Ta yaya na gano-kuma na rayu tare da-premenstrual dysphoric cuta (PMDD)

Al'umma

Tampon ba kalma bace mai datti ba, amma yawancin yan mata sun girma ana faɗa musu cewa hakan ne. A zahiri, al'adun Amurkawa suna tozarta ɓangarori da yawa na lafiyar mata, gami da cututtukan premenstrual (PMS). Yanayi ne na gaske wanda zai iya shafar lafiyar mace, motsin zuciyarta, da halayyarta wanda akasari ake cirewa kamar mahaukaci-sosai don haka a zahiri na ɗauka hakan ya tsaya ne ga yanayin canjin yanayi na kyakkyawan ɓangare na rayuwata. Lokacin da na kirkiro wani bambancin da aka sani da cututtukan dysphoric na premenstrual (PMDD) , Na ji kamar ni abin da jama'a ke tsammani daga gare ni: hysterical .

Na nuna alamun PMDD da shekaru 14. Kwanaki kafin kowane zagaye, Na ji tsananin ƙarfin bakin ciki na kashe kansa, jin da zai wargaza lokacin da na fara al'ada. Hakanan na sami gajiya ta gaggawa da damuwa na almara - amma galibi yawan damuwa ne da ke dawo da lokaci ɗaya a kowane wata, ba tare da kasawa da ni ba. Idan ba don kulawa da kulawa da mahaifiyata ke da shi ba da kuma damar samun damar zuwa ga likitan da ya saurare ni, mai yiwuwa ba a taɓa tantance ni ba.

A cewar theungiyar Internationalungiyar Internationalasa ta Duniya game da Cutar Cutar Rere ( IAPMD ), kimanin 5% zuwa 10% na mata suna rayuwa tare da PMDD.

PMDD bayyanar cututtuka

Yawanci, PMS yana nufin ƙarin alamun bayyanar jiki yayin da PMDD ke nufin alamomin halayyar mutum, ya bayyana Sara Lingow, Pharm.D., Mataimakin farfesa a sashen koyar da kantin magani a St. Louis College of Pharmacy. Ta kara da cewa alamun PMS da PMDD na iya zama daga mai rauni zuwa mai tsanani.

Domin samun ganewar asali na PMDD, kuna buƙatar aƙalla biyar daga cikin alamun da aka lissafa kamar yadda Psyungiyar Psywararrun Americanwararrun Amurka ta ƙaddara , a cewar Ofishin kula da lafiyar mata yayin makon karshe kafin farawar haila:

• Fushi da bacin rai
• Bacin rai da kuma tunanin kashe kansa
• Damuwa, tashin hankali da hare-haren tsoro
• Yanayin yanayi da yawan kuka
• Rashin sha'awar abubuwan yau da kullun
• Matsalar maida hankali
• Gajiya da kasala
• Yawan cin abinci da kuma sha'awar abinci
• Rashin bacci

Dokta Lingow ya fayyace cewa alamun ba damuwa ba ne, amma a alama tawayar yanayi. Ba kawai sun haɗa da damuwa ba, amma alama damuwa. Wadannan alamun suna da tsananin isa don tarwatsa wata cuta ta yau da kullun ko kuma haifar da babban damuwa ga mutum.

Lokacin da sake zagayowata ya yi kyau a gare ni, kawai ina da waɗannan alamun alamun guda biyar. Wani lokaci, dukansu ne. Amma tare da fiye da shekaru goma na ƙwarewa na sarrafa abubuwan da ke tattare da kwayoyin halittar jikina, Na koyi isar da alamomina ga waɗanda ke kusa da ni, in dai neman sarari ko tallafi.

Dangantaka: Haɗin tsakanin lafiyar jiki da hankali

Binciken PMDD

Don PMDD, ganewar asali kayan aiki ne na halal, tunatarwa ba duka a cikin kanku yake ba. Idan kuna tunanin kuna da PMDD, mataki na farko shine bin alamun alamomi da canjin yanayi a kalanda ko a aikace aikace na al'ada. Tare da wannan bayanin, zaku iya tambayar kanku: Yaushe ne alamomi na ke kasancewa, kuma shin suna yin layi tare da luteal phase (post-ovulation da pre-menstruation) na haila? Shin suna dawowa kusan lokaci ɗaya kowane wata? Kawo wannan bayanin ga mai ba da kulawa na farko ko likitan mata zai taimaka maka karɓar kulawar da kake buƙata-ta hanyar magunguna, sauye-sauyen rayuwa, da ma'anar inganci.

PMDD kuma na iya kasancewa tare da sauran lamuran lafiyar ƙwaƙwalwa kamar baƙin ciki na asibiti da rikicewar rikicewar rikice-rikice, yin jiyya da ganewar asali-ko fahimtar lamuran lafiyar hankalin mutum-wanda yaudarar da yawa. A cewar Dokta Lingow, Lokaci na bayyanar cututtukan halayyar mutum zai zama mabuɗin rarrabe PMDD da baƙin ciki.

Kamar yadda wani da ke da yawan bincikar lafiyar kwakwalwa, kiyaye kalandar lafiyar kwakwalwa ya taimaka min fahimtar abubuwan da na samu, musamman idan aka yi la’akari da yanayin dabi’ar PMDD.

Menene ke haifar da PMDD?

PMDD yana faruwa a lokacin luteal, in ji Kate Placzek, Ph.D., babban masanin kimiyyar bincike tare da ZRT Laboratory,yin binciken dakin gwaje-gwaje akan kwayoyin halittar.

Binciken nata ya nuna cewa mutanen da ke zaune tare da PMDD suna da matukar damuwa game da hauhawar kwayar cutar progesterone da ke faruwa a lokacin luteal phase. Kodayake an san progesterone a matsayin mai kwantar da hanzari, waɗanda ke tare da PMDD suna da mummunan sakamako-wanda ke kiran baƙin ciki, damuwa, da sauran alamun damuwa.

Ta yaya masana likitanci ke kula da PMDD?

Layin farko na tsaro shine canje-canje na rayuwa kamar ƙara fiber da motsa jiki; duk da haka, Dr. Lingow ya ce magungunan hana haihuwa na hormonal da SSRI masu maganin ciwon ciki sune magunguna guda biyu na PMDD.

A cewar Alison McAllister, ND, kwararriyar likita a asibitin ZRT, ba dukkan hanyoyin hana daukar ciki ne ake halitta ba.

Matan da ke da PMDD na iya cin gajiyar magungunan hana haihuwa wadanda ke da larura, ko iri daya tsawon wata, in ji McAllister, yana tantancewa Bazara , Yasmin , da Mirena musamman. Ta kuma lura cewa mata na iya amfani da wasu magungunan hana haihuwa ci gaba da tsallake maganin maye don rage yawan lokutan da kwayoyin halittar su ke canzawa a shekara. Kwanan nan, hada kwayoyi masu hana haihuwa na hormonal tare da drospirenone da ethinyl estradiol sun sami takamaiman izinin FDA don magance PMDD.

Na kasance a cikin tsarin kulawar haihuwa mai ƙarancin rai da kunnawa tun lokacin da aka gano ni da PMDD. Ba ya kawar da alamomin na gaba daya, amma yana kashe su don kiyaye ni daga akidar kisan kai (IAMPD ya ce 30% na mutanen da ke tare da PMDD za su yi ƙoƙarin kashe kansu a rayuwarsu).

Abin da ya kamata a lura, duk da haka, shi ne cewa duk mutane suna ba da amsa daban-daban game da magani, don haka abin da ke aiki ga mutum ɗaya bazai yi aiki ga wani ba. Yana da mahimmanci kuyi aiki tare tare da mai ba ku sabis don nemo mafi kyawun tsarin magani.

Dangantaka: Zaɓuɓɓukan kulawar haihuwa

PMDD ba kawai a cikin kanka

Ko da kuwa hanyar hanyar da kuka zaɓa, kada ku yi shakkar alamun ku. Kodayake ba a kara PMDD ba a cikin Diagnostic and Statistical Manual of Mental Disorders V har zuwa 2013, bincike ya fara zuwa kusa da lanƙwasa.

Sau dayawa a tarihi, an fadawa mata cewa suna da matukar damuwa, in ji Dokta Placzek. Amma akwai dalili na biochemical don me yasa suke jin yadda suke ji.

Na tabbata kai na ɗan shekara 14 da na yaba da wannan ingancin kamar sauran labaran mata na PMDD, amma ni ma kamar yadda na sami kwanciyar hankali na ji shi fiye da shekaru goma daga baya.