Pono nā makuahine hou e lohe i kēia

Ma ke ʻano he makuahine hou, hoʻomanaʻo wau i ka ʻike ʻana i nā kiʻi hoʻopiʻi pinepine o ka hoʻokuke ʻana i ke kaʻa kaʻa o kaʻu keiki i ke alanui, kahi mea aʻu i ʻike ai he mea weliweli maoli, e hoʻopaʻa ai iaʻu i ka ʻau o ka stroller a hiki i koʻu mau manamana lima ke keʻokeʻo. E like me ka nui o nā makuahine hānai me kēia mau manaʻo hopohopo, mālama wau iaʻu iho me ka makaʻu o ʻike kaʻu kahu hānai i ka haʻi ʻia ʻana o ia mau hopohopo weliweli he hōʻailona o ka hiki ʻole ke mālama pono i kaʻu keiki aloha.

He haʻawina koʻikoʻi no nā makuahine hou a me kā lākou mea mālama ola

Ua hōʻike ʻia kahi paʻi hou a Fairbrother a me nā hoa hana i ka maʻamau o kēia mau ʻano o ka manaʻo i ka wā postpartum a i ka hapa nui o nā hihia, a ʻoiaʻiʻo i ka wā e pilikia ai nā manaʻo i ka makuahine, ʻaʻole i hoʻonui ʻia ka pilikia o ka pēpē. . Akā, hoʻomaka pinepine kēia mau wahine i ka hana pale koʻikoʻi, e like me ka nānā pinepine ʻana i kā lākou pēpē e hōʻoia i ka palekana a me ke olakino.

ʻO nā ʻike o kēia noiʻi hou e hōʻano hou i ka hoʻomaʻamaʻa lapaʻau o kekahi mea lawelawe e mālama ana i nā wahine i ka wā hāpai a me ka hānau ʻana. Hana ʻia ma nā nīnau nīnau ʻelua a me nā nīnauele i ka wā o ka hānau ʻana, ua komo nā wahine 388 i kēia laʻana no ka loiloi inā pili ʻia nā manaʻo intrusive makemake ʻole (UIT) i ka wā o ka hānau ʻana me ka piʻi nui o ka huhū makuahine i kā lākou pēpē.

He mea koʻikoʻi kēia hana ma muli o ke kiʻekiʻe o kēia mau ʻano manaʻo i ka heluna nui o ka postpartum. ʻO kaʻoiaʻiʻo, hōʻike ka loiloi piha 2017 i ka hapa nui o nā wahine - a hiki i ka 91% o nā makuahine hou - e hōʻike i nā manaʻo intrusive makemake ʻole (UIT) o ka maʻi a i ʻole ka hōʻeha, a hiki i ka hapalua hōʻike UIT no ka hoʻomāinoino ʻana i kāu keiki. ʻO ka mea nui, loaʻa ka UIT i nā helu he nui i nā wahine me ka ʻole o ka maʻi noʻonoʻo ʻike ʻia a ua ʻōlelo ʻia e hoʻolako i kahi hana olaola adaptive (ʻoiai ʻaʻole ʻoluʻolu) no nā mākua hou e ʻimi nei e pale i kā lākou mau keiki nāwaliwali.

Pehea mākou e ʻike ai i ka wā e hopohopo ai mākou?

ʻAʻole ia he mea kupanaha no ka lawe nui ʻana o nā mea hoʻolako i nā pilikia i ka pēpē. Eia nō naʻe, e like me ka nui o nā kauka e mālama nei i nā wahine me ka hopohopo a me ka OCD i hoʻomaopopo i nā makahiki, he egodystonic ka UIT, ʻo ia hoʻi, ʻaʻole i kūlike me nā manaʻoʻiʻo, makemake, a me nā waiwai o ka wahine a no laila ua ʻike ʻia ʻo ia he mea hoʻopailua a pilikia loa. liʻiliʻi paha o ke alakaʻi ʻana i ka pōʻino keiki.

He ʻokoʻa kēia me ko mākou ʻike no ka postpartum psychosis, kahi pilikia nui akā koʻikoʻi o ka hana, i ka wā e hiki mai ai nā manaʻo hoʻopunipuni o ka pōʻino pēpē a ego-syntonic, ʻo ia hoʻi, e kūlike me kāu mau manaʻo (delusional) a i ʻole makemake. No laila, ʻaʻole ʻike pinepine ʻia kēia mau manaʻo e ka makuahine he mea kaumaha.

ʻO kahi laʻana, ʻo ka wahine me ka hopohopo postpartum i ʻike i nā kiʻi hoʻopilikia nui loa o ka hoʻokuʻu ʻana i kāna keiki i lalo o ke alapiʻi, e hōʻalo iā ia i ke alapiʻi a noi aku i nā poʻe ʻē aʻe e lawe i kāna keiki i ka lumi ma luna, he ʻokoʻa loa ia mai ka wahine me ka hopohopo postpartum. .makuahine hou. Ua pilikia ka hope i ka hoʻopunipuni psychotic he hewa ka honua a pono ʻo ia e pale i kāna pēpē ma o nā hana pōʻino.

No ke kōkua ʻana i ka hoʻokaʻawale ʻana ma waena o nā UTI maʻamau i nā wahine postpartum a me nā manaʻo hoʻopunipuni kakaʻikahi o ka postpartum psychosis, hiki i nā kauka ke ʻike i ka hoʻāʻo maoli ʻana, ka hallucinations, a i ʻole ka hana ʻino, nā hōʻailona āpau o nā pilikia koʻikoʻi a weliweli i ke ola o ka psychosis postpartum. ʻo ia ka mea e pono ai ke komo pilikia.

Nā ʻike o Fairbrother et al. Haʻawina

I loko o kēia noiʻi hou i paʻi ʻia ma ka puke hanohano Journal of Clinical Psychiatry, 44 ka nui o kēia mau wahine postpartum i ʻike i kekahi ʻano o ka manaʻo intrusive makemake ʻole i nā mahina ʻeiwa mua o ka hānau ʻana. ʻO nā ʻike mai kēia laʻana heluna lehulehu e hōʻike ana he nui nā wahine, ʻo ka poʻe ʻaʻole maʻi psychiatric, ʻike i kēia mau manaʻo kaumaha.

ʻO ka nui o ka hoʻomāinoino ʻana i ka makuahine a me ke keiki i manaʻo ʻia e kahi meta-analysis hou he 4,5 pakeneka. I loko o kēia noiʻi ʻana, ʻo 2,9 pakeneka ka nui o ka hoʻomāinoino kino o ka makuahine i ka pēpē. ʻO ka mea nui, ʻoiai ʻaʻole koʻikoʻi nui, ʻoi aku ka nui o nā wahine i hōʻole i ka UIT i hōʻike i ka huhū i kā lākou pēpē (6 (3,1 pakeneka)) ma mua o ka poʻe i ʻae iā UIT (4 (2,6 pakeneka)).

ʻO ka mea nui aku, ʻo 44 ka nui o nā wahine postpartum i hōʻike i ka UIT i nā mahina 9 postpartum ʻaʻole i ʻoi aku ka pilikia o ka huhū i kā lākou pēpē ma mua o ka poʻe i loaʻa ʻole kēia mau manaʻo hoʻopiʻi no ka pōʻino pēpē. Eia kekahi, ʻo nā wahine i loaʻa i ka maʻi maʻi maʻi ma hope o ka hānau ʻana me ka UIT pinepine ʻaʻole i ʻoi aku ka nui o ka pōʻino o ka wā kamaliʻi ma mua o kā lākou mau hoa me ka ʻole o OCD. Hoʻopili kēia mau ʻike a hoʻoikaika i ka hana mua a nā mea kākau o kēia noiʻi.

He aha ka leka e hiki iā mākou ke loaʻa mai kēia ʻikepili?

Hōʻike nā ʻike hōʻoluʻolu o kēia noiʻi i nā manaʻo i hōʻike ʻia e OCD a me nā loea hopohopo. Hōʻike lākou ʻo nā manaʻo egodystonic, makemake ʻole, a me nā manaʻo intrusive i ʻike ʻia e kā lākou mau maʻi i ka wā postpartum, ʻaʻole ia he hōʻailona pilikia no ke keiki.

ʻOiai pono ka noiʻi hou ʻana e kāpae i nā hōʻailona ʻoi aku ka pōʻino, ʻo ka wehe wikiwiki ʻana i ke keiki a i ʻole ka hāʻawi ʻana i nā lawelawe pilikia no ka UTI egodystonic hiki ke hōʻeha maoli i ka makuahine, e hoʻohilahila, pilikia, a me ka noho kaʻawale. E like me ka ʻōlelo a nā mea kākau, ma mua o ka pathological, hōʻike kēia mau manaʻo i kahi "maʻamau, ʻoiai ʻaʻole ʻoluʻolu a pilikia paha, ka ʻike postpartum."

Hiki i kēia ʻikepili ke hoʻohui i nā hana koʻikoʻi ʻē aʻe ma kēia wahi, akā ʻoi aku ka mea nui, pehea mākou e hoʻohana ai i kēia ʻike e kōkua i kā mākou mau makuahine hou?

lawe lawe kī

Pono e hoʻomaopopo ʻia nā wahine a me kā lākou mau hoa pili i ka pinepine o kēia mau manaʻo. Pono lākou e hoʻomaopopo a manaʻo i kēia mau ʻike ma ke ʻano he ʻāpana maʻamau o ka wā postpartum, ma mua o ka unuhi ʻana iā lākou he mea hilahila a i ʻole he hōʻailona o ka mākaukau maikaʻi ʻole no ka makuahine. E maʻalahi kēia iā ʻoe e ʻimi i ke kākoʻo a me ka ʻike e hiki ai i ka mālama ʻana, inā pono, ma mua o ka ʻeha pono ʻole, ka pale ʻana i kāu pēpē a i ʻole ka hoʻomaka ʻana o ke kaumaha a me ka hoʻokaʻawale hou aku.

ʻO nā mea hoʻolako e mālama ana i nā wahine i ka wā hāpai a me ka hānau ʻana, inā he obstetricians, kahu hānai, psychiatrist, a i ʻole nā ​​​​mea olakino noʻonoʻo ʻē aʻe, pono e makaʻala e ulu pinepine kēia mau manaʻo. Eia naʻe, inā he egodystonic lākou a hoʻopilikia i ka makuahine, ʻaʻole paha lākou e hoʻopilikia i ka pēpē.

E makaʻala nā makuahine, nā hoa, a me nā mea hoʻolako i nā hōʻailona liʻiliʻi akā hiki ke hoʻopilikia i nā pēpē, e like me ka postpartum psychosis me ka egosyntonic, hoʻopunipuni pinepine, nā manaʻo e hōʻeha iā lākou iho a i kā lākou keiki paha, me ka disorientation, deterioration o ka hoʻāʻo maoli. , a i ʻole nā ​​manaʻo noʻonoʻo. Pono e hoʻomaʻamaʻa wikiwiki a paʻakikī i kēia mau hihia.

Hiki i kahi pūnaewele o nā makuahine hou ke lilo i mea ola no nā wahine i ʻike i kēia mau manaʻo akā makaʻu a hilahila paha e kamaʻilio e pili ana iā lākou. ʻO ka paipai ʻana i ke komo ʻana i nā pūʻulu kiʻekiʻe a i ʻole nā ​​pūnaewele kākoʻo pūnaewele, a me nā mea ʻē aʻe i ke kākoʻo mau hoa, pono e lilo i ʻāpana o kēlā me kēia kūkākūkā hoʻokuʻu ʻana i ka haukapila postpartum.

E hana pū kākou a pau e kaʻana like i kēia ʻike me nā mākua hou a hiki i ko kākou ola a me kā mākou mau hana lapaʻau a psychotherapeutic paha. Pono mākou e hoʻonui i ka ʻike no kēia mau ʻike a kōkua i nā makuahine e ʻike a hoʻomaopopo i kēia mau ʻano manaʻo. Hiki iā mākou ke kōkua i ka hōʻemi ʻana i ka nui o ka ʻeha.

No ka huli ʻana i kahi lapaʻau kokoke iā ʻoe, e kipa i ka Papa kuhikuhi o nā Therapies PsychologyBlog.