Kungani Abanye Omama Bethola Izinguquko Ezinkulu Zokushintsha Kwezimo Lapho Bayeka Ukuncelisa

-Delile

• Imiphumela Yempilo Yokuncelisa Ibele
• Manje Kwenzekani Lapho Uqeda Ukulumula?
• Ungakusiza Kanjani Ukulungiswa Kokulunyulwa
• Buyekeza kwe-

Ngenyanga edlule, ekuseni okungahleliwe ngenkathi ngincelisa indodakazi yami enezinyanga eziyi-11 ngeSonto, walala phansi (wahleka) wabe esezama ukubuyisela emuva. Kwakuyisikhubekiso esingalindelekile ohambweni lokuncelisa ibele olubushelelezi, kepha ngemuva kokuphuma kwegazi (ugh), umuthi wamafutha wama-antibiotic, nokukhala izinyembezi, nginqume ukuthi nakho bekungukuphela.

Angigcinanga ngokuzishaya — angizange ngifinyelele kumaka wonyaka owodwa (yize ngizibekele) engiwubekile — kodwa ezinsukwini ezimbalwa, lezo zikhathi zokukhala, ezimnyama ebenginazo esikhathini sokuqala kwangemva kokubeletha wanyonyoba emuva. Ngingakwazi cishe ukuzwa ama-hormone ami ayashintsha.

Uma usanda kuba nomntwana (noma unomama abasha), cishe uyazi ezinye zezinguquko zemizwa ezingase zihambisane nokuba ngumzali omusha, okungukuthi "i-baby blues" (okuthinta amaphesenti angaba ngu-80 abesifazane emasontweni alandela ukubeletha. ) kanye nokuphazamiseka kwemizwa kanye nokukhathazeka kokubeletha (PMADs), okuba nomthelela koku-1 kokungu-7, ngokusho kwe-Postpartum Support International. Kepha izingqinamba zemizwa ezihlobene nokulunyulwa — noma ukuguqula ingane yakho ibele iye ekubeni ifomula noma ukudla — akukhulunywa kangako ngayo.

Ngokwengxenye, kungenxa yokuthi abajwayelekile kangako kunama-PMAD, njengokucindezeleka kwangemva kokubeletha. Futhi akubona bonke ababhekana nakho. "Zonke izinguquko ebuzali zingaba mnandi futhi kunezinhlobonhlobo zokuhlangenwe nakho okuhlobene nokulunyulwa," kuchaza uSamantha Meltzer-Brody, MD, MPH, umqondisi we-UNC Center for Women's Mood Disorders kanye nomphenyi oyinhloko we-Mom Genes Fight PPD. ucwaningo ngocwaningo lwangemva kokubeletha. “Abanye besifazane bathola ukuncelisa ibele kwanelisa kakhulu futhi baba nobunzima bomzwelo ngesikhathi belunyulwa,” usho kanje. "Abanye abantu besifazane abahlangabezani nobunzima bomphefumulo noma bathola ukuthi ukululama kuyimpumuzo." (Bheka futhi: USerena Williams Uvula Ngesinqumo Sakhe Esinzima Sokuyeka Ukuncelisa Ibele)

Kepha ukuguquka kwemizwelo okuhlobene nokulunyulwa (futhi * konke * ukuncelisa ibele, i-TBH) kunengqondo. Phela kunezinguquko zamahomoni, ezenhlalo, zomzimba nezingokwengqondo ezenzekayo uma uyeka ubuhlengikazi. Uma izimpawu zivela, zingamangaza, zidideke, futhi zenzeke ngesikhathi lapho ungase *ucabange* ukuthi ubuphumile ehlathini nanoma yiziphi izinkinga zangemva kokubeletha.

Lapha, kwenzekani emzimbeni wakho nokuthi ungakudambisela kanjani uguquko.

Imiphumela Yempilo Yokuncelisa Ibele

“Ngokuyisisekelo kunezigaba ezintathu zezinguquko zamahomoni nezokusebenza komzimba ezivumela abesifazane ukuba bakhiqize ubisi lwebele,” kuchaza uLauren M. Osborne, M.D., umsizi womqondisi we-Women’s Mood Disorders Center e-Johns Hopkins University School of Medicine. (Okuhlobene: Ngokuqondile Indlela Amazinga Akho Ehomoni Ashintsha Ngayo Ngesikhathi Sokukhulelwa)

Isigaba sokuqala senzeka engxenyeni yesibili yokukhulelwa lapho izindlala zebele emabeleni akho (eziyimbangela yokuncelisa) ziqala ukukhiqiza amanani amancane obisi. Ngenkathi ukhulelwe, amazinga aphezulu kakhulu e-hormone ebizwa ngokuthi i-progesterone ekhiqizwa yi-placenta avimbela ukukhishwa kobisi olushiwo. Ngemva kokubeletha, lapho i-placenta ikhishwa, amazinga e-progesterone ayehla futhi amazinga amanye ama-hormone amathathu—iprolactin, i-cortisol, ne-insulin—ayakhuphuka, okuvusa ukukhiqizwa kobisi. Lapho-ke, njengoba ingane yakho idla, ukuvuselelwa kwezingono zakho kudala ukukhululwa kwamahomoni i-prolactin ne-oxytocin, kuchaza uDkt Osborne.

"I-Prolactin iletha umuzwa wokukhululeka nokuzola kumama nasenganeni ne-oxytocin - eyaziwa ngokuthi 'i-hormone yothando' - isiza ekuxhumaneni nasekuxhumaneni," kwengeza uRobyn Alagona Cutler, umshado onelayisense, kanye nodokotela womndeni ogxile empilweni yengqondo yangaphambi kokubeletha.

Vele, imiphumela emihle yokuncelisa ibele akuyona nje eyemvelo. Ubuhlengikazi buyisenzo esingokomzwelo ngokweqile lapho okungahlonyelwa khona, ukuxhuma, nokubopha, kusho u-Alagona Cutler. Kuyisenzo esisondelene lapho ungahle uthwebuleke khona, isikhumba esikhunjeni, uhlangane iso. (Okuhlobene: Izinzuzo Nezinzuzo Zezempilo Zokubeletha)

Manje Kwenzekani Lapho Uqeda Ukulumula?

Ngamafuphi: Kuningi. Ake siqale nge-non-hormonal. "Njengalo lonke ushintsho ekukhuliseni izingane, abantu abaningi bazizwa bethandeka futhi bedonsa isiphetho," kusho u-Alagona Cutler. Kunezizathu eziningi zokuthi kungani ungayeka ukuncelisa: Akusasebenzi manje, ubuyela emsebenzini, ukupompa kuyakhathaza (njengoba bekunjalo ngoHilary Duff), umane uzizwe sengathi sekuyisikhathi , uhlu luyaqhubeka.

Futhi yize ama-hormone enendima ethile emizweni (ngaphezulu kwalokho maduze), ngesikhathi sokulunyulwa, abazali abaningi babhekana nemizwa eminingi (ukudabuka! Ukukhululeka! Icala!) Ngenxa yezinye izizathu eziningi, futhi. Isibonelo, ungahle udabuke ukuthi "isigaba" sempilo yengane yakho sesidlulile, ungahle uphuthelwe isikhathi esisondelene nobuso, noma ungazishaya wena ngokungashayi "isikhathi semigomo" sokuzibophezela sokuncelisa (unecala👋🏻). “Omama kumele bazi ukuthi leyo mizwa ingeyangempela futhi isemthethweni futhi idinga ukwaziswa futhi ibe nendawo yokulalelwa nokusekelwa,” kusho u-Alagona Cutler. (Okuhlobene: U-Alison Désir Ngokulindelekile Kokukhulelwa Nomama Omusha Vs. Iqiniso)

Manje mayelana nama-hormone: Okokuqala, ukuncelisa ibele kuvame ukucindezela umjikelezo wakho wokuya esikhathini, ohambisana nokushintshashintsha kwe-estrogen ne-progesterone, kuchaza uDkt. Osborne. Lapho uncelisa, amazinga e-estrogen ne-progesterone ahlala ephansi kakhulu, futhi-ke, awutholi ukwehla nokwehla okufanayo kwamahomoni okwenzeka ngokwemvelo lapho uthola isikhathi sakho. Kodwa lapho uqala ukuncelisa "uqala ukuba nokushintshashintsha kwe-estrogen ne-progesterone futhi, nakwabanye besifazane abasengozini yalokhu kushintshashintsha, isikhathi sokulunyulwa kungaba yisikhathi lapho behlangabezana nalokho kushintshashintsha kwemizwa," uyachaza. (I-FWIW, izinzuzo azivumi okwenza umuntu abe sengozini kakhulu kunabanye. Kungaba ufuzo noma kungenzeka ukuthi uhambisana kahle nomzimba wakho.)

Amazinga e-oxytocin (leyo hormone yokuzizwa ejabule) kanye ne-prolactin nawo ayacwila njengoba i-estrogen ne-progesterone ziqala ukwenyuka. Futhi ukwehla kwe-oxytocin kungathinta kabi indlela abesifazane abasabela ngayo ekucindezelekeni, kusho u-Alison Stuebe, MD, uprofesa osizayo wokwahlukaniswa kwemithi yomama nabakhulelwe e-UNC School of Medicine.

Ngenkathi kungekho lucwaningo oluningi kule ndawo — kuningi okudingekayo ngokusobala — uDkt. U-Osborne ukholelwa ukuthi ukushintshashintsha kwemizwa okuhlobene nokulunyulwa kungenzeka akuhlobene kancane nalokho kwehla kwe-oxytocin futhi kuhlobene kakhulu nembuyiselo kulokho kushintshashintsha kwe-estrogen ne-progesterone. Ngokwengxenye, lokho kungenxa yokuthi uthi kunedatha eningi ezungeze i-metabolite noma i-byproduct ye-progesterone ebizwa ngokuthi i-allopregnanolone, eyaziwa ngokudambisa, umphumela wokulwa nokukhathazeka. Uma i-allopregnanolone iphansi ngenkathi uncelisa ibele bese iqala ukubuya lapho ulumula, kungase kungabi nama-receptors amaningi ukuze ibophe kuwo (njengoba umzimba wakho ubungawadingi). Amazinga aphansi abhanqwe nalokhu kukhubazeka kwama-receptors angaba "yi-double whammy" yemizwa, kusho uDkt Osborne.

Ungakusiza Kanjani Ukulungiswa Kokulunyulwa

Izindaba ezinhle ukuthi izimpawu eziningi zemizwa ezihlobene nokulunyulwa ngokuvamile ziyaxazululeka ngemva kwamasonto ambalwa, kusho u-Alagona Cutler. Kodwa-ke, abanye besifazane baba nezinkinga eziqhubekayo zemizwa noma zokukhathazeka futhi badinga ukwesekwa (ukwelashwa, imishanguzo) ukuzulazula kubo. Futhi nakuba singekho iseluleko esiphathekayo sesayensi sezindlela ezingcono kakhulu zokulumula, izinguquko ezisheshayo zingabangela ukushintsha kwama-hormone kungazelelwe, kusho uDkt. Osborne. Ngakho-ke-uma ukwazi-zama ukulumula kancane kancane ngangokunokwenzeka.

Uyazi ukuthi usengozini yezimpawu zemizwelo ehambisana nehomoni? Ukubheja kwakho okuhle ukwenza isiqiniseko sokuthi unodokotela wezengqondo, udokotela wengqondo, noma umelaphi oklelisiwe ongaphendukela kuye kanye nenani eliqinile lokusekelwa komphakathi ukukusiza ekuguqukeni.

Futhi khumbula: Noma yisiphi isizathu esihle ukufuna usizo nokusekelwa uma uludinga — ikakhulukazi ebuzalweni obusha.

Buyekeza kwe-