{"id":55974,"date":"2023-11-09T11:00:28","date_gmt":"2023-11-09T09:00:28","guid":{"rendered":"https:\/\/www.silutesnaujienos.lt\/lt\/?p=55974"},"modified":"2023-11-06T14:18:25","modified_gmt":"2023-11-06T12:18:25","slug":"gimdyves-susiduria-su-psichologiniais-sunkumais-ka-svarbu-zinoti-artimiesiems","status":"publish","type":"post","link":"https:\/\/www.silutesnaujienos.lt\/lt\/gimdyves-susiduria-su-psichologiniais-sunkumais-ka-svarbu-zinoti-artimiesiems\/","title":{"rendered":"Gimdyv\u0117s susiduria su psichologiniais sunkumais. K\u0105 svarbu \u017einoti artimiesiems?"},"content":{"rendered":"

\u201eNuo 10 iki 40 proc. pagimd\u017eiusi\u0173 moter\u0173 patiria lengvesnius ar sunkesnius psichikos sutrikimus, iki 80 proc. \u2013 pogimdyvin\u0119 melancholij\u0105. Paprastai kalbant \u2013 jei sveikinsime keturias drauges su vaiku\u010dio gimimu \u2013 didel\u0117 tikimyb\u0117, jog dvi i\u0161 j\u0173 tur\u0117s emocini\u0173 sunkum\u0173\u201c, \u2013 pabr\u0117\u017eia R. Juknait\u0117.<\/p>\n

Kaip atpa\u017einti?<\/strong><\/p>\n

Emocin\u0117 b\u016bkl\u0117, prasidedanti staiga, kartais net pra\u0117jus vos kelioms valandoms po gimdymo, ir trunkanti nuo keli\u0173 dien\u0173 iki keleto savai\u010di\u0173, vadinama pogimdyvine melancholija. Jos metu moter\u012f vargina nerimas, \u012ftampa, baim\u0117, li\u016bdesys, verksmingumas, gali b\u016bti sunku u\u017emigti, pasir\u016bpinti savimi ar vaiku\u010diu. Padedant artimiesiems, skiriant laiko poilsiui ar trumpam pabuvimui atskirai nuo k\u016bdikio, savijauta praeina.<\/p>\n

Pogimdyvin\u0117 depresija pasirei\u0161kia pra\u0117jus po gimdymo nuo keli\u0173 savai\u010di\u0173 iki met\u0173 ir trunka iki keli\u0173 m\u0117nesi\u0173. Jos metu pasirei\u0161kia stipr\u016bs emocij\u0173 svyravimai, li\u016bdesys, verksmingumas, apatija, energijos stoka, sutrik\u0119s miegas, apetito poky\u010diai, kalt\u0117s ar bevilti\u0161kumo jausmas. Mamai tampa sunku pasir\u016bpinti savo ir naujagimio poreikiais.<\/p>\n

\u201eKaip \u017einoti, ar li\u016bdesys normalus, ar jau nebe? Pagrindinis kriterijus \u2013 ar r\u016bpintis savimi ir ma\u017eyliu yra sunku, ar jau nebesugebu to padaryti. Jei kyla min\u010di\u0173 \u017ealotis, nusi\u017eudyti ar pakenkti vaiku\u010diui \u2013 svarbu skubiai kreiptis \u012f gydytoj\u0105 psichiatr\u0105 ar Skubios pagalbos skyri\u0173\u201c, \u2013 sako gydytoja.<\/p>\n

Deja, n\u0117ra \u017einoma, kiek moter\u0173 patiria pogimdyvin\u0117s depresijos po\u017eymius ir niekur nesikreipia \u2013 manoma, kad iki 20 proc. Negydoma pogimdyvin\u0117 depresija gali ilgai u\u017esit\u0119sti, neigiamai veikti ry\u0161io su vaiku\u010diu k\u016brim\u0105, jo tolimesn\u0119 emocin\u0119 raid\u0105, \u0161eimos narius.<\/p>\n

Kam rizika didesn\u0117?<\/strong><\/p>\n

Didesn\u0117 rizika patirti pogimdyvin\u0119 depresij\u0105 kyla moterims, sirgusioms \u0161ia liga ar susid\u016brusioms su psichologiniais sunkumais po gimdym\u0173, patyrusioms persileidim\u0105, prie\u0161laikin\u012f gimdym\u0105, komplikacijas sau ar naujagimiui. Taip pat neturin\u010dioms palaikymo i\u0161 artim\u0173j\u0173 ar pa\u010dioms keliant sau didelius reikalavimus. Depresij\u0105 lemia tiek biocheminiai, tiek socialiniai bei i\u0161oriniai veiksniai.<\/p>\n

\u201eBiochemini\u0173 proces\u0173 mes nevaldome ir dideli lytini\u0173 hormon\u0173 bei neurotransmiteri\u0173, atsaking\u0173 u\u017e emocin\u0119 savijaut\u0105, svyravimai veikia nuotaikas. Ta\u010diau kitus \u0161i\u0105 b\u016bkl\u0119 sukelian\u010dius veiksnius galima bent i\u0161 dalies valdyti ir jiems ruo\u0161tis\u201c, \u2013 sako R. Juknait\u0117. Yra daugyb\u0117 kurs\u0173, mokykl\u0117li\u0173 apie n\u0117\u0161tumo eig\u0105, gimdym\u0105, k\u016bdikio prie\u017ei\u016br\u0105, tik reikia paie\u0161koti, kuriuose i\u0161 j\u0173 kalbama apie mamos emocin\u0119 savijaut\u0105.<\/p>\n

\u012e naujagimio laukim\u0105 reik\u0117t\u0173 \u012ftraukti ne tik aku\u0161erio-ginekologo konsultacijas, pasiruo\u0161imo paskaitas, ta\u010diau ir skirti laiko sau, pasir\u016bpinant savo emocijomis. Jei kyla klausim\u0173 ar neai\u0161kum\u0173, jei yra pasitaikiusi\u0173 depresijos epizod\u0173, galima nelaukiant blogos savijautos pasikonsultuoti su sveikatos specialistu.<\/p>\n

N\u0117\u0161tumo ir gimdymo metu vyksta poky\u010diai ir emocin\u0117je sferoje bei asmenyb\u0117s raidoje, kai pasaul\u0117jauta ir pasaul\u0117\u017ei\u016bra prasiple\u010dia, pasipildo nauja prasme. Vos keletas pokalbi\u0173 su specialistu apie savo vert\u0119, l\u016bkes\u010dius, atsakomybes ir nei\u0161vengiamus dalykus gali pad\u0117ti b\u016bsimai mamai pasiruo\u0161ti naujam gyvenimo etapui. Konsultacijos metu aptariama n\u0117\u0161tumo situacija, galimi pagalbos b\u016bdai, jei savijauta po gimdymo daryt\u0173si sunkiai pakeliama \u2013 pasiruo\u0161us plan\u0105, lengviau susiorientuoti u\u017epl\u016bdus emocij\u0173 j\u016brai.<\/p>\n

Artim\u0173j\u0173 vaidmuo<\/strong><\/p>\n

Artimieji gali daug pad\u0117ti mamai \u2013 pagalbos buityje aspektas labai svarbus, ypa\u010d po pirmojo vaikelio gimimo. Neb\u016btina visko daryti u\u017e mam\u0105, bet b\u016btina paklausti: \u201eKaip tu nor\u0117tum?\u201c, \u201eGal tau pad\u0117ti?\u201c Artimieji tur\u0117t\u0173 suprasti, kad emocij\u0173 kalneliai, nuotaikos \u0161uoliai, n\u0117ra pasirinkimo klausimas, tikrai nepad\u0117s priekai\u0161tai ir raginimai \u201esusiimti\u201c, \u201enekvailioti\u201c, \u201ed\u017eiaugtis ir neverkti\u201c.<\/p>\n

\u201eKartais \u012f konsultacijas ateina tik artimieji, klausdami: \u201e\u010cia normalu, ar jau nebe?\u201c. Pogimdyviniame laikotarpyje to \u012fprasto mums normalumo nelabai lieka. Vien pagalvojus apie miego r\u0117\u017eim\u0105 \u2013 tai, kas pagimd\u017eiusiai moteriai yra norma ir kasdienyb\u0117 (dvi, trys nepertraukiamos miego valandos kelis kartus per par\u0105), kitam \u2013 medikamentinio gydymo ar net ligonin\u0117s reikalaujanti situacija\u201c, \u2013 sako R. Juknait\u0117.<\/p>\n

Pasitaiko, jog mamos slapta ateina pasikalb\u0117ti, nenor\u0117damos, kad artimieji apie tai su\u017einot\u0173. Jos jau\u010dia g\u0117d\u0105, kad nei\u0161eina kontroliuoti emocij\u0173, apima li\u016bdesys, nors tam prie\u017easties tarsi n\u0117ra. \u0160ie jausmai kyla b\u016btent d\u0117l t\u0173 nesukontroliuojam\u0173 biochemini\u0173 veiksni\u0173, tod\u0117l i\u0161 anksto pasikalb\u0117jus apie tai, identifikavus galin\u010dius kilti jausmus, moteris \u012fgyja galimyb\u0119 tiesiog jaustis \u2013 be baim\u0117s ir sav\u0119s pasmerkimo.<\/p>\n

Gydymas<\/strong><\/p>\n

Jei bloga savijauta trunka savait\u0119 ar ilgiau, atsiranda apatija, darosi ne\u012fmanoma r\u016bpintis savimi ir naujagimiu, kyla min\u010di\u0173 nebegyventi \u2013 svarbu skubiai kreiptis \u012f psichiatr\u0105, psichoterapeut\u0105 ar psicholog\u0105. Specialistai gali pad\u0117ti moteriai pasijusti geriau, ta\u010diau konsultacijos turi vykti bent kart\u0105 per savait\u0119. Jei konsultacij\u0173 neu\u017etenka ir savijauta neger\u0117ja, moteris nesulaukia pagalbos i\u0161 artim\u0173j\u0173 \u2013 gali b\u016bti i\u0161 karto skiriamas medikamentinis gydymas.<\/p>\n

Medikamentai n\u0117ra pageidaujama gydymo forma pogimdyviniu laikotarpiu, ypa\u010d, jei mama k\u016bdik\u012f \u017eindo, ta\u010diau jie galimi. Antidepresantai pradeda veikti vidutini\u0161kai per dvi savaites, tod\u0117l nereik\u0117t\u0173 laukti paskutin\u0117s akimirkos, kai adaptacin\u0117s moters galimyb\u0117s jau i\u0161sekusios. N\u0117ra stebuklingo vieno pokalbio ar tablet\u0117s, po kurios savijauta pager\u0117s \u2013 tai yra procesas, trunkantis tam tikr\u0105 laik\u0105, o laukti iki \u201eman jau visai blogai\u201c gali b\u016bti pavojinga.<\/p>\n

Pagal BNS inf.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

\u201eNuo 10 iki 40 proc. pagimd\u017eiusi\u0173 moter\u0173 patiria lengvesnius ar sunkesnius psichikos sutrikimus, iki 80 proc. \u2013 pogimdyvin\u0119 melancholij\u0105. Paprastai kalbant \u2013 jei sveikinsime keturias drauges su vaiku\u010dio gimimu \u2013 didel\u0117 tikimyb\u0117, jog dvi i\u0161 j\u0173 tur\u0117s emocini\u0173 sunkum\u0173\u201c, \u2013 pabr\u0117\u017eia R. Juknait\u0117. Kaip atpa\u017einti? Emocin\u0117 b\u016bkl\u0117, prasidedanti staiga, kartais net pra\u0117jus vos kelioms valandoms […]<\/p>\n","protected":false},"author":2,"featured_media":55975,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[53],"tags":[47],"class_list":["post-55974","post","type-post","status-publish","format-standard","has-post-thumbnail","category-sveikatos-saltinis","tag-pirmasis"],"yoast_head":"\nGimdyv\u0117s susiduria su psichologiniais sunkumais. 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Paprastai kalbant \u2013 jei sveikinsime keturias drauges su vaiku\u010dio gimimu \u2013 didel\u0117 tikimyb\u0117, jog dvi i\u0161 j\u0173 tur\u0117s emocini\u0173 sunkum\u0173\u201c, \u2013 pabr\u0117\u017eia R. Juknait\u0117. Kaip atpa\u017einti? 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