Ukubhekana nesifo sohudo noma ubuhlungu phakathi nesikhathi sakho akuvamile
Uma uthola ukuthi isifo sakho samathumba esicasulayo (IBS) noma isifo sofuba esisifo (IBD) senza uma usesikhathi sakho-awusodwa. Izinsuku ezimbalwa ngaphambi kokuya esikhathini kungaba ukuletha izimpawu ze-premenstrual syndrome (PMS). Abesifazane abaningi abane-IBD noma i-IBS bathola ukuthi banezibonakaliso ezinzima kakhulu, ezifana nesifo sohudo nobuhlungu, ngaphambi noma ngesikhathi sokuya esikhathini.
Isizathu sezimpawu ze-PMS
Abacwaningi bacabanga ukuthi lokhu kwanda kwezimpawu ezifana nobuhlungu besisu nesifo sohudo kuhlobene namahomoni alawula umjikelezo wesimiso. Inani lokuhuda elibhekene nabesifazane abathile abane-IBD noma i-IBS banda ngesikhathi sezinsuku ngokushesha ngaphambi nangesikhathi sabo. Amakhemikhali amabili angabangela lokhu-i-prostaglandins ne-progesterone.
Kunezinhlobo eziningana ezahlukene ze-prostaglandins ezinemisebenzi ehlukahlukene emzimbeni. Ezinye, okuthiwa i-Series 2 Prostaglandins, zihlotshaniswa nezinguquko emathunjini ezikhuthaza ukuhuda phakathi nama-mens. Bangakwazi ngempela ukugqugquzela ubuhlungu nokuphazamisa ukungenisa amavithamini namaminerali okwenzeka emathunjini. Lezi zinhlobo ze-prostaglandin nazo zingaba necala lokubangela imisipha ebusayo emathunjini ukuba ivumelwano, okuholela ekuboniseni izimpawu zobuhlungu nokuhuda.
Ukushintshashintsha kwamahomoni ngaphambi kwesikhathi nangesikhathi besifazane kungase kube nokusola. Kuye kwachazwa ukuthi ikholoni ingase isabele ekwandeni noma ukwehla ku-progesterone emzimbeni.
Izindlela zokwelashwa ezingenzekayo ku-PMS
Ayikho yokwelapha okuqinisekisiwe ye-PMS, nakuba kunezindlela eziningana zokunciphisa izimpawu.
I-Evening Primrose Amafutha. Amafutha e-primrose e-Evening (EPO) atholakala ukusiza abesifazane ukuba banciphise izimpawu ze-IBS ngesikhathi sokuqala kokuya esikhathini nokuya esikhathini somjikelezo wabo. I-EPO iqukethe i-fatty acid ebalulekile ebizwa nge- gamma linolenic acid (GLA) . Umzimba awukhiqizi ama-acids amafutha abalulekile-angangenwa kuphela ngokudla. I-GLA kanye ne-omega-3 fatty acids ndawonye kuveza uhlobo lwesibili lwe-prostaglandins, olubizwa ngokuthi uchungechunge lwe-E1. Lolu hlobo lwe-prostaglandin lusiza ukunciphisa ukuvuvukala kanye nezinsiza ekuguleni.
I-dose enkulu ye-EPO ngosuku ayisaziwa, kepha u-3 000 mg kuya ku-6,000 mg we-EPO (anikelwe ukulinganisa okungaphezu kuka-3 emini) ingaqukatha u-270-540 mg we-GLA. Lona inani le-GLA evame ukusetshenziswa emcwaningweni. I-EPO ngokuvamile ibhekwa njengophephile, kodwa kufanele ithathwe ngokudla ukugwema isicanucanu. Abantu abanesifo sokuphuza okwemvelo akufanele neze bathathe i-EPO.
I-calcium. Ukwengeza kwe-calcium kungasiza ekunciphiseni ezinye zezimpawu ze-PMS. Umthamo owatholakali uphumelela ngu-1200 mg ngosuku, ngendlela ye-calcium carbonate.
I-serotonin i-reuptake inhibitors ekhethiwe. I-serotonin reuptake inhibitors (SSRIs) ekhethiwe ingase isetshenziselwe ukuphatha izimpawu ezilinganiselayo kuya ezinzima ze-PMS . Lezi zidakamizwa zivame ukusetshenziselwa ukulwa nokucindezeleka, kodwa zinezinye izinto eziningi ezisetshenziswayo.
Kwezinye izimo, i-SSRI inikezwa ngesikhathi sesigaba sokuqala , esiqala lapho kuqhutshwa i-ovulation . Kwabanye, i-SSRI inikezwa nsuku zonke.
Ezinye izindlela eziningi zokwelashwa eziye zahlolwa, kodwa iningi alizange libonise imiphumela emihle ekunciphiseni uhudo kanye nezinye izimpawu ezihlobene ne-PMS. Ukuphila ngendlela enempilo-ukudla izithelo nemifino okwanele, ukuzivocavoca, ukunciphisa ushukela kanye ne-caffeine-kungasiza ngendlela ejwayelekile, ngoba lezi zindlela zokuphila zihlotshaniswa nempilo engcono kakhulu. Impilo yabesifazane, ngokujwayelekile, ihlehlisiwe, ngakho-ke ingakaziwa kakhulu nge-PMS nezimo ezihambisanayo.
Izwi elivela
Ukuba nezibonakaliso eziningi ze-IBS noma i-IBD phakathi nenkathi kungabangela usizi futhi kungathandeki. Kodwa-ke, akunakwenzeka ukuholela kunoma yikuphi okuphathelene nezimpawu ezihlala njalo. Ezinye izinguquko zendlela yokuphila zingasiza ukunciphisa izimpawu kodwa uma zihlupha kakhulu, ukusebenza ne-gastroenterologist kanye nomjozi wezinsiza kungasiza. Kulaba besifazane abathile, kungase kube nezinye izindlela zokwelapha udokotela ongakwazi ukuzenza ezingasiza ekunciphiseni izimpawu.
Imithombo:
U-Altman G, uKayin KC, uMotzer S, Jarrett M, Burr R, Heitkemper M. "Izimpawu ezikhulayo ezigulini ze-IBS zesifazane ezine-dysmenorrhea ne-PMS." I-Gastroenterol Nurs. Jan - Feb 2006.
U-Cotterell CJ, u-Lee AJ, i-Hunter JO. Isivivinyo esiphambene nezimpumputhe ezimbili zokuhlwayela kwamafutha okugcoba ama-primrose ku-wesifazane anezifo ezibangelwa isisu esisondelene nesisu. E-Omega-6 Essential Fatty Acids: I-Pathophysiology kanye nezindima emithi yokwelapha, u-Alan R Liss, eNew York, 1990, 421-426.
UDouglas S. "I-Premenstrual syndrome. Ukwelashwa okusekelwe ebukhosini." Ingabe Udokotela Wezinkinga. 2002 Nov; 48: 1789-1797.
Houghton LA, Lea R, Jackson N, Whorwell PJ. "Ukujikeleza kokuya esikhathini kuthinta ukuzwela kwamagciwane ezigulini ezine-syndrome ezicasulayo kodwa hhayi amavolontiya anempilo." Ngo-Agasti 2002.
Parlak E, Da'li U, Alkim C, Diybeyaz S, Tunç B, Ulker A, Ahin B. "Isibonelo sezimpawu zamathumbu kanye nezengqondo phakathi komjikelezo wesimiso kwabesifazane abanesifo sofuba." I-Turk J Gastroenterol Dec 2003.