Unyango lokulawula i-PMS-Uxinzelelo lwangaphambi kokuya exesheni
Umxholo
- 1. Uxinzelelo
- 2. Anxiolytics
- 3. Izinto zokucwangcisa ngomlomo
- 4. Inaliti yeprogesterone
- 5. Ukufakwa kwehomoni
- Ukhetho lwendalo kunyango lwe-PMS
- 1. UValerian
- 2. Ipasiflora
- 3. ISt John's Wort
- 4. IVitex agnus-castus
- 5. ICimicifuga racemosa
- 6. IGamma V (I-Borago officinalis)
- 7. I-oyile ye-primrose yangokuhlwa
- 8. Izongezelelo zeVitamin
Ukusetyenziswa kweyeza le-PMS-uxinzelelo lwangaphambi kokuya exesheni, kuthomalalisa iimpawu kwaye kushiya umfazi ezolile kwaye ezolile, kodwa ukuze ube nefuthe elilindelweyo, kufuneka lisetyenziswe ngokwesikhokelo se-gynecologist. Imizekelo elungileyo ziipilisi zolawulo lokuzalwa kunye nezithinteli zendalo ezinje ngeflowerflower kunye nejusi yeziqhamo ezinomdla.
Nangona kunjalo, la machiza akufuneki asetyenziswe ngaphandle kolwazi lukagqirha kuba aneziphumo ebezingalindelekanga kunye nokuchasana ekufuneka kuhlonitshwe. Ukongeza, amayeza abonisiweyo anokwahluka ngokweempawu zomfazi ngamnye.
Ezona zilungiso zisetyenziswayo ze-PMS zezi:
1. Uxinzelelo
Ezona zinto zichaza ugqirha ukulawula i-PMS zi-serotonin reuptake inhibitors (IRSS) ezibandakanya i-fluoxetine, i-sertraline kunye ne-paroxetine. Ngexesha le-PMS utshintsho lweekhemikhali lwenzeka kwingqondo, elinciphisa inani le-serotonin eyisixhobo esinoxanduva lokulawula imood, ukulala, ukuthanda ukutya kunye nemvakalelo yokuba sempilweni. I-anti-depressants isebenza ngokuthe ngqo kwingqondo ngokwandisa inani le-serotonin, yiyo loo nto kuphuculwe iimpawu zokudinwa, ukuba nochuku, ukutya ngokuzinkcinkca nokulala.
Iziphumo eziphambili: iziphumo ebezingalindelekanga ezixhaphakileyo zolu didi lwe-anti-depressants sisicaphucaphu, ukunciphisa i-libido, ukungcangcazela kunye noxinzelelo. Ngokubanzi, ezi ziphumo zibonakala ekuqaleni konyango, ngakumbi kwiintsuku ezili-15 zokuqala, kwaye zinyamalale ngokuhamba kwexesha.
2. Anxiolytics
I-Anxiolytics, ekwabizwa ngokuba yi-tranquilizers, ihlala iboniswa kulawulo lwe-PMS, okwexeshana. La mayeza anceda umntu ukuba aphumle kwaye anciphise unxunguphalo, uxinzelelo okanye ukucaphuka. I-anxiolytic eboniswe kakhulu ngugqirha yi-alprazolam, kodwa ngenxa yeempembelelo zayo, ayiboniswanga ukuba ingasetyenziswa ixesha elide.
Iziphumo eziphambili: I-Anxiolytics inokubangela isiphumo sokuxhomekeka kunye nefuthe lokunyamezelana, apho idosi ezonyukayo ziyafuneka ukufumana isiphumo esifunekayo. Ukongeza, banokunciphisa ukulumkisa kwaye bachaphazele ukulungelelaniswa.
I-Anxiolytics iyaphikiswa kubantu abane-glaucoma kunye nokuncancisa njengoko inokudlula emntwaneni ngobisi. Funda ngakumbi malunga nealprazolam.
3. Izinto zokucwangcisa ngomlomo
Iipilisi zolawulo lokuzalwa ziboniswa ukuzinzisa ukwahluka kwehomoni okwenzeka phakathi kwexesha lokuya exesheni. Eyona pilisi ifanelekileyo yokuthintela ukukhulelwa ye-PMS yi-Yaz (ethinyl estradiol kunye nedrospirenone). I-Drospirenone isebenza ngokusebenza ngokuchanekileyo njenge-spironolactone eyi-diuretic, ukunciphisa ukudumba okuphambi kokuba sexesheni.
Iziphumo eziphambili: Iziphumo ebezingalindelekanga eziqhelekileyo zeYaz kukutshintsha kwemozulu, uxinzelelo, migraine, isicaphucaphu kunye nokopha phakathi kwexesha lokuya exesheni.
I-Yaz akufuneki isetyenziswe ngabantu abanembali ye-thrombosis, i-pulmonary embolism okanye isifo sentliziyo. Jonga ulwazi oluthe kratya malunga neYaz.
4. Inaliti yeprogesterone
Inaliti yeprogesterone isebenza ngokuphazamiseka okwethutyana. Esona sitofu sicetyiswayo yiDepo-Provera (medroxyprogesterone) kwaye kufuneka senziwe rhoqo kwiinyanga ezi-3 kwizihlunu zempundu. Funda nzulu ngeDepo-Provera.
Iziphumo eziphambili: Iziphumo ebezingalindelekanga zixhaphakileyo kukopha kancinci emva kwenaliti yokuqala kunye nokufumana ubunzima ngenxa yokugcinwa kolwelo.
I-Depo-Provera iyaphikiswa xa ukhulelwe, ukuncancisa, kwimeko yokurhanelwa okanye eqinisekisiweyo yomhlaza webele, kwimeko yesifo sesibindi nakwabasetyhini abanembali ye-thrombosis.
5. Ukufakwa kwehomoni
Ukufakwa kwehormonal ziindlela zokucwangcisa ezibonisa ukuzinzisa ukwahluka kwehomoni okwenzeka phakathi kwexesha lokuya exesheni kunye nokuyeka ukuya exesheni. Ngale ndlela, bayazinciphisa iimpawu ze-PMS. Izibonelelo zezi ndlela kukulawula okungcono kwehomoni njengoko kuthintela ukulibala ipilisi yolawulo lokuzalwa kwaye yeyona ndlela ilungileyo kubafazi abangakwaziyo ukusebenzisa ii-estrogens.
Ukufakwa kwehormonal kunokuba ziindidi ezimbini:
Ukufakwa okungaphantsi: I-Implanon okanye iOrganon ukufakelwa kokucwangcisa, ngohlobo lwentonga encinci, efakwa phantsi kolusu lwengalo. Ke, i-hormone etonogestrel ikhutshwa ngesixa esincinci kwaye ngokuthe ngcembe ukuya kuthi ga kwiminyaka emi-3. Implanon okanye iOrganon kufuneka ifakwe kuphela kwaye isuswe ngugqirha.
- Iziphumo eziphambili: Iziphumo ebezingalindelekanga zixhaphakileyo ngamaqhakuva, ukuya exesheni ngokungaqhelekanga, ukutyeba, ukuthozama kunye nentlungu emabeleni. Funda ngakumbi malunga nokufakwa okungaphantsi.
- Ukufakwa ngaphakathi: I-Mirena yifakelo yokuthintela ukukhulelwa efakwa ngaphakathi njenge-T kwaye iqulethe i-hormone levonorgestrel ethi ikhutshwe ngokuthe ngcembe ngamanani amancinci ngqo esibelekweni kangangesithuba seminyaka emi-5. I-Mirena kufuneka ifakwe kuphela kwaye isuswe ngugqirha. Jonga imibuzo eli-10 eqhelekileyo malunga neMirena.
- Iziphumo eziphambili: Iziphumo ebezingalindelekanga zixhaphakileyo yintloko ebuhlungu, ukutyiwa sisisu ingakumbi kwinyanga yokuqala yokusetyenziswa, ukonyuka okanye ukwehla kokuya exesheni, uxinzelelo, isicaphucaphu, usulelo lwamalungu esini kunye namaqhakuva.
Njengokucwangciswa komlomo, ukufakelwa kwehomoni kunokungangqinelani kwabasetyhini abakhulelweyo okanye abanokukhulelwa okuqinisekisiweyo, imbali ye-thrombosis kunye nomhlaza okrokrelweyo okanye obonakalisiweyo.
Ukhetho lwendalo kunyango lwe-PMS
Amayeza esintu kunye neevithamini zongezelelwa lukhetho olufanelekileyo kubantu basetyhini abaneempawu ezomeleleyo ze-PMS okanye abakhetha ukunyangwa ngezinye iindlela zendalo.
1. UValerian
IValerian isebenza njengexhala lendalo elinciphisa uxinzelelo olubangelwa yi-PMS ngaphandle kokubangela ukulala. Ifumaneka ezikhemesti nakwiivenkile ezithengisa iziyobisi ngohlobo lweepilisi. IValerian iyaphikiswa kwabasetyhini abakhulelweyo okanye abancancisayo.
Nangona inokuthi ityiwe ngohlobo lweti, olona khetho lufanelekileyo kwi-PMS kukuthatha i-valerian kwifom yethebhulethi. Kulo mzekelo, amacwecwe 2 ukuya 3 wawutyabeka kufuneka kuthathwe amaxesha 1 ukuya ku-3 ngosuku.
2. Ipasiflora
I-Passionflower, njenge-valerian, inciphisa uxinzelelo, oluqhelekileyo ngexesha le-PMS, ngaphandle kokubangela ukulala. I-Passiflorine inokufumaneka ezikhemesti nakwiivenkile ezithengisa iziyobisi ngohlobo lweepilisi okanye isisombululo somlomo. Amanzi amdaka ane-lactose ekwakhiweni kwawo kwaye awacetyiswa kubantu abane-lactose.
Umthamo ocetyiswayo wePassiflorine ziipilisi ezimbini, ukuya kathathu ngemini okanye i-5mL yesisombululo somlomo, kathathu ukuya kathathu ngemini.
3. ISt John's Wort
Kwaziwa njenge Ihypericum perforatum okanye iSt. I-wort yaseSt.John inokusetyenziswa ngohlobo lweti okanye iipilisi ezigutyungelweyo kwaye iyaphikiswa kwabasetyhini abakhulelweyo okanye abancancisayo.
I-St. John's wort inokutyiwa ngohlobo lweti, nangona kunjalo eyona ndlela iphambili yePMS ikwimo yepilisi. Ke, idosi ekhuthazwayo yipilisi ye-1 egutyungelwe kathathu ukuya kathathu ngemini.
4. IVitex agnus-castus
I-Vitex agnus-castus isetyenziswa njengesicatshulwa esomileyo, esine-anti-inflammatory, antimicrobial activity, ukongeza kumanqanaba eprogesterone emzimbeni olawula umahluko wehomoni owenzeka kwi-PMS. Ke, iyazinciphisa iimpawu ze-PMS ezinje ngexhala, uxinzelelo lweemvakalelo kunye ne-colic kwaye iyanceda ukulawula umjikelo wokuya exesheni.
Isicatshulwa esomileyo seVitex agnus-castus sinokufumaneka ezikhemesti nakwiivenkile ezithengisa iziyobisi ngohlobo lweepilisi kwaye kuyangqinelana nabasetyhini abancancisayo.
Idosi ecetyiswayo yeVitex agnus-castus yi-1 40mg ithebhulethi yonke imihla, kwisisu esingenanto, ngaphambi kwesidlo sakusasa.
5. ICimicifuga racemosa
I-Cimicifuga racemosa isetyenziselwa ukunciphisa iimpawu ze-PMS ezinje ngoxinzelelo, uxinzelelo kunye noxinzelelo. Iqwalaselwa njenge-phytoestrogen, esebenza njenge-estrogen yendalo kwaye ke inceda kulawulo lwe-PMS ngokunciphisa utshintsho lwehomoni. I-Cimicifuga racemosa iyaphikiswa ngexesha lokukhulelwa kunye nokuncancisa kunye nabafazi abanomhlaza orhanelwa okanye oqinisekisiweyo. Ithengiswa ezikhemesti nakwiivenkile ezithengisa iziyobisi ngohlobo lweepilisi.
Idosi ekhuthazwayo yeCimicifuga racemosa yi-1 ithebhulethi, kabini ngemini.
6. IGamma V (I-Borago officinalis)
I-Gamaline V liyeza eline-gamma linolenic acid (GLA) ekwakhiweni kwayo, ineepropathi ezichasayo, ukongeza ekuphuculeni ulawulo lomzimba, olwehlisa iimpawu zentlungu kunye nokudumba kwamabele ngexesha le-PMS. I-Gamaline V ithengiswa ngohlobo lwee-capsules kwaye ine-diarrhea, isicupunu kunye nokungahambi kakuhle esiswini njengemiphumo emibi.
Umthamo ocetyiswayo weGamaline V yi-1 capsule yonke imihla.
7. I-oyile ye-primrose yangokuhlwa
I-oyile ye-primrose yangokuhlwa, ekwabizwa ngokuba yi-oyile ye-primrose yeoli, ityebile kwi-gamma linoleic acid, esebenza kwiihomoni zabasetyhini ezishiya abafazi bezolile ngexesha le-PMS. I-oyile ye-primrose yangokuhlwa inokufumaneka ezikhemesti nakwiivenkile ezithengisa iziyobisi kwifomu yephilisi kwaye ayinakuphikiswa okanye ifuthe elibi.
Ithamo elicetyiswayo yi-1 capsule kwisidlo sasemini kwaye enye kwisidlo sangokuhlwa.
Ukongeza kwioyile ye-primrose yangokuhlwa, ioyile ye-borage inokusetyenziselwa ukunciphisa iimpawu ze-PMS. Funda kabanzi malunga neoli ye-borage.
8. Izongezelelo zeVitamin
Kwiimeko ze-PMS ethambileyo, izongezo zevithamini ezinje ngeVitamin B (40 ukuya kwi-100 mg ngosuku), ikhalsiyam carbonate (1,200 ukuya kwi-1,600 mg ngosuku), ivithamin E (400 ukuya ku-60 IU) kunye nemagnesium (200 ukuya ku-360) Usebenzise mg ukuya kumaxesha ama-3 ngosuku).
Iivithamini zinceda ukunciphisa iimpawu ze-PMS ngokugcina umzimba wondleke kakuhle kwaye ulungelelene. Izongezo zeVitamin zingafumaneka ezikhemesti nakwiivenkile ezithengisa iziyobisi ngohlobo lwee-capsules okanye zeepilisi.
Omnye umthombo olungileyo wendalo weevithamini kukutya. Nantsi indlela yokutya ekuncedeni ukunciphisa iimpawu ze-PMS.