Ukugqiba ukuba uyaqhubeka okanye uyeke ukuthatha amayeza okudakumba ngexesha lokukhulelwa sesinye sezona zigqibo zinzima umama anokuzithatha. Kwelinye icala, ukuba anganyangwa, oku kunokuchaphazela impilo yakho yengqondo kunye neyengane yakho engakazalwa. Kwelinye icala, kukho uloyiko lokuba ukuba uqhubeka nokuthatha amayeza, kunokubeka umntwana wakho emngciphekweni. Le yingxaki edidayo kakhulu. Ngoko ke masithethe ngayo ngokukhululekileyo.
Yintoni ubudlelwane phakathi koxinzelelo kunye nokukhulelwa?
Abantu abaninzi babecinga ukuba utshintsho lweehomoni ngexesha lokukhulelwa lubakhusela abafazi kwingcinezelo. Kodwa oko akuyonyani. Ngoku siyazi ukuba uxinzelelo lunokwenzeka ngexesha lokukhulelwa, kwaye oomama abaninzi bafuna amayeza okudakumba ukuze balawule olu xinzelelo. Enyanisweni, uphando lufumanise ukuba inani labasetyhini abasebenzisa amayeza okudakumba liyanda ukusuka kwiinyanga ezintathu ngaphambi kokukhulelwa nakulo lonke ixesha lokukhulelwa.
Nangona kukho imibuzo malunga nokhuseleko lokusebenzisa la mayeza ngexesha lokukhulelwa, uphando lubonisa ukuba uninzi lweziyobisi zokudakumba, ingakumbi ii-SSRIs (Selective Serotonin Reuptake Inhibitors), ngokubanzi zikhuselekile . Nangona kukho amathuba okuba neengxaki ezifana neziphene zokuzalwa, umngcipheko uphantsi kakhulu .
Zithini iingcali zonyango ngale nto?
Ugqirha wakho wezifo zengqondo kunye nogqirha wengqondo baya kuvuma ukuba ukuba unexinzelelo oluncinci kwaye ubungenazo iimpawu kangangeenyanga ezi-6, ungazama ukunciphisa amayeza akho phantsi kweliso likagqirha. Mhlawumbi ngonyango lwengqondo kunye notshintsho oluthile kwindlela ophila ngayo , ungadlula kakuhle kweli xesha.
Nangona kunjalo, ukuba oku kulandelayo kuyasebenza kuwe, ukuthatha amayeza ngexesha lokukhulelwa kunokuba luncedo ngakumbi kuwe nakumntwana wakho.
| Imeko | Iingcebiso zonyango |
|---|---|
| Ukuba unesifo sokudakumba esincinci kwaye ungakhange ube nazimpawu kangangeenyanga ezingaphezu kwezi-6. | Ungacinga ngokuyeka amayeza phantsi kweliso likagqirha. Endaweni yoko, izinto ezifana nonyango lwengqondo, umthambo, kunye neyoga zinokunceda. |
| Ukuba ukhe waba nokudakumba okukhulu okanye okuphindaphindiweyo , ezinye izifo zengqondo ezifana nesifo sengqondo esibizwa ngokuba yi-bipolar disorder, okanye ukhe wacinga ngokuzibulala. | Kukhuselekile kuwe nakumntwana wakho ukuqhubeka nisela amayeza. |
Zithini iingozi zokuyeka ukudakumba kunganyangwa?
Le yinto ekufuneka siyiqwalasele ngokuqinisekileyo. Ukudakumba okunganyangwanga kunokuba nemiphumo emibi kuwe nakumntwana wakho.
- Ukungazikhathaleli kakhulu: Xa udandathekile, ungalibala ukwenza izinto ezifana nokutya nokusela, uze uye ekliniki ngexesha.
- Iindlela zokuziphatha ezinobungozi: Kukho amathuba aphezulu okutshaya, ukusela utywala, okanye ukusebenzisa ezinye iziyobisi. Zonke ezi zinto zinokubangela iingxaki ezinkulu kumntwana, njengokuphuphuma kwesisu, ukuzalwa ngaphambi kwexesha, kunye nokuzalwa okuncinci.
- Impembelelo kubomi bosapho: Khawuthelekelele ukuba unomnye umntwana. Ukuba imeko yakho yengqondo ayilunganga, kunokuba nzima ukumnyamekela loo mntwana nokuba sempilweni nomyeni wakho. Olu xinzelelo lusenokunganyamezeleki kusapho lonke. Ke ngoko, kubaluleke kakhulu ukuba nawe uphile kakuhle kusapho.
Ukudakumba okunganyangwanga akusiyongxaki nje ethuleyo. Kunokukuchaphazela ngqo wena, usana lwakho, kunye nosapho lwakho lonke.
Zithini iingozi zokusebenzisa amayeza kumntwana?
Kakade ke, akukho mayeza akhuselekileyo ngokupheleleyo ngexesha lokukhulelwa. Iziphumo zophando ngamayeza okudakumba ngamanye amaxesha ziyaphikisana. Nangona kunjalo, uninzi lweengozi ezifunyenweyo ziphantsi kakhulu.
| Iingozi kunye neempawu zexeshana ezinokwenzeka kumntwana ngenxa yamayeza | |
|---|---|
| Iingozi kumntwana (akunakwenzeka ukuba zibekhona) | |
| I-PPHN (Uxinzelelo lwegazi oluqhubekayo lwemiphunga kwimveku esandul’ ukuzalwa) | Ingxaki enkulu echaphazela imithambo yegazi emiphungeni yosana olusandul’ ukuzalwa. |
| Iziphene zokuzalwa | Iingxaki zentliziyo, ingqondo, umqolo (i-Anencephaly), ukhakhayi (i-Craniosynostosis), isisu (i-Omphalocele), okanye amalungu omzimba. |
| Ezinye iingozi | Ukuphuma kwesisu, ukuzalwa ngaphambi kwexesha (ngaphambi kweeveki ezingama-37), ubunzima bokuzalwa obuphantsi (ngaphantsi kwe-2.5 kg). |
| Iimpawu zokurhoxa umntwana emva kokuzalwa | |
| Ukungazinzi | Ubunzima bokuphefumla, ukuphefumla rhoqo, ukukhala rhoqo. |
| Ezinye iimpawu | Ubunzima bokusela ubisi, amanqanaba aphantsi eswekile egazini (iHypoglycemia), imeko yomzimba engentle. |
Into ebalulekileyo ekufuneka uyiqonde apha kukuba ezi mpawu zokurhoxa zezexeshana . Ezinye iintsana zisenokufuna ukuhlala kwi-Neonatal ICU iintsuku ezimbalwa (usuku olunye ukuya kwezine) ngenxa yezi zinto. Nangona kunjalo, akukho nanye kwezi efunyenwe ibangela ingozi ende kumntwana.
Masiziqonde kakuhle ezi ngozi.
Kusengqiqweni ukoyika xa sithetha ngezi ngozi. Kodwa kufuneka sijonge oku ngendlela eyiyo. Nakuphi na ukukhulelwa, nokuba akukho mayeza, kukho umngcipheko oqhelekileyo wokuba umntwana azalwe eneziphene zokuzalwa ezimalunga ne-3%.
Inyani yokuba amayeza okudakumba andisa umngcipheko yipesenti encinci kakhulu eyongeziweyo kule 3%. Umzekelo, olunye uphando lubonise ukuba la mayeza andisa umngcipheko we-PPHN nge-1%. Oku kuthetha ukuba nokuba usela amayeza, umngcipheko wokuba umntwana abe nengxaki usephantsi kakhulu .
Ngawaphi amayeza afanelekileyo xa ukhulelwe?
Ezinye iziyobisi zokudakumba zithathwa njengezikhuselekileyo ngexesha lokukhulelwa kunezinye. Nazi ezinye zemizekelo:
- I-Citalopram (iCelexa)
- I-Fluoxetine (iProzac, iSarafem)
- I-Sertraline (iZoloft)
- I-Amitriptyline (Elavil)
- I-Desipramine (i-Norpramin)
- I-Nortriptyline (i-Pamelor)
- I-Bupropion (iWellbutrin)
Kodwa ungakhathazeki ukuba uthatha amayeza angekho kolu luhlu. Kwanamayeza athethwa kakhulu, njengeParoxetine (Paxil), aneengozi ezincinci kakhulu. Kukwakho neenkxalabo malunga nokutshintsha amayeza ngequbuliso ngexesha lokukhulelwa. Kungcono ukuthetha nogqirha wakho ukuze agqibe ukuba yeyiphi ekulungeleyo.
Umyalezo Wokuya Ekhaya
- Ukusela okanye ukuyeka amayeza okudakumba ngexesha lokukhulelwa sisigqibo somntu ngamnye ekufuneka wena nogqirha wakho nisilinganisele kunye, nilinganisele okulungileyo nokubi.
- Ungaze uyeke ukuthatha amayeza akho, utshintshe idosi, okanye uqale entsha ngaphandle kwengcebiso kagqirha.
- Kwiimeko ezininzi, iingozi kumama nosana ngenxa yokudakumba okunganyangwanga zingaphezulu kakhulu kuneengozi ezincinci ezivela kumayeza.
- Musa ukuziva unetyala ngesigqibo osenzayo. Ugqirha wakho ukunqwenelela okuhle wena nomntwana wakho. Ngoko ke themba isigqibo enisenze kunye nogqirha wakho, nize nichithe eli xesha nivuya.
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