Postpartum Psychosis: Nā ʻōuli a me nā kumuwaiwai

Anter

• He aha ke kumukūʻai o ka hanana no ka psychosis postpartum?
• Postpartum psychosis vs. postpartum kaumaha
• Pulu postpartum
• Kaumaha kaumaha ma hope o ka hānau ʻana
• Psychosis Postpartum
• Nā hōʻailona o ka psychosis postpartum
• He aha nā mea weliweli?
• Pehea e kuhikuhi ai nā kauka i ka psychosis postpartum?
• Hoʻomaʻo no ka psychosis postpartum
• ʻO Outlook no ka psychosis postpartum
• Q:
• A:

Hoʻokomo

ʻO ka hānau ʻana i kahi pēpē e lawe i nā loli he nui, a hiki i kēia mau mea ke hoʻopili i nā loli i ke ʻano a me ka naʻau o ka makuahine hou. ʻIke kekahi mau wahine ma mua o nā piʻi a me nā lalo maʻamau o ka wā hānau postpartum. He nui nā kumu i ka olakino noʻonoʻo postpartum. I kēia manawa, ʻo ka hopena koʻikoʻi loa o ka loli loli kahi ʻano i ʻike ʻia ʻo psychosis postpartum, a psychosis puerperal paha.

Kuhi kēia ʻano i ka wahine e ʻike i nā ʻōuli i makaʻu nona. Lohe paha ʻo ia i nā leo, ʻike i nā mea ʻaʻole maoli, a ʻike i nā manaʻo kaumaha loa a me ka hopohopo. Hōʻike kēia mau ʻōuli i ka lāʻau lapaʻau olakino.

He aha ke kumukūʻai o ka hanana no ka psychosis postpartum?

Kuhi ʻia he 1 i ka 2 o kēlā me kēia 1,000 wahine e ʻike i ka psychosis postpartum ma hope o ka hānau ʻana. Kākaʻikahi ke ʻano a loaʻa pinepine i loko o ʻelua a ʻekolu mau lā o ka lawe ʻana.

Postpartum psychosis vs. postpartum kaumaha

Ua ʻike nā kauka i kekahi ʻano o ka maʻi psychiatric postpartum. ʻO kekahi mau huaʻōlelo maʻamau āu i lohe ai e pili ana:

Pulu postpartum

Kuhi ʻia he 50 a 85 paha pākēneka o nā wahine i ka postpartum blues i loko o kekahi mau pule o ka hānau ʻana. Nā hōʻailona e pili ana i nā polū postpartum a i ʻole nā ​​"blues pēpē" e hoʻopili ʻia:

• waimaka
• hopohopo
• ukiuki
• nā hoʻololi wikiwiki i ke ʻano

Kaumaha kaumaha ma hope o ka hānau ʻana

Ke hala nā ʻōuli kaumaha ma mua o ʻelua a ʻekolu mau pule a hoʻopilikia i ka hana a ka wahine, loaʻa paha iā ia ke kaumaha postpartum. Nā ʻōuli e pili pū ana me ke ʻano:

• ʻano kaumaha mau
• manaʻo o ka hewa
• waiwai ʻole, a i ʻole lawa ʻole
• hopohopo
• haunaele hiamoe a luhi hoʻi
• paʻakikī paʻakikī
• loli ka makemake

ʻO ka wahine me ke kaumaha postpartum paha he manaʻo suicidal paha.

Psychosis Postpartum

Manaʻo ka hapa nui o nā kauka i ka psychosis postpartum e loaʻa i nā hopena olakino koʻikoʻi koʻikoʻi loa.

ʻAʻole ia he mea maʻamau no nā makuahine hou āpau e loaʻa i nā ʻāpana o ke kaumaha, ka makaʻu, a me ka hopohopo. Ke hoʻomau a huli paha kēia mau ʻōuli i mau manaʻo weliweli, pono lākou e ʻimi i ke kōkua.

Nā hōʻailona o ka psychosis postpartum

ʻO Psychosis kahi manawa e nalo ai ke kanaka me ka ʻoiaʻiʻo. Hoʻomaka paha lākou e ʻike, lohe, a / a manaʻoʻiʻo paha i nā mea ʻoiaʻiʻo ʻole. Hiki ke weliweli loa kēia hopena no kahi makuahine hou a me kāna pēpē.

ʻO nā hōʻailona psychosis postpartum e like me nā bipolar, manic episode. Hoʻomaka ka hoʻomaka o ka hanana me ka hiki ʻole ke hiamoe a me ka hoʻomaha ʻole a me ka huhū paha. Hāʻawi kēia mau hōʻailona i nā mea ʻoi aku ka paʻakikī. ʻO nā laʻana me:

• hoʻolohe manaʻo (lohe i nā mea ʻaʻole maoli, e like me nā manaʻo no ka makuahine e hōʻeha iā ia iho a i ʻole ke hoʻāʻo nei ka pēpē e pepehi iā ia)
• nā manaʻo hoʻopunipuni e pili maʻamau i ka pēpē, e like me ka hoʻāʻo ʻana o kekahi e hana ʻino i kāna pēpē
• hoʻokaʻawale e pili ana i ka wahi a me ka manawa
• hana kuhi hewa ʻole
• ke hoʻololi wikiwiki nei i nā ʻano mai ke kaumaha nui a ikaika loa
• manaʻo suicidal
• manaʻo kolohe, e like me ka haʻi ʻana i ka makuahine e hōʻeha i kāna pēpē

Hiki ke koʻikoʻi ka psychosis postpartum no ka makuahine a me kāna mea liʻiliʻi. Inā kū kēia mau hōʻailona, ​​he mea nui e loaʻa koke i ka wahine ke kōkua olakino.

He aha nā mea weliweli?

ʻOiai hiki i kekahi mau wahine ke loaʻa i ka psychosis postpartum me ka ʻole o nā kumu pilikia, aia kekahi mau mea i ʻike ʻia e hoʻonui i ka wahine i ka maʻi no kēia ʻano. Pākuʻi ʻia lākou:

• moʻolelo o ka maʻi bipolar
• ka moʻolelo o psychosis postpartum i kahi hāpai mua
• ka mōʻaukala o ka maʻi schizoaffective a i ʻole schizophrenia
• moʻolelo o ka ʻohana o ka psychosis postpartum a i ʻole ka maʻi bipolar
• hāpai keiki mua
• hoʻopau i nā lāʻau psychiatric no ka hāpai ʻana

ʻAʻole ʻike ʻia nā kumu kikoʻī o ka psychosis postpartum. Ua ʻike nā kauka ʻo nā wahine āpau i ka wā postpartum ke ʻike nei i nā pae hormone fluctuating. Eia naʻe, ʻoi aku ka maʻalahi o kekahi i nā hopena o ke olakino noʻonoʻo o nā loli i nā hormones e like me estrogen, progesterone, a me / a i ʻole nā ​​thyroid hormones. Hiki i nā ʻano ʻē aʻe he nui o ke olakino ke hoʻohuli i nā kumu o ka psychosis postpartum, me nā genetics, ka moʻomeheu, a me nā mea pili i ka nohona a me nā biologic. Pāleo paha ka hiamoe hiamoe.

Pehea e kuhikuhi ai nā kauka i ka psychosis postpartum?

E hoʻomaka kahi kauka ma ka nīnau ʻana iā ʻoe e pili ana i kāu mau hōʻailona a me ka lōʻihi o kou ʻike ʻana iā lākou. E nīnau pū lākou e pili ana i kāu mōʻaukala i hala, e like me inā he moʻolelo kāu o:

• kaumaha
• bipolar kāna hana
• hopohopo
• nā maʻi noʻonoʻo ʻē aʻe
• moʻolelo mōʻaukala noʻonoʻo ʻohana
• mau manaʻo no ka pepehi kanaka ʻana, a i ʻole hōʻeha paha i kāu pēpē
• hōʻino lāʻau

He mea nui ka ʻoiaʻiʻo me ka wehe me ka hiki i kāu kauka i hiki ai iā ʻoe ke loaʻa i ke kōkua āu e pono ai.

E hoʻāʻo kahi kauka e kāpae i nā kūlana ʻē aʻe a me nā kumu e hiki ai ke hoʻololi i ka lawena, e like me nā hormones thyroid a i ʻole ka maʻi postpartum. ʻO ka hoʻāʻo ʻana i ke koko no nā pae hormonone thyroid, hiki ke kōkua i nā helu o ke koko keʻokeʻo, a me nā ʻike e pili ana.

E noi paha ke kauka i kahi wahine e hoʻopiha i kahi mea hana kānana kaumaha. Hoʻonohonoho ʻia kēia mau nīnau e kōkua i nā kauka e hoʻomaopopo i nā wahine e ʻike nei i ke kaumaha postpartum a me / a i ʻole psychosis.

Hoʻomaʻo no ka psychosis postpartum

ʻO ka psychosis postpartum kahi pilikia olakino. E kāhea ke kanaka iā 911 a ʻimi i ka lāʻau ma kahi keʻena pilikia, a i ʻole e lawe kekahi iā lākou i kahi keʻena pilikia a i ʻole ke kikowaena pilikia. ʻO ka manawa pinepine, e loaʻa ka wahine i ka lāʻau lapaʻau ma kahi kikowaena inpatient no kekahi mau lā a hiki i ka paʻa ʻana o kona ʻano a ʻaʻole ʻo ia e makaʻu hou no ka hōʻeha iā ia iho a i kāna pēpē paha.

ʻO nā mālama ʻana i ka wā psychotic me nā lāʻau e hōʻemi i ke kaumaha, hoʻokūpaʻa i ke ʻano, a hoʻemi i ka psychosis. ʻO nā laʻana me:

• Nā Antipsychotics: Hoʻoemi kēia mau lāʻau i ka hanana o nā hallucination. ʻO nā laʻana me risperidone (Risperdal), olanzapine (Zyprexa), ziprasidone (Geodon), a me aripiprazole (Abilify).
• ʻO nā mea hoʻopaʻa leo: Hoʻoemi kēia mau lāʻau i nā mana manic. ʻO nā laʻana me ka lithium (Lithobid), carbamazepine (Tegretol), lamotrigine (Lamictal), a me divalproex sodium (Depakote).

ʻAʻohe o kahi hui kūpono o nā lāʻau. ʻOkoʻa kēlā me kēia wahine a pane maikaʻi paha i nā lāʻau antidepressants a i ʻole nā ​​lāʻau antianxiance ma kahi o a i ʻole me ka hui pū ʻana me kahi lāʻau mai nā papa i luna.

Inā ʻaʻole pane maikaʻi ka wahine i nā lāʻau a pono paha i kahi lāʻau hou aʻe, pinepine ka mana o ka electroconvulsive shock therapy (ECT). Hoʻopili kēia therapy i ka hāʻawi ʻana i kahi nui o ka electromagnetic stimulate i kou lolo.

Hoʻokumu ka hopena i kahi ʻino a i ʻole ka hopu ʻana e like me ka hana i ka lolo e kōkua ai e "hoʻihoʻi" i nā kaulike ʻole i hoʻokumu i kahi hanana psychotic. Ua hoʻohana palekana nā kauka iā ECT no nā makahiki he nui e mālama i ke kaumaha nui a me ka maʻi bipolar.

ʻO Outlook no ka psychosis postpartum

ʻO nā hōʻailona ʻoi loa o ka psychosis postpartum hiki ke hala ma kahi o ʻelua a 12 mau pule. Pono hou kekahi mau wahine e ola hou, mai ka ʻeono a i ka 12 mau mahina. ʻOiai ma hope o ka hala ʻana o nā hōʻailona psychosis nui, loaʻa paha i nā wahine ka manaʻo kaumaha a me ka hopohopo paha. He mea nui ka noho ʻana ma nā lāʻau i kuhikuhi ʻia a ʻimi i ka hoʻomau ʻana i ka lāʻau a me ke kākoʻo no kēia mau ʻōuli.

Pono nā wahine e hānai nei i kā lākou pēpē i kā lākou kauka e pili ana i ka palekana. Hoʻohana ʻia nā lāʻau he nui e mālama ai i ka psychosis postpartum ma o ka waiū umauma.

Kuhi ʻia he 31 pākēneka o nā wahine me ka mōʻaukala postpartum psychosis e ʻike hou i ke ʻano i kekahi hāpai ʻana, e like me kahi noiʻi i paʻi ʻia ma The American Journal of Psychiatry.

ʻAʻole pono kēia helu e mālama iā ʻoe mai ka loaʻa ʻana o kahi pēpē hou, akā he mea ia e hoʻomanaʻo ai i kou hoʻomākaukau ʻana no ka hānau. I kekahi manawa e kau kauka i kahi stabilizer ʻano e like me ka lithium no ka wahine e lawe ma hope o ka hānau ʻana. Hiki i kēia ke pale i ka psychosis postpartum.

Ke loaʻa nei i kahi ʻāpana o ka psychosis postpartum ʻaʻole ia he manaʻo e loaʻa iā ʻoe nā hanana o ka psychosis a i ʻole ke kaumaha. Akā he mea nui ia no ʻoe e ʻike i nā ʻōuli a ma hea e ʻimi ai i ka lāʻau lapaʻau inā hoʻomaka kāu mau ʻōuli e hoʻi.

Q:

Ma hea kahi wahine e ʻike nei i nā ʻōuli a i ʻole e nānā ana e mālama i kahi mea i aloha ʻia e loaʻa i ke kōkua no ka psychosis postpartum?

Hoʻomanawanui inoa ʻole

A:

Kāhea iā 911. E wehewehe e pili ana ʻoe (a i ʻole ke kanaka āu e mālama ai) i kahi pēpē hou a wehewehe i nā mea i ʻike ʻia a i ʻike ʻia paha. E haʻi i kou hopohopo no ka palekana a me ke olakino. ʻO nā wahine e loaʻa nei i ka psychosis postpartum i ka pilikia a pono i ke kōkua i kahi haukapila e noho palekana. Mai haʻalele i kahi wahine e ʻike nei i nā hōʻailona a me nā hōʻailona o ka psychosis postpartum.

ʻO Kimberly Dishman, MSN, WHNP-BC, RNC-OBAnswers e hōʻike i nā manaʻo o kā mākou loea loea. Hoʻomaopopo ʻike ʻike ʻole ʻia nā ʻike āpau a pono ʻole e noʻonoʻo ʻia he ʻōlelo aʻoaʻo olakino.