Vim li cas qee tus poj niam tuaj yeem ua rau muaj kab mob ntau dua rau kev nyuaj siab tom qab yug menyuam

Zoo Siab

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Thaum Chrissy Teigen qhia rau Glamour tias nws raug kev txom nyem los ntawm kev yug menyuam tom qab yug menyuam (PPD) tom qab yug tus ntxhais Luna, nws tseem coj lwm qhov tseem ceeb rau poj niam txoj kev noj qab haus huv teeb meem rau pem hauv ntej thiab nruab nrab. (Peb twb tau nyiam* tus supermodel rau qhia nws zoo li nws yog thaum nws los txog rau cov ncauj lus xws li lub cev zoo, txheej txheem IVF, thiab nws noj zaub mov.) Thiab nws hloov tawm tias PPD zoo ib yam-nws cuam tshuam txog 1 hauv 9 cov poj niam hauv Asmeskas, raws li Lub Chaw Tiv Thaiv thiab Tiv Thaiv Kab Mob (CDC). Thiab cov kws tshawb fawb kwv yees tias tsuas yog 15 feem pua ​​​​ntawm cov poj niam uas raug cuam tshuam tau txais kev kho mob. Yog li peb yuav tsum yuav tham txog nws.

Tias yog vim li cas peb thiaj li xav pom qhov kev tshawb fawb zaum kawg los ntawm Johns Hopkins University. Nws qhia tau tias muaj qib siab ntawm kev tiv thaiv kev ntxhov siab ntau dhau thaum cev xeeb tub-tshwj xeeb tshaj yog lub hlis thib ob-tuaj yeem tiv thaiv sai-rau-yuav-niam tawm tsam PPD. Dab tsi zoo dua, txawm li cas los xij, yog qhov kev tshawb pom tshiab no tuaj yeem muaj ib hnub ua rau kev sim thiab kho uas pab tiv thaiv tus mob. (Cov ntawv ceeb toom: Koj puas paub tias mob epidural tuaj yeem txo koj txoj kev pheej hmoo ntawm PPD?)

Hauv kev tshawb nrhiav, luam tawm hauv Psychoneuroendocrinology, cov kws tshawb fawb ntsuas theem ntawm allopregnanolone, uas yog cov khoom tsim los ntawm kev tsim cov tshuaj hormone progesterone uas tau paub txog nws txoj kev nyob ntsiag to, tiv thaiv kev ntxhov siab. Lawv tau saib 60 tus niam-txiv uas yuav tsum tau ua yav tas los uas muaj tus cwj pwm tsis zoo (xav tias: muaj kev nyuaj siab loj lossis muaj kev puas siab puas ntsws bipolar), thiab kuaj cov poj niam qib nyob rau ob lub hlis thib peb thiab thib peb. Tom qab cov poj niam yug menyuam, cov kws tshawb fawb pom tias cov uas muaj qib qis dua ntawm allopregnanolone thaum lub sijhawm peb lub hlis thib ob feem ntau yuav raug kuaj mob nrog PPD ntau dua li cov poj niam uas muaj cov tshuaj hormone ntau dua nyob rau tib lub sijhawm ntawd.

"Allopregnanolone raug ntsuas hauv nanogram ib milliliter (ng/mL), thiab rau txhua qhov ntxiv ng/mL, poj niam muaj 63 feem pua ​​txo nws txoj kev pheej hmoo rau PPD," hais tias tus kws sau ntawv tshawb fawb Lauren M. Osborne, MD, tus pab thawj coj ntawm Women's Mood Disorders Center ntawm Johns Hopkins University School of Medicine.

Thaum cev xeeb tub, ob qho tib si progesterone thiab allopregnanolone ib txwm nce tsis tu ncua thiab tom qab ntawd poob thaum yug menyuam, piav qhia Osborne. Lub caij no, qee cov pov thawj qhia tias tus nqi ntawm progesterone uas tau tawg mus rau hauv allopregnanolone yuav txo qis mus rau qhov kawg ntawm cev xeeb tub. Yog li nws tuaj yeem ua rau muaj kev nkag siab zoo, yog tias koj muaj qib qis ntawm allopregnanolone ntab hauv koj lub cev ua ntej yug menyuam-thiab tom qab ntawd muaj kev cuam tshuam ntawm cov tshuaj hormones thaum yug menyuam-uas koj qhov kev ntxhov siab tuaj yeem nce thiab ua rau koj muaj kev cuam tshuam rau PPD, ntawm uas kev ntxhov siab yog ib qho tsos mob tshwm sim. (Ntxiv rau, xav paub ntau ntxiv txog qhov tseeb ntawm PPD.)

Osborne hais tias qhov kev tshawb fawb tsis teb tag nrho cov lus nug ntawm yog vim li cas allopregnanolone muaj peev xwm tiv thaiv PPD, "tab sis peb tuaj yeem xav tias tej zaum cov qib qis hauv peb lub hlis thib ob tau koom nrog hauv cov saw ntawm cov xwm txheej uas ua rau PPD-los ntawm lub hlwb receptors, lossis lub cev tiv thaiv kab mob, lossis qee qhov system peb tsis tau xav txog. "

Nws kuj tseem sau tseg tias qee tus poj niam tsuas yog tuaj yeem raug PPD ntau dua vim tias muaj cov qib qis ntawm allopregnanolone sab nraum cev xeeb tub, raws li cov pov thawj qhia tau hais tias muaj kev sib txuas ntawm cov qib qis ntawm cov tshuaj hormones thiab kev nyuaj siab. (Muaj feem xyuam: Nov yog tsib qhov kev tawm dag zog uas tuaj yeem pab npaj koj rau kev yug menyuam.)

Uas tau hais tias, tsis muaj leej twg hais kom koj khiav tawm mus rau qhov kev kuaj allopregnanolone yog tias koj muaj menyuam hauv txoj kev (tab sis, FWIW, muaj kev kuaj ntshav rau nws). Tom qab tag nrho, Osborne lees paub tias qhov no yog kev kawm me me nrog cov txiaj ntsig ua ntej, yog li kev tshawb fawb ntau ntxiv yuav tsum ua kom tiav. Ntxiv rau, dab tsi muaj ua tiav los nrog caveats. Thawj thiab qhov tseem ceeb: Txoj kev tshawb fawb no tau ua tiav nrog pab pawg ntawm cov poj niam uas muaj kev pheej hmoo siab, ntau dua li cov uas tsis muaj kev kuaj mob ua ntej ntawm kev xav tsis meej. Uas txhais tau tias lawv tseem tsis tau paub yog tias yuav pom cov txiaj ntsig zoo ib yam thaum muaj kev txheeb xyuas cov pejxeem ntau dua.

Tseem, nws muaj kev cia siab rau dab tsi los rau poj niam kev noj qab haus huv thiab kev kho mob. Osborne hais tias nws cia siab tias yuav kawm seb puas muaj allopregnanolone tuaj yeem siv los tiv thaiv PPD hauv cov poj niam uas muaj kev pheej hmoo, thiab Johns Hopkins yog ib qho ntawm ob peb lub tsev saib xyuas allopregnanolone raws li kev kho mob rau PPD.

Yog li thaum cov kws tshawb fawb nyiam qhov ntawd, koj thawj koom ruam zoo tshaj yog ua kom pom qhov koj xav. "Yuav luag txhua tus poj niam-li 80 txog 90 feem pua-yuav muaj 'tus menyuam mos liab' [thiab paub txog] lub siab hloov pauv thiab quaj hauv thawj ob peb hnub tom qab yug los," Osborne hais. "Tab sis cov tsos mob uas kav ntev li ob lub lis piam lossis ntau dua, lossis hnyav dua, tuaj yeem [qhia] kev nyuaj siab tom qab yug menyuam."

Muaj teeb meem pw tsaug zog; hnov qaug zog; kev txhawj xeeb ntau dhau (txog tus menyuam lossis lwm yam); tsis muaj kev xav rau tus menyuam; kev hloov ntshav qab zib; mob thiab mob; xav tias ua txhaum, tsis muaj nqis, lossis tsis muaj kev cia siab; hnov chim siab; muaj lub sijhawm nyuaj mloog zoo; lossis xav txog kev ua phem rau koj tus kheej lossis tus menyuam yog txhua yam tsos mob ntawm PPD, hais Osborne. (Ntxiv rau, tsis txhob hnov ​​qab rau qhov qhia me me ntawm qhov xwm txheej.) Yog tias koj tau ntsib ib qho ntawm cov no, kov lub hauv paus nrog koj tus kws kho mob kom sai li sai tau vim tias-nyiaj txheej! Tseem muaj Postpartum Support International Branch hauv txhua lub xeev rau cov uas nrhiav kev xaiv ntxiv.

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