Xa unayo i- PMDD , unesiva sokwanda kwamakhomoni akho okuzala, okuyi-estrogen kunye neprogesterone. Olu bulumko lukholelwa ukuba lubangelwa ukuguqulwa kwintlobo yesakhi esenza ukuba ubuchopho bakho buphendule kwi-estrogen kunye neprogesterone.
Iimpawu zale mpendulo ziguqulwe kuphela kwiiveki ezimbini phambi kwexesha lakho. Kungenzeka ngenxa yokuguqula ama-hormone amazinga aphethwe yi-ovulation kunokuba i-hormone ngokwayo.
Izinketho zonyango zangoku ziphela. Ezinye izibonelelo zonyango ezikhoyo zisebenza ngokuyeka ukuvuthwa kwakho, okuphelisa ukuguqulwa kwenyanga kwinqanaba lakho le-hormone. Amanye amayeza asebenza ngokulungisa ngokuthe ngqo ukungalingani kweekhemikhali ebuchosheni bakho obangelwa yimpendulo yomzimba wakho ekutshintsheni kwimeko yakho yokujikeleza kwe- hormone.
Ukuba ucinga ukuhlinzwa ukunyanga iimpawu ze-PMDD mhlawumbi uye waba nempumelelo encinane okanye akukho mpu melelo yezokwelapha ezikhoyo.
Kubalulekile ukuba ukhumbule ukuba ukuphathwa kocwangco akupheli. Wena kunye nogqirha wakho kuya kufuneka ukuba uhlolisise iikholeji yakho. Qinisekisa ukuba ukhathele zonke iinkonzo zonyango kunye neenkxaso ezongezelelweyo . Khumbula ukuba ngokuqhelekileyo kuthatha inhlanganisela yezo zombini iintlobo zonyango lwezokwelapha ukuphucula iimpawu zakho.
Emva kovavanyo olubalulekileyo lwekliniki yakho, wena kunye nogqirha wakho unako isigqibo sokuba ulawulo oluphambili lokuphatha olufanelekileyo lufanelekileyo.
Ulawulo lokuphenywa lwe-PMDD luthatha inqununu yonyango yokunciphisa i-ovulation kwelinye iqanaba. Enyanisweni, iphelisa ngokupheleleyo i-ovulation yakho ekugqibeleni iphelise ukutshintsha kwe-hormone yakho yokuhamba.
Uluphi Ulawulo lokuPhepha lwe-PMDD?
Ulawulo lotyando lwe-PMDD luqukethe i- hysterectomy kunye ne-salpingo-oophorectomy ephakathi kwamanye amazwe, oko kususwa, i-ovaries, kunye ne-tublopian tubes.
Masiyiphule.
- Ukususa amaqanda akho. Ukususwa kwamaqanda akho kuyimfuneko ebalulekileyo yokunyanga i-PMDD. Ii-ovari zakho zivela kwimimoni yakho yokuzala. Xa amaqanda akho asuswe uyisusile umthombo wakho wamahomoni ozala. Oko kuthetha ukuba, akukho-ovulation kwaye ayikho enye i-hormone eguqukayo.
- Ukususwa kwesisu sakho. Isibeleko sakho asivelisi nayiphi na i-hormone kwaye ayinxalenye kwiimpawu ze-PMDD. Isibeleko sakho siphendula nje kumazinga akho e-hormone. Umsebenzi wayo wodwa ukuphatha ukukhulelwa, kwaye nganye inyanga xa kungenzeki ukuba ufumane ixesha lakho. Mhlawumbi, ukuba ukhetha ukuphathwa kokuphathwa kwe-PMDD, ugqibe ekubeni wenze ukuba nezingane. Ukuba akusiyo imeko kufuneka uxoxe nezinye iinketho kunye nogqirha wakho. Emva kokuba i-ovaries yakho isuswe uza kuba sekuseni. Ugqirha wakho uya kuphakamisa ukuba uqale i-hormone yonyango yokuguqula ukunceda ukukhusela amathambo kunye nentliziyo yakho kwaye uphathe iimpawu ezingathandekiyo zokuqeda umva. Kucingelwa ukuba i-progesterone ngokuyinhloko i-hormone engxaki kwi-PMDD. Xa ukhulelwe isisu sakho, kukhuselekile ukuba uthathe indawo ye-estrogen ngaphandle kweprogesterone.
- Ukususwa kwamathambo akho. Kanye njengesibeleko sakho, izibilini zakho ze-fallopian azivelisi nayiphi na ihomoni. Umsebenzi wabo kukufumana iqanda lakho elixutyweyo kunye nelokhu. Ukuwashiya ngasemva ngelixa ususa i-uterus yakho kunye nama-ovari akwenza ukuba akukho ngqiqo. Kwakhona, mhlawumbi i-tube fallopian ingaba yimvelaphi yelinye uhlobo lomhlaza we-ovari. Ukususwa kwee-tublopian tubes ngexesha le-hysterectomy kuphakanyiswa kwaye kwaziwa ngokuba yinkqubo yokunciphisa ingozi yomhlaza.
4 Iimpawu zokunceda ukugqiba ukuba Utyando lukulungele wena
Ulawulo lotyando lwe-PMDD aluvumelekanga, kwaye uya kuba sesigxina emva kokuhlinzwa. Nangona ukungena kwimizi-mveliso kuza kukhulula kwi-PMDD, kuneminye impembelelo ebalulekileyo kwimpilo yakho kunye nokuphila. Ngoko kubalulekile ukuba uzame kwaye uqikelele ukuba uza kuphendula njani xa ungeke uvelise ama hormone akho ovari. Ukukhetha ukuhlinzwa ukunyanga i-PMDD ye-anti-drug resistant isinqumo esinzima. Nazi iindlela eziphambili ezifunekayo ezifunekayo phambi kokuba wenze isigqibo sakho sokugqibela.
- Qinisekisa ukuxilongwa kwakho kwe-PMDD. Ngenxa yokuba iziphumo ezibi kunye nemiphumo yempilo yolu khetho luncedo kakhulu, kubaluleke kakhulu ukufumana ukuxilongwa ngokufanelekileyo. Ukuphonononga okanye ukuphinda idayari yeempawu zakho zemihla ngemihla kunconywa. Kubaluleke kakhulu ukuhlukanisa phakathi kwe-PMDD kunye ne-PME okanye ukunyanzeliswa kwangaphambili kwe-disorder disorder. Ukuba unempawu ngaphandle kwesiqendu sakho, ukuba amaqanda akho asuswe akuyi kunceda ekuphuculeni okanye ekupheliseni le mpawu.
- Uqikelele impendulo yakho. Ngenhlanhla kukho unyango olunokukunceda ukuqikelela ukuba uza kuphendula njani ngokufanelekileyo ukuphathwa kwabaphathi. I-acetate ye-Leuprolide okanye i-Lupron yi-GnRH agonist esetyenziselwa ukucima okwesikhashana ukuveliswa kwama-ovaries we-estrogen kunye neprogesterone. Ikubeka ngokukhawuleza ekunqumeni kwesikhashana kwaye isiphumo sayo siphendululwa ngokupheleleyo. Akufanele uqwalasele ukuphathwa kocwangco ngaphandle kokuba ucelise iimpawu zakho nge-GnRH. Ezinye iingcali zincoma ukuba i-GnRH ifanele isetyenziswe ubuncinane kwiinyanga ezili-6 ezineziphumo ezilungileyo phambi kokuba utyando luqwalaselwe.
- Zama i-hormone esikhundleni. Ingxaki nje ye-GnRH ye-agonist inzima kubalulekile ukuba uqikelele impendulo yakho kwindlela yokuhlinzwa, kodwa inika ithuba lokuqikelela indlela oza kuzinyamezela ngayo unyango oluthathekileyo lwe-hormone . Kungenxa yokuba uya kuba sekuseni, kuyanconywa ukuba uthathe indawo ye-estrogen ukukhusela amathambo akho, impilo yempilo, kunye nokunceda ukulawula iimpawu zokuziyeka.
- Uyenze ukuba nezingane. Oku kunokuba yisigqibo esinzima kunye nesimo sengqondo sabasetyhini abathile. Xa amaqanda akho asuswa, awukwazi ukuvelisa iqanda. Kwaye xa isisu sakho sisuswe, awukwazi ukukhulelwa. Kubalulekile ukuba uqiniseke ngesigqibo sakho. Qinisekisa ukuba ufumana inkxaso kwaye mhlawumbi ucebisa ukuba mhlawumbi umlingane wakho ufuna ngaphambi kokuba uqhube phambili kunye nokuhlinzwa.
ILizwi
Ukuba uqwalasela ukuphathwa kwe-PMDD, mhlawumbi ukhathele zonke ezinye iindlela zokunyanga. Mhlawumbi uloyiko kwaye udidekile. Ukusebenza kunye nodokotela ofanelekileyo kunye nokufumana inkxaso yontanga ngamaqela afana neGia Allemand Foundation unokukunceda wenze isigqibo esona sikhulu kukunceda uphile kakuhle nge-PMDD.
> Umthombo:
> I-Green LJ, i-O'Brien PMS, iPanay N, uCraig M egameni leKholeji yaseRoyal of Obstetricians kunye nabaGynecologists. Ulawulo lwe-premenstrual syndrome. I-BJOG 2017; 124: e73-e105