I-Postpartum Rage: Umzwelo Ongashiwongo Womama Omusha

-Delile

• Ziyini izimpawu zokufutheka kwangemva kokubeletha?
• Yini ukwelashwa kokufutheka kwangemva kokubeletha?
• Intukuthelo yangemva kokubeletha ihlala isikhathi esingakanani?
• Okufanele ukwenze uma ungazizwa ubonwa
• Usizo lwezifo zemizwa yangemva kokubeletha
• Ukudla okudlela endlini

Uma ucabanga isikhathi sangemva kokubeletha, ungacabanga ngezentengiselwano zamanabukeni umama ezisonge ngengubo ethokomele kusofa, emanga ingane yakhe ezelwe futhi ejabule.

Kepha abesifazane abathole i-trimester yesine empilweni yangempela bazi kangcono. Impela, kunezikhathi eziningi ezimnandi, kepha iqiniso ukuthi, ukuthola ukuthula kungaba Kunzima.

Eqinisweni, abaningi abazobhekana nesifo semizwa yangemva kokubeletha sibucayi kakhulu kune-baby blues. (Funda kabanzi mayelana nokuthi yini ebangela ukuphazamiseka kwemizwa yangemva kokubeletha lapha).

Mhlawumbe uke wezwa ngokucindezeleka kwangemva kokubeletha nokukhathazeka, kodwa kuthiwani lapho izimpawu zakho zibonisa intukuthelo ngaphezu kosizi?

Abanye omama abasha bazizwa behlanya kaningi kunalokho abazizwa bedabukile, bedangele, noma bekhathazekile. Kulaba mama, ukufutheka kwangemva kokubeletha kungaba yimbangela yentukuthelo enkulu, ukuqhuma, nehlazo onyakeni wokuqala wokuphila kwengane yabo. Ngenhlanhla, uma lokhu kuchaza wena, yazi ukuthi awuwedwa futhi kunezindlela zokuba ngcono

Ziyini izimpawu zokufutheka kwangemva kokubeletha?

Ukufutheka kwangemva kokubeletha kuyahluka kumuntu nomuntu, futhi kungahluka kakhulu ngokuya ngesimo sakho. Abesifazane abaningi bachaza izikhathi lapho ngokomzimba noma ngamazwi beqhuma ngenxa yento engeke ibakhathaze.

Ngokusho kukaLisa Tremayne, RN, PMH-C, umsunguli weThe Bloom Foundation for Maternal Wellness kanye nomqondisi wePerinatal Mood and Anxiety Disorders Center eMonmouth Medical Center eNew Jersey, izimpawu zokufutheka kwangemva kokubeletha zingabandakanya:

• ulwela ukulawula ulaka lwakho
• inani elikhulile lokukhala noma lokufunga
• izinkulumo zomzimba njengokushaya isibhakela noma ukuphonsa izinto
• imicabango enobudlova noma ukunxenxa, mhlawumbe okuqondiswe kumlingani wakho noma amanye amalungu omndeni
• ukuhlala entweni ekucasulile
• ukungakwazi "ukuphuma kuyo" uwedwa
• ukuzwa uthuthuva lwemizwa ngokushesha ngemuva kwalokho

Umbhali uMolly Caro May uchaza ulwazi lwakhe ngokufutheka kwangemva kokubeletha encwadini yakhe ethi, “Umzimba Ogcwele Izinkanyezi,” kanye nakwindatshana ayibhalele i-Working Mother. Uchaza ukuba ngomunye umuntu onengqondo owayezithola ephonsa izinto, eshaya izicabha, futhi eqhweba abanye: “… ukufutheka, okuwela ngaphansi kwalesosambulela [sangemva kokubeletha], kuyisilwane saso… Kimi, kulula ukuvumela isilo sidume kunokuyivumela ikhale. ”

Yini ukwelashwa kokufutheka kwangemva kokubeletha?

Njengoba ukufutheka kwangemva kokubeletha nokudangala kwangemva kokubeletha kuvela ngendlela ehlukile kuwo wonke umuntu, kungcono ukukhuluma nodokotela wakho ukuze anqume indlela yokwelashwa engcono kakhulu kuwe. UTremayne uthi kunezindlela ezintathu ezibalulekile zokwelashwa okufanele uzicabangele:

• Ukusekela. "Amaqembu asekela ontanga ku-inthanethi noma mathupha abaluleke kakhulu kumama ukuze imizwa yakhe iqinisekiswe futhi abone ukuthi akayedwa."
• Ukwelashwa. "Ukufunda amasu okubhekana nokubhekana nemizwa nokuziphatha kwakhe kungasiza."
• Imithi. “Kwesinye isikhathi imithi iyadingeka okwesikhashana. Ngenkathi umama enza wonke omunye umsebenzi wokucubungula imizwa yakhe, imishanguzo ivame ukusiza esimweni sakhe sengqondo. ”

Kungasiza ukugcina iphephabhuku lesiqephu ngasinye. Phawula okungenzeka ukuthi kubangele ulaka lwakho. Ngemuva kwalokho, bheka emuva kulokho okubhalile. Uyayibona indlela ecacile yezimo lapho ukufutheka kwakho kuvela?

Isibonelo, mhlawumbe uyalingisa lapho umlingani wakho ekhuluma ngendlela abazizwa bekhathele ngayo ngemuva kokuvuka ubusuku bonke nengane. Ngokwazi isisusa sayo, uzokwazi kangcono ukukhuluma ngendlela ozizwa ngayo.

Izinguquko zendlela yokuphila zingakusiza uzizwe ungcono. Zama ukulandela ukudla okunempilo, ukuzivocavoca, ukuzindla, nesikhathi sokuzenzela wedwa. Lapho uqala ukuzizwa ungcono, kuzoba lula ukubona ukuthi yini ebanga ulaka lwakho.

Ngemuva kwalokho, bika udokotela wakho. Zonke izimpawu zinikeza umkhondo wokwelashwa, noma ngabe bengazizwa bebalulekile ngaleso sikhathi.

Intukuthelo yangemva kokubeletha ihlala isikhathi esingakanani?

Ukuphendula umbuzo othi "Ngizozizwa nini futhi emuva kumuntu wami wakudala?" kungaba nzima kakhulu. Akunampendulo yokusika neyomile. Okuhlangenwe nakho kwakho kuzoncika kakhulu kokunye okwenzekayo empilweni yakho.

Izici zobungozi ezingeziwe zingakhuphula ubude besikhathi ohlangabezana ngaso nokuphazamiseka kwemizwelo yangemva kokubeletha. Lokhu kufaka phakathi:

• okunye ukugula ngengqondo noma umlando wokucindezeleka
• ubunzima bokuncelisa
• ukukhulisa ingane ngezinselele zezokwelapha noma ezentuthuko
• ukulethwa okucindezelayo, okuyinkimbinkimbi, noma okuhlukumezayo
• ukusekelwa okunganele noma ukuntuleka kosizo
• ukuguquka kwendlela yokuphila enzima ngesikhathi sokubeletha njengokufa noma ukulahleka komsebenzi
• iziqephu ezedlule zokuphazamiseka kwemizwelo yangemva kokubeletha

Noma ungekho umugqa wesikhathi othize wokululama, khumbula ukuthi konke ukuphazamiseka kwemizwa kwangemva kokubeletha kungokwesikhashana. “Lapho usheshe wathola usizo olufanele nokwelashwa, uzosheshe uzizwe ungcono,” kusho uTremayne. Ukufuna ukwelashwa ngokushesha kungesikhathi esizayo kuzokubeka endleleni yokululama.

Okufanele ukwenze uma ungazizwa ubonwa

Uma uhlangabezana nolaka lwangemva kokubeletha, yazi ukuthi awuwedwa. Ukufutheka kwangemva kokubeletha akusikho ukuxilongwa okusemthethweni kuhlelo olusha lwe-Diagnostic and Statistical Manual of Mental Disorders (DSM-5) abelaphi abalusebenzisayo ukuxilonga ukuphazamiseka kwemizwa. Kodwa-ke, kuyisibonakaliso esivamile.

Abesifazane abazizwa bethukuthele ngemuva kokubeletha bangaba nokudangala kwangemva kokubeletha noma ukukhathazeka, okubhekwa njengokuphazamiseka kwemizwa yangaphambi kokubeletha nokukhathazeka kokukhathazeka (PMADs). Lezi ziphazamiso ziwela ngaphansi kwesifo "sokucindezeleka okukhulu ngokuqala kwe-peripartum" ku-DSM-5.

"Intukuthelo yangemva kokubeletha iyingxenye yomkhakha we-PMAD," kusho uTremayne. "Abesifazane bavame ukushaqeka uma bezilingisa ngoba bethukuthele, ngoba bekungeyona into ejwayelekile phambilini."

Intukuthelo kwesinye isikhathi ayinakwa lapho kutholakala ukuthi kunowesifazane onenkinga yangemva kokubeletha. Ucwaningo olulodwa luka-2018 oluvela eNyuvesi yaseBritish Columbia lwaphawula ukuthi abesifazane badinga ukuhlolwa ngokukhethekile ngentukuthelo, okungazange kwenziwe esikhathini esedlule.

Ucwaningo luthi abesifazane bavame ukudikibala ekuboniseni ulaka. Lokho kungachaza ukuthi kungani abesifazane bengahlolisiswa njalo ngenxa yolaka lwangemva kokubeletha. Kodwa-ke, kubalulekile ukwazi ukuthi intukuthelo empeleni ijwayelekile kakhulu esikhathini sokubeletha.

"Ukufutheka ngesinye sezimpawu ezivamile esizwa ngazo," kusho uTremayne. “Imvamisa abesifazane bazizwa benehlazo elengeziwe ekuvumeni le mizwa, ebenza bazizwe bengaphephile ekufuneni ukwelashwa. Kuyabavimba ekutholeni ukwesekwa abakudingayo. ”

Ukuzwa ukufutheka okukhulu kuyisibonakaliso sokuthi ungahle ube nenkinga yemizwa yangemva kokubeletha. Yazi ukuthi awuwedwa emizweni yakho, futhi usizo luyatholakala. Uma i-OB-GYN yakho yamanje ingabonakali ukuvuma izimpawu zakho, ungesabi ukucela ukuthunyelwa kuchwepheshe wezempilo yengqondo.

Usizo lwezifo zemizwa yangemva kokubeletha

• I-Postpartum Support International (i-PSI) inikeza umugqa wenkinga yocingo (800-944-4773) nokusekelwa kombhalo (503-894-9453), kanye nokudluliselwa kubahlinzeki bendawo.
• INational Suicide Prevention Lifeline inezinombolo zosizo ezingama-24/7 zamahhala ezitholakala kubantu abasenkingeni okungenzeka bacabanga ukuzibulala. Shayela ku-800-273-8255 noma uthumele umqhafazo ku- "HELLO" ku-741741.
• INational Alliance on Mental Illness (NAMI) iyinsiza enezintambo zombili zocingo (800-950-6264) kanye nocingo lwenkinga yombhalo (“NAMI” kuya ku-741741) yanoma ngubani odinga usizo ngokushesha.
• Umama Oqondwayo ngumphakathi waku-inthanethi owaqalwa ngumuntu osindile odangele ngemuva kokubeletha enikela ngezinsizakusebenza ze-elekthronikhi nezingxoxo zeqembu ngohlelo lokusebenza lweselula.
• I-Mom Support Group inikeza ukwesekwa kwamahhala kontanga kumakholi we-Zoom aholwa ngabagqugquzeli abaqeqeshiwe.

Ukudla okudlela endlini

Kuyinto evamile ukuba nokukhungatheka okuthile phakathi nenguquko enzima njengokuthola umntwana omusha. Noma kunjalo, ukufutheka kwangemva kokubeletha kukhulu kakhulu kunentukuthelo ejwayelekile.

Uma uzithola ugcwele ukufutheka ngezinto ezincane, qala ngokushicilela izimpawu zakho ukukhomba izimbangela. Uma izimpawu zakho zinzima, khuluma nodokotela wakho. Yazi ukuthi ukufutheka kwangemva kokubeletha kuyinto ejwayelekile futhi kungalashwa.

Kubalulekile ukukhumbula ukuthi nalokhu kuzodlula. Vuma ukuthi uzizwa kanjani bese uzama ukungavumeli ukuba necala kukuvimbe ekufuneni usizo. Intukuthelo yangemva kokubeletha ifanelwe ukwelashwa njenganoma yisiphi esinye isifo sokugula kwemizwa. Ngokusekelwa okufanele, uzozizwa uthanda wena futhi.