ʻO ka manaʻolana ʻana i kahi pēpē he manawa ia o ka hauʻoli nui a me ka manaʻolana hou. Akā i kekahi manawa, me kēlā hauʻoli, ke manaʻo nei ʻoe i ka nui o ke kaumaha, ke kaumaha, a me ka hopohopo? Ua luhi ʻoe i nā mea āpau a ʻaʻole hiki ke noʻonoʻo i kekahi mea? ʻAʻole ʻoe hoʻokahi. Hoʻokahi o nā makuahine hāpai he ʻumi (ʻoi aku ma mua o 10%) e ʻike i kēia ʻano kaumaha. He mea maʻamau kēia, akā he mea ia e pono ai mākou e makaʻala. Kāhea mākou i kēia Antenatal Depression.
He aha ke kaumaha i ka wā hāpai?
I ka ʻōlelo maʻalahi, he maʻi noʻonoʻo kēia e kū mai ana i ka wā hāpai. ʻAʻole kēia he lā maʻamau a ʻelua paha o ke kaumaha. ʻO ka pilikia ma ʻaneʻi, ʻo ia ka hoʻomau ʻana o kēia mau manaʻo, a mau no nā pule.
Eia kekahi o nā hiʻohiʻona nui:
- Ke kaumaha mau a me ka manaʻo o ka ʻole.
- Ka nalowale ʻana o ka hauʻoli a me ka hoihoi i kekahi mea.
- Ke kaumaha nui nei ma ka puʻuwai, he manaʻo hoka.
- Hopohopo mau.
- Ka makemake ʻai i emi iho a nui loa paha.
- ʻAʻohe hiamoe a hiamoe nui paha.
- Manaʻo hewa iā ʻoe iho.
- Paʻakikī ke hoʻoholo ʻana, hiki ʻole ke noʻonoʻo .
ʻO ka mea nui, aia nā lāʻau lapaʻau kūpono no kēia ʻano, no laila, ʻaʻole pono ʻoe e ʻeha hoʻokahi.
He mea weliweli maoli anei ke hele ʻole ʻia me ka mālama ʻole ʻia?
ʻAe. ʻOiai he mea kēia a ka poʻe he nui i manaʻo nui ʻole ai, hiki i ke kaumaha i mālama ʻole ʻia ke hoʻopilikia iā ʻoe a me kāu pēpē i hānau ʻole ʻia. ʻO ia ke kumu e pono ai mākou e kamaʻilio e pili ana i ia mea.
E noʻonoʻo wale, inā ʻaʻole ʻoe makemake e ʻai a inu pono paha ma muli o ke kaumaha , ʻaʻole e loaʻa i kou kino ka meaʻai e pono ai. Hoʻopilikia pololei kēlā i ka ulu ʻana o kāu pēpē. Inā ʻaʻole ʻoe e hiamoe pono, e luhi kou kino a me kou noʻonoʻo. Hiki i kāu pēpē ke ʻike i kēlā kaumaha pū kekahi.
E hoʻomaopopo pono kākou i kēia mau pilikia mai ka papa ma lalo nei.
| ʻO wai ka mea i pilikia? | He aha nā hopena e hiki mai ana? |
|---|---|
| Māmā hāpai (ʻoe) |
|
| ʻO ka pēpē i loko o ka ʻōpū |
Mai makaʻu ke ʻike ʻoe i kēia mau mea. ʻO ia hoʻi, hiki ke hana ʻia kēia mau mea. ʻO ia ke kumu he mea nui e ʻimi i ke aʻo lapaʻau i ka manawa kūpono .
He aha ka lāʻau lapaʻau?
ʻOkoʻa nā koho lapaʻau ma muli o kou kūlana. ʻElua mau ala nui.
1. Psychotherapy: He ʻano kamaʻilio kūkākūkā kēia. Pili ia i ke kamaʻilio ʻana me ke kākāʻōlelo aʻoaʻo a i ʻole ke kauka noʻonoʻo e pili ana i kou mau manaʻo a me nā pilikia a me ke aʻo ʻana pehea e hana ai me lākou. ʻO kēia ka lāʻau lapaʻau mua a nā kauka e ʻōlelo ai no ke kaumaha iki a waena.
2. Lāʻau Hoʻēmi i ka Manaʻo Hoʻohaʻahaʻa: Inā koʻikoʻi kou kaumaha e hoʻopilikia i kāu mau hana o kēlā me kēia lā, hiki i kāu kauka ke kuhikuhi i ka lāʻau. Pono paha ka lāʻau, ʻoiai inā ua loaʻa iā ʻoe ke kaumaha ma mua a hoʻi mai kāu mau hōʻailona ma hope o ka hoʻōki ʻana i ka lāʻau.
I kekahi manawa, hiki ke hoʻokō ʻia nā hopena maikaʻi aʻe ke hoʻohana pū ʻia kēia mau lāʻau ʻelua.
E hoʻopilikia anei ka lawe ʻana i ka lāʻau lapaʻau i ka pēpē? ʻO ka nīnau nui loa a nā mea a pau!
ʻO kēia kahi e makaʻu ai nā makuahine he nui. He mea maʻamau ka hopohopo, "E hiki mai ana kekahi mea i kaʻu pēpē inā wau e lawe i ka lāʻau lapaʻau?" E nānā kākou i kēia ma ke ʻano ʻepekema.
Aia kekahi pilikia o nā kīnā hānau?
ʻO ka nūhou maikaʻi, ʻaʻole i hōʻike ʻia e nā noiʻi o kēia manawa kahi pilina pololei ma waena o ka hapa nui o nā antidepressants a me nā kīnā hānau.. ʻO ka mea nui, ʻaʻohe hōʻike o nā pilikia ulu ʻana i nā keiki i hānau ʻia e nā makuahine i lawe i nā SSRI (Selective Serotonin Reuptake Inhibitors) i hoʻohana pinepine ʻia (e.g. Prozac, Zoloft) a me Tricyclic Antidepressants. Eia nō naʻe, ʻaʻohe kauka e hiki ke hōʻoiaʻiʻo he 100% palekana kēia mau lāʻau. No laila, he mea nui e kamaʻilio ākea me kāu kauka e pili ana i nā pono a me nā pilikia o ka mālama ʻana.
Ua piʻi aʻe ka pilikia o ka hānau keiki ʻana ma mua o ka manawa?
Ua hōʻike kekahi mau noiʻi he ʻoi aku ka nui o ka pilikia o nā makuahine e lawe ana i nā SSRI i ka hānau ʻana i kā lākou mau pēpē ma mua o 36 mau pule ma mua o ka poʻe e lawe ana i nā lāʻau lapaʻau ʻē aʻe. Akā ua hoʻomaopopo nā mea noiʻi ʻaʻole nui loa ka pilikia i ʻole e pono i kekahi mea e pono ai ka lāʻau lapaʻau ke haʻalele. Pēlā nō, ʻo ka poʻe e lawe ana i kahi papa lāʻau ʻē aʻe i kapa ʻia ʻo tricyclics ʻaʻole i loaʻa kēia pilikia.
E loaʻa anei i ka pēpē nā hōʻailona haʻalele?
ʻO kēia kekahi mea e pono e makaʻala. ʻO ka lawe ʻana i kekahi mau antidepressants (e.g. Paxil) i ka wā hāpai, ʻoiai i ke kolu o ka trimester, hiki ke hōʻike i ka pēpē i kekahi mau hōʻailona ma hope o ka hānau ʻana. Eia kekahi laʻana,
- Ka haʻalulu
- Ka luaʻi ʻana
- Uē pinepine (Irritability)
Ua kapa ʻia kēia mau mea ʻo 'Withdrawal Symptoms'. Akā nalo pinepine kēia i loko o kekahi mau lā. ʻAʻole maopopo loa inā paha ma muli o nā hopena o ka lāʻau lapaʻau a i ʻole kekahi kumu ʻē aʻe kēia mau hōʻailona. E hoʻomaopopo pū kāu kauka iā ʻoe e pili ana i kēia.
He pilikia anei ka lawe ʻana i ka lāʻau lapaʻau i ka wā e hānai waiū ai?
Eia kekahi nūhou maikaʻi. Ua nui ka noiʻi ʻana e pili ana i ka hoʻohana ʻana i nā antidepressants i ka wā e hānai waiū ai. Hōʻike nā hopena he liʻiliʻi loa nā nui o kēia mau lāʻau lapaʻau e hele ma o ka waiū umauma i ka pēpē. He liʻiliʻi loa ka nui a ʻaʻole paha e hoʻopilikia i ka pēpē.
"He hopena nui ka maikaʻi o ka noʻonoʻo o ka makuahine i ke keiki. ʻO ka makuahine hauʻoli a me ka noʻonoʻo maopopo ka mea maikaʻi loa e loaʻa i ke keiki. No laila, mai hōʻole i ka lāʻau lapaʻau inā pono no ka mea e hānai waiū ana ʻoe," wahi a nā kauka.
He hana nui ka mālama ʻana i kou olakino noʻonoʻo nou a me kāu pēpē.
Leka Lawe-Home
- He mea maʻamau ke kaumaha i ka wā hāpai. ʻAʻole na ʻoe ia hewa.
- Mai hilahila a makaʻu paha e kamaʻilio e pili ana i kēia mau manaʻo me kāu kāne, ʻohana, a i ʻole he hoaaloha hilinaʻi.
- ʻO ka mea nui loa, ʻo ia ke kamaʻilio pono me kāu kauka e pili ana i kēia. Mai hoʻoholo wale.
- ʻOi aku ka nui o nā pilikia o ka mālama ʻole ʻana ma mua o nā pilikia liʻiliʻi o ka mālama ʻana (ʻoiai ka lāʻau lapaʻau).
- He ʻano lapaʻau maikaʻi loa ka Psychotherapy, me ka ʻole o ka lāʻau lapaʻau.
- Inā makemake ʻoe i ka lāʻau lapaʻau, e kamaʻilio me kāu kauka e pili ana i nā pono a me nā pilikia a e hana i ka hoʻoholo maikaʻi loa no ʻolua ʻelua. ʻO kou palekana a me ka palekana o kāu pēpē nā mea nui loa.
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