Premenstrual chirwere

Premenstrual syndrome (PMS) inoreva zviratidzo zvakasiyana-siyana. Zviratidzo zvinotanga mukati mehafu yepiri yekuenda kumwedzi (mazuva gumi nemana kana anopfuura mushure mezuva rekutanga rekuenda kwako kumwedzi). Izvi zvinowanzoenda mazuva 1 kana maviri mushure mekunge kumwedzi kwatanga.

Chikonzero chaicho chePMS hachizivikanwe. Shanduko muhuropi hwehormone mazinga anogona kutora chinzvimbo. Nekudaro, izvi hazvina kuratidzwa. Vakadzi vane PMS vanogonawo kupindura zvakasiyana nemahomoni aya.

PMS inogona kunge iine hukama nemagariro, tsika, zvipenyu uye zvepfungwa.

Vazhinji vakadzi vanoona zviratidzo zvePMS mukati memakore avo ekubereka. PMS inoitika kazhinji muvakadzi:

• Pakati pekupedzisira kwavo makumi maviri nemakumi mana
• Ndiani ave nemwana mumwechete
• Nenhoroondo yemunhu kana yemhuri yekushungurudzika kukuru
• Nenhoroondo yekuzvarwa mushure mekubereka kushushikana kana inokanganisa mamiriro kusagadzikana

Zviratidzo zvinowanzo kuwedzera mukunonoka kwemakumi matatu nemakumi mana sekuguma kuenda kumwedzi.

Zviratidzo zvakajairika zvePMS zvinosanganisira:

• Kuvhara kana kunzwa gassy
• Zamu unyoro
• Kusindimara
• Kuzvimbirwa kana kuita manyoka
• Zvido zvekudya
• Kutemwa nemusoro
• Kuderera kushivirira kwemheremhere nemwenje

Zvimwe zviratidzo zvinosanganisira:

• Kuvhiringidzika, kunetseka kuisa pfungwa, kana kukanganwa
• Kuneta uye kunzwa kunonoka kana nehusimbe
• Kunzwa kwekusuwa kana kusava netariro
• Kunzwa kwekushushikana, kushushikana, kana kusimba
• Hasha, hutsinye, kana hunhu hunhu, nekuputika kwehasha pamusoro pako kana vamwe
• Kurasikirwa kwepabonde kutyaira (kunogona kuwedzera mune vamwe vakadzi)
• Mafungiro anochinja
• Kutadza kutonga
• Kusazvifungira zvakanaka, kunzwa kwekuzvipa mhosva, kana kutya kwakanyanya
• Matambudziko ekurara (kurara zvakanyanya kana kushoma)

Iko hakuna chaiwo mamaki kana bvunzo bvunzo dzinogona kuona PMS. Kuti utonge zvimwe zvinokonzeresa zvezviratidzo, zvakakosha kuve ne:

• Yakazara nhoroondo yekurapa
• Kuongorora kwepanyama (kusanganisira kuongorora kwepilvic)

Karenda yezviratidzo inogona kubatsira vakadzi kuziva zviratidzo zvinonetsa kwazvo. Izvi zvinobatsirawo mukusimbisa kuongororwa kwePMS.

Chengeta dhayari rezuva nezuva kana danda kwemwedzi mitatu. Nyora iyo:

• Rudzi rwezviratidzo zvaunazvo
• Dzakasimba sei
• Anotora nguva yakareba sei

Ichi chinyorwa chichakubatsira iwe pamwe nemupi wako wezvehutano mupi kurapwa kwakanyanya.

Mararamiro ane hutano ndiro danho rekutanga rekutarisira PMS. Kune vakadzi vazhinji, maitiro ehupenyu kazhinji anokwana kudzora zviratidzo. Kugadzirisa PMS:

• Inwa zvinwiwa zvakawanda semvura kana muto. Usanwa zvinwiwa, doro, kana zvimwe zvinwiwa zvine caffeine. Izvi zvinobatsira kudzora kubhururuka, kuchengetedza kwemvura, uye zvimwe zviratidzo.
• Idya kazhinji, zvidiki zvidiki. Usaende anopfuura maawa matatu pakati pezvikafu zvishoma. Dzivisa kunyanyisa.
• Idya kudya kwakaringana. Sanganisira yakawedzera zviyo, miriwo, uye michero mukudya kwako. Deredza kudya kwako kwemunyu neshuga.
• Mupiki wako anogona kukurudzira kuti utore zvinowedzera zvinovaka muviri. Vitamini B6, calcium, uye magnesium zvinowanzo shandiswa. Tryptophan, iyo inowanikwa mune zvigadzirwa zvemukaka, inogona zvakare kubatsira.
• Gara uchirovedza muviri maekisesaizi mumwedzi wese. Izvi zvinobatsira mukuderedza kuomarara kwezviratidzo zvePMS. Rovedza muviri kakawanda uye zvakaoma mukati memavhiki paunenge uine PMS.
• Edza kuchinja maitiro ako ekurara usiku usati watora zvinodhaka kumatambudziko ekurara.

Zviratidzo zvakadai sekurwadziwa nemusoro, musana, kumwedzi, uye zamu nyoro zvinogona kurapwa ne:

• Aspirin
• Ibuprofen
• Dzimwe NSAIDs

Mapiritsi ekudzivirira kuberekwa anogona kudzikira kana kuwedzera zviratidzo zvePMS.

Muzviitiko zvakakomba, mishonga yekurapa kushushikana inogona kubatsira. Mishonga yekudzvinyirira inozivikanwa sekusarudza serotonin reuptake inhibitors (SSRIs) inowanzoedzwa kutanga. Izvi zvakaratidzwa kuva zvinobatsira kwazvo. Iwe unogona zvakare kuda kutsvaga rairo yemupi wezano kana murapi.

Mimwe mishonga yaungashandisa inosanganisira:

• Anti-kushushikana zvinodhaka zvekushushikana kwakanyanya
• Diuretics, iyo inogona kubatsira nekuchengetedza kwakanyanya kwemvura, iyo inokonzeresa kuputika, kunyorova kwemazamu, uye kuwedzera uremu

Vakadzi vazhinji vanorapwa PMS zviratidzo vanowana zororo rakanaka.

Zviratidzo zvePMS zvinogona kuva zvakaomarara zvakakwana kuti zvikutadzise kushanda zvakajairika.

Mwero wekuzviuraya muvakadzi vane kushushikana wakanyanya kwazvo mukati mehafu yepiri yekuenda kumwedzi. Matambudziko emanzwiro anoda kuongororwa uye kurapwa.

Ita musangano nemupi wako kana:

• PMS haiende nekuzvirapa
• Zviratidzo zvako zvakanyanya zvekuti zvinodzikamisa kugona kwako kushanda
• Iwe unonzwa kunge iwe uchida kuzvikuvadza iwe kana vamwe

PMS; Premenstrual dysphoric kusagadzikana; PMDD

• Kutangira kuenda kumwedzi
• Kurerutsa PMS

Katzinger J, Hudson T. Premenstrual syndrome. Mune: Pizzorno JE, Murray MT, eds. Chinyorwa cheMhando yeMishonga. 5 ed. Philadelphia, PA: Elsevier; 2021: chitsiko 212.

Magowan BA, Owen P, Thomson A. Kubuda kumwedzi kubuda ropa, dysmenorrhea uye premenstrual syndrome. Mune: Magowan BA, Owen P, Thomson A, eds. Clinical Obstetrics uye Gynecology. 4th ed. Elsevier; 2019: chits.

Marjoribanks J, Brown J, O'Brien PM, Wyatt K. Sarudzo serotonin reuptake inhibitors ye premenstrual syndrome. Cochrane Dhatabhesi Syst Rev. 2013; (6): CD001396. PMID: 23744611 pubmed.ncbi.nlm.nih.gov/23744611/.

Mendiratta V, Lentz GM. Yekutanga uye yechipiri dysmenorrhea, premenstrual syndrome, uye premenstrual dysphoric kusagadzikana: etiology, kuongororwa, manejimendi. Mune: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Yakakwana Gynecology. 7th ed. Philadelphia, PA: Elsevier; 2017: chits. 37.