Upangiri Wothandiza Kwambiri wa Makolo Atsopano Makolo Awo Ayenera Kukhala M'thumba Mwawo

Zamkati

• Zadzidzidzi
• Thandizo ndi chitsogozo chachikulu
• Mafunso azamankhwala: Kodi ndingatenge izi?
• Maganizo
• Kuyamwitsa ndi kuyamwitsa
• Thanzi la pansi
• Postpartum doula
• Ntchito zowonjezera

Sungani mawebusayiti ndi manambalawa pakuyimba mwachangu kuti mudziwe nthawi yomwe mukufuna thandizo kwambiri.

Ngati mukuyembekezera kuwonjezera kwatsopano kubanja, mwina mwalandira kale zinthu zambiri zokongola za mwana wanu. Koma ndikupatsani china: mphatso yazidziwitso.

Ndikudziwa, ndikudziwa. Sizosangalatsa kwenikweni ngati zokutira bulangeti ndi mafelemu azithunzi. Koma ndikhulupirireni. Mwana atafika, sh * t amakhala weniweni. Simudziwa - kaya ndi yanu yoyamba kapena yachinayi - zovuta zomwe mungakumane nazo kapena mtundu wa chithandizo chomwe mungafune.

Ndipamene bukhuli lothandiza lazofunikira limabwera. Pali zina mwazinthu zolembedwera zomwe ndikuyembekeza kuti aliyense azigwiritsa ntchito. Pali zinthu zina zomwe ndalemba zomwe ndikuyembekeza kuti palibe amene ayenera kugwiritsa ntchito. Mwanjira iliyonse, zonsezi zikuphatikizidwa pano, zopanda chiweruzo.

Monga post dartla yobereka, ndi ntchito yanga komanso mwayi wanga kuthandiza makolo atsopano akakhala pachiwopsezo chachikulu. Kupereka zothandizira ndi gawo lalikulu la izi. (Nthawi yochepetsera malingaliro yolimbana ndi phompho la pa intaneti, nthawi yochulukirapo ndi banja lanu: Inde!) Ndikukhulupirira kuti inenso ndingakuchitireni zomwezo.

Kupatula apo, zimatengera mudzi. Ndipo masiku ano, mudziwo ndi malo osakhazikika pazinthu zenizeni komanso zapaintaneti.

Zadzidzidzi

Choyamba choyamba: Onjezani nambala yafoni ya dokotala wa ana anu pafoni yanu yomwe Mumakonda mukakhala kuti mukudandaula za mwanayo. Dziwani komwe kuli chipatala chapafupi kapena malo operekera chisamaliro mwachangu maola 24.

Zomwezo zimakupangirani inu. Musazengereze kuyimbira omwe amakupatsani, makamaka mukakumana ndi izi pambuyo pobereka: Ngati mudutsa chovala chachikulu kuposa maula, zilowerere mopitilira pa ola limodzi, kapena mutakhala ndi malungo, kuzizira, nseru, kapena kugunda kwamtima mwachangu. Zonsezi zitha kukhala zizindikilo za kukha magazi pambuyo pobereka.

Ngati mukusintha masomphenya, chizungulire, kapena mutu wopweteka kwambiri, itanani wothandizirayo mwachangu. Zizindikiro izi zimatha kukhala zizindikilo za postpartum preeclampsia.

Thandizo ndi chitsogozo chachikulu

Ndine wokonda kwambiri kugwiritsira ntchito Facebook kuti ndipeze magulu atsopano a makolo ndi oyandikana nawo, komanso magulu adziko / mayiko ndi chidwi. Gwiritsani ntchito chithandizo, upangiri, kutuluka, kapena kukumana kwakuthupi, komwe kumathandiza makamaka mukakhala nokha kunyumba m'masabata kapena miyezi yoyambayo. Chipatala chanu chidzaperekanso gulu latsopano la makolo.

• Kuyamwitsa. La Leche League ndilo gulu lodziwika bwino kwambiri, komanso lofala kwambiri. (Zambiri pazakuyamwitsa pansipa.) Ili ndi mitu pafupifupi mtawuni iliyonse ndi mizinda yonse, ndipo ndi chinthu chosowa kwaulere - chazindikiritso, komanso omwe angakhale abwenzi.
• Kutumiza kwa Kaisara. International Cesarean Awareness Network (ICAN) ili ndi magulu am'deralo komanso gulu lotseka la Facebook kwa iwo omwe akufuna thandizo, ngakhale mutakhala ndi gawo la C, gawo ladzidzidzi la C, kapena VBAC.
• Kuda nkhawa pambuyo pobereka. Postpartum Support International (PSI) imapereka zithandizo zambiri zam'mutu (zambiri pamunsimu), koma ndimayamika kwambiri pamisonkhano yapa mlungu ndi mlungu yomwe imakhalapo pazovuta zamankhwala amisala komanso osamalira asitikali.
• Kuberekera. Ngati mukugwiritsa ntchito (kapena mwagwiritsa ntchito) woberekera ndipo mukufuna kulumikizana ndi makolo ena oberekera ana, mungafune kuwona gulu la Facebook Surrogates and Intended Parents, lomwe lili ndi mamembala pafupifupi 16,000.
• Kulera. Bungwe la North America on Adoptable Children (NACAC) limapereka mndandanda wamagulu othandizira makolo olera ndi boma. Ndikoyenera kudziwa kuti kupsinjika kwa pambuyo pa kulera ndi vuto lenileni, lomwe ena zimawavuta kukambirana momasuka. Ngati mukuvutika, mutha kupeza kuti maofesiwa akuthandizani komanso izi kuchokera ku US department of Health and Human Services.

Mafunso azamankhwala: Kodi ndingatenge izi?

Ndalemba za zowonjezera pambuyo pobereka komanso zitsamba zotchuka za lactation kuno ku Healthline, koma ngati mukuganizabe kuti, "Ndingatenge izi?" gwiritsani ntchito zinthu ziwirizi kuchipatala:

• LactMed. Awa ndi nkhokwe ya National Institute of Health ndi nkhokwe yoyamwa. (Palinso pulogalamu!)
• MayiKalAya. Ngati muli ndi funso lokhudza mankhwala kapena chinthu china panthawi yobereka, izi zopanda phindu zitha kukuthandizani. Werengani zofunikira patsamba lino kapena lemberani nawo kudzera pa foni, mameseji, imelo kapena macheza kuti mulankhule ndi katswiri kwaulere.

Maganizo

Pali kuchuluka kwina "Sindikumva ngati inemwini" zomwe zimachitika pambuyo pobereka. Koma mungadziwe bwanji ngati zomwe mukuwona kuti ndi zachilendo, kapena zina zoti muzisamala nazo? Makamaka pambuyo pobereka matenda opsinjika, kukhumudwa, nkhawa, ndi psychosis zitha kuwoneka mosiyana kwambiri ndi munthu aliyense.

Akuti pafupifupi 15 peresenti ya amayi apakati ndi omwe abereka pambuyo pobereka amakhala ndi vuto la kupsinjika. Ngati simukudziwa, mutha kuyamba ndi kufunsa mafunso mwachangu. Ndi funso lofunsidwa lomwe ma doulas ambiri amagwiritsa ntchito poyendera pakati komanso pambuyo pobereka.

• Ngati muli ndi nkhawa ndi mayankho anu, kapena momwe mafunso amafunsira, chonde pitani kwa omwe amakupatsani mwayi, katswiri wodalirika wazachipatala, kapena itanani National Postpartum Depression Hotline ku 1-800-PPD-MOMS (773-6667) .
• PSI imaperekanso zinthu zambirimbiri. Ndikuganiza kuti ndiwo njira zabwino kwambiri zopezera mafunso amisala. Mutha kuyimbira foni yothandizira pa 1-800-944-4773 kapena kupeza chithandizo chapafupi kudzera pamndandanda wawo wamaboma.
• Ngati mukumva kuti muli pachiwopsezo, itanani 911, oyang'anira zadzidzidzi kwanuko, kapena National Suicide Prevention Lifeline ku 1-800-273-8255.

Kuyamwitsa ndi kuyamwitsa

Kwa amayi omwe amasankha kuyamwitsa, thandizo la lactation limakhala lalifupi komanso lachidule kuchipatala, ndipo palibe njira yotsatira yoyamwitsa mukangobwerera kwanu.

asiye kuyamwitsa msanga kuposa momwe amafunira chifukwa chazovuta zoyamwitsa. Ndipo ndi ana 25 okha mwa ana 100 aliwonse omwe amayamwitsa mkaka wa m'mawere miyezi isanu ndi umodzi yokha.

Kuyamwitsa ndi ntchito yovuta, ndipo pamafunika kuyeserera ndi kulimbikira. Mwina mukukumana ndi zovuta zamabele (zopindika, zosunthika, kapena zotchulidwa zitha kukhala zovuta kwambiri), kapena zotchingira, kapena zochepa - makamaka ngati mudakumana ndi zovuta, kubadwa msanga, kapena kuthana ndi mavuto obwerera msanga kugwira ntchito.

• American Academy of Pediatrics imapereka mafunso ndi mayankho okhudzana ndi mavuto omwe mwana amakhala nawo poyamwitsa.
• Stanford Medicine ili ndi makanema ang'onoang'ono koma oyamwitsa omwe ali othandiza kuwonera mukakhala ndi pakati kapena mukangobereka kumene ndikuyesera kuti mukhale ndi zinthu zina.
• Ngati chithandizo cha -munthu chili chothamanga kwambiri, La Leche League, monga tafotokozera pamwambapa, ikufalikira - ndipo ndi yaulere!

Ndikukhulupirira ndi mtima wonse kuti munthu aliyense wobereka pambuyo pobereka ayenera kuyika ndalama kwa mlangizi wa mkaka ngati a) ndizotheka pazachuma, ndipo / kapena b) mtima wanu wakhazikika pa kuyamwitsa. Amakhala ofunika mu golide (wamadzi).

Nthawi zonse ndimalimbikitsa kuti mupite kukaonana ndi dokotala wa ana anu koyambirira kwa akatswiri akomweko, odalirika. Pobwerera m'mbuyo, mutha kuyang'ana kwa mlangizi wa zakumwa za IBCLC. Ma IBCLC ali ndi maphunziro apamwamba kwambiri.

Izi zati, pali magawo ena angapo ovomerezeka ndipo, kuphatikiza ndi zokumana nazo (zenizeni), palibe chifukwa chomwe sangathandizire nanu. Nayi msuzi wofulumira wa zilembo zamatchulidwe a lactation omwe mungakumane nawo:

• CLE: Lactation Educator Wophunzitsa
• CLS: Katswiri Wotchedwa Lactation Specialist
• CLC: Mlangizi Wotchedwa Lactation

Zina mwazomwe zili pamwambazi zikuyimira maphunziro osapitirira maola 45, kenako ndikutsata.

• IBCLC: International Board Certified Lactation Katswiri

Mulingo uwu umawonetsa osachepera maola 90 a maphunziro a mkaka wa m'mawere, komanso mayeso omaliza.

Thanzi la pansi

Monga momwe ndidalemba m'ndime yoyambirira yokhudza kubereka m'chiuno, kubereka sikumakupangitsani kukhala ndi ngozi zoopsa mukamayetsemula, kuseka, kapena kutsokomola.

Kulepheretsa zochitika zowonjezereka, simuyenera kukhala ndi mavuto atadutsa milungu isanu ndi umodzi kuti mubereke zovuta, kapena pambuyo pa miyezi itatu ngati mwakhala mukuwonongeka kwambiri kapena mukuvutika chifukwa chobereka. Ngati mutero, ndi nthawi yoti mupeze wothandizira pakhosi.

• Pali akalozera awiri omwe mungagwiritse ntchito kupeza katswiri pafupi nanu: Choyamba, American Physical Therapy Association (APTA). Sefani za "thanzi la amayi" ndikuyang'ana wina yemwe ali ndi DPT ndi WCS ndi dzina lawo.
• Ndiye, pali chikwatu cha Herman & Wallace Pelvic Rehabilitation Institute. Operekawa ali ndi maphunziro osaneneka. Mudzawonanso dzina lina la PRPC la Pelvic Rehabilitation Practitioner Certification, lomwe limafotokoza za Herman & Wallace.

Ngakhale pali ophunzitsira masauzande ambiri pa intaneti komanso machitidwe othandiza kudzera pa YouTube ndi Instagram, sayenera kukhala komwe mumayambira.

Muyenera kudziwa zomwe zikuchitika makamaka yanu thupi musanayese kusuntha. (Mwachitsanzo, ma kegel siabwino kwa aliyense!) Funani nzeru za akatswiri poyamba, kenako fufuzani momwe zingafunikire.

Postpartum doula

Zachidziwikire, ngati postpartum doula ndekha, ndimakondera ndikanena zotsatirazi, koma ndikukhulupirira kuti ndi zowona 100%: Banja lililonse lingapindule pokhala ndi postpartum doula.

Kafukufuku akuwonetsa kuti chithandizo cha doula chitha kuthandiza kuchepetsa kuchuluka kwa kusokonezeka kwa malingaliro pambuyo pobereka, ndipo kumatha kukhala ndi zotsatira zabwino kubanja lonse.

Kuti mupeze doula yotsimikizika ya postpartum mdera lanu, onani mindandanda ya DONA International yapadziko lonse lapansi. Kuwululidwa kwathunthu: Ndine wotsimikizika kudzera, komanso membala wa, DONA International. Pali mabungwe ena ambiri a postpartum doula omwe ndiodalirika. Mulimonse bungwe ndi aliyense amene mungasankhe, ndikukulangizani kuti musankhe wina wotsimikizika ndikufunsani zamaphunziro ake, kuphatikiza pakufunsanso maumboni.

Ndipo mphindi yodzikweza: Ndimayendetsa kalatayo yamakalata sabata iliyonse yomwe imapereka chidziwitso chotsimikizira ndi chitsogozo cha trimester yachinayi. Ndi yochepa, yosavuta, ndipo imaphatikizapo kuwerenga kosangalatsa kwa sabata. Mutha kuphunzira zambiri za izi Pano.

Ntchito zowonjezera

• Katundu wanyumba ndi chitetezo chachilengedwe. Ngati mumakhudzidwa ndi chisamaliro cha khungu ndi zinthu zapakhomo zomwe mumagwiritsa ntchito nthawi yapakati komanso yobereka, Environmental Working Group ili ndi nkhokwe yothandiza kwambiri yazogulitsidwa. Yendetsani kumenyu yotsitsa pa tsamba la Ana ndi Amayi. Mudzapeza mafuta ambiri, sopo, mankhwala ochapira tsitsi, ndi mafuta ocheperako omwe amapezeka poyizoni.
• Zakudya zabwino. Pulogalamu ya Special Supplemental Nutrition Program for Women, Infants and Children (WIC) Program sikuti imangothandiza ndi chakudya chopatsa thanzi amayi ndi makanda, koma imaperekanso chithandizo kwa makolo atsopano monga kuwunika zaumoyo ndi upangiri woyamwitsa. Dziwani zambiri apa.
• Matenda ogwiritsa ntchito opioid. Kugwiritsa ntchito opioid panthawi yoyembekezera kwachulukanso, ndipo kugwiritsa ntchito mankhwala osokoneza bongo ndi komwe kumathandizira kufa kwa nthawi zonse. Ngati mukufuna thandizo - kupeza chithandizo chamankhwala, gulu lothandizira, gulu la anthu wamba, kapena china chilichonse - funsani a Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline ku 1-800-662-HELP (4357). Ndi zachinsinsi, zaulere, ndipo zimapezeka 24/7.

Mandy Major ndi mayi, wotsimikizika postpartum doula PCD (DONA), komanso woyambitsa mnzake wa Major Care, woyambitsa telehealth wopereka chisamaliro chakutali kwa doula kwa makolo atsopano. Tsatirani @majorcaredoulas.