Mena kei a koe te Mate Pouri Nui (MDD), tera pea kei te whakaaro koe mō te whakatū whānau. "Me mutu taku rongoā?", "Ka tūpono te pēpi ki te kore e mutu taku tango?", "Ka taea e au te tango i tēnei rongoā i a au e whāngai ū ana?" He maha pea ngā pātai kei roto i tō hinengaro. Kua roa pea koe e raru ana i te pouri, kua tata rānei te kitea kei a koe. Ahakoa te take, tera ētahi mea me mōhio koe i a koe e tīmata ana i tēnei haerenga. Me kōrero tātou mō ēnei mea.
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He aha te hiranga o te maimoatanga?
Ki te kore koe e rongoā i tō pouri, ka hoki mai anō pea ō tohumate. Ka kiia tēnei he hokinga mai anō. Ina pouri koe, ka nui ake te tūponotanga ka ngaro i a koe ngā mea pēnei i te kai me te inu, te whiwhi i te tiaki hauora e hiahiatia ana e koe me tō pēpi, ā, ka nui ake te tūponotanga ka tahuri koe ki ngā mea pēnei i te tarukino.
Ko te mea nui ake, he nui ake te mōrearea o te pouri muri i te whānautanga , ka pā tika tēnei ki tō hononga ki tō pēpi.
E ai ki ngā tohunga hauora, ko ngā tamariki i whānau mai i ngā whaea e pāngia ana e te pouri, te ahotea, te manukanuka rānei i te wā e hapu ana, he nui ō rātou taumata o te homoni ahotea 'Cortisol'. Ka taea e tēnei te mea ka nui ake te aro o aua tamariki ki ngā kare ā-roto (tino tauhohe) i te wā taitamariki. Ka taea e tēnei te whakatakoto huarahi mō rātou ki te whakawhanake i ngā raruraru hinengaro ā muri ake nei.
Ko te whiriwhiri i te maimoatanga tika māu ka whakawhirinaki ki ētahi āhuatanga.
- Te kaha o tō pouri.
- He aha te maimoatanga kei te whiwhi koe i tēnei wā?
- Te āhua o tō urupare ki ngā rongoā i whakamahia e koe i mua.
- Ahakoa kei te hapu koe, kei te whakaaro kia hapu, kei te whāngai u rānei.
Mena he ngawari tō pouri, ā, kua kitea e koe he whakaoranga i mua i ngā mahi pēnei i te hinengaro hinengaro, ngā rōpū tautoko, te yoga i mua i te whānautanga rānei, tera pea ka taea e koe te puta i tēnei wā me te kore rongoā. Engari he mea tēnā me kōrero koe ki tō tākuta. Mena ka hiahia koe ki te rongoā i muri mai, he maha ngā kōwhiringa hei tīmata me te rongoā iti ake te mōrearea.
Mō ngā mate pouri nui kāore e pai ki te rongoā, kei reira anō te maimoatanga e kiia nei ko te electroconvulsive therapy (ECT) . Kei roto i tēnei ko te tuku i ngā pāoro hiko iti ki roto i te roro, me te whakarerekē i te mahi a ngā pūtau io (ngā neuron) me ētahi matū. E kiia ana he haumaru tēnei maimoatanga mōu me tō pēpi .
Ngā rongoā me ō rātou mōrearea
I te nuinga o te wā, he tino iti te mōrearea o ngā whānautanga hapa, ngā raruraru rānei ki te pēpi i te tango i ngā rongoā ārai pouri i te wā e hapu ana. Heoi, kua whakaatuhia e ngā rangahau he haumaru ake ētahi rongoā i ētahi atu. Me titiro tātou he aha ēnei.
| Wā | Ngā mea hei mahi me ngā rongoā hei whakaaroaro |
|---|---|
| I mua i te haputanga | Ki te taea, kōrero ki tō tākuta whānau me tō tākuta hinengaro i mua i tō whakaaro mō te whānautanga o tētahi pēpi, ā, whakatakotohia he mahere maimoatanga. Ki te hiahia koe ki te whakawhiti rongoā, koinei te wā pai ki te mahi i tēnā. Ko ngā momo rongoā ārai pouri e rua kua whakaatuhia ko ngā mea tino haumaru i te wā e hapu ana ko ngā SSRI (Selective Serotonin Reuptake Inhibitors) me ngā TCA (Tricyclic Antidepressants) . Heoi, nā te mea he rongoā tawhito ngā TCA me ngā pānga taha maha atu, kāore ngā tākuta e tūtohu i a rātou i te tuatahi. Ko te nuinga o te tangata ka tohua he SSRI kua rangahaua pai. Hei tauira: Citalopram (Celexa), Escitalopram (Lexapro), Fluoxetine (Prozac), Sertraline (Zoloft) . |
| I te wā e hapu ana | Mena kei te tango rongoā koe, kaua e huri ohorere ki tētahi atu rongoā, ahakoa he aha. Mā tēnei ka ārai i te pēpi kei pāngia e ngā rongoā maha me te kore take. Ko te mea nui, kaua e whakama mō te tango rongoā mō te pouri i te wā e hapu ana. Ko ētahi tāngata, tae atu ki ngā tākuta, e whakaaro ana me tango tēnei rongoā "inā tino tika anake." Engari ko te pouri he mate hauora me rongoā, pērā i te mate huka, te toto toto tiketike rānei. |
| I muri i te whānautanga o te pēpi | He tino uaua ki te aro atu ki ngā tohu o te pouri i a koe e tiaki ana i tētahi pēpi hou. Nō reira, he mea nui kia haere tonu te tango i ō rongoā. Ki te kite koe kei te kino haere ō tohu, kōrero tonu atu ki tō tākuta. Ka taea e ngā rongoā te uru ki te waiū ū, engari he iti noa iho. Hei tika, he iti iho i te 10% o te horopeta ka tangohia e koe.Nō reira, kāore rawa he wā e mutu ai te whāngai ū i tāu pēpi nā te mea kei te tango rongoā koe. |
Me ako tātou mō ētahi atu momo rongoā.
Mena kei te tango koe i tētahi SNRI (Serotonin-Norepinephrine Reuptake Inhibitor) nā te mea kāore ngā SSRI e mahi māu, pērā i a Duloxetine (Cymbalta) Venlafaxine (Effexor) rānei, ehara tēnā i te mea nui. E mea ana ngā tākuta, "Mena ka mahi tēnei rongoā mā tēnei tangata, ā, e mōhio ana mātou kāore pea tētahi atu e mahi, kāore au e hiahia ki te whakawhiti." Nā te mea kei reira ngā rangahau e whakaatu ana i tētahi taumata haumaru mō ngā SNRI.
Heoi anō, kāore anō kia rangahaua ngā rongoā hou pēnei i a Vortioxetine (Trintellix) kia mōhio ai koe he pai mō te wā e hapu ana. Mēnā he pērā, ka tūtohu pea tō tākuta kia huri koe ki tētahi rongoā haumaru ake.
Ngā kare ā-roto e whakararuraru ana i a koe...
"He whaea kino ahau nā te mea e tango ana ahau i te rongoā?" Tērā pea ka puta ake ēnei whakaaro ki tō hinengaro. Engari ehara i te mea koinā te āhua.
"Nā te whakama e pā ana ki te mate hinengaro i roto i tō tātou whenua, he tokomaha te hunga e whakaaro ana he mea tāpiri te tango rongoā mō te pouri, he mea koretake. Ina kī koe, 'Tangohia tēnei rongoā mēnā e tino hiahiatia ana e koe,' ka tino whakama te whaea mōna anō," te kī a ngā tohunga.
Ko te mea nui rawa atu me mārama koe, ehara te pouri i te ngoikore nāu. He mate e hiahia ana kia rongoatia. Mā te noho hei whaea hauora ka hangaia he taiao pai rawa atu mō te pēpi hauora. Mena e hiahiatia ana he rongoā, ko te tango i te rongoā te mea pai rawa atu ka taea e koe te mahi māu me tō pēpi.
Karere Tangohia ki te Kāinga
- He mate tūturu te pouri. He mea nui kia rongoātia mōu me tō pēpi.
- I ngā wā katoa e taea ana, kōrero ki tō tākuta i mua i te haputanga, ka whakawhanake i tētahi mahere maimoatanga.
- He haumaru te nuinga o ngā rongoā e whakamahia ana mō te pouri i te wā e hapu ana, e whāngai ana hoki i te u.
- Kaua rawa e mutu te tango rongoā, kaua hoki e whakarerekē i te horopeta me te kore kōrero ki tō tākuta.
- Kaua e whakama ki te tango rongoā hei oranga mōu. Ko te whaea hauora te koha pai rawa atu mō te tamaiti hauora.
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