I-Premenstrual Syndrome (PMS)

I-Premenstrual Syndrome (PMS)

By Uhlaziyo lweMedia; Ukuhlaziywa ngu-Varixcare.cz. Igqityelwe ukuhlaziywa ngoMeyi 31, 2021.

Yintoni i-Premenstrual Syndrome (PMS)?

Ukupapashwa kwezeMpilo eHarvard

I-Premenstrual syndrome (i-PMS) yingqokelela yeempawu abantu basetyhini abaninzi abanazo kwisithuba seeveki enye okanye ezimbini ngaphambi kokuba uye exesheni. Ezi mpawu zinokuba ngokwasemzimbeni, ngokwasengqondweni nangokweemvakalelo. Bayanyamalala kwakamsinya emva kokuqala kwegazi lokuya exesheni.



Abaphandi abaqinisekanga ukuba yintoni ebangela iPMS. Inkcazo eyaziwayo kukuba iimpawu ze-PMS zihambelana nokutshintsha kwe-cyclic kwi:



  • Iihomoni zesini sabasetyhini
  • Iihomoni zepituitary
  • Iprostaglandins
  • Ezinye iikhemikhali zobuchopho (ii-neurotransmitters)

Kukho ubungqina bokuba nemagniziyam ukusilela kungadlala indima.

I-docusate sodium 100 mg

Indlela yokuphila inokudlala indima ebalulekileyo kwi-PMS. Iimpawu ze-PMS zibonakala ngathi ziyabakhathaza abafazi:



  • Umsi
  • Khokelela kubomi obunoxinzelelo
  • Rhoqo umthambo
  • Lala kancinci
  • Yiba nokutya okuphezulu kwi:
    • Icaffeine
    • Utywala
    • Ityuwa
    • Inyama ebomvu
    • Ukutya okuneswekile

Nangona kunjalo, akucaci nokuba ezi zinto ziwonyusa na umngcipheko we-PMS okanye ukuba ngaba ii-PMS zineengxelo ngokwahluka kwendlela yokuphila. Umzekelo, kunokwenzeka ukuba i-PMS ibangele uxinzelelo kunokuba uxinzelelo lubange i-PMS.

Amayeza anokuzibaxa iimpawu zePMS. Izinto zokucwangcisa ngomlomo zibangela iimpawu ze-PMS kwamanye amabhinqa. Nangona kunjalo, kwabanye abantu basetyhini, iimpawu ziyaphucuka okanye ziyanyamalala ngelixa kusetyenziswa iipilisi zolawulo lokuzalwa.

Kukho impikiswano kwindawo yezonyango malunga numahluko phakathi kokungakhululeki kwangaphambi kokuya exesheni kunye ne-PMS yokwenyani. Ukuphazamiseka kwangaphambi kokuya exesheni kuqhelekile phakathi kwabasetyhini abakwiminyaka yokuzala. Ichaphazela malunga nekota yesithathu yabo bonke abafazi abasexesheni.



Nangona kunjalo, bambalwa kunabafazi abalishumi abaneempawu ezinzima ngokwaneleyo ukuba zingaphazamisa ubudlelwane babo okanye ziphazamise umsebenzi wabo kunye noxanduva lwasekhaya. Abanye oogqirha bavakalelwa kukuba kuphela ngamabhinqa aneempawu eziqatha ngolo hlobo anePMS yokwenene.

Abanye oogqirha basebenzisa ingcaciso engqongqo kangako yePMS. Inkcazo yabo ibandakanya iimpawu eziphakathi ukuya kweziphakathi.

Isifo se-premenstrual dysphoric disorder (PMDD) sisimo esibi se-PMS. Abasetyhini abanale ngxaki baneempawu ezi-5 okanye nangaphezulu ze-PMS, kwaye banamava okutshintsha kwemvakalelo, umsindo, ukuba nochuku, uxinzelelo kunye / okanye uxinzelelo.

Iimpawu

Iimpawu ze-PMS ziwela kwiindidi ezimbini ngokubanzi:

Iimpawu zomzimba

  • Ukuqhawula
  • Ukuthamba kwebele
  • Ukudumba kweenyawo kunye namaqatha
  • Ukugcinwa kwamanzi kunye nokuzuza ubunzima
  • Iintlungu zesibeleko esibuhlungu ngaphambi nje kunye nasebudeni beentsuku zokuqala zokuya exesheni
  • Intloko ebuhlungu
  • Iminqweno yokutya (ngakumbi ukutya okunetyiwa okanye okuswiti)
  • Ukuqhawuka kwamabala
  • Amandla aphantsi okanye ukudinwa
  • Iipalpitations
  • Ukuba nesiyezi
  • Umqolo okanye iintlungu zemisipha

Iimpawu zengqondo kunye neemvakalelo

  • Ukudinwa
  • Ukuhamba kweemvakalelo
  • Ukucaphuka
  • Uxinzelelo
  • Ubundlongondlongo okanye ubutshaba
  • Ukulila
  • Kunzima ukugxila
  • Ukwanda kwesidlo
  • Ukulibala
  • Utshintsho kwiminqweno yesini

Iimpawu ezithile ze-PMS ziyahluka ukusuka kumfazi ukuya kowasetyhini. Kodwa izikhalazo ezintathu eziphezulu kukucaphuka, ukudinwa, kunye nokudumba.

Uxilongo

Ugqirha wakho uya kukubuza malunga:

Ipilisi emhlophe tv 308
  • Iimpawu zakho zePMS
  • Ixesha lezi mpawu ngokunxulumene sexesheni
  • Ukuhamba rhoqo kweempawu (inyanga nenyanga, enye nenye inyanga, njl.

Ugqirha wakho uya kubuza malunga nomgangatho wobomi bakho. Imibuzo inokubandakanya:

  • Ngaba uziva ulusizi, uxhalabile, okanye uxhalabile mva nje?
  • Uyabona ukutshintsha kwemood? Ukudinwa? Ngaba kunzima ukugxila?
  • Ngaba unengxaki nomlingane wakho, amalungu osapho okanye osebenza nabo?
  • Ngaba ukhawuleziswe ngokokude ulale kakubi uze ungatyi?
  • Ngaba uhlala ubomi bokuhlala ungenamthambo omncinci?
  • Ngaba uyatshaya imidiza?
  • Ngaba uyasela utywala okanye iziselo ezinecaffeine?
  • Ngaba ukutya kwakho kunenyama ebomvu, ukutya okunetyiwa okanye iswekile?

Emva koko, ugqirha wakho uya kuyiphonononga imbali yakho yonyango. Uya kubuza malunga nawaphi na amayeza owasebenzisayo.

Emva koko, ugqirha wakho uya kukuvavanya. Uya kwenza uvavanyo lwe-pelvic nge-Pap smear.

Akukho nto ifunyanwayo inokuqinisekisa ukuxilongwa kwe-PMS. Kodwa uvavanyo olunzulu lomzimba lunokujonga ezinye iingxaki zonyango. Oku kunokubandakanya i-hypothyroidism okanye ithumba lebele, ingqondo okanye isizalo.

Ngokufanayo, akukho vavanyo lwelebhu olunye olunokuqinisekisa ukuba unayo iPMS. Kodwa uvavanyo lwegazi lunokulawula ukungahambi kakuhle kwezonyango. Oku kunokubandakanya i-hypoglycemia, i-hypothyroidism okanye ezinye iingxaki zehomoni ezinokubangela iimpawu zakho.

Ukuba akukho zinto zifunyanisiweyo emzimbeni kwaye iziphumo zovavanyo lwelabhoratri ziqhelekile, ugqirha wakho angakucela ukuba ugcine irekhodi lemihla ngemihla lweempawu zePMS. Uya kuyenza le nto iinyanga ezimbini okanye ezintathu. Le rekhodi iya kubandakanya:

  • Uhlobo lweempawu
  • Ubunzima beempawu
  • Ixesha lokuya esikhathini
  • Inkcazo yalo naluphi na uxinzelelo olukhethekileyo oluchaphazele ubomi bakho

Nje ukuba le rekhodi igqityiwe, ugqirha wakho uyakujonga kwakhona ulwazi. Ukuba iimpawu zakho zilandela iphethini ehambelana ne-PMS, oko kuya kunceda ukuseka isifo.

Ngokubanzi, iimpawu zangaphambi kokuya exesheni kufuneka zingabikho kangangeeveki ezimbini ukuze zikulungele ukuxilongwa kwe-PMS. Iimpawu azizukubakho kwakamsinya emva kokuqala kokuya exesheni kude kufike i-ovulation elandelayo.

Ixesha elilindelekileyo

I-PMS inokuba yimeko yexesha elide. Kwamanye amabhinqa, iimpawu ze-PMS ziyavela ngaphambi kwexesha lokuya exesheni. Le pateni iyaqhubeka kude kuyeke ukuya exesheni. Ukuyeka ukuya exesheni kukuphela okunxulumene nobudala kwimijikelo yokuya exesheni.

Kwamanye amabhinqa, iimpawu ze-PMS zibonakala zincipha emva kweminyaka engama-35.

I-buspirone yinto elawulwayo

Uthintelo

Ngenxa yokuba oogqirha abaqinisekanga ncam ukuba yintoni ebangela iPMS, akukho ndlela yakuyithintela. Nangona kunjalo, unokukwazi ukunciphisa ezinye zeempawu ze-PMS ngokukhokelela kwindlela yokuphila esempilweni.

Unyango

Unyango lwe-PMS luxhomekeke:

  • Ubukhali kunye nohlobo lweempawu
  • Bahlupha kangakanani

Umzekelo, iimpawu zakho zinokuba mnene. Isenokungaphazamisi ubomi bakho bemihla ngemihla okanye ubudlelwane bakho. Kule meko, ugqirha wakho unokucebisa ukuba uzame enye okanye ezingaphezulu kwezi nguqu zilandelayo:

  • Zilolonge rhoqo, jonga ubuncinci imizuzu engama-30 ubuninzi beentsuku zeveki.
  • Musa ukutsiba izidlo. Landela ishedyuli yokutya rhoqo ukugcina inqanaba leswekile yegazi elizinzile.
  • Yitya ukutya okunezakha mzimba okuneswekile ecocekileyo.
  • Zama ukulala kakuhle ebusuku. Kuphephe ukuhlala ubusuku bonke.
  • Ukuba uyatshaya, yeka.
  • Nciphisa icaffeine, utywala, inyama ebomvu kunye nokutya okunetyiwa.
  • Ziqhelanise neendlela zokunciphisa uxinzelelo. Thatha ibhafu ende entle. Okanye, zama ukucamngca okanye biofeedback.

Ukuba iimpawu zakho zimodareyitha ukuya kubunzima, ugqirha wakho uya kukuyalela amayeza. La mayeza ajolise ekunciphiseni iimpawu ezithile. Umzekelo, izinto zokucwangcisa ngomlomo, ngakumbi ezo ziqulathe zombini i-estrogen kunye neprogestin, zinokubunciphisa ubunzima beekram kunye nobude bexesha lakho.

Ugqirha wakho unokucebisa ukuba uzame iyeza lokuthintela uxinzelelo. Oku kunokwenzeka ukuba uneempawu eziphazamisa umsebenzi wakho okanye uxanduva lwasekhaya okanye ubudlelwane bakho bobuqu. Ezi mpawu zinokubandakanya ukuba nochuku, ukurhoxa ekuhlaleni, ukugqajukelwa ngumsindo okanye uxinzelelo.

Ezona zidambisi zisebenzayo zokunciphisa i-PMS kukukhetha i-serotonin reuptake inhibitors (i-SSRIs) okanye i-serotonin-norepinephrine reuptake inhibitor (SNRI). Imizekelo ibandakanya:

Ngaphantsi kwesiqhelo, ugqirha wakho unokumisela amayeza abangela ukuba ama-ovari ayeke ukuvelisa i-estrogen, ukuze i-ovulation iyeke. Oku kuhlala kugcinelwe iimpawu ezinzima kakhulu, okanye xa amanye amayeza engaphumeleli. I-Gonadotropin-ekhulula i-hormone (GnRH) i-agonists, efana ne-leuprolide (Lupron), yenza imeko yexeshana yokuyeka ukuya exesheni. Benza oku ngokucinezela iihormoni ezilawula imveliso yehomoni ye-ovari kunye ne-ovulation.

La mayeza aqhelekileyo asetyenziselwa ixesha elifutshane. Ngokuqhelekileyo zikhokelela ekutshiseni okutshisayo kunye nezinye iimpawu zokuyeka ukuya esikhathini. Ukuba unyango kufuneka luqhubeke ngaphezulu kweenyanga ezintandathu, kuya kufuneka uthathe i-estrogen ukukhusela ukulahleka kwethambo.

Nokuba iimpawu zakho zithambile okanye zinzima, kuhlala kunceda ukuba usapho lwakho uluqonde kwaye uluxhase ngelixa unyangwa i-PMS. Ugqirha wakho uya kukukhuthaza ukuba uthethe phandle namalungu osapho malunga neempawu zakho kunye nonyango lwakho lwe-PMS.

Xa ufuna ukubiza uNgcali

Biza ugqirha wakho ukuba iimpawu zakho zokuqala:

cdk 4/6 inhibitors
  • Inokubangela uxinzelelo okanye ukungonwabi
  • Yenza kube nzima kuwe ukusebenza kubomi bemihla ngemihla
  • Ukuphazamisa ubudlelwane bakho

Ukuba ucinga ukuba usemngciphekweni wokuzenzakalisa wena okanye abanye, tsalela ugqirha wakho idinga lokuya kungxamiseko.

Ukuxela kwangaphambili

Kwinkoliso yamabhinqa, iimpawu zePMS ziqala ukuthamba emva kweminyaka engama-35. Ziphela xa uyeka ukuya exesheni. Abasetyhini abane-PMS okanye i-PMDD basemngciphekweni omkhulu wokufumana uxinzelelo.

Izixhobo zangaphandle

IZiko leSizwe lezeMpilo yeNgqondo
http://www.nimh.nih.gov/

Ikholeji yaseMelika yoQeqesho kunye neGynecologists
http://www.acog.org/

IZiko leLizwe leNgcaciso yezeMpilo yaBasetyhini (i-NWHIC)
http://www.4woman.org/

Inkcukacha ezithe vetshe

Njalo qhagamshelana nomboneleli wakho wezempilo ukuqinisekisa ukuba ulwazi oluboniswe kweli phepha lisebenza kwiimeko zakho zobuqu.

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