana.


ʻO nā kumu pilikia no ke kaumaha postpartum e:

  • Mōʻaukala o ke kaumaha
  • Ka nele o ke kākoʻo ʻohana
  • Hānau hānau mau (loaʻa nā māhoe, ʻekolu a ʻoi aku paha)
  • ʻOiai he makuahine ʻōpio
  • Loaʻa i kahi pēpē me nā pilikia olakino

ʻO nā hōʻailona o ke kaumaha postpartum e:

  • Ke kaumaha i ka hapa nui o ka lā
  • Uē nui
  • ʻAi nui a liʻiliʻi paha
  • Ke hiamoe nui nei a liʻiliʻi paha
  • Ke haʻalele nei mai ka ʻohana a me nā hoaaloha
  • Ua hemo ka manaʻo mai kāu pēpē
  • Ka paʻakikī e hoʻopau nei i nā hana o kēlā me kēia lā, me ka mālama ʻana i kāu pēpē
  • Nā manaʻo hewa
  • Makau o ka lilo i makuahine ʻino
  • Ka makaʻu nui e hōʻeha iā ʻoe iho a i kāu pēpē paha

ʻO kekahi o nā hōʻailona koʻikoʻi loa o ke kaumaha postpartum ke noʻonoʻo nei e hoʻāʻo ʻana e hōʻeha iā ʻoe iho a i kāu pēpē paha. Inā loaʻa iā ʻoe kēia mau manaʻo a makaʻu paha, e ʻimi koke i ke kōkua. Nui a hewahewa nā ala e loaʻa ai ke kōkua. Hiki iā 'oe:

  • Kāhea iā 911 a i ʻole kou keʻena pilikia kūloko
  • Kāhea i kāu mea mālama ola noʻonoʻo a mea lawelawe olakino ʻē aʻe
  • E kiʻi aku i kahi mea aloha a hoa aloha paha
  • Kāhea i kahi laina lōlō hoʻomake. Ma ʻAmelika Hui Pū ʻIa, hiki iā ʻoe ke kāhea i ka National Suicide Prevent Lifeline ma 1-800-273-TALK (1-800-273-8255)

He aha ka hana i ka wā o kahi kānana kaumaha postpartum?

Hāʻawi paha kāu mea hāʻawi iā ʻoe i kahi nīnau nīnau i kapa ʻia ʻo Edinburgh Postnatal Depression Scale (EPDS). Aia nā EPDS i nā nīnau he 10 e pili ana i kou naʻau a me nā ʻano o ka hopohopo. E nīnau paha ʻo ia iā ʻoe i nā nīnau ʻē aʻe i ka hoʻohui a i ʻole ma kahi o ka EPDS. E kauoha paha kāu mea hāʻawi i kahi hoʻokolohua koko e ʻike inā he maʻi, e like me ka maʻi thyroid, ke kumu nei i kou kaumaha.


I ka wā o kahi hoʻokolohua koko, e lawe kahi loea mālama ola i kahi laʻana koko mai kahi aa i kou lima, e hoʻohana ana i kahi nila liʻiliʻi. Ma hope o ka hoʻokomo ʻia ʻana o ka nila, e hōʻiliʻili ʻia kahi koko liʻiliʻi i loko o kahi pahu hoʻāʻo a ipu paha. Hiki paha iā ʻoe ke ʻoni iki i ka wā e hele ai a kuʻi paha ka nila. Lōʻihi kēia ma mua o ʻelima mau minuke.

Pono wau e hana i kekahi mea e hoʻomākaukau ai no kahi kānana kaumaha postpartum depression?

ʻAʻole pono ʻoe i kahi hoʻomākaukau kūikawā no ka kānana kaumaha postpartum.

Aia kekahi mau pilikia i ka kānana ʻana?

ʻAʻohe makaʻu i ka loaʻa ʻana o kahi hoʻokolohua kino a i ʻole ke lawe ʻana i kahi nīnau.

ʻAʻohe liʻiliʻi loa i ka hōʻoia ʻana o ke koko. Loaʻa paha iā ʻoe ka ʻeha a ʻeha paha ma kahi o ka nila i hoʻokomo ʻia ai, akā ʻo ka hapa nui o nā ʻōuli e hele wikiwiki aku.

He aha ke ʻano o nā hopena?

Inā kuhi ʻia ʻoe me ke kaumaha hope o ka postpartum, he mea nui e kiʻi i ka lāʻau i ka wā hiki. Ma waho aʻe o ka lāʻau lapaʻau a me ka therapy therapy, hiki i nā hoʻolālā mālama pono pilikino ke kōkua iā ʻoe e hōʻoluʻolu. Pākuʻi ʻia kēia mau mea:

  • Ke noi nei i kāu hoa a i ʻole kekahi mea ʻē aʻe e kōkua e mālama i ka pēpē
  • Ke kamaʻilio nei i nā mākua ʻē aʻe
  • Ke lawe nei i kahi manawa liʻiliʻi nou iho i kēlā me kēia lā
  • Ke kiʻi i ka hoʻoikaika kino maʻamau
  • Ke hele nei i waho no ke ea hou ke ʻae ka wā

Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i kahi kānana kaumaha postpartum?

ʻO kahi ʻano laha ʻole akā koʻikoʻi ʻoi aku o ke kaumaha postpartum i kapa ʻia ʻo psychosis postpartum. ʻO nā wahine me ka psychosis postpartum he hallucination (ke ʻike a hoʻolohe ʻana paha i nā mea ʻaʻole maoli). Loaʻa paha iā lākou nā manaʻo kolohe a me / a suicidal paha. Inā ʻike ʻia ʻoe me ka psychosis postpartum, pono paha ʻoe e hōʻeha ʻia i ka haukapila. Hāʻawi kekahi mau pono i nā ʻāpana i nānā ʻia e ʻae ai i ka makuahine a me ka pēpē e noho pū. ʻO nā lāʻau, i ʻike ʻia he antipsychotics, he ʻāpana paha o ka lāʻau.

Nā kūmole

  1. ACOG: Nā Kauka Ola Ola Wahine [Pūnaewele]. Wakinekona D.C .: Ke Kulanui ʻAmelika o nā Obstetricians a me nā Gynecologists; c2017. Paʻi Postpartum; 2013 Dec [helu ʻia 2018 ʻOkakopa 24]; [ma kahi o 3 pale]. Loaʻa mai: https://www.acog.org/Patients/FAQs/Postpartum-Depression
  2. ʻAhahui hāpai keiki ʻAmelika [Pūnaewele]. Irving (TX): ʻAmelika Hui Pū ʻIa ʻAmelika; c2018. Loaʻa iaʻu nā pēpē pēpē a i ʻole hope kaumaha postpartum; [hoʻohou 2016 Aug; i helu ʻia 2018 ʻOkakopa 24]; [ma kahi o 2 pale]. Loaʻa mai: http://americanpregnancy.org/first-year-of-life/baby-blues-or-postpartum-depression
  3. ʻAhahui Psychiatric ʻAmelika [Pūnaewele]. Wakinekona D.C .: ʻAmelika Psychiatric Association; c2018. He aha ke kaumaha postpartum ?; [i helu ʻia 2018 ʻOkakopa 24]; [ma kahi o 3 pale]. Loaʻa mai: https://www.psychiatry.org/patients-families/postpartum-depression/what-is-postpartum-depression
  4. Nā kikowaena no ka mālama ʻana i ka maʻi a me ka pale ʻana [Pūnaewele]. Atlanta: Ke Keʻena ʻOihana Ola a me nā Lawelawe Pono ʻAmelika; Kaumaha i waena o nā wahine; [hoʻohou ʻia 2018 Jun 18; i helu ʻia 2018 ʻOkakopa 24]; [ma kahi o 3 pale]. Loaʻa mai: https://www.cdc.gov/reproductivehealth/depression
  5. Mayo Clinic [Pūnaewele]. Mayo Foundation no ka Hoʻomaʻamaʻa Lapaʻau a me ka noiʻi; c1998–2018. Ka nohona ola: hāpai keiki ma kēlā me kēia pule; 2016 Nov 24 [helu ʻia 2018 ʻOkakopa 24]; [ma kahi o 4 pale]. Loaʻa mai: https://www.mayoclinic.org/healthy-lifestyle/pregnancy-week-by-week/in-depth/depression-during-pregnancy/art-20237875
  6. Mayo Clinic [Pūnaewele]. Mayo Foundation no ka Hoʻomaʻamaʻa Lapaʻau a me ka noiʻi; c1998–2018. Kaumaha postpartum: hōʻoia a me ka mālama ʻana; 2018 Sep 1 [helu ʻia 2018 ʻOkakopa 24]; [ma kahi o 4 pale]. Loaʻa mai: https://www.mayoclinic.org/diseases-conditions/postpartum-depression/diagnosis-treatment/drc-20376623
  7. Mayo Clinic [Pūnaewele]. Mayo Foundation no ka Hoʻomaʻamaʻa Lapaʻau a me ka noiʻi; c1998–2018. Kaumaha postpartum: Nā ʻōuli a me nā kumu; 2018 Sep 1 [helu ʻia 2018 ʻOkakopa 24]; [ma kahi o 3 pale]. Loaʻa mai: https://www.mayoclinic.org/diseases-conditions/postpartum-depression/symptoms-causes/syc-20376617
  8. Merck Manual Mea Kūʻai Manuahi [Pūnaewele]. Kenilworth (NJ): Merck & Co. Inc.; c2018. Paʻi Postpartum; [i helu ʻia 2018 ʻOkakopa 24]; [ma kahi o 2 pale]. Loaʻa mai: https://www.merckmanuals.com/home/women-s-health-issues/postdelivery-period/postpartum-depression
  9. Merck Manual Professional Version [Pūnaewele]. Kenilworth (NJ): Merck & Co. Inc.; c2018. Paʻi Postpartum; [i helu ʻia 2018 ʻOkakopa 24]; [ma kahi o 3 pale]. Loaʻa mai: https://www.merckmanuals.com/professional/gynecology-and-obstetrics/postpartum-care-and-associated-disorder/postpartum-depression
  10. Montazeri A, Torkan B, Omidvari S. ʻO ka Edinburgh Postnatal Depression Scale (EPDS): unuhi a me ka hoʻopaʻa haʻawina o ka mana Iran. BMC Psychiatry [Pūnaewele]. 2007 Apr 4 [i helu ʻia 2018 ʻOkakopa 24]; 7 (11). Loaʻa mai: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1854900
  11. National Heart, Lung, and Blood Institute [Pūnaewele]. Bethesda (MD): Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka; Nā ho'āʻo koko; [i helu ʻia 2018 ʻOkakopa 24]; [ma kahi o 3 pale]. Loaʻa mai: https://www.nhlbi.nih.gov/health-topics/blood-tests
  12. National Institute of Mental Health [Pūnaewele]. Bethesda (MD): Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka; Nā Hōʻike Hoʻoiho Postpartum; [i helu ʻia 2018 ʻOkakopa 24]; [ma kahi o 2 pale]. Loaʻa mai: https://www.nimh.nih.gov/health/publications/postpartum-depression-facts/index.shtml
  13. Keʻena ma ke olakino wahine [Pūnaewele]. Wakinekona D.C .: Ke Keʻena ʻOihana Ola a U.S. Kaumaha kaumaha Ma hope o ka hānau ʻana; [hōʻano hou 2018 Aug 28; i helu ʻia 2018 ʻOkakopa 24]; [ma kahi o 3 pale]. Loaʻa mai: https://www.womenshealth.gov/mental-health/mental-health-conditions/postpartum-depression
  14. Kulanui o Rochester Medical Center [Pūnaewele]. Rochester (NY): Kulanui o Rochester Medical Center; c2018. ʻO ka Encyclopedia Health: Ka Hopena Pilikino Postpartum [i helu ʻia 2018 ʻOkakopa 24]; [ma kahi o 2 pale]. Loaʻa mai: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=42&contentid=PostpartumDepressionMRA
  15. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2018. ʻIkepili Ola: Nā Mea Ola No ʻOe: Postpartum Depression; [hōʻano hou ʻia 2018 ʻOkakopa 10; i helu ʻia 2018 ʻOkakopa 24]; [ma kahi o 2 pale]. Loaʻa mai: https://www.uwhealth.org/healthfacts/obgyn/5112.html

ʻAʻole pono e hoʻohana i ka ʻike ma kēia pūnaewele i pani no ka mālama olakino ʻoihana a ʻōlelo aʻoaʻo paha. Kāhea aku i ka mea mālama ola inā he nīnau kāu e pili ana i kou olakino.

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