Matenda a premenstrual dysphoric

Matenda a premenstrual dysphoric disorder (PMDD) ndi omwe mayi amakhala ndi zizindikilo zowopsa za kukhumudwa, kukwiya, komanso kusakhazikika msambo. Zizindikiro za PMDD ndizolimba kwambiri kuposa zomwe zimawoneka ndi premenstrual syndrome (PMS).

PMS imatchula zizindikilo zingapo zakuthupi kapena zam'maganizo zomwe zimachitika pafupifupi masiku 5 mpaka 11 mayi asanayambe msambo. Nthawi zambiri, zizindikirazo zimatha nthawi yomwe mayi akusamba kapena posachedwa.

Zomwe zimayambitsa PMS ndi PMDD sizinapezeke.

Kusintha kwa mahomoni komwe kumachitika panthawi yomwe mayi akusamba kumatha kutenga nawo gawo.

PMDD imakhudza azimayi ochepa pazaka zomwe amakhala akusamba.

Amayi ambiri omwe ali ndi vutoli ali ndi:

• Nkhawa
• Kukhumudwa kwakukulu
• Matenda osokoneza nyengo (SAD)

Zina zomwe zitha kutenga nawo gawo ndi izi:

• Mowa kapena mankhwala osokoneza bongo
• Matenda a chithokomiro
• Kukhala wonenepa kwambiri
• Kukhala ndi amayi omwe ali ndi mbiri yazovuta
• Kusachita masewera olimbitsa thupi

Zizindikiro za PMDD ndizofanana ndi za PMS.Komabe, nthawi zambiri amakhala okhwima kwambiri komanso ofooketsa. Mulinso chizindikiro chimodzi chokhudzana ndi kusangalala. Zizindikiro zimachitika sabata isanakwane kutuluka magazi. Nthawi zambiri amakhala bwino m'masiku ochepa pambuyo poti nthawi yayamba.

Nawu mndandanda wazizindikiro za PMDD:

• Kusakhala ndi chidwi ndi zochitika za tsiku ndi tsiku komanso maubale
• Kutopa kapena mphamvu zochepa
• Zachisoni kapena kusataya chiyembekezo, mwina malingaliro ofuna kudzipha
• Nkhawa
• Kumverera kosalamulirika
• Kulakalaka chakudya kapena kudya kwambiri
• Khalidwe limasinthasintha ndikulira
• Mantha
• Kupsa mtima kapena kukwiya komwe kumakhudza anthu ena
• Kuphulika, kupweteka kwa m'mawere, kupweteka mutu, komanso kupweteka kwamagulu kapena minofu
• Mavuto akugona
• Kuvuta kulingalira

Palibe mayeso athupi kapena mayeso a labu omwe angazindikire PMDD. Mbiri yathunthu, kuyezetsa thupi (kuphatikiza kuyesa m'chiuno), kuyesa kwa chithokomiro, komanso kuwunika kwamisala kuyenera kuchitidwa kuti athetse zina.

Kusunga kalendala kapena diary yazizindikiro zitha kuthandiza azimayi kuzindikira zizindikiritso zovuta kwambiri komanso nthawi zomwe zingachitike. Izi zitha kuthandiza omwe akukuthandizani kuzindikira za PMDD ndikuzindikira chithandizo chabwino kwambiri.

Kukhala ndi moyo wathanzi ndiye gawo loyamba pakusamalira PMDD.

• Idyani zakudya zopatsa thanzi ndi mbewu zonse, ndiwo zamasamba, zipatso, ndi mchere pang'ono, shuga, mowa, ndi caffeine.
• Chitani masewera olimbitsa thupi pafupipafupi mwezi wonse kuti muchepetse kuopsa kwa zizindikilo za PMS.
• Ngati mukuvutika kugona, yesetsani kusintha magonedwe anu musanamwe mankhwala osagona.

Sungani zolemba kapena kalendala yanu kuti mulembe:

• Mtundu wazizindikiro zomwe muli nazo
• Ali okhwima bwanji
• Zitenga nthawi yayitali bwanji

Ma anti-depressants atha kukhala othandiza.

Njira yoyamba nthawi zambiri imakhala yodetsa nkhawa yotchedwa serotonin-reuptake inhibitor (SSRI). Mutha kutenga ma SSRI m'gawo lanu lachiwiri kufikira nthawi yanu itayamba. Muthanso kutenga mwezi wathunthu. Funsani omwe akukuthandizani.

Chidziwitso chamakhalidwe (CBT) chitha kugwiritsidwa ntchito ndi mwina kapena m'malo mopanikizika. Pakati pa CBT, mumakhala ndi maulendo pafupifupi 10 ndi akatswiri azaumoyo kwamasabata angapo.

Mankhwala ena omwe angathandize ndi awa:

• Mapiritsi oletsa kubereka amathandiza kuchepetsa zizindikilo za PMS. Mitundu ya dosing yopitilira ndiyothandiza kwambiri, makamaka yomwe imakhala ndi mahomoni otchedwa drospirenone. Pogwiritsa ntchito dosing mosalekeza, mwina simungapeze mwezi uliwonse.
• Ma diuretics atha kukhala othandiza kwa azimayi omwe ali ndi phindu lalifupi kwakanthawi posungira kwamadzimadzi.
• Mankhwala ena (monga Depo-Lupron) amaletsa thumba losunga mazira ndi ovulation.
• Zithandizo zowawa monga aspirin kapena ibuprofen zitha kuperekedwa kuti zizimva kupweteka mutu, kupweteka kwa msana, kusamba kwa msambo, komanso kukoma mtima.

Kafukufuku wambiri wasonyeza kuti zowonjezera mavitamini, monga vitamini B6, calcium, ndi magnesium sizothandiza kuthetsa zizindikilo.

Pambuyo pozindikira komanso kulandira chithandizo chamankhwala, amayi ambiri omwe ali ndi PMDD amapeza kuti zizindikilo zawo zimatha kapena zimatsika pang'ono.

Zizindikiro za PMDD zitha kukhala zovuta kwambiri kusokoneza moyo wamayi watsiku ndi tsiku. Amayi omwe ali ndi vuto lakukhumudwa atha kukhala ndi zizindikilo zoyipa m'kati mwa nthawi yawo yachiwiri ndipo angafunike kusintha kwamankhwala awo.

Amayi ena omwe ali ndi PMDD ali ndi malingaliro ofuna kudzipha. Kudzipha mwa amayi omwe ali ndi vuto lachisoni kumatha kuchitika theka lachiwiri la msambo wawo.

PMDD imatha kuphatikizidwa ndi zovuta zakudya ndi kusuta.

Imbani 911 kapena mzere wamavuto am'deralo nthawi yomweyo ngati mukuganiza zodzipha.

Itanani omwe akukuthandizani ngati:

• Zizindikiro Sizimasintha pakudziyang'anira nokha
• Zizindikiro zimasokoneza moyo wanu watsiku ndi tsiku

PMDD; PMS yolimba; Matenda a msambo - dysphoric

• Kukhumudwa komanso kusamba

Gambone JC. Matenda omwe amakhudzidwa ndi msambo. Mu: Wolowa mokuba NF, Gambone JC, Hobel CJ, eds. Hacker & Moore's Essentials of Obstetrics and Gynecology. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2016: chap 36.

Mendiratta V, Lentz GM. Matenda a pulayimale ndi sekondale, premenstrual syndrome, ndi premenstrual dysphoric disorder: etiology, matenda, kasamalidwe. Mu: Lobo RA, Gershenson DM, Lentz GM, Valea FA, olemba. Gynecology Yambiri. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 37.

Matenda a Novac A. Matenda: kukhumudwa, matenda amisala, komanso kusokonezeka kwa malingaliro. Mu: Kellerman RD, Bope ET, olemba., Eds. Chithandizo Chamakono cha Conn 2018. Philadelphia, PA: Elsevier; 2018: 755-765.