Ngakhale kuti simungathe kugwirizanitsa kuvutika maganizo kwa matenda a polycystic ovarian (PCOS), mgwirizano pakati pa awiriwo uli bwino. Pafupifupi 40 peresenti ya amayi omwe ali ndi PCOS amakhala ndi zizindikiro zowawa. Kafukufuku wina wofalitsidwa m'nyuzipepala ya Psychoneuroendocrinology anadetsa nkhaŵa ngakhale kuti misonkho ya kudzipha inali yofala kasanu ndi kawiri pakati pa amayi omwe ali ndi PCOS kusiyana ndi omwe alibe matenda.
Pali zifukwa zambiri zomwe amayi omwe ali ndi PCOS amakhala ndi vuto lalikulu lachisokonezo. Choyamba, ndizotheka kuti kusiyana kofanana pakati pa mahomoni opatsirana pogonana kapena insulini kukhoza kukhala mlandu. Kukumana ndi mavuto owonjezereka owonjezereka a PCOS monga matenda a shuga, mtundu wa shuga, matenda a shuga, ndi matenda a mtima zingakhale zovuta kupirira.
Maseŵera apamwamba a androgens , kapena mahomoni amphongo omwe amagwirizana kwambiri ndi chikhalidwechi, angathandizenso kuti apangitse miyezo yapamwamba ya mavuto a maganizo a amayi ndi PCOS.
Pambuyo pa machitidwe a PCOS omwe angapangitse kukhumudwa, zovuta ndi zokhumudwitsa za kuyang'anira zizindikiro zambiri zosasinthika za PCOS sizingakhoze kunyalanyazidwa. Kulimbana ndi kusabereka , kupweteka kwa thupi, ndi zizindikiro za m'mimba (chifuwa cha tsitsi, tsitsi lopweteka, tsitsi lowonjezerapo) onse amatha kutenga phindu lalikulu pamaganizo a amayi omwe ali ndi PCOS. Zinthu zambiri za PCOS zingawoneke kuti sizingatheke ndipo zingathe kuwonongeka pakapita nthawi, ngakhalenso ndi kuyesetsa kwambiri kukhala ndi moyo wathanzi.
Mitundu Yosiyanasiyana ya Kuvutika Maganizo
Kupsinjika maganizo kuli zambiri kuposa kungokhala wokhumudwa. Aliyense amene akulimbana ndi kuvutika maganizo amadziwa kuti ndikumverera kuti muli mumdima wamdima womwe simungathe kutuluka, ngakhale kuti mukufunitsitsa. Kusokonezeka maganizo ndi matenda aakulu a ubongo omwe amafunikira chithandizo. Ndizodziwikiratu kuti simungathe "kuchoka."
Kusokonezeka maganizo kumawoneka m'njira zambiri. Nazi mitundu ina ya kuvutika komwe kungakhudze thanzi labwino la amayi omwe ali ndi PCOS.
Matenda Ovutika Kwambiri
Matenda aakulu achisokonezo ndi matenda osokonekera maganizo omwe ndi osiyana ndi "blues" kapena okhumudwa kapena okhumudwa ndi kukhala ndi PCOS. Zilinso zosiyana ndi kuyankha kwachisoni chomwe chimabwera chifukwa cha imfa ya wokondedwa kapena kutha kwa chiyanjano. Matenda akuluakulu amatha kukhala masabata kapena miyezi ndipo ingakhudze momwe mungathe kugwira ntchito tsiku ndi tsiku.
Chikhalidwe chimapangitsa mphamvu ndi chidwi pazinthu zomwe poyamba zinali zokondweretsa, ndipo zimatha kubwerera m'moyo wa munthu aliyense. Matenda akuluakulu a kupsinjika maganizo amapezeka ngati munthu akukumana ndi zochitika zazikulu kapena zowonjezera zazikulu zopanda mbiri ya mbiri ya manic, mixing, kapena hypomanic episodes. Munthuyo ayenera kuti anasintha kwambiri pakugwira ntchito, pamene chimodzi mwa ziwonetsero zazikulu zachipatala ndizopanikizika kapena kutaya chidwi cha zosangalatsa.
Matenda aakulu ovutika maganizo angakulepheretseni kukhala ndi cholinga chodziyang'anira bwino. Popeza kuchita masewera olimbitsa thupi nthawi zonse ndi kukonzekera kapena kudya zakudya zabwino ndizofunika kwambiri pazinthu zonse, makamaka amayi omwe ali ndi PCOS, vuto lalikulu lachisokonezo lingakhudze momwe mumamvera mukamayang'anira matenda anu.
Kusokonezeka maganizo kwa maganizo
Azimayi omwe ali ndi PCOS awonetsedwa kuti ali ndi chiwerengero chapamwamba cha kusokonezeka maganizo kwa maganizo, chosowa chithandizo pa chisamaliro cha katswiri wothandizira zaumoyo.
Bipolar I matenda, kamodzi yotchedwa manic depression, amapezeka ngati wina ali ndi mbiri ya magawo onse opsinjika ndi ammunthu. Kufunafuna zosangalatsa, kusangalala ndi zochitika zofulumira, ndikuwonetsa kuwonjezeka kwa malankhulidwe omwe amachititsa matendawa. Munthu angathe kupezeka ndi matenda ochititsa munthu kusinthasintha maganizo pamene wakhala ndi vuto limodzi lokha. Chochitika cha manic chimakhala ndi chidziwitso chosalekeza komanso chosasunthika chomwe chimakhala chosavuta kapena chosasunthika mu masabata.
Bipolar II imasiyanasiyana ndi kusinthasintha zochitika m'thupi mwakuti munthuyu ali ndi mbiri ya zochitika zofanana ndi zomwe zimachitika. Zizindikiro za epomanic episodes ndi zofanana ndi za mania ndi kusiyana kwakukulu, kuchuluka kwa kuwonongeka, komanso nthawi ya zochitikazo. Mu hypomania, zizindikirozo zimatenga masiku osachepera anayi. Kukhumudwitsanso kumakhala kovuta kwambiri panthawi ya hypomania m'malo mokwiya kwambiri, ndipo chisokonezo si chokwanira kuti chiwonongeke.
Kusintha kwa nyengo kwa nyengo
Matenda a nyengo, omwe amatchedwa SAD, akhoza kuthandizanso amayi omwe ali ndi PCOS. SAD ndi mtundu wachisokonezo wa nyengo umene umachitika nthawi yomweyo chaka chilichonse. Anthu ambiri amamva SAD kuchokera kugwa kudutsa miyezi yozizira pamene masiku ndi amfupi komanso amdima. Zizindikiro zofanana za SAD ndi kusowa mphamvu, kusangalala, ndi kutopa. Zizindikiro za SAD zimakhala bwino pakapita miyezi yambiri.
Zizindikiro Zowonekera Kwambiri ndi Zizindikiro za Kuvutika Maganizo
Anthu ambiri amavutika maganizo. M'munsimu muli mndandanda wa zizindikiro zomwe zimawoneka bwino, koma osaphatikizapo zizindikiro zonse.
- Kutopa
- Chisoni
- Kusungulumwa
- Kusathandiza
- Kukhalitsa
- Kusokoneza tulo
- Kupanda zolimbikitsa
- Chikhumbo chimasintha
- Kusintha kwa kulemera (ichi ndi chizindikiro cha PCOS palokha)
- Kudziimba mlandu
- Kuvuta kuika maganizo
- Kutaya chidwi pa kugonana
- Kutaya chidwi pa zokopa kapena ntchito zomwe zinkakonda
- Kusankha kosayenera
- Mutu
- Ululu wamthupi monga khosi kapena kumbuyo
- Nkhani zamimba
Kodi Kusokonezeka Maganizo Kumakhudza Bwanji?
Kusokonezeka maganizo kungatheke m'njira zosiyanasiyana, kuyambira kuchipatala ndi mankhwala ochiritsira ndi mankhwala ochiritsira.
Thandizo Labwino
Kupeza munthu woti muyankhule naye kungakhale kothandiza kuthana ndi mavuto ovuta kapena opweteka, kuphatikizapo tsiku ndi tsiku akulimbana ndi PCOS. Zimathandizanso kusintha kusaganiza bwino komwe kumakhala kofala kwambiri. Ngakhale pali mitundu yambiri yothandizira mauthenga, zonse zoganizira-khalidwe lachidziwitso (CBT) ndi psychotherapy zomwe zakhala zikupezeka kuti zothandiza kuthetsa kuvutika maganizo.
Magulu Othandizira
Gulu lothandizira amayi omwe amapezeka ndi PCOS lingakhale lothandiza kwa ena. Kuzunguliridwa ndi akazi omwe ali ndi mavuto omwewo kungakhale kotonthoza ndi kuthandizira. Ngati mutsogoleredwa ndi katswiri wathanzi, gulu lothandizira lingapereke maluso osintha moyo ndi njira zothana ndi PCOS ndi kupsinjika maganizo.
Mankhwala
Mankhwala (antidepressants) alipo kuti athe kuthandizira kuvutika maganizo. Pali mitundu yambiri yomwe ilipo. Kambiranani zadongosolo lanu ndi dokotala wanu. Komanso, onetsetsani kuti mukukambirana za mankhwala ena kapena mankhwala omwe mumagwiritsa ntchito ndi dokotala omwe angagwirane ntchito. Ngati n'kotheka, pewani mankhwala omwe angapangitse kupindula ndi kukhala ndi mwayi wochulukitsa zinthu zina za PCOS.
Mankhwala Osakaniza ndi Othandizira
Mankhwala othandizira ena komanso othandizira amapezeka kuti athetse vutoli. Kuchita mwachidwi kumayesedwa kukhala mankhwala othandiza kuchepetsa zizindikiro zachisoni kwa amayi omwe ali ndi PCOS komanso nkhawa. Njira zina zothandizira anthu monga mankhwala opatsirana komanso Reiki zingakhale zothandiza.
Zakudya zowonjezera monga mafuta a nsomba ndi vitamini D zakhala zikuwonetseratu kuti zimakhala bwino pakukonza zizindikiro zowawa. Kafukufuku wina wofalitsidwa mu Journal of Gynecology and Endocrinology anapeza kuti kusowa kwa vitamini D kunali kudzidzimutsa kwadzidzidzi kuvutika maganizo pakati pa akazi onse omwe alibe PCOS. Wotchedwa St. John's Wort angathandizenso kusintha zizindikiro zachisoni, koma zingathenso kuthana ndi zotsatira zina zomwe ziri zofunika kwambiri kwa iwo okhala ndi PCOS, kuphatikizapo msinkhu wa mahomoni.
Matenda Omwe Amaoneka Ngati Kuvutika Maganizo
Kuwonjezera pa kuvutika maganizo, amayi omwe ali ndi PCOS ali ndi chiwerengero chowonjezeka cha matenda ena a maganizo: nkhawa. Zizindikiro zina za nkhawa ndi zofanana ndi za kuvutika maganizo.
Nkhawa imapezeka m'njira zambiri, monga mantha, mantha, matenda osokonezeka maganizo, nkhawa za anthu, komanso nkhawa zapadziko lonse.
Malingana ndi DSM-5, njira yothetsera matenda odwala matendawa imakhala ndi zizindikiro zisanu ndi zitatu zotsatirazi:
- Kusagwedera kapena kumverera kwa kukhala pamphepete
- Yotopa kwambiri
- Kuvuta kuika maganizo kapena maganizo kumakhala kosalekeza
- Kukhumudwa
- Kuthamanga kwa minofu
- Kusokoneza tulo
- Chikhumbo chimasintha
- Kusintha kwa thupi
Chifukwa cha mavuto akuluakulu a matenda a m'maganizo, Androgen Excess ndi PCOS Society amalimbikitsa kuti akazi onse omwe ali ndi PCOS aziyesedwa kawirikawiri kuti adziwe nkhawa ndi kudandaula ndi dokotala wawo ndipo amatumizidwa kwa opereka chithandizo choyenera.
Nthawi Yomwe Mungafunire Thandizo Ngati Muli Ndi Zizindikiro Zosautsa
Ngati inu kapena munthu wina amene mumadziŵa angakhale opsinjika maganizo, ndikofunika kuti mupeze chithandizo kuchokera kwa katswiri wa zaumoyo wodziwa bwino. Musaope kukambirana zomwe mumamva ndi anzanu ndi abwenzi anu. Dziwani kuti simuli nokha. PCOS ndizovuta zovuta zomwe zimakhudzana ndi matenda a maganizo, kuphatikizapo kuvutika maganizo. Chimene mumamva ndi chenichenicho ndipo chiyenera kuchitidwa chidwi. Kambiranani ndi dokotala wanu zizindikiro ndipo mukambirane ndi katswiri wamaganizo kapena wothandizira amene angakuthandizeni.
> Zotsatira:
> Association AP. DSM. 5th ed. Washington DC: American Psychological Association 2013.
> Kupanikizika. National Institute of Mental Health webusaiti. https://www.nimh.nih.gov/health/topics/depression/index.shtml. Idapezeka pa September 10, 2016.
> Kerchner A, Lester W, Stuart SP, Dokras A. Ngozi ya Kusokonezeka maganizo ndi Matenda ena Amaganizo a Akazi ndi Polycystic Ovary Syndrome: A Longitudinal Study. Fertil. Steril. 2009; 91 (1): 207-212.
> Mansson M, Holte J, Landin-Wilhelmsen K, Dahlgren E, Johansson A, Landen M. Akazi omwe ali ndi Polycystic Ovary Syndrome ndi Kawirikawiri Wopanikizika Kapena Wodandaula - Phunziro Loyang'anira Mlandu. Psychoneuroendocrinology. 2008; 33 (8): 1132-1138.
> Mattei S. Psychological Mbali za PCOS. Mu, PCOS: Buku la Dietitian Guide. 2013 Publishing Luca. Bryn Mawr, PA.
> Moran LJ, Teede HJ, Vincent AJ. Vitamini D ndi Independently Associated ndi Kupsinjika Maganizo mu Overweight Women ndi Popanda PCOS. Gynecol Endocrinol. 2014; 4: 1-4.