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Kodi mungamwe mankhwala opatsirana pogonana mukakhala ndi pakati?

Kodi mungamwe mankhwala opatsirana pogonana mukakhala ndi pakati?Zambiri Zamankhwala

Mzimayi akazindikira kuti ali ndi mwana amatha kuyembekezera kudzimva kuti ndi wosangalala, wamanjenje, wokondwa, kapena wopanikizika pang'ono panthawi yomwe ali ndi pakati. Koma amayi ambiri oyembekezera mwina samayembekezera kudzimva okhumudwa. Komabe, Kafukufuku akuwonetsa kuti azimayi omwe ali ndi pakati amakhala pachiwopsezo chachikulu cha kukhumudwa pomwe samakhala ndi pakati.

Pulogalamu ya Gulu Lachitetezo la U.S. (USPSTF) akuti mayi m'modzi mwa amayi asanu ndi awiri amakhala ndi nkhawa nthawi yomwe ali ndi pakati kapena atabereka, komansoKukhumudwa pambuyo poberekandizofala kwambiri pathupi pathupi komanso pambuyo pobereka. Koma kodi ndizabwino kuchiza ukuyembekezera? Kodi mankhwala opatsirana pogonana komanso kutenga pakati ndizabwino?



ZOKHUDZA: Kuthetsa nkhawa ndi kuyamwitsa



Kodi zizindikilo zakusokonekera kwa nthawi yapakati ndi ziti?

Matenda a amayi akuwoneka ngati kukhumudwa kwamankhwala, atero a Crystal Clancy, omwe ali ndi chilolezo chokwatirana komanso achibale IrisThanzi LabwinoNtchito Zaumoyo Wobereka ku Minnesota. Kusiyanitsa pakati pakukhumudwa kwa chiberekero ndi kukhumudwa kwamankhwala ndikuti mayi wapakati nthawi zambiri amachita manyazi chifukwa chokhala osamva bwino panthawi yomwe ali ndi pakati, Clancy akufotokoza.

Zizindikiro zakukhumudwa mukakhala ndi pakati, malinga ndi Mgwirizano wa Amayi Achimereka , monga:



  • Kukhala wachisoni mosalekeza
  • Zovuta kulingalira, ngakhale pazinthu zomwe zimakusangalatsani
  • Kusintha kwa njala kapena kugona
  • Malingaliro akumwalira kapena kudzipha

Mukawona zizindikiro za kukhumudwa muli ndi pakati, gawo loyamba ndikupempha thandizo. Musalole kuopa kulamulidwamankhwala opatsirana pogonanakukulepheretsani kupeza chisamaliro. Ngakhale sizachilendo kukhala ndi zokayikira zakugwiritsa ntchito mankhwalaAli ndi pakati, madokotala nthawi zambiri amatizoopsa zomwe zingachitikeosamwa mankhwala opondereza nkhawa amaposa chiopsezo chomwa.

Matenda okhumudwa panthawi yapakati

Kukapanda kuchiritsidwa, kukhumudwa kumatha kubweretsa zoopsa ku mayi wapakati komanso mwana wosabadwa, kuphatikiza kubadwa msanga komansokulemera kochepa kubadwa, akufotokoza Sal Raichbach, Psy.D, katswiri wama psychology ku Chithandizo cha Ambrosia ku Florida.

Matenda opatsirana pogonana komanso mimba

Ndizotetezeka kuchiza kukhumudwa ndikusankha serotonin reuptake inhibitors(SSRIs), monga Celexa [citalopram], Prozac [fluoxetine], ndi Zoloft [sertraline] ali ndi pakati, Dr. Raichbach akuti. Paxil (paroxetine) ndi SSRI ina yomwe imagwera mgulu lomweli, koma limalumikizidwa ndi chiopsezo chochepa zofooka zobadwa monga zopindika mtima. Kugwiritsa ntchito kwake kumakhumudwitsidwa panthawi yapakati.



USPSTF idachita kafukufuku komweamayi apakatianatenga antidepressant alirezatalischi (anSSRIndi generic yaZoloft) ndi placebo kuti athetse vuto lawo. Kafukufukuyu anapeza kuti amayi omwe adatengaSertralineanali atachepa kubwereranso kukhumudwa poyerekeza ndi azimayi omwe amatenga mapiritsi a placebo.

Serotonin-norepinephrine reuptake inhibitors (SNRIs), monga Cymbalta , Khedezla, ndi Kuchita ndiotetezedwa kuamayi apakati. Lexapro (escitalopram) ndi SNRI ina mkalasi lomweli. Kafukufuku akuwonetsa kuti pali chiopsezo chowonjezeka cha kutuluka kwa magazi pambuyo pobereka pamene ma SNRI amatengedwa kumapeto kwa mimba.

Wellbutrin (bupropion) ndi mtundu wina wa antidepressant womwe nthawi zina umagwiritsidwanso ntchito kuthandiza anthu kusiya kusuta. Sichosankha choyamba mukakhala ndi pakati, koma ndi njira yabwinoko kukambirana ndi dokotala ngati mankhwala ena opatsirana pogonana sanakugwiritsireni ntchito.



Tricyclic antidepressants, monga Pamelor ( kutchfuneralhome ), ndi gulu lina la antidepressants lomwe limaonedwa ngati njira yachitatu pamimba chifukwa chokhudzana ndi kupsa mtima, kugwedezeka, kapena kutaya magazi pambuyo pobereka.

Njira zochotsera nkhawa

Zimakhala zachizoloƔezi kuti amayi amaopa kumwa mankhwala opatsirana pogonana ali ndi pakati, koma nkofunika kuti wodwala aliyense akambirane ndi omwe amamuchitira chithandizo chamankhwala chomwe chingathandize kuti akhale ndi thanzi labwino. Kwa odwala omwe ali ofunitsitsa kutsatira njira ina yothandizira, pali zosankha zosagwiritsa ntchito mankhwala. Malinga ndi phunziro limodzi , njira zopewera kugwiritsa ntchito mankhwala zimaphatikizapo (koma sizingowonjezera):



  • Maudindo okhazikika a psychotherapy
  • Kupita ku gulu lothandizira
  • Chidziwitso chamakhalidwe (CBT), m'magulu, monga aliyense payekha, kapena ngakhale kunyumba

Kwa amayi oyembekezera omwe ali ndikukhumudwa kwakukulu, kapena amayi omwe sangathe kudzipereka pantchito zina, Clancy akuti, Ndikofunikira kwambiri kupeza munthu yemwe ali ndi maphunziro apadera operekera mankhwala opatsirana pogonana kwa omwe ali ndi pakati komanso akabereka.

Zotsatira zoyipayantchito antidepressantpa mimba

Pali zambiri zabodza kunja uko zomwe amayi angatenge pamene ali ndi pakati komanso akuyamwitsa. Pulogalamu ya Nkhawa ndi Kukhumudwa Association of America akuti ngakhale pali zoopsa zomwe zimakhudzana ndi antidepressants komanso mimba, kuphatikiza zoopsa zazilema zobereka , zoopsa ndizotsika kwambiri. Pulogalamu ya zotsatira zoyipa kuwonetsedwa asanabadwe m'kati mwa trimester yachitatu ndikuphatikizira:



  • Jitteriness
  • Kukwiya
  • Kudya moperewera
  • Mavuto a kupuma
  • Chiwopsezo chochepa kwambiri cha autism ndi ADHD

Kwa amayi omwe amadziwa kuti akuyembekezera ndipo ali kale ndi mankhwala opatsirana, John Hopkins Mankhwala limalangiza motsutsana ndikusiyazamankhwala anu, ndikukulimbikitsani kuti mufunsane ndi omwe amakuthandizani nthawi yomweyo. Amanenanso kuti ngati muli ndikusokonezeka kwa malingalirondipo akuganiza zokhala ndi pakati, kuti mukafunse kaye za uchembere ndi uchembere.

Dr. Raichbach akuti Ngakhale kuti zoopsa zakumwa mankhwala opatsirana pogonana mukakhala ndi pakati ndizochepa, madokotala nthawi zambiri amapereka mankhwala ochepetsa nkhawa omwe amathandizira kuchepetsa zizindikilo. Njira ina yaMatenda osachiritsidwandipo nkhawa imasokoneza kukula kwa mwana wosabadwayo.



Ndibwino kuyankhula ndi anuwoberekaPazomwe mungachite posamalira. Thanzi LabwinoAmerica imapereka zothandizira ndi thandizo kwa iwo omwe akufuna athanzi lamisalaakatswiri.

Amayi apakati omwe amapatsidwa mankhwala ochepetsa nkhawa ali ndi pakati akuti adzalembetsa ku National Pregnancy Registry for Antidepressants (NPRAD) poyimba 844-405-6185.