I-PMS (i-Premenstrual Syndrome)

Umxholo

• Iimpawu zePMS
• Uza kubona nini ugqirha wakho
• Ukunciphisa iimpawu ze-PMS
• I-PMS ebukhali: ukuphazamiseka kwangaphambi kokuya exesheni
• Umbono wexesha elide
• Q:
• A:

Sibandakanya iimveliso esicinga ukuba ziluncedo kubafundi bethu. Ukuba uthenga amakhonkco kweli phepha, sinokufumana ikhomishini encinci. Nantsi inkqubo yethu.

Ukuqonda iPMS

I-Premenstrual syndrome (PMS) yimeko echaphazela iimvakalelo zowasetyhini, impilo yomzimba, kunye nokuziphatha kwiintsuku ezithile zomjikelo wokuya exesheni, ngokubanzi ngaphambi nje kokuba abe sexesheni.

I-PMS yimeko eqhelekileyo. Iimpawu zayo zichaphazela ngaphezulu kwama-90 epesenti yabasetyhini abasexesheni. Kufuneka ichaphazele umba othile wobomi bakho kugqirha ukuba akufumanise.

Iimpawu ze-PMS ziqala kwiintsuku ezintlanu ukuya kwezili-11 ngaphambi kokuba aye exesheni kwaye zihlala ziqala nje ukuba sexesheni. Unobangela wePMS awaziwa.

Nangona kunjalo, abaphandi abaninzi bakholelwa ukuba inxulumene notshintsho kumanqanaba esini esini kunye nakwiserotonin kwinqanaba lokuqala lokuya exesheni.

Amanqanaba e-estrogen kunye neprogesterone ayanda ngamaxesha athile enyanga. Ukonyuka kwezi hormone kunokubangela ukutshintsha kwemood, ixhala kunye nokucaphuka. I-Ovarian steroids ikwaguqula imisebenzi kwiindawo ezithile zobuchopho ezinxulumene neempawu zangaphambi kokuya exesheni.

Amanqanaba eSerotonin achaphazela imood. I-Serotonin yikhemikhali kwingqondo yakho nakwisisu esichaphazela iimvakalelo zakho, iimvakalelo kunye neengcinga.

Imiba yomngcipheko wesifo sokuqala kwangaphambi kokuya exesheni ibandakanya:

• imbali yoxinzelelo okanye ukuphazamiseka kwemood, njengokudakumba emva kokubeleka okanye ukuphazamiseka kwengqondo
• Imbali yosapho yePMS
• Imbali yosapho yoxinzelelo
• udlama lasekhaya
• ukuhlukunyezwa kwesiyobisi
• ukwenzakala ngokwasemzimbeni
• ukwenzakala ngokweemvakalelo

Iimeko ezinxulumene nazo zibandakanya:

• idysmenorrhea
• Ukudakumba okukhulu
• Ukuphazamiseka okwenzeka ngamaxesha athile onyaka
• Ukuphazamiseka koxinzelelo ngokubanzi
• schizophrenia

Iimpawu zePMS

Umjikelezo wesini sowesifazane uhlala umyinge weentsuku ezingama-28.

I-Ovulation, ixesha lokukhutshwa kweqanda kwii-ovari, kwenzeka ngomhla we-14 womjikelo. Ukuya exesheni, okanye ukopha, kwenzeka ngomhla wama-28 womjikelo. Iimpawu ze-PMS zingaqala malunga nemini ye-14 kwaye ihlale kude kube ziintsuku ezisixhenxe emva kokuqala kokuba sexesheni.

Iimpawu ze-PMS zihlala ziphakathi okanye ziphakathi. Phantse iipesenti ezingama-80 zabasetyhini baxela uphawu olunye okanye nangaphezulu olungachaphazeliyo ukusebenza kwemihla ngemihla, ngokutsho kwiphephancwadi i-American Family Physician.

Amashumi amabini anesibini eepesenti amabhinqa anika ingxelo yokumodareyitha ukuya kwiimpawu ezinzima ezichaphazela inkalo ethile yobomi. Iipesenti ezintathu ukuya kwezi-8 zeengxelo ze-PMDD. Ubukrakra beempawu bunokwahluka ngokwabantu nangenyanga.

Iimpawu ze-PMS zibandakanya:

• isisu esiswini
• intlungu zesisu
• amabele abuhlungu
• induna
• ukuthanda ukutya, ngakumbi iilekese
• ukuqhina
• urhudo
• intloko ebuhlungu
• uvakalelo ekukhanyeni okanye kwisandi
• ukudinwa
• ukucaphuka
• utshintsho kwiindlela zokulala
• ixhala
• ukudakumba
• lusizi
• ukudubuleka ngokweemvakalelo

Uza kubona nini ugqirha wakho

Jonga ugqirha wakho ukuba iintlungu zomzimba, ukutshintsha kwemozulu, kunye nezinye iimpawu ziqala ukubuchaphazela ubomi bakho bemihla ngemihla, okanye ukuba iimpawu zakho azihambi.

Uxilongo lwenziwa xa unempawu ezingaphezulu kwesinye eziphindaphindayo ngexesha elifanelekileyo elomeleleyo ngokwaneleyo ukuba linokubangela ukonakala kwaye alikho phakathi kwe-menses kunye ne-ovulation. Ugqirha wakho kufuneka akhuphe ezinye izizathu, ezifana:

• ianemia
• endometriosis
• isifo se-thyroid
• Isifo sengqondo sesifo (IBS)
• ukudinwa okungapheliyo
• izihlunu ezihlangeneyo okanye izifo rheumatologic

Ugqirha wakho angabuza malunga nayiphi na imbali yoxinzelelo okanye ukuphazamiseka kwemeko yosapho lwakho ukumisela ukuba iimpawu zakho ziziphumo ze-PMS okanye enye imeko. Ezinye iimeko, ezinje nge-IBS, hypothyroidism, kunye nokukhulelwa, zineempawu ezifanayo ne-PMS.

Ugqirha wakho angenza uvavanyo lwehomoni ye-thyroid ukuqinisekisa ukuba i-thyroid gland isebenza ngokufanelekileyo, uvavanyo lokukhulelwa, kwaye mhlawumbi uvavanyo lwe-pelvic ukujonga naziphi na iingxaki zesini.

Ukugcina idayari yeempawu zakho yenye indlela yokufumanisa ukuba unayo iPMS. Sebenzisa ikhalenda ukugcina iimpawu zakho kunye nokuya esikhathini rhoqo ngenyanga. Ukuba iimpawu zakho ziqala ngexesha elifanayo inyanga nenyanga, i-PMS ingunobangela.

Ukunciphisa iimpawu ze-PMS

Awunakho ukuyinyanga i-PMS, kodwa ungathatha amanyathelo okudambisa iimpawu zakho. Ukuba unesimo esifanelekileyo okanye esilinganiselweyo se-premenstrual syndrome, ukhetho lwezonyango lubandakanya:

• ukusela ulwelo oluninzi ukunciphisa ukudumba kwesisu
• ukutya ukutya okunesondlo ukuphucula impilo yakho kunye nenqanaba lamandla, oku kuthetha ukutya iziqhamo kunye nemifuno kunye nokunciphisa ukutya kwakho iswekile, ityuwa, icaffeine, kunye notywala
• ukuthatha izongezo, ezinje nge-folic acid, ivithamin B-6, calcium, kunye nemagniziyam ukunciphisa iicramps kunye nokutshintsha kwemood
• ukuthatha i-vitamin D ukunciphisa iimpawu
• ukulala ubuncinci iiyure ezisibhozo ngobusuku bonke ukunciphisa ukudinwa
• ukuzivocavoca ukunciphisa ukudumba kunye nokuphucula impilo yakho yengqondo
• ukunciphisa uxinzelelo, njengokuzilolonga nokufunda
• ukuya kunyango lokuziphatha kwengqondo, olubonakalisiweyo ukuba luyasebenza

Unokuthatha amayeza eentlungu, ezinje nge-ibuprofen okanye i-aspirin, ukunciphisa iintlungu zemisipha, intloko ebuhlungu kunye nokuqaqamba kwesisu. Unokuzama i-diuretic ukuyeka ukudumba kunye nokufumana ubunzima bamanzi. Thatha amayeza kunye nezongezelelo kuphela njengoko kuyalelwe kwaye nasemva kokuthetha nogqirha wakho.

Thenga ezi mveliso kwi-intanethi:

• folic acid isongezelelo
• ivithamini B-6 izongezo
• izongezo zekhalsiyam
• izongezo zemagniziyam
• ivithamin D izongezo
• ibuprofen
• Iasprini

I-PMS ebukhali: ukuphazamiseka kwangaphambi kokuya exesheni

Iimpawu ezinzima ze-PMS zinqabile. Ipesenteji encinci yabasetyhini abaneempawu ezinzima banesifo sokuphazamiseka kwangaphambi kokuya exesheni (PMDD). I-PMDD ichaphazela phakathi kweepesenti ezi-3 ukuya kwezi-8 zabasetyhini. Oku kubonakaliswe kuhlelo olutsha lweNgcaciso yoLwazi kunye neNgcaciso yeNcwadi yokuPhazamiseka kwengqondo.

Iimpawu ze-PMDD zingabandakanya:

• ukudakumba
• iingcinga zokuzibulala
• uloyiko
• uxinzelelo olugqithisileyo
• umsindo ngokutshintsha kakhulu kwemood
• ukulila
• ukungabikho komdla kwimisebenzi yemihla ngemihla
• ukuphuthelwa
• ingxaki yokucinga okanye ukugxila
• ukutya kakhulu
• ukucofa kabuhlungu
• ukudumba

Iimpawu ze-PMDD zinokwenzeka ngenxa yotshintsho kumanqanaba e-estrogen kunye neprogesterone. Unxibelelwano phakathi kwamanqanaba asezantsi e-serotonin kunye ne-PMDD lukhona.

Ugqirha wakho unokwenza oku kulandelayo ukukhupha ezinye iingxaki zonyango:

• uvavanyo lomzimba
• uviwo lwe-gynecological
• ubalo olupheleleyo lwegazi
• uvavanyo lomsebenzi wesibindi

Banokucebisa ngokuvavanywa kwengqondo. Imbali yobuqu okanye yosapho yoxinzelelo olukhulu, ukusetyenziswa gwenxa kweziyobisi, ukwenzakala, okanye uxinzelelo kunokubangela okanye kube mandundu kwiimpawu ze-PMDD.

Unyango lwe-PMDD luyahluka. Ugqirha wakho unokucebisa:

• umthambo wemihla ngemihla
• izongezo zevithamini, ezinje ngecalcium, magnesium, kunye nevithamini B-6
• ukutya okungekho caffeine
• Ukucebisa umntu ngamnye okanye iqela
• iiklasi zolawulo loxinzelelo
• I-drospirenone kunye ne-ethinyl estradiol tablet (Yaz), ekuphela kwepilisi yolawulo lokuzalwa uLawulo lwezoKutya kunye neDrug luvumile ukunyanga iimpawu ze-PMDD

Ukuba iimpawu zakho ze-PMDD azikaphucuki, ugqirha wakho unokukunika i-serotonin reuptake inhibitor (SSRI) ekhethiweyo. Eli yeza lonyusa amanqanaba e-serotonin kwingqondo yakho kwaye ineendima ezininzi kulawulo lwe-chemistry yengqondo engaphelelanga kuxinzelelo.

Ugqirha wakho unokucebisa nonyango lokuziphatha, oluyindlela yokucebisa enokukunceda uqonde iingcinga kunye neemvakalelo zakho kwaye utshintshe indlela oziphethe ngayo ngokufanelekileyo.

Awunakho ukuthintela i-PMS okanye i-PMDD, kodwa unyango oluchazwe apha ngasentla lunokunceda ukunciphisa ubunzima kunye nexesha leempawu zakho.

Umbono wexesha elide

Iimpawu ze-PMS kunye ne-PMDD zinokuphinda zibuye, kodwa zihlala zihamba emva kokuqala kokuba sexesheni. Indlela yokuphila esempilweni kunye nesicwangciso esibanzi sonyango zinokunciphisa okanye zisuse iimpawu uninzi lwabasetyhini.

Q:

Zitshintsha njani iimpawu ze-PMS njengoko umntu obhinqileyo esondela ekuphelisweni kwexesha kunye nokuyeka ukuya exesheni?

Isigulana esingaziwayo

A:

Njengomfazi osondela ekuyekeni ukuya exesheni, imijikelezo ye-ovulatory iba manqaphanqapha njengoko imveliso yehomoni yesini ye-ovari incipha. Iziphumo zoku ziimpawu ezinobungqingqwa kunye neempawu ezithile ezingalindelekanga. Ukudaka amanzi kukusetyenziswa kwonyango lwehomoni ukunyanga ezinye zeempawu zokuyeka ukuya exesheni, njengokukhanya okushushu, okunokuqhubeka kuguqula iimpawu. Njengoko ukuya exesheni, abasetyhini kufuneka babonane nogqirha wabo ukuba iimpawu ziyatshintsha okanye iimpawu ezintsha zivelisiwe.

UChris Kapp, iimpendulo ze-MDA zimele izimvo zeengcali zethu zonyango. Yonke imixholo inolwazi ngokungqongqo kwaye akufuneki ukuba ithathelwe ingqalelo njengengcebiso yezonyango.