Postpartum psychosis chungchang hi han sawi ila: naute neih hnua rilru lam natna khirh tak a ni!

Chhungkuaa naute thar lawmluh hi a lawmawm em em a ni lo maw? Mahse, a châng chuan he hlimna rual hian nu thar chuan ngaihtuah phak loh rilru lam harsatna a hmachhawn a ngai ṭhin. Chutiang rilru lam natna hmuh tur awm lo mahse hlauhawm tak pakhat, naute neih hnua lo awm thei chu postpartum psychosis, a nih loh leh ``Postpartum Psychosis - PPP'' an ti a. Hei hi medical emergency a ni tak zet a ni. Chuvang chuan kan zavaia kan hriat chian a pawimawh hle a ni.

Postpartum Psychosis hi eng nge ni?

A awlsam zawngin sawi ila, ``Postpartum Psychosis`` hi nuin nau a pai hnua a neih theih rilru natna khirh tak a ni. A tam vak lo, mi zawng zawngah a thleng lo tihna a ni. Mahse, he dinhmun hi a lo awm a nih chuan a hlauhawm hle . A chhan chu, hetiang dinhmuna ding mi hian amah a tichhe a, a nunna a hloh a, a naute piang thar a tichhe a rinawm hle.

A pawimawh ber: Hei hi rilru lam hriselna emergency a ni. Nangmah emaw, i hriat mi emaw chuan heng natna lan chhuahna hi i nei nia i rinhlelh chuan, damdawi lam pan vat a pawimawh hle . Mi pakhat chu mahni emaw midang emaw tana hlauhawm nia i rin chuan 1990 Suwaseriya Ambulance Service ah call nghal la, a nih loh leh hospital emergency department hnai ber pan rawh.

A tha ber chu, hei hi enkawl theih dinhmun a ni . Mahse hriat hmasak a ngai a, uluk taka enkawl a ngai a ni.

He dinhmun hian tute nge a nghawng? Engtiang chiahin nge a hluar?

Naute nei tawh apiangin he natna hi an nei thei a, chu chu ``Postpartum Psychosis'' tia hriat a ni.A tam zawkah chuan nau a pai atanga ni engemaw zat chhungin a lang chhuak thin. Mahse, a chang chuan nau piang atanga kar ruk hnuah pawh a thleng thei.

Tu pawhin an vei thei a, mahse rilru lam natna thenkhat nei te chuan an vei tam zawk. Mithiamte chuan heng dinhmunte hian PPP a thlen em tih hi chiang takin an la hre lo a, a nih loh leh an pahnih inzawmna chauh a awm em tih pawh an la hre chiang lo. Mahse inzawmna a awm tih erawh a chiang.

Hei hi thil awm lo tak a ni. Statistics atanga a lan dan chuan nau piang 1,000 zinga 0.089 leh 2.6 inkar a nghawng a ni. Chumi awmzia chu Sri Lanka-ah pawh hmuh tur a tlem hle tihna a ni. Amaherawhchu, chutiang zat tlemteah pawh chuan a tihchhiat theih chu a nasa hle.

Hei hi eng symptoms nge ni?

``Postpartum Psychosis'' natna lan chhuahna lian ber pahnih a awm. Chûng pahnihte chuan mi pakhatin thil tak tak a hriatna, chu chu a chhehvêla khawvêl a hriatthiam dân tihdanglamna a keng tel a ni.

Thil tak tak ni lo hmuh emaw hriat emaw (Hallucinations) .

Thil thleng chu i thluak hian engmah hriat tak tak leh hmuh tak tak lovin thil thleng ang maiin a hria a ni. Mi thusawi i hriat ang mai a ni a, a nih loh leh thlalak awm lo i hmuh ang mai a ni. A châng chuan, i hriat theih thilte pawh i hre thei (touch hallucinations). Heng thilte hi a tak tak em em a, a tak tak nge a nih loh pawh i hre thei lo.

Thil dik lo (delusions) te

Chumi awmzia chu rinna dik lo i vawn tlat a, engti kawng mahin i thlak danglam thei lo tihna a ni. Eng ang pawhin evidence i hmuhtir pawh nise, chu rinna chu i thlak danglam dawn lo. Entir nan:

• Persecutory delusions chu mi pakhatin nangmah emaw, i naute emaw tichhe tura lo kal a ni tih rinna a ni.
• Control delusions chu midangin i taksa a thunun tih rinna a ni.
• Naute i nei lo, i naupai lo tih ang chi thu sawi hi ``somatic delusions'' a ni.

Symptoms langsar dangte

Heng symptom lian ber berte bakah hian symptom dangte chu:

• Mood swings: Vawikhat chu hlim leh active takin i inhria (Mania) emaw (Hypomania), emaw, rang takin lungngai leh lungngaihna nasa tak i nei (Depression).
• Depersonalization: Ṭhenkhat chuan hei hi i taksa pawn lama awm leh mahni inngaihsakna angin an sawi.
• Ngaihtuahna emaw, nungchang emaw inrual lo: Thil sawi leh tih chu buaithlak tak, inzawm lo takin a inthlak thin.
• Mut theih lohna: Mut theih loh tak tak.
• Thinrimna emaw thinrimna: Thinrimna leh rilru hahdam lohna nei reng reng.
• Mahni emaw, midang emaw (a bik takin nausen piang thar) tihchhiat tumna: Hei hi a chhinchhiahna hlauhawm ber a ni.

Symptom hrang hranga thliar hran

Researcher-te chuan PPP hi a symptoms a zirin chi thum-ah an ṭhen a:

• Depressive tak a ni
• Manic a ni
• Atypical/mixed a ni

Depressive symptoms a awm thei

Hetiang chi hi a tam ber a, 41% vel a ni. Hei pawh hi chi hlauhawm ber a ni. Research atanga a lan dan chuan mahni intihhlum emaw, naupang tihnat emaw a nih chuan heng lungngaihna lanchhuahna leh rilru lam natna (a bik takin ``Hallucinations'' emaw ``Delusions'' emaw, naupang emaw mahni intihhlum tura thupek) te hi hmuh tur a awm fo thin. Hetiang chi-ah hian naupang chhiatna percentage hi 4.5% vel a ni a, hei hi chi dang aiin a let li atanga a let nga velin a sang zawk a ni. Mahni intihhlum zat hi 5% vel a ni.

Hetiang chi a mizia hmuh theih te:

• Lungkhamna emaw, hlauhna emaw.
• ``Delusions'' leh ``Hallucinations'' te a ni.
• Lungngaihna.
• Thiam loh chantirna.
• Chaw ei chakna hloh.
• Anhedonia chu thil pangngaia hlimna thlentu thil atanga hlimna tlakchhamna a ni.
• Mahni inhriatthiam lohna, mahni intihhlum emaw, i fate tihnat emaw ngaihtuahna.

Manic symptoms a awm thei

Hei hi a tam ber pahnihna a ni a, 34% vel a ni. Mahni emaw, naupang emaw tana harsatna thlen theihna a la awm a, mahse a hniam deuh (1% vel) a ni.

Ziarang:

• Restlessness emaw, thinrimna emaw.
• Thil tihbuai emaw, chetsualna emaw.
• Thusawi rang zawk emaw, a pangngai aia ring zawk emaw.
• Mut tlem zawk.
• Mahni emaw, mahni fa emaw anga ngaih hi a ropui hle a, a danglam bik hle bawk (e.g., naupang chu pathian emaw mi thianghlim emaw anga ngaih).

Atypical/mixed features a awm bawk

Hetiang chi hi 25% vel a ni. Manic leh depressive symptoms inzawmkhawm a ni thei. A nih loh leh, mi pakhat chu a chhehvêl hre lo leh a chhehvêl hre lo angin a lang thei bawk.

Ziarang:

• Thusawi emaw, nungchang emaw buaithlak.
• Buaina emaw, ngaihtuahna buai emaw.
• Disturbances of consciousness (i harh kim lo anga lang, i chhehvela thil thleng hre lo ang maia lang).
• ``Hallucinations'' emaw ``(Delusions)'' emaw a ni thei.
• Thusawi, nungchang, a nih loh leh rilru put hmang lantîrna dik lo.
• Ngawi renga awm (Catatonia emaw mutism emaw).

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

Mithiamte chuan nau neih hnua rilru natna thlen chhan dik tak hi an la hre lo a , mahse thil hrang hrang inzawmkhawm hian hmun a chang thei niin an ngai.

• Pre-existing mental health conditions: PPP vei hmun thuma ṭhena hmun khat vel chuan pre-existing mental health condition an nei a. Chung zinga a tam ber chu Bipolar Disorder (a bik takin Bipolar I Disorder) a ni. Major Depressive Disorder leh Schizophrenia spectrum ang chi natna te pawhin a hlauhawmna a tipung thei bawk.
• Naupai zat: Naute hmasa ber nei mekte hian ``(PPP)'' an nei tam zawk. Mahse, a hmaa ``(PPP)'' nei tawh chuan a nau piang leh hnuah a vei leh theihna chance 30% atanga 50% vel a nei a ni.
• Chhungkaw rilru lam natna, a bik takin PPP: PPP vei te hian chhungkaw member, chutiang dinhmun nei tawh an nei thei. Chuvangin, hei hi genetic link a awm thei niin an ngai.
• Mut tlakchhamna: Mut tlem hian bipolar disorder vei te zingah mania a tipung thei tih hriat a ni. Tin, mut that lohna hi PPP lo awm chhan a ni thei niin an ngai bawk. Nausen thar nen mut mut hi a harsa thei hle.
• Hormone inthlak danglamna: Naupai leh nau neih lai hian taksaa hormone level-ah inthlak danglamna lian tak a awm thin. Hormone thenkhat chu a pung thut a, thenkhat erawh chu a tlahniam thut. A bik takin hormone `(Estrogen)` leh `(Prolactin)` te hi an inrawlh niin an ngai. Mahse, hemi chungchangah hian zirchianna tam zawk neih a ngai a ni.
• Damdawi lam thil dang: Nau neih laia damdawi lam thil dang thenkhat lo awm thei te pawh hian rilru lam natna (psychosis) a thlen thei bawk. Entirnan, autoimmune natna, taksaa electrolyte inthlauhna, vitamin (B1, B12) tlakchhamna, thyroid natna, stroke, etc. Tin, naupai laiin thisen sang natna ``Eclampsia`` leh ``Preeclampsia`` tih te hian hei hi a thlen thei a ni.

Engtin nge doctor-te hian hei hi an hriat chian?

Rilru lam hriselna lama counselor a niDoctor chuan i symptoms (an hmuh emaw, i sawi dan emaw) leh taksa leh thluak exam a zirin postpartum psychosis a hriat theih. Test dang pawh tih theih a ni a, mahse damdawi lam thil dang emaw, rilru lam natna thlen thei thil dang emaw tihbo nan chauh tih a ni. Heng test te hian nau neih hnua rilru lam natna (postpartum psychosis) chu direct-in a hriat theih loh.

Test hman tlanglawn thenkhat:

• Thisen, zun emaw taksa tui test dang: Hengte hian taksa chemical process-a harsatna, natna hrik, chi inthlauhna, leh vitamin tlakchhamna ang chi thilte an zawng thin.
• Imaging scans: Hengte hian thluak insiam dan inthlak danglamna a zawng thin. A tam ber chu CT scan leh MRI scan a ni.

I doctor chuan zawhna bik emaw, symptom list emaw pawh a hmang thei bawk.

Enkawlnate chu engte nge ni? Hei hi tihdam theih a ni em?

Postpartum Psychosis hi enkawl theih vek a ni. Enkawlna chi hrang hrang a awm a. Mahse, natna hlauhawm tak a nih avangin a enkawlna tha ber ber zirchianna erawh a tlem hle.

Hei hi rilru lama harsatna a nih avangin hetiang natna vei hi damdawi ina dah a, inpatient anga enkawl a pawimawh hle. Chutiang chuan damdawi lam thawktu trained tak takte chuan engtik lai pawhin an enkawl thei a, venhimna an pe thei a, a nuam thei ang bera an awmtir thei bawk.

A duh loh zawnga damdawi ina dah

He `(PPP)` dinhmun hian mi pakhatin thil tak tak a hriatthiam theihna a hloh avangin rilru lam harsatna a nei tih pawh an hre lo fo thin. Chu mai ni lovin, `(Delusions)` leh `(Hallucinations)` avang hian tanpuina dil an hlau mai thei bawk.

Chuvangin, `(PPP)` avanga inpatient enkawlna hi duh loh zawng a ni fo thin . Chu chu damlo hian enkawl tura thutlukna siamtu a ni lo tihna a ni. Chu ai chuan, chu mi chu damdawi ina admit turin chhungte leh ṭhiante an ni zawk. Hei hi chu mi chu anmahni emaw, midang emaw (a bik takin naute) tan pawh hlauhawm a nihzia an hriat chian tak tak phawt chuan tih theih a ni. Hei hi anmahni himna tur atana tih a ni.

Enkawl dan tur

Enkawl dan tlangpui pahnih a awm a, chungte chu:

• Damdawi chi hrang hrang
• Electroconvulsive Therapy (ECT) hmanga enkawl theih a ni.

Damdawi chi hrang hrang

Damdawi chi hrang hrang hian PPP hi a pui thin. Entirnan:

• Antipsychotic damdawi hman tur
• Mood stabilizers te pawh a awm
• Antiseizure damdawi hman tur
• Lithium a ni

Electroconvulsive Therapy (ECT) hmanga enkawl theih a ni.

Mi thenkhat chuan a hming hi an hlau hle mai thei, a chhan chu movie-a a lan dan dik lo a nih vang a ni. Amaherawhchu, `(ECT)` hi a him em em a, a hlawk em em bawk., a bik takin psychosis nei dinhmunte tan. Hei hian i thluak ah electric current nem tak tak thawn chhuah a ngai a, chu chu fully anesthetized (i muhil tihna a ni) a, chu chuan shock tlem a siam a ni. Shock hian thluak hnathawh a tidanglam a, ``(PPP)`` symptoms a ti tlem emaw, a ti bo emaw a ni.

Anesthesia hnuaia i awm avangin natna engmah i nei lovang . Shock hi minute hnih aia rei lo a ni tlangpui. ``(ECT)'' hnuah minute 15 chhungin i harh ang a, darkar chanve vel hnuah pawh i kal pangngai thei tawh ang.

Enkawlna avanga side effect/complication awm thei chungchang

Hei hi thil tam takah a innghat a, a bik takin i enkawl dan leh i natna lan chhuah danah a innghat a ni. Chuvangin, i doctor chuan i tawrh theih hlauhawmna te, harsatna te, side effects te chu a sawifiah tha ber thei ang.

Ka in enkawl theih loh chuan engtin nge symptoms hi ka enkawl theih ang?

Hetiang `(PPP)` dinhmunah hian thil dik leh dik lo hriatthiam theih loh a nih avangin mi pakhatin harsatna a nei tih pawh a hre lo fo thin. Chumi awmzia chu he natna hi amah chauhva enkawl theih emaw, enkawl theih emaw a ni lo tihna a ni. Vawi tam tak chu heng chhinchhiahnate hi damlo hnaih berte’n an hriat hmasak ber a ni a, anni hi tanpuina zawng tur an ni.

Naupai emaw nau neih hmaa thil tih tur

PPP i lo vei tawh a nih chuan, emaw, Bipolar Disorder emaw Schizophrenia ang chi natna i neih chuan (a nih loh leh i chhungkuaa mi pakhatin hetiang hi a nei a nih chuan) i naupai hmain i doctor nen inbiakna neih a pawimawh hle a, PPP i neih chuan eng nge i tih tur tih ruahmanna siam a pawimawh hle. Tin, i kawppui, chhungte leh i thiante hnai tak takte nen pawh hemi chungchang hi sawipui bawk ang che. Tichuan, thu tlûkna i siam thei lo a nih chuan nang leh i naute chu an vênghim thei a ni.

Engtiang chiahin nge enkawl hnuah ka dam leh thuai ang?

Hei hi mi tin tan a inang lo. Recovery time hi a enkawl dan, damdawi, etc. a zirin a inang lo ang.

Hei hi tihtlem theih a ni em, a pumpelh vek thei ang em?

A chhan chu PPP hi a lo awm thut a, a chhan langsar lo tak a nih avangin, a pumpelh vek theih dan tur a awm lo . Mahse, a vei theihna tihziaawmna tur kawng engemaw zat a awm a, a bik takin mi:

• Nau neih hmasak laia ``(PPP)`` nei tawhte tan.
• `(PPP)`, `(Bipolar Disorder)`, `(Schizophrenia)` ang chi natna history nei tan.
• Chhungkuaah hetiang dinhmun hi eng emaw tal nei te tan.

Hetiang mi tan chuan enkawlna thenkhat hian PPP vei theihna a ti tlem thei a ni. Damdawi hman tlanglawn ber chu lithium a ni. Damdawi dang a awm bawk. I doctor chuan i tan a dik ber tur a rawn rawt ang che.

`(Postpartum Psychosis)` ka neih chuan eng nge thleng ang?

PPP hi i sense of reality tibuaitu condition a ni. Hallucinations leh delusions vangin hlauhna leh lungkhamna nasa tak a thlen thei che a ni. Thil lungchhiatthlak tak chu, he natna awm dan avang hian heng symptoms te hi i nei tih i hre lo mai thei.

Hei hi `(PPP)` vei mi bula awmte tan chuan lungkhamna leh hlauhna nasa tak thlentu a ni thei. Mahse, chu hmangaih tak takte chuan `(PPP)` nei leh an naute himna kawngah hmun pawimawh tak an chang thei a ni.

``Postpartum Psychosis'' hi eng chen nge a awm?

Hei hi hun eng emaw chen atana awm tur a ni . Enkawlna a awm chuan kar tlemte chhungin a lo tha leh thuai thei. Enkawl loh chuan kar tam tak emaw, thla tam tak emaw pawh a daih thei. Enkawl loh rei poh leh a na zual a , a hlauhawm zual thin . Chuvângin, chhûngte’n chûng chhinchhiahnate an hriat veleh ṭanpuina dîl chu nunna chhanhimna a ni thei a ni.

Hetiang dinhmun hi eng nge a thlir ang?

``(PPP)`` hi medical emergency a ni a, a chhan chu mi pakhat dinhmun a tihbuai vang a ni. He buaina hi a nasat em avangin mi pakhat chu mahni intihhlum emaw, mahni fate tihnat emaw a thlem thei a ni.

Amaherawhchu, enkawlna hmangin a tidam thei a ni. Mi tam tak chu an dam leh a, nakin lawkah `(PPP)` tel lovin fa an nei leh ta a ni. Amaherawhchu, mi tam tak, `(PPP)` vei te hi nakin lawkah `(Bipolar Disorder)` vei an hlauhawm hle. Vanneihthlak takin a dinhmun hi hriat chian a ni a, a enkawl dan pawh a tam hle.

Ka hnaih bertu mi pakhatin ``Postpartum Psychosis'' symptom a neih chuan engtin nge ka tih ang?

PPP vei te hian an natna lan chhuah dan an hre thei lo emaw, rilru lam natna an nei tih an hrethiam lo emaw pawh a ni thei. Hei hian damdawi lam puihna an mamawh lo niin an ngai tihna a ni. A châng chuan ṭanpui an tum hian, chu chuan anmahni tihnat tum niin an ngai hial mai thei.

I hnaih bertu mi pakhatin ``(PPP)'' chhinchhiahna a lantir tih i hriat chuan, anmahni tanpui theihna tur thil engemaw zat a awm a:

• Sawisel leh inhnial suh. `(PPP)` nei te hian eng nge dik leh dik lo hriatthiam harsa an ti hle. Anmahni sawisel emaw, thudik leh dik lo chungchânga inhnial emaw chu pumpelh rawh.
• Ngawi rengin awm rawh. PPP-ah hian rinhlelhna leh lungkhamna rilru put hmang hi a awm fo thin. Thlamuang tak, zah tak leh aw hniam taka thusawi hmangin dinhmun a chhe zual loh nan i veng thei a ni. PPP vei mi a lungawi lo emaw, a thinrim emaw a nih chuan chutiang bawk chuan chhân lêt suh. Thlamuang takin an him a, hlauhawm an ni lo tih hriattir rawh. Engtikah mah an tang emaw, hlauhawmah emaw an inhriat tir ngai suh.
• Nausen nen pawh nise kalsan suh. `(PPP)` vei te hi mahni intihhlum emaw, an fate tihnat emaw an hlauhawm hle. Chuvangin `(PPP)` nei thei nia i ngaih mi pakhat chauh kalsan ngai suh.
• Emergency damdawi lam pan rawh. PPP nei te hi anmahni leh midang tan pawh hlauhawm tak an ni fo thin. Anmahni leh an nau piang tharte venhimna awmchhun chu emergency medical attention pan vat hi a ni.
• Support services zawng rawh.PPP-in a nghawngte tanpui leh resource pe thin pawl an awm a. Postpartum Support International (PSI) ang international organization bakah hian Sri Lanka-ah hian public leh private sector hmun hrang hrang, rilru lam hriselna lama service pe thinte pawh a awm bawk. Kaihhruaina dil turin rilru lam hriselna helpline number 1926 ah pawh i call thei bawk.

`(Postpartum Psychosis)`, `(Postpartum Blues)` leh `(Postpartum Depression)` te hi eng nge an danglamna?

Naute neih hnua mood swing hi a tam hle a, mahse mi tin a inang lo thei. ``Postpartum Psychosis`` bakah hian natna dang a awm bawk:

• Nau neih hnua lungkhamna: Nau neih hnua lungkham leh lungkhamna awm hi thil pangngai a ni. Mahse chutiang rilru put hmang chu i thunun thei lo va, i thawk tha thei lo a nih chuan chu chu nau neih hnua lungkhamna (postpartum anxiety) an ti a ni. Hei hi nau neih hnua lungngaihna (postpartum depression) nen pawh a thleng thei bawk.
• Nau neih hnua blues: Hei hi "baby blues" an ti bawk. Hei hi a tam hle a, naute nei tawh hmeichhia 85% thleng a nghawng a ni. Lungngaihna, thinrimna leh lungngaihna, thunun theih loh khawpa rang taka hriatna a ni. I tap fo thei bawk a, mut harsatna i nei thei bawk. Vanneihthlak takin hei hi hun rei lote chhung a ni a, enkawl ngai a ni lo.
• Nau neih hnua lungngaihna: Hei hian "baby blues" nen hian a lan chhuah dan inang a nei a, mahse a na zawk a, a rei zawk bawk. Chûng rilru put hmangte chu ni tam zâwk, ni tam tak, a nih loh leh kar tam tak pawh a awm thei a ni. Hei hian an naute an enkawl dan leh an naute an ngaihtuah dan a nghawng thei a ni. Hei hi a tam hle bawk a, naute nei mi 7 zinga 1 velin a nghawng a ni.
• Postpartum psychosis: Hei hi pali zinga na ber a ni. Mood swings piah lamah a kal a, i sense of reality hloh a huam tel bawk.

Thupui tawi leh Take-Home Message

Postpartum Psychosis (PPP) hi rilru lam natna khirh tak leh hlauhawm tak a ni a, naute nei tawhte a nghawng nasa hle . Mi pakhatin thil tak tak a hriatthiam theihna a hloh phah a ni. Chuvangin PPP vei te hi mahni intihhlum emaw, mahni intihhlum emaw, an fate tihnat emaw hlauhawmna a sang hle.

Mahse, hriat reng tur pawimawh tak chu PPP hi enkawl theih a ni tih hi a ni. Hetiang natna vei tam tak chuan an dam kim a, nakin lawkah PPP tel lovin fa an nei leh ta a ni.

PPP vei te hian he natna hi an nei tih an hriat loh avangin chhungte leh thiante hnai tak takte hian heng natna lanchhuahna te hi an hre hmasa zawk thin.I hnaih bertuin PPP a nei nia i hriat chuan damdawi lam tanpuina zawng hreh suh. I hnaih bertu mi pakhatin he natna a vei hmuh hi a hlauhawmin a lungchhiatthlak thei hle. Mahse anmahni leh an nau piang thar chu i humhim thei a, an dam leh theih nan i pui thei a, an chhungkaw member thar nen an nun pangngaia an awm leh theih nan i pui thei bawk. Enkawl hmasak hi a pawimawh ber a ni.

` Postpartum Psychosis, PPP, Rilru hriselna, Nu thar, Naute neih hnua, Rilru natna lan chhuah dan, Enkawl dan