Manaʻo mākou a pau ʻo ka loaʻa ʻana o kahi pēpē ka manawa nani a hauʻoli loa i ke ola o ka makuahine. Akā ʻo ka ʻoiaʻiʻo, ʻaʻole hiki i nā makuahine a pau ke ʻike i kēlā hauʻoli ma ke ʻano like. Ua hōʻike ʻia nā noiʻi e nalowale ana kēlā hauʻoli ma kahi o hoʻokahi o nā makuahine ʻehiku ma muli o ke kaumaha nui, ka hopohopo, a me ka hoʻonāukiuki e kū mai ana ma hope o ka loaʻa ʻana o kahi pēpē. ʻO kēia ka mea a mākou e kapa nei he Postpartum Depression . ʻOiai he nui ka poʻe e makaʻu e kamaʻilio e pili ana i ia mea, ʻaʻole kēia kou hewa a nāwaliwali paha, akā he kūlana hiki ke mālama ʻia. ʻO ka nūhou maikaʻi, ua ʻae ʻia kahi pila kūikawā no kēia kūlana, kahi i lawe ʻia no 14 mau lā wale nō. No laila e makaʻala kākou i kēia.
He ʻelua mau mea like ʻole ʻo 'Baby Blues' a me 'Postpartum Depression'.
He nui ka poʻe e huikau nei i nā mea ʻelua. He mea maʻamau ke kaumaha iki, ka uē, a me ka kaumaha i nā pule mua ʻelua ma hope o ka hānau ʻana o kahi pēpē. Kāhea mākou iā ia ʻo 'Baby Blues'. ʻO kēia ma muli o ka loli koke o nā pae hormone, ka luhi, a me ka nele o ka hiamoe. ʻO ka maʻamau, e nalowale kēia ʻano ma kona iho i loko o kekahi mau lā a ʻelua pule.
Eia nō naʻe, ʻoi aku ka koʻikoʻi a me ka lōʻihi o ke kaumaha ma hope o ka hānau ʻana. ʻAʻole ia he kaumaha wale nō. He maʻi noʻonoʻo ia e hoʻoluhi nui ai iā ʻoe a hiki ʻole iā ʻoe ke hana i kou ola o kēlā me kēia lā a i ʻole ka pilina me kāu pēpē.
No ka hoʻomaopopo ʻana i ka ʻokoʻa pololei ma waena o nā mea ʻelua, e nānā i ka papa ma lalo.
| Hiʻona | Nā Pēpē Pōuliuli | Kaumaha ma hope o ka hānau ʻana |
|---|---|---|
| Ka lōʻihi | He mau lā wale nō a i ʻelua pule ma hope o ka hānau ʻana o ke pēpē. | ʻOi aku ia ma mua o 2 pule. Hiki iā ia ke mau no nā mahina. |
| ʻAno o nā hōʻailona | ʻAʻoluʻolu. Uē me ke kumu ʻole, loli o ka naʻau, hopohopo iki. | Ikaika loa. Kaumaha nui, manaʻolana ʻole, manaʻo hewa, manaʻo pepehi kanaka. |
| Ka hopena i ke ola o kēlā me kēia lā | ʻAʻohe hopena nui i ka hana o kēlā me kēia lā. | Lilo i mea paʻakikī ke mālama iā ʻoe iho a me ke pēpē. Lilo ʻoe i kaʻawale mai ke kaiāulu. |
| Pono ʻoe i ke aʻo lapaʻau? | ʻO ka maʻamau, ʻaʻole pono. Ua lawa ke kākoʻo ʻohana. | Pono ʻoe e ʻike i ke kauka. Pono ʻoe i ka lāʻau lapaʻau. |
He aha kēia lāʻau lapaʻau hou? No ke aha he mea kūikawā?
ʻO Zuranolone ka inoa o kēia lāʻau lapaʻau i ʻāpono hou ʻia (inoa inoa ʻo Zurzuvae). ʻO kēia ka "pila" mua i ʻāpono ʻia no ke kaumaha postpartum. He nui nā hiʻohiʻona kūikawā.
1. Hana wikiwiki: ʻO ka maʻamau, he 2 a 4 mau pule ka lōʻihi o ka hana ʻana o nā lāʻau antidepressant. Eia nō naʻe, ua hōʻike nā noiʻi e hoʻomaka ana nā hōʻailona e hoʻomaikaʻi i loko o 3 mau lā o ka hoʻomaka ʻana i kēia pila Zuranolone. He ʻokoʻa nui kēia.
2. Ka maʻalahi: ʻO Brexanolone wale nō ka lāʻau lapaʻau i ʻae mua ʻia no kēia maʻi (inoa inoa ʻo Zulresso). Pono ia i kahi noho haukapila 60 hola ma o kahi IV. E noʻonoʻo i ka paʻakikī o ia mea no kahi makuahine me kahi pēpē liʻiliʻi. Akā ʻo kēia Zuranolone hou he pila hiki ke lawe ʻia ma ka home, hoʻokahi manawa i ka lā, no 14 mau lā .
3. Lapaʻau i kuhikuhi ʻia: Ua hoʻolālā ʻia kēia lāʻau lapaʻau e mālama pololei i nā hopena o nā loli hormonal i loko o ka lolo ma hope o ka hānau ʻana. ʻO ia ke kumu e hana wikiwiki ai.
Akā, ʻaʻole i hoʻoholo ʻia ke kumukūʻai o kēia lāʻau lapaʻau. ʻOiai he pipiʻi loa ke kumukūʻai o ka lāʻau lapaʻau IV ma mua, he mea nui loa ia e hoʻolako i kēia pila hou ma ke kumukūʻai hiki i ka poʻe maʻamau ke kūʻai.
Pehea e ʻike ai i kahi pilikia?
He mea nui loa kēia. Inā lilo ke kaumaha postpartum i mea koʻikoʻi, hiki ke lilo i pilikia olakino.
Inā ʻoe a i ʻole kahi makuahine āu i ʻike ai e manaʻo nei e hōʻeha iā lākou iho a i kā lākou pēpē paha, mai lawe māmā iā ia. I loko o ia kūlana,E hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa. A i ʻole e ʻike i kāu kauka i ka hikiwawe loa.
ʻAʻole ia he hewa nou ke loaʻa nei kēia mau manaʻo iā ʻoe. He ʻāpana ia o ka maʻi. No laila, mai makaʻu e noi i ke kōkua. I kekahi manawa, i kēia mau hihia koʻikoʻi, hiki iā ʻoe ke kelepona i ke Kikowaena ʻIke Lahui no nā Poisons ma ka Halemai Lahui ʻo Colombo no ka ʻike hou aku a me ke alakaʻi.
E ʻike pū kākou e pili ana i nā hopena ʻaoʻao.
E like me nā lāʻau lapaʻau āpau, hiki i kēia pila hou ke loaʻa nā hopena ʻaoʻao. ʻO nā mea i hōʻike pinepine ʻia:
- Hiamoe
- Pōʻino
- Ka maʻi pākī
- Ka hana nui
- Nā kūlana e like me ke anu
- Nā maʻi ʻōpū mimi
Ua ʻōlelo ʻia ʻoe e pale i ka hoʻokele kaʻa ʻana a i ʻole ke komo ʻana i nā hana weliweli ʻē aʻe i ka wā e lawe ana i kēia lāʻau. Eia kekahi, e like me nā antidepressant āpau, hiki iā ia ke hoʻoulu i nā manaʻo pepehi kanaka i kekahi poʻe. No laila, he mea nui loa ia e noho mau me kāu kauka a kamaʻilio e pili ana i kou manaʻo i ka wā a ma hope o kēia lāʻau lapaʻau.
ʻO ka lāʻau lapaʻau wale nō anei ka hopena?
ʻAʻole. ʻOiai he ʻike kupaianaha ʻo Zuranolone, ʻaʻole ia wale nō ka hopena. No ka hoʻokō ʻana i nā hopena maikaʻi loa, pono ʻoe e hoʻohui i kēia lāʻau lapaʻau me nā mea ʻē aʻe.
- Psychotherapy/Counseling: Hiki ke kōkua nui ke kamaʻilio ʻana me ke kākāʻōlelo loea e pili ana i kou mau manaʻo a me kou mau manaʻo.
- Kākoʻo ʻohana: ʻO ke kākoʻo āu e loaʻa ai mai kāu kāne, nā mākua, nā kaikaina, a me nā hoaaloha i kēia manawa he mea waiwai nui ia. He lāʻau lapaʻau maikaʻi loa ia e ʻike ai ʻaʻole ʻoe hoʻokahi.
- Nā Pūʻulu Kākoʻo: ʻO ke kamaʻilio ʻana me nā makuahine ʻē aʻe i loaʻa nā ʻike like hiki ke lilo i kumu ikaika nui.
- Mālama ponoʻī: I nā manawa hiki, e hoʻokaʻawale i ka manawa no nā mea liʻiliʻi e lawe mai iā ʻoe i ka hauʻoli, e like me ka hana ʻana i kahi hoʻoikaika kino liʻiliʻi, ka noʻonoʻo ʻana, a i ʻole ka hoʻolohe ʻana i nā mele maikaʻi.
Pono kākou e hoʻomaopopo i hoʻokahi mea. ʻOiai he nui nā holomua i ka lāʻau lapaʻau e like me kēia, he mea nui like ke kākoʻo a nā makuahine hou e loaʻa ai mai ke kaiāulu. ʻO nā mea e like me ka uku hoʻomaha hānau, ke komo maʻalahi i nā lawelawe olakino noʻonoʻo, a me ka uhaki ʻana i nā manaʻo kuʻuna o ke kaiāulu e pili ana i kēia maʻi, ʻo ia ka mea hiki ke hoʻomaikaʻi maoli i ke ola o nā makuahine.
Leka Lawe-Home
- ʻAʻole wale ke kaumaha ma hope o ka hānau ʻana he kaumaha. He maʻi maoli ia e pono ai ka mālama ʻia.
- ʻO 'Baby Blues' a me Postpartum Depression ʻelua mau maʻi ʻokoʻa loa. Inā mau nā hōʻailona no nā pule ʻelua a ʻoi, e ʻike pono i ke kauka.
- Inā he mau manaʻo kou e hōʻeha iā ʻoe iho a i kāu pēpē paha, he pilikia olakino ia. E ʻimi koke i ke kōkua.
- He koho lapaʻau wikiwiki a maʻalahi hoʻi ka Zuranolone, akā na kāu kauka e hoʻoholo.
- Ma waho aʻe o ka lāʻau lapaʻau, he mea nui ka ʻōlelo aʻoaʻo, a me ke aloha a me ke kākoʻo o kou ʻohana no kou ho'ōla wikiwiki ʻana. ʻAʻole ʻoe hoʻokahi, a mai makaʻu e noi i ke kōkua.
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