Ua lilo anei ʻoe i makuahine hou? ʻAʻole hiki ke hōʻike ʻia ka hauʻoli āu e manaʻo ai i ka wā e loaʻa ai kahi pēpē iā ʻoe ma nā huaʻōlelo, ʻeā? Akā i kekahi manawa, me kēlā hauʻoli, ke manaʻo nei ʻoe i ke kaumaha nui, ka mehameha, a me ke kaumaha? Inā ʻo ʻoe wale nō ka mea e luhi ana i nā mea āpau a me ke kōkua ʻole a hiki i ka hiki ʻole ke hana i kekahi mea ʻoiai e hauʻoli ana nā mea a pau, ʻaʻole ʻoe hoʻokahi. ʻAʻole kēia kou pilikia hoʻokahi. I kēia lā, e kamaʻilio mākou e pili ana i kēia kūlana noʻonoʻo kūikawā a nā makuahine he nui e ʻike ai ma hope o ka hānau ʻana, akā ʻo ia ka mea a ke kaiāulu e makaʻu nei e kamaʻilio e pili ana. E kamaʻilio pū mākou e pili ana i ka manaʻolana hou loa a nui loa i hiki mai i kēia.
He aha maoli ke kaumaha postpartum?
I ka ʻōlelo maʻalahi, ʻo ke kaumaha postpartum (PPD) he ʻano kaumaha koʻikoʻi a lōʻihi hoʻi e ʻike ai ka makuahine ma hope o ka hānau ʻana. He ʻano ʻokoʻa loa kēia a ʻoi aku ka koʻikoʻi ma mua o nā loli naʻau manawa pōkole i ʻike ʻia ʻo "baby blues," ka mea maʻamau e ʻike ʻia i kekahi mau lā ma hope o ka hānau ʻana a laila nalo.
E noʻonoʻo, ʻo Nilmini, he makuahine hou. Aloha nui ʻo ia i kāna pēpē. Akā, ua kaumaha ʻo ia i ka hapa nui o ka lā. Uē ʻo ia me ke kumu ʻole. ʻAʻohe ona hoihoi e hana i kekahi mea no ke pēpē. Manaʻo mau ʻo ia, "ʻAʻole au he makuahine maikaʻi." ʻAʻole hiki iā ia ke hiamoe i ka pō. Makaʻu ʻo ia e haʻi aku i kāna kāne a i ʻole kona makuahine e pili ana i kēia. Hilahila ʻo ia i ko lākou manaʻo ʻana, "He makuahine ʻo ia ʻaʻole hauʻoli ma hope o ka loaʻa ʻana o kahi pēpē."
Ua like ka nui o nā makuahine i loko o ko kākou kaiāulu me Nilmini. Makaʻu lākou e kamaʻilio e pili ana i ko lākou mau manaʻo a i ʻole e noi i ke kōkua. Akā, ʻaʻohe mea e hilahila ai a hūnā paha. He kūlana kēia e hiki ke ho'ōla loa ʻia me ka lāʻau lapaʻau.
I kēia hihia, hiki iā ʻoe ke ʻike i nā hōʻailona e like me:
- I ke kaumaha mau a me ka manaʻolana ʻole.
- Ka nalowale ʻana o ka hoihoi i nā mea āu i hauʻoli ai.
- Manaʻo luhi loa, ola ʻole.
- Nā pilikia hiamoe (hiamoe nui a hiamoe maikaʻi ʻole paha).
- Nā loli i nā ʻano ʻai (ʻai nui ʻana a nalowale paha ka makemake).
- Ke hoʻāhewa mau nei iā ʻoe iho, me ka manaʻo ʻaʻole kūpono.
- I nā hihia koʻikoʻi, nā manaʻo e hōʻeha iā ʻoe iho a i ʻole ke keiki.
Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, he mea weliweli ke hoʻowahāwahā iā lākou. No ka mea, hiki i kēia ke hoʻopilikia ʻaʻole wale i ka makuahine, akā i ka pilina ma waena o ka makuahine a me ke pēpē, a me ka ulu kino a me ka noʻonoʻo o ke keiki. No laila, he mea nui loa e ʻike koke i kāu kauka ʻohana a kamaʻilio e pili ana i kēia.
He manaʻolana hou! E aʻo kākou e pili ana i ka pila Zurzuvae (Zuranolone)
A hiki i kēia manawa, ʻo ka lāʻau lapaʻau wale nō i ʻāpono ʻia no ke kaumaha postpartum (PPD) he inikini intravenous (IV). Pono ia i kahi noho haukapila no kekahi mau lā, nā hola o ka hoʻokomo mau ʻana, a he pipiʻi hoʻi. ʻO kēia mau pilikia i paʻakikī ai i nā poʻe he nui ke komo i ka lāʻau lapaʻau.
Akā i kēia manawa, e lawe mai ana i ka hōʻoluʻolu nui i nā makuahine e ʻeha nei i kēia maʻi, ua ʻāpono ka FDA (Food and Drug Administration of the United States) i kahi pila waha no ka manawa mua ma ka honua . ʻO Zurzuvae (Zuranolone) ka inoa o kēia pila.
He holomua maoli kēia. E nānā i ka ʻokoʻa ma waena o kēia pila hou a me ka lāʻau IV kahiko.
| Hiʻona | Pila Hou (Zurzuvae) | Ka lāʻau lapaʻau IV kahiko |
|---|---|---|
| Pehea e loaʻa ai | He pila i lawe ʻia ma ka waha | He inikini i hāʻawi ʻia i loko o kahi aʻa (IV Infusion) |
| Ka manawa lapaʻau | He 14 lā wale nō | Pono e hāʻawi mau ʻia no 60 mau hola |
| Kahi | Hiki ke lawe ʻia ma ka home ma ke ʻōlelo aʻoaʻo a ke kauka | Pono e noho ma ka haukapila a i ʻole ke keʻena lapaʻau |
| Ka maʻalahi | Maʻalahi loa. | He mea paʻakikī loa ia, he manawa ka lōʻihi. |
Pehea ka hana o kēia lāʻau lapaʻau a pehea e lawe ʻia ai?
He ʻano steroid ʻo Zurzuvae. I ka ʻōlelo maʻalahi, hana kēia pila ma ke kaulike ʻana i ka hana o kekahi mau mea loaʻa koʻikoʻi i loko o kou lolo e kaohi ana i ke kaumaha, ka hauʻoli, nā manaʻo, a me ke ʻano. Hoʻomaikaʻi kēia i kou ʻano.
ʻO ka nui i ʻōlelo ʻia e nā kauka he hoʻokahi papa 50 milligram (50mg) i kēlā me kēia lā no 14 mau lā.
- Ka manawa e lawe ai: I ka pō.
- Pehea e loaʻa ai:ʻO ka lawe ʻana i ka lāʻau lapaʻau me ka ʻai momona e kōkua i ke kino e omo maikaʻi iā ia. Eia kekahi laʻana, hiki iā ʻoe ke lawe pū me ka laiki, kahi kari i hana ʻia me ka waiū niu, ka tīhi, ka pata, a i ʻole ka yogurt.
Ua hōʻike ʻia nā noiʻi ua ʻike ka poʻe i lawe i kēia lāʻau i kahi hoʻomaikaʻi ʻana i ko lākou mau hōʻailona i loko o 3 mau lā wale nō, a ua hoʻomau ʻia ka hoʻomaikaʻi ʻana no 42 mau lā ma hope o ka pau ʻana o ka manawa lapaʻau.
E makaʻala i nā hopena ʻaoʻao a me nā ʻōlelo aʻo kūikawā.
E like me nā lāʻau lapaʻau āpau, aia paha kekahi mau hopena ʻaoʻao liʻiliʻi. ʻO nā mea i hōʻike pinepine ʻia:
- Hiamoe
- Manaʻo hiamoe (Drowsiness)
- ʻEha poʻo
ʻO ka mea maikaʻi loa, ʻaʻole i ʻike ʻia ka piʻi ʻana o ke kaumaha, ka hana moekolohe, a me nā hōʻailona haʻalele i ʻike ʻia me nā antidepressants ʻē aʻe me kēia lāʻau lapaʻau.
He mea nui loa: ʻŌlelo aʻo kūikawā e pili ana i ka hoʻokele kaʻa ʻana!
Loaʻa i kēia lāʻau lapaʻau kahi ʻōlelo aʻo i loko o ka pahu ma ka pūʻolo. Ua ʻōlelo ʻia e hiki i ka lawe ʻana i kēia lāʻau lapaʻau ke hoʻopilikia i kou hiki ke hoʻokele a hoʻohana paha i nā mīkini. ʻAʻole paha ʻoe e ʻike ua hōʻino ʻia kou hiki.
No laila, ke paipai ikaika nei ka FDA iā ʻoe e pale i ka hoʻokele kaʻa a i ʻole ka hoʻohana ʻana i nā mīkini kaumaha no 12 mau hola ma hope o ka lawe ʻana iā Zurzuvae . He mea nui loa kēia no kou palekana a me ka palekana o haʻi.
Leka Lawe-Home
- ʻAʻole ka nāwaliwali o kahi makuahine ke kaumaha ma hope o ka hānau ʻana, he maʻi olakino maoli ia e pono e mālama ʻia.
- Inā ʻoe a i ʻole kahi makuahine hou āu i ʻike ai e ʻike nei i kēia mau hōʻailona, mai hilahila a makaʻu paha e kamaʻilio koke me ke kauka. ʻO ke noi ʻana i ke kōkua he hōʻailona ia o ka ikaika.
- ʻO Zurzuvae (Zuranolone) ka pila mua i ʻāpono ʻia no kēia maʻi, kahi lāʻau lapaʻau kūpono he 14 lā e hiki ke lawe ʻia ma ka home.
- Ma muli o ka hiki ʻana mai o ka hiamoe i ka wā e lawe ai i kēia lāʻau lapaʻau, he mea nui e pale i ka hoʻokele kaʻa ʻana a i ʻole ke komo ʻana i nā hana weliweli no 12 mau hola ma hope o ka lawe ʻana i ka pila.
- Pono e lawe ʻia kekahi lāʻau lapaʻau ma lalo o ke ʻōlelo aʻoaʻo a me ka nānā ʻana a ke kauka kūpono. No laila, e kamaʻilio me kāu kauka e aʻo hou e pili ana i kēia a inā paha he kūpono ia iā ʻoe.
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