Zomwe Amayi Ena Amakumana Nazo Kusintha Kwakukulu Akasiya Kuyamwitsa

Zamkati

• Zotsatira Zathupi pa Kuyamwitsa
• Ndiye Chimachitika N'chiyani Mukasiya Kuyamwitsa?
• Momwe Mungachepetse Kusintha Kwa Kusiya Kuletsa
• Onaninso za

Mwezi watha, m'mawa wina mwachisawawa poyamwitsa mwana wanga wamwamuna wazaka 11 Lamlungu, adaluma (ndikuseka) ndikuyesanso kubwereranso. Unali msampha wosayembekezereka paulendo woyamwa bwino, koma nditatulutsa magazi (ugh), mankhwala opha maantibayotiki, ndikukhetsa misozi, ndinaganiza kuti nawonso anali mathero.

Sikuti ndinangodzimenya ndekha—sindinafike pachidindo cha chaka chimodzi (ngakhale chodzipangira ndekha) chomwe ndidakhazikitsa—koma m’masiku ochepa, nthawi zachisoni, zamdima zomwe ndinali nane kumayambiriro kwa nthawi yobereka. anakwawira mmbuyo. Ndikhoza pafupifupi mverani mahomoni anga akusintha.

Ngati mutangokhala ndi mwana (kapena muli ndi amayi abwenzi atsopano), mwina mukudziwa zosintha zina zomwe zimatha kutsagana ndi makolo atsopano, omwe ndi "baby blues" (zomwe zimakhudza azimayi 80% m'masabata otsatira atabereka ) ndi matenda okhudzana ndi kugonana ndi nkhawa (PMADs), zomwe zimakhudza 1 pa 7, malinga ndi Postpartum Support International. Koma nkhani zamaganizo zokhudzana ndi kuyamwitsa-kapena kusintha mwana wanu kuchokera kuyamwitsa kupita ku mkaka kapena chakudya-sizikambidwa pang'ono.

Mwa zina, ndichifukwa chakuti amakhala ocheperako kuposa ma PMAD, monga kukhumudwa pambuyo pobereka. Ndipo si aliyense amakumana nazo. "Zosintha zonse zakubala zitha kukhala zowawa ndipo pali zochitika zambiri zomwe zimakhudzana ndi kuyamwa kuyamwa," akufotokoza a Samantha Meltzer-Brody, MD, MPH, director of the UNC Center for Women's Mood Disorders komanso wofufuza wamkulu mu Mom Genes Fight Fight PPD kafukufuku wokhudza postpartum depression. “Amayi ena amaona kuyamwitsa kukhala kokhutiritsa kwambiri ndipo amavutika m’maganizo akamasiya kuyamwa,” iye akutero. "Amayi ena samakumana ndi mavuto am'maganizo kapena amasiya kuyamwa kukhala mpumulo." (Onaninso: Serena Williams Atsegulira Zisankho Zake Zovuta Zosiya Kuyamwitsa)

Koma kusintha kwamaganizidwe kokhudzana ndi kuyamwa kuyamwa (ndi * chilichonse * kuyamwitsa, TBH) ndizomveka. Kupatula apo, pali kusintha kwama mahomoni, chikhalidwe, thupi, komanso malingaliro omwe amachitika mukasiya unamwino. Ngati zizindikiro zikukula, zitha kukhalanso zodabwitsa, zosokoneza, komanso zimachitika panthawi yomwe mungakhale * basi * mukuganiza kuti mwatuluka m'nkhalango ndi zovuta zilizonse za pambuyo pobereka.

Apa, zomwe zikuchitika mthupi lanu komanso momwe mungachepetsere kusintha kwa inu.

Zotsatira Zathupi pa Kuyamwitsa

"Pali magawo atatu amasinthidwe amthupi ndi amthupi omwe amalola azimayi kuti apange mkaka wa m'mawere," akufotokoza a Lauren M. Osborne, M.D., wothandizira wamkulu wa Women's Mood Disorders Center ku The Johns Hopkins University School of Medicine. (Zokhudzana: Ndendende Momwe Ma Homoni Anu Amasinthira Panthawi Yoyembekezera)

Gawo loyamba limachitika mu theka lachiwiri la mimba pomwe zopangitsa za mammary m'mabere anu (zomwe zimayambitsa mkaka wa m'mawere) zimayamba kutulutsa mkaka wochepa. Pamene muli ndi pakati, kuchuluka kwa mahomoni otchedwa progesterone opangidwa ndi placenta kumalepheretsa kutuluka kwa mkaka umenewo. Pambuyo pa kubadwa, pamene thumba latuluka, mlingo wa progesterone umatsika ndi milingo ya mahomoni ena atatu—prolactin, cortisol, ndi insulini—amawuka, zomwe zimasonkhezera kutuluka kwa mkaka, iye akutero. Kenako, mwana wanu akamadya, kukondoweza kwa nsonga zamabele kumayambitsa kutulutsidwa kwa timadzi ta prolactin ndi oxytocin, akufotokoza motero Dr. Osborne.

"Prolactin imabweretsa mpumulo komanso bata kwa amayi ndi mwana komanso oxytocin - yotchedwa" mahomoni achikondi "- imathandizira kulumikizana komanso kulumikizana," akuwonjezera a Robyn Alagona Cutler, wololeza wololedwa, komanso wothandizira mabanja omwe amakhazikika paumoyo wamaganizidwe amisala.

Zoonadi, kuyamwitsa kumadzetsa chisangalalo m’thupi mwathu. Unamwino ndichinthu chomwe chimakhudza kwambiri mtima momwe ubale, kulumikizana, komanso kulumikizirana zitha kukulitsidwa, atero Alagona Cutler. Ndi mchitidwe wapamtima pomwe mwina mumakopedwa, khungu ndi khungu, ndikuyang'ana maso. (Zogwirizana: Phindu ndi Ubwino Wathanzi Yoyamwitsa)

Ndiye Chimachitika N'chiyani Mukasiya Kuyamwitsa?

Mwachidule: Zambiri. Tiyeni tiyambe ndi osakhala mahomoni. "Monga kusintha kulikonse pakulera, anthu ambiri amamva kukakamizidwa kwamphamvu," akutero Alagona Cutler. Pali zifukwa zingapo zomwe mungaletse kuyamwitsa: Sizikugwiranso ntchito, mukubwereranso kuntchito, kupopera kukutopetsa (monga momwe zidalili ndi Hilary Duff), mumangomva ngati kuti ndi nthawi , mndandanda ukupitirira.

Ndipo ngakhale mahomoni amathandizanso pakukhudzidwa (zambiri posachedwa), panthawi yosiya kuyamwa, makolo ambiri amakumana ndimitundu yambiri (zachisoni! Mpumulo! Kudziimba mlandu!) Pazifukwa zina zambiri, nawonso. Mwachitsanzo, mungakhale achisoni kuti "siteji" ya moyo wa mwana wanu yadutsa, mukhoza kuphonya nthawi yapamtima, kapena mukhoza kudzimenya nokha chifukwa chosagonjetsa "nthawi yodzipangira" yoyamwitsa. (wolakwa👋🏻). "Amayi ayenera kudziwa kuti malingaliro amenewo ndi enieni komanso ovomerezeka ndipo amafunika kuvomerezedwa ndikukhala ndi malo oti amvedwe ndi kuthandizidwa," anatero Alagona Cutler. (Zokhudzana: Alison Désir Pa Zoyembekeza za Pathupi ndi Umama Watsopano vs. Reality)

Tsopano za mahomoni: Choyamba, kuyamwitsa kumapangitsa kuti msambo wanu ukhale wochepa, umene umabwera ndi kusinthasintha kwa estrogen ndi progesterone, akufotokoza motero Dr. Osborne. Mukamayamwa, magulu a estrogen ndi progesterone amakhala otsika kwambiri, ndipo simukumana ndi zovuta zomwezo zomwe zimachitika mwachilengedwe mukayamba kusamba. Koma mukayamba kuyamwa "mumayambanso kusinthasintha kwa estrogen ndi progesterone, ndipo kwa amayi ena omwe ali pachiopsezo cha kusinthasintha kumeneku, nthawi yosiya kuyamwa ingakhale nthawi yomwe amakumana ndi kusinthasintha kwa maganizo," akufotokoza. (FWIW, zabwino sizili zabwino zomwe zimapangitsa munthu kukhala pachiwopsezo kuposa ena. Zitha kukhala chibadwa kapena mwina mukungogwirizana ndi thupi lanu.)

Magulu a oxytocin (mahomoni abwino kwambiri) ndi prolactin amathanso kumira ngati estrogen ndi progesterone kuti ziyambe kukwera. Kutsika kwa oxytocin kumatha kusokoneza momwe amayi amayankhira akapanikizika, atero a Alison Stuebe, MD, pulofesa wothandizira magawidwe azamankhwala a amayi apakati ku UNC School of Medicine.

Ngakhale palibe kafukufuku wambiri mderali — zambiri zikufunika momveka bwino — Dr. Osborne amakhulupirira kuti kusinthasintha kwamalingaliro komwe kumalumikizidwa ndi kuyamwa sikumakhudzana kwambiri ndi kutsika kwa oxytocin komanso kumabweretsanso kusinthasintha kwa estrogen ndi progesterone. Mwa zina, ndichifukwa chakuti akunena kuti pali deta yambiri yozungulira metabolite kapena byproduct ya progesterone yotchedwa allopregnanolone, yomwe imadziwika chifukwa cha kuchepetsa, kuchepetsa nkhawa. Ngati allopregnanolone ndiyotsika pamene mukuyamwitsa ndiyeno imayamba kubwereranso mukasiya kuyamwa, mwina sipangakhale zolandila zambiri zomwe zingamangirire (popeza thupi lanu silinafunike). Mlingo wochepa wophatikizidwa ndi kusokonezeka kwa zolandilira uku kumatha kukhala "kosangalatsa kawiri" pamalingaliro, akutero Dr. Osborne.

Momwe Mungachepetse Kusintha Kwa Kusiya Kuletsa

Nkhani yabwino ndiyakuti zambiri zamankhwala okhudzana ndi kuyamwa nthawi zambiri amatha pambuyo pa masabata angapo, atero Alagona Cutler. Komabe, azimayi ena amakhala ndi nkhawa kapena nkhawa ndipo amafunikira thandizo (chithandizo, mankhwala) kuti aziyenda. Ndipo ngakhale kulibe upangiri waukadaulo wokhudza njira zabwino zolerera, kusintha kwadzidzidzi kumatha kuyambitsa kusintha kwa mahomoni mwadzidzidzi, akutero Dr. Osborne. Chifukwa chake - ngati mungathe - yesetsani kuyamwa pang'onopang'ono momwe mungathere.

Kodi mukudziwa kuti muli pachiwopsezo chazizindikiro zamankhwala? Kubetcha kwanu kwabwino ndikuwonetsetsa kuti muli ndi katswiri wazamisala, wamisala, kapena wothandizila omwe afola omwe mungatembenukire kwa inu ndi chithandizo chambiri chokomera anthu kuti akuthandizireni panthawiyi.

Ndipo kumbukirani: Chifukwa chirichonse chiri chabwino kufunafuna chithandizo ndi chichirikizo ngati mukuchifuna—makamaka pamene mukulera mwatsopano.

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