Ukucindezeleka Kwangemva Kokubeletha Kungagcina Isikhathi Eside Kangakanani - Futhi Ungakusinciphisa?

-Delile

• Kuyini ukucindezeleka kwangemva kokubeletha?
• Ukudangala kwangemva kokubeletha: Hhayi kuphela abesifazane abanezinsana
• Ukucindezeleka kwangemva kokubeletha kuqala nini?
• Ingabe kukhona ucwaningo mayelana nokuthi i-PPD ihlala isikhathi eside kangakanani?
• Kungani kungahlala isikhathi eside kuwe
• I-PPD ingayithinta kanjani impilo yakho
• Lapho kufanele uxhumane nodokotela
• Wenza kahle
• Ungakuthola kanjani ukukhululeka
• Ukuthatha

Uma ukukhulelwa kuyi-roller coaster engokomzwelo, khona-ke isikhathi sokubeletha singokomzwelo isiphepho, imvamisa kugcwele ukuguquguquka kwemizwa, ukukhala kwezingulube, nokucasuka. Ukubeletha akugcini nje ngokubangela ukuthi umzimba wakho wenze izinguquko ezithile zasendle, kepha futhi uhlala nomuntu omusha endlini yakho.

Zonke lezo zinxushunxushu zingaqala ziholele emizweni yokudabuka, ukucindezeleka, kanye nokukhathazeka kunenjabulo nenjabulo obukade uyilindele. Abantu abaningi bahlangabezana nalezi “baby blues” njengengxenye ejwayelekile yokululama kwangemva kokubeletha, kepha imvamisa iyahamba emavikini ayi-1-2 ngemuva kokubeletha.

Kodwa-ke, omama abasha abasalwela ukwedlula ingqophamlando yamaviki amabili bangaba nokudangala kwangemva kokubeletha (PPD), okubonakala ngezimpawu ezinzima kakhulu ezihlala isikhathi eside kakhulu kunengane eblues.

Ukudangala kwangemva kokubeletha kungahlala izinyanga noma ngisho neminyaka uma kushiywe kungalashwa - kodwa akudingeki ubhekane nakho uthule kuze kube kuyaphela.

Nakhu konke odinga ukukwazi mayelana nokuthi i-PPD ihlala isikhathi esingakanani - nokuthi yini ongayenza ukuze uzizwe ungcono ngokushesha.

Kuyini ukucindezeleka kwangemva kokubeletha?

Ukudangala kwangemva kokubeletha, noma i-PPD, kuyindlela yokudangala emtholampilo eqala ngemuva kokuzalwa kwengane. Izimpawu ezijwayelekile zifaka:

• ukulahlekelwa isifiso sokudla
• ukukhala ngokweqile noma ukukhathala
• ubunzima bokuhlangana nengane yakho
• ukungahlaliseki nokuqwasha
• ukukhathazeka nokwethuka
• ukuzizwa ukhungathekile kakhulu, uthukuthele, ungenathemba, noma unamahloni

Akekho owazi ngokuqinisekile ukuthi yini ebangela i-PPD, kodwa njenganoma yiluphi olunye uhlobo lokudangala, mhlawumbe yizinto eziningana ezahlukahlukene.

Isikhathi sangemva kokubeletha yisikhathi esisengozini kakhulu lapho izimbangela eziningi ezivamile zokucindezeleka kwemitholampilo, njengokushintsha kwezinto eziphilayo, ukucindezeleka okukhulu, nezinguquko ezinkulu empilweni, konke kwenzeka ngasikhathi sinye.

Isibonelo, okulandelayo kungenzeka ngemuva kokubeletha:

• awutholi ukulala okungako
• umzimba wakho ubhekene nokushintshashintsha okukhulu kwamahomoni
• uyalulama emcimbini obonakalayo wokubeletha, okungabandakanya ukungenelela kwezokwelapha noma ukuhlinzwa
• unezibopho ezintsha nezinselele
• ungadumala ngokuthi ukusebenza kwakho nokubeletha kuhambe kanjani
• ungazizwa ukhishwe inyumbazane, unesizungu futhi udidekile

Ukudangala kwangemva kokubeletha: Hhayi kuphela abesifazane abanezinsana

Kuyafaneleka ukukhumbula ukuthi "ukubeletha" ngokuyisisekelo kusho ukubuyela emuva ekubeni ungakhulelwe. Ngakho-ke labo abakhishwe isisu noma ukukhipha isisu nabo bangathola imiphumela eminingi engqondweni nasemzimbeni yokuba sesikhathini sokubeletha, kufaka phakathi i-PPD.

Ngaphezu, abalingani besilisa bangatholakala nabo, nayo. Noma kungenzeka bangazitholi izinguquko zomzimba ezilethwa ukubeletha, banolwazi oluningi lwezindlela zokuphila. I-A isikisela cishe amaphesenti ayishumi obaba abatholakala ukuthi bane-PPD, ikakhulukazi phakathi kwezinyanga ezintathu nezingu-6 ngemuva kokuzalwa.

Okuhlobene: Kubaba omusha one-postpartum depression, awuwedwa

Ukucindezeleka kwangemva kokubeletha kuqala nini?

I-PPD ingaqala ngokushesha nje lapho ubeletha, kodwa mhlawumbe ngeke ukubone ngaso leso sikhathi ngoba kubhekwa njengokujwayelekile ukuzizwa udabukile, uphelelwe amandla, futhi ngokuvamile “kuphuma ezinhlotsheni” phakathi nezinsuku zokuqala ezimbalwa ngemuva kokufika kwengane. Kungenzeka kungaze kube ngemuva kwesikhathi esivamile somntwana oluhlaza okwesibhakabhaka okufanele ngabe sesidlulile lapho ubona khona ukuthi kukhona okubi kakhulu okwenzekayo.

Isikhathi sokubeletha ngokuvamile sifaka phakathi amasonto okuqala angama-4-6 emva kokuzalwa, futhi amacala amaningi e-PPD aqala ngaleso sikhathi. Kepha i-PPD nayo ingakhula ngesikhathi sokukhulelwa kuze kube unyaka ongu-1 ngemuva ukubeletha, ngakho-ke ungayinciphisi imizwa yakho uma kwenzeka ngaphandle kwesikhathi esijwayelekile sangemva kokubeletha.

Ingabe kukhona ucwaningo mayelana nokuthi i-PPD ihlala isikhathi eside kangakanani?

Ngoba i-PPD ingavela noma kuphi kusuka emavikini ambalwa kuye ezinyangeni eziyi-12 ngemuva kokuzalwa, abukho ubude besikhathi obuhlala isikhathi eside. Ukubuyekezwa kwezifundo zika-2014 kuphakamisa ukuthi izimpawu ze-PPD ziyathuthuka ngokuhamba kwesikhathi, kanti amacala amaningi wokucindezeleka axazulula izinyanga ezi-3 kuya kwezi-6 ngemuva kokuqala.

Lokho kusho ukuthi, kulokho kubuyekezwa okufanayo, bekusobala ukuthi iningi labesifazane lisabhekene nezimpawu ze-PPD ngaphezu kwesikhathi sezinyanga eziyi-6. Noma ikuphi kusuka kuma-30% -50% amaphesenti ahlangabezane nenqubo ye-PPD 1 ngonyaka ngemuva kokubeletha, kuyilapho abangaphansi kwesigamu sabesifazane abafundile besabika izimpawu zokudangala iminyaka ukubeletha.

Kungani kungahlala isikhathi eside kuwe

Umugqa wesikhathi we-PPD wehlukile kuwo wonke umuntu. Uma unezici ezithile zobungozi, ungathola ukuthi i-PPD yakho ihlala isikhathi eside ngokwelashwa. Ubukhulu bezimpawu zakho nokuthi ubenezimpawu ezingakanani ngaphambi kokuqala ukwelashwa kungathinta ukuthi i-PPD yakho ihlala isikhathi esingakanani.

Izici zobungozi zifaka:

• umlando wokudangala noma okunye ukugula kwengqondo
• ubunzima bokuncelisa
• ukukhulelwa noma ukubeletha okuyinkimbinkimbi
• ukuntuleka kokusekelwa okuvela kumlingani wakho noma amalungu omndeni nabangane
• ezinye izinguquko ezinkulu empilweni ezenzeka ngesikhathi sokubeletha, njengokuhamba noma ukulahleka komsebenzi
• umlando we-PPD ngemuva kokukhulelwa kwangaphambilini

Ayikho ifomula yokunquma ukuthi ngubani ozohlangabezana ne-PPD nokuthi ngubani ongeke, noma izothatha isikhathi esingakanani. Kepha ngokwelashwa okulungile, ikakhulukazi uma kutholwa kusenesikhathi, ungathola ukukhululeka noma ngabe unalezi zinto eziyingozi.

I-PPD ingayithinta kanjani impilo yakho

Usuyazi vele ukuthi i-PPD ikudalela izimpawu ezinzima, futhi ngeshwa ingathinta nobudlelwano bakho. Lokhu akulona iphutha lakho. (Funda lokho futhi, ngoba sisho lokho.) Yingakho kuyisizathu esihle sokuthola ukwelashwa futhi unciphise isikhathi sokudangala kwakho.

Ukucela usizo kuhle kuwe nobudlelwano bakho, kufaka phakathi nalabo abane:

• Umlingani wakho. Uma uhoxile noma uhlukanisiwe, ubudlelwano bakho nomlingani wakho bungathinteka. Ngokusho kwe-American Academy of Pediatrics (AAP), lapho umuntu ene-PPD, umlingani wakhe uba namathuba aphindwe kabili okuyihlakulela.

• Umndeni wakho nabangane. Abanye abantu obathandayo bangasola ukuthi kukhona okungahambi kahle noma bazi ukuthi awuzenzi njengawe, kepha kungenzeka bangazi ukuthi bangakusiza kanjani noma baxhumane nawe. Leli banga lingadala imizwa eyengeziwe yesizungu kuwe.

• Ingane yakho (ren). I-PPD ingathinta ubudlelwane bakho obukhulayo nengane yakho. Ngaphandle kokuthinta indlela onakekela ngayo ingane yakho ngokomzimba, i-PPD ingathinta inqubo yokubopha umama nengane ngemuva kokuzalwa. Kungadala nomonakalo ebudlelwaneni bakho obukhona nezingane ezindala.

Abanye abacwaningi baze bakholelwe ukuthi i-PPD kamama ingaba nemiphumela yesikhathi eside ekukhuleni kwengane yakhe kwezenhlalo nangokomzwelo. Kutholwe ukuthi izingane zomama abane-PPD maningi amathuba okuthi babe nezinkinga zokuziphatha njengezingane ezincane kanye nokudangala njengabasha.

Lapho kufanele uxhumane nodokotela

Uma ungazizwa ungcono amasonto ama-2 ngemuva kokubeletha, thintana nodokotela wakho. Ngenkathi uzokhishelwa i-PPD ekuqokweni kwakho kwangemva kokubeletha kwamaviki ayisithupha, akudingeki ulinde isikhathi eside kangako. Eqinisweni, ukwenza kanjalo kungakwenza kuthathe isikhathi eside ukuthi i-PPD yakho ibengcono.

Ngemuva kwamasonto amabili, uma usabhekene nemizwa enamandla, kungenzeka ukuthi akuyona i- "baby blues" Ngandlela thile, lokho kuyizindaba ezinhle: Kusho ukuthi ungenza okuthile ngendlela ozizwa ngayo. Akudingeki ukuthi "ulinde."

Lapho ucela usizo, thembeka ngangokunokwenzeka. Siyazi ukuthi kunzima ukukhuluma ngemizwa engemihle ehlotshaniswa nobuzali obusha, futhi kungasabisa ukuveza ukuthi ulwa kangakanani. Kodwa-ke, lapho uvuleka ngokwengeziwe nge-PPD yakho, kuba ngcono - futhi kusheshe - umhlinzeki wakho azokwazi ukukusiza.

Wenza kahle

Khumbula, awunacala nge-PPD yakho. Umhlinzeki wakho ngeke acabange ukuthi ungumzali "omubi" noma obuthakathaka. Kudinga amandla ukufinyelela, futhi ukucela usizo kuyisenzo sothando - kuwena nomndeni wakho.

Ungakuthola kanjani ukukhululeka

Awukwazi ukusebenzisa i-PPD ngokwakho - udinga ukwelashwa kwezempilo nokwelashwa kwengqondo. Ukuyithola ngokushesha kusho ukuthi uzokwazi ukuqhubeka umthande futhi unakekele ingane yakho ngokusemandleni akho.

Kunezinketho eziningi zokwelashwa kwe-PPD, futhi kungadingeka ukuthi usebenzise isu elingaphezu kwelilodwa. Kukhona nezinguquko zendlela yokuphila ezingenza ukutakula kuhambe ngokushesha. Ungayeki uze uthole inhlanganisela yokwelashwa okukusebenzelayo. Ukukhululwa okuvela ku-PPD kungenzeka ngokungenelela okulungile.

• Izidambisi. Umhlinzeki wakho anganquma i-serotonin reuptake inhibitor ekhethiwe (SSRI) yokwelapha ukudangala kwakho. Kunama-SSRI amaningana atholakalayo. Udokotela wakho uzosebenzisana nawe ukuthola eyodwa ephatha kahle kakhulu izimpawu zakho ngemiphumela emibi kakhulu. Ama-SSRI amaningi ayahambisana nokuncelisa, kodwa qiniseka ukuthi umhlinzeki wakho uyazi ukuthi ungumhlengikazi yini ukuze bakwazi ukukhetha imithi efanele kanye nomthamo.
• Ukwelulekwa. Ukwelashwa kokuziphatha kwengqondo (CBT) kuyisu eliphambili lokwelapha ukucindezeleka, kufaka phakathi izimpawu ze-PPD. Uma udinga usizo lokuthola umhlinzeki endaweni yakho, ungasesha eyodwa lapha.
• Ukwelashwa kweqembu. Kungakusiza ukuthi wabelane ngolwazi lwakho nabanye abazali abake baba ne-PPD.Ukuthola iqembu lokusekela, kungaba mathupha noma ku-inthanethi, kungaba yindlela yokuphila ebalulekile. Ukuze uthole iqembu losekelo le-PPD endaweni yakho, zama ukusesha ngezwe lapha.

Ukuthatha

Amacala amaningi we-PPD ahlala izinyanga ezimbalwa. Ukudangala kuthinta umzimba wakho wonke - hhayi ubuchopho bakho kuphela - futhi kuthatha isikhathi ukuzizwa ufana nawe futhi. Ungalulama ngokushesha ngokuthola usizo lwe-PPD yakho ngokushesha okukhulu.

Siyazi ukuthi kunzima ukufinyelela lapho udonsa kanzima, kodwa zama ukuxhumana nomlingani wakho, ilungu lomndeni elithembekile noma umngane, noma umhlinzeki wakho wezokunakekelwa kwezempilo uma ucabanga ukuthi ukudangala kwakho kuthinta izinga lakho lempilo noma ikhono lakho lokunakekela ingane. Ngokushesha uthola usizo, ngokushesha uzozizwa ungcono.

Uma wena noma othile omaziyo ecabanga ukuzibulala, awuwedwa. Usizo luyatholakala njengamanje:

• Shayela ku-911 noma inombolo yakho ephuthumayo yasendaweni, noma uvakashele igumbi lezimo eziphuthumayo.
• Shayela iNational Suicide Prevention Lifeline amahora angama-24 ngosuku ngo-800-273-8255.
• Thumela u-HOME ku-Crisis Textline ku-741741.
• Hhayi eU.S. Thola umugqa wosizo ezweni lakho nge-Befrienders Emhlabeni Wonke.

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