Ngokuningiliziwe kwe-Premenstrual Syndrome (PMS)
Ubuzwa obuningi bokuthi izimpawu ezijwayelekile eziza ngesikhathi esisodwa njalo ngenyanga zibonisa ukuthi isikhathi sakho sizoqala maduzane. Cishe bonke abesifazane bazobona izinguquko emzimbeni wabo phakathi nesonto noma kungakafiki isikhathi sabo. Kwabaningi, lezi zimpawu ziyisikhumbuzi esicasulayo esincane esitokisini phezulu kwamathoni noma amaphuthi. Kodwa kwabanye, lezi zimpawu zingaphazamisa ngempela ukusebenza kwansuku zonke.
Uma uzizwa sengathi izwe lakho livulekile, noma libi nakakhulu, ngesonto noma ngaphezulu ngaphambi kwesikhathi sakho, cishe unayo i-PMS, noma i-premenstrual syndrome.
Iyini Isifo Sokuqala?
I-Premenstrual syndrome noma i-PMS yisimo esibangela izimpawu ezibonakalayo ezingokomzimba nezingokwengqondo ezenzeka njalo ngenyanga ngesonto noma ngaphezulu ngaphambi kwesikhathi sakho. Lezi zimpawu ezivamile zibangelwa ukucindezeleka noma ukuphazanyiswa empilweni yakho futhi esikhundleni sokuthi zihambe ngokushesha ekupheleni kwesikhathi sakho.
Uhlobo lwezimpawu nobukhulu bezimpawu ozizwayo zihlukile emzimbeni wakho.
Ngeshwa, kunokuphikisana emphakathini wezokwelapha ukuthi isimo sichazwe kanjani ngempela, futhi lokhu kungaholela ekudidekeni okuthile. Nazi izimiso eziyisisekelo ezichaza ukuxilongwa kwe-PMS:
- Unesifo esiphuthumayo nesisemzimbeni futhi / esiyinkimbinkimbi noma sengqondo njalo nyanga phakathi nesonto noma ngaphezulu ngaphambi kwesikhathi sakho
- Izimpawu zakho zingahluka, kodwa izimpawu ezivamile zikhona
- Noma iyiphi inombolo yezimpawu kungenzeka
- Lezi zimpawu zanyamalala ngesikhathi noma ekupheleni kwesikhathi sakho
- Uhlala unesonto elilodwa lokungenazibonakaliso okungenani elilodwa phakathi kwenkathi yakho kanye nokuvuthwa (uma uzizwa "uthanda wena")
Uzibuza ukuthi kungani kukhona izimpawu ezijwayelekile nokuthi kungani lezi zimpawu zenzeka kuphela ngesonto noma ngaphambi kwesikhathi sakho? Lokhu kungenxa yokuthi i-PMS ibangelwa izinguquko ze-hormone ezenzeka phakathi nomjikelezo wakho wokuya esikhathini.
Mane nje, umjikelezo wakho wokuya esikhathini uhlukaniswe ngezigaba ezimbili ezihlukaniswe ukuvota. Isigaba ngasinye sinomthelela omkhulu we-hormone okhishwe. Isigaba se-follicular noma ingxenye yokuqala yomjikelezo wakho iqala ngosuku lokuqala lwenkathi yakho futhi iphetha ngokuvota. I-Estrogen yi-hormone evelele phakathi nalesi sigaba somjikelezo wakho.
Uma uvunguza kukhona inkinobho enkulu ye-hormonal. Ingxenye yesibili yomjikelezo wakho wokuya esikhathini ukuya ekuvuthweni kuze kube usuku lokuqala lwenkathi yakho ebizwa ngokuthi isigaba luteal. Ngesikhathi se-luteal, i-progesterone yi-hormone evelele. I-progesterone futhi mhlawumbe ezinye izinguquko ezibangelwa ukushintsha kwe-hormonal enkulu ye-ovulation zibophezele izimpawu ezicindezelayo neziphazamisayo ze-premenstrual syndrome.
Ngenxa yokuthi wonke owesifazane unezimpendulo eziyingqayizivele ekushintsheni kwakhe kwe-hormonal, uhlobo lwezimpawu, inani lezibonakaliso nokuqina kwezimpawu kuzoba yilowo nalowo wesifazane otholakala nge-PMS.
Lokhu kuthiwa, kunezibonakaliso ezijwayelekile ezihlobene nokuxilongwa kwe-PMS. Lezi zimpawu zingahlukaniswa ngamaqembu amabili: ngokomzimba nangokwengqondo / ukuziphatha. Izimpawu zakho zingase zibe ngokomzimba noma ikakhulukazi kwengqondo, noma ingxube yazo zombili. Futhi, indlela ohlangabezana ngayo ne-PMS ihlukile kuwe. Izimpawu ze-PMS zibandakanya kepha azikhawulelwanga ku:
- ukuvuvukala kwesisu noma ukubhula
- isifuba sesifuba noma amabele abuhlungu
- inzuzo yesisindo
- i-acne
- ikhanda
- ukuvuvukala kwezandla noma izinyawo zakho
- imisipha yomzimba kanye / noma ubuhlungu obuhlangene
- ubuhlungu obuphansi emuva
- izifiso zokudla
- ukwandisa ukudla
- isimo sengqondo siyashintsha
- kunzima ukulala noma ukulala kakhulu
- ukungabi namandla
- intukuthelo
- ukukhathazeka
- imizwa ecindezelekile
- ukungabi nethemba
- ukuhlushwa okuncane
- ukucasuka
- isizungu
- ukungabi nentshisekelo kwimisebenzi yakho evamile
Kubalulekile ukuba unake indlela ozizwa ngayo ngezikhathi ezahlukene ngesikhathi sokuya esikhathini. I-PMS ingokoqobo futhi ukuthola ukuxilongwa okufanele kungakusiza ukuphatha izimpawu zakho futhi "uzizwe uthanda wena" inyanga yonke.
Izinto Ezintathu Okumele Zizizwe Nge-Premenstrual Syndrome
Asikho Isivivinyo sokuthi uhlolwe i-PMS
Awekho ukuhlolwa kwegazi noma ukuhlolwa kwe-imaging okungakwazi ukuxilonga i-PMS. Ngokungafani nezimo eziningi, ukuxilongwa kwe-PMS kusekelwe ngokuphelele ezimpawu zakho nokuthi lezo zimpawu zikwenza uzizwe kanjani. Ngempela ukuxilongwa komuntu siqu. Ezinye izindlela zokuxilonga zidinga isibalo esithile sezimpawu ukuba sibe khona ukuze kutholakale ukuhlolwa kwe-PMS. Kodwa ochwepheshe abaningi kanye nemihlahlandlela emisha baye bathola izindlela zokuhlola i-PMS egxila kakhulu ngesikhathi, uhlobo, nokuqina kwezibonakaliso zakho kunokuba inani lenani lezimpawu.
Ukuze uhlolisise kahle i-PMS, udinga ukukala ngokulinganisela izimpawu zakho. Lokhu kusho ukuthi empeleni kufanele ulandele indlela ozizwa ngayo nsuku zonke ngemijikelezo emibili. Kubalulekile ukuthi urekhode lolu lwazi bese uletha kanye nawe ekuvakasheleni udokotela wakho. Ungasebenzisa ikhalenda elingenalutho, kodwa ungathola ukuthi kuyasiza ukusebenzisa i-tracker yesimpawu noma uhlelo lokusebenza. Thatha lesi sinyathelo ngokungathí sina. Yindlela ewukuphela kokuthola ukuxilongwa kanye nokwelashwa okufanele.
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Nini Ukukhathazeka Ngezikhathi Ezinzima Noma Izindwangu Ezingeni Zegazi
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Konke Okudingeka Ukwazi Nge-Amenorrhea
I-Misdiagnosis Ingenzeka
Izimpawu eziningi ezingokwengqondo ze-PMS nazo zivame nakwabesifazane abanenkinga yokukhathazeka noma / noma ukukhathazeka. Uma izimpawu zakho ikakhulukazi kwengqondo usengozini yokungazi kahle. Uma unenkinga yokuphazamiseka kwemizwa ye-cyclic, usengozini yokuthola ukuthi awukho kahle. Ngokuvamile ungase uphethwe kabi nge-bipolar disorder futhi uphathwe ngezidakamizwa zokuqiniswa kwemizwelo. Isihluthulelo sokuthola i-diagnostic esifanele sinquma ukuthi izimpawu zakho zenzeka yini ngesonto noma ngaphambi kokuhamba kwesikhathi bese uhamba ngokuphelele ekupheleni kwesikhathi sakho. Kufanele futhi ube neviki elingenasifo emva kwesikhathi sakho. Ukuqopha ngokufanele izimpawu zakho zansuku zonke emijikelezweni emibili yokuya esikhathini kuzokusiza wena nodokotela wakho ukuthi unqume ukuthi izimpawu zakho zibangelwa yi-PMS noma isifo sengqondo esingaphansi kwengqondo.
Okunye Ukulawulwa Kwokuzalwa Kungabangela Izimpawu ze-PMS
Siyazi ukuthi ushintsho lwe-hormonal of ovulation lubangela izimpawu ze-PMS. Ngakho-ke, kunengqondo ukuthi ukwelashwa kwe-PMS kugxile ekunciphiseni ukuvuthwa. Yingakho udokotela wakho angase ancoma iphilisi yokubeletha ngomlomo equkethe kokubili i-estrogen ne-progesterone ukuphatha izimpawu zakho ze-PMS. Ngethemba ukuthi lokhu kuzokunika ukukhululeka okuhle kwezimpawu zakho. Kodwa ngezinye izikhathi akusho, noma kungenza ngisho nezimpawu zakho zibi nakakhulu.
Kungenzeka ukuthi ungaba "u-progesterone ozwelayo." Kwabesifazane abathile, ukuvezwa kwama-progesterones okutholakala emithonjeni yokuvimbela i-hormonal kungadala noma kubangele izimpawu ezifana ne-PMS. Uma uqale i-OCP ukuphatha i-PMS futhi uzizwa unzima nakakhulu, khuluma lokhu nodokotela wakho. Cishe udokotela wakho uzokuphakamisa ukuzama uhlobo oluthile lwephilisi equkethe i-progesterone ehlukile.
Uma "u-progesterone uzwela," ukusebenzisa noma yikuphi ukulawula kokubeletha kwe-hormonal kungalimaza i-PMS ekhona ngaphambi kwalokho noma kubangele izimpawu ezintsha ze-PMS. Noma kunjalo, ukusebenzisa i-progesterone kuphela-control hormonal birth control kukubeka engozini enkulu kakhulu. Izinketho zokuvimbela ukukhulelwa kwe-progesterone kuphela zihlanganisa:
Uma usebenzisa noma iyiphi yalezi zindlela zokulawula ukubeletha futhi usuqale ukuqala okusha noma ukuwohloka okukhulu kwezimpawu zakho ze-PMS, udinga ukuxoxa ngalokhu nodokotela wakho.
Ukuphila ne-PMS
Zizinakekele kahle
Ukugcina impilo enempilo kubalulekile kuwo wonke umuntu, kodwa kungasiza ekuthuthukiseni izimpawu ze-PMS. Inselele yukuthi uma uhlupheka nge-PMS ungakwazi kalula ukuphonswa ngaphandle kwendlela bese ungena emikhuba emibi. Ukuzivocavoca okuvamile kubaluleke kakhulu ekushintsheni kokuphila, ikakhulukazi phakathi nengxenye yesibili yomjikelezo wakho. Ukuzivocavoca kwama-aerobic kwandisa ama-endorphin, okusiza isimo sakho. Ukuzivocavoca njalo kungasiza ekunciphiseni ukufisa ukudla kwe-PMS okuqhubeka nokukhuphula izimpawu ezifana nokuqhaqhazela, ukuvuvukala nokuthola inzuzo.
Ungesabi Ukukhuluma Ngesimo Sakho
I-PMS yisimo sangempela sezokwelapha njengesifo sikashukela noma umfutho wegazi ophakeme. Ngeshwa, isiko esithandwayo siye sabangela lesi simo ukuba sibe yilebula ekwahlulela futhi ehlambalaza. Ungesabi ukukhuluma nabangani bakho nomndeni wakho ngokuthi uzizwa kanjani. Uma abathandekayo bakho beqonda indlela ozizwa ngayo nokuthi kungani, bangakusiza ukuba uhlangabezane nezinsuku ezinzima zomjikelezo wakho.
Mhlawumbe ungazuza ngokubona uchwepheshe wezempilo yengqondo elayisensi ukukhuluma ngemizwa yakho, ikakhulukazi phakathi nengxenye yesibili yokujikeleza kwakho kokuya esikhathini. Lokhu kungaba usizo ikakhulukazi uma uhlangabezana nezinguquko ezibalulekile ze-PMS.
Qinisekisa ukuthi uthola ukwelashwa okufanele
Lokhu akukwazi ukugxila ngokwanele. Awudingi ukuhlupheka ngokuthula nge-PMS. Uma unomuzwa wokuthi ukwelashwa udokotela wakho ayimisile akusebenzi kuwe, sicela uxoxe nezinye izindlela zokwelashwa nodokotela wakho. Uma udokotela wakho engazizwa ekhululekile ukwelapha i-PMS noma uzizwa sengathi udokotela wakho akasathathi izimpawu zakho ngokungathí sina, kufanele ucabange uthintana nodokotela. Ungase ucabange ukubona umjokazi wezinkinga uma ungenayo kakade.
Izwi elivela
Ukuthola ukuxilongwa kwe-PMS yisinyathelo sokuqala sokulawula izimpawu zakho. Ungabi namahloni nge-diagnostic. Ukufunda kabanzi mayelana nokuthi ubuchopho bakho nomzimba wakho uphendukela kanjani kumahomoni akho ashintshayo kuzokusiza uzizwe ungcono nsuku zonke. Ukwenza indlela yokuphila ishintshe futhi ukhulume nodokotela wakho ngokukhetha ukwelashwa kuzokusiza uphile kahle ne-PMS.
> Umthombo:
> Brien S, Rapkin A, Dennerstein L. Ukuxilongwa nokuphathwa kwezifo zangaphambi kokuqala. BMJ . 2011; 11 (342) 1297-1303