Mushure mokunge mwana asvika, vabereki vakawanda vatsva vanongorodzwa kuti vakawana. Zvisinei, vanaamai vanogona kunge vasati vakagadzirira kutarisana neimwe yenhamo yavo yakawanda inetso-yekugadzirisa kupera kwepabonde uye / kana postpartum kunetseka.
Risk Factors
Njodzi dzinokonzera kusuruvara kwepabonde kana kushungurudza dzinosanganisira:
- Kusununguka kwepabonde kana kudarika
- Upenyu kunetseka
- Kusakwanisa kutsigirwa nevamwe
- Kusagutsikana mumba
- Mimba isingadiwi
- Nhoroondo yekushungurudzwa kwepabonde
- Chiitiko chekuzvarwa kwekutambudzika
- Zvinotarisirwa zvikuru zvekuzvarwa / kuberekwa
- Zvinetso zvepanyama nemucheche
- Zvinetso nevarapi vehutano
Kushungurudzika Kwemwe Mhando Mushure mekuzvarwa Kunowanikwa
Kirasi yekuberekwa kazhinji inogadzirisa kukurukurirana kwepaspartum kumubereki kugona muviri uye kutarisira mwana. Kazhinji vabereki vane mukana wekuzvigadzirira ivo vakagadzikana mupfungwa.
Sezvo nhamba dzichiratidza kuti vazhinji vanaamai vatsva vachave nemamwe maitiro ekuora mwoyo mushure mokuberekwa, zvinogona kubatsira kutarisa kuwanda kwematambudziko ekuora mwoyo kubva kune vanyoro (postpartum blues) kune yakaoma (psychotic depression), uyewo nzira dzaamai uye mhuri dzavo kuti dzibudirire.
Postpartum Blues
Vanenge makumi mapfumbamwe nezana kubva muzana vevana venguva yokutanga vanoona blues postpartum kana baby blues. Zviratidzo zvinowanzotanga mazuva maviri mushure mokuzvarwa apo mahomoni ekuberekwa anononoka uye amai vanogadzirisa kutarisira mwana mutsva nekugara vachida.
Vazhinji vanaamai vachave nenguva yekufara uye mufaro, kuteverwa nekuora mwoyo uye kuora mwoyo. Aya maitiro akaoma anowedzera nyore kutarisira kana iwe uchiona kuti iwo anobva pamashandisi ehomoni uye kuneta. Asi vamwe amai vanogona kunzwa kuti kuva nezviratidzo zvinoreva kuti havasi vanaamai vakanaka kana kuti havafaniri kuva amai.
Kutarisira Postpartum Blues
Nzira yakanakisisa yekugadzirisa blues ndiyo yekutanga uye yakakosha kuwana zororo rakawanda. Amai vanoda kurara kwepanyama nepfungwa. Mukuwedzera, iwe unofanirwa kudya zvokudya zvinovaka muviri, kunwa mvura zhinji, uye unofamba kunze (mamiriro okunze achibvumira) zuva rimwe nerimwe. Inobatsirawo kana nhengo dzemhuri dzichishanda mabasa epamba uye dzinodzinga chero ipi zvayo mikuru kwemwedzi inoverengeka. Kana hama dzisingakwanisi kubatsira, zvingave zvakakosha kubhadhara rubatsiro rwekuenda shure kubva kune postpartum doula. Amai amai vatsva vanotsigira mapoka vanogona kuva nzira yakanaka yekugovana nevamwe vanaamai vatsva, vazhinji vavo vachave vachitarisana ne-post blues blues zvakare. Vazhinji vanaamai vane postpartum blues havadi mishonga asi vanogona kubatsirwa nedzimwe nzira dzokurapa dzakadai semishonga yemakwenzi uye maitiro. Kazhinji postpartum blues ichagadzirisa mukati memaawa maviri -3 mushure mokuberekwa.
Kunze kweMucheche Bhuku: Kusuruvara kwePastpartum
Kune vanenge 15 kubva muzana yevakadzi, kuberekwa kunogona kutumikidza mukunetseka kwakakwana, zvichiita kuti zvive nyore kuzviriritira ivo uye / kana mhuri dzavo. Iwe unganzwa kushungurudzika zvakanyanya uye kuzvidya mwoyo kunotangira chero kupi zvako usati wabereka mwedzi pashure pacho. Zvimwe zviratidzo zvinosanganisira:
- Kunyanya kuchema kuchema
- Zvichida kurara zvakanyanya kana kurara zvishoma (uye kwete nekuda kwechecheche wako)
- Kunzwa kutsamwa, kutsamwa, uye / kana kusagadzikana
- Inonzwa sevasina tariro kana kuti isingabatsiri
- Kuzviparadzanisa iwe pachako
- Kwete kuita zvinhu zvawaimbofarira
- Maitiro ekuchinja (kana kudya zvakanyanya kana zvishoma)
- Zviratidzo zvepanyama zvakadai secheche aches kana musoro
- Dambudziko kuisa pfungwa
- Kutambudzika kushamwaridzana nemwana wako
- Kunzwa sokunge iwe haugone kutarisira mwana wako
Kana iwe uchifungidzira iwe une dambudziko re postpartum, zvakakosha kuti uone chiremba wako kurapwa, nekuda kwako uye nekuda kwemwana wako.
Postpartum Anxiety Disorders
Postpartum kushushikana kwepfungwa zvakanyanya kudarika kupera kwepabonde. Kune hutano hwakasiyana-siyana hunosanganiswa muboka re postpartum kushushikana kwepfungwa, kusanganisira:
- Dambudziko rekuzvidya mwoyo (GAD): Kunyanya kunetseka kana kufunganya kwaunowana kuoma kuzvidzora nekubatana nekusazorora, kuneta, kusagadzikana, kushungurudzika kwematumbo, uye / kana kusuruvara.
- Kucherechedza-compulsive disorder (OCD): Kucherechedza kana pfungwa dzinoramba dzichinyanya kuitika, kazhinji pamusoro pokukuvadza mwana, uye / kana kumanikidzirwa kunodzokorora, tsika dzekutsika dzaunowana zvakaoma kudzora.
- Dambudziko rekushungurudzika: Kunyanya kunetseka kunotungamirirwa nekurwadziwa kwepfuva, utsi, kuputika, kuzununguswa, nezvimwewo, izvo zvinowanzobatanidzwa kune imwe nzvimbo kana chiitiko.
Nzira Yokuudza Nayo Kana Une Postpartum Anxiety
Iwe unogona kupindura mibvunzo inotevera kuti ikubatsire kuziva kana iwe ungave uri kutambura neipi yeipi yezvinetso zvekuzvidya mwoyo:
- Iwe unonetseka zvokuti iwe haugone kunyatsotarisira mwana wako here?
- Iwe unotya kuzvikuvadza iwe pachako kana mwana kusvika pamwero wamusingazivi kuti iwe unogona kuzvidzivirira here?
- Ndizvo zvaunoita zvinokuvadza zvinokuvadza mwana here?
- Iwe unonetseka zvokuti haugoni kudya kana kurara here?
Kutarisa Postpartum Matambudziko Anonetseka
Kunyangwe chero kupi zvako kubva pa13 kusvika ku40 muzana yevakadzi vanogona kukura pashure pokunge vachinetseka, kutsvakurudza kunoratidza kuti inowanzoita kuderera sezvo nguva inopfuurira. Kana iwe uchifunga kuti une dambudziko rekuzvidya mwoyo, unyanzvi hwako hwehutano huchakurudzira kutonga kunze kwechinetso chero chipi zvacho chekutanga, zvakadai se hypoglycemia uye hypothyroidism, usati wafungisisa kufunganya ndicho chikonzero.
Mukuwedzera pane tsika dzakanaka dzokudya, zororo uye zororo, iwe unogonawo kubatsirwa nokuzvidzivirira muviri, mapoka ekutsigira, kupa mazano, uye / kana anti-depressants. Mamwe emapoka ekutsigira anopawo kuendesa kushanda kune avo vanoita zvehutano hwepfungwa vane chido chakakosha mumashure ekukurumidza kunetseka.
Psychotic Postpartum Kuora mwoyo
Imwe yenzira dzekusiyanisa kubuda kwepfungwa kubva kumashure kubva pane zvinowanzokonzera kufunganya kana kusununguka shure kwepasipo ndeyekuti kuwedzera kune zviratidzo izvozvo, iwe unowanzova nemafungiro kana kunyengedza. Dzimwe nguva nhengo dzemhuri dzingasatora pane psychosis nokuti unogona kuva nenguva iyo iwe unoita zvakanaka. Zvisinei, munguva iyo iwe usingafungi, kutonga kwako hakuna kukwana uye iwe nemwana wako hamuna kuchengeteka. Iwe haugoni kurangarira kunyange zvawakaita panguva idzi dzepfungwa.
Postpartum psychosis, kunyange zvisingawanzovi (1 kusvika 2 muzvuru zvemakore), inofanira kuonekwa sekukurumidzira uye inorapwa pakarepo. Mama kazhinji vanopindura nokukurumidza kumishonga uye munguva dzakawanda vachada kudzoka muchipatara kana kliniki. Iwe unotofanirawo kuziva kuti uri pangozi yekuvandudza psychose postpartum pane imwe nguva mune ramangwana uye kuti inogona kudzoka kana iwe uine mumwe mwana. Kune humwe hutsva hunotsvakurudza kuti vanaamai vari pangozi vanogona kubatsirwa nekushandiswa kweserogen mushure mekuberekwa kudzivirira psychotic kushushikana.
Yakarongwa Mishonga
Iro rinorayirwa kurapwa kwemashure endumusi blues rinosanganisira:
- Zorora
- Zvokudya zvinovaka muviri uye zvinodya
- Kubatsirwa kubva kumhuri neshamwari w / mabasa epamba
- Dzidzira
- Amai amai vatsigira mapoka
- Mishonga yemishonga *
- Acupuncture
- Postpartum doula services
Iro rinorayirwa kurapwa kwekupera kwepabonde uye / kana kushungurudzika kwepfungwa kunosanganisira:
- Zvose zviri pamusoro apa
- Light therapy
- Counseling
- Masangano ekutsigira
- Mishonga (anti-depressants) *
Iro rinorayirwa kurapwa kwemazuva ekupedzisira kwepfungwa rinosanganisira:
- Zvose zviri pamusoro apa
- Utachiona hweHormone kune vanamai vari panjodzi sekudzivirira *
- Rubatsiro rwekutarisira mwana apo amai varipo
- Hospitalize kusvikira iwe wagadzika
* Ona mutapi wako wehutano kuti uwane ruzivo nezvemishonga yakakosha zvikuru kana mishonga yemishonga yako uye / kana avo vakachengeteka kushandiswa panguva yekuyamwisa.
The Bottom Line
Nhau dzakaipa ndeyokuti inenge vanaamai vose vachaona zvishoma kunyanya kurudzika kwemazuva ekupedzisira kudengenyeka. Zvisinei, mashoko akanaka ndeokuti matambudziko ose aya anorapwa. Tiri kudzidzawo zvakawanda nezvehutano hwehutano hwemazuva ano saka vanaamai vatsva nemhuri dzavo vane zvakawanda zvavanogona kuti vaite kuti vavabatsire kuburikidza nerwendo rurefu rwemweya.
> Sources:
> Fairbrother N, Janssen P, Antony MM, Tucker E, Young AH. Perinatal Kuzvidya Mwoyo Dambudziko Kuwanda uye Kuitika. Zvinyorwa zveAffective Disorders . August 2016; 200: 148-55. doi: 10.1016 / j.jad.2015.12.082.
> Munda T. Postpartum Kuzvidya Mwoyo Kuwanda, Kufanotarisa uye Kukanganisa Kukura Kwevana: Ongororo. Zvinyorwa zvePsychiatry uye Psychiatric Disorders . May 2, 2017; 1 (2): 86-102.
> National Institute of Mental Health (NIMH). Postpartum Kudzvinyirira Chokwadi. National Institutes of Health. Dhipatimendi reUnited Health Health and Human Services.
> Payne J. Postpartum Psychosis: Epidemiology, Pathogenesis, Clinical Zviratidzo, Nzira, Kuongorora, uye Kuongororwa. Kusvika pari zvino. Yakapedzwa musi waSeptember 13, 2016.