Ukuphazamiseka kwangaphambi kokuya esikhathini

I-Premenstrual dysphoric disorder (PMDD) yisimo lapho owesifazane enezimpawu zokucindezeleka ezinzima, ukucasuka, kanye nokungezwani ngaphambi kokuya esikhathini. Izimpawu ze-PMDD zinzima kakhulu kunalezo ezibonakala nge-premenstrual syndrome (PMS).

I-PMS ibhekisa ezinhlobonhlobo zezimpawu zomzimba noma ezingokomzwelo ezivame ukwenzeka cishe ezinsukwini ezinhlanu kuya kweziyi-11 ngaphambi kokuba owesifazane aqale umjikelezo wakhe wokuya esikhathini. Ezimweni eziningi, izimpawu ziyayeka lapho, noma ngemuva nje kwesikhathi, isikhathi sakhe siqala.

Izimbangela ze-PMS ne-PMDD azikatholakali.

Izinguquko zeHormone ezenzeka phakathi nokuya esikhathini kowesifazane zingadlala indima.

I-PMDD ithinta inani elincane labesifazane phakathi neminyaka lapho beya esikhathini.

Abesifazane abaningi abanalesi simo bane:

• Ukukhathazeka
• Ukucindezeleka okukhulu
• Ukuphazamiseka kwesizini (SAD)

Ezinye izinto ezingadlala indima zifaka:

• Ukuphuza ngokweqile noma ukusebenzisa kabi izidakamizwa
• Izinkinga ze-thyroid
• Ukukhuluphala ngokweqile
• Ukuba nomama onomlando wokuphazamiseka
• Ukuntuleka kokuzivocavoca umzimba

Izimpawu ze-PMDD ziyefana ne-PMS.Kodwa-ke, zivame ukuba nzima kakhulu futhi zenze buthakathaka. Zibandakanya okungenani uphawu olulodwa oluhlobene nemizwa. Izimpawu zenzeka phakathi nesonto ngaphambi nje kokopha esikhathini. Imvamisa ziba ngcono ezinsukwini ezimbalwa ngemuva kokuqala kwesikhathi.

Nalu uhlu lwezimpawu ezijwayelekile ze-PMDD:

• Ukungabi nentshisekelo emisebenzini yansuku zonke nobudlelwano
• Ukukhathala noma amandla amancane
• Ukudabuka noma ukungabi nathemba, mhlawumbe nemicabango yokuzibulala
• Ukukhathazeka
• Umuzwa ongalawuleki
• Ukufisa ukudla noma ukudla ngokweqile
• Ukushintsha kwemizwelo ngezinye izikhathi zokukhala
• Ukuhlaselwa ukwethuka
• Ukuthukuthela noma intukuthelo ethinta abanye abantu
• Ukuqunjelwa, ububele besifuba, ikhanda elibuhlungu, nobuhlungu bamalunga noma besisipha
• Izinkinga zokulala
• Inkinga yokugxila

Azikho izivivinyo zomzimba noma izivivinyo zelebhu ezingathola i-PMDD. Umlando ophelele, ukuhlolwa komzimba (kufaka phakathi ukuhlolwa kwe-pelvic), ukuhlolwa kwe-thyroid, nokuhlolwa kwengqondo kufanele kwenziwe ukukhipha ezinye izimo.

Ukugcina ikhalenda noma idayari yezimpawu kungasiza abesifazane ukuthi babone izimpawu eziyinkinga kakhulu nezikhathi lapho kungenzeka zenzeke khona. Lolu lwazi lungasiza umhlinzeki wakho wezokunakekelwa kwempilo ukuxilonga i-PMDD futhi anqume ukwelashwa okungcono kakhulu.

Indlela yokuphila enempilo yisinyathelo sokuqala sokuphatha i-PMDD.

• Yidla ukudla okunempilo okusanhlamvu, imifino, izithelo, nosawoti omncane, ushukela, utshwala ne-caffeine.
• Vivinya umzimba njalo ngenyanga ukuze unciphise ukuqina kwezimpawu ze-PMS.
• Uma unenkinga yokulala, zama ukushintsha imikhuba yakho yokulala ngaphambi kokuthatha imithi yokuqwasha.

Gcina idayari noma ikhalenda ukurekhoda:

• Uhlobo lwezimpawu onazo
• Zinzima kanjani
• Zihlala isikhathi esingakanani

Ama-anti-depressants angasiza.

Inketho yokuqala imvamisa i-antidepressant eyaziwa njenge-serotonin-reuptake inhibitor ekhethiwe (SSRI). Ungathatha ama-SSRI engxenyeni yesibili yomjikelezo wakho kuze kuqale isikhathi sakho. Ungase futhi uthathe inyanga yonke. Buza umhlinzeki wakho.

Ukwelashwa kokuziphatha kwengqondo (i-CBT) kungasetshenziswa noma nge-anti-depressants. Ngesikhathi se-CBT, unokuvakasha okungaba ngu-10 nochwepheshe wezempilo yengqondo ngaphezu kwamasonto ambalwa.

Ezinye izindlela zokwelashwa ezingasiza zifaka:

• Amaphilisi okulawula ukubeletha ngokuvamile asiza ukunciphisa izimpawu ze-PMS. Izinhlobo zomthamo eziqhubekayo zisebenza kakhulu, ikakhulukazi lezo eziqukethe i-hormone ebizwa nge-drospirenone. Ngokusebenzisa imithamo eqhubekayo, ungahle ungatholi isikhathi senyanga.
• I-diuretics ingaba wusizo kwabesifazane abanesisindo esikhulu sesikhashana esifushane sokugcina uketshezi.
• Eminye imithi (efana neDepo-Lupron) icindezela ama-ovari kanye ne-ovulation.
• Ukuphulukiswa kobuhlungu obufana ne-aspirin noma i-ibuprofen kungabekelwa ikhanda, ubuhlungu beqolo, ukuqunjelwa kokuya esikhathini, nobumnene besifuba.

Ucwaningo oluningi lukhombisile ukuthi izithasiselo zokudla okunempilo, njengevithamini B6, i-calcium, ne-magnesium akusizi ekwehliseni izimpawu.

Ngemuva kokuxilongwa nokwelashwa okufanele, abesifazane abaningi abane-PMDD bathola ukuthi izimpawu zabo ziyahamba noma zehle ziye emazingeni abekezelelekayo.

Izimpawu ze-PMDD zingaba nzima ngokwanele ukuphazamisa impilo yansuku zonke yowesifazane. Abesifazane abanokudangala bangaba nezimpawu ezimbi kakhulu phakathi nengxenye yesibili yomjikelezo wabo futhi bangadinga izinguquko emithini yabo.

Abanye besifazane abane-PMDD banemicabango yokuzibulala. Ukuzibulala kwabesifazane abanesifo sokudangala kungenzeka kakhulu engxenyeni yesibili yomjikelezo wabo wokuya esikhathini.

I-PMDD ingahle ihlotshaniswe nokuphazamiseka kokudla nokubhema.

Shayela ku-911 noma kulayini wezinkinga zasendaweni ngokushesha uma unemicabango yokuzibulala.

Shayela umhlinzeki wakho uma:

• Izimpawu AZITHUTHUKI ngokuzelapha
• Izimpawu ziphazamisa impilo yakho yansuku zonke

PMDD; I-PMS enamandla; Ukuphazamiseka kokuya esikhathini - i-dysphoric

• Ukudangala kanye nomjikelezo wokuya esikhathini

IGambone JC. Izinkinga ezithonywe umjikelezo wokuya esikhathini. Ku: IHacker NF, iGambone JC, iHobel CJ, ama-eds. I-Hacker & Moore's Essentials ye-Obstetrics ne-Gynecology. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2016: isahluko 36.

UMendiratta V, Lentz GM. I-dysmenorrhea eyinhloko kanye neyesibili, i-premenstrual syndrome, kanye ne-premenstrual dysphoric disorder: i-etiology, ukuxilongwa, ukuphathwa. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. I-Gynecology ephelele. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2017: isahluko 37.

Izinkinga zikaNovac A. Mood: ukudangala, isifo se-bipolar, kanye ne-dysregulation yemizwa. Ku: Kellerman RD, Bope ET, ama-eds. Ukwelashwa Kwamanje kukaConn 2018. IPhiladelphia, PA: Elsevier; 2018: 755-765.