I-Baby Blues vs Postpartum Major Depressum vs Postpartum Psychosis
Usenokuba uve ukuba kukho iintlobo ezahlukeneyo zokudandatheka, emva kokuba usenokuziva uhlelwe kwiindawo zokutshatyalaliswa emva kokubeleka kwaye uzibuze ukuba kuyinto eqhelekileyo yeblues okanye endaweni yokudandatheka. Yintoni oyifunayo ukuba uyazi malunga neempawu zokudakumba nokunyameka emva kokubeleka? Kutheni kubalulekile ukuba uqaphele ukudandatheka kwangemva kokubeleka kunye nengqondo yengqondo?
Iintlobo ezahlukeneyo zokudandatheka kwePostpartum
Abantu abaninzi bacinga ukuba ukuxinezeleka kwangemva kokubeleka kukunye, imeko ecacileyo. Inyaniso kukuba kukho ezininzi iimpawu eziluhlaza. Iindidi zesifo sokudandatheka zihamba kwiindawo ezininzi zobunzima, ukusuka kwi-baby blues epholileyo ukuya kwixinzelelo oluphambili lwe-post-psychosis.
Baby Blues
Xa sithetha ngo "blues blues" sithetha i-short-term, i-milder type of depression postression. Ubantwana blues bafumana ama-30 ekhulwini ukuya kuma-80 ekhulwini kubo bonke oomama abatsha. Iimpawu zivame ukuqala kwiintsuku ezintathu ukuya kwezilishumi zokuhanjiswa kwaye zihlala zihamba ezimbini ukuya kwiiveki ezintathu emva kokuhamba.
Iimpawu ziquka ukuxhalaba, ukukhala, ukulala, ukudinwa, ukukhathazeka nokudakumba. Ngeli xesha, abasetyhini banokuvakalelwa ngokukhawuleza ukuba abanakukwazi ukujongana nokunyamekela umntwana kungakhathaliseki ukuba balungele njani njengomama. Ngethamsanqa, iimpawu zihlala zifutshane.
Ixesha elifutshane emva kokubeleka lixesha elide lokubambela abafazi abaninzi emva kweenyanga ezili-10 zokukhulelwa.
Ukwamkela uncedo, ukuthetha nabanye abesifazana abaye "belapho" kwaye ngokukodwa ukuphuma kwindlu kunye nokutshintsha kweendawo kunokuba luncedo kakhulu.
I-Postpartum Major Depression
Ngokungafani ne-baby blues, ukuxinezeleka okukhulu kwe-postpartum-engamava malunga neepesenti ezili-10 yabasetyhini abaye bazala-kuhlakulela ukuphuhlisa ezintathu okanye ngaphezulu kweeveki emva kokunikezelwa, kwaye iyakwenzeka nanini na ukude umntwana wakho uneminyaka elilodwa.
Izimpawu zeempawu zomeleleyo kwaye zihlala zide.
Iimpawu zingabandakanya:
- Ukukhala
- Iingxaki ngokugxininisa
- Unzima ukwenza izigqibo
- Iimvakalelo zokungafaneleki (ixesha elide lihlala njalo nelo blues baby)
- Buhlungu
Abanye besetyhini bafumana iingcamango zokuzibulala .
Izimpawu zomzimba ezifana ne-hypothyroidism-kuquka ukukhathazeka kubanda, ukucotha ukucinga, ukhathala, isikhumba esomileyo, ukugcinwa kwamanzi kunye nokuziqhayisa-kunokufumana.
Ukuba ukholelwa ukuba unokudakumba, kufuneka kubone ugqirha wakho ngokukhawuleza. Kubaluleke kakhulu ukuba ufumane uncedo lobugcisa, nangona ungaqinisekanga ukuba unesixinzezelekileyo okanye uhlangabezana nexesha elide lomntwana. Okubuhlungu kukuba, kuphela i-15 ekhulwini yabasetyhini abanexinzelelo be-postpartum bafumana unyango, kwaye unyango lungenza umehluko omkhulu kumgangatho wakho wobomi kunye nomntwana wakho.
Unyango lunokubandakanya imishishini, i-psychotherapy, amaqela okuxhasa, kunye nokunye. Uphando oluninzi lufumene ukuba umzimba unokunciphisa iimpawu zokudandatheka kwe-postpartum.
I-Postpartum Support International inikezela ngomnxeba wamahhala, iqela lokuxhasa i-intanethi, iiseshoni zeefowuni ezihlala zikhululekile kunye neengcali kunye nabaququzeleli abanokukunceda ukuxhuma kunye nabanikezeli kwiindawo zenu iiyure ezingama-24 ngosuku.
Postpartum Psychosis
Ngamanye amaxesha kuthiwa yi-puerperal psychosis okanye i-postpartum depress psychotic depression , olu hlobo lokudakumba kwengcinezelo luya kukhula kwi-1 ukuya kweyibini kwi-1 000 yabasetyhini.
I-postpartum psychosis iqala kuqala ngaphaya kokudakumba kokuqala, emva kweeveki zokuqala emva kokubeletha. Kukho intsiba yesibili kwimiba ethile emva kweenyanga ezintathu emva kokunikezelwa.
I-postpartum psychosis inokubakho ngaphambi kokuphazamiseka, ukudideka, iingxaki zememori, ukukhungatheka, ukugqithisa ukulala, nokuxhalabisa.
I-postpartum psychosis ihluke kwixinzelelo emva kokuphuma kwintlungu ngenxa yobukhohlisi (izinto ezinokholo ezingenakwenyani) kunye / okanye iingcamango (ukuva izinto okanye ukubona izinto ezingekho.) Ezinye iimpawu zingabandakanya iingcamango ezingenakulungiswa kunye nokuphendula okungalunganga okanye ukungathandeki komntwana womntwana.
Izimpawu ze-postpartum ze-psychosis zingatshintsha ngokukhawuleza, kunye namaxesha omxholo ophakanyisiweyo ngokukhawuleza olandelwa kukudabuka okanye ukufutheka. Iimviwo zexesha eliqhelekileyo ziqhelekileyo kwaye akusiyo impawu zokubuyisela. Nangona i-retro ingase ivele ngokukhawuleza, kuqhelekile ukuba i-psychosis postpartum iguquke kwi-depression.
Abasetyhini abane-psychosis emva kokuzalwa komntwana omnye basengozini yokufumana ingqondo yengqondo kwakhona ngokukhulelwa okulandelayo; ubuncinane ama-40 ekhulwini kwabasetyhini baya kuba nokuphindaphinda ngokuzalwa kwabo ngokuzayo.
Unyango lunokubandakanya ukulaliswa esibhedlele, unyango kunye noncedo ekunakekeleni umntwana. KwabaseTyhini abaye bafumana i-psychosis postpartum epilisi ngexesha elidlulileyo, ngamanye amaxesha isifo se-hormone se-postpartum sisetyenziswa.
Ukukhathazeka kwePostpartum
Ukukhathazeka okuxhalabisayo kuqhelekileyo emva kokubeletha kwaye kuthintela kuma-15 ekhulwini kwabasetyhini emva kokubeleka. Unokufumanisa ukuba ukhathazeke kakhulu ufumana kunzima ukunyamekela umntwana wakho okanye ubonakala engenakho ukutya okanye ukulala. Abanye abasetyhini bafumana besaba ukuba baya kulimaza umntwana wabo. Iziphazamiso ezikhethekileyo ezinokuthi zenzeke emva kwesikhatho ziquka ukukhathazeka ngokubanzi, ukuphazamiseka okunyanzelekileyo , kunye nokuhlaselwa ngumsindo .
Ukubaluleka kokuQaphela iziganeko zeMpilo yengqondo emva kwePartpartum
Akukho mntu oqinisekileyo ukuba kutheni abafazi bafumana abantwana blues kwaye ngezinye iinkxwaleko emva kokuzalwa komntwana. Kuya kubonakala ukuba eli lixesha apho kufuneka ube nolonwabo ngakumbi, kunye nexesha apho unako ukukwazi ukuhlawula phantsi kwiindawo zokulahla.
Kungakhathaliseki ukuba yiyiphi isizathu, siyazi ukuba ezi ngxaki ziyanciphisa ubunjani bakho bomgangatho ubomi kodwa zinokuba nzima kakhulu ukuba zingasongela ubomi. Ukuba uyazibuza nokuba unokuba uhlangabezana noxinzelelo lwangemva kokusasazeka okanye uxhalaba lwangemva, yenza ixesha lokuqhagamshelana nomthandabuzi wakho ngokukhawuleza. Unyango olukhoyo lusebenza kakhulu. I-postpartum ye-psychosis yimeko enzulu kwaye ifike ngokukhawuleza. Ukuba wena okanye wakho othandekayo ufumana iingcamango okanye i-hallucinations postpartum, funa unyango ngokukhawuleza.
Izibonelelo ezininzi, kubandakanywa nomnxeba ongentla, ziyafumaneka nanini na imini. Unganqikazi ukuthetha nomntu, nokuba ucinga ukuba ngumntwana nje .
> Imithombo:
> Cunningham, F. Gary, noJohn Whitridge Williams. Williams Obstetrics. ENew York: iMicrora-Hill Hill Medical, 2014. Print.
> Povatos-Leon, R., Garcia-Hermoso, A., Sanabria-Martinez, G. et al. Iimiphumo zoLungiso olusisiseko-sisekeke kwiCapression Depression: I-Meta-Uhlalutyo lwezilingo ezilawulwe ngokungaqhelekanga. Ukuzalwa . 44 (3): 200-208.
> VanderKruik, R., Barreix, M., Chou, D. et al. Ukubaluleka koMhlaba we-Postpartum Psychosis: Uhlolo lokuHlola. BMC Psychiatry . 2017. 17 (1): 272.