Naute i neih hnuah pawh tuar theih loh thinrimna i tawng ve em? (Postpartum Rage) Hemi chungchang hi han sawi ila!

Nu tharin naute a neih hnuah eng chen nge a nun a danglam? Khawthlang lamah chuan hlimna mak tak tak i neih laiin, a lehlamah chuan i chau hle thei a, a chang chuan i lungkham thei a, thil tenawm tak takah pawh i thinrim thei bawk. I thinrim thut a, thil tenawm ber ber pawh i au chhuahpui duhna i nei em? Chutiang a nih chuan, hei hi nangmah chauha thleng a ni lo tih hre hmasa phawt ang che . Vawiin hian nu thenkhatin nau an pai hnua an tawrh thin thinrimna tuar theih loh, ``Postpartum Rage'' tih dinhmun hi han sawi ila.

Postpartum rage chu eng nge ni?

A awlsam zawngin, nau neih hnua thinrimna chu nu thenkhatin nau an neih hnua, a bik takin kar hmasa atanga thla engemaw zat chhunga thinrimna, rilru hahdam lohna, emaw, tharum thawhna nasa tak, thunun theih loh a ni. Zirna thenkhatah chuan nau neih hnua thinrimna hi nau neih hnua natna dang, nau neih hnua lungngaihna leh nau neih hnua lungkhamna te nen a awm thei tih hmuhchhuah a ni. Naute i neih hnuah i rilru hriselna leh i mood-ah inthlak danglamna engemaw zat i tawn hi thil pangngai a ni . Ngaihtuah teh: i hormone-te chu nasa takin a danglam a , i tih dân chu a danglam vek a, mawhphurhna tharte chuan a tibuaiin i inhria a ni. Heng zawng zawng hi mut that lohna hian a tizual thei a ni . Mahse a pawimawh ber chu heng inthlak danglamna te hi hun eng emaw chen atan a ni . Nangmah chauh i ni lo va, he thinurna, lungngaihna, lungawi lohna i neih chuan tanpuina i dawng thei a ni. Mi thenkhatin naute an neih hnua he thinrimna thunun theih loh hi an tawn chhan hi mithiamte chuan an la hre chiang lo hle. Tin, ``Postpartum Rage'' hi official-a pawm medical condition a la ni lo. Mahse, healthcare provider, i.e. doctor-te chuan he natna hi a awm tih an hria a , a pui thei che a ni. A tha ber chu doctor hnenah i natna lan chhuah dan leh i rilru put hmang chungchang sawipui hi a ni. Tichuan, i tanpui dan tur an rel thei ang.

Pawimawh: Nangmah emaw, i naute emaw, midang emaw tihchhiat tumna i neih chuan, i hnaih ber emergency number (Sri Lanka-a 1990 Suwaseriya ang chi) hnenah tanpuina dil nghal rawh. I hnaih ber mi pakhat chu hetiang dinhmunah hian a ding nia i hriat chuan thlawp la, emaw, damdawi lam thurawn la turin pui rawh.

He thinrimna hi nau neih hnua lungngaihna (postpartum depression)-ah hian a tel ve em?

``Postpartum Rage'' leh ``Postpartum Depression'' hi a danglam a, mahse a inzawm tlat a ni.Zawhna pahnih. `(Postpartum Rage)` tih hi i thunun theih loh thinrimna puak chhuak i neih hian a ni. Mahse, he thinrimna nasa tak hi `(Postpartum Depression)` chhinchhiahna, lungngaihna, sualna, leh mahni chauha awm te nen pawh i tawng thei bawk. A pawimawh ber chu depression nei lo mahse he thinrimna hi i tawng thei a ni . Tin, `(Postpartum Depression)` vei zawng zawng hian he thinrimna hi an tawng vek lovang. `(Postpartum Rage)` hi thuk taka zirchian a la ni lo. Mithiam tam zawk chuan `(Postpartum Depression)` angin `(Mood Disorder)` ah an ngai lo. Mahse, doctor-te chuan he thinurna leh lungngaihna hi a awm dun thei tih an pawm a ni.

He natna ``Postpartum Rage'' hi tuin nge vei thei ang?

Postpartum rage hian tun hnaia nau piang tawh zawng zawng a nghawng thei a ni . Nau neih hnu kar ruk atanga kum khat chhungin a tam ber. Tin, rilru lam hriselna lama harsatna nei tawh, bipolar disorder emaw, nau neih hnua lungngaihna lanchhuahna nei te tan pawh a awm tam zawk bawk.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Postpartum rage chungchangah hian zirchianna bik a awm lo. Nau neih hnua lungngaihna chhinchhiahna anga ngaihthah a ni fo. Mahse, nau neih hnua rilru lam harsatna chu i ngaihtuah aiin a tam zawk . Nu 4 zinga 1 vel chuan nau an pai hnuah rilru lam natna chi khat emaw an tawk thin.

`(Postpartum Rage)` natna lan chhuah dan chu engte nge ni?

Nau neih hnua rilru hriselna lama harsatna dang, lungngaihna emaw, lungkhamna emaw ang lo takin, nau neih hnua thinrimna lan chhuahna ber chu thinrimna a ni . Depression neiin mi chu a lungngai a, a tap nasa thei bawk. Lungkhamna nen chuan mi pakhat chuan hlauhna leh lungkhamna a nei reng thei. Mahse, heng symptom zawng zawng hi a awm dun thei bawk . Chu chu vawi khatah lungngai, thinrim leh lungkhamna i nei thei tihna a ni. Nau neih hnua thinrimna chhinchhiahna hi mi hrang hrangah a inang lo thei. Heng a lan chhuah dan tlangpui thenkhat chu hetiang hi a ni:

• Thil tenawm tak , a tlangpuiin i thinrim loh tur chungchangah thinrimna nen i puak darh nghal mai ang maiin a lang.
• Midangte au chhuahpui duhna, a nih loh leh au tak tak ang maia inhriatna .
• Car steering wheel vuak emaw, kawngkhar khar emaw ang chi thil vuak ang maia inhriatna .
• Thil thleng emaw thil emaw chu a tlangpui aia rei zawk ngaihtuah , chu chu thinrimna.
• I thinrimna i thunun thei lo ang maia inhriatna .
• A tlangpui aia tam zawk sawisel leh au chhuahpui .
• Being constantly irritable, frustrated , leh thil tenawm ber pawha ``on edge`` anga inhriat.
• I rilru natna chu i hmachhawn thei lo ang maia inhriatna .

``Postpartum Rage'' i neih chuan thinrim, lungawi lohna leh lungawi lohna i nei reng thei. Ṭhenkhat chuan "mei alh reng ang maia inhriatna" emaw, "pillow paih a, au chhuahpui duh ang maia inhriatna" emaw tiin an sawi.

``Postpartum Rage'' awm chhan hi engte nge ni?

Zirchiangtute chuan nau neih hnu (perinatal) mood disorder chungchangah thil thar an hmuchhuak fo thin. Nau neih hnua thinrimna thlentu awm thei engemaw zat a awm. Chung zinga ṭhenkhat chu:

• Hormone estrogen leh progesterone level a tlahniam nghal vat a .
• Mimal emaw chhungkaw emaw history-a lungngaihna emaw lungkhamna emaw nei .
• Mut dan inthlak danglam (a bik takin mut theih lohna - hei hian nu tharte chungah nghawng lian tak a nei).
• Naute enkawlna nena lo awm rilru thar leh mawhphurhna tharte.
• I taksa, nunphung, inlaichinna inthlak danglamna .

Zirna thenkhatah chuan nu leh pa nih chungchanga khawtlang leh mimal beisei dan hian nau neih hnua thinrimna a thlen thei tih hmuhchhuah a ni. Entîr nân, i naute i enkawl dân avânga mi dangte’n an rêl che ang maia inhriatna te, nu i nih anga i beisei angin i nunpui lo ang maia inhriatna te, a nih loh leh nu nihna mawhphurhna i tuar chhuah theih nân i beih ang maia inhriatna te. "I pi chuan naute chu bawnghnute a pe tawk lo tih a hrilh che a ni," tih emaw, "I piin a beisei angin inchhung hna i thawh theih loh chuan i thinrim thin" tih hi han ngaihtuah teh. Hetiang khawtlang nawrna chi hrang hrangte hian hei hi a thlen thei bawk.

Engvangin nge naute ka neih hnuah ka thinrim em em?

Naute i neih hnua thinrim emaw, thinrim emaw i neih chuan nangmah chauh i ni lo . Nau neih hnua thinrimna hi a awm fo a, nau neih hnua lungngaihna emaw, nau neih hnua lungkhamna emaw nen a awm dun fo bawk. Amah chauhin a thleng thei bawk. Naute i neih hnu kar engemaw zat chhungin i nun chu a danglam nasa hle ang a, chung zinga tam tak chu i thunun theih loh a ni . I rilru put hmang chu i doctor nen sawiho rawh. I rilru put hmang kha zak suh la , thup tum suh . I doctor chu i thusawi ngaithla tur leh i mamawh enkawlna i hmuh theih nan a awm reng a ni.

Engtin nge `(Postpartum Rage)` hi kan hriat theih ang?

Nau neih hnua thinrimna hi Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5-TR®) thar ber ah chuan official diagnosis a ni lo. Doctor-te chuan nau neih hnua thinrimna hi perinatal mood and anxiety disorders (PMADs) chhinchhiahna angin an ngai fo thin . I naupai enkawltu te chuan i naupai hnua i rilru put hmang, a bik takin lungngaihna leh lungkhamna chungchang screening zawhna an zawt tlangpui ang che . Hengte hi nau neih hnua i checkup-naah zawh thin a ni. I chhânnate chuan ṭanpuina dang emaw, hmanraw dang emaw i mamawh leh mamawh loh rêl tûrin a ṭanpui thei a ni. Tin, i dinhmun leh naute thar nena nun i insiamrem dan chungchangah zawhna an zawt bawk ang che. An hnenah hian rinawm takin awm rawh u . Anni hian tanpui turin an awm a, i mamawh support i dawng tih chian nan an awm bawk. I naute naupang enkawltu doctor pawhin lungngaihna, lungkhamna, thinrimna chhinchhiahna i lantir em tih hriat tumin zawhna a zawt thei bawk che.

`(Postpartum Rage)` hi eng enkawlna nge ni?

I natna lan chhuah dan chu i naupai thiam emaw, chhungkaw doctor emaw hnenah hrilh hreh suh. I natna lan chhuah dan azirin eng damdawi nge i tana tha ber tih rel turin an pui thei che a ni. Enkawlna kawng thenkhat chu:

• Damdawi: Damdawi thenkhat, SSRI (Selective Serotonin Reuptake Inhibitors) emaw SNRIs (Serotonin and Norepinephrine Reuptake Inhibitors) te hian i thinrimna thunun thei a, a nih loh leh "take the edge off" emaw a pui thei bawk.
• Psychotherapy: Hei hian i rilru put hmang leh dinhmun hmachhawn dan tur sawihona therapist nena inhmuhkhawmna chu a \angkai hle thei tihna a ni.
• Support group: Nu leh pa thar dangte nena support group-a tel hian, online emaw, mimal emaw pawh ni se, i rilru put hmang dik tak chu a nemnghet thei a, nangmah chauh i ni lo tih i hriat theih nan a pui thei bawk.
• Nunphung inthlak danglamna: I nitin nunah inthlak danglamna tenau te siam hian nangmah ang deuhin i inhriat leh theih nan a pui thei che a ni. Entirnan, kar khatah darkar tlemte chhung naute enkawltu tur mi zawn chhuah a, chutiang chuan mahni chauha hun i neih theih nan emaw, i kawppui chu zan khat chu naute chu chaw pe turin ngen la, chutiang chuan mut tam zawk i nei thei ang.

Engtin nge ``Postpartum Rage'' hlauhawmna tihziaawm theih ang?

Thil engemaw tak chuan nau neih hnua lungngaihna i neih theihna a tipung thei a ni. Chung zinga ṭhenkhat chu:

• Tun hmaa rilru natna emaw, lungngaihna emaw nei tawh.
• In atanga tanpuina leh puihna tlakchhamna. (Hei hi Sri Lanka ramah hian min nghawng nasa hle. Pasal leh chhungte puihna hi a pawimawh hle).
• Naupang rualbanlo emaw hriselna lama harsatna nei emaw neih.
• Nau neih leh nau neih harsa tak neih.
• Naute enkawl harsatna, hnute pek harsa, tap fo (colic), leh mut that loh te.
• Nun chhunga thil dang buaithlak tak tak, inthenna, hmangaih tak thihna, hna hloh te.

Postpartum rage hi pumpelh kim theih a ni lo . Mahse, i rilru put hmang chu i enkawl thei a , a bik takin a chunga kan sawi tawh ang risk factors i neih chuan, tanpuina dil hreh suh.

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

I symptoms te a bo theih nan hun bituk a awm lo. I dinhmun nasat dan leh enkawlna i dawn danah a innghat a ni . Thil pakhat chiang tak chu - nau neih hnua rilru hriselna dinhmun hi hun eng emaw chen atan a ni . Ṭanpuina, enkawlna leh hun i neih chuan i rilru a hahdam ang.

He `(Postpartum Rage)` dinhmun hi engtin nge ka hmachhawn ang?

Nangmah chauh i ni lo va, hetianga inhriat hi thil pangngai a ni. I doctor chuan i tana tha tur enkawlna zawng turin a pui thei che a ni. Mahni in tanpui theihna tur thil thenkhat chu hetiang hi a ni:

• I thusawi ngaithlatu leh thlawptu tur mi biak rawh - counselor emaw, ṭhian emaw, mi hnai dang emaw pawh a ni thei.
• Mahni invenna chu dah pawimawh ber tum ang che . Naute thar i enkawl lai hian a harsa a, mahse nitin i tan hun tlem tal zawng tum ang che. Minute 15 chhunga tea in tur chauh a ni mai thei.
• Naute i neih hmaa i thil tih nuam tak tak emaw, thil dang i tih ṭhin thil dang emaw-ah chuan luh leh tum ang che.
• Inchhung hna leh pawn lama hnathawhnaah tanpuina dil rawh . Ṭanpuina dil emaw, hna thawh tur pe emaw pawh hlau suh.
• A theih ang anga chaw tha ei la, exercise la la, i taksa enkawl bawk ang che .
• I thinrimna thlentu chu eng nge ni tih hriatthiam nan hun hmang rawh . Chutianga i tih chuan dinhmun chu i enkawl thei ang.

Engtikah nge Doctor ka hmuh ang?

``Postpartum Rage'' symptoms i neih chuan thinrimna nasa tak leh i thinrimna thunun thei lo anga inhriatna i neih chuan doctor hnenah tanpuina zawng nghal rawh . Naute neih hnua rilru natna chi hrang hrang hriat hi thil pangngai a ni a, chuvangin tanpuina dil emaw, enkawlna zawng emaw pawh zak suh. Rilru lam hriselna lama counselor a ni, I naupai lai a hmutu doctor, emaw, i chhungte doctor nen inbia la, i rilru put hmang hrilh rawh. I tana remchang ber tur tanpuina kawngah an kaihruai thei che a ni. Sri Lanka ramah hian sorkar leh mimal institution-ah pawh rilru lam hriselna lama service pe thin an awm bawk a, national mental health helpline number 1926-ah pawh i call thei bawk.

``Postpartum Rage'' leh ``Postpartum Psychosis'' hi a inang em?

Ni lo, an inang lo. Postpartum psychosis hi rilru lam hriselna atana emergency pawi tak a ni . Miin thil tak tak a hriatna a tichhe a, thil hmuh theih loh, thil tihsual (delusions), leh paranoia ang chi thilte a thlen thin. Nau neih hnua rilru lam natna (postpartum psychosis) vei te hi anmahni tihnat, mahni intihhlum emaw, an fate tihnat emaw hlauhawmna sang tak an nei a ni. Postpartum rage hi postpartum psychosis angin a na lo va, chutiang symptoms te chu a huam lo.

`(Postpartum Rage)` leh `(Postpartum Depression)` hi eng nge an danglamna?

Postpartum Depression hian nau pai tawh nu 7 zinga 1 vel a nghawng a ni. Postpartum Depression vei te hian rilru lama sang leh hniam, tap fo, hah lutuk, sualna leh lungkhamna an nei thei a, an naute enkawl pawh an harsat phah thei bawk. Postpartum Rage vei te hian thinrimna nena inzawm emaw, chutiang bawka rilru natna emaw an nei fo thin . Lungngaihna te, thinrimna te, thinrimna te, leh au chhuah duhna te hi a awm fo thin. Lungngaihna emaw lungkhamna emaw hriat hi Postpartum Rage-ah chuan a awm ve lo a, mahse Postpartum Depression-ah chuan a awm ve tho (an pahnih hian a thleng dun thei bawk).

Naupai hnuah Bipolar Disorder hi a awm thei em?

Ni e, doctor-te chuan bipolar disorder hi engtik lai pawhin an hmuchhuak thei a, nau neih hnuah pawh an hmuchhuak thei a ni. Naute i neih hnua i rilru natna danglam tak (entir nan, rang taka sang lutuk, rang taka lungngaihna, a nih loh leh a lehlamah) i neih chuan i doctor nen inbia nghal rawh Rilru lama harsatna nei te chu nau an pai hnuah mut harsatna leh hormone inthlak danglam vangin bipolar disorder an vei thei a ni. Thinrimna hi emotion chak tak a ni. Nau neih hnu kar engemaw zat emaw, thla engemaw zat emaw chhunga thinrim, lungawi lohna leh thinrimna hriat hi nau neih hnua thinrimna chhinchhiahna a ni thei. Thil tenawm tak tak avanga thinrim i hmuh chuan, au chhuah duh emaw, mi vuak emaw i duh chuan doctor hnenah tanpuina dil rawh. Naute thar nena nun i insiamrem rual hian rilru natna hrang hrang i neih hi thil pangngai a ni. Hrilhfiahna lian tak a ni a, a buaithlak thei bawk. Hêng rilru put hmangte hi a liam dâwn tih hre reng la, nangmah ang maia inhriat leh theihna tûr enkawlna a awm bawk. I doctor hna chu tanpui che a ni a, rorelsak che a ni lo.

Hriat reng tur pawimawh ber berte (Take-Home Message) .

Okay, chuti a nih chuan tunah chuan kan sawi thin, ``Postpartum Rage'' tih hi hriatthiamna engemaw chen i nei ta a ni.A pawimawh ber chu hengte hi a ni:

• Nangmah chauh i ni lo: Naute i neih hnua he thinrimna nasa tak hi nangmah chauhvin i nei lo. Nu tam tak chuan he thil tawn hi an paltlang thin.
• Hei hi i sualna a ni lo: thil tam takin hei hi a nghawng thei a, chu chu hormone inthlak danglamna te, mut that lohna te, leh mawhphurhna thar nena lo awm pressure te hi a ni.
• Ṭanpuina dil hlau suh: I rilru a buai emaw, i lungkham emaw a nih chuan doctor, counselor, emaw i rintlak mi emaw chu biak ngei ngei ang che.
• Enkawlna a awm: He natna hi damdawi, counseling, support group, leh nunphung thlak danglam hmangin enkawl theih a ni.
• Hei hi hun eng emaw chen atan a ni: puihna leh enkawlna dik tak nen chuan i dam leh thei ang.
• Nangmah emaw, i naute emaw tihnat tumna i neih chuan tanpuina zawng nghal rawh: Hei hi a pawimawh hle.

Nu thar i nih angin hna ropui tak i thawk a ni. Mahni in enkawl a pawimawh em em a ni. He zinkawng hi i paltlang theih nan chakna kan duhsak che u a ni!