Lisosa tsa Likotsi tsa ho Tepella Maikeng Nakong ea Bokhachane

Litaba

• Lisosa tsa Likotsi tse 8 tsa khatello ea maikutlo nakong ea bokhachane
• Lenaneo la Black-ish ka ho Tepella Kelellong ka Mor'a ho Tšehla

• Lisosa tse tharo tse kaholimo ho kotsi tsa khatello ea maikutlo ke pelehi ke nalane ea khatello ea maikutlo, khaello ea tšehetso ea sechaba, le boiphihlelo ba pefo, lipatlisiso li bontša.
• Ho ata ha khatello ea maikutlo nakong ea bokhachane hajoale ke karolo ea 15 ho isa ho 21 lekholong, leha e kanna ea phahama.
• Ho na le litšenyehelo tsa 'mele le kelello ho tlohela khatello ea maikutlo e sa rarolloe, empa kalafo e teng bakeng sa ba e hlokang.

Phuputso e ncha ea Yin le basebetsi-'moho, e phatlalalitsoeng tokollong ea Hlakubele 2021 ea Tlhahlobo ea Clinical Psychology , e hlahloba maemo a atileng le a kotsi a ho tepella maikutlo nakong ea bokhachane (eo ho thoeng ke khatello ea maikutlo pele ho pelehi).

Lintlha mabapi le mareo: Ntle le poleloana ea khatello ea maikutlo nakong ea bokhachane, poleloana ea khatello ea maikutlo le pelehi e boetse e sebelisoa ho supa ketsahalo ea khatello ea maikutlo nakong ea bokhachane le pele ho pelehi. Mantsoe a sebelisetsoang ho bua ka khatello ea maikutlo ea bo-mme a etsahalang nakong ea bokhachane kapa haufinyane ka mora ho beleha ho kenyelletsa peripartum depression (khatello ea maikutlo e qalang nakong ea bokhachane kapa ho fihlela libeke tse 'maloa kamora ho beleha) le khatello ea maikutlo ea pelehi (khatello ea maikutlo e etsahalang feela kamora ho beleha).

Ho sithabela maikutlo nakong ea bokhachane ho ka ba le litlamorao tse mpe, joalo ka ho eketsa menyetla ea ho sithabela maikutlo kamora ho pepa. Ho joalo, poleloana ea khatello ea maikutlo e ile ea hlahisoa ho EA-5-DS ka lebaka la lipatlisiso tse bontšang hore halofo ea liketsahalo tsa ho tepella maikutlo ka mor'a ho pepa li qala pele ho pepa.

Ho utloisisa hamolemo lisosa tsa kotsi tsa khatello ea maikutlo nakong ea bokhachane, a re ke re hlahlobeng thuto ea Yin le basebetsi-'moho.

Bangoli ba ile ba etsa lipatlisiso tse felletseng tsa lingoliloeng mme ba khetha lingoloa tse 173 (litlaleho tse ikemetseng tse 182) molemong oa tšibollo ea boleng le tlhaiso-leseling.

Lithuto tsena li tsoa linaheng tsa 50 (39 ea 173 e tsoang US). Mehlala ea boholo-holo e ne e tloha ho batho ba 21 ho ea ho ba fetang 35,000. Kakaretso ea litekanyo e ne e le 197,047.

Mokhoa o sebelisoang khafetsa (litlaleho tse 93) tsa khatello ea maikutlo nakong ea bokhachane e ne e le Edinburgh Postnatal Depression Scale kapa EPDS. EPDS e na le lintho tse 10, tse lekanyang tse latelang: litšeho, ho ipeha molato, thabo, ho tšoenyeha, ho tšoha, ho sebetsana le mathata, mathata a ho robala, ho hlonama, ho lla le ho intša kotsi.

Mehato e meng e neng e sebelisoa khafetsa e kenyelletsa Setsi sa Epidemiologic Study Depression Scale (CES-D), Beck Depression Inventory (BDI), Patient Health Questionnaire (PHQ), le Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders.

Lisosa tsa Likotsi tse 8 tsa khatello ea maikutlo nakong ea bokhachane

Hohle liteko tsa 173, ho ata ho kopaneng ha matšoao a khatello ea maikutlo nakong ea bokhachane e ne e le 21% - empa 15% bakeng sa khatello ea maikutlo e kholo (liteko tsa 72).

Ka kakaretso, palo e phahameng ea khatello ea maikutlo ea bakhachane e ne e amahanngoa le lithuto tse entsoeng haufinyane (kamora 2010), linaheng tse amohelang chelete e tlase, le ba sebelisang lipotso tsa lipotso tsa bona (ho fapana le lipuisano tse hlophisitsoeng tsa bongaka).

Ho hlahloba lisosa tse tloaelehileng tsa kotsi ea khatello ea maikutlo ea bakhachane, bafuputsi ba ile ba etsa tlhahlobo ea meta ba sebelisa lintlha tse ngata ho tsoa liphuputsong tse 35 tse tlalehang lintlha tse amehang. Lintlha tsena li ne li kenyelletsa bonngoe (ke hore, palo ea bana ba tsoetsoeng), boiphihlelo ba pefo, ho hloka mosebetsi, bokhachane bo sa reroang, nalane ea ho tsuba (ho kenyeletsoa nakong ea bokhachane), boemo ba lenyalo, tšehetso ea sechaba le nalane ea khatello ea maikutlo. Liphuputso li bonts'itse hore mabaka ana ohle a kotsi, ntle le bonngoe, a ne a amana haholo le khatello ea maikutlo ea pelehi.

Likarolo tse kopaneng tsa mathata (OR) li thathamisitsoe ka tlase (CI e bua ka linako tsa boits'epo):

1. Nalane ea khatello ea maikutlo: OR = 3.17, 95% CI: 2.25, 4.47.
2. Ho hloka tšehetso ea sechaba: OR = 3.13, 95% CI: 1.76, 5.56.
3. Phihlelo ea pefo: OR = 2.72, 95% CI: 2.26, 3.27.
4. Boemo ba ho se sebetse: OR = 2.41, 95% CI: 1.76, 3.29.
5. Boemo ba lenyalo (ba masoha / ba hlalaneng): OR = 2.37, 95% CI: 1.80, 3.13.
6. Ho tsuba nakong ea bokhachane: OR = 2.04, 95% CI: 1.41, 2.95.
7. Ho tsuba pele ho ima: KAPA = 1.97, 95% CI: 1.63, 2.38.
8. Boimana bo sa reroang: OR = 1.86, 95% CI: 1.40, 2.47.