ʻAʻole hiki ke wehewehe ʻia ka hauʻoli o ka loaʻa ʻana o kahi pēpē, ʻeā? ʻO kēlā ʻala hou, kēlā mau lima liʻiliʻi a me nā wāwae... Me he mea lā ua hui pū ke ao holoʻokoʻa. Akā me kēlā hauʻoli palena ʻole e hele mai ana ke kaumaha o ke kuleana, ka nele o ka hiamoe, ka makaʻu iki o 'ke hana pololei nei au i kēia mau mea?' Me kēia mau mea a pau, ke manaʻo nei ʻoe ua luhi a luhi? ʻAʻole ʻoe hoʻokahi, he nui nā makuahine hou e manaʻo nei i kēia ʻano. He mea maʻamau ia.
"Baby Blues" a i ʻole kekahi mea ʻoi aku ka koʻikoʻi?
ʻO ka maʻamau, kapa mākou i ka "Baby Blues" ʻo ia ke ʻano o ke kaumaha, ka uē ʻana, a me ka haʻahaʻa o ke ʻano e kū mai ana i nā pule ʻelua mua ma hope o ka hānau ʻana o kahi pēpē. He kūlana manawa pōkole kēia i hoʻokumu ʻia e nā loli hormonal, ka luhi , a me ka nele o ka hiamoe. E like me ke ao liʻiliʻi ma ka lewa, nalowale ia i loko o kekahi mau lā, ʻelua pule paha.
Eia nō naʻe, inā e hoʻonui ʻia kēia kaumaha, ka hopohopo, a me ka nele o ka hoihoi i kekahi mea i ka hala ʻana o ka manawa, a ʻoi aku ma mua o ʻelua pule, he mea koʻikoʻi paha ia ma mua o ka "baby blues." Ua kapa ʻia kēia he postpartum depression (PPD) . He ʻano kaumaha koʻikoʻi kēia e pili ana i ka hāpai ʻana a me ka hānau keiki ʻana. Hiki i kēia mau hōʻailona ke hoʻomaka i loko o nā pule 4 mua a i ʻole ma hope o ka loaʻa ʻana o kahi pēpē, a hiki ke mau a hiki i hoʻokahi makahiki.
ʻO ka mea nui, ʻaʻole he hōʻailona o ka nāwaliwali ke kaumaha postpartum a i ʻole ʻaʻole ʻoe he makuahine maikaʻi. He maʻi ia e hiki ke ho'ōla loa ʻia me ka lāʻau lapaʻau.
He aha nā hōʻailona nui o ke kaumaha ma hope o ka hānau ʻana (PPD)?
Hiki ke ʻokoʻa kēia mau hōʻailona mai kēlā kanaka a kēia kanaka. Loaʻa paha iā ʻoe kekahi a ʻoi aku paha o kēia mau mea. ʻO ka mea nui, ʻo ia kou manaʻo ʻaʻole ʻoe ʻo ke kanaka like me ʻoe ma mua. I kēia manawa e nānā inā kamaʻāina kēia mau hōʻailona iā ʻoe.
| Hōʻailona | He aha ke ʻano o kēia? |
|---|---|
| Kaʻawale piha ʻana mai ka ʻohana a me nā hoaaloha | Ke manaʻo o ka makemake ʻole e kamaʻilio a hālāwai paha me kekahi. Makemake wale au e noho mehameha. |
| ʻAʻole hiki ke mālama iā ʻoe iho a i ʻole ke pēpē | Manaʻo ʻoe ʻaʻohe ou hoihoi a ikaika paha e holoi iā ʻoe iho, ʻai, a mālama keiki paha. |
| Ka paʻakikī o ka hoʻopaʻa ʻana me ke keiki | ʻAʻole aloha i ka pēpē, me he mea lā ʻaʻole nāu ke pēpē, ʻaʻohe ona manaʻo no ke pēpē. |
| Makaʻu i ka 'ʻAʻole wau he makuahine maikaʻi' | Ke hopohopo mau nei a me ka hoʻohewa ʻana iā ʻoe iho no ka hoʻokō ʻole ʻana i kāu mau kuleana i kāu pēpē. |
| Ka huhū nui, ka hopohopo, a i ʻole ka makaʻu koke (Panic Attacks) | Nā kūlana kahi āu e manaʻo ai e kuʻi ana kou puʻuwai me ke kumu ʻole, ka hou, a i ʻole ka makaʻu i ka make. |
| Nā loli koʻikoʻi i ka hiamoe | ʻAʻole hiamoe ʻoiai ke hiamoe nei ke pēpē, a i ʻole e hiamoe ana i ka lā a pau. |
| Nā manaʻo e hōʻeha iā ʻoe iho a i kāu pēpē paha | He mau hōʻailona koʻikoʻi loa kēia. Inā manaʻo ʻoe e pepehi iā ʻoe iho a i ʻole ke noʻonoʻo nei e hōʻeha i kāu pēpē, pono ʻoe e kamaʻilio koke me kekahi e pili ana i ia mea . |
Inā manaʻo ʻoe he mau hōʻailona kēia iā ʻoe, e ʻoluʻolu, mai ʻeha hoʻokahi. E kamaʻilio me kāu kauka i ka hikiwawe loa. Hiki iā ia ke hāʻawi iā ʻoe i ka lāʻau lapaʻau āu e pono ai a kōkua iā ʻoe e manaʻo hou e like me ʻoe iho.
ʻO ke kūlana weliweli loa e pono ai ka nānā koke ʻana: Postpartum Psychosis
I kēia manawa, e kamaʻilio mākou e pili ana i kahi kūlana kakaikahi loa (ma kahi o 1 i loko o 1000 mau makuahine) akā he kūlana weliweli loa e pono ai ke kōkua koke ʻia e ke kauka . Ua kapa ʻia kēia ʻo Postpartum Psychosis . He maʻi noʻonoʻo kēia i ʻoi aku ka koʻikoʻi ma mua o ka PPD. He pilikia olakino kēia.
E nānā pono i kēia mau hōʻailona:
- ʻAʻohe hiamoe iki.
- ʻAʻole hiki ke noʻonoʻo pono, huikau.
- ʻIke a lohe paha i nā mea ʻaʻole maoli ma laila (hallucinations) a i ʻole ka manaʻoʻiʻo i nā mea hewa (delusions). Eia kekahi laʻana, ka manaʻoʻiʻo e hoʻāʻo ana kekahi e hōʻeha i kahi pēpē.
- Ka makaʻu nui a i ʻole nā manaʻo ʻē e pili ana i ka pēpē.
- Ke kānalua nui ʻana i nā poʻe ʻē aʻe (Paranoia).
- Ka hōʻole piha ʻana i ka ʻai.
- Ke noʻonoʻo nei a i ʻole ka hoʻāʻo ʻana e hōʻeha iā ia iho a i ʻole ke pēpē.
Inā loaʻa iā ʻoe a i ʻole kekahi makuahine hou āu i ʻike ai kekahi o kēia mau hōʻailona, mai hoʻowahāwahā iā lākou. E hele i ka ʻOihana Pilikia (ETU) o ka haukapila a i ʻole e ʻike koke i ke kauka. He mea nui kēia no ka hoʻopakele ʻana i nā ola.
Pono ʻoe e lokomaikaʻi iā ʻoe iho.
ʻO kēia ka mea hope loa aʻu e ʻōlelo aku ai iā ʻoe, ka mea heluhelu o kēia ʻatikala. ʻAʻole ka Postpartum Depression he kīnā i kou ʻano, a i ʻole i kou aloha makuahine. He maʻi ia. E like me ka maʻi diabetes, he maʻi ia e hiki ke ho'ōla ʻia me ka lāʻau lapaʻau, e like me ke koko kiʻekiʻe.
Ke hele nei ʻoe i kahi manawa paʻakikī i kēia manawa. No laila e lokomaikaʻi iā ʻoe iho. ʻO ke noi ʻana i ke kōkua ʻaʻole ia he hōʻailona o ka nāwaliwali, he hōʻailona ia o ka ikaika a me ke aloha iā ʻoe iho a me kāu pēpē. E kamaʻilio me kāu kāne, ʻohana, a me nā hoaaloha hilinaʻi e pili ana i kēia. Eia kekahi, e ʻike i kāu kauka no ke alakaʻi a me ka lāʻau lapaʻau maikaʻi loa. E ola koke ʻoe a hiki iā ʻoe ke hauʻoli i ke ola me kāu keiki liʻiliʻi.
Leka Lawe-Home
- Inā ʻoi aku ka lōʻihi o ke kaumaha postpartum ma mua o ʻelua pule a koʻikoʻi, he Postpartum Depression (PPD) paha ia, ʻoi aku ka koʻikoʻi ma mua o ka "Baby Blues."
- ʻAʻole kou hewa a nāwaliwali paha ka PPD, akā he maʻi lapaʻau hiki ke mālama ʻia.
- Mai ʻeha hoʻokahi. Inā manaʻo ʻoe he mau hōʻailona kou o PPD, e kamaʻilio me kāu kauka i ka hikiwawe loa.
- He pilikia olakino weliweli loa ka Postpartum Psychosis a koke koke. Inā ʻike ʻoe i kekahi o kona mau hōʻailona, e hele koke i ka Emergency Department (ETU) o ka haukapila.
- He hōʻailona ka noi ʻana i ke kōkua o ka ikaika. He mea nui kou olakino noʻonoʻo e like me kou olakino kino.
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