ʻO ka maʻi maʻi maʻi Premenstrual

ʻO Premenstrual dysphoric maʻi (PMDD) kahi kūlana kahi i loaʻa ai ka wahine i nā ʻōuli kaumaha loa, ka huhū, a me ka haunaele ma mua o ka menstruation. ʻOi aku ka nui o nā ʻōuli o ka PMDD ma mua o nā mea i ʻike ʻia me ka maʻi premenstrual (PMS).

Kuhikuhi ka PMS i ka laulā o nā hōʻailona o ke kino a me ka naʻau e hana pinepine ʻia ma kahi o 5 a 11 mau lā ma mua o ka hoʻomaka ʻana o ka wahine i kāna kaʻina menstrual. I ka hapanui o nā hihia, kū nā ʻōuli ke, a i ʻole ma hope koke iho, hoʻomaka kona manawa.

ʻAʻole i loaʻa nā kumu o PMS a me PMDD.

Hiki ke hoʻololi i nā hoʻololi Hormone i ka wā o ka menstrual cycle o kahi wahine.

Hoʻopili ka PMDD i kahi helu liʻiliʻi o nā wahine i nā makahiki ke loaʻa lākou i nā manawa heʻe.

Nui nā wahine me kēia ʻano i:

• Hopohopo
• Kaumaha loa
• Nā pilikia pili kau kau (SAD)

ʻO nā kumu ʻē aʻe e hoʻokani paha i kahi:

• ʻAlekohola a lāʻau hoʻomāinoino paha
• Nā maʻi thyroid
• Kaumaha nui ʻana
• Loaʻa ka makuahine me ka moʻolelo o ka maʻi
• Ka nele o ka hoʻoikaika kino

Kūlike nā ʻōuli o PMDD me nā PMS.Eia nō naʻe, ʻoi aku ka paʻakikī a hoʻonāwaliwali hoʻi o lākou. Hoʻopili pū lākou i hoʻokahi o nā ʻōuli e pili ana i ke ʻano. Hana ʻia nā ʻōuli ma ka pule ma mua o ke kahe o ka menstrual. ʻOi aku ka maikaʻi ma mua o kekahi mau lā ma hope o ka hoʻomaka ʻana o ka wā.

Eia ka papa inoa o nā hōʻailona PMDD maʻamau:

• Ka nele o ka hoihoi i nā hana o kēlā me kēia lā a me nā pilina
• Ka luhi a i ʻole ka ikehu haʻahaʻa
• Kaumaha a me ka manaʻolana ʻole paha, manaʻo paha i ka pepehi kanaka
• Hopohopo
• Ma waho o ka naʻau mana ʻole
• ʻIʻo ʻai a i ʻole ka ʻai ʻana i ka binge
• Huli ke ʻano me ka uē ʻana
• Hoʻoweliweli weliweli
• Huhū a huhū paha e pili i nā poʻe ʻē aʻe
• ʻO Bloating, palupalu ka umauma, ʻeha poʻo, a me ka ʻeha a ʻeha pū paha
• Pilikia hiamoe
• Hoʻopilikia i ka noʻonoʻo ʻana

ʻAʻole hiki i kahi hoʻokolohua kino a i ʻole nā ​​hoʻokolohua hoʻokolohua ke kuhikuhi iā PMDD. ʻO kahi mōʻaukala piha, ka hoʻāʻo kino (me kahi hōʻike pelvic), ka hoʻāʻo thyroid, a me ka loiloi psychiatric e pono ai e kāpae i nā kūlana ʻē aʻe.

Ke mālama nei i kahi kalena a i ʻole ka diary o nā hōʻailona hiki ke kōkua i nā wahine e ʻike i nā ʻōuli pilikia loa a me nā manawa e hiki mai ana. Hiki i kēia ʻike ke kōkua i kāu kahu mālama ola e hōʻoia i ka PMDD a hoʻoholo i ka lāʻau maikaʻi loa.

ʻO kahi nohona olakino ke ala mua i ka mālama ʻana iā PMDD.

• ʻAi i nā meaʻai olakino me nā hua piha, nā mea kanu, nā huaʻai, a liʻiliʻi a ʻaʻohe paha paʻakai, kō, kō, ʻalekole, a me ka caffeine.
• E kiʻi i ka hoʻoikaika kino aerobic ma loko o ka mahina e hōʻemi i ke koʻikoʻi o nā hōʻailona PMS.
• Inā pilikia ʻoe i ka hiamoe, hoʻāʻo e hoʻololi i kāu ʻano hiamoe ma mua o ka lawe ʻana i nā lāʻau no ka hiamoe.

E mālama i kahi diary a kalena paha e hoʻopaʻa:

• Ke ʻano o nā ʻōuli āu e loaʻa nei
• Pehea ko lākou koʻikoʻi
• Pehea ka lōʻihi o lākou

He kōkua paha nā Antidepressants.

ʻO ka koho mua pinepine he antidepressant i ʻike ʻia ma ke ʻano he mea hōʻemi serotonin-reuptake (SSRI). Hiki iā ʻoe ke lawe iā SSRI i ka ʻāpana ʻelua o kāu pōʻai a i ka hoʻomaka ʻana o kāu wā. Hiki iā ʻoe ke lawe i loko o ka mahina holoʻokoʻa. E noi i kāu mea hāʻawi.

Hiki ke hoʻohana ʻia ka Cognitive behavioral therapy (CBT) a i ʻole ma kahi o nā antidepressants. Ma CBT, loaʻa iā ʻoe ma kahi o 10 mau kipa me kahi ʻoihana olakino noʻonoʻo i mau pule.

Nā mālama ʻē aʻe i kōkua paha i ka:

• Kōkua pinepine nā lāʻau hoʻomalu hānau i ka hōʻemi ʻana i nā ʻōuli PMS. ʻOi aku ka maikaʻi o nā ʻano hana dose hoʻomau, ʻo ia hoʻi nā mea i loaʻa kahi hormone i kapa ʻia drospirenone. Me ka hana mau ʻana, ʻaʻole paha ʻoe e loaʻa i kahi wā o ka mahina.
• He mea maikaʻi paha nā diuretics no nā wahine i loaʻa ka waiwai pōkole pōkole koʻikoʻi mai ka paʻa ʻana o ka wai.
• ʻO nā lāʻau ʻē aʻe (e like me Depo-Lupron) kaomi i nā ovaries a me ka ovulation.
• ʻO nā mea hōʻeha ʻeha e like me aspirin a i ʻole ibuprofen hiki ke kuhikuhi ʻia no ka ʻeha o ke poʻo, ʻeha kuʻikuʻi, hāmiʻi menstrual, a me ka palū o ka umauma.

ʻO ka hapa nui o nā noiʻi i hōʻike ʻia ʻaʻole kōkua nā mea hoʻopihapiha meaʻai, e like me ka huaʻai B6, calcium, a me ka magnesium i ka hoʻomaha ʻana i nā ʻōuli.

Ma hope o ka hōʻoia kūpono a me ka mālama ʻana, ʻike ka hapanui o nā wahine me PMDD i ka hele ʻana o kā lākou mau hōʻailona a i ʻole ke hāʻule ʻana i nā pae hoʻomanawanui.

ʻOi aku paha ka ikaika o nā ʻōuli PMDD e hoʻopilikia ai i ka nohona o kēlā wahine i kēia lā. Hiki i nā wahine me ke kaumaha ke loaʻa i nā ʻōuli ʻoi aku ka maikaʻi i ka hapalua o kā lākou pōʻaiapuni a pono paha i nā loli i kā lākou lāʻau.

He mau manaʻo suicidal kekahi mau wahine me PMDD. ʻO ka pepehi kanaka ʻana i nā wahine me ke kaumaha e hiki ke hana ʻia i ka hapalua o kā lākou menstrual cycle.

Pili paha ka PMDD me nā maʻi ʻai a me ka puhipaka.

Kāhea koke iā 911 a i ʻole kahi laina pilikia kūloko inā ʻoe e noʻonoʻo nei i ka pepehi kanaka.

Kāhea i kāu mea hāʻawi inā:

• HULA HOU ʻole nā ​​ʻōuli me ka mālama ʻana iā ʻoe iho
• Hoʻopilikia nā ʻōuli i kou ola i kēlā me kēia lā

PMDD; PMS nui loa; Ka maʻi kūlohelohe - dysphoric

• Kaumaha a me ka pōʻaiapuni

ʻO Gambone JC. Nā maʻi kūlohelohe. I: Hacker NF, Gambone JC, Hobel CJ, eds. Hacker & Moore's Essentials of Obstetrics and Gynecology. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2016: chap 36.

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.

Nā maʻi Novac A. Mood: kaumaha, maʻi bipolar, a me ka hoʻoliʻiliʻi ʻano. I: Kellerman RD, Bope ET, eds. ʻO Conn's Current Therapy 2018. Piladelapia, PA: Elsevier; 2018: 755-765.