Premenstrual dysphoric kusagadzikana

Premenstrual dysphoric disorder (PMDD) mamiriro ezvinhu apo mukadzi ane zvakanyanya kushungurudzika zviratidzo, kushatirwa, uye kusagadzikana pamberi pemwedzi. Zviratidzo zve PMDD zvakanyanyisa kupfuura izvo zvinoonekwa ne premenstrual syndrome (PMS).

PMS inoreva zviratidzo zvakasiyana siyana zvemuviri kana zvepamoyo izvo zvinowanzoitika mazuva mashanu kusvika gumi nemana mukadzi asati atanga kuenda kumwedzi kwemwedzi. Kazhinji, zviratidzo zvinomira kana, kana nguva pfupi yapfuura, nguva yake inotanga.

Zvinokonzera PMS uye PMDD hazvina kuwanikwa.

Hormone shanduko dzinoitika panguva yekuenda kumwedzi kwemukadzi dzinogona kutora chinzvimbo.

PMDD inokanganisa vashoma vakadzi mukati memakore pavanenge vari kumwedzi.

Vakadzi vazhinji vane chirwere ichi vane:

• Kufunganya
• Kushungurudzika kwakanyanya
• Mwaka unokanganisa kusagadzikana (SAD)

Zvimwe zvinhu zvinogona kutamba chinosanganisira:

• Doro kana kushandisa zvinodhaka
• Matambudziko ehutachiona
• Kunyanya kufuta
• Kuve naamai vane nhoroondo yekusagadzikana
• Kushaikwa kwekurovedza muviri

Zviratidzo zve PMDD zvakafanana neizvo zvePMS.Nekudaro, ivo vanowanzo kuve zvakanyanya zvakanyanya uye vanopedza simba. Izvo zvinosanganisirawo imwechete chiratidzo chine hukama nemamiriro. Zviratidzo zvinoitika mukati mevhiki kusati kwatanga kubuda ropa kumwedzi. Ivo vanowanzo kuve zvirinani mukati memazuva mashoma mushure mekunge nguva yacho yatanga.

Heino runyorwa rwezvakajairika PMDD zviratidzo:

• Kushaikwa kwekufarira zviitiko zvezuva nezuva uye hukama
• Kuneta kana kushaya simba
• Kusuruvara kana kusava netariro, pamwe pfungwa dzekuzviuraya
• Kufunganya
• Kunze kwekutonga kunzwa
• Chikafu chikafu kana binge kudya
• Maitiro anochinja pamwe nekuchema
• Kutya kwekutya
• Kushatirwa kana kutsamwa kunokanganisa vamwe vanhu
• Kuzvimba, zamu nyoro, kutemwa nemusoro, uye kubatana kana musuru kurwadziwa
• Matambudziko ekurara
• Dambudziko rekutarisa

Hapana bvunzo dzepanyama kana bvunzo bvunzo dzinogona kuongorora PMDD. Nhoroondo yakazara, kuongorora kwepanyama (kusanganisira kuongorora kwepelinha), kuongororwa kwetachiona, uye kuongororwa kwepfungwa kunofanira kuitwa kutonga mamwe mamiriro.

Kuchengeta karenda kana diary yezviratidzo kunogona kubatsira vakadzi kuti vaone zviratidzo zvinonetsa uye nenguva dzavanogona kuzoitika. Ruzivo urwu runogona kubatsira wako mupi wekuchengetedza hutano kuongorora PMDD uye kuona kurapa kwakanyanya.

Hupenyu hune hutano ndiro danho rekutanga rekutarisira PMDD.

• Idya zvekudya zvine utano zvine zviyo zvakakwana, miriwo, michero, uye zvishoma kana kusave nemunyu, shuga, doro, uye caffeine.
• Gara uchiita maekisesaizi eroobic mukati memwedzi wese kuti udzikise kuomarara kwezviratidzo zvePMS.
• Kana uine matambudziko ekurara, edza kuchinja maitiro ako ekurara usati watora mishonga yekushaya hope.

Chengeta diary kana karenda kuti unyore:

• Mhando yezviratidzo zvauinazvo
• Dzakasimba sei
• Anotora nguva yakareba sei

Zvinodzvinyirira zvinogona kubatsira.

Chekutanga sarudzo inowanzo kuve antidipressant inozivikanwa senge inosarudza serotonin-reuptake inhibitor (SSRI). Iwe unogona kutora SSRIs muchikamu chechipiri chekutenderera kwako kusvika nguva yako yatanga. Iwe unogona zvakare kuitora iyo mwedzi wese. Kumbira mupiki wako.

Kufungisisa maitiro ekurapa (CBT) inogona kushandiswa kungave pamwe kana panzvimbo peanodzvinyirira. Munguva yeCBT, iwe unoshanya kanenge kagumi uine nyanzvi yehutano hwepfungwa kwevhiki dzinoverengeka.

Mimwe mishonga inogona kubatsira inosanganisira:

• Kuberekwa kwekudzivirira mapiritsi kunowanzobatsira kuderedza zviratidzo zvePMS. Mhando dzekuenderera dosing dzinonyanya kushanda, kunyanya idzo dzine mahormone anonzi drospirenone. Nekuenderera mberi dosing, iwe haugone kuwana yemwedzi mwedzi.
• Dhiureti inogona kubatsira kune vakadzi vane huremu hwepfupi-kwenguva huremu kubva mukuchengetedza kwemvura.
• Mimwe mishonga (yakadai seDepo-Lupron) inodzvinyirira maovari uye ovulation.
• Marwadzo anodzoreredza senge aspirin kana ibuprofen inogona kupihwa musoro, kurwadziwa kumusana, kurwadza kwekuenda kumwedzi, uye unyoro hwezamu.

Zvakawanda zvidzidzo zvakaratidza kuti zvinovaka muviri zvinovaka muviri, zvakaita sevhitamini B6, calcium, uye magnesium hazvibatsire mukuderedza zviratidzo.

Mushure mekuongororwa kwakakodzera uye kurapwa, vakadzi vazhinji vane PMDD vanoona kuti zviratidzo zvavo zvinopera kana kudonhera kumazinga anoshivirira.

PMDD zviratidzo zvinogona kunge zvakanyanyisa kukwana kuti zvipindire hupenyu hwemukadzi hwezuva nezuva. Vakadzi vane kushushikana vanogona kuve nezviratidzo zvakaipisisa mukati mehafu yepiri yekutenderera kwavo uye vangangoda shanduko mumushonga wavo.

Vamwe vakadzi vane PMDD vane pfungwa dzekuzviuraya. Kuzviuraya mune vakadzi vane kushushikana kunowanzoitika mukati mehafu yepiri yekuenda kwavo kumwedzi.

PMDD inogona kuve yakabatana nematambudziko ekudya uye kuputa.

Fonera 911 kana yekunetsekana mutsara mutsetse ipapo kana iwe uine pfungwa dzekuzviuraya.

Fonera mupiki wako kana:

• Zviratidzo HAZVI kuvandudza nekuzvirapa
• Zviratidzo zvinokanganisa hupenyu hwako hwezuva nezuva

PMDD; PMS yakaoma; Kuenda kumwedzi kusagadzikana - dysphoric

• Kushungurudzika uye kuenda kumwedzi

Gambone JC. Kuenda kumwedzi kutenderera-kwakakanganisa kusagadzikana. Mune: Hacker NF, Gambone JC, Hobel CJ, eds. Hacker & Moore's Zvakakosha zveObstetrics uye Gynecology. 6th ed. Philadelphia, PA: Elsevier; 2016: chits.

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.

Novac A. Matambudziko emood: kushushikana, chirwere chebipolar, uye kushushikana kwemanzwiro. Mune: Kellerman RD, Bope ET, eds. Conn Yazvino Therapy 2018. Philadelphia, PA: Elsevier; 2018: 755-765.