Ngabona kanjani futhi ngihlala kanjani ne- premenstrual dysphoric disorder (PMDD)

Umphakathi

I-Tampon akulona igama elingcolile, kepha amantombazane amaningi akhula etshelwa ukuthi kunjalo. Eqinisweni, isiko laseMelika licwilisa izingxenye eziningi zempilo yabesifazane, kufaka phakathi i-premenstrual syndrome (PMS). Yisimo sangempela esingathinta impilo yowesifazane, imizwa, nokuziphatha okuvame ukubhekwa njengokusangana — kangangokuthi ngacabanga ukuthi kumele ukuguquguquka kwemizwelo yesikhathi sengxenye enhle yempilo yami. Lapho ngakha okuhlukile okwaziwa ngokuthi i-premenstrual dysphoric disorder (PMDD) , Ngazizwa sengathi ngiyilokho umphakathi obukulindele kimi: uhlanya .

Ngakhombisa izimpawu ze-PMDD ngeminyaka engu-14. Ezinsukwini ngaphambi komjikelezo ngamunye, ngazizwa nginomuzwa onamandla wokucindezeleka ukuzibulala, umuzwa owawuzophela ngesikhathi ngiqala ukuya esikhathini. Ngiphinde ngabhekana nokukhathala okuphuthumayo nokukhathazeka okukhulu - kepha ikakhulukazi kwakuwukucindezeleka okuqinile okwakubuya ngasikhathi sinye njalo ngenyanga, kungalokothi kwehlule ukungimangaza. Ukube kwakungekhona okwakuthathwa ngokucophelela kukamama kanye nelungelo lokufinyelela kudokotela owangilalela, kungenzeka ukuthi angikaze ngitholwe.

Ngokwe-International Association for Premenstrual Disorders ( IAPMD ), Kulinganiselwa ukuthi u-5% kuya ku-10% wabesifazane baphila ne-PMDD.

Izimpawu ze-PMDD

Imvamisa, i-PMS ibhekisa kakhulu ezinkomba zomzimba ngenkathi i-PMDD ibhekisa ezinkomba zengqondo, kuchaza uSara Lingow, Pharm.D., Uprofesa osizayo emnyangweni wezemithi ekhemisi eSt. Louis College of Pharmacy. Uyanezela ukuthi izimpawu ze-PMS ne-PMDD zingahluka ukusuka kokuncane kuya kokubi.

Ukuze uthole ukuxilongwa kwe-PMDD, udinga okungenani izimpawu ezinhlanu ezibalwe njengoba kunqunywe yi-American Psychiatric Association , ngokusho kwe- IHhovisi Lezempilo Labesifazane phakathi nesonto lokugcina ngaphambi kokuqala kwama-mens:

• Intukuthelo nokucasuka
• Ukudana nokucabanga ukuzibulala
• Ukukhathazeka, ukungezwani nokwethuka
• Ukushintsha kwemizwelo nokukhala njalo
• Ukungabi nentshisekelo yemizila ejwayelekile
• Kunzima ukugxila
• Ukukhathala nokukhathala
• Ukudla ngokweqile nokufisa ukudla
• Ukuqwasha

UDkt Lingow ucacisa ukuthi izimpawu akusizo ukudangala, kepha a ngokuphawulekayo imizwa ecindezelekile. Akufaki nje ukukhathazeka, kodwa kumakiwe ukukhathazeka. Lezi zimpawu zinzima ngokwanele ukuphazamisa usuku nosuku i-neurotypical noma kubangele ukucindezeleka okubalulekile komuntu ngamunye.

Lapho umjikelezo wami ulungile kimi, nginezimpawu ezinhlanu kuphela zalezi zimpawu. Ngezinye izikhathi, yibo bonke. Kepha njengoba ngineminyaka engaphezu kweyishumi yesipiliyoni ngiqondisa ukwehla kwami ​​kwe-hormonal, ngiye ngafunda ukuxhumana nezimpawu zami kulabo abasondelene kakhulu nami, uma nje ngicela indawo noma ukwesekwa.

OKUSHIWO: Ukuxhumana phakathi kwempilo yomzimba nengqondo

Ukuhlonza i-PMDD

Kwi-PMDD, ukuxilongwa kuyithuluzi lokuba semthethweni, okuyisikhumbuzo sokuthi akuyona yonke ekhanda lakho. Uma ucabanga ukuthi une-PMDD, isinyathelo sokuqala ukulandelela izimpawu nokushintsha kwemizwelo ekhalendeni noma kuhlelo lokusebenza lokuya esikhathini. Ngalolu lwazi, ungazibuza: Zikhona nini izimpawu zami, futhi zihambisana nesigaba se-luteal (post-ovulation and pre-menstruation) somjikelezo wami wokuya esikhathini? Ngabe zibuya ngasikhathi sinye inyanga ngayinye? Ukuletha lolu lwazi kumhlinzeki wokunakekelwa oyinhloko noma i-gynecologist kuzokusiza ukuthi uthole ukunakekelwa okudingayo-ngemithi yokwenziwa kwemithi, ushintsho lwendlela yokuphila, kanye nomuzwa wokuqinisekisa.

I-PMDD nayo ingahlangana nezinye izinkinga zempilo yengqondo ezinjengokudangala komtholampilo kanye nesifo sokukhathazeka esijwayelekile, okwenza ukwelashwa nokuxilongwa-noma ukumane nje uqonde izingqinamba zezempilo yengqondo yakho-lokho kuyakhohlisa kakhulu. NgokukaDkt Lingow, Isikhathi sezimpawu zengqondo sizoba ngukhiye ekuhlukaniseni i-PMDD nokudangala.

Njengomuntu onezifo eziningi zokuxilongwa kwezempilo yengqondo, ukugcina ikhalenda lempilo yengqondo kungisizile ukuthi ngibone okuhlangenwe nakho kwami, ikakhulukazi ngokubheka isimo se-PMDD.

Yini ebangela i-PMDD?

I-PMDD yenzeka ngesikhathi sesigaba se-luteal, kusho uKate Placzek, Ph.D., usosayensi omkhulu ocwaningayo ngeZRT Laboratory,ukwenza ucwaningo lwelabhoratri ngamahomoni.

Ucwaningo lwakhe lukhombisa ukuthi abantu abaphila ne-PMDD bayazwela kakhulu ekukhuleni kwehomoni ye-progesterone eyenzeka ngesikhathi sesigaba se-luteal. Ngisho noma i-progesterone yaziwa kabanzi njenge-hormone ezolisayo, labo abane-PMDD bavame ukuba nokusabela okungekuhle — okumema ukucindezeleka, ukukhathazeka nezinye izimpawu ezicindezelayo.

Ochwepheshe bezokwelapha bayiphatha kanjani i-PMDD?

Umugqa wokuqala wokuzivikela ushintsho lwendlela yokuphila njengokunyuka kwefayibha nokuzivocavoca umzimba; nokho, uDkt Lingow uthi izinto zokuvimbela inzalo zamahomoni futhi Izidakamizwa ze-SSRI izindlela ezimbili ezijwayelekile zokwelapha ze-PMDD.

Ngokusho kuka-Alison McAllister, ND, udokotela waseZRT Laboratory, akuzona zonke izindlela zokuvimbela inzalo ezenziwa zalingana.

Abesifazane abane-PMDD bangahlomula ngezindlela zokuvimbela inzalo ezi-monophasic, noma ezifanayo inyanga yonke, kusho uMcAllister, ecacisa Ehlobo , Yasmin , futhi UMirena ngokuqondene. Uyaphawula futhi ukuthi abantu besifazane bangasebenzisa izindlela ezithile zokuvimbela inzalo ngokuqhubekayo futhi beqe iphilisi le-placebo ukunciphisa inani lezikhathi ukushintsha kwamahomoni abo ngonyaka. Muva nje, amaphilisi okuvimbela ukukhulelwa ahlanganisiwe anedrospirenone ne-ethinyl estradiol athole imvume ethize ye-FDA yokwelapha i-PMDD.

Ngiye ohlelweni lokulawula ukubeletha olunama-hormone aphansi futhi ngivale selokhu kwatholakala ukuthi ngine-PMDD. Akuziqedi nya izimpawu zami, kepha kuyabenza bangigweme emcabangweni wokuzibulala (IAMPD ithi abantu abangama-30% abane-PMDD bazozama ukuzibulala empilweni yabo).

Okufanele ukukuqaphela, nokho, ukuthi bonke abantu basabela ngokuhlukile emithini, ngakho-ke okusebenzela umuntu oyedwa kungahle kungasebenzeli omunye. Kubalulekile ukuthi usebenzisane kakhulu nomhlinzeki wakho ukuze uthole umuthi wokwelashwa osebenza kahle kakhulu.

OKUSHIWO: Izinketho zokulawulwa kokuzalwa

I-PMDD ayiyona nje ekhanda lakho

Kungakhathalekile ukuthi iyiphi indlela yokwelashwa oyikhethayo, ungangabazi izimpawu zakho. Yize i-PMDD ingangezwanga kwi-Diagnostic and Statistical Manual of Mental Disorders V kuze kube yi-2013, ucwaningo seluqala ukuzungeza ukugoba.

Izikhathi eziningi kakhulu kuwo wonke umlando, abesifazane babetshelwa ukuthi babehlanya, kusho uDkt Placzek. Kepha kunesizathu samakhemikhali ezakhi zokuthi kungani bezizwa ngendlela abazizwa ngayo.

Nginesiqiniseko sokuthi umuntu wami oneminyaka engu-14 ubengakwazisa lokho kuqinisekiswa kanye nezinye izindaba zabesifazane ze-PMDD, kodwa nami ngiduduzekile ukuzwa eminyakeni engaphezu kweyishumi kamuva.