Ukudangala kwangemva kokubeletha

Ukucindezeleka kwangemva kokubeletha kungaphakathi kuya kokucindezeleka okukhulu kowesifazane ngemuva kokubeletha. Kungenzeka ngemuva kokulethwa noma kuze kube unyaka. Isikhathi esiningi, kwenzeka ezinyangeni ezi-3 zokuqala ngemuva kokubeletha.

Izimbangela eziqondile zokucindezeleka kwangemva kokubeletha azaziwa. Izinguquko emazingeni ama-hormone ngesikhathi nangemva kokukhulelwa zingathinta imizwa yowesifazane. Izici eziningi ezingezona ezomzimba nazo zingathinta imizwa phakathi nalesi sikhathi:

• Izinguquko emzimbeni wakho kusukela ekukhulelweni nasekulethweni
• Izinguquko emsebenzini nakubudlelwano bezenhlalo
• Ukuba nesikhathi esincane nenkululeko yakho
• Ukungalali
• Ukukhathazeka ngekhono lakho lokuba ngumama omuhle

Ungaba nethuba eliphakeme lokudangala kwangemva kokubeletha uma:

• Bangaphansi kweminyaka engu-25
• Njengamanje sebenzisa uphuzo oludakayo, thatha izinto ezingekho emthethweni, noma ubheme (nakho lokhu kudala izingozi zezempilo ezinganeni.
• Bengingakuhlelanga ukukhulelwa, noma ngibe nemizwa exubile mayelana nokukhulelwa
• Ubunokudangala, isifo se-bipolar, noma ukukhathazeka ngaphambi kokukhulelwa kwakho, noma ngokukhulelwa okudlule
• Ube nomcimbi ocindezelayo ngesikhathi sokukhulelwa noma sokubeletha, kufaka phakathi ukugula komuntu, ukufa noma ukugula kothandekayo, ukulethwa okunzima noma okuphuthumayo, ukulethwa ngaphambi kwesikhathi, noma ukugula noma ukukhubazeka kokuzalwa enganeni
• Yiba nelungu lomndeni eliseduze elibe nokudangala noma ukukhathazeka
• Yiba nobudlelwano obubi nomunye wakho obalulekile noma ongashadile
• Yiba nezinkinga zemali noma ezezindlu
• Ukuxhaswa okuncane okuvela emndenini, kubangani, noma kumlingani wakho noma kumlingani wakho

Imizwa yokukhathazeka, ukucasuka, ukukhala, nokungazethembi kuvamile evikini noma amabili ngemuva kokukhulelwa. Le mizwa ivame ukubizwa nge-postpartum noma "baby blues." Cishe njalo ziyahamba kungekudala, ngaphandle kwesidingo sokwelashwa.

Ukucindezeleka kwangemva kokubeletha kungenzeka lapho i-baby blues ingapheli noma lapho izimpawu zokucindezeleka ziqala inyanga eyodwa noma ngaphezulu ngemuva kokubeletha.

Izimpawu zokudangala kwangemva kokubeletha ziyefana nezimpawu zokucindezeleka ezenzeka ngezinye izikhathi empilweni. Kanye nesimo esidabukisayo noma esidangele, ungaba nezinye zalezi zimpawu ezilandelayo:

• Ukuyaluza noma ukucasuka
• Izinguquko ekudleni
• Ukuzizwa ungelutho noma unecala
• Uzizwa sengathi uhoxisiwe noma awuxhunyiwe
• Ukungabi nenjabulo noma intshisekelo kokuningi noma kuyo yonke imisebenzi
• Ukulahlekelwa kokuhlushwa
• Ukuphela kwamandla
• Izinkinga zokwenza imisebenzi ekhaya noma emsebenzini
• Ukukhathazeka okuphawulekayo
• Imicabango yokufa noma ukuzibulala
• Inkinga yokulala

Umama onokudangala kwangemva kokubeletha naye anga:

• Behluleka ukuzinakekela yena noma ingane yakhe.
• Saba ukuhlala wedwa nengane yakhe.
• Yiba nemizwa engemihle ngengane noma ucabange nangokuyilimaza ingane. (Yize le mizwa isabisa, cishe ayikaze isetshenzwe. Noma kunjalo kufanele utshele udokotela wakho ngayo ngokushesha.)
• Khathazeka kakhulu ngomntwana noma awunantshisekelo enganeni.

Asikho isivivinyo esisodwa sokuthola ukucindezeleka kwangemva kokubeletha. Ukuxilongwa kusekelwe kwizimpawu ozichaza kumhlinzeki wakho wezokunakekelwa kwempilo.

Umhlinzeki wakho anga-oda ukuhlolwa kwegazi ukuze kuhlolwe izimbangela zezokwelapha zokucindezeleka.

Umama omusha onezimpawu zokucindezeleka kwangemva kokubeletha kufanele axhumane nomhlinzeki wakhe ngokushesha ukuze athole usizo.

Nawa amanye amathiphu:

• Cela umlingani wakho, umndeni, nabangane usizo ngezidingo zengane nasekhaya.
• Ungayifihli imizwa yakho. Khuluma ngazo nomlingani wakho, umndeni, nabangane.
• Ungenzi ushintsho olukhulu empilweni ngesikhathi sokukhulelwa noma ngemuva nje kokubeletha.
• Ungazami ukwenza okuningi kakhulu, noma ukuphelela.
• Yenza isikhathi sokuphuma, uvakashele abangane, noma uchithe isikhathi wedwa nomlingani wakho.
• Phumula ngangokunokwenzeka. Lala lapho ingane ilele.
• Khuluma nabanye omama noma ujoyine iqembu lokusekela.

Ukwelashwa kokucindezeleka ngemuva kokuzalwa kuvame ukufaka umuthi, ukwelashwa kokukhuluma, noma kokubili. Ukuncelisa ibele kuzodlala indima kulokho umuthi umhlinzeki wakho akutusayo. Ungathunyelwa kuchwepheshe wezempilo yengqondo. Ukwelashwa kokuziphatha kwengqondo (CBT) kanye nokwelashwa kwabantu (IPT) yizinhlobo zokwelashwa kokukhuluma okuvame ukusiza ukucindezeleka kwangemva kokubeletha.

Amaqembu okusekela angasiza, kepha akufanele athathe indawo yomuthi noma yokwelapha uma unokudangala kwangemva kokubeletha.

Ukuthola ukusekelwa okuhle kwezenhlalo okuvela emndenini, kubangani, nakubantu osebenza nabo kungasiza ekwehliseni ubucayi bokucindezeleka kwangemva kokubeletha.

Imithi nokwelashwa kokukhuluma kunganciphisa ngempumelelo noma kuqede izimpawu.

Uma kungalashwa, ukucindezeleka kwangemva kokubeletha kungahlala izinyanga noma iminyaka.

Izinkinga ezingaba khona zesikhathi eside ziyefana nokucindezeleka okukhulu. Ukudangala okungalashwa ngemuva kokubeletha kungakubeka engcupheni yokuzilimaza wena noma ingane yakho.

Shayela umhlinzeki wakho uma unokunye kwalokhu okulandelayo:

• I-blues yengane yakho ayipheli ngemuva kwamasonto amabili
• Izimpawu zokucindezeleka ziba namandla kakhulu
• Izimpawu zokucindezeleka ziqala nganoma yisiphi isikhathi ngemuva kokubeletha, noma izinyanga eziningi kamuva
• Kunzima kuwe ukwenza imisebenzi emsebenzini noma ekhaya
• Awukwazi ukuzinakekela wena noma ingane yakho
• Unemicabango yokuzilimaza wena noma ingane yakho
• Uthuthukisa imicabango engasuselwa eqinisweni, noma uqala ukuzwa noma ukubona izinto abanye abantu abangazenzi

Ungesabi ukufuna usizo zisuka uma uzizwa ukhungathekile futhi wesaba ukuthi ungalimaza ingane yakho.

Ukuthola ukusekelwa okuhle kwezenhlalo okuvela emndenini, kubangani, nakubantu osebenza nabo kungasiza ekwehliseni ubucayi bokudana kwangemva kokubeletha, kepha kungahle kungakuvimbeli.

Abesifazane ababenokudangala kwangemva kokubeletha ngemuva kokukhulelwa kwangaphambilini bangase babe mancane amathuba okuthi baphinde babe nengcindezi yangemva kokubeletha uma beqala ukuthatha imishanguzo yokulwisana nokudangala ngemuva kokuletha. Ukwelashwa kokukhuluma nakho kungasiza ekuvimbeleni ukucindezeleka.

Ukudangala - postpartum; Ukudangala kwangemva kokubeletha; Ukuphendula kwengqondo ngemuva kokubeletha

I-American Psychiatric Association. Izinkinga zokucindezeleka. Incwajana Yokuhlola Nezibalo Yezinkinga Zengqondo. Umhlaka 5. I-Arlington, VA: Ukushicilelwa Kwe-Psychiatric yaseMelika, i-2013: 155-233.

Ama-nonacs RM, uWang B, iViguera AC, uCohen LS. Ukugula kwengqondo ngesikhathi sokukhulelwa nangemva kwesikhathi sokubeletha. Ku: Stern TA, Fava M, Wilens TE, Rosenbaum JF, ama-eds. IMassachusetts General Hospital Comprehensive Clinical Psychiatry. Okwesibili. IPhiladelphia, PA: Elsevier; 2016: isahluko 31.

Siu AL; I-US Preventive Services Task Force (USPSTF), ama-Bibbins-Domingo K, et al. Ukuhlolwa kwengcindezi kubantu abadala: Isitatimende sezincomo se-US Preventive Services Task Force. JAMA. 2016; 315 (4): 380-387. I-PMID: 26813211 pubmed.ncbi.nlm.nih.gov/26813211/.