I naute hnute a pek lai hian i lungngai thut em, i thinrim bawk em? D-MER (Dysphoric Milk Ejection Reflex) chungchang hi han sawi ila!

Nu thar i nih chuan i taksa leh rilru hian inthlak danglamna tam tak a paltlang thin a ni lawm ni? A châng chuan, i naute hnute pe tûra i inpeih lai emaw, i hnute aṭanga i hnute a chhuah ṭan hma lawk hian, chhan awm lovin i lungngai hle a, i thinrim hle a, i lungawi lo bawk em? Hei hi nangmah chauh a ni lo. Vawiin hian he rilru mak tak mai hi kan sawi dawn a ni.

D-MER (Dysphoric Milk Ejection Reflex) tih hi eng nge ni?

A awlsam zawngin sawi ila, D-MER hi nau hnute pe thin nu, emaw, hnute tui pump thin nu te a nghawng thin a ni. I hnute tui a chhuah hma lawk hian i rilruah a lo lang nghal vat thin (milk let down). Hei hi hun rei lote chhung, minute khat emaw minute hnih emaw vel a ni a, mahse a lungchhiatthlak hle (dysphoria) leh a lungchhiatthlak thei hle. A châng chuan, i hnute chu beisei loh taka a chhuah (accidental let down) pawhin hetiang hian i hre thei bawk. Hei hi nau hnute pek lai hian thil pangngai a ni.

A pawimawh ber chu hei hi reflex a ni a, chu chu i thunun theih thil a ni lo tihna a ni. I rilruah harsatna a ni lo, naute hnute pek i duh loh vang a ni lo, i hnute a na vang a ni lo. Taksa lam a ni vek . Tuna zirchianna atanga a lan dan chuan i taksaa chemical awm, hormone -te inthlak danglam nghal vang a ni.

D-MER hi engtiang chiahin nge a hluar tih zirchianna chu kalpui mek a ni. Zirchianna pakhat chuan nau hnute petu nu 5% leh 9% inkar chuan an tawng thei tih a sawi. Nau neih hnua lungngaihna (PPD) emaw, nau neih hnua lungkhamna emaw nen a inzawm tlat lo . Mahse, nu thenkhat chuan PPD emaw, lungkhamna emaw nen D-MER an nei thei bawk.

D-MER chhung hian eng nge i hriat? (Natna)

D-MER chhunga i hriat ber chu ngaihtuahna tha lo leh rilru natna lo awm nghal mai hi a ni. Hengte hi a lo lang rang hle a, minute chanve atanga minute hnih chhungin a bo vek a ni. A pawimawh ber chu heng rilru natna te hi i hnute a tlakchhiat dawn chauhvin a lo thleng thin. Vawikhat hnute chu a rawn lut tan chuan chu rilru natna zawng zawng chu a bo vek a ni.

D-MER hmang hian heng rilru put hmang te hi i tawng mai thei:

• Lungngaihna leh beidawnna nasa tak a awm.
• Mahni duh lohna , mahni inngaihhlutna hniam.
• A sinking feeling/dread , pum chhunga thil awm ang maia, emaw thil tha lo tak thleng tur ang maia.
• Thinrimna , lungngaihna, a nih loh leh chhan awm lovin.
• Lungkhamna emaw, thinrimna emaw.

D-MER hi naupai laiin taksa lama harsatna dang, hnute natna emaw, hnute engorgement emaw nen a inzawm lo tih hre reng ang che. Mahse, heng rilru put hmangte hi a nasa thei hle a, nu thenkhat chuan nau hnute pek emaw, pump emaw tihtawp a ngai tih an hre thei.

Pawimawh tak: A châng chuan heng chhinchhiahnate hi a na hle thei a, mahni intihhlum tumna a thlen thei bawk . Nangmah emaw, midang emaw tihchhiat tumna i neih chuan doctor thurawn la nghal rawh. D-MER symptoms hi postpartum depression (PPD) nei nu tan chuan enkawl a harsa zawk thei.

Engvangin nge hetiang hi a lo awm? (D-MER awm chhan) 1.1.

He dinhmun hi hriat chian tawk ni lo mah se, zirchianna tam takah chuan hormone hi a chhan ber a ni tih an sawi. A bik takin, taksaa hormone dopamine tih a tlahniam nghal vang a ni. Dopamine hi hormone pakhat a ni a, hlimna leh lungawina hriatna nen a inzawm tlat a ni. Zirna tam takah chuan dopamine level hniam hian kan mood leh emotion a nghawng tha lo thei tih hmuhchhuah a ni.

Hetiang hian han ngaihtuah teh: i naute i hnute i pek hian i taksa chuan prolactin (bawnghnute siamna atana pawimawh hormone) leh oxytocin tih hormone a tichhuak a ni. I naute hian a hnute a hnek (or i pump tan) hian he hormone oxytocin an tih hian i hnute atanga hnute a chhuah tir thin (milk ejection/let-down). He hormone, oxytocin hian dopamine level tihhniamna hmangin hna a thawk a ni. Chu chu i dopamine level a tlahniam tihna a ni.

Researcher-te’n an la hriatthiam kim loh chhan avang hian nu thenkhat dopamine level chu a tlahniam chak hle a ni . Chutah chuan lungngaihna leh rilru natna dang an nei thut thin. Hei hi D-MER an ti a.

Mahse heng rilru natna te hi rei lo te chhung atan chauh a ni . Nu tam tak chuan i prolactin leh oxytocin level a normal leh chuan minute tlemte chhungin i mood a nghet tawh ang tih an sawi.

D-MER hi taksa lam thil a ni a, rilru lam thil a ni lo tih hre reng ang che. I lungngai tihna a ni lo, i naute lakah i thinrim tihna a ni lo va, hnute pek i hreh tihna a ni lo. D-MER i vei thei nia i ngaih chuan i doctor, midwife emaw lactation consultant emaw nena inbiakna neih chu a \angkai hle thei a ni.

Engtin nge doctor chuan hei hi D-MER a ni tih chiang taka a hriat theih ang? (Diagnosis) tih a ni.

D-MER chungchangah hian zirchianna tam tak a awm loh avangin official diagnosis a la awm lo. I doctor chuan i natna lan chhuah dan te, engtikah nge a lo awm tih te, a nasat dan te a sawipui ang che. D-MER hi i hnute i pek emaw, i pump lai emaw chauh a awm tih hre reng la, rei vak lo hnuah a bo vek. I natna lan chhuah dan leh engtikah nge a lo awm tih chiang taka sawi chuan i doctor chu thil awmdan a hriatthiam theih nan a pui ang.

D-MER kan neih chuan eng nge kan tih theih ang? (Enkawl dan leh enkawl dan) .

Researcher-te chuan he natna hi an la hrethiam tawk lo a, D-MER hi ‘enkawlna’ bik a awm lo. Mahse, i natna lan chhuah dan tur leh i natna i hmachhawn theih nan kawng engemaw zat a awm.

D-MER symptoms enkawlna atana hmanraw hman tlanglawn thenkhat chu hetiang hi a ni:

• I naute nena vun leh vun inzawmna tipung rawh: Nau hnute i pek chuan i naute chu a theih ang anga hnaih taka chelh tum ang che. Hetiang khawih hian i cortisol level (stress nena inzawm hormone) a tihniam thei a, i heart rate a tihhniam thei a, i rilru a hahdam thei bawk. Naute te tak te kan vawn laia kan thlamuanna ang bawkin.
• Meditation emaw deep breathing: A bulpui ber chu rilru tihmuang tum hi a ni. Hei hian lungkhamna leh lungkhamna a tiziaawm a ni. I hnar hmangin thawk thûk tak la la, i kâ hmangin zawi zawiin thawk chhuak rawh. Ni khata minute engemaw zat hetianga tih hian danglamna nasa tak a thlen thei a ni.
• Relax dan dang zawng rawh: Nau hnute i pek hmain massage nem tak la la, i hla duh ber ngaithla la, tub lum takah inbual rawh. Heng thilte hian D-MER a lo thlen hunah i rilru hahdam leh i tuar thiam zawk thei a ni.
• I ngaihtuahna tibuaitu: I rilru a buai lai hian thil dangah i ngaihtuahna dah tum ang che . I rilru chhunga thil awmte ngaihtuah chungin chawhmeh i ei thei a, TV-ah thil i en thei a, lehkhabu i chhiar thei bawk. A bul berah chuan chu rilru natna tha lo chu a lo thlen hunah thil dang ngaihtuah reng tur a ni.
• Support zawng rawh: D-MER i hmachhawn theih nan support hi a pawimawh hle. I nupui/pasal emaw, i ṭhian ṭha ber emaw, online D-MER support group emaw pawh a ni thei. I thusawi ngaithlatu tur, biak tur che leh ngaihsaktu tur mi zawng rawh. Nangmah chauh i ni lo tih hriat hi chakna ropui tak a ni bawk.

Hetiang dinhmun hi eng chen nge a daih ang?

Hei hi mi tin a inang lo. Mi tam zawk tan chuan D-MER hi thla thum vel hnuah a reh zauh zauh thin. Naute a lo upat deuh deuh chuan a na lo deuh deuh thin. Mahse, nau hnute pek an chawlhsan vek hma loh chuan D-MER tawk tawh an awm bawk. Chuvangin, eng chen nge i neih dawn tih chiang taka sawi a harsa khawp mai. Mahse, hre reng ang che, a tam zawkah chuan a awm reng tur thil a ni lo.

Hei hi ven theih a ni em?

Ni lo, D-MER hi i veng thei lo. Mahse, i tanpui thei tur mi an awm tih leh he dinhmun hi i thil tih avanga lo awm a ni lo tih hriat a pawimawh. Mawhphurhna i lak a ngai lo.

D-MER hi nau neih hnua lungngaihna (PPD) chhinchhiahna a ni em?

Ni lo, D-MER hi postpartum depression (PPD) emaw, postpartum mood disorder dang emaw i neih tihna a ni lo. Symptom thenkhat chu inang mahse, D-MER hi i hnute supply a rawn lut dawn a, a bo nghal vat hunah chauh a awm thin. Mahse, D-MER i neih lai hian PPD ang chi condition i neih theih a ni. I ngaihtuahna leh rilru put hmang tha lote chu nau hnute pek pawnah a nasa zawk a nih chuan, a nih loh leh nitin a zual zel ang tih a nih chuan, i doctor nen inbia ang che.

Mahni in enkawl a pawimawh hle!

Mi thenkhat chuan hre lo mahse D-MER hi condition tak tak a ni. Vanneihthlak takin hun eng emaw chen atan a ni fo a, i hmachhawn theihna tur kawng a awm bawk. A chunga kan sawi tawh ang hian i D-MER symptoms te hi enkawl tum ang che. A châng chuan, dinhmun dik tak i nei tih leh nu dangte pawhin chutiang thil chu an tawk tih hriat chu thlamuanna nasa tak a ni thei.

D-MER hian hnute pek tawh loh duhna a siam thei che a ni. Hei hian i rilru hriselna leh hriselnaah nghawng theih loh khawpa nghawng a neih chuan, formula lama inthlak hi nang leh i naute tan pawh a tha ber mai thei. Chu chu a pawi lo. Zak suh. Nau hnute pek hian i tan hna a thawh loh chuan i sualna a ni lo.

Engtikah nge doctor i hmuh ngei ang?

Ṭanpuina dil hi a pawi lo. I rilru put hmang a chak em em a, i hmachhawn harsat a nih chuan i doctor emaw, lactation specialist emaw nena inbiakna neih chu a \angkai hle thei a ni. I rilru put hmang chu zalen tak leh dik taka sawi a pawimawh. I rilru put hmang chu lehkhaah ziak la, i doctor hnena entir pawh a \angkai thei bawk. Khawngaihin i tanpui thei tur mi an awm tih hria la, nangmah chauh i ni lo.

Engtik lai pawhin nangmah emaw, midang emaw tihchhiat tumna i neih chuan doctor thurawn la nghal rawh.

In lama hruai tur hriat reng tur thil

Nu hnute pek hi mi zawng zawng tan chuan thil nuam tak a ni lo. I hnute i tihhniam hian thinrimna emaw lungngaihna ang chi emotion tha lo i neih chuan D-MER, emaw Dysphoric Milk Ejection Reflex emaw i nei thei.

• Nangmah chauh i ni lo. Hei hi nu dangte chungah pawh a thleng thin.
• Hei hi i sualna a ni lo. Thil dik lo engmah i ti lo.
• I chungah hian engmah "dik lo" a awm lo. Hei hi taksa lama chhanna a ni.
• I rilru put hmang doctor hnenah hrilh rawh. I thil tawn tawhte hmachhawn dan tur tha ber berte an hrilh ang che.
• A châng chuan, i rilru put hmang hming a awm tih hriat mai mai hian nangmah chauh ni lo ang maiin a ṭanpui thei che a ni. Lungngai suh, tanpuina a awm.

` D-MER, Dysphoric Milk Ejection Reflex, nau hnute pek, bawnghnute let-down, lungngaihna, thinrimna, lungkhamna, hormone, dopamine, nau neih hnua, rilru hriselna