Manaʻo ka poʻe he nui ʻo ka hāpai ʻana ka manawa hauʻoli loa o ko lākou ola. Akā ʻo ka ʻoiaʻiʻo, no kekahi poʻe, hiki i kēia manawa ke lilo i manawa kaumaha a hopohopo loa. Inā like kou manaʻo, mai noʻonoʻo, "Auē, ʻo wau wale nō anei kēia?" He mea kēia e hana ʻia ana i nā poʻe he nui. ʻOiai ua lohe pinepine mākou e pili ana i ke kaumaha postpartum, ʻaʻole i kamaʻilio nui ʻia kēia ʻano e kū mai ana i ka wā o ka hāpai ʻana, ʻo ia hoʻi, ke kaumaha prenatal. No laila, i kēia lā, e kamaʻilio kākou e pili ana i kēia me nā kikoʻī.
He aha ke Kaumaha Ma mua o ka Hānau ʻana?
I ka ʻōlelo maʻalahi, ʻo ke kaumaha ma mua o ka hāpai ʻana he kaumaha ia e kū mai ana i ka wā hāpai. Hiki iā ia ke hoʻolilo iā ʻoe i ke kaumaha a me ka hakahaka no ka manawa lōʻihi. Eia naʻe, ʻaʻole like ka ʻike ʻana o nā kānaka a pau i kēia mau hōʻailona.
ʻElua kumu nui e paʻakikī ai ke ʻike i kēia maʻi.
1. Ka Manaʻo Kaiaulu: Aia kahi manaʻo nui o ka lehulehu he manawa hauʻoli ka hāpai ʻana. No laila, i ka wā e kaumaha ai, nui nā wahine e manaʻo hewa iā lākou iho. Manaʻo lākou, "ʻAʻole anei au he makuahine maikaʻi?"
2. Ka huikau me nā hōʻailona hāpai maʻamau: He mea maʻalahi ke huikau i kēia mau hōʻailona o ke kaumaha me nā hōʻailona ʻē aʻe o ka hāpai ʻana, e like me ka luhi, ka nalowale o ka makemake, a me nā loli pinepine o ka naʻau.
"ʻŌlelo kekahi o kā mākou mau maʻi a me nā kauka, 'ʻO kēia ka manawa e pono ai ʻoe e hauʻoli loa. ʻAʻole hiki iā ʻoe ke kaumaha.' No laila, ke manaʻo ʻoe i kēia mau manaʻo, nui ka poʻe e manaʻo mehameha, me ka noʻonoʻo ʻana, 'Auē, he hewa kekahi mea iaʻu, ʻo wau wale nō ka mea e ʻeha nei e like me kēia.' Ke haʻi aku nei mākou i kā mākou mau maʻi hiki iā ʻoe ke manaʻo i kekahi mau manaʻo i ka manawa like. ʻOiai ʻoe e hauʻoli nei i ka loaʻa ʻana o kahi pēpē, hiki iā ʻoe ke manaʻo i ka maikaʻi ʻole o ka noʻonoʻo. He mea maʻamau kēlā. ʻO ka mea nui, ʻaʻole e hūnā i kēlā mau manaʻo a ʻeha hoʻokahi, akā e noi i ke kōkua."
Inā loaʻa iā ʻoe kēia mau hōʻailona, he mea nui e kamaʻilio me kāu kauka e ʻike ai inā he luhi maʻamau wale nō a i ʻole kekahi mea hou aku.
| Nā hōʻailona maʻamau o ke kaumaha prenatal | |
|---|---|
| Kaumaha nui a ʻole ka hakahaka | Manaʻo e like me ka luuluu o nā mea a pau, ke kaumaha hiki ʻole ke kāohi. |
| ʻAʻole hauʻoli | ʻAʻohe oʻu hoihoi a hauʻoli hou i ka hana ʻana i nā mea aʻu i hauʻoli ai ma mua. |
| Paʻakikī i ka noʻonoʻo ʻana | Ka paʻakikī i ka noʻonoʻo ʻana i kekahi mea a me ka hoʻoholo ʻana i nā hoʻoholo. |
| Nāwaliwali | Manaʻo nui i ka luhi ma mua o ka maʻamau i ka wā hāpai a me ka hiki ʻole ke hana i kekahi mea. |
| Nā manaʻo ʻino | He manaʻo koʻikoʻi kēia no ka hōʻeha ʻana iā ʻoe iho a i ʻole ka lawe ʻana i kou ola. |
ʻO wai ka mea i pilikia nui no kēia maʻi?
ʻOiai he mea maʻamau ka ʻike ʻana i nā loli o ke ʻano i ka wā hāpai, ʻoi aku ka nui o ka loaʻa ʻana o ke kaumaha ma mua o ka hānau ʻana i kekahi poʻe. E nānā kākou i kēlā mau mea pilikia.
| Kumu pilikia | Wehewehena |
|---|---|
| Moʻolelo ma mua | Inā ua loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana nā kūlana e like me ke kaumaha a me ka hopohopo paha. |
| Ke kaumaha nui o ka noʻonoʻo | Ke kū nei i nā hanana kaumaha e like me nā pilikia male, ka nalowale o ka hana, a i ʻole ka maʻi o kahi lālā o ka ʻohana. |
| Ka nele o ke kākoʻo kaiaulu | Inā ʻaʻole ʻoe e loaʻa i ke kākoʻo lawa mai kāu kāne, ʻohana, a i ʻole nā hoaaloha. |
| Ka hana ʻino ma mua | Inā ua hoʻokau ʻia ʻoe ma mua i kekahi ʻano hana ʻino a hoʻomāinoino paha. |
| He hāpai ʻana i hoʻolālā ʻole ʻia | Hāpai koke a i ʻole ka hāpai ʻole ʻia. |
| Nā pilikia olakino ʻē aʻe | ʻO ka loaʻa ʻana o nā maʻi ʻē aʻe e like me ka maʻi diabetes gestational i ka wā hāpai a i ʻole ka pilikia olakino me ka pēpē i hānau ʻole ʻia. |
No ke aha e loaʻa ai ke kaumaha prenatal?
ʻAʻohe kumu hoʻokahi no kēia. Hiki ke hui pū ʻia o nā kumu he nui. ʻO kekahi o nā kumu nui, ʻo ia nā loli hormonal . E noʻonoʻo e pili ana i ia mea, i ka wā hāpai, loli koke nā pae o nā hormones wahine, nā hormones kaumaha, a me nā hormones thyroid o ko mākou kino. He ʻano maʻalahi loa ka lolo o kekahi poʻe i kēia mau loli hormonal. Hiki ke pili kēia ʻano maʻalahi i ka genetic. ʻOi aku ka nui o ka loaʻa ʻana o nā hōʻailona kaumaha ma muli o kēia mau loli hormonal.
Eia kekahi, ʻo nā hopohopo e pili ana i nā loli o ke kino, nā pilikia kālā, a me nā tausani pilikia ʻē aʻe e hiki ke hoʻopilikia i kēia kūlana.
He aha nā lāʻau lapaʻau no kēia?
Inā manaʻo ʻoe he Prenatal Depression kou, ʻo ka mea nui e hana ai, ʻo ia ke ʻike koke i kāu kauka a kamaʻilio e pili ana i ia mea. Mai manaʻo wale, "He mea maʻamau kēia i ka wā hāpai." He mea nui ka loaʻa ʻana o ka lāʻau lapaʻau no kou olakino a me kāu pēpē.
Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, he mea nui e noʻonoʻo i ka lōʻihi o kou loaʻa ʻana o kēia mau hōʻailona a me ka nui o ko lākou hoʻopilikia ʻana i kāu mau hana o kēlā me kēia lā (e.g., hiki ʻole ke hele i ka hana, hiki ʻole ke kamaʻilio me ka ʻohana, hiki ʻole ke haʻalele i ka hale).
Lāʻau lapaʻau
Hiki ke hoʻohana palekana ʻia kekahi mau lāʻau lapaʻau no ke kaumaha i ka wā hāpai, akā pono e kuhikuhi ʻia kēia mau mea e ke kauka . Na kāu kauka e hoʻoholo i ka lāʻau lapaʻau maikaʻi loa iā ʻoe ma muli o kou kūlana olakino, ka mōʻaukala olakino i hala, a me nā pilikia olakino i kāu pēpē.
Mea nui:Inā ʻoe e lawe ana i ka lāʻau lapaʻau no ke kaumaha ma mua o kou hāpai ʻana, mai hoʻōki i ka lawe ʻana me ka ʻole o ke kamaʻilio ʻana me kāu kauka. ʻOi aku ka nui o nā pilikia o ka lawe ʻole ʻana i ka lāʻau lapaʻau ma mua o ka lawe ʻana i ka lāʻau. Eia kekahi, ʻaʻole palekana kekahi mau lāʻau lapaʻau, e like me ka wort ʻo St. John, i ka wā hāpai, no laila mai hoʻohana i kekahi mea me ka ʻole o ka ʻōlelo aʻoaʻo lapaʻau.
Ke Kūkākūkā a me ka Hoʻōla
Ma waho aʻe o nā lāʻau lapaʻau, hiki ke mālama maikaʻi ʻia kēia maʻi ma o nā ʻano lapaʻau like ʻole. ʻAʻole kēia mau mea e hoʻopilikia kino iā ʻoe a i kāu pēpē paha.
- Kamaʻilio Lapaʻau: Hiki iā ʻoe ke kamaʻilio e pili ana i kou mau manaʻo me kahi mea hoʻoponopono a aʻo i nā ala e mālama ai iā lākou.
- ʻO ka Cognitive Behavioral Therapy (CBT): Ma kēia, ʻike mākou i ko mākou mau manaʻo maikaʻi ʻole a hoʻomaʻamaʻa i ka hoʻololi ʻana iā lākou i nā mea maikaʻi.
- Lapaʻau Interpersonal (IPT): Kōkua kēia iā ʻoe e hoʻomaopopo pehea e pili ai kou mau manaʻo i kāu mau pilina a hoʻoikaika i kou mau pilina me nā poʻe ʻē aʻe.
- Hoʻōla Hui: ʻO ke kamaʻilio ʻana me nā poʻe ʻē aʻe i loaʻa nā ʻike like me kāu a me ka hana pū ʻana me kahi mea hoʻoponopono hiki ke lilo i mea hōʻoluʻolu nui.
He aha nā pilikia inā ʻaʻole mālama ʻia?
Inā ʻaʻole mālama ʻia kēia maʻi, hiki iā ia ke hoʻopilikia iā ʻoe a me kāu pēpē i hānau ʻole ʻia.
- Ka hopena iā ʻoe: Hiki i kēia ke lilo i mau mea e like me ka ʻai ʻole ʻana i ka meaʻai momona, ka hele ʻole ʻana i nā keʻena lapaʻau i ka manawa kūpono, a me ka huli ʻana i ka puhipaka a i ʻole ka waiʻona.
- Ka hopena i ka pēpē: Hoʻopilikia pololei ke olakino noʻonoʻo o ka makuahine i ka ulu ʻana o ka pēpē. Ua ʻike ʻia e ka noiʻi ʻana he ʻoi aku ka nui o ka pilikia o nā makuahine me ke kaumaha prenatal i ka loaʻa ʻana o nā pēpē kaumaha haʻahaʻa i ka wā hānau.
He mea nui loa: Inā he mau manaʻo kou e hōʻeha iā ʻoe iho a i kāu pēpē i hānau ʻole ʻia, mai hoʻokaʻulua a e hele koke i ka Halemai Emergency Department (ETU) a i ʻole e haʻi aku i kahi mea āu e hilinaʻi ai a e ʻimi koke i ke kōkua lapaʻau.
Pehea ʻoe e hana ai me kēia kūlana?
Ma waho aʻe o ka mālama ola kino, aia kekahi mau mea hiki iā ʻoe ke hana iā ʻoe iho.
- E noho hana: Me ka ʻae ʻia e kāu kauka, ʻo ka hana ʻana i nā hoʻoikaika kino maʻalahi e like me ka hele wāwae i kēlā me kēia lā hiki ke kōkua i ka hoʻoikaika ʻana i kou ʻano. He mea nui hoʻi e puka i waho a kamaʻilio me nā poʻe ʻē aʻe ma kahi o ka noho ʻana ma ka home.
- ʻAi maikaʻi a me ka hiamoe: E ʻai i ka meaʻai momona. E inu i ka wai lawa i ka lā a pau. E ho'āʻo e hiamoe nui e like me ka hiki.
- E kiʻi i ke kākoʻo:E kamaʻilio ākea e pili ana i kou mau manaʻo me kāu kāne, ʻohana, a me nā hoaaloha. E noi iā lākou no ke kōkua. Hiki paha iā ʻoe ke ʻike e pili ana i nā hui kākoʻo no nā makuahine hāpai ma kou haukapila a i ʻole ma kou wahi.
- E hōʻemi i ke kaumaha: Hiki i nā mea e like me ka noʻonoʻo ʻana, yoga, a me nā hoʻomaʻamaʻa hanu ke kōkua iā ʻoe e hoʻokō i ka maluhia o ka noʻonoʻo.
Leka Lawe-Home
- ʻAʻole he nāwaliwali ke kaumaha ma mua o ka hānau ʻana ma kou ʻaoʻao, he ʻano ia e hiki ke mālama ʻia. He mea ia e hana ʻia i nā poʻe he nui.
- Inā manaʻo ʻoe i ke kaumaha nui a i ʻole ka hopohopo e mau ana ma mua o ʻelua pule, ma ʻō aku o ka luhi maʻamau āu e ʻike ai i ka wā hāpai, e kamaʻilio me kāu kauka.
- Aia nā lāʻau lapaʻau a me nā ʻano hana hoʻoponopono no kēia mea palekana no ʻoe a me kāu pēpē.
- ʻO ka waiho ʻole ʻia ʻana me ka mālama ʻole ʻia hiki ke hoʻoweliweli i ke olakino ou a me ke olakino o kāu pēpē.
- ʻAʻole ʻoe hoʻokahi ma kēia huakaʻi. ʻO ke noi ʻana i ke kōkua he hōʻailona ia o ka ikaika.
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