Premenstrual syndrome - ndichiyani? PMS: zizindikiro, chithandizo

Mmene alili, mkwiyo, tearfulness ndi irritability - kuphatikiza kwa maganizo amenewa momveka bwino syndrome premenstrual. Chimene icho chiri, amadziwika kuti ambiri akazi okongola, koma kulamulira chikhalidwe chawo, iwo sangakhoze. Atsikana ndi amayi chimaonekadi kudwala, ndi ululu pamaso kusamba - chifukwa enieni kukaonana ndi adokotala.

limagwirira zovuta

Msambo mu akazi mwachindunji zokhudzana ndi kubereka ana. Tsiku loyamba imatengedwa chiyambi cha adzizungulira, ndipo aliyense siteji umalimbana kukonzekera kutenga pakati.

Pa gawo kusamba kukana endometrium zikachitika, omwe limodzi ndi magazi. Koyamba kusamba kumachitika pafupifupi zaka 12-14. Pa nthawi mkombero wakhazikika, ndipo kutalika kwake ndi kwa masiku 21 mpaka 35.

Pakalibe kusamba mwina chizindikiro mimba kapena matenda oopsa. Komanso, umoyo wa amayi kuliganizira wapadera matenda osiyanasiyana, monga dysmenorrhea (chowawa msambo) kapena kuchuluka magazi.

Ngati ife kuwonjezera izi mavuto a matenda premenstrual, atsikana ena ndi akazi siziri chimodzimodzi nsanje.

nkhani

PMS (premenstrual syndrome) - kuipidwa ya zizindikiro zimene zimachitika mu akazi avareji masiku 1-10 pamaso kusamba. Phunziro la dziko la anthu chinkhoswe kwa nthawi yaitali. Mu Roma Mwachitsanzo, madokotala kugwirizana matenda pamaso kusamba ndi malo okhala ndi ngakhale magawo mwezi.

Malinga ndi kafukufuku boma Russian asayansi wotchedwa Dmitry ndi Alexander Ott Repro anachititsa choyamba a sayansi pa magawo thupi ndi kusinthasintha awo cyclical. Ndiye Robert Frank mu 1931, analengeza m'nkhani wake, mawu akuti "premenstrual mavuto", ndi zaka khumi kenako psychosexual chisokonezo pa PMS anatchula ndi Lewis Gray.

Kafukufuku wa sayansi asokonezeka Health Organization World kuti monga mu gulu la matenda premenstrual syndrome. Nchiyani, njira yodziwira, zimayambitsa ayamikira kuthetsa chikhalidwe - zonsezi, amawerenga ndemanga yathu.

zifukwa

Palibe kugwirizana pankhani pakutchulidwa wa PMS kulibe masiku ano, koma akatswiri akadali anatha kupanga zifukwa zingapo:

- kumakhala kutengera za kumtundu;

- kuphwanya kagayidwe madzi amchere;

- m'thupi disruptions;

- chithokomiro matenda;

- chosowa mavitamini (magnesium, nthaka, calcium, vitamini B6).

Pakuti PMS zinthu pangozi pamaso pa maganizo ndi nkhawa, akukhala m'mizinda ikuluikulu, zaka mochedwa ubereki, kupanda zolimbitsa thupi ndiponso kudya zakudya olakwikawo.

Kafukufuku amasonyeza kuti onenepa kwambiri ndi kusuta bwanji mosavuta osauka syndrome premenstrual.

zizindikiro

Pali anecdotes ndi nkhani zoseketsa za premenstrual syndrome mu akazi. Komabe, mndandanda chidwi zizindikiro masamba palibe chifukwa zosangalatsa.

mankhwala amakono chimasiyanitsa njira zotsatirazi PMS:

1. Neuro-zamatsenga. Pakuti fomu iyi amakhala ndi zizindikiro monga maganizo unakula phokoso, kutopa, kufooka, mkhutu tulo, chisokonezo, litsipa, kulankhula slurred, ndipo ngakhale kukomoka. Ndewu ndi irritability zambiri kumayambitsa mikangano m'banja komanso kuntchito, komanso kukhazikitsidwa kwa mopupuluma.
2. Edematous. Kunenepa makilogalamu angapo si bwino maganizo, pali kutupa manja ndi miyendo. Nthawi zina atsikana ndi amayi kubva olowa ndi omangana. Mabere patsogolo zopweteka kusamba, thupi lonse akuoneka kuti wodzazidwa ndi madzi.
3. Cephalgic. Pali throbbing mutu amene anatsagana ndi nseru kapena kusanza. Komabe, kuthamanga kwa magazi ndi lomweli silinasinthe. Komanso, gawo limodzi la odwala ndi ululu mu mtima, dzanzi mmanja, thukuta zimabwezera maganizo.
4. Krizovoe. Mantha kuukira, ndilo chiyambi cha kuchuluka magazi. Ndiye pali palpitations mtima ndi kuopa imfa. zoopsa zotere zambiri kusokonezedwa madzulo ndi usiku, ndi kukulitsa nkhaniyo maganizo osiyana, kutopa, kapena matenda opatsirana.

Akatswiri komanso secrete ndi atypical mawonekedwe zizindikiro PMS monga amalembedwa thupi lawo siligwirizana, tizilonda ta pakhungu, kukoka ndi ululu pamimba, magazi m'mphuno, malungo.

siteji PMS

Mankhwala opezeka PMS magawano mu magawo atatu:

- kulipidwa (zizindikiro zikawoneka ndi chiyambi cha mwezi, matenda woterewu ndi zaka);

- subcompensated (zizindikiro Kusiya Musiyeni ndi mapeto a msambo, premenstrual syndrome chipatala zaka, kulimbikitsa ndi);

- mphumu (zizindikiro kwa masiku angapo pambuyo pa mapeto a mwezi).

Mwina mwazindikira, ndi ICP zina konse ofanana ndi indisposition pang'ono. Mu mawonekedwe choopsa cha matenda kwambiri bwanji mphamvu ntchito ndi ubwino. Kumene, musati mantha chifukwa cha mavuto kapena minofu ululu. Komabe, vuto la kudziwika pa zizindikiro zoposa zisanu kwenikweni yokumana ndi dokotala, amene kafukufuku akhoza kupanga matenda "premenstrual syndrome".

diagnostics

Nkofunika kusiyanitsa zizindikiro zenizeni cholephera kulamulira maganizo awo ndi khalidwe loipa kapena khalidwe loipa. syndrome Premenstrual amakhala ndi m'zinthu. M'mawu ena, zizindikiro zomwezo ayenera Musiyeni mkazi ndi periodicity ena.

Premenstrual syndrome mavuto zambiri kusokonezedwa ndi matenda ena, kotero ndi matenda olondola katswiri. Pa diagnostics mayesero zofunika magazi (mu nthawi zosiyana za kuzungulira kusamba). Mlingo wa mahomoni (progesterone, estradiol ndi prolactin) amalola mumakumbukira nthawi za mawonekedwe a PMS.

Malinga ndi zotsatira za kuwunika madandaulo wodwalayo ndi dokotala amachitira angatanthauze ake kuti akatswiri ena (maganizo, m'thupi yemwenso, sing'anga ndi matenda okhudza ubongo) kapena perekani maphunziro (Kujambula, mammography, akugwirira, magazi ulamuliro kuthamanga, etc.).

Komanso, odwala onse ndi PMS bwino kufotokoza mwatsatanetsatane mavuto awo ndi kukhala "tsikulo madandaulo", umene amathandizanso matenda.

Kodi kuwachepetsera syndrome premenstrual?

Akazi ambiri kufunsa funso ili, podziwa bwino lomwe kuti moyo mu chikhalidwe osauka thanzi ndi maganizo, ngakhalenso mlungu imangokhala kuwapirira. Angakwanitse kwambiri ndi muyeso wa Baibulo la chakudya.

Akukhulupirira kuti mowa chakudya zovuta (mbewu monga chimanga ndi ndiwo zamasamba) kumathandiza mosavuta nacho chikhalidwe pamaso kusamba. Akatswiri ena amanena kuti achepetse kumwa maswiti ndi shuga, koma mawu a kuchepetsa zizindikiro za PMS muyeso izi bwinobwino sanali.

Iwo m'pofunika kulamulira otaya mchere, chifukwa thupi ndi zina amamuchititsa edema kugwirizana ndi posungira madzimadzi. Mchere katundu yekha kukulitsa nkhaniyo.

Ndipo potsiriza, khofi. Kafukufuku wasonyeza kuti akazi ndi PMS aakulu zimawononga khofi kwambiri. Masiku ano palibe lingaliro limodzi ngati tikamasonkhana ndi mzake zotsitsimutsa kumwa, ndi matenda premenstrual. Chiyani komanso chifukwa cha yamasika adziwika kale, koma amathandiza kapena worsens vuto la khofi, mwina, ndi kusankha anthu paokhapaokha.

njira ya moyo

Ululu pamaso msambo akhoza kusintha zikuluzikulu mapulani anu. Komabe, akatswiri osati kusiya kuwala zolimbitsa thupi. Kusambira, kuyenda, kapena yoga kuvina thandizo kuchepetsa zizindikiro ndi kusintha maganizo ndendende.

Ngati inu mabere zilonda pamaso kusamba, ndiye kupirira kusapeza ndi kuchuluka tilinazo kudzakuthandizani kukhalabe zovala.

Kumene, mofulumira nthawi ya zizindikiro za PMS sayembekezera, koma kuti mfundo koyamba kungakhale miyezi 3-4. Nthawi zambiri, malangizo awa kuthetsa kufunika mankhwala.

Monga njira zina kulimbana premenstrual matenda osiyanasiyana kutikita akhoza wodwala, physiotherapy, reflexology ndi balneotherapy.

Akatswiri ambiri amene amaphunzira umoyo wa amayi, chimaonedwabe acupressure yabwino kwambiri. Kukondoweza mfundo biologically yogwira timapitiriza mudzakhalanso ndi imatithandiza thupi okha malamulo.

mankhwala

Pharmacotherapy ndi njira yaikulu, koma kwathunthu kuchiza premenstrual syndrome mankhwala ndendende kuthandiza. Akukhulupirira kuti ICP - ndi matenda aakulu, ndi zina mankhwala okha kuwongolera moyo mwa akuvutika zizindikiro.

Chonde dziwani kuti mankhwala zotchulidwa dokotala, ndipo palibe nkhani moyo kapena nsonga "anzanga tsokali," sizingalowe m'malo malangizo akatswiri. Takambirana ndi exploratory mu chilengedwe, ndipo ngati mukuganiza kuti mmodzi wa mankhwala akhoza kukuthandizani, onetsetsani kuti akambirane mfundo imeneyi ndi dokotala nawo.

Pakuti zofewa kuthetsa zizindikiro za PMS wothandizila m'thupi akhoza kugwiritsidwa ntchito potengera zigawo zikuluzikulu masamba monga zowonjezera chakudya TIME Factor®. Zina mwa m'ndandanda wa mavitamini C ndi E, kupatsidwa folic acid, rutin, mchere (chitsulo, magnesium ndi nthaka), indole-3-carbinol, asidi glutamic, aucubin, gingerols ndi yovomerezeka akupanga mankhwala a mizu Angelica, ginger wodula bwino muzu ndi zipatso Vitex woyera umatithandiza kuti normalization wa kuzungulira kusamba, kuchepetsa irritability, kuti kupweteka ndi kuchepetsa zizindikiro zina za PMS.

Malinga mawonekedwe a PMS ndi magulu otsatirawa:

1. Tikaphatikiza m'kamwa kulera.
2. Mankhwala kuchitira zizindikiro.
3. M'thupi mankhwala.
4. Okodzetsa.
5. Antidepressants.
6. Antiprostaglandinovye mankhwala.

Mavitamini ndi mchere

Odwala ndi mawonekedwe ofatsa a premenstrual syndrome mu malo atasankhidwa sanali m'thupi mankhwala - Kuchiritsa kwamtundu, mavitamini ndi mchere. The efficacy ndi mbali kochepa zotsatira - izi ndi ubwino waukulu wa ndalama ngati. Komanso, mankhwala si mahomoni omwe sanatenge "monga achira."

Malinga ndi maphunziro, kuchepetsa puffiness ndi bloating amathandiza mankhwala enaake a orotate. Mu posungira madzimadzi ndi kuchuluka kudya amakhudza kashiamu carbonate, ndi kupirira mawonetseredwe psycho matenda mungathe mavitamini a gulu B.

okodzetsa

Iwo okodzetsa, cholinga chimene wolungama mwa mawonekedwe edematous wa PMS. Mmodzi wa yabwino kwambiri ndi otetezeka imatengedwa "spironolactone" (analogue - "Veroshpiron"). lokonzekera kumawonjezera excretion wa soda ndi mankhwala enaake ayoni, madzi, kuchepetsa acidity titratable wa mkodzo. Iwo ali zotsatira hypotensive.

Monga koyamba tsiku mlingo kutumikiridwa 25 mg (pazipita 100 mg). Akatswiri amaona okodzetsa zoyenera pamene kuyembekezera posungira madzimadzi, mwachitsanzo kuyambira 16 mpaka 25-day msambo.

Mwa mavuto anati: hypotension, somnolence, utachepa libido, ndi kusokonezeka kwa kuzungulira kusamba.

COC

Kugwiritsa ntchito njira za kulera zosiyanasiyanazi kuphatikiza m'kamwa ndi machenjerero ambiri mankhwalawa matenda premenstrual. Chibwenzi, madokotala amakonda COCs munali drospirenone. mankhwala ndi analogue a progesterone achilengedwe.

The zikuchokera wina wa mankhwala lotchedwa "Yaryna" - osakaniza ndi gestagen drospirenone (3 mg) ndi ethinyl estradiol (30 .mu.g). Odwala mankhwala yogwira COC anati kuchepa pang'ono thupi ndipo palibe posungira madzimadzi mu thupi. Komanso, drospirenone ali zimakhudzanso katulutsidwe wa zopangitsa za sebaceous, kuchepetsa chiwerengero cha zotupa pa khungu pamaso kusamba.

Kulera munali drospirenone ndi zotsatira kochepa mbali. Komabe, ngakhale kuti mphamvu ya mankhwala, zizindikiro PMS (kutupa, chifuwa mwachikondi, mutu ndi bloating) abwerere pambuyo yopuma masiku asanu ndi awiri. Pachifukwa ichi, m'pofunika kulowa yaitali akafuna COCs.

antidepressants

Kuthetsa zizindikiro maganizo dokotala nthawi zambiri amawaika antidepressants ( "sertraline", "Fluoxetine") amene mogwira zatsimikiziridwa mu maphunziro ambiri matenda.

Mankhwalawa matenda premenstrual, mosiyana ndi mankhwala a maganizo, mankhwala awa Kwalamulidwa yochepa Inde ndi Mlingo wocheperako. Pali awiri chithandizo regimens:

- kutenga mankhwala pa isanayambike zizindikiro;

- kutenga mankhwala mu theka lachiwiri la kuzungulira kusamba.

Pakuti ambiri a kugonana fairer kutenga antidepressants - njira yabwino imene idzathetsa zizindikiro pafupi kwathunthu.

Komabe, nthawi zina, chifukwa zimatheka sikokwanira, kotero adokotala akhoza kugamula kuwonjezera mlingo kapena kuti asankhe mankhwala wina.

Antidepressants ayenera limodzi ndi kulemba ndi zolemba zambiri za umoyo. Ngakhale kuti kusintha angabwere masiku awiri pambuyo chiyambi cha sukuluyi, mfundo za mphamvu ya katswiri oyenerera kupanga yekha ataona 2-4 m'zinthu kusamba.

Nthawi zina, discontinuation wa antidepressants zingachititse nseru, chizungulire, ndi irritability. Mwamwayi, zizindikiro zikawoneka m'malo mofulumira.

ethnoscience

Antidepressants, mahomoni ndi kulera m'kamwa zambiri zotsatira zoyipazi, kotero chinthu choyamba kugonana chilungamo kukumbukira njira wowerengeka.

Chotero kodi zitsamba chingatithandize kuthetsa PMS:

1. Melissa. Konzani mlingo mankhwala kulowetsedwa wa 2 v. L. youma zomera pa chikho cha madzi otentha. chakumwa amenewa kumatha irritability, kakuwasangalatsa ndi relieves ululu. Kuonjezera Zotsatira zake zidzakhala osakaniza mankhwala, chamomile, Jasmine, spearmint ndi valerian.
2. Calendula, masamba plantain, wokoma mbendera muzu ndi maluwa arnica. Kulowetsedwa wothira n'kupanga gauze kuti chagwiritsidwa thupi kuchepetsa kutupa.
3. Yarrow ndi Jasmine. Against ululu mmbuyo ndi m'mimba Thirani madzi owira milfoil (40 g) ndi maluwa Jasmine (30 g). Pa tsiku muyenera kumwa makapu atatu a kulowetsedwa.

Bodza Zoona?

Kotero ife kulankhula za matendawa, monga matenda premenstrual. Nchiyani, zimadziŵa atsikana ambiri ndi akazi, koma% 3-6 okha akazi fairer akukumana ndi matenda a "premenstrual dysphoric chisokonezo" (PMDD). matenda akusokoneza chizindikiro aakulu, kucheza ndi anthu ndi cikhalidwe, komanso kumawonjezera chiwerengero cha masiku a chilema. Odwala matenda a misala anati aggravation awo.

N'zochititsa chidwi kuti akatswiri ena ambiri anatsutsa kuli pathologies monga PMDD ndi matenda premenstrual. Zimayambitsa otsiriza ndipo osati kutsimikiziridwa, koma maphunziro ambiri anadalira yokha pa nkhani za thanzi. Gwirizanani, zimenezi ali ndi ufulu kulibe. Komanso atsikana Western ndi akazi nthawi zambiri pafupifupi mwadala kuyembekezera maonekedwe a PMS kuposa ngati ma yokha pa tanthauzo lake zizindikiro zina.