Mukakhala ndi PMDD , mumakhala ndi mphamvu zowonjezera mahomoni obereka, omwe ndi estrogen ndi progesterone. Kumvetsetsa kotereku kumayesedwa chifukwa cha kusintha kwa jini zomwe zimachitika momwe ubongo wanu umayendera ndi estrogen ndi progesterone.
Zizindikiro za kusintha kumeneku zimayankhidwa patangotha masabata awiri musanafike nthawi yanu. Zikuoneka kuti chifukwa cha kusintha kwa ma hormone zomwe zimayambitsa kuzungulira ovulation osati mahomoni okha.
Zochita zamakono zamakono zili zochepa. Njira zina zothandizira zamankhwala zimagwira ntchito poletsa kuyamwa kwanu, komwe kumachepetsa kusinthasintha kwa mwezi kumayambiriro a mahomoni. Mankhwala ena amagwira ntchito mwachindunji kukonza kusagwirizana kwa mankhwala mu ubongo wanu chifukwa cha kusintha kwa thupi lanu pa kusintha kwa ma hormone.
Ngati mukuganiza opaleshoni kuti muwachiritse matenda a PMDD mwinamwake simunapindule pang'ono kapena simungapindule ndi njira zothandizira mankhwala.
Ndikofunika kukumbukira kuti kasamalidwe ka opaleshoni ndi kosasinthika. Inu ndi dokotala wanu mudzafunika kuti muwonenso kachipatala chanu. Onetsetsani kuti mwatopetsa njira zonse zachipatala zomwe zingapezeke. Kumbukirani kuti nthawi zambiri zimatengera mitundu yonse ya chithandizo cha mankhwala kuti zikhale bwino.
Pambuyo pofufuza zovuta za kachipatala yanu, inu ndi dokotala mungasankhe kuti kuyendetsa opaleshoni n'koyenera.
Kusamalira opaleshoni ya PMDD kumatenga chithandizo chachikulu cha ovulation kukakamiza kwa mlingo wina wonse. Ndipotu, zimathetseratu kutaya kwanu komwe kumathetsa kusintha kwanu kwa kusamba kwa hormone.
Kodi Kupanga Opaleshoni kwa PMDD N'kutani?
Kusamalira opaleshoni ya PMDD ili ndi hysterectomy ndi machulupilpal-oophorectomy yomwe ndi kuchotsa chiberekero chanu, mazira ndi mazira.
Tiyeni tisiye.
- Kuchotsa mazira anu. Kuchotsa mazira anu ndizofunika kwambiri kuti mupeze chithandizo cha PMDD. Mavava anu ndiwo magwero a mahomoni anu obala. Pamene mazira anu amachotsedwa mumachotsa magwero a mahomoni anu obereka. Izi zikutanthawuza kuti, palibe ovulation ndipo osasintha mahomoni ambiri.
- Kuchotsa chiberekero chanu. Chiberekero chanu sichimatulutsa mahomoni ndipo sichikuthandizani ku zizindikiro za PMDD. Chiberekero chanu chimangoyankha kusintha kwa ma hormones anu. Ntchito yake yokha ndiyo kunyamula mimba, ndipo mwezi uliwonse pamene izi sizikuchitika mumatenga nthawi yanu. Mwinamwake, ngati mukusankha chithandizo cha opaleshoni ya PMDD, mwaganiza kuti mwakhala mukukhala ndi ana. Ngati izi sizomwe mukuyenera kukambirana ndi dokotala wanu. Pambuyo pochotsa mazira anu mutha msinkhu. Dokotala wanu adzakuuzani kuti muyambe mankhwala othandizira kuteteza thupi lanu kuti muteteze mafupa ndi mtima wanu ndipo muzisamalira zizindikiro zosasangalatsa za kusamba kwa mimba. Zimaganiziridwa kuti progesterone ndizovuta kwambiri m'thupi mwa PMDD. Ndi chiberekero chanu chochotsedwa, ndibwino kuti mutenge m'malo a estrogen popanda progesterone.
- Kuchotsa mazira anu osokonekera. Mofanana ndi chiberekero chanu, mazira anu amtundu samapanga mahomoni. Ntchito yawo ndikutenga dzira lanu lopangidwa ndi feteleza ndi chiberekero chanu. Kuzisiya kumbuyoko pamene kuchotsa chiberekero ndi mavairasi kumapangitsa kuti musamvetse bwino. Komanso, zikutheka kuti kachilombo ka khofi kangakhale kochokera ku mtundu wina wa khansara ya ovari. Kuchotsedwa kwa mazira amtunduwu pa nthawi ya hysterectomy kumalimbikitsidwa ndipo amadziwika ngati khansa ya ovarian yomwe ingachepetsere.
Zolinga Zothandizira Kusankha Ngati Kuchita Opaleshoni Kumakhala Kwabwino Kwa Inu
Kusamalira opaleshoni ya PMDD sikungatheke, ndipo mudzakhala mukutha msinkhu nthawi yomweyo opaleshoniyo itatha. Ngakhale kulowa m'mimba kumadzetsa mpumulo ku PMDD, ili ndi zotsatira zina zofunika pa umoyo wanu ndi thanzi lanu. Choncho ndikofunikira kuyesa ndikuwonetseratu momwe mungayankhire ngati simudzaliranso mahomoni oyamana nawo. Kusankha opaleshoni kuti mupeze mankhwala osagwira ntchito a PMDD ndi chisankho chovuta. Nazi zinthu zofunikira zomwe muyenera kuzipeza musanapange chisankho chanu chomaliza.
- Tsimikizirani momwe mukudziwira za PMDD. Chifukwa zotsatira zake ndi zotsatira zaumoyo za mankhwalawa ndizothandiza kwambiri, ndizofunikira kwambiri kupeza matendawa. Kuwongolera kapena kubwereza diary yanu ya tsiku ndi tsiku yovomerezeka kumalimbikitsa. Ndikofunika kusiyanitsa pakati pa PMDD ndi PME kapena kuwonjezereka kwapadera kwa matenda osokonezeka maganizo. Ngati muli ndi zizindikiro kunja kwa gawo lanu lokhazikika, kukhala ndi mazira ochuluka sikudzakuthandizani kusintha kapena kuthetsa zizindikirozi.
- Lembani yankho lanu. Mwamwayi pali chithandizo chamankhwala chomwe chingawathandize kudziwa momwe mungayankhire otsogolera opaleshoni. Leuprolide acetate kapena Lupron ndi agnist GnRH omwe amagwiritsidwa ntchito kuthetsa ma ovaries kuti apange estrogen ndi progesterone. Zimakuika mwachidule kumapeto kwa kusintha kwa thupi ndipo zotsatira zake zimakhala zowonongeka. Musaganizire ngakhale opaleshoni yopanga opaleshoni pokhapokha mutakhala ndi vuto la GnRH. Akatswiri ena amalimbikitsa kuti GnRH iyenera kugwiritsidwa ntchito kwa miyezi isanu ndi umodzi ndi zotsatira zabwino asanachitike opaleshoni.
- Yesani kutulutsa mahomoni. Sikuti GnRH ndizovuta kuthana ndi zovuta zowonetsera momwe mungayankhire opaleshoni, koma zimaperekanso mwayi wotsogolera momwe mungapitirizire kulekerera ma ARV . Chifukwa chakuti mutha msinkhu msinkhu, ndibwino kuti mutenge malo a estrogen kuti muteteze mafupa anu, thanzi la mtima wanu, komanso kuthandizira kuthetsa zizindikiro za kusamba.
- Mwamaliza kukhala ndi ana. Izi zingakhale zovuta kwambiri komanso zosankha za amayi ena. Pamene mazira anu achotsedwa, simungathe kupanga dzira. Ndipo chiberekero chanu chitachotsedwa, simungathe kutenga mimba. Ndikofunika kuti mutsimikizire za chisankho chanu. Onetsetsani kupeza chithandizo komanso uphungu womwe iwe ndi mwinamwake mukufunikira musanapite patsogolo ndi opaleshoni.
Mawu Ochokera
Ngati mukuganizira za chithandizo cha opaleshoni ya PMDD, mwinamwake mwatopa zonse zomwe mungathe kuchita. Mwinanso mukuwopa ndi kusokonezeka. Kugwira ntchito ndi dokotala woyenera ndikupeza thandizo la anzanu kudzera m'magulu monga Gia Allemand Foundation ingakuthandizeni kupanga chisankho chabwino kwambiri chothandizani kuti mukhale bwino ndi PMDD.
> Chitsime:
> Green LJ, O'Brien PMS, Panay N, Craig M m'malo mwa Royal College of Obstetricians ndi Gynecologists. Kusamalira matenda oyambirira. BJOG 2017; 124: e73-e105