Te Tirohanga Paapouri Postpartum

Toka Te Manawa

• He aha te whakaaturanga o te pouri pouri?
• Hei aha te whakamahi?
• He aha te take me tirotirohia te mate pouri o muri?
• Ka ahatia i te wa e tirotirohia ana te pouri pouri?
• Me mahi e au tetahi mea hei whakareri mo te tirotirohanga pouri o muri?
• Ka raru pea te tirotiro?
• He aha te tikanga o nga hua?
• He mea ano me mohio au mo te tirotirohanga o te pouri pouri?
• Tohutoro

He aha te whakaaturanga o te pouri pouri?

He mea noa te whai i nga kare a roto i muri i te whanautanga o te peepi. I te taha o te harikoa me te koa, he maha nga whaea hou e manukanuka ana, e pouri ana, e pukuriri ana, e ngakau nui ana hoki. E mohiotia ana tenei ko nga "baby blues." He ahuatanga noa, ka pa ki te 80 pauna o nga whaea hou. Ko nga tohu o te maere o te peepi ka pai ake i roto i nga wiki e rua.

Ko te paheketanga o te whanautanga o muri (mate pouri i muri o te whanautanga) he nui ake te mamae, he roa ake te roa i te paariki o te peepi. Ko nga waahine e porearea ana i te wa e whanau ana ka nui pea te pouri me te awangawanga. Ka uaua ake ki te wahine te manaaki i a ia ano me tana peepi. Ma te tirotirohia o te ngakau pouri ka taea te mohio mena kei te pa tenei mate koe.

Ko te paheketanga o te reanga i muri mai i te rereke o te taumata homoni. Na etahi atu take pea i pa, mai i te kore o te whanau, o te hapori ranei, i te mea he whaea taiohi koe, me / te whanau ranei i te peepi e raru ana te hauora. Ko te nuinga o nga ahuatanga o tenei tuumaru pouri ka taea te rongoa ma te rongoa me / me te rongoa korero ranei.

Othertahi atu ingoa: te aromatawai pouri pouri, te whakamatautau EPDS

Hei aha te whakamahi?

Whakamahia ai te tirotirohanga kia mohio mena ka pa he pouri pouri te whaea hou. Ka tukuna pea e to taakuta / taakuta wahine, kaiwhakawhanau wahine, kaiwhakarato tiaki tuatahi ranei ki a koe te tohu pouri pouri i muri o te wa i muri i to whakamatau i te wa e whanau ana koe, ki te whakaatu ranei koe i nga tohu pouri tino rua, neke atu ranei o nga wiki i muri o to whanautanga.

Mena ka whakaatuhia e to tirotirohanga kei te pa te pouri o to whanautanga, he maha nga mea e hiahiatia ana e koe he rongoa mai i tetahi kaiwhakarato hauora hinengaro. Ko te kaiwhakarato hauora hinengaro he tohunga ngaio tiaki hauora e matatau ana ki te tarai me te whakaora i nga raru o te hinengaro. Mena kua kite koe i tetahi kaiwhakarato hauora hinengaro i mua i te whanautanga, ka raru pea koe i te wa pouri i te wa e hapu ana ka whanau ranei.

He aha te take me tirotirohia te mate pouri o muri?

Akene me whai tirotirohia te pouri o muri mai i te mea kei a koe etahi ahuatanga morearea me / kei te whakaatu ranei koe i nga tohu mo te ahua e rua neke atu ranei nga wiki i muri o to whanautanga.

Ko nga take morearea mo te paheketanga o te whanautanga ko:

• Tuhinga o mua
• Te koretake o te tautoko a te whanau
• He whanau maha (he mahanga, takirua, neke atu ranei)
• He whaea taiohi
• He whanau peepi me te mate hauora

Ko nga tohu o te pouri paanui i muri i te whanau:

• Te pouri i te nuinga o te ra
• Nui te tangi
• Kai nui rawa atu iti ranei
• He nui rawa te moe, he iti ranei
• Te maunu mai i te whanau me o hoa
• Te ahua kua momotu mai i to peepi
• He uaua ki te whakaoti i nga mahi o ia ra, tae atu ki te manaaki i to peepi
• Nga ngakau o te he
• Te mataku kei waiho hei whaea kino
• Te mataku nui ki te whara i a koe, i to peepi ranei

Ko tetahi o nga tohu tino nui o te ngakau pouri i muri i te whakawhanau, ko te whakaaro mo te ngana ki te whara i a koe ko to peepi ranei. Mena kei a koe enei whakaaro, mataku ranei, rapu wawe tonu. He maha nga huarahi hei rapu awhina. Ka taea e koe:

• Karangahia te 911, to ruuma whawhati tata ranei o to rohe
• Karangahia to kaiwhakarato hauora hinengaro, tetahi atu kaiwhakarato hauora ranei
• Whakapa atu ki te hoa aroha, ki te hoa tata ranei
• Karangahia he raarangi whakamomori whakamomori. I te United States, ka taea e koe te waea ki te National Suicide Prevention Lifeline i 1-800-273-TALK (1-800-273-8255)

Ka ahatia i te wa e tirotirohia ana te pouri pouri?

Ka hoatu pea e to kaiwhakarato he paatai ​​ki a koe ko te Edinburgh Postnatal Depression Scale (EPDS). Kei roto i te EPDS nga patai 10 mo to ahua me o awangawanga. Ka pātai atu pea ia ki a koe i etahi atu paatai ​​hei taapiri atu mo te EPDS ranei. Ka whakahau pea to kaiwhakarato kia tirohia he toto kia mohio koe mena he ngoikore koe, penei i te mate thyroid, kei te pouri koe.

I te wa e whakamatautauria ana te toto, ka tangohia e tetahi tohunga ngaio hauora tetahi tauira toto mai i te uaua i roto i to ringa, ma te whakamahi i te ngira iti. Whai muri i te kuhunga o te ngira, ka kohia he toto iti ki roto i te ipuipu, ipu ranei. Akene he iti to ngau ka puta te ngira ki waho ka puta atu ranei. Ko te tikanga ka iti ake i te rima meneti tenei.

Me mahi e au tetahi mea hei whakareri mo te tirotirohanga pouri o muri?

Te tikanga kaore e hiahiatia etahi whakaritenga motuhake mo te tirotiro pouri pouri.

Ka raru pea te tirotiro?

Kaore he raru ki te whai i tetahi whakamatautau tinana, ki te tango ranei i tetahi paatai.

He iti noa te tuponotanga ka tirohia o toto. Ka mamae pea koe, ka maru ranei koe i te waahi i maka ai te ngira, engari ko te nuinga o nga tohu ka tere wawe.

He aha te tikanga o nga hua?

Mena kua tohua koe me te paheketanga o te whanautanga, he mea nui kia tere te whakaora. Hei taapiri atu ki te rongoa me te rongoa korero, ma te rautaki manaaki-takitahi koe e tau ai. Kei roto i enei:

• Te tono ki to hoa taangata ki tetahi atu ranei e arohaina ana e koe ki te awhina i te peepi
• Te korero ki etahi atu pakeke
• Te tango i tetahi waa iti maau i nga ra katoa
• Te whakakori tinana i ia wa
• Te haere ki waho mo te hau hou i te wa e pai ana te huarere

He mea ano me mohio au mo te tirotirohanga o te pouri pouri?

Ko te ahua ohorere engari nui atu o te pouri o te wa e whanau ana ka kiia ko te psychosis postpartum. Ko nga waahine he psychosis postpartum he haurangi (he kitenga, he whakarongo ranei ki nga mea kaore i te tino). Akene he tutu ta ratau / he whakaaro whakamomori ranei. Mena kua tohua koe me te mate hinengaro postpartum, akene me mate koe ki te hohipera. Ko etahi o nga waahi ka tohaina nga wae tirotirohia kia pai ai te noho tahi o te whaea me te peepi. Ko nga rongoa, e mohiotia ana ko te antipsychotics, he waahanga pea hei rongoa.

Tohutoro

1. ACOG: Nga Tohunga Hauora Wahine [Ipurangi]. Washington D.C .: Te Kaareti Amerikana mo nga Kaimahi Tuturu me nga Whaahine; c2017. Te Whakapouri Poutoko; 2013 Tihema [whakahua 2018 Oketopa 24]; [tata ki te 3 nga mata]. Wātea mai i: https://www.acog.org/Patients/FAQs/Postpartum-Depression
2. American Pregnancy Association [Ipurangi]. Irving (TX): American Pregnancy Association; c2018. Kei i a Au Nga Peepi Pepi, Te Peera ranei o Te Pae Maehe; [whakahoutia 2016 Akuhata; whakahuahia 2018 Oketopa 24]; [tata ki te 2 nga mata]. Wātea mai i: http://americanpregnancy.org/first-year-of-life/baby-blues-or-postpartum-depression
3. American Psychiatric Association [Ipurangi]. Washington D.C .: American Psychiatric Association; c2018. He Aha Te Pouritanga o Te Whanau Whanau ?; [cited 2018 Oketopa 24]; [tata ki te 3 nga mata]. Wātea mai i: https://www.psychiatry.org/patients-families/postpartum-depression/what-is-postpartum-depression
4. Nga Pokapū mo te Whakahaere Mate me te Aukati [Ipurangi]. Atlanta: Te Tari Hauora me nga Ratonga Tangata a U.S. Te pouri i waenga i nga waahine; [whakahoutia 2018 Jun 18; whakahuahia 2018 Oketopa 24]; [tata ki te 3 nga mata]. Wātea mai i: https://www.cdc.gov/reproductivehealth/depression
5. Mayo Clinic [Ipurangi]. Mayo Foundation mo te Whakaakoranga Hauora me te Rangahau; c1998–2018. Te Mauri Hauora: Te hapu o ia wiki ia wiki; 2016 Nov 24 [whakahua 2018 Oketopa 24]; [e 4 pea nga mata]. Wātea mai i: https://www.mayoclinic.org/healthy-lifestyle/pregnancy-week-by-week/in-depth/depression-during-pregnancy/art-20237875
6. Mayo Clinic [Ipurangi]. Mayo Foundation mo te Whakaakoranga Hauora me te Rangahau; c1998–2018. Pouri postpartum: Taatari me te maimoatanga; 2018 Sep 1 [whakahua 2018 Oketopa 24]; [e 4 pea nga mata]. Wātea mai i: https://www.mayoclinic.org/diseases-conditions/postpartum-depression/diagnosis-treatment/drc-20376623
7. Mayo Clinic [Ipurangi]. Mayo Foundation mo te Whakaakoranga Hauora me te Rangahau; c1998–2018. Pouri postpartum: Tohu me nga take; 2018 Sep 1 [whakahua 2018 Oketopa 24]; [tata ki te 3 nga mata]. Wātea mai i: https://www.mayoclinic.org/diseases-conditions/postpartum-depression/symptoms-causes/syc-20376617
8. Merck Manual Kaihoko Putanga [Ipurangi]. Kenilworth (NJ): Merck & Co. Inc.; c2018. Te Whakapouri Poutoko; [cited 2018 Oketopa 24]; [tata ki te 2 nga mata]. Wātea mai i: https://www.merckmanuals.com/home/women-s-health-issues/postdelivery-period/postpartum-depression
9. Merck Manual Professional Version [Ipurangi]. Kenilworth (NJ): Merck & Co. Inc.; c2018. Te Whakapouri Poutoko; [cited 2018 Oketopa 24]; [tata ki te 3 nga mata]. Wātea mai i: https://www.merckmanuals.com/professional/gynecology-and-obstetrics/postpartum-care-and-associated-disorder/postpartum-depression
10. Montazeri A, Torkan B, Omidvari S. Te Edinburgh Postnatal Depression Scale (EPDS): whakamaoritanga me te ako whakamana o te whakaputanga Iran. Hinengaro BMC [Ipurangi]. 2007 Apr 4 [cited 2018 Oketopa 24]; 7 (11). Wātea mai i: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1854900
11. National Heart, Lung, and Blood Institute [Ipurangi]. Bethesda (MD): Te Tari Hauora me nga Ratonga Tangata a U.S. Nga Whakamatau Toto; [cited 2018 Oketopa 24]; [tata ki te 3 nga mata]. Wātea mai i: https://www.nhlbi.nih.gov/health-topics/blood-tests
12. National Institute of Mental Health [Ipurangi]. Bethesda (MD): Te Tari Hauora me nga Ratonga Tangata a U.S. Nga Moni Pouri Pouri Postpartum; [cited 2018 Oketopa 24]; [tata ki te 2 nga mata]. Wātea mai i: https://www.nimh.nih.gov/health/publications/postpartum-depression-facts/index.shtml
13. Tari mo te Hauora Wahine [Ipurangi]. Washington D.C .: Tari Hauora me nga Ratonga Tangata a U.S. Te porearea i muri i te whanautanga; [whakahoutia 2018 Akuhata 28; whakahuahia 2018 Oketopa 24]; [tata ki te 3 nga mata]. Wātea mai i: https://www.womenshealth.gov/mental-health/mental-health-conditions/postpartum-depression
14. Whare Wananga o Rochester Medical Center [Ipurangi]. Rochester (NY): Whare Wananga o Rochester Medical Center; c2018. Encyclopedia Hauora: Te Aromatawai morearea Pouri Pouri; [cited 2018 Oketopa 24]; [tata ki te 2 nga mata]. Wātea mai i: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=42&contentid=PostpartumDepressionMRA
15. Hauora UW [Ipurangi]. Madison (WI): Te Whare Waananga o Wisconsin Whare Hauora me te Mana Haumanu; c2018. He Korero Hauora: Nga Mea Hauora mo Koe: Te Whakapouri Poutoko: [whakahoutia 2018 Oketopa 10; whakahuahia 2018 Oketopa 24]; [tata ki te 2 nga mata]. Wātea mai i: https://www.uwhealth.org/healthfacts/obgyn/5112.html

Ko nga korero kei tenei papaanga kaua e whakamahia hei whakakapi mo te tiaki ngaio ngaio, tohutohu ranei. Whakapa atu ki te kaiwhakarato hauora mena he paatai ​​taau mo to hauora.