Vakadzi vakawanda vanoona zviratidzo zvisingafadzi mumazuva vasati vasvika. Zviratidzo izvi zvinogona kusanganisira mafungiro akaoma anochinja kana kungonzwa zvishoma.
Asi, kana iwe uchitambura nemafungiro akaoma anochinja anowanzoitika mumazuva manomwe kusvika kwemaviri asati apera uye ozopera zvachose mumazuva mashomanana ekutanga kubuda ropa iwe unofanirwa kutora dysphoric disorder (PMDD) .
PMDD Ndedambudziko reMafungiro
Chirwere chemafungiro chinofungidzirwa kuti ndicho chikonzero chekuvhiringidza kunoshandura hutano hwako hweuropichemistry uye nhepfenyuro yekukurukurirana. Isu hatigoni kunyatsonzwisisa kuti mafungiro ako anotungamirirwa sei, asi tinoziva kuti kutonga kwemafungiro ako ari muuropi yako. Kutsvakurudza kwakaratidza kuti mafungiro ako ndiwo mugumisiro wekubatana kwakakomba pakati pezvivako zveuropi, masero europi, uye brain yako chemakemikari kana neurotransmitters.
Chimwe chinokonzera huro hunochinja hunoita kuti chirwere chepfungwa chive nzvimbo yekutsvakurudza. Migumisiro yezvidzidzo zvemazuva ano inoratidza zvikonzero zvakakonzera zvinokonzerwa nezvinetso zvepfungwa, kusanganisira:
- Genetic inokonzera
- Kushungurudzika
- Mishonga
- Zvirwere zvisingaperi
Kana iwe uri kutambura neWDDD, chinokonzera chirwere chako chepfungwa chinowedzera kuwedzera kwezvinonetsa: mahomoni ako ekubereka.
Zvatinoziva Pamusoro Pechikonzero cheMDC
Mahomoni ako ekuberekwa, anoshandiswa esterogen, uye progesterone, anobatana nemakemikari ako uye anogona kukanganisa mamwe mabasa muuropi yako, kusanganisira mafungiro ako.
Estrogen uye progesterone inokonzerwa nemapiro enyu evanhu uye mazinga ehomoni idzi anowirirana panguva yekuenda kumwedzi.
Aya ndiwo maitiro ehutachiona ehutachiona ayo vakadzi vose vanoona, asi kwete vakadzi vose vanotambura ne PMDD. Saka, chimwe chinhu chakasiyana chiri kuitika mu3 kusvika ku8 muzana yevakadzi vane PMDD.
Kana iwe une PMDD iwe hauna kuenzana kwemahomoni kana kukwana. Pane kudaro, zvinofungidzirwa kuti iwe unogona kunge wakanyatsoteerera hutachiona hunochinja hwekuenda kwako kumwedzi.
Izvo zvatisati tanyatsozvinzwisisa ndizvo zvinokonzera kushushikana.
Progesterone / Allopregnanolone
Chikuru chekuongorora chirwere che PMDD ndechekuti zviratidzo zvako zvinongogumira pachikamu chekuteerera kwekuenda kwako kumwedzi. Chikamu chekateti ndiyo nguva iri pakati pekuvhura uye zuva rokutanga remakore ako. Mune zuva rezuva 28 rezuva rokuenda kumwedzi ino inofananidzwa nekufamba mazuva 14 kusvika ku28.
Pakuvhunga, mazai enyu anotanga kuwedzera kubudisa kwavo progesterone. Progesterone inoshandurwa kuva imwe hormone inonzi allopregnanolone (ALLO). Progesterone neAllo mauto anoramba achikura kusvikira iwe watanga nguva yako, panguva iyo inokurumidza kudonha. Imwe pfungwa ndeyokuti kana iwe une PMDD iwe unonyanya kufunga nezvekuregererwa kweprogesterone iyi.
Imwe pfungwa ndeyokuti ALLO ndiye ane mhosva yezviratidzo zvako nokuti inobatanidza neGABA receptors muuropi yako. GABA isiri yemakemikari yemakumbo kana neurotransmitter iyo, kana yakasungwa kune yakagamuchira muuropi yako, inodzora kushungurudzika uye kuzvidya mwoyo. Zvechokwadi, chikonzero nei doro uye benzodiazepines vachizvidya mwoyo uye vachigara pasi ndeyekuti vanosunga kune GABA receptors muuropi yako uye kuita seGABA yako yeGABA.
Kazhinji, ALLO inoshanda muuropi yako sewaini uye benzodiazepines.
Asi mumadzimai ane PMDD inofungidzirwa kuti chimwe chinhu chakasiyana nechinowanzoshanda cheAllo. Chimwe chinogona kuitika ndechekuti pane kuchinja mukunzwa kweGABA senzwire kune ALLO muchikamu chekutanga. Kana, zvichida pane chiremera mumutambo wechirongwa weLLO. Izvi zvinokonzerwa neAllo zvinogona kukonzera kuwedzerwa kufunganya, kusagadzikana, uye kushungurudzwa kwe PMDD.
Estrogen
Zvakare, paunenge uchiedza kufumura zvinokonzera kukonzera PMDD, zvakakosha kuyeuka kuti PMDD inongowanikwa panguva yekateal phase yekuenda kwako kumwedzi.
Mushure mekuvhara, kana progesterone ichinge ichikwira, maestrogen mazinga anowira. Izvi zvinokurumidza kupera muweserogen yako yepamusoro ndeimwe chikonzero chinokonzera PMDD.
Tinoziva kuti estrogen inopindirana nemakemikari akasiyana-siyana anokanganisa mafungiro ako. Imwe yemakemikari aya inonzi serotonin. Serotonin inobata basa rakawanda mumuviri wako nokuramba uine pfungwa yekugara zvakanaka. Serotonin inobatanidzwa mukuronga mabasa akawanda, kusanganisira mafungiro ako, kurara, uye chido. Serotonin inobatsirawo kuziva kwako, kana kuti iwe unowana sei, unogadzirisa, uye unonzwisisa ruzivo kubva kunzvimbo yako.
Estrogen inokurudzira zvinokonzera serotonin. Inofungidzirwa kuti kana iwe uine PMDD, serotonin yako inogona kunge yakanyanyisa kukura kwechidimbu muestrogen panguva yekateal phase yekufamba kwako. Mune mamwe mazwi, kana iwe une PMDD inowanzosara muestrogen panguva yechirongwa chekuteerera kwekuenda kwako kunogona kukonzera kudonhedzera kwepamusoro mumasero e serotonin muuropi yako. Low serotonin mazinga anosangana nemafungiro akaora mwoyo, zvishuvo zvekudya, uye kusagadzikana kwekuziva kubata kwe PMDD. Izvi zvinotsigira kushandiswa kwesarotonin receptor inhibitors (SSRIs) kusarudzira PMDD.
Kushungurudzika
Kana iwe une PMDD zvinokwanisika kuti iwe une nhoroondo yako yehucheche hwepanyama, hwepfungwa, kana zvekuita zvepabonde. Zvimwe, asi kwete zvose, vakadzi vane PMDD vane nhoroondo yekushungurudzika kwakanyanya.
Vanotsvakurudza vari kutarisa kuti ino nhoroondo yekushungurudzika inogona kutungamirira sei kune PMDD. Imwe nzira iyo inotaridzika kuvimbisa ihukama pakati pekunetseka kwako uye ALLO. Kazhinji, ALLO inowedzera pane dzimwe nguva kunetseka kwakanyanya, zvichiita kuti zvinyoronyoro zvinyaradze uye zvinyengeri. Ongororo dzeongororo dzakaratidza kuti kupindura kwaAllo pakunetseka kwakanyanya kunoderera paunenge uchinetseka kusagadzikana kusingaperi.
Kunzwisisa kushungurudzika kunogona kutungamirira kana kuwedzera zviratidzo zve PMDD ikozvino inzvimbo yekutsvakurudza. Zvechokwadi, kuvepo kwekubatana pakati pekunetseka kwako uye PMDD kunotsigira pfungwa yakananga kupindira kwemashoko ekutanga kwe PMDD, kusanganisira mararamiro ekuchinja mararamiro uye kuderedza kuderedza.
Immune Activation / Inflammation
Pane hukama hwakasimbiswa zvakanaka pakati pekuora mwoyo uye kushanda kwemuviri wako wesimba. Kunyange zvazvo PMDD yakasiyana nekuongororwa kudarika kuora mwoyo kukuru (MDD), pangave pane imwe nzvimbo iyo mhinduro yako yemuviri inogona kupa mukana we PMDD.
Nemhaka yezvakagadziriswa muhutachiona uye nekuputira mhinduro panguva yekuenda kwemazuva ose, vakadzi vane zvimwe zvinokonzera kupisa sezvinoitwa gingivitis uye kupisa zvirwere zvinogona kuona kuwedzera kwezviratidzo zvavo muchikamu chekateal.
Kutsvakurudza kwokutanga munharaunda ino kunoratidza kuti vakadzi vane zviratidzo zvakanyanya zvekare zvinotanga kuitika kare vangave nekuwedzera kukuvadza kupindura mukati mechirongwa chekateal kuenzaniswa nevakadzi vasina zviratidzo zvishoma.
Genetics
Matambudziko emafungiro evanhu anozivikanwa kumhanya mumhuri. Kuita kwako kuve nekugadzirisa dambudziko repfungwa mukati mehupenyu hwako hunotora nhaka kubva kuvabereki vako kuburikidza nemajene ako. Kungofanana nehutano hwakafanana nekukwirira uye ruvara rweziso zvakagara nhaka, saka kune zvimwe zvirwere zvinokonzera zvirwere, kusanganisira kenza uye kuora mwoyo. Kusvikira munguva pfupi ichangopfuura, hapana maitiro ehutachiona hwe PMDD akanga atangwa.
Vakadzi vane PMDD vanonyanya kufunga nezvemaitiro evanhu vanowanzochinja mumutambo wechirongwa chekuenda kwavo kumwedzi. Vatsvakurudzi veNIH vakatsvaga chikonzero nei. Zvavakawana ndezvokuti vakadzi vane PMDD vakashandura mune rimwe remagetsi zvinokonzera kuti vanoita sei kune estergen uye progesterone. Mune mamwe mazwi, kune mazita ehutachiona hwehutachiona hwemhomoni hunoonekwa kune vakadzi vane PMDD.
Izvi zvinowanikwa zvakajeka kana iwe une PMDD. Inopa uchapupu hwechokwadi hwezvesayenzi hwekuti chimwe chinhu chezvakaberekwa uye chinopfuura chekutonga kwako chiri kuita kuti mafungiro ako achinje. Icho chinosimbisa kuti PMDD haisi kungoita sarudzo chete.
Asi izvi zvakawanikwa hazvisi nyaya yose. Kubudirira kwekutsvakurudza uku, zvisinei, kunokurudzira zvidzidzo zvakare uye kunozarura mukova wokuwana maitiro matsva ekurapa kwe PMDD.
Shoko Rinobva
Zvichida, pane zvinhu zvakawanda zvinokonzera kukura kwe PMDD, asi chimwe chinhu chine chokwadi ndechekuti PMDD ndeyechokwadi chaiye kwete kwete chimwe chinhu chauri kuita kana kuti iwe unogona kufarira kure. Zvichida kupfuura imwe nzira iripo pakati pemaitiro ako echclic hormone uye PMDD.
Kuita kuti pane zvinokonzera zvikonzero zve PMDD zvinogona kubatsira kutsanangura kuti nei mamwe maitiro akashanda zvakanaka kwauri asi kwete kune vamwe, uye pamwe chete. Zvakakosha kuchengetedza izvi mupfungwa sezvaunoita iwe uye chiremba wako vari kutsvaga nzira dzakasiyana-siyana dzokurapa kuti ikubatsire kurarama zvakanaka ne PMDD.
> Sources:
> Hantsoo L. & Epperson CN (2015) Premenstrual Dysphoric Disorder: Epidemiology uye Treatment. Curr Psychiatry Rep., 17 (11) 87. doi: 10.1007 / s1920-015-0628-3
> Dubey N, Hoffman JF, Schuebel K, Yuan Q, Martinez PE, Nieman LK, Rubinow DR, Schmidt PJ, Goldman D. IE ESC / E (Z) yakaoma, inonzi cell molecular path path differentially responsive to ovarian steroids in Premenstrual Dysphoric Dambudziko, Molecular Psychiatry, January 3, 2016, nei: 10.1038 / mp.2016.229.