Kodi nthawi zambiri mumakhala ndi mantha komanso nkhawa mukabereka mwana? Tiyeni tikambirane za Nkhawa Pambuyo pa Kubereka!

Mwana watsopano akalowa m'banja, n'zachibadwa kumva mantha ndi nkhawa ndi zinthu zazing'ono. Zinthu zambirimbiri zikukuchitikirani, monga ngati mwana ali bwino, ngati ali ndi thanzi labwino, ngati ndingathe kuthana ndi zonsezi. Koma nthawi zina mantha ndi nkhawa zimenezi zimatha kukhala zovuta kwambiri moti simungathe kuzilamulira. Ngati mukuda nkhawa ndi chinthu china usana ndi usiku wonse, mwina chifukwa cha izi. Ikhoza kukhala vuto lotchedwa nkhawa ya postpartum , kapena "Nkhawa ya Postpartum".

Kodi Nkhawa Yobwera Pambuyo Pobereka N'chiyani?

Mwachidule, nkhawa yokhudza kubereka ndi nkhawa yaikulu yomwe imachitika munthu akakhala ndi mwana kapena atakhala kholo (nthawi imeneyi imatchedwa nthawi yobereka). Nkhawa imeneyi imatha kukhala chinthu chomwe chimadutsa m'maganizo mwanu popanda ulamuliro wanu, ndikulamulira maganizo anu onse.

Ndizachibadwa kumva nkhawa mukabweretsa mwana watsopano kunyumba. Koma ngati muli ndi nkhawa yobereka mwana, ikhoza kukhala yoopsa kwambiri moti ingakutengereni tsiku lonse ndikukusungani maso usiku. Mungamachite mantha mopanda nzeru ndi zinthu zomwe sizingachitike. Nthawi zina zimatha kukhala zokhudzana ndi chochitika chomwe mudakumana nacho kale, kapena nthawi zina mungamve ngati chinachake chichitika popanda chifukwa. Simungathe kudziwa chomwe chimayambitsa vuto lenileni, koma mudzakhala ndi mantha nthawi zonse.

Matendawa amatchedwa postpartum depression (kuvutika maganizo pambuyo pobereka). Zingathenso kuchitika limodzi ndi vuto la maganizo pambuyo pobereka . Komabe, ngakhale kuti zizindikiro za matenda onsewa ndi zofanana kwambiri, ndi matenda awiri osiyana.

Kodi vutoli ndi lofala bwanji?

Kafukufuku wasonyeza kuti pakati pa 11% ndi 21% ya amayi atsopano akhoza kukhala ndi nkhawa yokhudza kubereka. Koma chifukwa palibe mayeso enieni owunikira kuti adziwe molondola, n'zovuta kunena kuti ndi anthu angati omwe akudwala matendawa. Nthawi zambiri amapezeka panthawi yoyezetsa matenda a postpartum depression (ofufuza akuphunzira zambiri za izi).

Kodi kusiyana kwa nkhawa ya postpartum ndi postpartum depression ndi kotani?

Ngati muli ndi vuto la maganizo pambuyo pobereka, mungamve chisoni kwambiri, kulira kwambiri, komanso kumva ngati simungathe kudzisamalira nokha kapena mwana wanu. Simungasangalale ndi mwana wanu, ndipo mungamve ngati simungathe kukhala kholo labwino.

Komabe, nkhawa ya pambuyo pobereka `( Pambuyo pa kuberekaNkhawa si chisoni, koma nkhawa ndi mantha ochulukirapo. Ngati nthawi zonse mumakhala ndi nkhawa komanso maganizo oopa, ikhoza kukhala nkhawa yokhudza nthawi yobereka.

Komabe, zizindikiro monga kusowa tulo, kugunda kwa mtima, ndi mantha zimatha kuwoneka m'matenda onse awiri. Anthu omwe ali ndi vuto la kuvutika maganizo pambuyo pobereka nawonso amakhala ndi zizindikiro za nkhawa. Komabe, si aliyense amene ali ndi nkhawa pambuyo pobereka amene ali ndi vuto la kuvutika maganizo.

Chofunika kwambiri ndikulankhulana momasuka ndi dokotala wanu za zizindikiro zonse ndi momwe mukumvera, kuti athe kukuthandizani.

Kodi mungadziwe bwanji ngati izi ndi nkhawa yokhudza kubereka kapena nkhawa wamba?

Ukakhala ndi mwana, ukakhala kholo N'zachibadwa kukhala ndi nkhawa . Koma nkhawa yobwera chifukwa cha kubereka ndi mtundu wa nkhawa yomwe imakuvutitsani kwambiri. Ngati nkhawa yanu imakupangitsani kumva ngati muli ndi nkhawa tsiku lonse, mwina muli nayo. Ingakupangitseninso kukhala wopanda mphamvu, wodandaula, komanso wodandaula nthawi zonse.

Ganizirani motere...

• Mumakhala maso usiku wonse, mukuopa kuti mwana wanu angasiye kupuma pamene akugona.
• Mumaopa kwambiri kusiya mwana ndi munthu amene mumamudalira (ngakhale mwamuna/mkazi wanu) kwa mphindi zochepa.
• Chifuwa chanu chikugunda ngakhale mutaganiza zotuluka m'nyumba, mukuopa kuti wina angakupwetekeni kapena kuvulaza mwana.

Kodi mwakumanapo ndi zinthu ngati izi? Ngati ndi choncho, muyenera kusamala nazo.

Kodi zizindikiro za nkhawa ya postpartum ndi ziti?

Nkhawa ndi njira imene thupi lathu limachitira zinthu pa ngozi kapena chiwopsezo. Ngati muli ndi nkhawa yokhudza kubereka, mungamve ngati inuyo kapena mwana wanu muli pachiwopsezo nthawi zonse. Zizindikiro zomwe mumakumana nazo ndi njira imene thupi lanu limachitira zinthu pa nkhawa ndi mantha amenewa nthawi zonse.

Pali zizindikiro zingapo zodziwika bwino:

Zizindikiro zakuthupi

• Kusowa tulo kapena kusokonezeka kwa tulo.
• Kuwonjezeka kwa kugunda kwa mtima kapena kumva ngati mtima wanu ukugunda (kugunda kwa mtima).
• Kusanza kapena kuvutika m'mimba.
• Kuvuta kupuma kapena kumva kubanika.
• Chakudyacho sichikoma.
• Kulephera kukhala pamalo amodzi, kusakhazikika.
• Kuuma kwa minofu, kupweteka.

Zizindikiro zamaganizo ndi zamaganizo

• Kulephera kukhala chete, kukhalabe womasuka.
• Maganizo othamanga, kuganiza kuti choipa kwambiri chidzachitika.
• Kuganizira nthawi zonse za mantha opanda maziko kapena zinthu zomwe sizingachitike.
• Kuvuta kuganizira zinthu kapena kuiwala zinthu.
• Kukwiya pa zinthu zazing'ono.
• Kukhala nthawi zonse mu mantha ndi kukayikira.

Zizindikiro za khalidwe

• Kupewa zochita zina, anthu, kapena malo enaake.
• Kudera nkhawa kwambiri ngakhale pa zinthu zomwe sizili zoopsa.
• Kuyang'ana zinthu mobwerezabwereza (monga ngati mwana akupuma, ngati zitseko zatsekedwa).
• Kuyesa kulamulira ena.

Nthawi zina matenda monga Obsessive-Compulsive Disorder (OCD) kapena Panic Disorder angakukhudzeninso nthawi yobereka. Ngati muli ndi matenda amenewa, mutha kukhala ndi mantha kapena maganizo opitirira muyeso.

Uzani madokotala anu zoona pa zizindikiro zilizonse zomwe mukukumana nazo. Iwo alipo kuti akuthandizeni ndikukupatsani chithandizo chofunikira.

Kodi zifukwa zazikulu zomwe zimayambitsa nkhawa pambuyo pobereka ndi ziti?

Palibe chifukwa chimodzi chokha chomwe chimayambitsa izi. Madokotala amakhulupirira kuti zinthu zingapo zitha kuyambitsa izi:

• Kusintha kwa mahomoni: Pambuyo pobereka, kuchuluka kwa mahomoni m'thupi kumatsika mwadzidzidzi. Izi zingayambitse kusintha kwa maganizo ndikukupangitsani kuchitapo kanthu mwachangu ngakhale pazinthu zazing'ono.
• Kusowa Tulo: Kusamalira mwana wakhanda kungakhale ntchito ya maola 24. Izi zingayambitsenso kusowa tulo.
• Kumva ngati uli ndi udindo: Vutoli lingayambitsidwenso ndi kudzimva kuti uli ndi udindo wochuluka woteteza ndi kusamalira mwana watsopano.
• Zochitika zodetsa nkhawa: Zinthu monga mavuto a kuyamwitsa, mimba yovuta, kapena kubereka mwana movutikira zingapangitsenso kuti munthu asamade nkhawa.
• Zinthu Zoopsa: Matenda ena ndi zomwe zinakuchitikiranipo kale zingawonjezere chiopsezo chotenga matendawa.

Kodi ndi zinthu ziti zomwe zimayambitsa nkhawa pambuyo pobereka?

Anthu ena ali ndi mwayi waukulu wopeza vutoli. Zinthu zoopsa izi ndi monga:

• Ngati inu kapena wina m'banja mwanu ali ndi mbiri ya kuvutika maganizo kapena nkhawa.
• Ngati mudapitapo padera kapena munataya mwana.
• Ngati muli ndi mwana kapena mwana amene ali ndi mavuto azaumoyo.
• Ngati mwakhala ndi zizolowezi zachilendo zodyera (matenda okhudzana ndi kudya) kale.
• Ngati muli ndi ana angapo oti muwasamalire.
• Ngati ndinu munthu amene mwachibadwa amakhala ndi nkhawa.
• Ngati mulibe mnzanu wokuthandizani kapena thandizo kuchokera kwa abale kapena anzanu mutabereka.

Kodi nkhawa ya postpartum imayamba liti?

Izi zimasiyana malinga ndi munthu. Kwa ena, zingayambe mwana akangobadwa kumene. Kwa ena, zingayambe miyezi ingapo mwana atabadwa. Nthawi zina, nkhawa ingayambe ngakhale panthawi ya mimba.

Kodi mungazindikire bwanji izi?

Mosiyana ndi matenda ena, palibe njira yodziwira bwino nkhawa ya pambuyo pobereka. Dokotala wanu angakupatseni mafunso okhudza nkhawa ya pambuyo pobereka panthawi yochezera kwanu. Musachite manyazi kapena manyazi kulankhula za zizindikiro zanu. Kulankhula momasuka komanso moona mtima za nkhawa yanu ndiye chida chabwino kwambiri chomwe madokotala ali nacho pozindikira vutoli. Adzakufunsani mafunso ndikugwiritsa ntchito zida zina zoyezera kuti adziwe kuopsa kwa vutoli komanso zizindikiro zanu.

Kodi nkhawa ya postpartum imachiritsidwa bwanji?

Dokotala wanu adzakulangizani chithandizo kutengera zizindikiro zanu, mbiri ya thanzi lanu, komanso ngati mukuyamwitsa. Ngati zizindikiro zanu zili zochepa, kusintha zochita zanu za tsiku ndi tsiku komanso kulankhula ndi mlangizi kungathandize kuchepetsa zizindikiro zanu. Komabe, ngati nkhawa yanu ili yaikulu kapena ikusokoneza moyo wanu watsiku ndi tsiku, mungafunike mankhwala.

Chithandizo cha Maganizo (CBT)

CBT ndi njira yomwe akatswiri azamisala kapena akatswiri azamisala amakuthandizani kuzindikira momwe mukumvera ndikusintha malingaliro anu. Kudzera mu CBT, mutha kusintha malingaliro ndi machitidwe anu oipa ndikukulitsa malingaliro ndi zizolowezi zabwino. CBT nthawi zambiri imachitika m'magawo angapo a munthu ndi munthu. Kudzera mu mafunso ndi mayankho, katswiri wanu amakuphunzitsani momwe mungayankhire bwino kupsinjika ndi nkhawa. Nthawi zina, katswiriyu angakhalenso katswiri pamalingaliro ndi machitidwe a pambuyo pobereka.

Mankhwala osagwiritsa ntchito mankhwala

Mankhwala si nthawi zonse ofunikira pochiza nkhawa yokhudza kubereka. Nazi njira zina zochizira popanda mankhwala:

• Lowani m'magulu othandizira makolo atsopano (ena ali pa intaneti kwathunthu). Mwanjira imeneyi mutha kugawana malingaliro anu ndi ena omwe ali mumkhalidwe womwewo ndi inu.
• Pemphani thandizo kwa achibale kapena abwenzi. Mwachitsanzo, kupeza thandizo pa ntchito zapakhomo kapena kusamalira ana kungakuthandizeni kuchepetsa nkhawa.
• Yesani kuyenda ndi kuchita masewera olimbitsa thupi tsiku lililonse. Kuchita maseŵero a yoga kungakuthandizeninso kukhazika mtima pansi.
• Idyani chakudya chopatsa thanzi, gonani mokwanira momwe mungathere. Dzisamalireni motere.

Mwina mumamva ngati muli ndi zinthu zambiri zoti muchite nthawi imodzi. Kusamalira mwana (ndi inu nokha) sikophweka, ndipo kukhala kholo sikophweka. Musamaope kupempha thandizo.

Mankhwala omwe amagwiritsidwa ntchito pochiza nkhawa pambuyo pobereka

Mankhwala otchedwa ``SSRIs (Selective Serotonin Reuptake Inhibitors)`` ndi mankhwala omwe amagwiritsidwa ntchito kwambiri komanso ofufuzidwa kwambiri pochiza nkhawa yobereka komanso kuvutika maganizo pambuyo pobereka. ``SSRIs`` amagwira ntchito powonjezera kuchuluka kwa mankhwala otchedwa ``(Serotonin)`` muubongo. ``(Serotonin)`` ndi mankhwala omwe amanyamula mauthenga pakati pa maselo. Mauthenga awa akaperekedwa, ``(Serotonin)`` amatengedwanso ndi maselo amitsempha. ``SSRIs`` amaletsa kuyamwanso kumeneku. Izi zikutanthauza kuti ``(Serotonin)`` wambiri amasiyidwa kuti anyamule mauthenga pakati pa maselo amitsempha. Mwachidule, izi zimathandiza kukonza maganizo athu.

Mankhwala otchedwa ``SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors)``, monga ``SSRIs,`` amagwira ntchito powonjezera kuchuluka kwa mankhwala ena muubongo.

Mankhwala ena, monga `(Tricyclic Antidepressants - TCAs)`, `(Monoamine Oxidase Inhibitors - MAOIs)`, ndi `(Norepinephrine ndi Dopamine Reuptake Inhibitors - NDRIs)`, angagwiritsidwenso ntchito pochiza nkhawa. Komabe, ``SSRIs`` ndi omwe amakondedwa chifukwa alibe zotsatirapo zoyipa zambiri.

Mankhwala onse akhoza kukhala ndi zotsatirapo zake. Musanamwe mankhwala aliwonse ochepetsa nkhawa, lankhulani ndi dokotala wanu za ubwino ndi zoopsa zake. Uzani dokotala wanu ngati mukuyamwitsa kapena mukufuna kuyamwitsa. Kenako angakupatseni mankhwala oyenera mayi woyamwitsa.

Kodi ndingathe kuyamwitsa mwana wanga pamene ndikumwa mankhwala ochepetsa nkhawa?

Ngati mukuyamwitsa, ndi bwino kulankhula ndi dokotala wanu za zoopsa ndi ubwino womwa mankhwala. Mankhwala amadutsa m'magazi mwanu ndikulowa mu mkaka wa m'mawere. Mankhwala ena ndi otetezeka kugwiritsa ntchito panthawi ya mimba ndi kuyamwitsa, koma ena si otetezeka.

Kodi nkhawa ya postpartum imatenga nthawi yayitali bwanji?

Izi zimasiyana malinga ndi munthu. Nkhawa pambuyo pa kubereka si yokhalitsa, koma nthawi zambiri siimatha yokha. Kufunafuna chithandizo chamankhwala mwachangu ndiyo njira yabwino kwambiri yochiritsira vutoli. Musalole manyazi okhudzana ndi nkhawa kukulepheretsani kufunafuna thandizo.

Kodi nkhawa yokhudza kubereka ingabwererenso?

Inde, zingatheke. Mwatsoka, nkhawa imatha kubwereranso nthawi iliyonse. Ngati iyamba miyezi 12 mwana atabadwa, sizingatchedwe nkhawa yokhudza ana anu pambuyo pobereka, koma nkhawa yokhudza ana anu imatha kuyamba nthawi iliyonse. Kaya mwana wanu ali ndi zaka zingati, ndikofunikira kulankhula ndi dokotala ngati nkhawa ikusokoneza moyo wanu.

Kodi mungachepetse bwanji chiopsezo cha nkhawa pambuyo pobereka?

Nthawi zina palibe chomwe mungachite kuti mupewe nkhawa yokhudza kubereka. Si vuto lanu, kapena chifukwa cha chilichonse chomwe munachita kapena chomwe simunachite.Ngati mukudziwa zomwe zimayambitsa nkhawa m'mbuyomu, kapena ngati munakhalapo ndi nkhawa kapena kuvutika maganizo kale, lankhulani ndi wina za izi panthawi yomwe munali ndi pakati. Kulankhula ndi mlangizi ndikuphunzira njira zothetsera mavuto musanayambe kubereka mwana wanu kungathandize kuchepetsa kuopsa kwa malingaliro okhudzana ndi nkhawa m'nthawi yobereka.

Kodi ndingathe bwanji kuthana ndi nkhawa ya postpartum?

Choyamba, mvetsetsani kuti simuli nokha ndipo kusamalira mwana watsopano ndi ntchito yovuta. Maganizo anu ndi omveka, ndipo simunachite chilichonse chomwe chingakupangitseni kukhala ndi nkhawa mukabereka. Chinthu chabwino kwambiri chomwe mungachite nokha ndikupempha dokotala wanu kuti akuthandizeni. Angakuthandizeni kupeza chithandizo chomwe mukufuna ndikukupatsani mankhwala ngati pakufunika kutero.

Zingathandizenso kulankhula ndi anzanu ochepa odalirika komanso achibale ndikugawana maudindo. Pomaliza, yesani kupatula nthawi yochitira zinthu zomwe zimakusangalatsani. Nthawi zina amayi amaiwala za iwo okha. Kuthera mphindi zochepa pa chizolowezi kungakuthandizeni kuchotsa nkhawa zanu kwakanthawi.

Kodi ndiyenera kupita kwa dokotala liti?

Pitani kwa dokotala ngati muli ndi zizindikiro za nkhawa yobereka. Dziwani bwino zizindikiro izi:

• Ngati mukumva ngati simukugwirizana ndi mwana wanu.
• Ngati mukumva ngati mukuda nkhawa tsiku lonse, nthawi zonse.
• Ngati mukukumana ndi zizindikiro za kuvutika maganizo pambuyo pobereka.
• Ngati mukumva kuti muli ndi mavuto ambiri moti simungathe kuchita zinthu zina pa moyo wanu watsiku ndi tsiku.
• Ngati mukumva ngati maganizo anu a nkhawa akuwonjezeka tsiku ndi tsiku.

Ngati mukufuna kudzivulaza nokha kapena mwana wanu, chonde funsani upangiri wa dokotala nthawi yomweyo kapena pitani kuchipatala chapafupi.

Kodi mnzanga angakhalenso ndi nkhawa yokhudza nthawi yobereka?

Inde, mnzanuyo akhozanso kukhala ndi nkhawa pambuyo pobereka. Nkhawa sizimangokhudza mayi amene wabereka yekha. Makolo olera ana ndi makolo omwe si achibadwa amathanso kukhala ndi nkhawa kwambiri akakhala ndi mwana.

Kodi ndingathandize bwanji mnzanga amene ali ndi nkhawa yokhudza nthawi yobereka?

Chinthu chabwino kwambiri chomwe mungachite ndikukhala womvetsera wothandiza. Lolani mnzanuyo kuti alankhule za momwe akumvera komanso maganizo ake. Nthawi zambiri amakhala ndi nkhawa, kotero kuthandiza ntchito zapakhomo (monga kuyeretsa, kuchapa zovala) kapena ntchito zina (monga kunyamula zakudya) kungakhale njira yabwino yothandizira.

'## Uthenga Womaliza Wopita Nawo Kunyumba Kusintha moyo ndi mwana watsopano kumabwera ndi mavuto ambiri atsopano. Ndizachibadwa kumva nkhawa kwa zaka zingapo mutabereka. Koma kwa anthu ena, nkhawa imeneyi imatha kukhala yolemetsa, kuwononga malingaliro awo ndikuyambitsa zizindikiro zakuthupi monga mtima wothamanga komanso kusowa tulo. Izi zimatchedwa nkhawa ya postpartum. **Ngati mukumva motere, kumbukirani kuti si vuto lanu, ndipo anthu ena ambiri akukumana ndi zizindikirozi.** Mutha kupeza thandizo. Ngati mukukumana ndi zizindikiro za nkhawa ya postpartum, lankhulani ndi dokotala wanu. Palibe chifukwa chovutikira. Zizindikiro zanu zidzachepa mukalandira chithandizo. --- Nkhawa ya Postpartum, Nkhawa ya Postpartum, Nkhawa ya Postpartum, Thanzi la Maganizo la Amayi, Mantha, Nkhawa, Kupsinjika Maganizo, Kubereka, Mwana Watsopano