Zizindikiro zakukhumudwa pamimba komanso momwe mankhwala amathandizira

Zamkati

• Kodi kuvutika maganizo kumakhudza mwanayo?
• Zizindikiro za kukhumudwa mukakhala ndi pakati
• Kodi chithandizo
• Nthawi yogwiritsira ntchito antidepressants
• Zomwe zingayambitse

Kupsinjika kwa mimba kumadziwika ndi kusinthasintha kwa malingaliro, nkhawa komanso chisoni, zomwe zimatha kubweretsa kusakhudzidwa ndi mimba ndikukhala ndi zotsatirapo kwa mwanayo. Izi zitha kuchitika chifukwa cha kusiyanasiyana kwama mahomoni komwe kumachitika panthawi yapakati kapena chifukwa choopa kukhala mayi kwa nthawi yoyamba, mwachitsanzo. Atsikana omwe amakhala achichepere ndi omwe amakhala ndi nkhawa kwambiri ali ndi pakati, makamaka ngati anali ndi nkhawa kapena kukhumudwa m'mbuyomu.

Kuzindikira kukhumudwa pakakhala ndi pakati kumapangidwa ndi dokotala kutengera kuwona kwa zizindikilo ndi zizindikilo zomwe zimaperekedwa ndi mayiyo. Kuyambira pomwe matendawa apangidwa, ndizotheka kuyamba mankhwalawa, omwe nthawi zambiri amachitidwa kudzera mu psychotherapy.

Kodi kuvutika maganizo kumakhudza mwanayo?

Matenda apakati, osadziwika ndi chithandizo, amatha kukhala ndi zotsatirapo kwa mwana. Izi ndichifukwa choti amayi omwe ali ndi nkhawa amasintha mahomoni, samasamalidwa ndi chakudya komanso thanzi, kuphatikiza pakucheza pang'ono ndi mwana m'mapangidwe, zomwe zimalepheretsa kukula kwa mwana komanso kumawonjezera mwayi wobereka asanakwane komanso mwana wonenepa.

Kuphatikiza apo, amayi omwe ali ndi vuto lakumapeto kwa miyezi itatu yapitayi ali ndi chosowa chachikulu cha kubereka, kubereka ndi forceps ndi ana obadwa kumene amafunikira kwambiri kuchipatala mu neonatology.

Zinapezekanso, mu kafukufuku wa Institute of Psychiatry and Neuroscience ku Yunivesite ku London, kuti ana azimayi omwe anali ndi vuto lakukhumudwa ali ndi pakati anali ndi milingo yayikulu yozungulira ya cortisol, yomwe ndi mahomoni okhudzana ndi kupsinjika, komanso omwe anali otopa kwambiri komanso yotulutsa mawu, yopepuka komanso yozizira kuposa ana azimayi omwe sanasinthe m'mimba.

Zizindikiro za kukhumudwa mukakhala ndi pakati

Kusintha kwa nthawi yapakati kumakhala kwabwinobwino, chifukwa kumachitika chifukwa cha kuchuluka kwa mahomoni omwe azimayi panthawiyi. Komabe, ngati kusiyanaku kukapitilira kwa milungu kapena miyezi, mayiyu ayenera kuyankhula ndi azamba ake kuti awone ngati ali ndi nkhawa.

Kuti mudziwe kuvutika maganizo, muyenera kukhala ndi zizindikiro zosachepera zisanu:

• Zachisoni masiku ambiri;
• Nkhawa;
• Kulira mavuto;
• Kutaya chidwi ndi zochitika zatsiku ndi tsiku;
• Kukwiya;
• Kupsyinjika kapena ulesi pafupifupi tsiku lililonse;
• Kutopa kapena kutaya mphamvu tsiku lililonse, kapena nthawi zambiri;
• Matenda atulo monga kusowa tulo kapena kugona tulo mokokomeza, pafupifupi tsiku lililonse;
• Kuchuluka kapena kusowa kwa njala;
• Kusasunthika ndi kusakhazikika tsiku lililonse;
• Kudziona ngati wolakwa kapena kutsika nthawi zambiri;
• Malingaliro a imfa kapena kudzipha, kapena osayesera kudzipha.

Nthawi zambiri, kukhumudwa pakakhala ndi pakati kumabweretsa kusiya ntchito, chifukwa mkaziyo samatha kuchita zochitika za tsiku ndi tsiku ndipo amatopa mosavuta. Zizindikiro nthawi zambiri zimawoneka paketi yoyamba kapena yomaliza ya mimba komanso m'mwezi woyamba mwana atabadwa.

Kodi chithandizo

Chithandizo cha kukhumudwa panthawi yapakati chimasiyana kutengera kuchuluka kwa zizindikilo komanso kupezeka kapena kupezeka kwa zizindikilo zowopsa. Chifukwa chake, mayi akakhala ndi zizindikilo pakati pa 5 ndi 6, mankhwala omwe amalandila ndi psychotherapy, yomwe imathandizira moyo wabwino ndikuwonjezera kudzidalira kwa amayi. Njira zochiritsira zina, monga kutema mphini, zimawonetsedwanso kuti zithetse kukhumudwa. Kuchita masewera olimbitsa thupi, kudya bwino komanso kuthandizidwa ndi mabanja ndi njira zina zofunika kuthana ndi kukhumudwa mukakhala ndi pakati.

Pankhani ya azimayi omwe akupereka zizindikiro pakati pa 7 ndi 9, kugwiritsa ntchito mankhwala ndikofunikira, komabe palibe mankhwala opatsirana omwe akuwonetsedwa kwa amayi apakati ndipo ali otetezeka kwathunthu. Chifukwa chake, asanayambe kumwa mankhwala, adotolo ayenera kuwunika zoopsa ndi phindu lomwe lingaperekedwe ndi mankhwalawo. Kuphatikiza apo, sikulangizidwa kuti amwe mankhwala achilengedwe chifukwa amatha kuvulaza mwanayo, kuphatikiza St. John's wort, yemwe amagwiritsidwa ntchito polimbana ndi kukhumudwa, akutsutsana pano.

Ngakhale adotolo amaphatikizira kutenga pakati, wodwala matendawa siwothandiza, pokhala dokotala woyenera kwambiri kutsagana ndi mayiyu panthawi yapakati.

Nthawi yogwiritsira ntchito antidepressants

Kugwiritsa ntchito mankhwala opatsirana kumalimbikitsidwa ndi adotolo patatha milungu 12 yoyambira ali ndi pakati komanso ngati mayi ali ndi zizindikiro 7 mpaka 9 za kukhumudwa, komabe kugwiritsa ntchito mankhwalawa kuyenera kuchitidwa pokhapokha kutsimikiziridwa kuti palibe zoopsa zilizonse khanda. Izi ndichifukwa choti mankhwala ena opatsirana pogonana amatha kubweretsa vuto m'mimba mwa mwana, zimawonjezera kubereka msanga komanso kulepheretsa kukula kwa mwana.

Chifukwa chake, kuti muchepetse chiopsezo chosintha chifukwa chogwiritsa ntchito mankhwala opanikizika, nthawi zambiri amalimbikitsidwa kuti azimayi omwe sanagwiritsepo ntchito mtundu wa mankhwalawa, agwiritse ntchito zoletsa serotonin reuptake, monga sertraline, fluoxetine kapena citalopram, monga momwe ziliri amaonedwa ngati otetezeka panthawiyi.

Ngakhale amawoneka kuti ndi otetezeka, kafukufuku wina akuwonetsa kuti kugwiritsa ntchito mankhwalawa m'mwezi wachitatu watha woyembekezera kumatha kubweretsa kusintha kwa makanda monga kubvutika, kukwiya, kusintha kwa chakudya ndi kugona, hypoglycemia ndi kupuma, mwachitsanzo, komabe akuti kuti kusinthaku kumatha milungu ingapo ndipo sikukhudza kukula kwanthawi yayitali kwa mwanayo.

Zomwe zingayambitse

Zinthu monga kusowa kotonthozedwa, kutonthozedwa, kukondana, ndi kuthandizidwa kumatha kuyambitsa kukhumudwa kwa azimayi ali ndi pakati. Zina zomwe zimathandizanso kukulitsa kukhumudwa panthawiyi ndi:

• Mayiyo adali kale ndi matendawa asanakhale ndi pakati kapena matenda ena aliwonse amisala monga nkhawa, mwachitsanzo;
• Zovuta zamimba zam'mbuyomu, vuto loyambilira padera kapena kutayika kwa mwana;
• Osakwatiwa, osakhala ndi chitetezo chachuma, kulekanitsidwa kapena kusakonzekera mimba.

Mavuto opsinjika monga ndewu ndi bwenzi, mbiri yakulekana kapena kusudzulana, mavuto akulu azaumoyo, kuba, mbiri yamoto kapena ngozi, kumwalira kwa munthu wapamtima, kumenyedwa, kuzunzidwa, kuzunzika ndi zina zomwe zimayambitsanso kukhumudwa, koma Zitha kupanganso mwa anthu omwe sanakumanepo ndi izi.