Kuzana umwana mu rugo ni ibyishimo bikomeye. Ariko kuri bamwe mu babyeyi, hamwe n'ibi byishimo, batangira kumva bafite agahinda kenshi, irungu , n'ubwoba. Baribaza bati 'Kuki ibi bingeraho? Si umubyeyi mwiza?' Niba ubyiyumvamo, ntabwo uri wenyine. Iyi ni indwara ikunze kugaragara. Iyi ndwara ni yo twita ihungabana rya nyuma yo kubyara (PPD) . Reka tubiganireho birambuye.
Namenya nte ko mfite ikibazo cyo kwiheba nyuma yo kubyara?
Nubwo tumaze igihe kinini tuzi ku ndwara yo kwiheba nyuma yo kubyara, abahanga bavuga ko akenshi idakunze kumenyekana neza. Ariko ubu ko ubumenyi burushijeho kwiyongera, abaganga barimo gushaka ibintu bishobora gutera ibyago kuva ku ivuriro rya mbere mu gihe cyo gutwita.
Niba uri mu kaga, muganga wawe azakurikirana ubuzima bwawe bwo mu mutwe mu gihe cyose utwite. Nyuma yo kubyara umwana, ni ngombwa ko wowe n'abakunzi bawe (umugabo wawe, nyina, umuryango) mumenya impinduka iyo ari yo yose mu byiyumvo byawe cyangwa ibimenyetso by'ihungabana. Muganga wawe azabisuzuma kandi mu ivuriro ryawe ry'ibyumweru 6 nyuma yo kubyara.
Icy'ingenzi ni uko iyi atari indwara ishobora gupimwa hakoreshejwe isuzuma ry'amaraso cyangwa isuzuma ry'umubiri. Ahubwo, muganga azabigena akubaza ibibazo bike bijyanye n'uko imitekerereze yawe ihagaze.
Hari ibibazo byinshi bikunze gukoreshwa kuri iyi ntego.
| Igikoresho cyo Gusuzuma | Mu magambo make, ni iki kibaho? |
|---|---|
| Igipimo cy'ihungabana nyuma yo kubyara cya Edinburgh (EPDS) | Ibi nibyo abaganga benshi babona ko ari bwo buryo bwiza bwo gusuzuma PPD. Hari amagambo 10 magufi hano. Ibintu nka "Numvise mpangayitse cyangwa mfite ubwoba nta mpamvu" cyangwa "Nagize ibitekerezo byo kwiyangiza." Icyo ugomba gukora ni ukumbwira inshuro wagize ibyo bintu mu cyumweru gishize. |
| Ibibazo 2 by'Ubuzima bw'Umurwayi (PHQ-2) | Iki ni ikizamini cy'ibanze kigizwe n'ibibazo bibiri bigufi cyane. Kibaza uko wigeze kumva "udafite ubushake bwo gukora ibintu" cyangwa "ubabaye, wihebye" mu byumweru bibiri bishize. |
| Ibibazo 9 by'Ubuzima bw'Umurwayi (PHQ-9) | Niba ikizamini cya PHQ-2 cyavuzwe haruguru kigaragaza ko ufite ibimenyetso by'ihungabana, muganga wawe azakoresha iki kibazo. Bazamubaza ibindi bimenyetso, nko guhinduka mu gusinzira no kurya, kugorwa no kwibanda ku bintu, ndetse n'umunaniro. |
Uretse ibi bibazo, muganga wawe azabaza ibindi bibazo kugira ngo arebe ubukana bw'ibimenyetso byawe. By'umwihariko, azabaza niba ufite ibitekerezo byo kwiyangiza cyangwa kwangiza umwana wawe . Bazagerageza kandi kumenya niba ari PPD cyangwa indi ndwara, nka "Bipolar Disorder" cyangwa "Postpartum Psychosis". Bashobora kandi kugenzura urugero rw'imisemburo ya tiroyide. Ibi biterwa nuko "Hypothyroidism" ishobora gutera ibimenyetso bisa na PPD.
Ni ubuhe buryo bwo kuvura indwara yo kwiheba nyuma yo kubyara?
Hari igihe iyi ndwara ishobora kumera neza ubwayo nyuma y'amezi agera kuri atatu ubyaye. Ariko, niba ibangamira imirimo yawe ya buri munsi , cyangwa agahinda muri rusange kitwa "baby blues" kakamara ibyumweru birenga bibiri, ugomba gushaka ubuvuzi.
Inkuru nziza ni uko abagore bagera kuri 90% barwaye PPD bashobora gukira neza bakoresheje imiti cyangwa imiti yo mu mutwe hamwe n'imiti . Nanone, kwitabira amatsinda y'ubufasha ni ingirakamaro cyane.
Mu bihe bikomeye cyane bya PPD cyangwa indwara yitwa "Postpartum Psychosis", kujya mu bitaro bishobora kuba ngombwa. Mu bihe bimwe na bimwe bikomeye cyane, aho usanga abantu babona ibintu nk'ibitari byo, batekereza kwiheba, cyangwa batekereza kwiyahura, ubuvuzi bwitwa "Electroconvulsive Therapy (ECT)" burakoreshwa.
Ni byiza gutangira kuvurwa vuba bishoboka. Iyo bitavuwe cyangwa bigatinda, iyi ndwara ishobora kwiyongera. Impuguke zasanze kandi ko PPD itavuwe ishobora kugira ingaruka ku bana. Bene abo bana bashobora kugira ibibazo byo gusinzira, kudakura neza mu bwenge, kudahangayika, no kurakara kenshi.
Imiti yo kuvura
Akenshi intambwe ya mbere mu kuvura ni ugukemura ibibazo byihuse nko gusinzira no kurya. Imiti igabanya kwiheba irakora cyane kuri ibi.
Ariko, niba wonsa umwanaGukoresha imiti cyangwa kutayikoresha, hamwe n'umuti ugomba guhitamo, ni icyemezo wowe na muganga wawe mugomba gufata witonze cyane. Imiti imwe n'imwe yo kurwanya indwara ishobora kwinjira mu mashereka ku rugero ruto cyane. Hari impaka ku miti imwe n'imwe, nka `(Lithium)`.
Kubwibyo, ni ngombwa kuvugana na muganga wawe no gufata icyemezo nyuma yo gusobanukirwa neza ibyiza n'ingaruka zabyo. Niba ufata imiti, ni byiza kuyifata buri gihe byibuze amezi 6 cyangwa umwaka kugira ngo wirinde ko indwara yongera kugaruka.
Nanone, niba warigeze kugira PPD mbere, muganga wawe ashobora kukugira inama yo gutangira gufata ibinini byo kuboneza urubyaro nyuma gato yo kubyara ukundi cyangwa mu gihe utwite.
Ni gute ubuvuzi bw'imitekerereze bufasha?
Ubuvuzi bwo mu mutwe, cyangwa "ubuvuzi bwo kuvugana", bukoreshwa kuri PPD, haba ari bwonyine cyangwa buri kumwe n'imiti. Muganga wawe ashobora kukwerekeza ku mujyanama w'inzobere mu bya PPD.
Icyo ugomba gukora ni uguhura n'umujyanama ukavugana na we ku ngengabihe runaka. Bazakubaza ubuzima bwawe n'uko umerewe. Ni ngombwa cyane kuvuga byose mu buryo buboneye, nta guca ku ruhande. Ibyo uvuga byose ni ibanga hagati yawe n'umujyanama.
Muri ubu buryo bwo kuvura, umujyanama akwigisha guhindura ibitekerezo n'imyitwarire mibi yawe no kubona ibintu mu buryo butandukanye. Ubwoko bubiri bw'ubuvuzi bukunze gukoreshwa kuri PPD ni:
- Ubuvuzi bw'imyitwarire mu buryo bw'ubwenge (CBT): Muri make, bugufasha kumenya no guhindura ibitekerezo bibi, bibi n'imyitwarire ikomoka kuri byo.
- Ubuvuzi bw'imibanire y'abantu (IPT): Ibi bigufasha gukemura imibanire yawe n'abandi (imibanire n'uwo mwashakanye, umuryango wawe, inshuti) n'ibibazo bitera, no gucunga iyo mibanire neza.
Ibintu ushobora gukora mugihe ubana na PPD
Mu gihe uri kuvurwa, ushobora no kwiyitaho. Ibi bintu bizagufasha cyane mu nzira yawe yo gukira.
- Shaka umwanya wawe: Fata umwanya muto uri wenyine buri munsi. Kuba uri kumwe n'umwana umunsi wose birarushya cyane.
- Sohoka hanze: Sohoka gato buri munsi. Nibura utemberane mu nzu. Ndetse n'iryo hinduka rito rishobora kugufasha cyane mu mutwe wawe.
- Saba ubufasha: Ntugatinye gusaba umuntu wo mu muryango wawe wizeye cyangwa inshuti yawe ubufasha mu mirimo yo mu rugo, kurera abana, cyangwa kuganira ku bibazo byawe. Ntugerageze gukora ibintu byose wenyine.
- Imyitozo ngororamubiri: Umubiri wawe umaze gukira nyuma yo kubyara, vugana na muganga wawe utangire gukora imyitozo ngororamubiri ikubereye. Imyitozo ngororamubiri ifasha cyane kuruhuka mu mutwe wawe.
- Amatsinda yo gushyigikira:Ni uburyo bwiza bwo kuganira n'abandi babyeyi bahuye n'ibibazo nk'ibyawe. Tekereza kwinjira mu itsinda ry'ababyeyi bashya mu gace utuyemo.
Reka kandi twige ku buryo bwo kuvura bwuzuzanya n'ubundi buryo bwo kuvura.
Ushobora kudashaka gufata imiti, cyane cyane niba wonsa. Niba ari uko bimeze, ushobora kuvugana na muganga wawe ku bijyanye n'ubu buryo bundi. Ariko ibuka ko niba ukoresha iyi miti mu buryo bwongera ku buvuzi cyangwa aho kuyikoresha, ugomba gushaka inama kwa muganga wawe.
- Yoga: Dukurikije ubushakashatsi bumwe, ababyeyi barenga 75% bafite ikibazo cyo kwiheba bakoraga yoga kabiri mu cyumweru barushijeho kugira imibereho myiza.
- Massage: Ubushakashatsi bumwe bwagaragaje ko massage ishobora kugabanya ibimenyetso bya PPD.
- Imyitozo yo kuruhuka: Ushobora kwiga gutuza binyuze mu bintu nk'imyitozo yo guhumeka cyane no gukoresha amashusho ayobora.
- Gutekereza: Gutekereza bigufasha gushyira ubwenge bwawe ku gihe kiri imbere no kureka ibitekerezo bidakenewe. Ibi bishobora kandi gufasha kugabanya kwiheba.
Ibisubizo by'inyongeramusaruro z'ibimera nka St. John's wort biravangwa. Imiti ikoreshwa mu gutera acupuncture n'imiti yoroheje ntibiragaragara ko bigira ingaruka ku ndwara ya PPD.
Ubutumwa bwo kujyana mu rugo
- Kwiheba nyuma yo kubyara si intege nke zawe, ni indwara isaba kuvurwa.
- Niba wumva ubabaye, uhangayitse, cyangwa wihebye nyuma y'ibyumweru birenga bibiri ubyaye, vugana na muganga wawe vuba.
- Iyi ndwara ishobora kuvurwa neza cyane hakoreshejwe imiti n'ubuvuzi bwo mu mutwe.
- Ntukigere utinya gusaba ubufasha umugabo wawe, umuryango wawe n'inshuti zawe.
- Kuruhuka, gusinzira neza, gukora imyitozo ngororamubiri, no gufata umwanya wawe ni ingenzi kugira ngo ukire.











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