Uma une- PMDD , unomzwelo okhulayo kumahomoni akho wokuzala, okungukuthi i-estrogen ne-progesterone. Lokhu kuzwela kuyakholakala ukuthi kubangelwa ukuguqulwa kwesakhi sofuzo esenza ukuthi ubuchopho bakho buphendule kanjani ku-estrogen ne-progesterone.
Izimpawu zale mpendulo eguquliwe zenzeka kuphela emavikini amabili ngaphambi kwesikhathi sakho. Kungenzeka ngenxa yamazinga e-hormone ashintshwe yi-ovulation kunokuba nje ama-hormone ngokwawo.
Izinketho zamanje zokwelashwa zilinganiselwe. Ezinye zokwelashwa ezitholakalayo zisebenza ngokuvimba ukuvuthwa kwakho, okuvala ukushintshashintsha kwanyangazonke emazingeni akho e-hormone. Eminye imithi isebenza ngokulungisa ngqo ukungalingani kwamakhemikhali ebuchosheni bakho obangelwa ukuphendula komzimba wakho kushintshile ekushintsheni kwe-hormone yokujikeleza kokuya esikhathini .
Uma ucabangela ukuhlinzekwa ukuphatha izimpawu ze-PMDD kungenzeka ukuthi awunalo impumelelo encane noma ayikho emisebenzini yokwelashwa etholakalayo.
Kubaluleke kakhulu ukukhumbula ukuthi ukuphathwa okuhlinzekwayo akunakwenzeka. Wena nodokotela wakho kuzodingeka ubuyekeze inkambo yakho yomtholampilo. Qinisekisa ukuthi ukhathele zonke izinketho zokwelapha zokwelashwa nezokuhambisana ezitholakalayo. Khumbula ukuthi ngokuvamile kuthatha inhlanganisela yazo zombili izinhlobo zokwelashwa ukuthuthukisa izimpawu zakho.
Ngemuva kokuhlolwa okubucayi kwenkambo yakho yemitholampilo, wena nodokotela wakho banganquma ukuthi ukuphathwa kokuhlinzwa kufanelekile.
Ukuphathwa kokuhlinzwa kwe-PMDD kuthatha ukwelashwa okuyinhloko yokucindezelwa kwe-ovulation kuwo wonke amazinga. Eqinisweni, kuqeda ngokuphelele ukuvuthwa kwakho okwenza kube ngcono izinguquko zakho zokujikeleza kwe-hormone yokuya esikhathini.
Iyini ukuphathwa kokuhlinzwa kwe-PMDD?
Ukuphathwa kokuhlinzwa kwe-PMDD kuqukethe i- hysterectomy kanye ne-salpingo-oophorectomy yamazwe angamazwe okusho ukuthi, ukususwa kwesibeletho sakho, ama-ovaries, nama-tublopian tubes.
Ake siwaphule phansi.
- Ukususwa kwama-ovari akho. Ukususa ama-ovari wakho yisinyathelo esibalulekile sokuphatha i-PMDD. Ama-ovari akho angumthombo wamakhomoni akho wokuzala. Uma ama-ovari akho asusiwe usususe umthombo we-hormone yakho yokuzala. Lokho kusho ukuthi, akukho-ovulation futhi angekho ngaphezulu amazinga ama-hormone.
- Ukususwa kwesibeletho sakho. Isibeletho sakho asikhiqizi ama-hormone futhi asifakisi izimpawu ze-PMDD. Isibeletho sakho siphendula kuphela emazingeni akho ashintsho amahomoni. Umsebenzi wayo kuphela ukuphatha ukukhulelwa, futhi njalo ngenyanga uma lokho kungenzeki uthola isikhathi sakho. Mhlawumbe, uma ukhetha ukuphathwa kwe-PMDD, uye wanquma ukuthi usuvele unabantwana. Uma kungenjalo kufanele uxoxe nezinye izinketho nodokotela wakho. Ngemuva kokuthi ama-ovari akho asusiwe uzobe usuqeda ukuphuma esikhathini. Udokotela wakho uzosikisela ukuthi uqale ukwelapha okukhipha i-hormone ukusiza ukuvikela amathambo nenhliziyo yakho futhi uphathe izimpawu ezingathandeki zokumisa esikhathini sokuhlinzwa. Kucatshangwa ukuthi i-progesterone ngokuyinhloko i-hormone eyinkinga ku-PMDD. Njengoba isisu sakho sisusiwe, kuphephile ukuthi uthathe indawo ye-estrogen ngaphandle kwe-progesterone.
- Ukususwa kwamatayipi akho angama-fallopian. Njengesibeletho sakho, amashubhu akho angama-hormone awakhiqizi ama-hormone. Umsebenzi wabo ukuthola iqanda lakho elivundisiwe likhulelwe futhi lingene esibelethweni sakho. Ukushiya ngemuva ngenkathi ususa isibeletho sakho kanye nama-ovari kungenzi lutho ngalutho. Kanti futhi, kungenzeka ukuthi i-tube fallopian ingaba yimbangela ethile yomdlavuza we-ovarian. Ukususwa kwama-tublopian tubes ngesikhathi se-hysterectomy kunconywa futhi kuyaziwa ngokuthi inqubo yokunciphisa ingozi yomdlavuza we-ovarian.
4 Imigomo Yokusiza Ukunquma Uma Ukuhlinzwa Kukulungile Kuwe
Ukuphathwa kokuhlinzwa kwe-PMDD akunakuguqulwa, futhi uzobe usenqamukile kokuya esikhathini ngemuva kokuhlinzwa. Nakuba ukungena esikhathini sokuya esikhathini kuzoletha impumuzo ku-PMDD, kunezinye izinkinga ezibalulekile empilweni yakho nempilo yakho. Ngakho kubaluleke kakhulu ukuzama nokubikezela ukuthi uzophendula kanjani uma ungabe usakhipha amahomoni akho ama-ovarian. Ukukhetha ukwelashwa ukuphatha imishanguzo ye-PMDD yakho emelana nemithi kuyisinqumo esinzima. Nakhu okuyisisekelo esincane okumele sihlangabezane ngaphambi kokwenza isinqumo sakho sokugcina.
- Qinisekisa ukuxilongwa kwakho kwe-PMDD. Ngenxa yokuthi imiphumela emibi nemiphumela yezempilo yalolu ukhetho ukwelapha kakhulu, kubaluleke kakhulu ukuthola ukuxilongwa kahle. Ukubukeza noma ukuphinda idayari yakho yansuku zonke yesimiso okungenani kunconywa imijikelezo emibili. Kubaluleke kakhulu ukuhlukanisa phakathi kwe-PMDD kanye ne-PME noma ukukhushulwa kokuqala kwesimo sengqondo esiyinkimbinkimbi. Uma unezibonakaliso ngaphandle kwesigaba sakho se-luteal, ukukhishwa kwama-ovari wakho ngeke neze kusize ukuthuthukisa noma ukuqeda lezi zimpawu.
- Lungisa impendulo yakho. Ngenhlanhla kukhona ukwelashwa okungakusiza ukubikezela ukuthi uzophendula kanjani kahle kulabaphathi abahlinzayo. I-leuprolide acetate noma i-Lupron yi-agnist ye-GnRH esetshenziselwa ukuvala okwesikhashana ukukhiqizwa kwama-ovaries we-estrogen ne-progesterone. Ikubeka kancane esikhathini sokumisa esikhathini futhi umphumela wayo uguquke ngokuphelele. Awufanele ucabange ngisho nokuphathwa kokuhlinzwa ngaphandle kokuthi uphiphe izinkinga zakho nge-GnRH. Abanye ochwepheshe bancoma ukuthi iGnRH kufanele isetshenziswe okungenani izinyanga ezingu-6 ngemiphumela emihle ngaphambi kokuba kuqashwe ukuhlinzwa.
- Zama i-hormone esikhundleni. Akuyona nje inselele ye-agonist ye-GnRH ebalulekile ukubikezela impendulo yakho ekuhlinzekeni, kodwa futhi inikeza ithuba lokubikezela ukuthi uzobekezelela kangakanani ukwelashwa kwe-hormone . Ngenxa yokuthi uzobe usenqamukile esikhathini sokuqala, kunconywa ukuba uthathe indawo ye-estrogen ukuze uvikele amathambo akho, impilo yempilo yakho, futhi usize ukuphatha izimpawu zokuya esikhathini.
- Usube usenayo izingane. Lokhu kungaba yisinqumo esinzima kakhulu nangokomzwelo kwabanye besifazane. Uma ama-ovari akho asusiwe, awukwazi ukukhiqiza iqanda. Futhi uma isisu sakho sisusiwe, awukwazi ukukhulelwa. Kubalulekile ukuthi uqiniseke ngesinqumo sakho. Qinisekisa ukuthi uthole ukwesekwa futhi mhlawumbe ukwelulekwa ukuthi wena kanye nomngane wakho okudingayo udinga ngaphambi kokuba uqhubeke phambili nokuhlinzwa.
Izwi elivela
Uma ucabangela ukuphathwa kwe-PMDD, kungenzeka ukuthi ukhathele zonke izinketho zokwelapha. Cishe uyesaba futhi udidekile. Ukusebenza nodokotela ofanele nokuthola ukwesekwa kontanga ngamaqembu afana neGia Allemand Foundation kungakusiza wenze isinqumo esihle sokukusiza uphile kahle ne-PMDD.
> Umthombo:
> Green LJ, O'Brien PMS, uPanay N, Craig M egameni leKhotho yaseRoyal of Obstetricians kanye neGynecologists. Ukuphathwa kwe-premenstrual syndrome. I-BJOG 2017; 124: e73-e105