Abubuwan Haɗarin Haɗarin Ciwon Ciki A Lokacin Ciki

Wadatacce

• 8 Hanyoyin Haɗari ga Ciwon Haihuwa
• Labarin Baƙi-Ish akan Damuwa Bayan Haihuwa

• Manyan abubuwan haɗari guda uku don ɓacin rai na haihuwa sune tarihin baƙin ciki, rashin tallafin zamantakewa, da gogewar tashin hankali, bincike ya nuna.
• Yaduwar bacin rai yayin daukar ciki a halin yanzu shine kashi 15 zuwa 21 cikin ɗari, kodayake yana iya tashi.
• Akwai kuɗaɗe na zahiri da na tunani don barin ɓacin rai ba tare da an kula da shi ba, amma ana samun magani ga waɗanda ke buƙata.

Sabuwar bincike ta Yin da abokan aiki, wanda aka buga a cikin fitowar Fabrairu 2021 na Nazarin Ilimin Lafiya na Clinical , yana nazarin yawaitar abubuwan da ke haifar da bacin rai yayin daukar ciki (wanda ake kira matsanancin ciki).

Bayanan kula game da terminology: Baya ga kalmar ɓacin rai na haihuwa, ana kuma amfani da kalmar ɓacin ciki kafin komawa ga abin da ya faru na ɓacin rai yayin daukar ciki da kafin haihuwa. Sharuɗɗan da aka yi amfani da su don nufin ɓacin rai na uwa da ke faruwa a lokacin daukar ciki ko ba da daɗewa ba bayan haihuwa ya haɗa da ɓacin rai na ciki (ɓacin rai da ke farawa yayin ciki ko zuwa makonni da yawa bayan haihuwa) da ɓacin rai bayan haihuwa (ɓacin rai da ke faruwa bayan haihuwa).

Damuwa yayin daukar ciki na iya haifar da mummunan sakamako, kamar ƙara yiwuwar samun baƙin ciki bayan haihuwa. Tabbas, an gabatar da kalmar ɓacin rai a cikin Saukewa: DSM-5 saboda bincike da ke nuna cewa rabin abubuwan da ke haifar da baƙin ciki bayan haihuwa suna farawa kafin haihuwa.

Don samun kyakkyawar fahimta game da haɗarin haɗarin ciki yayin ciki, bari mu sake nazarin binciken Yin da masu haɗin gwiwa.

Marubutan sun gudanar da cikakken binciken adabi kuma sun zaɓi labaran 173 (rahotanni masu zaman kansu na 182) don haɓakar ƙwaƙƙwafi da meta-bincike.

Waɗannan karatun sun fito ne daga ƙasashe 50 (39 na 173 daga Amurka). Girman samfuran ya kasance daga 21 zuwa sama da mutane 35,000. Jimlar samfurin samfurin ya kai 197,047.

Matakan da aka fi amfani da su akai -akai (rahotannin 93) na ɓacin ciki na haihuwa shine Edinburgh Postnatal Depression Scale ko EPDS. EPDS ya ƙunshi abubuwa 10, waɗanda ke auna abubuwa masu zuwa: dariya, zargi kai, jin daɗi, damuwa, firgici, matsalolin jimrewa, matsalolin bacci, baƙin ciki, kuka, da cutar da kai.

Sauran matakan da aka yi amfani da su akai-akai sun haɗa da Cibiyar Nazarin Bala'in Nazarin Ciwon Cutar Epidemiologic (CES-D), Inventory Beck Depression (BDI), Tambayar Kiwon Lafiya na Marasa Lafiya (PHQ), da Tattaunawar Clinical Structured Clinical for the Diagnostic and Statistical Manual of Disorders.

8 Hanyoyin Haɗari ga Ciwon Haihuwa

A cikin gwaje -gwaje 173, yawan haɗarin cututtukan cututtukan cututtukan ciki shine 21% - amma 15% don babban baƙin ciki (gwaji 72).

Gabaɗaya, babban haɗarin ɓacin ciki yana da alaƙa da karatun da aka gudanar kwanan nan (bayan 2010), a cikin ƙasashe masu ƙarancin kuɗi, da waɗanda ke amfani da tambayoyin rahoton kai (sabanin hirarrakin asibiti da aka tsara).

Don bincika abubuwan haɗari na yau da kullun don ɓacin ciki, masu bincike sun gudanar da meta-bincike ta amfani da abubuwa da yawa daga nazarin 35 da ke ba da rahoton bayanan da suka dace. Waɗannan abubuwan sun haɗa da daidaituwa (watau yawan haihuwa), gogewar tashin hankali, rashin aikin yi, ciki da ba a shirya ba, tarihin shan sigari (gami da lokacin daukar ciki), matsayin aure, tallafin zamantakewa, da tarihin baƙin ciki. Sakamakon ya nuna cewa duk waɗannan abubuwan haɗari, ban da daidaituwa, suna da babban haɗin gwiwa tare da ɓacin rai na haihuwa.

An lissafa rabon rashin daidaituwa (OR) a ƙasa (CI yana nufin tsaka -tsakin amincewa):

1. Tarihin ɓacin rai: OR = 3.17, 95% CI: 2.25, 4.47.
2. Rashin tallafin zamantakewa: OR = 3.13, 95% CI: 1.76, 5.56.
3. Kwarewar tashin hankali: OR = 2.72, 95% CI: 2.26, 3.27.
4. Matsayin rashin aikin yi: OR = 2.41, 95% CI: 1.76, 3.29.
5. Matsayin aure (aure/saki): OR = 2.37, 95% CI: 1.80, 3.13.
6. Shan taba yayin daukar ciki: OR = 2.04, 95% CI: 1.41, 2.95.
7. Shan taba kafin daukar ciki: OR = 1.97, 95% CI: 1.63, 2.38.
8. Ciki da ba a shirya ba: OR = 1.86, 95% CI: 1.40, 2.47.