Ngalolo suku, umnyango wekliniki yethu wavuleka ngokuzumayo. UShanika (oneminyaka engu-31) wangena, ebheke phansi, ephethe ingane encane ezandleni zakhe. Kwakuwusuku olujwayelekile, kodwa ngokushesha nje lapho ngibona ubuso bukaShanika, ngaqaphela ukuthi lolu kwakungelona usuku olujwayelekile kuye. Wayebonakala ekhathele kakhulu futhi enenhliziyo esindayo.
"Ngena Shanika, hlala phansi," ngisho ngimomotheka. Wazama ukuzenza sengathi uyamomotheka, kodwa amehlo akhe agcwele izinyembezi. Waphefumula kakhulu wahlala phansi.
"Dokotela Priya, bengicabanga ukuthi ngizojabula kakhulu ngemva kokuthola umntwana. Kodwa manje ngizizwa ngingenalutho. Ngezinye izikhathi ngizizwa ngesaba ngokungenangqondo. Ngizizwa sengathi ngiyahlanya lapho umntwana ekhala. Angiyena yini umama omuhle, Dokotela? Angiqondi ukuthi kukhona okungahambi kahle ngami." UShanika waqala ukukhala.
Ngambamba ngesandla ngamthulisa. "Shanika, ungakhathazeki. Awuwedwa kulokhu. Lokho okuzwayo kuyinto evamile ngokwezokwelapha. Lokhu akulona iphutha lakho. Ngakho-ke namuhla, ake sixoxe ngalezi zinguquko zengqondo eziba khona omama abasha ngemva kokuthola umntwana nokuthi bangalulama kanjani kuzo."
Kuyini i-Baby Blues? (Uma imizwa igcwele kakhulu)
Ukushintshashintsha kwemizwa kwesikhashana okwenziwa omama abaningi abasha emasontweni amabili okuqala ngemva kokubeletha kwaziwa ngokwezokwelapha ngokuthi yi-Baby Blues .
Lesi yisimo esivame kakhulu esithinta cishe omama abangu-80% ngemva kokubeletha.
Izimbangela Zokuzizwa Ukhathele Kakhulu Kwengane:
- Izinguquko zama-hormone: Ngemva nje kokubeletha, amazinga e-estrogen ne-progesterone emzimbeni kamama ehla ngokushesha.
- Ukukhathala ngokomzimba kanye nokungalali kahle: Ukungalali kahle kanye nokukhathala izinsuku eziningi.
- Imithwalo yemfanelo emisha: okulindelwe okusha kanye nengcindezi ezwakalayo lapho kunakekelwa umntwana.
Kwenzekani ngesikhathi se-Baby Blues:
- Imicabango evame ukukhala noma izinyembezi ziwela ngaphandle kwesizathu.
- Ukuthukuthela ngezinto ezingasho lutho kanye nokungazinzi ngokomzwelo.
- Ubunzima bokuphumula nokungalali.
- Lesi simo sivame ukuqala ezinsukwini ezingu-2-3 ngemva kokubeletha futhi siphele ngokwemvelo zingakapheli amasonto amabili ngaphandle kokwelashwa.
Uma ubuhlungu besisu buhlala isikhathi esingaphezu kwamasonto amabili: Ukucindezeleka Kwangemva Kokubeletha
NjengoShanika, kwabanye omama, le mizwa yokudabuka ayipheli ngisho nangemva kwamasonto amabili. Uma iba mibi kakhulu, kungaba yisimo esibi esibizwa ngokuthi i-Postpartum/Postnatal Depression (PND) .
Lokhu akukhona nje ukudabuka noma ukungabi nalutho. Lesi yisimo sezokwelapha esidinga ukwelashwa.
Izimpawu eziyinhloko zokucindezeleka kwangemva kokubeletha yilezi:
- Ukuphelelwa yithemba okuqhubekayo: Umuzwa wokudabuka okukhulu, ukuphelelwa yithemba, kanye nokungabi nalutho okuhlala usuku lonke.
- Ubunzima bokusondelana nomntwana: Ukungafuni ukubuka noma ukumbamba umntwana wakho noma ukungabi nothando ngomntwana.
- Ukukhathala okukhulu: Ukuzizwa ungenawo amandla okwenza noma yimuphi umsebenzi kanye nokudinwa okuqhubekayo.
- Izinkinga zokulala: Ukungalali noma ukuzama ukulala kakhulu, ngisho nalapho ingane ilele.
- Ukuzizwa unecala: Ukuzibeka icala njalo ngokungabi umama omuhle.
- Ukukhathazeka: Ukwesaba okuqhubekayo nokungenangqondo ukuthi ingane izoba sengozini.
🚨 Amafulegi Abomvu adinga ukunakekelwa kwezokwelapha okusheshayo
Uma uhlangabezana nezimpawu ezilandelayo ezinzima zokucindezeleka kwangemva kokubeletha, kufanele ufune usizo lwezokwelapha ngokushesha:
- Imicabango yokuzilimaza noma yokuzilimaza ingane: Ukuzizwa sengathi akukho sizathu sokuphila, ukucabanga ngokuzibulala, noma ukucabanga ngokulimaza ingane.
- I-Postpartum Psychosis: Ukuzizwa sengathi ingane akuyona eyakho, ukubona izinto noma ukuzwa imisindo engekho (ukungaqondi), kanye nokuziphatha okunobudlova kakhulu.
- Ukuba wedwa ngokuphelele: ukuzihlukanisa ekamelweni lakho ngaphandle kokuxhumana nomhlaba wangaphandle kanye nokwenqaba ngokuphelele ukuncelisa noma ukunakekela ingane.
Indlela yokwelapha ukucindezeleka kwangemva kokubeletha?
Lesi yisimo esingalapheka ngokuphelele ngokwelashwa okufanele.
1. Ukwelulekwa kanye ne-CBT: Ukwelulekwa kwengqondo kanye nokwelashwa ngenkulumo (Cognitive Behavioral Therapy) kungasiza umama ukuthi ashintshe imicabango yakhe ibe mihle futhi alawule ukucindezeleka.
2. Imithi yokucindezeleka: Udokotela wakho angase akunike imithi yokusiza ukulawula ukucindezeleka. Le mithi iphephile komama abancelisayo futhi ayithinti ingane.
3. Amaqembu Okusekelana: Ukushintshana ngemibono nabanye omama abake baba nokuhlangenwe nakho okufanayo kunikeza impumuzo yengqondo.
Amathiphu Okunakekela Asebenzayo (Amathiphu Omnakekeli)
- Thola usizo kwabanye: Vumela umyeni wakho noma umndeni wakho benze imisebenzi yasekhaya efana nemisebenzi yasekhaya, ukupheka, noma ukuwasha izingubo zomntwana. Ungazami ukuzenzela yonke into wena.
- Phumula: Yenza umkhuba wokulala noma ukuphumula njalo uma ingane yakho ilele.
- Yiba matasa: Ukuyisa ingane yakho ngaphandle ukuze ithole umoya omusha nokuhambahamba kancane kungasiza ekuphumuzeni ingqondo yakho.
- Ungazishayi: Amaphutha angenzeka uma uqala ukuncelisa noma ukunakekela umntwana. Khumbula ukuthi uyafunda.
Okumele Ukwenze Nokungafanele Ukwenze
| ✔️ Izinto okufanele uzenze (Okufanele Uzenze) | ❌ Okungafanele ukwenze |
|---|---|
| Khuluma ngokukhululekile ngokucindezeleka nemizwa yakho nomyeni wakho noma umndeni wakho. | Ungagcini imizwa yakho ivaliwe ngaphakathi, uzizwa unamahloni noma unecala. |
| Ngesikhathi unakekela ingane yakho, beka eceleni okungenani imizuzu eyi-15 ngosuku. | Ungazicindezeli ngokungadingekile ngokuzama ukuba ngumama ophelele amahora angama-24 ngosuku. |
| Uma kudingeka, xhumana nombelethisi wakho noma udokotela ngokushesha. | Ungasebenzisi amaphilisi okulala noma eminye imithi ngokungadingekile ngaphandle kweseluleko sikadokotela. |
❓ Eminye imibuzo ongase ube nayo (Imibuzo Ebuzwa Njalo)
Ingabe obaba bangaba nokucindezeleka ngemva kokubeletha ?
Yebo. Ukucindezeleka kwangemva kokubeletha kungathinta nobaba. Ucwaningo lukhombisile ukuthi obaba abangafika ku-10% nabo babhekana nalesi simo njengoba bebhekene nemithwalo yemfanelo emisha, izingcindezi zezimali, ukuntuleka kokulala, kanye nezinguquko ezingokomzwelo zomkabo.
Ingabe imithi yokucindezeleka iphephile komama abancelisayo ?
Yebo. Odokotela batusa imithi ephephile efanelekela kakhulu omama abancelisayo futhi edlulisela inani elincane kakhulu enganeni ngobisi lwebele (isb., ama-SSRI njenge-Sertraline). Ngakho-ke, kuphephile ukuthatha imithi ngaphansi kweseluleko sikadokotela.
Kwenzekani uma ukucindezeleka kwangemva kokubeletha kungelashwa? ▼
Uma singelashwa, lesi simo singahlala izinyanga noma ngisho neminyaka. Silimaza ubudlelwano bukamama nomntwana, sithinte kabi intuthuko yengane kanye nobudlelwano bomndeni.
Uyini umehluko omkhulu phakathi kwe-Baby Blues kanye ne-Postpartum Depression ?
Ukucindezeleka kwengane kuwukukhathazeka okuncane okwenzeka ezinsukwini ezimbalwa zokuqala ngemva kokubeletha futhi kuphele ngokwemvelo zingakapheli amasonto amabili. Ukucindezeleka ngemva kokubeletha kuyisimo sokucindezeleka esijulile esihlala isikhathi esingaphezu kwamasonto amabili, siphazamisa impilo yansuku zonke, futhi sidinga ukwelashwa kochwepheshe.
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