Ukali wa Postpartum: Maganizo Osayankhula a Umayi Watsopano

Zamkati

• Kodi zizindikiro za ukali wobereka pambuyo pobereka ndi ziti?
• Kodi chithandizo chaukali wa pambuyo pobereka ndi chiyani?
• Kodi mkwiyo wobereka pambuyo pobereka umatenga nthawi yayitali bwanji?
• Zoyenera kuchita ngati simukumva kuti zikuwoneka
• Thandizo pamavuto obereka pambuyo pobereka
• Tengera kwina

Mukamaganiza za nthawi yobereka, mungaganize za malonda a thewera ndi amayi atakulungidwa mu bulangeti labwino pabedi, akumugoneka wakhanda wodekha komanso wosangalala.

Koma amayi omwe adakumana ndi trimester yachinayi m'moyo weniweni amadziwa bwino. Zachidziwikire, pali nthawi zambiri zosangalatsa, koma chowonadi ndichakuti, kupeza mtendere kungakhale cholimba.

M'malo mwake, ambiri omwe angakhale ndi vuto lakumapeto kwa chiberekero amakhala ovuta kwambiri kuposa makanda amwana. (Werengani zambiri pazomwe zimayambitsa kusokonezeka kwa malingaliro pambuyo pobereka pano).

Mwinamwake mwamvapo za kupsinjika kwa pambuyo pa kubadwa ndi nkhawa, koma nanga bwanji pamene zizindikilo zanu zikuwonetsa kukwiya kuposa chisoni?

Amayi ena atsopano amakwiya nthawi zambiri kuposa momwe amamvera chisoni, kutaya mtima, kapena kuda nkhawa. Kwa amayi awa, ukali wobereka pambuyo pobereka ukhoza kukhala chifukwa chakukwiya kwambiri, kupsa mtima, komanso manyazi mchaka choyamba cha moyo wa khanda lawo. Mwamwayi, ngati izi zikukufotokozerani, dziwani kuti simuli nokha ndipo pali njira zochira

Kodi zizindikiro za ukali wobereka pambuyo pobereka ndi ziti?

Mkwiyo wa Postpartum umasiyana pamunthu ndi munthu, ndipo umatha kusiyanasiyana kutengera momwe zinthu ziliri. Amayi ambiri amafotokoza nthawi yomwe amatukwana mwathupi kapena mwamawu pazinthu zomwe sizingawasokoneze.

Malinga ndi Lisa Tremayne, RN, PMH-C, woyambitsa The Bloom Foundation for Maternal Wellness komanso director of the Perinatal Mood and Anxiety Disorders Center ku Monmouth Medical Center ku New Jersey, zizindikiro zakukwiyitsidwa pambuyo pobereka zingaphatikizepo:

• kuyesetsa kuugwira mtima
• kuchuluka kokuwa kapena kutukwana
• malankhulidwe akuthupi monga kukhomerera kapena kuponya zinthu
• malingaliro achiwawa kapena zolimbikitsa, mwina zolunjika kwa mnzanu kapena abale anu ena
• kukhala pachinthu chomwe chakukhumudwitsani
• osakhoza "kuzituluka" nokha
• akumva kusefukira kwamalingaliro pambuyo pake

Wolemba a Molly Caro May adafotokozera zomwe adakumana nazo atakwiya kwambiri atabereka mwana m'buku lake, "Thupi Lodzaza Nyenyezi," komanso m'nkhani yomwe adalembera Amayi Ogwira Ntchito. Akufotokoza kuti anali munthu wolingalira mwanzeru yemwe adadziponya yekha zinthu, kumenyetsa zitseko, ndikuseka ena: "... mkwiyo, womwe umagwera pansi pa ambulera ya [postpartum], ndi chilombo chake ... kuposa kulira. ”

Kodi chithandizo chaukali wa pambuyo pobereka ndi chiyani?

Popeza kuti ukali wa postpartum ndi kupsinjika kwapadera kumawonekera mosiyana kwa aliyense, ndibwino kuti mulankhule ndi dokotala wanu kuti adziwe chithandizo chabwino kwambiri kwa inu. Tremayne akuti pali njira zitatu zofunika zochitira ndi izi:

• Thandizo. "Magulu ochezera anzawo pa intaneti kapena mwa iwo ndiofunikira kwambiri kwa amayi kuti atsimikizire malingaliro awo ndikuzindikira kuti sali okha."
• Chithandizo. "Kuphunzira njira zothetsera mavuto ake ndi khalidwe lake kungathandize."
• Mankhwala. “Nthawi zina mankhwala amafunika kwakanthawi kochepa. Ngakhale amayi akugwira ntchito ina yonse yosintha momwe akumvera, nthawi zambiri mankhwala amathandiza kuti akhale ndi nkhawa. ”

Ikhoza kuthandizira kusunga zolemba za gawo lililonse. Tawonani zomwe mwina zidakupsetsani mkwiyo wanu. Ndiye, yang'anani kumbuyo ku zomwe mwalemba. Kodi mukuzindikira momwe zinthu zimakhalira ukali wanu ukawonekera?

Mwachitsanzo, mwina mumachita sewero mnzanu akamalankhula zakumva kutopa komwe amakhala nako mutagona usiku wonse ndi mwana. Pozindikira choyambitsa, mudzatha kulankhula momwe mukumvera.

Kusintha kwa moyo wanu kumathandizanso kuti muzimva bwino. Yesani kutsatira zakudya zopatsa thanzi, kuchita masewera olimbitsa thupi, kusinkhasinkha, komanso nthawi yodzifunira nokha. Mukayamba kumva bwino, sizivuta kuzindikira zomwe zimakupsetsani mtima.

Kenako, fotokozerani dokotala wanu. Chizindikiro chilichonse chimapereka chitsimikizo cha chithandizo chamankhwala, ngakhale samadzimva kukhala ofunika panthawiyo.

Kodi mkwiyo wobereka pambuyo pobereka umatenga nthawi yayitali bwanji?

Kuyankha funso "Ndidzamvanso liti umunthu wanga wakale?" zingakhale zovuta kwambiri. Palibe yankho lodulidwa ndi louma. Chidziwitso chanu chimadalira kwambiri pazomwe zikuchitika m'moyo wanu.

Zowonjezera zowopsa zimatha kukulitsa kutalika kwa nthawi yomwe mumakumana ndi zovuta zamasiku obereka. Izi zikuphatikiza:

• matenda ena amisala kapena mbiri yakukhumudwa
• mavuto oyamwitsa
• kulera mwana ndi zovuta zamankhwala kapena chitukuko
• nkhani yopanikiza, yovuta, kapena yopweteka
• chithandizo chokwanira kapena kusowa thandizo
• zovuta pamoyo zimasinthika munthawi yobadwa monga kufa kapena kuchotsedwa ntchito
• magawo am'mbuyomu amisala pambuyo pobereka

Ngakhale kulibe nthawi yeniyeni yochira, kumbukirani kuti zovuta zonse za pambuyo pobereka ndizosakhalitsa. "Mukalandira thandizo ndi chithandizo choyenera, mudzakhala bwino posachedwa," akutero Tremayne. Kufunafuna chithandizo posachedwa kumakupatsani mwayi wopezera bwino.

Zoyenera kuchita ngati simukumva kuti zikuwoneka

Ngati mukukumana ndi ukali wobereka pambuyo pobereka, dziwani kuti simuli nokha. Ukali wa Postpartum siwuzindikilo wovomerezeka mu mtundu watsopano wa Diagnostic and Statistical Manual of Mental Disways (DSM-5) omwe othandizira amagwiritsa ntchito kuti azindikire zovuta zamaganizidwe. Komabe, ndi chizindikiro chofala.

Azimayi omwe amamva kukwiya pambuyo pobereka atha kukhala ndi nkhawa kapena nkhawa pambuyo pobereka, zomwe zimawonedwa ngati zovuta zamankhwala komanso nkhawa (PMADs). Matendawa amagwera pansi pa "vuto lalikulu lachisokonezo ndi peripartum kuyamba" mu DSM-5.

"Ukali wa postpartum ndi gawo la masewera a PMAD," akutero Tremayne. "Nthawi zambiri azimayi amakhumudwa kwambiri akamachita zinthu mokwiya, chifukwa sizinali zachilendo m'mbuyomu."

Nthawi zina mkwiyo umanyalanyazidwa mukazindikira mayi yemwe ali ndi vuto lokhala ndi nkhawa pambuyo pobereka. Kafukufuku wina wa 2018 kuchokera ku University of British Columbia adazindikira kuti azimayi amafunika kuwunikidwa makamaka kuti akalipe, zomwe sizinachitike m'mbuyomu.

Kafukufukuyu akuti azimayi nthawi zambiri amalephera kuonetsa mkwiyo. Izi zitha kufotokozera chifukwa chomwe amayi samayang'aniridwa nthawi zonse chifukwa cha mkwiyo wobereka pambuyo pobereka. Komabe, ndikofunikira kudziwa kuti mkwiyo umakhala wabwinobwino pambuyo pobereka.

"Ukali ndi chimodzi mwazizindikiro zomwe timamva kwambiri," akutero Tremayne. “Nthawi zambiri azimayi amachitanso manyazi pozindikira kuti ali ndi manyazi, zomwe zimawapangitsa kudzimva kuti ndi osatetezeka pakufuna chithandizo. Zimawalepheretsa kupeza thandizo lomwe angafunike. ”

Kukwiya kwambiri ndi chisonyezo chakuti mwina mungakhale ndi matenda a postpartum. Dziwani kuti simuli nokha m'malingaliro anu, ndipo thandizo lilipo. Ngati OB-GYN wanu wapano akuwoneka kuti sakukuvomerezani, musachite mantha kufunsa kuti mutumizidwe kwa katswiri wazachipatala.

Thandizo pamavuto obereka pambuyo pobereka

• Postpartum Support International (PSI) imapereka foni pama foni (800-944-4773) komanso kuthandizira mameseji (503-894-9453), komanso kutumiza kwa omwe amapereka.
• National Suicide Prevention Lifeline ili ndi mafoni aulere a 24/7 a anthu omwe ali pamavuto omwe angaganize zodzipha. Imbani 800-273-8255 kapena lembani "MONI" ku 741741.
• National Alliance on Mental Illness (NAMI) ndi chida chomwe chili ndi zovuta pamafoni (800-950-6264) ndi mzere wamavuto ("NAMI" mpaka 741741) kwa aliyense amene angafune thandizo mwachangu.
• Amayi Amamvetsetsa ndi gulu lapaintaneti lomwe linayambitsidwa ndi omwe adapulumuka kukhumudwa pambuyo pobereka omwe amapereka zida zamagetsi ndikukambirana pagulu kudzera pulogalamu yam'manja.
• Mom Support Group imapereka chithandizo chaulere kwa anzawo ku Zoom mafoni motsogozedwa ndi otsogolera ophunzitsidwa bwino.

Tengera kwina

Ndi zachilendo kukhala ndi zokhumudwitsa pakusintha kovuta ngati kukhala ndi mwana watsopano. Komabe, ukali wa pambuyo pa kubala umakhala wamphamvu kwambiri kuposa mkwiyo woyenera.

Ngati mwadzazidwa ndi mkwiyo pazinthu zazing'ono, yambani kufalitsa zizindikilo zanu kuti muzindikire zomwe zimayambitsa. Ngati matenda anu ali ovuta, lankhulani ndi dokotala wanu. Dziwani kuti ukali wobadwa pambuyo pobereka ndi wabwinobwino ndipo ungachiritsidwe.

Ndikofunika kukumbukira kuti izi, nazonso, zidzadutsa. Vomerezani momwe mukumvera ndipo yesetsani kuti kudziimba mlandu kukulepheretseni kupeza thandizo. Mkwiyo wobereka pambuyo pobereka umayenera kulandira chithandizo monganso matenda ena aliwonse amisala. Mothandizidwa moyenera, mudzamvanso ngati inunso.