Umntwana omusha uyinjabulo eyengeziwe emndenini. Kodwa njengomama omusha, ungase uzizwe ucindezelekile kakhulu, ukhathazekile, futhi mhlawumbe udabukile ngendlela engaqondakali kanye nale njabulo. Ngezinye izikhathi ungase uzibuze, "Kungani lokhu kwenzeka kimi? Kungani ngingumuntu odabukile kuphela lapho wonke umuntu ejabule?" Akudingeki uzizwe uwedwa. Lokhu akuyona into eyenzeka kuwe wedwa. Namuhla sizokhuluma ngento ebaluleke kakhulu ezosisiza siqonde le mizwa.
Iyini i-Edinburgh Postpartum Depression Scale (EPDS)?
Kalula nje, i-Edinburgh Postnatal Depression Scale (EPDS) iyinhlolovo elula kakhulu ongayigcwalisa wena. Ibheka kakhulu ukuthi unazo yini izimpawu zokucindezeleka ngesikhathi sokukhulelwa kanye nonyaka wokuqala ngemva kokuthola umntwana. Uma sikhuluma iqiniso, kuyindlela oziphathela yona.
Le mibuzo inemibuzo eyi-10. Umbuzo ngamunye ubuza ukuthi ubuzizwa kanjani ngesonto eledlule. Le mibuzo ibuza ngemizwa evame kakhulu ngesikhathi sokucindezeleka kwangemva kokubeletha, njengokuzizwa unecala, ukhathazekile, nokuzizwa sengathi konke kungaphezu kwamandla akho.
Igama layo livela edolobheni lase-Edinburgh, eScotland, lapho yasungulwa khona okokuqala. Namuhla, i-EPDS iyindlela ethandwa kakhulu futhi enembile esetshenziswa ukuxilonga ukucindezeleka kwangemva kokubeletha emhlabeni jikelele.
Ngokusho kochwepheshe, lokhu kuhlolwa kuvame ukwenziwa izikhathi eziningana ngesikhathi sokukhulelwa, ekuhlolweni kwangemva kokubeletha kwamasonto ayisithupha, bese kuba ngemva kwezinyanga eziyisithupha kanye nonyaka. Lokhu kungakunika ukuqonda okungcono ngesimo sakho sengqondo.
Leli phuzu lingakusiza ukuthi uqonde ukuthi usengozini yini yokuthola ukucindezeleka kwangaphambi kokubeletha nokuthi udinga ukwelashwa yini. Futhi liyithuluzi elihle lokuhlola impilo yengqondo yomlingani wakho.
Kuyini Ukucindezeleka Kwangemva Kokubeletha?
Lesi yisifo sengqondo esenzeka ngemva kokuthola umntwana. Sithinta cishe omama abasha abangu-13%. Sibonakala ngokudabuka okungabekezeleleki, ukukhathazeka, kanye nokulahlekelwa isithakazelo ezintweni ezazijabulisa. Ngokuvamile siqala phakathi namasonto amathathu okuqala okuthola umntwana. Kodwa-ke, singavela nganoma yisiphi isikhathi phakathi nonyaka wokuqala.
Abantu abaningi abafuni ukwelashwa ngalokhu. Lokhu kungaba ngenxa yamahloni noma ukwesaba "lokho abanye abazokusho." Kodwa uma kungelashwa, kungenza kube nzima ngawe ukuzinakekela wena kanye nomntwana wakho. Kungathinta ubuhlobo bakho nomntwana wakho ngisho nekhono lakho lokuncelisa. Ngakho-ke kubalulekile ukuqaphela lokhu.
Ingabe nawe unalezi zimpawu? Bese uzama i-EPDS.
Kuvamile ukuzizwa udabuke kancane, ucasukile, futhi uzizwa unemizwa eguquguqukayo ngemva kokuthola umntwana. Lokhu sikubiza nangokuthi "ukucindezeleka komntwana." Kodwa uma le mizwa iqhubeka isikhathi esingaphezu kwamasonto amabili , kungaba ukucindezeleka kwangemva kokubeletha.
Bheka ithebula elingezansi bese ucabanga ukuthi unazo yini lezi zici.
| Isibonakaliso | Incazelo |
|---|---|
| Usizi olungenakubekezeleleka | Ngihlala ngizizwa ngingenalutho, ngidabukile futhi ngingenathemba. Ngikhala ngeze. |
| Ukulahlekelwa isithakazelo kunoma yini | Angisafuni ukwenza izinto engangizijabulela (ukubukela i-TV, ukukhuluma nabangani). |
| Izinguquko zokulala | Ngilala njalo, noma angilali nhlobo. Angizizwa ngifisa ukulala ngisho noma ingane ilele. |
| Ukukhathazeka okukhulu | Ngizwa umthwalo omkhulu enhliziyweni yami, umuzwa wokwesaba nokukhathazeka okungadingekile. |
| Izinguquko ekudleni | Ungase ulahlekelwe yisifiso sokudla noma udle kakhulu, okungaholela ekwehleni noma ekukhuleni kwesisindo. |
| Imizwa yecala | Imizwa efana nokuthi “Angisiye umama omuhle” nokuthi “Ngiyisehluleki” ivame ukufika engqondweni. |
| Ukunaka kanye nenkumbulo | Ukukhohlwa izinto, ukuba nobunzima bokugxila entweni eyodwa. |
| Ukusondelana nomntwana | Kuzwakala sengathi kunzima ukunakekela umntwana nokusondelana naye. |
| Imicabango eyingozi | Ukuba nemicabango yokuzilimaza wena noma ingane. |
Uma unezinye zalezi zimpawu, ikakhulukazi uma unemicabango yokuzilimaza wena noma ingane yakho, sicela ubone udokotela ngokushesha. Lokhu akuyona into yokufihla. Udinga usizo.
Yini ongayilindela esivivinyweni se-EPDS?
Lokhu kulula kakhulu. Ungaluthola lolu hlu lwemibuzo ku-inthanethi, noma ungalucela kudokotela wakho. Kuzothatha cishe imizuzu emi-5 ukuqeda.
Kumbuzo ngamunye kweyi-10, kufanele ukhethe impendulo echaza kangcono indlela ozizwe ngayo ezinsukwini eziyi-7 ezedlule. Isibonelo, kungase kube nemibuzo efana nale:
- Umbuzo: Ngikwazile ukujabula nokuba nethemba ngezinto.
- [+0] Bengikwazi ukukwenza cishe nsuku zonke.
- [+1] Kuncane kancane kunangaphambili
- [+2] Kuncane kakhulu kunangaphambili
- [+3] Akunakwenzeka nhlobo.
- Umbuzo: Ngazizwa ngikhathazekile noma ngesaba ngaphandle kwesizathu.
- [+0] Cha, akunjalo nhlobo.
- [+1] Akuvamile kakhulu
- [+2] Yebo, ngezinye izikhathi.
- [+3] Yebo, isikhathi esiningi.
- Umbuzo: Ngike ngaba nemicabango yokuzilimaza.
- [+0] Akukaze kwenzeke.
- [+1] Akuvamile kakhulu
- [+2] Ngezinye izikhathi
- [+3] Yebo, isikhathi esiningi.
Lo mbuzo wokugcina ubaluleke kakhulu. Uma unemicabango emincane njengale, kufanele ukhulume nodokotela wakho ngakho ngaphandle kokungabaza.
Isikolo se-EPDS kanye nencazelo yaso
Impendulo ngayinye ithola amaphuzu kusukela ku-0 kuya ku-3. Inani eliphezulu lamaphuzu ongawathola lingu-30. Ngokusekelwe kula maphuzu, isimo sakho singahlukaniswa kanje.
| Ububanzi besikolo | Incazelo (cishe) |
|---|---|
| 0 - 6 | Azikho noma izimpawu zokucindezeleka ezincane kakhulu. |
| 7 - 13 | Ibonisa izimpawu zokucindezeleka ezincane (amaphuzu angaphezu kwe-10 adinga ukunakwa okwengeziwe). |
| 14 - 19 | Izimpawu zokucindezeleka eziphakathi nendawo. |
| 19 - 30 | Izimpawu zokucindezeleka ezibalulekile. |
Odokotela bavame ukubheka amaphuzu angu-10 noma angu-13 njengomkhawulo. Lokhu kusho ukuthi uma amaphuzu akho ephakeme kunalokho, ungadinga ukuhlolwa okwengeziwe nosizo.
Kodwa khumbula lokhu: I-EPDS ayilona ithuluzi lokuxilonga. Okusho ukuthi, ayikwazi ukukutshela ngokuqiniseka okungu-100% ukuthi unesifo sokucindezeleka ngemva kokubeletha ngokusekelwe kumaphuzu akho kuphela. Ikhomba kuphela labo abasengozini. Ukuze uthole ukuxilongwa okunembile, kufanele nakanjani ubone udokotela ofanelekayo, njengodokotela wezifo zengqondo.
Ungaluthola kanjani usizo?
Uma amaphuzu akho engaphezu kwe-10, noma noma amaphuzu akho ephansi, usazizwa sengathi "kukhona okungahambi kahle ngami," ngicela ungakushayi indiva. Kunzima kakhulu ukubhekana nalolu hlobo lokucindezeleka ngenkathi unakekela umntwana omusha.
Bheka udokotela wakho wezifo zabesifazane/odokotela bezifo zabesifazane (OB/GYN) noma uchwepheshe wezempilo yengqondo ukuze uthole ukuhlolwa okuphelele.
Udokotela wakho uzoxoxa nawe ngale miphumela, akubuze eminye imibuzo, bese ekutshela ukuthi wenzeni ngokulandelayo. Angase futhi akucele ukuthi uphinde wenze isivivinyo cishe emavikini amabili.
Izindlela zokwelapha zifaka phakathi ukwelashwa kokukhuluma kanye nemithi yokucindezeleka. Iphilisi elibizwa ngokuthi i-Zuranolone (Zurzuvae) nalo livunyelwe kulesi simo. Khuluma nodokotela wakho ukuze uthole ukuthi kuphephile yini ukuncelisa ngenkathi uthatha lo muthi.
Kubalulekile futhi ukuba nokusekelwa okuhle. Buza udokotela wakho ngamaqembu okusekelana ongawajoyina.
Umlayezo Wokuya Nawe Ekhaya
- I-EPDS iyinhlolovo elula esetshenziselwa ukubona ukuthi unazo yini izimpawu zokucindezeleka ngemva kokubeletha umntwana.
- Lokhu kwenzelwa nje ukuhlonza labo abasengozini. Lokhu akusikho ukuxilongwa.
- Uma amaphuzu akho engaphezu kwe-10 noma uzizwa ungakhululekile ngokwengqondo, qiniseka ukuthi ubona udokotela.
- Ukucindezeleka kwangemva kokubeletha akumelwe ube namahloni ngakho. Kunezindlela zokwelapha eziphumelelayo. Ungesabi ukucela usizo.
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