"ʻAʻole luhi wale": ʻike a lanakila i ke kaumaha ma hope o ka hānau ʻana

Pehea e ʻike ai inā ua loaʻa iā ʻoe: Nā hōʻailona o ke kaumaha o ka postpartum

Ua manaʻo wau i ke kaumaha postpartum ma kahi o hoʻokahi pule ma hope o ka hānau ʻana. Ma hope mai, ua ʻike au ua loaʻa iaʻu ma kahi o 80% o nā hōʻailona i kūpono i ke kiʻi maʻamau o ka maʻi. ʻO nā hōʻailona maʻamau o ke kaumaha ma hope o ka hānau ʻana ʻo ke ʻano kaumaha, ka manaʻo hoʻomanaʻo he makua maikaʻi ʻoe, pilikia ka hiamoe a me ka makemake, a me ka emi ʻana o ka nānā. He nui na wahine me keia maʻi maʻi i hele mai me nā manaʻo like ʻole e pili ana i ka hoʻopōʻino ʻana i kā lākou keiki (e pili ana ka ʻokoʻa i nā manaʻo obsessive i ʻokoʻa loa mai ka mea a ke kanaka i makemake ai. - Approx. Science ed.).

Inā ʻaʻole i hoʻonui ʻia ke kaumaha e ka psychosis, ʻaʻole hāʻawi ka wahine iā lākou, akā ʻo nā makuahine me ke ʻano koʻikoʻi o ka maʻi, i hele pū ʻia me nā manaʻo suicidal, hiki ke pepehi i kā lākou keiki. ʻAʻole naʻe no ka huhū, akā, no ka makemake e hoʻomāmā iā ia ke ola me kahi makua ʻino. "Ua like au me ka mea kanu, hiki iaʻu ke moe ma luna o ka moena i ka lā a pau," wahi a Margarita, 20 makahiki. - ʻO ka mea ʻino loa ʻo ka hoʻomaopopo ʻana ʻaʻole hiki ke hoʻihoʻi hou ʻia. He keiki mau loa, a manaʻo wau ʻaʻole iaʻu koʻu ola. ʻO ka hāpaiʻana he mea kupanaha iā Margarita, ua paʻakikī ke kūlana e kahi pilina paʻakikī me kāna kāne a me kahi kūlana kālā paʻakikī.

"Ua maʻalahi ka hāpai ʻana, me ka ʻole o ka toxicosis, ka hoʻoweliweli o ka hāʻule ʻana, ka pehu a me ke kaumaha. <...> A i ka piha ʻana o ke keiki i ʻelua mahina, hoʻomaka wau e kākau i koʻu mau hoaaloha ua lilo koʻu ola i Gehena. Ua uē au i nā manawa a pau," wahi a Marina, 24 makahiki. — A laila, hoʻomaka wau e hoʻouka kaua: Ua haki wau i koʻu makuahine. Ua makemake au e hoʻopakele ʻia mai koʻu ʻano makuahine a hui pū me aʻu i nā pilikia a me nā pilikia. I ka piha ʻana o ke keiki i ʻelima mau mahina, paʻakikī nā mea a pau iaʻu: hele, hele i kahi, hele i ka wai. Ua moe mau ʻo Marina i kahi keiki; ʻo ke kaumaha i loaʻa iā ia he mea i manaʻo ʻole ʻia nona.

"ʻO koʻu ola, aʻu i kūkulu ai i nā pōhaku lepo ma ke ʻano like me kaʻu i makemake ai, hāʻule koke," ʻo ia nā ʻōlelo a Sofia, 31 makahiki. "Ua hewa nā mea a pau, ʻaʻohe mea i hana iaʻu. A ʻaʻole au i ʻike i kekahi mau manaʻo. Makemake wale au e hiamoe a uē."

Ua kākoʻoʻiaʻo Sophia e nāʻohana a me nā hoaaloha, ua kōkua kāna kāne me ke keiki, akā,ʻaʻole hiki iā ia ke pale i ke kaumaha me ke kōkuaʻole o ke kauka. ʻO ka manawa pinepine, ʻaʻole ʻike ʻia nā maʻi noʻonoʻo noʻonoʻo ma hope o ka hānau ʻana no ka mea ʻo kā lākou mau hōʻailona maʻamau (e like me ka luhi a me ka insomnia) me he mea lā he ʻāpana o ka makuahine a i pili pū ʻia me kahi stereotype kāne o ka makuahine.

“He aha kāu i manaʻo ai? ʻOiaʻiʻo, ʻaʻole hiamoe nā makuahine i ka pō!", "Ua manaʻo ʻoe he hoʻomaha?", "ʻOiaʻiʻo, paʻakikī nā keiki, ua hoʻoholo wau e lilo i makuahine - e hoʻomanawanui!" Hiki ke lohe ʻia kēia mau mea a pau mai nā ʻohana, nā kauka, a i kekahi manawa mai nā limahana uku e like me nā mea aʻoaʻo hānai.

Ma lalo iho ua helu wau i nā hōʻailona maʻamau o ke kaumaha postpartum. Hoʻokumu ʻia ka papa inoa ma ka ʻikepili ICD 10 e pili ana i ke kaumaha, akā ua hoʻohui au me ka wehewehe ʻana i koʻu mau manaʻo ponoʻī.

• Ka manaʻo o ke kaumaha / ka nele / ka haʻalulu. A ʻaʻole i kaupalena ʻia i ka manaʻo he paʻakikī ka noho makuahine. ʻO ka pinepine, ua hui pū ʻia kēia mau manaʻo me ka manaʻoʻiʻo ʻaʻole hiki iā ʻoe ke hoʻokō i ke kūlana hou.
• Ka waimaka no ke kumu ʻike ʻole.
• ʻO ka luhi a me ka nele o ka ikehu ʻaʻole i hoʻopiha ʻia inā hiki iā ʻoe ke hiamoe no ka manawa lōʻihi.
• ʻO ka hikiʻole ke leʻaleʻa i ka mea i lilo i mea hauʻoli - kahi lomilomi, kahi ʻauʻau wela, kahi kiʻiʻoniʻoni maikaʻi, kahi kamaʻilio mālie me ke kukui kukui, a i ʻole kahi hālāwai lōʻihi me kahi hoaaloha (ʻaʻole pau ka papa inoa).
• Paʻakikī i ka noʻonoʻo, hoʻomanaʻo, hoʻoholo. ʻAʻole hiki ke noʻonoʻo, ʻaʻole hiki mai ka ʻōlelo i kou manaʻo ke makemake ʻoe e ʻōlelo i kekahi mea. ʻAʻole ʻoe e hoʻomanaʻo i kāu mea i manaʻo ai e hana, aia ka noe mau i kou poʻo.
• ʻO ka hewa. Manaʻo ʻoe e ʻoi aku ka maikaʻi ma ka noho makuahine ma mua o ʻoe. Manaʻo ʻoe ua pono kāu keiki. Manaʻo ʻoe inā maopopo ʻo ia i ka paʻakikī o kou kūlana a manaʻo ʻoe ʻaʻole ʻoe e ʻike i ka hauʻoli o ka noho pū ʻana me ia.

• Ka hoʻomaha a i ʻole ka hopohopo nui. E lilo ia i mea ʻike hope, kahi e hoʻomaha ʻole ai nā lāʻau sedative a me nā kaʻina hana hoʻomaha. Makaʻu kekahi i kēia manawa i nā mea kikoʻī: ka make ʻana o nā mea aloha, nā hoʻolewa, nā pōʻino weliweli; ʻike nā mea ʻē aʻe i ka weliweli kumu ʻole.
• ʻO ka pōʻeleʻele, ka huhū, ka huhū a me ka huhū. He keiki, he kāne, ʻohana, nā hoaaloha, hiki i kekahi ke huhū. Hiki i ka ipu holoi ʻole ke hoʻoulu i ka huhū huhū.
• ʻAʻole makemake e ʻike i ka ʻohana a me nā hoaaloha. ʻAʻole ʻoluʻolu ʻo unsociableness iā ʻoe a me kou ʻohana, akā ʻaʻohe mea hiki ke hana no ia.
• ʻO nā pilikia me ka hoʻokumu ʻana i kahi pilina pili me ke keiki. Me he mea lā ua mamao loa ʻoe mai ka pēpē. Manaʻo paha ʻoe makemake ʻo ia i makuahine ʻē aʻe. He mea paʻakikī iāʻoe ke hoʻolohe i ke keiki,ʻo ka kamaʻilioʻana me iaʻaʻole ia he mea leʻaleʻa iāʻoe, akā, ma ka mea'ē aʻe, hoʻonui i ke kūlana a hoʻonui i ka manaʻo o ka hewa. I kekahi manawa, manaʻo paha ʻoe ʻaʻole ʻoe aloha i kāu keiki.
• He kanalua no ko lakou hiki ke malama i ke keiki. Manaʻo ʻoe ua hana hewa ʻoe i nā mea āpau, ke uē nei ʻo ia no ka mea ʻaʻole ʻoe i hoʻopā pono iā ia a ʻaʻole hiki ke hoʻomaopopo i kona mau pono.
• Ka hiamoe mau a i ʻole, ʻaʻole hiki ke hiamoe, ʻoiai ke hiamoe ke keiki. Hiki mai nā pilikia hiamoe ʻē aʻe: no ka laʻana, ala ʻoe i ka pō a ʻaʻole hiki ke hiamoe hou, ʻoiai inā ua luhi ʻoe. ʻOiaʻiʻo, weliweli loa kāu hiamoe - a me he mea lā ʻaʻole wale kēia no ka mea he keiki kāu e uē ana i ka pō.
• ʻAʻai ʻai: ʻike ʻoe i ka pōloli mau, a i ʻole ʻaʻole hiki iā ʻoe ke ʻai i kahi meaʻai liʻiliʻi i loko ou.

• Ka nele i ka hoihoi i ka moekolohe.
• ʻEha poʻo a me ka ʻeha ʻiʻo.
• Ka manaʻo o ka manaʻolana. Me he mea lā ʻaʻole e hala kēia mokuʻāina. ʻO kahi makaʻu weliweli ʻo kēia mau ʻike paʻakikī me ʻoe a mau loa.
• Manaʻo e hōʻeha iā ʻoe iho a / a i ʻole ke pēpē. ʻAʻole hiki ke hoʻomanawanui ʻia kou kūlana a hoʻomaka ka ʻike e ʻimi i kahi ala i waho, i kekahi manawa ʻoi loa ka radical. He mea koʻikoʻi ka manaʻo o ia mau manaʻo, akā paʻakikī loa ko lākou helehelena.
• Manaʻo ʻoi aku ka maikaʻi o ka make ma mua o ka hoʻomau ʻana i kēia mau manaʻo āpau.

E hoʻomanaʻo: inā loaʻa iā ʻoe nā manaʻo suicidal, pono koke ʻoe i ke kōkua. Hiki i kēlā me kēia makua ke ʻike i hoʻokahi a i ʻole ʻelua mau hōʻailona mai ka papa inoa ma luna, akā e hahai mau ʻia kēia e nā manawa o ka maikaʻi a me ka manaʻo maikaʻi. ʻO ka poʻe i loaʻa i ke kaumaha ma hope o ka hānau ʻana, ʻike pinepine lākou i ka hapa nui o nā hōʻailona, ​​a i kekahi manawa i ka manawa hoʻokahi, ʻaʻole lākou e haʻalele no nā pule.

Inā ʻike ʻoe i ʻehā a ʻoi aʻe paha nā hōʻike mai ka papa inoa iā ʻoe iho a ʻike ʻoe ua noho pū ʻoe me lākou no ʻelua pule, he manawa kēia e ʻimi ai i ke kōkua mai ke kauka. E hoʻomanaʻo e hiki ke hana i ka hōʻailona o ka postpartum depression e kahi loea wale nō, ʻaʻole loa kēia puke.

Pehea e helu ai iā ʻoe iho: ʻO ka Edinburgh Postpartum Depression Rating Scale

No ka nānā ʻana no ke kaumaha ma hope o ka hānau ʻana, ua hoʻomohala ʻo JL Cox, JM Holden a me R. Sagowski e kā Scottish psychologists i ka mea i kapa ʻia ʻo Edinburgh Postpartum Depression Scale i ka makahiki 1987.

He ʻumi mea kēia nīnau nīnau pilikino. No ka hoʻāʻo ʻana iā ʻoe iho, e kaha i ka pane i pili loa i kou manaʻo i nā lā ʻehiku i hala iho nei (mea nui: ʻAʻole i kou manaʻo i kēia lā).

1. Ua hiki iaʻu ke ʻakaʻaka a ʻike i ka ʻaoʻao ʻakaʻaka o ke ola:

• E like me nā manawa maʻamau (0 mau helu)
• Haʻahaʻa iki ma mua o ka mea maʻamau (1 helu)
• ʻOi aku ka liʻiliʻi ma mua o ka mea maʻamau (2 helu)
• ʻAʻole loa (3 points)

2. Ua nana au i ka mua me ka olioli:

• E like me ka mea maʻamau (0 mau helu)
• ʻOi aʻe ma mua o ka mea maʻamau (1 helu)
• ʻOi aku ka liʻiliʻi ma mua o ka mea maʻamau (2 helu)
• ʻAʻole loa (3 points)

3. Ua hewa au iaʻu iho i ka wā i hewa ai nā mea:

• ʻAe, ma ka hapanui o nā hihia (3 helu)
• ʻAe, i kekahi manawa (2 points)
• ʻAʻole pinepine (1 helu)
• ʻAʻole loa (0 points)

4. Ua hopohopo a hopohopo au no ke kumu ʻike ʻole.

• ʻAʻole loa (0 points)
• Kakaʻikahi loa (1 helu)
• ʻAe, i kekahi manawa (2 points)
• ʻAe, pinepine loa (3 points)

5. Ua ʻike au i ka makaʻu a me ka hopohopo no ke kumu ʻike ʻole.

• ʻAe, pinepine pinepine (3 helu)
• ʻAe, i kekahi manawa (2 points)
• ʻAʻole, ʻaʻole pinepine (1 helu)
• ʻAʻole loa (0 points)

6. ʻAʻole au i hoʻokō i nā mea he nui:

• ʻAe, i ka hapanui o nā hihia ʻaʻole wau i hoʻokō i nā mea āpau (3 mau helu)
• ʻAe, i kekahi manawa ʻaʻole wau i hana e like me kaʻu i hana mau ai (2 points)
• ʻAʻole, ʻo ka hapa nui o ka manawa aʻu i hana maikaʻi ai (1 helu)
• ʻAʻole, ua hana maikaʻi wau e like me ka wā ma mua (0 mau helu)

7. Ua hauʻoli loa au i hiki ʻole iaʻu ke hiamoe maikaʻi:

• ʻAe, ma ka hapanui o nā hihia (3 helu)
• ʻAe, i kekahi manawa (2 points)
• ʻAʻole pinepine (1 helu)
• ʻAʻole loa (0 points)

8. Ua kaumaha au a me ke kaumaha ole:

• ʻAe, ka hapa nui o ka manawa (3 helu)
• ʻAe, pinepine pinepine (2 helu)
• ʻAʻole pinepine (1 helu)
• ʻAʻole loa (0 points)

9. Ua hauʻoli loa au a uē au.

• ʻAe, ka hapa nui o ka manawa (3 helu)
• ʻAe, pinepine pinepine (2 helu)
• I kekahi manawa wale nō (1 helu)
• ʻAʻole, ʻaʻole loa (0 points)

10. Ua hiki mai ka manao e hoeha ia'u iho.

• ʻAe, pinepine pinepine (3 helu)
• I kekahi manawa (2 points)
• ʻAʻole loa (1 helu)
• ʻAʻole loa (0 helu)

hualoa'a

0-8 mau helu: haʻahaʻa haʻahaʻa o ke kaumaha.

Nā helu 8-12: ʻoi aku ka maikaʻi, ke hana nei ʻoe i nā pēpē pēpē.

13-14 mau helu: hiki i ke kaumaha postpartum, pono e lawe i nā hana pale.

15 mau helu a ʻoi aʻe paha: hiki ke loaʻa ke kaumaha o ke kino.