Fɔ briŋ pikin kam na os na big big gladi-at. Bɔt fɔ sɔm mama dɛn, wit dis gladi at, dɛn kin bigin fɔ fil bad bad wan, dɛn kin fil dɛn wan , ɛn dɛn kin fred. Dɛn de wɔnda, ‘Wetin mek dis de apin to mi? Yu nɔ tink se a na gud mama?’ If yu fil dis kayn we, nɔto yu wangren de. Dis na wan sik we kin rili kɔmɔn. Dis sik na wetin wi kin kɔl Postpartum Depression (PPD) . Lɛ wi tɔk bɔt dis ditayli.
Aw a go no if a gɛt Postpartum Depression?
Pan ɔl we wi dɔn no bɔt pwɛl hat we pɔsin kin gɛt afta i bɔn fɔ lɔng tɛm, masta sabi pipul dɛn se bɔku tɛm dɛn nɔ kin no se i gɛt dis sik. Bɔt naw we pipul dɛn dɔn no mɔ bɔt dis, dɔktɔ dɛn de luk fɔ di tin dɛn we kin mek pɔsin gɛt dis sik as ali as di fɔs tɛm we dɛn go na di klinik we dɛn gɛt bɛlɛ.
If yu de pan denja, yu dɔktɔ go wach yu maynd wɛlbɔdi ɔl di tɛm we yu gɛt bɛlɛ. Afta yu dɔn gɛt yu pikin, i impɔtant fɔ mek yu ɛn di wan dɛn we yu lɛk (man, mama, famili) no bɔt ɛni chenj na yu maynd ɔr sayn dɛm fɔ pwɛl hat. Yu dɔktɔ go chɛk dis bak na yu 6 wik klinik afta yu bɔn.
Di impɔtant tin na dat dis nɔto sik we pɔsin kin no if i gɛt blɔd tɛst ɔ skan. Bifo dat, di dɔktɔ go disayd fɔ du dis bay we i go aks yu sɔm kwɛstyɔn dɛn bɔt aw yu de tink.
Bɔku kwɛstyɔn dɛn de we dɛn kin yuz fɔ dis.
| Tul fɔ Skrin | Fɔ tɔk am simpul wan, wetin kin apin? |
|---|---|
| Edinburgh Postnatal Dipreshɔn Skel (EPDS) . | Dis na wetin bɔku dɔktɔ dɛn kin tink se na di bɛst we fɔ no if pɔsin gɛt PPD. 10 shɔt shɔt wɔd dɛn de ya. Tin dɛm lɛk "A bin de fil wɔri ɔr frayd fɔ natin" ɔr "A bin de tink bɔt fɔ du bad to misɛf." Na wetin yu fɔ du na fɔ tɛl mi ɔmɔs tɛm yu dɔn fil dɛn tin dɛn de insay di wik we dɔn pas. |
| 2-Kwɛshɔn Patiɛnt Ɛlth Kwɛshɔn (PHQ-2) . | Dis na besik tɛst we gɛt tu rili shɔt kwɛstyɔn dɛn. I de aks aw yu dɔn fil "lɛk intres fɔ du tin" ɔr "sad, hopeless" fɔ di pas tu wik. |
| 9-Kwɛshɔn Patient Wɛlbɔdi Kwɛshɔn (PHQ-9) . | If di PHQ-2 tɛst we de ɔp sho se yu gɛt sɔm kayn pwɛl hat sik, yu dɔktɔ go yuz dis kwɛstyɔn. Dɛn go aks bɔt ɔda sayn dɛm, lɛk wae yu de chenj yu slip ɛn yu want fɔ it, yu nɔr kin ebul fɔ pe atɛnshɔn pan yu maynd, ɛn yu kin taya. |
Apat frɔm dɛn kwɛstyɔn ya, yu dɔktɔ go aks yu ɔda kwɛstyɔn dɛn fɔ no aw yu sik bad bad wan . Na mɔtalman dɛn go aks if yu de tink bɔt fɔ du bad to yusɛf ɔ yu pikin . Dɛn go tray bak fɔ no if dis na PPD ɔ ɔda kɔndishɔn, lɛk ``Bipolar Disorder'' ɔ ``Postpartum Psychosis''. Dɛn kin chɛk bak yu tayroyd ɔmon lɛvɛl. Dis na bikɔs ``Hypothyroidism'' kin mek yu gɛt sɔm kayn sik dɛn we fiba PPD.
Wetin na di tritmɛnt fɔ pwɛl hat afta dɛn bɔn pikin?
sכmtεm dis kכndyushכn kin bכku insεf afta lεk 3 mכnt we yu bכn pikin. Bɔt if i de ambɔg yu ɛvride aktiviti dɛm , ɔr if de jenɛral sɔri-at we dɛn kɔl "bebi bluz" de las fɔ pas tu wik, yu fɔ rili go to tritmɛnt.
Di gud nyus na dat lɛk 90% pan di uman dɛm wae gɛt PPD kin wɛl fayn fayn wan wit mɛrɛsin ɔr saykotɛrapi we dɛn jɔyn wit mɛrɛsin . Dɔn bak, fɔ tek pat pan sɔpɔt grup dɛn na big ɛp.
pan rili siriכs kes dεm fכ PPD כ wan kכndyushכn we dεn kכl ``Postpartum Psychosis'', i kin nid fכ go na כspitul. Insay sɔm kayn kes dɛm we rili bad, usay pipul dɛn kin tink bɔt tin dɛn we de apin, we dɛn kin tink bɔt dɛnsɛf, ɔ we dɛn kin tink bɔt fɔ kil dɛnsɛf, dɛn kin ivin yuz wan tritmɛnt we dɛn kɔl ``Electroconvulsive Therapy (ECT)''.
I bɛtɛ fɔ bigin tritmɛnt kwik kwik wan. If dɛn nɔ trit am ɔ dɛn nɔ trit am, di sik kin wɔs. Di masta sabi pipul dɛn dɔn si bak se PPD we dɛn nɔ trit kin afɛkt pikin dɛn. Dɛn kayn pikin dɛn ya kin gɛt prɔblɛm wit slip, dɛn nɔ kin ebul fɔ tink gud wan, dɛn nɔ kin fil sef, ɛn dɛn kin vɛks ɔltɛm.
Mɛrɛsin fɔ tritmɛnt
Bɔku tɛm di fɔs tin we yu fɔ du fɔ trit yu na fɔ sɔlv prɔblɛm dɛn we yu kin gɛt wantɛm wantɛm lɛk fɔ slip ɛn fɔ want fɔ it. Antidipreshan kin rili woke fɔ dis.
Bɔt, if yu de gi pikin in bɛlɛIf yu fɔ yuz mɛrɛsin ɔ yu nɔ fɔ yuz am, ɛn us mɛrɛsin fɔ pik, na tin we yu ɛn yu dɔktɔ fɔ tek tɛm disayd. Sɔm mɛrɛsin wae de mek pɔrsin fil bad kin pas insay mama in milk insay smɔl smɔl tin dɛm. Sɔm kɔntroversi de bɔt sɔm mɛrɛsin dɛm, lɛk `(Lithium)`.
So, i impɔtant fɔ tɔk to yu dɔktɔ ɛn disayd afta yu dɔn ɔndastand gud gud wan di bɛnifit ɛn di prɔblɛm dɛn we kin apin. If yu de tek mɛrɛsin, i fayn fɔ mek yu kɔntinyu fɔ tek am fɔ at le 6 mɔnt ɔ wan ia fɔ mek di sik nɔ kam bak.
Dɔn bak, if yu dɔn gɛt PPD bifo, yu dɔktɔ kin advays yu fɔ bigin tek bɔn kɔntrol pils jɔs afta yu nɛks bɔn ɔ we yu gɛt bɛlɛ.
Aw saykotɛrapi kin ɛp?
Saykotɛrapi, ɔ jɔs "tɔk tɛrapi," na in dɛn kin yuz fɔ PPD, ilɛksɛf na in wan ɔ dɛn kin yuz am wit mɛrɛsin. Yu dɔktɔ kin rifer yu to kwalifay kɔlnɔ we spɛshal pan PPD.
Na wetin yu fɔ du na fɔ mit ɛn tɔk to di pɔsin we de advays yu pan wan tɛm we dɛn dɔn sɛt. Dɛn go aks yu bɔt yu layf ɛn aw yu de fil. I rili impɔtant fɔ tɛl ɔltin ɔnɛs wan, ɛn nɔ jɔj ɛnibɔdi. Ɔl wetin yu tɔk na kɔnfidɛns bitwin yu ɛn di pɔsin we de advays yu.
Insai dis kayn tritmɛnt, de kɔlnɔ kin tich yu fɔ chenj yu bad tin wae yu de tink ɛn biev ɛn fɔ luk tin difrɛn we. Tu pan di kayn tritmɛnt wae dɛn kin yuse fɔ PPD na:
- Cognitive Behavioral Therapy (CBT): Fɔ tɔk am simpul wan, i de ɛp yu fɔ no ɛn chenj di bad, bad bad tin dɛm we yu de tink ɛn biev we de kɔmɔt frɔm dɛm.
- Intapɔsɔnal Tɛrapi (IPT): Dis kin ɛp yu fɔ sɔlv yu soshal rilayshɔnship (rilayeshɔn wit yu man ɔ yu wɛf, fambul, padi dɛm) ɛn di prɔblɛm dɛm wae dɛn kin kɔz, ɛn fɔ manej dɛn rilayshɔnship de fayn fayn wan.
Tin dɛm wae yu kin du wae yu de liv wit PPD
Wae yu de get tritment, yu kin tek kia of yusef tu. Dɛn tin ya go ɛp yu fɔ wɛl.
- Mek tɛm fɔ yusɛf: Tek smɔl tɛm fɔ yusɛf ɛvride. Fɔ de wit bebi ɔl di de kin rili taya.
- Go na do: Go na do fɔ smɔl tɛm ɛvride. At least waka rawnd di os. Ivin da smɔl chenj de kin rili mek yu maynd fil fayn.
- Aks fɔ ɛp: Nɔ fred fɔ aks yu fambul ɔ padi we yu kin abop pan fɔ ɛp yu fɔ du wok na os, fɔ kia fɔ pikin, ɔ fɔ tɔk bɔt tin dɛn. Nɔ tray fɔ du ɔltin yu wan.
- Ɛksesaiz: We yu bɔdi dɔn wɛl afta yu bɔn pikin, tɔk to yu dɔktɔ ɛn bigin fɔ du ɛksɛsayz we go fayn fɔ yu. Ɛksesaiz kin ɛp bɔku fɔ mek yu maynd rilaks.
- Sɔpɔt Grup dɛn:Na fayn we fɔ tɔk to ɔda mama dɛn we dɔn gɛt di sem ɛkspiriɛns lɛk yu. Tink bɔt fɔ jɔyn nyu mama dɛn grup na yu eria.
Lɛ wi lan bak bɔt kɔmplimɛnt ɛn ɔda tritmɛnt dɛn.
Yu nɔ go want fɔ tek mɛrɛsin, mɔ if yu de gi pikin in bɛlɛ. If na so i bi, yu kin tɔk to yu dɔktɔ bɔt dɛn ɔda we ya. Bɔt mɛmba se if yu de yuz dɛn tin ya apat frɔm ɔ instead fɔ tritmɛnt, yu fɔ rili aks yu dɔktɔ in advays.
- Yoga: Wan stɔdi sho se pas 75% pan di mama dɛm wae gɛt pwɛl hat sik wae kin du yoga tu tɛm insay di wik kin gɛt prɔblɛm.
- Masaj: Sɔm stɔdi dɔn sho se masaj kin ridyus di PPD simptom dɛm.
- Rilaks Trenin: Yu kin lan fɔ mek yusɛf kol tru tin dɛm lɛk dip brith ɛksesaiz ɛn gayd imej.
- Meditashɔn: Meditashɔn de ɛp yu fɔ pe atɛnshɔn pan di tɛm we yu de naw ɛn lɛf fɔ tink bɔt tin dɛn we yu nɔ want. Dis kin ɛp bak fɔ pul pwɛl hat.
Rizult fɔ ɛbul sɔpɔtmɛnt lɛk Sɛnt Jɔn wɔt na miks. Dɛn nɔ dɔn pruv yet se akupankcha ɛn layt tɛrapi wok fayn fɔ PPD.
Mɛsej we dɛn kin kɛr go na os
- Pɔstpartum depression nɔto wikɛd tin na yu pat, na mɛdikal kɔndishɔn wae nid tritmɛnt.
- If yu fil bad, wɔri, ɔ yu nɔ gɛt op pas tu wiks afta yu bɔn yu pikin, tɔk to yu dɔktɔ wantɛm wantɛm.
- Dɛn kin trit dis sik fayn fayn wan wit mɛrɛsin ɛn saykotɛrapi.
- Nɔ ɛva fred fɔ aks yu man, yu fambul, ɛn padi dɛn fɔ ɛp yu.
- Rɛst, slip fayn, ɛksesaiz, ɛn tek sɔm tɛm fɔ yusɛf impɔtant fɔ mek yu wɛl.
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