Kuwonetsa Kukhumudwa Kwa Postpartum

Zamkati

• Kodi kuwunika kochitika pambuyo pobereka ndi kotani?
• Amagwiritsidwa ntchito yanji?
• Chifukwa chiyani ndikufunika kuwunika kukhumudwa pambuyo pobereka?
• Kodi chimachitika ndi chiyani mukawonetsetsa kukhumudwa pambuyo pobereka?
• Kodi ndiyenera kuchita chilichonse kuti ndikonzekeretse kukayezetsa pambuyo pobereka?
• Kodi pali zoopsa zilizonse zowunika?
• Kodi zotsatirazi zikutanthauza chiyani?
• Kodi pali china chilichonse chomwe ndiyenera kudziwa chokhudza kuwunika kwa matenda a postpartum?
• Zolemba

Kodi kuwunika kochitika pambuyo pobereka ndi kotani?

Zimakhala zachilendo kukhala ndi malingaliro osakanizika mukakhala ndi mwana. Pamodzi ndi chisangalalo, amayi ambiri obadwa kumene amakhala ndi nkhawa, achisoni, opsa mtima, komanso othedwa nzeru. Izi zimadziwika kuti "baby blues." Ndi chikhalidwe chofala, chomwe chimakhudza 80 peresenti ya amayi atsopano. Zizindikiro zakusokonekera kwa mwana nthawi zambiri zimakhala bwino pakadutsa milungu iwiri.

Matenda a Postpartum (kukhumudwa atabadwa) kumakhala koopsa kwambiri ndipo kumatenga nthawi yayitali kuposa kubadwa kwa mwana. Amayi omwe ali ndi vuto la postpartum amatha kukhala achisoni komanso kuda nkhawa. Zingapangitse kuti zikhale zovuta kuti mkazi azisamalira yekha kapena mwana wake. Kuyezetsa magazi pambuyo pobereka kungakuthandizeni kudziwa ngati muli ndi vutoli.

Matenda a postpartum amayamba chifukwa cha kusintha kwa mahomoni. Zitha kuyambanso chifukwa cha zinthu zina, monga kusowa kwa achibale kapena kuthandizidwa, kukhala mayi wachinyamata, komanso / kapena kukhala ndi mwana yemwe ali ndi mavuto azaumoyo. Nthawi zambiri matenda amtunduwu amatha kuchiritsidwa ndi mankhwala komanso / kapena kuyankhula.

Mayina ena: Kuyesa kukhumudwa pambuyo pobereka, kuyesa kwa EPDS

Amagwiritsidwa ntchito yanji?

Kuwunikaku kumagwiritsidwa ntchito kuti apeze ngati mayi watsopano wabvutika pambuyo pobereka. Wodwala / mzamba, mzamba, kapena wothandizira oyambira angakupatseni chithunzi cha kupsinjika pambuyo pobereka ngati gawo la mayeso obereka pambuyo pobereka kapena ngati mukuwonetsa zipsinjo zakupsinjika kwakukulu patatha milungu iwiri kapena kupitilira kubadwa.

Ngati kuwunika kwanu kukuwonetsa kuti muli ndi vuto la postpartum, mumafunikira chithandizo kuchokera kwa othandizira azaumoyo. Wopereka thanzi lamisala ndi katswiri wazachipatala yemwe amadziwika bwino pozindikira komanso kuchiza matenda amisala. Mukadakhala kuti mumamuwona kale wopatsa thanzi musanabadwe, mutha kuyezetsa magazi mukakhala ndi pakati kapena mutabereka.

Chifukwa chiyani ndikufunika kuwunika kukhumudwa pambuyo pobereka?

Mungafunike kuyezetsa matenda obadwa pambuyo pobereka mukakhala ndi zifukwa zina zoopsa ndipo / kapena mukuwonetsa zizindikiro za vutoli milungu iwiri kapena iwiri mutabereka.

Zowopsa zapa postpartum kukhumudwa ndi izi:

• Mbiri yakukhumudwa
• Kusowa thandizo la banja
• Kubadwa kambiri (kukhala ndi mapasa, katatu, kapena kupitilira apo)
• Kukhala mayi wachinyamata
• Kukhala ndi mwana wamavuto azaumoyo

Zizindikiro za kukhumudwa pambuyo pobereka zimaphatikizapo:

• Kumva chisoni tsiku lonse
• Ndikulira kwambiri
• Kudya kwambiri kapena moperewera
• Kugona kwambiri kapena pang'ono
• Kutuluka kwa abale ndi abwenzi
• Kumverera kuti wachotsedwa kwa mwana wako
• Zovuta kumaliza ntchito za tsiku ndi tsiku, kuphatikizapo kusamalira mwana wanu
• Kudzimva waliwongo
• Kuopa kukhala mayi woyipa
• Kuopa kwambiri kudzipweteka nokha kapena mwana wanu

Chimodzi mwazizindikiro zazikulu zakusokonekera kwanthawi yobereka ndikulingalira kapena kuyesa kudzivulaza nokha kapena mwana wanu. Ngati muli ndi malingaliro kapena mantha awa, funani thandizo nthawi yomweyo. Pali njira zambiri zopezera thandizo. Mutha:

• Imbani 911 kapena chipinda chadzidzidzi chakwanuko
• Itanani odwala anu amisala kapena othandizira ena azaumoyo
• Fikirani kwa wokondedwa kapena mnzanu wapamtima
• Itanani foni yodzifunira. Ku United States, mutha kuyimbira National Suicide Prevention Lifeline ku 1-800-273-TALK (1-800-273-8255)

Kodi chimachitika ndi chiyani mukawonetsetsa kukhumudwa pambuyo pobereka?

Wopezayo angakupatseni funso lotchedwa Edinburgh Postnatal Depression Scale (EPDS). EPDS imaphatikizaponso mafunso 10 okhudza momwe mumamverera komanso kuda nkhawa. Atha kukufunsani mafunso ena kuwonjezera kapena EPDS. Wothandizira anu amathanso kuyitanitsa kukayezetsa magazi kuti mudziwe ngati vuto, monga matenda a chithokomiro, lingayambitse kukhumudwa kwanu.

Mukayezetsa magazi, katswiri wa zamankhwala amatenga magazi kuchokera mumtsuko womwe uli m'manja mwanu, pogwiritsa ntchito singano yaying'ono. Singanoyo italowetsedwa, magazi ang'onoang'ono amatengedwa mu chubu choyesera. Mutha kumva kuluma pang'ono singano ikamalowa kapena kutuluka. Izi nthawi zambiri zimatenga mphindi zosakwana zisanu.

Kodi ndiyenera kuchita chilichonse kuti ndikonzekeretse kukayezetsa pambuyo pobereka?

Nthawi zambiri simusowa zokonzekera mwapadera zoyezetsa pambuyo pobereka.

Kodi pali zoopsa zilizonse zowunika?

Palibe chiopsezo chilichonse kukayezetsa thupi kapena kufunsa mafunso.

Pali chiopsezo chochepa kwambiri choyesedwa magazi. Mutha kukhala ndi ululu pang'ono kapena kuvulala pamalo pomwe singano idayikidwapo, koma zizindikiro zambiri zimatha msanga.

Kodi zotsatirazi zikutanthauza chiyani?

Ngati mutapezeka kuti muli ndi vuto la postpartum, ndikofunikira kupeza chithandizo mwachangu. Kuphatikiza pa mankhwala ndi njira zolankhulira, njira zodziyang'anira zitha kukuthandizani kuti mukhale bwino. Izi zikuphatikiza:

• Kufunsa mnzanu kapena wokondedwa wanu kuti athandize kusamalira mwanayo
• Kuyankhula ndi achikulire ena
• Kutenga nthawi yaying'ono tsiku lililonse
• Kuchita masewera olimbitsa thupi nthawi zonse
• Kutuluka panja kukafuna mpweya wabwino pakagwa nyengo

Kodi pali china chilichonse chomwe ndiyenera kudziwa chokhudza kuwunika kwa matenda a postpartum?

Njira yosawerengeka koma yoopsa kwambiri ya postpartum depression imatchedwa postpartum psychosis. Amayi omwe ali ndi vuto la psychoppartum amakhala ndi malingaliro (kuwona kapena kumva zinthu zomwe sizili zenizeni). Akhozanso kukhala ndi malingaliro achiwawa komanso / kapena ofuna kudzipha. Ngati mutapezeka kuti muli ndi matenda a postpartum, mungafunike kupita kuchipatala. Malo ena amapereka magawo oyang'aniridwa omwe amalola mayi ndi mwana kuti azikhala limodzi. Mankhwala, omwe amadziwika kuti antipsychotic, atha kukhala gawo la mankhwalawo.

Zolemba

1. ACOG: Madokotala a Akazi a Zaumoyo [Internet]. Washington DC: American College of Obstetricians and Gynecologists; c2017. Matenda a Postpartum; 2013 Dis [yotchulidwa 2018 Oct 24]; [pafupifupi zowonetsera 3]. Ipezeka kuchokera: https://www.acog.org/Patients/FAQs/Postpartum-Depression
2. American Pregnancy Association [Intaneti]. Irving (TX): Mgwirizano wa Amayi Achimereka; c2018. Kodi Ndili Ndi Mwana Wosangalala Kapena Wobereka Pambuyo Pobereka? [yasinthidwa 2016 Aug; yatchulidwa 2018 Oct 24]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: http://americanpregnancy.org/first-year-of-life/baby-blues-or-postpartum-depression
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4. Malo Othandizira Kuteteza ndi Kupewa Matenda [Internet]. Atlanta: Dipatimenti ya Zaumoyo ndi Zaumunthu ku U.S. Kukhumudwa Pakati pa Akazi; [yasinthidwa 2018 Jun 18; yatchulidwa 2018 Oct 24]; [pafupifupi zowonetsera 3]. Ipezeka kuchokera: https://www.cdc.gov/reproductivehealth/depression
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Zomwe zili patsamba lino siziyenera kugwiritsidwa ntchito m'malo mwa chithandizo chamankhwala kapena upangiri. Lumikizanani ndi othandizira azaumoyo ngati muli ndi mafunso okhudzana ndi thanzi lanu.