PMS (Premenstrual Syndrome)

Zamkati

• Zizindikiro za PMS
• Nthawi yoti muwone dokotala wanu
• Kuchepetsa zizindikiro za PMS
• PMS yayikulu: matenda am'thupi am'mbuyomu
• Kuwona kwakanthawi
• Funso:
• Yankho:

Timaphatikizapo zinthu zomwe timaganiza kuti ndizothandiza kwa owerenga athu. Ngati mutagula maulalo omwe ali patsamba lino, titha kupeza ndalama zochepa. Nayi njira yathu.

Kumvetsetsa PMS

Matenda a Premenstrual (PMS) ndimkhalidwe womwe umakhudza momwe mayi amamvera, thanzi lake, komanso machitidwe ake masiku ena azisamba, nthawi yayitali asanakwane msambo.

PMS ndizofala kwambiri. Zizindikiro zake zimakhudza kuposa 90% ya azimayi akusamba. Ziyenera kusokoneza mbali zina za moyo wanu kuti dokotala akupimeni.

Zizindikiro za PMS zimayamba masiku asanu kapena 11 asanayambe kusamba ndipo zimatha msambo ukayamba. Zomwe zimayambitsa PMS sizikudziwika.

Komabe, ofufuza ambiri amakhulupirira kuti ndizokhudzana ndi kusintha kwa mahomoni ogonana komanso ma serotonin kumayambiriro kwa msambo.

Miyezo ya estrogen ndi progesterone imakula nthawi zina za mwezi. Kuwonjezeka kwa mahomoniwa kumatha kubweretsa kusinthasintha, kuda nkhawa, komanso kukwiya. Ovarian steroids amathandizanso zochitika zina muubongo wanu zokhudzana ndi kusamba.

Maseŵera a Serotonin amakhudza maganizo. Serotonin ndi mankhwala muubongo wanu ndi m'matumbo omwe amakhudza momwe mumamvera, malingaliro, ndi malingaliro anu.

Zowopsa za matenda asanakwane ndi awa:

• mbiri yakukhumudwa kapena kusokonezeka kwamaganizidwe, monga postpartum depression kapena bipolar disorder
• mbiri ya banja la PMS
• mbiri yakubanja yakukhumudwa
• nkhanza m'banja
• kugwiritsa ntchito mankhwala osokoneza bongo
• kupwetekedwa thupi
• kupwetekedwa mtima

Zomwe zimagwirizanitsidwa ndizo:

• matenda opatsirana
• kusokonezeka kwakukulu
• kusokonezeka kwanthawi yayitali
• matenda ovutika maganizo
• schizophrenia

Zizindikiro za PMS

Kusamba kwa mzimayi kumatenga masiku 28.

Kutsekemera, nthawi yomwe dzira limatulutsidwa m'mimba mwake, limachitika patsiku la 14. Kusamba, kapena kutuluka magazi, kumachitika tsiku la 28. Zizindikiro za PMS zimatha kuyamba tsiku la 14 ndikutha mpaka masiku asanu ndi awiri kuyambira kusamba.

Zizindikiro za PMS nthawi zambiri zimakhala zochepa kapena zochepa. Pafupifupi azimayi 80 pa 100 alionse amafotokoza chizindikiro chimodzi kapena zingapo zomwe sizimakhudza kwambiri magwiridwe antchito tsiku ndi tsiku, malinga ndi magazini ya American Family Physician.

Azimayi makumi awiri mphambu makumi atatu ndi awiri (32%) azimayi amafotokoza zizolowezi zochepa zomwe zimakhudza gawo lina la moyo. Atatu mpaka 8 peresenti amafotokoza PMDD. Kukula kwa zizindikilo kumatha kusiyanasiyana payekha komanso pamwezi.

Zizindikiro za PMS ndi izi:

• Kutupa m'mimba
• kupweteka m'mimba
• mabere owawa
• ziphuphu
• kulakalaka chakudya, makamaka maswiti
• kudzimbidwa
• kutsegula m'mimba
• kupweteka mutu
• kutengeka ndi kuwala kapena mawu
• kutopa
• kupsa mtima
• kusintha kwa magonedwe
• nkhawa
• kukhumudwa
• chisoni
• kupsa mtima

Nthawi yoti muwone dokotala wanu

Onani dokotala wanu ngati kupweteka kwakuthupi, kusinthasintha kwamaganizidwe, ndi zizindikilo zina zimayamba kukhudza moyo wanu watsiku ndi tsiku, kapena ngati zizindikilo zanu sizitha.

Matendawa amapangidwa mukakhala ndi chizindikiritso chopitilira chimodzi munthawi yoyenera yomwe ili yovuta kwambiri kuyambitsa kufooka ndipo kulibe pakati pa menses ndi ovulation. Dokotala wanu ayeneranso kuthana ndi zifukwa zina, monga:

• kuchepa kwa magazi m'thupi
• endometriosis
• matenda a chithokomiro
• Matenda opweteka a m'mimba (IBS)
• matenda otopa
• Matenda othandizira kapena matenda a rheumatologic

Dokotala wanu akhoza kufunsa za mbiri iliyonse yazovuta kapena kusokonezeka kwa malingaliro m'banja lanu kuti adziwe ngati zizindikilo zanu zimachokera ku PMS kapena vuto lina. Mavuto ena, monga IBS, hypothyroidism, ndi pakati, amakhala ndi zizindikilo zofanana ndi PMS.

Dokotala wanu akhoza kuyesa mayeso a mahomoni a chithokomiro kuti awonetsetse kuti chithokomiro chanu chikugwira ntchito moyenera, kuyezetsa magazi, komanso mayeso a m'chiuno kuti muwone zovuta zilizonse za amayi.

Kusunga zolemba zanu ndi njira ina yodziwira ngati muli ndi PMS. Gwiritsani ntchito kalendala kuti muzindikire zizindikiro zanu komanso kusamba kwanu mwezi uliwonse. Ngati zizindikiro zanu zimayamba nthawi yofananira mwezi uliwonse, PMS ndiyomwe imayambitsa.

Kuchepetsa zizindikiro za PMS

Simungathe kuchiza PMS, koma mutha kuchitapo kanthu kuti muchepetse zizindikilo zanu. Ngati muli ndi mtundu wofatsa kapena wodwala wa premenstrual syndrome, zosankha zake ndizo:

• kumwa zakumwa zambiri kuti muchepetse m'mimba
• kudya chakudya choyenera kuti mukhale ndi thanzi labwino komanso mphamvu, zomwe zikutanthauza kudya zipatso ndi ndiwo zamasamba zochuluka ndikuchepetsa kudya shuga, mchere, tiyi kapena khofi, ndi mowa
• kutenga zowonjezera, monga folic acid, vitamini B-6, calcium, ndi magnesium kuti muchepetse kukokana komanso kusinthasintha kwa malingaliro
• kumwa vitamini D kuchepetsa zizindikiro
• kugona maola asanu ndi atatu usiku kuti muchepetse kutopa
• kuchita masewera olimbitsa thupi kuti muchepetse kuphulika komanso kuti mukhale ndi thanzi labwino
• kuchepetsa nkhawa, monga kuchita masewera olimbitsa thupi komanso kuwerenga
• kupita kuchipatala chazidziwitso, chomwe chawonetsedwa kuti ndichothandiza

Mutha kumwa mankhwala opweteka, monga ibuprofen kapena aspirin, kuti muchepetse kupweteka kwa minofu, kupweteka mutu, komanso kupweteka m'mimba. Muthanso kuyesa diuretic kuti musiye kuphulika komanso kunenepa kwamadzi. Tengani mankhwala ndi zowonjezera pokhapokha ngati mwauzidwa ndi mutatha kulankhula ndi dokotala wanu.

Gulani zinthu izi pa intaneti:

• kupatsidwa folic acid zowonjezera
• mavitamini B-6 owonjezera
• zowonjezera calcium
• zowonjezera mankhwala enaake a
• mavitamini D owonjezera
• ibuprofen
• aspirin

PMS yayikulu: matenda am'thupi am'mbuyomu

Zizindikiro zazikulu za PMS ndizochepa. Azimayi ochepa omwe ali ndi zizindikilo zowopsa amakhala ndi vuto la premenstrual dysphoric disorder (PMDD). PMDD imakhudza amayi pakati pa 3 ndi 8%. Izi zikuwonekera mu mtundu watsopano wa Diagnostic and Statistical Manual of Mental Disways.

Zizindikiro za PMDD zitha kuphatikiza:

• kukhumudwa
• maganizo ofuna kudzipha
• mantha
• kuda nkhawa kwambiri
• kukwiya ndimasinthidwe akulu
• kulira
• kusachita chidwi ndi zochitika za tsiku ndi tsiku
• kusowa tulo
• kuvuta kuganiza kapena kuyang'ana
• kudya kwambiri
• kupweteka kowawa
• kuphulika

Zizindikiro za PMDD zimatha kuchitika chifukwa cha kusintha kwa estrogen ndi progesterone. Kulumikizana pakati pamasamba otsika a serotonin ndi PMDD kuliponso.

Dokotala wanu akhoza kuchita izi kuti athetse mavuto ena azachipatala:

• kuyezetsa thupi
• mayeso a amayi
• kuchuluka kwathunthu kwa magazi
• kuyesa kwa chiwindi

Angalimbikitsenso kuwunika kwa amisala. Mbiri yaumwini kapena yabanja yovutika kwakukulu, kugwiritsa ntchito mankhwala osokoneza bongo, kupsinjika, kapena kupsinjika kumatha kuyambitsa kapena kukulitsa zizindikiritso za PMDD.

Kuchiza kwa PMDD kumasiyana. Dokotala wanu angakulimbikitseni:

• kuchita masewera olimbitsa thupi tsiku lililonse
• mavitamini, monga calcium, magnesium, ndi vitamini B-6
• chakudya chopanda tiyi kapena khofi
• uphungu payekha kapena pagulu
• kusamalira magulu
• Drospirenone ndi ethinyl estradiol piritsi (Yaz), yomwe ndi mankhwala okhawo oletsa kubereka omwe Food and Drug Administration avomereza kuchiza matenda a PMDD

Ngati zizindikiro zanu za PMDD sizikuyenda bwino, dokotala wanu angakupatseni mankhwala opatsirana pogonana a serotonin reuptake inhibitor (SSRI). Mankhwalawa amachulukitsa ma serotonin muubongo wanu ndipo amakhala ndi maudindo ambiri pakukhazikitsa zamagetsi zomwe sizongokhala pakukhumudwa.

Dokotala wanu amathanso kunena za chithandizo chazidziwitso, yomwe ndi njira yolangizira yomwe ingakuthandizeni kumvetsetsa malingaliro anu ndi malingaliro anu ndikusintha machitidwe anu moyenera.

Simungaletse PMS kapena PMDD, koma mankhwala omwe afotokozedwa pamwambapa angathandize kuchepetsa kuopsa kwa kutalika kwa zizindikilo zanu.

Kuwona kwakanthawi

Zizindikiro za PMS ndi PMDD zimatha kubwereranso, koma zimatha msambo ukayamba. Kukhala ndi moyo wathanzi komanso dongosolo lokwaniritsira moyenera lingachepetse kapena kuthetsa zizindikilo za azimayi ambiri.

Funso:

Kodi zizindikilo za PMS zimasintha bwanji mzimayi akamayandikira nthawi yoleka msambo komanso kusamba?

Yankho:

Mzimayi akamayandikira kusamba, nthawi yopanga mazira imasokonekera chifukwa kapangidwe ka mahomoni ogonana amachepetsa. Zotsatira za izi ndizosiyana komanso zosayembekezereka zamankhwala. Kuwononga madzi ndikumagwiritsa ntchito mankhwala a mahomoni kuti athetse zina mwazizindikiro zakusamba, monga kutentha, komwe kumatha kusintha zizindikilozo. Pamene kusintha kwa msambo kukuyandikira, amayi ayenera kufunsa dokotala ngati zizindikirozo zisintha kapena pali zizindikiro zatsopano.