Uma uba ngumama omusha, umzimba nengqondo yakho kudlula ezinguqukweni eziningi, akunjalo? Ngezinye izikhathi, uma usukulungele ukuncelisa ingane yakho, noma ngaphambi nje kokuba ubisi lwakho luqale ukuphuma emabeleni akho, ingabe uzizwa udabuke kakhulu, uthukuthele, noma uphatheke kabi ngaphandle kwesizathu? Lokhu akusikho okwenu kuphela. Namuhla, sizokhuluma ngalo muzwa ongavamile.

Kuyini i-D-MER (i-Dysphoric Milk Ejection Reflex)?

Kalula nje, i-D-MER yisimo esithinta omama abancelisayo, noma omama abaphampa ubisi. Kuwumuzwa ongazelelwe, ongajabulisi ofika engqondweni yakho ngaphambi nje kokuba ubisi lwakho luphume (ubisi lwehliswe). Lokhu kuhlala isikhathi esifushane, cishe umzuzu noma emibili, kodwa kungaba yinto ekhathazayo kakhulu (i-dysphoria) futhi kukhungathekise. Ngezinye izikhathi, ungazizwa ngale ndlela lapho ubisi lwakho luphuma ngokungalindelekile (ubisi lwehliswe ngengozi). Lokhu kuvamile ngesikhathi sokuncelisa.

Into ebalulekile ukuthi lokhu kuyindlela yokuzivumelanisa nezimo , okusho ukuthi akuyona into ongayilawula. Akuyona inkinga engqondweni yakho, akusiyona ngoba ungafuni ukuncelisa ingane yakho, akusiyona ngoba izingono zakho zibuhlungu. Kungokomzimba ngokuphelele. Ngokocwaningo lwamanje, kubangelwa ushintsho oluzumayo kumakhemikhali emzimbeni wakho, okungukuthi ama-hormone .

Ucwaningo lusaqhubeka mayelana nokuthi i-D-MER ivame kangakanani. Olunye ucwaningo lubonisa ukuthi phakathi kuka-5% no-9% omama abancelisayo bangase babe nayo. Akuhlobene ngqo nokucindezeleka kwangemva kokubeletha (PPD) noma ukukhathazeka kwangemva kokubeletha . Kodwa-ke, abanye omama bangase babe ne-D-MER kanye ne-PPD noma ukukhathazeka.

Uzizwa kanjani ngesikhathi se-D-MER? (Izimpawu)

Into eyinhloko oyizwayo ngesikhathi se-D-MER ukuqala ngokuzumayo kwemicabango nemizwa emibi. Lokhu kuvela ngokushesha kakhulu futhi kunyamalale phakathi nemizuzu engamashumi amathathu kuya kwemibili. Okubaluleke kakhulu, le mizwa iza kuphela lapho amabele akho esezokwehla. Uma ubisi seluqalile ukungena, yonke leyo mizwa emibi iyanyamalala.

Ungase ube nale mizwa nge-D-MER:

• Umuzwa wokudabuka okukhulu nokudumazeka.
• Ukungazithandi , ukuzethemba okuphansi.
• Umuzwa wokucwila/ukwesaba , njengokungathi kukhona okubambeke esiswini, noma kukhona okubi okuzokwenzeka.
• Intukuthelo , ukudabuka, noma ukungahlaliseki ngaphandle kwesizathu.
• Ukukhathazeka noma ukucasuka.

Khumbula, i-D-MER ayihlobene nokunye ukungakhululeki ngokomzimba okuhlobene nokuncelisa, njengobuhlungu bezingono noma ukuminyana kwebele. Kodwa-ke, le mizwa ingaba namandla kangangokuthi abanye omama bangase bazizwe benesidingo sokuyeka ukuncelisa noma ukumpompa.

Kubaluleke kakhulu: Ngezinye izikhathi lezi zimpawu zingaba zimbi kakhulu futhi zingaholela emicabangweni yokuzibulala . Uma uke waba nemicabango yokuzilimaza wena noma omunye umuntu, sicela ufune iseluleko sezokwelapha ngokushesha. Izimpawu ze-D-MER zingaba nzima nakakhulu ukuzilawula komama abanesifo sokucindezeleka kwangemva kokubeletha (PPD).

Kungani lokhu kwenzeka? (Izimbangela ze-D-MER)

Nakuba lesi simo singakaqondakali ngokugcwele, izifundo eziningi ziphakamisa ukuthi ama-hormone ayimbangela eyinhloko. Ngokukhethekile, sibangelwa ukwehla okungazelelwe kwamazinga e-hormone emzimbeni okuthiwa i-dopamine . I-Dopamine iyi-hormone ehlotshaniswa nemizwa yenjabulo nokwaneliseka. Izifundo eziningi zibonise ukuthi amazinga aphansi e-dopamine angathinta kabi isimo sethu sengqondo nemizwa yethu.

Cabanga ngale ndlela: uma uncelisa ingane yakho, umzimba wakho ukhipha ama-hormone abizwa ngokuthi i-prolactin (i-hormone ebalulekile ekukhiqizeni ubisi) kanye ne-oxytocin . Uma ingane yakho imunca (noma uqala ukumpompa), yileli hormone elibizwa ngokuthi i-oxytocin elibangela ukuba ubisi luphume emabeleni akho (ukukhipha ubisi/ukwehlisa). Le hormone, i-oxytocin, isebenza ngokwehlisa amazinga e-dopamine. Lokho kusho ukuthi amazinga akho e-dopamine ehla.

Ngenxa yezizathu abacwaningi abangakaziqondi ngokugcwele, amazinga e-dopamine kwabanye omama ehla ngokushesha kakhulu . Yilapho-ke ngokuzumayo bezizwa bedabukile kanye neminye imizwa emibi. Lokhu kubizwa ngokuthi i-D-MER.

Kodwa le mizwa emibi ingeyesikhashana . Omama abaningi babika ukuthi uma amazinga akho e-prolactin ne-oxytocin ebuyela esimweni esijwayelekile, isimo sakho sengqondo sizozinza phakathi nemizuzu embalwa.

Khumbula, i-D-MER iwukusabela ngokomzimba, hhayi kwengqondo. Akusho ukuthi ucindezelekile, uthukuthelele ingane yakho, noma unqikaza ukuncelisa. Uma ucabanga ukuthi ungase ube ne-D-MER, kungaba usizo kakhulu ukukhuluma nodokotela wakho, umbelethisi, noma umeluleki wokuncelisa.

Udokotela wazi kanjani ukuthi lokhu kuyi-D-MER? (Ukuxilongwa)

Ngenxa yokuthi alukho ucwaningo oluningi nge-D-MER, akukho ukuxilongwa okusemthethweni okwamanje. Udokotela wakho uzokhuluma nawe ngezimpawu zakho, ukuthi zenzeka nini, nokuthi zimbi kangakanani. Khumbula, i-D-MER yenzeka kuphela uma uncelisa noma uphuza, futhi iyanyamalala ngemva kwesikhashana. Incazelo ecacile yezimpawu zakho nokuthi zenzeka nini izosiza udokotela wakho aqonde ukuthi kwenzekani.

Yini esingayenza uma sine-D-MER? (Ukwelashwa Nokuphathwa)

Ngenxa yokuthi abacwaningi abakaqondi ngokugcwele lesi simo, akukho 'ukwelashwa' okuqondile kwe-D-MER. Kodwa-ke, kunezindlela eziningana zokukusiza ukuthi uphathe izimpawu zakho futhi ubhekane nalesi simo.

Nazi ezinye zezindlela ezivame ukusetshenziswa ukuphatha izimpawu ze-D-MER:

• Khulisa ukuthintana kwesikhumba nesikhumba nengane yakho: Uma uncelisa, zama ukubamba ingane yakho eduze nawe ngangokunokwenzeka. Lokhu kuthinta kunganciphisa amazinga akho e-cortisol (i-hormone ehlotshaniswa nokucindezeleka), kwehlise izinga lokushaya kwenhliziyo yakho, futhi kukwenze uzizwe uzolile. Njengenduduzo esiyizwayo lapho sibamba ingane encane.
• Ukuzindla noma ukuphefumula ngokujulile: Into eyinhloko ukuzama ukuzola ingqondo. Lokhu kunciphisa ukukhathazeka nokucindezeleka. Phefumula ngokujulile ngekhala lakho bese ukhipha umoya kancane ngomlomo wakho. Ukwenza lokhu imizuzu embalwa ngosuku kungenza umehluko omkhulu.
• Thola ezinye izindlela zokuphumula: Thola ukubhucungwa okuthambile ngaphambi kokuncelisa, lalela ingoma oyithandayo, noma ucwilise ebhavini elifudumele. Lezi zinto zingakusiza uphumule futhi ubhekane kangcono lapho kufika i-D-MER.
• Ziphazamise: Uma uzizwa unesicanucanu, zama ukugxila kokunye. Mhlawumbe ungadla ukudla okulula, ubukele okuthile ku-TV, noma ufunde incwadi ngenkathi ucabanga ngalokho okusengqondweni yakho. Ngokuyisisekelo, kumayelana nokugcina ingqondo yakho imatasa ngokunye lapho kufika lowo muzwa omubi.
• Thola ukwesekwa: Ukusekelwa kubaluleke kakhulu kuwe ukuze ubhekane ne-D-MER. Kungaba umlingani wakho, umngane wakho omkhulu, noma iqembu lokusekela le-D-MER eliku-inthanethi. Thola abantu abazokulalela, bakhulume nawe, futhi bakukhathalele. Futhi kungamandla amakhulu ukwazi ukuthi awuwedwa.

Lesi simo sizohlala isikhathi esingakanani?

Lokhu kuyahlukahluka kuye ngomuntu nomuntu. Kwabaningi abantu, i-D-MER iyaphela kancane kancane ngemva kwezinyanga ezintathu. Iya ngokuya iba nzima njengoba umntwana ekhula. Kodwa-ke, kube nabanye abaye babhekana ne-D-MER baze bayeke ukuncelisa ibele ngokuphelele. Ngakho-ke, kunzima ukusho ukuthi uzoyiba nayo isikhathi esingakanani. Kodwa khumbula, akuyona into ehlala njalo ezimweni eziningi.

Ingabe lokhu kungavinjelwa?

Cha, awukwazi ukuvimbela i-D-MER. Kodwa kubalulekile ukwazi ukuthi kunabantu abangakusiza nokuthi lesi simo asibangelwa yinoma yini oyenzile. Akudingeki ukuthi uthathe umthwalo waso.

Ingabe i-D-MER iyisibonakaliso sokucindezeleka kwangemva kokubeletha (PPD)?

Cha, i-D-MER ayisona isibonakaliso sokuthi unesifo sokucindezeleka ngemva kokubeletha (PPD) noma esinye isifo sengqondo ngemva kokubeletha. Nakuba ezinye zezimpawu zifana, i-D-MER yenzeka kuphela lapho ubisi lwakho seluzofika futhi luphele ngokushesha. Kodwa-ke, kungenzeka ukuthi ube nesimo esifana ne-PPD ngenkathi une-D-MER. Uma imicabango nemizwa emibi onayo inamandla kakhulu ngaphandle kokuncelisa, noma uma ibonakala iba yimbi usuku nosuku, sicela ukhulume nodokotela wakho.

Kubaluleke kakhulu ukuthi uzinakekele!

Nakuba abanye abantu bengakuqapheli, i-D-MER iyisimo sangempela. Ngenhlanhla, ivame ukuba yesikhashana, futhi kunezindlela zokukusiza ukuthi ubhekane naso. Zama ukuphatha izimpawu zakho ze-D-MER usebenzisa izindlela ezishiwo ngenhla. Ngezinye izikhathi, kungaba impumuzo enkulu ukwazi ukuthi unesifo sangempela nokuthi abanye omama babhekana nezinto ezifanayo.

I-D-MER ingakwenza ufune ukuyeka ukuncelisa. Uma lokhu kunomthelela ongabekezeleleki empilweni yakho yengqondo kanye nenhlalakahle yakho, ukushintshela kufomula kungaba yindlela engcono kakhulu kuwe kanye nengane yakho. Kulungile lokho. Ungabi namahloni ngakho. Uma ukuncelisa kungasebenzi kuwe, akulona iphutha lakho.

Kufanele uye nini kudokotela?

Akukho okubi ngokucela usizo. Uma imizwa yakho inamandla kakhulu futhi ubhekene nobunzima bokubhekana nayo, kungaba usizo kakhulu ukukhuluma nodokotela wakho noma uchwepheshe wokubeletha. Kubalulekile ukukhuluma ngokukhululekile nangokwethembeka ngemizwa yakho. Kungaba usizo futhi ukubhala phansi imizwa yakho ephepheni bese uyibonisa udokotela wakho. Sicela wazi ukuthi bakhona abantu abangakusiza, futhi awuwedwa.

Uma, nganoma yisiphi isikhathi, ucabanga ngokuzilimaza wena noma omunye umuntu, sicela ufune iseluleko sezokwelapha ngokushesha.

Izinto okufanele uzikhumbule ukuze uziyise ekhaya

Ukuncelisa ibele akuyona into ejabulisayo kuwo wonke umuntu. Uma uzwa imizwa emibi njengentukuthelo noma ukudabuka lapho unciphisa ubisi lwakho, ungase ube ne-D-MER, noma i-Dysphoric Milk Ejection Reflex.

• Awuwedwa. Lokhu kuyenzeka nakwabanye omama.
• Akulona iphutha lakho leli. Awenzanga lutho olubi.
• Akukho "okungahambi kahle" ngawe. Lena impendulo engokomzimba.
• Tshela udokotela wakho ngendlela ozizwa ngayo. Bazokutshela izindlela ezingcono kakhulu zokubhekana nalokho okubhekene nakho.
• Ngezinye izikhathi, ukwazi nje ukuthi kukhona igama lalokho okuzwayo kungakusiza uzizwe sengathi awuwedwa. Ungakhathazeki, kukhona usizo.

` I-D-MER, Ukukhishwa Kobisi Olungenaso Isifiso Sokuzibamba, Ukuncelisa, Ukwehlisa Ubisi, Ukudabuka, Intukuthelo, Ukukhathazeka, Ama-hormone, I-dopamine, Ngemva Kokubeletha, Impilo Yengqondo