Naute i neih hnuah pawh lungngai leh lungkhamna i nei em? Postpartum Depression chungchang hi han sawi ila

Naute neih hi i nunah danglamna lian tak a ni. Nu emaw, pa emaw nih chu thil mak tak ni mah se, a châng chuan a buaithlâk thei a, a buaithlâk thei bawk. Hlauhna leh rinhlelhna engemaw zat neih hi thil pangngai a ni a, a bik takin i vawi khatna a nih chuan. Mahse, i rilru hahna, mahni chauha awm, thinrim, emaw, chhan awm lova i tap reng a nih chuan nau neih hnua lungngaihna i vei a ni mai thei.

PPD (Postpartum Depression) tih hi eng nge ni? A awlsam zawngin i hrethiam ang u.

A awlsam zawngin, postpartum depression, kan tih angin PPD tih hi naute pian hnua lungngaihna dinhmun a ni. Hei hian naute hrintu nu chauh ni lovin, a enkawltu nu leh pa te pawh a nghawng thei a ni. Naute kan neih hnuah kan taksa hian hormone-ah inthlak danglamna lian tak a tawk a, chubakah taksa, rilru, sum leh pai leh khawtlang inlaichinnaah inthlak danglamna tam tak a tawk bawk. Heng zawng zawng hian PPD a thlen thei a ni.

PPD i neih chuan lungngai suh, nangmah chauh i ni lo . I sualna a ni lo. A pawimawh ber chu, tanpuina a awm a ni. I doctor chuan i natna lan chhuah dan tur a enkawl thei che a, kawng dik zawh leh turin a pui thei che a ni.

Hetiang dinhmun hi chi hrang hrang a awm em?

Ni e, nau neih hnua lungngaihna chi thum a awm a:

1. Nausen Blues a ni

Hei hi nau neih hnua nu tam tak chunga thil thleng hmasa ber a ni. Nu 50% leh 75% inkar chuan baby blues hi an nei thin . Hetiang hi i neih chuan tap te, lungngaihna te, leh thil tenawm tak tak avanga lungkhamna te pawh i tawng thei a ni. Naute a neih atanga kar hmasa ber (ni khat atanga ni li) chhungin a intan tlangpui. He thil tawn hi a nuam lo deuh nachungin, kar hnih vel hnuah enkawl lohvin a reh tlangpui . Hetih huna i tih theih tha ber chu i pasal, chhungte leh i thiante hnen atanga tanpuina dil hi a ni.

2. Nau neih hnua lungngaihna (PPD) .

Hei hi baby blues aiin a na zawk a ni. Nu thar 7 zinga 1 velin PPD an vei ang. PPD i lo neih tawh chuan i naupai leh hunah i risk chu 30% velin a pung a ni. Hetih hun chhung hian rang takin i hlim a, chutah rang takin i lungngai a, i tap nasa a, i thinrim awlsam a, i chau bawk. Tin, nangmah ah pawh beidawnna i nei thei a, a tul lova engkim i hlau a, i naute emaw, nangmah emaw i enkawl thei lo ang maiin i inhria thei bawk. Mi thenkhat chuan symptoms na lo tak tak an nei thei a, thenkhat erawh chuan an nei reng thei bawk. Heng symptoms te hi nau neih atanga kar khat chhungin a lang thei a, a nih loh leh zawi zawiin, kum khat hnuah pawh a lang thei bawk. Thla engemaw zat chhung chu natna lan chhuahna a awm thei a, mahse .Hei hi psychotherapy emaw antidepressant emaw hmangin hlawhtling takin enkawl theih a ni.

3. Nau neih hnua rilru lam natna (Psychosis).

Hei hi natna pathum zinga na ber a ni a , emergency medical treatment a ngai a ni . Mahse, a tlem hle. Nu nau pai 1,000 zinga pakhat vel chuan he natna hi an nei (Postpartum Psychosis). Nau neih hnu lawkah natna lan chhuah dan a lang tlangpui a, a na hle bawk. Heng symptoms te hi kar tlemte atanga thla engemaw zat thleng a awm thei. A lan chhuah dan chu rilru hah lutuk, buai, beiseina nei lo, mualphona, mut theih lohna, paranoia, thil tak tak ni lo hmuh/hriat (Delusions or Hallucinations), hyperactivity, thusawi rang, leh mania te a ni. Hetiang dinhmun hi damdawi lam pan vat a ngai a ni. A chhan chu nangmah emaw i naute emaw tihnat theihna a sang hle . Enkawlnaah hian damdawi ina dah te, rilru lam enkawlna te, leh damdawi ei te a tel tlangpui.

He dinhmun hian tute nge a nghawng ber?

PPD hi i ngaihtuah angin a awm lo. Nu 75% velin naute an neih hnuah baby blues hi an nei thin. Heng hmeichhia zinga 15% vel hian PPD an vei thei a ni. A hmaa ka sawi tawh ang khan natna khirh ber, postpartum psychosis hian nu 1,000 zinga 1 vel chauh a vei a ni.

Engtin nge baby blues emaw PPD emaw ka vei tih chiang taka ka hriat theih ang?

Naute neih hnuah pawh baby blues hi a awm fo thin. Baby blues leh PPD symptoms hi a inang deuh hlek a ni. Mahse, baby blues symptoms hi ni 10 vel hnuah a reh duh a, chutiang chuan a na lo . PPD-ah chuan a natna lan chhuah dan hi kar tam tak emaw thla tam tak emaw a awm thei a, a na zawk bawk.

Heng thilte hi i neih chuan baby blues a ni thei:

• Chhan awm lova tap.
• Engkim hi a rit hlein ka hria.
• Appetite ka nei a.
• Ka muhil tha thei lo.
• Vawilehkhatah i hlimna i hloh a, lungngaihna leh thinrimna i nei (mood changes).

Mahse, i natna lan chhuah dan chungchang doctor nena inbiakna neih chu a pawi lo tih hre reng ang che. Chumi hnuah chuan enkawlna i mamawh leh mamawh loh chu a rel thei ang.

PPD hi eng chen nge a awm theih?

PPD hi i naute pian hnu kum khat thleng a awm thei . Mahse, chutiang a nih chuan kum khat chhungin "dam" i ni tur a ni tihna erawh a ni lo. I natna lan chhuah dan leh i enkawl dan tur doctor nen sawiho rawh. I rilru put hmang chu rinawm takin sawi rawh. Heng symptoms i neih tan tirh lai nen khaikhin chuan tuna i rilru put hmang hi han ngaihtuah teh. Chutiang chuan i natna lan chhuah dan chu an theih ang tawkin an enkawl chhunzawm thei ang.

PPD vei theihna tur risk factors te chu engte nge ni?

Thil ṭhenkhat chuan PPD vei theihna a tipung thei a:

• Nangmah emaw, i chhungte zinga tu emaw chuan depression, PPD, emaw premenstrual dysphoric disorder (PMDD) emaw i neih tawh chuan.
• Khawtlang nun puihna tlem.
• In inneihnaah emaw, in inlaichinnaah emaw harsatna a awm chuan (Marital or relationship conflict).
• Naupai chungchangah hian ambivalence emaw reluctance emaw i neih chuan.
• Naupai laia harsatna i neih chuan hriselna lama harsatna, nau neih harsat, emaw nau piang hmaa i neih chuan.
• Kum 20 hnuai lam i nih chuan, a nih loh leh nu pakhat chauh nei i nih chuan.
• Naute mamawh bik nei i neih chuan, a nih loh leh naute tap reng reng i neih chuan.

PPD natna lan chhuah dante chu engte nge ni?

I natna lan chhuah dan hi i zahpui thei a, a nih loh leh heng thilte hi i hriat avangin "Nu tha lo ka ni" i ti mai thei bawk. Mahse PPD hi a awm fo thin . Hetiang rilru put hmang hi nangmah chauhin i nei lo va, mi sual i ni tihna pawh a ni lo.

A hnuaia symptoms engemaw zat i neih chuan PPD a ni thei:

• Lungngaihna, hlutna nei lo, beiseina nei lo, sual tih hriatna i nei a.
• Engkim hi a tul lovah ka lungkham hle tih ka hria a, ka thinlung chu a na reng bawk.
• Hmanlai thil leh hobby ka ngaihven zawng zawngte chu ka ngaihven tawh lo.
• Ei duhna a inthlak a, ei leh in mumal loh.
• Ka taksa hian chakna a nei lo ang maiin ka hria, engmah tih ka duh lo.
• Ka mut tha thei lo, a nih loh leh nilengin mut duhin ka inhria.
• Chhan awm lova tap, emaw, a lutuk emaw.
• Ngaihtuah leh concentrate a har khawp mai.
• Ka nun tihtawp ka ngaihtuah tawh a, a nih loh leh "Ka thi se ka duh" tih ka ngaihtuah tawh bawk.
• Naute hi ngaihvenna a awm lo va, naute bula ka awm lai hian ka hlauthawng a, ka lungawi lo bawk.
• Naute tihnat ang chi, emaw, "He naute hi ka duh lo" tih ang chi hriatna a lo chhuak thin.

PPD i vei nia i hriat chuan i doctor (obstetrician, primary care provider emaw mental health provider) hmu nghal rawh . I naute naupang enkawltu doctor pawhin a pui thei che a ni.

Eng thilin nge PPD hi a thlen?

Nau neih hnua hormone level tlahniam nghal leh lungngaihna inzawmna hi zirchian mek a ni. Naupai lai hian hormone estrogen leh progesterone level hi a let sawm velin a pung a, mahse nau neih hnuah heng level te hi nasa takin a tlahniam thung. Nau neih atanga ni thum hnuah heng hormone level te hi naupai hmaa a awm danah a kir leh thin.

Heng chemical inthlak danglamna bakah hian naute neih avanga khawtlang leh rilru lama inthlak danglamna te hian PPD vei theihna a tipung thei bawk. Entirnan, i taksa inthlak danglam te, mut tlakchham te, naute enkawl dan tur ngaihtuah buai te, chhungte nena in inlaichinna inthlak danglam te.

Heng symptoms te hi i neih chuan doctor hnenah hrilh nghal rawh:

* Mahni inchhir duhin i inhria a, a nih loh leh naute tichhe duhin i inhria.

* Thihna ngaihtuah reng reng emaw, mahni intihhlum tum emaw.

* Kar hnih kalta ang bawkin ni tam zawk chu ka lungngai hle.

* Hlauhna te, sualna te, beidawnna te, lungkhamna te, leh tanpui theih lohna te.

* Ngaihtuahna, ngaihtuahna seng, thutlukna siam, leh nitin hna thawh harsat.

* Kar hnih kalta ang bawkin ni khat chhunga ka tih nuam tih zawng zawngah hian ngaihvenna ka nei lo.

PPD hian ka naute a nghawng thei em?

Ni e, a dik tak zet. PPD hian i naute pawh a nghawng thei bawk . Chuvangin nang leh i naute tan pawh enkawlna lak a pawimawh hle.

Research atanga a lan dan chuan PPD hian naute chungah hetiang hian nghawng a nei thei a ni:

• I naute nen inzawmna tha tak siam chu i harsat hle.
• I fa hian nungchang emaw, zir kawngah emaw harsatna a nei thei.
• I fate pediatrician appointment i neih loh phah mai thei.
• I fa hian ei leh in leh mut harsatna a nei thei.
• I fa chu thau lutuk emaw, hmasawnna lama harsatna nei emaw a nih theihna a sang hle.
• I fa enkawl dan chu i ngaihthah mai thei a, i fa damloh lai pawh i hre lo mai thei bawk.
• I naute social skills a tlahniam thei.

Doctor-te hian engtin nge PPD hi an hriat theih?

PPD hriat theihna tur test bik a awm lo. I doctor chuan nau neih hnua i tlawh chhungin a enfiah ang che. Hei hian i hriselna chanchin thlirletna, naute i neih hnua i rilru put hmang, taksa enfiahna, pelvic exam, leh lab test te a huam thei a ni. Doctor tam tak chuan nau an pai atanga kar hnih atanga kar thum hnuah depression screen turin a hranpa tlawh hun an ruat ang. Chu chuan i mamawh ṭanpuina chu a rang thei ang bera i hmuh theih nan a pui ang che.

Depression screening an ti thei a, PPD i neih leh neih loh tehna atan zawhna hrang hrang an zawt thei bawk. I rilru put hmang leh i naute dinhmun chungchang zawhna an zawt ang che. I rilru leh ngaihtuahna chu dik takin doctor hnenah hrilh rawh . Chumi hnuah chuan i rilru put hmang chu a pangngai em tih emaw, PPD symptoms a nih leh nih loh emaw an hre thei ang.

A châng chuan doctor chuan thisen test pawh a ti thei a, thyroid natna ṭhenkhata symptoms chu PPD nen a inang thei a ni.

I doctor chu pui turin a awm tih hre reng la, i hrisel tih chian nan. Chuvangin engmah thup suh, rinawm takin engkim sawi rawh. Tuman an rel lo che a, heng rilru put hmangte hi nangmah chauh i ni lo.

Doctor tam tak chuan PPD an hriat theih nan Edinburgh Postnatal Depression Scale an tih zawhna bu an hmang a. Depressive symptoms chungchangah zawhna 10 a nei a, chu chu lungngaihna, hlauhna leh sual tih te hi a ni. Ni sarih kalta chhunga i rilru put hmang sawifiah thei ber chhanna i thlang tur a ni. Score a san poh leh PPD i vei theihna a sang zawk.

PPD enkawl dan tur chu engte nge ni?

PPD enkawlna chu i natna lan chhuah dan chi leh a nasat danah a innghat a ni. Enkawlna kawng hrang hrangah hian anti-anxiety emaw antidepressant damdawi te, psychotherapy (talk therapy emaw cognitive behavioral therapy), leh support group-a tel te a tel a ni.

A hmaa ka sawi tawh ang khan natna khirh ber (Postpartum Psychosis) chu damdawi hmanga enkawl a ni a, chu chu lungngaihna, lungkhamna, leh rilru lam natna enkawlna atana hman thin damdawi hmanga enkawl a ni. I dinhmun a nghet hma loh chuan ni engemaw zat treatment center-ah dah i ni thei bawk. Heng enkawlnate hian a puih loh chuan electroconvulsive therapy (ECT) hi a hlawk thei hle.

I hnute i pe a nih chuan, lungngaihna, lungkhamna, a nih loh leh mood disorder damdawi i ei thei lo ang tih ngaihtuah suh . I duhthlan tur chungchang chu i doctor nen sawiho rawh.

PPD damdawi ei theih chi hrang hrang

I doctor chuan PPD symptoms enkawl nan antidepressant a pe thei ang. Heng damdawi te hian i thluaka i mood tichhe thei chemicals te chu a balance thei a ni.

Naupai lai i nih chuan i doctor nen antidepressant ei that leh that loh chungchang sawipui rawh. Damdawi te hi i hnute tuiah a kal thei. Mahse, a pass zat hi a tlem hle tlangpui a, antidepressant tam zawk hi chu a him nia ngaih a ni. I doctor chuan i natna lan chhuah dan leh i hnute i pek leh pek loh a zirin i tana damdawi dik tak i thlan theih nan a pui thei che a ni.

PPD natna atana antidepressant hman tlanglawn tak tak thenkhat chu:

• Selective Serotonin Reuptake Inhibitors (SSRI) te chu Sertraline (Zoloft®) leh Fluoxetine (Prozac®) te hi a ni.
• Serotonin leh Norepinephrine Reuptake Inhibitor (SNRI) te, Duloxetine (Cymbalta®) leh Desvenlafaxine (Pristiq®) te ang chi te hi a ni.
• Bupropion (Bupropion - Wellbutrin® emaw Zyban® emaw) a ni thei.
• Tricyclic Antidepressant (TCA) te chu Amitriptyline (Elavil®) emaw Imipramine (Tofranil®) emaw te hi a ni.

Antidepressant hian hna a thawh tan theih nan kar thum atanga kar li tal a ngai tih hre reng ang che. Damdawi i chawlhsan hmain i doctor nen inbia ang che. Damdawi ei khap nghal chuan i natna lan chhuah dan chu a lo lang leh thei a ni. Doctor tam tak chuan a dose hi tihtawp vek hmain a dose hi tihtlem zauh zauh turin an rawt a ni.

Damdawi ina i awm laiin i doctor-in PPD a hmuhchhuah chuan brexanolone awmna IV damdawi a pe thei ang.

Eng thilin nge PPD nena hlawhtling taka nunpui?

Engkim mai hian a tibuaitu anga inhriat hi thil pangngai a ni. Nu leh pa nih hi hlimna leh hrehawmna a ni ve ve a, naute enkawl hi thil awlsam a ni lo. Depression i neih chuan nangmah chauh i ni lo. I doctor chuan i tana enkawlna dik tak zawng turin a pui thei che a ni.

PPD nena hlawhtling taka nun theihna tura i tih theih thenkhat chu hetiang hi a ni:

• Biak tur zawng rawh — therapist, ṭhian, chhungte, emaw, ngaithlatu leh ṭanpuitu tur che pawh a ni thei.
• Nu leh pa tharte tanpuitu group-ah tel ve rawh.
• Chaw hrisel ei tum la, exercise neih hun zawng rawh.
• Chawlh hahdamna chu dah pawimawh ber rawh.
• Ṭhiante nen chhuak la, phone-ah pawh call rawh.
• I duhzawng thil (lehkhabu chhiar, hobby dang) ti la, nangmah tan hun zawng rawh (self-care).
• Inchhung hna leh nitin hnathawhnaah tanpuina dil rawh.

PPD hi enkawl loha dah a nih chuan eng nge thleng ang?

PPD enkawl loh hi nangmah, i naute leh i hmangaih tak takte tan a hlauhawm hle . Hetiang thil a thlen thei a ni:

• Thawhrimna nei lo ang maiin ka inhria.
• Ka thinlungah hian muanna leh thinrimna a awm reng a.
• Naute enkawl thei lo ang maiin i inhria.
• Thil ngaihtuah thei lo leh thutlukna siam thei lo.
• Mahni inhriatthiam lohna siam duhin i inhria.

PPD hi a dam kim thei em?

Professional puihnain PPD vei zawng zawng deuhthaw hian an symptoms chu an hneh thei a ni.

PPD hi ven theih a ni em?

PPD hi pumpelh kim theih a ni lo. Mahse, he natna atana vaukhânna chhinchhiahna leh hlauhawmna hriat chian chu a ṭangkai thei hle. PPD laka invenna atana pui thei tur tips thenkhat chu hetiang hi a ni:

• Nang leh i naute laka beisei tur chu ngaihtuah chiang rawh.
• In lama i haw hnu ni engemaw zat chhunga tlawhtu i neih zat kha tihtlem rawh.
• Ṭanpuina dil rawh — midangte tanpui theih dan tur hrilh rawh.
• Naute a mut chuan nang pawh i mu a, a nih loh leh chawlh hahdam rawh.
• Exercise — kal la, chawlh hahdam turin in atangin chhuak rawh.
• I chhungte leh i thiante nen inzawmna nei reng rawh — nangmah chauh awm suh.
• I kawppui nen hian inzawmna hrisel tak nei rawh — in tan hun siam rawh.
• Ni engemaw zat chu a tha ang a, ni engemaw zat chu a chhe ang tih beisei ang che.

Engtikah nge damdawi lam thurawn lak a ngaih?

Hetiang ang case-ah hian damdawi lam thurawn i dil ngei ang:

• Kar hnih aia rei symptoms a awm chuan.
• I function pangngai thei lo emaw, nitin thil i tuar thei lo emaw anga i inhriat chuan.
• Nangmah emaw, i naute emaw tihnat i duh chuan.
• Ni tam zawkah hlauhna nasa tak, lungkhamna leh tanpui theih lohna i neih chuan.

Hmanhmawh taka tanpuina i mamawh a nih chuan, emaw, nangmah emaw, midang emaw tihchhiat i duh chuan damdawi in hnai ber pan emaw, doctor pan nghal emaw rawh. Sri Lanka rama rilru lam hriselna lama tanpuina dil turin National Mental Health Helpline 1926 ah pawh i call thei bawk.

Pa te pawhin PPD an nei ve em?

Ni e, nu leh pa te pawhin PPD symptoms an nei thei. I naute in lama i hruai hnuah nang leh i kawppui pahnih hian lungngaihna emaw lungkhamna emaw symptoms i neih chuan doctor tanpuina dil a pawimawh hle. Pa 4% velin naute an neih kum khatnaah depression an nei tih hmuhchhuah a ni.

PPD vei chu engtin nge kan tanpui ang?

PPD vei te hian tanpuina nasa tak an mamawh a ni. I ṭanpui theih dân ṭhenkhat chu hetiang hi a ni:

• Depression leh lungkhamna chhinchhiahnate chu hre reng la, i ṭhian emaw, i kawppui emaw chu damdawi lam ṭanpuina zawng turin fuih rawh.
• Ngaithlatu tha tak ni rawh. An thusawi chu i ngaithla ang maiin awm tir la, tanpui turin i awm tih hriattir rawh.
• Inchhung hna leh ni tin hna thawhnaah ṭanpui turin inpe rawh.
• Naute mut leh chawlh laiin enkawl tura pui turin inpe rawh.
• Therapist emaw mental health counselor dang emaw hnen atangin tanpuina zawng turin fuih rawh .
• Doctor appointment siam turin ṭanpui la, a nih loh leh ṭanpuina dîl tûrin kal tûrin hrilh bawk ang che.

Kan hriat reng tur pawimawh ber chu

PPD hi rilru lam natna tlanglawn tak a ni a, naute an neih hnuah nu 7 zinga 1 velin an vei thin. I sualna a ni lo va, chutiang thlentu tur engmah i ti lo . Nu leh pa tha lo leh mi tha loah a siam lo che. PPD thlentu biological, physical leh chemical factors te hi i thunun theih loh a ni. Lungngaihna emaw, hlutna nei lo emaw anga inhriatna te, i thil hlimawm tak takte ngaihven loh te, tap lutuk te, leh rilru natna inthlak danglam nghal te hi PPD chhinchhiahna a ni thei. PPD i nei nia i hriat chuan i doctor nen inbia ang che. I natna lan chhuah dan tur enkawl dan tha ber zawng turin an pui thei che a ni. Counselling, damdawi ei emaw, support group-a tel emaw hian a pui thei a ni. Nangmah chauh i ni lo, tanpuina a awm tih hre reng ang che.

` Nau neih hnua lungngaihna, PPD, baby blues, rilru hriselna, nu lungngaihna, nau neih hnua lungngaihna, stress