Ngaba uhlala uziva uloyiko kwaye uxhalabile emva kokuba nomntwana? Masithethe ngexhala emva kokubeleka!

Xa umntwana omtsha ejoyina intsapho, kuyinto eqhelekileyo ukuziva usoyika kwaye uxhalabile ngezinto ezincinci. Izinto eziliwaka zisenokudlula engqondweni yakho, njengokuba umntwana uphilile na, nokuba uphilile na, nokuba ndiza kukwazi na ukumelana nazo zonke ezi zinto. Kodwa ngamanye amaxesha olu loyiko kunye noxinzelelo lunokuba nzima kakhulu kuwe. Ukuba uxhalabile ngento ethile imini nobusuku, kusenokwenzeka ukuba kungenxa yoku. Isenokuba yimeko ebizwa ngokuba yi -postpartum anxiety, okanye "Postpartum Anxiety".

Yintoni ixhala emva kokubeleka?

Ngamafutshane, ixhala emva kokuzalwa yimeko yokuxhalaba kakhulu okwenzeka emva kokuba nomntwana okanye ukuba ngumzali (eli xesha libizwa ngokuba lixesha emva kokuzalwa). Olu xhala lunokuba yinto ehamba engqondweni yakho ngaphandle kolawulo lwakho, ithathe iingcinga zakho ngokupheleleyo.

Kuqhelekile ukuba nexhala xa uzisa umntwana omtsha ekhaya. Kodwa ukuba unexhala emva kokuzalwa, linokuba likhulu kangangokuba lingathatha usuku lwakho kwaye likugcine uphaphile ebusuku. Ungaziva uloyiko olungenangqiqo ngezinto ezingenakwenzeka. Ngamanye amaxesha zinokunxulunyaniswa nesiganeko esenzeka kwixesha elidlulileyo, okanye ngamanye amaxesha ungaziva ngathi kukho into eza kwenzeka ngaphandle kwesizathu. Usenokungakwazi ukubona unobangela ochanekileyo, kodwa uya kuziva uloyiko oluqhubekayo.

Le meko ibizwa ngokuba yi-postpartum depression (uxinzelelo emva kokuzalwa). Inokwenzeka kunye nokudakumba emva kokubeleka . Nangona kunjalo, nangona iimpawu zezi meko zombini zifana kakhulu, ziimeko ezimbini ezahlukeneyo.

Ixhaphake kangakanani le meko?

Izifundo zibonise ukuba phakathi kwe-11% kunye ne-21% yoomama abatsha banokuba nexhala emva kokubeleka. Kodwa ngenxa yokuba kungekho vavanyo luthile lokuhlola ukuze luxilongwe ngokuchanekileyo, kunzima ukutsho ukuba bangaphi abantu abanengxaki yesi simo. Idla ngokufunyaniswa ngexesha lovavanyo lokufumanisa uxinzelelo emva kokubeleka (abaphandi bafunda okungakumbi ngale nto).

Yintoni umahluko phakathi koxinzelelo emva kokuzalwa kunye noxinzelelo emva kokuzalwa?

Ukuba unesifo sokudakumba emva kokuzalwa, ungaziva ulusizi kakhulu, ukhale kakhulu, kwaye uzive ngathi awukwazi ukuzinyamekela wena okanye umntwana wakho. Usenokungonwabi ngomntwana wakho, kwaye ungaziva ngathi awukwazi ukuba ngumzali olungileyo.

Nangona kunjalo, ixhala emva kokubeleka `( Emva kokubelekaUkuxhalaba akulosizi, kodwa kukuxhalaba noloyiko olugqithisileyo. Ukuba uhlala uxhalabile kwaye uzele ziingcinga ezoyikisayo, kusenokuba kukuxhalaba emva kokuzalwa.

Nangona kunjalo, iimpawu ezinje ngokungakwazi ukulala, ukubetha kwentliziyo, kunye neemvakalelo zokoyika zinokubonakala kuzo zombini ezi meko. Kuqhelekile ukuba abantu abanesifo sokudakumba emva kokuzalwa babonise iimpawu zokuxhalaba. Nangona kunjalo, ayinguye wonke umntu onesifo sokuxhalaba emva kokuzalwa onesifo sokudakumba.

Eyona nto ibalulekileyo kukuthetha ngokukhululekileyo nogqirha wakho malunga nazo zonke iimpawu kunye neemvakalelo onazo, ukuze bakwazi ukukunceda.

Uyazi njani ukuba oku kukuxhalaba emva kokubeleka okanye kukuxhalaba nje?

Xa unomntwana, xa uba ngumzali Kuqhelekile ukuziva uxhalabile . Kodwa ixhala emva kokuzalwa luhlobo lwexhala eligqithisileyo neligqithisileyo. Ukuba ixhala lakho likwenza uzive ngathi ukhathazekile imini yonke, usenokuba nalo. Linokubangela ukuba uzive ungenamdla, uxhalabile, kwaye uhlale uxhalabile.

Cinga ngale ndlela...

• Uhlala uphaphile ubusuku bonke, usoyika ukuba umntwana wakho uza kuyeka ukuphefumla ngelixa elele.
• Uziva usoyika kakhulu ukushiya umntwana nomntu omthembayo (nokuba ngumyeni/umfazi wakho) nokuba yimizuzu embalwa.
• Isifuba sakho siyabetha ngamandla nokuba ucinga ngokuphuma endlwini, usoyika ukuba umntu uza kukwenzakalisa okanye akulimaze umntwana.

Ngaba ukhe wazibona izinto ezinje? Ukuba kunjalo, kufuneka ulumke ngazo.

Zithini iimpawu zoxinzelelo emva kokubeleka?

Ixhala yindlela umzimba wethu osabela ngayo kwingozi okanye kwisongelo. Ukuba unexhala emva kokuzalwa, ungaziva ngathi wena okanye umntwana wakho nihlala nisengozini. Iimpawu ozifumanayo yindlela umzimba wakho osabela ngayo kule nkxalabo noloyiko oluqhubekayo.

Kukho iimpawu ezininzi eziqhelekileyo:

Iimpawu zomzimba

• Ukungalali kakuhle okanye ukuphazamiseka kokulala.
• Ukunyuka kwesantya sentliziyo okanye ukuziva ngathi intliziyo yakho iyabetha ngamandla (i-palpitations).
• Isicaphucaphu okanye isisu esibuhlungu.
• Ubunzima bokuphefumla okanye ukuziva ufuthanisekile.
• Ukutya akunancasa.
• Ukungakwazi ukuhlala kwindawo enye, ukungazinzi.
• Ukuqina kwemisipha, iintlungu.

Iimpawu zengqondo nezeemvakalelo

• Ukungakwazi ukuzola, ukuhlala ukhululekile.
• Iingcinga ezikhawulezayo, ndicinga ukuba kuza kwenzeka okubi kakhulu.
• Ukuhlala ucinga ngoloyiko olungenasihlahla okanye izinto ezingenakwenzeka.
• Ubunzima bokugxila okanye ukulibala izinto.
• Ukucaphuka ngezinto ezincinci.
• Ukuhlala uphila ngoloyiko nokuthandabuza.

Iimpawu zokuziphatha

• Ukuphepha imisebenzi ethile, abantu, okanye iindawo.
• Ukuxhalaba kakhulu nangona iimeko ezingezizo eziyingozi.
• Ukujonga izinto ngokuphindaphindiweyo (umz., ukuba umntwana uyaphefumla na, nokuba iingcango zivaliwe na).
• Ukuzama ukulawula abanye.

Ngamanye amaxesha iimeko ezifana ne-Obsessive-Compulsive Disorder (OCD) okanye i-Panic Disorder nazo zinokukuchaphazela ngexesha lokubeleka. Ukuba unezi meko, unokufumana uloyiko okanye iingcinga ezigqithisileyo.

Thembeka koogqirha bakho malunga nazo naziphi na iimpawu onazo. Bakulungele ukukunceda nokukucebisa unyango olufunekayo.

Ziziphi izizathu eziphambili zokuxhalaba emva kokubeleka?

Akukho sizathu sinye sale nto. Oogqirha bakholelwa ukuba zininzi izinto ezinokubangela oku:

• Utshintsho kwihomoni: Emva kokubeleka, amanqanaba ehomoni emzimbeni ayehla ngequbuliso. Oku kunokubangela utshintsho kwimo yengqondo kwaye kukwenze usabele ngokukhawuleza nakwizinto ezincinci.
• Ukungalali Kakuhle: Ukunyamekela usana olusandul’ ukuzalwa kunokuba ngumsebenzi othatha iiyure ezingama-24. Oku kunokubangela ukungalali kakuhle.
• Ukuziva unoxanduva: Le meko inokubangelwa kukuziva uxanduva olugqithisileyo lokukhusela nokunyamekela umntwana omtsha.
• Iziganeko ezibangela uxinezeleko: Izinto ezifana neengxaki zokuncancisa, ukukhulelwa okunzima, okanye ukuzala okubangela uxinezeleko nazo zinokunyusa ixhala.
• Izinto ezibangela umngcipheko: Iimeko ezithile zempilo kunye namava angaphambili nazo zinokunyusa umngcipheko wokuba nesi sifo sokuxhalaba.

Ziziphi izinto ezibangela uxhalabo emva kokubeleka?

Abanye abantu banamathuba amaninzi okufumana le meko. Ezi zinto zinobungozi ziquka:

• Ukuba wena okanye umntu kusapho lwakho unembali yokudakumba okanye ukuxhalaba.
• Ukuba ukhe waphunyelwa sisisu ngaphambili okanye walahlekelwa ngumntwana.
• Ukuba unomntwana okanye umntwana oneengxaki zempilo.
• Ukuba ubukhe waziphatha ngendlela engaqhelekanga (iingxaki zokutya) ngaphambili.
• Ukuba unabantwana abaninzi ekufuneka ubanyamekele.
• Ukuba ungumntu othanda ukuba nexhala ngokwemvelo.
• Ukuba awunalo iqabane elikuxhasayo okanye uncedo oluvela kusapho okanye kubahlobo emva kokubeleka.

Ixhala emva kokubeleka liqala nini?

Oku kuyahluka kumntu nomntu. Kwabanye, kunokuqala kwangoko emva kokuba umntwana ezelwe. Kwabanye, kunokuqala kwiinyanga ezimbalwa emva kokuba umntwana ezelwe. Ngamanye amaxesha, ixhala linokuqala kwanangexesha lokukhulelwa.

Ungayiqonda njani le nto?

Ngokungafaniyo nezinye iimeko zonyango, akukho ndlela icacileyo yokuxilonga ixhala emva kokuzalwa. Ugqirha wakho unokukunika uludwe lwemibuzo malunga nexhala emva kokuzalwa ngexesha lotyelelo lwakho. Musa ukuba neentloni okanye iintloni zokuthetha ngeempawu zakho. Ukuthetha ngokukhululekileyo nangokunyanisekileyo malunga nexhala lakho sesona sixhobo silungileyo oogqirha abanaso sokuchonga esi simo. Baza kukubuza imibuzo baze basebenzise ezinye izixhobo zokuhlola ukufumanisa ubukhali bemeko kunye neempawu zakho.

Iphathwa njani ixhala emva kokubeleka?

Ugqirha wakho uza kucebisa unyango olusekelwe kwiimpawu zakho, imbali yempilo, kunye nokuba uyancancisa na. Ukuba iimpawu zakho zincinci, ukwenza utshintsho kwimisebenzi yakho yemihla ngemihla kunye nokuthetha nomcebisi kunokunceda ukunciphisa iimpawu zakho. Nangona kunjalo, ukuba ixhala lakho linzima okanye liphazamisana nobomi bakho bemihla ngemihla, amayeza anokufuneka.

Unyango lokuziphatha kwengqondo (i-CBT)

I-CBT yindlela apho iingcali zengqondo okanye iingcali zengqondo zikunceda uchonge iimvakalelo zakho kwaye utshintshe iindlela zakho zokucinga. Nge-CBT, unokutshintsha iingcinga zakho ezimbi kunye nokuziphatha kwaye uphuhlise iingcinga kunye nemikhwa enempilo. I-CBT idla ngokuqhubeka kwiiseshoni ezininzi zomntu ngamnye. Ngemibuzo neempendulo, ingcali yakho ikufundisa indlela yokuphendula ngcono kuxinzelelo kunye noxinzelelo. Kwezinye iimeko, ingcali inokuba yingcali kwiimvakalelo kunye nokuziphatha emva kokuzalwa.

Unyango olungelulo olusebenzisa amayeza

Amayeza akasoloko eyimfuneko ukunyanga ixhala emva kokuzalwa. Nazi ezinye iindlela zokulinyanga ngaphandle kwamayeza:

• Joyina amaqela enkxaso yabazali abatsha (abanye bakwi-intanethi ngokupheleleyo). Ngale ndlela unokwabelana ngeemvakalelo zakho nabanye abakwimeko efanayo neyakho.
• Cela uncedo kusapho okanye kubahlobo. Umzekelo, ukufumana uncedo ngemisebenzi yasekhaya okanye ukunyamekela umntwana kunokunceda ukunciphisa uxinzelelo lwakho.
• Zama ukuhambahamba kwaye uzilolonge yonke imihla. Ukuziqhelanisa neyoga kunokukunceda uzole ingqondo yakho.
• Yitya ukutya okunesondlo, ulale ngokwaneleyo. Zikhathalele ngale ndlela.

Mhlawumbi uvakalelwa kukuba unezinto ezininzi ekufuneka uzenze ngaxeshanye. Ukunyamekela umntwana (nawe) akulula, kwaye ukuba ngumzali akulula. Ungaze woyike ukucela uncedo.

Amayeza asetyenziselwa ukuxhalaba emva kokuzalwa

"Ii-SSRI (Selective Serotonin Reuptake Inhibitors)" zezona zisetyenziswa kakhulu kwaye ziphandwe kakhulu kwiingxaki zokuxhalaba emva kokuzalwa kunye nokudakumba emva kokuzalwa. "Ii-SSRI" zisebenza ngokunyusa amanqanaba ekhemikhali ebizwa ngokuba yi "(Serotonin)" engqondweni. "Ii-Serotonin)" yikhemikhali ethwala imiyalezo phakathi kweeseli. Emva kokuba le miyalezo ithwalwe, "(Serotonin)" iphinda ifunxwe ziiseli zemithambo-luvo. "Ii-SSRI" zithintela ukufunxwa kwakhona. Oku kuthetha ukuba kushiyeka "(Serotonin)" engaphezulu ukuba ithwale imiyalezo phakathi kweeseli zemithambo-luvo. Ngamafutshane, oku kunceda ukuphucula imeko yethu.

Amayeza abizwa ngokuba yi-"SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors)", afana ne-"SSRIs," asebenza ngokunyusa amanqanaba eekhemikhali ezithile engqondweni.

Amanye amayeza, anje nge-`(Tricyclic Antidepressants - TCAs)`, `(Monoamine Oxidase Inhibitors - MAOIs)`, kunye ne-`(Norepinephrine kunye neDopamine Reuptake Inhibitors - NDRIs)`, nawo angasetyenziselwa ukunyanga ixhala. Nangona kunjalo, i-``SSRIs`` iyathandwa kuba ineziphumo ebezingalindelekanga ezimbalwa.

Onke amayeza anokuba nemiphumo emibi. Ngaphambi kokuba uthathe naliphi na iyeza lokuxhalaba, thetha nogqirha wakho malunga neenzuzo kunye neengozi. Xelela ugqirha wakho ukuba uncancisa okanye uceba ukuncancisa. Banokukunika unyango olufanelekileyo kumama oncancisayo.

Ngaba ndingamncancisa umntwana wam ngoxa ndisela amayeza okunyanga ixhala?

Ukuba uncancisa, kungcono ukuthetha nogqirha wakho malunga neengozi kunye neenzuzo zokusebenzisa amayeza. Amayeza adlula egazini lakho aze aye kubisi lwakho lwebele. Amanye amayeza akhuselekile ukuwasebenzisa ngexesha lokukhulelwa nokuncancisa, kodwa amanye akakhuselekanga.

Ihlala ixesha elingakanani ixhala emva kokubeleka?

Oku kuyahluka kumntu nomntu. Ixhala emva kokubeleka alihlali lihleli, kodwa lidla ngokungaphezi nje. Ukufuna uncedo lwezonyango ngokukhawuleza yeyona ndlela ilungileyo yokuchacha kule meko. Musa ukuvumela ihlazo elijikeleze ixhala likuthintele ekufuneni uncedo.

Ngaba ixhala emva kokubeleka lingabuya?

Ewe, inokwenzeka. Ngelishwa, ixhala lingaphinda livuke nangaliphi na ixesha. Ukuba liqala emva kweenyanga ezili-12 umntwana ezelwe, lisenokungabizwa ngokuba lixhala emva kokuzalwa, kodwa iimvakalelo zokuxhalaba ngabantwana bakho zinokuvela nangaliphi na ixesha. Nokuba umntwana wakho uneminyaka emingaphi, kubalulekile ukuthetha nogqirha ukuba ixhala liphazamisana nobomi bakho.

Indlela yokunciphisa umngcipheko wokuxhalaba emva kokubeletha?

Ngamanye amaxesha akukho nto unokuyenza ukuthintela ixhala emva kokuzalwa. Asikuko ukuba unetyala, kwaye asikuko nokuba yintoni oyenzileyo okanye ongayenzanga.Ukuba uyazi izinto ezibangela ixhala kwixesha elidlulileyo, okanye ukuba ukhe waba nexhala okanye uxinezeleko ngaphambili, thetha nomntu ngaloo nto ngexesha lokukhulelwa kwakho. Ukuthetha nomcebisi nokufunda izixhobo zokumelana noxinzelelo ngaphambi kokuba ube nomntwana wakho kunokunceda ukunciphisa ubunzulu beengcinga ezinxulumene nexhala kwixesha lokubeleka.

Ndingajongana njani noxinzelelo emva kokubeleka?

Okokuqala, qonda ukuba awuwedwa kwaye ukunyamekela umntwana omtsha ngumsebenzi onzima. Iimvakalelo zakho zifanelekile, kwaye awuzange wenze nto ebangela ixhala emva kokuzalwa. Eyona nto ingcono onokuyenza kukucela uncedo kugqirha wakho. Banokukunceda ufumane inkxaso oyifunayo kwaye bakunike amayeza ukuba kuyimfuneko.

Kungakunceda nokuthetha nabahlobo abambalwa abathembekileyo kunye namalungu osapho kwaye wabelane ngemisebenzi. Okokugqibela, zama ukubekela bucala ixesha lemisebenzi ekuzisela uvuyo. Ngamanye amaxesha oomama bayalibala ngabo. Ukuchitha imizuzu embalwa kwinto oyenzayo kunokukunceda ulibale ngeengxaki zakho okwethutyana.

Ndifanele ndimbone nini ugqirha?

Bona ugqirha ukuba uneempawu zokuxhalaba emva kokuzalwa. Qaphela ngakumbi ezi mpawu:

• Ukuba uziva ngathi awuzibandakanyi nomntwana wakho.
• Ukuba uziva ngathi ukhathazekile imini yonke, ngalo lonke ixesha.
• Ukuba ufumana iimpawu zokudakumba emva kokuzalwa.
• Ukuba uziva uxinezelekile kangangokuba awukwazi ukusebenza kubomi bakho bemihla ngemihla.
• Ukuba uziva ngathi iingcinga zakho ezixhalabisayo ziyanda imihla ngemihla.

Ukuba uziva ngathi ufuna ukuzenzakalisa okanye ukonzakalisa umntwana wakho, nceda ufumane ingcebiso kagqirha ngoko nangoko okanye uye esibhedlele esikufutshane.

Ngaba iqabane lam linokuba nexhala emva kokubeleka?

Ewe, iqabane lakho linokuba nexhala emva kokuzalwa. Ixhala alichaphazeli nje kuphela umama ozeleyo. Abazali abamkele umntwana kunye nabazali abangengabo abendalo nabo banokuba nexhala kakhulu emva kokufumana umntwana.

Ndingamnceda njani umhlobo wam onexhala emva kokubeleka?

Eyona nto ingcono onokuyenza kukuba ngumphulaphuli oxhasayo. Vumela umhlobo wakho athethe ngeemvakalelo zakhe neengcinga zakhe. Bahlala bexinezelekile, ngoko ke ukunceda ngemisebenzi yasekhaya (njengokucoca, ukuhlamba impahla) okanye eminye imisebenzi (njengokuphatha ukutya) kunokuba yindlela entle yokunceda.

"## Umyalezo Wokugqibela Wokuthatha Uhambo Oluya Ekhaya Ukuziqhelanisa nobomi nosana olutsha kuza nemingeni emininzi emitsha. Kuqhelekile ukuba nexhala elithile kangangeminyaka embalwa emva kokubeleka. Kodwa kwabanye abantu, eli xhala linokuba nzima, libacinezele iingcinga zabo kwaye libangele iimpawu zomzimba ezifana nentliziyo ebalekayo kunye nokungalali. Oku kubizwa ngokuba yixhala emva kokuzalwa. **Ukuba uziva ngolu hlobo, khumbula ukuba ayilotyala lakho, kwaye abanye abantu abaninzi bahlangabezana nezi mpawu.** Ungafumana uncedo. Ukuba ufumana iimpawu zexhala emva kokuzalwa, thetha nogqirha wakho. Akukho mfuneko yokubandezeleka. Iimpawu zakho ziya kuba ngcono xa ufumana unyango. --- Ixhala emva kokuzalwa, Ixhala emva kokuzalwa, Ixhala emva kokuzalwa, Impilo Yengqondo Yomama, Uloyiko, Ixhala, Uxinzelelo, Ukuzalwa, Usana Olusandul' Ukuzalwa