Emva kokuba umntwana efike, abazali abaninzi abatsha banokukhululeka ukuba bafikelele kulo. Nangona kunjalo, oomama abanako ukulungele ukujamelana neminye imingeni enokubakho enkulu-indlela yokulawula ukuxinezeleka kwangemva kokutshatyalaliswa kunye / okanye ukuxhalaba emva kokuhamba.
Izinto zobungozi
Imiba yengozi yokudakumba kokuphuma kwithuba okanye ukuxhalabisa kubandakanya:
- Ukuxinezeleka kwangaphambi kokubeleka okanye kwangaphambili
- Uxinzelelo lobomi
- Ukungabi ncediso lwentlalo
- Ukunganeliseki lomtshato
- Ukukhulelwa okungafunekiyo
- Imbali yokuxhaphazwa ngokwesondo
- Amava okuzalwa okubuhlungu
- Ukulindela okuphezulu kokuzalwa / ukuzala
- Ingxaki zomzimba kunye nosana
- Iingxaki kubaboneleli bezempilo
Uxinzelelo Olunye Uhlobo Emva kokuzalwa Kuqhelekileyo
Iiklasi zokubeletha zivame ukunciphisa ingxoxo emva kokubambisana komama ekuphumeni komzimba nokunyamekela umntwana. Ngokuqhelekileyo abazali banethuba lokuzilungiselela ngokweenkqubela ezinjalo.
Ekubeni iinani libonisa ukuba uninzi oomama baya kuba nohlobo oluthile lokudandatheka emva kokuzalwa, kunokukunceda ukhangele uluhlu lweengxaki zokudakumba ezivela kuncinci (i-postpartum blues) ukuya kunzulu (ukudandatheka kwengqondo), kunye neendlela zoomama kunye neentsapho zabo ukuhlangabezana nazo.
Postpartum Blues
Abaninzi abangama-80 ekhulwini abesimama bokuqala bafumana ama-blues emva kwe-postpartum okanye blues baby. Iimpawu zisoloko ziqala iintsuku ezimbini emva kokuzalwa njengoko i-hormone yokukhulelwa ngokukhawuleza iyancipha kwaye umama ulungelelanisa ukunyamekela umntwana omtsha kunye neemfuno eziqhubekayo.
Uninzi unina uya kuba nexesha lokuvuyela kunye novuyo, olulandelwa kukuphelelwa yithemba nokudandatheka. Ezi zinguqulelo ezinzulu zilula ukulawula xa uqaphela ukuba zisekelwe ekutshintsheni kwama-hormonal kunye nokukhathala. Kodwa abanye oomama banokuvakalelwa kukuba ukuba neempawu zithetha ukuba awonina boomama okanye ukuba akufanele babe ngabaomama.
Ukulawula i-Postpartum Blues
Indlela efanelekileyo yokulawula i-blues yinto yokuqala nokuphambili ukufumana ukuphumla okuninzi. Oomama badinga ukulala ngenxa yokuphulukiswa ngokomzimba nangokwengqondo. Ukongeza, kufuneka udle ukutya okunomsoco, uphuze amanzi amaninzi, kwaye uhambe ngaphandle (ukuvuma kwezulu) yonke imihla. Kwakhona kunceda ukuba amalungu omndeni athathe imisebenzi yendlu kwaye alahle nayiphina iiprojekthi ezinkulu kwiinyanga eziliqela. Ukuba izalamane zingenako ukunceda, kunokuba luncedo ukuqesha uncedo lwangemva kokusuka kwi-postpartum doula. Amaqela omncedisayo omama angayindlela enhle yokwabelana nabanye oomama abatsha, abaninzi babo baya kuba neengxaki zokubakho abantwana. Uninzi unina onama-blues e-postpartum aluyi kulufuna unyango kodwa angenelwa kwezinye iipilisi ezinjengamacube kunye ne-acupuncture. Iimpawu eziqhelekileyo zokuhamba emva kwe-postpartum ziza kusombulula malunga nee-2 -3 iveki emva kokuzalwa.
Ngaphandle kweeNgqungquthela zengane: Ukuxinezeleka kwePostpartum
Kuba ngama-15 ekhulwini kwabasetyhini, ukubeletha kunokubathumela ekudakaleni okukhulu, okwenze kube nzima ukuzinakekela ngokwawo kunye / okanye iintsapho zabo. Unokuziva uxakeke kakhulu kunye nokuxhalabisa okuqala naphi na phambi kokuba uzalwe inyanga emva koko. Ezinye iimpawu ziquka:
- Ukukhala ngokweqile
- Ukulala kakhulu okanye ukulala kakhulu (kwaye kungekhona ngenxa yentsana yakho entsha)
- Ukuvakalelwa, ukuthukuthela, kunye / okanye ukuphumla
- Ndiziva ndingenathemba okanye ndingenanto
- Ukuzihlukanisa
- Ukungenzi imisebenzi oye wayinandipha
- Utshintsho lwesondlo (okanye ukutya okuninzi okanye okuncinci kakhulu)
- Izimpawu zangokwenyama ezifana neziconda zesisu okanye iintloko
- Unzima ukugxila
- Ubunzima bokubambisana nomntwana wakho
- Uvakalelwa ngathi awukwazi ukunyamekela umntwana wakho
Ukuba uyakrokrela ukuba unesifo sokudakumba, kubalulekile ukuba ubone ugqirha wakho unyango, ngenxa yakho nangenxa yentsana yakho.
Ukukhathazeka kwePostpartum
Izifo ezixhalabisayo zePostpartum ziqhelekile kunokuba zidandatheke. Kukho izimbandezelo ezithile ezibandakanyiweyo kwicandelo leengxaki zokuxhalaba, emva koku:
- Ingxaki yokukhathazeka ngokuqhelekileyo (GAD): Ukuxhalabisa ngokweqile okanye ukuxhalabisa okunzima ukulawula nokudibanisa nokungazinzi, ukukhathala, ukunyanzeliswa, ukuxhatshazwa kwemisipha, kunye / okanye ukulala.
- I-OCD ye-Obsessive-compulsive disorder (OCD): Ukuqwalaselwa okanye iingcamango eziqhubekayo, ngokuqhelekileyo malunga nokulimaza umntwana, kunye / okanye ukunyanzeliswa okuphindaphindiweyo, iimpawu zokuziphatha ezikufumana nzima ukuzilawula.
- Inkxwaleko yeentlungu: Ukuxhalaba okukhulu kunye neentlungu zesifuba, ukuxakeka, ukuthuthumela, ukugubha, njl, ezihlala zihambelana nendawo ethile okanye isiganeko.
Indlela Yokuxelela Ukuba Unomsebenzi Wokuxhalabisa Ngezithuba
Unokuphendula imibuzo elandelayo kukukunceda ukuba ufumane ukuba unokubandezeleka naziphi na ezi zinto ziphazamisayo:
- Ngaba unomdla kangangokuthi awukwazi ukunakekela ngokwaneleyo umntwana wakho?
- Ngaba ukwesaba ukuzilimaza wena okanye umntwana usuke ungaqiniseki ukuba ungazinqanda?
- Ngaba iimpawu zakho zokunyanzela ziyingozi kumntwana?
- Ngaba unomdla kangangokuba awukwazi ukutya okanye ukulala?
Ukuchonga iingxaki zokuxhalabisa ngePotpartum
Nangona naphi ukusuka kuma-13 ukuya kuma-40 ekhulwini kwabasetyhini banokuhlakulela ukuxhalaba kwangemva kwesisu, uphando lubonisa ukuba linciphisa njengoko ixesha liqhubeka. Ukuba ucinga ukuba unengxaki yokuxhalabisa, ingcali yakho yokunakekelwa kwezempilo iya kucetyiswa ukuba iphumelele ukulawula nayiphi na ingxaki engokwenyama yokuqala, njenge-hypoglycemia kunye ne-hypothyroidism, ngaphambi kokuba ucinge ukuba uxhalaba.
Ukongeza kwimilinganiselo yokutya okulungileyo, ukuphumla kunye nokuzilolonga, unokufumana inzuzo yokuziphucula, amaqela okuxhasa, ukucebisa, kunye / okanye ukuchasana. Amanye amaqela enkxaso anika neenkonzo zokudlulisa iinkonzo kwizonyango zempilo yengqondo enomdla okhethekileyo kwiingxaki zokuxhalaba emva kokubeleka.
Ukunyanzeliswa kweengqondo ze-Psychotic Postpartum
Enye yeendlela zokwahlula i-psychosis postpartum evela kwiimeko ezixhaphakileyo ezixhalabisayo okanye ukuxinezeleka kwangemva kokuphuma kwithuba kukuba ngaphezu kwezo mpawu, uya kuba neengcamango okanye ukukhohlisa. Ngamanye amaxesha amalungu omndeni angenakuyithatha kwi-psychosis kuba unokuba nexesha apho uvela khona. Nangona kunjalo, ngexesha apho ungenangqiqo, umgwebo wakho unzima kwaye wena kunye nosana lwakho niphephile. Awuyi kubukhumbula into oyenzile ngethuba leengqondo zengqondo.
I-postpartum psychosis, nakuba inqabileyo (1 ukuya kweyesi-2 ngo-1 000 ekuzalweni), kufuneka ithathwa njengongxamisekileyo kwaye iphathwe ngokukhawuleza. Amama ngokuqhelekileyo asabela ngokukhawuleza kumachiza kwaye kwiimeko ezininzi kufuneka abuyele esibhedlele okanye kwiklinikhi. Kufuneka kwakhona ukwazi ukuba usemngciphekweni wokuphuhlisa i-psychosis postpartum ngexesha elizayo kwaye mhlawumbi liza kuphinda libuyele ukuba unomnye umntwana. Kukho uphando olunciphekileyo lokuba oomama abasengozini banokuzuza ngokusetyenziswa kwe-estrogen emva kokuzalwa ukukhusela ukucindezeleka kwengqondo.
Zonyango ezicetywayo
Uphuhliso olucetywayo lwe-blues emva kokuphuma luquka:
- Ukuphumla
- Ukutya okunomsoco kunye nokutya
- Uncedo oluvela kwintsapho kunye nabahlobo w / imisebenzi yasekhaya
- Ukuzivocavoca
- Amaqela omncedisayo omama
- Amachiza amayeza
- Ukwenza i-Acupuncture
- IiNkonzo zePostpartum doula
Uphuhliso olucetyiswayo lokudakumba kokuhamba emva kunye / okanye iingxaki zokuxhalabisa luquka:
- Zonke ezi zingentla
- Uphulo lo kukhanya
- Ukucebisa
- Amaqela enkxaso
- Amachiza (abachasayo)
Uphuhliso olucetywayo lwe-psychosis postpartum luquka:
- Zonke ezi zingentla
- I-hormone unyango kubomama abasemngciphekweni njengokuthintela *
- Uncedo lokunyamekela umntwana ngelixa umama esele abuyele
- Izibhedlele kude uzinze
* Jonga umboneleli wakho wezempilo ukuze ufumane ulwazi malunga nemichiza efanelekileyo okanye imichiza yamagciwane kuwe kunye / okanye abo bakhuselekile ukusebenzisa xa beluncelisayo.
Ngaphantsi
Iindaba ezimbi kukuba phantse bonke oomama baya kuba namava ubuncinane bobunzima bokudakumba. Nangona kunjalo, iindaba ezilungileyo kukuba zonke ezi ngxaki ziyakhathazeka. Sifunda nangakumbi malunga nempilo yengqondo namhlanje ukuze oomama kunye neentsapho zabo banemithombo emininzi yabo ukuze bawancede kuloluhambo oluthathaka.
> Imithombo:
> I-Fairbrother N, uJanssen P, uAntony MM, uTucker E, u-Young AH. I-Perinatal Ukukhathazeka Kwengxaki Yokuxhatshazwa Kwengxaki kunye neNzeka. Umbhalo weengxaki ezichaphazelekayo . Agasti 2016; 200: 148-55. i-doi: 10.1016 / j.jad.2015.12.082.
> I-Field T. Postpartum Ukuxhalabisa, ukuHluma phambili kunye neempembelelo kwiNtuthuko yabantwana: Ukuhlaziywa. I-Journal ye-Psychiatry ne-Psychiatric Disorders . Meyi 2, 2017; 1 (2): 86-102.
> Isiko leSizwe seMpilo yengqondo (iNIMH). Ukutshutshiswa kwePostpartum Facts. AmaZiko eZiko lezeMpilo. ISebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu.
> Payne J. Postpartum Psychosis: Epidemiology, i-Pathogenesis, iMiboniso yeZiklinikhi, iNkcazo, uVavanyo kunye noGawulayo. Isemgangathweno. Ukuhlaziywa kweSeptemba 13, 2016.