Injabulo yokwamukela umntwana ayichazeki, akunjalo? Wonke umndeni ulindele ngabomvu ukufika kwelungu elisha. Kodwa ngezinye izikhathi, kanye nale njabulo, omama abasha baqala ukuzizwa bedabukile kakhulu, bekhathazekile, benesizungu, kanye nomuzwa wokungabi nalutho. Wake wazizwa ngale ndlela? Akulona iphutha lakho ukuthi uzizwa ngale ndlela. Lokhu yilokho esikubiza ngokwezokwelapha ngokuthi ukucindezeleka kwangemva kokubeletha , noma "Ukucindezeleka Kwangemva Kokubeletha - PPD". Nakuba abantu abaningi bengathandi ukukhuluma ngalokhu, lesi yisihloko esibaluleke kakhulu okudingeka sonke sisiqaphele.
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Kalula nje, kuyini ukucindezeleka ngemva kokubeletha (PPD)?
Abantu abaningi badidanisa lokhu ne-"Baby Blues." Kodwa lezi yizinto ezimbili ezihlukene.
- Ukudabuka Kwezingane: Lesi yisimo esivamile esiba khona omama abaningi emavikini amabili okuqala ngemva kokubeletha. Bazizwa bedabukile, bekhala ngezinto ezincane, futhi bezizwa bekhathazekile. Isizathu esiyinhloko salokhu ukushintsha okungazelelwe kwamazinga ama-hormone emzimbeni. Kodwa-ke, lesi simo sivame ukuphela ngokwaso phakathi nesonto noma amabili.
- Ukucindezeleka Kwangemva Kokubeletha (PPD): Lesi yisimo esibi kakhulu, sesikhathi eside. Lokhu kudabuka nokukhathazeka kungahlala izinyanga eziningi. Kungaba nomthelela omkhulu emisebenzini yansuku zonke kamama, ebuhlotsheni bakhe nomntwana wakhe, kanye nempilo yomndeni wakhe.
Cabanga ngalokhu: Omama ababalelwa ku-17 kwabayi-100 emhlabeni wonke bahlushwa yi-PPD. Lokhu kusho ukuthi kuvame kakhulu kunalokho ongakucabanga. Kungaholela ekunciphiseni ukuncelisa, ukuqina kwesibopho phakathi kukamama nomntwana, kanye nokukhubazeka kokuziphatha, ngokomzwelo, kanye nokukhula kobuchopho enganeni. Kwezinye izimo ezimbi kakhulu, omama bangase bazibulale. Ngakho-ke lokhu akuyona into okufanele ithathwe kalula.
Into ebalulekile ukuthi lokhu akusikho ubuthakathaka bakho, futhi akusho ukuthi awuyena umama omuhle. I-PPD iyisimo esingelapheka.
Yiziphi izici ezivamile ze-PPD?
Lezi zimpawu zingase zingabi zifana kuwo wonke umuntu. Abanye abantu bangase babe nezimbalwa zalezi, kanti abanye bangase babe nezingaphezu kweyodwa. Bona ukuthi uzizwa yini ezinye zalezi zinto.
| Uhlobo oluyisici | Incazelo (Ingabe uzizwa ngale ndlela?) |
|---|---|
| Izici ezingokomzwelo |
|
| Izici zokuziphatha | |
| Izici zomzimba |
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Njengamanje, sisebenzisa imithi yokucindezeleka kanye neyokwelapha ingqondo ukwelapha i-PPD. Kodwa kuthatha amasonto amaningana, ngezinye izikhathi izinyanga ezingu-2-3, ukuthi le mithi isebenze, okusho ukuthi uqala ukuzizwa ungcono. Lesi kungaba isikhathi eside nesinzima kumama obhekene nomntwana omusha.
Kodwa manje kunethemba elihle ngalokhu. I-US FDA (inhlangano elawula izidakamizwa efana ne-NMRA ezweni lakithi) icabanga ukwamukela umuthi omusha obizwa ngokuthi i-Zuranolone .
Yini ekhethekile ngalo muthi omusha?
Into enkulu nebaluleke kakhulu ngalo muthi ukuthi usebenza ngokushesha okukhulu. Ngokusho kocwaningo lwamuva nje, izimpawu ziqala ukwehla zingakapheli izinsuku ezintathu zokusebenzisa lo muthi.
Lolu cwaningo luhilele omama abasha abangu-196 abane-PPD embi kakhulu.
- Ngesikhathi benikwa lo muthi obizwa ngokuthi iZuranolone izinsuku ezingu-14, ama-57%, okungukuthi, angaphezu kwesigamu, ayenokwehla okukhulu kwezimpawu.
- Ekupheleni kwesikhathi sokwelashwa sezinsuku ezingu-14, ama-27%, noma ngaphezulu kwekota, ayesekhululekile cishe ngokuphelele.
- Into ebaluleke kakhulu ukuthi abantu abaningi abaye babhekana nalokhu kuthuthuka baye balondoloza isimo sabo esihle kuze kube yizinsuku ezingu-45 ngemva kokuyeka imithi.
Lokhu kuyintuthuko enkulu ngempela, ngoba esikhundleni sokubhekana nokuhlupheka izinyanga eziningi, ukukwazi ukuthola impumuzo ezinsukwini ezimbalwa nje kuyisibusiso esikhulu komama abasha.
Kodwa kunezinye izinto okudingeka sizazi.
Nakuba kukhona amathemba amahle ngalo muthi, kunezinto ezimbalwa okudingeka siziqaphele ngoba usesesigabeni socwaningo.
1. Imiphumela emibi: Imiphumela emibi eyinhloko ebikiwe ukozela, isiyezi, kanye nokuphelelwa yikhanda. Ngakho-ke, uma uthatha lo muthi, kufanele ugweme ukushayela noma ukusebenzisa imishini edinga ukuqaphela.
2. Imikhawulo yalolu cwaningo: Lolu cwaningo lwenziwa kuphela komama abane-PPD enzima futhi aluzange lubandakanye labo abanomlando wezinye izifo zengqondo, njenge-bipolar disorder.
3. Ukuncelisa (IPHUZU ELIBALULEKILE): Lena yinkinga enkulu okwamanje. Omama abahlanganyele kulolu cwaningo babengavunyelwe ukuncelisa. Ngakho-ke, akukacaci ukuthi lo muthi udlulela enganeni ngobisi lwebele, ukuthi uyayithinta yini ingane, nokuthi umthinta kanjani umama oncelisayo. Ngakho-ke, kudingeka kwenziwe ucwaningo olwengeziwe ngaphambi kokuba lunconywe koomama abancelisayo.
Uma unalezi zimpawu, yini okufanele uyenze?
Uma ufunda lesi sihloko futhi ucabanga ukuthi wena, umkakho, udadewenu, noma umngane wakho ningaba nalezi zimpawu, sicela wenze lezi zinto.
- Ungahlupheki wedwa: Lena yinto ebaluleke kakhulu. Tshela umyeni wakho, ilungu lomndeni, noma umngane ukuthi uyamethemba okusengqondweni yakho. Ukwabelana ngomthwalo wakho kungaba impumuzo enkulu.
- Funa iseluleko sezokwelapha: Lokhu akusikho okufanele ube namahloni ngakho noma ukukufihla. Lesi yisimo esingathinta noma ubani. Ngakho-ke qiniseka ukuthi ukhuluma nodokotela womndeni wakho, udokotela wezifo zabesifazane, noma udokotela wezifo zengqondo. Bazokwazi ukukusiza.
- Zenzele isikhathi: Ngesikhathi unakekela ingane yakho, zinike isikhathi sokuzenzela okuthile. Ngisho nento elula njengokufunda incwadi, ukulalela ingoma, noma ukuphefumula isikhashana engadini kungaba yinto ezolisayo engqondweni yakho.
Kuzothatha isikhathi ukuthi lo muthi omusha ufike eSri Lanka, kodwa umyalezo osinika wona ukuthi isayensi yezokwelapha igxile kakhulu kulesi simo nokuthi kunethemba lokwelashwa okungcono nokusheshayo esikhathini esizayo.
Umlayezo Wokuya Nawe Ekhaya
- Ukucindezeleka Kwangemva Kokubeletha (PPD) kuyisimo esibucayi kakhulu kune-"baby blues" futhi kudinga ukwelashwa. Akulona iphutha lakho noma ubuthakathaka bakho.
- Uma ubona izimpawu ezinjengokudabuka njalo, intukuthelo, ukunganaki ingane yakho, noma ukuqwasha, ungazinaki.
- Umuthi omusha, osebenza ngokushesha obizwa ngokuthi i-Zuranolone uyathembisa, kodwa usemusha futhi udinga ucwaningo olwengeziwe, ikakhulukazi mayelana nemiphumela yawo ekunceliseni.
- Uma wena noma othile omaziyo ebhekene nezimpawu ze-PPD, into engcono kakhulu nebaluleke kakhulu okufanele uyenze ukungahlupheki wedwa, kodwa ukufuna iseluleko kudokotela noma kuchwepheshe wezokwelapha ngokushesha.
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