Ke kaumaha nei hoʻi ʻoe a me ka hopohopo ma hope o ka hānau ʻana i kahi pēpē? E kamaʻilio kākou e pili ana i ke kaumaha ma hope o ka hānau ʻana

He loli nui ka loaʻa ʻana o kahi pēpē i kou ola. ʻOiai he ʻike kupaianaha ka lilo ʻana i makuahine a makua paha, hiki nō hoʻi ke kaumaha a hoʻoluhi i kekahi manawa. He mea maʻamau ka loaʻa ʻana o kekahi mau makaʻu a me nā kānalua, ʻoiai inā ʻo kou manawa mua kēia. Akā inā ʻoe e manaʻo mau nei ua kaumaha, mehameha, huhū, a uē paha me ke kumu ʻole, aia paha ʻoe i ke kaumaha postpartum.

He aha ka PPD (Postpartum Depression)? E hoʻomaopopo maʻalahi kākou.

I ka ʻōlelo maʻalahi, ʻo ke kaumaha postpartum, a i ʻole PPD e like me kā mākou e kapa nei, he ʻano kaumaha ia e kū mai ana ma hope o ka hānau ʻana o kahi pēpē. Hiki i kēia ke hoʻopilikia ʻaʻole wale i ka makuahine nāna i hānau i ke pēpē, akā i nā mākua hānai. Ma hope o ka loaʻa ʻana o kahi pēpē, ʻike ʻia ko mākou kino i nā loli nui i nā hormones, a me nā loli he nui i ke kino, ka noʻonoʻo, ka hoʻokele waiwai, a me nā pilina pili kanaka. Hiki i kēia mau mea āpau ke alakaʻi i ka PPD.

Inā loaʻa iā ʻoe ka PPD, mai hopohopo, ʻaʻole ʻoe hoʻokahi . ʻAʻole ia kou hewa. ʻO ka mea nui, aia ke kōkua i loaʻa. Hiki i kāu kauka ke kōkua iā ʻoe e hoʻokele i kāu mau hōʻailona a hoʻihoʻi iā ʻoe i ke ala kūpono.

Aia kekahi mau ʻano like ʻole o kēia ʻano maʻi?

ʻAe, ʻekolu mau ʻano nui o ke kaumaha postpartum:

1. Nā Pēpē Pōuliuli

ʻO kēia ka mea mua e hana ʻia i nā makuahine he nui ma hope o ka hānau ʻana o kahi pēpē. Ma waena o 50% a me 75% o nā makuahine e ʻike i ka baby blues . Inā loaʻa iā ʻoe kēia, hiki iā ʻoe ke ʻike i ka uē ʻana, ke kaumaha, a me ka hopohopo no nā mea liʻiliʻi. Hoʻomaka pinepine ia i loko o ka pule mua (nā lā ʻekahi a ʻehā) o ka hānau ʻana o kahi pēpē. ʻOiai he ʻano ʻoluʻolu ʻole kēia ʻike, e emi pinepine ia me ka ʻole o ka mālama ʻia ma hope o ʻelua pule . ʻO ka mea maikaʻi loa āu e hiki ai ke hana i kēia manawa, ʻo ia ke noi aku i ke kōkua mai kāu kāne, ʻohana, a me nā hoaaloha.

2. Kaumaha ma hope o ka hānau ʻana (PPD)

He ʻano koʻikoʻi kēia ma mua o ka baby blues. Ma kahi o 1 i loko o 7 mau makuahine hou e loaʻa i ka PPD. Inā ua loaʻa iā ʻoe ka PPD ma mua, piʻi aʻe kou pilikia ma kahi o 30% me kāu hāpai ʻana aʻe. I loko o kēia manawa, hiki iā ʻoe ke hauʻoli koke, a laila kaumaha koke, uē nui, huhū koke, a luhi. Hiki iā ʻoe ke manaʻo hoʻohoka iā ʻoe iho, makaʻu pono ʻole i nā mea āpau, a manaʻo ʻaʻole hiki iā ʻoe ke mālama i kāu pēpē a i ʻole ʻoe iho. Loaʻa paha i kekahi poʻe nā hōʻailona liʻiliʻi, aʻo kekahi poʻe e loaʻa mau iā lākou. Hiki ke ʻike ʻia kēia mau hōʻailona i loko o hoʻokahi pule o ka hānau ʻana o kahi pēpē, a i ʻole e ʻike mālie ʻia, a hiki i hoʻokahi makahiki ma hope. ʻOiai hiki ke mau nā hōʻailona no kekahi mau mahina,Hiki ke mālama maikaʻi ʻia kēia me ka psychotherapy a i ʻole antidepressants.

3. Ka maʻi ʻeha ma hope o ka hānau ʻana

ʻO kēia ke kūlana koʻikoʻi loa o nā kūlana ʻekolu a koi ʻia ka mālama olakino ulia pōpilikia . Eia nō naʻe, he mea kākaʻikahi loa ia. Ma kahi o hoʻokahi i loko o 1,000 mau makuahine i hānau keiki e loaʻa i kēia kūlana (Postpartum Psychosis). ʻIke pinepine ʻia nā hōʻailona ma hope koke o ka hānau ʻana, a he koʻikoʻi loa lākou. Hiki i kēia mau hōʻailona ke mau mai kekahi mau pule a i kekahi mau mahina. ʻO nā hōʻailona e komo pū me ka hoʻomaha nui, ka huikau, ka manaʻolana ʻole, ka hilahila, ka insomnia, ka paranoia, ka ʻike ʻana/lohe ʻana i nā mea ʻaʻole maoli (Delusions a i ʻole Hallucinations), hyperactivity, ka ʻōlelo wikiwiki, a me ka mania. Pono kēia kūlana i ka mālama koke ʻana i ke kauka. No ka mea, he nui ka pilikia o ka hōʻeha ʻana iā ʻoe iho a i ʻole kāu pēpē . ʻO ka mālama ʻana e pili ana i ka hoʻokipa ʻana i ka haukapila, ka psychotherapy, a me ka lāʻau lapaʻau.

ʻO wai ka mea i hoʻopilikia nui ʻia e kēia kūlana?

ʻAʻole ʻo ka PPD he mea maʻamau ʻole e like me kou manaʻo. Ma kahi o 75% o nā makuahine e ʻike i ka baby blues ma hope o ka hānau ʻana o kahi pēpē. Ma kahi o 15% o kēia mau wahine hiki ke loaʻa i ka PPD. ʻO ke kūlana ʻino loa aʻu i ʻōlelo ai ma mua, ʻo ia ka postpartum psychosis, e pili wale ana i kahi o 1 i loko o 1,000 mau makuahine.

Pehea e ʻike pono ai iaʻu inā he baby blues a i ʻole PPD koʻu?

He mea maʻamau ka loaʻa ʻana o ka baby blues ma hope o ka hānau ʻana o kahi pēpē. Ua like iki nā hōʻailona o ka baby blues a me ka PPD. Eia nō naʻe, e emi pinepine ana nā hōʻailona o ka baby blues ma hope o kahi o 10 mau lā, a ʻaʻole i ʻoi aku ka koʻikoʻi . I ka PPD, hiki i nā hōʻailona ke mau no nā pule a i ʻole nā ​​mahina, a ʻoi aku ka koʻikoʻi.

Inā loaʻa iā ʻoe kēia mau mea, hiki ke lilo i ka baby blues:

• Uē me ke kumu ʻole.
• Kaumaha nā mea a pau.
• Ua nalowale koʻu makemake e ʻai.
• ʻAʻole hiki iaʻu ke hiamoe pono.
• I ka manawa koke, nalowale kou hauʻoli a kaumaha a huhū hoʻi (loli ke ʻano).

Akā e hoʻomanaʻo, ʻaʻole ia he mea ʻeha ke kamaʻilio me kāu kauka e pili ana i kāu mau hōʻailona. A laila hiki iā ia ke hoʻoholo inā pono ʻoe i ka lāʻau lapaʻau a i ʻole.

Pehea ka lōʻihi e hiki ai i ka PPD ke mau?

Hiki i ka PPD ke mau a hiki i hoʻokahi makahiki ma hope o ka hānau ʻana o kāu pēpē . Eia naʻe, ʻaʻole ia manaʻo e pono ʻoe e manaʻo ua "ho'ōla ʻia" i hoʻokahi makahiki. E kamaʻilio me kāu kauka e pili ana i kāu mau hōʻailona a me ka lāʻau lapaʻau. E ʻoiaʻiʻo e pili ana i kou manaʻo. E noʻonoʻo i kou manaʻo i kēia manawa i hoʻohālikelike ʻia me ka wā i hoʻomaka mua ai ʻoe e loaʻa i kēia mau hōʻailona. Ma kēlā ʻano, hiki iā lākou ke hoʻomau i ka mālama ʻana i kāu mau hōʻailona e like me ka hiki iā lākou.

He aha nā kumu pilikia no ka hoʻomohala ʻana i ka PPD?

Hiki i kekahi mau mea ke hoʻonui i ka pilikia o ka hoʻomohala ʻana i ka PPD:

• Inā ua loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana ke kaumaha, PPD, a i ʻole ka maʻi dysphoric premenstrual (PMDD).
• Kākoʻo kaiāulu i kaupalena ʻia.
• Inā he mau pilikia i kāu male ʻana a i ʻole ka pilina (hakakā male a pilina paha).
• Inā he manaʻo kānalua kou a kānalua paha e pili ana i ka hāpai ʻana.
• Inā ua loaʻa iā ʻoe nā pilikia hāpai e like me nā pilikia olakino, ka paʻakikī i ka hānau keiki ʻana, a i ʻole ka hānau mua ʻana.
• Inā ʻoe ma lalo o 20 mau makahiki, a inā he makuahine hoʻokahi ʻoe.
• Inā he pēpē kāu me nā pono kūikawā, a inā he pēpē kāu e uē mau ana.

He aha nā hōʻailona o ka PPD?

E hilahila paha ʻoe i kāu mau hōʻailona, ​​a i ʻole e manaʻo paha ʻoe, "He makuahine maikaʻi ʻole wau" no ka mea ke manaʻo nei ʻoe i kēia mau mea. Akā, he maʻi maʻamau loa ka PPD . ʻAʻole ʻoe hoʻokahi i ka manaʻo ʻana i kēia mau manaʻo, a ʻaʻole ia he manaʻo he kanaka maikaʻi ʻole ʻoe.

Inā loaʻa iā ʻoe kekahi o nā hōʻailona ma lalo nei, hiki paha iā ʻoe ke PPD:

• Ke kaumaha nei ʻoe, kahi manaʻo o ka pono ʻole, kahi manaʻo o ka manaʻolana ʻole, kahi manaʻo hewa.
• Ke hopohopo nui nei au i nā mea a pau, a ke holo mau nei koʻu puʻuwai.
• Ua nalowale koʻu hoihoi i nā mea a me nā hana leʻaleʻa aʻu i hauʻoli ai.
• Ka loli ʻana o ka makemake, ʻaʻole ʻai pono.
• Me he mea lā ʻaʻohe ikaika o koʻu kino, ʻaʻohe oʻu makemake e hana i kekahi mea.
• ʻAʻole hiki iaʻu ke hiamoe pono, a i ʻole makemake wau e hiamoe i ka lā a pau.
• E uē nui ana a i ʻole ke kumu ʻole.
• He paʻakikī ke noʻonoʻo a me ka noʻonoʻo pono.
• Ua noʻonoʻo wau e hoʻopau i koʻu ola, a ua noʻonoʻo paha wau, "Makemake wau e make."
• ʻAʻohe hoihoi i ka pēpē, a ke makaʻu nei au a me ka ʻoluʻolu ʻole ke kokoke au i ka pēpē.
• Kū aʻe nā manaʻo e like me ka hōʻeha ʻana i ka pēpē, a i ʻole "ʻAʻole au makemake i kēia pēpē".

Inā manaʻo ʻoe he PPD kou, e ʻike koke i kāu kauka (obstetrician, mea mālama mua a mea mālama olakino noʻonoʻo paha) . Hiki i ke kauka pediatric o kāu pēpē ke kōkua iā ʻoe.

He aha ke kumu o ka PPD?

Ke noiʻi ʻia nei ka pilina ma waena o ka hāʻule koke ʻana o nā pae hormone ma hope o ka hānau ʻana a me ke kaumaha. I ka wā hāpai, piʻi aʻe nā pae o nā hormones estrogen a me progesterone ma kahi o ʻumi manawa, akā hāʻule nui kēia mau pae ma hope o ka hānau ʻana. ʻEkolu lā ma hope o ka hānau ʻana, hoʻi kēia mau pae hormone i nā pae ma mua o ka hāpai ʻana.

Ma waho aʻe o kēia mau loli kemika, hiki i nā loli pilikanaka a me ka noʻonoʻo e hele mai me ka loaʻa ʻana o kahi pēpē ke hoʻonui i kou pilikia o ka hoʻomohala ʻana i ka PPD. No ka laʻana, nā loli i kou kino, ka nele o ka hiamoe, ka hopohopo e pili ana i ke ʻano o ka hānai ʻana i kāu pēpē, a me nā loli i kāu pilina me ka ʻohana.

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e ʻoluʻolu e haʻi koke aku i ke kauka:

* Manaʻo ʻoe e hana ʻino iā ʻoe iho, a i ʻole makemake ʻoe e hana ʻino i ke pēpē.

* Ke noʻonoʻo mau nei e pili ana i ka make a i ʻole ka noʻonoʻo e pili ana i ka pepehi kanaka iā ia iho.

* E like me nā pule ʻelua i hala iho nei, ua kaumaha wau i ka hapa nui o ka lā.

* Nā manaʻo o ka makaʻu, ka hewa, ka manaʻolana ʻole, ka hopohopo, a me ke kōkua ʻole.

* Paʻakikī i ka noʻonoʻo ʻana, ... hoʻoholo ʻana, a me ka hana ʻana i nā hana o kēlā me kēia lā.

* E like me nā pule ʻelua i hala iho nei, ʻaʻohe oʻu hoihoi i kekahi mea aʻu i hauʻoli ai e hana i ka hapa nui o ka lā.

Hiki i ka PPD ke hoʻopilikia i kaʻu pēpē?

ʻAe, ʻoiaʻiʻo nō. Hiki i ka PPD ke hoʻopilikia i kāu pēpē pū kekahi . ʻO ia ke kumu he mea nui e loaʻa ka lāʻau lapaʻau no ʻoe a me kāu pēpē.

Ua ʻike ʻia e ka noiʻi hiki i ka PPD ke loaʻa nā hopena ma ka pēpē:

• Ke paʻakikī nei ʻoe e hoʻokumu i kahi pilina maikaʻi me kāu pēpē.
• Loaʻa paha i kāu keiki nā pilikia pili i ke ʻano a i ʻole ke aʻo ʻana.
• Hiki paha iā ʻoe ke haʻalele i nā manawa hoʻonohonoho pediatrician a kāu keiki.
• Hiki i kāu keiki ke loaʻa nā pilikia i ka ʻai ʻana a me ka hiamoe ʻana.
• Aia kāu keiki i ka pilikia o ka momona a i ʻole nā ​​​​maʻi ulu.
• Hiki paha iā ʻoe ke hoʻowahāwahā i ka mālama ʻana i kāu keiki, a i ʻole ʻaʻole paha ʻoe e ʻike i ka wā e maʻi ai kāu keiki.
• E emi ana paha nā mākau pilikanaka o kāu pēpē.

Pehea e ʻike ai nā kauka i ka PPD?

ʻAʻohe hoʻāʻo kikoʻī e ʻike ai i ka PPD. E nānā kāu kauka iā ʻoe i kāu kipa postpartum. Hiki i kēia ke komo pū me kahi loiloi o kou mōʻaukala olakino, pehea kou manaʻo ma hope o ka hānau ʻana o kāu pēpē, kahi hoʻokolohua kino, kahi hoʻokolohua pelvic, a me nā hoʻokolohua lab. E hoʻonohonoho ka nui o nā kauka i kahi kipa ʻokoʻa i ʻelua a ʻekolu mau pule ma hope o ka hānau ʻana no ka nānā ʻana no ke kaumaha. E kōkua kēia iā ʻoe e loaʻa ke kōkua āu e pono ai i ka wā hikiwawe loa.

Hiki iā lākou ke hana i kahi nānā ʻana i ke kaumaha, a i ʻole e nīnau iā ʻoe i kekahi mau nīnau e loiloi ai inā he PPD kou. E nīnau lākou iā ʻoe e pili ana i kou manaʻo a me ke ʻano o kāu pēpē. E haʻi pololei i kāu kauka e pili ana i kou mau manaʻo a me kou mau manaʻo . A laila hiki iā lākou ke hoʻoholo inā he maʻamau kou mau manaʻo a inā he mau hōʻailona ia o ka PPD.

I kekahi manawa e hana paha ke kauka i kahi hoʻāʻo koko, no ka mea, hiki ke like nā hōʻailona o kekahi mau maʻi thyroid me nā hōʻailona o PPD.

E hoʻomanaʻo, aia kāu kauka ma laila e kōkua iā ʻoe, e hōʻoia i kou olakino. No laila, mai hūnā i kekahi mea, e haʻi pololei i nā mea āpau. ʻAʻohe mea e hoʻohewa nei iā ʻoe, a ʻaʻole ʻoe hoʻokahi me kēia mau manaʻo.

Hoʻohana ka nui o nā kauka i kahi nīnau i kapa ʻia ʻo Edinburgh Postnatal Depression Scale e ʻike ai i ka PPD. He 10 mau nīnau e pili ana i nā hōʻailona kaumaha, e like me ke kaumaha, ka makaʻu, a me ka hewa. Pono ʻoe e koho i ka pane e wehewehe pono ana i kou manaʻo i nā lā ʻehiku i hala. ʻO ke kiʻekiʻe o ka helu, ʻo ka nui o ka loaʻa ʻana o ka PPD iā ʻoe.

He aha nā lāʻau lapaʻau no ka PPD?

ʻO ke ʻano o ka mālama ʻana no ka PPD e pili ana i ke ʻano a me ke koʻikoʻi o kāu mau hōʻailona. ʻO nā koho lapaʻau e komo pū me nā lāʻau anti-anxiety a i ʻole antidepressant, psychotherapy (talk therapy a i ʻole cognitive behavioral therapy), a me ke komo ʻana i nā hui kākoʻo.

ʻO ke kūlana koʻikoʻi loa aʻu i ʻōlelo ai ma mua (Postpartum Psychosis) ua mālama ʻia me nā lāʻau lapaʻau i hoʻohana ʻia e mālama i ke kaumaha, ka hopohopo, a me ka psychosis. Hiki paha iā ʻoe ke komo i kahi kikowaena mālama no kekahi mau lā a hiki i ka paʻa ʻana o kou kūlana. Inā ʻaʻole kōkua kēia mau lāʻau lapaʻau, hiki ke kūpono ka electroconvulsive therapy (ECT).

Inā ʻoe e hānai waiū ana, mai manaʻo ʻaʻole hiki iā ʻoe ke lawe i ka lāʻau lapaʻau no ke kaumaha, ka hopohopo, a i ʻole kahi maʻi ʻano . E kamaʻilio me kāu kauka e pili ana i kāu mau koho.

Nā ʻano lāʻau lapaʻau e hiki ke lawe ʻia no PPD

Hiki i kāu kauka ke kuhikuhi i nā lāʻau antidepressants e kōkua i ka mālama ʻana i nā hōʻailona o PPD. Kōkua kēia mau lāʻau lapaʻau i ke kaulike ʻana i nā kemika i loko o kou lolo e hoʻopilikia ai i kou ʻano.

Inā ʻoe e hānai waiū ana, e kamaʻilio me kāu kauka e pili ana i nā pono a me nā pōʻino o ka lawe ʻana i kahi antidepressant. Hiki i nā lāʻau lapaʻau ke komo i loko o kou waiū umauma. Eia nō naʻe, ʻo ka nui e hele ana he liʻiliʻi loa ia, a ʻo ka hapa nui o nā antidepressants ua manaʻo ʻia he palekana. Hiki i kāu kauka ke kōkua iā ʻoe e koho i ka lāʻau lapaʻau kūpono nou ma muli o kāu mau hōʻailona a inā ʻoe e hānai waiū ana.

ʻO kekahi o nā antidepressants i hoʻohana pinepine ʻia no ka PPD:

• Nā mea pale i ka hoʻihoʻi hou ʻana o ka serotonin koho (SSRIs) e like me Sertraline (Zoloft®) a me Fluoxetine (Prozac®)
• ʻO nā mea hoʻopale i ka Serotonin a me Norepinephrine Reuptake (SNRI), e like me Duloxetine (Cymbalta®) a me Desvenlafaxine (Pristiq®)
• ʻO Bupropion (Bupropion - Wellbutrin® a i ʻole Zyban®)
• ʻO nā lāʻau lapaʻau Tricyclic (TCAs) e like me Amitriptyline (Elavil®) a i ʻole Imipramine (Tofranil®)

E hoʻomanaʻo he ʻekolu a ʻehā pule ka liʻiliʻi e pono ai no ka hoʻomaka ʻana o ka hana ʻana o nā antidepressants. E kamaʻilio me kāu kauka ma mua o ka hoʻōki ʻana i ka lāʻau. ʻO ka hoʻōki koke ʻana i ka lāʻau lapaʻau hiki ke hoʻi hou mai i kāu mau hōʻailona. Paipai ka nui o nā kauka e hoʻēmi mālie i ka nui ma mua o ka hoʻōki loa ʻana.

Inā ʻike kāu kauka i ka PPD ʻoiai ʻoe i loko o ka haukapila, hiki iā lākou ke kuhikuhi i kahi lāʻau IV e loaʻa ana ka brexanolone.

He aha ka mea e kōkua iā ʻoe e ola kūleʻa me PPD?

He mea maʻamau ka manaʻo ua kaumaha ʻia e nā mea āpau. He mea hauʻoli a he mea ʻeha hoʻi ka lilo ʻana i makua, a ʻaʻole maʻalahi ka hānai ʻana i kahi pēpē. Inā loaʻa iā ʻoe ke kaumaha, ʻaʻole ʻoe hoʻokahi. Hiki i kāu kauka ke kōkua iā ʻoe e loaʻa ka lāʻau kūpono nāu.

Eia kekahi mau mea hiki iā ʻoe ke hana e ola kūleʻa me PPD:

• E ʻimi i kahi e kamaʻilio ai - hiki iā ia ke lilo i mea hoʻoponopono, he hoaaloha, he lālā o ka ʻohana, a i ʻole kekahi e hoʻolohe a kōkua iā ʻoe.
• E hui pū me kahi hui kākoʻo no nā mākua hou.
• E ho'āʻo e ʻai i nā meaʻai olakino a e ʻimi i ka manawa e hoʻoikaika kino ai.
• E hāʻawi iā ʻoe iho i ka mea nui e hoʻomaha ai.
• E hele i waho me nā hoaaloha, a i ʻole e kelepona iā lākou.
• E hana i nā mea āu e makemake ai (heluhelu i nā puke, nā hana leʻaleʻa ʻē aʻe), a e ʻimi i ka manawa nou iho (mālama ponoʻī).
• E noi i ke kōkua me nā hana o ka hale a me nā hana o kēlā me kēia lā.

He aha ka mea e hana inā ʻaʻole mālama ʻia ka PPD?

He mea weliweli ka PPD i mālama ʻole ʻia nou, kāu pēpē, a me kāu poʻe aloha . Hiki iā ia ke hana i nā mea e like me:

• Ua like wau me he mea lā ʻaʻohe oʻu ikaika.
• Aia mau ka hoʻomaha ʻole a me ka huhū i loko o kuʻu puʻuwai.
• Manaʻo ʻoe ʻaʻole hiki iā ʻoe ke mālama i ke pēpē.
• ʻAʻole hiki ke noʻonoʻo pono a hoʻoholo i nā hoʻoholo.
• Manaʻo ʻoe e hana ʻino ana iā ʻoe iho.

Hiki ke ho'ōla loa ʻia ka PPD?

Me ke kōkua ʻoihana, hiki i ka poʻe āpau i loaʻa i ka PPD ke lanakila ma luna o ko lākou mau hōʻailona.

Hiki ke pale ʻia ka PPD?

ʻAʻole hiki ke pale loa i ka PPD. Eia nō naʻe, hiki ke kōkua i ka ʻike ʻana i nā hōʻailona aʻo a me nā kumu pilikia no ke kūlana. Eia kekahi mau ʻōlelo aʻoaʻo e hiki ke kōkua i ka pale ʻana i ka PPD:

• E noʻonoʻo pono i ka mea e manaʻo ʻia ana iā ʻoe a me kāu pēpē.
• E kaupalena i ka nui o nā malihini kipa i nā lā mua ma hope o kou hoʻi ʻana i ka home.
• E noi i ke kōkua - e haʻi i nā poʻe ʻē aʻe pehea e hiki ai iā lākou ke kōkua.
• Ke hiamoe ka pēpē, hiamoe pū ʻoe, a hoʻomaha paha.
• Hoʻoikaika kino — e hele wāwae, e puka i waho o ka hale no ka hoʻomaha.
• E pili mau me kou ʻohana a me kou mau hoaaloha - mai noho mehameha.
• E mālama i ka pilina olakino me kāu hoa - e hoʻokaʻawale i ka manawa no kekahi i kekahi.
• E manaʻo ʻoe e maikaʻi kekahi mau lā, e ʻino kekahi mau lā.

I ka manawa hea e pono ai ke ʻimi i ke aʻo lapaʻau?

Pono ʻoe e ʻimi i ke kōkua lapaʻau i nā hihia e like me kēia:

• Inā ʻoi aku ka lōʻihi o nā hōʻailona ma mua o ʻelua pule.
• Inā manaʻo ʻoe ʻaʻole hiki iā ʻoe ke hana maʻamau a i ʻole e hoʻoponopono i nā mea o kēlā me kēia lā.
• Inā manaʻo ʻoe e hōʻeha iā ʻoe iho a i kāu pēpē paha.
• Inā ʻoe e makaʻu loa, hopohopo, a me ke kōkua ʻole i ka hapa nui o ka lā.

Inā makemake ʻoe i ke kōkua ulia pōpilikia, a inā makemake ʻoe e hōʻeha iā ʻoe iho a i ʻole kekahi kanaka ʻē aʻe, e hele koke i ka haukapila kokoke loa a i ʻole e ʻike i ke kauka. Hiki iā ʻoe ke kelepona i ka National Mental Health Helpline ma 1926 no ke kōkua olakino noʻonoʻo ma Sri Lanka.

Loaʻa anei iā nā makuakāne ka PPD?

ʻAe, hiki i nā makuahine a me nā makuakāne ke ʻike i nā hōʻailona o ka PPD. He mea nui e ʻimi i ke kōkua lapaʻau inā ʻike ʻoe a me kāu hoa i nā hōʻailona o ke kaumaha a i ʻole ka hopohopo ma hope o ka lawe ʻana mai i kāu pēpē i ka home. Ua ʻike ʻia ma kahi o 4% o nā makuakāne e ʻike i ke kaumaha i loko o ka makahiki mua o ka loaʻa ʻana o kahi pēpē.

Pehea mākou e kōkua ai i kekahi me PPD?

Pono ka poʻe me PPD i ke kākoʻo nui. Eia kekahi mau ala e hiki ai iā ʻoe ke kōkua:

• E makaʻala i nā hōʻailona o ke kaumaha a me ka hopohopo, a koi i kāu hoaaloha a hoa paha e ʻimi i ke kōkua lapaʻau.
• E lilo i mea hoʻolohe maikaʻi. E hōʻike iā lākou e like me ʻoe e hoʻolohe ana i kā lākou mea e ʻōlelo ai a aia ʻoe ma laila e kōkua.
• E hāʻawi i ke kōkua me nā hana o ka hale a me nā hana o kēlā me kēia lā.
• E hāʻawi i ke kōkua e mālama i ke pēpē i ko lākou hiamoe ʻana a me ka hoʻomaha ʻana.
• E paipai iā lākou e ʻimi i ke kōkua mai kahi mea hoʻoponopono a i ʻole kekahi kākāʻōlelo olakino noʻonoʻo ʻē aʻe.
• E kōkua iā lākou e hoʻonohonoho i kahi manawa me ke kauka, a i ʻole e hāʻawi e hele pū me lākou no ke kākoʻo.

ʻO ka mea nui a mākou e hoʻomanaʻo ai, ʻo ia

He maʻi olakino noʻonoʻo maʻamau ka PPD e hoʻopilikia ana i kahi o 1 i loko o 7 mau makuahine ma hope o ka hānau ʻana i kahi pēpē. ʻAʻole ia kou hewa, a ʻaʻole ʻoe i hana i kekahi mea e hoʻoulu ai . ʻAʻole ia e hoʻolilo iā ʻoe i makua maikaʻi ʻole a i ʻole he kanaka maikaʻi ʻole. ʻO nā mea olaola, kino, a me nā kemika e hoʻoulu ai i ka PPD ma waho o kou mana. ʻO nā manaʻo o ke kaumaha a i ʻole ka waiwai ʻole, ka nalowale o ka hoihoi i nā mea āu i hauʻoli ai, ka uē nui ʻana, a me nā loli koke o ke ʻano he mau hōʻailona o ka PPD. Inā manaʻo ʻoe he PPD kou, e kamaʻilio me kāu kauka. Hiki iā lākou ke kōkua iā ʻoe e ʻike i ke ala maikaʻi loa e hoʻokele ai i kāu mau hōʻailona. Hiki i ke aʻo ʻana, ka lāʻau lapaʻau, a i ʻole ke komo ʻana i kahi hui kākoʻo ke kōkua. E hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi, aia ke kōkua.

Kaumaha ma hope o ka hānau ʻana, PPD, ʻeha pēpē, olakino noʻonoʻo, kaumaha makuahine, postpartum, kaumaha