Ingabe nawe unesifo sokuqaqamba kwangaphambi kokuya esikhathini esingabekezeleleki? Ingabe kungaba yi-PMDD?

Ingabe nawe uzizwa ungakhululekile futhi ungakhululekile emzimbeni wakho isonto elilodwa noma amabili ngaphambi kokuba uqale ukuya esikhathini? Mhlawumbe unekhanda elibuhlungu, ubuhlungu besisu, ukuqaqamba kwamabele, nezinye izinto ezinjalo, kanye nobunzima obukhulu, intukuthelo nokudabuka? Abantu abaningi banalolu hlobo (i-PMS) noma i-premenstrual syndrome. Kodwa ngezinye izikhathi lesi simo singaba sibi kakhulu. Yilokho esikubiza ngokuthi (PMDD) noma (Premenstrual Dysphoric Disorder) . Ake sixoxe ngalokhu ngokuningiliziwe namuhla, ngoba lokhu kuyinto ethinta abantu abaningi kunalokho ocabanga.

Kuyini i-PMDD? Ingabe ihlukile ngempela ku-PMS?

Kalula nje, kungenzeka ukuthi uke wezwa nge-PMS, noma i-Premenstrual Syndrome. Abesifazane abaningi bazizwa bengakhululekile ezinsukwini ezimbalwa ngaphambi kokuya esikhathini. Izinto ezifana nokuqunjelwa, ikhanda elibuhlungu, kanye nobuhlungu bebele. Lokhu kuvamile.

Kodwa i-(PMDD) noma i-(Premenstrual Dysphoric Disorder) iyisimo esibi kakhulu nesinzima salesi simo (PMS). Uma sikhuluma iqiniso, umuntu one-(PMDD) ubhekana nezimpawu zengqondo ezifana nentukuthelo engabekezeleleki, ukukhathazeka ngokweqile, noma ukucindezeleka okukhulu kanye nezimpawu ezivamile (PMS). Lezi zimpawu zivame ukuphela ezinsukwini ezimbalwa ngemva kokuqala kokuya esikhathini. Kodwa-ke, ezinsukwini ezizayo, lokhu kungaba kubi kakhulu kangangokuthi kungaba nomthelela omkhulu emisebenzini yakho yansuku zonke, ebuhlotsheni namalungu omndeni, kanye nasemsebenzini .

Cabanga nje, unomngane, ake sithi igama lakhe linguSanduni. USandani uvame ukuba ngumuntu ojabule kakhulu futhi okhulumayo. Kodwa njalo ngenyanga, isonto noma amabili ngaphambi kokuya esikhathini, ushintsha kakhulu. Uthukuthela ngezinto ezincane kakhulu, alwe nawo wonke umuntu, futhi ngezinye izikhathi uhlala ekamelweni lakhe akhale. Akakwazi ukuthola ukuthi kungani lokhu kwenzeka. Akakwazi ngisho nokusebenza kahle emsebenzini. Yilokho okushiwo yi-PMDD. Lokhu kungaphezu nje 'kokushintshashintsha kwemizwa'.

Okwamanje kulinganiselwa ukuthi cishe u-10% wabesifazane abaya esikhathini bahlushwa yi-PMDD. Lokho kusho ukuthi cishe owesifazane oyedwa kwabayishumi angaba nalesi simo.

Uyazi ukuthi yini ebangela i-PMDD?

Eqinisweni, odokotela abakasitholi isizathu esiqondile sokuthi kungani abanye abantu beba ne-PMDD. Kodwa kunezici eziningana okucatshangwa ukuthi zinegalelo kulokhu.

Okusolisayo okuyinhloko mayelana noshintsho kuma-hormone . Uyazi, abesifazane banezinhlobo ezimbili zama-hormone emizimbeni yabo ezibizwa ngokuthi i-estrogen ne-progesterone. Lawa ayanda futhi anciphe ngomjikelezo wokuya esikhathini wanyanga zonke. Kucatshangwa ukuthi ukwehla kwalawa mazinga ama-hormone ngemva kokukhishwa kwamaqanda kanye nesikhathi sangaphambi kokuya esikhathini kungaba esinye sezizathu zezimpawu ze-PMDD. Lokhu kusho ukuthi imizimba yabanye abantu ingase isabele kakhulu kulezi zinguquko zama-hormone.

Enye into ikhemikhali ebizwa ngokuthi i-Serotonin . Lena yikhemikhali (i-neurotransmitter) ebuchosheni bethu . Le serotonin isiza ukulawula izinto eziningi ezifana nesimo sethu sengqondo, indlala, nokulala. Okumangazayo ukuthi leli zinga le-serotonin liyashintsha nomjikelezo wethu wokuya esikhathini wanyanga zonke. Ngakho-ke, izinguquko emazingeni e-serotonin nazo zingabangela izimpawu ze-PMDD. Mhlawumbe lokhu kungakhululeki kuzwakala kakhulu uma amazinga e-serotonin ephansi.

Ubani osengozini enkulu yokuthola i-PMDD?

Abanye abantu banamathuba amaningi okuthola i-PMDD kunabanye. Uma unanoma yikuphi kwalokhu okulandelayo, kuwumqondo omuhle ukuqaphela:

• Uma usuvele unenkinga yokukhathazeka noma ukucindezeleka .
• Uma unezimpawu ze-PMS ezinzima.
• Uma othile emndenini wakho (njengomama wakho noma udadewenu) eke waba ne-PMS, i-PMDD, noma ezinye izinkinga zemizwa , kungenzeka ukuthi lezi zingazuzwa njengefa.
• Uma uke wabhekana nokulimala okukhulu, ukuhlukunyezwa, noma ezinye izehlakalo ezicindezelayo empilweni yakho.

Lokhu akusho ukuthi wonke umuntu onalezi zinto uzoba ne-PMDD, kodwa kusho ukuthi ingozi iphakeme kancane.

Ziyini izimpawu ze-PMDD? Bheka ukuthi unazo yini lezi zimpawu

Izimpawu ze-PMDD zingahluka kuye ngomuntu nomuntu. Ngokuvamile, lezi zimpawu zivela cishe isonto noma amabili ngaphambi kokuba isikhathi sakho sokuya esikhathini siqale. Ziyaphela zingakapheli izinsuku ezimbalwa kusukela isikhathi sakho sokuya esikhathini siqalile. Ngaphezu kwezimpawu ezivamile ze-PMS njengezinhlungu zesisu kanye nokuqunjelwa, i-PMDD ingabangela nezimpawu ezilandelayo:

• Intukuthelo noma ukucasuka. Ungase uzizwe uthukuthele futhi uqhuma ngenxa yezinto ezincane.
• Ukuzizwa ucindezelekile, ukhungathekile noma ucindezelekile ngaso sonke isikhathi.
• Ukuhlaselwa uvalo ukukhathazeka okukhulu kanye nokushaya kwenhliziyo. Ungase uzizwe wesaba ngaphandle kwesizathu futhi uthole kunzima ukuphefumula.
• Ukucindezeleka okukhulu ngisho nemicabango yokuzibulala ingavela. Lokhu kuyisibonakaliso esiyingozi kakhulu, ngakho-ke uma uzizwa kanje, kufanele ufune usizo ngokushesha.
• Ubunzima bokugxilisa ingqondo. Awukwazi ukwenza umsebenzi wakho kahle, konke kuzwakala kungahlelekile.
• Ukukhathala okuqhubekayo kanye namandla aphansi.
• Ukudla okuthile kungabangela izifiso zokudla, ukudla ngokweqile, noma ukushintsha kwesifiso sokudla .
• Ubuhlungu bekhanda.
• Ukungalali.
• Ukushintshashintsha kwemizwa. Ungajabula ngesinye isikhathi, bese udabukile noma uthukuthele ngesinye isikhathi. Kufana nokugibela i-roller coaster.

Abanye abantu bangaba nalezi zimpawu (PMDD) kuze kube yilapho benqamuka ukuya esikhathini . Lokho kusho ukuthi kufanele bahlupheke kanje iminyaka eminingi. Cabanga ukuthi lokho kunzima kangakanani.

Yiziphi izinkinga ezingaba khona ngenxa ye-PMDD?

Uma i-PMDD ingelashwa kahle, ingaholela ezimweni ezifana nokucindezeleka . Kwezinye izimo ezinzima, ingaholela nasekuzibulaleni . Ngenxa yalokhu, i-PMDD akuyona into okufanele ithathwe kalula.

Lesi simo singadala ukucindezeleka okukhulu kwengqondo futhi sithinte kabi ubudlelwano bakho nomndeni, abangane kanye nemisebenzi . Cabanga ukuthi kunzima kangakanani ukuhlalisana kahle nabanye uma uhlala uthukuthele futhi udabukile.

Okubalulekile: Uma unemicabango yokuzibulala, sicela ungazibulali wedwa. Khuluma nomuntu omethembayo ngokushesha, noma ufune iseluleko sezokwelapha. Kunezinombolo zocingo eSri Lanka njengeNational Mental Health Helpline 1926 lapho ungathola khona usizo.

Wazi kanjani ukuthi une-PMDD? (Ukuxilongwa)

Uma ucabanga ukuthi une-PMDD, into yokuqala okufanele uyenze ukubonana nodokotela . Udokotela uzokubuza ngomlando wakho wezokwelapha futhi ahlolisise izimpawu zakho.

Ungase ucelwe ukuthi ulandelele izimpawu zakho ngomjikelezo owodwa noma emibili yokuya esikhathini . Lokhu kusho ukuthi kuzodingeka ugcine idayari yezimpawu ozizwayo, isikhathi senyanga ezenzeka ngaso, nokuthi zimbi kangakanani. Lokhu kuzosiza udokotela wakho ukuthola isithombe esicacile ngesimo sakho.

Ukuze kutholakale i-PMDD, udokotela uzobheka okungenani izimpawu ezinhlanu ze-PMDD . Okungenani eyodwa yazo kumele ibe uphawu oluhlobene nemizwa . Lokho kusho intukuthelo, ukudabuka, nokukhathazeka esikhulume ngakho ngaphambili.

Udokotela uzohlola futhi ukuze abone ukuthi une-PMDD, esinye isifo sengqondo njengokukhathazeka, ukucindezeleka, noma esinye isifo sokuzala . Ngenxa yokuthi lezi zimpawu zingabonakala nakwezinye izifo, kubalulekile ukuthola ukuthi siyini ngempela.

Yiziphi izindlela zokwelapha i-PMDD? Ake sixoxe ngalokhu.

Kunezindlela zokwelapha eziningana ezingasiza ekunciphiseni ukucindezeleka okutholayo ngenxa ye-PMDD. Udokotela wakho angase akuncome okukodwa noma ngaphezulu kwalokhu. Lokhu cishe kuzokunikeza impumuzo.

• Imithi yokucindezeleka:Kulezi, imithi evame ukunqunywa yi-SSRIs, noma i-Selective Serotonin Reuptake Inhibitors. Le mithi isebenza ngokulawula amazinga e-serotonin ebuchosheni bakho. Izibonelo zifaka phakathi i-Sertraline, i-Fluoxetine, ne-Paroxetine HCI. Ngaphambi kokusebenzisa le mithi, khuluma nodokotela wakho ukuze uthole ukuthi ikulungele yini nokuthi yimiphi imiphumela emibi.
• Amaphilisi okulawula ukubeletha asebenzisa ama-hormone: Amanye amaphilisi okulawula ukubeletha, ikakhulukazi lawo aqukethe ama-hormone (i-Drospirenone) kanye ne-(i-Ethinyl estradiol), atholakale esiza ukulawula izimpawu ze-PMDD. Lawa kufanele futhi asetshenziswe njengoba kuqondiswe udokotela.
• Izinguquko ekudleni: Ukunciphisa ukudla okuthile kanye neziphuzo ezine-caffeine (njengetiye nekhofi) kungasiza ekunciphiseni izimpawu. Amavithamini afana ne-vitamin B-6 kanye ne-magnesium nawo angasiza. Buza udokotela wakho ngalokhu futhi.
• Imithi yobuhlungu etholakala ngaphandle kwemithi kadokotela: Ungasebenzisa imithi yobuhlungu etholakala ngaphandle kwemithi kadokotela ukuze unciphise ukungakhululeki ngokomzimba njengobuhlungu bokuya esikhathini (okwaziwa nangokuthi i-dysmenorrhea), ikhanda elibuhlungu, kanye nokuzwela kwamabele.
• Ukuzivocavoca okuvamile: Ukuzivocavoca kungathuthukisa imizwa yakho. Kuhle uma ungenza into oyithandayo, njengokuhamba, ukugijima, noma ukudansa, okungenani imizuzu engama-30 ngosuku.
• Amathuluzi okulawula ukucindezeleka: Ukuzivocavoca okujulile kokuphefumula kanye nokuzindla kungakusiza ukulawula ukucindezeleka. Lokhu kuthatha isikhathi ukujwayela, kodwa kuyasebenza.

Ingabe kukhona izinto ongazenza ukuze uphathe i-PMDD ngaphandle kwemithi?

Yebo, kunezinto ongazama ukuzilawula izimpawu zakho ze-PMDD ngaphandle kwemithi. Kodwa khumbula, lezi azisebenzi kuwo wonke umuntu. Kubalulekile futhi ukulandela imiyalelo kadokotela wakho lapho wenza lezi zinto.

• I-Yoga Nokuzindla: Lokhu kusiza ukuzola ingqondo yakho nokuthuthukisa isimo sakho sengqondo.
• Izinguquko ekudleni: Njengoba sesixoxile ngaphambili, izinto ezifana nokunciphisa i-caffeine, ushukela, nosawoti, nokudla izithelo nemifino eminingi kungasiza. Zama ukudla ukudla okulinganiselayo.
• Amaqembu okusekelana: Ukukhuluma nabanye abane-PMDD nokwabelana ngolwazi kungaba umthombo omkhulu wamandla engqondo. Kuhle futhi ukwazi ukuthi awuwedwa.
• Ukulala ngokwanele: Zama ukulala kahle amahora angu-7-8 ngosuku. Ukungalali kahle nakho kungenza lezi zimpawu zibe zimbi kakhulu.

Noma ngabe wenzani, kuwukuhlakanipha ukuxoxa ngazo zonke lezi zindlela zokwelapha nodokotela wakho bese ukhetha eyodwa engcono kakhulu kuwe.

Yini ongayilindela uma une-PMDD?

Ingxenye engcono kakhulu ukuthi ngokwelashwa okufanele, abantu abaningi abane-PMDD bangathola impumuzo ezimpawini zabo futhi baphile impilo ejabulisayo . Lokho kusho ukuthi akudingeki uhlupheke ngakho ngaso sonke isikhathi.

Ungathola nosizo olwengeziwe ngokukhuluma nochwepheshe wezempilo yengqondo noma ngokujoyina iqembu lokusekelana. Kwabaningi, lezi zimpawu ziyaphela ngemva kokunqamuka kokuya esikhathini.

Ingabe ikhona indlela yokuvimbela i-PMDD?

Uma usuvele unokucindezeleka noma ukukhathazeka, ukukuthola ukwelashwa ngendlela efanele kungasiza ekuvimbeleni ukuthi kube kubi kakhulu kube yisimo esibi kakhulu esibizwa ngokuthi i-PMDD.

Kodwa-ke, ngenxa yokuthi i-PMDD ihlobene nendlela ama-hormone akho asebenza ngayo, kungase kungenzeki ukuyivimbela ngokuphelele . Kodwa-ke, asikho isidingo sokukhathazeka, njengoba kukhona ukwelashwa okutholakalayo okungasiza. Into ebaluleke kakhulu ukuqaphela izimpawu bese ucela usizo uma unazo.

Kufanele ubonane nini nodokotela uma usola ukuthi une-PMDD?

Uma unesinye noma ngaphezulu salezi zimpawu, kufanele nakanjani ubone udokotela ngokushesha :

• Ukukhathazeka okukhulu nokuhlaselwa uvalo.
• Ukuzizwa sengathi ulahlekelwe ukuzibamba.
• Ukucindezeleka okukhulu noma imicabango yokuzibulala.
• Imicabango yokuzilimaza wena noma abanye.
• Intukuthelo engalawuleki.

Lezi izimpawu eziyingozi kakhulu. Sicela ungazinaki. Funa usizo ngokushesha. Ukuphila kuyazuzisa, futhi akudingeki ulwe nalezi zinkinga wedwa.

Imibuzo ebalulekile okufanele uyibuze udokotela wakho mayelana ne-PMDD

Uma une-PMDD, kubaluleke kakhulu ukubuza le mibuzo uma ubona udokotela wakho:

• Kungani ngine-PMDD? Ingabe kungenxa yokuthile okukhethekile emzimbeni wami?
• Yikuphi ukwelashwa okungcono kakhulu kimi?
• Iyini imiphumela emibi yalezi zindlela zokwelapha? Zihlala isikhathi esingakanani?
• Ingabe kufanele ngishintshe indlela yokuvimbela inzalo engiyisebenzisayo njengamanje?
• Yiziphi izinguquko zendlela yokuphila engingayenza ukuze ngilawule lezi zimpawu?
• Ingabe ngisengozini yokucindezeleka okukhulu noma yokuzibulala?
• Yini okufanele ngiyenze uma ngibhekene nokucindezeleka okukhulu noma imicabango yokuzibulala? Kufanele ngikhulume nobani?
• Ingabe kufanele ngiqaphele ezinye izinkinga?

Uma usuzazi izimpendulo zale mibuzo, uzobe usuqonda kangcono isimo sakho futhi uzokwazi ukusekela ukwelashwa kwakho. Ungesabi ukukhuluma nodokotela wakho ngakho konke okusengqondweni yakho.

Ingabe i-PMDD isifo sengqondo?

Yebo, i-PMDD ibhekwa njengesimo sempilo yengqondo . Ku-Diagnostic and Statistical Manual of Mental Disorders (DSM-5), odokotela abayisebenzisayo ukuxilonga izifo zengqondo, i-PMDD ifakiwe esigabeni 'sesifo sokucindezeleka.' Lokhu kusho ukuthi akuyona nje "isifo sengqondo," kodwa yisimo esaziwayo ngokwezokwelapha.

Ingabe i-PMDD iyingxenye yesifo se-bipolar?

Cha, i-PMDD kanye ne -bipolar disorder ziyizimo ezimbili ezihlukene. Kodwa-ke, ezinye zezimpawu zazo zombili zingafana . Isibonelo, i-bipolar disorder ingabangela nokucasuka, imizwa yokulahlekelwa ukuzibamba, kanye nemicabango yokuzibulala ngesikhathi sokucindezeleka.

Ngakho-ke, uma unalezi zimpawu, kubaluleke kakhulu ukufuna iseluleko sezokwelapha ukuze kutholakale ukuthi ngabe yi-PMDD, i-bipolar, noma okunye. Ngoba izinketho zokwelapha zingahluka. Ukuxilongwa okunembile kuyisinyathelo sokuqala sokwelashwa okuphumelelayo.

Izinto ezibaluleke kakhulu esizifundile kulokhu (Umyalezo Wokuya Ekhaya)

I-PMDD yisimo esibi kakhulu esingathinta impilo yakho, ubudlelwano bakho, ngisho nomsebenzi wakho. Ungase uzizwe sengathi uzilimaza wena noma abanye. Uma unokucindezeleka okuqhubekayo, ukukhathazeka, noma ezinye izimpawu ze-PMDD emasontweni aholela esikhathini sakho, sicela ubone udokotela.

Imithi ingakusiza uzizwe futhi ubukeke kahle ngokulawula ama-hormone akho kanye namazinga e-serotonin. I-PMDD akuyona into okufanele uphile nayo phakade. Ungalibali ukuthola ukunakekelwa kwezokwelapha nempilo yengqondo okudingayo. Awuwedwa, kukhona usizo! Khumbula, ukukhuluma ngakho akusikho ubuthakathaka, kungamandla.

I - PMDD, i-PMS, ukuya esikhathini, ama-hormone, impilo yengqondo, ukucindezeleka, impilo yabesifazane