Kutheni abanye ababhinqileyo benokuthi bachaphazeleke ngakumbi ngokwebhayoloji kuxinzelelo lwasemva kokubeleka

Umxholo

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Xa uChrissy Teigen watyhila Ubuhle Ukuba wayenengxaki yoxinzelelo lwasemva kokubeleka (PPD) emva kokubeleka intombi uLuna, wazisa enye into ebalulekileyo yezempilo yabasetyhini ngaphambili nakwiziko. (Sele siyithandayo * supermodel yokuyixela njengokuba injalo xa isiza kwizihloko ezinje ngomzimba, inkqubo ye-IVF, kunye nokutya kwakhe. Abasetyhini base-US, ngokweCenters for Disease Control and Prevention (CDC). Kwaye abaphandi baqikelela ukuba kuphela iipesenti ezili-15 zabasetyhini abachaphazelekayo abafumana unyango. Ke thina kufanele thetha ngayo.

Kungenxa yoko le nto simile ukuze sibone uphando lwamva nje oluvela kwiYunivesithi yaseJohn Hopkins. Ibonisa ukuba ukuba namanqanaba aphezulu e-anti-ixhala le-hormone ngalo lonke ixesha lokukhulelwa-ngakumbi ikota yesibini-inokukhusela oomama kungekudala kwi-PPD. Eyona nto ibhetele, nangona kunjalo, kukuba ezi zinto zifunyanisiweyo zingakhokelela kuvavanyo kunye nonyango olunceda ukukhusela imeko. (Inqaku elisecaleni: Ngaba ubusazi ukuba i-epidural inokwehlisa umngcipheko wakho wePPD?)

Kwisifundo, epapashwe ngo I-Psychoneuroendocrinology, abaphandi balinganisa amanqanaba e-allopregnanolone, eyi-byproduct ye-hormone yokuzala iprogesterone eyaziwayo ngokuzola kwayo, impembelelo yokuchasana nokuxhalaba. Bajonge kuma-60 kungekudala-oomama ababeye bafumanisa ukuba banesifo sengqondo (cinga: ukudakumba okukhulu okanye ukuphazamiseka kwengqondo), kwaye bavavanya amanqanaba abasetyhini kwi-trimester yabo yesibini neyesithathu. Emva kokuba ababhinqileyo bezele, abaphandi bafumanise ukuba abo banamazinga asezantsi e-allopregnanolone ngexesha lekota yesibini yesibini kunokwenzeka ukuba bafumane i-PPD kunabasetyhini abanamanqanaba aphezulu ehomoni ngeli xesha linye.

"I-Allopregnanolone ilinganiswa nge-nanogram nge-milliliter nganye (ng / mL), kwaye kuyo yonke i-ng / mL eyongezelelweyo, umntu obhinqileyo wehla nge-63 yepesenti kumngcipheko we-PPD, utshilo umbhali ofundayo uLauren M. Osborne, MD, umncedisi womlawuli IZiko laBasetyhini lokuPhazamiseka kweMood kwiJohns Hopkins University School of Medicine.

Ngexesha lokukhulelwa, zombini i-progesterone kunye ne-allopregnanolone ngokwemvelo iphakama ngokuthe ngcembe kwaye emva koko iphazamiseke ekubelekeni, kuchaza u-Osborne. Ngeli xesha, obunye ubungqina bubonisa ukuba inani leprogesterone ewela phantsi kwi-allopregnanolone inokuncipha ekupheleni kokukhulelwa. Ke iyavakala, ke, ukuba unamanqanaba asezantsi e-allopregnanolone adadayo kwinkqubo yakho kanye phambi kokuzalwa-kwaye ube namava okumiswa kweehomoni ngexesha lokubeleka-ukuba amanqanaba akho okuxhalaba anganyuka kwaye akwenze ube sesichengeni ngakumbi kwiPPD, leyo ixhala luphawu oluqhelekileyo. (Kwaye, ngakumbi-kufuneka ukwazi iinyani malunga ne-PPD.)

U-Osborne uthi uphando aluphenduli ngokupheleleyo umbuzo wokuba kutheni i-allopregnanolone ikwazi ukukhusela i-PPD, "kodwa sinokuqikelela ukuba mhlawumbi amanqanaba aphantsi kwi-trimester yesibini abandakanyeka kuluhlu lweziganeko ezikhokelela kwi-PPD-mhlawumbi ii-receptors zengqondo, okanye amajoni omzimba, okanye enye inkqubo esingakhange siyicinge. "

Ukwaphawula ukuba abanye abantu basetyhini banokuchaphazeleka lula kwi-PPD ngenxa yamanqanaba asele esezantsi e-allopregnanolone ngaphandle kokukhulelwa, njengoko ubungqina bubonisa unxibelelwano phakathi kwamanqanaba asezantsi ehomoni kunye noxinzelelo. (Eyeleleneyo: Nantsi imithambo emihlanu enokukunceda ekulungiseleleni ukubeleka.)

Oko kwathiwa, akukho mntu ucebisa ukuba uphume uvavanyo lwe-allopregnanolone ukuba unomntwana endleleni (nangona, FWIW, kukho uvavanyo lwegazi kulo). Emva kwayo yonke loo nto, u-Osborne uyavuma ukuba esi sisifundo esincinci esineziphumo zokuqala, ngoko ke kufuneka kugqitywe uphando oluninzi. Ukongeza, yintoni unayo yenziwe iza nemiqolomba. Okokuqala nokuphambili: Olu phononongo lwenziwa kunye neqela labasetyhini abasemngciphekweni omkhulu, endaweni yabo babengenalo oluchongiweyo lwesifo sengqondo. Oko kuthetha ukuba abayazi okwangoku ukuba kuya kufunyanwa iziphumo ezifanayo xa kuhlolisiswa abantu ngokubanzi.

Okwangoku, inika ithemba malunga nokuza kwezempilo kunye nonyango lwabasetyhini. U-Osborne uthi unethemba lokufunda ukuba ingaba i-allopregnanolone ingasetyenziselwa na ukuthintela i-PPD kwabasetyhini abasemngciphekweni, kwaye uJohn Hopkins lelinye lamaziko ambalwa ajonge i-allopregnanolone njengonyango olunokubakho lwe-PPD.

Ke ngelixa izazinzulu zithambekele kuloo nto, ukubheja kwakho okuhle kukujonga imeko yakho. "Phantse bonke abantu basetyhini-malunga nama-80 ukuya kuma-90 epesenti-baya kuba 'neentsana ezingacacanga' [kwaye babe namava] okuguquguquka kwemvakalelo kunye nokulila kwiintsuku zokuqala emva kokuzalwa, utshilo u-Osborne. "Kodwa iimpawu ezihlala iiveki ezimbini nangaphezulu, okanye zinzima kakhulu, zinokubonisa uxinzelelo lwasemva kokubeleka."

Unengxaki yokulala; ukuziva udiniwe; ukukhathazeka ngokweqile (malunga nosana okanye ezinye izinto); ukungabikho kwemvakalelo ngosana; utshintsho lokutya; iintlungu; ukuziva unetyala, ungento yanto, okanye uphelelwe lithemba; ukuziva ucaphukile; ukuba nzima ukugxila; okanye ukucinga ngokuzenzakalisa okanye usana zonke iimpawu ze-PPD, utsho u-Osborne. (Ukongeza, ungaphuthelwa ezi mpawu zintandathu ezifihlakeleyo zemeko.) Ukuba ufumana naziphi na ezo, isiseko sokuthintela kunye nogqirha wakho ngokukhawuleza kuba-isilivere yesilivere!-Osborne uthi i-PPD iphendula kakuhle kakhulu kunyango. Kukho kwakhona i-Postpartum Support International Branch kuwo onke amazwe abo bafuna iinketho ezongezelelweyo.

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