Postpartum psychosis: ndi chiyani, momwe mungazindikire ndikuchiza

Zamkati

• Zizindikiro zazikulu
• Zomwe zimayambitsa psychosis
• Momwe mankhwalawa amachitikira
• Kusiyanitsa pakati pa psychosis ndi kukhumudwa pambuyo pobereka

Postpartum psychosis kapena puerperal psychosis ndimatenda amisala omwe amakhudza azimayi ena patadutsa milungu iwiri kapena itatu yobadwa.

Matendawa amayambitsa zizindikilo monga kusokonezeka kwamisala, manjenje, kulira mopitilira muyeso, komanso zopusitsa ndi masomphenya, ndipo chithandizo chikuyenera kuchitidwa mchipatala cha amisala, moyang'aniridwa komanso kugwiritsa ntchito mankhwala kuti muchepetse izi.

Nthawi zambiri zimayambitsidwa chifukwa cha kusintha kwa mahomoni komwe azimayi amakumana nawo panthawiyi, komanso kumakhudzidwa kwambiri ndi malingaliro osakanikirana chifukwa chosintha ndikubwera kwa mwana, zomwe zimatha kubweretsa chisoni komanso kukhumudwa pambuyo pobereka. Dziwani zambiri zamatenda a postpartum.

Zizindikiro zazikulu

Psychosis nthawi zambiri imawonekera mwezi woyamba mutabereka, koma imatha kutenga nthawi yayitali kuti muwonetse zizindikilo. Zingayambitse zizindikiro monga:

• Kusakhazikika kapena kusakhazikika;
• Kumva kufooka kwakukulu ndikulephera kusuntha;
• Kulira ndi kusadziletsa kwamphamvu;
• Kusakhulupirirana;
• Kusokonezeka maganizo;
• Kunena zopanda pake;
• Kutengeka kwambiri ndi wina kapena kena kake;
• Onani m'maganizo mwanu ziwerengero kapena kumva mawu.

Kuphatikiza apo, mayiyo atha kukhala ndi malingaliro olakwika okhudzana ndi zenizeni komanso mwanayo, kuyambira pa chikondi, kusasamala, kusokonezeka, kukwiya, kusakhulupirika komanso mantha, ndipo, pamavuto akulu, atha kuwonongera moyo wa mwanayo.

Zizindikirozi zitha kuwoneka modzidzimutsa kapena kukulirakulira pang'ono ndi pang'ono, koma thandizo liyenera kufunidwa mukangozindikira mawonekedwe ake, chifukwa chithandizo chikachedwa, mpata woti mayi akuchiritse ndikuchira.

Zomwe zimayambitsa psychosis

Nthawi yakubwera kwa mwanayo ndi nthawi yosintha, momwe malingaliro monga chikondi, mantha, kusatetezeka, chisangalalo ndi chisoni zimasakanikirana. Kukula kwakukulu uku, komwe kumalumikizidwa ndi kusintha kwa mahomoni ndi thupi la mayi munthawi imeneyi, ndizofunikira zomwe zimayambitsa kuphulika kwa psychosis.

Chifukwa chake, mayi aliyense amatha kudwala matenda obereka pambuyo pobereka, ngakhale amayi ena atha kukhala pachiwopsezo chachikulu chomwe chimawonjezera kukhumudwa pambuyo pobereka, omwe kale anali ndi mbiri yakukhumudwa komanso kupuma kwamapapo, kapena omwe amakumana ndi zovuta pamoyo wawo kapena wabanja, ngati zovuta pantchito , moyo wachuma, ndipo ngakhale chifukwa adakhala ndi mimba yosakonzekera.

Momwe mankhwalawa amachitikira

Chithandizo cha postpartum psychosis chimachitidwa ndi a psychiatrist, pogwiritsa ntchito mankhwala molingana ndi zisonyezo za mayi aliyense, zomwe zimatha kukhala ndi ma anti-depressant, monga amitriptyline, kapena anticonvulsants, monga carbamazepine. Nthawi zina, pangafunike kuchita ma electroshock, omwe ndi mankhwala ophera magetsi, ndipo psychotherapy imatha kuthandiza azimayi omwe ali ndi matenda amisala omwe amabwera chifukwa chobereka pambuyo pobereka.

Nthawi zambiri, ndikofunikira kuti mayiyo agonekedwe mchipatala m'masiku oyamba, mpaka atakulira, kuti pasakhale chiopsezo ku thanzi lake komanso kwa mwana, koma ndikofunikira kuti kulumikizana kuyenera kusungidwa, ndi maulendo oyang'aniridwa, kuti chomangira sichitha ndi mwana. Thandizo labanja, kaya mothandizidwa ndi chisamaliro cha ana kapena kuwalimbikitsa, ndikofunikira kuti tithandizire kuchira matendawa, ndipo psychotherapy ndiyofunikanso kuthandiza amayi kumvetsetsa nthawiyo.

Ndi chithandizocho, mayi akhoza kuchiritsidwa ndikubwerera kukakhala limodzi ngati khanda komanso banja, komabe, ngati mankhwalawo sakuchitika posachedwa, atha kukhala kuti ali ndi zizindikilo zowipiraipira, mpaka kutayika kotheratu kuzindikira zenizeni, kukhala wokhoza kuyika moyo wanu ndi wa mwanayo pachiwopsezo.

Kusiyanitsa pakati pa psychosis ndi kukhumudwa pambuyo pobereka

Matenda a postpartum nthawi zambiri amapezeka m'mwezi woyamba kubadwa kwa mwana, ndipo amakhala ndi malingaliro monga chisoni, kusungulumwa, kulira kosavuta, kukhumudwa, kusintha tulo ndi njala. Pakakhala kukhumudwa, ndizovuta kuti azimayi azichita ntchito za tsiku ndi tsiku ndikupanga kulumikizana ndi mwana wawo.

Mu psychosis, izi zimatha kuonekanso, chifukwa zimatha kusintha kuchokera kukhumudwa, koma, kuwonjezera apo, mayiyu amayamba kukhala ndi malingaliro osagwirizana, malingaliro ozunzidwa, kusintha kwa malingaliro ndi kusokonezeka, kupatula kutha kukhala ndi masomphenya kapena kumva mawu. Matenda a Postpartum amachulukitsa chiopsezo cha mayi wopha makanda, chifukwa mayi amakhala ndi malingaliro osamveka, akukhulupirira kuti mwanayo adzawonongeka koopsa kuposa imfa.

Chifukwa chake, mu psychosis, mkazi amasiyidwa zenizeni, pomwe ali wokhumudwa, ngakhale ali ndi zizindikilo, amadziwa zomwe zikuchitika momuzungulira.