Premenstrual syndrome - kuyini? PMS: izimpawu, ukwelashwa

Ukushintsha kwesimo senhliziyo, ukuqhuma kwentukuthelo, tearfulness kanye nobuhlungu - inhlanganisela yalezi imizwa libonisa ngokucacile premenstrual syndrome. Ukuthi kuyini, is eziningi ucansi fair kungaba eyaziwa, kodwa ukulawula isimo sabo, angithi. Amanye amantombazane nabesifazane kubonakale ukuwohloka kwempilo, futhi ubuhlungu ngaphambi kokuya esikhathini - imbangela yangempela kakhulu ngokufuna usizo lodokotela.

indlela eziyinkimbinkimbi

Ukuya esikhathini kwabesifazane kuhlobene nokuzalwa kwabantu. Ngosuku lokuqala kubhekwa ekuqaleni umjikelezo, futhi esigabeni ngasinye kuhloswe ukulungiselela ukukhulelwa.

Phakathi nesiwombe kokuya esikhathini ukwenqatshwa endometrium kwenzeka, okuyinto kuhambisana ukopha. Ukubukeka wokuqala zokwehlukaniswa kwenzeka ngokwesilinganiso iminyaka 12-14. Ngokuhamba kwesikhathi umjikelezo isethiwe, lobude bawo isuka kuzinsuku 21 kuya 35.

Ukungabi bikho esikhathini kungase-signal bekhulelwe noma ukugula okungathí sina. Ngaphezu kwalokho, impilo yabesifazane kudingeka siyinake ngokukhethekile e kwempilo, ezifana dysmenorrhea (esikhathini okubuhlungu) noma ukopha anda.

Uma sinezela lokhu izinkinga premenstrual syndrome, amanye amantombazane nabesifazane akuyona ncamashi umona.

indaba

PMS (syndrome premenstrual) - iqoqo eyinkimbinkimbi izimpawu ezenzeka abesifazane kwezinsuku ezilinganiselwa kwezingu-1-10 ngaphambi kokuya esikhathini. Ucwaningo isimo abantu behileleka isikhathi eside. ERoma lasendulo, isibonelo, odokotela ezihambisana izifo ngaphambi kokuya esikhathini kanye nendawo yokuhlala ngisho izigaba zenyanga.

Ngokusho idatha esemthethweni, ososayensi Russian Dmitry no-Aleksandru Ott Repro waqhuba izifundo zokuqala ngokwesayensi kwi imingcele bokuphila iyehla iyenyuka yabo cyclical. Khona-ke Robert Frank ngo-1931, kumemezela esihlokweni sakhe, igama elithi "ukungezwani premenstrual", futhi ngemva kweminyaka eyishumi disorder psychosexual ngesikhathi PMS ichazwe ngu Lewis Gray.

Ucwaningo izifundo zesayensi baye bavumela-World Health Organization ukukufaka Ukwahlukaniswa izifo premenstrual syndrome. Kuyini, izindlela zokuxilonga, izimbangela izincomo zokudambisa isimo - konke lokhu, funda ukubuyekeza yethu.

izizathu

Kungekho ukuvumelana mayelana okuvela PMS ayisekho namuhla, kodwa ochwepheshe wakwazi ukwakha ngenxa yezizathu eziningana:

- yofuzo;

- ukuhlukumeza yamanzi-usawoti umzimba;

- ukuphazamiseka kwama-hormone;

- abanale nkinga;

- ukuntuleka kwamavithamini (magnesium, i-zinc, i-calcium, B6).

Ukuze PMS izinto ezandisa le ngozi ukuba khona ukucindezeleka nokucindezeleka, abahlala emadolobheni amakhulu, ngasekupheleni kweminyaka engu zokuzala, zingenzi lutho olunyakazisa umzimba futhi ekudleni.

Olunye ucwaningo lubonisa ukuthi ukhuluphele futhi ukubhema kuthinte amathuba wokuthuthukisa premenstrual syndrome.

izimpawu

Kukhona inala ezilula futhi izindaba ezihlekisayo mayelana syndrome premenstrual kwabesifazane. Nokho, i uhlu umxhwele izimpawu eshiya nesincane isizathu kuyabudambisa.

imithi yesimanje ehlukanisa izinhlobo ezilandelayo PMS:

1. Neuro-ngemilingo. Ukuze leli fomu libhekene izimpawu ezifana bezibona ephakeme umsindo, ukukhathala, ubuthakathaka, ukulala kahle, ukudideka, ikhanda, inkulumo egwinya, ngisho niphele amandla. Ulaka kanye nobuhlungu okuvame ukuholela ezimpini emkhayeni nasemsebenzini, kanye ukwamukelwa of izinqumo ngokuphamazela.
2. Edematous. Kwesisindo khilogremu eziningana ingakuthuthukisi kwemizwelo, khona ukuvuvukala ezingalweni kanye nasemilenzeni. Ngezinye izikhathi nebafati ukuzwa ubuhlungu bamalunga futhi amajaqamba. Amabele ngaphambi kokuya esikhathini ukuqaqamba, wonke umzimba kubonakala uyogcwala ketshezi.
3. Cephalgic. Kukhona throbbing ukuphathwa ikhanda ahambisana ukucanuzela kwenhliziyo noma ukuhlanza. Nokho, umfutho wegazi usuke zinjalo. Ngaphezu kwalokho, ingxenye eyodwa kwezintathu iziguli ubuhlungu enhliziyweni, ukuba ndikindiki ezandleni, ukujuluka ngokweqile nokucindezeleka.
4. Krizovoe. Ngenxa yokwethuka kuhlasela, okuyinto kuqale ukwanda wegazi. Khona-ke kukhona palpitations inhliziyo kanye nokwesaba ukufa. ukuhlaselwa okunjalo kwakuvame kusihlwa futhi ebusuku, futhi senze isimo sishube ukucindezeleka ezahlukene, ukukhathala, noma izifo ezithathelwanayo.

Ochwepheshe futhi secrete ifomu atypical we PMS nezimpawu ezibandakanya imakwe komzimba, ukuqubuka, edonsa futhi ubuhlungu esiswini, ukopha acinene, imfiva.

PMS esiteji

Kwezokwelapha wathola PMS division zibe izigaba ezintathu:

- ukunxeshezelwa (izimpawu zinyamalale kanye ekuqaleni kwenyanga, lesi sifo ngeke ngeminyaka);

- subcompensated (izimpawu phezani ingazihlupha ekupheleni kokuya esikhathini, premenstrual syndrome umtholampilo eminyakeni, zaba zimbi ngu);

- isifuba somoya (izimpawu izinsuku ezimbalwa emva kokuphela kwenyanga).

Njengoba kungenzeka uye waphawula, lo ICP kwezinye izimo neze afana indisposition okuncane. Ngendlela okunzima sifo sina kuthinte umthamo zokusebenza kanye nenhlalakahle. Yiqiniso, ningatatazeli ngenxa yokukhathala noma imisipha ubuhlungu. Nokho, uma ukuthola at izimpawu ezingaphezu kweziyisithupha ngempela wenze sibonane nodokotela, owathi ucwaningo ungenza ukuxilongwa "syndrome premenstrual".

ukuhlola

Kubalulekile ukwehlukanisa phakathi izimpawu ukungakwazi ukuba alawule imizwelo yabo futhi sibonise ukuziphatha okungalungile noma inhlamvu engalungile. Premenstrual syndrome libhekene imijikelezo. Ngamanye amazwi, izimpawu ezifanayo kufanele uhlupho owesifazane PERIODICITY ezithile.

Premenstrual ukungezwani syndrome ngokuvamile zididaniswe nezinye izifo, ngakho i ukusazi ngokunembile isifo esikuphethe ukuze uchwepheshe. Phakathi ukuhlola ukuhlolwa kwegazi ezidingekayo (ngezigaba ezahlukene umjikelezo wokuya esikhathini uwubufakazi). Izinga lama-hormone (progesterone, estradiol futhi prolactin) ikuvumela ukuba bafinyelele iziphetho mayelana uhlobo PMS.

Kuye imiphumela yokuhlaziya lwezikhalazo lesiguli kanye kungenzeka udokotela okwelaphayo ubheke wakhe kwabanye ongoti (kwengqondo, endocrinology, udokotela wezinzwa) noma ukunikezela izifundo ezengeziwe (MRI, mammography, Bheka, umfutho wegazi control, njll).

Ngaphezu kwalokho, zonke iziguli ezinesifo PMS Kunconywa ukuchaza ngokuningiliziwe isimo sabo phila "idayari izikhalazo", okuzokwenza Basiza uphethwe.

Indlela ukudambisa premenstrual syndrome?

Izigidi zabesifazane abuze lo mbuzo, azi kahle kamhlophe ukuthi ukuphila esimweni esibi wezempilo kanye isimo, ngisho ngesonto kumane okungabekezeleleki. I okungabizi kakhulu iyona isilinganiso sesibuyekezo yokudla.

Kukholakala ukuthi ukusetshenziswa kwama-carbohydrate ayinkimbinkimbi (okusanhlamvu nemifino) kuyasiza kalula ukuzwa isimo phambi kokuya esikhathini. Abanye ochwepheshe bathi ukuze kukhawulwe ukusetshenziswa amaswidi kanye noshukela, kodwa ngokuya ukuqeda izimpawu PMS, lokhu isilinganiso ngokugcwele wayengekho.

Kungcono ukulawula ukugeleza usawoti, ngoba umzimba nokunye ivame ukuba edema elihlobene ne nokugcinwa uketshezi. imikhiqizo anosawoti senze isimo sishube.

Futhi ekugcineni, ikhofi. Ucwaningo luye lwabonisa ukuthi abantu besifazane PMS ezinzima kudle ikhofi ngaphezulu. Namuhla abukho umbono owodwa mayelana nokuthenga nabanye isiphuzo ngamunye eqabulayo nokujabulela premenstrual syndrome. Yini-ke nokuthi imbangela yokugcina aziwayo kakade, kodwa kuyasiza noma siba sibi isimo yekhofi, mhlawumbe, ukunquma umuntu ngamunye.

indlela yokuphila

Ubuhlungu ngaphambi kokuya esikhathini kungase ukwenza izinguquko ezinkulu ezinhlelweni zakho. Nokho, ochwepheshe ukweluleka hhayi ukulahla umsebenzi ukukhanya ngokomzimba. Ukubhukuda, ukuhamba, i-yoga noma ukudansa usizo ukunciphisa imiphumela yezimpawu futhi sithuthukise isimo ncamashi.

Uma une amabele obukhulu ngaphambi kokuya esikhathini, khona-ke wakwazi ukubhekana kangcono nale ukungakhululeki kanye nokuzwela anda kuzosiza ukugcina izingubo.

Yiqiniso, ukunyamalala osheshayo zezimpawu PMS ungalindeli, kodwa ukwenza iziphetho wokuqala kungaba 3-4 izinyanga. Ezimweni eziningi, lezi zincomo isidingo imithi.

Njengoba ezinye izindlela ukuze silwe premenstrual syndrome izinhlobo ezahlukene massage kungenziwa Kunconywa, Physiotherapy, Reflexology futhi balneotherapy.

Ochwepheshe abaningi abatadisha empilweni yabesifazane, kubhekwa acupressure ephumelela kunazo. Ukukhuthazwa amaphuzu eziphila abakhuthele ithuthukisa ubungqabavu futhi sithuthukisa ikhono lomzimba ukuzithiba lokulawula.

imithi

Pharmacotherapy iyona ndlela eyinhloko, kodwa akusho ukwelapha ngokuphelele premenstrual syndrome amaphilisi ncamashi asize. Kukholakala ukuthi ICP - kuyinto isifo esingelapheki, futhi ezinye izidakamizwa ngcono kuphela ikhwalithi yokuphila ngokusekela ekupholiseni izimpawu.

Sicela uqaphele ukuthi yonke imithi udokotela, futhi akukho zindaba zokuphila noma amathiphu "abangane e amashwa," aziyithathi iseluleko lochwepheshe. Ukubuyekeza wethu ngokuhlola indalo, futhi uma ucabanga ukuthi omunye izidakamizwa angakusiza, qiniseka ukuxoxa leli phuzu ne udokotela ukuba khona.

Ukuze ezithambile kuqede izimpawu of PMS ejenti hormone lingasetshenziswa esekelwe izingxenye yemifino ezifana nokudla ISIKHATHI Factor®. Afakwe iqoqo amavithamini C no-E, i-folic acid, rutin, amaminerali (iron, magnesium ne-zinc), indole-3-carbinol, glutamic acid, aucubin, gingerols kanye ezikhishwe zifane herbal izimpande Angelica, ginger impande nezithelo Vitex ongcwele esivivaneni ukuze kuthuthuke ukuzinza we umjikelezo wokuya esikhathini, ukunciphisa ukucasuka, okudambisa ubuhlungu futhi ekudambiseni ezinye zezimpawu zokuthi PMS.

Kuye ngendlela PMS kuthiwa amaqembu ezilandelayo:

1. Kuhlanganiswe zokuvimbela inzalo ngomlomo.
2. Izidakamizwa ukwelapha izimpawu.
3. ukwelashwa kwama-hormone.
4. Isisu.
5. Antidepressant.
6. Antiprostaglandinovye izidakamizwa.

Amavithamini namaminerali

Iziguli sibi syndrome premenstrual endaweni kuqala lesisihlabelelo izidakamizwa ezingekho hormone - isixazululi nkinga yehadiwe nezinsiza, amavithamini namaminerali. Kusebenta kanye ohlangothini sakugcina imiphumela - lawa izinzuzo main of lezo zimali. Ngaphezu kwalokho, izidakamizwa ezingekho hormone kungukuthi kuthathwe "njengekhambi lokwelapha."

Ngokocwaningo olwenziwa, ukunciphisa puffiness futhi ukuvuvukala kusiza magnesium orotate. Ngo nokugcinwa uketshezi isifiso yanda kuthinta-calcium carbonate, futhi sibhekane ukubonakaliswa psycho yesifo can amavithamini yeqembu B.

isisu

It isisu, injongo okuyinto ulungisiswa ifomu edematous of PMS. Omunye ngempumelelo kakhulu futhi ephephile kubhekwa "spironolactone" (Analogue - "Veroshpiron"). Ukulungiswa kwandisa excretion sodium kanye chloride ion, amanzi, ukunciphisa asidi titratable umchamo. It kunomphumela hypotensive.

Njengoba i umthamo kokuqala nsuku iqondiswa 25 mg (esiphezulu 100 mg). Ochwepheshe bathi ilapho lapho ibonakala isisu ezifanele ngesikhathi kulindeleke nokugcinwa uketshezi, ie kusuka 16 kuya izinsuku ezingu-25 umjikelezo wokuya esikhathini.

Phakathi imiphumela emibi waphawula: hypotension, somnolence, kwehle libido, futhi ukuphazamiseka nomjikelezo wokuya esikhathini.

COC

Ukusetshenziswa elihlangene zokuvimbela inzalo bomlomo abulona amaqhinga ezivamile ekwelapheni premenstrual syndrome. Kuze kube manje, odokotela uncamela COCs equkethe drospirenone. Le into kuyinto Analogue of progesterone zemvelo.

Ukwakheka omunye izidakamizwa eyaziwa ngokuthi "Yaryna" - inhlanganisela a drospirenone gestagen (3 mg) kanye ethinyl estradiol (30 .mu.g). In iziguli ziphathwe COC asebenzayo waphawula ukwehla okuncane esisindo futhi akukho nokugcinwa uketshezi emzimbeni. Ngaphezu kwalokho, drospirenone kuyalithinta uketshezi we nezindlala sebaceous, wanciphisa inani izilonda esikhumbeni ngaphambi kokuya esikhathini.

Izindlela zokuvimbela inzalo equkethe drospirenone babe sakugcina side effects. Nokho, naphezu ukuphumelela izidakamizwa, PMS izimpawu (ukuvuvukala, webele ngesisa, ikhanda kanye ukuqunjelwa) angase abuyele emva ikhefu wezinsuku eziyisikhombisa. Ngenxa yalesi sizathu, kungcono ukungena imodi eyisikhathi COCs.

antidepressant

Ukuqeda udokotela izimpawu ngokwengqondo kaningi uqoka antidepressant ( "sertraline", "Fluoxetine"), ogama ukusebenza iye kungase kutholakale izifundo zokwelapha eziningi.

Ekwelapheni premenstrual syndrome, ngokungafani kuya ekwelapheni ukucindezeleka, le mithi kuyabekwa izifundo ezimfushane kanye ngemithamo ezincane. Kukhona izinhlobo zemithi yokwelashwa ababili:

- ngokuthatha izidakamizwa ngesikhathi kuqala izimpawu;

- ngokuthatha izidakamizwa engxenyeni umjikelezo wokuya esikhathini uwubufakazi yesibili.

Ukuze amalungu amaningi ubulili bubuhle ukuthatha antidepressant - indlela esebenza kahle ukuthi aqede izimpawu cishe ngokuphelele.

Nokho, kwezinye izimo, umphumela izuzwe akwanele, ngakho udokotela angase anqume ukwandisa umthamo noma ukhombe omunye izidakamizwa.

Antidepressant kufanele kuhambisane ukugcina umbhalo namanothi enemininingwane ngempilo. Naphezu kweqiniso lokuthi singathuthuka ukuza kwezinsuku ezimbili kuphela ngemva kokuqala Yiqiniso, iziphetho mayelana nokusebenza kwama-onguchwepheshe oqeqeshiwe kuzokwenza kuphela ngemuva kokubona 2-4 imijikelezo kokuya esikhathini.

Ezimweni ezingavamile, ukuqedwa antidepressant kungabangela ukucanuzelelwa inhliziyo, isiyezi, kanye nobuhlungu. Ngenhlanhla, lezi zimpawu zinyamalale kunalokho ngokushesha.

ethnoscience

Antidepressant, amahomoni kanye nezindlela zokuvimbela ukukhulelwa temlomo Ziningi side effects, ngakho into yokuqala wobulili fair ukukhumbula izindlela abantu.

Ngakho lokho amakhambi kungasisiza sinqobe PMS:

1. Melissa. Lungiselela okwelapha ukumnika ngesilinganiso 2 v. l. isitshalo ezomile enkomishini yamanzi abilayo ngalinye. isiphuzo enjalo eqeda ukucasuka, Usenza sizole futhi aqede izinhlungu. Thuthukisa umphumela ngeke ingxube namafutha, chamomile, jasmine, spearmint futhi valerian.
2. Calendula, amahlamvu ukhova, amnandi ifulege impande nezimbali arnica. Ukumnika oswakanyiswe gauze emapheshana ukuthi zisetshenziswa umzimba ukunciphisa ukuvuvukala.
3. Yarrow kanye jasmine. Ngokumelene ubuhlungu emuva besisu uthele amanzi abilayo milfoil (40 g) kanye izimbali jasmine (30 g). Ngosuku udinga aphuze izinkomishi ezintathu ukumnika.

Yinganekwane Noma Yiqiniso?

Ngakho sikhuluma yalesi sifo, efana premenstrual syndrome. Kuyini, bayazi kahle amantombazane nabesifazane abaningi, kodwa% 3-6 kuphela wobulili bubuhle nakudzingeka ukuxilongwa "premenstrual dysphoric isifo" (PMDD). Lesi sifo ziwumthwalo uphawu sina, ekuvimbeleni ukuthintana nabantu nokuphila social, kanye kwandisa izinsuku ukukhubazeka. Iziguli lokugula ngengqondo waphawula okubi kakhulu babo.

Ngokuthakazelisayo, ezinye izazi ngokuvamile ayingabaza ukuba khona pathologies ezifana PMDD futhi premenstrual syndrome. Izimbangela the yokugcina futhi hhayi kungase kutholakale, kodwa izifundo eziningi baye bancika kuphela izitatimende zempilo. Ngiyavuma, lo mbono unalo ilungelo lokuthatha khona. Ngaphezu kwalokho, amantombazane Western nabesifazane bavame zilindele cishe ngamabomu ukubukeka PMS kuka uma zahlelwa ngokwayo ku ngokunembile wonke umqondo walo yezimpawu zesifo esithile.