Yintoni i-premenstrual dysphoric disorder (PMDD), iimpawu kunye nendlela yokunyanga

Umxholo

• Iimpawu ze-PMDD
• Uqinisekisa njani i-TDPM
• Unyango lwenziwa njani

Ukuphazamiseka kwangaphambi kokuya exesheni, okwaziwa ngokuba yi-PMDD, yimeko ethi ivele ngaphambi kokuba aye exesheni kwaye ibangele iimpawu ezifanayo ne-PMS, ezinjengokunqwenela ukutya, ukutshintsha kwemozulu, ukuba sexesheni okanye ukudinwa kakhulu.

Nangona kunjalo, ngokungafaniyo ne-PMS, kwisifo sokungasebenzi kakuhle, ezi mpawu ziyakhubaza kwaye zenze nzima imisebenzi yemihla ngemihla. Kwamanye amabhinqa, ukuphazamiseka kwangaphambi kokuya exesheni kunokukhokelela kuhlaselo loxinzelelo okanye ukukhula koxinzelelo.

Nangona oonobangela abathile bokubonakala kwesi sifo bengaziwa, kunokwenzeka ukuba kwenzeka ikakhulu kubantu abanesimo esikhulu sokwahluka ngokweemvakalelo, njengoko bekonyuswa kukutshintsha kwehomoni ekuyeni exesheni.

Iimpawu ze-PMDD

Ukongeza kwiimpawu eziqhelekileyo ze-PMS, ezinje ngeentlungu zesisu, ukudumba kwesisu, ukudinwa okanye ukutshintsha kwemozulu, abantu abanengxaki yokuphazamiseka kwangaphambi kokuya exesheni kufuneka babe neempawu zokomoya okanye zokuziphatha ezinje:

• Ukudakumba kakhulu okanye ukuziva uphelelwe lithemba;
• Ixhala kunye noxinzelelo olugqithisileyo;
• Utshintsho ngesiquphe kwiimvakalelo;
• Ukucaphuka rhoqo kunye nomsindo;
• Uloyiko;
• Kunzima ukulala;
• Kunzima ukugxila.

Ezi mpawu zihlala zibonakala malunga neentsuku ezisi-7 ngaphambi kokuya exesheni kwaye zinokufikelela kwiintsuku ezi-3 ukuya kwezi-5 emva kokuqala kwexesha lokuya exesheni, nangona kunjalo, iimvakalelo zosizi kunye noxinzelelo zihlala ixesha elide kwaye zinganyamalali phakathi kwenyanga nganye.

Xa owasetyhini esiba nokudakumba, ukubonakala rhoqo kolu hlobo lweempawu kukonyusa umngcipheko wokucinga ngokuzibulala kwaye, ke ngoko, kubaluleke kakhulu ukuba unyango olufanelekileyo lokudakumba ngengqondo okanye ugqirha wengqondo.

Uqinisekisa njani i-TDPM

Akukho luvavanyo okanye luvavanyo lokuqinisekisa isifo kwi-premenstrual dysphoric disorder, ke ugqirha wamazinyo uya kuba nakho ukuchonga isifo kuphela ngokuchaza iimpawu.

Ngamanye amaxesha, ugqirha usenokuyalela iimvavanyo, ezinje nge-ultrasound okanye i-CT scan, ukuqinisekisa nje ukuba akukho lunye utshintsho kwindawo ye-pelvic enokubangela iimpawu zeempawu ezinzima zesisu okanye ukudumba, umzekelo.

Unyango lwenziwa njani

Unyango lwe-PMDD lujolise ekunciphiseni iimpawu zowasetyhini kwaye, ke, zinokwahluka ngokwamatyala. Nangona kunjalo, iindlela eziphambili zonyango zibandakanya:

• Ukudakumba, ezinje ngeFluoxetine okanye iSertraline, eboniswe ngugqirha wezifo zengqondo, ethi incede ekunciphiseni iimpawu zosizi, ukuphelelwa lithemba, unxunguphalo kunye notshintsho lweemvakalelo kwaye zinokuphucula imvakalelo yokudinwa kunye nobunzima bokulala;
• Ipilisi yokuthintela ukukhulelwa, eyenza ukuba kube nokulawula amanqanaba e-hormone kuwo wonke umjikelo wokuya esikhathini, kwaye inokunciphisa zonke iimpawu ze-PMDD;
• Ukuphelisa iintlungu, ezinje nge-Aspirin okanye i-Ibuprofen, njengoko zisusa intloko, iintlungu zokuya exesheni okanye iintlungu emabeleni, umzekelo;
• I-calcium, i-vitamin B6 okanye i-magnesium supplementation, ezinokunceda ekuthomalaliseni iimpawu, zithathelwa ingqalelo njengokhetho lwendalo;
• Izityalo zonyango, njenge IVitex agnus-castusnjengoko inako ukunciphisa ukucaphuka kunye nokutshintsha kwemozulu rhoqo, kunye nentlungu yebele, ukudumba kunye nokuhamba exesheni.

Ukongeza, kubalulekile ukuba ube nendlela yokuphila esempilweni, ukutya ukutya okunezondlo, ukuzilolonga ubuncinci amaxesha ama-3 ngeveki kwaye uphephe izinto ezinje ngotywala kunye nemidiza, umzekelo.

Ukulala iiyure ezi-7 ukuya kwezi-8 ngobusuku okanye ukuziqhelanisa neendlela zokuphumla, ezinje ingqondo, iyoga okanye ukucamngca, kunokunciphisa uxinzelelo kunye nokuphucula iimpawu ezibangelwa kukuphazamiseka kwangaphambi kokuya exesheni. Jonga ezinye iindlela ezenziwe ekhaya ezinceda ekunciphiseni iimpawu ze-PMDD kunye ne-PMS.