Manaʻo mākou a pau he mea kupanaha ke ola ma hope o ka hānau ʻana o kahi pēpē, akā i kekahi manawa ke kaumaha iki nei ʻoe, mehameha, a kaumaha paha i kahi wahi o kou puʻuwai? Ke hele mai nei anei nā waimaka i kou mau maka me ke kumu ʻole? ʻAʻole anei ʻoe makemake e hana i nā mea āu i aloha ai ma mua? ʻAʻole ʻoe hoʻokahi, he nui nā makuahine hou a puni ka honua e kū nei i kēia ʻike. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi kumuhana a ka poʻe he nui e makaʻu nei e kamaʻilio e pili ana, akā he mea kūpono ke kamaʻilio ʻana, ʻo ia hoʻi ke kaumaha postpartum.
Hiki ke hana kēia i kekahi.
Manaʻo paha ʻoe ʻo wau wale nō kēia, no kekahi nāwaliwali oʻu. Akā, ʻaʻole pēlā. ʻOiai ʻo Chrissy Teigen, he kumu hoʻohālike kaulana o ka honua, he mea kākau puke kuke, a he wahine a kahi mea mele kaulana, ua kaʻana like ʻo ia i kona ʻike me ke ao nei. ʻOiai me he mea lā ua loaʻa iā ia nā mea āpau, ua hiki mai kēia kūlana iā ia ma hope o ka hānau ʻana o kāna kaikamahine.
Wahi a ia, i ka wā i hānau ai ʻo ia i kāna kaikamahine a hoʻomaka e hoʻi i ka hana, ua manaʻo ʻo ia ʻaʻole ʻo ia ke kanaka like me ia ma mua. He ʻeha maoli nō ka ala ʻana mai kahi moe a hele i ka hana i ka manawa kūpono. Ua ʻōlelo ʻo ia ʻaʻole wale kona kua a me kona mau poʻohiwi i ʻeha, akā ʻeha pū kona mau pulima. ʻAʻohe ona makemake e ʻai. E kamaʻilio wale ʻo ia me nā kānaka a ʻaʻole hoʻi e haʻalele i ka hale i ka wā ʻaʻole ʻo ia e hana ana. I kekahi manawa e hoʻomaka ʻo ia e uē me ke kumu ʻole.
I kona ʻike hope ʻana i ke kauka, ua ʻike ʻo ia he Kaumaha Postpartum ia. ʻO ka mea nui a mākou e aʻo ai mai kēia moʻolelo, hiki ke hiki kēia maʻi i kekahi kanaka a ʻaʻohe pono e hilahila iā ia a ʻeha hoʻokahi paha.
He like anei ʻo 'Baby Blues' a me 'Postpartum Depression'?
ʻAe. He wahi kēia e huikau ai ka poʻe he nui. Ma kahi o 80% o nā makuahine e ʻike i ka 'Baby Blues' ma hope o ka hānau ʻana o kahi pēpē. Akā, ʻoi aku ka koʻikoʻi o ke kaumaha postpartum. E hoʻomaopopo kākou i ka ʻokoʻa ma waena o nā mea ʻelua.
| ʻAno | 'Nā Pēpē Pōuliuli' | Kaumaha ma hope o ka hānau ʻana |
|---|---|---|
| Ka lōʻihi | Hoʻomaka pinepine ia i kekahi mau lā ma hope o ka hānau ʻana o ke pēpē a nalowale ia ma ona iho i loko o ʻelua pule . | He mau ia ma mua o ʻelua pule a hiki ke mau no nā mahina a ʻoi aku paha inā ʻaʻole mālama ʻia. |
| ʻO ke ʻano o nā manaʻo | Nā loli pinepine o ka naʻau, ke kaumaha iki, ka hopohopo, ka uē ʻana me ke kumu ʻole. Akā, aia nō hoʻi nā manawa maikaʻi o ka lā. | Kaumaha nui, manaʻolana ʻole, mehameha, hewa. ʻAʻohe manaʻo hauʻoli iki. |
| Nā hana o kēlā me kēia lā | ʻAʻole pilikia pinepine ka hiki ke mālama i ke pēpē a me ke kanaka ponoʻī. | Paʻakikī i ka mālama ʻana i ka pēpē, ka hana ʻana i nā hana ponoʻī, a i ʻole ke ala ʻana mai kahi moe. |
| Pilina me ka pēpē | Mālama i ke pēpē a hoʻokumu i kahi pilina me ke pēpē. | Ka nele o ka hoihoi i ka pēpē, ka noho mamao aku mai ka pēpē, a i ʻole ka makaʻu i ka hōʻeha ʻana i ka pēpē. |
ʻO ka mea nui, ʻoiai ʻo ka "baby blues" e nalowale wale ana ma o lākou iho, ʻo ke kaumaha postpartum kahi maʻi olakino e pono ai ka mālama ʻia .
He aha nā hōʻailona ʻē aʻe o ke kaumaha postpartum?
I ka ʻōlelo maʻalahi, he ʻano kēia o ke Kaumaha Nui. No laila ua like nā hōʻailona. E nānā inā loaʻa iā ʻoe kēia mau mea:
- Ke kaumaha mau nei, ka ʻole, a i ʻole ka manaʻolana ʻole.
- Ka nalowale ʻana o ka hoihoi i nā mea i leʻaleʻa ma mua (e.g., ke kamaʻilio ʻana me kahi hoaaloha, ka nānā ʻana i kahi kiʻiʻoniʻoni).
- Nā loli i ka makemake e ʻai - ʻAʻole makemake kekahi poʻe e ʻai, aʻo kekahi poʻe makemake e ʻai ma mua o ka mea e pono ai.
- Nā pilikia hiamoe - ʻaʻole hiamoe ʻoiai ke hiamoe nei ka pēpē, a i ʻole e hiamoe mau ana.
- Manaʻo luhi loa a nele i ka ikaika .
- Nā manaʻo hewa e like me "ʻAʻole wau he makuahine maikaʻi" a "ʻO koʻu hewa kēia a pau."
- Ka paʻakikī i ka noʻonoʻo ʻana a me ka hoʻoholo ʻana i nā hoʻoholo.
- Nā hōʻailona kino e like me ke poʻo ʻeha, ka ʻeha ʻōpū, a me nā ʻeha kino e kū mai ana me ke kumu ʻole.
- Kākaʻikahi loa,Ke loaʻa nei nā manaʻo e hōʻeha iā ʻoe iho a i ʻole ke pēpē.
ʻO ka loaʻa ʻana o hoʻokahi a ʻelua paha o kēia mau hōʻailona, ʻaʻole ia he manaʻo ua loaʻa iā ʻoe ka maʻi. Akā inā mau kekahi o lākou no nā pule ʻelua a ʻoi aku a ke hoʻopilikia nei i kou ola o kēlā me kēia lā, he mea nui e ʻimi i ke aʻo lapaʻau.
No ke aha lā kēia e hana nei iaʻu?
He paʻakikī ke kuhikuhi i hoʻokahi wale nō kumu no kēia, akā hiki i ka hui pū ʻana o kekahi mau kumu ke kōkua i kēia.
1. Nā Hoʻololi Hormonal: I ka wā hāpai, piʻi nui nā pae o nā hormones estrogen a me progesterone i loko o ke kino. Ma hope o ka hānau ʻana o ke pēpē, hāʻule koke kēia mau pae hormone. Hiki i kēia hoʻololi koke ke hoʻopilikia i ka kemika o ka lolo a hoʻoulu i ke kaumaha.
2. Kaumaha: He kuleana nui ka mālama ʻana i kahi pēpē hou. ʻO ka nele i ka hiamoe, ka nalowale o ke kūʻokoʻa, nā pilikia kālā, a me nā kūʻēʻē me kāu kāne kekahi o nā kumu nui o kēia.
3. Moʻolelo ma mua: Inā ua loaʻa iā ʻoe ke kaumaha a i ʻole kekahi maʻi noʻonoʻo ʻē aʻe ma mua, a inā ua loaʻa i kekahi o kou ʻohana, ʻoi aku ka nui o kou pilikia o ka loaʻa ʻana o kēia maʻi.
4. Ka nele o ke kākoʻo kaiaulu: Inā ʻaʻole ʻoe e loaʻa i ke kākoʻo lawa mai kāu kāne, ʻohana, a me nā hoaaloha i kēia manawa paʻakikī, hiki i nā manaʻo o ka mehameha ke hoʻonui i ke kūlana.
Āhea wau e ʻike ai i ke kauka?
Inā loaʻa iā ʻoe kēia mau hōʻailona, mai ʻeha hoʻokahi. ʻAʻole kēia he nāwaliwali ma kou ʻaoʻao, he maʻi ia e hiki ke mālama ʻia.
- Inā ʻaʻole e emi kāu 'Baby Blues' ma hope o ʻelua pule .
- Inā e ʻoi aku ka ʻino o nā hōʻailona i kēlā me kēia lā .
- Inā paʻakikī loa ka hana ʻana i kāu mau hana o kēlā me kēia lā a me ka mālama ʻana i ke pēpē .
- Inā loaʻa iā ʻoe kahi manaʻo iki e hōʻeha iā ʻoe iho a i kāu pēpē paha , e ʻike koke i ke kauka. Inā pono, hiki iā ʻoe ke hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
Hiki iā ʻoe ke kamaʻilio me kāu kauka ʻohana (GP), kauka hānau keiki (OB/GYN), a i ʻole kauka noʻonoʻo e pili ana i kēia. Hiki iā lākou ke kōkua iā ʻoe.
He aha nā lāʻau lapaʻau?
ʻO ka nūhou maikaʻi, he maʻi hiki ke mālama ʻia ke kaumaha postpartum. ʻElua mau koho lapaʻau nui.
1. Psychotherapy/Counselling: ʻO kēia kahi āu e kamaʻilio ai me kahi kākāʻōlelo aʻoaʻo a i ʻole psychiatrist e pili ana i kou mau manaʻo a me nā pilikia. E alakaʻi lākou iā ʻoe i ke ʻano e hoʻoponopono ai i kēia mau manaʻo paʻakikī a hoʻoponopono i nā pilikia.
2. Lāʻau lapaʻau:I kekahi mau hihia, hiki i kāu kauka ke kuhikuhi i nā lāʻau antidepressants. Kōkua kēia i ke kaulike ʻana i nā kemika lolo a hoʻomaikaʻi i kou ʻano. Mai makaʻu e ʻōlelo, "ʻAʻole hiki iaʻu ke lawe i ka lāʻau lapaʻau no ka mea ke hānai waiū nei au." I kēia manawa he nui nā lāʻau lapaʻau i palekana no nā makuahine hānai waiū. E ʻōlelo aku kāu kauka i ka lāʻau lapaʻau maikaʻi loa a palekana loa no ʻoe a me kāu pēpē.
ʻO ka pinepine, ʻo ka hoʻohana pū ʻana i kēia mau lāʻau ʻelua e hiki ai ke hoʻokō i nā hopena maikaʻi aʻe.
Leka Lawe-Home
- ʻAʻole kou hewa a nāwaliwali paha ke kaumaha ma hope o ka hānau ʻana. He kūlana maoli ia e pono e mālama ʻia.
- He ʻoi aku ke koʻikoʻi ma mua o ka 'Baby Blues', a ʻoi aku ka lōʻihi o kona mau ʻana.
- Hiki i kēia kūlana ke hiki i kekahi makuahine, ma kēlā me kēia pae o ke kaiāulu. No laila, mai hilahila.
- Inā loaʻa iā ʻoe nā hōʻailona, e ʻoluʻolu e kamaʻilio me kāu kauka ma kahi o ka ʻeha hoʻokahi.
- Hiki ke ho'ōla loa ʻia kēia maʻi me ka kamaʻilio lapaʻau a me nā lāʻau lapaʻau palekana.
- ʻO ke kākoʻo a me ka hoʻomaopopo ʻana o kou ʻohana a me kāu kāne ka ikaika nui loa hiki iā ʻoe ke loaʻa i kēia manawa.
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