ʻO ka lilo ʻana i makuahine hou e lawe mai me ia i nā pilikia he nui. ʻO ka hoʻomaʻamaʻa ʻana i ke ola me kahi keiki hānau hou, ka hiamoe ʻole, ka lawe ʻana i nā kuleana hou, a me ka ʻeha umauma paha i ka wā e hānai waiū ana ... Ua luhi paha ʻoe i kēia mau mea a pau. Akā pehea inā, me kēia mau ʻeha kino a pau, ke manaʻo nei ʻoe i ka nui o ka ʻeha a me ke kaumaha ma hope o ka hānau ʻana? ʻAʻole mākou e kamaʻilio e pili ana i ka 'baby blues', kahi loli iki o ka naʻau e nalowale ana i hoʻokahi a ʻelua paha pule. He mea hohonu loa kēia a pono e mālama ʻia. Ma ke ʻano lapaʻau, kapa mākou i kēia 'kaumaha postpartum.' I ka ʻōlelo maʻalahi, he ʻano kaumaha koʻikoʻi ia e kū mai ana ma hope o ka hānau ʻana.
ʻOi aku ka maʻamau o kēia maʻi ma mua o kou manaʻo. Ua ʻike ʻia kahi noiʻi o 10,000 mau makuahine hou e loaʻa ana i hoʻokahi o nā makuahine ʻehiku kēia maʻi. Akā ʻo ka mea maikaʻi loa, me ka mālama kūpono, hiki ke hoʻōla loa ʻia kēia maʻi.
He aha maoli ke Kaumaha Postpartum?
ʻO kēia ke ʻano o ke kaumaha hiki iā ʻoe ke ʻike ma hope o ka hānau ʻana o kahi pēpē. Hiki ke hoʻomaka i kēlā me kēia manawa i loko o ka makahiki mua o ka hānau ʻana o kahi pēpē. Eia nō naʻe, ʻo ka mea maʻamau ka hoʻomaka ʻana e ʻike i nā hopena i loko o nā pule 3 mua ma hope o ka hānau ʻana o kahi pēpē .
Inā loaʻa iā ʻoe kēia maʻi, hiki iā ʻoe ke kaumaha, manaʻolana ʻole, a hewa i nā manawa a pau. Manaʻo paha ʻoe ʻaʻole ʻoe makemake e pili me kāu pēpē a mālama paha iā ia. ʻAʻole kēia kou hewa, ʻo ke ʻano ia o ke kūlana.
ʻO ka mea nui, ʻaʻole kēia maʻi i kū hoʻokahi i nā makuahine hānau mua. Inā ua loaʻa iā ʻoe nā keiki ma mua, ʻaʻole paha i loaʻa iā ʻoe kēia maʻi i ko lākou hānau ʻana, akā hiki nō iā ʻoe ke loaʻa ma hope o ka loaʻa ʻana o kēia pēpē.
No ke aha lā e kū mai ai kēia kūlana?
Nui nā kumu no kēia. ʻAʻole hiki ke kuhikuhi i hoʻokahi kumu kikoʻī.
- Nā Hormone: Ke hāpai ʻoe, piʻi nui ka nui o nā hormone o kou kino. Ma hope o ka hānau ʻana o ke pēpē, hāʻule koke kēia mau pae hormone i kahi wikiwiki kupaianaha. E noʻonoʻo wale, pehea ka nui o nā loli o ke ʻano o kekahi poʻe ma mua o ko lākou wā mahina, ʻoiai me kahi loli hormonal liʻiliʻi. A ʻo ia ʻano hāʻule hormonal nui e hiki ke hoʻopilikia i ka lolo o kekahi mau wahine, e hoʻoulu ai i ke kaumaha.
- Nā kūlana olakino noʻonoʻo ma mua: Inā ua loaʻa iā ʻoe ke kaumaha ma mua, a inā paha ua loaʻa i kekahi o kou ʻohana, aia ʻoe i kahi pilikia kiʻekiʻe iki o ka hoʻomohala ʻana i kēia kūlana.
- Ke kaumaha a me nā nīnau:Inā ʻaʻole ʻoe makemake e hāpai, a ʻaʻohe ou kākoʻo o kāu hoa a ʻohana paha e mālama i ke pēpē, hiki iā ʻoe ke kaumaha nui ma ke ʻano he makuahine hou. He mea maʻamau kēia i waena o nā wahine i loaʻa nā pilikia ola nui ʻē aʻe, e like me nā pilikia kālā a i ʻole ka ʻona lāʻau a i ʻole ka waiʻona.
- ʻŌpiopio loa: ʻOi aku ke kiʻekiʻe o kēia pilikia no nā makuahine ʻōpio loa i mākaukau ʻole e mālama i kahi pēpē a hoʻolako i kāna mau pono.
He aha nā hōʻailona o kēia?
ʻAʻole e ʻike nā wahine a pau i nā hōʻailona like. Eia nō naʻe, aia kekahi mau hōʻailona maʻamau e makaʻala ai. E nānā inā ʻike ʻoe i kekahi o kēia mau mea.
| Hōʻailona | No ka wehewehe maʻalahi ... |
|---|---|
| Ke kaumaha mau nei a me ka manaʻolana ʻole | Ke kaumaha nui nei a me ka hakahaka me ke kumu ʻole. ʻAʻole hiki ke noʻonoʻo i kekahi mea maikaʻi e pili ana i ka wā e hiki mai ana. |
| Manaʻo ʻoe ʻaʻole hiki iā ʻoe ke mālama i ke pēpē a i ʻole nā hana o ka hale | Ka nalowale ʻana o ka ikaika a me ka hoihoi i nā hana maʻalahi. Manaʻo e haʻalele i nā mea āpau. |
| Uē pinepine me ke kumu ʻole | ʻEha nā mea liʻiliʻi loa, piʻi mai nā waimaka i koʻu mau maka. I kekahi manawa, ʻaʻole hiki iaʻu ke hoʻomaopopo i ke kumu o koʻu uē ʻana. |
| Ka paʻakikī o ka hoʻopaʻa ʻana me ke keiki | Ua nalowale kou makemake e ʻapo i kāu pēpē, e aloha iā ia, a e nānā paha iā ia. Manaʻo ʻoe he malihini ka pēpē, me he mea lā ʻaʻole nau. |
| Ka nalowale o ka hoihoi i nā mea āu i hauʻoli ai ma mua | Ua nalowale ko lākou hoihoi i ka ʻai ʻana, ka moekolohe ʻana, ka noʻonoʻo ʻana i ko lākou maʻemaʻe ponoʻī, a me ka hana ʻana i nā mea a lākou i hana ai no ka leʻaleʻa. |
| Nā pilikia hiamoe | ʻO ka hiamoe nui paha ʻoe, a i ʻole ʻaʻole ʻoe e hiamoe i ka wā moe. |
| Nā pilikia o ka nānā ʻana a me ka hoʻomanaʻo | ʻAʻole hiki iā ʻoe ke kālele i kekahi mea, ʻaʻole hiki iā ʻoe ke aʻo i kekahi mea hou, a poina maʻalahi iā ʻoe nā mea. |
Pehea e loaʻa ai ka lāʻau lapaʻau?
ʻO ke kauka wale nō ke hōʻoia inā loaʻa iā ʻoe ke kaumaha postpartum a i ʻole. No laila, inā manaʻo ʻoe he mau hōʻailona kēia, e ʻike koke i ke kauka. ʻAʻohe mea e hilahila ai kēia. He kūlana kēia e hiki ke mālama ʻia.
- Lāʻau lapaʻau: Ma muli o kou kūlana, hiki i kāu kauka ke kuhikuhi i kahi ʻano lāʻau i kapa ʻia he antidepressants. Hana kēia mau lāʻau lapaʻau ma ke kaulike ʻana i kekahi mau kemika i loko o ka lolo e pili ana me ke kaumaha. ʻO ka hapa nui o kēia mau lāʻau lapaʻau he palekana ke lawe ʻia i ka wā e hānai waiū ana. Eia nō naʻe, inā ʻoe e hānai waiū ana, pono ʻoe e haʻi aku i kāu kauka.
- ʻŌlelo Aʻo: Hiki i ke kamaʻilio ʻana me kahi loea noʻonoʻo a kākāʻōlelo paha ke kōkua nui. Hiki i kēia ke kōkua iā ʻoe e ʻike i nā manaʻo maikaʻi ʻole e hiki mai ana i kou manaʻo a aʻo e hoʻoponopono maikaʻi iā lākou. Hiki iā ia ke kōkua iā ʻoe e kamaʻilio e pili ana i kāu mau pilikia a me nā pilikia i hala a hoʻokuʻu i kou manaʻo.
ʻO ka ʻaoʻao weliweli loa o kēia kūlana: Postpartum Psychosis
He maʻi noʻonoʻo kakaʻikahi kēia akā he mea weliweli loa ia e hiki ke loaʻa me ke kaumaha postpartum. Hoʻomaka pinepine nā hōʻailona i loko o nā pule ʻelua mua ma hope o ka hānau ʻana. Eia kekahi, ʻoi aku ka koʻikoʻi o kēia mau hōʻailona ma mua o ke kaumaha postpartum.
- ʻAʻohe hiamoe iki.
- He ʻano noʻonoʻo huikau a pioloke. ʻAʻole hiki ke noʻonoʻo pono.
- ʻO ka ʻike ʻana a i ʻole ka lohe ʻana i nā mea i ʻike ʻole ʻia (hallucinations) a i ʻole ka manaʻoʻiʻo ʻana i nā mea ʻoiaʻiʻo ʻole (delusions).
- Nā manaʻo pinepine a weliweli e pili ana i ka pēpē.
- Loaʻa ka kānalua ikaika i nā poʻe ʻē aʻe (Paranoia), a ʻaʻole e nalowale kēlā kānalua i nā mea a pau e ʻōlelo ai kekahi.
- Ka hōʻole piha ʻana i ka ʻai.
- Ke loaʻa nei nā manaʻo e hōʻeha iā ʻoe iho a i ʻole ke pēpē.
He pilikia olakino ka Postpartum Psychosis. Inā loaʻa iā ʻoe a i ʻole kekahi āu i ʻike ai kēia mau hōʻailona, mai hoʻokaʻulua. E lawe koke iā lākou i ka Emergency Unit (ETU) kokoke loa. Hiki iā ʻoe ke kelepona i ka helu pilikia 24/7 o ka National Institute of Mental Health (NIMH) Sri Lanka 1926 no ke alakaʻi.
Leka Lawe-Home
- ʻAʻole he nāwaliwali ke kaumaha ma hope o ka hānau ʻana a i ʻole he hōʻailona o ka lilo ʻana i makuahine maikaʻi ʻole. He maʻi lapaʻau ia e hiki ke mālama ʻia.
- Mai manaʻo ʻoe e hele ana ʻoe mehameha i kēia. E noi i ke kōkua, a e kamaʻilio me kāu kāne, ʻohana, a i ʻole he hoaaloha hilinaʻi e pili ana i kou mau manaʻo.
- Inā ʻoe e manaʻo nei i ke kaumaha hiki ʻole ke hoʻomanawanui, ka makaʻu, a i ʻole ka mehameha, mai hilahila a makaʻu paha e kamaʻilio me ke kauka e pili ana i ia mea.
- Inā makemake ʻoe e hōʻeha iā ʻoe iho a i kāu pēpē paha, he pilikia ia. E hele koke i ka ETU a kāhea aku paha i ka 1926 .
- Me ka mālama kūpono a me ke kākoʻo o nā mea aloha, hiki iā ʻoe ke hoʻi i kou ola maʻamau.
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