Ukuvavanywa koxinzelelo lwasemva kokubeleka

Umxholo

• Yintoni uvavanyo lokudakumba emva kokubeleka?
• Isetyenziselwa ntoni?
• Kutheni le nto ndifuna ukuvavanywa koxinzelelo lwasemva kokubeleka?
• Kwenzeka ntoni ngexesha lokuvavanywa koxinzelelo lwasemva kokubeleka?
• Ngaba kuya kufuneka ndenze nantoni na ukulungiselela ukuhlolwa koxinzelelo lwasemva kokubeleka?
• Ngaba bukhona ubungozi ekuhlolweni?
• Zithetha ntoni iziphumo?
• Ngaba ikhona enye into endifuna ukuyazi malunga nokuvavanywa koxinzelelo lwasemva kokubeleka?
• Izalathiso

Yintoni uvavanyo lokudakumba emva kokubeleka?

Kuqhelekile ukuba neemvakalelo ezixubekileyo emva kokuba nomntwana. Kunye nemincili novuyo, oomama abaninzi abasebatsha baziva bexhalabile, belusizi, becaphuka, kwaye besindwa. Oku kwaziwa ngokuba yi "baby blues." Yimeko eqhelekileyo, echaphazela ukuya kuma-80 ekhulwini oomama abatsha. Iimpawu zeblues yosana zihlala zibangcono kwiiveki ezimbini.

Ukudakumba emva kokubeleka (ukudakumba emva kokuzalwa) kubi kakhulu kwaye kuhlala ixesha elide kunesibeleko somntwana. Abasetyhini abanoxinzelelo lwasemva kokubeleka banokuba neemvakalelo ezinzulu zosizi kunye noxinzelelo. Kunokwenza ukuba kube nzima emfazini ukuzinakekela yena okanye usana lwakhe. Ukuvavanywa koxinzelelo lwasemva kokubeleka kunokunceda ekufumaneni ukuba unale meko.

Ukudakumba emva kokubeleka kudla ngokubangelwa kukutshintsha kwamanqanaba ehomoni. Isengabangelwa zezinye izinto, ezinjengokungabikho kosapho okanye inkxaso yoluntu, ukuba ngumama okwishumi elivisayo, kunye / okanye ukuba nosana olunengxaki zempilo. Uninzi lweziganeko zolu hlobo loxinzelelo zinokunyangwa ngamayeza kunye / okanye ngonyango oluthethwayo.

Amanye amagama: kuvavanyo lwasemva kokubeleka, uvavanyo lwe-EPDS

Isetyenziselwa ntoni?

Uvavanyo lusetyenziselwa ukufumanisa ukuba ngaba umama omtsha unexinzelelo lwasemva kokubeleka. Ugqirha wakho, ugqirha obelekisayo, umbelekisi, okanye umboneleli wokuqala wokukhathalela unokukunika uvavanyo lokudakumba emva kokubeleka njengenxalenye yovavanyo lwasemva kokubeleka okanye ukuba ubonakalisa iimpawu zoxinzelelo olukhulu kwiiveki ezimbini nangaphezulu emva kokubeleka.

Ukuba ukuhlolwa kwakho kubonisa ukuba unokudakumba emva kokubeleka, uninzi ludinga unyango kumboneleli wezempilo yengqondo. Umboneleli ngempilo yengqondo yingcali yokhathalelo lwempilo egxile ekuchongeni nasekunyangeni iingxaki zempilo yengqondo. Ukuba ubusele umbona umboneleli wezempilo yengqondo ngaphambi kokubeleka, unokufumana uvavanyo loxinzelelo ngexesha lokukhulelwa okanye emva kokubeleka.

Kutheni le nto ndifuna ukuvavanywa koxinzelelo lwasemva kokubeleka?

Unokufuna ukuhlolwa koxinzelelo lwasemva kokubeleka ukuba unemingcipheko ethile kunye / okanye ubonakalisa imiqondiso yemeko iiveki ezimbini nangaphezulu emva kokubeleka.

Imiba yomngcipheko woxinzelelo lwasemva kokubeleka ibandakanya:

• Imbali yoxinzelelo
• Ukunqongophala kwenkxaso yosapho
• Ukuzalwa okuninzi (ukuba namawele, kathathu, okanye nangaphezulu)
• Ukuba ngumama okwishumi elivisayo
• Ukuba nosana olunengxaki zempilo

Iimpawu zoxinzelelo lwasemva kokubeleka zibandakanya:

• Ndiziva ndibuhlungu uninzi losuku
• Ukulila kakhulu
• Ukutya kakhulu okanye kancinci
• Ukulala kakhulu okanye kancinci
• Ukurhoxa kusapho kunye nabahlobo
• Ukuziva unqanyulwe kusana lwakho
• Kunzima ukugqiba imisebenzi yemihla ngemihla, kubandakanya nokukhathalela umntwana wakho
• Ukuziva unetyala
• Ukoyika ukuba ngumama ombi
• Uloyiko olugqithisileyo lokuzenzakalisa okanye usana lwakho

Olunye lweempawu ezinzulu zokudakumba emva kokubeleka kukucinga okanye ukuzama ukuzilimaza okanye usana lwakho. Ukuba unayo le ngcinga okanye uloyiko, funa uncedo kwangoko. Zininzi iindlela zokufumana uncedo. Unga:

• Tsalela umnxeba ku-911 okanye kwigumbi lakho likaxakeka lasekuhlaleni
• Shayela umboneleli wakho wezempilo yengqondo okanye omnye umboneleli wezempilo
• Fikelela kumntu omthandayo okanye kumhlobo osenyongweni
• Tsalela umnxeba kwinombolo yomnxeba yokuzibulala. E-United States, ungatsalela umnxeba iNational Suicide Prevention Lifeline kwi-1-800-273-TALK (1-800-273-8255)

Kwenzeka ntoni ngexesha lokuvavanywa koxinzelelo lwasemva kokubeleka?

Umboneleli wakho unokukunika iphepha lemibuzo elibizwa ngokuba yi-Edinburgh Postnatal Depression Scale (EPDS). I-EPDS ibandakanya imibuzo eli-10 malunga neemvakalelo zakho kunye neemvakalelo zoxinzelelo. Unokukubuza eminye imibuzo ukongeza okanye endaweni ye-EPDS. Umboneleli wakho unokuyalela kuvavanyo lwegazi ukufumanisa ukuba isifo, njengesifo se-thyroid, sinokubangela uxinzelelo lwakho.

Ngexesha lokuvavanywa kwegazi, ingcali yokhathalelo lwempilo iya kuthatha isampulu yegazi kumthambo engalweni yakho, usebenzisa inaliti encinci. Emva kokuba inaliti ifakiwe, inani elincinci legazi liya kuqokelelwa kwityhubhu yovavanyo okanye igutyana. Unokuziva uluma kancinci xa inaliti ingena okanye iphuma. Oku kuhlala kuthatha imizuzu engaphantsi kwesihlanu.

Ngaba kuya kufuneka ndenze nantoni na ukulungiselela ukuhlolwa koxinzelelo lwasemva kokubeleka?

Ngokwesiqhelo awudingi malungiselelo akhethekileyo okuvavanywa koxinzelelo lwasemva kokubeleka.

Ngaba bukhona ubungozi ekuhlolweni?

Akukho bungozi bokuba novavanyo lomzimba okanye ukuthatha iphepha lemibuzo.

Mncinci kakhulu umngcipheko wokuvavanywa kwegazi. Unokuba nentlungu encinci okanye ukrakra kwindawo apho inaliti yafakwa khona, kodwa uninzi lweempawu zihamba ngokukhawuleza.

Zithetha ntoni iziphumo?

Ukuba ufunyaniswe unexinzelelo lwasemva kokubeleka, kubalulekile ukuba ufumane unyango ngokukhawuleza. Ukongeza kunyango kunye nokuthetha unyango, iindlela zokuzikhathalela zinokunceda uzive ungcono. Oku kubandakanya:

• Ukucela iqabane lakho okanye omnye umntu omthandayo ukuba ancede ekunyamekeleni umntwana
• Ukuthetha nabanye abantu abadala
• Ukuthatha ixesha lakho elincinci yonke imihla
• Ukwenza umthambo rhoqo
• Ukuphuma phandle uye kufumana umoya omtsha xa imozulu ivumile

Ngaba ikhona enye into endifuna ukuyazi malunga nokuvavanywa koxinzelelo lwasemva kokubeleka?

Uhlobo olunqabileyo kodwa olubi kakhulu lokudakumba emva kokubeleka kuthiwa yi-postpartum psychosis. Abafazi abanesifo sengqondo emva kokubeleka banombono (ukubona okanye ukuva izinto ezingezizo). Banokuba neengcinga ezinobundlobongela kunye / okanye zokuzibulala. Ukuba ufunyaniswe unesifo sengqondo emva kokubeleka, unokufuna ukuba ulaliswe esibhedlele. Amanye amaziko anikezela ngeeyunithi ezijongiweyo ezivumela umama nosana ukuba bahlale kunye. Amayeza, awaziwa ngokuba zii-antipsychotic, angayinxalenye yonyango.

Izalathiso

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Ulwazi olukule ndawo akufuneki lusetyenziswe endaweni yonyango okanye iingcebiso. Nxibelelana nomboneleli wezempilo ukuba unemibuzo malunga nempilo yakho.