He mea hauʻoli ka hānau ʻana o kahi pēpē hou i ka ʻohana. Akā, ma ke ʻano he makuahine hou, hiki iā ʻoe ke manaʻo i ka nui o ke kaumaha, ka hopohopo, a me ke kaumaha hiki ʻole ke wehewehe ʻia me kēia hauʻoli. I kekahi manawa e noʻonoʻo paha ʻoe, "No ke aha kēia e hana nei iaʻu? No ke aha wau wale nō ke kaumaha i ka wā e hauʻoli ai nā mea a pau?" ʻAʻole pono ʻoe e manaʻo mehameha. ʻAʻole kēia he mea e hana wale ʻia iā ʻoe. I kēia lā, e kamaʻilio mākou e pili ana i kahi mea nui loa e kōkua iā mākou e hoʻomaopopo i kēia mau manaʻo.
He aha ka Edinburgh Postpartum Depression Scale (EPDS)?
I ka ʻōlelo maʻalahi, ʻo ka Edinburgh Postnatal Depression Scale (EPDS) kahi nīnau maʻalahi loa hiki iā ʻoe ke hoʻopiha iā ʻoe iho. Nānā nui ia inā he mau hōʻailona o ke kaumaha kou i ka wā hāpai a i loko o ka makahiki mua ma hope o ka hānau ʻana o kahi pēpē. I mea e pololei ai, he ʻano hana ia e lawelawe ponoʻī ʻia.
He 10 mau nīnau kēia nīnau. Ke nīnau nei kēlā me kēia nīnau i kou manaʻo i ka pule i hala. Ke nīnau nei kēia mau nīnau e pili ana i nā manaʻo i ʻike nui ʻia i ka wā o ke kaumaha postpartum, e like me ka manaʻo hewa, ka hopohopo, a me ka manaʻo ua nui loa nā mea āpau e hiki ʻole ke lawelawe.
Loaʻa kona inoa mai ke kūlanakauhale ʻo Edinburgh, Scotland, kahi i hoʻomohala mua ʻia ai. I kēia lā, ʻo ka EPDS ke ʻano kaulana a pololei loa i hoʻohana ʻia no ka ʻike ʻana i ke kaumaha postpartum ma ka honua holoʻokoʻa.
Wahi a nā loea, hana pinepine ʻia kēia hoʻāʻo i nā manawa he nui i ka wā hāpai, i ka nānā ʻana ma hope o ka hānau ʻana he 6 pule, a laila i ka 6 mahina a me hoʻokahi makahiki ma hope. Hiki i kēia ke hāʻawi iā ʻoe i kahi ʻike maikaʻi aʻe i kou kūlana noʻonoʻo.
Hiki i kēia helu ke kōkua iā ʻoe e hoʻomaopopo inā paha ʻoe i ka pilikia o ka loaʻa ʻana o ke kaumaha perinatal a inā pono ʻoe i ka lāʻau lapaʻau. He mea hana maikaʻi nō hoʻi ia e nānā i ke olakino noʻonoʻo o kāu hoa.
He aha ke Kaumaha ma hope o ka hānau ʻana?
He maʻi noʻonoʻo kēia e kū mai ana ma hope o ka hānau ʻana o kahi pēpē. Hoʻopilikia ia ma kahi o 13% o nā makuahine hou. Hōʻike ʻia ia e ke kaumaha hiki ʻole ke hoʻomanawanui, ka hopohopo, a me ka nalowale o ka hoihoi i nā mea i leʻaleʻa ma mua. Hoʻomaka pinepine ia i loko o nā pule ʻekolu mua o ka hānau ʻana o kahi pēpē. Eia nō naʻe, hiki ke hana i kēlā me kēia manawa i ka makahiki mua.
ʻAʻole ʻimi ka nui o ka poʻe i ka lāʻau lapaʻau no kēia. Hiki ke kumu kēia i ka hilahila a i ʻole ka makaʻu i "ka mea a haʻi e manaʻo ai." Akā inā waiho ʻole ʻia, hiki iā ia ke hoʻolilo iā ʻoe i mea paʻakikī ke mālama iā ʻoe iho a me kāu pēpē. Hiki iā ia ke hoʻopilikia i kou pilina me kāu pēpē a me kou hiki ke hānai waiū. No laila he mea nui e makaʻala i kēia.
Loaʻa iā ʻoe kēia mau hōʻailona pū kekahi? A laila e hoʻāʻo i kahi EPDS.
He mea maʻamau ke kaumaha iki, huhū, a me ka naʻau ma hope o ka hānau ʻana o kahi pēpē. Kāhea pū mākou i kēia ʻo "baby blues." Akā inā mau kēia mau manaʻo no nā pule ʻelua a ʻoi , hiki ke lilo i kaumaha postpartum.
E nānā i ka papa ma lalo a noʻonoʻo inā loaʻa iā ʻoe kekahi o kēia mau ʻano.
| Hōʻailona | Wehewehena |
|---|---|
| Kaumaha hiki ʻole ke hoʻomanawanui | Manaʻo mau wau he ʻole, he kaumaha, a he manaʻolana ʻole. Uē makehewa wau. |
| Ka nalowale o ka hoihoi i kekahi mea | ʻAʻole au makemake hou e hana i nā mea aʻu i hauʻoli ai ma mua (e nānā ana i ke TV, e kamaʻilio me nā hoaaloha). |
| Nā loli hiamoe | Hiamoe mau wau, a ʻaʻole wau hiamoe iki. ʻAʻole oʻu makemake e hiamoe ʻoiai ke hiamoe nei ka pēpē. |
| Hopohopo nui | Ke manaʻo nei au i kahi kaumaha nui ma kuʻu puʻuwai, he manaʻo makaʻu a me ka hopohopo. |
| Nā loli i ka ʻai | Hiki iā ʻoe ke nalowale i kou makemake a ʻai nui paha, kahi e hiki ai ke hōʻemi a piʻi paha ke kaumaha. |
| Nā manaʻo hewa | ʻO nā manaʻo e like me "ʻAʻole wau he makuahine maikaʻi" a me "He hemahema wau" e hiki pinepine mai i ka noʻonoʻo. |
| Ka nānā ʻana a me ka hoʻomanaʻo | Ka poina ʻana i nā mea, ka paʻakikī ke kau ʻana i ka manaʻo ma kahi mea hoʻokahi. |
| Ka pilina me ka pēpē | Me he mea lā he mea paʻakikī ke mālama i ke pēpē a me ka hoʻopili ʻana me ia. |
| Nā manaʻo weliweli | Ke loaʻa nei nā manaʻo e hōʻeha iā ʻoe iho a i ʻole ke pēpē. |
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ʻoiai inā he mau manaʻo kou e hōʻeha iā ʻoe iho a i kāu pēpē paha, e ʻoluʻolu e ʻike koke i ke kauka. ʻAʻole kēia he mea e hūnā ʻia. Pono ʻoe i ke kōkua.
He aha ka mea e manaʻo ai mai ka hoʻokolohua EPDS?
He mea maʻalahi loa kēia. Hiki iā ʻoe ke loaʻa kēia nīnau ma ka pūnaewele, a i ʻole hiki iā ʻoe ke noi i kāu kauka no ia mea. E hala ana ma kahi o 5 mau minuke e hoʻopiha ai.
No kēlā me kēia o nā nīnau he 10, pono ʻoe e koho i ka pane e wehewehe pono ana i kou manaʻo i nā lā 7 i hala. Eia kekahi laʻana, aia paha nā nīnau e like me kēia:
- Nīnau: Ua hiki iaʻu ke hauʻoli a me ka manaʻolana i nā mea.
- [+0] Ua hiki iaʻu ke hana ia mea i kēlā me kēia lā.
- [+1] ʻOi iki ka emi ma mua o ka wā ma mua
- [+2] ʻOi aku ka liʻiliʻi ma mua o ka wā ma mua
- [+3] ʻAʻole loa e hiki.
- Nīnau: Ua hopohopo a makaʻu paha au no ke kumu ʻole.
- [+0] ʻAʻole, ʻaʻole loa.
- [+1] Kākaʻikahi loa
- [+2] ʻAe, i kekahi manawa.
- [+3] ʻAe, i ka hapa nui o ka manawa.
- Nīnau: Ua loaʻa iaʻu nā manaʻo e hōʻeha iaʻu iho.
- [+0] ʻAʻole loa.
- [+1] Kākaʻikahi loa
- [+2] I kekahi manawa
- [+3] ʻAe, i ka hapa nui o ka manawa.
He mea nui loa kēia nīnau hope loa. Inā he mau manaʻo liʻiliʻi loa kāu e like me kēia, pono ʻoe e kamaʻilio me kāu kauka e pili ana i ia mea me ke kānalua ʻole.
Ka helu EPDS a me kona manaʻo
Loaʻa ka helu o kēlā me kēia pane mai ka 0 a i ka 3. ʻO ka nui loa o nā helu hiki iā ʻoe ke loaʻa he 30. Ma muli o kēia mau helu, hiki ke puʻunaue ʻia kou kūlana penei.
| Pae helu | Manaʻo (ma kahi o) |
|---|---|
| 0 - 6 | ʻAʻohe a i ʻole he liʻiliʻi loa nā hōʻailona kaumaha. |
| 7 - 13 | Hōʻike i nā hōʻailona kaumaha iki (ʻoi aku ma mua o 10 mau helu e pono ai ka nānā hou aku). |
| 14 - 19 | Nā hōʻailona kaumaha waena. |
| 19 - 30 | Nā hōʻailona kaumaha koʻikoʻi. |
Manaʻo pinepine nā kauka i ka helu o 10 a i ʻole 13 ma ke ʻano he palena. ʻO ke ʻano kēia inā ʻoi aku ke kiʻekiʻe o kāu helu ma mua o kēlā, pono paha ʻoe i ka hoʻāʻo hou a me ke kōkua.
Akā e hoʻomanaʻo i kēia: ʻAʻole he mea hana hōʻoia ka EPDS. ʻO ia hoʻi, ʻaʻole hiki iā ia ke haʻi iā ʻoe he 100% maopopo inā loaʻa iā ʻoe ke Kaumaha Postpartum ma muli o kāu mau helu wale nō. Kuhi wale ia i ka poʻe i pilikia. No ka ʻike pololei ʻana, pono ʻoe e ʻike i kahi kauka kūpono, e like me ke kauka noʻonoʻo.
Pehea e loaʻa ai ke kōkua?
Inā ʻoi aku kāu helu ma mua o 10, a inā paha he haʻahaʻa kāu helu, manaʻo mau ʻoe "aia kekahi mea hewa iaʻu," e ʻoluʻolu mai hoʻowahāwahā iā ia. He mea paʻakikī loa ka hoʻoponopono ʻana i kēia ʻano kaumaha i ka wā e mālama ana i kahi pēpē hou.
E ʻike i kāu kauka lapaʻau/gynecologist (OB/GYN) a i ʻole ke kauka olakino noʻonoʻo no ka loiloi piha.
E kūkākūkā kāu kauka i kēia mau hopena me ʻoe, e nīnau iā ʻoe i kekahi mau nīnau hou aku, a e haʻi iā ʻoe i ka mea e hana ai ma hope. Hiki iā ia ke noi iā ʻoe e hana hou i ka hoʻāʻo ma kahi o ʻelua pule.
ʻO nā koho lapaʻau e komo pū me ka hoʻōla kamaʻilio a me nā antidepressants. Ua ʻae ʻia hoʻi kahi pila i kapa ʻia ʻo Zuranolone (Zurzuvae) no kēia maʻi. E kamaʻilio me kāu kauka e hoʻoholo ai inā palekana ka hānai ʻana i ka waiū umauma i ka wā e lawe ana i kēia lāʻau.
He mea nui hoʻi ka loaʻa ʻana o ke kākoʻo maikaʻi. E nīnau i kāu kauka e pili ana i nā hui kākoʻo hiki iā ʻoe ke komo.
Leka Lawe-Home
- He nīnau maʻalahi ka EPDS i hoʻohana ʻia e ʻike ai inā loaʻa iā ʻoe kekahi mau hōʻailona o ke kaumaha ma hope o ka hānau ʻana o kahi pēpē.
- ʻO kēia wale nō ke ʻike i ka poʻe i pilikia. ʻAʻole kēia he hōʻailona.
- Inā ʻoi aku kāu helu ma mua o 10 a i ʻole ʻoe e ʻoluʻolu ʻole i ka noʻonoʻo, e ʻike pono i ke kauka.
- ʻAʻohe mea e hilahila ai ke kaumaha ma hope o ka hānau ʻana. Aia nā lāʻau lapaʻau kūpono no ia. Mai makaʻu e noi i ke kōkua.
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