Iimpawu ze-Premenstrual kunye ne-PMDD ingayinceda njani i-Bipolar Disorder
Ziziphi iziphumo zempawu zokuqala (PMS) okanye i-dismenstrual disysorder disorder (PMDD) kwi- disorder disorder ?
Makhe sibone ukuba zeziphi izifundo ezisitshoyo malunga neempawu zangaphambili eziphezulu ezibangelwa ukuphazamiseka kwe-bipolar, ukuba le mpawu ingabonakaliswa njani komnye nomnye, ubungqina obuvela kwabasetyhini abaye bafumana le mibini yesibini, kunye nantoni na eyenziweyo ukulawula iimpawu .
Njengombuzo wokugqibela, ukuxilongwa kwesifo sengqondo sokuphazamiseka kwengqondo esazange siphuthelwe, kwaye iimpawu ezibangelwa ngephutha ngokubangelwa yintlungu yokugula engaphambili?
Iimiphumo zeMpawu zePremenstrual kwi-Bipolar Disorder
Ukuphila ngengxaki yokuguquka kwe-bipolar kuyodwa kufuneka kube ngokwaneleyo, kodwa uphando olutshanje lusitsho ukuba abaninzi abafazi abanesifo sengqondo sokuphazamiseka kwengqondo banobunzima bexesha eliphambili.
Nangona kunokuba kubonakale kucacile ukuba ukunyanzeliswa kokuxhatshazwa kwangaphambili kunokugxininisa iimpawu zesifo sengqondo sokuphazamiseka kwengqondo, abaphandi baye bakwazi ukubonisa iindlela ezizenzeke ngayo ukuba le mpawu yenyanga ikhusele ingxaki ye-bipolar. Abasetyhini ababika iimpawu ezibalulekileyo zokuqala:
- Zineziqulatho ezininzi ezinxulumene nengxaki yabo yokuguquguquka kwe-bipolar, iziqhelo eziqhelekileyo ezidandathekileyo
- Jonga ixesha elincinane phakathi kweepisodes
- Ngaba iziganeko ezinzima kakhulu (kubandakanywa iziphazamiso ezidandathekileyo , zomntu kunye neengqungquthela ze- hypomanic )
Ngokubanzi, abasetyhini abaneempawu zokuqala ezibangelwa izifo ezibangelwa yi-bipolar disorder, banexesha elibi lokugula, ixesha elincinci lokuphinda liphindwe kwakhona, kunye neempawu ezibangelwa yi-bipolar.
Ziyintoni na eziqhelekileyo nge-PMS kunye ne-PMDD kwabasetyhini abane-Bipolar Disorder?
Uhlalutyo olukhulu lweemeta (uphando olulinganisa iziphumo zezifundo ezahlukeneyo ezahlukeneyo) lufumene ukuba ama-44 ukuya kuma-68 ekhulwini kwabasetyhini abaneengxaki ze-bipolar ayenokutshintshwa kwemizwelo enxulumene ne-premenstrual, ama-22 ukuya kuma-77 ekhulwini kwabasetyhini abaneengxaki ze-bipolar i-dysphoria yangaphambili, kunye neepesenti ezingama-27 ukuya kwe-27 zidibene neendlela zokulungiselela isifo se-dysphoric disorder (PMDD.)
Izibonakaliso zokuQala ukuPhathelene nokuPhathwa kweMiqathango yokuPhathwa kweMpilo
Izimpawu ze-Premenstrual, xa zenzeka, ngokuqhelekileyo zenzeka ngexesha lesigxina somjikelezo wesifazane. Oku ngokuqhelekileyo kuyahambelana nexesha leveki ezimbini phakathi kwe-ovulation (edla ngokuqhelekileyo kumjikelezo-phakathi kwexesha) kunye nexesha lokuya esikhathini.
Amagama ahlukeneyo asetshenziselwa ukuchaza ezi zimpawu zisekelwe ngokusisiseko kwiimpawu. I-Premenstrual syndrome (i-PMS) isetyenziselwa ukuchaza ukunyanzeliswa okuqhelekileyo kunye nokunyameka kwengqondo kubasetyhini ngaphambi kwexesha labo. I-Premenstrual disysstric disorder ine-criteria ekhethekileyo, kodwa iyanzeka ukuba i-PMDD ikhona xa iimpawu zangaphambili zichaphazela kakhulu umgangatho wobomi bakho.
Kubalulekile ukuba uqaphele ukuba kunokugqithiswa njengoko iimpawu zesibini zowesifazane ziyakwazi ukuhluka inyanga inyanga.
Ingaba i-Bipolar Disorder ingaxilongwa njenge-PMDD?
Impendulo enoba umntu onokungafunyanwa ngephutha nge-PMDD xa benesifo sengqondo se-bipolar ewe. Esi sizathu esinye kubalulekile kubasetyhini abane-PMDD ukulandelela iimpawu zabo (jonga ngezantsi.)
Ukufikelela kwi-PMS kwi-Bipolar Disorder - Ukulandelela ixesha lakho
Oku kunokuba luncedo ukucacisa ukuba i-PMS okanye i-PMDD iyandisa ingxaki yakho ye-bipolar, kodwa ngelishwa, oku akulula.
Azikho iimvavanyo zegazi okanye iimvavanyo ze-hormonal, kwaye indlela yodwa yokuyiqonda le nto ukulandelela iimpawu zakho zemihla ngemizuzu ubuncinane ezimbini.
Amanye amabhinqa agcina iphepha lokubhala, enza inqaku ngalunye usuku. Inendlela efanelekileyo yokubhala phantsi iimpawu ezifana nokungahambisani nomgangatho wamandla, ukunika nganye yale mpawu inombolo phakathi kweshumi. Ngokomzekelo, unokulinganisela inqanaba lakho lokungazenzi, njengentsingiselo yokuba ungacatshuki, okanye ilishumi, ngokubhekiselele ekuthukutheleni okungahambi kakubi njengoko kufike.
Kukho ezinye izixhobo ezinokukunceda ukuba ulandele iimpawu zakho ezifana ne-PMDD, okanye enye yeefowuni zokusebenza ezifumaneka njengeClue Connect,
Ixesha lokulandelela linokubaluleka kwabo bafunyaniswe ukuba banesifo se-PMDD kodwa banenkxalabo yokuba banokwenene nengxaki yokuguquka kwengqondo.
Ingqungquthela Ngomphumo Weimpawu Zokuqala Zengqondo kwi-Bipolar Disorder
Ngamanye amaxesha ukuva amazwi abanye bachaza ubudlelwane phakathi kwe-PMS kunye ne-bipolar inokuba luncedo. Unokuzibona kwezinye zezo zingqinisiso. Kwakhona kunceda ekukhumbuzeni abasetyhini abaneengxaki ze-bipolar ezingaba zodwa.
Nazi izibhengezo zabasetyhini abane:
I-Rider : "Le nto ifikelele ekhaya.Ndiyakwazi ukuxelela ukuba okokuqala, ndingumngcipheko kunye ne-bipolar! Ndiza kuba nomsindo kunye nentukuthelo malunga neveki ngaphambi kwexesha lam. , kwaye ndiza kuphinda ndiphelelwe yithemba kwakhona. ndiyicinga, kwaye kwakubonakala kungigcinanga kumgangatho ophezulu malunga nenyanga, kwandula ukuzithemba kwam - emva koko yonke into yahlukana kwakhona. Ngenye intsasa, ndineqhekeza elibi kakhulu kwakubonakala kungenakwenzeka ukuphuma ngaphandle kwe-funk. iziphumo ze-Abilify zongezwe ekudandathekeni kwam kwaye zandenza ndifune ukuphuma kwi-med, ngoko ibuyela kwi-doc ukuze ndifumane iingcebiso ezingaphezulu. "
USam uthi: "Ewe, izinto zibuhlungu kakhulu. Iimjikelezo zam zininzi ezingama-23 okanye iintsuku ezingama-24 ubude, kunye neveki ngaphambi kweentsuku ezintathu emva kokuba ndiyingozi, ibhokisi lebhaksi elipheleleyo. mna kunye nomlingane wam. Ndandithukuthele, ndithukuthele, ndixabana.
UGeri : "Ndivuyiswa gqitha ukubona oko kuthethwa ngako.Ndifumene i-Bipolar II ekupheleni kweminyaka engama-30. Ngaphambi koko, ndandicinga ukuba ndibe ne-PMS enomsindo. uncedo kunye neengxaki zengqondo, sakwazi ukuhlukanisa iimpawu ze-bipolar kwiimpawu zokuqala, kuba azizange zihambelane ngokuthe ngqo. Kufana neentshukumo zokuguquka kwe-bipolar kwinqanaba lelanga (ezili-12 inyanga / ngonyaka) kunye nokuya esikhathini kuya Umjikelezo wenyanga (iinyanga ezili-13 / ngonyaka) Ngoko ke, uhlobo olunjenge-eclipse, xa bobabini bebonke kunye kunye, kuqhutywe. ungene kulolu hlobo lwesifo sikashukela kunye ne-fibromyalgia ekwenzeni kulo mdaniso.) "
UTroya : "Eneneni, nenyanga nganye kukho enye i-denter ku-dishwasher esuka kum ukuyikhaba! Iindlebe zam zibonakala zilawula ukuxinezeleka kakuhle kodwa ndiyabona ukuba ndiziva ndiphantsi kakhulu xa ndiqala ukuya esikhathini. Ndivame ukuba ngumntwana onobubele, kodwa into eyothusayo kukuba ulaka lwami luphuma ekulawuleni kwaye ndiya kutshitshiswa. , ukuhlambalaza wonke umntu-nokuba ngumntu ongeyifoni kwi-fowuni-kwaye unobundlobongela kakhulu kwintenitshala yam. Nokuba izinja zam zibonakala ziyazi kwaye zihlala kude.Ndiyikhathaza ngokwenene, kwaye kuthatha ixesha elide lokuhla kuwo wonke amandla amnyama, ndishiya ndiphelile emva koko.
Unyango / Ulawulo lwe-PMS / PMDD nge-Bipolar Disorder
Ekubeni iimpawu zangaphambili kunye ne-PMDD zinokuba nzima kakhulu ukuphazamiseka kwengqondo, kubalulekile ukulawula iimpawu ze-PMDD ngokunokwenzeka. Izinyango zokwelapha ze-PMS / PMDD ziquka:
- Ukuguquka kwendlela yokuphila - Ukugwema utywala kunye ne-caffeine kunokunceda, kwaye ukuzivocavoca kubaluleke kakhulu. Utshintsho lwezinto zokutya luyakwenza umehluko kwaye luquka ukuphelisa i-carlyhydrate ye-glycemic index engangoko kunokwenzeka. Isatidi yenkcazo ye-glycemic ingaba luncedo ekufumaneni ukuba kukuphi ukutya oku kuquka.
- Ezinye unyango - Kubalulekile ukuthetha nomfo wakho wezifo zengqondo ngaphambi kokuba uzame ezinye iindlela zokwelapha, nangona isongezelelo sezondlo ezifana ne-chasteberry ne-calcium carbonate inokunceda abanye abantu.
- Uphulo lokuphumula luquka imisebenzi efana nokucamngca kunye ne yoga inokunceda abanye abantu kwaye banomngcipheko ophantsi wemiphumo emibi.
- Iipilisi zolawulo lokuzalwa zingancedisa abanye abantu, nangona le ndlela iphumelela kakhulu kulabo abaneempawu ezinobunzima kwaye ngamanye amaxesha iziganeko ezinzima. I-Estrogen patches, progesterone yomlomo, kunye ne-gonadotropin yokukhulula i-hormone yonyango lwangqinileyo oluya kunika uncedo.
- I-serotonin i-reuptake inhibitors (i-SSRIs) ekhethiweyo i-prozac (i-fluoxetine) isoloko isetyenziselwa abafazi ngaphandle kwengxaki yokuguquguquka kwe-bipolar kodwa kufuneka igwenywe kulabo abaneengxaki zokukhubazeka kwegazi (ngenxa yengozi yokukhawulela isiqhelo somntu.) Ukuba le myeza isetyenziswa kufuneka ngokuqhelekileyo kusetyenziswe kunye nesimo se-stabilizer okanye imishanguzo ye-antipsychotic, kwaye ngoko kuphela ngokuqapha okukhulu. Ekubeni i-SSRI isetyenziswa ngokuqhelekileyo kubantu abane-PMS / PMDD, esi sizathu esibalulekileyo sokuba kubalulekile ukuhlukanisa phakathi kwe-PMDD kunye ne-bipolar disorder.
Imithombo:
Dias, R., Lafer, B., Russo, C., Del Debbio, A., Nierenberg, A., Sachs, G., no H. Joffe. Ukulandelelana kwexesha elide le-Bipolar Disorder kwabesetyhini nge-Premenstrual Exacerbation: Iziphumo ezivela kwi-STEP-BD. I-American Journal ye-Psychiatry . 2011. 168 (4): 386-94.
Yenza, uM., Mazmanian, D., no-V. Sharma. Iimiphumo zoHlelo lweMithini kwi-Bipolar Disorder. I-Bipolar Disorder . 2014. 16 (1): 22-36.