Ke loaʻa nei hoʻi iā ʻoe nā ʻeha ma mua o ka menstruation? Hiki paha iā ia ke PMDD?

Ke manaʻo nei hoʻi ʻoe i ka ʻoluʻolu ʻole a me ka ʻoluʻolu ʻole i loko o kou kino no hoʻokahi a ʻelua paha pule ma mua o ka hoʻomaka ʻana o kou wā? Loaʻa paha iā ʻoe ke poʻo, ka ʻeha o ka ʻōpū, ka palupalu o ka umauma, a me nā mea ʻē aʻe e like me ia, me ka nui o ke kaumaha, ka huhū, a me ke kaumaha? He nui ka poʻe i loaʻa i kēia ʻano (PMS) a i ʻole ka premenstrual syndrome. Akā i kekahi manawa hiki i kēia ʻano ke ʻoi aku ka koʻikoʻi. ʻO ia ka mea a mākou e kapa nei (PMDD) a i ʻole (Premenstrual Dysphoric Disorder) . E kamaʻilio kākou e pili ana i kēia i kēia lā, no ka mea, he mea kēia e hoʻopilikia ai i nā poʻe he nui ma mua o kou manaʻo.

He aha ka PMDD? He ʻokoʻa loa anei ia mai ka PMS?

I ka ʻōlelo maʻalahi, ua lohe paha ʻoe i ka PMS, a i ʻole Premenstrual Syndrome. Nui nā wahine e ʻike i kekahi ʻoluʻolu ʻole i kekahi mau lā ma mua o ko lākou wā. Nā mea e like me ka pehu ʻana, ka ʻeha poʻo, a me ka ʻeha o ka umauma. He mea maʻamau kēia.

Akā, ʻo ka (PMDD) a i ʻole (Premenstrual Dysphoric Disorder) he hihia koʻikoʻi loa ia o kēia kūlana (PMS). I ka pololei, ʻike ka mea me (PMDD) i nā hōʻailona noʻonoʻo e like me ka huhū hiki ʻole ke hoʻomanawanui, ka hopohopo nui, a i ʻole ke kaumaha nui me nā hōʻailona maʻamau (PMS). Hoʻopau pinepine kēia mau hōʻailona i loko o kekahi mau lā ma hope o ka hoʻomaka ʻana o ka menstruation. Eia nō naʻe, i nā lā e hiki mai ana, hiki i kēia ke koʻikoʻi loa a hiki ke loaʻa ka hopena nui i kāu mau hana o kēlā me kēia lā, nā pilina me nā ʻohana, a me ka ʻoihana .

E noʻonoʻo, he hoaaloha kāu, e ʻōlelo kākou ʻo Sanduni kona inoa. He kanaka ʻoliʻoli a kamaʻilio nui ʻo Sanduni. Akā i kēlā me kēia mahina, hoʻokahi a ʻelua paha pule ma mua o kona wā, ua loli nui ʻo ia. Huhū ʻo ia i nā mea liʻiliʻi loa, hakakā me nā mea a pau, a i kekahi manawa noho wale ʻo ia i loko o kona lumi a uē. ʻAʻole hiki iā ia ke ʻike i ke kumu o kēia. ʻAʻole hiki iā ia ke hana pono ma ka hana. ʻO ia ka PMDD. ʻOi aku kēia ma mua o ka 'mood swing' wale nō.

I kēia manawa, ua manaʻo ʻia he 10% o nā wahine e hele ana i ka menstruation e loaʻa ana i ka PMDD. ʻO ia hoʻi, hoʻokahi i loko o nā wahine he ʻumi e loaʻa paha kēia maʻi.

Ua ʻike anei ʻoe i ke kumu o ka PMDD?

ʻO kaʻoiaʻiʻo, ʻaʻole i loaʻa i nā kauka kahi kumu paʻa no ke kumu e loaʻa ai i kekahi poʻe ka PMDD. Akā aia kekahi mau kumu i manaʻo ʻia e kōkua i ia.

ʻO ke kānalua nui e pili ana i nā loli o nā hormones . ʻIke ʻoe, he ʻelua ʻano hormones o nā wahine i loko o ko lākou kino i kapa ʻia ʻo estrogen a me progesterone. Hoʻonui a emi kēia mau mea me ka pōʻaiapuni menstrual o kēlā me kēia mahina. Ua manaʻo ʻia ʻo ka emi ʻana o kēia mau pae hormone ma hope o ka ovulation a i ka wā ma mua o ka menstruation kekahi kumu no nā hōʻailona o PMDD. ʻO ke ʻano kēia, hiki i ke kino o kekahi poʻe ke pane ikaika iki i kēia mau loli hormonal.

ʻO kekahi mea ʻē aʻe he kemika i kapa ʻia ʻo Serotonin . He kemika kēia (neurotransmitter) i loko o ko kākou lolo . Kōkua kēia serotonin i ka hoʻomalu ʻana i nā mea he nui e like me ko kākou ʻano, ka pōloli, a me ka hiamoe. ʻO ka mea kupanaha, loli pū kēia pae serotonin me ko kākou pōʻaiapuni menstrual mahina. No laila, hiki i nā loli i nā pae serotonin ke hana i nā hōʻailona o PMDD. Malia paha e ʻike nui ʻia kēia mau ʻeha ke haʻahaʻa nā pae serotonin.

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ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka PMDD?

ʻOi aku ka nui o ka loaʻa ʻana o ka PMDD i kekahi poʻe ma mua o kekahi. Inā loaʻa iā ʻoe kekahi o kēia mau mea, he mea maikaʻi ke makaʻala:

• Inā ua loaʻa iā ʻoe ka hopohopo a i ʻole ke kaumaha .
• Inā he mau hōʻailona PMS koʻikoʻi kou.
• Inā ua loaʻa i kekahi o kou ʻohana (e like me kou makuahine a kaikuahine paha) ka PMS, PMDD, a i ʻole nā ​​​​maʻi ʻē aʻe o ke ʻano , aia kahi manawa e hiki ai ke hoʻoilina i kēia mau mea.
• Inā ua loaʻa iā ʻoe ma mua kahi trauma koʻikoʻi, hana ʻino, a i ʻole nā ​​​​hanana kaumaha ʻē aʻe i kou ola.

ʻAʻole kēia manaʻo e loaʻa i nā mea a pau i loaʻa i kēia mau mea ka PMDD, akā ʻo ia hoʻi ke kiʻekiʻe iki aʻe nei ka pilikia.

He aha nā hōʻailona o PMDD? E nānā inā loaʻa iā ʻoe kēia mau mea pū kekahi

Hiki ke ʻokoʻa nā hōʻailona o ka PMDD mai kēlā kanaka a kēia kanaka. Ma keʻano laulā, ʻike ʻia kēia mau hōʻailona ma kahi o hoʻokahi a ʻelua paha pule ma mua o ka hoʻomaka ʻana o kou wā. A laila e emi iho lākou i loko o kekahi mau lā o ka hoʻomaka ʻana o kou wā. Ma waho aʻe o nā hōʻailona PMS maʻamau e like me ka ʻōpū ʻeha a me ka pehu ʻana, hiki i ka PMDD ke hana i kēia mau hōʻailona:

• Huhū a huhū paha. Hiki iā ʻoe ke huhū a pahū i nā mea liʻiliʻi.
• Ke manaʻo nei i ka liʻiliʻi, ka pilikia a i ʻole ka hopohopo i nā manawa a pau.
• ʻO nā hoʻouka kaua panic he hopohopo nui a me nā palpitations o ka puʻuwai. Hiki iā ʻoe ke makaʻu koke me ke kumu ʻole a paʻakikī ke hanu.
• Hiki ke loaʻa ke kaumaha nui a me nā manaʻo pepehi kanaka . He hōʻailona weliweli loa kēia, no laila inā manaʻo ʻoe penei, pono ʻoe e ʻimi koke i ke kōkua.
• Paʻakikī ke noʻonoʻo pono. ʻAʻole hiki iā ʻoe ke hana pono i kāu hana, manaʻo nā mea āpau he haunaele.
• Ka luhi mau a me ka ikehu haʻahaʻa.
• Hiki i kekahi mau meaʻai ke hoʻoulu i ka makemake nui i ka meaʻai, ka ʻai nui ʻana, a i ʻole nā ​​​​loli i ka makemake .
• Nā ʻeha poʻo.
• ʻAʻole hiki ke hiamoe.
• Nā loli o ke ʻano. Hiki iā ʻoe ke manaʻo maikaʻi i kekahi manawa, a laila kaumaha a huhū paha i kekahi manawa aʻe. Ua like ia me ka holo ʻana i kahi roller coaster.

Hiki i kekahi poʻe ke loaʻa i kēia mau hōʻailona (PMDD) a hiki i ka menopause . ʻO ia hoʻi, pono lākou e ʻeha e like me kēia no nā makahiki. E noʻonoʻo i ka paʻakikī o ia mea.

He aha nā pilikia e hiki ke loaʻa mai ka PMDD?

Inā ʻaʻole mālama pono ʻia ka PMDD, hiki iā ia ke alakaʻi i nā kūlana e like me ke kaumaha . I kekahi mau hihia koʻikoʻi, hiki iā ia ke alakaʻi i ka pepehi kanaka . Ma muli o kēia, ʻaʻole ia he mea e lawe māmā ʻia ka PMDD.

Hiki i kēia ʻano ke hoʻoulu i ke kaumaha nui o ka noʻonoʻo a hoʻopilikia maikaʻi ʻole i kou pilina me ka ʻohana, nā hoaaloha, a me nā ʻoihana . E noʻonoʻo i ka paʻakikī o ka launa pū ʻana me nā poʻe ʻē aʻe ke huhū mau ʻoe a kaumaha.

He mea nui: Inā loaʻa iā ʻoe nā manaʻo pepehi kanaka, mai hana hoʻokahi. E kamaʻilio koke me kahi mea āu e hilinaʻi ai, a i ʻole e ʻimi i ke aʻo lapaʻau. Aia nā helu kelepona ma Sri Lanka e like me ka National Mental Health Helpline 1926 kahi e hiki ai iā ʻoe ke loaʻa ke kōkua.

Pehea ʻoe e ʻike pono ai inā loaʻa iā ʻoe ka PMDD? (Diagnosis)

Inā manaʻo ʻoe he PMDD kou, ʻo ka mea mua e hana ai, ʻo ia ke ʻike i ke kauka . E nīnau ke kauka iā ʻoe e pili ana i kou mōʻaukala olakino a nānā pono i kāu mau hōʻailona.

E noi ʻia paha ʻoe e hahai i kāu mau hōʻailona no hoʻokahi a ʻelua paha mau pōʻaiapuni menstrual . ʻO ke ʻano kēia, pono ʻoe e mālama i kahi puke moʻolelo o nā hōʻailona āu e ʻike ai, ka manawa o ka mahina e kū mai ai, a pehea ko lākou koʻikoʻi. E kōkua kēia i kāu kauka e loaʻa kahi kiʻi maopopo o kou kūlana.

No ka ʻike ʻana i ka PMDD, e nānā ke kauka i ʻelima mau hōʻailona PMDD . Pono kekahi o lākou he hōʻailona e pili ana i ke ʻano . ʻO ia hoʻi ka huhū, ke kaumaha, a me ka hopohopo a mākou i kamaʻilio ai ma mua.

E nānā pū ke kauka e ʻike inā loaʻa iā ʻoe ka PMDD, kahi maʻi noʻonoʻo ʻē aʻe e like me ka hopohopo, ke kaumaha, a i ʻole kekahi maʻi hānau hou . No ka mea hiki ke ʻike ʻia kēia mau hōʻailona i nā maʻi ʻē aʻe, he mea nui e ʻike pono i ke ʻano o ia mea.

He aha nā lāʻau lapaʻau no PMDD? E kamaʻilio kākou e pili ana i kēia.

Aia kekahi mau lāʻau lapaʻau e hiki ke kōkua i ka hōʻemi ʻana i ke kaumaha āu e ʻike nei ma muli o PMDD. Hiki i kāu kauka ke paipai i hoʻokahi a ʻoi aku paha o kēia mau mea. ʻO kēia paha ka mea e hāʻawi iā ʻoe i ka hōʻoluʻolu.

• Nā lāʻau hoʻohaʻahaʻa kaumaha:ʻO kēia mau mea, ʻo nā lāʻau lapaʻau i kuhikuhi pinepine ʻia ʻo SSRIs, a i ʻole Selective Serotonin Reuptake Inhibitors. Hana kēia mau mea ma ke kāohi ʻana i nā pae o ka serotonin i loko o kou lolo. ʻO nā laʻana e like me Sertraline, Fluoxetine, a me Paroxetine HCI. Ma mua o ka hoʻohana ʻana i kēia mau lāʻau lapaʻau, e kamaʻilio me kāu kauka e ʻike inā kūpono lākou iā ʻoe a he aha nā hopena ʻaoʻao.
• Nā lāʻau hoʻomalu hānau hormonal: Ua ʻike ʻia kekahi mau lāʻau hoʻomalu hānau, ʻoiai nā mea i loaʻa nā hormones (Drospirenone) a me (Ethinyl estradiol), e kōkua i ka kaohi ʻana i nā hōʻailona o PMDD. Pono e hoʻohana ʻia kēia mau mea e like me ke kuhikuhi a ke kauka.
• Nā hoʻololi ʻana i ka ʻai: ʻO ka hōʻemi ʻana i kāu ʻai ʻana i kekahi mau meaʻai a me nā mea inu caffeine (e like me ke kī a me ke kofe) e kōkua paha i ka hōʻoluʻolu ʻana i nā hōʻailona. Hiki i nā huaora e like me ka huaora B-6 a me ka magnesium ke kōkua pū kekahi. E nīnau i kāu kauka e pili ana i kēia.
• Nā lāʻau ʻeha ma luna o ke kauka: Hiki iā ʻoe ke hoʻohana i nā lāʻau ʻeha ma luna o ke kauka e hōʻoluʻolu i nā ʻeha kino e like me nā ʻeha menstrual (ʻike ʻia hoʻi ʻo dysmenorrhea), nā poʻo hina, a me ka palupalu o ka umauma.
• Hoʻoikaika kino mau: Hiki i ka hoʻoikaika kino ke hoʻomaikaʻi i kou ʻano. He mea maikaʻi inā hiki iā ʻoe ke hana i kahi mea āu e makemake ai, e like me ka hele wāwae, ka holo ʻana, a i ʻole ka hula ʻana, no ka liʻiliʻi he 30 mau minuke i ka lā.
• Nā mea hana hoʻokele koʻikoʻi: Hiki i nā hoʻomaʻamaʻa hanu hohonu a me ka noʻonoʻo ʻana ke kōkua iā ʻoe e hoʻokele i ke koʻikoʻi. He manawa iki kēia e maʻa ai, akā he pono ia.

Aia kekahi mau mea hiki iā ʻoe ke hana e mālama i ka PMDD me ka ʻole o ka lāʻau lapaʻau?

ʻAe, aia kekahi mau mea hiki iā ʻoe ke hoʻāʻo e hoʻokele i kāu mau hōʻailona PMDD me ka ʻole o ka lāʻau lapaʻau. Akā e hoʻomanaʻo, ʻaʻole hana kēia mau mea no nā mea āpau. He mea nui hoʻi e hahai i nā ʻōlelo a kāu kauka i ka wā e hana ai i kēia mau mea.

• Yoga a me ka Noʻonoʻo ʻana: Kōkua kēia i ka hōʻoluʻolu i kou noʻonoʻo a hoʻomaikaʻi i kou ʻano.
• Nā hoʻololi ʻana i ka meaʻai: E like me kā mākou i kūkākūkā ai ma mua, hiki i nā mea e like me ka hōʻemi ʻana i ka caffeine, ke kō, a me ka paʻakai, a me ka ʻai ʻana i nā huaʻai a me nā mea kanu ke kōkua. E ho'āʻo e ʻai i ka meaʻai kaulike.
• Nā hui kākoʻo: ʻO ke kamaʻilio ʻana me nā poʻe ʻē aʻe i loaʻa i ka PMDD a me ka kaʻana like ʻana i nā ʻike hiki ke lilo i kumu nui o ka ikaika noʻonoʻo. He mea maikaʻi nō hoʻi ka ʻike ʻaʻole ʻoe hoʻokahi.
• Hiamoe kūpono: E ho'āʻo e loaʻa i 7-8 mau hola o ka hiamoe maikaʻi i ka lā. Hiki i ka nele o ka hiamoe ke hoʻonui i kēia mau hōʻailona.

ʻO nā mea āu e hana ai, he mea naʻauao ke kūkākūkā i kēia mau koho lapaʻau me kāu kauka a koho i ka mea kūpono loa iā ʻoe.

He aha kāu e manaʻo ai inā loaʻa iā ʻoe ka PMDD?

ʻO ka mea maikaʻi loa , me ka mālama kūpono, hiki i ka hapa nui o ka poʻe me PMDD ke loaʻa ka hōʻoluʻolu mai ko lākou mau hōʻailona a ola i kahi ola hauʻoli . ʻO ia hoʻi, ʻaʻole pono ʻoe e ʻeha me ia i nā manawa a pau.

Hiki paha iā ʻoe ke loaʻa ke kōkua hou aku ma ke kamaʻilio ʻana me kahi loea olakino noʻonoʻo a i ʻole ke komo ʻana i kahi hui kākoʻo. No nā poʻe he nui, nalowale kēia mau hōʻailona ma hope o ka menopause.

Aia kekahi ala e pale aku ai i ka PMDD?

Inā loaʻa iā ʻoe ke kaumaha a hopohopo paha, ʻo ka mālama pono ʻana iā ia e hiki ke kōkua i ka pale ʻana i ka hoʻonui ʻia ʻana i kahi maʻi ʻoi aku ka koʻikoʻi i kapa ʻia ʻo PMDD.

Eia nō naʻe, no ka mea, pili ka PMDD i ke ʻano o ka hana ʻana o kāu mau hormones, ʻaʻole paha hiki ke pale loa iā ia . Eia nō naʻe, ʻaʻohe pono e hopohopo, no ka mea, aia kekahi lāʻau lapaʻau e loaʻa ana e kōkua. ʻO ka mea nui loa, ʻo ia ka ʻike ʻana i nā hōʻailona a ʻimi i ke kōkua inā loaʻa iā ʻoe.

I ka manawa hea ʻoe e ʻike ai i ke kauka inā kānalua ʻoe i ka PMDD?

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​pono ʻoe e ʻike koke i ke kauka :

• Hopohopo nui a me nā hoʻouka kaua panic.
• Manaʻo ua nalowale kou mana.
• Ke kaumaha nui a i ʻole nā ​​​​manaʻo pepehi kanaka.
• Nā manaʻo e hōʻeha iā ʻoe iho a i ʻole i kekahi poʻe ʻē aʻe.
• Ka huhū i kāohi ʻole ʻia.

He mau hōʻailona weliweli loa kēia. Mai hoʻowahāwahā iā lākou. E ʻimi koke i ke kōkua. He mea pono ke ola, a ʻaʻole pono ʻoe e hakakā hoʻokahi i kēia mau pilikia.

Nā nīnau koʻikoʻi e nīnau i kāu kauka e pili ana i ka PMDD

Inā loaʻa iā ʻoe ka PMDD, he mea nui loa e nīnau i kēia mau nīnau ke ʻike ʻoe i kāu kauka:

• No ke aha i loaʻa ai iaʻu ka PMDD? No kekahi mea kūikawā paha i loko o koʻu kino?
• He aha ka lāʻau lapaʻau maikaʻi loa noʻu?
• He aha nā hopena ʻaoʻao o kēia mau lāʻau lapaʻau? Pehea ka lōʻihi o ko lākou mau lāʻau?
• Pono anei au e hoʻololi i ke ʻano hana hoʻomalu hānau aʻu e hoʻohana nei?
• He aha nā hoʻololi o ke ʻano o ka nohona e hiki iaʻu ke hana e mālama ai i kēia mau hōʻailona?
• Aia anei au i ka pilikia o ke kaumaha nui a i ʻole ka pepehi kanaka iaʻu iho?
• He aha kaʻu e hana ai inā loaʻa iaʻu ke kaumaha nui a i ʻole nā ​​manaʻo e pepehi iā ia iho? ʻO wai kaʻu e kamaʻilio aku ai?
• Pono anei au e makaʻala i nā pilikia ʻē aʻe?

Ke ʻike ʻoe i nā pane i kēia mau nīnau, e ʻoi aku kou maopopo i kou kūlana a hiki iā ʻoe ke kākoʻo i kāu lāʻau lapaʻau. Mai makaʻu e kamaʻilio me kāu kauka e pili ana i nā mea āpau ma kou manaʻo.

He maʻi noʻonoʻo anei ka PMDD?

ʻAe, ua manaʻo ʻia ʻo PMDD he maʻi olakino noʻonoʻo . Ma ka Diagnostic and Statistical Manual of Mental Disorders (DSM-5), a nā kauka e hoʻohana ai e ʻike i nā maʻi noʻonoʻo, ua hoʻokomo ʻia ʻo PMDD i loko o ka māhele o 'ka maʻi kaumaha.' ʻO ke ʻano kēia, ʻaʻole ia he "maʻi naʻau" wale nō, akā he maʻi i ʻike ʻia e ka lāʻau lapaʻau.

He ʻāpana anei ʻo PMDD o ka maʻi bipolar?

ʻAʻole, ʻelua mau kūlana like ʻole ka PMDD a me ka maʻi bipolar . Eia nō naʻe, hiki ke like kekahi o nā hōʻailona o nā mea ʻelua . No ka laʻana, hiki i ka maʻi bipolar ke hoʻoulu i ka huhū, nā manaʻo o ka nalowale o ka mana, a me nā manaʻo pepehi kanaka i ka wā o kahi hanana kaumaha.

No laila, inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​he mea nui loa ia e ʻimi i ka ʻōlelo aʻoaʻo lapaʻau e hoʻoholo ai inā he PMDD, bipolar, a i ʻole kekahi mea ʻē aʻe. No ka mea, ʻokoʻa paha nā koho lapaʻau. ʻO ka hōʻoia pololei ka hana mua i ka lapaʻau holomua.

ʻO nā mea nui loa a mākou i aʻo ai mai kēia (Leka Lawe-Home)

He maʻi koʻikoʻi ka PMDD e hiki ke hoʻopilikia maikaʻi ʻole i kou ola, kou mau pilina, a me kāu hana. Hiki paha iā ʻoe ke manaʻo e hōʻeha iā ʻoe iho a i ʻole kekahi poʻe ʻē aʻe. Inā loaʻa iā ʻoe ke kaumaha mau, ka hopohopo, a i ʻole nā ​​​​hōʻailona PMDD ʻē aʻe i nā pule ma mua o kou wā, e ʻoluʻolu e ʻike i ke kauka.

Hiki i nā lāʻau lapaʻau ke kōkua iā ʻoe e manaʻo a nānā i kou ʻano maikaʻi loa ma o ka hoʻoponopono ʻana i kāu mau hormones a me nā pae serotonin. ʻAʻole ka PMDD kahi mea āu e noho mau ai me ia . Mai hoʻokaʻulua i ka loaʻa ʻana o ka mālama olakino a me ka noʻonoʻo āu e pono ai. ʻAʻole ʻoe hoʻokahi, aia ke kōkua! E hoʻomanaʻo, ʻo ke kamaʻilio ʻana e pili ana i ia mea ʻaʻole ia he nāwaliwali, he ikaika ia.

PMDD , PMS, menstruation, hormones, olakino noʻonoʻo, kaumaha, olakino wahine