Iqhaza Lama-hormone Ekucindezelekeni Kwangemva Kokubeletha: Uchwepheshe Uchaza Isixhumanisi Nokubaluleka Kokwelashwa Okuqondene Nakho

Ubuwazi ukuthi abesifazane basengozini yokudangala ngemva kwesikhathi sabo sokubeletha? I-Postpartum Depression (PPD) ingabangela izinkinga komama abasanda kubeletha, okuhlanganisa ukukhathazeka, ukudabuka okukhulu, nobunzima bokuhlangana nezingane zabo. Kunezizathu ezihlukahlukene ezibangela lokhu, futhi izinguquko ze-hormonal ziphakathi kwezinto ezibaluleke kakhulu. I-PPD ingenza kube nzima ukuthi omama abasha bazinakekele bona kanye nezingane zabo. Ngakho-ke, kubaluleka ukuqonda indima yama-hormone ekwenzeni ukwelashwa okufanele.

Sikhulumile no UDkt Manjula Anagani, u-Padmashree Awardee, uMqondisi Wezempilo, I-Robotic Gynecologist kanye ne-HOD, i-Care Vatsalya, i-Women and Child Institute, i-CARE Hospitals, i-Banjara Hills, i-Hyderabad, owabelane ngemibono ngokufana.

Cishe izingxenye ezine kwezinhlanu zomama abasanda kuzalwa bazizwa bedangele noma bekhungathekile ngemva kokuba nomntwana, ngokuvamile okubizwa ngokuthi 'i-baby blues.' Nokho, cishe umama oyedwa kwabahlanu abasanda kubeletha uba nesifo esibi kakhulu esibizwa ngokuthi ukucindezeleka kwangemva kokubeletha. Ngokocwaningo lwango-2016, izici ezibalulekile zobungozi ze-PPD zifaka umlando weziqephu zokucindezeleka, okuhlangenwe nakho kwangaphambilini nge-PPD, kanye nokubhekana nokucindezeleka ngesikhathi sokukhulelwa.

Indima Ye-Hormonal Shift

Ukukhulelwa kubangela ukushintsha kwezinguquko ze-hormonal, ukulungiselela umzimba wokubeletha kanye nokuba ngumama. "Ngalesi sikhathi, amazinga e-estrogen ne-progesterone emzimbeni wakho akhuphuka ngokuphindwe kashumi ukuze asekele umntwana okhulayo futhi agcine ukukhulelwa kunempilo. Kodwa-ke, ngemva kokubeletha, lawa ma-hormone ehla ngokuzumayo, okubangela ukushintsha okuphawulekayo kumakhemikhali obuchopho okungathinta isimo sengqondo nemizwelo yowesifazane," kuchaza uDkt Anagani.

Imaphi AmaHormone Ahilelekile?

• Njengoba i-estrogen ne-progesterone kulawula isimo sengqondo nokuzinza kwemizwelo, ukwehla kwamazinga ako kungazelelwe kungabangela ukuphazamiseka kwemizwelo, ukucasuka, nemizwa yokudabuka.
• Futhi, i-cortisol, i-hormone yokucindezeleka, iyashintshashintsha ngesikhathi sokukhulelwa nangemva kokubeletha. Ukwenyuka kwamazinga e-cortisol kungenza omama abasha bakhathazeke futhi bacindezeleke.
• Ukuncelisa ibele kungashukumisa ukukhiqizwa kwe-oxytocin, ekhuthaza ukuhlangana phakathi kukamama nengane. Kodwa-ke, abanye besifazane abanale hormone yothando, okuholela ebunzimeni bokuhlangana nemizwa yokuhlukana.
• Abesifazane abane-postpartum thyroiditis, isimo lapho amazinga e-hormone yegilo eshintshashintsha ngokungalindelekile, bangalingisa noma bakhulise izimpawu zokucindezeleka nokukhathazeka.

Ukwelashwa Komuntu siqu Kokucindezeleka Kwangemva Kokubeletha

Njengoba sazi ukushintshashintsha kwamahomoni kuthinta owesifazane ngamunye ngendlela ehlukile, futhi indlela yokwelapha eyodwa ayisebenzi kuwo wonke umuntu. “Esikhundleni salokho, amasu okwelapha aqondene nomuntu wesifazane acubungula iphrofayili yehomoni eyingqayizivele yowesifazane, umlando wezokwelapha, nesimo sengqondo samanje asebenza kangcono ekumsizeni ukuba alawule ukudangala kwangemva kokubeletha,” kwengeza uDkt Anagani.

Ukulinganisa I-Hormone

Kwezinye izimo, ukwelapha nge-estrogen kusize ekudambiseni izimpawu ze-PPD ngokulinganisa amazinga amahomoni. Kodwa-ke, lokhu kwelashwa kudinga ukuqapha ngokucophelela ochwepheshe bezokwelapha.

Futhi, ukuhlolwa kokusebenza kwe-thyroid kungasiza ekutholeni i-postpartum thyroiditis futhi kuxazulule ngokushesha noma yiziphi izinkinga ngokwelashwa okufanelekile kokubuyisela i-hormone yegilo lapho kutholwa.

Ukulungiswa Kwendlela Yokuphila

• Kufanele wamukele ukudla okunomsoco okuqukethe i-omega-3s, amavithamini B, ne-iron njengoba kuthuthukisa ukulingana kwamahomoni futhi kuphakamisa isimo sengqondo.
• Ukuzibandakanya emisebenzini evamile elawula i-cortisol njenge-yoga nokuzindla kunganciphisa ukucindezeleka nokukhathazeka ngokuzibandakanya kokubili umzimba nengqondo.

Amathuluzi Wengqondo Nosizo Lomphakathi

Ukwelashwa kokuziphatha kwengqondo kanye nokwelashwa okuphakathi kwabantu kungasiza kakhulu abesifazane ukuthi bacubungule futhi babhekane nokucindezeleka kwangemva kokubeletha. “Amaqembu okusekela kanye nezikhathi zokwelulekwa kunikeza omama indawo ephephile nenakekelayo ukuze bacobelelane ngolwazi, baxhumane nabanye, bathole ukwesekwa nokuqonda,” kusho uDkt Anagani.

Ukungenelela Kwezokwelapha Lapho Kubucayi

Ezimweni ezimbi kakhulu, ama-antidepressants angase abekwe ukuphatha izimpawu ezicindezelayo ze-PPD. I-serotonin reuptake inhibitor ekhethiwe ivame ukushiwo futhi ibhekwa njengephephile ukuthi isetshenziswe ngesikhathi sokuncelisa ibele lapho isetshenziswa nokuphathwa kwezokwelapha okufanele.

Usizo Lomndeni Nomphakathi

Omama abasanda kuzalwa bangazuza ekuhilelekeni komkhaya ekukhuliseni abantwana nasemisebenzini yasekhaya. Abahlinzeki bezempilo kufanele bahlale begcizelela ukubaluleka kobudlelwano bomphakathi futhi bakhuthaze iziguli ukuthi zifune usizo lapho zidingeka.

Ukwephula Ucwaso Nokukhulisa Ukuqwashisa

UDkt Anagani waphetha ngokuthi, "Ukucwaswa okuphathelene nempilo yengqondo kamama kungenye yezinselele ezinkulu ekubhekaneni ne-PPD. Abesifazane abaningi bayangabaza ukufuna usizo ngenxa yokwesaba ukwahlulelwa noma ukubizwa ngokuthi omama abangafaneleki, ngakho-ke baqhubeka nokuzihlukanisa emzabalazweni wabo. Ukufundisa omama abasha kanye nokuqwashisa umphakathi kubalulekile ekulungiseni izingxoxo ezivulekile mayelana nezimpawu ze-PPD ukuze bazizwe benecala futhi bakhuthaze ukuzizwa benecala."

Isixhumanisi Esiyisethenjwa

https://www.onlymyhealth.com/role-of-hormones-in-postpartum-depression-and-importance-of-personalised-treatment-12977825993