No ke aha e ʻoi aku ka maʻalahi o kekahi mau wāhine i ke kaumaha o ka hānau ʻana

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I ka manawa a Chrissy Teigen i hōʻike aku ai iā Glamor ua loaʻa ʻo ia i ke kaumaha ma hope o ka hānau ʻana i ke kaikamahine ʻo Luna, ua lawe hou mai ʻo ia i kahi pilikia olakino koʻikoʻi o nā wahine i mua a waena. (Aloha mākou * * aloha * ka supermodel no ka haʻi ʻana e like me ke ʻano e pili ana i nā kumuhana e like me ka positivity o ke kino, ka hana IVF, a me kāna papaʻai.) wahine ma US, e like me ka Centers for Disease Control and Prevention (CDC). A manaʻo ka poʻe noiʻi he 15 pakeneka wale nō o nā wahine i loaʻa i ka lāʻau lapaʻau. No laila mākou pono e kamaʻilio e pili ana.

ʻO ia ke kumu e hauʻoli ai mākou e ʻike i ka noiʻi hou e hele mai ana mai ke Kulanui ʻo Johns Hopkins. Hōʻike ia i ka loaʻa ʻana o nā pae kiʻekiʻe o kahi hormone anti-hopohopo i loko o ka hāpai ʻana-ʻo ia hoʻi ka lua o ka trimester-hiki ke pale aku i nā makuahine e kūʻē iā PPD. ʻO ka mea ʻoi aku ka maikaʻi, ʻo kēia mau ʻike hou i hiki i kekahi lā ke alakaʻi i nā hoʻokolohua a me nā mālama ʻana e kōkua ai e pale i ke ʻano. (Meka ʻaoʻao: Ua ʻike paha ʻoe i ka epidural hiki ke hoʻohaʻahaʻa i kou pilikia o PPD?)

Ma ka haʻawina, i paʻi ʻia ma Psychoneuroendocrinology, ua ana nā mea noiʻi i nā pae o allopregnanolone, he hua ia o ka progesterone hormone hānau i ʻike ʻia no kona hopena hoʻomaha a me ka hopohopo. Ua nānā lākou i 60 mau makuahine e hiki koke mai ana i ʻike mua ʻia me ka maʻi ʻino (e noʻonoʻo: ke kaumaha nui a i ʻole ka maʻi maʻi bipolar), a hoʻāʻo i nā pae o nā wahine i ka lua a me ke kolu o ka trimesters. Ma hope o ka hānauʻana o nā wāhine, uaʻike nā mea noiʻiʻo ka poʻe i loaʻa nā haʻahaʻa haʻahaʻa o ka allopregnanolone i ka manawa o ka lua o ka trimester iʻoi aku ka nui o kaʻikeʻia me ka PPD ma mua o nā wāhine me ke kiʻekiʻe o ka hormone i kēlā manawa hoʻokahi.

"Ua anaʻiaʻo Allopregnanolone i ka nanogram per milliliter (ng / mL), a no kēlā me kēia hou ng / mL, he 63 pakeneka ka emiʻana o ka wahine i kona pilikia no PPD," wahi a ka mea kākau noiʻi Lauren M. Osborne, MD, ka luna hoʻomalu o ka Wahine Mood Disorder Center ma ke Kula Nui Lapaʻau o Johns Hopkins.

I ka wā hāpai, piʻi maoli ka progesterone a me allopregnanolone a laila hāʻule i ka wā hānau, wehewehe ʻo Osborne. I kēia manawa, hōʻike kekahi mau hōʻike e hiki ke emi ka nui o ka progesterone e wāwahi ʻia i allopregnanolone i ka hopena o ka hāpai ʻana. No laila, hiki ke maʻalahi, inā loaʻa iā ʻoe nā pae haʻahaʻa o ka allopreggnanolone e lana ana ma kāu ʻōnaehana ma mua o ka hānau ʻana-a laila ʻike i ka pau ʻana o nā hormones i ka wā hānau keiki-e piʻi aʻe kou mau manaʻo hopohopo a hiki iā ʻoe ke maʻalahi i ka PPD, o ʻo ka hopohopo he hōʻailona maʻamau. (Eia kekahi, ʻoi aku ka ʻike e pili ana i ka PPD.)

'Ōleloʻo Osborneʻaʻole i pane piha ka noiʻi i ka nīnau no ke kumu e hiki ai i ka allopregnanolone ke pale aku iā PPD, "akā hiki iā mākou ke noʻonoʻo e pili ana paha nā haʻahaʻa haʻahaʻa i ka lua o ka trimester i kahi kaulahao o nā hanana e alakaʻi i ka PPD-ma o ka lolo, a i ʻole ka ʻōnaehana pale, a i ʻole kekahi ʻōnaehana ʻē aʻe a mākou i noʻonoʻo ʻole ai."

Hoʻomaopopo ʻo ia e maʻalahi paha kekahi mau wahine i ka PPD ma muli o nā pae haʻahaʻa o allopregnanolone ma waho o ka hāpai ʻana, e like me ka hōʻike e hōʻike ana i ka loulou ma waena o nā pae haʻahaʻa o ka hormone a me ke kaumaha. (Pili: Eia nā hana ʻelima i hiki ke kōkua iā ʻoe no ka hānau keiki.)

ʻLelo kēlā, ʻaʻohe mea e ʻōlelo iā ʻoe e holo i waho no kahi hōʻike allopregnanolone inā he pēpē ʻoe ma ke ala (ʻoiai, FWIW, aia kahi hōʻike koko no ia). Ma hope o nā mea a pau, ʻae ʻo Osborne he haʻawina liʻiliʻi kēia me nā hopena mua, no laila pono e hoʻopau ʻia ka nui o nā noiʻi. Hoʻohui, he aha loaʻa hana ʻia me nā ana. ʻO ka mea mua loa: Ua hana ʻia kēia haʻawina me kahi pūʻulu o nā wahine koʻikoʻi, ma mua o ka poʻe i loaʻa ʻole kahi maʻi maʻi o ka naʻau. ʻO ia hoʻi, ʻaʻole lākou i ʻike inā loaʻa nā hopena like ke nānā ʻia kahi heluna lehulehu.

Eia nō naʻe, hāʻawi ia i ka manaolana no nā mea e hiki mai ana no ke olakino a me ka mālama ʻana o nā wahine. Ua ʻōlelo ʻo Osborne lana lana ka manaʻo e aʻo inā hiki ke hoʻohana ʻia ka allopregnanolone e pale aku iā PPD i nā wahine kūpilikiʻi, a ʻo Johns Hopkins kekahi o nā keʻena e nānā nei i ka allopregnanolone ma ke ʻano he lapaʻau kūpono no PPD.

No laila, ʻoiai ka poʻe ʻepekema e hana i kēlā, ʻo kāu koho maikaʻi loa ʻo ka mālama ʻana i kou ʻano. "Aneane nā wāhine a pau-ma kahi o 80 a 90 pakeneka-e loaʻa i ka 'baby blues' [aʻike] i ka loli a me ka uēʻana i nā lā mua ma hope o ka hānauʻana," wahi a Osborne. "Akā ʻo nā hōʻailona i hala ʻelua pule a ʻoi aku paha, a ʻoi aku ka paʻakikī, hiki ke hōʻike i ke kaumaha postpartum."

pilikia ka hiamoe; ke luhi nei; ka hopohopo nui (e pili ana i ka pēpē a i ʻole nā ​​​​mea ʻē aʻe); me ka nele o ka manao i ke keiki; loli ka makemake; ʻeha a ʻeha; manaʻo hewa, waiwai ʻole, a manaʻolana ʻole paha; manaʻo huhū; pilikia ka noonoo ana; aiʻole e noʻonoʻo nei e pili ana i ka hōʻino ʻana iā ʻoe iho a i ʻole ka pēpē nā hōʻailona āpau o PPD, wahi a Osborne. (Plus, mai poina i kēia mau hōʻailona maʻalahi ʻeono o ke ʻano.) Inā ʻike ʻoe i kekahi o ia mau mea, e hoʻopā i ka base me kāu kauka i ka wā hiki loa no ka mea-ʻo ke kala kala! Aia kekahi lālā kākoʻo o ka Postpartum ma kēlā me kēia mokuʻāina no ka poʻe e ʻimi nei i nā koho hou aʻe.

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