Funda izibonelelo zokulawulwa kokuzalwa kwe-PMDD
Ukuba unesifo sokugula esisemgangathweni (PMDD), unokufuna ukuqwalasela ukujongana nokulawula ukuzalwa kwe-hormonal ukusiza ukulwa nemiphumo emibi. Nangona i-serotonin i-reuptake inhibitors (i-SSRIs) ekhethiweyo ibonwa njengowokuqala wonyango lwe-PMDD, abaninzi abafazi abafuni ukuwathatha kwaye banqwenela ukudibanisa imfuno yabo yokukhulelwa kwezaphulelo kunye nesidingo sabo sokukhupha kwi-PMDD.
Ukuqonda i-PMDD
I-PMDD yindlela enqabileyo kwaye engaqhelekanga ye- premenstrual syndrome (PMS), echaphazela ama-75 ekhulwini kwabasetyhini. Nge-PMS, unako ukufumana ubuninzi beempawu zomzimba kunye / okanye iimvakalelo malunga neentsuku ezi-5 ukuya kwi-11 ngaphambi kokuba uqale umjikelezo wenyanga ukuya kwinyanga .
I-PMDD enzima kakhulu yinkqubo echaphazela kakubi inhlalakahle yengqondo, intsebenziswano yentlalo, kunye nobudlelwane malunga nama-3 ekhulwini ukuya kuma-8 ekhulwini kwabasetyhini beminyaka yobudala. Iinkalo zawo eziphambili ngumsindo, ukukhubeka, kunye nokuxhalabisa. Iindlela zokulawula ukuzala , kuquka iipilisi ezijikelezayo, ziye zaboniswa ukuba zinike inkxaso kwaye zingasebenza njengonyango lwe-PMS kunye ne-PMDD.
Ukukhulelwa kweHormonal kwi-PMDD
Ukukhulelwa kweHormonal , njengePilisi , kuyindlela ekhethekileyo yokukhulelwa kwabafazi abaninzi, kodwa oomama abasebenzisa lolu hlobo lokulawula ukuzalwa abanakho ukungazi kakuhle iingeniso zalo ezingenakukhulelwa .
Izityalo zokukhulelwa kwe-hormone ezahlukeneyo zibonise amandla okunciphisa iimpawu ze-PMDD, kwakunye nokubonelela nge-PMS.
Ungasabela ngendlela eyahlukileyo kwiindlela ezithile zokukhusela; Ngoko ke, olu lwazi lujoliswe ukuba luboniswe ngokubanzi. Kwakhona, gcinani engqondweni ukuba isizathu esiyinhloko sokusebenzisa ukulawulwa kwe-hormonal yokuzala ukhuseleko (ukukhusela ukukhulelwa okungalindelekanga ).
Izinketho zokuPhatha i-PMDD kunye noKhusela kweHormonal
Ukuba wena kunye nogqirha wakho nicinga ngeenzuzo zokungabikho kokukhulelwa kokuzalwa kolawulo lokubeleka ekuphatheni i-PMDD yakho, kukho iindlela ezininzi ze-hormone zokuqwalasela.
Ezi zilandelayo uluhlu lweendlela zokulawulwa kokuzalwa komzimba eziye zaboniswa ukuba zisebenze njengonyango lwe-PMDD kunye ne-PMS:
- Ezinye iipilisi zokulawula izibeleko zokuzalwa ziyakwazi ukunika uncedo lweempawu ze-PMDD. Kwizilingo ezilawulwa ngokungapheliyo, iipilisi ezidibeneyo ezibonakalise ukuphucuka kakhulu kwiimpawu ze-PMDD zizo zintlangano ye- ethinyl estradiol kunye ne- drospirenone ( njengeYaz , i-Ocella ne- Beyaz ). U-Yaz nguye kuphela olawula ukuzalwa kwe-FDA-avunyelwe ukuphatha i-PMDD.
Ezi pilisi ziboniswe ukunikezela ukukhulula kwiimpawu ze-PMDD zomzimba nezengqondo, kunye nophuculo lomgangatho wobomi obunxulumene nempilo. Ukongezelela, banciphisa ukuhlaselwa kwangaphambili kwemvelo kwindoda eneminyaka ekhulayo yokufumana unyango lokudandatheka. - Ukuhlanganiswa kokulawula iipilisi eziqukethe i-levonorgestrel kunye ne-ethinyl estradiol ziye zaboniswa ukunceda iimpawu ze-PMDD xa zithathwa ngokuqhubekayo ngaphandle kwe-placebo.
- Ngenxa yokuba amapilisi ajikelezayo anganciphisa inani lakho lamaxesha ukuya kumaxesha amane ngonyaka (i- Seasonique ) okanye ukuphelisa isisindo ngokupheleleyo (u-Amythest) kunyaka, ezi pilisi zinokunika inkxaso ye-PMDD kunye ne-PMS.
- Abasetyhini ngokukhulelwa kwe-hormone ye-hormonal (iintsuku ezi-21 ezisebenzayo iipilisi / indawo ye-daybo-7) unokufumana iimpawu zangaphambili kunye nentlungu yeplavic , intloko, isifuba, kunye nokubethelwa ngexesha lokungabikho kwama-hormone. Ukwandisa umjikelezo wemihla ngemihla engama-21 yeepilisi zokukhulelwa kuye kwaboniswa ukunciphisa ubuhlungu beplavic kunye nentloko xa kuphuculwe ingqondo.
- Ngenxa yokuba unamaxesha ambalwa xa usebenzisa, ukusetyenziswa kwandisa kwinqanaba lokukhusela nokukhusela isondlo kunokubonelela ngezibonelelo ezifanayo njengepilisi ejikelezayo.
Qaphela: I-patch ye-Ortho Evra yokukhusela i-contraceptive block ishiyiwe e-United States. Ifomu yobudala, iXulane, iyafumaneka.
> Imithombo:
> Casper RF. Imfundo yesineke: I-Premenstrual Syndrome (PMS) kunye ne-Premenstrual Dysphoric Disorder (PMDD) (Ngaphandle kweZiseko). Isemgangathweno. Ukuhlaziywa kwe-Matshi 6, 2017.
> Freeman EW, Halbreich U, Grubb GS, et al. Ukuphononongwa kwezifundo ezine zomsebenzi wokukhulelwa komlomo oqhubekayo (levonorgestrel 90 mcg /
> Abasebenzi beKliniki yabasebenzi. I-Patch Control Patch. Ipapashwe ngoDisemba 23, 2015.