Matenda a Premenstrual

Matenda a Premenstrual (PMS) amatanthauza zizindikilo zingapo. Zizindikiro zimayamba theka lachiwiri la msambo (masiku 14 kapena kupitilira tsiku loyamba lomaliza kusamba). Izi zimatha masiku 1 kapena 2 kuyambira msambo ukayamba.

Zomwe zimayambitsa PMS sizikudziwika. Kusintha kwa kuchuluka kwa mahomoni muubongo kumatha kutengapo gawo. Komabe, izi sizinatsimikizidwe. Amayi omwe ali ndi PMS amathanso kuyankha mosiyanasiyana ndimankhwalawa.

PMS itha kukhala yokhudzana ndi chikhalidwe, chikhalidwe, zamoyo, komanso malingaliro.

Amayi ambiri amakhala ndi zizindikilo za PMS pazaka zawo zobereka. PMS imachitika nthawi zambiri mwa akazi:

• Pakati pao akuchedwa 20s ndi 40s
• Ndani adakhala ndi mwana m'modzi
• Ndi mbiri yaumwini kapena yabanja yovutika kwakukulu
• Ndili ndi mbiri yakukhumudwa kumene kubadwa pambuyo pobereka kapena vuto lamaganizidwe

Zizindikiro nthawi zambiri zimawonjezeka kumapeto kwa zaka za m'ma 30s ndi 40s pamene kusintha kwa kusamba kukuyandikira.

Zizindikiro zofala kwambiri za PMS ndi izi:

• Kuphulika kapena kumva gassy
• Chikondi cha m'mawere
• Kusasamala
• Kudzimbidwa kapena kutsegula m'mimba
• Kulakalaka chakudya
• Mutu
• Kulekerera pang'ono kwa phokoso ndi magetsi

Zizindikiro zina ndizo:

• Kusokonezeka, kuvuta kuganizira, kapena kuiwala
• Kutopa ndikumverera pang'onopang'ono kapena ulesi
• Kumva chisoni kapena kutaya chiyembekezo
• Kumva kupsinjika, kuda nkhawa, kapena kuwuma
• Mkwiyo, nkhanza, kapena nkhalwe, ndi kupsa mtima kwa inu nokha kapena kwa ena
• Kutaya kwa chiwerewere (kumatha kuwonjezeka mwa amayi ena)
• Maganizo amasintha
• Kusazindikira bwino
• Kudziona kuti ndi wopanda pake, kudziimba mlandu, kapena mantha owonjezeka
• Mavuto ogona (kugona kwambiri kapena pang'ono)

Palibe zizindikilo kapena mayesero a labu omwe angazindikire PMS. Kuthetsa zina zomwe zimayambitsa zizindikilo, ndikofunikira kukhala ndi:

• Mbiri yonse yazachipatala
• Kuyesa kwakuthupi (kuphatikiza kuyesa m'chiuno)

Kalendala yazizindikiro ingathandize azimayi kuzindikira zizindikilo zovuta kwambiri. Izi zimathandizanso kutsimikizira kuti PMS yapezeka.

Sungani zolemba tsiku lililonse kapena lowetsani kwa miyezi itatu. Lembani izi:

• Mtundu wa zizindikilo zomwe muli nazo
• Ali okhwima bwanji
• Zitenga nthawi yayitali bwanji

Zolemba izi zikuthandizani inu ndi omwe akukuthandizani kuti mupeze chithandizo chabwino kwambiri.

Kukhala ndi moyo wathanzi ndiye gawo loyamba pakusamalira PMS. Kwa amayi ambiri, njira zomwe amakhala nazo nthawi zambiri zimakhala zokwanira kuletsa zizindikilo. Kusamalira PMS:

• Imwani madzi ambiri ngati madzi kapena madzi. Musamamwe zakumwa zozizilitsa kukhosi, mowa, kapena zakumwa zina ndi caffeine. Izi zithandizira kuchepetsa kuphulika, kusungika kwamadzimadzi, ndi zizindikilo zina.
• Idyani chakudya chochepa pafupipafupi. Osapitilira maola atatu pakati pa zokhwasula-khwasula. Pewani kudya mopitirira muyeso.
• Idyani chakudya choyenera. Phatikizani nyemba, ndiwo zamasamba, ndi zipatso zowonjezera pazakudya zanu. Chepetsani kudya mchere ndi shuga.
• Wothandizira anu angakuuzeni kuti mutenge zakudya zowonjezera. Vitamini B6, calcium, ndi magnesium amagwiritsidwa ntchito kwambiri. Tryptophan, yomwe imapezeka mu mkaka, itha kuthandizanso.
• Muzichita masewera olimbitsa thupi pafupipafupi mwezi wonse. Izi zimathandiza kuchepetsa kukula kwa zizindikilo za PMS. Chitani masewera olimbitsa thupi pafupipafupi komanso molimbika mkati mwa milungu mukakhala ndi PMS.
• Yesetsani kusintha mikhalidwe yanu yakugona musanamwe mankhwala osokoneza bongo.

Zizindikiro monga kupweteka kwa mutu, kupweteka kwa msana, kusamba msambo, ndi kukoma mtima kwa m'mawere kumathandizidwa ndi:

• Asipilini
• Zamgululi
• Ma NSAID ena

Mapiritsi oletsa kubereka amatha kuchepa kapena kukulitsa zizindikiritso za PMS.

Pazovuta kwambiri, mankhwala othandiza kukhumudwa atha kukhala othandiza. Ma anti-depressants omwe amadziwika kuti serotonin reuptake inhibitors (SSRIs) omwe amayesedwa nthawi zambiri amayesedwa kaye. Izi zawonetsedwa kuti ndizothandiza kwambiri. Mwinanso mungafunefune upangiri wauphungu kapena wothandizira.

Mankhwala ena omwe mungagwiritse ntchito ndi awa:

• Mankhwala oletsa nkhawa chifukwa cha nkhawa yayikulu
• Zodzikongoletsera, zomwe zimatha kuthandizira kusunga kwamadzimadzi koopsa, komwe kumayambitsa kuphulika, kupweteka kwa m'mawere, komanso kunenepa

Amayi ambiri omwe amalandira chithandizo cha matenda a PMS amapeza mpumulo wabwino.

Zizindikiro za PMS zitha kukhala zovuta kwambiri kuti zikulepheretseni kugwira bwino ntchito.

Kuchuluka kwa kudzipha kwa azimayi omwe ali ndi vuto lakukhumudwa kumakhala kwakukulu kwambiri mkati mwa theka lachiwiri la msambo. Matenda a mtima amafunika kuwapeza ndikuwachiza.

Pangani msonkhano ndi omwe akukuthandizani ngati:

• PMS sichitha ndi kudzichitira wekha
• Zizindikiro zanu ndizolimba kwambiri kotero kuti zimakulepheretsani kuchita bwino
• Mukumva ngati mukufuna kudzivulaza nokha kapena ena

PMS; Matenda a premenstrual dysphoric; PMDD

• Kutaya msambo
• Kuchepetsa PMS

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Marjoribanks J, Brown J, O'Brien PM, Wyatt K. Selective serotonin reuptake inhibitors a premenstrual syndrome. Dongosolo La Cochrane Syst Rev. 2013; (6): CD001396. PMID: 23744611 adatulutsidwa.ncbi.nlm.nih.gov/23744611/.

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