Ukunquma ukuthi uzoqhubeka noma uyeke ukuthatha imithi yokucindezeleka ngesikhathi sokukhulelwa kungenye yezinqumo ezinzima kakhulu umama angazenza. Ngakolunye uhlangothi, uma kungelashwa, kungathinta impilo yakho yengqondo kanye neyengane yakho engakazalwa. Ngakolunye uhlangothi, kunokwesaba ukuthi uma uqhubeka nokuthatha imithi, kungabeka ingane yakho engozini. Lena inkinga edidayo ngempela. Ngakho-ke ake sixoxe ngayo ngokukhululekile.
Buyini ubudlelwano phakathi kokucindezeleka nokukhulelwa?
Abantu abaningi babecabanga ukuthi izinguquko zamahomoni ngesikhathi sokukhulelwa zivikela abesifazane ekucindezelekeni. Kodwa akulona iqiniso lelo. Manje sesiyazi ukuthi ukucindezeleka kungenzeka ngesikhathi sokukhulelwa, nokuthi omama abaningi badinga imithi yokucindezeleka ukuze bayilawule. Eqinisweni, ucwaningo luthole ukuthi inani labesifazane abasebenzisa imithi yokucindezeleka liyakhula kusukela ezinyangeni ezintathu ngaphambi kokukhulelwa kanye naphakathi nokukhulelwa.
Nakuba kunemibuzo mayelana nokuphepha kokusebenzisa le mithi ngesikhathi sokukhulelwa, ucwaningo lubonisa ukuthi imithi eminingi yokucindezeleka, ikakhulukazi ama-SSRI (Selective Serotonin Reuptake Inhibitors), ngokuvamile iphephile . Nakuba kungenzeka kube nezinkinga ezifana nokukhubazeka kokuzalwa, ingozi iphansi kakhulu .
Ochwepheshe bezokwelapha bathini ngalokhu?
Udokotela wakho wezifo zengqondo kanye nodokotela wezifo zengqondo bazovuma ukuthi uma unokucindezeleka okuncane futhi ungenazo izimpawu cishe izinyanga eziyisithupha, ungazama ukunciphisa imithi yakho ngaphansi kokuqashwa ngudokotela. Mhlawumbe ngokwelashwa kwengqondo kanye nokushintsha indlela yokuphila , ungadlula kulesi sikhathi kahle.
Kodwa-ke, uma okulandelayo kusebenza kuwe, ukuthatha imithi ngesikhathi sokukhulelwa kungaba yinzuzo kakhulu kuwe nakumntwana wakho.
| Isimo | Iseluleko sezokwelapha |
|---|---|
| Uma unokucindezeleka okuncane futhi ungazange ube nezimpawu isikhathi esingaphezu kwezinyanga eziyisithupha. | Ungacabanga ukuyeka imithi ngaphansi kokuqondisa kukadokotela. Kunalokho, izinto ezifana nokwelashwa kwengqondo, ukuzivocavoca umzimba, kanye ne-yoga zingasiza. |
| Uma uke waba nokucindezeleka okukhulu noma okuphindaphindiwe , ezinye izifo zengqondo ezifana nesifo sengqondo esishintshashintshayo, noma uke waba nemicabango yokuzibulala. | Kuphephile ngawe kanye nomntanakho ukuqhubeka niphuza imithi. |
Yiziphi izingozi zokushiya ukucindezeleka kungelashwa?
Lokhu kuyinto okufanele siyiqaphele nakanjani. Ukucindezeleka okungalashwa kungaba nemiphumela emibi kakhulu kuwe nakumntwana wakho.
- Ukungazinakekeli Kahle: Uma ucindezelekile, ungase ukhohlwe ukwenza izinto ezifana nokudla nokuphuza, bese uya emtholampilo ngesikhathi.
- Ukuziphatha okuyingozi: Kunamathuba aphezulu okubhema, ukuphuza utshwala, noma ukusebenzisa ezinye izidakamizwa. Konke lokhu kungabangela izinkinga ezinkulu enganeni, njengokuphuphuma kwesisu, ukuzalwa ngaphambi kwesikhathi, kanye nokuzalwa kwesisindo esiphansi.
- Umthelela empilweni yomndeni: Ake sithi unenye ingane. Uma isimo sakho sengqondo singesihle, kungaba nzima ukunakekela lowo mntwana ngisho nokuba kahle nomyeni wakho. Lokhu kucindezeleka kungase kube nzima emndenini wonke. Ngakho-ke, kubaluleke kakhulu ukuthi nawe ube ngcono emndenini.
Ukucindezeleka okungelashwanga akuyona nje inkinga eyenzeka buthule. Kungakuthinta ngqo wena, ingane yakho, nomndeni wakho wonke.
Yiziphi izingozi ezingaba khona enganeni ngokuphuza imithi?
Yiqiniso, akukho mithi ephephile ngokuphelele ngesikhathi sokukhulelwa. Imiphumela yezifundo ngemithi yokucindezeleka ngezinye izikhathi iyaphikisana. Kodwa-ke, izingozi eziningi ezitholakele ziphansi kakhulu.
| Izingozi kanye nezimpawu zesikhashana ezingase zenzeke enganeni ngenxa yemithi | |
|---|---|
| Izingozi enganeni (akunakwenzeka neze) | |
| I-PPHN (Ukucindezeleka Okuqhubekayo Kwegazi Emaphashini Kusana Olusanda Kuzalwa) | Isimo esibi esithinta imithambo yegazi emaphashini omntwana osanda kuzalwa. |
| Ukukhubazeka Kokuzalwa | Ukuphazamiseka kwenhliziyo, ubuchopho, umgogodla (i-Anencephaly), ugebhezi (i-Craniosynostosis), isisu (i-Omphalocele), noma izitho zomzimba. |
| Ezinye izingozi | Ukuphuma kwesisu, ukuzalwa ngaphambi kwesikhathi (ngaphambi kwamasonto angu-37), isisindo sokuzalwa esiphansi (ngaphansi kuka-2.5 kg). |
| Izimpawu zokuhoxa ingane engase ibhekane nazo ngemva kokuzalwa | |
| Ukungahlaliseki | Ubunzima bokuphefumula, ukuphefumula kaningi, ukukhala kaningi. |
| Ezinye izici | Ubunzima bokuphuza ubisi, amazinga aphansi kashukela egazini (i-Hypoglycemia), isimo somzimba esibi. |
Into ebalulekile okufanele uyiqonde lapha ukuthi lezi zimpawu zokuhoxa zingezesikhashana . Ezinye izingane kungadingeka zihlale e-Neonatal ICU izinsuku ezimbalwa (usuku olulodwa kuya kwezine) ngenxa yalezi zizathu. Kodwa-ke, azikho kulezi ezitholakale zibangela umonakalo wesikhathi eside enganeni.
Ake siqonde lezi zingozi ngqo.
Kunengqondo ukwesaba lapho sikhuluma ngalezi zingozi. Kodwa sidinga ukubheka lokhu ngombono ofanele. Kunoma yikuphi ukukhulelwa, ngisho noma kungekho mithi, kunengozi evamile yokuthi ingane izalwe inokukhubazeka kokuzalwa okungaba ngu-3%.
Iqiniso lokuthi imithi yokucindezeleka yandisa ingozi liyiphesenti elincane kakhulu elingeziwe ku-3%. Isibonelo, olunye ucwaningo lubonise ukuthi le mithi yandisa ingozi ye-PPHN ngo-1%. Lokhu kusho ukuthi noma ngabe uphuza imithi, ingozi iyonke yokuthi ingane ibe nenkinga isencane kakhulu .
Yimiphi imithi engcono kakhulu yokukhulelwa?
Eminye imithi yokucindezeleka ibhekwa njengephephile ngesikhathi sokukhulelwa kuneminye. Nazi ezinye izibonelo:
- I-Citalopram (i-Celexa)
- I-Fluoxetine (Prozac, Sarafem)
- I-Sertraline (i-Zoloft)
- I-Amitriptyline (Elavil)
- I-Desipramine (i-Norpramin)
- I-Nortriptyline (i-Pamelor)
- I-Bupropion (i-Wellbutrin)
Kodwa ungakhathazeki uma uthatha umuthi ongekho kulolu hlu. Ngisho nemithi okukhulunywa ngayo kakhulu, njenge-Paroxetine (Paxil), inezingozi eziphansi kakhulu. Kukhona nokukhathazeka ngokushintsha imithi ngokuzumayo ngesikhathi sokukhulelwa. Kungcono ukukhuluma nodokotela wakho ukuze anqume ukuthi yikuphi okungcono kuwe.
Umlayezo Wokuya Nawe Ekhaya
- Ukuthatha noma ukuyeka imithi yokucindezeleka ngesikhathi sokukhulelwa kuyisinqumo somuntu siqu okufanele wena nodokotela wakho nisihlole ndawonye, ubuhle nokubi.
- Ungalokothi uyeke ukuthatha imithi yakho, ushintshe umthamo, noma uqale omusha ngaphandle kweseluleko sikadokotela.
- Ezimweni eziningi, izingozi kumama nomntwana ezibangelwa ukucindezeleka okungalashwa zidlula kakhulu izingozi ezincane kakhulu ezibangelwa imithi.
- Ungazizwa unecala ngesinqumo osenzayo. Udokotela wakho ukufisela okuhle kakhulu wena nomntwana wakho. Ngakho-ke themba isinqumo wena nodokotela wakho enisenze ndawonye, bese nichitha lesi sikhathi nijabule.
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