ʻO ka hoʻoholo ʻana inā e hoʻomau a hoʻōki paha i ka lawe ʻana i ka lāʻau lapaʻau no ke kaumaha i ka wā hāpai kekahi o nā hoʻoholo paʻakikī loa a ka makuahine e hana ai. Ma kekahi ʻaoʻao, inā ʻaʻole mālama ʻia, hiki iā ia ke hoʻopilikia i kou olakino noʻonoʻo a me kāu pēpē i hānau ʻole ʻia. Ma kekahi ʻaoʻao, aia ka hopohopo inā ʻoe e hoʻomau i ka lawe ʻana i ka lāʻau lapaʻau, hiki iā ia ke hoʻoweliweli i kāu pēpē. He mea huikau maoli kēia. No laila e kamaʻilio ākea kākou e pili ana i ia mea.
He aha ka pilina ma waena o ke kaumaha a me ka hāpai ʻana?
Ua manaʻo ka poʻe he nui ma mua ua pale aku nā loli hormonal i ka wā hāpai i nā wahine mai ke kaumaha. Akā, ʻaʻole ia ka ʻoiaʻiʻo. Ua ʻike mākou i kēia manawa hiki ke loaʻa ke kaumaha i ka wā hāpai, a he nui nā makuahine e pono ai nā antidepressants e hoʻokele iā ia. ʻOiaʻiʻo, ua ʻike ʻia nā noiʻi e piʻi ana ka nui o nā wahine e hoʻohana ana i nā antidepressants mai ʻekolu mahina ma mua o ka hāpai ʻana a i ka wā o ka hāpai ʻana.
ʻOiai aia nā nīnau e pili ana i ka palekana o ka hoʻohana ʻana i kēia mau lāʻau lapaʻau i ka wā hāpai, hōʻike ka noiʻi ʻana he palekana ka hapa nui o nā antidepressants, ʻoiai ʻo SSRIs (Selective Serotonin Reuptake Inhibitors) . ʻOiai aia kahi hiki ke loaʻa nā pilikia e like me nā kīnā hānau, ua haʻahaʻa loa ka pilikia.
He aha ka ʻōlelo a nā loea lapaʻau e pili ana i kēia?
E ʻae like kāu Ob-Gyn a me kāu Psychiatrist inā loaʻa iā ʻoe ke kaumaha iki a ʻaʻohe ou hōʻailona no kahi o 6 mau mahina, hiki iā ʻoe ke hoʻāʻo e hoʻēmi i kāu lāʻau lapaʻau ma lalo o ka nānā ʻana a ke kauka. Malia paha me ka psychotherapy wale nō a me kekahi mau hoʻololi ʻana i ke ʻano o ka nohona , hiki iā ʻoe ke hoʻomanawanui maikaʻi i kēia manawa.
Eia nō naʻe, inā pili kēia mau mea iā ʻoe, ʻoi aku ka maikaʻi o ka lawe ʻana i ka lāʻau lapaʻau i ka wā hāpai no ʻoe a me kāu pēpē.
| Kūlana | ʻŌlelo aʻoaʻo lapaʻau |
|---|---|
| Inā he kaumaha iki kou a ʻaʻohe hōʻailona no nā mahina he 6 a ʻoi. | Hiki iā ʻoe ke noʻonoʻo e hoʻōki i ka lāʻau lapaʻau ma lalo o ka nānā ʻana a ke kauka. Akā, hiki i nā mea e like me ka psychotherapy, ka hoʻoikaika kino, a me ka yoga ke kōkua. |
| Inā ua loaʻa iā ʻoe ke kaumaha nui a pinepine paha , nā maʻi noʻonoʻo ʻē aʻe e like me ka maʻi bipolar, a i ʻole ua loaʻa nā manaʻo pepehi iā ʻoe iho. | He mea palekana ia nou a me kāu pēpē ke hoʻomau i ka lawe ʻana i ka lāʻau lapaʻau. |
He aha nā pilikia o ka waiho ʻana i ke kaumaha me ka mālama ʻole ʻia?
He mea kēia e pono ai kākou e makaʻala. Hiki i ke kaumaha i mālama ʻole ʻia ke loaʻa nā hopena koʻikoʻi no ʻoe a me kāu pēpē.
- Ka mālama ponoʻī ʻole ʻana: Ke kaumaha ʻoe, e poina paha iā ʻoe ke hana i nā mea e like me ka ʻai ʻana a me ka inu ʻana, a hele i ke keʻena lapaʻau i ka manawa kūpono.
- Nā ʻano hana weliweli: Aia kahi manawa kiʻekiʻe o ka puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau ʻē aʻe. Hiki i kēia mau mea āpau ke hana i nā pilikia koʻikoʻi no ka pēpē, e like me ka hāʻule ʻana o ka hāpai keiki, ka hānau mua ʻana, a me ke kaumaha hānau haʻahaʻa.
- Ka hopena i ke ola ʻohana: E noʻonoʻo he keiki ʻē aʻe kāu. Inā ʻaʻole maikaʻi kou kūlana noʻonoʻo, he mea paʻakikī paha ke mālama i kēlā keiki a me ka noho maikaʻi ʻana me kāu kāne. He mea hiki ʻole ke hoʻomanawanui i kēia kaomi no ka ʻohana holoʻokoʻa. No laila, he mea nui loa iā ʻoe ke noho maikaʻi no ka ʻohana pū kekahi.
ʻAʻole wale ke kaumaha i mālama ʻole ʻia he maʻi leo ʻole. Hiki iā ia ke hoʻopilikia pololei iā ʻoe, kāu pēpē, a me kou ʻohana holoʻokoʻa.
He aha nā pilikia i ka pēpē mai ka lawe ʻana i ka lāʻau lapaʻau?
ʻOiaʻiʻo, ʻaʻohe lāʻau lapaʻau e palekana 100% i ka wā hāpai. Kūʻē kekahi mau hopena o nā noiʻi e pili ana i nā antidepressants. Eia nō naʻe, haʻahaʻa loa ka hapa nui o nā pilikia i loaʻa.
| Nā pilikia a me nā hōʻailona manawa pōkole e hiki mai ana i ka pēpē ma muli o ka lāʻau lapaʻau | |
|---|---|
| Nā pilikia i ka pēpē (hiki ʻole ke hana ʻia) | |
| PPHN (Ke koko kiʻekiʻe mau o ka puʻuwai i ka pēpē hānau hou) | He maʻi koʻikoʻi e pili ana i nā kīʻaha koko i loko o nā māmā o kahi pēpē hānau hou. |
| Nā kīnā hānau | Nā maʻi o ka puʻuwai, ka lolo, ka iwi kuamoʻo (Anencephaly), ke poʻo (Craniosynostosis), ka ʻōpū (Omphalocele), a i ʻole nā lālā. |
| Nā pilikia ʻē aʻe | Ka hāʻule ʻana o ka hāpai keiki, ka hānau mua ʻana (ma mua o 37 mau pule), ke kaumaha hānau haʻahaʻa (emi ma mua o 2.5 kg). |
| Nā hōʻailona o ka hemo ʻana e hiki i ke pēpē ke ʻike ma hope o ka hānau ʻana | |
| Hoʻomaha ʻole | Paʻakikī ka hanu ʻana, ka hanu pinepine ʻana, ka uē pinepine ʻana. |
| Nā hiʻohiʻona ʻē aʻe | Paʻakikī i ka inu waiū, haʻahaʻa ke kō koko (Hypoglycemia), maikaʻi ʻole ke kino. |
ʻO ka mea nui e hoʻomaopopo ma ʻaneʻi, he manawa pōkole kēia mau hōʻailona haʻalele. Pono paha kekahi mau pēpē e noho ma ka Neonatal ICU no kekahi mau lā (hoʻokahi a ʻehā lā) ma muli o kēia mau mea. Eia naʻe, ʻaʻohe o kēia mau mea i ʻike ʻia e hōʻeha lōʻihi i ka pēpē.
E hoʻomaopopo pono kākou i kēia mau pilikia.
He mea kūpono ke makaʻu i ka wā e kamaʻilio ai e pili ana i kēia mau pilikia. Akā pono mākou e nānā i kēia ma ke ʻano kuanaʻike. I kēlā me kēia hāpai ʻana, ʻoiai me ka ʻole o kekahi lāʻau lapaʻau, aia kahi awelika o ka pilikia o ka hānau ʻana o kahi pēpē me kekahi ʻano kīnā hānau ma kahi o 3%.
ʻO ka ʻoiaʻiʻo e hoʻonui ana nā antidepressants i ka pilikia he pakeneka liʻiliʻi loa ia i hoʻohui ʻia i kēia 3%. No ka laʻana, ua hōʻike kekahi noiʻi e hoʻonui wale kēia mau lāʻau i ka pilikia o PPHN ma ka 1%. ʻO ke ʻano kēia inā ʻoe e lawe i ka lāʻau, ʻo ka pilikia holoʻokoʻa o ka pēpē e loaʻa ana i kahi pilikia he haʻahaʻa loa ia .
He aha nā lāʻau lapaʻau maikaʻi loa no ka hāpai ʻana?
Ua manaʻo ʻia kekahi mau antidepressants ʻoi aku ka palekana i ka wā hāpai ma mua o nā mea ʻē aʻe. Eia kekahi mau laʻana:
- ʻO Citalopram (Celexa)
- ʻO Fluoxetine (Prozac, Sarafem)
- ʻO Sertraline (Zoloft)
- ʻAmitriptyline (Elavil)
- ʻO Desipramine (Norpramin)
- ʻO Nortriptyline (Pamelor)
- ʻO Bupropion (Wellbutrin)
Akā, mai hopohopo inā ʻoe e lawe ana i kahi lāʻau lapaʻau ʻaʻole ma kēia papa inoa. ʻOiai nā lāʻau lapaʻau i kamaʻilio nui ʻia, e like me Paroxetine (Paxil), he haʻahaʻa loa ko lākou mau pilikia. Aia kekahi mau hopohopo e pili ana i ka hoʻololi koke ʻana i nā lāʻau lapaʻau i ka wā hāpai. ʻOi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka e hoʻoholo i ka mea maikaʻi loa iā ʻoe.
Leka Lawe-Home
- ʻO ka lawe ʻana a i ʻole ke hoʻōki ʻana i ka lāʻau lapaʻau no ke kaumaha i ka wā hāpai he hoʻoholo pilikino loa ia e pono ai ʻoe a me kāu kauka e kaupaona pū i nā pono a me nā pōʻino.
- Mai ho'ōki i ka lawe ʻana i kāu lāʻau lapaʻau, hoʻololi i ka dosage, a hoʻomaka paha i kahi mea hou me ka ʻole o ke aʻo ʻana mai ke kauka.
- I nā hihia he nui, ʻoi aku ka nui o nā pilikia i ka makuahine a me ka pēpē mai ke kaumaha i mālama ʻole ʻia ma mua o nā pilikia liʻiliʻi loa mai ka lāʻau lapaʻau.
- Mai manaʻo hewa no ka hoʻoholo āu i hana ai. Makemake kāu kauka i ka mea maikaʻi loa nou a me kāu pēpē. No laila e hilinaʻi i ka hoʻoholo āu a me kāu kauka i hana pū ai, a e hoʻolilo i kēia manawa me ka hauʻoli.
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