Nangona ungaxhumeli ngokuzenzekelayo uxinzelelo kwi-polycystic ovarian syndrome (i-PCOS), ubudlelwane obuphakathi kwezi zibini zibhalwe kakuhle. Phantse ama-40 ekhulwini kwabasetyhini abane-PCOS bafumana iimpawu eziphazamisayo. Olunye uphando olupapashwe kwiphephancwadi ye- Psychoneuroendocrinology lusizi kangangokuba lubonisa ukuba amazinga okuzibulala aphindwe ngokuphindwe kasikhombisa phakathi kwabasetyhini abane-PCOS kunabo abangenayo i-syndrome.
Kukho izizathu ezininzi zokuba kutheni abafazi abane-PCOS bafumana amanqanaba aphezulu okudandatheka. Okokuqala, kunokwenzeka ukuba ukungalingani okuhambelanayo kwi-hormone yesini okanye i- insulin inokuthi ityala. Ukujongana nobuninzi okanye ubunzima bokunciphisa i-PCOS ezifana nesifo seswekile, uhlobo lwesifo sikashukela, isifo sesifo sikashukela, nesifo se-cardiovascular, kunokuba nzima ukujamelana nayo.
Amanqanaba aphezulu kunye nee- orrogens , okanye i-hormone yamadoda ehambelana neyona meko, inokubangela neengongoma eziphezulu zokukhathazeka kwemizwelo kubasetyhini abane-PCOS.
Ngaphandle kweempembelelo zomzimba ze-PCOS ezinokubangela ukuxinezeleka, ubunzima kunye nokukhathazeka kokulawula ezininzi iimpawu zePCOS ezingenakulawulwa. Ukulwa nokungazinzi , ukufumana ubunzima, kunye neempawu ze-dermatological (i-acne, ukulahleka kweenwele, ukukhula kweenwele ezingaphezulu) bonke bangaba nemilinganiselo ebalulekileyo kwimpilo yengqondo yabasetyhini abane-PCOS. Imiba eninzi ye-PCOS ibonakala ingalawulwa kwaye ingaba nzima ngakumbi kwixesha, nangona mizamo engcono yokuphila ngendlela enempilo.
Iintlobo ezahlukeneyo zokuxinezeleka
Ukudandatheka kukugqithiseleyo kunokuba nje kutyhafile. Nabani na olwa nexinzelelo uyazi ukuba unomvakalelo wokuba ungekho emnyama ukuba awukwazi ukuphuma kuwo, nangona ufuna ukufuna. Ukunyanzeliswa yimeko enkulu yempilo yengqondo efuna unyango. Ngokuqinisekileyo, awukwazi "ukuphuma."
Ukuxinezeleka kunokuvela kwiindlela ezininzi. Nazi ezinye iintlobo zokudakumba ezinokuchaphazela impilo yempilo yabasetyhini nge-PCOS.
Inkxalabo enkulu yoxinzelelo
Ingxaki enkulu yokudandatheka yintlupheko yengqondo eyahlukileyo eyahlukileyo kune "blues" okanye ivakalelwa phantsi okanye ikhungathekile ngokuba ne-PCOS. Kuye kwahluke kwimpendulo yokubuhlungu engabangela ukufa komntu othandekayo okanye ukuphela kobudlelwane. Ingxaki enkulu yoxinzelelo ingapheli iiveki okanye iinyanga kwaye iyakuchaphazela amandla akho okusebenza kwimisebenzi yemihla ngemihla.
Le meko igxotha amandla kunye nomdla kwimisebenzi eyayiyolonwabo, kwaye iyakwazi ukuphindaphinda ubomi bomntu. Ingxaki enkulu yokudandatheka ixilongwa xa umntu efumana omnye okanye ngaphezulu kweepisodes ezidangayo ngaphandle kwembali yamaphupha e-manic, mix mix, okanye hypomanic episodes. Umntu kufuneka abe neenguqu enkulu ekusebenzeni, apho enye yeembonakaliso ezinkulu zeklinikhi zixakeke okanye zilahlekelwe ngumdla wokuzonwabisa.
Ingxaki enkulu yokudandatheka ingenza kube nzima ukuba ube nefuthe lokuzinyamekela kakuhle. Ukususela ekusebenziseni rhoqo kunye nokulungiselela ukutya okanye ukutya ukutya okunempilo kuyinto ebalulekileyo yokuzinyamekela wonke umntu, ingakumbi abafazi abane-PCOS, ingxaki enkulu yokudandatheka ingaba nempembelelo yangempela kwindlela ovakalelwa ngayo xa ulawula i-syndrome yakho.
Uxinzelelo lwe-Bipolar
Abasetyhini abane-PCOS baye baboniswa ukuba banamazinga aphezulu okudandatheka kwengqondo, efuna unyango phantsi koxanduva loqeqesho lwezempilo lwezempilo yengqondo.
I-Bipolar I-disorder, ebizwa ngokuba yinto yokudakumba komntu, ifunyaniswa xa umntu enembali yezibini ezidandathekileyo kunye neziqhelo zomntu. Ukufuna ukuzonwabisa, ukuzonwabisa ngezinto ezikhawulezayo, kunye nokubonisa izinga lokunyuka kwentetho ngokubhekiselele kwintlungu. Umntu unokufumanisa ukuba une-bipolar I xa ebona ubuncinane isiqephu somntu. Isiqhelo somntu sichazwa ngumsindo ongapheliyo kunye oqhubekayo okhutshweyo okanye okhuseleyo kwiiveki.
I-Bipolar II ihluke kwi-bipolar I ngokuthi loo mntu unembali yobuncinane isiqephu esisodwa. Iimpawu zeengqungquthela ze-hypomanic zifana nezo-mania kunye nokungafani kobunzima, isantya sokuphazamiseka, kunye nobude beqhekeza. Kwi-hypomania, iimpawu zigcina ubuncinane iintsuku ezine ezilandelanayo. Ukutshatyalaliswa kwakhona kunokwenzeka ukuba yinto engundoqo kwixesha le-hypomania kunokuba ihlaziywe phezulu, kwaye ukuphazamiseka akunamandla okwaneleyo okubangela ukukhubazeka okuphawulwe.
Ixesha elichaphazelekayo lokugula
Ingxaki yesifo sonyaka, ebizwa ngokuba yi-SAD, inokuchaphazela abafazi nge-PCOS. I-SAD yindlela yexesha lokudandatheka eyenzeka ngexesha elifanayo ngonyaka ngamnye. Uninzi lwabantu luva ne-SAD ukusuka ekuwa kweenyanga ezibusika xa iintsuku zifutshane kwaye zibe mnyama. Izimpawu eziqhelekileyo ze-SAD yi-lack of energy, moodiness and tiredness. Iimpawu ze-SAD ziphucula ngezinye iinyanga.
Iimpawu eziqhelekileyo eziqhelekileyo kunye neempawu zoxinzelelo
Abantu abaninzi banokudandatheka ngokungafaniyo. Ngezantsi uludwe lwezinye iimpawu eziqhelekileyo zokudakumba, kodwa ungabandakanyi zonke iimpawu ezikhoyo.
- Ukukhathala
- Buhlungu
- Uxhala
- Ukungenakunceda
- Ukunyuka
- Ukuphazamiseka kokulala
- Ukungabi nokhuthazo
- Ukutshintsha ukutya
- Utshintsho lwesisindo (le nto ingumqondiso wePCOS ngokwawo)
- Uziva unetyala
- Unzima ukugxila
- Ukulahlekelwa ngumdla kwisini
- Ukulahlekelwa ngumdla kwizinto zokuzilibazisa okanye izinto ezidlulileyo ngaphambili
- Ukwenza izigqibo ezingalunganga
- Intloko
- Iintlungu zomzimba ezifana nentamo okanye umva emva
- Imiba yokugaya
Kuthatyathwa njani Ukudandatheka?
Ukuxinezeleka kunokulawulwa ngeendlela ezininzi, ukusuka kwipilisi kunye namachiza eyeza kunye neyeza.
Unyango ngamnye
Ukufumana umntu othetha naye kunokunceda ekujonganeni nemvakalelo enzima okanye ebuhlungu, kubandakanywa nemihla ngemihla i-PCOS. Kwakhona kunceda ekutshintsheni iipatheni zokucinga ezingaqhelekanga eziqhelekileyo kwixinzelelo. Nangona kukho ezininzi iintlobo zonyango lwentetho, kokubili unyango lwe-cognitive-behavioral (CBT) kunye neengxaki zengqondo zengqondo zifunyenwe ukuba zisebenze ekuphatheni uxinzelelo.
Amaqela enkxaso
Iqela lokuxhasa abafazi abaxilongwa nge-PCOS linokuba luncedo kwabanye. Ukuba ujikelezwe ngabasetyhini abaneengxaki ezinjalo kunokuthuthuzela nokuxhasa. Ukuba kukhokelwa ngumqeqeshi wezempilo yengqondo, iqela lokuxhasa linokunika izakhono zokuguqula ubomi kunye nezicwangciso zokuhlangabezana ne-PCOS kunye nokuxinezeleka.
Mayeza
Imithi (izidandlululo) ziyafumaneka ukunceda ukuphathwa kwengcinezelo. Zininzi iintlobo ezikhoyo. Xoxa ngeenketho zakho ngogqirha wakho kunye nodokotela. Kwakhona, qiniseka ukuba uxoxe ngamanye amayeza okanye izibonelelo ezithathayo kunye nogqirha wakho onokusebenzisana. Ukuba kunokwenzeka, thintela imishanguzo engakhokelela ekuzuzeni ubunzima kwaye ibe nakho ukwenza izinto ezithile ze-PCOS zibi nakakhulu.
Inye yoNyango kunye noNyango
Ezinye iindlela zokwelapha zonyango ziyafumaneka kwakhona ukuphathwa kwengcinezelo. Isenzo esisekelwe kwengqondo siye saboniswa ukuba yinyango efanelekileyo yokunciphisa iimpawu ezixinzelelekileyo kubasetyhini abane-PCOS kunye nexhala. Ezinye iindlela zokwelapha ezifana ne-acupuncture kunye neReiki zinokuba luncedo.
Ukongezwa kwezondlo ezifana neoli yeentlanzi kunye ne- vitamin D baye babonisa ukuphumelela ekuphuculeni iimpawu ezixinezelekileyo. Olunye uphando olushicilelwe kwi- Journal of Gynecology ne-Endocrinology lufumene ukuba ukungabikho kwe-vitamin D kwakuyimpembelelo ebalulekileyo yokuzixineka kubomi besibini kunye ngaphandle kwe-PCOS. I-St. John's Wort inokukunceda ekuphuculeni iimpawu ezixinezelekileyo, kodwa nazo zingakwazi ukuqhuba nemiphumo emibi ebaluleke kakhulu kulabo abane-PCOS, kubandakanywa neqondo le-hormone.
Iinkxalabo zeMpilo ezinokubukeka njengokuxinezeleka
Ukongeza kwixinzelelo, abafazi abane-PCOS basenqanaba lokunyuka kwesinye isifo sengqondo: ukuxhalabisa. Ezinye iimpawu zokuxhala zifana nezoxinzelelo.
Ukuxhalabisa kwenzeka kwiintlobo ezininzi, njengeentlanzi zokuhlasela, i-agoraphobia, i-posttraumatic stress disorder, i-disorder stress disorder, ukuxhalaba kweentlalo kunye nokuxhalabisa ngokubanzi.
Ngokutsho kwe-DSM-5, imigaqo yokuxilongwa yesifo sokuxhalabisa ngokubanzi iquka ubuncinane ezintathu kwiimpawu ezi sixandathu ezilandelayo:
- Ukungenasiphelo okanye ukuvakalelwa
- Iphelelwe ngamandla
- Ubunzima ukugxila okanye ingqondo ingabi nalutho
- Ukutshatyalaliswa
- Ukuxhatshazwa kwemizimba
- Ukuphazamiseka kokulala
- Ukutshintsha ukutya
- Ukunyusa utshintsho
Ngenxa yeziganeko eziphezulu zeengxaki zempilo yengqondo, i-Androgen Excess kunye ne-PCOS Society incoma ukuba bonke abafazi abane-PCOS bahlaziywe rhoqo ngenxa yokukhathazeka kunye nokudandatheka ngumgqirha wabo kwaye bathunyelwe kubanikezeli bonyango abafanelekileyo.
Ukufuna Uncedo Xa Ufumana Iimpawu Ezixakekayo
Ukuba wena okanye umntu owaziyo unokudandatheka, kubalulekile ukuba ufune uncedo kwi-professional health professional. Ungesabi ukuxoxa ngezinto oziva ngayo kubahlobo bakho kunye nosapho. Yazi ukuba awodwa. I-PCOS yimeko enzima ehambelana nokukhathazeka kwemizwelo, kuquka ukucindezeleka. Oko uvakalelwa kukuba uyinyani kwaye uyakufanelekela ingqwalasela. Xoxa ngempawu zakho kunye nogqirha wakho kwaye wenze iqeshano kunye nengcali yengqondo okanye umcebisi ongakunceda.
> Imithombo:
> Umbutho AP. DSM. 5. IWashington DC: Umbutho wama-American Psychological Association 2013.
> Ukuxinezeleka. Isizwe seSizwe seMpilo yengqondo. https://www.nimh.nih.gov/health/topics/depression/index.shtml. Kufumaneke ngoSeptemba 10, 2016.
> Kerchner A, Lester W, Stuart SP, iDokras A. Ingozi yokuxinezeleka kunye nezinye izifo zengqondo zengqondo kwabaseTyhini ngePolycystic Ovary Syndrome: Isifundo eside. Fertil. Steril. 2009; 91 (1): 207-212.
> Mansson M, Holte J, Landin-Wilhelmsen K, Dahlgren E, Johansson A, Landen M. Abafazi abanePolycystic Ovary Syndrome bavame ukuxinezeleka okanye ukuxhalaba-Isifundo soLawulo lweNkundla. Psychoneuroendocrinology. 2008; 33 (8): 1132-1138.
> Mattei S. Psychological Aspects of PCOS. Ngaphakathi, i-PCOS: Isikhokelo seDetethi. 2013 Luca Publishing. UBryn Mawr, PA.
> Moran LJ, Teede HJ, Vincent AJ. I-Vitamin D i-Independently Associated With Depression kwi-Women's Overweight nge-Without PCOS. Gynecol Endocrinol. 2014; 4: 1-4.