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کتاب درمان اضطراب و افسردگی در دوران بارداری و پس از زایمان دیدگاه
شناختی
استرس در دوران بارداری یک شرایط روحی
و روانی رایج است، زیرا بارداری باعث تغییرات بسیاری در
بدن مادر میشود. اگر این استرس بدون درمان
و برای طولانی مدت باقی بماند میتواند باعث
مشکلاتی مانند فشار خون بالا و بیماری قلبی
شود. در دوران بارداری، استرس میتواند شانس تولد نوزاد نارس
(متولد قبل از هفته ۳۷ بارداری) یا نوزاد کم وزن (با وزن کمتر از
۵ پوند، ۸ اونس) را افزایش دهد. نوزادانی که خیلی زود یا خیلی کوچک به دنیا
میآیند بیشتر در معرض خطر مشکلات
سلامتی هستند. با این حال، بسیاری از زنان، عود علائم اضطراب خود را در دوران بارداری تجربه می کنند و به نظر می رسد که سه ماهه اول ممکن است به خصوص
دشوار باشد.
غذاهای سالم بخورید، زیاد بخوابید و ورزش کنید (با
تایید پزشک). ورزش میتواند علاوه بر کمک به کاهش استرس، به ناراحتیهای رایج در دوران بارداری هم کمک کند.
زنانی که PTSD دارند ممکن است بیشتر
از زنان دیگر نوزاد نارس یا
کم وزن داشته باشند.
اگر در دوران بارداری به طور منظم بنزودیازپین مصرف کرده اید،
کودک شما نیز از نظر عوارض جانبی دارو تحت
نظر قرار میگیرد. اگر علائم زیر را دارید، لازم است پزشک مامای خود را در جریان بگذارید تا او بیشتر درباره سلامت روحی و روانی شما، اطلاع داشته
باشد. حتی اگر قبل از دوران بارداری علائم زیر را داشتید،
به پزشک خود اطلاع دهید. افزایش استرس در سه ماه سوم بارداری موجب افزایش
میزان کورتیزول بدن خواهد شد.
در صورتی که اضطراب شدید و مزمن
باشد، میتواند زندگی و فعالیتهای روزمره فرد را مختل کند
و به سلامتی شخص، آسیب بزند.
اضطراب،نگرانی، دلشوره و بی قراری در
خانمهای باردار رایج است،
اما در برخی از خانمهای باردار، استرس و اضطراب بسیار شدید است، به طوری که ممکن است به جنین آسیب
برسد. در این مقاله درباره علائم اضطراب، انواع
اختلالات اضطرابی و نگرانیها در دوران حاملگی، تاثیر اضطراب شدید بر جنین و چگونگی غلبه بر فشارهای روحی
و روانی این دوران توضیح خواهیم داد.
این موضوع مادران باردار را در معرض خطر یک بیماری فشار خون بالا
به نام پره اکلامپسی، زایمان
زودرس و داشتن یک نوزاد کم وزن قرار میدهد.
زنانی که 4 دوره یا بیشتر، علائم GAD را
بروز داده بودند، حدود 7 برابر بیشتر
از زنانی که سابقه GAD نداشتند، در طول بارداری دچار GAD شدند.
این ورزشها خطری برای مادرهای باردار
ندارند و جزء ورزشهای سبک به شمار میآیند.
بارداری باعث ایجاد ترس و وسواس در وجود همۀ زنان
میشود، اما دلیل بسیار آرامشدهندهای نیز برای
کنار آمدن با این احساس وجود دارد؛ شما در حال پرورش
یک زندگی دوستداشتنی درون بدنتان هستید.
اگر نتوانید با اضطراب و نگرانی دوران بارداری کنار بیایید و آن را کنترل کنید، ممکن است طی کردن
دوران بارداری برای شما خیلی سخت شود.
در این مطلب میتوانید با روشهایی برای مدیریت و کنترل این اضطرابها آشنا شوید.
از پزشک مامای خود بپرسید که در شرایط بارداری شما،
چه حرکات ورزشی موثر هستند و خطرناک نیستند.
ورزش در دوران بارداری بسیار موثر
است، چون هم حال شما را بهتر میکند، هم شما
را آرام میکند، و هم باعث افزایش گردش خون و اکسیژنرسانی به اندامها و جنین میشود.
برای درمان اضطراب دوران بارداری گزینه های زیادی وجود دارد که می توانند به کمک مادر
بیایند. GAD درمان نشده میتواند منجر به عوارض حاملگی
مانند وزن کم هنگام تولد، زایمان زودرس،
فشار خون بالا، مشکلات رشد عصبی نوزاد و عدم پیشرفت در حین زایمان شود.
برای اینکه ترس از زایمان و اضطرابتان کاهش پیدا
کند، از منابع معتبر، به خصوص از پزشکتان، درباره زایمان و سلامتی جنین و
سایر نگرانیهایتان، اطلاعات جمعآوری کنید و
آگاهیتان را افزایش دهید. اگر سوالی
دارید، از پزشکتان بپرسید تا
جواب درستی را دریافت کنید. همچنین نوزادان
مادران مضطرب، از شاخصهای رشد کمتری برخوردار بودند.
به نظر می رسد استرس های کوتاه مدت و گذرا تاثیر پایداری بر جنین ندارند.
تاثیرات استرس های کوتاه مدت بارداری پس از تولد
و قطع ارتباط خونی جنین و مادر به تدریج از بین می
رود، یعنی تابع ژنتیک و سازمان روانی ادراکی خود نوزاد وکودک قرارمی گیرد.
ولی استرسهای طولانی مدت موجب تخریب و
نارسایی های اساسی در رشد جنین می شوند.
بد نیست بدانید حدود یک میلیون کودک
در انگلیس از مشکلات ناشی از عدم تکامل عصبی مانند تاخیر
شناختی، ADHD و اضطراب رنج میبرند که محققان معتقدند ۱۵ درصدشان ممکن است در اثر استرس
قبل از تولد باشد. با این که اضطراب و فشار
روزمره بخشی از زندگی مدرن است، اما
داشتن سطح بالایی از اضطراب مزمن میتواند احتمال
زایمان پیش از موعد یا زایمان نوزادی با وزن کم را هنگام
تولد افزایش دهد. اگر به مراقبت از دیگران یا
کار کردن بیش از حد در محل کار عادت دارید، ممکن است
اولویت دادن به خودتان، غیرطبیعی
یا حتی خودخواهانه به نظر برسد، اما مراقبت
از خودتان بخشی ضروری از مراقبت جنینتان است.
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