Kutheni abanye oomama benamava okutshintsha kweemowudi xa beyeka ukuncancisa

Umxholo

• Iimpembelelo zePhysiology yokuncancisa
• Ke kwenzeka ntoni xa ulumkile?
• Ulwenza lula njani uhlengahlengiso lokuLumula
• Uphengululo lwe

Kwinyanga ephelileyo, ngenye intsasa engacwangciswanga ngelixa ndincancisa intombi yam eneenyanga ezili-11 ubudala ngeCawa, yaluma ezantsi (kwaye yahleka) emva koko yazama ukuphinda ibuyele. Yayiyinto engalindelekanga kuhambo lokuncancisa olungenamagingxi-gingxi, kodwa emva kokopha okuthile (ugh), iyeza lokuthintela ukubulala iintsholongwane, kunye nokuphalaza iinyembezi, ndaye ndagqiba kwelokuba yayisisiphelo.

Andizibethanga nje kuphela — khange ndiphumelele (nangona ndizenzele) unyaka omiselweyo endiwumisileyo-kodwa kwiintsuku nje ezimbalwa, ezo zinyembezi, amaxesha amnyama ebendikunye nawo ekuqaleni kwexesha lokubeleka umva umva umva. Ndingaphantse ukuziva iihomoni zam ziyatshintsha.

Ukuba ubusandul 'ukuba nosana (okanye unabahlobo abatsha boomama), kusenokwenzeka ukuba uyazi malunga notshintsho lweemvakalelo olunokuhamba nobuzali obutsha, obubizwa ngokuba yi "baby blues" (echaphazela ama-80 eepesenti yabasetyhini kwiiveki ezilandela ukuziswa. ) kunye ne-perinatal mood kunye nokukhathazeka kokukhathazeka (PMADs), ezichaphazela ezinye ze-1 kwi-7, ngokutsho kwe-Postpartum Support International. Kodwa imiba yeemvakalelo ezinxulumene nokulunyulwa-okanye ukutshintsha usana lwakho ekuncanciseni luye kwifomula okanye ekutyeni-akuthethwa kakhulu ngalo.

Ngokwengxenye, kungenxa yokuba abaxhaphakanga kangako kunee-PMAD, ezinje ngoxinzelelo lwasemva kokubeleka. Kwaye ayinguye wonke umntu onamava. "Zonke iinguqu kubuzali zinokuba krakra kwaye kukho uluhlu olubanzi lwamava anxulumene nokulunyulwa," ucacisa uSamantha Meltzer-Brody, MD, MPH, umlawuli weZiko le-UNC lokuPhazamiseka kweMood kwabasetyhini kunye nomphenyi oyintloko kwi-Mom Genes Fight Fight PPD uphando ngoxinzelelo lwasemva kokubeleka. Abanye abantu basetyhini bakufumanisa kuncomisa ukuncancisa kwaye bafumana ubunzima beemvakalelo ngexesha lokulunyulwa, utshilo. "Abanye abantu basetyhini abanamava obunzima beemvakalelo okanye bakufumanisa kulunyulwa ukulunyulwa." (Bona kwakho: USerena Williams Uvula malunga nesigqibo sakhe esinzima sokuyeka ukuncancisa)

Kodwa ukuguquka kwemizwelo okunxulumene nokulunyulwa (kunye *yonke* nokuncancisa, i-TBH) kuyavakala. Emva kwayo yonke loo nto, lukhona utshintsho lwehomoni, lwentlalo, lomzimba, kunye nolwengqondo olwenzekayo xa uyeka ukuba ngumongikazi. Ukuba iimpawu ziyakhula, zisenokumangalisa, zibhideke, kwaye zenzeke ngexesha apho usenokuba *nje* ucinge ukuba uphumile ehlathini kunye naziphi na iiyeha zasemva kokubeleka.

Apha, kwenzeka ntoni emzimbeni wakho kunye nendlela yokwenza lula utshintsho kuwe.

Iimpembelelo zePhysiology yokuncancisa

U-Lauren M. Osborne, M.D., umncedisi womlawuli we-Women's Mood Disorders Centre kwiYunivesithi yaseJohns Hopkins uthi: "Kukho izigaba ezintathu zokutshintsha kwehomoni kunye nomzimba ovumela abafazi ukuba bavelise ubisi lwebele." (Idibeneyo: Ngokuchanekileyo njani amaNqanaba akho eHormone atshintsha ngexesha lokukhulelwa)

Isigaba sokuqala senzeka kwisiqingatha sesibini sokukhulelwa xa amadlala amabele emabeleni akho (anoxanduva lokuncancisa) aqala ukuvelisa ubisi oluncinci. Ngelixa ukhulelweyo, amanqanaba aphezulu aphezulu ehomoni ebizwa ngokuba yiprogesterone eveliswe yiplacenta inqanda ukugcinwa kobisi olo. Emva kokubeleka, xa kususwa i-placenta, amanqanaba eprogesterone ehla kunye namanye amanqanaba amathathu ehomoni-iprolactin, i-cortisol, kunye ne-insulin-inyuka, ivuselela ubisi, utshilo. Emva koko, njengoko umntwana wakho esitya, ukuvuselela kwiingono zakho kubangela ukukhululwa kwehomoni yeprolactin kunye ne-oxytocin, kuchaza uGqr Osborne.

"I-Prolactin izisa imvakalelo yokuphumla kunye nokuzola kumama kunye nosana kunye ne-oxytocin-eyaziwa ngokuba 'yi-hormone yothando'-inceda ukudibanisa kunye nokudibanisa," wongezelela uRobyn Alagona Cutler, umtshato ogunyazisiweyo, kunye nonyango lwentsapho ojongene nempilo yengqondo ye-perinatal.

Ewe, iziphumo ezilungileyo zokuncancisa ayisiyomzimba nje. Ukonga sisenzo esinovakalelo olukhulu apho ukunamathela, unxibelelwano, kunye nokudibanisa kunokuhlakulwa, utshilo uAlagona Cutler. Sisenzo esisondeleyo apho unokuxhonywa khona, ulusu-nolusu, ukudibana kwamehlo. (Idibeneyo: Izibonelelo kunye neZibonelelo zezeMpilo zokuNcelisa)

Ke kwenzeka ntoni xa ulumkile?

Ngokufutshane: Kaninzi. Makhe siqale nge-non-hormonal. "Njengalo lonke utshintsho kubuzali, abantu abaninzi baziva benyusa isandi," utshilo uAlagona Cutler. Kukho izizathu ezininzi zokuba uyeke ukuncancisa: ayisasebenzi, ubuyela emsebenzini, ukumpompa kuyadinwa (njengoko kwakunjalo ngoHilary Duff), uziva nje ngathi lixesha. , uluhlu luyaqhubeka.

Kwaye nangona iihormoni ngokuqinisekileyo zidlala indima kwiimvakalelo (ngakumbi kwakamsinya), ngexesha lokulunyulwa, uninzi lwabazali luneemvakalelo ezahlukeneyo (usizi! Isiqabu! Ityala!) Ngenxa yezinye izizathu ezininzi, nazo. Ngokomzekelo, unokuba buhlungu kukuba "inqanaba" lobomi bomntwana wakho lidlulile, unokuphosakela ixesha elisondeleyo, okanye unokuzibetha ngenxa yokungabetheli "ixesha lenjongo" yokuncancisa. (unetyala👋🏻). “Oomama kufuneka bazi ukuba ezo mvakalelo ziyinyani kwaye zivumelekile kwaye kufuneka zivunywe kwaye zinendawo yokumanyelwa nokuxhaswa, utshilo u-Alagona Cutler. (Izinto eziNxulumeneyo: u-Alison Désir malunga noLindelo lokukhulelwa kunye noMama oMtsha Vs. Inyani)

Ngoku iihormones: Okokuqala, ukuncancisa kuthanda ukuwucinezela umjikelo wakho wokuya exesheni, oza nokuhla kwe-estrogen neprogesterone, ucacisa uGqirha Osborne. Xa uncancisa, amanqanaba e-estrogen kunye neprogesterone ahlala ephantsi kakhulu, kwaye ke, awunamava afanayo kunye nokuhla kwehomoni ezenzeka ngokwendalo xa ufumana ixesha lakho. Kodwa xa uqala ukulunyulwa "uqala ukuba nokuguquguquka kwe-estrogen kunye neprogesterone kwakhona, kwaye kubasetyhini abathile abasesichengeni sokuguquguquka, ixesha lokulumla linokuba lixesha lokuba bafumane olo tshintsho," uyachaza. (I-FWIW, i-pros ayisiyonto intle eyenza ukuba umntu abe sesichengeni kunabanye. Isenokuba yimfuza okanye inokuba ulunge kakhulu nomzimba wakho.)

Amanqanaba e-oxytocin (evakalelwa kukuba yi-hormone elungileyo) kunye neprolactin nayo iyatshona njenge-estrogen kunye neprogesterone ukuqala ukunyuka. Kwaye ukwehla kwe-oxytocin kunokuba nefuthe elibi kwindlela abasabela ngayo abantu basetyhini kuxinzelelo, utshilo u-Alison Stuebe, MD, unjingalwazi oncedisayo wokwahlula amayeza oomama abakhulelweyo kwiZiko lezeMpilo le-UNC.

Nangona kungekho uphando oluninzi kule ndawo-ngakumbi kuyadingeka ngokucacileyo-uDkt. U-Osborne ukholelwa ukuba ukuguquguquka kweemvakalelo okunxulunyaniswa nokulumla akunanto yakwenza noko kwehla kwe-oxytocin kwaye ngaphezulu kunento yokwenza nembuyekezo koko kuguquguquka kwe-estrogen kunye neprogesterone. Ngokuyinxenye, kungenxa yokuba uthi kukho idatha eninzi malunga ne-metabolite okanye i-byproduct ye-progesterone ebizwa ngokuba yi-allopregnanolone, eyaziwayo ngokuzola kwayo, impembelelo yokuchasana nokuxhalaba. Ukuba i-allopregnanolone iphantsi ngelixa uncancisa ngoko iqala ukubuya xa ulunyula, kunokuba kungabikho ii-receptors ezininzi zokuzibophelela (ekubeni umzimba wakho awuzange uzifune). Amanqanaba asezantsi abhangqwe kunye nokudakumba kwee-receptors kunokuba "kukuphinda-phinda kabini" kwemood, utshilo uGqirha Osborne.

Ulwenza lula njani uhlengahlengiso lokuLumula

Iindaba ezimnandi zezokuba uninzi lweempawu zemoya ezinxulumene nokulunyulwa zihlala zilungisa emva kweeveki ezimbalwa, utshilo uAlagona Cutler. Nangona kunjalo, abanye abantu basetyhini bafumana imeko ethe gqolo ngakumbi okanye imiba yokuxhalaba kwaye bafuna inkxaso (unyango, amayeza) ukuze bahambe kuyo. Kwaye ngelixa kungekho ngcebiso ikhonkrithi yenzululwazi kwezona ndlela zilungileyo zokulumla, utshintsho olukhawulezileyo lunokubangela ukutshintsha ngokukhawuleza kwehomoni, utshilo uGqirha Osborne. Ke-ukuba uyakwazi-zama ukulumla ubisi kancinci kancinci.

Uyazi ukuba usesichengeni seempawu zemodemu eziphakathi? Ukubheja kwakho okusemgangathweni kukuqinisekisa ukuba unesazi sengqondo se-perinatal, ugqirha wezifo zengqondo, okanye ugqirha ogqityiweyo onokumelana naye kunye nenani eliqinileyo lenkxaso yentlalo ukukunceda kulo lonke utshintsho.

Kwaye khumbula: Nasiphi na isizathu kulungile ukufuna uncedo kunye nenkxaso ukuba uyalufuna-ngakumbi kubuzali obutsha.

Uphengululo lwe