Momwe ndidazindikirira ndikukhala ndi-premenstrual dysphoric disorder (PMDD)

Gulu

Tampon si mawu onyansa, koma atsikana ambiri amakula akuuzidwa kuti ndi. M'malo mwake, chikhalidwe cha ku America chimasala magawo ambiri azachikazi, kuphatikizapo premenstrual syndrome (PMS). Ndi mkhalidwe weniweni womwe ungakhudze thanzi la mayi, malingaliro ake, ndi machitidwe ake omwe nthawi zambiri amawachotsa ngati openga-kotero kuti ndimaganiza kuti zimayimira kusinthasintha kwakanthawi kwa gawo labwino la moyo wanga. Nditapanga mtundu wina wotchedwa premenstrual dysphoric disorder (PMDD) , Ndimamva ngati zomwe anthu amayembekezera kwa ine: zosokoneza .

Ndinawonetsa zizindikiro za PMDD ndili ndi zaka 14. Masiku angapo nthawi iliyonse isanakwane, ndimakhala ndi nkhawa yofuna kudzipha, ndikumverera komwe kumatha pofika nthawi yomwe ndimayamba kusamba. Ndinkakhalanso wotopa kwambiri komanso ndinkakhala ndi nkhawa kwambiri, koma nthawi zambiri ndimakhala wokhumudwa nthawi zonse mwezi uliwonse, osandidabwitsa. Pakadapanda kuti amayi anga adziwe bwino mosamala komanso mwayi wofikira kwa dokotala yemwe adandimvera, ndikadapanda kupezeka.

Malinga ndi International Association for Premenstrual Disorders ( IAPMD ), Akuti 5% mpaka 10% azimayi akukhala ndi PMDD.

Zizindikiro za PMDD

Nthawi zambiri, PMS imangotchula zisonyezo zakuthupi pomwe PMDD imanena za matenda amisala, akufotokozera Sara Lingow, Pharm.D., Pulofesa wothandizira mu dipatimenti ya zamankhwala ku St. Louis College of Pharmacy. Ananenanso kuti zizindikiro za PMS ndi PMDD zimatha kukhala zofewa mpaka zovuta.

Kuti mupeze matenda a PMDD, muyenera zizindikiro zosachepera zisanu malinga ndi American Psychiatric Association , malinga ndi Ofesi ya Akazi a Zaumoyo sabata yomaliza isanayambike nthawi:

• Mkwiyo ndi kupsa mtima
• Kukhumudwa komanso malingaliro ofuna kudzipha
• Nkhawa, mikangano ndi mantha
• Khalidwe limasinthasintha ndikulira pafupipafupi
• Kusakhala ndi chidwi ndi zomwe zimachitika
• Zovuta kukhazikika
• Kutopa ndi kutopa
• Kudya kwambiri komanso kulakalaka chakudya
• Kusowa tulo

Dr. Lingow akumveketsa kuti zizindikirizo si kukhumudwa, koma a kwambiri wokhumudwa. Sikuti amangophatikiza nkhawa, koma chizindikiro nkhawa. Zizindikirozi ndizolimba mokwanira kusokoneza tsiku lililonse tsiku ndi tsiku kapena kumamupangitsa kuti akhale ndi nkhawa zazikulu.

Nthawi yanga ikakhala yabwino kwa ine, ndimangokhala ndi zizindikilo zisanu zokha. Nthawi zina, ndi onsewo. Koma ndili ndi zaka zopitilira khumi ndikuyendetsa zovuta zanga zam'madzi, ndaphunzira kufotokozera zofooka zanga kwa iwo omwe ali pafupi kwambiri ndi ine, ngati ndingofunsa malo kapena chithandizo.

ZOKHUDZA: Kulumikizana pakati pa thanzi lamthupi ndi lamisala

Kuzindikira PMDD

Kwa PMDD, matendawa ndi chida chovomerezeka, chokumbutsa kuti sizili m'mutu mwanu. Ngati mukuganiza kuti muli ndi PMDD, sitepe yoyamba ndikutsata zizindikilo ndikusintha kwamalingaliro pakalendala kapena pulogalamu yamsambo. Ndi izi, mutha kudzifunsa kuti: Zizindikiro zanga zimapezeka liti, ndipo zikugwirizana ndi gawo luteal (post-ovulation and pre-menstruation) la msambo wanga? Kodi amabwerera mozungulira nthawi yomweyo mwezi uliwonse? Kubweretsa mfundoyi kwa omwe amakuthandizani kapena mayi wazachipatala kudzakuthandizani kulandira chisamaliro chomwe mukusowa-kudzera pamankhwala, kusintha kwa moyo, komanso kutsimikizika.

PMDD ikhozanso kukhalapo ndi mavuto ena azaumoyo monga matenda am'mapapo ndikukhala ndimatenda amisala, kupanga chithandizo chamankhwala ndi kuzindikira matendawa - kapena kungomvetsetsa mavuto am'mutu mwake - chonyenga kwambiri. Malinga ndi Dr. Lingow, Nthawi yazizindikiro zamaganizidwe ikadakhala yofunika kusiyanitsa PMDD ndi kukhumudwa.

Monga munthu yemwe ali ndi matenda amisala angapo, kusunga kalendala yathanzi kwandithandiza kuzindikira zomwe ndakumana nazo, makamaka poganizira momwe PMDD imakhalira.

Nchiyani chimayambitsa PMDD?

PMDD imachitika panthawi yachiwerewere, atero a Kate Placzek, Ph.D., wasayansi wamkulu wofufuza ndi ZRT Laboratory,kuchita kafukufuku wasayansi pamahomoni.

Kafukufuku wake akuwonetsa kuti anthu omwe ali ndi PMDD amakhudzidwa kwambiri ndi kuchuluka kwa mahomoni a progesterone omwe amapezeka nthawi yayitali. Ngakhale kuti progesterone imadziwika kuti hormone yotonthoza, omwe ali ndi PMDD nthawi zambiri amakumana ndi vuto linalake lomwe limayambitsa kukhumudwa, nkhawa, komanso zizindikilo zina zopanikiza.

Kodi akatswiri azachipatala amachiza bwanji PMDD?

Njira yoyamba yodzitetezera ndikusintha kwa moyo monga kuchuluka kwa michere ndi masewera olimbitsa thupi; komabe, Dr. Lingow akuti njira zolerera za mahomoni komanso Mankhwala opatsirana pogonana a SSRI ndi mankhwala awiri omwe amapezeka ku PMDD.

Malinga ndi Alison McAllister, ND, wodwala ku ZRT Laboratory, si njira zonse zakulera zomwe zimapangidwa mofanana.

Azimayi omwe ali ndi PMDD atha kupindula ndi njira zolerera zomwe zimakhala zosavomerezeka, kapena mwezi wonsewo, akutero McAllister, kutchula Chilimwe , Yasmin , ndi Mirena makamaka. Amanenanso kuti azimayi amatha kugwiritsa ntchito njira zina zakulera mosalekeza komanso kudumpha mapiritsi a placebo kuti achepetse kuchuluka kwa mahomoni awo pachaka. Posachedwa, mapiritsi ophatikizira a mahomoni omwe ali ndi drospirenone ndi ethinyl estradiol alandila kuvomerezedwa ndi FDA kuti athe kuchiza PMDD.

Ndakhala ndikumwa mankhwala ochepetsa mphamvu ya kubereka kuyambira ndikapezeka ndi PMDD. Sizimachotsa zizindikilo zanga kwathunthu, koma zimawaletsa kuti andipewe malingaliro ofuna kudzipha (IAMPD imati anthu 30% omwe ali ndi PMDD ayesa kudzipha m'moyo wawo).

Chomwe tiyenera kudziwa ndichakuti, anthu onse samachita mosiyanasiyana ndi mankhwala, ndiye zomwe zimagwirira ntchito munthu wina sizingagwire ntchito kwa wina. Ndikofunika kugwira ntchito limodzi ndi omwe akukuthandizani kuti mupeze njira yothandiza kwambiri yothandizira.

ZOKHUDZA: Zosankha zolerera

PMDD sikuli chabe pamutu panu

Mosasamala njira yothandizira yomwe mwasankha, musakayikire zizindikiro zanu. Ngakhale PMDD sinawonjezeredwe ku Diagnostic and Statistical Manual of Mental Disorder V mpaka 2013, kafukufuku wayamba kubwera.

Nthawi zambiri m'mbiri yonse, azimayi adauzidwa kuti ndi amisala, atero Dr. Placzek. Koma pali chifukwa chachilengedwe chomwe chimamvera momwe akumvera.

Ndikutsimikiza kuti mwana wanga wazaka 14 akadayamikira kutsimikizika uku komanso nkhani za azimayi ena a PMDD, koma ndikulimbikitsidwa kuzimva patadutsa zaka khumi.