Ingabe nawe uzwa intukuthelo engabekezeleleki ngemva kokuthola umntwana? (Ulaka Lwangemva Kokubeletha) Ake sixoxe ngalokhu!

Impilo kamama omusha ishintsha kangakanani ngemva kokuthola umntwana? Ngakolunye uhlangothi, ngenkathi uzizwa ujabule kakhulu, ngakolunye uhlangothi, ungazizwa ukhathele kakhulu, ngezinye izikhathi ukhathazekile, noma uthukuthele ngisho nezinto ezincane. Ingabe uthukuthela ngokuzumayo futhi uzizwe sengathi ufuna ukumemeza ngisho nezinto ezincane kakhulu? Uma kunjalo, qala uqonde ukuthi lokhu akuyona into eyenzeka kuwe wedwa . Namuhla, ake sixoxe ngale ntukuthelo engabekezeleleki abanye omama abayitholayo ngemva kokubeletha, isimo esibizwa ngokuthi "Ulaka Lwangemva Kokubeletha".

Kuyini ukuthukuthela kwangemva kokubeletha?

Kalula nje, intukuthelo yangemva kokubeletha iwumuzwa onamandla, ongalawuleki wentukuthelo, ukungaphumuli, noma ulaka abanye omama abaluzwayo ngemva kokubeletha, ikakhulukazi emavikini ambalwa okuqala kuya ezinyangeni. Ezinye izifundo zikhombisile ukuthi intukuthelo yangemva kokubeletha ingenzeka kanye nezinye izimo zangemva kokubeletha, njengokucindezeleka kwangemva kokubeletha kanye nokukhathazeka kwangemva kokubeletha. Kuvamile ukuzwa izinguquko ezithile empilweni yakho yengqondo kanye nemizwa yakho ngemva kokuthola umntwana. Cabanga ngakho: ama-hormone akho ayashintsha kakhulu , inqubo yakho iyashintsha ngokuphelele, futhi uzizwa ukhungathekile yimithwalo yemfanelo emisha. Konke lokhu kungabhebhethekiswa ukulala kahle . Kodwa into ebaluleke kakhulu ukuthi lezi zinguquko zingezesikhashana . Awuwedwa, futhi uma uzizwa ngale ntukuthelo, ukukhungatheka, noma ukukhungatheka, ungathola usizo. Ochwepheshe abakaqondi ngokugcwele ukuthi kungani abanye abantu bezwa le ntukuthelo engalawuleki ngemva kokuthola umntwana. Futhi, "Intukuthelo Yangemva Kokubeletha" ayikakabi yisimo sezokwelapha esiqashelwa ngokusemthethweni. Kodwa-ke, abahlinzeki bezempilo, okungukuthi odokotela, bayaqaphela ukuthi lesi simo sikhona futhi bangakusiza. Into engcono kakhulu ongayenza ukukhuluma nodokotela ngezimpawu nemizwa yakho. Bese benquma ukuthi bangakusiza kanjani.

Okubalulekile: Uma unemicabango yokuzilimaza wena, ingane yakho, noma omunye umuntu, sicela ushayele inombolo yakho yezimo eziphuthumayo eseduze nawe ngokushesha (njenge-1990 Suwaseriya eSri Lanka) ukuze uthole usizo. Uma ucabanga ukuthi othile oseduze nawe ukulesi simo, msekele noma umsize athole iseluleko sezokwelapha.

Ingabe lokhu kuthukuthela kuyingxenye yokucindezeleka kwangemva kokubeletha?

"Ulaka Lwangemva Kokubeletha" kanye "Nokucindezeleka Kwangemva Kokubeletha" kuyizinto ezihlukile, kodwa ezihlobene kakhulu.Imibuzo emibili. `(Ulaka Lwangemva Kokubeletha)` yilapho uqhuma khona intukuthelo ongakwazi ukuyilawula. Kodwa-ke, ungase ubhekane nale ntukuthelo enamandla kanye nezimpawu `(Ukucindezeleka Kwangemva Kokubeletha)`, njengokudabuka, umuzwa wecala, kanye nesizungu. Into ebalulekile ukuthi ungabhekana nale ntukuthelo ngisho noma ungenalo ukucindezeleka . Futhi, akuwona wonke umuntu `(Ukucindezeleka Kwangemva Kokubeletha)` ozobhekana nale ntukuthelo. `(Ulaka Lwangemva Kokubeletha)` alukakafundwa ngokujulile okwamanje. Ochwepheshe abaningi abakubheki njenge-`(Ukuphazamiseka Kwemizwa)` njenge-`(Ukucindezeleka Kwangemva Kokubeletha)`. Kodwa-ke, odokotela bayakwamukela ukuthi le ntukuthelo nokucindezeleka kungahambisana.

Ubani ongathola lesi simo esithi "Ulaka Lwangemva Kokubeletha"?

Ukuthukuthela kwangemva kokubeletha kungathinta noma ubani osanda kubeletha . Kuvame kakhulu emavikini ayisithupha okuqala kuya onyakeni ngemva kokubeletha. Kungenzeka futhi ukuthi kwenzeke kulabo asebevele benesifo sengqondo, njenge-bipolar disorder, noma labo abanezimpawu zokucindezeleka kwangemva kokubeletha.

Sivame kangakanani lesi simo?

Azikho izifundo eziningi ikakhulukazi ngentukuthelo yangemva kokubeletha. Ngokuvamile ayinakwa njengophawu lokucindezeleka kwangemva kokubeletha. Kodwa-ke, izinkinga zempilo yengqondo yangemva kokubeletha zivame kakhulu kunalokho ongase ucabange . Cishe umama oyedwa kwabane ubhekana nohlobo oluthile lwesimo sempilo yengqondo ngemva kokubeletha.

Ziyini izimpawu ze-`(Postpartum Rage)`?

Ngokungafani nezinye izimo zempilo yengqondo ezivamile ngemva kokubeletha njengokucindezeleka noma ukukhathazeka, uphawu oluyinhloko lokuthukuthela ngemva kokubeletha intukuthelo . Ngokucindezeleka, umuntu angase azizwe edabukile futhi akhale kakhulu. Ngokukhathazeka, umuntu angase azizwe esaba futhi ekhathazekile ngaso sonke isikhathi. Kodwa-ke, zonke lezi zimpawu zingavela kanyekanye . Lokho kusho ukuthi ungase uzizwe udabukile, uthukuthele, futhi ukhathazekile ngasikhathi sinye. Izimpawu zokuthukuthela ngemva kokubeletha zingahluka kumuntu nomuntu. Nazi ezinye izimpawu ezivamile:

• Kuzwakala sengathi uqhuma ngokuzumayo ngentukuthelo ngenxa yento encane engavamile ukukuthukuthelisa.
• Ukuzizwa sengathi uthethisa abanye, noma uthethisa ngempela.
• Ukuzizwa sengathi ushaya izinto ezifana nokushaya isiteringi semoto noma ukushaya iminyango.
• Ukucabanga ngesenzakalo noma into ethile isikhathi eside kunokujwayelekile , ukuthukuthela ngaso.
• Ukuzizwa sengathi awukwazi ukulawula intukuthelo yakho .
• Ukuthethisa nokumemeza kaningi kunokujwayelekile.
• Ukucasuka njalo, ukukhungatheka , nokuzizwa "ukhathazekile" ngisho nangezinto ezincane kakhulu.
• Ukuzizwa sengathi awukwazi ukubhekana nemizwa yakho .

Uma une-"Postpartum Rage", ungase uzizwe uthukuthele, ukhungathekile, futhi ukhungathekile ngaso sonke isikhathi. Abanye bakuchaza ngokuthi "ukuzizwa sengathi uvutha njalo" noma "ukuzizwa sengathi ufuna ukuphonsa umcamelo bese umemeza bese uwukhipha."

Yiziphi izimbangela ze-"Postpartum Rage"?

Abacwaningi bahlala bethola izinto ezintsha mayelana nokuphazamiseka kwemizwelo kwangemva kokubeletha (ukubeletha). Kunezimbangela eziningana ezingaba khona zokuthukuthela kwangemva kokubeletha. Ezinye zazo zifaka:

• Ukwehla okusheshayo nokungazelelwe kwamazinga ama-hormone i-estrogen ne -progesterone .
• Ukuba nomlando womuntu siqu noma womndeni wokucindezeleka noma ukukhathazeka .
• Izinguquko ezindleleni zokulala (ikakhulukazi ukungakwazi ukulala - lokhu kunomthelela omkhulu komama abasanda kuzalwa).
• Imizwa emisha kanye nemithwalo yemfanelo ehambisana nokunakekela umntwana.
• Izinguquko emzimbeni wakho, endleleni ophila ngayo, noma ebudlelwaneni bakho.

Ezinye izifundo zithole ukuthi okulindelwe emphakathini kanye nokwabantu ngabanye mayelana nokuba ngumzali kungaba nomthelela entukuthelweni yangemva kokubeletha. Isibonelo, ukuzizwa sengathi abanye bayakwahlulela ngendlela onakekela ngayo ingane yakho, uzizwa sengathi awufinyeleli okulindelwe njengomama, noma uzizwa sengathi ulwa nokubhekana nemithwalo yemfanelo yokuba ngumama. Cabanga, "U-anti wakho ukutshele ukuthi akayiniki ingane ubisi olwanele," noma "Uyathukuthela uma ungakwazi ukwenza umsebenzi wasekhaya umamazala wakho awulindele." Lezi zinhlobo zokucindezeleka komphakathi nazo zingaba nomthelela kulokhu.

Kungani ngithukuthela kangaka ngemva kokubeletha umntwana?

Uma ubulokhu uzizwa uthukuthele noma ucasukile ngemva kokuthola umntwana, awuwedwa . Ukuthukuthela kwangemva kokubeletha kuvamile, futhi kuvame ukwenzeka kanye nokucindezeleka kwangemva kokubeletha noma ukukhathazeka kwangemva kokubeletha. Kungazenzekela futhi ngokwakho. Impilo yakho izoshintsha kakhulu emavikini ngemva kokuthola umntwana, amaningi awo angaphandle kwamandla akho . Khuluma nodokotela wakho ngemizwa yakho. Ungabi namahloni ngemizwa yakho noma uzame ukuyifihla . Udokotela wakho ukhona ukukulalela nokukusiza uthole ukwelashwa okudingayo.

Ungayibona kanjani i-`(Postpartum Rage)`?

Intukuthelo yangemva kokubeletha ayiyona into echazwe ngokusemthethweni encwadini yakamuva ethi Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5-TR®). Odokotela bavame ukubheka intukuthelo yangemva kokubeletha njengophawu lwezinkinga zemizwa kanye nokukhathazeka kwangemva kokubeletha (PMADs) . Abahlinzeki bakho bokunakekelwa kokukhulelwa bavame ukukubuza imibuzo yokuhlola mayelana nesimo sakho sengqondo sangemva kokubeletha, ikakhulukazi ukucindezeleka kanye nokukhathazeka. Lokhu kuvame ukubuzwa ekuhlolweni kwakho kwangemva kokubeletha. Izimpendulo zakho zingabasiza ukuthi banqume ukuthi udinga usizo olwengeziwe noma izinsiza. Bazokubuza nemibuzo mayelana nokuthi wenza kanjani nokuthi uzivumelanisa kanjani nokuphila nomntwana omusha. Sicela uthembeke kubo . Bakhona ukukusiza futhi baqinisekise ukuthi uthola ukwesekwa okudingayo. Udokotela wezingane wengane yakho angakubuza nemibuzo ukuze abone ukuthi ubonisa izimpawu zokucindezeleka, ukukhathazeka, noma intukuthelo.

Yiziphi izindlela zokwelapha `(Postpartum Rage)`?

Unganqikazi ukutshela udokotela wakho wezifo zabesifazane noma udokotela womndeni ngezimpawu zakho. Bangakusiza ukuthi unqume ukuthi yikuphi ukwelashwa okukulungele ngokusekelwe ezimpawini zakho. Ezinye izinketho zokwelapha zifaka:

• Imithi: Eminye imithi, njenge-SSRIs (Selective Serotonin Reuptake Inhibitors) noma i-SNRIs (Serotonin and Norepinephrine Reuptake Inhibitors), ingasiza ekulawuleni intukuthelo yakho, noma "ukuqeda ukucindezeleka."
• Ukwelapha Ngengqondo: Lokhu kusho ukuthi ukuhlangana nodokotela wengqondo ukuze nixoxe ngalokho okuzwayo kanye nezindlela zokubhekana nesimo kungaba usizo kakhulu.
• Amaqembu okusekela: Ukujoyina amaqembu okusekela nabanye abazali abasha, kungaba ku-inthanethi noma mathupha, kungasiza ukuqinisekisa imizwa yakho futhi kukusize uqaphele ukuthi awuwedwa.
• Izinguquko zendlela yokuphila: Ukwenza izinguquko ezincane empilweni yakho yansuku zonke kungakusiza uzizwe ufana nawe futhi. Isibonelo, ukuthola umuntu ozomnakekela amahora ambalwa ngesonto ukuze nibe nesikhathi sodwa, noma ukucela umlingani wakho ukuba ancelise umntwana ngobunye ubusuku ukuze nilale kakhudlwana.

Unganciphisa kanjani ingozi "yokuthukuthela ngemva kokubeletha"?

Ezinye izici zingase zandise ingozi yakho yokuba nokucindezeleka kwangemva kokubeletha. Ezinye zazo zifaka:

• Ukuba nesifo sengqondo noma ukucindezeleka ngaphambilini.
• Ukuntuleka kosizo nokusekelwa ekhaya. (Lokhu kuyinto esithinta kakhulu eSri Lanka. Ukusekelwa ngumyeni nomndeni kubaluleke kakhulu).
• Ukuba nengane ekhubazekile noma inkinga yempilo.
• Ukubeletha okunzima nokubeletha.
• Ubunzima bokunakekela umntwana, njengobunzima bokuncelisa, ukukhala njalo (i-colic), kanye nokungalali kahle.
• Ezinye izehlakalo ezicindezelayo empilweni njengesehlukaniso, ukufa komuntu omthandayo, ukulahlekelwa umsebenzi.

Akunakwenzeka ukuvimbela ngokuphelele intukuthelo yangemva kokubeletha. Kodwa-ke, ungayinakekela imizwa yakho, ikakhulukazi uma unezinye zezinto eziyingozi ezishiwo ngenhla, futhi ungangabazi ukucela usizo.

I-"Postpartum Rage" ihlala isikhathi esingakanani?

Akukho sikhathi esibekiwe sokuthi izimpawu zakho ziphele. Kuncike ebunzimeni besimo sakho nokuthi usabela kanjani ekwelashweni . Into eyodwa eqinisekile - izimo zempilo yengqondo yangemva kokubeletha zingezesikhashana . Ngokusekelwa, ukwelashwa, nesikhathi, uzozizwa ungcono.

Ngingabhekana kanjani nalesi simo '(Ulaka Lwangemva Kokubeletha)'?

Awuwedwa, futhi kuvamile ukuzizwa ngale ndlela. Udokotela wakho angakusiza ukuthola ukwelashwa okukusebenzelayo. Nazi ezinye izinto ongazenza ukuze uzisize:

• Khuluma nomuntu ozolalela futhi akusekele - kungaba umeluleki, umngane, noma omunye umuntu oseduze.
• Zama ukubeka ukuzinakekela kuqala . Kunzima uma unakekela umntwana omusha, kodwa zama ukuthola isikhathi esincane sakho nsuku zonke. Mhlawumbe imizuzu eyi-15 nje yetiye.
• Zama ukubuyela ezintweni ozithandayo noma eminye imisebenzi owawuyijabulela ngaphambi kokuba nomntwana.
• Cela usizo ngemisebenzi yasekhaya kanye nomsebenzi wangaphandle. Ungesabi ukucela usizo noma ukwabela abanye imisebenzi.
• Yidla ukudla okunomsoco ngangokunokwenzeka, uvivinye umzimba, futhi unakekele umzimba wakho .
• Zinike isikhathi sokuqonda ukuthi yini ebangela intukuthelo yakho . Ukwenza kanjalo kuzokusiza ukuthi uphathe isimo.

Kufanele ngimbone nini udokotela?

Uma unezimpawu "zolaka lwangemva kokubeletha", njengentukuthelo enkulu kanye nomuzwa wokungakwazi ukulawula intukuthelo yakho, funa usizo kudokotela ngokushesha . Kuvamile ukuzizwa unemizwa ehlukahlukene ngemva kokuthola umntwana, ngakho ungabi namahloni okucela usizo noma ukufuna ukwelashwa. Umeluleki wezempilo yengqondo, Khuluma nodokotela owakubona ngesikhathi ukhulelwe, noma udokotela womndeni wakho, ubatshele ukuthi uzizwa kanjani. Bangakuqondisa ekusekelweni okufanele kakhulu kuwe. Kukhona nezikhungo zikahulumeni nezizimele eSri Lanka ezihlinzeka ngezinsizakalo zempilo yengqondo, futhi ungashayela inombolo kazwelonke yosizo lwezempilo yengqondo ethi 1926.

Ingabe "Ulaka Lwangemva Kokubeletha" lufana "ne-Postpartum Psychosis"?

Cha, azifani. I-Postpartum psychosis iyisimo esiphuthumayo sempilo yengqondo esibucayi kakhulu . Ihlanekezela umuzwa womuntu ngeqiniso, ibangele izinto ezinjengokubona izinto ezingekho, ukukhohlisa, kanye nokwesaba. Abantu abane-postpartum psychosis basengozini enkulu yokuzilimaza, ukuzibulala, noma ukulimaza izingane zabo. Intukuthelo yangemva kokubeletha ayiyona into embi njenge-postpartum psychosis, futhi ayihlanganisi lezo zimpawu.

Uyini umehluko phakathi kwe-`(Postpartum Rage)` kanye ne-`(Postpartum Depression)`?

Ukucindezeleka Kwangemva Kokubeletha kuthinta cishe omama abango-1 kwabayi-7 ababelethile. Abantu abanesifo Sokucindezeleka Kwangemva Kokubeletha bangase babe nokucindezeleka ngokomzwelo, ukukhala njalo, ukukhathala okukhulu, umuzwa wecala, nokukhathazeka, futhi bangase bakuthole kunzima ukunakekela ingane yabo. Abantu abane-Postpartum Rage bavame ukuba nemizwa ehlobene nentukuthelo noma efanayo . Imizwa yokukhungatheka, ukucasuka, intukuthelo, kanye nokufuna ukumemeza ivamile. Imizwa yokudabuka noma yokukhathazeka ayivamile kakhulu nge-Postpartum Rage, kodwa ivamile nge-Postpartum Depression (futhi kokubili kungenzeka kanyekanye).

Ingabe i-Bipolar Disorder ingenzeka ngemva kokukhulelwa?

Yebo, odokotela bangakwazi ukuxilonga isifo sokuphazamiseka kwengqondo noma nini, okuhlanganisa nangemuva kokubeletha. Uma unezimo zengqondo ezingavamile (isibonelo, ngokuzumayo uzizwa uphezulu kakhulu, ngokuzumayo uzizwa ucindezelekile, noma okuphambene nalokho) ngemva kokubeletha umntwana, khuluma nodokotela wakho ngokushesha . Abantu abanezimo zempilo yengqondo bangase babe sengozini yokuphazamiseka kwengqondo ngemva kokubeletha ngenxa yokuphazamiseka kokulala kanye nokushintsha kwama-hormone. Intukuthelo iwumuzwa onamandla. Ukuzizwa ucasukile, ukhungathekile, futhi uthukuthele amasonto noma izinyanga ezimbalwa ngemva kokubeletha kungaba uphawu lwentukuthelo yangemva kokubeletha. Uma uzithola uthukuthela ngezinto ezincane, ufuna ukumemeza noma ukushaya othile, sicela ubone udokotela ukuze akusize. Kuvamile ukuzwa imizwa ehlukahlukene njengoba ujwayela impilo nomntwana omusha. Kungushintsho olukhulu, futhi kungaba nzima kakhulu. Khumbula, le mizwa izodlula, futhi kunezindlela zokwelapha ezizokusiza uzizwe njengawe futhi. Indima kadokotela wakho ukukusiza, hhayi ukukwahlulela.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, manje usuyaqonda ukuthi besikhuluma ngani, "Ulaka Lwangemva Kokubeletha." Izinto ezibaluleke kakhulu yilezi:

• Awuwedwa: Awuwedwa ozwa le ntukuthelo enkulu ngemva kokubeletha. Omama abaningi badlula kulesi simo.
• Akulona iphutha lakho lokhu: izinto eziningi zingathinta lokhu, njengokushintsha kwama-hormone, ukungalali kahle, kanye nengcindezi ehambisana nemithwalo yemfanelo emisha.
• Ungesabi ukucela usizo: Uma uzizwa ukhungathekile noma ukhathazekile, qiniseka ukuthi ukhuluma nodokotela, umeluleki, noma othile omethembayo.
• Kunezindlela zokwelapha: Lesi simo singaphathwa ngemithi, ukwelulekwa, amaqembu okusekelana, kanye nokushintsha indlela yokuphila.
• Lokhu kungokwesikhashana: ngokusekelwa kanye nokwelashwa okufanele, ungalulama futhi.
• Uma unemicabango yokuzilimaza wena noma ingane yakho, funa usizo ngokushesha: Lokhu kubaluleke kakhulu.

Njengomama omusha, wenza umsebenzi omuhle kakhulu. Kubaluleke kakhulu ukuthi uzinakekele. Sifisela amandla okuqhubeka nalolu hambo!