Phunzirani phindu la kulera kwa PMDD
Ngati muli ndi vuto lakumayambitsa matenda opatsirana (PMDD), mungafunike kuganizira momwe mungayang'anire zolaula kuti muthe kulimbana ndi zotsatira zake. Ngakhale kuti serotonin reuptake inhibitors (SSRIs) imasankhidwa kukhala mzere woyamba wa chithandizo cha PMDD, amayi ambiri samafuna kuwagwira ndipo angakonde kuphatikiza zosowa zawo za kulera ndi kusowa kwawo kwa chithandizo kuchokera kwa PMDD.
Kumvetsetsa PMDD
PMDD ndi mtundu wovuta kwambiri komanso wosaoneka bwino wa omwe amachititsa kuti thupi likhale loyamba (PMS), lomwe limakhudza pafupifupi 75 peresenti ya amayi. Ndi PMS, mukhoza kukhala ndi zizindikiro zosiyanasiyana zakuthupi ndi / kapena zamaganizo masiku asanu ndi asanu ndi awiri musanayambe kumaliza msambo .
Kuopsa kwa PMDD ndi chikhalidwe chomwe chimakhudza kwambiri ubwino wamaganizo, chiyanjano, ndi maubwenzi pafupifupi 3 peresenti mpaka 8 peresenti ya amayi a msinkhu wobereka. Mbali zake zazikulu ndi mkwiyo, kukwiya, ndi nkhawa. Njira zothandizira ana , kuphatikizapo mapiritsi owonjezera, awonetsedwa kuti amapereka chithandizo ndipo akhoza kugwira ntchito monga mankhwala kwa PMS komanso PMDD.
Kulera kwa Hormonal kwa PMDD
Kugwiritsa ntchito mankhwala opatsirana pogonana monga pilisi , ndi njira yotchuka kwambiri ya kulera kwa amayi ambiri, komabe amayi omwe amagwiritsira ntchito njira iyi ya kulera sangadziwe zapadera zomwe sizinabweretse .
Mankhwala osiyanasiyana owonetsetsa kuti amatha kuchepetsa zizindikiro za PMDD komanso kupereka chithandizo cha PMS.
Mukhoza kuchita mosiyana ndi njira zina za kulera; Choncho, mfundoyi ikulingalira mwachidule. Komanso, kumbukirani kuti chifukwa chachikulu chogwiritsira ntchito mahomoni oyenera kubereka ndi kulera (kuteteza mimba yosakonzekera ).
Zosankha Zowononga PMDD Ndi Kugonana kwa Hormonal
Ngati inu ndi dokotala mukulingalira zopindulitsa zopanda kulera za kulera pochiza PMDD yanu, pali njira zambiri za mahomoni zomwe muyenera kuganizira.
Zotsatirazi ndi mndandanda wa njira zothandizira njira zothandizira odwala zomwe zasonyezedwa kukhala zothandiza monga chithandizo cha PMDD komanso PMS:
- Zina zothandizira ma ARV zimatha kupereka chithandizo cha PMDD. M'mayesero olamulidwa mosavuta, mapiritsi osakaniza omwe asonyeza kuti kusintha kwa PMDD ndikumaphatikizapo anthu omwe ali ndi ethinyl estradiol ndi drospirenone (monga Yaz , Ocella, ndi Beyaz ). Yaz ndiye yekhayo amene ali ndi mphamvu zothandizira ana omwe amavomerezedwa kuti apange PMDD.
Mapiritsiwa awonetsedwa kuti amapereka mpumulo ku zizindikiro zonse za thupi ndi zamaganizo, ndi kusintha kwa umoyo wokhudzana ndi thanzi. Kuonjezera apo, amachepetsa kuwonongeka kwa msambo kwa amayi okalamba omwe akulandira chithandizo cha kuvutika maganizo. - Mapiritsi oletsa kubereka omwe ali ndi levonorgestrel ndi ethinyl estradiol awonetsedwanso kuthandizira zizindikiro za PMDD pamene zimachotsedwa mosalekeza popanda placebo.
- Chifukwa mapiritsi afupikitsa amatha kuchepetsa kuchuluka kwa nthawiyi mpaka kawiri pachaka ( Seasonique ) kapena kuchepetsa kusamba kwa nthawi yonse (Amythest) kwa chaka, mapiritsiwa angapereke chithandizo cha PMDD ndi PMS.
- Azimayi pa mapiritsi opatsirana pogwiritsa ntchito mankhwala osokoneza bongo (mapiritsi otha masiku 21 omwe amakhalapo) amatha kuona zizindikiro zowonongeka komanso kupweteka kwapakhosi , kupweteka kwa mutu, kupweteka kwa m'mawere, ndi kuphulika pa nthawi yopanda mahomoni. Kuwonjezera mapiritsi a masiku 21 a mapiritsi a kulera amasonyeza kuti kuchepetsa kupweteka kwapakhosi komanso kupwetekedwa mtima kumapangitsa kuti mukhale ndi maganizo ambiri.
- Chifukwa chakuti muli ndi nthawi zochepa pamene mukugwiritsira ntchito, kugwiritsa ntchito kachilombo ka chithandizo komanso njira ya kulera ingapereke mapindu omwewo monga mapiritsi owonjezera.
Zindikirani: Chigawo cha Ortho Evra choletsa kubereka chaletsedwa ku United States. Fomu yamakono, Xulane, ilipo.
> Zotsatira:
> Casper RF. Maphunziro a Odwala: Premenstrual Syndrome (PMS) ndi Premenstrual Dysphoric Disorder (PMDD) (Pambuyo pa Zomwe Zimayambira). Zaposachedwa. Kusinthidwa pa March 6, 2017.
> Freeman EW, Halbreich U, Grubb GS, et al. Kufotokozera mwachidule maphunziro anayi a chithandizo cholera chololera cham'mimba (levonorgestrel 90 mcg /
> Chipatala cha Mayo Clinic. Patch Control Patch. Idasindikizidwa December 23, 2015.