Premenstrual Syndrome
Premenstrual Syndrome (PMS) pili i ka laulā o nā ʻōuli. Hoʻomaka nā ʻōuli i ka hapa ʻelua o ka pōʻai menstrual (14 a ʻoi aʻe mau lā ma hope o ka lā mua o kāu manawa hope loa). Hele pinepine kēia mau mea i 1 a 2 mau lā ma hope o ka hoʻomaka ʻana o ka manawa menstrual.
ʻAʻole ʻike ʻia ke kumu kūpono o PMS. Hiki i nā loli i ka pae o ka hormone lolo ke hana i kahi kuleana. Eia naʻe, ʻaʻole i hōʻoia ʻia kēia. Hiki paha i nā wahine me PMS ke pane ʻokoʻa i kēia mau hormona.
Pili paha ka PMS i ka nohona, moʻomeheu, meaola, a me nā kumuhana psychological.
ʻO ka hapanui o nā wahine ʻike i nā hōʻailona PMS i ko lākou hānau ʻana i nā makahiki. Kū pinepine ka PMS i nā wahine:
- Ma waena o ko lākou hala ʻana o 20 a 40 paha
- ʻO wai i loaʻa he keiki hoʻokahi?
- Me kahi moʻolelo pilikino a ʻohana paha o ke kaumaha nui
- Me kahi moʻolelo o ke kaumaha postpartum a i ʻole kahi maʻi maʻi maʻi
ʻOi aku ka maikaʻi o nā ʻōuli ma ka hopena o 30s a me 40s i ke kokoke ʻana o ka menopause.
ʻO nā ʻōuli maʻamau o PMS me:
- Bloating a manaʻo Gassy paha
- Palupalu umauma
- Clumsiness
- Ka paʻa paʻa a i ʻole ka palahī
- ʻIʻo ʻai
- ʻEha poʻo
- ʻOi aku ka hoʻomanawanui no nā kani a me nā kukui
ʻO nā ʻōuli ʻē aʻe e like me:
- Huikau, hoʻopilikia i ka noʻonoʻo ʻana, a i ʻole ka poina
- Ka luhi a me ka manaʻo lohi a lohi paha
- Nā manaʻo kaumaha a i ʻole manaʻolana ʻole
- Nā manaʻo o ka haʻalulu, ka hopohopo, a me ka edginess paha
- Huhū, inaina, a kolohe paha, me ka huhū o ka inaina iā ʻoe iho a i kekahi mau mea ʻē aʻe paha
- ʻO ka nalowale o ka hoʻokele wahine (e hoʻonui paha i kekahi mau wahine)
- Swings hāhuli
- Hoʻoholo maikaʻi ʻole
- ʻO ke ʻano pilikino maikaʻi ʻole, nā manaʻo o ka hewa, a i ʻole ka hoʻonui ʻana i ka makaʻu
- Nā pilikia hiamoe (hiamoe nui a liʻiliʻi paha)
ʻAʻohe hōʻailona kikoʻī a i ʻole nā hoʻokolohua lab e hiki ai ke ʻike i ka PMS. No ka haʻalele ʻana i nā kumu kūpono ʻē aʻe o nā ʻōuli, he mea nui ka loaʻa ʻana o:
- Piha ka mōʻaukala moʻolelo
- ʻImi kino (me ka hoʻāʻo pelvic)
Hiki i kahi kalena hōʻailona ke kōkua i nā wahine e ʻike i nā ʻōuli pilikia loa. Kōkua kēia i ka hōʻoia ʻana i ke kuhi o ka PMS.
E mālama i kahi puke moʻomanaʻo o kēlā me kēia lā a i ʻole ka log no ma ka liʻiliʻi he 3 mau mahina. E hoʻopaʻa i ka:
- Ke ʻano o nā hōʻailona i loaʻa iā ʻoe
- Pehea ko lākou koʻikoʻi
- Pehea ka lōʻihi o lākou
E kōkua kēia palapala iā ʻoe a me kāu kahu mālama ola e ʻike i ka lāʻau maikaʻi loa.
ʻO kahi nohona olakino ke ala mua e hoʻokele ai i ka PMS. No nā wahine he nui, ua lawa pinepine nā ala nohona e kāohi ai i nā ʻōuli. E hoʻokele i ka PMS:
- E inu nui i nā wai e like me ka wai a wai paha. Mai inu i nā mea inu momona, ʻona, a me nā mea inu ʻē aʻe me ka caffeine. E kōkua kēia i ka hōʻemi ʻana i ka bloating, ka paʻa ʻana o ka wai, a me nā ʻōuli ʻē aʻe.
- ʻAi pinepine, ʻai liʻiliʻi. Mai hele ma mua o 3 mau hola ma waena o nā meaʻai māmā. Hōʻalo i ka ʻai nui.
- ʻAi i ka papaʻai kaulike. Hoʻopili i nā hua, nā huaʻai, a me nā hua i loko o kāu papaʻai. Palena i kāu lawe ʻana i ka paʻakai a me kō.
- E ʻōlelo paha kāu mea hāʻawi e lawe i nā mea hoʻopihaʻai pono. Hoʻohana pinepine ʻia ka Vitamin B6, calcium, a me ka magnesium. Hiki ke kōkua ʻia ʻo Tryptophan, i loaʻa i nā huahana waiū.
- E kiʻi i ka hoʻoikaika kino aerobic ma loko o ka mahina. Kōkua kēia i ka hōʻemi ʻana i ke koʻikoʻi o nā hōʻailona PMS. Hoʻomaʻamaʻa pinepine a paʻakikī hoʻi i nā hebedoma ke loaʻa iā ʻoe ka PMS.
- E hoʻāʻo e hoʻololi i kāu ʻano hiamoe o ka pō ma mua o ka lawe ʻana i nā lāʻau no ka pilikia o ka hiamoe.
Hiki ke mālama ʻia nā ʻōuli e like me ka ʻeha poʻo, ʻeha kuʻikuʻi, cramping menstrual, a me ka palupalu pū me:
- ʻAspirin
- ʻO Ibuprofen
- Nā NSAID ʻē aʻe
Hiki ke hoʻemi a hoʻonui paha i nā huaʻai PMS.
I nā hihia koʻikoʻi, kōkua paha nā lāʻau e mālama ai i ke kaumaha. ʻO nā Antidepressants i ʻike ʻia ma ke ʻano he selotonin reuptake inhibitors (SSRI) e hoʻāʻo pinepine ʻia. Ua hōʻike ʻia he kōkua nui kēia. E ʻimi paha ʻoe i ka ʻōlelo aʻo a kahi kākāʻōlelo a mea hoʻoponopono paha.
Nā lāʻau ʻē aʻe āu e hoʻohana ai e komo pū ana:
- Nā lāʻau anti-hopohopo no ka hopohopo nui
- ʻO nā diuretics, hiki ke kōkua me ka paʻa ʻana o ka wai, ka mea e kumu ai ka momona, ka palupalu o ka umauma, a me ka loaʻa ʻana o ke kaupaona
ʻO ka hapa nui o nā wahine e mālama ʻia no nā ʻōuli PMS e hoʻomaha maikaʻi.
Hiki i nā hōʻailona PMS ke lilo i mea lawa lawa e pale ai iā ʻoe mai ka hana maʻamau.
ʻOi aku ka nui o ke ana o ka make ʻana i nā wahine me ke kaumaha i ka hapalua o ke kahe o ka menstrual. Pono e ʻike a mālama ʻia nā maʻi Mood.
E hana i kahi manawa me kāu mea hāʻawi inā:
- ʻAʻole hele aku ʻo PMS me ka mālama ʻana iā ʻoe iho
- Kūleʻa loa kāu mau ʻōuli e kaupalena i kou hiki ke hana
- Makemake ʻoe makemake ʻoe e hōʻeha iā ʻoe iho a i ʻole nā poʻe ʻē aʻe
PMS; Maʻi maʻi Premenstrual; PMDD
- Hoʻoipo kūlohelohe
- Hoʻoiho i ka PMS
ʻO Katzinger J, Hudson T. Premenstrual Syndrome. I: Pizzorno JE, Murray MT, hua. Puka o ka Lapaʻau Kūlohelohe. 5th lā. Piladelapia, PA: Elsevier; 2021: chap 212.
Magowan BA, Owen P, Thomson A. Kaumaha nui o ka menstrual, dysmenorrhea a me ka premenstrual Syndrome. I: Magowan BA, Owen P, Thomson A, hua. ʻO nā Obstetrics Clinical a me nā Gynecology. ʻEhā ed. Elsevier; 2019: chap 7.
Marjoribanks J, Brown J, O'Brien PM, Wyatt K. Selective serotonin reuptake inhibitors no ka premenstrual syndrome. ʻO Cochrane Database Syst Rev.. 2013; (6): CD001396. PMID: 23744611 pubmed.ncbi.nlm.nih.gov/23744611/.
Mendiratta V, Lentz GM. ʻO ka dysmenorrhea mua a me ka lua, premenstrual Syndrome, a me nā maʻi dysphoric premenstrual: etiology, diagnose, hoʻokele. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 37.