Tlhatlhobo ea khatello ea maikutlo ea Postpartum
Litaba
- Ho hlahlojoa ha khatello ea maikutlo ka mor'a ho pepa ke eng?
- E sebelisetsoa eng?
- Hobaneng ha ke hloka tlhahlobo ea khatello ea maikutlo kamora ho pepa?
- Ho etsahalang nakong ea tlhahlobo ea khatello ea maikutlo kamora 'pelehi?
- Na ho na le seo ke tla hloka ho se etsa ho itokisetsa tlhahlobo ea khatello ea maikutlo kamora ho pepa?
- Na ho na le likotsi tsa ho hlahlojoa?
- Liphetho li bolelang?
- Na ho na le eng kapa eng eo ke hlokang ho e tseba ka ho hlahlojoa ha khatello ea maikutlo kamora ho pepa?
- Litšupiso
Ho hlahlojoa ha khatello ea maikutlo ka mor'a ho pepa ke eng?
Ke ntho e tloaelehileng ho ba le maikutlo a tsoakaneng kamora ho ba le ngoana. Hammoho le thabo le nyakallo, bo-mme ba bangata ba sa tsoa hlaha ba ikutloa ba tšoenyehile, ba hloname, ba tenehile ba bile ba sithabetse. Sena se tsejoa e le "baby blues." Ke boemo bo tloaelehileng, bo amang karolo ea 80 lekholong ea bo-mme ba bacha. Matšoao a "blues" ea lesea hangata a ba betere nakong ea libeke tse peli.
Ho tepella maikutlong kamora 'pelehi (ho tepella maikutlong kamora ho beleha) ho tebile haholo mme ho nka nako e teletsana ho feta lesea le benyang. Basali ba nang le khatello ea maikutlo ka mor'a ho pepa ba ka ba le maikutlo a tebileng a ho hlonama le ho tšoenyeha. Ho ka thatafalletsa mosali ho itlhokomela kapa ho hlokomela lesea la hae. Ho hlahlojoa ha khatello ea maikutlo ka mor'a ho pepa ho ka thusa ho tseba hore na u na le boemo bona.
Ho tepella maikutlo ka mor'a ho pepa hangata ho bakoa ke ho fetoha ha li-hormone. E kanna ea bakoa ke mabaka a mang, joalo ka khaello ea lelapa kapa tšehetso ea sechaba, ho ba mme oa lilemong tsa bocha, le / kapa ho ba le ngoana ea nang le mathata a bophelo. Maemong a mangata a mofuta ona oa khatello ea maikutlo a ka phekoloa ka bongaka le / kapa kalafo ea ho bua.
Mabitso a mang: tlhahlobo ea khatello ea maikutlo kamora 'pelehi, teko ea EPDS
E sebelisetsoa eng?
Ho hlahlojoa ho sebelisetsoa ho fumana hore na mme ea sa tsoa hlaha o na le khatello ea maikutlo ea pelehi. Ngaka ea hao ea pelehi, 'melehisi, kapa mofani oa tlhokomelo ea mantlha a ka u fa tlhahlobo ea khatello ea maikutlo kamora ho pepa e le karolo ea tlhahlobo e tloaelehileng ea kamora' pelehi kapa haeba u bontša matšoao a khatello ea maikutlo e matla libeke tse peli kapa ho feta kamora ho beleha.
Haeba tlhahlobo ea hau e bontša hore u na le khatello ea maikutlo ka mor'a ho pepa, u hloka kalafo ho tsoa ho mofani oa bophelo bo botle ba kelello. Mofani oa bophelo bo botle ba kelello ke setsebi sa tlhokomelo ea bophelo se ikhethang ho hlahloba le ho phekola mathata a bophelo ba kelello. Haeba u ne u se u ntse u bona mofani oa bophelo bo botle ba kelello pele u beleha, u ka fumana tlhahlobo ea khatello ea maikutlo nakong ea bokhachane kapa kamora ho pepa.
Hobaneng ha ke hloka tlhahlobo ea khatello ea maikutlo kamora ho pepa?
U kanna oa hloka tlhahlobo ea khatello ea maikutlo kamora ho pepa ha u na le mabaka a itseng a kotsi le / kapa u bontša matšoao a boemo boo libeke tse peli kapa ho feta kamora ho beleha.
Lisosa tse kotsi tsa khatello ea maikutlo kamora 'pelehi li kenyelletsa:
- Nalane ea khatello ea maikutlo
- Ho hloka tšehetso ea lelapa
- Ho tsoaloa hangata (ho ba le mafahla, mafahla a mararo, kapa ho feta)
- Ho ba mme ea lilemong tsa bocha
- Ho ba le ngoana ea nang le mathata a bophelo bo botle
Matšoao a khatello ea maikutlo kamora 'pelehi a kenyelletsa:
- Ho ikutloa ke hloname boholo ba letsatsi
- Ho lla haholo
- Ho ja haholo kapa hanyane haholo
- Ho robala haholo kapa hanyane haholo
- Ho ikhula ho ba lelapa le metsoalle
- Ho ikutloa u khaotsoe ho lesea la hau
- Ho ba thata ho phethela mesebetsi ea letsatsi le letsatsi, ho kenyelletsa le ho hlokomela ngoana oa hau
- Maikutlo a molato
- Tšabo ea ho ba mme ea mpe
- Tšabo e feteletseng ea ho intša kotsi kapa ho utloisa lesea la hau bohloko
E 'ngoe ea matšoao a tebileng a khatello ea maikutlo ka mor'a ho pepa ke ho nahana kapa ho leka ho intša kotsi kapa ho utloisa lesea la hau bohloko. Haeba u na le menahano kapa tšabo ena, batla thuso hang-hang. Ho na le mekhoa e mengata ea ho fumana thuso. U ka khona:
- Letsetsa 911 kapa kamore ea hau ea tšohanyetso ea lehae
- Bitsa mofani oa bophelo bo botle ba kelello kapa mofani e mong oa tlhokomelo ea bophelo
- Finyella motho eo u mo ratang kapa motsoalle ea haufi
- Letsetsa mohala oa mohala oa ho ipolaea. United States, o ka letsetsa National Suicide Prevention Lifeline ho 1-800-273-TALK (1-800-273-8255)
Ho etsahalang nakong ea tlhahlobo ea khatello ea maikutlo kamora 'pelehi?
Mofani oa hau a ka u fa lenane la lipotso le bitsoang Edinburgh Postnatal Depression Scale (EPDS). EPDS e kenyelletsa lipotso tse 10 mabapi le maikutlo a hau le maikutlo a ho tšoenyeha. A kanna a u botsa lipotso tse ling ho kenyelletsa kapa ho fapana le EPDS. Mofani oa hau a ka boela a laela tlhahlobo ea mali ho fumana hore na bothata bo kang lefu la qoqotho bo ka baka khatello ea maikutlo.
Nakong ea tlhahlobo ea mali, setsebi sa tlhokomelo ea bophelo se tla nka sampole ea mali mothapong o letsohong la hao, a sebelisa nale e nyane. Kamora hore nalete e kenngoe, ho tla bokelloa mali a manyane ka har'a pompo ea liteko. U ka ikutloa u hlaba hanyane ha nale e kena kapa e tsoa. Hangata hona ho nka nako e ka tlase ho metsotso e mehlano.
Na ho na le seo ke tla hloka ho se etsa ho itokisetsa tlhahlobo ea khatello ea maikutlo kamora ho pepa?
Hangata ha o hloke litokisetso tse khethehileng bakeng sa tlhahlobo ea khatello ea maikutlo kamora 'pelehi.
Na ho na le likotsi tsa ho hlahlojoa?
Ha ho na kotsi ea ho etsa tlhahlobo ea 'mele kapa ho etsa lipotso.
Ho na le kotsi e nyane haholo ea ho etsa tlhahlobo ea mali. U kanna oa ba le mahlaba a fokolang kapa ho longoa moo nale e kentsoeng teng, empa matšoao a mangata a fela kapele.
Liphetho li bolelang?
Haeba ho fumanoa hore u na le khatello ea maikutlo kamora 'pelehi, ho bohlokoa ho fumana kalafo kapele kamoo ho ka khonehang. Ntle le kalafo ea bongaka le ea ho bua, maano a ho itlhokomela a ka u thusa ho ikutloa u le betere. Tsena li kenyelletsa:
- Ho kopa molekane oa hau kapa moratuoa e mong ho thusa ho hlokomela ngoana
- Ho bua le batho ba bang ba baholo
- Ho ipha nako e nyenyane letsatsi le leng le le leng
- Ho ikoetlisa kamehla
- Ho tsoela kantle bakeng sa moea o hloekileng ha boemo ba leholimo bo lumela
Na ho na le eng kapa eng eo ke hlokang ho e tseba ka ho hlahlojoa ha khatello ea maikutlo kamora ho pepa?
Mofuta o sa tloaelehang empa o tebile haholo oa khatello ea maikutlo kamora 'pelehi o bitsoa psychppartum psychosis. Basali ba nang le lefu la kelello la ka mor'a ho pepa ba na le lipono (ho bona kapa ho utloa lintho tseo e seng tsa nnete). Ba kanna ba ba le menahano e mabifi le / kapa ea ho ipolaea. Haeba u fumanoa u na le psychosis ea ka mor'a ho pepa, u kanna ua hloka ho kena sepetlele. Litsi tse ling li fana ka likarolo tse laoloang tse lumellang mme le lesea ho lula hammoho. Meriana, e tsejoang e le li-antipsychotic, e kanna ea ba karolo ea kalafo.
Litšupiso
- ACOG: Lingaka tsa Basali tsa Tlhokomelo ea Bophelo [Internet]. Washington D.C.: Koleji ea Amerika ea Litsebi tsa Litsebi le Lingaka tsa Gynecologists; c2017. Ho tepella maikutlo ka mor'a ho pepa; 2013 Dec [e qotsitsoeng ka 2018 Oct 24]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.acog.org/Patients/FAQs/Postpartum-Depression
- Mokhatlo oa Amerika oa Bokhachane [Inthanete]. Irving (TX): Mokhatlo oa Amerika oa Bokhachane; c2018. Na ke na le ho tepella maikutlong ha lesea kapa kamora ho pepa; [e ntlafalitsoeng 2016 Aug; e qotsitsoeng 2018 Oct 24]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: http://americanpregnancy.org/first-year-of-life/baby-blues-or-postpartum-depression
- Mokhatlo oa American Psychiatric Association [Inthanete]. Washington DC: Mokhatlo oa Maiketsetso oa Amerika; c2018. Ho Tepella Maikutlong ka Mor'a ho Tsoaloa Ke Eng ?; [e qotsitsoeng 2018 Oct 24]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.psychiatry.org/patients-families/postpartum-depression/what-is-postpartum-depression
- Litsi tsa Tlhokomelo le Thibelo ea Maloetse [Internet]. Atlanta: Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Ho Tepella Maikutlong Har'a Basali; [e ntlafalitsoeng 2018 Jun 18; e qotsitsoeng 2018 Oct 24]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.cdc.gov/reproductivehealth/depression
- Mayo Clinic [Inthaneteng]. Motheo oa Mayo oa Thuto ea Bongaka le Patlisiso; c1998–2018. Mokhoa oa bophelo o phetseng hantle: Bokhachane beke le beke; 2016 Nov 24 [e qotsitsoeng ka 2018 Oct 24]; [hoo e ka bang li-skrini tse 4]. E fumaneha ho tsoa ho: https://www.mayoclinic.org/healthy-lifestyle/pregnancy-week-by-week/in-depth/depression-during-pregnancy/art-20237875
- Mayo Clinic [Inthaneteng]. Motheo oa Mayo oa Thuto ea Bongaka le Patlisiso; c1998–2018. Ho tepella maikutlo ka mor'a ho pepa: Ho tseba le ho phekola; 2018 Sep 1 [e qotsitsoeng 2018 Oct 24]; [hoo e ka bang li-skrini tse 4]. E fumaneha ho tsoa ho: https://www.mayoclinic.org/diseases-conditions/postpartum-depression/diagnosis-treatment/drc-20376623
- Mayo Clinic [Inthaneteng]. Motheo oa Mayo oa Thuto ea Bongaka le Patlisiso; c1998–2018. Ho tepella maikutlo ka mor'a ho pepa: Matšoao le lisosa; 2018 Sep 1 [e qotsitsoeng 2018 Oct 24]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.mayoclinic.org/diseases-conditions/postpartum-depression/symptoms-causes/syc-20376617
- Phetolelo ea Merck Manual Consumer [Inthanete]. Kenilworth (NJ): Merck & Co Inc .; c2018. Ho tepella maikutlo ka mor'a ho pepa; [e qotsitsoeng 2018 Oct 24]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.merckmanuals.com/home/women-s-health-issues/postdelivery-period/postpartum-depression
- Merck Manual Professional Version [Marang-rang]. Kenilworth (NJ): Merck & Co Inc .; c2018. Ho tepella maikutlo ka mor'a ho pepa; [e qotsitsoeng 2018 Oct 24]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.merckmanuals.com/professional/gynecology-and-obstetrics/postpartum-care-and-associated-disorders/postpartum-depression
- Montazeri A, Torkan B, Omidvari S.Edinburgh Postnatal Depression Scale (EPDS): phetolelo le netefatso ea mofuta oa Iran. BMC Psychiatry [Inthanete]. 2007 Apr 4 [e qotsitsoeng ka 2018 Oct 24]; 7 (11). E fumaneha ho tsoa ho: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1854900
- National Heart, Lung, le Setsi sa Mali [Internet]. Bethesda (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Liteko tsa Mali; [e qotsitsoeng 2018 Oct 24]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.nhlbi.nih.gov/health-topics/blood-tests
- Setsi sa Naha sa Bophelo ba kelello [Inthanete]. Bethesda (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Lintlha tsa khatello ea maikutlo kamora ho pepa; [e qotsitsoeng 2018 Oct 24]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.nimh.nih.gov/health/publications/postpartum-depression-facts/index.shtml
- Ofisi ea Bophelo ba Basali [Marang-rang]. Washington D.C .: Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Ho tepella maikutlo ka mor'a ho pepa; [e ntlafalitsoeng 2018 Aug 28; e qotsitsoeng 2018 Oct 24]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.womenshealth.gov/mental-health/mental-health-conditions/postpartum-depression
- Setsi sa Bongaka sa Rochester [Internet]. Rochester (NY): Setsi sa Bongaka sa Univesithi ea Rochester; c2018. Health Encyclopedia: Tekolo ea Likotsi tsa Khatello ea Kelellong ea Postpartum; [e qotsitsoeng 2018 Oct 24]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=42&contentid=PostpartumDepressionMRA
- Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2018. Tlhahisoleseling ka Bophelo: Lintlha tsa bophelo bo botle bakeng sa hau: Ho sithabela maikutlo kamora ho pepa; [e ntlafalitsoeng 2018 Oct 10; e qotsitsoeng 2018 Oct 24]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.uwhealth.org/healthfacts/obgyn/5112.html
Tlhahisoleseling e fumanehang sebakeng sena sa marang-rang ha ea lokela ho sebelisoa ho nka sebaka sa tlhokomelo ea bongaka le likeletso. Ikopanye le mofani oa tlhokomelo ea bophelo haeba u na le lipotso ka bophelo ba hau.