Yini i-premenstrual dysphoric disorder (PMDD), izimpawu nokuthi welashwa kanjani

-Delile

• Izimpawu ze-PMDD
• Ungaqinisekisa kanjani i-TDPM
• Yelashwa kanjani

I-premenstrual dysphoric disorder, eyaziwa nangokuthi i-PMDD, yisimo esivela ngaphambi kokuya esikhathini futhi sidale izimpawu ezifana ne-PMS, njengokulangazelela ukudla, ukushintsha kwemizwelo, amajaqamba okuya esikhathini noma ukukhathala ngokweqile.

Kodwa-ke, ngokungafani ne-PMS, ekuphazamisekeni kwe-dysphoric, lezi zimpawu ziyakhubaza futhi zenze imisebenzi yansuku zonke ibe nzima. Kwabanye besifazane, i-premenstrual dysphoric disorder ingaholela nasekuqalekeni kokuhlaselwa kokukhathazeka noma ekukhuleni kokudangala.

Yize kungakaziwa izimbangela ezithile zokuvela kwalesi sifo, kungenzeka ukuthi kwenzeka ikakhulukazi kubantu abanesimo esikhulu sokwehluka kwemizwelo, njengoba kugcizelelwa izinguquko zamahomoni esikhathini.

Izimpawu ze-PMDD

Ngaphezu kwezimpawu ezivamile ze-PMS, ezinjengobuhlungu besifuba, ukuvuvukala kwesisu, ukukhathala noma ukuguquguquka kwemizwelo, abantu abanesifo sokuya esikhathini sokuqala kwangaphambi kokuya esikhathini kufanele babhekane nezimpawu ezingokomzwelo noma zokuziphatha, njenge:

• Ukudabuka okukhulu noma umuzwa wokuphelelwa yithemba;
• Ukukhathazeka nokucindezeleka ngokweqile;
• Ukushintsha okungazelelwe okukhulu kwemizwa;
• Ukucasulwa njalo nentukuthelo;
• Ukuhlaselwa ukwethuka;
• Kunzima ukulala;
• Kunzima ukugxila.

Lezi zimpawu zivame ukuvela cishe ezinsukwini eziyi-7 ngaphambi kokuya esikhathini futhi zingahlala ezinsukwini ezi-3 kuye kwezi-5 ngemuva kokuqala kwesikhathi sokuya esikhathini, noma kunjalo, imizwa yokudabuka nokukhathazeka ingahlala isikhathi eside futhi inganyamalali phakathi kokuya esikhathini ngakunye.

Lapho owesifazane eba nokudangala, ukuvela kaningi kwalolu hlobo lwezimpawu nakho kwandisa ingozi yemicabango yokuzibulala ngakho-ke, kubaluleke kakhulu ukuthola ukwelashwa okufanelekile kokucindezeleka nodokotela wezengqondo noma wezifo zengqondo.

Ungaqinisekisa kanjani i-TDPM

Akukho kuhlolwa noma ukuhlolwa okuqinisekisa ukutholakala kwesifo se-dysphoric premenstrual, ngakho-ke udokotela wezifo zabesifazane uzokwazi ukukhomba ukuphazamiseka kuphela ngokuchaza izimpawu.

Kwezinye izimo, udokotela angahle a-oda ngisho nokuhlolwa, okufana ne-ultrasound noma i-CT scan, ukuze aqinisekise ukuthi alukho olunye ushintsho endaweni ye-pelvic engadala izimpawu zezimpawu ezinzima zesisu noma ukuqunjelwa, ngokwesibonelo.

Yelashwa kanjani

Ukwelashwa kwe-PMDD kuhlose ukukhulula izimpawu zowesifazane futhi, ngakho-ke, kungahluka kuye ngamacala. Kodwa-ke, izinhlobo eziyinhloko zokwelashwa zifaka:

• Izidambisi, njenge-Fluoxetine noma i-Sertraline, ekhonjiswe ngudokotela wezifo zengqondo, esiza ekunciphiseni izimpawu zosizi, ukuphelelwa yithemba, ukukhathazeka nokushintsha kwemizwelo futhi kungaphinde kuthuthukise umuzwa wokukhathala nobunzima bokulala;
• Iphilisi lokuvimbela inzalo, okwenza kube lula ukulawula amazinga e-hormone phakathi nokuhamba kokuya esikhathini, futhi kunganciphisa zonke izimpawu ze-PMDD;
• Ukudambisa izinhlungu, njenge-Aspirin noma i-Ibuprofen, njengoba iqeda ikhanda elibuhlungu, amajaqamba okuya esikhathini noma ubuhlungu emabeleni, isibonelo;
• I-calcium, i-vitamin B6 noma i-magnesium supplementation, okungasiza futhi ekunciphiseni izimpawu, kubhekwe njengokukhethwa kwemvelo;
• Izitshalo zokwelapha, njenge I-Vitex agnus-castusnjengoba ikwazi ukunciphisa ukucasuka nokuguquguquka kwemizwelo njalo, kanye nobuhlungu besifuba, ukuvuvukala nokuqaqamba kokuya esikhathini.

Ngaphezu kwalokho, kubalulekile futhi ukuba nendlela yokuphila enempilo, ukudla ukudla okunomsoco, ukuzivocavoca umzimba okungenani ama-3 ngeviki nokugwema izinto ezinjengotshwala nogwayi, isibonelo.

Lala amahora angu-7 kuya kwangu-8 ebusuku noma usebenzise amasu okuphumula, njenge ukucabanga, i-yoga noma ukuzindla, nakho kunganciphisa ukucindezeleka futhi kuthuthukise izimpawu ezingokomzwelo ezibangelwa yisifo se-dysphoric premenstrual. Bheka ezinye izinketho ezenziwe ekhaya ezisiza ukukhulula izimpawu ze-PMDD ne-PMS.