I-PMS (Premenstrual Syndrome)

-Delile

• Izimpawu ze-PMS
• Lapho uzobona udokotela wakho
• Ukunciphisa izimpawu ze-PMS
• I-PMS enamandla: i-premenstrual dysphoric disorder
• Umbono wesikhathi eside
• Q:
• A:

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Ukuqonda i-PMS

I-Premenstrual syndrome (i-PMS) yisimo esithinta imizwelo yowesifazane, impilo yomzimba, kanye nokuziphatha phakathi nezinsuku ezithile zomjikelezo wokuya esikhathini, imvamisa ngaphambi nje kokuba abhekane nesikhathi.

I-PMS yisimo esivame kakhulu. Izimpawu zayo zithinta ngaphezu kwamaphesenti angama-90 abesifazane abasesikhathini. Kumele kuphazamise isici esithile sempilo yakho ukuze udokotela wakho akuxilonge.

Izimpawu ze-PMS ziqala izinsuku ezinhlanu kuya kweziyi-11 ngaphambi kokuya esikhathini futhi zivame ukuphela uma kuqala ukuya esikhathini. Imbangela ye-PMS ayikaziwa.

Kodwa-ke, abacwaningi abaningi bakholelwa ukuthi kuhlobene noshintsho kuwo womabili ama-hormone ezocansi kanye namazinga e-serotonin ekuqaleni komjikelezo wokuya esikhathini.

Izinga le-estrogen ne-progesterone liyakhula ngezikhathi ezithile zenyanga. Ukwanda kwala mahomoni kungadala ukushintsha kwemizwelo, ukukhathazeka nokucasula. Ama-ovarian steroids abuye alinganise umsebenzi ezingxenyeni zobuchopho bakho ezihambisana nezimpawu zangaphambi kokuya esikhathini.

Amazinga weSerotonin athinta imizwa. ISerotonin ikhemikhali ebuchosheni bakho nasemathunjini athinta imizwa yakho, imizwa nemicabango yakho.

Izici zobungozi be-premenstrual syndrome zifaka:

• umlando wokucindezeleka noma ukuphazamiseka kwemizwelo, njengokucindezeleka kwangemva kokubeletha noma ukuphazamiseka kwengqondo okuguquguqukayo
• umlando womndeni we-PMS
• umlando womndeni wokucindezeleka
• udlame lwasekhaya
• ukusetshenziswa kabi kwezidakamizwa
• ukuhlukumezeka ngokomzimba
• ukuhlukumezeka ngokomzwelo

Izimo ezihlanganisiwe zifaka:

• i-dysmenorrhea
• ukucindezeleka okukhulu
• ukuphazamiseka kokuphazamiseka kwesizini
• ukukhathazeka ngokweqile
• schizophrenia

Izimpawu ze-PMS

Umjikelezo wowesifazane wokuya esikhathini uhlala izinsuku ezingama-28 ezijwayelekile.

Ukuvuthwa, isikhathi lapho iqanda likhishwa khona kuma-ovari, kwenzeka ngosuku lwe-14 lomjikelezo. Ukuya esikhathini, noma ukuphuma kwegazi, kwenzeka ngosuku lwama-28 lomjikelezo. Izimpawu ze-PMS zingaqala cishe ngosuku lwe-14 futhi zigcine kuze kube yizinsuku eziyisikhombisa ngemuva kokuqala kokuya esikhathini.

Izimpawu ze-PMS ngokuvamile zimnene noma zilinganiselwe. Cishe amaphesenti angama-80 abesifazane abika uphawu olulodwa noma ngaphezulu olungathinti kakhulu ukusebenza kwansuku zonke, ngokusho kwephephabhuku iAmerican Family Physician.

Amaphesenti angama-20 kuya kwangu-32 abesifazane abika izimpawu ezilinganiselayo nezimbi ezithinta isici esithile sempilo. Amaphesenti amathathu kuya kwangu-8 abika i-PMDD. Ubukhulu bezimpawu bungahluka ngokwabantu nangangenyanga.

Izimpawu ze-PMS zifaka:

• ukuqunjelwa esiswini
• ubuhlungu besisu
• amabele abuhlungu
• induna
• izifiso zokudla, ikakhulukazi amaswidi
• ukuqunjelwa
• isifo sohudo
• ikhanda
• ukuzwela ekukhanyeni noma umsindo
• ukukhathala
• ukucasuka
• izinguquko emaphethini wokulala
• ukukhathazeka
• ukudana
• ukudabuka
• ukuqhuma okungokomzwelo

Lapho uzobona udokotela wakho

Bona udokotela wakho uma ubuhlungu bomzimba, ukushintsha kwemizwelo, nezinye izimpawu ziqala ukuthinta impilo yakho yansuku zonke, noma uma izimpawu zakho zingapheli.

Ukuxilongwa kwenziwa lapho unezimpawu ezingaphezu kwesisodwa eziphindaphindwayo ngesikhathi esifanele esinzima ngokwanele ukudala ukukhubazeka futhi asikho phakathi kwama-mens ne-ovulation. Udokotela wakho kufanele futhi akhiphe ezinye izimbangela, njenge:

• i-anemia
• i-endometriosis
• isifo segilo
• i-irritable bowel syndrome (IBS)
• ukukhathala okungamahlalakhona
• izicubu ezihlangene noma izifo ze-rheumatologic

Udokotela wakho angabuza nganoma yimuphi umlando wokucindezeleka noma ukuphazamiseka kwemizwelo emndenini wakho ukuze anqume ukuthi izimpawu zakho zingumphumela we-PMS noma esinye isimo. Ezinye izimo, njenge-IBS, i-hypothyroidism, nokukhulelwa, zinezimpawu ezifana ne-PMS.

Udokotela wakho angenza ukuhlolwa kwehomoni ye-thyroid ukuqinisekisa ukuthi indlala yakho yegilo isebenza kahle, ukuhlolwa kokukhulelwa, futhi mhlawumbe nokuhlolwa kwe-pelvic ukuhlola noma yiziphi izinkinga zabesifazane.

Ukugcina idayari yezimpawu zakho kungenye indlela yokunquma ukuthi unayo yini i-PMS. Sebenzisa ikhalenda ukugcina ithrekhi yezimpawu zakho nokuya esikhathini njalo ngenyanga. Uma izimpawu zakho ziqala ngasikhathi sinye inyanga ngayinye, i-PMS iyimbangela enkulu.

Ukunciphisa izimpawu ze-PMS

Awukwazi ukwelapha i-PMS, kodwa ungathatha izinyathelo zokunciphisa izimpawu zakho. Uma unesimo esiphansi noma esilinganiselwe se-premenstrual syndrome, izinketho zokwelashwa zifaka:

• ukuphuza uketshezi oluningi ukuze unciphise ukuqunjelwa esiswini
• ukudla ukudla okunomsoco ukuthuthukisa izinga lakho lempilo namandla, okusho ukuthi ukudla izithelo nemifino eningi nokunciphisa ukudla ushukela, usawoti, i-caffeine, notshwala
• ukuthatha izithasiselo, njenge-folic acid, uvithamini B-6, i-calcium, ne-magnesium ukunciphisa amajaqamba nokushintsha kwemizwelo
• ukuthatha uvithamini D ukunciphisa izimpawu
• ukulala okungenani amahora ayisishiyagalombili ebusuku ukunciphisa ukukhathala
• ukuzivocavoca ukuze wehlise ukuqunjelwa futhi uthuthukise impilo yakho yengqondo
• ukunciphisa ukucindezeleka, njengokuzivocavoca nokufunda
• ukuya ekwelapheni kokuziphatha kwengqondo, okukhonjiswe ukuthi kuyasebenza

Ungaphuza imishanguzo yezinhlungu, njenge-ibuprofen noma i-aspirin, ukunciphisa izinhlungu zemisipha, ukuphathwa ikhanda nokuqaqamba kwesisu. Ungazama futhi i-diuretic ukuyeka ukuqunjelwa nokuzuza kwesisindo samanzi. Thatha imithi nezithasiselo kuphela njengoba uqondiswe futhi ngemuva kokukhuluma nodokotela wakho.

Thenga le mikhiqizo online:

• izithako ze-folic acid
• izengezo zikavithamini B-6
• izithako ze-calcium
• izithasiselo ze-magnesium
• izengezo zikavithamini D
• ibuprofen
• i-aspirin

I-PMS enamandla: i-premenstrual dysphoric disorder

Izimpawu ezinzima ze-PMS azivamile. Iphesenti elincane labesifazane abanezimpawu ezinzima bane-premenstrual dysphoric disorder (PMDD). I-PMDD ithinta abesifazane abaphakathi kwamaphesenti amathathu kuya kwayisishiyagalombili. Lokhu kubonakala kumagazini omusha weDiagnostic and Statistical Manual of Mental Disorders.

Izimpawu ze-PMDD zingafaka:

• ukudana
• imicabango yokuzibulala
• ukwethuka
• ukukhathazeka ngokweqile
• ukuthukuthela ngokushintsha kwemizwelo okukhulu
• ukukhala
• ukungabi nentshisekelo emisebenzini yansuku zonke
• ukuqwasha
• unenkinga yokucabanga noma ukugxila
• ukudla ngokweqile
• ukuqunjelwa okubuhlungu
• ukuqunjelwa

Izimpawu ze-PMDD zingenzeka ngenxa yezinguquko kumazinga wakho we-estrogen ne-progesterone. Ukuxhumana phakathi kwamazinga aphansi e-serotonin ne-PMDD nakho kukhona.

Udokotela wakho angenza okulandelayo ukukhipha ezinye izinkinga zezokwelapha:

• ukuhlolwa ngokomzimba
• ukuhlolwa kwabesifazane
• inani eliphelele legazi
• ukuhlolwa kokusebenza kwesibindi

Bangancoma futhi ukuhlolwa kwengqondo. Umlando womuntu siqu noma womndeni wokudangala okukhulu, ukusetshenziswa kabi kwezidakamizwa, ukuhlukumezeka, noma ukucindezeleka kungadala noma kubhebhethekise izimpawu ze-PMDD.

Ukwelashwa kwe-PMDD kuyehluka. Udokotela wakho angancoma:

• ukuzivocavoca nsuku zonke
• amavithamini, njenge-calcium, i-magnesium, ne-vitamin B-6
• ukudla okungenayo i-caffeine
• ukwelulekwa komuntu ngamunye noma kweqembu
• amakilasi okuphathwa kwengcindezi
• I-drospirenone ne-ethinyl estradiol tablet (Yaz), okuwukuphela kwepilisi yokulawula ukubeletha i-Food and Drug Administration evume ukwelapha izimpawu ze-PMDD

Uma izimpawu zakho ze-PMDD zingakathuthuki, udokotela wakho angakunika i-serotonin reuptake inhibitor (SSRI) ekhethiwe yokulwa nokudangala. Le mithi inyusa amazinga e-serotonin ebuchosheni bakho futhi inezindima eziningi ekulawuleni i-chemistry yobuchopho engagcini ekucindezelekeni.

Udokotela wakho futhi angaphakamisa ukwelashwa kokuziphatha kwengqondo, okuyindlela yokwelulekwa engakusiza uqonde imicabango nemizwa yakho futhi ushintshe nokuziphatha kwakho ngokufanele.

Awukwazi ukuvimbela i-PMS noma i-PMDD, kepha ukwelashwa okuchazwe ngenhla kungasiza ekunciphiseni ubunzima nobude bezimpawu zakho.

Umbono wesikhathi eside

Izimpawu ze-PMS ne-PMDD zingaphinde zivele, kepha zihamba ngemuva kokuqala kokuya esikhathini. Indlela yokuphila enempilo kanye nohlelo lokwelashwa olunzulu kunganciphisa noma kuqede izimpawu zabesifazane abaningi.

Q:

Izimpawu ze-PMS zishintsha kanjani njengoba owesifazane esondela esikhathini nokunqamuka kokuya esikhathini?

A:

Njengoba owesifazane esondela esikhathini sokuya esikhathini, imijikelezo ye-ovulatory iba ngezikhathi ezithile njengoba ukukhiqizwa kwamahomoni ocansi kwe-ovari kuncipha. Umphumela walokhu uyinkomba yezimpawu ezahlukahlukene futhi engalindelekile. Ukudaka amanzi ukusetshenziswa kwe-hormonal therapy ukwelapha ezinye zezimpawu zokunqamuka kokuya esikhathini, njengokushisa okushisayo, okungaphinde kushintshe izimpawu. Njengoba kuyeka ukuya esikhathini, abesifazane kufanele babonane nodokotela wabo uma izimpawu zishintsha noma kwenziwa izimpawu ezintsha.