افسردگی پس از زایمان چیست و چه درمانی دارد؟

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افسردگی پس از زایمان چیست ؟

افسردگی پس از زایمان یک بیماری افسردگی  است که  از بین 100 خانم که صاحب نوزاد شده اند بر روی 10 تا 15 نفر آنها تاثیر میگذارد.

علائم آن مشابه به علائم افسردگی در زمان های دیگر است.

 شامل کم خلق و خوی بودن و سایر علایم  دیگر که به مدت حداقل دو هفته به طول بی انجامند است.  

افسردگی پس از زایمان اغلب در عرض یک یا دو ماه پس از زایمان شروع می شود.

 یا می تواند چند ماه پس از تولد نوزاد شروع  شود.

بسته به شدت آن، شما ممکن است برای مراقبت از خود و نوزاد خود با مشکل مواجه شوید .

ممکن است کارهای ساده و آسان برای شما سخت و دشوار به نظر آیند.

علل افسردگی بعد از زایمان

به نظر می‌رسد که افسردگی بعد از زایمان به علت تغییرات در سطوح هورمون‌ها بعد از بارداری به وجود می‌آید.

هر زنی می‌تواند به افسردگی بعد از زایمان مبتلا شود و این بیماری می‌تواند بعد از سقط جنین و مرده زایی نیز بروز کند.

در موارد زیر احتمال بیشتری برای ابتلا به افسردگی بعد از زایمان وجود دارد:

شما قبلا بیماری افسردگی و یا افسردگی پس از زایمان را تجربه کرده باشید.

شما از حمایت ضعیفی از طرف همسر، خانواده و یا دوستانتان برخوردار باشید.

نوزاد شما بیمار باشد و یا گریه‌های طولانی مدت (کولیک شیرخواران) داشته باشد.

استرس بسیار زیادی در زندگی شما وجود داشته باشد.

اگر در خانواده‌ی شما سابقه اختلال دو قطبی وجود داشته باشد، احتمال ابتلای شما به جنون پس از زایمان بیشتر می‌شود

علائم افسردگی پس از زایمان:

  • افسردگی

در اکثر مواقع شما احساس  نارضایتی دارید و بغض می کنید. این حالات  شما  در زمان خاصی از روز، مانند صبح یا شب/غروب ممکن است  بدتر شود.

  • زود رنج

همسر، کودک شما و یا بچه های دیگر ممکن است شما را زود رنج و یا عصبانی کنند.

  •        خستگی

همه  کسانی که به تازگی مادر شده اند خیلی خسته می شوند. افسردگی باعث می شود که شما احساس کنید که بسیار خسته و فاقد انرژی هستید.

  •        بی خوابی

با اینکه بسیار خسته هستید ولی نمی توانید بخوابید.

ممکن است دراز بکشید بدون اینکه خواب بروید و در مورد  چیز های مختلف نگران باشید.

ممکن است در طول شب بیدار شوید در حالی که کودک شما خواب است.

  •        تغییر اشتها

شما ممکن است اشتهای خود را از دست داده و یا فراموش کنید که غذا بخورید. برخی از زنان برای بدست آوردن آرامش غذا می خورند و پس از آن احساس بدی به دلیل افزایش وزن به آنها دست می دهد.

  •        لذت نبردن از هیچ چیز

شما درمیابید که نمی توانید از چیزی لذت ببرید و یا علاقه مند به چیزی باشید.

شما ممکن است از بودن با کودک خود لذت نبرید.

  •        از دست دادن علاقه به رابطه جنسی

دلایل متعددی برای از دست دادن علاقه به رابطه جنسی بعد از بچه دار شدن وجود دارد.

این کار ممکن است دردناک باشد و یا شما ممکن است بیش از حد خسته باشید.

افسردگی پس از زایمان می تواند هر گونه میلی را از بین ببرد.

همسر شما ممکن است این را درک نکند و احساس مطرود شدن کند.

  •  افکار منفی و گناه

افسردگی تفکر شما را تغییر می دهد:

  1. ممکن است شما افکار بسیار منفی داشته باشید.
  2. ممکن است فکر کنید مادر خوبی نیستید و یا کودکتان شما را دوست ندارد.
  3. ممکن است به خاطر اینگونه احساسات و افکار احساس گناه کنید و خود را مقصر بدانید.
  4. ممکن است اعتماد به نفس خود را از دست بدهید.
  5. ممکن است فکر کنید که نمی توانید از عهده چیزها بر آیید.

  •        بیمناک/اضطراب

بیشتر کسانی که به تازگی مادر شده اند نگران سلامت کودک خود هستند.

اگر شما افسردگی پس از زایمان دارید این نگرانی میتواند شما را از پا در آورد. ممکن است شما نگران باشید که:

  1. کودک شما خیلی مریض است
  2. کودک شما به اندازه کافی وزن نمی گیرد
  3. کودک شما بسیار گریه می کند و شما نمی توانید او را آرام کنید
  4. کودک شما بسیار آرام است و ممکن است دیگر نفس نکشد
  5. نگران باشید که ممکن است که به کودک خود آسیب برسانید
  6. ممکن است بیماری جسمی داشته باشید
  7. افسردگی پس از زایمانتا ن هرگز بهتر نشود

ممکن است بسیار نگران باشید از اینکه با کودک خود تنها بمانید.

ممکن است به اطمینان خاطر از طرف همسر،مراقب بهداشت و یا پزشک خود نیازمند باشید.

  •        اجتناب از افراد دیگر

ممکن است شما نخواهید دوستان و اقوام را ببینید..

ممکن است رفتن به گروه های حمایت پس از زایمان برایتان دشوار باشد.

  •        نا امید

ممکن است حس کنید که هیچ چیز بهتر نخواهد شد.

ممکن است فکر کنید که زندگی ارزش زیستن ندارد.

ممکن است که حتی فکر کنید که خانواده تان بدون شما زندگی بهتری خواهند داشت.

  • افکار خودکشی

اگر افکار آسیب رساندن به خودتان را دارید  باید از پزشک خود کمک بخواهید.

اگر انگیزه قوی برای آسیب رساندن به خودتان را دارید, باید فورا کمک بخواهید.

 

 

 

 

درمان

درمان افسردگی بعد از زایمان به کمک دارو‌های ضد افسردگی و مشاوره انجام می‌شود.

زنانی که افسردگی بعد از زایمان آن‌ها خفیف است ممکن است تنها با مشاوره درمان شوند.

اما در بسیاری از موارد هر دو روش مشاوره و دارو‌های ضد افسردگی لازم می‌شود.

تصور می‌شود که برخی از دارو‌های ضد افسردگی برای مادرانی که به نوزاد شیر خودشان را می‌دهند، بی خطر باشد.

سعی کنید از این قضیه که شما به این بیماری مبتلا شده اید نسبت به خودتان احساس بدی نداشته باشید.

این به این معنی نیست که شما مادر بدی هستید.

بسیاری از زنان از افسردگی بعد از زایمان رنج می‌برند.

کمی زمان می‌برد، اما شما با استفاده از روش‌های درمانی به مرور بهبود می‌یابید.

افسردگی پس از زایمان بر خلاف تصور برخی از افراد، یک بیماری و وضعیت پزشکیست نه نشانه‌ای از ضعف بعد از زایمان. با خودتان و افرادی که از شما مراقبت می‌کنند صادق باشید.

در مورد مشکلتان با آن‌ها صحبت کنید. شما، پزشکتان، خانواده و دوستانتان می‌توانید با هم برای درمان این بیماری یک تیم شوید و همکاری داشته باشید.

برای بیرون رفتن و ملاقات با دوستانتان یک برنامه منظم ترتیب دهید و از آن‌ها بخواهید که به صورت منظم با شما تماس گرفته و به ملاقات شما بیایند.

دور بودن از جمع می‌تواند افسردگی را بدتر کند مخصوصاً اگر با استرسِ بزرگ کردن یک نوزاد نیز همراه باشد.

رژیم غذایی متعادل داشته باشید.

 

مرکز مشاوره دیدار ( بالاتر از میدان ولیعصر ، نرسیده به خیابان فاطمی، ساختمان پرستو ، 88893258 )

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