Njodzi Zviitiko zvekushushikana Panguva yekuzvitakura

Zvemukati

• 8 Njodzi Zviitiko zveAnatal Kushungurudzika
• Iyo Nhema-ish Chikamu paPostpartum Kushungurudzika

• Idzo nhatu dzepamusoro nenjodzi dzekushushikana kwekusununguka panguva yekuzvarwa inhoroondo yekushushikana, kushaya rutsigiro munharaunda, uye zviitiko zvechisimba, kutsvagisa kunoratidza.
• Kuwanda kwekushushikana panguva yekuzvitakura parizvino kuri gumi neshanu kusvika makumi maviri muzana muzana, kunyangwe zvingave zvichikwira.
• Kune zvimiro zvemuviri nezvepfungwa zvekusiya kushushikana kusina kugadziriswa, asi kurapwa kunowanikwa kune avo vanozvida.

Tsvagurudzo nyowani naYin nevamwe vake, yakaburitswa muna Kukadzi 2021 nyaya ya Clinical Psychology Ongororo , inoongorora kuwanda uye njodzi zviitiko zvekushushikana panguva yekuzvitakura (inonzi kushushikana kwekuberekwa).

Zvinyorwa nezve terminology: Kunze kwezwi rekuti kushushikana kwepamuviri, izwi rekuti prenatal kushushikana rinoshandiswawo kureva kuitika kwekuora mwoyo panguva yekuzvitakura uye pamberi kubereka. Mazwi anoshandiswa kureva kushushikana kwemadzimai kunoitika panguva yekuzvitakura kana munguva pfupi mushure kuzvara kunosanganisira peripartum depression (kushushikana kunotanga panguva yepamuviri kana kusvika kumavhiki anoverengeka mushure mekuzvara) uye kusununguka kusununguka (kushushikana kunoitika chete mushure mekuzvara).

Kushungurudzika panguva yekuzvitakura kunogona kuve nemhedzisiro, sekuwedzera mukana wekushushikana mushure mekusununguka. Chokwadi, izwi rekuti peripartum kushushikana rakaunzwa mu DSM-5 nekuda kwekutsvaga kwakaratidza kuti hafu yezvikamu zveashure kwekusununguka kushushikana zvinotanga usati wasununguka.

Kuti tiwane kunzwisiswa kuri nani kwenjodzi zvinhu zvekuora mwoyo panguva yekuzvitakura, ngationgororei chidzidzo cheYin nevashandi.

Vanyori vakaita zvakazara kutsvaga mabhuku uye vakasarudza 173 zvinyorwa (182 yakazvimirira mishumo) yehunhu hwekutanga uye meta-ongororo.

Izvi zvidzidzo zvakabva kunyika makumi mashanu (39 pa173 kubva kuUS). Mhando dzekuenzanisira dzakatanga kubva pa21 kusvika pamusoro pevanhu zviuru makumi matatu nemashanu. Yese saizi saizi yaive 197,047.

Chiyero chinonyanya kushandiswa (93 mishumo) yekushushikana kwepamuviri yaive Edinburgh Postnatal Depression Scale kana EPDS. EPDS ine zvinhu gumi, izvo zvinoyera zvinotevera: kuseka, kuzvipa mhosva, kunakidzwa, kushushikana, kutya, kukunda matambudziko, matambudziko ekurara, kusuwa, kuchema, uye kuzvikuvadza.

Zvimwe zviyero zvinowanzo shandiswa zvaisanganisira iyo Center for Epidemiologic Study Depression Scale (CES-D), Beck Depression Inventory (BDI), Patient Health Questionnaire (PHQ), uye iyo Yakarongeka Clinical Bvunzurudzo yeDhignostic uye Statistical Manual yeMental Dambudziko.

8 Njodzi Zviitiko zveAnatal Kushungurudzika

Pakati pe 173 miedzo, huwandu hwakaunganidzwa hwezviratidzo zvekushushikana kwekuzvara panguva yekuzvarwa kwaive 21% -asi 15% yekushungurudzika kukuru (72 miedzo).

Kazhinji, kuwanda kwakanyanya kwekushushikana kwepabonde kwakabatanidzwa nezvidzidzo zvakaitiswa nguva pfupi yadarika (mushure megore ra2010), munyika dzinotambira mari shoma, uye idzo dzichishandisa mibvunzo-yekuzvibvunza mibvunzo (zvinopesana nevakabvunzurudzwa vekiriniki).

Kuti uongorore zvinowanzoitika panjodzi yekushushikana kwepamuviri, vaongorori vakaita meta-ongororo vachishandisa zvinhu zvakawanda kubva kuongororo makumi matatu neshanu dzinoratidzira data rakakodzera. Izvi zvinhu zvaisanganisira parity (kureva nhamba yevakaberekwa), ruzivo rwemhirizhonga, kushaikwa kwemabasa, nhumbu isina kurongwa, nhoroondo yekusvuta (kusanganisira panguva yepamuviri), chinzvimbo chemuchato, rutsigiro rwemagariro, uye nhoroondo yekushushikana. Zviwanikwa zvakaratidza kuti zvese izvi zvine njodzi, kunze kwekuenzana, zvine hukama hwakakura nekushushikana kwepamuviri.

Iwo akaunganidzwa odds ratios (OR) akanyorwa pazasi (CI inoreva nguva dzekuvimba):

1. Nhoroondo yekushungurudzika: KANA = 3.17, 95% CI: 2.25, 4.47.
2. Kushaikwa kwerubatsiro rwemagariro: OR = 3.13, 95% CI: 1.76, 5.56.
3. Chiitiko chemhirizhonga: KANA = 2.72, 95% CI: 2.26, 3.27.
4. Nzvimbo isina basa: OR = 2.41, 95% CI: 1.76, 3.29.
5. Chimiro chemuchato (asina kuroora / akarambana): KANA = 2.37, 95% CI: 1.80, 3.13.
6. Kusvuta panguva yekuzvitakura: KANA = 2.04, 95% CI: 1.41, 2.95.
7. Kusvuta usati wabata pamuviri: KANA = 1.97, 95% CI: 1.63, 2.38.
8. Mimba isina kurongwa: OR = 1.86, 95% CI: 1.40, 2.47.