Postpartum Psychosis: Zizindikiro ndi Zothandizira

Zamkati

• Kodi pamakhala zotani pamalingaliro a postpartum psychosis?
• Postpartum psychosis vs. kukhumudwa pambuyo pobereka
• Zotsatira za Postpartum
• Kukhumudwa pambuyo pa kubereka
• Matenda a Postpartum
• Zizindikiro za postpartum psychosis
• Kodi chiopsezo ndi chiyani?
• Kodi madokotala amapeza bwanji matenda a postpartum?
• Chithandizo cha postpartum psychosis
• Maonekedwe a postpartum psychosis
• Funso:
• Yankho:

Chiyambi

Kubereka mwana kumabweretsa masinthidwe ambiri, ndipo izi zitha kuphatikizaponso kusintha kwamaganizidwe a mayi watsopano. Amayi ena amakumana ndi zochulukirapo kuposa nthawi zonse pambuyo pobereka. Zinthu zambiri zimathandiza kuti munthu akhale ndi thanzi labwino pambuyo pobereka. Munthawi imeneyi, mathero owawa kwambiri pakusintha kwake ndi chikhalidwe chotchedwa postpartum psychosis, kapena puerperal psychosis.

Matendawa amachititsa kuti mayi azimva zisonyezo zomwe zimatha kumuwopsa. Amatha kumva mawu, kuwona zinthu zomwe sizili zenizeni, ndikumva chisoni kwambiri komanso kuda nkhawa. Zizindikirozi zimafunikira chithandizo chadzidzidzi.

Kodi pamakhala zotani pamalingaliro a postpartum psychosis?

Amayi pafupifupi 1 mpaka 2 mwa amayi 1,000 aliwonse amakhala ndi vuto la psychoption atabereka. Matendawa ndi osowa ndipo amapezeka masiku awiri kapena atatu kuchokera pakubadwa.

Postpartum psychosis vs. kukhumudwa pambuyo pobereka

Madokotala azindikira mitundu ingapo yamatenda amisala akabereka. Mawu ena omwe mwina mwamvapo ndi awa:

Zotsatira za Postpartum

Amayi pafupifupi 50 mpaka 85% azimayi amakhala ndi vuto lobadwa nalo mkati mwa milungu ingapo atabadwa. Zizindikiro zomwe zimakhudzana ndi postpartum blues kapena "baby blues" zimaphatikizapo:

• misozi
• nkhawa
• kupsa mtima
• kusintha kwakanthawi kwamamvedwe

Kukhumudwa pambuyo pa kubereka

Zizindikiro zakukhumudwa zikadutsa milungu iwiri kapena itatu ndikuwononga magwiridwe antchito a mayi, amatha kukhala ndi vuto la postpartum. Zizindikiro zokhudzana ndi vutoli ndi monga:

• Chisoni chosasintha
• kumva liwongo
• wopanda pake, kapena wosakwanira
• nkhawa
• kusokonezeka tulo ndi kutopa
• zovuta kukhazikika
• chilakolako kusintha

Mayi yemwe ali ndi vuto lokhumudwa pambuyo pobereka atha kukhala ndi malingaliro ofuna kudzipha.

Matenda a Postpartum

Madokotala ambiri amaganiza kuti postpartum psychosis imakhudza kwambiri thanzi lawo.

Si zachilendo kwa amayi onse atsopano kukhala ndi magawo achisoni, mantha, ndi nkhawa. Zizindikirozi zikapitilira kapena kusandulika malingaliro owopsa, ayenera kufunafuna thandizo.

Zizindikiro za postpartum psychosis

Psychosis ndi pamene munthu amasiya kulumikizana ndi zenizeni. Amatha kuyamba kuwona, kumva, ndi / kapena kukhulupirira zinthu zomwe sizowona. Izi zitha kukhala zowopsa kwa mayi watsopano ndi mwana wake.

Zizindikiro za matenda a Postpartum ndizofanana ndi zomwe zimapangitsa munthu kusinthasintha zochitika. Nkhaniyi nthawi zambiri imayamba ndikulephera kugona ndikumapumula kapena kukwiya. Zizindikirozi zimayamba kukhala zowopsa kwambiri. Zitsanzo ndi izi:

• kuyerekezera zinthu m'makutu (kumva zinthu zomwe sizili zenizeni, monga malingaliro kuti mayi adzivulaze kapena kuti mwanayo akufuna kumupha)
• zikhulupiriro zabodza zomwe nthawi zambiri zimakhudzana ndi khanda, monga kuti ena akufuna kuvulaza mwana wake
• osokonezeka pa malo ndi nthawi
• zosokoneza komanso zachilendo
• Kusintha kwakanthawi msanga kuchokera pachisoni chachikulu kupita kumphamvu kwambiri
• Maganizo ofuna kudzipha
• malingaliro achiwawa, monga kuuza mayi kuti avulaze mwana wake

Matenda a Postpartum amatha kukhala ovuta kwa mayi ndi mwana wake. Zizindikiro izi zikachitika, ndikofunikira kuti mayi alandire chithandizo chamankhwala mwachangu.

Kodi chiopsezo ndi chiyani?

Ngakhale azimayi ena amatha kukhala ndimisala yobereka pambuyo pobereka popanda zoopsa, pali zina zomwe zimadziwika kuti zimawonjezera chiwopsezo cha mayi pamkhalidwewo. Zikuphatikizapo:

• Mbiri ya matenda osokoneza bongo
• Mbiri ya postpartum psychosis m'mimba yapita
• Mbiri ya matenda a schizoaffective kapena schizophrenia
• mbiri ya banja la postpartum psychosis kapena matenda ochititsa munthu kusinthasintha zochitika
• mimba yoyamba
• kusiya mankhwala azamisala oyembekezera

Zomwe zimayambitsa kubereka pambuyo pobereka sizidziwika. Madokotala amadziwa kuti azimayi onse omwe ali pambuyo pobereka amakhala ndi mahomoni osinthasintha. Komabe, ena amawoneka kuti ali ndi chidwi ndi zomwe zimachitika chifukwa cha kusintha kwa mahomoni monga estrogen, progesterone, ndi / kapena mahomoni a chithokomiro. Zinthu zina zambiri zathanzi zimatha kuyambitsa zomwe zimayambitsa kubereka pambuyo pobereka, kuphatikiza chibadwa, chikhalidwe, komanso zachilengedwe komanso zamoyo. Kusagona mokwanira kumathandizanso.

Kodi madokotala amapeza bwanji matenda a postpartum?

Dokotala ayamba kukufunsani za zizindikilo zanu komanso kuti mwakhala mukukumana nazo nthawi yayitali bwanji. Afunsanso za mbiri yakale ya zamankhwala, kuphatikiza ngati mwakhalapo ndi mbiri ya:

• kukhumudwa
• matenda ochititsa munthu kusinthasintha zochitika
• nkhawa
• matenda ena amisala
• mbiri yazaumoyo wamabanja
• malingaliro ofuna kudzipha, kapena kuvulaza mwana wanu
• kugwiritsa ntchito mankhwala osokoneza bongo

Ndikofunika kukhala owona mtima ndi otseguka momwe mungathere ndi dokotala wanu kuti muthe kupeza thandizo lomwe mukufuna.

Dokotala amayesa kuchotsa zina ndi zina zomwe zingayambitse kusintha kwa machitidwe, monga mahomoni a chithokomiro kapena matenda obereka pambuyo pobereka. Kuyezetsa magazi kwa mahomoni a chithokomiro, kuwerengera kwa maselo oyera a magazi, ndi zina zambiri zitha kuthandiza.

Dokotala atha kufunsa mayi kuti amalize chida chowunikira kukhumudwa. Mafunsowa adapangidwa kuti athandize madotolo kuzindikira azimayi omwe ali ndi vuto la postpartum komanso / kapena psychosis.

Chithandizo cha postpartum psychosis

Postpartum psychosis ndi vuto lazachipatala. Munthu ayenera kuyimbira 911 ndikufunafuna chithandizo kuchipinda chadzidzidzi, kapena kuti wina awatengere kuchipinda chadzidzidzi kapena malo azovuta. Nthawi zambiri, mayi amalandila chithandizo kuchipatala kwa masiku angapo kufikira atakhazikika mtima ndipo samakhalanso pachiwopsezo chodzivulaza iyeyo kapena mwana wake.

Chithandizo panthaŵi yama psychotic chimaphatikizapo mankhwala ochepetsa kukhumudwa, kukhazika mtima pansi, komanso kuchepetsa psychosis. Zitsanzo ndi izi:

• Antipsychotic: Mankhwalawa amachepetsa kuyerekezera zinthu m'maganizo. Zitsanzo ndi risperidone (Risperdal), olanzapine (Zyprexa), ziprasidone (Geodon), ndi aripiprazole (Abilify).
• Zolimbitsa mtima Mankhwalawa amachepetsa magawo a manic. Zitsanzo ndi lithiamu (Lithobid), carbamazepine (Tegretol), lamotrigine (Lamictal), ndi divalproex sodium (Depakote).

Palibe mankhwala amodzi omwe alipo. Mzimayi aliyense ndi wosiyana ndipo amatha kuyankha bwinoko kumankhwala ochepetsa nkhawa kapena mankhwala ochepetsa nkhawa m'malo mophatikiza ndi mankhwala ochokera m'magulu omwe ali pamwambapa.

Ngati mayi sakuyankha bwino mankhwala kapena akusowa chithandizo china, mankhwala opatsirana ndi magetsi (ECT) nthawi zambiri amakhala othandiza. Mankhwalawa amaphatikizapo kupatsa mphamvu yamagetsi yamagetsi kuubongo wanu.

Zotsatirazi zimapangitsa mphepo yamkuntho kapena yofanana ndi kugwidwa muubongo yomwe imathandizira "kukonzanso" kusamvana komwe kudayambitsa gawo lama psychotic. Madokotala akhala akugwiritsa ntchito ECT mosamala kwa zaka zambiri kuti athetse kuvutika maganizo kwakukulu ndi matenda ochititsa munthu kusinthasintha zochitika.

Maonekedwe a postpartum psychosis

Zizindikiro zoyipa kwambiri za matenda obadwa pambuyo pobereka zimatha kukhala milungu iwiri kapena 12. Amayi ena atha kutenga nthawi kuti achire, kuyambira miyezi isanu ndi umodzi mpaka 12. Ngakhale zizindikiro zazikulu za psychosis zitatha, azimayi amatha kukhala ndi nkhawa komanso / kapena kuda nkhawa. Ndikofunika kukhala pamankhwala aliwonse omwe akupatsidwa ndikupeza chithandizo chamankhwala chopitilira ndi kuthandizira zizindikilozi.

Azimayi omwe akuyamwitsa ana awo ayenera kufunsa adotolo za chitetezo. Mankhwala ambiri omwe amagwiritsidwa ntchito pochiza matenda obadwa pambuyo pobereka amadutsa mkaka wa m'mawere.

Amayi pafupifupi 31% azimayi omwe ali ndi mbiri ya postpartum psychosis adzakhalanso ndi vutoli pakubereka kwina, malinga ndi kafukufuku wofalitsidwa mu The American Journal of Psychiatry.

Ziwerengerozi siziyenera kukulepheretsani kukhala ndi mwana wina, koma ndichinthu choyenera kukumbukira mukamakonzekera kubereka. Nthawi zina dokotala amalamula kuti azikhala olimba mtima ngati lithiamu kuti azitenga akabereka. Izi zitha kupewetsa matenda obisala pambuyo pobereka.

Kukhala ndi gawo la postpartum psychosis sizitanthauza kuti mudzakhala ndi magawo amtsogolo a psychosis kapena kukhumudwa. Koma zikutanthauza kuti ndikofunikira kuti inu mudziwe zisonyezo komanso komwe mungakafunefune chithandizo chamankhwala ngati zizindikiro zanu zikuyamba kubwerera.

Funso:

Kodi mayi yemwe akukumana ndi zizindikilo kapena wina amene akufuna kusamalira wokondedwa wake angapeze kuti chithandizo cha matenda aubongo pambuyo pobereka?

Wosadziwika wodwala

Yankho:

Itanani 911. Fotokozani kuti inu (kapena munthu amene mumamukonda) mwakhala ndi mwana posachedwa ndikufotokoza zomwe zikuchitika kapena kuchitiridwa umboni. Nenani za nkhawa yanu pa chitetezo ndi moyo wabwino. Azimayi omwe akudwala matenda obadwa pambuyo pobereka ali pamavuto ndipo amafunikira thandizo kuchipatala kuti akhale otetezeka. Osamusiya mkazi yekhayo amene akukumana ndi zizindikilo za postpartum psychosis.

Kimberly Dishman, MSN, WHNP-BC, RNC-OBAMayankho akuimira malingaliro a akatswiri athu azachipatala. Zonse zomwe zili ndizachidziwikire ndipo siziyenera kuonedwa ngati upangiri wa zamankhwala.