No ke aha e ʻike ai kekahi mau Māmā i nā loli nui i ka wā e hoʻōki ai i ka hānai ʻana

Anter

• Nā hopena Physiological o ka hānai ʻana i ka hānai
• No laila he aha ka mea i ka wā e wean ai ʻoe?
• Pehea e maʻalahi ai ka hoʻoponopono ʻana i ka weaning
• Nānā no

I ka mahina i hala aku nei, i ke kakahiaka kakahiaka ʻole i ka hānai ʻana i kaʻu kaikamahine 11 mahina i ka Lāpule, ua nahu ʻo ia i lalo (a ʻakaʻaka) a laila hoʻāʻo e hoʻopaʻa hou. He snag i manaʻo ʻole ʻia i kahi huakaʻi hānai umauma ʻē aʻe, akā ma hope o ke kahe ʻana o ke koko (ugh), kahi hamo antibiotic i kuhikuhi ʻia, a me ka hoʻokahe ʻana i kekahi mau waimaka, ua hoʻoholo wau ʻo ia ka hopena.

ʻAʻole wale wau i paʻi iaʻu iho - ʻaʻole wau i hiki i ka makahiki hoʻokahi aʻu i hoʻonohonoho ai (ʻoiai naʻe i hoʻokumu ʻia) aʻu i hoʻonoho ai - akā i loko o nā lā, ʻo kēlā mau waimaka, nā manawa pōʻeleʻele i noho pū me aʻu i ka wā hānau hānau mua. kolo hou aku. Ua aneane hiki iaʻu manaʻo ke loli nei koʻu mau hormones.

Inā he pēpē wale ʻoe (a he mau hoaaloha makuahine hou kāu), maopopo paha iā ʻoe i kekahi o nā loli i hiki ke hele pū me nā mākua hou, ʻo ia hoʻi nā "blues pēpē" (kahi e hopena ai i ka 80 pākēneka o nā wahine i nā pule ma hope o ka hānau ʻana. ) a me nā ʻano perinatal a me nā maʻi pīhoihoi (PMADs), kahi e hopena ai i kekahi 1 i ka 7, e like me ka Postpartum Support International. Akā ʻo nā pilikia e pili ana i ka weaning — a i ʻole ke hoʻololi ʻana i kāu pēpē mai ka hānai ʻana i ka hānai a i ʻole ka meaʻai — ʻaʻole i kamaʻilio nui ʻia.

ʻO kekahi hapa, no ka mea ʻaʻole lākou maʻamau ma mua o nā PMAD, e like me ke kaumaha postpartum. ʻAʻole ʻike nā kānaka a pau iā lākou. "ʻO nā hoʻololi a pau i ka makua hiki ke lilo i mea ʻawaʻawa a aia ka nui o nā ʻike e pili ana i ka weaning," wehewehe ʻo Samantha Meltzer-Brody, MD, MPH, ka luna o ka UNC Center for Women's Mood Disorders a me kahi mea noiʻi nui i ka Mom Genes Fight PPD noiʻi noiʻi ma ke kaumaha hope o ka postpartum. "ʻIke kekahi mau wahine i ka hānai ʻana i ka umauma he mea ʻoluʻolu loa a loaʻa iā lākou ka pilikia o ka naʻau i ka wā o ka weaning," wahi āna. "ʻAʻole ʻike nā wahine ʻē aʻe i ka pilikia o ka naʻau a i ʻole lākou e ʻike i ka weaning he mea hōʻoluʻolu." (E nānā pū: Ua wehe ʻo Serena Williams e pili ana i kāna hoʻoholo paʻakikī e hoʻōki i ka hānai ʻana)

Akā hoʻololi i ke ʻano e pili ana i ka weaning (a * nā mea āpau * hānai waiū, TBH) kūpono. Ma hope o nā mea a pau, aia nā hoʻololi hormonal, pilikanaka, kino, a me ka noʻonoʻo i ka wā e hoʻōki ai ʻoe i ka hānai. Inā hōʻiliʻili nā ʻōuli, hiki iā lākou ke pūʻiwa, huikau, a kū i kahi manawa i manaʻo ʻia ʻo * wale * i waho o ka ululāʻau me nā ʻino postpartum.

Eia, he aha ka hana i loko o kou kino a pehea e maʻalahi ai ka hoʻololi ʻana iā ʻoe.

Nā hopena Physiological o ka hānai ʻana i ka hānai

"ʻEkolu mau ʻanuʻu o ka hoʻololi ʻana i ka hormonal a me ka physiological e hiki ai i nā wahine ke hana i ka waiū umauma," wehewehe ʻo Lauren M. Osborne, M.D., ka luna kōkua o ka Women's Mood Disorders Center ma The Johns Hopkins University School of Medicine. (E pili ana: E like me ka loli ʻana o nā pae o kāu Hormone i ka wā hāpai)

Hana ʻia ka pae mua i ka hapa ʻelua o ka hāpai ʻana i ka wā e hoʻomaka ai nā mammary glands i loko o kou mau umauma (ʻo ia ke kuleana o ka lactation) e hoʻohua i ka waiū liʻiliʻi. ʻOiai ʻoe e hāpai ana, nā pae kiʻekiʻe kiʻekiʻe o kahi hormone i kapa ʻia ʻo progesterone i hana ʻia e ka placenta e kāohi i ka huna o ka waiū i ʻōlelo ʻia. Ma hope o ka lawe ʻana, ke hemo ka placenta, hāʻule nā ​​pae progesterone a me nā pae o ʻekolu mau hormones ʻē aʻe — prolactin, cortisol, a me insulin — e ala aʻe, e hoʻoulu ai i ka waiū o ka waiū, i ʻōlelo ʻo ia. A laila, i ka ʻai ʻana o kāu pēpē, hoʻomaka ka hoʻoulu ʻana i kāu mau nipples i ka hoʻokuʻu ʻana o nā hormones prolactin a me ka oxytocin, wehewehe ʻo Kauka Osborne.

"Hāpai ʻo Prolactin i kahi ʻano hoʻomaha a me ka mālie i ka makuahine a me ka pēpē a me ka oxytocin - i kapa ʻia ʻo" ke aloha hormone "- kōkua me ka hoʻopili ʻana a me ka hoʻopili ʻana," hoʻohui ʻo Robyn Alagona Cutler, he male laikini, a me ka mea hoʻoponopono ʻohana nāna i loea i ka olakino noʻonoʻo perinatal.

ʻOiaʻiʻo, ʻaʻole kino wale ka hopena maikaʻi o ka hānai ʻana. ʻO ke kahu hānai he hana manaʻo nui e hiki ai ke hoʻoulu ʻia ka pili, ka pilina, a me ka hoʻopaʻa ʻana, wahi a Alagona Cutler. He hana pili loa ia kahi e hoʻopili ʻia ai ʻoe, ʻili i ka ʻili, e pili ana i ka maka. (E pili ana: ʻO nā pōmaikaʻi a me nā pono olakino o ka hānai ʻana)

No laila he aha ka mea i ka wā e wean ai ʻoe?

I ka pōkole: Lots. E hoʻomaka kākou me ka non-hormonal. "E like me nā hoʻololi a pau i ka makua ʻana, manaʻo ka poʻe he nui i ka ʻono ʻawaʻawa a me ka huki ʻana o ka hopena," wahi a Alagona Cutler. Nui nā kumu o ke kumu e hōʻoki ai ʻoe i ka hānai ʻana: ʻaʻole maikaʻi ia, hoʻi hou ʻoe i ka hana, ke luhi nei ka pīpī (e like me ka hihia no Hilary Duff), manaʻo wale ʻoe me he mea lā ka manawa , ke hele nei ka papa inoa.

A ʻoiai ke pāʻani nei nā hormones i nā manaʻo (ʻoi aʻe i kēlā manawa koke), i ka manawa o ka wean, nui nā mākua e ʻike i kahi ʻano manaʻo holoʻokoʻa (kaumaha! hoʻomaha! hewa!) no nā kumu ʻē aʻe. ʻO kahi laʻana, kaumaha paha ʻoe no ka hala ʻana o kahi "pae" o ke ola o kāu pēpē, e haʻo paha ʻoe i ka manawa pākahi a hoʻokahi paha, a i ʻole e kuʻi paha ʻoe iā ʻoe iho no ka paʻi ʻole ʻana i kahi "manawa pahuhopu" i hoʻokau ʻia iho no ka hānai (hewa👋🏻). "Pono e ʻike nā makuahine he maoli a kūpono kēlā mau manaʻo a pono lākou e ʻike a he wahi e lohe ʻia a kākoʻo ʻia," wahi a Alagona Cutler. (E pili pū ana: Alison Désir Ma nā Manaʻo o ka hāpai ʻana a me ka makuahine hou Vs. Reality)

I kēia manawa no nā hormones: ʻO ka mea mua, mālama ka hānai ʻana i ka hānai i kāu pōʻai menstrual, e hele mai me nā fluctuations o ka estrogen a me ka progesterone, wehewehe ʻo Dr. Osborne. I ka wā e hānai ai ʻoe, noho haʻahaʻa loa nā pae o ka estrogen a me ka progesterone, a ʻo ia hoʻi, ʻaʻole ʻoe e ʻike i nā piʻi a me nā haʻahaʻa o nā hormones e kū maoli ana i ka wā e loaʻa ai kou manawa. Akā ke hoʻomaka ʻoe i ka wean "hoʻomaka hou ʻoe i ka fluctuations o ka estrogen a me ka progesterone, a no kekahi mau wahine i maʻalahi i kēlā mau fluctuations, hiki i ka manawa o ka ukuhi waʻa ke lilo i manawa e ʻike ai lākou i kēlā mau loli," wehewehe ʻo ia. (FWIW, ʻaʻole maikaʻi nā pōmaikaʻi i ka mea e ʻoi aku ka nāwaliwali o kekahi ma mua o nā mea ʻē aʻe. He genetic a i ʻole he pili pono ʻoe i kou kino.)

ʻO nā kiʻekiʻe o ka oxytocin (ʻo ia ka hormone maikaʻi) a me ka prolactin pū kekahi e like me ka estrogen a me ka progesterone e hoʻomaka e piʻi. A ʻo ka hāʻule ʻana o ka oxytocin hiki ke hoʻopilikia i ke ʻano o ka pane ʻana o nā wahine i ke koʻikoʻi, wahi a Alison Stuebe, M.D., he kumu aʻoaʻo kōkua no ka mahele o ka lāʻau lapaʻau makuahine-fetal ma UNC School of Medicine.

ʻOiai ʻaʻohe nui o ka noiʻi ʻana ma kēia wahi — pono nui aʻe e ʻike ʻia — Dr. Manaʻo ʻo Osborne ʻo ka loli o ka naʻau i pili i ka weaning ʻaʻole paha i pili iki me ka hāʻule ʻana o ka oxytocin a me nā mea hou aku e hana me ka hoʻihoʻi i kēlā mau fluctuations o ka estrogen a me ka progesterone. Ma kahi ʻāpana, no ka mea ua ʻōlelo ʻo ia aia he nui o ka ʻikepili e pili ana i kahi metabolite a i ʻole nā ​​huahana by o ka progesterone i kapa ʻia allopregnanolone, i ʻike ʻia no ka hopena hōʻoluʻolu, anti-hopohopo. Inā haʻahaʻa ka allopregnanolone i kou wā e hānai ai a laila hoʻomaka ʻoe e hoʻi i ka wā e wean ai ʻoe, ʻaʻole paha e like me ka nui o nā mea hoʻokipa e hoʻopaʻa ai (no ka mea ʻaʻole pono kou kino iā lākou). Pākuʻi ʻia nā pae haʻahaʻa me kēia disregulation o nā receptor i "whammy pālua" no ka naʻau, wahi a Kauka Osborne.

Pehea e maʻalahi ai ka hoʻoponopono ʻana i ka weaning

ʻO ka nūhou ka hapa nui o nā ʻōuli e pili ana i ka weaning e hoʻonā maʻamau ma hope o ʻelua mau pule, wahi a Alagona Cutler. Eia nō naʻe, ʻike kekahi mau wahine i ke ʻano hoʻomau mau a i ʻole nā ​​pilikia hopohopo a pono ke kākoʻo (therapy, lāʻau) e hoʻokele iā lākou. A ʻoiai ʻaʻohe ʻōlelo aʻoaʻo ʻepekema paʻa loa e pili ana i nā ala maikaʻi loa e ukuhi ai, hiki i nā hoʻololi kūlohelohe ke hoʻonāukiuki i nā hoʻololi hormonal hikiwawe, wahi a Dr. Osborne. No laila — inā hiki iā ʻoe - e hoʻāʻo i ka wean ma ka lohi i hiki.

E ʻike paha ʻoe i nā hōʻailona o ke ʻano o ka hormonally-mediated mood? ʻO kāu koho maikaʻi loa, ʻo ia ka hōʻoia i loaʻa iā ʻoe kahi psychologist perinatal, psychiatrist, a i ʻole ka lāʻau lapaʻau i laina i hiki iā ʻoe ke huli a me ka nui o ke kākoʻo kaiaulu e kōkua iā ʻoe i ka hoʻololi.

A e hoʻomanaʻo: He kumu maikaʻi ke ʻimi ʻana i ke kōkua a me ke kākoʻo inā pono ʻoe - ʻoi aku ka nui o ka makua hou.

Nānā no