Premenstrual chirwere - chii? PMS: zviratidzo, kurapwa

Zvinyamusi, nokutsamwa, tearfulness uye kushatirwa - wemishonga manzwiro aya anoratidza pachena premenstrual syndrome. Chii, inozivikanwa kuti vazhinji akanaka pabonde, asi kudzora zvavo ezvinhu, havagoni. Vamwe vasikana nevakadzi zvinooneka kuderera utano, uye marwadzo pamberi kumwedzi - chikonzero chaicho kuti kutsvaka kurapwa.

kunzwisisa mashandiro

Kutevera vakadzi wakabatana zvakananga kuberekana. Zuva rokutanga anonzi pakutanga kutenderera, uye Danho rimwe nerimwe nechinangwa kugadzirira pakunambwa.

Panguva kumwedzi danho iri endometrium kurambwa kunoitika, icho pamwe nekudeura ropa. Wokutanga Chimiro kumwedzi kunoitika Paavhareji 12-14 makore. Over nguva kutenderera wakaisirwa uye kureba kwaro kunobva 21 kusvika 35 mazuva.

Kusavapo kugeza kunogona chiratidzo pamuviri kana chirwere chakakomba. Uyezve, utano nevakadzi akakodzerwa vainyatsotarisirwa mune zvinetso zvakasiyana-siyana, dzakadai dysmenorrhea (zvinorwadza kumwedzi) kana kwakawedzera ropa.

Kana isu kuwedzera ichi zvinetso premenstrual urwere, vamwe vasikana nevakadzi haisiri neshanje.

nyaya

PMS (premenstrual chirwere) - kunzwisisa akagadzirwa zviratidzo kuitika vakadzi avhareji mazuva 1-10 asati kumwedzi. Kudzidza mamiriro vanhu vaiita kwenguva yakareba. MuRoma yekare Somuenzaniso, vanachiremba chokuita zvirwere pamberi kumwedzi pamwe nenzvimbo dzokugara uye kunyange maitikiro mwedzi.

Maererano pamutemo data, masayendisiti Russian Dmitry uye Alexander Ott Repro aiitisa zvidzidzo pamusoro vasiri parameters vavo cyclical nokufamba yokutanga yesayenzi. Zvadaro Robert Frank muna 1931, vakazivisa pakati nyaya yake, shoko rokuti "premenstrual Zvinetso", uye makore gumi gare gare psychosexual chirwere panguva PMS vakanga rakarondedzerwa Lewis Gray.

Research uye kuongorora kwesayenzi kwakabvumira World Health Organization kuti kusanganisira mune kupatsanura kwezvirwere premenstrual syndrome. Chii, chirwere nzira, zvinokonzera vanorumbidza kuderedza mamiriro - izvi zvose, verenga kwataita.

zvikonzero

Hakuna nekubvirana pamusoro panowanikwa PMS haako nhasi, asi nyanzvi dzichiri vakakwanisa kuzoumba kwezvikonzero:

- nemagene kubatwa;

- kutyorwa mvura-munyu muviri;

- hormone disruptions;

- thyroid chirwere;

- kushaya mavhitaminzi (magnesium, zingi, calcium, vhitamini B6).

For PMS zvinokonzera njodzi zvinosanganisira kuvapo mwoyo uye kunetseka kugara mumaguta makuru, mushakabvu dzokubereka zera, kushaya kurovedza muviri uye kudzikama kudya.

Vamwe ongororo dzinoratidza kuti kufuta uye kusvuta sei mukana wokuti nekukudziridza premenstrual syndrome.

zviratidzo

Pane zvizhinji anecdotes uye nyaya chinosetsa pamusoro premenstrual chirwere vakadzi. Zvisinei, chinoshamisa mazita zviratidzo kunosiya shoma chikonzero merriment.

mushonga Modern chinosiyanisa zvinotevera siyana PMS:

1. Neuro-vanoziva remangwana kana zvinofunga. Nokuti chimiro ichi kunoratidzwa zviratidzo zvakadai zvaiita maonero mheremhere, kurukutika, utera, havachanyatsogoni hope, kuvhiringidzika, kutemwa nomusoro, kunokanganisika matauriro, uye kana kutofenda. Sehasha uye kushatirwa kazhinji kunotungamirira mukurwisana mumhuri uye kubasa, uyewo kuitwa zvechimbichimbi sarudzo.
2. Edematous. Kufuta makirogiramu akawanda asingadi kuvandudza mafungiro, pane kuzvimba maoko nemakumbo. Dzimwe nguva vasikana nevakadzi kuona kurwadza kwemajoini uye chinyamunhari chinorwadza. Mazamu pamberi kumwedzi pari, muviri wose rinoita kuzadzwa mura.
3. Cephalgic. Pane throbbing nomusoro kuti pamwe svoto kana kurutsa. Zvisinei, ropa nevamwe kuzochinja. Uyezve, mumwe pavatatu varwere vane marwadzo ari pamwoyo, chiveve mumaoko, kunyanyisa vangadikitira uye kuora mwoyo.
4. Krizovoe. Kutya kurwisa, inova kutanga kuwedzera BP. Zvadaro pane mwoyo palpitations uye kutya rufu. Kurwisa kwakadaro kazhinji vakanetseka manheru uye usiku, uye kutowedzera mamiriro ezvinhu akasiyana mupfungwa, kurukutika, kana zvirwere.

Unyanzvi uyewo secrete ane atypical muchimiro PMS zviratidzo izvo zvinosanganisira segwapa neutachiona, ganda rashes, kudhonza uye kurwadziwa mudumbu, nasal ropa, fivhiri.

PMS siteji

In mushonga akawana PMS nokupesana muzvikamu zvitatu:

- ndanyarara hangu (zviratidzo inonyangarika pamwe pakutanga romwedzi, chirwere asingadi kuva pamwe zera);

- subcompensated (Zviratidzo kurega atarisire kuguma kumwedzi, premenstrual chirwere kiriniki pamusoro pamakore, kuwedzera nokuti vabereki);

- asima (Zviratidzo kwemazuva akawanda pashure kuguma mwedzi).

Sezvaungave wakacherechedza, kuti ICP mune zvimwe zviitiko kana bodo akafanana zvishomanana indisposition. In chakakomba chimiro chirwere kunogona kukanganisa nokushanda vanokwanisa uye zvakanaka. Chokwadi, musavhunduka nokuda kuneta kana tsandanyama marwadzo. Zvisinei, mune nyaya kuonekwa pa zviratidzo zvinopfuura matanhatu hazvo taronga ane chiremba, uyo kubudikidza pakutsvakurudza zvinogona kuita chirwere "premenstrual urwere".

Diagnostics

Zvakakosha kusiyanisa chaiyo zviratidzo kutadza kudzora manzwiro avo uye kuratidza tsika dzakaipa kana tsika yakaipa. Premenstrual chirwere kunoratidzwa zvinogara. Mune mamwe mazwi, zvakafanana zviratidzo vanofanira kunetserei henyu mukadzi neumwe periodicity.

Premenstrual Makakatanwa chirwere kazhinji kuvhiringidzwa nezvimwe zvirwere, saka kuti kuongororwa zvakarurama kune nyanzvi. Panguva Diagnostics zvakafanira ropa kuongorora (dzakasiyana maitikiro kumwedzi). The pamwero mahormone (progesterone, estradiol uye prolactin) rinobvumira kuti vafunga pamusoro muchimiro PMS.

Zvichienderana migumisiro kuongorora murwere zvichemo uye pakurapa chiremba anogona kureva kwaari vamwe vanachiremba (chiremba wepfungwa, endocrinologist, chiremba uye wetsinga) kana kugadza vamwe zvidzidzo (MRI, mammography, eeg, BP kuzvidzora, etc.).

Uyezve, varwere vose PMS inokurudzirwa kuti hunonyatsodonongodza avo ezvinhu uye kutungamirira munhu "dhayari kunyunyuta", izviwo zvichakubatsira mu nechirwere.

How kuderedza premenstrual chirwere?

Mamiriyoni vakadzi vanobvunza mubvunzo uyu, achinyatsoziva kuti kurarama murombo ezvinhu utano uye mwoyo, kunyange vhiki iri rinongoreva saregerereka. Chinonyanya inokwanisika ndiyo nechiyero Shanduro zvokudya.

Zvinonzi vaidavira kuti kudyiwa makabhohaidhiretsi zvakaoma (zviyo uye miriwo) zvinobatsira kuona nyore mamiriro pamberi yekutevera. Vamwe vanamazvikokota vanoti kushomeka kudyiwa zvihwitsi neshuga, asi maererano Kuderedza zviratidzo PMS, ichi chipimo zvachose kuzvinzwisisa kwaisava.

Zvinokurudzirwa kudzora aibuda munyu, nokuti muviri uye saka uderedze edema chokuita mvura mvura chengetedzo. Acharungwa zvigadzirwa chete sembura zvinhu.

Uye pakupedzisira, kofi. Ongororo dzakaratidza kuti vakadzi vane kwazvo PMS zvinodya zvimwe kofi. Nhasi hapana chete maonero pamusoro kana kuti vachiwadzana inozorodza zvinobata, uye premenstrual syndrome. Yakadiniko uye mhaka ekupedzisira kare anozivikanwa, asi zvinobatsira kana Zvinoipisisa ezvinhu kofi, zvichida, ndiko kusarudza nomunhu.

Mararamiro

Pain asati kumwedzi kunogona kuchinja zvikuru muzvirongwa zvako. Zvisinei, nyanzvi angarayira haana kusiya chiedza kurovedza muviri. Kushambira, kufamba, yoga kana kutamba rubatsiro kuderedza zviratidzo uye kuvandudza kumunetsawo chaizvo.

Kana uine kwazvo mazamu pamberi kumwedzi, zvino kukurira kunetseka uye ikawanda aikanganiswa kuchabatsira kuramba yokuwachira.

Chokwadi, pakarepo kunyangarika zviratidzo PMS usatarisira, asi kuti mhedziso wokutanga inogona 3-4 mwedzi. Kazhinji, vanorumbidza izvi kubvisa kudiwa kurapwa.

Sezvo nzira nzira kurwisa premenstrual chirwere rakasiyana-siyana masaja inogona kurumbidzwa, physiotherapy, reflexology uye balneotherapy.

Nyanzvi dzakawanda vanodzidza utano hwevakadzi, runoonekwa inonyatsobudirira acupressure. Kweiyi pakugadzira vanoshingaira pfungwa kunonatsiridza simba uye runogonesa muviri anogona kuzvidzora waidzora.

mishonga

Pharmacotherapy ndiyo nzira huru, asi asingaiti kurapa zvachose premenstrual chirwere mapiritsi chaizvo kubatsira. Zvinonzi vaidavira kuti ICP - ane chirwere, uye vamwe mishonga chete kuvandudza upenyu chokubvisa zviratidzo zvacho.

Tapota cherechedza kuti mishonga zvose ushandiswe nachiremba, uye hapana nyaya dzoupenyu kana mazano "shamwari nezvakaipa," haatsivi mazano nenyanzvi. Kwataita ndiyo exploratory zvakasikwa, uye kana uchifunga kuti mumwe zvinodhaka aigona kukubatsira, iva nechokwadi kuti kukurukura pfungwa iyi kupinda chiremba.

Nokuti munyoro kubvisa zviratidzo PMS hormone yomuchipatara angashandiswa kwakavakirwa miriwo zvinoriumba zvakadai sezvokudya zvokuwedzera TIME Factor®. Vanobatanidzwa yakatarwa mavhitamini C uye E, folic acid, rutin, zvicherwa (simbi, magnesium zinc), indole-3-carbinol, glutamic acid, aucubin, gingerols uye kwezvipimo mishonga atakatora mumidzi Angelica, Ginger midzi uye michero Vitex mutsvene kubatsira normalization kumwedzi, kuderedza kushatirwa, kuderedza marwadzo uye kuderedza zvimwe zviratidzo PMS.

Zvichienderana chimiro PMS ndedzinotevera mapoka:

1. Combined nemumuromo pamuviri.
2. Zvinodhaka kurapa zviratidzo.
3. Hormone kurapa.
4. Diuretics.
5. Antidepressants.
6. Antiprostaglandinovye zvinodhaka.

Mavhitaminzi uye zvicherwa

Varwere nounyoro muchimiro premenstrual chirwere panzvimbo yokutanga vakagadzwa non-hormone zvinodhaka - homeopathy, mavhitaminzi uye zvicherwa. The efficacy uye usingashandi nemishonga - izvi zvakanakira chikuru mari yakadaro. Uyezve, vakanga vasiri hormone zvinodhaka zvisina kutorwa "sezvo mushonga."

Maererano zvidzidzo, kuderedza puffiness uye bloating kunobatsira magnesium orotate. In Urume chengetedzo uye kwakawedzera havi kunokanganisa karusiyamu carbonate, uye kukunda psycho kuratidzirwa chirwere anogona mavhitaminzi kuti boka B.

diuretics

It diuretics, chinangwa iyo unonzi wakarurama edematous muchimiro PMS. Mumwe inonyatsobudirira uye yakachengeteka anonzi "spironolactone" (analogue - "Veroshpiron"). Kugadzirira kunowedzera excretion kuti yavaibvisa uye chloride ions, mvura, kuderedza titratable acidity kuti weti. It ane hypotensive nomugumisiro.

Sezvo kwokutanga zuva dose raitongwa 25 MG (kunonyanyisa 100 MG). Nyanzvi funga izvozvo diuretics zvakakodzera munguva kutarisirwa Urume chengetedzo, kureva kubva 16 kusvika 25-zuva kumwedzi.

Pakati nemishonga vakachengeta: hypotension, somnolence, ungaderedza libido, uye kuvhiringidza kumwedzi.

COC

Kushandiswa yaisanganisa dzinogamuchidzanwa nhumbu ndicho nzira yokurapa premenstrual syndrome. To musi, vanachiremba vanoda COCs ane drospirenone. fuma Uku analogue rwokuzvarwa progesterone.

The Zvinoumba mumwe zvinodhaka inozivikanwa se "Yaryna" - mubatanidzwa mumwe gestagen drospirenone (3 MG) uye ethinyl estradiol (30 .mu.g). Varwere kubatwa kushingaira COC akaona zvishomanana kuderera uremu muviri uye hapana mvura chengetedzo mumuviri. Uyezve, drospirenone ane zvainoita secretion ari sebaceous omumuviri, kuderedza maronda paganda pamberi yekutevera.

Nhumbu ine drospirenone vane usingashandi nemishonga. Zvisinei, pasinei kubudirira chinodhaka, PMS zviratidzo (kuzvimba, zamu unyoro, nomusoro uye bloating) anogona kudzokera shure-zuva nomwe zororo. Nokuda kwechikonzero ichi, hazvina here kupinda dzimwe kwadzinoita COCs.

antidepressants

Kubvisa mupfungwa zviratidzo chiremba kazhinji rinogadza antidepressants ( "sertraline", "Fluoxetine"), uyo kushanda kwave nekusimba mukati sokuora ongororo dzakawanda.

In pakurapa premenstrual urwere, mukusiyana kuti kurapwa mwoyo, mishonga aya ushandiswe pfupi kosi uye mishonga duku. Pane vaviri kurapwa regimens:

- kutora mushonga pa kutanga zviratidzo;

- kutora mushonga yechipiri yezana kumwedzi.

Nokuti nhengo dzakawanda naka pabonde achitora antidepressants - vakarongeka nzira anobvisa zviratidzo rinenge zvachose.

Zvisinei, mune zvimwe zviitiko, zvinoguma kubudirira hazvina kukwana, saka chiremba angasarudza kuwedzera dose kana kuti kugadza mumwe mushonga.

Antidepressants kunofanira nokuramba ari dhayari uye manotsi hwakadzama pamusoro utano. Pasinei chokwadi kuti kugadziriswa mbiri chete mazuva pashure kutanga kosi, kugumisa pamusoro kubudirira vanonyatsokwanisa nyanzvi achaita chete pashure achiona 2-4 kumwedzi zvinogara.

Mune zvisingawanzoitiki Muzviitiko, discontinuation pamusoro antidepressants kunogona kukonzera kuda kurutsa, dzungu, uye kushatirwa. Sezvineiwo, Zviratidzo izvi zvapfuura asi nokukurumidza.

ethnoscience

Antidepressants, hormone nemumuromo pamuviri vane yakawanda nemishonga, saka chinhu chokutanga fair pabonde rangarira achabatira nzira.

Saka chii nemiriwo kungatibatsira kukurira PMS:

1. Melissa. Gadzirirai somushonga aizomupa yevanhu 2 v. l. yakaoma chirimwa chete mukombe kufashaira mvura. chinwiwa kwakadaro anobvisa kushatirwa, chinonyaradza uye anobatsira marwadzo. Uvandudze mugumisiro vachatitaka musanganiswa nebharisami, chamomil, Jasmine, spearmint uye valerian.
2. Calendula, plantain mashizha, inotapira mureza mudzi nemaruva arnica. Aizomupa yakakanyiwa gauze rinoparadza kuti anoreva kuti muviri kuderedza kuzvimba.
3. Yarrow uye Jasmine. Against kuseri marwadzo uye abdominal dira mvura iri kufashaira milfoil (40 g) uye maruva Jasmine (30 g). Pazuva unofanira kunwa makapu matatu aizomupa.

Nhema kana Reality?

Saka isu kutaura nezvechirwere ichi, kufanana premenstrual syndrome. Chii, vanonyatsoziva dzakawanda vasikana nevakadzi, asi 3-6 chete% of naka pabonde nezvinoda chirwere kuti "premenstrual dysphoric chirwere" (PMDD). chirwere ichi zvinoisa kwakakomba mucherechedzo, nevandagara nevanhu uye munzanga upenyu, uyewo kunowedzera mazuva yokuremara. Varwere chirwere chepfungwa akacherechedza kusembura yavo.

Zvinofadza kuti mamwe masayendisiti kazhinji anokakavadza kuvapo kwezvirwere zvakadai se PMDD uye premenstrual syndrome. Zvikonzero zvekupedzisira hazvisi zvose zvinopupurirwa, uye zvizhinji zvezviongorori zvinotarirwa chete pamishumo yehupenyu hwakanaka. Kubvumirana, maonero aya ane kodzero yekuvapo. Uyezve, vasikana nevekuMadokero vanowanzotanga kumuka kune kuonekwa kwe PMS, pane kuratidzika sevari kuzvirongedza kuti vaone zvimwe zviratidzo.