Kodi mumamva chisoni komanso nkhawa mukabereka mwana? Tiyeni tikambirane za matenda ovutika maganizo pambuyo pa kubereka.

Kukhala ndi mwana ndi kusintha kwakukulu m'moyo wanu. Ngakhale kukhala mayi kapena bambo ndi chinthu chabwino kwambiri, nthawi zina kungakhale kovuta komanso kolemetsa. Ndizachibadwa kukhala ndi mantha ndi kukayikira, makamaka ngati ndi koyamba. Koma ngati nthawi zonse mumadzimva kuti ndinu otopa, osungulumwa, okwiya, kapena akulira popanda chifukwa, mwina mukuvutika ndi vuto la postpartum depression.

Kodi PPD (Postpartum Depression) ndi chiyani? Tiyeni timvetse mosavuta.

Mwachidule, vuto la kuvutika maganizo pambuyo pobereka, kapena PPD monga momwe timalitchulira, ndi vuto la kuvutika maganizo lomwe limachitika mwana akangobadwa. Izi sizingakhudze mayi amene wabereka mwana yekha, komanso makolo omulera. Tikabereka mwana, thupi lathu limakumana ndi kusintha kwakukulu kwa mahomoni, komanso kusintha kwakukulu mwakuthupi, m'maganizo, pazachuma, komanso m'maubwenzi. Zonsezi zingayambitse PPD.

Ngati muli ndi PPD, musadandaule, simuli nokha . Si vuto lanu. Chofunika ndichakuti, pali thandizo. Dokotala wanu angakuthandizeni kuthana ndi zizindikiro zanu ndikukubwezeretsani panjira yoyenera.

Kodi pali mitundu yosiyanasiyana ya vutoli?

Inde, pali mitundu itatu ikuluikulu ya kuvutika maganizo pambuyo pobereka:

1. Mwana Wachisoni

Ichi ndi chinthu choyamba chomwe chimachitikira amayi ambiri akakhala ndi mwana. Pakati pa 50% ndi 75% ya amayi amamva chisoni ndi mwana . Ngati muli ndi izi, mutha kulira, kumva chisoni, komanso kuda nkhawa ndi zinthu zazing'ono. Nthawi zambiri zimayamba mkati mwa sabata yoyamba (masiku oyamba mpaka anayi) kuchokera pamene mwana wabadwa. Ngakhale kuti izi sizikusangalatsa, nthawi zambiri zimatha popanda chithandizo patatha milungu iwiri . Chinthu chabwino kwambiri chomwe mungachite panthawiyi ndikupempha thandizo kwa mwamuna wanu, banja lanu, ndi anzanu.

2. Kuvutika Maganizo Pambuyo pa Kubereka (PPD)

Imeneyi ndi vuto lalikulu kwambiri kuposa vuto la mwana wosabadwa. Pafupifupi mayi mmodzi mwa amayi 7 atsopano adzakhala ndi PPD. Ngati munakhalapo ndi PPD kale, chiopsezo chanu chimawonjezeka ndi pafupifupi 30% ndi mimba yanu yotsatira. Panthawiyi, mungamve kusangalala mwadzidzidzi, kenako mwadzidzidzi chisoni, kulira kwambiri, kukwiya msanga, komanso kutopa. Mungamvenso kukhumudwa ndi inu nokha, kuopa chilichonse mosafunikira, ndikumva ngati simungathe kusamalira mwana wanu kapena inu nokha. Anthu ena akhoza kukhala ndi zizindikiro zochepa, pomwe ena akhoza kukhala nazo nthawi zonse. Zizindikirozi zingawoneke mkati mwa sabata imodzi mutabereka mwana, kapena zingawonekere pang'onopang'ono, mpaka chaka chimodzi pambuyo pake. Ngakhale zizindikiro zitha kukhalapo kwa miyezi ingapo,Izi zitha kuchiritsidwa bwino ndi mankhwala a psychotherapy kapena mankhwala oletsa kuvutika maganizo.

3. Matenda a Maganizo Pambuyo pa Kubereka

Izi ndi zovuta kwambiri pa matenda atatuwa ndipo zimafuna chithandizo chadzidzidzi . Komabe, sizichitika kawirikawiri. Pafupifupi mayi m'modzi mwa amayi 1,000 omwe abereka amakhala ndi vutoli (Postpartum Psychosis). Zizindikiro nthawi zambiri zimawonekera atangobereka kumene, ndipo zimakhala zoopsa kwambiri. Zizindikirozi zimatha kukhala kuyambira milungu ingapo mpaka miyezi ingapo. Zizindikiro zimaphatikizapo kusakhazikika kwambiri, chisokonezo, kusowa chiyembekezo, manyazi, kusowa tulo, mantha, kuona/kumva zinthu zomwe si zenizeni (Kuganiza Zolakwika kapena Kuona Zinthu Mosayembekezereka), kuchita zinthu mopitirira muyeso, kulankhula mofulumira, ndi kusokonezeka maganizo. Matendawa amafunika chithandizo chamankhwala mwachangu. Chifukwa pali chiopsezo chachikulu chodzivulaza nokha kapena mwana wanu . Chithandizo nthawi zambiri chimaphatikizapo kugonekedwa kuchipatala, psychotherapy, ndi mankhwala.

Ndani amene akukhudzidwa kwambiri ndi vutoli?

PPD si yachilendo monga momwe mungaganizire. Pafupifupi 75% ya amayi amavutika maganizo akabereka mwana. Pafupifupi 15% ya amayi awa amatha kukhala ndi PPD. Matenda oipa kwambiri omwe ndatchula kale, psychosis ya pambuyo pa kubereka, amakhudza amayi pafupifupi 1 pa 1,000 aliwonse.

Kodi ndingadziwe bwanji ngati ndili ndi vuto la blues kapena PPD?

N'zachilendo kumva chisoni cha mwana atakhala ndi mwana. Zizindikiro za blues ya mwana ndi PPD zimafanana pang'ono. Komabe, zizindikiro za blues ya mwana nthawi zambiri zimachepa patatha masiku pafupifupi 10, ndipo sizimakhala zoopsa kwambiri . Mu PPD, zizindikiro zimatha kwa milungu kapena miyezi, ndipo zimakhala zoopsa kwambiri.

Ngati muli ndi zinthu izi, mwina ndi vuto lalikulu:

• Kulira popanda chifukwa.
• Chilichonse chimamveka cholemera.
• Ndili ndi njala.
• Sindingathe kugona bwino.
• Mwadzidzidzi, mumataya chisangalalo chanu ndipo mumakhala ndi chisoni komanso mkwiyo (kusintha kwa malingaliro).

Koma kumbukirani kuti, sizikupweteka kulankhula ndi dokotala wanu za zizindikiro zanu. Iye ndiye angasankhe ngati mukufuna chithandizo kapena ayi.

Kodi PPD ingatenge nthawi yayitali bwanji?

Matenda a PPD amatha kukhalapo mpaka chaka chimodzi mwana wanu atabadwa . Komabe, sizikutanthauza kuti muyenera kumva "mwachira" pakatha chaka chimodzi. Lankhulani ndi dokotala wanu za zizindikiro zanu ndi chithandizo chanu. Khalani oona mtima za momwe mukumvera. Ganizirani momwe mukumvera panopa poyerekeza ndi pamene munayamba kukhala ndi zizindikirozi. Mwanjira imeneyi, akhoza kupitiriza kuchiza zizindikiro zanu momwe angathere.

Kodi ndi zinthu ziti zomwe zimayambitsa matenda a PPD?

Zinthu zina zingawonjezere chiopsezo cha matenda a PPD:

• Ngati inu kapena wina m'banja mwanu mudadwalapo matenda a maganizo, PPD, kapena premenstrual dysphoric disorder (PMDD).
• Chithandizo chochepa cha anthu.
• Ngati pali mavuto muukwati wanu kapena ubale wanu (mkangano waukwati kapena ubale).
• Ngati munali ndi kusamvana kapena kukayikira za mimba.
• Ngati munali ndi mavuto aliwonse okhudzana ndi mimba monga mavuto azaumoyo, mavuto pobereka, kapena kubadwa msanga.
• Ngati muli ndi zaka zosakwana 20, kapena ngati ndinu mayi wosakwatiwa.
• Ngati muli ndi mwana wosowa thandizo lapadera, kapena ngati muli ndi mwana amene amalira nthawi zonse.

Kodi zizindikiro za PPD ndi ziti?

Mungamve manyazi ndi zizindikiro zanu, kapena mungaganize kuti, "Ndine mayi woipa" chifukwa mumamva izi. Koma PPD ndi vuto lofala kwambiri . Simuli nokha amene mumamva izi, ndipo sizikutanthauza kuti ndinu munthu woipa.

Ngati muli ndi zizindikiro zingapo zotsatirazi, mwina ndi PPD:

• Mukumva chisoni, kudziona ngati wopanda pake, kutaya mtima, kudzimva wolakwa.
• Ndikumva nkhawa yosafunikira pa chilichonse, ndipo mtima wanga umakhala ukuthamanga nthawi zonse.
• Ndataya chidwi ndi zinthu ndi zosangalatsa zomwe ndinkakonda kale.
• Kusintha chilakolako cha chakudya, osadya bwino.
• Ndikumva ngati thupi langa lilibe mphamvu, sindikufuna kuchita chilichonse.
• Sindingathe kugona bwino, kapena ndimafuna kugona tsiku lonse.
• Kulira popanda chifukwa, kapena mopitirira muyeso.
• N'zovuta kuganiza ndi kuganizira.
• Ndaganiza zothetsa moyo wanga, kapena ndaganiza kuti, "Ndikanakonda ndikanafa."
• Palibe chidwi ndi mwana, ndipo ndimamva mantha komanso kusamasuka ndikakhala pafupi ndi mwanayo.
• Maganizo ngati kuvulaza mwana, kapena "Sindikufuna mwana uyu" amabuka.

Ngati mukuganiza kuti muli ndi PPD, pitani kwa dokotala wanu (dokotala wa za kubereka, wopereka chithandizo choyamba kapena wopereka chithandizo cha matenda amisala) nthawi yomweyo . Dokotala wa ana a mwana wanu angakuthandizeninso.

Kodi n’chiyani chimayambitsa PPD?

Kugwirizana pakati pa kutsika mwadzidzidzi kwa mahomoni pambuyo pobereka ndi kuvutika maganizo kukufufuzidwabe. Pa nthawi ya mimba, kuchuluka kwa mahomoni a estrogen ndi progesterone kumawonjezeka ndi pafupifupi kuwirikiza kakhumi, koma kuchuluka kumeneku kumatsika kwambiri pambuyo pobereka. Patatha masiku atatu kuchokera pamene mwana wabadwa, kuchuluka kwa mahomoni kumeneku kumabwerera ku kuchuluka kwa mimba isanakwane.

Kuwonjezera pa kusintha kwa mankhwala kumeneku, kusintha kwa chikhalidwe ndi maganizo komwe kumabwera chifukwa chokhala ndi mwana kungakulitsenso chiopsezo chanu chokhala ndi matenda a PPD. Mwachitsanzo, kusintha kwa thupi lanu, kusowa tulo, kuda nkhawa ndi momwe mungalerere mwana wanu, komanso kusintha kwa ubale wanu ndi banja lanu.

Ngati muli ndi zizindikiro izi, chonde uzani dokotala nthawi yomweyo:

* Mukufuna kudzivulaza nokha, kapena mukufuna kuvulaza mwana.

* Kuganizira nthawi zonse za imfa kapena kuganiza zodzipha.

* Monga m'masabata awiri apitawa, ndimamva chisoni tsiku lonse.

* Kumva mantha, kudzimva wolakwa, kutaya mtima, nkhawa, komanso kusowa chochita.

* Kuvuta kuganiza, kuganizira, kupanga zisankho, ndi kuchita ntchito za tsiku ndi tsiku.

* Monga m'masabata awiri apitawa, ndilibe chidwi ndi chilichonse chomwe ndinkasangalala kuchita tsiku lonse.

Kodi PPD ingakhudze mwana wanga?

Inde, ndithudi. PPD ingakhudzenso mwana wanu . Ndicho chifukwa chake ndikofunikira kupeza chithandizo cha inu ndi mwana wanu.

Kafukufuku wapeza kuti PPD ikhoza kukhala ndi zotsatira zotsatirazi pa mwana:

• Mukukumana ndi vuto lokhazikitsa ubale wabwino ndi mwana wanu.
• Mwana wanu akhoza kukhala ndi mavuto a khalidwe kapena kuphunzira.
• Mungaphonye nthawi yokumana ndi dokotala wa ana a mwana wanu.
• Mwana wanu akhoza kukhala ndi vuto la kudya ndi kugona.
• Mwana wanu ali pachiwopsezo chachikulu cha kunenepa kwambiri kapena matenda amisala.
• Munganyalanyaze chisamaliro cha mwana wanu, kapena simungadziwe nthawi imene mwana wanu akudwala.
• Luso la mwana wanu locheza ndi anthu likhoza kuchepa.

Kodi madokotala amazindikira bwanji PPD?

Palibe mayeso enieni oti mudziwe matenda a PPD. Dokotala wanu adzakuyesani panthawi yopita kukaonana ndi dokotala atabereka. Izi zingaphatikizepo kuwunikanso mbiri yanu ya thanzi, momwe munamvera mutabereka mwana wanu, kuyezedwa thupi, kuyezedwa m'chiuno, ndi kuyezedwa labu. Madokotala ambiri amakonza zoti mupite kwa dokotala wina milungu iwiri kapena itatu mutabereka kuti akafufuze ngati muli ndi vuto la kuvutika maganizo. Izi zikuthandizani kupeza thandizo lomwe mukufuna mwachangu.

Angakuyezeni ngati muli ndi vuto la kuvutika maganizo, kapena angakufunseni mafunso angapo kuti aone ngati muli ndi PPD. Adzakufunsani mafunso okhudza momwe mukumvera komanso momwe mwana wanu akumvera. Uzani dokotala wanu moona mtima za momwe mukumvera komanso maganizo anu . Kenako angadziwe ngati momwe mukumvera ndi zachilendo kapena ngati ndi zizindikiro za PPD.

Nthawi zina dokotala angachitenso mayeso a magazi, chifukwa zizindikiro za matenda ena a chithokomiro zimatha kufanana ndi za PPD.

Kumbukirani, dokotala wanu alipo kuti akuthandizeni, kuti atsimikizire kuti muli ndi thanzi labwino. Choncho musabise chilichonse, fotokozani zonse moona mtima. Palibe amene akukuweruzani, ndipo simuli nokha amene ali ndi malingaliro amenewa.

Madokotala ambiri amagwiritsa ntchito fomu yofunsira mafunso yotchedwa Edinburgh Postnatal Depression Scale kuti adziwe matenda a PPD. Ili ndi mafunso 10 okhudza zizindikiro za kuvutika maganizo, monga kumva chisoni, mantha, komanso kudziimba mlandu. Muyenera kusankha yankho lomwe limafotokoza bwino momwe mwamvera masiku asanu ndi awiri apitawa. Ziwerengero zikakwera, mwayi wanu wokhala ndi PPD umawonjezeka.

Kodi mankhwala a PPD ndi ati?

Chithandizo cha PPD chimadalira mtundu ndi kuopsa kwa zizindikiro zanu. Njira zina zochiritsira zimaphatikizapo mankhwala oletsa nkhawa kapena oletsa kuvutika maganizo, psychotherapy (kulankhula ndi munthu kapena katswiri wa zamaganizo), komanso kutenga nawo mbali m'magulu othandizira.

Matenda oopsa kwambiri omwe ndatchula kale (Postpartum Psychosis) amachiritsidwa ndi mankhwala omwe amagwiritsidwa ntchito pochiza kuvutika maganizo, nkhawa, ndi psychosis. Muthanso kuloledwa kuchipatala kwa masiku angapo mpaka vuto lanu litakhazikika. Ngati mankhwala awa sakuthandiza, chithandizo cha electroconvulsive therapy (ECT) chingakhale chothandiza.

Ngati mukuyamwitsa, musaganize kuti simungathe kumwa mankhwala a kuvutika maganizo, nkhawa, kapena matenda a maganizo . Lankhulani ndi dokotala wanu za zomwe mungasankhe.

Mitundu ya mankhwala omwe angatengedwe pa PPD

Dokotala wanu angakulembeni mankhwala oletsa kuvutika maganizo kuti athandize kuchepetsa zizindikiro za PPD. Mankhwalawa amathandiza kuti zinthu zomwe zili mu ubongo wanu zigwirizane bwino ndi momwe mukumvera.

Ngati mukuyamwitsa, lankhulani ndi dokotala wanu za ubwino ndi kuipa kwa kumwa mankhwala oletsa kuvutika maganizo. Mankhwala amatha kulowa mu mkaka wa m'mawere. Komabe, kuchuluka kwake nthawi zambiri kumakhala kochepa kwambiri, ndipo mankhwala ambiri oletsa kuvutika maganizo amaonedwa kuti ndi otetezeka. Dokotala wanu angakuthandizeni kusankha mankhwala oyenera kutengera zizindikiro zanu komanso ngati mukuyamwitsa.

Ena mwa mankhwala oletsa kuvutika maganizo omwe amagwiritsidwa ntchito kwambiri pa PPD ndi awa:

• Mankhwala oletsa kubwerezabwereza a Serotonin Reuptake (SSRIs) monga Sertraline (Zoloft®) ndi Fluoxetine (Prozac®)
• Serotonin ndi Norepinephrine Reuptake Inhibitors (SNRIs), monga Duloxetine (Cymbalta®) ndi Desvenlafaxine (Pristiq®)
• Bupropion (Bupropion - Wellbutrin® kapena Zyban®)
• Mankhwala Oletsa Kukhumudwa a Tricyclic (TCAs) monga Amitriptyline (Elavil®) kapena Imipramine (Tofranil®)

Kumbukirani kuti zimatenga milungu itatu kapena inayi kuti mankhwala oletsa kuvutika maganizo ayambe kugwira ntchito. Lankhulani ndi dokotala musanasiye kumwa mankhwalawo. Kusiya kumwa mankhwala mwadzidzidzi kungayambitsenso zizindikiro zanu. Madokotala ambiri amalimbikitsa kuchepetsa pang'onopang'ono mlingo musanasiye kwathunthu.

Ngati dokotala wanu akupeza PPD muli kuchipatala, angakulembereni mankhwala a IV okhala ndi brexanolone.

Kodi n’chiyani chimakuthandizani kukhala bwino ndi PPD?

Ndizachibadwa kumva kuti chilichonse chavuta. Kukhala kholo ndi chinthu chosangalatsa komanso chopweteka, ndipo kulera mwana sikophweka. Ngati muli ndi vuto la kuvutika maganizo, simuli nokha. Dokotala wanu angakuthandizeni kupeza chithandizo choyenera kwa inu.

Nazi zina zomwe mungachite kuti mukhale ndi moyo wabwino ndi PPD:

• Pezani munthu woti mulankhule naye — angakhale katswiri wa zamaganizo, mnzanu, wachibale, kapena munthu amene angakumvetsereni ndi kukuthandizani.
• Lowani gulu lothandizira makolo atsopano.
• Yesetsani kudya zakudya zopatsa thanzi komanso kupeza nthawi yochita masewera olimbitsa thupi.
• Dzipatseni nthawi yopuma.
• Pitani kokacheza ndi anzanu, kapena muwaimbire foni.
• Chitani zinthu zomwe mumakonda (kuwerenga mabuku, zosangalatsa zina), ndipo pezani nthawi yochita zinthu nokha (kudzisamalira).
• Pemphani thandizo pa ntchito zapakhomo ndi ntchito za tsiku ndi tsiku.

Kodi chimachitika ndi chiyani ngati PPD sinachiritsidwe?

Kupanda kulandira chithandizo cha PPD n'koopsa kwa inu, mwana wanu, ndi okondedwa anu . Kungayambitse zinthu monga:

• Ndikumva ngati ndilibe mphamvu.
• Nthawi zonse mumakhala kusakhazikika ndi mkwiyo mumtima mwanga.
• Mumamva ngati simungathe kusamalira mwana.
• Kulephera kuganizira bwino ndi kupanga zisankho.
• Mumamva ngati mukudzivulaza.

Kodi PPD ingachiritsidwe kwathunthu?

Ndi thandizo la akatswiri, pafupifupi aliyense amene ali ndi PPD angathe kuthetsa zizindikiro zake.

Kodi PPD ingapewedwe?

Sizotheka kupewa PPD kwathunthu. Komabe, zingakhale zothandiza kudziwa zizindikiro zochenjeza ndi zoopsa zomwe zimayambitsa vutoli. Nazi malangizo ena omwe angathandize kupewa PPD:

• Khalani ndi malingaliro oyenera pa zomwe inu ndi mwana wanu mukuyembekezera.
• Chepetsani chiwerengero cha alendo omwe mumakhala nawo masiku oyamba mutabwerera kunyumba.
• Pemphani thandizo — uzani ena momwe angathandizire.
• Mwana akagona, inunso mumagona, kapena mumapuma.
• Kuchita masewera olimbitsa thupi — kuyenda, kutuluka m'nyumba kuti mukapumule.
• Khalani olumikizana ndi banja lanu ndi anzanu — musakhale nokha.
• Sungani ubale wabwino ndi mnzanu — patulani nthawi yocheza.
• Yembekezerani kuti masiku ena adzakhala abwino, koma masiku ena adzakhala oipa.

Kodi ndi liti pamene pakufunika kufunafuna upangiri wa dokotala?

Muyenera kufunsa thandizo la dokotala pazochitika ngati izi:

• Ngati zizindikirozo zipitirira milungu iwiri.
• Ngati mukumva ngati simungathe kuchita bwino kapena kuthana ndi zinthu za tsiku ndi tsiku.
• Ngati mukufuna kudzivulaza nokha kapena mwana wanu.
• Ngati mukumva mantha kwambiri, nkhawa, komanso kusowa chochita tsiku lonse.

Ngati mukufuna thandizo ladzidzidzi, kapena ngati mukufuna kudzivulaza nokha kapena wina, pitani kuchipatala chapafupi kapena pitani kwa dokotala nthawi yomweyo. Muthanso kuyimbira National Mental Health Helpline pa 1926 kuti mupeze thandizo la zaumoyo wamaganizo ku Sri Lanka.

Kodi abambo nawonso amadwala matenda a PPD?

Inde, amayi ndi abambo onse amatha kuona zizindikiro za PPD. Ndikofunikira kufunafuna thandizo lachipatala ngati inu ndi mnzanuyo mukukumana ndi zizindikiro za kuvutika maganizo kapena nkhawa mutabweretsa mwana wanu kunyumba. Zapezeka kuti pafupifupi 4% ya abambo amakumana ndi kuvutika maganizo mkati mwa chaka choyamba cha kubadwa kwa mwana.

Kodi timathandiza bwanji munthu amene ali ndi PPD?

Anthu omwe ali ndi PPD amafunikira thandizo lalikulu. Nazi njira zina zomwe mungathandizire:

• Dziwani zizindikiro za kuvutika maganizo ndi nkhawa, ndipo limbikitsani mnzanu kapena mnzanu kuti akapeze thandizo lachipatala.
• Khalani womvetsera wabwino. Apangitseni kumva ngati mukumvetsera zomwe akunena ndipo muli okonzeka kukuthandizani.
• Dziperekeni kuti muthandize pa ntchito zapakhomo ndi za tsiku ndi tsiku.
• Perekani thandizo losamalira mwana pamene akugona ndi kupuma.
• Alimbikitseni kuti akapeze thandizo kwa katswiri wa zamaganizo kapena mlangizi wina wa zamaganizo .
• Athandizeni kupanga nthawi yokumana ndi dokotala, kapena apempheni kuti mupite nawo kuti akakuthandizeni.

Chinthu chofunika kwambiri chomwe tiyenera kukumbukira ndi

PPD ndi matenda ofala amisala omwe amakhudza amayi 1 pa 7 aliwonse akakhala ndi mwana. Si vuto lanu, ndipo simunachite chilichonse kuti chichitike . Sichikupangitsani kukhala kholo loipa kapena munthu woipa. Zinthu zamoyo, zakuthupi, komanso zamankhwala zomwe zimayambitsa PPD sizingathe kuzilamulira. Kumva chisoni kapena kudziona ngati wopanda pake, kutaya chidwi ndi zinthu zomwe munkasangalala nazo kale, kulira kwambiri, komanso kusintha kwadzidzidzi kwa maganizo kungakhale zizindikiro za PPD. Ngati mukuganiza kuti muli ndi PPD, lankhulani ndi dokotala wanu. Angakuthandizeni kupeza njira yabwino yothetsera zizindikiro zanu. Uphungu, mankhwala, kapena kulowa nawo gulu lothandizira kungakuthandizeni. Kumbukirani, simuli nokha, pali thandizo.

Kuvutika maganizo pambuyo pa kubereka, PPD, chisoni cha mwana, thanzi la maganizo, chisoni cha mayi, pambuyo pobereka, kupsinjika maganizo