Matšoao a pele ho nako

Premenstrual syndrome (PMS) e bolela matšoao a fapaneng. Matšoao a qala halofo ea bobeli ea nako ea ho ilela khoeli (matsatsi a 14 kapa ho feta kamora letsatsi la pele la ho ilela khoeli). Hangata tsena li nka matsatsi a 1 ho isa ho a mabeli kamora ho qala ho ilela khoeli.

Ha ho tsejoe hore na hantle-ntle sesosa sa PMS ke eng. Liphetoho maemong a li-hormone tsa boko li ka bapala karolo. Leha ho le joalo, sena ha se so pakoe. Basali ba nang le PMS le bona ba ka arabela ka tsela e fapaneng le lihormone tsena.

PMS e kanna ea amana le maemo a bophelo, setso, tlhaho le kelello.

Basali ba bangata ba ba le matšoao a PMS nakong ea lilemo tsa bona tsa pelehi. PMS e etsahala hangata ho basali:

• Pakeng tsa lilemo tsa bona tsa bo-20 le 40
• Ke mang ea bileng le ngoana bonyane a le mong
• Ka nalane ea motho ka mong kapa ea lelapa ea khatello e kholo ea maikutlo
• Ka nalane ea khatello ea maikutlo kamora ho pepa kapa lefu la maikutlo le amang maikutlo

Matšoao a lula a mpefala ho elella bofelong ba lilemo tse 30 le 40 ha nako ea ho ilela khoeli e atamela.

Matšoao a atileng haholo a PMS a kenyelletsa:

• Ho senya kapa ho ikutloa u le bobebe
• Bonolo ba matsoele
• Bohlasoa
• Ho bipetsoa kapa letshollo
• Litakatso tsa lijo
• Ho opeloa ke hlooho
• Mamello e nyane bakeng sa lerata le mabone

Matšoao a mang a kenyelletsa:

• Pherekano, bothata ba ho tsepamisa mohopolo, kapa ho lebala
• Mokhathala le ho ikutloa u lieha kapa ho ba botsoa
• Maikutlo a ho hlonama kapa ho felloa ke tšepo
• Maikutlo a tsitsipano, matšoenyeho, kapa ho tena
• Boitšoaro bo halefileng, bo mabifi kapa bo mabifi, ka ho phatloha ka bohale ho uena kapa ho ba bang
• Ho lahleheloa ke thobalano (ho ka eketseha ho basali ba bang)
• Feto-fetoha
• Kahlolo e fokolang
• Ho se itšepe, ho ikutloa u le molato kapa ho tšoha ho eketsehileng
• Mathata a ho robala (ho robala haholo kapa hanyane haholo)

Ha ho na matšoao kapa liteko tse ikhethang tse ka bonang PMS. Ho felisa lisosa tse ling tsa matšoao, ho bohlokoa ho ba le:

• Nalane e felletseng ea bongaka
• Tlhahlobo ea 'mele (ho kenyeletsoa le tlhatlhobo ea pelvic)

Khalendara ea matšoao e ka thusa basali ho tseba matšoao a thata ka ho fetisisa. Sena se thusa hape ho netefatseng tlhahlobo ea PMS.

Boloka tlaleho ea letsatsi le letsatsi kapa u ngolle bonyane likhoeli tse 3. Ngola:

• Mofuta oa matšoao ao u nang le 'ona
• Li matla hakae
• Li nka nako e kae

Rekoto ena e tla thusa uena le mofani oa tlhokomelo ea bophelo ho fumana kalafo e ntle ka ho fetisisa.

Mokhoa oa bophelo o phetseng hantle ke mohato oa pele oa ho laola PMS. Bakeng sa basali ba bangata, mekhoa ea bophelo hangata e lekane ho laola matšoao. Ho laola PMS:

• Noa maro a mangata joalo ka metsi kapa lero. Se ke oa noa lino tse tahang, joala kapa lino tse ling tse nang le caffeine. Sena se tla thusa ho fokotsa ho ruruha, ho boloka metsi, le matšoao a mang.
• Ja hangata, lijo tse nyane. Se ke oa feta lihora tse tharo lipakeng tsa lijo tse bobebe. Qoba ho ja ho tlōla.
• Ja lijo tse leka-lekaneng. Kenyelletsa lijo-thollo, meroho le litholoana tse eketsehileng lijong tsa hau. Fokotsa ho ja letsoai le tsoekere.
• Mofani oa hau a ka fana ka maikutlo a hore u noe li-supplement. Ho sebelisoa hangata vithamine B6, calcium le magnesium. Tryptophan, e fumanoang lihlahisoa tsa lebese, le eona e ka thusa.
• Fumana boikoetliso bo tloaelehileng ba boikoetliso ba khoeli le khoeli. Sena se thusa ho fokotsa ho tiea ha matšoao a PMS. Ho ikoetlisa hangata le ho feta nakong ea libeke tseo u nang le PMS ka tsona.
• Leka ho fetola mekhoa ea hau ea ho robala bosiu pele u sebelisa lithethefatsi bakeng sa mathata a ho robala.

Matšoao a kang ho opeloa ke hlooho, ho opeloa ke mokokotlo, ho ea matsatsing le bonolo ba matsoele li ka phekoloa ka:

• Aspirine
• Ibuprofen
• Li-NSAID tse ling

Lipilisi tsa thibelo ea bokhachane li ka fokotsa kapa tsa eketsa matšoao a PMS.

Maemong a boima, meriana ea ho phekola khatello ea maikutlo e ka thusa. Ho imeloa kelellong ho tsejoang e le serotonin reuptake inhibitors (SSRIs) e khethiloeng hangata ho lekoa pele. Tsena li bontšitsoe li thusa haholo. U kanna ua batla ho fumana boeletsi ho moeletsi kapa setsebi.

Meriana e meng eo u ka e sebelisang e kenyelletsa:

• Lithethefatsi tse khahlanong le matšoenyeho bakeng sa matšoenyeho a matla
• Diuretics, e ka thusang ka ho boloka mokelikeli o matla oa metsi, o bakang ho ruruha, bonolo ba matsoele le ho nona

Boholo ba basali ba alafshoang ke matšoao a PMS ba fumana phomolo e ntle.

Matšoao a PMS a ka ba matla haholo ho u thibela ho sebetsa ka mokhoa o tloaelehileng.

Sekhahla sa ho ipolaea ho basali ba nang le khatello ea maikutlo se phahame haholo nakong ea halofo ea bobeli ea nako ea ho ilela khoeli. Mathata a maikutlo a hloka ho fumanoa le ho phekoloa.

Etsa kopano le mofani oa hau haeba:

• PMS ha e fele ka ho iphekola
• Matšoao a hau a matla hoo a fokotsang bokhoni ba hau ba ho sebetsa
• U ikutloa eka u batla ho intša kotsi kapa ho utloisa batho ba bang bohloko

PMS; Lefu la pelehi la dysphoric; PMDD

• Ho ruruha pele ho nako
• Ho imolla PMS

Katzinger J, lefu la Hudson T. Premenstrual. Ka: Pizzorno JE, Murray MT, bahlophisi. Buka ea bongaka ea Bongaka ba Tlhaho. La 5th. Philadelphia, PA: Elsevier; 2021: khaolo ea 212.

Magowan BA, Owen P, Thomson A. Ho tsoa mali haholo khoeling, dysmenorrhea le premenstrual syndrome. Ka: Magowan BA, Owen P, Thomson A, eds. Clinical Obstetrics le Gynecology. La 4 ed. Elsevier; 2019: khaolo ea 7.

Marjoribanks J, Brown J, O'Brien PM, Wyatt K. Selectional serotonin reuptake inhibitors bakeng sa lefu la pele ho nako. Setsi sa Cochrane Database Rev. 2013; (6): CD001396. PMID: 23744611 e fetotsoe.ncbi.nlm.nih.gov/23744611/.

Mendiratta V, Lentz GM. Matšoao a mantlha le a bobeli a dysmenorrhea, premenstrual syndrome, le lefu la pele ho nako la dysphoric: etiology, diagnostic, management. Ka: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Kakaretso ea mafu a basali. La 7th. Philadelphia, PA: Elsevier; 2017: khaolo ea 37.