Pre-menstrual cramps tuar theih loh i nei bawk em? PMDD a ni thei ang em?

I period tan hma kar khat emaw kar hnih emaw chhung chu i taksaah hian i rilru a nuam lo hle a, i hlim lo hle bawk em? Lu na, pum na, hnute na leh chutiang thil dang, chubakah rit lutuk, thinrim leh lungngaihna tam tak i nei mai thei em? Mi tam tak chuan hetiang (PMS) emaw, premenstrual syndrome emaw hi an nei thin. Mahse a chang chuan he dinhmun hi a na zawk thei hle. Chu chu (PMDD) emaw (Premenstrual Dysphoric Disorder) emaw kan tih chu a ni. Vawiin hian he thu hi chipchiar takin sawi ila, a chhan chu hei hi i ngaihtuah aiin mi tam zawk nghawngtu thil a nih vang a ni.

PMDD chu eng nge ni? PMS nen hian a danglam chiah em?

A awlsam zawngin PMS, a nih loh leh Premenstrual Syndrome tih hi i hre tawh ngei ang. Hmeichhe tam tak chuan an period hma ni engemaw zat hnuah harsatna engemaw zat an nei thin. Thil puar chhuak, lu na, leh hnute hrual ang chi te. Hei hi thil pangngai a ni.

Mahse (PMDD) emaw (Premenstrual Dysphoric Disorder) hi he (PMS) natna hi a na hle a, a na hle bawk . A dik tak chuan (PMDD) vei chuan rilru lam natna lan chhuah dan pangngai (PMS) nen hian thinrimna tuar theih loh, lungkham lutuk, emaw, lungngaihna nasa tak emaw a nei a ni. Heng symptoms te hi thlasik tan atanga ni engemaw zat chhungin a reh tlangpui. Mahse, ni lo la awm tûrah chuan hei hi a nasat êm êm thei a , ni tin thiltih te, chhûngte nêna inlaichînna te, leh hnathawhna kawngah te nghawng lian tak a nei thei a ni .

Ngaihtuah teh, ṭhian i nei a, a hming chu Sanduni ti ila. Sanduni hi a tlangpuiin mi hlim leh tawngkam mawi tak a ni. Mahse thla tin, a period hma kar khat emaw kar hnih emaw chhung chu a inthlak nasa hle. Thil tenawm ber ber ah a thinrim a, mi zawng zawng nen an insual a, a chang chuan a room-ah a awm reng a, a tap mai thin. Engvangin nge hetiang thil hi a awm tih a hre thei lo. Hnathawh hmunah pawh a function tha thei lo. Chu chu PMDD chu a ni. Hei hi ‘mood swing’ mai ni lovin a tam zawk.

Tunah hian hmeichhe thlasik nei zinga 10% vel chuan PMDD an vei nia chhut a ni. Chu chu hmeichhe sawm zinga pakhat velin he natna hi an nei thei tihna a ni.

PMDD hi eng nge a thlen tih i hria em?

Dik tak chuan doctor-te chuan mi thenkhatin PMDD an vei chhan chiang tak an la hmu lo . Mahse thil engemaw zat a awm nia ngaih a ni.

Ringhlelna ber chu hormone inthlak danglamna chungchang a ni . I hria em, hmeichhiate hian an taksaah hormone chi hnih an nei a, chu chu estrogen leh progesterone an ti a. Chungte chu thla tin thlasik hun kal zelah an pung a, an tlahniam bawk. Ovulation hnu leh thlasik hma hun chhunga heng hormone level tlahniam hi PMDD symptoms awm chhan pakhat a ni thei niin an ngai. Chumi awmzia chu mi thenkhat taksa hian heng hormone inthlak danglamna hi tlem a chak zawkin a chhang let thei tihna a ni.

Thil dang pakhat chu chemical Serotonin an tih hi a ni . Hei hi kan thluaka chemical substance (neurotransmitter) a ni . He serotonin hian kan rilru put hmang, riltam, leh mut ang chi thil tam tak a thunun thei a ni. Mak tak maiin he serotonin level pawh hi thla tin kan thlasik hun chhung hian a danglam thin. Chuvangin, serotonin level inthlak danglamna hian PMDD symptoms a thlen thei bawk. Heng harsatnate hi serotonin level a hniam chuan a hriat tam zawk mai thei.

Tute nge PMDD vei theihna chance sang zawk?

Mi thenkhat chu midang aiin PMDD vei an tam zawk. A hnuaia mi hi i neih chuan fimkhur a tha hle ang:

• Lungkhamna emaw lungngaihna emaw i neih tawh chuan .
• PMS symptoms na tak i neih chuan.
• I chhungkuaa mi (i nu emaw, i unaunu emaw ang chi) hian PMS, PMDD, emaw mood disorder dang emaw a nei tawh a nih chuan, hengte hi rochun theih a nih theihna chance a awm.
• I nunah hian trauma na tak, tihduhdahna, emaw, thil dang lungchhiatthlak tak tak i tawk tawh a nih chuan .

Hetiang thil nei zawng zawng hian PMDD an nei vek dawn tihna a ni lo va, a hlauhawmna chu tlem a sang zawk tihna a ni.

PMDD natna lan chhuahna chu engte nge ni? Hengte pawh hi i nei em tih en rawh

PMDD natna lan chhuah dan hi mi hrang hrangah a inang lo thei. A tlangpuiin heng symptoms te hi i period tan hma kar khat emaw kar hnih emaw velin a lang thin . Chumi hnuah chuan i period tan atanga ni engemaw zat chhungin an reh leh thin. PMS symptoms pangngai, pum na leh pum na bakah hian PMDD hian a hnuaia symptoms te hi a thlen thei bawk:

• Thinrimna emaw, thinrimna emaw. Thil tenawm tak tak avang hian thinrim leh puak thei i ni mai thei.
• Edge-a awm, overwhelmed emaw tense emaw a awm reng thin.
• Panic attack hi lungkhamna nasa tak leh thinlung natna a ni. Chhan awm lovin hlauhna i nei nghal mai thei a, thawk harsa i ti thei bawk.
• Depression na tak leh mahni intihhlum tumna pawh a awm thei. Hei hi symptom hlauhawm tak a nih avangin hetiang hian i inhriat chuan tanpuina i zawng nghal tur a ni.
• Thil ngaihtuah harsa tak a ni. I hna i thawk tha thei lo a, engkim a buai hmel hle.
• Chauhna leh chakna tlahniam reng.
• Chaw ṭhenkhat chuan ei duhna, ei tam lutuk, a nih loh leh ei duhna a tidanglam thei a ni .
• Lu na.
• Mu thei lo.
• Mood a inthlak danglam thin. Vawi khat chu i rilru a hahdam a, a dawt lehah chuan i lungngai emaw, i thinrim emaw pawh a ni thei. Roller coaster-a chuang ang mai a ni.

Mi thenkhat chuan heng (PMDD) symptoms te hi menopause thlengin an nei thei . Chumi awmzia chu hetiang hian kum tam tak an tuar a ngai tihna a ni. Chu chu a harsatzia han ngaihtuah teh.

PMDD vang hian eng harsatna nge thleng thei?

PMDD hi enkawl tha a nih loh chuan depression ang chi dinhmun a thlen thei a ni . Thil na tak ṭhenkhatah chuan mahni intihhlumna pawh a thlen thei . Chumi avang chuan PMDD hi ngaihthah tur a ni lo.

Hetiang dinhmun hian rilru hahna nasa tak a thlen thei a, chhungte, ṭhiante, leh hnathawhna hmunte nêna in inlaichînna pawh a tichhe thei a ni . Thinrim leh lungngai reng reng chunga mi dangte nena inrem a harsat zia han ngaihtuah teh.

Pawimawh: Mahni intihhlum tumna i neih chuan nangmah chauhin kal suh. I rintlak mi biak nghal la, a nih loh leh damdawi lam thurawn zawng rawh. Sri Lanka ramah hian National Mental Health Helpline 1926 ang chi phone number a awm a, chutah chuan tanpuina i dawng thei a ni.

Engtin nge PMDD i vei tih chiang taka i hriat theih ang? (Diagnosis) tih a ni.

PMDD i vei nia i ngaih chuan doctor pan hmasak phawt tur a ni . Doctor chuan i medical history a zawt ang che a, i symptoms te chu ngun takin a en ang che.

Menstrual cycle vawi khat emaw pahnih emaw chhung chu i symptoms te track turin an ti thei che a ni . Hei hian eng symptom nge i neih tih te, thla khat chhunga engtik lai nge a lo awm tih te, engtiang chiahin nge a nasat tih te diary i ziah a ngai dawn tihna a ni. Hei hian i doctor-in i dinhmun chiang zawka a hriat theih nan a pui ang.

PMDD hriat theih nan doctor chuan PMDD symptom panga tal a en ang . Chumi zinga pakhat tal chu mood-related symptom a ni tur a ni . Chu chu a hmaa kan sawi thin thinrimna te, lungngaihna te, lungkhamna te kha a ni.

Doctor chuan PMDD, rilru lam natna dang, lungkhamna, lungngaihna, emaw, naupai lama harsatna dang emaw i neih leh neih loh a enfiah bawk ang . Heng symptoms te hi natna dangah pawh hmuh theih a nih avangin eng nge a nih chiang taka hriat a pawimawh hle.

PMDD enkawl dan tur chu engte nge ni? Hemi chungchang hi han sawi ila.

PMDD avanga harsatna i tawh thin tihziaawmna tur enkawlna engemaw zat a awm. I doctor chuan heng zinga pakhat emaw, a aia tam emaw a rawt thei ang. Chûngte chuan thlamuanna a pe che a rinawm.

• Lungngaihna dona damdawi: 1.1.Chung zingah chuan damdawi an pek tam ber chu SSRI, emaw Selective Serotonin Reuptake Inhibitors te an ni. Hengte hian i thluaka serotonin level control-in hna an thawk a ni. Entirnan, Sertraline, Fluoxetine, leh Paroxetine HCI te hi a ni. Heng damdawi te hi i hman hmain i doctor nen inbia la, i tan a tha em tih leh a side effects te chu hriat chian hmasa phawt ang che.
• Hormonal birth control pills: Naupai venna pill thenkhat, a bik takin hormone (Drospirenone) leh (Ethinyl estradiol) te hian PMDD symptoms control nan a pui tih hmuhchhuah a ni. Hengte pawh hi Doctor-in a tih angin hman tur a ni.
• Ei leh in thlak danglam: Chaw thenkhat leh caffeine awmna in tur (tea leh coffee ang chi) i ei tlem hian natna lan chhuahna a tiziaawm thei a ni. Vitamin B-6 leh magnesium te pawh hian a pui thei bawk. Hemi chungchang pawh hi i doctor zawt la.
• Over-the-counter pain medications: Taksa lama harsatna, menstrual cramps (dysmenorrhea tia hriat bawk), lu na, leh hnute natna te tihziaawm nan over-the-counter pain medication i hmang thei.
• Exercise neih fo: Exercise hian i mood a ti tha thei hle. I duhzawng thil, kea kal, tlan, emaw zai emaw, ni khatah minute 30 tal i tih theih chuan a ropui hle.
• Stress management hmanrua: Thlarau thuk taka exercise leh meditation hian stress control nan a pui thei che a ni. Chûngte chu kan hman thiam theih nân hun engemaw chen a ngai a, mahse a hlawhtling hle.

Damdawi tel lova PMDD enkawl dan tur i tih theih a awm em?

Ni e, damdawi tel lovin i PMDD symptoms te hi i enkawl tum theih tur thil a awm. Mahse, hengte hi mi zawng zawng tan a thawk vek lo tih hre reng ang che. Heng thil tih dawn hian doctor thupek zawm a pawimawh bawk.

• Yoga leh Meditation: Hengte hian i rilru a ti thlamuang a, i rilru a tichak bawk.
• Ei leh in inthlak danglamna: Kan sawi tawh ang khan caffeine, sugar leh chi ei tlem te, thei leh thlai ei tam te ang chi thilte hian a pui thei a ni. Ei leh in inthlau tak ei tum ang che.
• Support groups: PMDD vei midangte nena inbiakna leh thil tawn inhrilhhriatna hi rilru chakna nasa tak a ni thei. Nangmah chauh i ni lo tih hriat pawh a ropui hle.
• Mut tling: Ni khatah darkar 7-8 vel mut that tum ang che. Mut tlakchhamna hian heng symptoms te hi a ti na zual thei bawk.

Eng pawh ti la, heng enkawlna kawng zawng zawng hi i doctor nen sawiho a, i tana tha ber tur i thlan chu a finthlak hle.

PMDD i neih chuan eng nge beisei tur?

A tha ber chu enkawlna dik tak pek a nih chuan PMDD vei tam zawk chuan an natna lan chhuah dan atanga hahdamna an hmu thei a, nun hlim zawk an hmang thei a ni . Chu chu i tuar reng a ngai lo tihna a ni.

Mental health specialist nena inbiakna emaw, support group-a tel emaw hmangin tanpuina dang i hmu thei bawk. Mi tam tak tan chuan heng symptoms te hi menopause hnuah a bo thin.

PMDD laka inven dan tur a awm em?

Depression emaw, lungkhamna emaw i neih tawh chuan, a enkawl dan dik chuan PMDD tih hming pu natna khirh zawka a zual loh nan a pui thei a ni.

Mahse, PMDD hi i hormone-te hnathawh dan nen a inzawm tlat avangin, chu chu ven kim theih a ni lo mai thei . Amaherawhchu, tanpui thei tur enkawlna a awm avangin lungngai a ngai lo. A pawimawh ber chu a natna lan chhuah dan hriat chian a, i neih chuan tanpuina zawng hi a ni.

PMDD i rinhlelh chuan engtikah nge doctor i hmuh ang?

Heng symptoms pakhat emaw a aia tam emaw i neih chuan doctor pan nghal tur a ni :

• Lungkhamna nasa tak leh panic attack.
• Thunun theih loh ang maia inhriatna.
• Depression na tak emaw, mahni intihhlum tumna emaw.
• Mahni emaw, midang emaw tihnat tumna.
• Thinrimna thunun theih loh.

Hengte hi symptom hlauhawm tak tak a ni. Khawngaihin ngaihthah suh u. Ṭanpuina zawng nghal rawh. Nun hi nun tlak a ni a, heng harsatnate hi nangmah chauhin i do a ngai lo.

PMDD chungchanga doctor zawh tur zawhna pawimawh

PMDD i neih chuan doctor i hmuh hunah heng zawhnate hi zawh a pawimawh hle:

• Engvangin nge PMDD ka neih? Ka taksaah thil danglam bik a awm vang em ni?
• Ka tan enge inenkawlna tha ber?
• Heng enkawlnate hian eng side effect nge a neih? Eng chen nge an awm?
• Tuna ka hman mek birth control method hi ka thlak tur em ni?
• Heng symptoms te hi enkawl turin eng nunphung tihdanglam nge ka tih theih ang?
• Major depression emaw, mahni intihhlum emaw hlauhawmna ka nei em?
• Depression na tak emaw, mahni intihhlum duhna emaw ka neih chuan eng nge ka tih ang? Tute nge ka biak ang?
• Complication dang ka hriat tur em ni?

Heng zawhnate chhanna i hriat hnu chuan i dinhmun hi i hrethiam zawk ang a, i enkawlna pawh i thlawp thei tawh ang. I rilrua thil awm zawng zawng chu i doctor hnenah sawipui hlau suh.

PMDD hi rilru lam natna a ni em?

Ni e, PMDD hi rilru lam hriselna dinhmun anga ngaih a ni . Doctor-te’n rilru lam natna an hriat theihna tura an hman Diagnostic and Statistical Manual of Mental Disorders (DSM-5)-ah chuan PMDD hi ‘depressive disorder’ category-ah telh a ni. Hei hian "mood disorder" mai ni lovin, damdawi lama hriat hlawh tak a ni tihna a ni.

PMDD hi bipolar disorder-ah hian a tel ve em?

Ni lo, PMDD leh bipolar disorder hi natna hrang hrang pahnih a ni. Mahse, an pahnih chhinchhiahna ṭhenkhat chu a inang thei . Entîr nân, bipolar disorder hian lungngaihna hun lai hian thinrimna, thunun theih loh rilru put hmang, leh mahni intihhlum duhna a thlen thei bawk.

Chuvangin, heng symptoms te hi i neih chuan PMDD emaw, bipolar emaw, thil dang emaw a nih leh nih loh hriat nan doctor thurawn lak a pawimawh hle . A chhan chu enkawlna kawng hrang hrang a inang lo thei a ni. Diagnosis dik tak hi enkawlna hlawhtling tak neih hmasak ber a ni.

Hemi atanga kan zir chhuah pawimawh ber berte (Take-Home Message) .

PMDD hi natna khirh tak a ni a, i nun, i inlaichinna, leh i hna thlengin a nghawng tha lo thei hle . Nangmah emaw, mi dangte emaw tihchhiat i duh hial pawh a ni thei. I period hma kar engemaw zat chhunga lungngaihna, lungkhamna, emaw PMDD symptom dang emaw i neih chuan doctor pan rawh.

Damdawi hian i hormone leh serotonin level a tidanglam thei a, i rilru a hahdam thei a, i hmel a tha ber bawk. PMDD hi chatuan atana nunpui tur thil a ni lo . Damdawi leh rilru lam enkawlna i mamawh chu i hmuh hun tikhawtlai suh. Nangmah chauh i ni lo, tanpuina a awm! A chungchang sawi hi chak lohna a ni lo, chakna a ni tih hre reng ang che.

` PMDD, PMS, thlasik, hormone, rilru hriselna, lungngaihna, hmeichhe hriselna