Kodi Kupsinjika Kwakanthawi Kobereka Kungakhale Kutalika Motani - Ndipo Kodi Mungafupikitse?

Zamkati

• Kodi matenda a postpartum ndi otani?
• Matenda a Postpartum: Osati azimayi okha omwe ali ndi makanda
• Kodi vuto lakubadwa pambuyo pobereka limayamba liti?
• Kodi pali kafukufuku wokhudza kuti PPD imatenga nthawi yayitali bwanji?
• Chifukwa chake zingatenge nthawi yayitali kwa inu
• Momwe PPD ingakhudzire moyo wanu
• Nthawi yomwe muyenera kulumikizana ndi dokotala
• Mukuchita bwino
• Momwe mungapezere mpumulo
• Kutenga

Ngati mimba ili yovuta kwambiri, ndiye kuti nthawi yobereka imakhudza chimphepo, nthawi zambiri amadzaza ndimasinthidwe ambiri, kulira mimbulu, komanso kukwiya. Sikuti kubereka kumangopangitsa kuti thupi lanu lizitha kusintha mahomoni, koma mumakhalanso ndi munthu watsopano mnyumba yanu.

Zovuta zonsezo zimatha kubweretsa kudzimva wachisoni, kupsinjika, komanso kuda nkhawa m'malo mokhala ndi chisangalalo chomwe mumayembekezera. Anthu ambiri amakumana ndi "kusasangalala kwa ana" ngati njira yabwinobwino yochira pambuyo pobereka, koma nthawi zambiri amapita pakadutsa masabata 1-2 atabereka.

Komabe, amayi atsopano omwe akuvutikirabe kupitirira gawo lachiwiri la sabata atha kukhala ndi vuto la postpartum (PPD), lomwe limadziwika ndi zizindikilo zowopsa zomwe zimatenga nthawi yayitali kuposa momwe mwana amaberekera.

Matenda a Postpartum amatha kukhala miyezi kapena zaka ngati sanalandire chithandizo - koma simuyenera kuthana nawo mwakachetechete mpaka zitatha.

Nazi zonse zomwe muyenera kudziwa za nthawi yayitali ya PPD - ndi zomwe mungachite kuti mukhale bwino msanga.

Kodi matenda a postpartum ndi otani?

Matenda a Postpartum, kapena PPD, ndi mtundu wa matenda amisala omwe amayamba mwana akabadwa. Zizindikiro zodziwika ndizo:

• kusowa chilakolako
• kulira kwambiri kapena kutopa
• zovuta kulumikizana ndi mwana wanu
• kusakhazikika komanso kugona tulo
• nkhawa ndi mantha
• kudzimva kukhala wokhumudwa kwambiri, wokwiya, wopanda chiyembekezo, kapena wamanyazi

Palibe amene akudziwa motsimikiza chomwe chimayambitsa PPD, koma monga mtundu wina uliwonse wa kukhumudwa, mwina ndi zinthu zingapo zosiyana.

Nthawi ya postpartum ndi nthawi yovuta kwambiri pomwe zambiri zomwe zimayambitsa kukhumudwa kwamankhwala, monga kusintha kwachilengedwe, kupsinjika kwakukulu, komanso kusintha kwakukulu m'moyo, zonse zimachitika nthawi imodzi.

Mwachitsanzo, zotsatirazi zitha kuchitika atabereka:

• simugona mokwanira
• thupi lanu likulimbana ndi kusintha kwakukulu kwa mahomoni
• mukuchira kuchokera pakubadwa kwakuthupi, komwe kumatha kuphatikizira kulowererapo kapena opaleshoni
• muli ndi maudindo atsopano komanso ovuta
• mwina mungakhumudwitsidwe ndi momwe ntchito yanu ndi kubereka kunayendera
• mungamve kukhala osungulumwa, osungulumwa, komanso osokonezeka

Matenda a Postpartum: Osati azimayi okha omwe ali ndi makanda

Ndikoyenera kukumbukira kuti "postpartum" amatanthauza kubwerera kuti musakhale ndi pakati. Chifukwa chake iwo omwe adataya padera kapena kutaya mimba amathanso kukumana ndi zovuta zambiri zakuthupi komanso zakuthupi chifukwa chobadwa pambuyo pa nthawi yobereka, kuphatikiza PPD.

Kuphatikiza apo, abwenzi amuna amathanso kupezeka nawo, nawonso. Ngakhale sangakhale ndi kusintha kwakuthupi komwe kumadza chifukwa chobala, amakumana ndi zambiri m'moyo wawo. A akuwonetsa kuti pafupifupi 10% ya abambo amapezeka ndi PPD, makamaka pakati pa miyezi 3 ndi 6 atabadwa.

Zokhudzana: Kwa bambo watsopano yemwe ali ndi vuto la postpartum, simuli nokha

Kodi vuto lakubadwa pambuyo pobereka limayamba liti?

PPD imatha kuyamba akangobereka, koma mwina simudzazindikira nthawi yomweyo popeza zimawoneka ngati zachilendo kumva chisoni, kutopa, ndipo nthawi zambiri "mwanjira zina" m'masiku oyamba mwana akabwera. Mwina sizingadutse nthawi yanthawi yoyera ya buluu atadutsa kuti muzindikire kuti china chake chowopsa chikuchitika.

Nthawi ya postpartum imaphatikizapo masabata 4-6 oyamba atabadwa, ndipo milandu yambiri ya PPD imayamba nthawi imeneyo. Koma PPD imatha kukhalanso ndi pakati komanso mpaka chaka chimodzi pambuyo kubereka, choncho musataye mtima kwanu ngati zikuchitika kunja kwa nthawi yanthawi yobereka.

Kodi pali kafukufuku wokhudza kuti PPD imatenga nthawi yayitali bwanji?

Chifukwa PPD imatha kuwonekera kulikonse kuyambira milungu ingapo mpaka miyezi 12 pambuyo pobadwa, palibe kutalika kwakanthawi komwe kumatenga. Kuwunika kwa kafukufuku mu 2014 kukuwonetsa kuti zizindikiro za PPD zimayenda bwino pakapita nthawi, ndipo nthawi zambiri kukhumudwa kumatha miyezi 3 mpaka 6 atayamba.

Izi zati, pakuwunikanso komweko, zinali zowonekeratu kuti azimayi ambiri adakali ndi matenda a PPD kupitirira miyezi isanu ndi umodzi. Kulikonse kuyambira 30% mpaka 50% adakwaniritsa zofunikira za PPD chaka chimodzi atabereka, pomwe azimayi ochepera theka la azimayi omwe amaphunzira anali akuuzabe za zodandaula zaka pambuyo pobereka.

Chifukwa chake zingatenge nthawi yayitali kwa inu

Nthawi ya PPD ndiyosiyana ndi aliyense. Ngati muli ndi zifukwa zina zoopsa, mungapeze PPD yanu kukhala yotalikirapo ngakhale mutalandira chithandizo. Kukula kwa zizindikilo zanu komanso kuti mudakhala ndi zizindikilo zazitali bwanji musanayambe chithandizo kungakhudze kutalika kwa PPD yanu.

Zowopsa ndi izi:

• mbiri yakukhumudwa kapena matenda ena amisala
• mavuto oyamwitsa
• mimba yovuta kapena yobereka
• kusowa chithandizo kuchokera kwa mnzanu kapena abale anu komanso abwenzi
• zosintha zina zazikulu m'moyo zomwe zimachitika pambuyo pobereka, monga kusuntha kapena kuchotsedwa ntchito
• Mbiri ya PPD pambuyo pa mimba yapitayi

Palibe chilinganizo chodziwitsa omwe angakumane ndi PPD ndi omwe sangatero, kapena kuti ipita kwa nthawi yayitali bwanji. Koma ndi chithandizo choyenera, makamaka mukalandira msanga, mutha kupeza mpumulo ngakhale mutakhala ndi imodzi mwaziwopsezozi.

Momwe PPD ingakhudzire moyo wanu

Mukudziwa kale kuti PPD imakupangitsani zovuta zina, ndipo mwatsoka, zimakhudzanso ubale wanu. Izi sizolakwa zanu. (Werengani izi kachiwiri, chifukwa tikutanthauza.) Ndicho chifukwa chake ndi chifukwa chabwino chothandizira kulandira chithandizo ndikuchepetsa nthawi yomwe mukuvutika maganizo.

Kupempha thandizo ndibwino kwa inu nonse komanso maubwenzi anu, kuphatikiza omwe ali ndi:

• Mnzanu. Ngati mwadzipatula kapena kudzipatula, ubale wanu ndi mnzanu ungasokonezeke. Malinga ndi American Academy of Pediatrics (AAP), munthu atakhala ndi PPD, mnzake amakhala ndi mwayi wowonjezeranso kachilomboka.

• Achibale anu komanso anzanu. Okondedwa ena atha kukayikira kuti china chake chalakwika kapena kukuwonani kuti simukuchita monga inu nokha, koma sangadziwe momwe angakuthandizireni kapena kulumikizana nanu. Mtunda uwu ukhoza kukulitsa kusungulumwa kwa inu.

• Mwana wanu (ren). PPD ingakhudze ubale wanu wokula ndi mwana wanu. Kupatula pakukhudza momwe mumasamalirira mwana wanu, PPD imatha kukhudza njira yolumikizira mayi ndi mwana atabadwa. Zikhozanso kuwononga ubale wanu ndi ana okulirapo.

Ofufuza ena amakhulupirira kuti PPD ya mayi itha kukhala ndi zotsatirapo zazitali pakukula kwamwana ndi malingaliro amwana wake. Zidapezeka kuti ana aamayi omwe anali ndi PPD amatha kukhala ndimavuto azikhalidwe ngati ana aang'ono komanso kukhumudwa ali achinyamata.

Nthawi yomwe muyenera kulumikizana ndi dokotala

Ngati simukumva bwino masabata a 2 pambuyo pobereka, kambiranani ndi dokotala wanu. Ngakhale mutayang'aniridwa ku PPD pakuikidwa kwanu kwamasabata 6 pambuyo pobereka, simuyenera kudikira motalika chonchi. M'malo mwake, kuchita izi kungapangitse kuti PPD yanu itenge bwino.

Pambuyo pa masabata awiri, ngati mukuvutikabe kwambiri, mwina si "baby blues" Mwanjira ina, iyi ndi nkhani yabwino: Zimatanthauza kuti mutha kuchita kanthu momwe mukumvera. Simuyenera "kudikirira."

Mukapempha thandizo, khalani oona mtima momwe mungathere. Tikudziwa kuti ndizovuta kuyankhula zakukhumudwa komwe kumabwera chifukwa chokhala kholo latsopano, ndipo zitha kukhala zowopsa kuwulula momwe mukuvutikira. Komabe, mukamasuka kwambiri za PPD yanu, zimakhala bwino - komanso mwachangu - omwe akukuthandizani athe kukuthandizani.

Mukuchita bwino

Kumbukirani, simulakwa pa PPD yanu. Wopereka chithandizo sangaganize kuti ndinu "woyipa" kapena kholo lofooka. Zimatengera kulimba kuti mufikire, ndikupempha thandizo ndichinthu chachikondi - kwa inu ndi banja lanu.

Momwe mungapezere mpumulo

Simungathe kupyola mphamvu kudzera mu PPD nokha - muyenera chithandizo chamankhwala ndi zamisala. Kulandila mwachangu kumatanthauza kuti mupitiliza kukonda ndi kusamalira mwana wanu momwe mungathere.

Pali njira zingapo zothandizira mankhwala a PPD, ndipo mungafunikire kugwiritsa ntchito njira zingapo. Palinso kusintha kwamachitidwe komwe kumapangitsa kuti kuchira kuyende mwachangu. Musayime mpaka mutapeza mankhwala osakanikirana omwe amakuthandizani. Mpumulo kuchokera ku PPD ndizotheka ndi njira zoyenera.

• Mankhwala opatsirana pogonana. Wopereka wanu atha kukupatsirani serotonin reuptake inhibitor (SSRI) yosamalira kukhumudwa kwanu. Pali ma SSRIs angapo omwe amapezeka. Dokotala wanu adzagwira nanu ntchito kuti mupeze imodzi yomwe ingathetseretu matenda anu ndi zovuta zoyipa zochepa. Ma SSRIs ambiri amagwirizana ndi kuyamwitsa, koma onetsetsani kuti omwe amakupatsani mwayi akudziwa ngati mukuyamwitsa kuti athe kusankha mankhwala ndi mlingo woyenera.
• Uphungu. Chidziwitso chamakhalidwe (CBT) ndi njira yakutsogolo yochizira kukhumudwa, kuphatikiza zizindikilo za PPD. Ngati mukufuna thandizo kuti mupeze wothandizira m'dera lanu, mutha kumufufuza apa.
• Chithandizo chamagulu. Kungakhale kothandiza kwa inu kugawana zomwe mwakumana nazo ndi makolo ena omwe adakhala ndi PPD. Kupeza gulu lothandizira, kaya panokha kapena pa intaneti, kumatha kukhala njira yothandiza kwambiri. Kuti mupeze gulu lothandizira la PPD mdera lanu, yesani kusaka ndi boma pano.

Kutenga

Matenda ambiri a PPD amakhala miyezi ingapo. Matenda okhumudwa amakhudza thupi lanu lonse - osati ubongo wanu wokha - ndipo zimatenga nthawi kuti mumve ngati inunso. Mutha kuchira mwachangu mukapeza thandizo ku PPD yanu posachedwa.

Tikudziwa kuti ndizovuta kufikira pamene mukuvutika, koma yesetsani kulumikizana ndi mnzanu, wachibale wodalirika kapena mnzanu, kapena wothandizira zaumoyo wanu ngati mukuganiza kuti kukhumudwa kwanu kukusokonezani moyo wanu kapena kuthekera kwanu kusamalira khanda. Mukalandira thandizo mwamsanga, msanga mumamva bwino.

Ngati inu kapena munthu wina amene mumamudziwa akuganiza zodzipha, simuli nokha. Thandizo lilipo pakali pano:

• Imbani 911 kapena nambala yanu yazadzidzidzi, kapena pitani kuchipinda chadzidzidzi.
• Itanani National Suicide Prevention Lifeline maola 24 patsiku ku 800-273-8255.
• Tumizani HOME ku Crisis Textline ku 741741.
• Osati ku U.S.? Pezani mndandanda wothandizira m'dziko lanu ndi Abwenzi Anu Padziko Lonse.

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