Kukumana ndi Kutsekula m'mimba Kapena Kupweteka Panthawi Yanu Sizolowereka
Ngati mwapeza kuti matenda anu opweteka kwambiri (IBS) kapena matenda opatsirana (IBD) amayamba ngati muli ndi nthawi yanu-simuli nokha. Masiku angapo musanafike msambo akhoza kubweretsa ndi zizindikiro za premenstrual syndrome (PMS). Amayi ambiri omwe ali ndi IBD kapena IBS amawona kuti ali ndi zizindikiro zoopsa, monga kutsegula m'mimba ndi kupweteka, asanayambe kapena pamene akusamba.
Chifukwa cha PMS Zizindikiro
Ochita kafukufuku amaganiza kuti kuwonjezeka kwa zizindikiro monga kupweteka m'mimba ndi kutsegula m'mimba kumagwirizana ndi mahomoni omwe amachititsa kuti azipita kusamba. Kuchuluka kwa kutsekula kwa amayi ena omwe ali ndi IBD kapena IBS kumawonjezeka m'masiku omwe asanafike komanso nthawi yawo. Pali mankhwala awiri omwe angayambitse zimenezi-prostaglandins ndi progesterone.
Pali mitundu yosiyanasiyana ya prostaglandin yomwe imakhala ndi ntchito zosiyanasiyana m'thupi. Zina, zotchedwa Series 2 Prostaglandins, zimagwirizana ndi kusintha kwa matumbo omwe amachititsa kutsegula m'mimba nthawi yomwe imatuluka. Zikhoza kuthetsa ululu ndikusokoneza mavitamini ndi mchere zomwe zimachitika m'matumbo. Ma prostaglandin amenewa amachititsanso kuti thupi likhale lofewa m'mimba, zomwe zimabweretsa zizindikiro za ululu ndi kutsekula m'mimba.
Kusintha kwa mahomoni nthawi yayitali komanso nthawi ya amayi kungakhale kulakwa. Zakhala zovomerezedwa kuti colon ikhoza kuchitapo kanthu powonjezera kapena kuchepa kwa progesterone mu thupi.
Njira Zothandizira PMS
Palibe chithandizo chovomerezeka cha PMS, ngakhale pali njira zingapo zochepetsera zizindikiro.
Evening Primrose Mafuta. Madzulo primrose mafuta (EPO) anapezeka kuthandiza amayi kuchepetsa zizindikiro za IBS nthawi yoyamba kusamba ndi kusamba. EPO ili ndi mafuta ofunika omwe amatchedwa gamma linolenic acid (GLA) . Thupi silinapangitse mavitamini a mafuta ofunika-akhoza kungowonjezera kupyolera mu chakudya. GLA ndi omega-3 fatty acids pamodzi amapanga mtundu wachiwiri wa prostaglandins, wotchedwa E1 mndandanda. Mtundu uwu wa prostaglandin umathandiza kuchepetsa kutupa ndi zithandizo mu chimbudzi.
Mliri waukulu wa EPO patsiku sudziwikabe, koma 3,000 mg mpaka 6,000 mg EPO (wopatsidwa mankhwala opitirira 3 masana) akhoza kukhala ndi 270-540 mg wa GLA. Ichi ndi kuchuluka kwa GLA kamagwiritsidwa ntchito popenda. EPO kawirikawiri imakhala yotetezeka, koma imayenera kutengedwa ndi zakudya kuti zisawonongeke. Anthu omwe ali ndi khunyu kanthawi koyenera sayenera kutenga EPO.
Calcium. Mchere wothandizira wa calcium ukhoza kuwathandiza kuchepetsa zizindikiro zina za PMS. Mlingo womwe wapezeka kuti uli wogwira ntchito ndi 1200 mg tsiku, monga calcium carbonate.
Kusankha serotonin reuptake inhibitors. Kusankha serotonin reuptake inhibitors (SSRIs) kungagwiritsidwe ntchito pochita zizindikiro zolimbitsa thupi za PMS . Mankhwalawa amagwiritsidwa ntchito ngati anti-depressants, koma ali ndi ntchito zina zambiri.
Nthaŵi zina, SSRI imaperekedwa pokhapokha panthawi ya luteal , yomwe imayamba pamene ovulation imapezeka. Kwa ena, SSRI imapatsidwa tsiku lililonse.
Zina zambiri zothandizira zothandizira zakhala zikuphunzitsidwa, koma zambiri sizinapangitse zotsatira zabwino pa kuchepetsa kutsekula m'mimba ndi zizindikiro zina zogwirizana ndi PMS. Kukhala ndi moyo wathanzi-kudya zipatso zokwanira ndi ndiwo zamasamba, kuchita masewera olimbitsa thupi, kuchepetsa shuga ndi caffeine-kungathandize kwambiri, chifukwa miyeso ya moyo imeneyi imakhala ndi thanzi labwinobwino. Umoyo wa azimayi, wamba, umatsutsidwa, ndipo zambiri sizikudziwikiratu za PMS ndi zofanana.
Mawu Ochokera
Kukhala ndi zizindikiro zambiri za IBS kapena IBD nthawi zina zingakhale zovuta komanso zosokoneza. Komabe, sizingatheke kutsogolera zowonjezereka zokhudzana ndi zizindikiro zanthawi yaitali. Kusintha kwa moyo wina kungathandize kuchepetsa zizindikiro koma ngati zimakhala zovuta kwambiri, kugwira ntchito ndi gastroenterologist ndi amayi amatha kuthandiza. Kwa amayi ena, pakhoza kukhala zochiritsira zina zomwe dokotala angathe kuzilemba zomwe zingathandize kuchepetsa zizindikiro.
Zotsatira:
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Douglas S. "Matenda a Premenstrual. Kodi Namwino Wachibale Anga. 2002 Nov; 48: 1789-1797.
Houghton LA, Lea R, Jackson N, Whorwell PJ. "Kutenga msinkhu kumakhudza kukhudzidwa kwamtundu wathanzi kwa odwala omwe ali ndi matenda opweteka koma osakhala odzipereka wathanzi." Gut Apr 2002.
Parlak E, Da'li U, Alkim C, Diyabeyaz S, Tunç B, Ulker A, Ahin B. "Chitsanzo cha zizindikiro za m'mimba ndi m'maganizo mwa amayi omwe ali ndi matenda opatsirana." Turk J Gastroenterol Dec 2003.