The Postpartum Period is Time of Increased Risk for Some Women
Hazvishamisi kuti vanaamai vawane manzwiro akawanda mushure mekuuya kwemwana mutsva. Iyo postpartum period yave ichizivikanwa kuva nguva yekuwedzera kungozi kwekuoneka, kuipa kana kudzoka kwemafungiro uye kushungurudzika kwepfungwa. Tsvakurudzo dzakawanda dzakaratidza kuti nguva yekuenda shure inogona kuisawo pangozi yekutanga kana kuwedzera kwekusagadzikana-kusagadzikana kwepfungwa (OCD).
Zviratidzo zvePotpartum Obsessive-Compulsive Disorder
Postpartum zviratidzo zveOCD zvinowanzoitika mukati memavhiki masere mushure mekusununguka asi zvinogona kutanga panguva yekuzvitakura. Madzimai ane OCD, pane humwe humwe uchapupu hwokuti kupererwa kwepamuviri kunogonawo kuita sechikonzero chikuru cheOCD zviratidzo.
Zviratidzo zveOCD kuvakadzi vane postpartum obsessive-compulsive disorder vanogona kusiyaniswa kubva kune avo vakambova nevanokanganisa-kusagadzikana kwepfungwa. Kuongororwa kwemazuva ano kwakaratidza kuti musiyano mukuru pakati pezviviri ndeyekuti neOCD postpartum, kuvharwa kunowanzobatana necheche neimwe nzira. Kunyanya, vakadzi vane postpartum obsessive-compulsive disorder vanorondedzera hutsinye hutsinye hwevsessions dzine chokuita nekukuvadza mwana wavo mutsva kupfuura vakadzi vakambova neOCD. Uyewo, vakadzi vane chirwere chekuvhara-chema chinonzi postpartum obsessive-compulsive disorder vanowanzotarisana nekunetseka kwakabatana nekusvibiswa kwecheche kupfuura vakadzi vasina postpartum-onset OCD.
Zvinokonzera Postpartum Obsessive-Compulsive Disorder
Panguva ino, hazvisi pachena kuti nei postpartum period inguva yekuwedzera ngozi yekutanga kwaOCD kune vamwe vakadzi. Kubva pane maonero ehupenyu, zvave zvichifungidzirwa kuti kuchinja kwakanyanya kwemahomoni akadai se estrogen inogona kunge yakabatanidzwa.
Mahomoni anogona kuvhiringidza basa revanodzivirira mhepo muuropi, kusanganisira serotonin . Kushungurudzika kwe serotonin system yakave yakanyanyobatanidzwa mukugadzirwa kweOCD.
Kubva pakuona kwepfungwa, zvekuuya kwemwana mutsva zvinokonzera matambudziko matsva, izvo zvinogona kukuvadza vamwe vakadzi. Kushungurudzika ndiyo inotyisa yeOCD uye nguva yekupedzisira inogona kunge inonyanya kunetseka kune vakadzi ivavo vangave vasina mazano ekugadzirisa akakwana kana kutsigirwa munzvimbo.
Kurapa kwePostpartum Obsessive-Compulsive Disorder
Kungofanana nekupererwa kwemazuva ekupedzisira, zvakakosha kubata mushure mokunge uchinge wakabatwa-kushungurudzika-kusagadzikana kwepfungwa sezvo kunogona kukanganisa kushamwaridzana kwemazuva ose pakati peamai nemwana wavo. Inogona kukonzera kutambura kukuru uye kurwadziwa kwechikamu cheamai nemhuri. Kana iwe uchangobva kuberekwa uye iwe uri kutarisa zviratidzo zvitsva zvepfungwa zvakadai semafungiro anonyadzisa uye anokanganisa kana maitiro ekumanikidzira akadai sokushambidza maoko kusingadzorwi, iva nechokwadi chekutaura izvi kune wako mukuru wekuchiremba chiremba, chiremba, chiremba kana chiremba. Kana iwe uri kutarisana nezvizvi kana zvimwe zviratidzo, chiremba wako angangodaro aita chizere chakazara chinosanganisira nhoroondo yakazara yepfungwa, pamwe nekuedzwa kwezvokurapa kuti utonge zvikonzero zvinokonzera zviratidzo zvako se hypothyroidism.
Kuchengetedza-behavioral therapy (CBT) inogona kunge iri nzira yakanaka yevakadzi vane postpartum obsessive-compulsive disorder sezvo inopedza mukana wekuisa pachena mwana achangoberekwa kuderedza zvinodhaka zvakadai serotonin reuptake inhibitors (SSRIs). Kunyange zvazvo zvinodhaka zvinodhaka zvakadai seSRRI zvinoshandiswa kuburikidza nemukaka wemucheche, hapana dambudziko pamusoro pemigumisiro yenguva refu yekutsvaga maSRR mukaka wamazamu, kusanganisira chirwere cheshuga, saka kubatsirwa kwekutora mishonga kunoda kupfuudza ngozi. Iva nechokwadi chokuti utaure nachiremba wako kuti uone kuti ndeipi nzira yekurapa yakakunakira iwe.
Sources:
Brandes, M., Soares, CN, & Cohen, LS "Dambudziko rePotpartum rose rinokanganisa-kukanganisa uye kutungamirira" Archives ye Women's Mental Health 2004 7: 99-110.
Uguz, F., Akman, C., Kaya, N & Cilli, AS "Postpartum-allt inokanganisa-kusagadzikana kwepfungwa: Kuitika, zvipatara nezvimwe zvine chokuita" Journal of Clinical Psychiatry 2007 68: 132-138.
http://www.sciencedirect.com/science/article/pii/S0924933815311627
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4539865/