Kunyangwe iwe unogona kunge usingatauri kuora mwoyo ku polycystic ovarian syndrome (PCOS), ukama huri pakati pezviviri hwakanyatsoratidzwa. Zvinenge makumi mana kubva muzana zvevakadzi vane PCOS vanonzwa zviratidzo zvinorwadza. Chimwe chidzidzo chakabudiswa mubhuku rinonzi Psychoneuroendocrinology zvakasuruvarisa zvakaratidza kuti kuzviuraya kwaive kanomwe kanowanikwa kune vakadzi vane PCOS kupfuura avo vasina chirwere.
Kune zvikonzero zvakawanda nei vakadzi vane PCOS vane huwandu hwakanyanya hwekuora mwoyo. Chokutanga, zvinoita kuti kusagadzikana kwakafanana mune zvepabonde kana kuti insulini kunogona kuva mhosva. Kutarisana nezvimwe kana kuwedzera kukuvadza kwemagetsi ePCOS akadai se-pre-diabetes, chirwere cheshuga chechirwere cheshuga, chirwere chemagetsi, uye chirwere chemwoyo chinogona kuva chakaoma kurarama pamwe chete.
Nharaunda dzakakwirira dze androgens , kana mahomoni evanhu anowanzobatana nemamiriro acho ezvinhu, anogonawo kuwedzera kumatambudziko akakwirira emagariro evanhukadzi neCPOS.
Kunze kwezvinhu zvinokonzerwa nePCOS zvinogona kuita kuti kuderedzwa, matambudziko uye kushungurudzika kwekutarisira zviratidzo zvizhinji zvisingaregereki zvePCOS hazvigoni kukanganwa. Kurwisana nekushaya vana , kuwedzerwa kwekureruka, uye dermatological zviratidzo (achena, kushayiwa bvudzi, kuwedzera kwebvudzi kukura) zvose zvinogona kutora mararamiro anokosha pane hutano hwepfungwa hwevakadzi neCPOS. Saka zvinhu zvakawanda zvePCOS zvingaita sezviri kunze kwekutonga uye zvinogona kukuvadza kupfuura nguva, kunyange nekanakisisa yekuedza kurarama hupenyu hwakanaka.
Mhando dzakasiyana dzekuora mwoyo
Kuora mwoyo kunopfuura kungova kushungurudzika. Chero ani anonetseka nekuora mwoyo anoziva kuti inzwa yekuve mumumvuri werima kuti iwe haugone kubuda, kunyange iwe unoda chaizvo. Kuora mwoyo kunokonzera utano hwepfungwa hunoda hutano. Ndizvo chaizvo iwe haugoni "kungobuda."
Kushungurudzika kunogona kuonekwa nenzira dzakawanda. Heano mamwe maitiro ekuora mwoyo anogona kukanganisa utano hwepfungwa hwevakadzi neCPOS.
Major Depression Disorder
Dambudziko rekuora mwoyo dambudziko chirwere chepfungwa chakasiyana chakasiyana ne "blues" kana kunzwa pasi kana kugumburwa neCPOS. Izvo zvakasiyanawo nekushungurudzika kwekushungurudza kunogona kuguma nekufa kwemudiwa kana kuguma kwehukama. Dambudziko rekuora mwoyo dambudziko rinogona kupedza mavhiki kana mwedzi uye rinogona kukanganisa kukwanisa kwako kuita mumabasa ezuva nezuva.
Mamiriro acho anowedzera simba uye kufarira mumabasa aimbova anofadza, uye anogona kudzoka mukati mehupenyu hwomunhu. Dambudziko rekuora mwoyo dambudziko rinowanikwa apo munhu anowanzoona imwe kana zvimwe zvakanyanya kuora mwoyo zvikamu zvisingaiti nhoroondo yevanhu, manyorero, kana kuti hypomanic episodes. Munhu wacho anofanira kunge akawana kuchinja kukuru kwekushanda, apo imwe yemakiriniki makuru ekuratidzira ari kuora mwoyo kana kurasikirwa kwechido chemufaro.
Dambudziko guru rekuora mwoyo rinogona kuita kuti zvive nyore kuva nechikonzero chokuzvitarisira zvakanaka. Sezvo kudzidzira nguva dzose uye kugadzirira kana kudya kudya kwakanaka kune chikamu chakakosha chekuzvitarisira munhu wese, kunyanya vakadzi vane PCOS, chikuru chekuora mwoyo chinetso chinogona kuita kuti unzwe zvakanaka sei mukugadzirisa chirwere chako.
Bipolar Kushungurudzika
Vakadzi vane PCOS vave vakaratidzirwa kuti vane mazinga akakwirira ekudengenyeka kwebipolar, achida kurapwa pasi pekuchengetedzwa kwevanodzidziswa nehutano hwehutano hwepfungwa.
Bipolar I disorder, once inonzi manic kuora mwoyo, inoratidzwa apo mumwe munhu ane nhoroondo yezvose zvinotambudza uye zvikamu zvevanhu. Kutsvaka mafaro, kufarira mabasa anotsvaga, uye kuratidza kuwedzerwa kwekutaura kunowanzoita chirwere. Mumwe munhu anogona kuonekwa ane bipolar I kana akawana zvishoma nenyaya imwe chete yevanhu. A manic episode inozivikanwa nemafungiro asinganzwisisiki uye anoramba achiwedzerwa kana kutsamwa mumavhiki emavhiki.
Bipolar II inopesana ne bipolar I mune kuti munhu ane nhoroondo yekusanganisa kamwechete kwechikamu. Zviratidzo zve hypomanic episodes zvakafanana neyemania nekusiyana kwekuoma, chiyero chekushaya simba, pamwe nekureba kwechiitiko. Mu hypomania, zviratidzo zvinopera kwemazuva mana anotevera. Kukanganisika kunowanzovawo mafungiro epfungwa munguva ye hypomania panzvimbo yekuwedzera mafungiro, uye kushungurudzika hakusi kwakakwana kukonzera kuora mwoyo kwakaratidza.
Seasonal Affective Disorder
Chirwere chepfungwa chinokonzera nguva, chinowanzozivikanwa seSAD, chinogonawo kukanganisa vakadzi neCPOS. SAD inoratidziro rwemwaka yekuora mwoyo inoitika panguva imwecheteyo gore rimwe nerimwe. Vanhu vazhinji vanoona SAD kubva pakuwa kwemwedzi yechando kana mazuva mashoma uye akaoma. Zviratidzo zveSAD ndezvekushaya simba, kufara, uye kuneta. Zviratidzo zveSAD dzinovandudza mune mamwe mwedzi.
Iyo Inonyanya Kuita Zviratidzo uye Zviratidzo zvekuora mwoyo
Vanhu vazhinji vanoona kuora mwoyo zvakasiyana. Pasi pane urongwa hwezvimwe zvinowanzoonekwa zvirwere zvekuora mwoyo, asi usabatanidza zviratidzo zvose.
- Kuneta
- Kusuruvara
- Kusurukirwa
- Kubatsira
- Kushungurudza
- Kurara kuvhiringidzika
- Kushaya kwekutungamira
- Appetite inoshanduka
- Kuchinja muhutachi (izvi zvakare chiratidzo chePCOS pacharo)
- Manzwiro emhosva
- Dambudziko kuisa pfungwa
- Kufirwa kwechido mune zvepabonde
- Kurasikirwa kwechido mune zvekuita zvinhu kana mabasa aimbove anofarira
- Kusarudzwa kwekuita zvisarudzo
- Headaches
- Manzwi ehupanyama akadai semutsipa kana shure
- Digestive issues
Kuora Mwoyo Kunoitwa Sei?
Kushungurudzika kunogona kugadziriswa nenzira dzakawanda, kubva pakucherechedza uye mishonga yekugadzirisa uye yekurapa.
Individual Therapy
Kuwana munhu wokutaura naye kunogona kubatsira pakubata nematambudziko kana kurwadziwa, kusanganisira zuva nezuva kurwisana neCPOS. Izvo zvinobatsirawo pakushandura mafungiro asina kunaka maitiro akajairika mukuora mwoyo. Nepo kune marudzi akawanda ekurapa, kutaura kwemaitiro-maitiro ekuita (CBT) uye psychotherapy yakasiyana-siyana yakawanikwa ichibudirira pakurapa kuora mwoyo.
Support Groups
Rimwe boka rekutsigira vakadzi rinowanikwa neCPOS rinogona kubatsira vamwe. Kuve wakakombwa nevakadzi vanobatana nematambudziko akafanana kunogona kunyaradza uye kutsigira. Kana uchitungamirirwa neunyanzvi hwehutano hwepfungwa, boka rekutsigira rinogona kupa unyanzvi hwekuchinja hupenyu uye mazano ekutarisana neCPOS uye kuora mwoyo.
Mishonga
Mishonga (antidepressants) inowanika kubatsira kubata kuora mwoyo. Kune marudzi akawanda anowanikwa. Kurukurai zvamunogona kuita nachiremba uye chiremba. Uyewo, iva nechokwadi chekukurukura mimwe mishonga kana zvimwe zvinowedzera zvaunotora nachiremba wako anogona kuwirirana. Kana zvichikwanisika, dzivisa mishonga inogona kutungamirira kuhutano hunoita uye inogona kuita zvimwe zvinhu zvePCOS zvakanyanya kuipa.
Imwe Mishonga Inobatsira uye Inobatanidza
Mamwe maitiro uye mushandisirwo wemishonga inrapies anowanikwawo pakurapa kuora mwoyo. Kufungidzira-based based practice yakaratidzwa kuva mushonga unobatsira kuderedza zviratidzo zvekuora mwoyo kwevakadzi neCPOS pamwe nekuzvidya mwoyo. Dzimwe nzira dzokurapa dzakadai sokugadziriswa uye Reiki dzinogonawo kubatsira.
Nutritional inowedzera zvakadai semafuta ehove uye vitamini D yakaratidzawo kubudirira pakuvandudza zvirwere zvinoderedza. Chimwe chidzidzo chakabudiswa mu Journal of Gynecology uye Endocrinology chakawana kuti kushayikwa kwevhitamini D kwaive kwakakosha kuzvimiririra kwekunetseka kwevakadzi vaviri vane uye vasina PCOS. St. John's Wort ingabatsirawo kuwedzera zviratidzo zvinoderedza, asi zvinogonawo kutakura nemimwe migumisiro iyo inokosha zvakanyanya kune avo vane PCOS, kusanganisira mazinga ehomoni.
Utano Hwenharo Inogona Kuita Kuda Kuora Mwoyo
Mukuwedzera kune kuora mwoyo, vakadzi vane PCOS vari pakuwedzerwa kwehuwandu hwekuva nechimwe chirwere chepfungwa: kushushikana. Zvimwe zviratidzo zvekuzvidya mwoyo zvakafanana nezvakaora mwoyo.
Kuzvidya mwoyo kunowanikwa mumarudzi akawanda, zvakadai sekutyisa kurwisa, agoraphobia, shure kwekunetseka kwepfungwa, chirwere chinonetsa chepfungwa, kushungurudzika kwevanhu, uye kushungurudzika kwevanhu.
Maererano neDSM-5, chirongwa chekuongorora chirwere chepfungwa chinokonzerwa nekuzvidya mwoyo chinosanganisira zvinenge zvitatu zvinotevera zviratidzo zvitanhatu:
- Kusagadzikana kana kunzwa kwokuti uri pamucheto
- Yakaoma nyore
- Dambudziko kuisa pfungwa kana pfungwa kuenda pasina
- Kusvibiswa
- Kushungurudzika kwemisungo
- Kurara kuvhiringidzika
- Appetite inoshanduka
- Weight changes
Nemhaka yezviitiko zvakakwirira zvehutano hwepfungwa, Androgen Excess uye PCOS Society inokurudzira kuti vakadzi vose vane PCOS vagare vachiongororwa kuti vazvidye mwoyo uye kuora mwoyo nechiremba wavo uye vataure kune avo vanopa kurapa vakakodzera.
Nguva Yokutsvaga Rubatsiro Kana Iwe Uine Zviratidzo Zvinodedera
Kana iwe kana mumwe munhu waunoziva angave akaora mwoyo, zvakakosha kuti utsvake rubatsiro kubva kune unyanzvi hwehutano hwepfungwa. Usatya kutaura pamusoro pezvauri kunzwa kune shamwari dzako nemhuri. Ziva kuti hausi wega. PCOS inetso yakaoma iyo inobatanidza nehutano hwepfungwa, kusanganisira kuora mwoyo. Zvamunonzwa ndezvechokwadi uye zvinoda kukoshesa. Kurukura nezviratidzo zvako nachiremba wako uye kugadzirira kusangana nemunhu wepfungwa kana mupi wezano anogona kukubatsira.
> Sources:
> Association AP. DSM. 5th ed. Washington DC: American Psychological Association 2013.
> Kuora mwoyo. National Institute of Mental Health website. https://www.nimh.nih.gov/health/topics/depression/index.shtml. Yakasvika musi waSeptember 10, 2016.
> Kerchner A, Lester W, Stuart SP, Dokras A. Dambudziko rekuora mwoyo uye mamwe Matambudziko ehutano hwepfungwa muMadzimai ane Polycystic Ovary Syndrome: A Longitudinal Study. Fertil. Steril. 2009; 91 (1): 207-212.
> Mansson M, Holte J, Landin-Wilhelmsen K, Dahlgren E, Johansson A, Landen M. Vakadzi vane Polycystic Ovary Syndrome vanowanzoora mwoyo kana kuti Vanonetseka - Chidzidzo Chekuongorora. Psychoneuroendocrinology. 2008; 33 (8): 1132-1138.
> Mattei S. Psychological Aspects of PCOS. Mukati, PCOS: Dhietitian's Guide. 2013 Luca Publishing. Bryn Mawr, PA.
> Moran LJ, Teede HJ, Vincent AJ. Vitamin D inofambidzana neChepression in Overweight Women ine uye isina PCOS. Gynecol Endocrinol. 2014; 4: 1-4.