{"id":43396,"date":"2023-11-03T08:00:11","date_gmt":"2023-11-03T07:00:11","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=43396"},"modified":"2023-11-03T08:00:12","modified_gmt":"2023-11-03T07:00:12","slug":"kazda-pata-zena-trpi-po-porodu-priznaky-dusevnich-poruch-varuji-praktici","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=43396","title":{"rendered":"Ka\u017ed\u00e1 p\u00e1t\u00e1 \u017eena trp\u00ed po porodu p\u0159\u00edznaky du\u0161evn\u00edch poruch, varuj\u00ed praktici"},"content":{"rendered":"\n

Matk\u00e1m pom\u00e1h\u00e1 podpora dal\u0161\u00edch \u017een<\/em><\/p>\n\n\n\n

Narozen\u00ed potomka nep\u0159in\u00e1\u0161\u00ed v\u017edy jen \u0161t\u011bst\u00ed a radost. \u010c\u00edm d\u00e1l \u010dast\u011bji novope\u010den\u00e9 matky p\u0159izn\u00e1vaj\u00ed, \u017ee bojuj\u00ed s\u00a0psychick\u00fdmi pot\u00ed\u017eemi. A\u017e 80 % \u017een si po porodu projde tzv. baby blues, tedy obdob\u00edm st\u0159\u00edd\u00e1n\u00ed n\u00e1lad, obav a emo\u010dn\u00ed nestability. <\/strong><\/p>\n\n\n\n

Experti upozor\u0148uj\u00ed, \u017ee a\u017e u p\u011btiny \u017een m\u016f\u017ee tento stav vy\u00fastit do psychick\u00e9 nemoci,\u00a0kter\u00e1 krom\u011b matky samotn\u00e9 ohro\u017euje i psychick\u00fd v\u00fdvoj d\u00edt\u011bte. Proto by se podle l\u00e9ka\u0159\u016f nem\u011bl psychick\u00fd stav po porodu podce\u0148ovat \u2013 pomoci mohou nap\u0159\u00edklad prakti\u010dt\u00ed l\u00e9ka\u0159i, ale i\u00a0dobrovolnick\u00e9 organizace. Pr\u00e1v\u011b ony mohou \u010derstv\u00e9 maminky propojit s vrstevnicemi, kter\u00e9 u\u017e maj\u00ed tuto zku\u0161enost za sebou, a dodaj\u00ed tak mamink\u00e1m pot\u0159ebnou psychickou podporu. I\u00a0o\u00a0tom budou diskutovat prakti\u010dt\u00ed l\u00e9ka\u0159i na v\u00fdro\u010dn\u00ed konferenci Spole\u010dnosti v\u0161eobecn\u00e9ho l\u00e9ka\u0159stv\u00ed \u010cLS JEP, kter\u00e1 startuje 8. listopadu ve Zl\u00edn\u011b.\u00a0<\/strong><\/p>\n\n\n\n

Zdaleka ne ka\u017ed\u00e1 \u017eena pro\u017e\u00edv\u00e1 obdob\u00ed po porodu v\u00a0psychick\u00e9 pohod\u011b. \u201eTakzvan\u00fdm baby blues si po porodu projde prakticky ka\u017ed\u00e1 matka, nicm\u00e9n\u011b to zpravidla do 14 dn\u00ed samo odezn\u00ed. Bez podpory okol\u00ed\u00a0se\u00a0ale pot\u00ed\u017ee mohou a\u017e p\u011btin\u011b z nich zhor\u0161it natolik, \u017ee ji\u017e samy jen tak neodezn\u00ed. Bohu\u017eel se o tom p\u0159\u00edli\u0161 nemluv\u00ed, proto\u017ee je tabu b\u00fdt ne\u0161\u0165astn\u00e1, kdy\u017e je na sv\u011bt\u011b zdrav\u00e9 miminko a \u017eena m\u00e1 k\u00a0tomu i partnera nebo man\u017eela,\u201c <\/em>\u0159\u00edk\u00e1 MUDr. Jana Krzy\u017e\u00e1nkov\u00e1, praktick\u00e1 l\u00e9ka\u0159ka a \u010dlenka Spole\u010dnosti v\u0161eobecn\u00e9ho l\u00e9ka\u0159stv\u00ed (SVL) \u010cLS JEP. <\/p>\n\n\n\n

Nap\u0159\u00edklad u\u00a0deprese si pak u\u017e matka nedok\u00e1\u017ee sama pomoci, postupn\u011b ztr\u00e1c\u00ed radost ze \u017eivota, a pokud se jej\u00ed stav d\u00e1le zhor\u0161uje, onemocn\u011bn\u00ed ji naprosto paralyzuje. \u201eTehdy se nem\u016f\u017ee spr\u00e1vn\u011b postarat o d\u00edt\u011b, \u0161patn\u011b \u010dte jeho pot\u0159eby a nar\u016fst\u00e1 frustrace na obou stran\u00e1ch. D\u011bti depresivn\u00edch matek b\u00fdvaj\u00ed \u010dast\u011bji nemocn\u00e9 a h\u016f\u0159e sp\u00ed. Nedostatek sp\u00e1nku pak znova negativn\u011b p\u0159isp\u00edv\u00e1 k\u00a0psychick\u00e9mu stavu matky. A rozt\u00e1\u010d\u00ed se spir\u00e1la, ze kter\u00e9 se t\u011b\u017eko unik\u00e1,\u201c<\/em> popisuje MUDr. Ludmila Bezd\u00ed\u010dkov\u00e1, \u010dlenka v\u00fdboru SVL. Samotn\u00e1 deprese pak vznik\u00e1 d\u016fsledkem nevyrovnan\u00e9 hladiny hormon\u016f v\u00a0kombinaci nap\u0159\u00edklad s nedostate\u010dnou podporou okol\u00ed nebo posttraumatickou stresovou poruchou po n\u00e1ro\u010dn\u00e9m porodu. Svou roli hraj\u00ed i\u00a0genetick\u00e9 p\u0159edpoklady.\u00a0<\/p>\n\n\n\n

L\u00e9ka\u0159i v\u0161ak upozor\u0148uj\u00ed, \u017ee \u0161patn\u00fd psychick\u00fd stav matky m\u016f\u017ee m\u00edt dlouhodob\u00e9 n\u00e1sledky i na d\u00edt\u011b. \u201ePokud se mezi matkou a d\u00edt\u011btem v\u00a0d\u016fsledku deprese nevytvo\u0159\u00ed jist\u00e1\u00a0vztahov\u00e1 vazba, m\u016f\u017ee d\u00edt\u011b sv\u011bt vn\u00edmat jako nep\u0159\u00e1telsk\u00e9 prost\u0159ed\u00ed. To u n\u011bj m\u016f\u017ee v\u00a0budoucnu vzbuzovat agresivitu, proto\u017ee se sna\u017e\u00ed okol\u00ed \u201ap\u0159etla\u010dit\u2018, nebo naopak m\u016f\u017ee b\u00fdt extr\u00e9mn\u011b pasivn\u00ed, proto\u017ee v\u00a0jeho o\u010d\u00edch n\u011bjak\u00e1 snaha nem\u00e1 v\u016fbec smysl,\u201c<\/em> vysv\u011btluje MUDr. Krzy\u017e\u00e1nkov\u00e1. <\/p>\n\n\n\n

D\u011bti matek s\u00a0nel\u00e9\u010denou\u00a0depres\u00ed maj\u00ed tak\u00e9 podle v\u00fdzkum\u016f \u010dast\u011bji pomalej\u0161\u00ed psychomotorick\u00fd v\u00fdvoj nebo pot\u00ed\u017ee s\u00a0u\u010den\u00edm. Leh\u010d\u00ed poporodn\u00ed psychick\u00e9 poruchy podle expert\u016f m\u016f\u017ee vy\u0159e\u0161it psychoterapie, ne\u017e se k n\u00ed\u00a0v\u0161ak \u010derstv\u00e9 matky dostanou, psychicky trp\u00ed. Pom\u00e1h\u00e1 i\u00a0sv\u00e9pomocn\u00e1 aplikace Kogito ur\u010den\u00e1\u00a0p\u0159\u00edmo pro maminky. U t\u011b\u017ek\u00fdch depres\u00ed se pak \u010dasto neobejdou bez l\u00e9k\u016f.<\/p>\n\n\n\n

\u201eBohu\u017eel m\u00e1m n\u011bkdy pocit, \u017ee na t\u011bhotnou nebo koj\u00edc\u00ed matku se n\u011bkte\u0159\u00ed l\u00e9ka\u0159i boj\u00ed i s\u00e1hnout, nato\u017e j\u00ed p\u0159edepsat l\u00e9ky. P\u0159itom v\u00a0p\u0159\u00edpad\u011b, \u017ee je matka v\u00a0t\u011b\u017ek\u00e9 depresi,selh\u00e1v\u00e1 bohu\u017eel ve v\u0161ech sv\u00fdch rol\u00edch a\u00a0p\u0159\u00ednos l\u00e9\u010dby zde jednozna\u010dn\u011b p\u0159evy\u0161uje p\u0159\u00edpadn\u00e1 rizika. \u0158ada studi\u00ed z\u00a0ned\u00e1vn\u00e9 doby nav\u00edc ukazuje, \u017ee spr\u00e1vn\u011b zvolen\u00e1 antidepresiva jsou v\u00a0obdob\u00ed kojen\u00ed pro d\u00edt\u011b bezpe\u010dn\u00e1 a to m\u016f\u017ee b\u00fdt kojeno podle sv\u00fdch pot\u0159eb,\u201c<\/em> \u0159\u00edk\u00e1 MUDr.\u00a0Krzy\u017e\u00e1nkov\u00e1. Podle n\u00ed nav\u00edc matka ve \u0161patn\u00e9m psychick\u00e9m stavu u\u017e mnohdy ani nedok\u00e1\u017ee zhodnotit sv\u016fj stav a to, \u017ee by m\u011bla vyhledat pomoc. U\u017e b\u011bhem t\u011bhotenstv\u00ed by podle odborn\u00edk\u016f m\u011bly budouc\u00ed maminky o sv\u00e9m psychick\u00e9m stavu mluvit \u2013 nap\u0159\u00edklad se sv\u00fdm\u00a0praktick\u00fdm l\u00e9ka\u0159em, ke kter\u00e9mu p\u0159ijdou na kontrolu. <\/p>\n\n\n\n

\u201ePokud se b\u011bhem t\u011bhotenstv\u00ed nebo po porodu nec\u00edt\u00ed psychicky dob\u0159e, mohou tak\u00e9 vyu\u017e\u00edt podp\u016frn\u00fdch skupin, kde jim jin\u00e9 maminky porad\u00ed a pomohou je nasm\u011brovat k\u00a0odborn\u00edk\u016fm. Mnohdy ale k\u00a0pomoci sta\u010d\u00ed jenom pocit, \u017ee na v\u0161e nejsou samy. D\u00edky na\u0161\u00ed podpo\u0159e se maminky rychleji zlep\u0161uj\u00ed. Jen letos jsme jich podpo\u0159ily p\u0159es 400,\u201c<\/em> \u0159\u00edk\u00e1 MUDr. Krzy\u017e\u00e1nkov\u00e1, kter\u00e1 je sama jednou z\u00a0region\u00e1ln\u00edch\u00a0konzultantek dobrovolnick\u00e9 organizace \u00dasm\u011bv m\u00e1my. Podle lo\u0148sk\u00e9ho pr\u016fzkumu N\u00e1rodn\u00edho \u00fastavu du\u0161evn\u00edho zdrav\u00ed a t\u00e9to organizace dok\u00e1zala tzv. peer podpora v\u00fdrazn\u011b sn\u00ed\u017eit t\u00ed\u017ei \u00fazkost\u00ed i deprese.<\/p>\n","protected":false},"excerpt":{"rendered":"

Matk\u00e1m pom\u00e1h\u00e1 podpora dal\u0161\u00edch \u017een Narozen\u00ed potomka nep\u0159in\u00e1\u0161\u00ed v\u017edy jen \u0161t\u011bst\u00ed a radost. \u010c\u00edm d\u00e1l \u010dast\u011bji novope\u010den\u00e9 matky p\u0159izn\u00e1vaj\u00ed, \u017ee bojuj\u00ed s\u00a0psychick\u00fdmi pot\u00ed\u017eemi. A\u017e 80 […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":18185,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-43396","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/43396","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=43396"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/43396\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/18185"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=43396"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=43396"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=43396"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}