Musamavutike ndi vuto la kuvutika maganizo pambuyo pobereka nokha.

Kubweretsa mwana kunyumba ndi chisangalalo chachikulu. Koma kwa amayi ena, pamodzi ndi chisangalalochi, amayamba kumva chisoni kwambiri, kusungulumwa , komanso mantha. Amadzifunsa kuti, 'N'chifukwa chiyani izi zikundichitikira? Kodi sindili mayi wabwino?' Ngati mukumva choncho, simuli nokha. Ili ndi vuto lofala kwambiri. Vutoli ndi lomwe timalitcha kuti Postpartum Depression (PPD) . Tiyeni tikambirane za izi mwatsatanetsatane.

Kodi ndingadziwe bwanji ngati ndili ndi vuto la Postpartum Depression?

Ngakhale kuti takhala tikudziwa za vuto la kuvutika maganizo pambuyo pobereka kwa nthawi yayitali, akatswiri amati nthawi zambiri silipezeka mokwanira. Koma tsopano popeza kuti chidziwitso chawonjezeka, madokotala akuyang'ana zinthu zomwe zingawabweretsere mavuto kuyambira nthawi yoyamba kupita kuchipatala panthawi ya mimba.

Ngati muli pachiwopsezo, dokotala wanu adzayang'anira thanzi lanu la maganizo nthawi yonse yomwe muli ndi pakati. Mukabereka mwana, ndikofunikira kuti inu ndi okondedwa anu (mwamuna, mayi, banja) mudziwe kusintha kulikonse kwa malingaliro anu kapena zizindikiro za kuvutika maganizo. Dokotala wanu adzafufuzanso izi ku chipatala chanu cha masabata 6 atatha kubereka.

Pali mafunso angapo omwe amagwiritsidwa ntchito kwambiri pachifukwa ichi.

Kuwonjezera pa mafunso awa, dokotala wanu adzakufunsani mafunso ena kuti awone kuopsa kwa zizindikiro zanu. Makamaka, adzakufunsani ngati mukuganiza zodzivulaza nokha kapena mwana wanu . Adzayesanso kudziwa ngati iyi ndi PPD kapena vuto lina, monga "Bipolar Disorder" kapena "Postpartum Psychosis". Angayang'anenso kuchuluka kwa mahomoni a chithokomiro chanu. Izi zili choncho chifukwa "Hypothyroidism" ingayambitse zizindikiro zofanana ndi PPD.

Kodi mankhwala a kuvutika maganizo pambuyo pobereka ndi ati?

Nthawi zina vutoli limatha kukhala bwino lokha patatha miyezi itatu kuchokera pamene mwana wabadwa. Komabe, ngati likusokoneza zochita zanu za tsiku ndi tsiku , kapena ngati chisoni chodziwika kuti "baby blues" chimatenga milungu yoposa iwiri, muyenera kufunafuna chithandizo.

Nkhani yabwino ndi yakuti pafupifupi 90% ya akazi omwe ali ndi PPD amatha kuchira bwino pogwiritsa ntchito mankhwala kapena psychotherapy pamodzi ndi mankhwala . Komanso, kutenga nawo mbali m'magulu othandizira ndi thandizo lalikulu.

Pa milandu yoopsa kwambiri ya PPD kapena vuto lotchedwa ``Postpartum Psychosis'', kugonekedwa m'chipatala kungakhale kofunikira. Pa milandu ina yoopsa kwambiri, komwe kumawoneka ngati zinthu sizikuyenda bwino, kumangoganiza zodzipha, kapena kuganiza zodzipha, chithandizo chotchedwa ``Electroconvulsive Therapy (ECT)'' chimagwiritsidwanso ntchito.

Mankhwala ochizira

Kawirikawiri gawo loyamba la chithandizo ndi kuthana ndi mavuto omwe amabwera nthawi yomweyo monga kugona ndi njala. Mankhwala oletsa kuvutika maganizo ndi othandiza kwambiri pa izi.

Koma, ngati mukuyamwitsa mwanaKusankha kugwiritsa ntchito mankhwala kapena ayi, komanso kusankha mankhwala, ndi chisankho chomwe inu ndi dokotala wanu muyenera kupanga mosamala kwambiri. Mankhwala ena oletsa kuvutika maganizo amatha kulowa mu mkaka wa m'mawere pang'ono kwambiri. Pali mkangano wokhudza mankhwala ena, monga `(Lithium)`.

Choncho, ndikofunikira kulankhula ndi dokotala wanu ndikupanga chisankho mutamvetsetsa bwino ubwino ndi zoopsa zake. Ngati mukumwa mankhwala, ndi bwino kuti muwamwe mosalekeza kwa miyezi yosachepera 6 kapena chaka chimodzi kuti matendawa asabwererenso.

Komanso, ngati munakhalapo ndi PPD kale, dokotala wanu angakulangizeni kuti muyambe kumwa mapiritsi oletsa kubereka mwamsanga mukangoberekanso kapena panthawi ya mimba yanu.

Kodi psychotherapy imathandiza bwanji?

Chithandizo cha maganizo, kapena kungoti "kulankhula," chimagwiritsidwa ntchito pa PPD, kaya chokha kapena kuphatikiza ndi mankhwala. Dokotala wanu angakutumizireni kwa mlangizi woyenerera yemwe ndi katswiri wa PPD.

Chomwe muyenera kuchita ndikukumana ndi mlangizi pa nthawi yake. Adzakufunsani za moyo wanu komanso momwe mukumvera. Ndikofunikira kwambiri kunena chilichonse moona mtima, popanda kuweruza. Chilichonse chomwe munganene ndi chinsinsi pakati pa inu ndi mlangizi.

Mu mtundu uwu wa chithandizo, mlangizi amakuphunzitsani kusintha maganizo ndi makhalidwe anu oipa ndikuwona zinthu mosiyana. Mitundu iwiri yodziwika bwino ya chithandizo chomwe chimagwiritsidwa ntchito pa PPD ndi iyi:

• Chithandizo cha Maganizo (CBT): Mwachidule, chimakuthandizani kuzindikira ndikusintha malingaliro oipa komanso makhalidwe oipa omwe amachokera kwa iwo.
• Chithandizo cha Pakati pa Anthu (IPT): Izi zimakuthandizani kuthetsa maubwenzi anu ndi anthu ena (maubwenzi ndi mwamuna kapena mkazi wanu, banja lanu, anzanu) ndi mavuto omwe amayambitsa, komanso kusamalira maubwenzi amenewo bwino.

Zinthu zomwe mungachite mukakhala ndi PPD

Pamene mukulandira chithandizo, mungathenso kudzisamalira nokha. Zinthu zimenezi zidzakuthandizani kwambiri pakuchira kwanu.

• Pezani nthawi yanu: Khalani ndi nthawi yochepa nokha tsiku lililonse. Kukhala ndi mwana tsiku lonse kumakutopetsa kwambiri.
• Tulukani panja: Tulukani panja kwa kanthawi tsiku lililonse. Osachepera muziyendayenda m'nyumba. Ngakhale kusinthako pang'ono kungakhale mpumulo waukulu m'maganizo mwanu.
• Pemphani thandizo: Musaope kupempha wachibale wanu wodalirika kapena mnzanu kuti akuthandizeni pa ntchito zapakhomo, kusamalira ana, kapena kukambirana nanu. Musayese kuchita chilichonse nokha.
• Kuchita Maseŵera Olimbitsa Thupi: Thupi lanu likachira mutabereka mwana, lankhulani ndi dokotala wanu ndipo yambani kuchita masewera olimbitsa thupi omwe akukuyenererani. Kuchita masewera olimbitsa thupi kumathandiza kwambiri kuti mupumule maganizo anu.
• Magulu Othandizira:Ndi njira yabwino yolankhulirana ndi amayi ena omwe adakumanapo ndi zokumana nazo zofanana ndi zanu. Ganizirani kulowa nawo gulu la amayi atsopano m'dera lanu.

Tiyeni tiphunzirenso za njira zina zochiritsira komanso zowonjezera.

Simungafune kumwa mankhwala, makamaka ngati mukuyamwitsa. Ngati ndi choncho, mutha kulankhula ndi dokotala wanu za njira zina izi. Koma kumbukirani, ngati mukugwiritsa ntchito izi kuwonjezera pa chithandizo chamankhwala kapena m'malo mwake, muyenera kufunsa upangiri kwa dokotala wanu.

• Yoga: Malinga ndi kafukufuku wina, amayi opitilira 75% omwe akuvutika maganizo omwe amachita yoga kawiri pa sabata adasintha.
• Kusisita: Kafukufuku wina wasonyeza kuti kusisita kungathandize kuchepetsa zizindikiro za PPD.
• Maphunziro Opumula: Mungaphunzire kudzitonthoza nokha kudzera mu zinthu monga kuchita masewera olimbitsa thupi opumira kwambiri komanso zithunzi zotsogozedwa.
• Kusinkhasinkha: Kusinkhasinkha kumakuthandizani kuti muganizire za nthawi yomwe ilipo ndikusiya maganizo osafunikira. Izi zingathandizenso kuchepetsa kuvutika maganizo.

Zotsatira za mankhwala owonjezera azitsamba monga St. John's wort zimasakanikirana. Kuchiza ndi acupuncture ndi kuwala sikunatsimikizidwe kuti kumagwira ntchito bwino pa PPD.