Injabulo yokuletha umntwana ekhaya ayichazeki, akunjalo? Lelo phunga elisha, lezo zandla nezinyawo ezincane... Ukuphila kumayelana nokuvuselelwa. Kodwa ngezinye izikhathi, kanye naleyo njabulo, ungazizwa udabukile kakhulu, umthwalo, isizungu, nentukuthelo. "Kungani lokhu kwenzeka kimi? Angisiye umama omuhle?" Wake wazibuza? Uma uzizwa ngaleyo ndlela, qala ukhumbule ukuthi awuwedwa. Namuhla, sikhuluma ngalesi simo esithinta omama abaningi emhlabeni jikelele, njengani, eningomama abasha, kodwa okungakhulunywa kakhulu ngaso emphakathini wethu.
Kuyini Ukucindezeleka Kwangemva Kokubeletha?
Kalula nje, ukucindezeleka kwangemva kokubeletha (PPD) kuyindlela yokucindezeleka emnene, ehlala isikhathi eside, futhi enzima eyenzeka ngemva kokubeletha. Manje ungase ucabange, "Wonke umuntu ubhekene nesikhathi esinzima ngemva kokuthola umntwana. Bayakhala, bakhathele, lokho kuvamile, akunjalo?" Yebo, kuyiqiniso.
Omama abaningi bazizwa bedabukile, becasukile, futhi bekhala emasontweni amabili okuqala ngemva kokubeletha umntwana. Lokhu sikubiza ngokuthi "ukuzizwa ukhathele yingane." Lesi yisimo esivamile esibangelwa ukushintsha kwama-hormone, ukukhathala, kanye nokungalali kahle. Ngokuvamile kuyaphela ngokwako phakathi namasonto amabili.
Kodwa ukucindezeleka kwangemva kokubeletha (PPD) kuyinto ehlukile. Le mizwa ihlala isikhathi esingaphezu kwamasonto amabili, iba yimbi kakhulu usuku nosuku, futhi iphazamisa impilo yakho yansuku zonke kuze kube yilapho ungakwazi ngisho nokusebenza kahle. Cishe umama oyedwa kwabayisikhombisa abasha angase abe nalesi simo. Ngezinye izikhathi, lezi zimpawu zingaqala ngesikhathi sokukhulelwa.
Yiziphi izimpawu eziyinhloko zokucindezeleka kwangemva kokubeletha?
Bheka ukuze ubone ukuthi wena noma umama osanda kuzalwa unazo yini lezi zimpawu. Uma unezimpawu ezilandelanayo noma ngaphezulu, kubalulekile ukunaka.
| Isibonakaliso | Kusho ukuthini lokho? |
|---|---|
| Usizi olungapheli | Uma usazizwa udangele, ungenathemba, futhi ucindezeleka kakhulu ngemva kwamasonto amabili okuqala, kungaphezu nje kokuzizwa udabukile. |
| Ukuzizwa ngidabukile futhi nginecala njalo | Uma ukhala amahora amaningi ngisho nangezinto ezincane kakhulu, futhi ingqondo yakho igcwele imicabango efana nokuthi “Angisiye umama omuhle” nokuthi “Ngibangela inkinga enganeni,” kungaba uphawu lwe-PPD. |
| Lokho engangikujabulela ukukwenza manje sekuyisicefe. | Ingabe usuphelelwe yisithakazelo noma isifiso sokwenza izinto obuzijabulela ngaphambi kokuba nomntwana (ukubuka i-TV, ukukhuluma nomngane, ukufunda incwadi)? |
| Ubunzima bokwenza izinqumo nokugxila | Ingabe uphazamiseke kakhulu kangangokuthi awukwazi ngisho nokwenza izinqumo ezilula njengokuthi uvuke embhedeni noma cha, ukuthi uzigeze noma cha, noma ukuthi ushintshe inabukeni lomntwana wakho? |
| Izinguquko ezinkulu ekudleni nasekulaleleni | Awukwazi yini ukulala ngisho noma ingane ilele? Noma ulala usuku lonke? Awuzizwa sengathi ufuna ukudla nhlobo? Noma udla kakhulu? Lokhu kuhlukile ekukhathaleni okuvamile. |
| Ukulahlekelwa isithakazelo enganeni | Ingabe ukuthola kunzima ukusondelana nomntanakho? Ingabe usuphelelwe yisithakazelo sokunakekela umntwana wakho noma sokudlala naye? Ungase uzizwe sengathi "lo akuyena umntwana wami." |
| Imicabango yokuzilimaza wena noma ingane yakho | Lesi yisimo esibucayi kakhulu nesiphuthumayo. Uma ucabanga ukuzibulala, ukuzilimaza, noma ukulimaza ingane yakho, kungaba yisimo esibi kakhulu se-PPD noma isimo esibi kakhulu esibizwa ngokuthi i-postpartum psychosis . |
Kuthiwani uma uzizwa sengathi ufuna ukuzilimaza wena noma ingane yakho?
Lesi yisimo esiphuthumayo sezokwelapha okungafanele sibambezeleke. Uma wena noma othile omaziyo enale micabango, sicelaYiya egumbini lezimo eziphuthumayo esibhedlela esiseduze (i-ETU) noma ushayele udokotela wakho ucingo ngokushesha. Lokhu akumelwe ube namahloni ngakho, kuyisimo sezokwelapha. Ukuthola usizo ngokushesha kungasindisa impilo yakho neyengane yakho.
Ngingaluthola kanjani usizo ngalesi simo?
Ingxenye engcono kakhulu ukuthi, lesi yisimo esingelapheka ngokuphelele. Akudingeki ulwe naso wedwa.
Ngokuvamile uzohlolwa nodokotela wakho phakathi kwamasonto amabili kuya kwayisithupha ngemva kokuzalwa komntwana wakho. Ngaleso sikhathi, udokotela uzokubuza imibuzo mayelana nenhlalakahle yakho engokomzimba nengokwengqondo. Kubaluleke kakhulu ukwethembeka kudokotela wakho ngemizwa yakho, ngaphandle kokufihla lutho.
Uma unalezi zimpawu, qiniseka ukuthi ubona udokotela:
- Uma imizwa yakho yokudabuka ihlala isikhathi esingaphezu kwamasonto amabili .
- Uma leyo mizwa ibonakala iba mibi usuku nosuku.
- Uma ukunakekela ingane sekuwumthwalo omkhulu kuwe.
- Uma ukuthola kunzima ukwenza ngisho nemisebenzi yasekhaya yansuku zonke .
- Uma ucabanga ngisho nokuncane kakhulu ngokuzilimaza wena noma ingane yakho (lesi yisimo esiphuthumayo!).
Udokotela wakho uzohlola isimo sakho futhi anqume indlela engcono kakhulu yokwelashwa. Lokhu kungafaka:
- Ukwelashwa Ngengxoxo: Ukukhuluma ngemizwa yakho nomeluleki noma isazi sokusebenza kwengqondo kungaba impumuzo enkulu.
- Imithi: Ngezinye izikhathi imithi ingadingeka ukuze kulinganiswe amakhemikhali obuchopho. Lokhu kungafaka phakathi imithi yokucindezeleka noma imithi yokulwa nokukhathazeka . Kunemithi ephephile ngisho nakomama abancelisayo.
- Amaqembu Okusekela: Ukukhuluma nabanye omama abaye baba nokuhlangenwe nakho okufanayo kungakusiza uzizwe sengathi awuwedwa.
Yiziphi izici eziyingozi zokucindezeleka kwangemva kokubeletha?
Nakuba lesi simo singaba khona kunoma ubani, abanye abantu basengozini enkulu.
- Uma wena noma othile emndenini wakho wake waba nokucindezeleka ngaphambilini.
- Uma kunezinkinga emshadweni wakho noma ebudlelwaneni bakho.
- Uma uwedwa kungekho muntu ozokusiza noma okhuluma naye.
- Uma ubunemizwa exubile (ejabulisayo nedabukisayo) ngokukhulelwa kwakho.
- Uma ukukhulelwa kwakunzima (isibonelo, uma uhlaselwe izifo ezahlukahlukene, noma uma ubelethe ngaphambi kwesikhathi).
- Uma ingane inezinkinga zempilo.
- Ukuba ngumama ongayedwa noma ukuba ngumama usemncane, ungaphansi kweminyaka engama-20.
- Uma unezingane eziningi ngesikhathi esisodwa, njengamawele noma amawele amathathu.
Uma unalezi zici eziyingozi, kubaluleke kakhulu ukuzazi kusenesikhathi futhi ulungele ukucela usizo uma kudingeka.
Umlayezo Wokuya Nawe Ekhaya
- Ukucindezeleka ngemva kokubeletha akusikho ubuthakathaka noma ukungafaneleki kwakho. Kuyisimo sezokwelapha esidinga ukwelashwa.
- Usizi olujwayelekile oluhambisana nokuba nomntwana emasontweni amabili okuqala ("ubuhlungu besisu") kanye ne-PPD yizinto ezimbili ezihlukene. Uma usizi noma intukuthelo iqhubeka isikhathi esingaphezu kwamasonto amabili, khathazeka.
- Khuluma nomlingani wakho, umndeni, noma umngane omethembayo ngemizwa yakho, ikakhulukazi ngosizi kanye nesizungu osizwayo. Kungamandla amakhulu.
- Ungalokothi ube namahloni okukhuluma ngalokhu. Ungalibali bese ucela usizo kudokotela wakho. Uma uqala ukwelashwa ngokushesha, kulapho ungalulama khona ngokushesha.
- Uma unemicabango yokuzilimaza wena noma ingane yakho, kuyisimo esiphuthumayo sezokwelapha. Yiya e -ETU (Emergency Treatment Unit) yesibhedlela ngokushesha.
- Awuwedwa. Baningi abantu abangakusiza, futhi ngokwelashwa okufanele, ungabuyela empilweni yakho evamile futhi ujabule ngengane yakho.
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