Kushushikana kwepashure pokusununguka

Kushushikana kwepashure pokuberekwa kunoenzanirana kusvika mukushushikana kwakanyanya mumukadzi kana achinge asununguka. Zvinogona kuitika munguva pfupi mushure mekusununguka kana kusvika gore rinotevera. Kazhinji yenguva, inoitika mukati memwedzi mitatu yekutanga mushure mekusununguka.

Izvo chaizvo zvikonzero zve postpartum kushushikana hazvizivikanwe. Shanduko mumazinga ehormone panguva uye mushure mekuzvitakura inogona kukanganisa mamiriro emukadzi. Mazhinji asiri emahormone zvinhu anogona kukanganisa mafungiro panguva iyi:

• Shanduko mumuviri wako kubva pakubata uye kubereka
• Shanduko muhukama hwehukama nehukama
• Kuva nenguva shoma nerusununguko zvako
• Kushaya hope
• Kunetsekana nezve kugona kwako kuve amai vakanaka

Unogona kuve nemukana wakakwirira wekusununguka mushure mekusununguka kana iwe:

• Vari pasi pemakore makumi maviri nemashanu
• Parizvino shandisa doro, tora zvinhu zvisiri pamutemo, kana utsi (izvi zvinokonzeresa hutano kumwana)
• Haana kuronga nhumbu, kana kuve nemanzwiro akasanganiswa nezve nhumbu
• Wanga uine kushushikana, bipolar kusagadzikana, kana kusagadzikana kusagadzikana usati wabata pamuviri, kana nepamuviri pfuura
• Wakave nechiitiko chinoshungurudza panguva yekuzvitakura kana kusununguka, kusanganisira kurwara kwega, kufa kana kurwara kwemudiwa, kuomesa kana kukurumidza kuburitsa, kubereka nguva isati yakwana, kana kurwara kana kuremara kwekuzvarwa mumwana.
• Iva nenhengo yepedyo yemhuri anga aine kushushikana kana kushushikana
• Iva nehukama hwakashata neako akakosha mamwe kana asina kuroora
• Iva nemari kana matambudziko edzimba
• Iva nerutsigiro rudiki kubva kumhuri, shamwari, kana wawakaroorana naye kana waunofambidzana naye

Kunzwa kwekushushikana, kutsamwa, kuchema, uye kusagadzikana zvakajairika muvhiki kana maviri mushure mekuzvitakura. Aya manzwiro anowanzozonzi postpartum kana "baby blues." Vanotopota vachienda nekukurumidza, pasina kudiwa kwekurapwa.

Kushushikana kwepashure kwekubereka kunogona kuitika kana bhebhi bhebhi risingapere kana kana zviratidzo zvekuora mwoyo zvatanga 1 kana kupfuura mwedzi mushure mekusununguka.

Zviratidzo zvekusununguka mushure mekusununguka zvakaenzana nezviratidzo zvekusuwa kunoitika pane dzimwe nguva muhupenyu. Pamwe pamwe nekusuruvara kana kushushikana kwemoyo, unogona kunge uine zvimwe zvezviratidzo zvinotevera:

• Kusagadzikana kana kutsamwa
• Shanduko mukuda
• Kunzwa kwekusakosha kana mhosva
• Kunzwa kunge wabviswa kana kusabatana
• Kusava nekunakidzwa kana kufarira zvizhinji kana zviitiko zvese
• Kurasikirwa kwekufungisisa
• Kupera simba
• Matambudziko ekuita mabasa pamba kana kubasa
• Kushushikana kwakakosha
• Pfungwa dzekufa kana kuzviuraya
• Kunetseka kurara

Amai vane postpartum kushushikana vanogona zvakare:

• Kutadza kuzvitarisira iye kana mwana wake.
• Itya kutya kusara wega nemwana wake.
• Iva nemanzwiro asina kunaka nezvemucheche kana kunyange kufunga nezvekukuvadza mwana. (Kunyangwe kunzwa uku kuchityisa, kunenge kusati kwamboitwa. Asi iwe unofanirwa kuudza chiremba wako nezvazvo ipapo.)
• Kunetseka zvakanyanya pamusoro pemucheche kana kufarira shomana.

Iko hakuna bvunzo imwe chete yekuongorora postpartum kushushikana. Kuongororwa kunoenderana nezviratidzo zvaunotsanangudza kune wako wekuchengeta hutano.

Wako mupi anogona kuraira kuongororwa kweropa kuti utarise kune zvekurapa zvekushungurudzika.

Amai vatsva vane chero zviratidzo zvekusununguka mushure mekusununguka vanofanirwa kubata mupi wavo ipapo ipapo kuti vabatsirwe.

Heano mamwe matipi.

• Kumbira mumwe wako, mhuri, uye shamwari kuti vabatsirwe nezvinodiwa zvemwana uye mumba.
• Usavanze manzwiro ako. Taura nezvazvo nemumwe wako, mhuri, uye shamwari.
• Usaite chero hukuru hupenyu shanduko panguva yepamuviri kana chaipo mushure mekuzvara.
• Usaedze kuita zvakawandisa, kana kuve wakakwana.
• Ita nguva yekuenda kunze, kushanyira shamwari, kana kupedza nguva uri wega nemumwe wako.
• Zorora zvakawanda sezvaunogona. Rara kana mwana akarara.
• Taura nevamwe amai kana kujoina boka rekutsigira.

Mushonga wekushushikana mushure mekuzvara unowanzo sanganisira mushonga, hurukuro yekutaura, kana zvese zviri zviviri. Kuyamwisa kuchaita basa mune izvo mushonga zvinokurudzirwa nemupi wako. Iwe unogona kuendeswa kune nyanzvi yehutano hwepfungwa. Kufungisisa kwehunhu hwekurapa (CBT) uye kurapa kwevamwe (IPT) mhando dzekurapa kwekutaura uko kunowanzo batsira mushure mekusununguka kushushikana.

Mapoka ekutsigira anogona kubatsira, asi haafanire kutsiva mushonga kana hurukuro yekurapa kana iwe uine postpartum kushushikana.

Kuva nerutsigiro rwemagariro kubva kumhuri, shamwari, uye vaunoshanda navo kunogona kubatsira kudzikamisa huipi hwekusununguka kwekusununguka.

Mishonga uye hurukuro yekurapa inogona kubudirira kubudirira kana kubvisa zviratidzo.

Akasiiwa asina kurapwa, kusununguka kwepashure kwekubereka kunogona kugara kwemwedzi kana makore.

Iyo ingangoita yenguva refu matambudziko akafanana neakanyanya mukuora mwoyo. Kusarapwa kusununguka mushure mekusununguka kunogona kukuisa panjodzi yekukuvadza iwe kana mwana wako.

Fonera mupiki wako kana iwe uine chero chinotevera:

• Mwana wako blues haapere mushure memasvondo maviri
• Zviratidzo zvekuora mwoyo zvinowedzera zvakanyanya
• Zviratidzo zvekushushikana zvinotanga chero nguva mushure mekusununguka, kunyangwe mwedzi yakawanda gare gare
• Zvakaoma kuti iwe uite mabasa kubasa kana kumba
• Iwe haugone kuzvitarisira iwe kana mwana wako
• Iwe une pfungwa dzekuzvikuvadza iwe kana mwana wako
• Unokudziridza pfungwa dzisina kubva muchokwadi, kana iwe unotanga kunzwa kana kuona zvinhu izvo vamwe vanhu vasina

Usatya kutsvaga rubatsiro ipapo ipapo kana iwe uchinzwa kuremerwa uye uchitya kuti unogona kukuvadza mwana wako.

Kuva nerutsigiro rwemagariro kubva kumhuri, shamwari, uye vaunoshanda navo kunogona kubatsira kudzikisira huipi hwekusununguka mushure mekusununguka, asi hazvigone kuzvidzivirira.

Vakadzi vaive nekushushikana kwekubereka mushure mekubata nhumbu yapfuura vanogona kusakwanisa kuita kushushikana kwekusununguka mushure kana vatanga kutora mishonga yekudzvinyirira mushure mekubereka. Kutaura kurapa kunogona kubatsirawo mukudzivirira kushushikana.

Kushungurudzika - kusununguka; Kushushikana kwepashure pokuberekwa; Postpartum zvepfungwa maitiro

American Psychiatric Association. Kushungurudzika kushungurudzika. Kuongorora uye Statistical Manual yeMental Dambudziko. 5 ed. Arlington, VA: American Psychiatric Publishing, 2013: 155-233.

Nonacs RM, Wang B, Viguera AC, Cohen LS. Chirwere chepfungwa panguva yekuzvitakura uye iyo post-chikamu chikamu. Mune: Stern TA, Fava M, Wilens TE, Rosenbaum JF, eds. Massachusetts General Hospital Yakakwana Clinical Psychiatry. 2nd ed. Philadelphia, PA: Elsevier; 2016: chits.

Siu AL; US Preventive Services Task Force (USPSTF), Bibbins-Domingo K, et al. Kuongorora kushushikana muvakuru: US Preventive Services Task Force kurudziro chirevo. JAMA. 2016; 315 (4): 380-387. PMID: 26813211 pubmed.ncbi.nlm.nih.gov/26813211/.