Nakuba ungaxhumeki ngokuzenzekelayo ukucindezeleka kuya kwi-polycystic ovarian syndrome (i-PCOS), ubuhlobo phakathi kwalababili bubhalwe kahle. Amaphesenti angama-40 abesifazane abathintekayo nge-PCOS izimpawu zokucindezeleka. Ucwaningo olulodwa olwanyatheliswa encwadini ethi Psychoneuroendocrinology lusizi futhi lwabonisa ukuthi izibalo zokuzibulala zazivame ukuphindwa kasikhombisa phakathi kwabesifazane abane-PCOS kunabangenayo i-syndrome.
Kunezizathu eziningi zokuthi kungani abesifazane abane-PCOS bezwa amazinga aphakeme kakhulu okucindezeleka. Okokuqala, kungenzeka ukuthi ukungalingani okuhlobene kwamanye ama-hormone e-sex noma i- insulin kungase kube icala. Ukubhekana nokucindezeleka okunomsoco noma okubi kakhulu kwe-PCOS njenge-pre-diabetes, uhlobo lwe-2 lwesifo sikashukela, i-syndrome ye-metabolic, nesifo senhliziyo-kanzima kungaba nzima ukubhekana nayo.
Amazinga aphakeme a-androgens , noma ama-hormone abesilisa ahlobene kakhulu nesimo, angase abe negalelo emazingeni aphezulu okukhathazeka kwemizwelo kwabesifazane abane-PCOS.
Ngaphandle kwamathonya angokwenyama we-PCOS angabangela ukucindezeleka, ubunzima nokukhungatheka kokuphatha izimpawu eziningi ezingenakulawulwa kwe-PCOS akukwazi ukunakwa. Ukulwa nokungafaki , ukutholakala kwesisindo, kanye nezimpawu ze-dermatological (i-acne, ukulahlekelwa izinwele, ukukhula kwezinwele ezidlulele) konke kungathatha inani elibi kakhulu empilweni yomzwelo yabesifazane abane-PCOS. Izici eziningi ze -PCOS zingase zingabonakali zingalawulwa futhi zingaba nzima kakhulu ngokuhamba kwesikhathi, ngisho nemizamo emihle yokuphila ngendlela enempilo.
Izinhlobo Ezihlukahlukene Zokucindezeleka
Ukucindezeleka kungaphezu kokudabukisayo. Noma ubani olwa nokucindezeleka uyazi ukuthi kunomuzwa wokuba emgodini omnyama ongakwazi ukuphuma kuwo, yize uthanda kakhulu. Ukucindezeleka yisimo esibucayi sempilo yengqondo esidinga ukwelashwa. Kusobala ukuthi awukwazi nje "ukuphuma ngaphandle."
Ukucindezeleka kungabonakala ngezindlela eziningi. Nazi ezinye izinhlobo zokucindezeleka ezingathinta impilo ngokomzwelo yabesifazane nge-PCOS.
Ukucindezeleka Okucindezelayo Okukhulu
Ukucindezeleka okukhulu okucindezelekayo kuyinkinga ehlukile yengqondo ehlukile kune "blues" noma ezwa phansi noma ekhungathekile ngokuba ne-PCOS. Kuhluke kakhulu nasempendulo yokudabuka engabangelwa ukufa komuntu othandekayo noma ukuphela kobudlelwane. Isifo esikhulu sokucindezeleka singadlulela amasonto noma ngisho nezinyanga futhi singathinta ikhono lakho lokusebenza emisebenzini yansuku zonke.
Lesi simo senza amandla nesithakazelo emisebenzini eyake yajabulisa, futhi ingabuyela ekuphileni komuntu ngamunye. Isifo esikhulu sokucindezeleka sitholwa lapho umuntu ehlangabezana nesinye seziqephu ezinkulu noma ezicindezelayo ezinkulu ngaphandle komlando wezici ze-manic, ezixutshwe, noma ze-hypomanic. Umuntu kumele abe nokushintshwa okuphawulekayo ekusebenzeni, lapho omunye wemibono emikhulu yemitholampilo kungakhathaliseki ukucindezeleka kwemizwelo noma ukulahleka kwezintshisekelo zenjabulo.
Isifo esikhulu sokucindezeleka singenza kube nzima ukuba nesisusa sokuzinakekela kahle. Njengoba ukuzivocavoca njalo nokulungisa noma ukudla ukudla okunempilo kungumsebenzi obalulekile wokuzinakekela wonke umuntu, ikakhulukazi abesifazane abane-PCOS, ukucindezeleka okukhulu kokucindezeleka kungaba nomthelela wangempela endleleni ozizwa ngayo lapho ulawula isifo sakho.
Ukucindezeleka kwe-bipolar
Abesifazane abane-PCOS baye baboniswa ukuthi banamanani aphezulu okucindezeleka kwe-bipolar, adinga ukwelashwa ngaphansi kokunakekelwa kochwepheshe bokunakekelwa kwezempilo yengqondo.
I-bipolar I-disorder, ebizwa ngokuthi ukucindezeleka kwamadoda, itholakala uma othile enomlando womabili ama-episodes okucindezelekayo. Ukufuna injabulo, ukujabulela imisebenzi enomdlandla, nokukhombisa izinga lokukhulumisana okwenyuka ngokuvamile elibonisa ukugula. Umuntu angatholakala ukuthi une-bipolar I lapho eye wazibonela isiqephu esisodwa somuntu. Isiqephu sabantu besilisa sibhekene nenkumbulo engavamile futhi ephikisayo ephakanyisiwe noma evuthayo esikhathini esingamaviki.
I-bipolar II ihluke ku-bipolar I ngokuthi umuntu unomlando okungenani isiqephu esisodwa se-hypomanic. Izimpawu ze-hypomanic episodes zifana nezokwe-mania nokuhlukana kokuqina, izinga lokukhubazeka, kanye nobude besiqephu. E-hypomania, izimpawu zigcina okungenani izinsuku ezine ezilandelanayo. Ukuthukuthela kungase kube yinto engaba yinkimbinkimbi ngesikhathi se-hypomania kunokuba uzwele kakhulu, futhi ukuphazanyiswa akukona okwanele okwenza ukukhubazeka okuphawulekayo.
Isimo Sokucindezeleka Sonyaka
Isiyaluyalu se-seasonal affective, esivame ukubizwa ngokuthi i-SAD, singathinta nabesifazane nge-PCOS. I-SAD iyindlela yokucindezeleka yonyaka eyenzeka ngesikhathi esifanayo ngonyaka ngamunye. Iningi labantu lithola i-SAD kusukela ekwindla ezinyangeni zasebusika lapho izinsuku zifushane futhi zibe mnyama. Izimpawu ezijwayelekile ze-SAD yikuntuleka kwamandla, ukukhathazeka, nokukhathala. Izimpawu ze-SAD zithuthuka phakathi nezinye izinyanga.
Izimpawu Eziningi Kakhulu Nezibonakaliso Zokucindezeleka
Abantu abaningi bahlangabezana nokucindezeleka ngokuhlukile. Ngezansi uhlu lwezinye izimpawu ezivamile zokucindezeleka, kodwa ungafaki zonke izimpawu ezingenzeka.
- Ukukhathala
- Usizi
- Uzungu
- Ukungabi nasizo
- Ukukhathazeka
- Ukuphazamiseka kokulala
- Ukungabi nesisusa
- Izinguquko zokudla
- Izinguquko zesisindo (lokhu kuyisibonakaliso se-PCOS ngokwayo)
- Imizwa yecala
- Ukubunzima ukugxila
- Ukulahlekelwa intshisekelo kwezocansi
- Ukulahlekelwa isithakazelo ezintweni zokuzilibazisa noma emisebenzini eyaziwa ngaphambilini
- Ukwenza izinqumo ezimbi
- Izinsizwa
- Izinhlungu zomzimba ezinjengezintambo noma umhlane we-back
- Izinkinga zokugaya
Ukuphathwa Kokucindezeleka Kuyithinta Kanjani?
Ukucindezeleka kungaphathwa ngezindlela eziningi, kusukela ekuthatheni kanye nemithi yokwelashwa okuhambisanayo nokunye.
Ukwelashwa Ngamunye
Ukuthola othile ongakhuluma kungasiza ekubhekaneni nemizwa enzima noma ebuhlungu, kuhlanganise nokubhekana nosuku nosuku nge-PCOS. Kubuye kusize ekushintsheni amaphethini okucabanga angalungile avamile ekucindezelekeni. Nakuba kunezinhlobo eziningi zokwelapha okukhulunywayo, kokubili ukwelashwa kwengqondo-yokuziphatha (CBT) kanye ne-psychotherapy yabangane ezitholakale kusebenza kahle ekuphatheni ukucindezeleka.
Amaqembu asekela
Iqembu lokusekela labesifazane elitholwa nge-PCOS lingase libe usizo kwabanye. Ukuzungezwa ngabesifazane abelana nezinkinga ezifanayo kungaduduza nokusekela. Uma kuholwa ochwepheshe bezempilo yengqondo eqeqeshiwe, iqembu lokusekela linganikeza amakhono okushintsha impilo kanye namasu okubhekana ne-PCOS nokucindezeleka.
Imithi
Imithi (anti-depressants) iyatholakala ukusiza ukuphatha ukucindezeleka. Kunezinhlobo eziningi ezitholakalayo. Xoxa ngezinketho zakho nodokotela nodokotela wakho. Futhi, qiniseka ukuthi uxoxe ngeminye imithi noma izithako ozithatha nodokotela wakho ongase ahlanganyele. Uma kungenzeka, gwema imithi engaholela ekuzuzeni isisindo futhi ube nokukwazi ukwenza izici ezithile ze-PCOS zibi nakakhulu.
Alternative and Integrative Medicine
Ezinye izindlela zokwelashwa zokwelashwa ezihlukile futhi ezididiyelwe nazo ziyatholakala ukuphatha ukucindezeleka. Umkhuba osuselwe emqondweni ukhonjiswe njengendlela yokwelapha okuphumelelayo ukunciphisa izimpawu zokucindezeleka kwabesifazane abane-PCOS kanye nokukhathazeka. Ezinye izindlela zokwelashwa ezifana nokukhwabanisa kanye neReiki nazo zingasiza.
Izithako ezinomsoco ezifana namafutha enhlanzi kanye ne- vitamin D nazo ziye zabonisa ukuphumelela ekuthuthukiseni izimpawu zokucindezeleka. Ucwaningo olulodwa olwanyatheliswa kuyi- Journal of Gynecology ne-Endocrinology lithole ukuthi ukutholakala kwe-vitamin D kwakuyisici esibalulekile sokuzimela kokucindezeleka kokubili kwabesifazane abangenawo ngaphandle kwe-PCOS. I-St John's Wort ingasiza ekuthuthukiseni izimpawu ezicindezelayo, kodwa zingase zithwale nemiphumela emibi ebaluleke kakhulu kulabo abane-PCOS, kuhlanganise nezinguquko zezinga le-hormone.
Ukukhathazeka Kwezempilo Okungabukeka Ukucindezeleka
Ngaphezu kokucindezeleka, abesifazane abane-PCOS basesilinganiso sokwanda kwesifo sengqondo esithile: ukukhathazeka. Ezinye izimpawu zokukhathazeka zifana nezokucindezeleka.
Ukukhathazeka kwenzeka ngezindlela eziningi, njengokuhlaselwa kwe-panic, i-agoraphobia, i-posttraumatic disorder disorder, ukucindezeleka okukhulu kokucindezeleka, ukukhathazeka komphakathi kanye nokukhathazeka okujwayelekile.
Ngokusho kwe-DSM-5, indlela yokuhlonza ukukhathazeka okwenziwe ngokujwayelekile ihlanganisa okungenani ezintathu kulezi zimpawu eziyisithupha ezilandelayo:
- Ukuphumula noma umuzwa wokuba onqenqemeni
- Iphelelwe amandla kalula
- Kunzima ukugxila noma ingqondo ingabi nalutho
- Ukuthukuthela
- Ukungezwani kwemisipha
- Ukuphazamiseka kokulala
- Izinguquko zokudla
- Izinguquko zesisindo
Ngenxa yezimo eziphakeme zokukhathazeka kwezempilo yengqondo, i-Androgen Excess ne-PCOS Society incoma ukuthi bonke abesifazane abane-PCOS bavame ukuhlolwa ngokukhathazeka nokucindezeleka ngudokotela wabo futhi babhekiselwe kubahlinzeki abawelashwa abafanelekile.
Nini Ukufuna Usizo Uma Uhlangabezana Nezibonakaliso Ezicindezelayo
Uma wena noma othile owaziyo kungenzeka ucindezelwe, kubalulekile ukuthi ufune usizo kuchwepheshe oqeqeshiwe wezempilo yengqondo. Ungesabi ukuxoxa ngalokho ozizwa kubangani bakho nomndeni wakho. Yazi ukuthi awodwa. I-PCOS yinkimbinkimbi enzima ehlotshaniswa nokukhathazeka kwemizwelo, kuhlanganise nokucindezeleka. Lokho ozizwayo kungokoqobo futhi kufanele uqaphele. Xoxani nodokotela wakho izimpawu zakho bese wenza isikhathi sokuqokwa nomuntu wezokwelapha noma umeluleki ongakusiza.
> Imithombo:
> Association AP. I-DSM. 5th ed. Washington DC: American Psychological Association 2013.
> Ukucindezeleka. I-National Institute of Mental Health iwebhusayithi. https://www.nimh.nih.gov/health/topics/depression/index.shtml. Ifinyelele ngo-Septhemba 10, 2016.
> Kerchner A, Lester W, Stuart SP, Dokras A. Ingozi yokucindezeleka nezinye izinkinga zempilo yengqondo kwabesifazane abanePolycystic Ovary Syndrome: Isifundo Se-Longitudinal. Fertil. I-stteril. 2009; 91 (1): 207-212.
> Mansson M, Holte J, Landin-Wilhelmsen K, Dahlgren E, Johansson A, Landen M. Abesifazane abanePolycystic Ovary Syndrome bavame ukucindezeleka noma ukukhathazeka - Isifundo Sokulawulwa Kwamacala. I-Psychoneuroendocrinology. 2008; 33 (8): 1132-1138.
> Mattei S. Izimo ze-Psychological of PCOS. Ngaphakathi, i-PCOS: Umhlahlandlela weDietitian. 2013 Luca Publishing. UBryn Mawr, PA.
> UMoran LJ, uTeede HJ, uVincent AJ. I-Vitamin D i-Independently Associated With Depression in Overweight Women nabangenawo ngaphandle kwe-PCOS. I-Gynecol Endocrinol. 2014; 4: 1-4.