Ukuphazamiseka kwangaphambi kokuya exesheni

I-premenstrual dysphoric disorder (PMDD) yimeko apho umntu obhinqileyo aneempawu zokudakumba, ukuba nochuku, kunye noxinzelelo ngaphambi kokuba aye exesheni. Iimpawu ze-PMDD zinzima ngakumbi kunalezo zibonwa nge-premenstrual syndrome (PMS).

I-PMS ibhekisa kuluhlu olubanzi lweempawu zomzimba okanye zeemvakalelo ezihlala zenzeka malunga neentsuku ezi-5 ukuya kwezi-11 ngaphambi kokuba ibhinqa liqale ukuba sexesheni. Kwiimeko ezininzi, iimpawu ziyema xa, okanye kungekudala emva kwexesha, ixesha lakhe liqala.

Oonobangela be-PMS kunye ne-PMDD abakafumaneki.

Utshintsho lwehomoni olwenzeka ngexesha lokuya exesheni komfazi lunokudlala indima.

I-PMDD ichaphazela inani elincinci labasetyhini ngexesha leminyaka yokuba sexesheni.

Abasetyhini abaninzi abanale meko:

• Ixhala
• Uxinzelelo olukhulu
• Ukuphazamiseka kwexesha elithile (SAD)

Eminye imiba enokudlala indima ibandakanya:

• Utywala okanye iziyobisi
• Iingxaki ze-thyroid
• Ukutyeba kakhulu
• Ukuba nomama onembali yokuphazamiseka
• Ukungabikho kokuzilolonga

Iimpawu ze-PMDD ziyafana nezo ze-PMS.Nangona kunjalo, bahlala beqatha ngakumbi kwaye bephelisa amandla. Babandakanya ubuncinci uphawu oluhambelana nomoya. Iimpawu zenzeka evekini ngaphambi nje kokopha exesheni. Bahlala bephucula ngaphakathi kweentsuku ezimbalwa emva kokuqala kwexesha.

Nalu uluhlu lweempawu eziqhelekileyo ze-PMDD:

• Ukungabikho komdla kwimisebenzi yemihla ngemihla kunye nobudlelwane
• Ukudinwa okanye amandla aphantsi
• Usizi okanye ukungabi nathemba, mhlawumbi iingcinga zokuzibulala
• Ixhala
• Ukuziva ungalawuleki
• Ukunqwenela ukutya okanye ukutya utywala
• Imo iyatshintsha ngokulila
• Uloyiko
• Ukucaphuka okanye umsindo ochaphazela abanye abantu
• Ukuqunjelwa, ukuthamba kwebele, iintloko, kunye nentlungu edibeneyo okanye yemisipha
• Iingxaki zokulala
• Ingxaki yokujonga

Akukho luvavanyo lomzimba okanye uvavanyo lwelebhu olunokufumanisa i-PMDD. Imbali epheleleyo, uvavanyo lomzimba (kubandakanya uvavanyo lwe-pelvic), uvavanyo lwe-thyroid, kunye nokuvavanywa kwengqondo kufuneka kwenziwe ukulawula ezinye iimeko.

Ukugcina ikhalenda okanye idayari yeempawu kunokunceda abasetyhini babone ezona mpawu zinzima kunye namaxesha ekunokwenzeka ukuba enzeke. Olu lwazi lunokunceda umboneleli wakho wokhathalelo lwempilo afumanise i-PMDD kwaye amisele olona nyango lulungileyo.

Indlela yokuphila esempilweni linyathelo lokuqala lokulawula i-PMDD.

• Yitya ukutya okusempilweni okuziinkozo, imifuno, iziqhamo, kunye netyuwa encinci, iswekile, utywala kunye necaffeine.
• Fumana umthambo rhoqo we-aerobic kuyo yonke inyanga ukunciphisa ubungqongqo beempawu ze-PMS.
• Ukuba unengxaki yokulala, zama ukutshintsha iindlela zakho zokulala ngaphambi kokuba uthathe amayeza ukuze ulale.

Gcina idayari okanye ikhalenda uyibhale phantsi:

• Uhlobo lweempawu onazo
• Banzima kangakanani
• Zide kangakanani

Ukuxinezeleka kunokuba luncedo.

Inketho yokuqala ihlala i-antidepressant eyaziwa ngokuba yi-serotonin-reuptake inhibitor (SSRI) ekhethiweyo. Unokuthatha ii-SSRI kwinxalenye yesibini yomjikelo wakho kude kufike ixesha lakho. Ungayithatha inyanga yonke. Buza umboneleli wakho.

Unyango lweendlela zokuziphatha ezinokuqonda (i-CBT) inokusetyenziswa kunye okanye endaweni yoxinzelelo. Ngexesha le-CBT, unokutyelelwa malunga ne-10 kunye nengcali yezempilo yengqondo kwiiveki ezininzi.

Olunye unyango olunokukunceda lubandakanya:

• Iipilisi zokulawula ukuzalwa zihlala zinceda ukunciphisa iimpawu ze-PMS. Iindidi zeedosi eziqhubekayo zisebenza kakhulu, ngakumbi ezo ziqukethe ihomoni ebizwa ngokuba yidrospirenone. Ngomthamo oqhubekayo, awunakufumana ixesha lenyanga.
• I-diuretics inokuba luncedo kwabasetyhini abanamava obunzima obufutshane ngexesha lokufumana amanzi.
• Amanye amayeza (anjengeDepo-Lupron) acinezela ii-ovari kunye ne-ovulation.
• Ukuthomalalisa iintlungu ezinje nge-aspirin okanye ibuprofen inokumiselwa entloko, umqolo obuhlungu, iintlungu zokuya exesheni, kunye nokuthamba kwebele.

Uninzi lwezifundo lubonise ukuba izongezo zesondlo, ezinjengevithamini B6, ikhalsiyam, kunye nemagniziyam azincedi ekupheliseni iimpawu.

Emva kokuchongwa ngokufanelekileyo kunye nonyango, uninzi lwabasetyhini abane-PMDD lufumanisa ukuba iimpawu zabo ziyahamba okanye ziyehla kumanqanaba anyamezelwayo.

Iimpawu ze-PMDD zinokuba nzima ngokwaneleyo ukuphazamisa ubomi bomfazi bemihla ngemihla. Abasetyhini abanokudakumba banokuba neempawu ezimbi kwisiqingatha sesibini somjikelo wabo kwaye banokufuna utshintsho kunyango lwabo.

Abanye abantu basetyhini abane-PMDD baneengcinga zokuzibulala. Ukuzibulala kwabasetyhini abanokudakumba kunokwenzeka ukuba kwenzeke kwisiqingatha sesibini somjikelo wokuya esikhathini.

I-PMDD inokunxulunyaniswa nengxaki yokutya kunye nokutshaya.

Tsalela umnxeba ku-911 okanye kumgca weengxaki zalapho kwangoko ukuba ucinga ngokuzibulala.

Fowunela umnikezeli wakho ukuba:

• Iimpawu AZIYENZI ngcono indlela yokuzinyanga
• Iimpawu ziphazamisa ubomi bakho bemihla ngemihla

PMDD; I-PMS enzima; Ukuphazamiseka exesheni - idysphoric

• Uxinzelelo kunye nomjikelo wokuya exesheni

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IMendiratta V, iLentz GM. I-dysmenorrhea yaseprayimari neyesekondari, i-premenstrual syndrome, kunye ne-premenstrual dysphoric disorder: i-etiology, isifo, isifo. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, ii-eds. Gynecology egqibeleleyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 37.

Ukuphazamiseka kwimood: ukudakumba, isifo se-bipolar, kunye nokudakumba kwemood. Ku: Kellerman RD, Bope ET, ii-eds. Unyango lwangoku lukaConn lwango-2018. IPhiladelphia, PA: Elsevier; Ngo-2018: 755-765.