What medicine does postpartum depression take to treat?
The causes of postpartum depression are complicated, generally in many aspects. Puerperal women with postpartum depression often have abnormal emotions and are prone to anxiety, which affects their normal lives. So postpartum depression should be treated with drugs as soon as possible, but do you know what medicine postpartum depression takes?
At present, tricyclic antidepressants are still the first-line drugs for the treatment of depression, and the second-generation atypical antidepressants are the second-line drugs. The efficacy of various tricyclic antidepressants is similar, and the clinical choice can be based on the strength of depression and sedation, side effects and patients' tolerance. The sedative effect of imipramine and norimipramine is weak, which is suitable for depressive patients with psychomotor disorder.
Amitriptyline and doxepin have strong sedative effects and can be used for patients with anxiety, agitation and insomnia. However, tricyclic drugs have great anticholinergic and cardiovascular side effects, so we should pay attention to their application. There are many kinds of atypical antidepressants in the second generation, among which fluoxetine, paroxetine and sertraline are selective 5-HT reuptake inhibitors, which are widely used, with few side effects and good safety, and can be used for long-term maintenance treatment.
The treatment of bipolar depression is the same as that of unipolar depression, but patients with bipolar disorder may turn into hypomania when taking antidepressants, so antidepressants and lithium carbonate are often used together.
For patients with depression accompanied by hallucinations and delusions, antipsychotic drugs such as perphenazine and sulpiride are usually needed.
symptoms of postpartum depression
Do you know the symptoms of postpartum depression? Knowing the symptoms of postpartum depression can get timely treatment. However, patients with postpartum depression are prone to irritability, depression, anxiety and depression, worry too much about their own and their babies' health, and lose the ability to take care of themselves and their babies. The following mother's online encyclopedia introduces the symptoms of postpartum depression for everyone.
Spleen injury, qi stagnation, decision-making difficulties and depression caused by postpartum extreme behavior, anxiety and thinking.
According to the definition of postpartum depression, all depression occurs in postpartum 1 year, but most postpartum depression occurs in the first three months after delivery. The main symptoms of PPD are depression, tears and unexplained sadness, but depressed women also have irritability, anxiety, fear and panic, and lack of motivation and boredom are also important related symptoms.
The symptoms of PPD active nervous system include loss of appetite, weight loss, going to bed early, fatigue and constipation. In terms of cognition, PPD can lead to inattention, forgetfulness and lack of self-confidence. In more serious cases, it will also cause inferiority, disappointment and self-uselessness. In this case, we should ask them if they tried to commit suicide.
Its main manifestation is depression, which occurs more than 2 weeks after delivery, and the symptoms are obvious 4 ~ 6 weeks after delivery.
How to treat postpartum depression?
Postpartum depression is a curable mental illness, but do you know the treatment of postpartum depression? Mothers with postpartum depression will suffer not only in their own hearts, but also in their families, so it is very important for them to understand the treatment of postpartum depression. The following mother online encyclopedia will tell you the treatment of postpartum depression.
Psychopsychotherapy:
In the process of delivery, nurses should accompany and guide them as much as possible, give them comfort and encouragement, and teach them how to use relaxation techniques during labor pains to eliminate their sense of helplessness and enhance their confidence in delivery. Allow family to accompany, care and take care of, relieve loneliness and tension. Replenish digestible food and water in time to reduce the consumption of physical strength and energy during labor. Psychological nursing before cesarean section can reduce the fear and worry about the operation.
Give a quiet and comfortable environment after delivery, appropriately limit the visits of relatives and friends, concentrate the nursing work as much as possible, improve efficiency, and let the parturient have enough rest. Give digestible and nutritious food so that the parturient can recover her physical strength as soon as possible. Actively communicate with pregnant women, listen to their thoughts and feelings, give encouragement, help them acquire knowledge and skills of breastfeeding, explain to them that keeping a happy mood can promote the secretion of milk, teach pregnant women and their families the general knowledge and skills of breastfeeding babies, and stimulate their positive psychological reaction. Give important psychological care, pay attention to protective medical care and avoid mental stimulation to the parturient who has abnormal pain during delivery or poor pregnancy outcome.
Prenatal education, such as psychological health education for the maternal husband, in-laws, parents and other family members, good communication between family members, establishment of a warm family atmosphere, meticulous care for the maternal, care for the maternal psychological feelings, and try to avoid sensitive issues that stimulate the maternal emotions. If there is a history of perinatal depression, maternal depression is serious, and the baby is irritable, we should pay enough attention to identify psychological problems in time to avoid delaying treatment.
Drug therapy:
At present, tricyclic antidepressants are still the first-line drugs for the treatment of depression, and the second-generation atypical antidepressants are the second-line drugs. The efficacy of various tricyclic antidepressants is similar, and the clinical choice can be based on the strength of depression and sedation, side effects and patients' tolerance. The sedative effect of imipramine and norimipramine is weak, which is suitable for depressive patients with psychomotor disorder. Amitriptyline and doxepin have strong sedative effects and can be used for patients with anxiety, agitation and insomnia. However, tricyclic drugs have great anticholinergic and cardiovascular side effects, so we should pay attention to their application. There are many kinds of atypical antidepressants in the second generation, among which fluoxetine, paroxetine and sertraline are selective 5-HT reuptake inhibitors, which are widely used, with few side effects and good safety, and can be used for long-term maintenance treatment.
The treatment of bipolar depression is the same as that of unipolar depression, but patients with bipolar disorder may turn into hypomania when taking antidepressants, so antidepressants and lithium carbonate are often used together. For patients with depression accompanied by hallucinations and delusions, antipsychotic drugs such as perphenazine and sulpiride are usually needed.
Physical therapy:
Compared with drugs, physical therapy has the characteristics of no side effects and significant dependence on curative effect. Transcranial microcurrent stimulation therapy is a physical therapy that stimulates the brain through microcurrent, which can directly regulate the brain to secrete a series of neurotransmitters and hormones that are helpful to improve depression. It can improve the secretion of 5-HT, promote the release of norepinephrine and enhance the excitability of nerve cell activities, thus alleviating individual depression. By promoting the secretion of endorphins with sedative effect, patients can maintain a relaxed and comfortable mental state, which is conducive to better alleviating their previous negative and depressed emotional state. In addition, through the improvement of patients' brain waves and various physiological indexes, the physical symptoms of patients with depression can be improved.
Electroconvulsive therapy:
People with depression should beware of self-harm and suicide. For people who have strong suicidal thoughts, electroconvulsive therapy can achieve immediate results, and the drug will be consolidated after the condition is stable.