Kaua e pāngia koe e te pouri i muri i te whānautanga ko koe anake.

He hari nui te kawe mai i tētahi pēpi ki te kāinga. Engari mō ētahi whaea, i te taha o tēnei hari, ka tīmata rātou ki te pōuri, ki te mokemoke , me te wehi. Ka whakaaro rātou, 'He aha tēnei e pā ana ki ahau? Kāore ianei ahau i te whaea pai?' Ki te pēnei tō whakaaro, ehara i te mea ko koe anake. He āhuatanga tino noa tēnei. Ko tēnei āhuatanga te mea e kiia nei e tātou ko te Pōuri Whai Muri i te Whānautanga (PPD) . Me kōrero taipitopito tātou mō tēnei.

Me pēhea taku mōhio mēnā kei a au te pouri i muri i te whānautanga?

Ahakoa kua roa tātou e mōhio ana ki te pouri i muri i te whānautanga, e ai ki ngā tohunga he maha ngā wā kāore i te tino kitea. Engari nā te mea kua nui ake te mōhiotanga, kei te rapu ngā tākuta i ngā āhuatanga mōrearea mai i te haerenga tuatahi ki te whare hauora i te wā e hapū ana.

Mena kei roto koe i te mōrearea, ka aroturukihia e tō tākuta tō hauora hinengaro puta noa i tō hapūtanga. I muri i te whānautanga o tāu pēpi, he mea nui kia mōhio koe me ō whanaunga (tāne, whaea, whānau) ki ngā huringa o tō wairua, ki ngā tohu pouri rānei. Ka tirohia anō hoki tēnei e tō tākuta i tō whare hauora i muri i te whānautanga i ngā wiki e ono.

He maha ngā pātai e whakamahia whānuitia ana mō tēnei kaupapa.

Haunga ēnei pātai, ka pātai atu tō tākuta ki a koe i ētahi atu pātai hei aromatawai i te kaha o ō tohumate. Ina koa, ka pātai atu rātou mēnā kei a koe ngā whakaaro ki te whara i a koe anō, i tō pēpi rānei . Ka ngana anō hoki rātou ki te whakatau mēnā he PPD tēnei, he mate kē atu rānei, pērā i te "Bipolar Disorder" me te "Postpartum Psychosis". Tērā pea ka tirohia anō hoki e rātou ō taumata homoni tairoi. Nā te mea ka taea e te "Hypothyroidism" te whakaputa tohumate rite ki te PPD.

He aha ngā maimoatanga mō te pouri i muri i te whānautanga?

I ētahi wā ka pai ake tēnei āhua i muri i te toru marama pea o te whānautanga o te pēpi. Heoi, ki te mea ka whakararu i ō mahi o ia rā , ki te roa rānei te pouri whānui e kiia nei ko te "baby blues" mō te neke atu i te rua wiki, me rapu maimoatanga koe.

Ko te rongo pai, tata ki te 90% o ngā wāhine whai PPD ka taea te ora angitu mā te rongoā, te hinengaro hinengaro rānei me te rongoā . He āwhina nui anō hoki te whai wāhi atu ki ngā rōpū tautoko.

Mēnā he tino kino te PPD, he āhuatanga rānei e kiia nei ko te "Postpartum Psychosis", me kawe pea koe ki te hōhipera. Mēnā he tino kino te āhua o te moepuku, te whakaaro pohehe, te whakaaro whakamomori rānei, ka whakamahia he maimoatanga e kiia nei ko te "Electroconvulsive Therapy (ECT)".

Ngā rongoā mō te maimoatanga

Ko te taahiraa tuatahi i roto i te maimoatanga he aro atu ki ngā raruraru ohorere pēnei i te moe me te hiahia kai. He tino whai hua ngā rongoā ārai pouri mō tēnei.

Engari, ki te mea kei te whāngai u koe i tētahi pēpiMe tino tupato koe me tō tākuta ki te whakatau mēnā me whakamahi, kāore rānei, i te rongoā hei whiriwhiri. Ka taea e ētahi rongoā ārai pouri te uru ki te waiū ū i roto i ngā rahinga iti noa iho. He tautohetohe kei te pā ki ētahi rongoā, pērā i te `(Lithium)`.

Nō reira, he mea nui kia kōrero koe ki tō tākuta, kia whakatau ai i muri i te māramatanga ki ngā painga me ngā mōrearea. Mena kei te tango rongoā koe, e taunakihia ana kia tangohia tonutia mō te iti rawa o te 6 marama, neke atu rānei i te tau, kia kore ai e hoki anō te mate.

Waihoki, mēnā kua pāngia koe e te PPD i mua, ka tohutohu pea tō tākuta kia tīmata koe ki te tango i ngā pire ārai whānau i muri tata mai i tō whānautanga e whai ake nei, i te wā rānei e hapu ana koe.

Me pēhea te āwhina a te hinengaro hinengaro?

Ko te hinengaro whakaora, arā, ko te "kōrero whakaora" ka whakamahia mō te PPD, mā te whakamahi takitahi, mā te whakamahi tahi rānei i te rongoā. Ka taea e tō tākuta te tuku i a koe ki tētahi kaiwhakatakoto whakaaro whai tohu e tohunga ana ki te PPD.

Ko tāu noa he tūtaki me te kōrero ki te kaitohutohu i runga i tētahi wātaka kua whakaritea. Ka pātai atu rātou ki a koe mō tō oranga me ō kare ā-roto. He mea tino nui kia kōrero pono koe i ngā mea katoa, me te kore e whakahē. He mea huna ngā mea katoa e kōrerohia ana e koe i waenganui i a koe me te kaitohutohu.

I roto i tēnei momo whakaora, ka ako te kaiwhakatakoto whakaaro i a koe ki te whakarerekē i ō whakaaro me ō whanonga kino, me te titiro ki ngā mea i tētahi atu huarahi. Ko ngā momo whakaora e rua e whakamahia whānuitia ana mō te PPD ko:

• Te Whakaora Whanoke Hinengaro (CBT): I te kī poto, ka āwhina i a koe ki te tautuhi me te whakarerekē i ngā whakaaro me ngā whanonga kino, kino e puta ake ana i aua whakaaro.
• Te Whakaora Tangata (IPT): Mā tēnei ka āwhina i a koe ki te whakatau i ō whanaungatanga pāpori (ngā whanaungatanga ki tō hoa rangatira, whānau, hoa) me ngā raruraru e pā mai ana, me te whakahaere pai ake i aua whanaungatanga.

Ngā mea ka taea e koe te mahi ina noho tahi koe me te PPD

I a koe e whiwhi ana i te maimoatanga, ka taea hoki e koe te tiaki i a koe anō. He tino āwhina ēnei mea i roto i tō tukanga whakaora.

• Whakaritea he wā māu ake: Whakaritea he wā iti māu ake i ia rā. He tino hoha te noho tahi me te pēpi i te rā roa.
• Haere ki waho: Haere ki waho mō tētahi wā poto i ia rā. Haereere noa i te whare. Ahakoa taua panonitanga iti ka taea te whakaora i tō hinengaro.
• Inoi āwhina: Kaua e wehi ki te tono āwhina i tētahi mema o te whānau, i tētahi hoa rānei e pono ana ki ngā mahi o te whare, te tiaki tamariki, te kōrero rānei. Kaua e ngana ki te mahi i ngā mea katoa ko koe anake.
• Whakakorikori Tinana: Kia ora ake tō tinana i muri i te whānautanga o te pēpi, kōrero ki tō tākuta, ka tīmata i tētahi mahi whakakorikori tinana e pai ana ki a koe. He tino āwhina te whakakorikori tinana ki te whakangāwari i tō hinengaro.
• Ngā Rōpū Tautoko:He huarahi pai tēnei ki te kōrero ki ētahi atu māmā kua pāngia e ngā wheako rite ki a koe. Whakaarohia te whakauru atu ki tētahi rōpū māmā hou i tō rohe.

Me ako anō hoki tātou mō ngā maimoatanga tāpiri me ngā maimoatanga rerekē.

Kāore pea koe e hiahia ki te tango rongoā, inā koa mēnā kei te whāngai u koe. Mēnā koinā, ka taea e koe te kōrero ki tō tākuta mō ēnei tikanga rerekē. Engari kia maumahara, mēnā kei te whakamahi koe i ēnei hei tāpiri atu ki te maimoatanga hauora, hei whakakapi rānei i te maimoatanga, me rapu tohutohu koe i tō tākuta.

• Yoga: E ai ki tētahi rangahau, neke atu i te 75% o ngā whaea e pāngia ana e te pouri i mahi yoga e rua i te wiki i kite i te whakapainga.
• Mirimiri: Kua whakaatuhia e ētahi rangahau ka taea e te mirimiri te whakaiti i ngā tohumate PPD.
• Whakangungu Whakangā: Ka taea e koe te ako ki te whakamarie i a koe anō mā roto i ngā mahi pēnei i ngā mahi manawa hōhonu me ngā whakaahua ārahi.
• Whakaaroaro: Mā te whakaaroaro ka taea e koe te arotahi i tō hinengaro ki te wā o nāianei, me te tuku i ngā whakaaro kāore e hiahiatia. Ka taea hoki e tēnei te āwhina i te whakamamae i te pouri.

He rerekē ngā hua mō ngā tāpiringa otaota pērā i te wort o Hato Hoani. Kāore anō kia whakamātauhia te whai huatanga o te mahi wero ngira me te whakaora mārama mō te PPD.