ʻAʻole hiki ke wehewehe ʻia ka hauʻoli o ka lawe ʻana mai i kahi pēpē i ka home, ʻeā? ʻO kēlā ʻala hou, kēlā mau lima liʻiliʻi a me nā wāwae... Pili ke ola i ka hoʻohou ʻana. Akā i kekahi manawa, me kēlā hauʻoli, hiki iā ʻoe ke manaʻo i ka nui o ke kaumaha, ke kaumaha, ka mehameha, a me ka huhū. "No ke aha e hana nei kēia iaʻu? ʻAʻole anei au he makuahine maikaʻi?" Ua noʻonoʻo paha ʻoe? Inā manaʻo ʻoe pēlā, e hoʻomanaʻo mua ʻaʻole ʻoe hoʻokahi. I kēia lā, ke kamaʻilio nei mākou e pili ana i kēia kūlana e hoʻopilikia nei i nā makuahine he nui a puni ka honua, e like me ʻoe, he mau makuahine hou, akā ʻaʻole i kamaʻilio nui ʻia i loko o ko kākou kaiāulu.
He aha ke Kaumaha ma hope o ka hānau ʻana?
I ka ʻōlelo maʻalahi, ʻo ke kaumaha postpartum (PPD) he ʻano kaumaha iki, lōʻihi, a koʻikoʻi iki e kū mai ana ma hope o ka hānau ʻana. I kēia manawa ke noʻonoʻo nei paha ʻoe, "He paʻakikī ka manawa o nā kānaka a pau ma hope o ka hānau ʻana i kahi pēpē. Uē lākou, luhi lākou, he mea maʻamau kēlā, ʻeā?" ʻAe, he ʻoiaʻiʻo.
Nui nā makuahine e kaumaha, huhū, a uē no nā pule ʻelua mua ma hope o ka hānau ʻana o kahi pēpē. Kāhea mākou i kēia ʻo "baby blues." He kūlana maʻamau kēia i hoʻokumu ʻia e nā loli hormonal, luhi, a me ka hiamoe ʻole. Nalo pinepine ia ma kona iho i loko o ʻelua pule.
Akā, he mea ʻokoʻa ke kaumaha postpartum (PPD). ʻOi aku ka lōʻihi o kēia mau manaʻo ma mua o ʻelua pule, e ʻoi aku ka ʻino i kēlā me kēia lā, a hoʻopilikia i kou ola o kēlā me kēia lā a hiki i kahi hiki ʻole iā ʻoe ke hana. Ma kahi o hoʻokahi o ʻehiku mau makuahine hou e ʻike paha i kēia ʻano. I kekahi manawa, hiki ke hoʻomaka kēia mau hōʻailona i ka wā hāpai.
He aha nā hōʻailona nui o ke kaumaha postpartum?
E nānā e ʻike inā loaʻa iā ʻoe a i ʻole kekahi makuahine hou āu i ʻike ai kekahi o kēia mau hōʻailona. Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona i ka lālani, he mea nui e makaʻala.
| Hōʻailona | He aha kēlā manaʻo? |
|---|---|
| ʻO ke kaumaha e nalowale ʻole ana | Inā ʻoe e kaumaha mau nei, ka manaʻolana ʻole, a ke kaumaha nui nei ma hope o nā pule ʻelua mua, ʻoi aku ia ma mua o ka "baby blues" maʻamau. |
| Ke kaumaha mau nei a me ka hewa | Inā ʻoe e uē no nā hola he nui ma luna o nā mea liʻiliʻi loa, a ua piha kou manaʻo i nā manaʻo e like me "ʻAʻole wau he makuahine maikaʻi" a "Ke hoʻopilikia nei au i ka pēpē," he hōʻailona paha ia o ka PPD. |
| ʻO ka mea aʻu i hauʻoli ai ma mua, ua lilo i mea luuluu i kēia manawa. | Ua nalowale anei kou hoihoi a makemake paha e hana i nā mea āu i hauʻoli ai ma mua o ka loaʻa ʻana o kahi pēpē (e nānā ana i ke TV, e kamaʻilio ana me kahi hoaaloha, e heluhelu ana i kahi puke)? |
| Ka paʻakikī i ka hoʻoholo ʻana a me ka noʻonoʻo ʻana | Ke manaʻo nei ʻoe ua hoʻopilikia nui ʻia ʻoe a ʻaʻole hiki iā ʻoe ke hana i nā hoʻoholo maʻalahi e like me ke ala ʻana mai kahi moe a ʻaʻole paha, inā e holoi iā ʻoe iho a ʻaʻole paha, a i ʻole e hoʻololi i ka diaper o kāu pēpē? |
| Nā loli nui i ka ʻai ʻana a me ka hiamoe ʻana | ʻAʻole hiki iā ʻoe ke hiamoe ʻoiai ke hiamoe nei ke pēpē? A i ʻole ua hiamoe ʻoe i ka lā a pau? ʻAʻole makemake iki e ʻai? A i ʻole ua nui loa kāu ʻai ʻana? He ʻokoʻa kēia mai ka luhi maʻamau. |
| Ka nalowale o ka hoihoi i ka pēpē | He mea paʻakikī iā ʻoe ke hoʻopili me kāu pēpē? Ua nalowale anei kou hoihoi i ka mālama ʻana i kāu pēpē a i ʻole ka pāʻani ʻana me ia? Manaʻo paha ʻoe "ʻaʻole kēia kaʻu pēpē." |
| Nā manaʻo e hōʻeha iā ʻoe iho a i kāu pēpē paha | He kūlana koʻikoʻi loa kēia a he mea wikiwiki hoʻi. Inā he mau manaʻo kou e lawe i kou ola ponoʻī, e hōʻeha iā ʻoe iho, a i ʻole e hōʻeha i kāu pēpē, hiki ke lilo i hihia koʻikoʻi o ka PPD a i ʻole kahi kūlana koʻikoʻi loa i kapa ʻia ʻo postpartum psychosis . |
He aha inā makemake ʻoe e hōʻeha iā ʻoe iho a i kāu pēpē paha?
He pilikia olakino kēia ʻaʻole pono e hoʻopaneʻe ʻia. Inā ʻoe a i ʻole kekahi āu i ʻike ai e loaʻa ana kēia mau manaʻo, e ʻoluʻoluE hele i ka lumi pilikia o ka haukapila kokoke loa (ETU) a kāhea koke aku i kāu kauka. ʻAʻohe mea e hilahila ai kēia, he maʻi ia. ʻO ka loaʻa koke ʻana o ke kōkua hiki ke hoʻopakele i kou ola a me ke ola o kāu pēpē.
Pehea e loaʻa ai iaʻu ke kōkua no kēia kūlana?
ʻO ka mea maikaʻi loa, he maʻi hiki ke mālama piha ʻia kēia. ʻAʻole pono ʻoe e hakakā hoʻokahi.
ʻO ka maʻamau, e nānā ʻia ʻoe me kāu kauka ma waena o 2 a me 6 mau pule ma hope o ka hānau ʻana o kāu pēpē. I kēlā manawa, e nīnau ke kauka iā ʻoe i nā nīnau e pili ana i kou olakino kino a me kou noʻonoʻo. He mea nui loa e haʻi pololei i kāu kauka e pili ana i kou mau manaʻo, me ka hūnā ʻole i kekahi mea.
Inā loaʻa iā ʻoe kēia mau hōʻailona, e ʻike pono i ke kauka:
- Inā ʻoi aku kou mau manaʻo kaumaha ma mua o ʻelua pule .
- Inā ʻike ʻia kēlā mau manaʻo e lilo ana i mea ʻino i kēlā me kēia lā.
- Inā ua lilo ka mālama ʻana i ka pēpē i mea kaumaha nui nou.
- Inā paʻakikī iā ʻoe ke hana i nā hana o ka hale i kēlā me kēia lā .
- Inā he manaʻo iki kou e hōʻeha iā ʻoe iho a i kāu pēpē paha (he pilikia kēia!).
E loiloi kāu kauka i kou kūlana a hoʻoholo i ke ʻano lapaʻau maikaʻi loa. Hiki i kēia ke komo pū me:
- Kamaʻilio Lapaʻau: ʻO ke kamaʻilio ʻana e pili ana i kou mau manaʻo me ke kākā'ōlelo a i ʻole ke kanaka loea hiki ke lilo i mea hōʻoluʻolu nui.
- Lāʻau lapaʻau: I kekahi manawa pono paha nā lāʻau lapaʻau e kaulike i nā kemika o ka lolo. Hiki i kēia ke komo pū me nā lāʻau antidepressants a i ʻole nā lāʻau anti-anxiety . Aia kekahi mau lāʻau lapaʻau i palekana no nā makuahine hānai waiū.
- Nā Pūʻulu Kākoʻo: ʻO ke kamaʻilio ʻana me nā makuahine ʻē aʻe i loaʻa nā ʻike like e hiki ke kōkua iā ʻoe e manaʻo ʻaʻole ʻoe hoʻokahi.
He aha nā kumu pilikia no ke kaumaha postpartum?
ʻOiai hiki ke loaʻa kēia ʻano i kekahi, ʻoi aku ka nui o ka pilikia o kekahi poʻe.
- Inā ua loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana ke kaumaha ma mua.
- Inā he mau pilikia i kāu male ʻana a i ʻole ka pilina.
- Inā ʻoe wale nō me ka ʻole o kekahi e kōkua iā ʻoe a kamaʻilio pū paha.
- Inā he mau manaʻo huikau kou (hauʻoli a kaumaha hoʻi) e pili ana i kou hāpai ʻana.
- Inā paʻakikī ka hāpai ʻana (no ka laʻana, inā ua loaʻa iā ʻoe nā maʻi like ʻole, a inā paha ua hānau mua ʻoe).
- Inā he mau pilikia olakino ko ke pēpē.
- ʻO ka makuahine hoʻokahi a i ʻole ka lilo ʻana i makuahine i ka wā ʻōpiopio, ma lalo o 20 mau makahiki.
- Inā he nui kāu mau keiki i ka manawa hoʻokahi, e like me nā māhoe a i ʻole nā triplets.
Inā loaʻa iā ʻoe kēia mau mea pilikia, he mea nui loa ia e ʻike iā lākou ma mua a e mākaukau e noi i ke kōkua inā pono.
Leka Lawe-Home
- ʻAʻole he nāwaliwali a hemahema paha ke kaumaha ma hope o ka hānau ʻana ma kou ʻaoʻao. He kūlana olakino ia e pono ai ke mālama ʻia.
- ʻO ke kaumaha maʻamau e hele mai me ka hānau ʻana o kahi pēpē i nā pule ʻelua mua ("baby blues") a me ka PPD he ʻelua mau mea like ʻole. Inā hoʻomau ke kaumaha a huhū paha no nā pule ʻelua a ʻoi, e hopohopo.
- E kamaʻilio me kāu hoa, ʻohana, a i ʻole he hoaaloha hilinaʻi e pili ana i kou mau manaʻo, ʻoiai e pili ana i ke kaumaha a me ka mehameha āu e manaʻo nei. He ikaika nui ia.
- Mai hilahila e kamaʻilio e pili ana i kēia. Mai hoʻokaʻulua a noi i kāu kauka no ke kōkua. ʻO ka wikiwiki o kou hoʻomaka ʻana i ka lāʻau lapaʻau, ʻo ka wikiwiki o kou hoʻōla ʻana.
- Inā he manaʻo kou e hōʻeha iā ʻoe iho a i kāu pēpē paha, he pilikia olakino ia. E hele koke i ka ETU (Emergency Treatment Unit) o ka haukapila.
- ʻAʻole ʻoe hoʻokahi. Nui ka poʻe e hiki ke kōkua iā ʻoe, a me ka mālama kūpono, hiki iā ʻoe ke hoʻi i kou ola maʻamau a hauʻoli me kāu pēpē.
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