Ukuba ngumama omusha kuletha izinselele eziningi. Ukuzivumelanisa nokuphila nosana olusanda kuzalwa, ukungalali ngokwanele, ukuthatha imithwalo yemfanelo emisha, mhlawumbe ngisho nobuhlungu bebele ngenkathi uncelisa... Cishe ukhathele yizo zonke lezi zinto. Kodwa kuthiwani uma, kanye nazo zonke lezi zinkinga zomzimba, uzizwa ubuhlungu obungokomzwelo nokudabuka okukhulu ngemva kokubeletha? Asikhulumi 'ngokuzizwa ukhathazekile', ukushintshashintsha kwemizwelo okuncane okuhamba ngemva kwesonto noma amabili. Lokhu kuyinto ejulile kakhulu futhi edinga ukwelashwa. Ngokwezokwelapha, sikubiza ngokuthi 'ukucindezeleka kwangemva kokubeletha.' Kalula nje, uhlobo lokucindezeleka olunzima oluvela ngemva kokubeletha.
Lesi simo sivame kakhulu kunalokho ongakucabanga. Ucwaningo olwenziwe komama abasha abayi-10,000 luthole ukuthi umama oyedwa kwabayisikhombisa ubhekana nalesi simo. Kodwa ingxenye engcono kakhulu ukuthi ngokwelashwa okufanele, lesi simo singalapheka cishe ngokuphelele.
Kuyini ngempela ukucindezeleka ngemva kokubeletha?
Lolu uhlobo lokucindezeleka ongaluthola ngemva kokuthola umntwana. Lungaqala nganoma yisiphi isikhathi phakathi nonyaka wokuqala wokuthola umntwana. Kodwa-ke, kuvame kakhulu ukuqala ukuzwa imiphumela phakathi namasonto amathathu okuqala ngemva kokuthola umntwana .
Uma unalesi simo, ungase uzizwe udabukile, ungenathemba, futhi unecala ngaso sonke isikhathi. Ungase uzizwe sengathi awufuni ukusondelana nomntwana wakho noma ukumnakekela. Akulona iphutha lakho leli, uhlobo lwalesi simo.
Into ebalulekile ukuthi lesi simo asiyona into eyenzeka komama abaqalayo kuphela. Uma uke waba nezingane ngaphambili, kungenzeka ukuthi awuzange ube nalesi simo lapho bezalwa, kodwa ungase usaba naso ngemva kokuthola lo mntwana.
Kungani lesi simo senzeka?
Kunezizathu eziningana zalokhu. Akunakwenzeka ukukhomba isizathu esisodwa esiqondile.
- Ama-hormone: Uma ukhulelwe, amazinga ama-hormone emzimbeni wakho akhula kakhulu. Ngemva kokuzalwa komntwana, la mazinga ama-hormone ehla ngokuzumayo ngesivinini esikhulu. Cabanga nje, ukuthi abanye abantu babhekana nokushintshashintsha kwemizwa okungakanani ngaphambi nje kokuya esikhathini, ngisho noma kunoshintsho oluncane lwama-hormone. Futhi ukuphahlazeka okukhulu kwama-hormone kungathinta ubuchopho babanye besifazane, okubangela ukucindezeleka.
- Izimo zempilo yengqondo zangaphambilini: Uma wake waba nokucindezeleka ngaphambilini, noma uma othile emndenini wakho eke waba nakho, usengozini enkulu yokuba nalesi simo.
- Ukucindezeleka nemibuzo:Uma ubungafuni ukukhulelwa, futhi ungenalo ukwesekwa ngumlingani wakho noma umndeni wakho ukunakekela ingane, ungaba ngaphansi kokucindezeleka okukhulu njengomama omusha. Lokhu kuvamile nakwabesifazane abanezinye izinkinga ezinkulu empilweni, njengezinkinga zezimali noma umlutha wezidakamizwa noma utshwala.
- Usemncane kakhulu: Le ngozi iphakeme nakomama abasebancane kakhulu abangakulungele ukunakekela ingane nokuhlinzeka ngezidingo zayo.
Ziyini izimpawu zalokhu?
Akubona bonke abesifazane abazobhekana nezimpawu ezifanayo. Kodwa-ke, kunezimpawu ezithile ezivamile okufanele uziqaphele. Bheka ukuthi ubhekene nanoma yiziphi zalezi.
| Isibonakaliso | Ukuchaza kalula... |
|---|---|
| Ngihlala ngizizwa ngidabukile futhi ngingenathemba | Ukuzizwa udabukile kakhulu futhi ungenalutho ngaphandle kwesizathu. Ukungakwazi ukucabanga nganoma yini enhle ngekusasa. |
| Ukuzizwa sengathi awukwazi ukunakekela ingane noma umsebenzi wasekhaya | Ukulahlekelwa amandla kanye nentshisekelo ngisho nasemisebenzini elula. Ukuzizwa sengathi uzoyeka yonke into. |
| Ukukhala njalo ngaphandle kwesizathu | Ngisho nezinto ezincane kakhulu ziyangizwisa ubuhlungu, izinyembezi ziyangifikela. Ngezinye izikhathi angikwazi ngisho nokuqonda ukuthi ngikhalelani. |
| Ubunzima bokusondelana nomntwana | Ulahlekelwa yisifiso sokubamba ingane yakho, ukuyithanda, noma ukuyibuka. Uzizwa sengathi ingane akuyona eyakho, sengathi ingumuntu ongamazi. |
| Ukulahlekelwa isithakazelo ezintweni owawuzijabulela ngaphambilini | Balahlekelwa yinoma yini ekudleni, ukuya ocansini, ukucabanga ngokuhlanzeka kwabo, nokwenza izinto ababezenza ukuze bazijabulise. |
| Izinkinga zokulala | Kuphakathi kokuthi ulala kakhulu, noma awulali ngesikhathi sokulala. |
| Izinkinga zokunaka kanye nenkumbulo | Awukwazi ukugxila kunoma yini, awukwazi ukufunda lutho olusha, futhi ukhohlwa izinto kalula. |
Ungayithola kanjani ukwelashwa?
Udokotela kuphela ongaqinisekisa ukuthi unesifo sokucindezeleka ngemva kokubeletha noma cha. Ngakho-ke uma ucabanga ukuthi unalezi zimpawu, bona udokotela ngokushesha. Lokhu akumelwe ube namahloni ngakho. Lesi yisimo esingelapheka.
- Imithi: Kuye ngesimo sakho, udokotela wakho angase akunikeze uhlobo lomuthi olubizwa ngokuthi ama-antidepressants. Le mithi isebenza ngokulinganisela amakhemikhali athile ebuchosheni ahlotshaniswa nokucindezeleka. Iningi lale mithi liphephile ukuyisebenzisa ngenkathi uncelisa. Kodwa-ke, uma uncelisa, kufanele utshele udokotela wakho ngokuqinisekile.
- Ukwelulekwa: Ukukhuluma nodokotela wengqondo noma umeluleki nakho kungaba usizo kakhulu. Lokhu kungakusiza ukuthi ubone imicabango emibi efika engqondweni yakho futhi ufunde ukubhekana nayo kangcono. Kungakusiza futhi ukuthi ukhulume ngezingcindezi nezinkinga zakho zangaphambilini futhi ukhulule ingqondo yakho.
Isici esiyingozi kakhulu salesi simo: I-Postpartum Psychosis
Lesi yisifo sengqondo esingavamile kodwa esiyingozi kakhulu esingaba khona ngokucindezeleka kwangemva kokubeletha. Izimpawu zivame ukuqala phakathi kwamasonto amabili okuqala ngemva kokubeletha. Futhi, lezi zimpawu zinzima kakhulu kunokucindezeleka kwangemva kokubeletha.
- Akukho ubuthongo nhlobo.
- Isimo sengqondo esididekile nesididekile. Ukungakwazi ukucabanga kahle.
- Ukubona noma ukuzwa izinto ezingekho ngempela (imibono engekho) noma ukukholelwa ezintweni ezingezona ezangempela (ukukhohlisa).
- Imicabango evame ukwesabisa ngomntwana.
- Ukuba nokusola okukhulu ngabanye abantu (ukwesaba), futhi lokho kusola ngeke kuphele kungakhathaliseki ukuthi umuntu uthini.
- Ukwenqaba ngokuphelele ukudla.
- Ukuba nemicabango yokuzilimaza wena noma ingane.
I-Postpartum Psychosis iyisimo esiphuthumayo sezokwelapha. Uma wena noma othile omaziyo enalezi zimpawu, ungalibali. Myise esibhedlela esiseduze i-Emergency Unit (ETU) ngokushesha. Ungashayela nenombolo ye-National Institute of Mental Health (NIMH) yaseSri Lanka engu-1926 ukuze uthole isiqondiso.
Umlayezo Wokuya Nawe Ekhaya
- Ukucindezeleka ngemva kokubeletha akulona ubuthakathaka noma uphawu lokuba ngumama omubi. Kuyisifo esingelapheka.
- Ungazizwa sengathi ubhekene nalokhu wedwa. Cela usizo, bese ukhuluma nomyeni wakho, umndeni, noma umngane omethembayo ngemizwa yakho.
- Uma uzizwa udabukile, ukwesaba, noma isizungu esingabekezeleleki, ungabi namahloni noma wesabe ukukhuluma nodokotela ngakho.
- Uma uzizwa sengathi ufuna ukuzilimaza wena noma ingane yakho, kuyisimo esiphuthumayo. Yiya ku-ETU ngokushesha noma ushayele ku- 1926 .
- Ngokwelashwa okufanele kanye nokusekelwa ngabathandekayo, ungabuyela empilweni yakho evamile.
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