Yu de gɛt kramp bak we yu nɔ go ebul fɔ bia bifo yu gɛt mɔnt? Yu tink se i kin bi PMDD?

Yu kin fil bak se yu nɔr kin fil fayn ɛn nɔr kin fil fayn na yu bɔdi fɔ wan ɔ tu wik bifo yu prɛgnɛshɔn bigin? Sɔntɛm yu gɛt ed we de at, yu bɛlɛ de at, yu bɔdi de at, ɛn ɔda tin dɛn lɛk dat, wit bɔku bɔku tin dɛn we de at, vɛks, ɛn sɔri? Bɔrku pipul kin gɛt dis kayn (PMS) ɔr prɛmenstrual syndrome. Bɔt sɔntɛnde dis sik kin tranga pasmak. Na dat wi kin kɔl (PMDD) ɔ (Premenstrual Dysphoric Disorder) . Lɛ wi tɔk bɔt dis ditayli tide, bikɔs dis na sɔntin we de afɛkt mɔ pipul dɛn pas aw yu tink.

Wetin na PMDD? Yu tink se i rili difrɛn frɔm PMS?

Fɔ tɔk am simpul wan, yu go dɔn yɛri bɔt PMS, ɔ Premenstrual Syndrome. Bɔrku uman dɛn kin gɛt sɔm diskɔmfɔt sɔm dez bifo dɛn prɛgnɛshɔn. Tin dɛm lɛk fɔ blo, ed we de at, ɛn we yu bɔdi de swɛt. Dis na nɔmal tin.

Bɔt (PMDD) ɔ (Premenstrual Dysphoric Disorder) na wan rili siriɔs ɛn siriɔs kes fɔ dis (PMS) kɔndishɔn. Fɔ tɔk tru, pɔrsin wae gɛt (PMDD) kin gɛt sɔm kayn saykilɔjik sayn dɛm lɛk wae pɔrsin nɔr kin ebul fɔ bia, wae i kin wɔri pasmak, ɔr kin gɛt siriɔs pwɛl hat wit de nɔrmal (PMS) sayn dɛm. Dɛn sayn ya kin stɔp insay sɔm dez afta we uman bigin fɔ gɛt mɔnt. Bɔt insay di de dɛn we de kam, dis kin so bad dat i kin rili afɛkt di tin dɛn we yu de du ɛvride, di padi biznɛs we yu gɛt wit yu famili, ɛn di wok we yu de du .

Imajin, yu gɛt padi, lɛ wi se in nem na Sanduni. Sanduni na pɔsin we kin rili gladi ɛn we kin tɔk bɔku tin. Bɔt ɛvri mɔnt, wan ɔ tu wik bifo in prɛgnɛshɔn, i kin chenj bɔku. I kin vɛks pan di smɔl smɔl tin dɛn, i kin fɛt wit ɔlman, ɛn sɔntɛnde i kin jɔs de na in rum ɛn kray. I nɔ ebul fɔ no wetin mek dis de apin. I nɔ kin ivin ebul fɔ wok fayn na wokples. Na dat PMDD bi. Dis na bɔku tin pas jɔs ‘mud swing’.

Naw dɛn se lɛk 10% pan di uman dɛn we kin gɛt mɔnt kin gɛt PMDD. Dat min se na lɛk wan pan ɛvri tɛn uman dɛn kin gɛt dis sik.

Yu no wetin kin mek yu gɛt PMDD?

Infakt, dɔktɔ dɛn stil nɔ dɔn fɛn ɛni patikyula rizin we mek sɔm pipul dɛn kin gɛt PMDD. Bɔt bɔku tin dɛn de we dɛn tink se kin mek i apin.

Di men tin we dɛn kin tink se na bɔt di chenj dɛn we de apin na di ɔmon dɛn . Yu no se uman dɛn gɛt tu kayn ɔmon dɛn na dɛn bɔdi we dɛn kɔl ɛstrojen ɛn prɔjɛstɛron. dis dεm de inkrεs εn dכn wit di mכnt mεnstral saykl. dεn tink se di dכn we dεn כmon lεvεl dεm ya de dכn afta di ovuleshכn εn di tεm bifo di mεnstral kin bi wan rizin fכ di simptom dεm fכ PMDD. Dis min se sɔm pipul dɛn bɔdi kin riak smɔl mɔ pan dɛn ɔmon chenj ya.

Wan ɔda tin na wan kemikal we dɛn kɔl Serotonin . Dis na wan kemikal tin (nyurotransmita) we de na wi bren . Dis sɛrotonin de ɛp fɔ kɔntrol bɔku tin lɛk wi maynd, angri, ɛn slip. I sɔprayz fɔ no se dis sɛrotonin lɛvɛl kin chenj bak wit wi mɔnt saykl. So, chenj na di sεrotonin lεvεl kin mek bak PMDD simptom dεm. Sɔntɛm dɛn kin fil dɛn diskɔmfɔt ya mɔ we di sɛrotonin lɛvɛl smɔl.

Udat de pan ay risk fɔ gɛt PMDD?

Sɔm pipul dɛn kin gɛt PMDD pas ɔda pipul dɛn. If yu gɛt ɛni wan pan dɛn tin ya, i go fayn fɔ mek yu de wach:

• If yu dɔn ɔlrɛdi gɛt wɔri ɔ pwɛl at .
• If yu gɛt siriɔs PMS simptom.
• If pɔrsin na yu famili (lɛk yu mama ɔr sista) dɔn gɛt PMS, PMDD, ɔr ɔda kayn pwɛl hat sik , chans de fɔ mek dɛn gɛt dis sik.
• If yu dɔn gɛt siriɔs trauma, abiuz, ɔr ɔda tin dɛn we kin mek yu strɛs na yu layf.

Dis nɔr min se ɔlman wae gɛt dɛn tin ya go gɛt PMDD, bɔt e min se de risk kin bɔrku smɔl.

Wetin na di sayn dɛm fɔ PMDD? Si if yu gɛt dɛn tin ya bak

Di sayn dɛm fɔ PMDD kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. Jɛnɛral wan, dɛn sayn ya kin apin lɛk wan ɔ tu wik bifo yu prɛgnɛshɔn bigin. Dɔn dɛn kin stɔp insay sɔm dez afta yu prɛgnɛshɔn bigin. Apat frɔm di ɔspitul PMS simptom dɛm lɛk bɛlɛ kramp ɛn blo, PMDD kin mek dɛn simptom ya bak:

• Fɔ vɛks ɔ fɔ vɛks. Yu kin fil vɛks ɛn bɔm pan smɔl tin dɛn.
• Filin pan ed, ɔvawɛl ɔ tɛnsi ɔltɛm.
• Panik atak na wae yu de wɔri pasmak ɛn yu at de bit. Yu kin fil fred wantɛm wantɛm fɔ natin ɛn i nɔ kin izi fɔ yu fɔ blo.
• Bɔrku pwɛl hat sik ɛn ivin tink bɔt fɔ kil insɛf kin kam. Dis na sayn we rili denja, so if yu fil lɛk dis, yu fɔ go to ɛp wantɛm wantɛm.
• I nɔ kin izi fɔ mek yu pe atɛnshɔn to yu. Yu nɔ ebul fɔ du yu wok fayn, ɔltin de fil chaotic.
• I kin taya ɔltɛm ɛn i nɔ kin gɛt bɔku ɛnaji.
• Sɔm it dɛn kin mek pɔsin want fɔ it, it pasmak, ɔ chenj di we aw i want fɔ it .
• Ɛd we de at.
• Nɔ ebul slip.
• Di we aw pɔsin de fil kin chenj. Yu kin fil fayn wan tɛm, dɔn yu kin fil bad ɔ vɛks di nɛks tɛm. I tan lɛk se yu de rayd rɔla kɔsta.

Sɔm pipul dɛn kin gɛt dɛn kayn sayn ya (PMDD) te dɛn dɔn lɛf fɔ gɛt bɛlɛ . Dat min se dɛn fɔ sɔfa lɛk dis fɔ lɔng lɔng tɛm. Imajin aw i at fɔ du dat.

Wetin na di prɔblɛm dɛn we kin apin we pɔsin gɛt PMDD?

If dɛn nɔ trit PMDD fayn, i kin mek pɔsin gɛt tin dɛn lɛk pwɛl hat . Sɔntɛnde, i kin ivin mek pɔsin kil insɛf . Bikɔs ɔf dis, PMDD nɔto sɔntin fɔ tek am layt.

Dis sik kin mek yu gɛt siriɔs strɛs na yu maynd ɛn i kin afɛkt yu padi biznɛs wit yu fambul, padi, ɛn woke bad bad wan . Imajin aw i nɔ kin izi fɔ mek yu gɛt wanwɔd wit ɔda pipul dɛn we yu de vɛks ɛn sɔri ɔltɛm.

Impɔtant: If yu de tink bɔt fɔ kil yusɛf, duya nɔ go yu wan. Tɔk to pɔsin we yu trɔst wantɛm wantɛm, ɔ go to dɔktɔ fɔ advays. Fɔn nɔmba dɛn de na Sri Lanka lɛk di Nashɔnal Mental Ɛlth Ɛplayn 1926 usay yu kin gɛt ɛp.

Aw yu go no fɔ tru if yu gɛt PMDD? (Diagnosis) .

If yu tink se yu gɛt PMDD, di fɔs tin fɔ du na fɔ go to dɔktɔ . Di dɔktɔ go aks yu bɔt yu mɛdikal histri ɛn tek tɛm luk pan yu sik dɛn.

Dɛn kin aks yu fɔ trak yu sik fɔ wan ɔ tu mɔnt saykl . Dis min se yu go nid fɔ kip wan dayari fɔ no us kayn sik yu kin gɛt, us tɛm pan di mɔnt dɛn kin apin, ɛn aw dɛn kin tranga. Dis go ɛp yu dɔktɔ fɔ no klia wan bɔt yu sik.

Fɔ no if yu gɛt PMDD, dɔktɔ go luk fɔ at le fayv PMDD sayn dɛn . At ɔl wan pan dɛn fɔ bi sayn we gɛt fɔ du wit di we aw pɔsin de fil . Dat min se di vɛks, sɔri-at, ɛn wɔri we wi bin dɔn tɔk bɔt.

Di dɔktɔ go chɛk bak fɔ si if yu gɛt PMDD, ɔda mental sik lɛk wɔri, pwɛl hat, ɔ ɔda sik we de mek yu bɔn pikin . Bikɔs dɛn kin si dɛn sayn ya bak pan ɔda sik dɛn, i impɔtant fɔ no ustɛm i bi.

Wetin na di tritmɛnt dɛm fɔ PMDD? Lɛ wi tɔk bɔt dis.

Bɔrku tritmɛnt dɛn de wae kin ɛp fɔ ridyus de pwɛl hat wae yu kin gɛt bikɔs ɔf PMDD. Yu dɔktɔ kin tɛl yu wan ɔ mɔ pan dɛn tin ya. I go mɔs bi se dɛn tin ya go mek yu fil fri.

• Di mɛrɛsin dɛn we de mek pɔsin nɔ fil bad:Fɔ dɛn mɛrɛsin ya, di mɛrɛsin dɛn we dɛn kin gi mɔ na SSRI, ɔ Selective Serotonin Reuptake Inhibitors. Dɛn tin ya de wok bay we dɛn de kɔntrol di lɛvɛl dɛn we di sɛrotonin de na yu bren. Sɔm ɛgzampul dɛn na Sɛtralin, Fluoxetine, ɛn Paroxetine HCI. Bifo yu yuz dɛn mɛrɛsin ya, tɔk to yu dɔktɔ fɔ no if dɛn fayn fɔ yu ɛn wetin de apin to yu.
• Ɔmon bɔn kɔntrol pils: Dɛn dɔn si se sɔm bɔn kɔntrol pils, mɔ di wan dɛn we gɛt ɔmon (Drospirenone) ɛn (Ethinyl estradiol), kin ɛp fɔ kɔntrol di sayn dɛn we de sho se pɔsin gɛt PMDD. Dɛn fɔ yuz dɛn tin ya bak lɛk aw dɔktɔ tɛl dɛn.
• Di chenj we yu de it: If yu nɔ it sɔm it dɛn ɛn drink dɛn we gɛt kafinɛ (lɛk ti ɛn kɔfi) i go ɛp fɔ mek yu nɔ gɛt di sik. Vitamin dεm lεk vaytam in B-6 εn magnεsium kin εp bak. Aks yu dɔktɔ bɔt dis bak.
• Di mɛrɛsin dɛn we yu kin bay fɔ pen: Yu kin yuz mɛrɛsin fɔ mek yu nɔ gɛt pen na yu bɔdi lɛk we yu de gɛt kramp we yu de gɛt mɔnt (dɛn kin kɔl am bak dismɛnɔria), ed we kin at, ɛn we yu bɔdi kin at.
• Ɛksesaiz ɔltɛm: We yu de du ɛksasaiz, dat kin mek yu fil fayn. I fayn if yu ebul fɔ du sɔntin we yu lɛk, lɛk fɔ waka, rɔn, ɔ dans, fɔ at le 30 minit ɛvride.
• Di tin dɛm wae yu kin du fɔ mɛn yu strɛs: Fɔ du ɛksɛsayz fɔ blo dip ɛn fɔ tink gud wan kin ɛp yu fɔ kɔntrol yu strɛs. Dɛn tin ya kin tek sɔm tɛm fɔ mek yu yus to dɛn, bɔt dɛn kin wok fayn.

Tin dɛn de we yu kin du fɔ mɛn PMDD we yu nɔ gɛt mɛrɛsin?

Yɛs, tin dɛn de we yu kin tray fɔ kɔntrol yu PMDD simptom dɛn we yu nɔ tek mɛrɛsin. Bɔt mɛmba se dɛn tin ya nɔ de wok fɔ ɔlman. I impɔtant bak fɔ fala yu dɔktɔ in instrɔkshɔn dɛn we yu de du dɛn tin ya.

• Yoga ɛn Meditashɔn: Dɛn tin ya kin ɛp fɔ mek yu maynd kol ɛn fɔ mek yu fil fayn.
• Di chenj we yu de it: As wi bin dɔn tɔk bifo tɛm, tin dɛn lɛk fɔ stɔp fɔ it kafin, shuga, ɛn sɔl, ɛn fɔ it mɔ frut ɛn vɛjitebul dɛn kin ɛp. Tray fɔ it tin dɛn we gɛt balans.
• Sɔpɔt grup dɛm: Fɔ tɔk to ɔda pipul dɛm wae gɛt PMDD ɛn fɔ sheb ɛkspiriɛns kin bi big sɔs fɔ mek yu maynd gɛt trɛnk. I fayn bak fɔ no se nɔto yu wan de.
• Slip fayn: Tray fɔ slip fayn fɔ 7-8 awa ɛvride. If yu nɔ slip, dat kin mek dɛn sik ya wɔs bak.

Ilɛk wetin yu du, i go fayn fɔ mek yu tɔk to yu dɔktɔ bɔt ɔl dɛn tritmɛnt ya ɛn pik di wan we go fayn fɔ yu.

Wetin fɔ ɛkspɛkt if yu gɛt PMDD?

Di bɛst pat na dat if dɛn gi di rayt tritmɛnt, bɔku pipul dɛn we gɛt PMDD kin gɛt fridɔm frɔm dɛn sik ɛn liv gladi at . Dat min se yu nɔ nid fɔ sɔfa wit am ɔltɛm.

Yu kin fɛn ɔda ɛp bak bay wae yu tɔk to pɔrsin wae sabi bɔt mɛntɛl hεlth ɔr yu jɔyn sɔpɔt grup. Fɔ bɔku pipul dɛn, dɛn sik ya kin go afta dɛn dɔn lɛf fɔ gɛt bɛlɛ.

Wan we de fɔ mek yu nɔ gɛt PMDD?

If yu dɔn ɔlrɛdi gɛt pwɛl hat ɔr wɔri, fɔ gɛt tritmɛnt fɔ am fayn fayn wan kin ɛp fɔ mek i nɔr wɔs to wan mɔr siriɔs sik wae dɛn kɔl PMDD.

Bɔt bikɔs PMDD gɛt fɔ du wit di we aw yu ɔmon dɛn de wok, i nɔ go pɔsibul fɔ mek yu nɔ gɛt am kpatakpata . Bɔt nɔr nid fɔ wɔri, bikɔs tritmɛnt de fɔ ɛp. De tin wae impɔtant pas ɔl na fɔ no de sik ɛn aks fɔ ɛp if yu gɛt am.

Ustɛm yu fɔ go to dɔktɔ if yu sɔprayz se yu gɛt PMDD?

If yu gɛt wan ɔ mɔ pan dɛn sik ya, yu fɔ rili go to dɔktɔ wantɛm wantɛm :

• Fɔ wɔri pasmak ɛn fɔ panik atak.
• Fɔ fil lɛk se yu dɔn lɔs kɔntrol.
• Bɔrku pwɛl hat ɔr kin tink bɔt fɔ kil insɛf.
• Tin fɔ tink bɔt fɔ du bad to yusɛf ɔ ɔda pipul dɛn.
• Fɔ vɛks we yu nɔ ebul fɔ kɔntrol.

Dɛn tin ya na sayn dɛn we rili denja. Duya una nɔ ignore dɛn. Luk fɔ ɛp wantɛm wantɛm. Layf fayn fɔ liv, ɛn yu nɔ nid fɔ fɛt dɛn prɔblɛm dɛn ya yu wan.

Impɔtant kwɛstyɔn dɛn fɔ aks yu dɔktɔ bɔt PMDD

If yu gɛt PMDD, i rili impɔtant fɔ aks dɛn kwɛstyɔn ya we yu go si yu dɔktɔ:

• Wetin mek a gɛt PMDD? Na bikɔs ɔf sɔntin we spɛshal na mi bɔdi?
• Wetin na di bɛst tritmɛnt fɔ mi?
• Wetin na di bad tin dɛn we dɛn tritmɛnt ya kin du? Aw lɔng dɛn kin las?
• A fɔ chenj di we aw a de yuz fɔ kɔntrol bɔn pikin naw?
• Us chenj dɛn we a kin mek na layf fɔ kɔntrol dɛn sik ya?
• A de pan denja fɔ gɛt big pwɛl at ɔ fɔ kil misɛf?
• Wetin a fɔ du if a de fil bad bad wan ɔ a de tink bɔt fɔ kil misɛf? Udat a fɔ tɔk to?
• A fɔ no bɔt ɛni ɔda prɔblɛm we kin apin?

Wae yu dɔn no de ansa to dɛn kwɛstyɔn ya, yu go ɔndastand yu sik fayn fayn wan ɛn yu go ebul fɔ sɔpɔt yu tritmɛnt. Nɔr frayd fɔ tɔk to yu dɔktɔ bɔt ɔltin wae de na yu maynd.

PMDD na mental sik?

Yɛs, dɛn kin tek PMDD as mental wɛlbɔdi kɔndishɔn . Insay di Diagnostic and Statistical Manual of Mental Disorders (DSM-5), we dɔktɔ dɛn kin yuz fɔ no if pɔsin gɛt maynd sik, dɛn put PMDD insay di kategori we dɛn kɔl ‘dipreshɔn disɔda.’ Dis min se i nɔr jɔs bi "mood disorder," bɔt na wan sik wae dɔktɔ no bɔt.

Yu tink se PMDD na pat pan di sik we dɛn kɔl bipolar disorder?

Nɔ, PMDD ɛn bipola muud disɔda na tu difrɛn tin dɛn. Bɔt sɔm pan di sayn dɛm fɔ dɛn tu kin fiba . Fɔ ɛgzampul, bipola muud disɔda kin mek bak yu vɛks, fil lɛk yu nɔr ebul fɔ kɔntrol yusɛf, ɛn yu kin tink bɔt fɔ kil insɛf wae pɔrsin gɛt pwɛl hat sik.

So, if yu gɛt dɛn kayn sik ya, i rili impɔtant fɔ go to dɔktɔ fɔ no if na PMDD, bipola, ɔ ɔda tin. Bikɔs di tritmɛnt we dɛn kin pik kin difrɛn. Fɔ no di sik kɔrɛkt wan na di fɔs tin we yu fɔ du fɔ mek yu gɛt di tritmɛnt fayn fayn wan.

Di impɔtant tin dɛn we wi lan frɔm dis (Take-Home Message) .

PMDD na siriɔs sik wae kin afɛkt yu layf, yu rilayshɔnship, ɛn ivin yu woke bad bad wan . Yu kin ivin fil fɔ du bad to yusɛf ɔ ɔda pipul dɛn. If yu gɛt pwɛl hat ɔltɛm, wɔri, ɔr ɔda PMDD simptom dɛm insay di wik dɛm bifo yu prɛgnɛshɔn, duya go to dɔktɔ.

Mεdikeshכn kin εp yu fכ fil εn luk yu bεst bay we yu de rεgul yu כmon εn sεrotonin lεvεl. PMDD nɔto sɔntin we yu fɔ liv wit sote go. Nɔr delay fɔ gɛt de mɛdikal ɛn mɛntɛl hεlth kia wae yu nid. Nɔto yu wan de, ɛp de! Mɛmba se fɔ tɔk bɔt am nɔto wikɛd tin, na trɛnk.

` PMDD, PMS, mεnstral, כmon, mental hεlth, pwεl hat, uman dεm hεlth