Ke kaumaha koke nei paha ʻoe a huhū paha i ka wā e hānai waiū ana kāu pēpē? E kamaʻilio kākou e pili ana i ka D-MER (Dysphoric Milk Ejection Reflex)!

Ke lilo ʻoe i makuahine hou, nui nā loli e hele ana i kou kino a me kou noʻonoʻo, ʻeā? I kekahi manawa, ke mākaukau ʻoe e hānai i kāu pēpē, a i ʻole ma mua koke o ka hoʻomaka ʻana o kāu waiū e puka mai i waho o kou mau umauma, ke kaumaha koke nei ʻoe, huhū, a huhū paha me ke kumu ʻole? ʻAʻole kēia iā ʻoe wale nō. I kēia lā, e kamaʻilio mākou e pili ana i kēia manaʻo ʻē.

He aha ka D-MER (Dysphoric Milk Ejection Reflex)?

I ka ʻōlelo maʻalahi, ʻo D-MER kahi maʻi e hoʻopilikia ai i nā makuahine hānai waiū, a i ʻole nā ​​​​makuahine e pamu waiū. He manaʻo koke a maikaʻi ʻole ia e hiki mai ana i kou manaʻo ma mua o ka puka ʻana o kāu waiū (waiū i hoʻokuʻu ʻia). He manawa pōkole kēia, ma kahi o hoʻokahi a ʻelua paha minuke, akā hiki ke hoʻoluhi nui ʻia (dysphoria) a hoʻonāukiuki. I kekahi manawa, hiki iā ʻoe ke manaʻo i kēia ʻano ke puka koke mai kāu waiū (accidente let down). He mea maʻamau kēia i ka wā lactation.

ʻO ka mea nui, he reflex kēia, ʻo ia hoʻi, ʻaʻole ia he mea hiki iā ʻoe ke kaohi. ʻAʻole ia he pilikia i kou manaʻo, ʻaʻole no ka mea ʻaʻole ʻoe makemake e hānai i kāu pēpē, ʻaʻole no ka mea ua ʻeha kou mau nipples. He kino loa ia. Wahi a ka noiʻi o kēia manawa, ua hoʻokumu ʻia e ka loli koke o nā kemika i loko o kou kino, ʻo ia hoʻi nā hormones .

Ke hoʻomau nei ka noiʻi ʻana i ke ʻano maʻamau o ka D-MER. Hōʻike kekahi noiʻi ma waena o 5% a me 9% o nā makuahine hānai e ʻike paha iā ia. ʻAʻole pili pono ia i ke kaumaha postpartum (PPD) a i ʻole ka hopohopo postpartum . Eia nō naʻe, hiki i kekahi mau makuahine ke ʻike i ka D-MER me ka PPD a i ʻole ka hopohopo.

He aha kou manaʻo i ka wā o D-MER? (Nā hōʻailona)

ʻO ka mea nui āu e manaʻo ai i ka wā D-MER ʻo ia ka hoʻomaka koke ʻana o nā manaʻo a me nā manaʻo maikaʻi ʻole. Hiki koke mai kēia mau mea a nalowale i loko o ka hapalua minuke a ʻelua mau minuke. ʻO ka mea nui loa, hiki mai kēia mau manaʻo ke kokoke e hoʻokuʻu ʻia kou mau umauma. Ke hoʻomaka ka waiū e komo mai, nalowale kēlā mau manaʻo maikaʻi ʻole.

Hiki paha iā ʻoe ke loaʻa i kēia mau manaʻo me D-MER:

• Ka manaʻo o ke kaumaha nui a me ka hoka.
• Hoʻowahāwahā iā ia iho, manaʻo haʻahaʻa iā ia iho.
• He manaʻo piholo/makaʻu , me he mea lā ua paʻa kekahi mea i loko o ka ʻōpū, a i ʻole e hiki mai ana kekahi mea ʻino.
• Ka huhū , ke kaumaha, a i ʻole ka hoʻomaha ʻole me ke kumu ʻole.
• Hopohopo a huhū paha.

E hoʻomanaʻo, ʻaʻole pili ʻo D-MER i nā pilikia kino ʻē aʻe e pili ana me ka hānai waiū, e like me ka ʻeha o ka nipple a i ʻole ka pehu ʻana o ka umauma. Eia nō naʻe, hiki i kēia mau manaʻo ke ikaika loa a hiki i kekahi mau makuahine ke manaʻo e pono e hoʻōki i ka hānai waiū a i ʻole ka pamu ʻana.

He mea nui loa: I kekahi manawa hiki i kēia mau hōʻailona ke koʻikoʻi loa a hiki ke alakaʻi i nā manaʻo pepehi kanaka . Inā loaʻa iā ʻoe nā manaʻo e hōʻeha iā ʻoe iho a i ʻole kekahi mea ʻē aʻe, e ʻoluʻolu e ʻimi koke i ke kōkua lapaʻau. Hiki i nā hōʻailona D-MER ke paʻakikī loa ka mālama ʻana no nā makuahine me ke kaumaha postpartum (PPD).

No ke aha e hana ai kēia? (Nā kumu o D-MER)

ʻOiai ʻaʻole i maopopo loa kēia ʻano, nui nā haʻawina e hōʻike ana ʻo nā hormones ke kumu nui. ʻO ke kikoʻī, ua hoʻokumu ʻia ia e ka emi koke ʻana o nā pae o ke kino o kahi hormone i kapa ʻia ʻo dopamine . ʻO Dopamine kahi hormone e pili ana me nā manaʻo o ka hauʻoli a me ka ʻoluʻolu. Ua hōʻike ʻia nā haʻawina he nui e hiki i nā pae haʻahaʻa o ka dopamine ke hoʻopilikia maikaʻi ʻole i ko mākou ʻano a me nā manaʻo.

E noʻonoʻo i kēia ʻano: ke hānai ʻoe i kāu pēpē me ka waiū, hoʻokuʻu kou kino i nā hormones i kapa ʻia ʻo prolactin (he hormone koʻikoʻi no ka hana waiū) a me oxytocin . Ke omo kāu pēpē (a i ʻole ʻoe e hoʻomaka e pamu), ʻo kēia hormone i kapa ʻia ʻo oxytocin ke kumu e puka mai ai ka waiū mai kou mau umauma (milk ejection/let-down). Hana kēia hormone, ʻo oxytocin, ma ka hoʻohaʻahaʻa ʻana i nā pae dopamine. ʻO ia hoʻi, e hāʻule ana kāu mau pae dopamine.

No nā kumu i maopopo ʻole ai i nā kānaka noiʻi, hāʻule koke nā pae dopamine o kekahi mau makuahine. ʻO ia ka manawa e kaumaha koke ai lākou a me nā manaʻo maikaʻi ʻole ʻē aʻe. Ua kapa ʻia kēia ʻo D-MER.

Akā, he manawa pōkole kēia mau manaʻo maikaʻi ʻole. Ua hōʻike mai ka nui o nā makuahine i ka wā e hoʻi ai kāu mau pae prolactin a me oxytocin i ka maʻamau, e paʻa kou ʻano i loko o kekahi mau minuke.

E hoʻomanaʻo, he hopena kino ka D-MER, ʻaʻole he hopena noʻonoʻo. ʻAʻole ia he manaʻo ua kaumaha ʻoe, huhū i kāu pēpē, a i ʻole kānalua e hānai i ka waiū. Inā manaʻo ʻoe he D-MER paha kāu, hiki ke kōkua nui ke kamaʻilio me kāu kauka, kahu hānai, a i ʻole ke kākāʻōlelo lactation.

Pehea e ʻike maopopo ai ke kauka he D-MER kēia? (Diagnosis)

No ka mea, ʻaʻohe nui o ka noiʻi ʻana ma ka D-MER, ʻaʻohe hōʻailona kūhelu no ia mea. E kamaʻilio kāu kauka me ʻoe e pili ana i kāu mau hōʻailona, ​​​​i ka wā e kū mai ai, a pehea ko lākou koʻikoʻi. E hoʻomanaʻo, ʻike wale ʻia ka D-MER i ka wā e hānai waiū ana ʻoe a i ʻole e pamu ana, a nalo ia ma hope o kekahi manawa. ʻO ka wehewehe maopopo ʻana i kāu mau hōʻailona a me ka wā e kū mai ai e kōkua i kāu kauka e hoʻomaopopo i ka mea e hana nei.

He aha kā mākou e hana ai inā loaʻa iā mākou ka D-MER? (Lāʻau a me ka Hoʻokele)

No ka mea, ʻaʻole maopopo loa i nā kānaka noiʻi ke ʻano o ka maʻi, ʻaʻohe "lāʻau lapaʻau" kūikawā no D-MER. Eia nō naʻe, aia kekahi mau ala e kōkua iā ʻoe e hoʻokele i kāu mau hōʻailona a hoʻomanawanui i ke ʻano.

Eia kekahi o nā ʻano hana i hoʻohana pinepine ʻia e mālama i nā hōʻailona D-MER:

• E hoʻonui i ka pilina ʻili-a-ʻili me kāu pēpē: Inā ʻoe e hānai waiū ana, e hoʻāʻo e hoʻopaʻa i kāu pēpē kokoke iā ʻoe i ka hiki. Hiki i kēia hoʻopā ke hoʻemi i kāu mau pae cortisol (kahi hormone e pili ana me ke kaumaha), hoʻohaʻahaʻa i kou puʻuwai, a hoʻolilo iā ʻoe i kahi manaʻo mālie. E like me ka ʻoluʻolu a mākou e ʻike ai i ka wā e paʻa ai mākou i kahi pēpē liʻiliʻi.
• Noʻonoʻo hohonu a i ʻole ka hanu hohonu: ʻO ka mea nui ka hoʻāʻo ʻana e hōʻoluʻolu i ka noʻonoʻo. Hoʻemi kēia i ka hopohopo a me ke kaumaha. E hanu hohonu ma kou ihu a hanu mālie ma kou waha. ʻO ka hana ʻana i kēia no kekahi mau minuke i ka lā hiki ke hana i kahi ʻokoʻa nui.
• E ʻimi i nā ala ʻē aʻe e hoʻomaha ai: E lomilomi mālie ma mua o ka hānai ʻana i ka waiū, e hoʻolohe i kāu mele punahele, a i ʻole e komo i loko o kahi ʻauʻau mehana. Hiki i kēia mau mea ke kōkua iā ʻoe e hoʻomaha a hoʻomanawanui maikaʻi i ka wā e hiki mai ai ʻo D-MER.
• E hoʻohuli iā ʻoe iho: Ke manaʻo nei ʻoe ua luaʻi, e hoʻāʻo e kau i kou manaʻo i kahi mea ʻē aʻe. Malia paha hiki iā ʻoe ke ʻai i kahi meaʻai māmā, e nānā i kahi mea ma ke TV, a i ʻole e heluhelu i kahi puke ʻoiai ʻoe e noʻonoʻo nei i nā mea ma kou manaʻo. ʻO ke kumu, e pili ana i ka hoʻopaʻa ʻana i kou manaʻo me kahi mea ʻē aʻe ke hiki mai kēlā manaʻo maikaʻi ʻole.
• E ʻimi i ke kākoʻo: He mea nui loa ke kākoʻo iā ʻoe e hoʻoponopono ai i ka D-MER. Hiki paha i kāu wahine, he hoaaloha maikaʻi loa, a i ʻole kahi hui kākoʻo D-MER ma ka pūnaewele. E ʻimi i nā poʻe e hoʻolohe iā ʻoe, e kamaʻilio me ʻoe, a e mālama iā ʻoe. He ikaika nui nō hoʻi ka ʻike ʻaʻole ʻoe hoʻokahi.

Pehea ka lōʻihi o kēia kūlana?

ʻOkoʻa kēia mai kēlā kanaka a kēia kanaka. No ka hapa nui o nā kānaka, emi mālie ka D-MER ma hope o ʻekolu mahina. Lilo ia i mea ʻoi aku ka koʻikoʻi i ka wā e ulu ai ke pēpē. Eia nō naʻe, aia kekahi poʻe i ʻike i ka D-MER a hiki i ka wā e pau ai ka hānai waiū. No laila, he paʻakikī ke ʻōlelo pololei i ka lōʻihi o kou loaʻa ʻana. Akā e hoʻomanaʻo, ʻaʻole ia he mea mau loa i ka hapa nui o nā hihia.

Hiki ke pale ʻia kēia?

ʻAʻole, ʻaʻole hiki iā ʻoe ke pale aku i ka D-MER. Akā, he mea nui e ʻike he poʻe hiki ke kōkua iā ʻoe a ʻaʻole i hana ʻia kēia kūlana e kekahi mea āu i hana ai. ʻAʻole pono ʻoe e lawe i ke kuleana no ia.

He hōʻailona anei ʻo D-MER no ke kaumaha postpartum (PPD)?

ʻAʻole, ʻaʻole ʻo D-MER he hōʻailona e loaʻa ana iā ʻoe ke kaumaha postpartum (PPD) a i ʻole kekahi maʻi ʻē aʻe postpartum mood. ʻOiai ua like kekahi o nā hōʻailona, ​​​​hiki wale mai ʻo D-MER ke kokoke mai kāu waiū a nalowale koke. Eia nō naʻe, hiki ke loaʻa kahi maʻi e like me PPD i kou wā e loaʻa ai iā ʻoe ʻo D-MER. Inā ʻoi aku ka ikaika o nā manaʻo maikaʻi ʻole a me nā manaʻo āu e ʻike nei ma waho o ka hānai waiū, a inā paha e ʻoi aku ka ʻino o kēlā me kēia lā, e ʻoluʻolu e kamaʻilio me kāu kauka.

He mea nui loa ka mālama ʻana iā ʻoe iho!

ʻOiai ʻaʻole ʻike kekahi poʻe, he maʻi maoli ʻo D-MER. ʻO ka mea pōmaikaʻi, he manawa pōkole wale nō ia, a aia nā ala e kōkua iā ʻoe e hoʻomanawanui. E hoʻāʻo e hoʻokele i kāu mau hōʻailona D-MER me ka hoʻohana ʻana i nā ʻano i ʻōlelo ʻia ma luna. I kekahi manawa, hiki ke lilo i mea hōʻoluʻolu nui ke ʻike he maʻi maoli kou a ʻike nā makuahine ʻē aʻe i nā mea like.

Hiki paha iā D-MER ke hoʻoikaika iā ʻoe e hoʻōki i ka hānai waiū. Inā he hopena koʻikoʻi kēia i kou olakino noʻonoʻo a me kou noho maikaʻi ʻana, ʻo ka hoʻololi ʻana i ka waiū waiū ka koho maikaʻi loa no ʻoe a me kāu pēpē. ʻAʻole pilikia. Mai hilahila ʻoe. Inā ʻaʻole pono ka hānai waiū iā ʻoe, ʻaʻole ia kou hewa.

I ka manawa hea ʻoe e pono ai e ʻike i ke kauka?

ʻAʻohe hewa o ke noi ʻana i ke kōkua. Inā ikaika loa kou mau manaʻo a ke paʻakikī nei ʻoe e hoʻoponopono iā lākou, hiki ke kōkua nui ke kamaʻilio me kāu kauka a i ʻole kekahi loea lactation. He mea nui e kamaʻilio ākea a me ka ʻoiaʻiʻo e pili ana i kou mau manaʻo. Hiki nō hoʻi ke kōkua i ke kākau ʻana i kou mau manaʻo ma kahi ʻāpana pepa a hōʻike i kāu kauka. E ʻoluʻolu e ʻike he poʻe hiki ke kōkua iā ʻoe, a ʻaʻole ʻoe hoʻokahi.

Inā, i kēlā me kēia manawa, he mau manaʻo kou e hōʻeha iā ʻoe iho a i ʻole kekahi mea ʻē aʻe, e ʻoluʻolu e ʻimi koke i ke kōkua lapaʻau.

Nā mea e hoʻomanaʻo ai e lawe i ka home

ʻAʻole he ʻike ʻoluʻolu ka hānai waiū no nā mea a pau. Inā loaʻa iā ʻoe nā manaʻo maikaʻi ʻole e like me ka huhū a i ʻole ke kaumaha ke hoʻokuʻu ʻoe i kāu waiū, loaʻa paha iā ʻoe ʻo D-MER, a i ʻole Dysphoric Milk Ejection Reflex.

• ʻAʻole ʻoe hoʻokahi. Hana kēia i nā makuahine ʻē aʻe pū kekahi.
• ʻAʻole kēia kou hewa. ʻAʻohe āu i hana hewa.
• ʻAʻohe mea "hewa" iā ʻoe. He pane kino kēia.
• E haʻi i kāu kauka e pili ana i kou manaʻo. E haʻi lākou iā ʻoe i nā ala maikaʻi loa e hoʻoponopono ai i kāu mea e ʻike nei.
• I kekahi manawa, ʻo ka ʻike wale ʻana he inoa no ka mea āu e manaʻo nei hiki ke kōkua iā ʻoe e manaʻo ʻaʻole ʻoe hoʻokahi. Mai hopohopo, aia ke kōkua.

ʻO D-MER, Dysphoric Milk Ejection Reflex, hānai waiū, hoʻokuʻu ʻia ka waiū, kaumaha, huhū, hopohopo, hormones, dopamine, postpartum, olakino noʻonoʻo