Ngaba nawe uneentlungu ezinganyamezelekiyo ngaphambi kokuba uye exesheni? Ngaba yi-PMDD?

Ngaba nawe uziva ungakhululekanga kwaye ungakhululekanga emzimbeni wakho kangangeveki okanye ezimbini ngaphambi kokuba ixesha lakho liqale? Mhlawumbi unentloko ebuhlungu, isisu esibuhlungu, ukuqaqamba kwamabele, nezinye izinto ezinjalo, kunye nobunzima obukhulu, umsindo, kunye nosizi? Abantu abaninzi banolu hlobo (i-PMS) okanye i-premenstrual syndrome. Kodwa ngamanye amaxesha le meko inokuba nzima kakhulu. Yiloo nto siyibiza ngokuba yi- (PMDD) okanye i-(Premenstrual Dysphoric Disorder) . Makhe sithethe ngale nto ngokweenkcukacha namhlanje, kuba le yinto echaphazela abantu abaninzi kunokuba ucinga.

Yintoni i-PMDD? Ngaba yahlukile ngokupheleleyo kwi-PMS?

Ngamafutshane, mhlawumbi ukhe weva nge-PMS, okanye i-Premenstrual Syndrome. Abafazi abaninzi bafumana ukungakhululeki kwiintsuku ezimbalwa ngaphambi kokuba baye exesheni. Izinto ezifana nokudumba, iintloko ezibuhlungu, kunye nokuthamba kwamabele. Oku kuqhelekile.

Kodwa i-(PMDD) okanye i-(Premenstrual Dysphoric Disorder) yimeko enzima kakhulu nembi kakhulu yale meko (PMS). Ngokuchanekileyo, umntu one-(PMDD) ufumana iimpawu zengqondo ezifana nomsindo onganyamezelekiyo, ixhala eligqithisileyo, okanye uxinzelelo olukhulu kunye neempawu eziqhelekileyo (PMS). Ezi mpawu zihlala ziphela kwiintsuku ezimbalwa emva kokuba kuqalile ukuya exesheni. Nangona kunjalo, kwiintsuku ezizayo, oku kunokuba nzima kangangokuba kunokuba nefuthe elikhulu kwimisebenzi yakho yemihla ngemihla, ubudlelwane namalungu osapho, kunye nomsebenzi .

Khawucinge nje, unomhlobo, masithi igama lakhe nguSanduni. USandini udla ngokuba ngumntu ochwayitileyo nothetha kakhulu. Kodwa inyanga nganye, iveki okanye ezimbini ngaphambi kokuba aye exesheni, utshintsha kakhulu. Uba nomsindo ngezinto ezincinci, alwe nabantu bonke, kwaye ngamanye amaxesha uhlala nje egumbini lakhe aze akhale. Akakwazi ukuqonda ukuba kutheni oku kusenzeka. Akakwazi nokusebenza kakuhle emsebenzini. Yiyo loo nto i-PMDD iyiyo. Oku kungaphezulu kakhulu 'kokutshintsha kweemvakalelo'.

Okwangoku kuqikelelwa ukuba malunga ne-10% yabasetyhini abasexesheni banesifo se-PMDD. Oko kuthetha ukuba malunga nebhinqa elinye kwalishumi linokuba nale meko.

Ngaba uyazi ukuba yintoni ebangela i-PMDD?

Enyanisweni, oogqirha abakafumani sizathu sicacileyo sokuba kutheni abanye abantu benesifo se-PMDD. Kodwa kukho izinto ezininzi ekucingelwa ukuba zinegalelo kuso.

Eyona nto iphambili irhanelwa kukuba kukho utshintsho kwiihomoni . Uyazi, abafazi baneentlobo ezimbini zeehomoni emizimbeni yabo ezibizwa ngokuba yi-estrogen kunye ne-progesterone. Ezi ziyanda kwaye ziyancipha ngomjikelo wenyanga wokuya exesheni. Kukholelwa ukuba ukwehla kwala manqanaba ehomoni emva kokuvuthwa kweqanda kunye nexesha elingaphambi kokuya exesheni kunokuba sesinye sezizathu zeempawu ze-PMDD. Oku kuthetha ukuba imizimba yabanye abantu inokusabela ngamandla ngakumbi kolu tshintsho lweehomoni.

Enye into yikhemikhali ebizwa ngokuba yiSerotonin . Le sisithako sekhemikhali (i-neurotransmitter) engqondweni yethu . Le serotonin inceda ukulawula izinto ezininzi ezifana neemvakalelo zethu, indlala, kunye nokulala. Okumangalisayo kukuba, eli nqanaba le-serotonin liyatshintsha nomjikelo wethu wenyanga wokuya exesheni. Ngoko ke, utshintsho kumanqanaba e-serotonin lunokubangela iimpawu ze-PMDD. Mhlawumbi oku kungakhululeki kuvakala ngakumbi xa amanqanaba e-serotonin esezantsi.

Ngubani osengozini enkulu yokuhlaselwa yi-PMDD?

Abanye abantu banamathuba amaninzi okuba ne-PMDD kunabanye. Ukuba unayo nayiphi na kwezi zilandelayo, kulungile ukuba uqaphele:

• Ukuba sele unexhala okanye uxinezelekile .
• Ukuba uneempawu ze-PMS ezinzima.
• Ukuba kukho umntu kusapho lwakho (njengomama okanye udadewenu) oye waba ne-PMS, i-PMDD, okanye ezinye iingxaki zengqondo , kukho ithuba lokuba ezi zinto zinokuzuzwa njengelifa.
• Ukuba ukhe wahlangabezana noxinzelelo olukhulu, ukuxhatshazwa, okanye ezinye iziganeko ezibangela uxinzelelo ebomini bakho.

Oku akuthethi ukuba wonke umntu onale mpawu uza kuba ne-PMDD, kodwa kuthetha ukuba umngcipheko uphezulu kancinci.

Zithini iimpawu ze-PMDD? Jonga ukuba unazo na ezi

Iimpawu ze-PMDD zingahluka kumntu nomntu. Ngokubanzi, ezi mpawu zibonakala malunga neveki okanye ezimbini ngaphambi kokuba ixesha lakho liqale. Emva koko ziyaphela kwiintsuku ezimbalwa emva kokuba ixesha lakho liqalile. Ukongeza kwiimpawu eziqhelekileyo ze-PMS ezifana neentlungu zesisu kunye nokudumba, i-PMDD inokubangela ezi mpawu zilandelayo:

• Umsindo okanye ukucaphuka. Usenokuziva unomsindo kwaye uqhushumbe ngezinto ezincinci.
• Ukuziva udiniwe, uxinezelekile okanye uxinezelekile ngalo lonke ixesha.
• Ukuhlaselwa luloyiko kukuxhalaba okukhulu kunye nokubetha kwentliziyo. Usenokuziva ungoyiki ngaphandle kwesizathu kwaye ufumane kunzima ukuphefumla.
• Uxinzelelo olukhulu kunye neengcinga zokuzibulala zinokwenzeka. Olu luphawu oluyingozi kakhulu, ngoko ke ukuba uziva into efana nale, kufuneka ufune uncedo ngokukhawuleza.
• Ubunzima bokugxila. Awukwazi ukwenza umsebenzi wakho kakuhle, yonke into ivakala ingacwangciswanga.
• Ukudinwa rhoqo kunye namandla aphantsi.
• Ukutya okuthile kunokubangela ukunqwenela ukutya, ukutya kakhulu, okanye utshintsho ekutyeni .
• Intloko ebuhlungu.
• Ukungalali.
• Ukutshintsha kweemvakalelo. Ungavuya umzuzwana omnye, uze ube lusizi okanye ube nomsindo olandelayo. Kufana nokukhwela i-roller coaster.

Abanye abantu banokuba nezi mpawu (PMDD) bade baye exesheni . Oko kuthetha ukuba kufuneka babandezeleke ngolu hlobo kangangeminyaka. Khawuthelekelele indlela okunzima ngayo oko.

Ziziphi iingxaki ezinokwenzeka ngenxa ye-PMDD?

Ukuba i-PMDD ayinyangwa kakuhle, inokukhokelela kwiimeko ezifana nokudakumba . Kwezinye iimeko ezinzima, inokukhokelela nasekuzibulaleni . Ngenxa yesi sizathu, i-PMDD ayisiyonto ithathwa lula.

Le meko inokubangela uxinzelelo olukhulu lwengqondo kwaye ichaphazele kakubi ubudlelwane bakho nosapho, abahlobo kunye nemisebenzi . Khawuthelekelele indlela ekunzima ngayo ukuhlalisana nabanye abantu xa uhlala unomsindo kwaye ulusizi.

Kubalulekile: Ukuba ucinga ngokuzibulala, nceda ungazibulali wedwa. Thetha nomntu omthembayo ngoko nangoko, okanye ucele ingcebiso kugqirha. Kukho iinombolo zefowuni eSri Lanka ezifana neNational Mental Health Helpline 1926 apho unokufumana khona uncedo.

Ungazi njani ngokuqinisekileyo ukuba une-PMDD? (Ukuxilongwa)

Ukuba ucinga ukuba une-PMDD, into yokuqala omawuyenze kukubona ugqirha . Ugqirha uza kukubuza ngembali yakho yezonyango aze ajonge iimpawu zakho ngononophelo.

Usenokucelwa ukuba ulandelele iimpawu zakho ngexesha elinye okanye ezimbini zokuya exesheni . Oku kuthetha ukuba kuya kufuneka ugcine idayari yeempawu ozifumanayo, ixesha lenyanga ezenzeka ngalo, kunye nokuba zinzima kangakanani. Oku kuya kunceda ugqirha wakho ukuba afumane umfanekiso ocacileyo wemeko yakho.

Ukuze kufunyaniswe i-PMDD, ugqirha uza kujonga ubuncinane iimpawu ze-PMDD ezintlanu . Ubuncinane enye yazo kufuneka ibe luphawu olunxulumene neemvakalelo . Oko kuthetha umsindo, usizi, kunye nexhala esithethe ngalo ngaphambili.

Ugqirha uza kujonga nokuba unayo na i-PMDD, esinye isifo sengqondo esifana nokuxhalaba, ukudakumba, okanye esinye isifo sokuzala . Ngenxa yokuba ezi mpawu zinokubonakala nakwezinye izifo, kubalulekile ukufumanisa ukuba yintoni kanye kanye.

Ziziphi iindlela zonyango ze-PMDD? Makhe sithethe ngale nto.

Kukho unyango oluninzi olunokunceda ukunciphisa ukubandezeleka okubangelwa yi-PMDD. Ugqirha wakho unokucebisa olunye okanye ngaphezulu kwezi. Ezi zinokukunika isiqabu.

• Amayeza okudakumba:Kula mayeza, awona aqhelekileyo anikwa amayeza yi-SSRIs, okanye i-Selective Serotonin Reuptake Inhibitors. La mayeza asebenza ngokulawula amanqanaba e-serotonin engqondweni yakho. Imizekelo ibandakanya i-Sertraline, i-Fluoxetine, kunye ne-Paroxetine HCI. Ngaphambi kokuba usebenzise la mayeza, thetha nogqirha wakho ukuze ufumane ukuba akulungele na kwaye zeziphi iziphumo ebezingalindelekanga.
• Iipilisi zokulawula ukuzalwa ezisebenzisa iihomoni: Ezinye iipilisi zokulawula ukuzalwa, ingakumbi ezo ziqulethe iihomoni (iDrospirenone) kunye (i-Ethinyl estradiol), zifunyenwe zinceda ukulawula iimpawu ze-PMDD. Ezi kufuneka zisetyenziswe njengoko ugqirha eyalela.
• Utshintsho kwindlela otya ngayo: Ukunciphisa ukutya okuthile kunye neziselo ezine-caffeine (ezifana neti nekofu) kunokunceda ekunciphiseni iimpawu. Iivithamini ezifana ne-vitamin B-6 kunye ne-magnesium nazo zinokunceda. Buza ugqirha wakho ngale nto.
• Amayeza entlungu athengiswa ngaphandle kwemvume kagqirha: Ungasebenzisa amayeza entlungu athengiswa ngaphandle kwemvume kagqirha ukunciphisa iintlungu zomzimba ezifana nokuqaqamba kokuya exesheni (okwaziwa ngokuba yi-dysmenorrhea), iintloko ezibuhlungu, kunye nokuthamba kwamabele.
• Ukuzilolonga rhoqo: Ukuzilolonga kungayiphucula indlela ovakalelwa ngayo. Kulungile ukuba ungenza into oyithandayo, njengokuhamba, ukubaleka, okanye ukudanisa, ubuncinane imizuzu engama-30 ngosuku.
• Izixhobo zokulawula uxinzelelo: Ukuzilolonga ngokuphefumla nzulu kunye nokucamngca kunokukunceda ukulawula uxinzelelo. Oku kuthatha ixesha ukuqhela, kodwa kuyasebenza.

Ngaba kukho izinto onokuzenza ukulawula i-PMDD ngaphandle kwamayeza?

Ewe, zikho izinto onokuzama ukuzilawula iimpawu zakho ze-PMDD ngaphandle kwamayeza. Kodwa khumbula, ezi azisebenzi kuwo wonke umntu. Kubalulekile nokulandela imiyalelo kagqirha wakho xa usenza ezi zinto.

• I-Yoga kunye nokucamngca: Oku kunceda ukuzola ingqondo yakho nokuphucula imeko yakho.
• Utshintsho kwindlela yokutya: Njengoko besitshilo ngaphambili, izinto ezifana nokunciphisa i-caffeine, iswekile, netyuwa, kunye nokutya iziqhamo nemifuno emininzi kunokunceda. Zama ukutya ukutya okunesondlo.
• Amaqela enkxaso: Ukuthetha nabanye abane-PMDD nokwabelana ngamava kunokuba ngumthombo omkhulu wamandla engqondo. Kukwamnandi ukwazi ukuba awuwedwa.
• Ubuthongo obaneleyo: Zama ukulala iiyure ezisi-7-8 ngosuku. Ukungalali kakuhle kunokwenza ezi mpawu zibe zimbi ngakumbi.

Nokuba wenza ntoni na, kububulumko ukuxoxa ngazo zonke ezi ndlela zonyango nogqirha wakho uze ukhethe eyona ikulungeleyo.

Yintoni onokuyilindela ukuba une-PMDD?

Eyona nto ilungileyo kukuba ngonyango olufanelekileyo, uninzi lwabantu abane-PMDD banokufumana isiqabu kwiimpawu zabo baze baphile ubomi obonwabisayo . Oko kuthetha ukuba akufuneki ukhathazeke ngalo lonke ixesha.

Unokufumana uncedo olongezelelweyo ngokuthetha neengcali zempilo yengqondo okanye ukujoyina iqela lenkxaso. Kwabaninzi, ezi mpawu ziyaphela emva kokuya exesheni.

Ngaba ikho indlela yokuthintela i-PMDD?

Ukuba sele unesifo sokudakumba okanye ixhala, ukulifumana unyango olufanelekileyo kunokukunceda ukuba lingaqhubeki lisiba libi kakhulu libe yimeko embi kakhulu ebizwa ngokuba yi-PMDD.

Nangona kunjalo, ngenxa yokuba i-PMDD inxulumene nendlela esebenza ngayo iihomoni zakho, kusenokungabi lula ukuyithintela ngokupheleleyo . Nangona kunjalo, akukho mfuneko yokukhathazeka, njengoko kukho unyango olufumanekayo lokunceda. Eyona nto ibalulekileyo kukubona iimpawu kwaye ufune uncedo ukuba unazo.

Ufanele uye nini kugqirha ukuba urhanela ukuba une-PMDD?

Ukuba unenye okanye ngaphezulu kwezi mpawu, ngokuqinisekileyo kuya kufuneka ubone ugqirha ngoko nangoko :

• Ukuxhalaba okukhulu kunye nokuhlaselwa luloyiko.
• Uziva ngathi uphulukene nolawulo.
• Ukudandatheka okukhulu okanye iingcinga zokuzibulala.
• Iingcinga zokuzilimaza okanye zokuzilimaza abanye.
• Umsindo ongalawulekiyo.

Ezi ziimpawu eziyingozi kakhulu. Nceda ungazityesheli. Funa uncedo ngoko nangoko. Ubomi bubalulekile, kwaye akufuneki ulwe nezi ngxaki wedwa.

Imibuzo ebalulekileyo yokubuza ugqirha wakho malunga ne-PMDD

Ukuba une-PMDD, kubaluleke kakhulu ukubuza le mibuzo xa ubona ugqirha wakho:

• Kutheni ndine-PMDD? Ingaba kungenxa yento ethile ekhethekileyo emzimbeni wam?
• Yeyiphi indlela engcono yonyango kum?
• Zithini iziphumo ebezingalindelekanga zezi ndlela zonyango? Zihlala ixesha elingakanani?
• Ngaba kufuneka nditshintshe indlela yokulawula inzala endiyisebenzisayo ngoku?
• Zeziphi iinguqu endinokuzitshintsha kwindlela endiphila ngayo ukuze ndikwazi ukulawula ezi mpawu?
• Ngaba ndisengozini yokudandatheka okukhulu okanye yokuzibulala?
• Ndingenza ntoni xa ndinengxaki yokudakumba okukhulu okanye ndicinga ngokuzibulala? Ngubani endifanele ndithethe naye?
• Ngaba kufuneka ndiqaphele naziphi na ezinye iingxaki?

Wakuba uzazi iimpendulo zale mibuzo, uya kuyiqonda ngcono imeko yakho kwaye uya kukwazi ukuxhasa unyango lwakho. Ungoyiki ukuthetha nogqirha wakho ngayo yonke into esengqondweni yakho.

Ngaba i-PMDD sisifo sengqondo?

Ewe, i-PMDD ithathwa njengengxaki yempilo yengqondo . Kwi-Diagnostic and Statistical Manual of Mental Disorders (DSM-5), esetyenziswa ngoogqirha ukuxilonga izifo zengqondo, i-PMDD ifakiwe kudidi 'lwesifo sokudakumba.' Oku kuthetha ukuba asikokuphela nje "kwengxaki yeemvakalelo," kodwa yimeko eyaziwayo ngugqirha.

Ngaba i-PMDD yinxalenye yesifo se-bipolar?

Hayi, i-PMDD kunye ne -bipolar disorder ziimeko ezimbini ezahlukeneyo. Nangona kunjalo, ezinye zeempawu zazo zombini zinokufana . Umzekelo, i-bipolar disorder inokubangela ukucaphuka, iimvakalelo zokulahlekelwa kukulawula, kunye neengcinga zokuzibulala ngexesha lokudakumba.

Ngoko ke, ukuba unezi mpawu, kubaluleke kakhulu ukufuna ingcebiso kagqirha ukuze kuqinisekiswe ukuba yi-PMDD, i-bipolar, okanye enye into. Kuba iindlela zonyango zinokwahluka. Ukuxilongwa ngokuchanekileyo linyathelo lokuqala lonyango oluphumelelayo.

Ezona zinto zibalulekileyo esizifundileyo koku (Umyalezo Wokuya Ekhaya)

I-PMDD yimeko enzima kakhulu enokuchaphazela kakubi ubomi bakho, ubudlelwane bakho, kwanomsebenzi wakho. Usenokuziva ufuna ukuzenzakalisa wena okanye abanye abantu. Ukuba unesifo sokudakumba esingapheliyo, ixhala, okanye ezinye iimpawu ze-PMDD kwiiveki ezikhokelela exesheni lakho, nceda ubone ugqirha.

Amayeza anokukunceda uzive kwaye ubonakale umhle ngokulawula iihomoni zakho kunye namanqanaba e-serotonin. I-PMDD ayisiyonto ekufuneka uphile nayo ngonaphakade. Musa ukulibazisa ukufumana unyango kunye nempilo yengqondo oyifunayo. Awuwedwa, lukho uncedo! Khumbula, ukuthetha ngayo akuyonto ibuthathaka, ngamandla.

I- PMDD, i-PMS, ukuya exesheni, iihomoni, impilo yengqondo, ukudakumba, impilo yabasetyhini