Ngaba uxinzelelo lwasemva kokubeleka lunokuhlala ixesha elingakanani- kwaye ungalufutshane?

Umxholo

• Yintoni uxinzelelo lwasemva kokubeleka?
• Uxinzelelo lwasemva kokubeleka: Ayisibafazi bodwa abanabantwana
• Luqala nini uxinzelelo lwasemva kokubeleka?
• Ngaba lukhona uphando malunga nokuba i-PPD ihlala ithatha ixesha elingakanani?
• Kutheni kunokuhlala ixesha elide kuwe
• I-PPD ingabuchaphazela njani ubomi bakho
• Xa kufuneka unxibelelane nogqirha
• Wenza kakuhle
• Ufumana njani isiqabu
• Ukuthatha

Ukuba ukukhulelwa kukududuzela ngokweemvakalelo, emva kwexesha lokubeleka yimvakalelo inkanyamba, ihlala izele kukutshintsha kwemozulu ngakumbi, ukukhala jags, kunye nokucaphuka. Ayisiyiyo kuphela into yokubeleka ebangela ukuba umzimba wakho uhambe uhlengahlengiso lwehomoni yasendle, kodwa unokuhlala umntu omtsha endlwini yakho.

Zonke ezo ziphithiphithi zinokukhokelela kwiimvakalelo zosizi, uxinzelelo kunye noxinzelelo kunovuyo nolonwabo obelulindele. Abantu abaninzi banamava wale "baby blues" njengenxalenye yesiqhelo yokubuyisela emva kokubeleka, kodwa bahlala bemka kwiiveki ezi-1-2 emva kokubeleka.

Nangona kunjalo, oomama abatsha abasokolayo ngaphaya kwe-2-veki ebaluleke kakhulu banokuba noxinzelelo lwasemva kokubeleka (i-PPD), ebonakaliswa ziimpawu ezinzima ezihlala ixesha elide kune-blues yabantwana.

Uxinzelelo lwasemva kokubeleka lunokuhlala iinyanga okanye iminyaka ukuba luyekile lunganyangwa - kodwa akufuneki ujongane nalo uthe cwaka de luye kude.

Nantsi yonke into ekufuneka uyazi malunga nokuba i-PPD ihlala ixesha elingakanani- kunye nento onokuyenza ukuze uzive ungcono ngokukhawuleza.

Yintoni uxinzelelo lwasemva kokubeleka?

Ukudakumba emva kokubeleka, okanye i-PPD, luhlobo loxinzelelo lweklinikhi oluqala emva kokuzalwa komntwana. Iimpawu eziqhelekileyo zibandakanya:

• Ukuphelelwa ngumdla wokutya
• ukukhala kakhulu okanye ukudinwa
• ubunzima bokudibana nosana lwakho
• ukungazinzi nokungalali
• unxunguphalo kunye noloyiko
• Ukuziva unxunguphele kakhulu, unomsindo, uphelelwe lithemba, okanye uneentloni

Akukho mntu uyazi ngokuqinisekileyo ukuba yintoni ebangela iPPD, kodwa njengalo naluphi na olunye uhlobo loxinzelelo, mhlawumbi zizinto ezahlukeneyo.

Ixesha lasemva kokubeleka lelona xesha lisemngciphekweni apho uninzi lwezizathu eziqhelekileyo zoxinzelelo lweklinikhi, ezinje ngotshintsho lwebhayiloji, uxinzelelo olukhulu, kunye notshintsho olukhulu kubomi, konke kwenzeka ngaxeshanye.

Umzekelo, oku kulandelayo kunokwenzeka emva kokubeleka:

• awulali ngokwaneleyo
• Umzimba wakho ujongana notshintsho olukhulu lwehomoni
• uyachacha kwimeko ebonakalayo yokubeleka, enokuthi ibandakanye ungenelelo lonyango okanye uqhaqho
• Uneemfanelo ezintsha nezicela umngeni
• ungaphoxeka yindlela ohambe ngayo umsebenzi wakho kunye nokuhambisa
• ungaziva ulilolo, ulilolo kwaye udidekile

Uxinzelelo lwasemva kokubeleka: Ayisibafazi bodwa abanabantwana

Kufanelekile ukukhumbula ukuba "emva kokubeleka" ngokusisiseko kuthetha ukubuyela ekubeni ungakhulelwanga. Ke abo baye baphunyelwa sisisu okanye ukukhupha isisu banokuba namava okuninzi kweziphumo zengqondo nezomzimba zokuba bekwixesha lokuzala, kubandakanya ne-PPD.

Ngaphezulu, amaqabane angamadoda anokuchongwa nawo, nawo. Nangona bengenakufumana utshintsho olwenziwe ngokuzala, banamava amaninzi kwindlela yokuphila. Isiphakamiso malunga neepesenti ezili-10 zoobawo bafumanisa ukuba bane-PPD, ngakumbi phakathi kweenyanga ezi-3 ukuya kwezi-6 emva kokuzalwa.

Inxulumene: Kutata omtsha onexinzelelo lwasemva kokubeleka, awuwedwa

Luqala nini uxinzelelo lwasemva kokubeleka?

I-PPD ingaqala msinyane nje emva kokubeleka, kodwa ngekhe uyiqonde kwangoko kuba ithathwa njengesiqhelo ukuziva ulusizi, udiniwe, kwaye ngokubanzi "uphuma kwiintlobo" ngeentsuku zokuqala emva kokuba umntwana efikile. Isenokungabikho kude kube emva kwexesha eliqhelekileyo lomntwana oluhlaza okwesibhakabhaka kufanele ukuba kudlule ukuba uqaphele into ebaluleke kakhulu eyenzekayo.

Ixesha lokubeleka emva kwexesha ngokubanzi libandakanya iiveki zokuqala ezi-4-6 emva kokuzalwa, kwaye iimeko ezininzi ze-PPD ziqala ngelo xesha. Kodwa i-PPD inokuphinda ikhule ngexesha lokukhulelwa ukuya kuthi ga kunyaka omnye emva ukubeleka, ngoko musa ukuphungula iimvakalelo zakho ukuba zenzeka ngaphandle kwexesha eliqhelekileyo lasemva kokubeleka.

Ngaba lukhona uphando malunga nokuba i-PPD ihlala ithatha ixesha elingakanani?

Ngenxa yokuba i-PPD inokuvela naphina kwiiveki ezimbalwa ukuya kwiinyanga ezili-12 emva kokuzalwa, akukho bude buqhelekileyo bexesha elihlala likhona. Ukuphononongwa ngo-2014 kwezifundo kubonisa ukuba iimpawu ze-PPD ziphucula ngokuhamba kwexesha, kunye neemeko ezininzi zokudandatheka ukuxazulula iinyanga ezi-3 ukuya kwezi-6 emva kokuba ziqale.

Oko kwathiwa, kolu hlolisiso lunye, kwacaca ukuba uninzi lwabasetyhini lusasebenza ngeempawu ze-PPD ngaphaya kwenqaku leenyanga ezi-6. Naphi na ukusuka kwi-30% ukuya kwi-50% yeepesenti yahlangabezana neekhrayitheriya ze-PPD 1 unyaka emva kokubeleka, ngelixa abangaphantsi kwesiqingatha sabasetyhini abafundileyo bebesazichaza iimpawu zoxinzelelo iminyaka emva kokubeleka.

Kutheni kunokuhlala ixesha elide kuwe

Umda wexesha we-PPD wahlukile kuye wonke umntu. Ukuba unemingcipheko ethile, unokufumana ukuba iPPD ihlala ixesha elide nangonyango. Ubunzima beempawu zakho kunye nokuba uneempawu ezingakanani ngaphambi kokuba uqale unyango kunokuchaphazela ukuba i-PPD yakho ihlala ixesha elingakanani.

Izinto zomngcipheko zibandakanya:

• imbali yoxinzelelo okanye esinye isifo sengqondo
• ubunzima bokuncancisa
• ukukhulelwa okunzima okanye ukuhanjiswa
• ukunqongophala kwenkxaso kwiqabane lakho okanye kumalungu osapho kunye nabahlobo
• Olunye utshintsho kubomi olwenzeka ngexesha lasemva kokubeleka, njengokuhamba okanye ukulahleka kwengqesho
• Imbali ye-PPD emva kokukhulelwa kwangaphambili

Akukho fomyula yokufumanisa ukuba ngubani oza kuba ne-PPD kwaye ngubani ongayi kubakho, okanye uza kuhlala ixesha elingakanani. Kodwa ngonyango olululo, ngakumbi xa lufunyenwe kwangethuba, ungafumana isiqabu nokuba unayo enye yezi zinto zinomngcipheko.

I-PPD ingabuchaphazela njani ubomi bakho

Sele uyazi ukuba iPPD ikubangela ukuba ube neempawu ezinzima, kwaye ngelishwa, inokuchaphazela ubudlelwane bakho. Ayilotyala lakho eli. (Funda kwakhona, kuba sithetha njalo.) Yiyo loo nto sisizathu esihle sokufumana unyango kunye nokunciphisa ixesha lokudakumba kwakho.

Ukucela uncedo kulungile kuwe nakubudlelwane bakho, kubandakanya nabo bane:

• Iqabane lakho. Ukuba urhoxile okanye uhlukanisiwe, ubudlelwane bakho neqabane lakho bunokuchaphazeleka. NgokweAmerican Academy of Pediatrics (AAP), xa umntu ene-PPD, iqabane lakhe liphinda-phinda amathuba okuba likhule.

• Usapho kunye nabahlobo bakho. Abanye abantu obathandayo banokukrokrela ukuba kukho into engalunganga okanye bakubone ukuba awuzenzi njengawe, kodwa basenokungayazi indlela yokunceda okanye yokunxibelelana nawe. Lo mgama unokubangela ukwanda kwesizungu kuwe.

• Umntwana wakho (ren). I-PPD inokuchaphazela ubudlelwane bakho obukhulayo nomntwana wakho. Ngaphandle kokuchaphazela indlela okhathalela ngayo umntwana wakho, iPPD inokuchaphazela inkqubo yokubopha umama nosana emva kokuzalwa. Inokubangela nokonakalisa ubudlelwane bakho kunye nabantwana abadala.

Abanye abaphandi bade bakholelwe ukuba i-PPD kamama inokuba neziphumo zexesha elide kuphuhliso lwentlalo kunye neemvakalelo zomntwana wakhe. Kufunyenwe ukuba abantwana boomama abane-PPD kunokwenzeka ukuba babeneengxaki zokuziphatha njengabantwana abancinci kunye noxinzelelo njengolutsha.

Xa kufuneka unxibelelane nogqirha

Ukuba awuziva ngcono iiveki ezi-2 zasemva kokubeleka, nxibelelana nogqirha wakho. Ngelixa uza kuvavanywa nge-PPD kwisithuba seeveki ezi-6 zokuqeshwa emva kokubeleka, akufuneki ulinde ixesha elide. Ngapha koko, ukwenza njalo kunokuthatha ixesha elide ukuba iPPD yakho ibengcono.

Emva kweeveki ezi-2, ukuba usahlangabezana neemvakalelo ezinamandla, mhlawumbi ayisiyiyo le "baby blues." Ngandlela thile, ziindaba ezimnandi ezo: Ithetha ukuba unokwenza okuthile malunga nendlela oziva ngayo. Awunyanzelekanga ukuba "ulinde ngaphandle."

Xa ucela uncedo, nyaniseka kangangoko. Siyazi ukuba kunzima ukuthetha ngeemvakalelo ezingalunganga ezinxulunyaniswa nokuba ngumzali omtsha, kwaye kunokoyikisa ukuveza nje ukuba usokola kangakanani. Nangona kunjalo, uvule ngakumbi malunga ne-PPD yakho, ngcono-kwaye ngokukhawuleza-umboneleli wakho uya kuba nakho ukukunceda.

Wenza kakuhle

Khumbula, awunatyala kwi-PPD yakho. Umboneleli wakho ngekhe acinge ukuba ungumzali "ombi" okanye obuthathaka. Kuthatha amandla ukufikelela, kwaye ukucela uncedo sisenzo sothando- kuwe nakwintsapho yakho.

Ufumana njani isiqabu

Awunakho amandla nge-PPD ngokwakho - ufuna unyango kunye nonyango lwempilo yengqondo. Ukufumana ngokukhawuleza kuthetha ukuba uya kuba nakho ukuqhubeka unothando kwaye unakekela umntwana wakho ngokusemandleni akho.

Kukho iindlela ezininzi zonyango lwe-PPD, kwaye unokufuna ukusebenzisa isicwangciso esinye. Kukho iinguqu kwindlela yokuphila enokwenza ukuba ukubuyela kwimeko yesiqhelo kuhamba ngokukhawuleza. Sukuyeka de ufumane indibaniselwano yonyango olusebenzelayo. Uncedo oluvela kwi-PPD lunokwenzeka ngongenelelo olufanelekileyo.

• Ukudakumba. Umboneleli wakho unokumisela i-serotonin reuptake inhibitor (SSRI) ekhethiweyo ukunyanga uxinzelelo lwakho. Zininzi ii-SSRI ezikhoyo. Ugqirha wakho uya kusebenza nawe ukufumana eyona nto inyangayo iimpawu zakho kunye neziphumo ebezingalindelekanga ezimbalwa. Ii-SSRI ezininzi ziyahambelana nokuncancisa, kodwa qiniseka ukuba umboneleli wakho uyazi ukuba ungumongikazi ukuze bakwazi ukukhetha amayeza afanelekileyo kunye nomthamo.
• Ukucebisa. Ukunyanga ngokuziphatha kwengqondo (CBT) sisicwangciso esiphambili sokunyanga uxinzelelo, kubandakanya neempawu zePPD. Ukuba ufuna uncedo lokufumana umboneleli kwindawo yakho, unokukhangela enye Apha.
• Unyango lweqela. Kunokuba luncedo kuwe ukuba wabelane ngamava akho nabanye abazali ababene-PPD. Ukufumana iqela lenkxaso, nokuba kungomntu okanye kwi-Intanethi, kunokuba yeyona nto ibalulekileyo ebomini. Ukufumana iqela lenkxaso ye-PPD kwindawo yakho, zama ukukhangela ngurhulumente apha.

Ukuthatha

Uninzi lwamatyala e-PPD ahlala iinyanga ezininzi. Uxinzelelo luchaphazela umzimba wakho uphela- hayi ingqondo yakho kuphela- kwaye kuthatha ixesha ukuba uzive unguye kwakhona. Ungachacha ngokukhawuleza ngokufumana uncedo lwePPD yakho ngokukhawuleza.

Siyazi ukuba kunzima ukufikelela xa unengxaki, kodwa zama ukunxibelelana neqabane lakho, ilungu losapho elithembakeleyo okanye umhlobo, okanye umboneleli wakho wezempilo ukuba ucinga ukuba ukudakumba kwakho kuchaphazela umgangatho wobomi bakho okanye ukukwazi kwakho ukukhathalela umntwana. Ngokukhawuleza ufumana uncedo, ngokukhawuleza uya kuziva ungcono.

Ukuba wena okanye umntu omaziyo ucinga ukuzibulala, awuwedwa. Uncedo luyafumaneka ngoku:

• Tsalela u-911 okanye inombolo yakho yongxamiseko, okanye undwendwele igumbi likaxakeka.
• Tsalela umnxeba iNational Suicide Prevention Lifeline iiyure ezingama-24 ngemini ngo-800-273-8255.
• Thumela i-HOME kwi-Crisis Textline kwi-741741.
• Hayi eMelika? Fumana umnxeba woncedo kwilizwe lakho kunye nabahlobo bakho kwihlabathi liphela.

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