Bothata ba pele ho nako ea dysphoric

Premenstrual dysphoric disorder (PMDD) ke boemo boo ho bona mosali a nang le matšoao a tebileng a khatello ea maikutlo, ho teneha le tsitsipano pele a ilela khoeli. Matšoao a PMDD a tebile haholo ho feta a bonoang ka premenstrual syndrome (PMS).

PMS e bua ka matšoao a fapaneng a mmele kapa maikutlo a atisang ho hlaha matsatsi a 5 ho isa ho a 11 pele mosali a qala ho ilela khoeli. Maemong a mangata, matšoao a emisa ha, kapa nakoana ka morao, nako ea hae e qala.

Lisosa tsa PMS le PMDD ha li so fumanehe.

Liphetoho tsa hormone tse etsahalang nakong ea ho ilela khoeli ha mosali li ka phetha karolo.

PMDD e ama basali ba fokolang nakong ea ha ba ile matsatsing.

Basali ba bangata ba nang le boemo bona ba na le:

• Ho tšoenyeha
• Ho tepella maikutlo ho matla
• Boloetse bo amanang le linako tsa selemo (SAD)

Lintlha tse ling tse ka bapalang karolo li kenyelletsa:

• Joala kapa tšebeliso e mpe ea lithethefatsi
• Mathata a qoqotho
• Ho ba motenya haholo
• Ho ba le mme ea nang le nalane ea lefu lena
• Ho hloka boikoetliso

Matšoao a PMDD a tšoana le a PMS.Leha ho le joalo, hangata li matla haholo ebile lia fokolisa. Li boetse li kenyelletsa bonyane letšoao le le leng le amanang le maikutlo. Matšoao a hlaha hara beke pele feela ho tsoa mali. Hangata li ntlafala matsatsing a 'maloa ka mor'a hore nako e qale.

Mona ke lenane la matšoao a tloaelehileng a PMDD:

• Ho hloka thahasello mesebetsing ea letsatsi le letsatsi le likamano
• Mokhathala kapa matla a tlase
• Ho hlonama kapa ho felloa ke tšepo, mohlomong menahano ea ho ipolaea
• Ho tšoenyeha
• Ho tsoa taolong maikutlo
• Litakatso tsa lijo kapa ho itlopa joala
• Boikutlo bo fetoha ka linako tse ling tsa ho lla
• Ho tšoha
• Ho teneha kapa bohale bo amang batho ba bang
• Ho ruruha, bonolo ba matsoele, ho opeloa ke hlooho, le bohloko ba manonyeletso kapa mesifa
• Mathata a ho robala
• Mathata a ho tsepamisa mohopolo

Ha ho na liteko tsa 'mele kapa liteko tsa lab tse ka fumanang PMDD. Nalane e felletseng, tlhahlobo ea 'mele (ho kenyeletsoa le tlhatlhobo ea pelvic), tlhahlobo ea qoqotho le tlhahlobo ea mafu a kelello li lokela ho etsoa ho laola maemo a mang.

Ho boloka khalendara kapa diary ea matšoao ho ka thusa basali ho tseba matšoao a thata ka ho fetisisa le linako tseo ho ka etsahalang hore li etsahale ka tsona. Tlhahisoleseling ena e ka thusa mofani oa tlhokomelo ea bophelo ba hau ho fumana PMDD le ho fumana kalafo e nepahetseng.

Mokhoa oa bophelo o phetseng hantle ke mohato oa pele oa ho laola PMDD.

• Ja lijo tse phetseng hantle ka lithollo, meroho, litholoana le letsoai le lenyenyane, tsoekere, joala le caffeine.
• Fumana boikoetliso bo tloaelehileng ba boikoetliso khoeli le khoeli ho fokotsa matla a matšoao a PMS.
• Haeba u na le mathata a ho robala, leka ho fetola mekhoa ea hau ea ho robala pele u noa meriana ea ho hlobaela.

Boloka dayari kapa khalendara hore e tlalehe:

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

Ho imeloa kelellong ho ka ba molemo.

Khetho ea pele hangata e le anti-depressant e tsejoang ka hore ke serotonin-reuptake inhibitor (SSRI) e khethiloeng. O ka nka li-SSRI karolong ea bobeli ea potoloho ea hau ho fihlela nako ea hau e qala. U kanna oa e nka khoeli kaofela. Botsa mofani oa hau.

Phekolo ea boits'oaro ea boits'oaro (CBT) e kanna ea sebelisoa ebang e sebelisoa le kapa ho e-na le li-anti-depressing. Nakong ea CBT, o na le liketelo tse ka bang 10 le setsebi sa bophelo bo botle ba kelello ka libeke tse 'maloa.

Mefuta e meng ea kalafo e ka thusang e kenyelletsa:

• Lipilisi tsa thibelo ea bokhachane li thusa ho fokotsa matšoao a PMS. Mefuta ea li-dosing tse tsoelang pele e sebetsa haholo, haholoholo tse nang le "hormone" e bitsoang drospirenone. Ka li-dosing tse tsoelang pele, u kanna oa se ke oa fumana khoeli le khoeli.
• Li-diuretics li ka ba molemo ho basali ba nang le boima ba 'mele ba nako e khuts'oane bo bolokang mokelikeli.
• Meriana e meng (joalo ka Depo-Lupron) e hatella mae a bomme le ovulation.
• Ho kokobetsoa bohloko ho kang aspirin kapa ibuprofen ho ka laeloa bakeng sa hlooho, mokokotlo, mahlaba a ho ilela khoeli le bonolo ba matsoele.

Liphuputso tse ngata li bontšitse hore litlatsetso tsa phepo e nepahetseng, joalo ka vithamine B6, calcium le magnesium ha li thuse ho kokobetsa matšoao.

Kamora ho hlahlojoa le kalafo e nepahetseng, basali ba bangata ba nang le PMDD ba fumana hore matšoao a bona aa fela kapa a theohela maemong a mamellehang.

Matšoao a PMDD a ka ba matla hoo a ka sitisang bophelo ba mosali ba letsatsi le letsatsi. Basali ba nang le khatello ea maikutlo ba ka ba le matšoao a mabe nakong ea halofo ea potoloho ea bona mme ba ka hloka liphetoho meriana ea bona.

Basali ba bang ba nang le PMDD ba na le menahano ea ho ipolaea. Ho ipolaea ho basali ba nang le khatello ea maikutlo ho ka etsahala haholo halofo ea bobeli ea nako ea bona ea ho ilela khoeli.

PMDD e kanna ea amahanngoa le mathata a ho ja le ho tsuba.

Letsetsa 911 kapa mohala oa koluoa ​​oa lehae hang hang ha o nahana ho ipolaea.

Bitsa mofani oa hau haeba:

• Matšoao HA A ntlafatse ka ho iphekola
• Matšoao a kena-kenana le bophelo ba hau ba letsatsi le letsatsi

PMDD; PMS e matla; Mathata a ho ilela khoeli - dysphoric

• Ho sithabela maikutlo le ho ilela khoeli

Gambone JC. Mathata a susumetsoang ke ho ilela khoeli. Ka: Hacker NF, Gambone JC, Hobel CJ, eds. Hacker & Moore's Essentials of Obstetrics and Gynaecology. La 6th. Philadelphia, PA: Elsevier; 2016: khaolo ea 36.

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.

Mathata a Novac A. Mood: khatello ea maikutlo, lefu la ho ferekana kelellong le khatello ea maikutlo. Ka: Kellerman RD, Bope ET, li-eds. Phekolo ea Hajoale ea Conn ea 2018. Philadelphia, PA: Elsevier; 2018: 755-765.