Ngemuva kokuba ingane ifike, abazali abaningi abasha bavele bekhululekile ukuthi bawutholile. Noma kunjalo, omama bangase bangakulungele ukubhekana nezinselelo zabo ezinkulu kakhulu-ukuthi bangaphatha kanjani ukucindezeleka ngemuva kokubeletha kanye / noma ukukhathazeka kokuhamba kwesikhathi.
Izingozi Zezingozi
Izingozi ze-postpartum ukucindezeleka noma ukukhathazeka zihlanganisa:
- Ukucindezeleka kwangaphambi kokubeletha noma kwangaphambilini
- Ukucindezeleka kokuphila
- Ukungabi nokusekelwa komphakathi
- Ukunganeliseki emshadweni
- Ukukhulelwa okungadingeki
- Umlando wokuhlukunyezwa ngokocansi
- Ukwaziswa kokuzalwa okubuhlungu
- Ukulindela okuphezulu kokuzalwa / ukubeletha
- Izinkinga zomzimba nengane
- Izinkinga nabahlinzeki bezempilo
Ukucindezeleka Kohlobo Olulodwa Ngemva Kokuzalwa Kuvamile
Amakilasi okubeletha avame ukunciphisa ingxoxo ye-postpartum ekunakekeleni komama nokunakekelwa kwengane. Ngokuvamile abazali banethuba lokuzilungiselela ukuzibophezela okunjalo ngokomzwelo.
Njengoba izibalo zibonisa ukuthi omama abaningi abasha bazoba nohlobo oluthile lokucindezeleka ngemva kokuzalwa, kungasiza ukubheka izinkinga zokucindezeleka kusukela ezincane kakhulu (emva kokubambisana kwe-blues) ukuya ekucindezelekeni okukhulu (psychotic depress), kanye nezindlela zomama kanye nemindeni yabo ukubhekana nayo.
I-Postpartum Blues
Abaningi abangamaphesenti angu-80 abomama bokuqala abhekana ne-postpartum blues noma abantwana blues. Izimpawu zivame ukuqala izinsuku ezimbili emva kokuzalwa njengoba amahomoni okukhulelwa avele awe phansi futhi omama bahlela ukunakekela ingane entsha ngezidingo eziqhubekayo.
Iningi labesifazane bayoba nezinkathi zenjabulo nenjabulo, kulandelwa ukudikibala nokucindezeleka. Lezi zinguquko ezinzima kakhulu zikwazi ukuphatha uma uqaphela ukuthi zisekelwe ekushintsheni kwama-hormone nokukhathala. Kodwa abanye omama bangase babe nomuzwa wokuthi ukuba nezimpawu kusho ukuthi akuzona omama abahle noma ukuthi akufanele babe omama.
Ukuphatha i-Postpartum Blues
Indlela engcono yokuphatha i-blues yinto yokuqala kakhulu ekutholeni ukuphumula okuningi. Omama badinga ukulala kokubili ukuphulukiswa ngokomzimba nangokwengqondo. Ngaphezu kwalokho, kufanele udle ukudla okunomsoco, uphuze amanzi amaningi, uphinde uhambe ngaphandle (isimo sezulu sivumela) nsuku zonke. Kuyasiza futhi uma amalungu omndeni enza imisebenzi yasendlini futhi alahle noma yimaphi amaphrojekthi amakhulu ezinyangeni eziningana. Uma izihlobo zingakwazi ukusiza, kungase kube usizo ukuqasha usizo lokuthunyelwe ngemuva kokuphuma kwe-doula. Amaqembu amasha okusekela omama angaba yindlela enhle yokuhlanganyela nabanye omama abasha, abaningi babo abazobe bebhekene nezingane ezihamba phambili. Iningi labesomama abane-postpartum blues ngeke badinge imithi kodwa bangase bazuze kwezinye izindlela zokwelashwa ezifana namakhambi kanye nokugcoba. Ngokuvamile i-blues yokuhamba ngemva kwe-postpartum izoxazulula ngaphakathi kwamasonto amabili -3 ngemva kokuzalwa.
Ngaphandle kwe-Baby Blues: Ukucindezeleka Kwangemva Kwesonto
Kwabesifazane abangamaphesenti angama-15, ukubeletha kungabathumela ekucindezelekeni okugcwele, okwenze kube nzima ukuzinakekela ngokwabo kanye / noma imindeni yabo. Ungase uzizwe udabuke kakhulu nokukhathazeka okuqala noma kuphi ngaphambi kokuba ubelethe inyanga emva kwalokho. Ezinye izimpawu zifaka:
- Ukukhala ngokweqile
- Kungakhathaliseki ukuthi ulele kakhulu noma ulele kancane (hhayi ngenxa yengane yakho entsha)
- Ukuzwa uthukuthele, ukucasula, futhi / noma ukuphumula
- Uzizwa ungenathemba noma ungenanzuzo
- Ukuzihlukanisa
- Ukungenzi imisebenzi owake wakujabulela
- Izinguquko zokudla (noma ukudla okuningi noma okuncane kakhulu)
- Izimpawu zomzimba ezifana nezitho zomzimba noma ikhanda
- Ukubunzima ukugxila
- Kunzima ukubopha nomntanakho
- Uzwa sengathi awukwazi ukunakekela ingane yakho
Uma usola ukuthi unesifo sokucindezeleka kokuthunyelwe, kubalulekile ukuthi ubone udokotela wakho ekwelapheni, kokubili ngenxa yakho nangokwenane wakho.
Ukuphazamiseka kokukhathazeka kwangemva kokubeletha
Ukuphazamiseka kokukhathazeka kwe-Postpartum kuvame ukudlula ukucindezeleka kokuhamba kwesikhathi. Kunezinkinga ezimbalwa eziqondile ezifakwe esigabeni sokukhathazeka kokukhathazeka okulandelayo, okufaka:
- Isifo sokukhathazeka okujwayelekile (i-GAD): Ukukhathazeka ngokweqile noma ukukhathazeka okuthola kunzima ukulawula futhi kuhlotshaniswe nokuphumula, ukukhathala, ukucasula, ukucindezeleka kwamasipha, kanye / noma ukulala.
- I-Obsessive-compulsive disorder (OCD): Ukuqaphela noma imicabango ephikisanayo, evame ukulimaza ingane, kanye / noma ukuphoqeleka okuphindaphindiwe, imikhuba yokuziphatha okuthola kunzima ukuyilawula.
- Isifo se-panic: Ukukhathazeka okukhulu okuhambisana nosizi lwesifuba, isizungu, ukujuluka, ukuthuthumela, njll, okuvame ukuhlotshaniswa nendawo ethile noma umcimbi othile.
Indlela Yokutshela Uma Unenkinga Yokuthunyelwa Kwangemva Kwesonto
Ungaphendula imibuzo elandelayo ukukusiza ukuthi ubone ukuthi kungenzeka yini ukuthi ubhekana nanoma yikuphi kwalokhu ukukhathazeka kokukhathazeka:
- Ingabe ukhathazeke kakhulu kangangokuba awukwazi ukunakekela ingane yakho ngokwanele?
- Ingabe ukwesaba ukuzilimaza wena noma umntwana kuze kube yilapho ungaqiniseki ukuthi ungaziyeka?
- Ingabe ukuziphatha kwakho okucindezelayo kuyingozi kumntwana?
- Ingabe unenkathazo yokuthi awukwazi ukudla noma ukulala?
Ukubona ukuphazamiseka kokukhathazeka kwe-Postpartum
Nakuba noma yikuphi okuvela kwamaphesenti angu-13 kuya kwangu-40 abesifazane abangase bahlakulele ukukhathazeka kokuhamba kwesikhathi, ucwaningo lubonisa ukuthi luvame ukunciphisa njengoba isikhathi siqhubeka. Uma ucabanga ukuthi une-anxiety disorder, uchwepheshe wakho wezempilo uzotusa ukuba uqale ukulawula noma iyiphi inkinga yangempela, njenge-hypoglycemia ne-hypothyroidism, ngaphambi kokucabanga ukuthi ukukhathazeka kuyimbangela.
Ngaphandle kwemikhuba emihle yokudla, ukuphumula nokuzivocavoca, ungaphinde uzuze ekuzivocavoca umzimba, amaqembu okusekela, ukwelulekwa, kanye / noma ukucindezeleka. Amanye amaqembu asekela nawo anikezela ngezinsizakalo zokudluliselwa kwabasebenzi bezempilo yengqondo abanesithakazelo esikhethekile ekuhluphekeni kokukhathazeka kokuhamba kwesikhathi.
Ukucindezeleka kwe-Psychotic Postpartum
Enye yezindlela zokuhlukanisa ukugula kwengqondo ngemuva kokuphuma kokukhathazeka okuvame ukukhathazeka noma ukucindezeleka okulandelayo emva kwalokho ukuthi ngaphezu kwalezi zimpawu, ngokuvamile uzoba nemicabango noma amaphutha. Ngezinye izikhathi amalunga omndeni angase angaboni ku-psychosis ngoba ungase ube nezikhathi lapho uvela khona. Kodwa-ke, phakathi nesikhathi lapho ungenangqondo, isahlulelo sakho siphelelwe amandla futhi kokubili wena nomntanakho awuphephile. Ngeke ukhumbule ngisho nalokho okwenzile phakathi nalezi zinsuku zengqondo.
I-postpartum psychosis, nakuba ingavamile (1 kuya kwezingu-2 kwabazalwa abayishumi), kumele ibhekwe njengesimo esiphuthumayo futhi iphathwe ngokushesha. Amama ngokuvamile asabela ngokushesha emithini yemithi futhi ezimweni eziningi kuzodingeka alulame esibhedlela noma emtholampilo. Kumele futhi wazi ukuthi usengozini yokuthuthukisa ingqondo ye-postpartum esikhathini esizayo esikhathini esizayo futhi ukuthi cishe uzobuya uma kufanele ube nomunye ingane. Kukhona ucwaningo olulinganiselwe ukuthi omama abasengozini bangase bazuze ekusebenziseni i-estrogen ngemuva kokuzalwa ukuvimbela ukucindezeleka kwengqondo.
Kunconywe Ukwelashwa
Ukwelashwa okuphakanyisiwe kwe-postpartum blues kuhlanganisa:
- Ukuphumula
- Ukudla okunomsoco nokudla okulula
- Usizo oluvela emndenini nabangane w / imisebenzi yasendlini
- Ukuzivocavoca
- Amaqembu omama asekela omusha
- Imithi yamagciwane *
- I-Acupuncture
- Izinsizakalo ze-Postpartum doula
Ukwelashwa okunconyelwe ukucindezeleka kokuhamba ngemuva kanye / noma izinkinga zokukhathazeka kuhlanganisa:
- Konke okungenhla
- Ukwelapha okukhanyayo
- Ukululekwa
- Amaqembu asekela
- Imithi (anti-depressants) *
Ukwelashwa okuphakanyisiwe kwe-psychosis postpartum kuhlanganisa:
- Konke okungenhla
- Ukwelashwa kwamahomoni kubomama abasengozini njengokuvimbela *
- Usizo lokunakekelwa umntwana ngenkathi umama elulame
- Ukwakhiwa esibhedlela kuze kube yilapho usuzinzile
* Bheka umhlinzeki wakho wezempilo ukuze uthole ulwazi mayelana nemithi efanelekile noma imithi ye-herbal yakho kanye / noma leyo ephephile ukuyisebenzisa ngenkathi ibeletha.
Okubalulekile
Izindaba ezimbi ukuthi cishe bonke omama bazozwa okungenani uhlobo oluphansi kakhulu lokucindezeleka kokuhamba ngemuva. Nokho, izindaba ezinhle ukuthi zonke lezi zinkinga ziyakwelashwa. Sifunda nokuningi mayelana nezindaba zempilo yengqondo namuhla ngakho omama abasha nemindeni yabo banezinsiza eziningi ezandleni zabo ukuze babasize kulolu hambo olubuhlungu ngokomzwelo.
> Imithombo:
> Fairbrother N, Janssen P, Antony MM, Tucker E, Young AH. Ukukhathazeka Kwe-Perinatal Ukukhathazeka Kwesifo Nokukhubazeka. I-Journal ye-Affective Disorders . Agasti 2016; 200: 148-55. doi: 10.1016 / j.jad.2015.12.082.
> Insizakalo yeT Field T. Postpartum Ukukhathazeka Okubalulekile, Ukuqaphelisisa Nemiphumela Ekuthuthukiseni Kwabantwana: Ukubuyekeza. I-Journal of Psychiatry and Psychiatric Disorders . Ngo-May 2, 2017; 1 (2): 86-102.
> I-National Institute of Health Mental (NIMH). Amaqiniso we-Postpartum Depressum. Izikhungo zezempilo zikazwelonke. UMnyango WezeMpilo waseMelika kanye Nezinsizakalo Zabantu.
> I-Payne J. Postpartum Psychosis: Epidemiology, i-Pathogenesis, Ukubonakaliswa Kwemitholampilo, Indlela, Ukuhlola, Nokuxilongwa. Kusesikhathini. Kubuyekezwe ngo-Septhemba 13, 2016.