Funda izinzuzo zokulawulwa kokuzalwa kwe-PMDD
Uma une-dismistral disorder disorder (PMDD), ungase uthande ukucabangela ukubheka ukulawulwa kokuzalwa kwe-hormonal ukusiza ukulwa nemiphumela emibi. Nakuba i-serotonin reuptake inhibitors (SSRIs) ekhethiwe ibhekwa njengendlela yokuqala yokwelashwa kwe-PMDD, abesifazane abaningi abafuni ukuthatha futhi bangathanda ukuhlanganisa isidingo sabo sokukhulelwa kwezingane kanye nesidingo sabo sokuphumula kusuka ku-PMDD.
Ukuqonda i-PMDD
I-PMDD ifomu elibi kakhulu nelingavamile kakhulu le- premenstrual syndrome (PMS), elichaphazela amaphesenti angama-75 abesifazane. Nge-PMS, ungase uthole izibonakaliso eziningi zomzimba kanye / noma ngokomzwelo ngezinsuku ezinhlanu kuya kwezingu-11 ngaphambi kokuqala komjikelezo wakho wokuya esikhathini .
I-PMDD enamandla kakhulu isimo esithinta kakhulu inhlalakahle yengqondo, ukusebenzisana komphakathi, kanye nobuhlobo bamaphesenti angama-3 ukuya kuma-8 amaphesenti abesifazane abaseneminyaka yobudala. Izici zayo eziyinhloko kukhona intukuthelo, ukucasuka, nokukhathazeka. Izindlela zokulawula ukuzalwa kwezibeletho , kuhlanganise namaphilisi ajikelezayo, ziye zaboniswa ukunikeza usizo futhi zingasebenza njengokwelashwa kwe-PMS kanye ne-PMDD.
Ukwelashwa kwe-Hormonal for PMDD
Ukwelashwa kwe-Hormonal , njengePilisi , kuyindlela ethandwayo yokukhulelwa kwabesifazane abaningi, kodwa abesifazane abasebenzisa lolu hlobo lokulawulwa kokuzalwa bangase bangazi izinzuzo zalo ezingenalo ukukhulelwa .
Izindlela zokubeletha ezihlukahlukene ze-hormonal zibonise ikhono elithile lokunciphisa izimpawu ze-PMDD, kanye nokuhlinzeka ngeminye imithi ye-PMS.
Ungase usabele ngokuhlukile kwezinye izindlela zokuvimbela ukukhulelwa; Ngakho-ke, lolu lwazi luhloswe ukuba lubukezwe jikelele. Futhi, khumbula ukuthi isizathu esiyinhloko sokusebenzisa ukulawulwa kwe-hormonal ukuvimbela ukukhulelwa (ukuvimbela ukukhulelwa okungalindelekile ).
Izinketho zokwelapha i-PMDD enezinqubo zokuvimbela amaHormon
Uma wena nodokotela wakho nibheka izinzuzo ezingekho kokuzala zokulawula kokubeletha ekuphatheni i-PMDD yakho, kunezinhlobo eziningi zezindlela ze-hormone okufanele zicatshangelwe.
Okulandelayo luhlu lwezindlela zokulawula ukubeletha okuye kwaboniswa ukuthi ziyasebenza njengokwelashwa kwe-PMDD kanye ne-PMS:
- Amanye amaphilisi okulawula ukubeletha anganikeza ukuphumula kwezinye izimpawu ze-PMDD. Ezilingo ezilawulwa ngokungahleliwe, amaphilisi enhlanganisela abonise ukuthuthukiswa kakhulu kumpawu ze- PMDD yilabo abanenhlanganisela ye- ethinyl estradiol ne- drospirenone (njenge- Yaz , Ocella, ne- Beyaz ). I-Yaz yiyona kuphela ukulawulwa kokuzalwa kwe-FDA-kuvunyelwe ukuphatha i-PMDD.
Lawa maphilisi aboniswe ukunikeza ukukhulula kokubili izimpawu ze-PMDD ezingokomzimba nezingokwengqondo, ngokuthuthukiswa kwekhwalithi yokuphila ephathelene nempilo. Ukwengeza, banciphisa ukuwohloka kwemizwelo ngaphambi kokubeletha kwabafazi abaneminyaka engama-50 ubudala abathola ukwelashwa kokucindezeleka. - Amaphilisi okulawula ukuzalwa okuqukethe i-levonorgestrel ne-ethinyl estradiol nawo aboniswe ukusiza izimpawu ze-PMDD uma kuthathwa ngokuqhubekayo ngaphandle kwe-placebo.
- Ngenxa yokuthi amaphilisi omjikelezo enwetshiwe anganciphisa inani lakho lezinkathi zibe izikhathi ezine ngonyaka ( Seasonique ) noma ukuvimbela ngokuphelele ukuya esikhathini (Amythest) wonyaka, lezi pilisi zinganikela nge-PMDD ne-PMS.
- Abesifazane ngokukhulelwa kwe-hormonal cyclic (amaphilisi asebenzayo angu-21 / i-placebo yosuku lwama-7) bangathola izimpawu zangaphambi kokuhamba komzimba kanye nobuhlungu be-pelvic , ikhanda, isifuba sebele, nokuvinjelwa ngesikhathi sokungena kwe-hormone. Ukwandisa umjikelezo ojwayelekile wezinsuku ezingu-21 wamaphilisi okukhulelwa kuye kwaboniswa ukunciphisa ubuhlungu be-pelvic kanye nekhanda ngenkathi kuthuthukiswa isimo sengqondo jikelele.
- Ngenxa yokuthi unezinkambiso ezimbalwa uma usebenzisa, ukusetshenziswa okusetshenzisiwe kwe-patch yokukhulelwa kanye nengane yokukhulelwa kunganikeza izinzuzo ezifanayo njengamaphilisi okujikeleza.
Qaphela: I-patch ye-Ortho Evra yokukhulelwa ivinjelwe e-United States. Ifomu elijwayelekile, i-Xulane, iyatholakala.
> Imithombo:
> Casper RF. Imfundo yeziguli: Premenstrual Syndrome (PMS) ne-Premenstrual Dysphoric Disorder (PMDD) (Ngaphandle Kwezingqalasizinda). Kusesikhathini. Kubuyekezwe ngomhla ka-6 Mashi, 2017.
> Freeman EW, Halbreich U, Grubb GS, et al. Ukuhlolisisa ngezifundo ezine zokukhulelwa komlomo okuqhubekayo (levonorgestrel 90 mcg /
> Abasebenzi beMayo Clinic. I-Patch Control Patch. Ishicilelwe ngo-December 23, 2015.