Chifukwa Chomwe Akazi Ena Amatha Kukhudzidwa Kwambiri ndi Kukhumudwa Pambuyo Pakubereka

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Pamene Chrissy Teigen adawulula Kukongola kuti adadwala matenda a postpartum (PPD) atabereka mwana wamkazi Luna, adabweretsanso vuto lina lazaumoyo amayi. (Timawakonda kale * supermodel yowauza monga momwe ziliri pankhani zakukhala ndi thupi labwino, njira ya IVF, ndi zakudya zake.) Ndipo zikuwoneka kuti PPD ndiyofala-imakhudza pafupifupi 1 pa 9 akazi ku US, malinga ndi Centers for Disease Control and Prevention (CDC). Ndipo ofufuza akuti ndi amayi 15 pa 100 alionse amene amadwala matendawa. Ndiye ife ayenera khalani mukukambirana za izi.

Ndicho chifukwa chake tatsala pang'ono kuwona kafukufuku waposachedwa kuchokera ku Yunivesite ya Johns Hopkins. Zikuwonetsa kuti kukhala ndi mahomoni odana ndi nkhawa nthawi yonse yoyembekezera - makamaka trimester yachiwiri-itha kuteteza amayi omwe angakhale posachedwa motsutsana ndi PPD. Chabwinonso, ndikuti zotsatirazi zatsopano tsiku lina zitha kuyambitsa mayeso ndi chithandizo chomwe chingathandize kupewa vutoli. (Mbali yam'mbali: Kodi mumadziwa kuti chiwopsezo chitha kuchepetsa chiopsezo cha PPD?)

Phunziroli, lofalitsidwa mu Psychoneuroendocrinology, ofufuza anayeza milingo ya allopregnanolone, yomwe imapangidwa kuchokera ku progesterone ya hormone yoberekera yomwe imadziwika kuti imachepetsa, kuchepetsa nkhawa. Anayang'ana amayi 60 omwe anali posachedwapa omwe adapezeka kuti ali ndi vuto la maganizo (ganizirani: kuvutika maganizo kwakukulu kapena matenda a maganizo ochititsa munthu kusinthasintha zochitika), ndipo anayesa milingo ya amayi mu trimesters yachiwiri ndi yachitatu. Amayi atabereka, ofufuzawo adapeza kuti omwe anali ndi allopregnanolone m'mwezi wachiwiri wachitatu amatha kupezeka ndi PPD kuposa azimayi omwe ali ndi mahomoni ochulukirapo nthawi yomweyo.

"Allopregnanolone imayesedwa mu nanogram pa milliliter (ng / mL), ndipo pa zina zonse za ng / mL, mayi adachepetsa 63% pachiwopsezo chake cha PPD," watero wolemba kafukufuku Lauren M. Osborne, MD, wothandizira director of the Women's Mood Disorders Center ku Johns Hopkins University School of Medicine.

Pakati pa mimba, progesterone ndi allopregnanolone mwachilengedwe zimadzuka pang'onopang'ono kenako zimawonongeka pobereka, akutero Osborne. Pakalipano, umboni wina umasonyeza kuti kuchuluka kwa progesterone yomwe imathyoledwa kukhala allopregnanolone ikhoza kuchepa kumapeto kwa mimba. Chifukwa chake zingakhale zomveka, ngati muli ndi allopregnanolone yocheperako yomwe idadutsa musanabadwe - kenako ndikuwona kuyima kwa mahomoni pakubereka - kuti nkhawa zanu zitha kukwera ndikupangitsani kuti mutengeke ndi PPD, ya nkhawa yomwe ndichizindikiro chofala. (Kuphatikizanso, zofunikira kudziwa zambiri za PPD.)

Osborne akuti kafukufukuyu samayankha mokwanira funso loti chifukwa chiyani allopregnanolone imatha kuteteza motsutsana ndi PPD, "koma titha kuganiza kuti mwina milingo yotsika ya trimester yachiwiri ikukhudzidwa ndi zochitika zingapo zomwe zimabweretsa PPD-mwina kudzera zolandirira ubongo, kapena chitetezo chamthupi, kapena machitidwe ena omwe sitinawaganizire. "

Ananenanso kuti azimayi ena atha kukhala pachiwopsezo cha PPD chifukwa cha allopregnanolone yocheperako kunja kwa mimba, monga umboni ukusonyeza kulumikizana pakati pamankhwala ochepetsa mahomoni ndi kukhumudwa. (Zokhudzana: Nazi masewera asanu omwe angakuthandizeni kukonzekera kubereka.)

Izi zati, palibe amene akukuuzani kuti muthamangire mayeso a allopregnanolone ngati muli ndi mwana panjira (ngakhale, FWIW, pali kuyezetsa magazi). Kupatula apo, Osborne amavomereza kuti iyi ndi phunziro laling'ono lomwe lili ndi zotsatira zoyambira, kotero kuti kafukufuku wochulukirapo ayenera kumalizidwa. Komanso, chiyani wakhala Zomwe zachitika zimabwera ndi zodzikongoletsera. Choyambirira komanso chofunikira: Kafukufukuyu adachitika ndi gulu la azimayi omwe ali pachiwopsezo chachikulu, m'malo mwa omwe sanadziwitsidwe za matenda amisala. Zomwe zikutanthauza kuti sakudziwa pano ngati zotsatira zomwezo zidzapezeke ngati anthu ambiri awunikiridwa.

Komabe, zimapereka chiyembekezo cha zomwe zikubwera kwa amayi kuti akhale ndi thanzi komanso chithandizo. Osborne akuti akuyembekeza kuphunzira ngati allopregnanolone angagwiritsidwe ntchito poletsa PPD mwa amayi omwe ali pachiopsezo, ndipo Johns Hopkins ndi imodzi mwa mabungwe ochepa omwe akuyang'ana allopregnanolone ngati chithandizo cha PPD.

Chifukwa chake ngakhale asayansi amakonda kutero, kubetcherana kwanu ndikuyang'ana momwe mukumvera. “Pafupifupi akazi onse—pafupifupi 80 mpaka 90 peresenti—adzakhala ndi ‘mwana wosangalala’ [ndipo] amamva kusasinthasintha maganizo ndi kulira m’masiku angapo oyambirira atabadwa,” akutero Osborne. "Koma zizindikiro zomwe zimatha milungu iwiri kapena kupitilira apo, kapena zowopsa kwambiri, zitha [kuwonetsa] kukhumudwa pambuyo pobereka."

Kuvutika kugona; kumva kutopa; kuda nkhawa kwambiri (za mwana kapena zinthu zina); kusowa malingaliro pamwana; chilakolako kusintha; zopweteka ndi zowawa; kumva kuti ndi wolakwa, wopanda pake, kapena wopanda chiyembekezo; kumva kupsa mtima; kukhala ndi nthawi yovuta kuika maganizo; kapena kuganiza zodzipweteka kapena mwanayo zonse ndi zizindikiro za PPD, akutero Osborne. (Kuphatikizanso, musaphonye zizindikiro zisanu ndi chimodzi zosaoneka bwino za matendawa.) Ngati mukukumana ndi zina mwa izo, gwirani maziko ndi dokotala mwamsanga chifukwa-silver lining!-Osborne akuti PPD imayankha bwino kwambiri chithandizo. Palinso nthambi ya Postpartum Support International mchigawo chilichonse kwa iwo omwe akufuna zina zowonjezera.

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