Kuru >> Nharaunda >> Maitiro andakazoziva-uye ndinorarama ne-premenstrual dysphoric disorder (PMDD)

Maitiro andakazoziva-uye ndinorarama ne-premenstrual dysphoric disorder (PMDD)

Nharaunda

Tampon harisi izwi rakasviba, asi vazhinji vasikana vanokura vachiudzwa kuti ndizvo. Muchokwadi, tsika yeAmerica inoshoresa mativi mazhinji ehutano hwevakadzi, kusanganisira premenstrual syndrome (PMS). Icho chaicho mamiriro anogona kukanganisa hutano hwemukadzi, manzwiro, uye hunhu izvo zvinowanzo bhurwa kubva kupenga-zvakanyanya zvekuti ini chaiko ndakafunga kuti yakamirira nguva yekuchinja kwemamiriro kwechikamu chakanaka chehupenyu hwangu. Pandakagadzira musiyano unozivikanwa se premenstrual dysphoric kusagadzikana (PMDD) , Ndainzwa sekunge ndaive izvo zvaitarisirwa nevanhu munharaunda kwandiri: hysterical .

Ndakaratidza zviratidzo zve PMDD nezera ramazuva 14. Mazuva pamberi pega kutenderera, ndakanzwa pfungwa yakasimba yekuda kuzviuraya, kunzwa kwaizoparara nenguva yandakatanga kuenda kumwedzi. Ndakaonawo kuneta nekukurumidza uye kuzvidya mwoyo kukuru - asi kwainyanya kuve kushushikana kwakadzikama kwakadzoka panguva imwe chete mwedzi wega wega, kusambokundikana kundishamisa. Dai zvaive zvisiri zvekucherechedzwa kwaamai vangu zvine hungwaru vachitora uye nerombo rakanaka rekuwana kuna chiremba akanditeerera, ndingadai ndisina kumboonekwa.

Sekureva kweInternational Association for Premenstrual Disorders ( IAPMD ), inofungidzirwa kuti 5% kusvika 10% yevakadzi vari kurarama neMDCD.

PMDD zviratidzo

Kazhinji, PMS inotaura zvakanyanya kuzviratidzo zvemuviri nepo PMDD ichireva zviratidzo zvepfungwa, anotsanangura Sara Lingow, Pharm.D., Mutevedzeri wapurofesa mubazi rezvemishonga kuSt. Louis College yeFarmacy. Anowedzera kuti PMS uye PMDD zviratidzo zvinogona kubva pane zvinyoro kusvika kune zvakanyanya.

Kuti uwane PMDD kuongororwa, iwe unoda kana mashanu ezviratidzo zvakanyorwa sekusarudzwa neAmerican Psychiatric Association , maererano ne Hofisi yeHutano hweVakadzi mukati mevhiki yekupedzisira kusati kwatanga kwemendi:

Hasha nekushatirwa
Kushungurudzika uye kuda kuzviuraya
Kufunganya, kusagadzikana uye kutya kurwisa
Maitiro anochinja uye kugara uchichema
Kusava nehanya nemaitiro anowanzoitika
Zvakaoma kuisa pfungwa
Kuneta uye kupera simba
Binge kudya uye chikafu chishuwo
Kusarara

Dr. Lingow vanojekesa kuti zviratidzo hazvisi kushushikana, asi a zvikuru kushushikana kwepfungwa. Izvo hazvisi chete zvinosanganisira kufunganya, asi yakatarwa kushushikana. Zviratidzo izvi zvakakura zvakakwana kuti zvivhiringidze imwe nzira yeurotypical zuva nezuva kana kuita kuti munhu anetseke zvakanyanya.

Kana kutenderera kwangu kukanaka kwandiri, ini ndinongova nezvishanu zvezviratidzo izvi. Dzimwe nguva, ndezvese zvavo. Asi neanopfuura makore gumi ezviitiko ndichifambisa kudzikisira kwangu kwemahomoni, ndakadzidza kutaura zviratidzo zvangu kune avo vari padyo neni, kana kungokumbira nzvimbo kana rutsigiro.

Kuongorora PMDD

Kune PMDD, kuongororwa chishandiso chepamutemo, chiyeuchidzo hachisi chose chiri mumusoro mako. Kana iwe uchifunga kuti une PMDD, nhanho yekutanga ndeyekutevera zviratidzo uye mamiriro ekuchinja pakarenda kana mune yekuenda kumwedzi. Uine ruzivo urwu, unogona kuzvibvunza kuti: Zviratidzo zvangu zviripo rini, uye zvinoenderana here neiyo luteal phase (post-ovulation uye pre-kuenda kumwedzi) kwekuenda kwangu kumwedzi? Dzinodzoka dzakatenderedza nguva yakafanana mwedzi wega wega here? Kuunza ruzivo urwu kune wekutanga mutarisiri kana gynecologist kuchakubatsira iwe kuwana rubatsiro iwe rwaunoda-kuburikidza nemishonga, mararamiro mararamiro, uye pfungwa yekusimbiswa.

PMDD inogona zvakare kubatana-pamwe nezvimwe zvehutano hwepfungwa senge kurapwa kwekuora mwoyo uye huwandu hwekuzvidya mwoyo kusagadzikana, kugadzira kurapwa uye kuongororwa - kana kungonzwisisa nyaya dzehutano hwepfungwa - hunonyengera zvakanyanya. Sekureva kwaDr Lingow, Iyo nguva yezviratidzo zvepfungwa ichave yakakosha mukusiyanisa PMDD uye kushushikana.

Semumwe munhu ane hutachiona hwakawanda hwepfungwa, kuchengetedza karenda yehutano hwepfungwa kwakandibatsira kuona zvandakasangana nazvo, kunyanya ndichifunga maitiro e PMDD.

Chii chinokonzera PMDD?

PMDD inoitika mukati mechikamu che luteal, anodaro Kate Placzek, Ph.D., musayendisiti mukuru wekutsvaga neZRT Laboratory,kuita ongororo murabhoritari pane mahormone.

Tsvagurudzo yake inoratidza kuti vanhu vanorarama ne PMDD vane hanya zvakanyanya nekukwira kweprogesterone hormone inoitika mukati mechikamu che luteal. Kunyangwe hazvo progesterone ichizivikanwa zvakanyanya sehormone inodzikamisa, avo vane PMDD vanowanzove neyakaipirwa-iyo inokoka kushushikana, kushushikana, uye zvimwe zvinonetsa zviratidzo.

Nyanzvi dzekurapa dzinorapa sei PMDD?

Mutsara wekutanga wekudzivirira mararamiro ehupenyu senge yakawedzera fiber uye kurovedza muviri; zvisinei, Dr. Lingow anoti mahormone ekudzivirira kubata pamuviri uye SSRI mishonga yekudzvinyirira ndiwo maviri akajairwa mishonga ekurapa PMDD.

Sekureva kwaAlison McAllister, ND, chiremba kuZRT Laboratory, haasi ese maitiro ekudzivirira kubata pamuviri akagadzirwa akaenzana.

Vakadzi vane PMDD vanogona kubatsirwa nemishonga yekuzvidzivirira iri monophasic, kana yakafanana mwedzi wese, anodaro McAllister, achijekesa. Zhizha , Yasmin , uye Mirena zvikuru sei. Anotizve vakadzi vanogona kushandisa dzimwe nzira dzekudzivirira kubata pamuromo vachienderera mberi uye kusvetuka piritsi re placebo kudzikisa huwandu hwenguva dzinochinja mahormone pagore. Munguva pfupi yapfuura, akabatanidzwa mahormone ekudzivirira kubata pamuviri mapiritsi ane drospirenone uye ethinyl estradiol akagamuchira chaiyo FDA mvumo yekurapa PMDD.

Ndanga ndiri pane yakaderera-mahormone ekuberekwa kudzora regimen on uye off kubva pandakabatwa ndine PMDD. Izvo hazvibvise zviratidzo zvangu zvachose, asi zvinoita kuti zvindichengetedze kubva kuzviuraya pfungwa (IAMPD inoti 30% yevanhu vane PMDD vanozoedza kuzviuraya muhupenyu hwavo).

Izvo zvakakosha kucherechedza, zvakadaro, ndeyekuti vanhu vese vanoita zvakasiyana nemushonga, saka zvinoshanda kune mumwe munhu zvinogona kusashandira mumwe. Izvo zvakakosha kuti ushande padhuze neako mupi kuti uwane iyo inoshanda kwazvo nzira yekurapa.

PMDD haina kungoita mumusoro wako

Pasinei nenzira yekurapa yaunosarudza, usakahadzika zviratidzo zvako. Kunyangwe PMDD isina kuwedzerwa kuDiagnostic uye Statistical Manual yeMental Disorders V kusvika 2013, tsvakiridzo iri kutanga kuuya ichitenderedza bend.

Nguva zhinji kwazvo munhoroondo yese, vakadzi vakaudzwa kuti vaive nehutsinye, anodaro Dr. Placzek. Asi pane chikonzero chehupenyu hwekuti sei ivo vari kunzwa nenzira yavari kunzwa.

Ndine chokwadi chekuti wangu ane makore gumi nemana ekuberekwa angadai akaonga iko kusimbiswa pamwe nedzimwe nyaya dzevakadzi dze PMDD, asi ini ndangonyaradzwa kuinzwa makore anopfuura gumi gare gare.