Meroyan @ Postpartum Depression--> penting atau tidak penjagaan pantang selep

Acikayumii

C&P Dari FB Dr Afiq Rahim




|GILA MEROYAN: PENYAKIT KEMURUNGAN SELEPAS BERSALIN|
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Seluruh negara terkejut dengan kejadian di Kota  Bharu apabila seorang ibu sanggup mengelar anak sendiri sehingga mati.
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Bagaimana seorang ibu tergamak membunuh anak sendiri?
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Pelbagai persoalan timbul.
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Namun perkara ini tidak mustahil.
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Ibu tersebut dilaporkan sedang meracau semasa ditahan.
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Suaminya juga melaporkan isterinya mendengar bisikan halus beberapa hari sebelum kejadian.
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Apa itu Gila Meroyan aka Postpartum Psychosis?
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Para ibu selepas bersalin berisiko tinggi mengalami kemurungan teruk dalam tempoh 42 hari selepas kelahiran anak.
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Ianya disebabkan perubahan hormon, masalah psikologi selepas bersalin dan pelbagai faktor lain yang mengundang stress/gangguan emosi kepada isteri.
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Selepas bersalin, para ibu kehilangan banyak tenaga dan berada pada keadan mental & fizikal yang LEMAH.
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Perkara ini menyebabkan mereka mudah mengalami kemurungan.
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Sehingga pada satu tahap kritikal, si ibu berisiko mencederakan diri sendiri atau orang lain.
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Dan kanak-kanak adalah mangsa paling mudah dicederakan.
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Oleh itu, pengesanan awal amat penting bagi mengelakkan kejadian buruk ini.
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Antara tanda-tandanya adalah
- bercakap seorang diri
- berhalusinasi
- berfikir hal tidak rasional
- was-was
- keliru
- gagal menjalankan tanggungjawab
- tiada minat untuk melakukan apa-apa
- acap menangis
- sering mengadu
Dan pelbagai lagi masalah.
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Antara komplikasi jika tidak segera dikawal adalah bertindak ganas seperti kes ini dan berisiko mendapat penyakit sakit jiwa yang lain seperti depresi.
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Anggota keluarga terutama SUAMI yang merasakan perubahan pada isteri, WAJIB merujuk perkara berkenaan segera kepada pihak kesihatan.
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Ini bagi mengelakkan kejadian tidak diingini.
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Rawatan Gila Meroyan
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Antara rawatan kepada para ibu ini yang paling utama adalah sokongan padu kepada mereka.
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Sokongan moral, emosi dan fizikal amat dibutuhkan oleh para ibu selepas bersalin.
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Kemudian para ibu juga perlulah sentiasa berdamping dengan zikrullah, bacaan doa serta menambah ilmu agama di saat diri tidak boleh solat.
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Jangan jadikan berpantang alasan untuk lalai kepada Tuhan. Kelak syaitan yang akan mengggangu nanti.
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Cara lain adalah kaunseling dan ubat-ubatan jika masalah serius.
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Ingat, kemurungan selepas bersalin boleh dielakkan.
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Jika anda melihat ada tanda-tanda tersebut pada seorang ibu selepas bersalin, maklumkan segera kepada pihak kesihatan.
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Dan wahai para suami, jangan abaikan tanggungjawab anda (ini adalah saranan umum dan tidak merujuk suami mangsa)
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Isteri anda memerlukan pertolongan berterusan anda dalam menguruskan rumah tangga.
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Sama-sama harungi bahtera
drafiqrahim.com

Penting atau tidak penjagaan traditional semasa pantang? Sesetengah orang Zaman kini rasa penjagaan traditional semasa pantang Sudah tidak relevan.

Share your opinions or experience here

onexox97

pentinglah
tahap penerimaan orang berbeza
ada orang dengar anak meraung pun xstres
ada org stres so kalau dia kata dia hebat dlm pantang dh boleh berlari dh boleh buat seme keje xmeroyan pun itu dia, bukan org lain

Acikayumii

onexox97 replied at 16-2-2017 02:00 PM
pentinglah
tahap penerimaan orang berbeza
ada orang dengar anak meraung pun xstres

Betul.. Penerimaan org berbeza. Ada yg xheran pun nak pantang Sampai 45 hari, Nak minum air rempah, Nak bertungku.. Even some of them rasa benda tu nonsense.
So rasa2 Nya benda ni effect Ke meroyan jugak Tak?

N Setuju atau tidak, if kita X Ikut pantang2 ni, Nanti masa2 depan, badan mudah sakit?

I'm sure Ada Yg comes from family Yg sangat penting Kan pantang traditional. N Ada jugak tak.

onexox97

saya tak rasa pun benda ini efek walo sy pantang la jugak, antara pantang sy ialah makan yang tak bisa, minum air panas saja, stokin paka anak satu je anak dua tiga empat dh xpaka stokin pun,

tapi yg lebih penting ialah bagaimana ibu bersalin tu boleh control stres dgn keadaan baru, ada anak nk nangis kadang pantang pelik2 pun buat stres pun boleh meroyan juga

emosi ibu hendaklah dijaga n pantang orang tua2 biarkan ibu berpantang sorang2 dgn baby

Drsgonfruit

Acikayumii replied at 16-2-2017 01:48 PM
C&P Dari FB Dr Afiq Rahim

Usually org akan share experience to deliver but jarang org share postpartum experience. Had to go emergency czer then had depression for at least 2 weeks after delivery. Sume x kena.. hari2 nak nangis tp sorok2. Until a point lepas ter nangis dkt husband baru ok. Alhamdulillah tak teruk sgt walaupun mmg depressed. So moral of the story.. after delivery xleh nk biarkan ibu sorang... and proses nk beranak 1 hal..... bigger picture lepas beranak tu.. Sekadar perkongsian

Acikayumii

Drsgonfruit replied at 16-2-2017 04:33 PM
Usually org akan share experience to deliver but jarang org share postpartum experience. Had to  ...

betul. ramai orang share how nak prepare to deliver. but jarang orang kongsi how to handle the stress & emosi after deliver.
so if ada sapa2 yg experience or pernah tahu kes mcm ni, u're very welcoming to share.

seribulan

gugel...

Signs and symptoms of postpartum psychosis

Postpartum psychosis is a rare, but extremely serious disorder that can develop after childbirth, characterized by loss of contact with reality. Because of the high risk for suicide or infanticide, hospitalization is usually required to keep the mother and the baby safe.

Postpartum psychosis develops suddenly, usually within the first two weeks after delivery, and sometimes within 48 hours. Symptoms include:

    Hallucinations (seeing things that aren’t real or hearing voices)
    Delusions (paranoid and irrational beliefs)
    Extreme agitation and anxiety
    Suicidal thoughts or actions
    Confusion and disorientation
    Rapid mood swings
    Bizarre behavior
    Inability or refusal to eat or sleep
    Thoughts of harming or killing your baby

seribulan

Coping tip 1: Create a secure attachment with your baby
Mothers need a secure emotional attachment with their infants as much as infants need this secure attachment with their mothers. The cohesiveness of your baby's brain depends on this nonverbal emotional bond that also benefits you by releasing endorphins that make you feel happier and more confident as a mom.

Mothers with postpartum depression interact less with their babies, and are less likely to breastfeed, play with, and read to their children. They may also be inconsistent in the way they care for their newborns.

Depressed mothers can be loving and attentive at times, but at other times they may react negatively or they may not respond at all. This inconsistency disrupts the bonding process between mother and child. This emotional bonding process, known as attachment, is the most important task of infancy.

A secure attachment is formed when the mother responds warmly and consistently to her baby's physical and emotional needs. When the baby cries, the mother quickly soothes him or her. If the baby laughs or smiles, the mother responds in kind. In essence, the mother and child are in synch. They recognize and respond to each other's emotional signals.

seribulan

Coping tip 2: Lean on others for help and support

Human beings are social. Positive social contact relieves stress faster and more efficiently than any other means of stress reduction. Historically and from an evolutionary perspective, new mothers received help from those around when caring for themselves and their infants after childbirth. In today's world, new mothers often find themselves alone, exhausted and lonely for supportive adult contact. Here are some ideas for connecting to others:

Make your relationships a priority. When you're feeling depressed and vulnerable, it's more important than ever to stay connected to family and friends—even if you'd rather be alone. Isolating yourself will only make your situation feel even bleaker, so make your adult relationships a priority. Let your loved ones know what you need and how you'd like to be supported.

Don't keep your feelings to yourself. In addition to the practical help your friends and family can provide, they can also serve as a much-needed emotional outlet. Share what you're experiencing—the good, the bad, and the ugly—with at least one other person, preferably face to face. It doesn't matter who you talk to, so long as that person is willing to listen without judgment and offer reassurance and support.

Be a joiner. Even if you have supportive friends, you may want to consider seeking out other women who are dealing with the same transition into motherhood. It's very reassuring to hear that other mothers share your worries, insecurities, and feelings. Good places to meet new moms include support groups for new parents or organizations such as Mommy and Me. Ask your pediatrician for other resources in your neighborhood.

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Coping tip 3: Take care of yourself

One of the best things you can do to avoid postpartum depression is to take care of yourself. The more you care for your mental and physical well being, the better you'll feel. Simple lifestyle changes can go a long way towards helping you feel like yourself again.

Skip the housework – Make yourself and your baby the priority. Give yourself permission to concentrate on yourself and your baby – there is more work involved in this 24/7 job then in holding down a full-time job.

Ease back into exercise. Studies show that exercise may be just as effective as medication when it comes to treating depression, so the sooner you get back up and moving, the better. No need to overdo it: a 30-minute walk each day will work wonders. Stretching exercises such as those found in yoga have shown to be especially effective.

Practice mindfulness meditation. Research supports the effectiveness of mindfulness for making you feel calmer and more energized. It can also help you to become more aware what need and what you feel.

Don't skimp on sleep. A full eight hours may seem like an unattainable luxury when you're dealing with a newborn, but poor sleep makes depression worse. Do what you can to get plenty of rest—from enlisting the help of your husband or family members to catching naps when you can.

Set aside quality time for yourself to relax and take a break from your mom duties. Find small ways to pamper yourself, like taking a bubble bath, savoring a hot cup of tea, or lighting scented candles. Get a massage.

Make meals a priority. When you're depressed, nutrition often suffers. What you eat has an impact on mood, as well as the quality of your breast milk, so do your best to establish healthy eating habits.

Get out in the sunshine. Sunlight lifts your mood, so try to get at least 10 to 15 minutes of sun per day.

seribulan

Coping tip 4: Make time for your relationship with your partner

More than half of all divorces take place after the birth of a child. For many men and women, the relationship with their partner is their primary source of emotional expression and social connection. The demands and needs of a new baby can get in the way and fracture this relationship unless couples put some time, energy, and thought into preserving their bond.

Don't scapegoat. The stress of sleepless nights and caretaking responsibilities can leave you feeling overwhelmed and exhausted. And since you can't take it out on the baby, it's all too easy to turn your frustrations on your partner. Instead of finger pointing, remember that you're in this together. If you tackle parenting challenges as a team, you'll become an even stronger unit.

Keep the lines of communication open. Many things change following the birth of a baby, including roles and expectations. For many couples, a key source of strain is the post-baby division of household and childcare responsibilities. It's important to talk about these issues, rather than letting them fester. Don't assume your partner knows how you feel or what you need. For help with your communication skills see: Effective Communnication

Carve out couple time. It's essential to make time for just the two of you when you can reconnect. But don't put pressure on yourself to be romantic or adventurous (unless you're both up for it). You don't need to go out on a date to enjoy each other's company. Even spending 15 or 20 minutes together—undistracted and focused on each other— can make a big difference in your feelings of closeness.

seribulan

Helping someone with postpartum depression

If your loved one is experiencing postpartum depression, the best thing you can do is to offer support. Give her a break from her childcare duties, provide a listening ear, and be patient and understanding.

You also need to take care of yourself. Dealing with the needs of a new baby is hard for the partner as well as the mother. And if your significant other is depressed, you are dealing with two major stressors.
How to help your wife or partner
Encourage her to talk about her feelings. Listen to her without judging her or offering solutions. Instead of trying to fix things, simply be there for her to lean on.
Offer help around the house. Chip in with the housework and childcare responsibilities. Don't wait for her to ask!

Make sure she takes time for herself. Rest and relaxation are important. Encourage her to take breaks, hire a babysitter, or schedule some date nights.
Be patient if she's not ready for sex. Depression affects sex drive, so it may be a while before she's in the mood. Offer her physical affection, but don't push if she's not up for sex.
Go for a walk with her. Getting exercise can make a big dent in depression, but it's hard to get motivated when you're feeling low. Help her by making walks a daily ritual for the two of you.
Professional treatment for postpartum depression

If, despite the self-help and the support of your family, you're still struggling with postpartum depression, you may want professional treatment.

Individual therapy or marriage counseling – A good therapist can help you successfully deal with the adjustments of motherhood. If you are experiencing martial difficulties or are feeling unsupported at home, marriage counseling can be very beneficial. See Finding a Therapist Who Can Help You Heal

Antidepressants – For cases of postpartum depression where you're ability to function adequately for yourself or your baby is compromised, antidepressants may be an option. However, medication should be closely monitored by a physician and has shown to be more effective when accompanied by psychotherapy. See Antidepressant Medication

Hormone therapy – Estrogen replacement therapy sometimes helps with postpartum depression. Estrogen is often used in combination with an antidepressant. There are risks that go along with hormone therapy, so be sure to talk to your doctor about what is best—and safest—for you.

seribulan

Acikayumii replied at 17-2-2017 08:52 AM
betul. ramai orang share how nak prepare to deliver. but jarang orang kongsi how to handle the str ...

http://www.npr.org/programs/morn ... 218.postpartum.html

When Shelley Ash of San Jose, Calif., was pregnant five years ago, she read all the baby books she could. She never came across the term postpartum  psychosis. Then she gave birth to her son.

"I knew right away something was wrong," says Ash.  She sensed she was watching the delivery from above. She was terrified. Hospital nurses told her the feeling would pass. It didn't, even after she and her baby went home.

                                     Ash says was pacing all the time, and caught in a horrible depression. She was constantly crying, couldn't sleep and couldn't eat.

Symptoms of Postpartum Psychosis Postpartum psychosis is a more rare and severe disorder than postpartum depression. It affects about 1 in 500 to 1,000 new mothers. Onset is severe and quick, and should be treated as a medical emergency. Symptoms include: Delusions, or false beliefs. Hallucinations -- hearing voices or seeing things that  are not real. Thoughts of harming or killing the baby. Unwillingness to eat or sleep. Frantic energy. Severe depressive symptoms.

     This wasn't the "baby blues," a temporary anxiety and depression that hits about three-quarters of mothers. Nor was it the postpartum  depression that afflicts one in 10 new mothers. As Ash eventually learned, she was suffering from  postpartum  psychosis, which hits about one in 500 to one in a 1,000 mothers within three months of birth.

"Postpartum  psychosis is condition in which the person loses touch with reality," says Dr. Ralph Wittenberg, who runs a postpartum  screening project in Washington, D.C. Mothers hear voices, see things and feel an irrational guilt that they've somehow done something wrong, he says. Without treatment, women may try to hurt themselves or those around them.

What was happening to Ash was beyond her control. Postpartum  psychosis sometimes develops out of postpartum depression, or hits women who've had previous psychiatric problems. Sometimes, as in Ash's case, it shows up out of the blue. Psychiatrists aren't sure what causes such a sudden and powerful break with reality, but they believe the changing hormones and stress of childbirth are somehow involved.  

Symptoms of  Postpartum Depression About 70 percent of new mothers get the "baby blues" -- feelings of anxiety and irritability that can hit three or four days after delivery, but disappear quickly. Postpartum depression, which can appear even a year after giving birth, is more severe and can last for months, if not treated.  About 1 in 10 new mothers experience the disorder.  Symptoms include:                                   Severe sadness or emptiness; emotional numbness or  apathy. Withdrawal from family, friends or  pleasurable activities. Constant fatigue, trouble sleeping, overeating or loss of   appetite.                                      A strong sense of failure or inadequacy.                                        Intense worry about the baby or a lack of interest in the baby.                                      Thoughts about suicide; fears of harming the baby.

        Ash knew she was getting worse. The midwife in her obstetrician's office told her to call a psychiatrist. But that was the last thing Ash wanted to do.  

"I was terrified," says Ash. She was having delusions and was afraid that  if she told anyone about what she was thinking or seeing in her mind, they would take her son away.

But after one episode, she became desperate.

She remembers watching David Letterman drop watermelons from high places on his television show.  "But that turned into my son," she says. "I kept imagining how it would be to drop him out of his bedroom window and he would go splat on the pavement below and shatter into a million pieces."

The image was too much for her. Ash went to her bathroom cabinet and took an overdose of painkillers she had been prescribed for a previous back injury.

Her husband came home from a run to find her on the floor in the front hall, babbling, and he rushed her to the hospital. That pattern isn't unusual, says Dr. Nada Stotland, who specializes in women's health. Stotland says women with postpartum  psychosis tend to know that something's wrong, but like Ash, they're often terrified to let anyone else know. Health professionals and family members need to recognize that delusions and really erratic behavior are sure signs of trouble, and that hospitalization and medication are needed, says Stotland.  

Ash was hospitalized for a few days. She then spent 18 months on  anti-psychotic, anti-depressant and anti-anxiety medications. Her son is now 5 years old  and healthy.  Ash got a graduate degree in public health so she could educate people about postpartum  psychosis. She couldn't be happier now about her own health, or the health of her son. But she's not having any more children.

It's not worth the risk of getting sick again, she says. There's a 10 to 20 percent chance that without treatment, she would, according to British research. But Stotland and others say that with treatment at the first sign of a problem, women with a history of postpartum psychosis can safely have more babies. And while neither psychiatrist would comment on Andrea Yates --  the woman who killed her five children -- both say that the tragedy whenever a case of postpartum psychosis ends badly is that most likely it could have been prevented.  

caramel_cloud9

Adui. Pnt taip pnjg2 last2 tertekan home instead of reply.

Dah gemok sgt ke jariiiii niiiii....

caramel_cloud9

Kalau nak ikut kes yg baru jd ni..for me..ibu2 yang berpantang ni mmg tak boleh tinggal sorg2. Esp ibu yg first time bersalin and berpantang. Mmg sgt2 perlukan sokongan org sekeliling esp husband and parents. First born lg lah. Takde pengalaman. Baby mcm2 kerenah sbb baru lahir, kan. Mmg boleh buat stress. Situ perlunya bantuan dan sokongan org keliling.

purpledesire

Semoga kita semua dijauhi dan dilindungi dari benda2 spt ini..aminn..

Ladybosss

Penting !!!!!!

Dalam masa emosi tidak stabil support suami n family amat diperlukan ..
luar nampam ok dalaman bergolak kita xtahu ...

Telolet

penting sangattt. ex wife  pak cik aku meroyan teruk gila sebab suami dia takde nak bagi moral support walaupun adik2 pakcik aku banyak tolong.  pakcik aku dulu askar jaga hutan so memang jarang sangat dapat jumpa.

penah dia nak campak baby ke tingkat bawah sebab dia benci sangat tengok baby dia. nasib baik mak aku ada time tu kalau tak memang sepupu aku dah innalillah gamaknya.

in my opinion, pompuan berpantang ni kena jaga diri elok2 di samping orang sekeliling kena bagi banyak support. kalau boleh jangan selalu biarkan ibu tu sorang2 selalu.

Acikayumii

tapi kan, i rasaaaa.. bukan setakat pantang, kadang2 masa preganant pun mood swing lain macam. ada je benda tak kena. lebih2 lagi kalau tgh 2nd pregnancy, n anak 1st tu tgh phase aktif. mencabar n menduga sungguh. kadang2 dalam tak sedar suara dah gegar satu rumah. lepas tu baru rasa guilty.

seribulan