Ingabe uzizwa uthukuthele ngendlela engakholeki, udabuke, futhi ungenalusizo cishe isonto ngaphambi kokuba uqale ukuya esikhathini? Ingabe ulwa nomndeni, osebenza nabo, noma abangane ngaphandle kwesizathu? Ingabe uzizwa sengathi awukwazi ukuzibamba? Ingabe wake wacabanga ukuthi, 'Lokhu akuyona i-PMS nje kuphela'? Khona-ke le ndaba izoba yinto ebaluleke kakhulu kuwe. Namuhla sikhuluma nge -PMDD , isimo esibi kakhulu kune-PMS abantu abaningi abaye bezwa ngayo futhi esinomthelela omkhulu empilweni yakho.
I-PMDD kanye ne-PMS… Uyini umehluko wangempela phakathi kwalokhu okubili?
Kalula nje, abesifazane abaningi bazizwa bengakhululekile ngaphambi kokuba isikhathi sabo sokuya esikhathini siqale. Ngokuvamile lokhu sikubiza ngokuthi i-PMS, okusho ukuthi `( Premenstrual Syndrome )`. Izinto ezifana nobuhlungu besisu , ukuzwela kwamabele , ukunxanela ukudla, ukucasuka okuncane, kanye nokukhathala kuvamile ngesikhathi se-PMS. Lokhu sekuyingxenye evamile yokuphila kwabantu abaningi.
Kodwa i-Premenstrual Dysphoric Disorder ( PMDD) iyisimo esibucayi kakhulu . Cabanga ngale ndlela: i-PMS ifana nomkhuhlane omncane, kanti i-PMDD ifana ne-pneumonia enzima. Izimpawu zengqondo nezomzimba ze-PMDD zingaba zimbi kakhulu kangangokuthi zingaphazamisa imisebenzi yakho yansuku zonke, umsebenzi, isikole, impilo yomndeni, ngisho nobudlelwano bezenhlalo. Kungaphezu nje "kokushintshashintsha kwemizwa."
Yiziphi izimpawu eziyinhloko ze-PMDD?
Izimpawu ze-PMDD zivame ukuqala isonto kuya ezinsukwini eziyishumi ngaphambi kokuba uqale ukuya esikhathini. Lezi zimpawu zivame ukuphela zingakapheli izinsuku ezimbalwa kusukela uqala ukuya esikhathini. Lezi zimpawu zingaba ngokwengqondo nangokomzimba.
| Izici zengqondo nezingokomzwelo | Izici zomzimba |
|---|---|
| Ukushintshashintsha kwemizwa | Ukuqunjelwa kanye nobuhlungu bomhlane |
| Intukuthelo enkulu kanye nezingxabano ezivamile nabanye | Ubuhlungu bebele noma ukuvuvukala |
| Ukuphelelwa yithemba nokucindezeleka okukhulu | Ubuhlungu bekhanda kanye nobuhlungu bamalunga noma bemisipha |
| Ukukhathazeka okukhulu nokungaphumuli | Ukuzizwa ukhathele kakhulu |
| Ukulahlekelwa isithakazelo ezintweni ovame ukuzijabulela | Izinguquko ekufiseni ukudla (ikakhulukazi ukufisa amaswidi) |
| Ukuzizwa ungenaso isilawuli | Izinkinga zokulala (ukungalali noma ukulala ngokweqile) |
| Ubunzima bokugxila | Ukushaya kwenhliziyo (ukuzwa sengathi inhliziyo yakho ishaya ngokushesha) |
| Ukukhala njalo ngaphandle kwesizathu | I-acne noma ezinye izinkinga zesikhumba |
| Ukuba nemicabango yokuqeda impilo yakho | Ukwanda kwesisindo nokuvuvukala (ikakhulukazi amaqakala, izandla) |
Okubalulekile: Uma lezi zimpawu ziqhubeka ngemva kokuqala kokuya esikhathini , kungenzeka ukuthi akuyona i-PMDD. Kungase kubangelwe esinye isimo sezokwelapha. Ngakho-ke, kubaluleke kakhulu ukufuna iseluleko sezokwelapha.
Kungani i-PMDD yenzeka? Izimbangela kanye nezici eziyingozi
Abacwaningi abakaqiniseki ukuthi yini ngempela ebangela i-PMDD, kodwa inkolelo-mbono eyinhloko ukuthi ibangelwa ukusabela okungavamile kobuchopho ezinguqukweni ezivamile zamahomoni ezenzeka ngomjikelezo wokuya esikhathini .
Uma sikhuluma iqiniso, ubuchopho bethu buqukethe ikhemikhali elawula izinto ezifana nenjabulo, ukulala, kanye nokunaka. Ibizwa ngokuthi i-serotonin . Leli zinga le-serotonin liyehla ngokushintsha kwama-hormone okwenzeka ngesikhathi sokuya esikhathini. Ubuchopho babantu abane-PMDD buzwela kakhulu kulokhu kwehla kwe-serotonin. Lokhu kubhekwa njengembangela enkulu yezimpawu zengqondo ezinzima ze-PMDD.
Kunezinye izici eziningana ezandisa ingozi yokuthuthukisa i-PMDD:
- Usuvele unesifo sengqondo esifana nokucindezeleka noma ukukhathazeka.
- Ukuba nomuntu emndenini (umama, udadewabo) one-PMDD noma i-PMS embi kakhulu.
- Ukuba ne-PMS enzima ngaphambili.
- Izehlakalo ezibuhlungu noma ukucindezeleka okukhulu okuhlangatshezwana nakho empilweni.
Ungazi kanjani ukuthi une-PMDD?
Uma unezimpawu ezishiwo ngenhla, into engcono kakhulu ongayenza ukubona udokotela . Tshela udokotela ngezimpawu zakho ngokuningiliziwe.
Ngaphambi kokuba udokotela wakho athole i-PMDD, uzohlola ukuthi zikhona yini ezinye izimbangela zezimpawu zakho. Isibonelo:
- Ezinye izimo zengqondo ezifana nokucindezeleka noma ukuphazamiseka kovalo.
- Izifo zabesifazane ezifana ne-endometriosis kanye ne-fibroids.
- Ukusondela ekunqamukeni kokuya esikhathini.
- Ezinye izinkinga zama-hormone, njenge-thyroid.
Ngemva kokuhlola konke lokhu, udokotela wakho angase akuxilonge ukuthi une-PMDD uma izimo ezilandelayo zisebenza kuwe:
- Kumelwe ube okungenani nezici ezinhlanu ezishiwo ngenhla.
- Lezo zimpawu kufanele ziqale ezinsukwini ezingu-7-10 ngaphambi kokuqala kokuya esikhathini.
- Lezo zimpawu kufanele ziphele uma sekuqala ukuya esikhathini.
Udokotela wakho angase akucele nokuthi ugcine idayari yezimpawu. Ukubhala phansi ukuthi izimpawu zakho zivela kanjani futhi zihamba kanjani nomjikelezo wakho wokuya esikhathini cishe izinyanga ezimbili kungasiza kakhulu ekuxilongeni lesi simo.
Yiziphi izindlela zokwelapha i-PMDD?
Izindaba ezinhle ukuthi i-PMDD iyisimo esingelapheka. Kunezindlela eziningana zokwelapha ezitholakalayo. Ungakhuluma nodokotela wakho ukuze unqume ukuthi iyiphi indlela yokwelapha engcono kakhulu kuwe.
Izinguquko zendlela yokuphila
Lezi yizinto ongazizama kuqala.
- Ukuzivocavoca: Ukuzivocavoca okungenani imizuzu engama-30 ngosuku, njengokuhamba , ukugijima, noma ukubhukuda, kungathuthukisa kakhulu inhlalakahle yengqondo .
- Ukudla: Nciphisa ushukela, usawoti, i-caffeine (ikhofi, itiye), kanye notshwala ngangokunokwenzeka. Yidla ama-carbohydrate ayinkimbinkimbi kakhulu (irayisi elinsundu, i-oats, imifino).
- Ukulawula ukucindezeleka: Izinto ezifana ne-yoga, ukuzindla, kanye nokuzivocavoca okujulile kokuphefumula kungasiza ekunciphiseni ukucindezeleka.
- Ukulala ngokwanele: Kubaluleke kakhulu ukulala kahle ebusuku amahora angu-7-8 ngosuku.
Imithi namavithamini
Uma izinguquko zendlela yokuphila zodwa zinganele, udokotela wakho angase akunike imithi.
- Ama-antidepressant: Ama-SSRI yimithi esetshenziswa kakhulu. Lawa asiza ukulinganisela amazinga e-serotonin ebuchosheni futhi asiza ukulawula izimpawu zengqondo ze-PMDD.
- Amaphilisi okuvimbela inzalo: Ezinye izinhlobo zamaphilisi okuvimbela inzalo zingasiza ekuqiniseni amazinga ama-hormone futhi zinciphise izimpawu ze-PMDD. Kodwa-ke, lokhu akusebenzi kuwo wonke umuntu. Kufanele ukhulume nodokotela wakho ngakho.
- Ama-Painkiller: Ungathatha ama-painkiller njenge-paracetamol noma ama-NSAID ezintweni ezifana nekhanda elibuhlungu kanye nobuhlungu bomzimba.
- Amavithamini kanye nezithasiselo: Ucwaningo luthole ukuthi izinto ezifana ne-calcium, i-vitamin B6, kanye ne-magnesium zingasiza abanye abantu. Kodwa-ke, ungathathi amavithamini noma izithako ngaphandle kokuhlola udokotela wakho kuqala.
Ukwelashwa Ngezingxoxo
Ngokukhuluma nomeluleki oqeqeshiwe (Cognitive Behavioral Therapy - CBT), ungafunda ukuthi ungabhekana kanjani ngempumelelo nalesi simo, ulawule intukuthelo yakho, futhi ulawule imicabango yakho.
Ungamsiza kanjani umuntu one-PMDD?
Uma umkakho, intombi yakho, udadewenu, noma umngane wakho ene-PMDD, ukwesekwa kwakho kubaluleke kakhulu kubo.
- Qonda ukuthi lokhu kuyisifo sangempela: Ungakuchithi njengokuthi 'kunjalo nje' noma 'uyadlala nje'. Yamukela ukuthi lesi yisimo sezokwelapha sangempela nesibuhlungu.
- Bekezela: Angase aziphathe ngendlela ehlukile phakathi nalesi sikhathi. Angase athukuthele, akhale. Bekezela kuze kube yilapho izimpawu ziphela.
- Buza ukuthi ungasiza kanjani: Buza, “Ngingakusiza kanjani?” Mhlawumbe udinga nje isikhathi sokuba yedwa, noma mhlawumbe ufuna nje ukuzizwa sengathi ukhona.
- Khuthaza iseluleko sezokwelapha: Mkhuthaze ukuthi abone udokotela. Uma kudingeka, hamba naye.
- Cabanga ngawe futhi: Ukuhlala nomuntu one-PMDD kungaba yinto ekucindezelayo ngezinye izikhathi. Nakekela impilo yakho yengqondo futhi.
Umlayezo Wokuya Nawe Ekhaya
- I-PMDD iyisimo sezokwelapha esibi kakhulu nesibucayi kune-PMS evamile. Akuyona nje inguquko yesimo sengqondo.
- Uma intukuthelo enkulu, ukucindezeleka, kanye nobuhlungu obungokomzimba okubangelwa yilokhu kuthinta kakhulu impilo yakho, ungakushayi indiva.
- I-PMDD iyisimo esingelapheka. Kunezindlela zokwelapha ezisebenzayo ezitholakalayo, okuhlanganisa ukushintsha indlela yokuphila, imithi, kanye nokwelulekwa .
- Uma ucabanga ukuthi unezimpawu ze-PMDD, into yokuqala nebaluleke kakhulu okufanele uyenze ukubona udokotela.
- Awuwedwa. Baningi abantu abahlushwa yilesi simo. Ngokwelashwa okufanele nokusekelwa, ungasiphatha ngempumelelo lesi simo.
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