Ciwon premenstrual

Ciwon premenstrual (PMS) yana nufin nau'ikan bayyanar cututtuka. Alamomin suna farawa yayin rabin rabi na jinin haila (kwanaki 14 ko sama da haka bayan ranar farko ta al'adar ku ta karshe). Wadannan galibi suna gushewa kwana 1 zuwa 2 bayan fara jinin al'ada.

Ba a san ainihin dalilin PMS ba. Canje-canje a cikin matakan hormone na kwakwalwa na iya taka rawa. Koyaya, wannan ba a tabbatar dashi ba. Mata masu cutar PMS suma na iya ba da amsa daban da waɗannan homon ɗin.

PMS na iya kasancewa da alaƙa da zamantakewar jama'a, al'adu, ilimin ɗabi'a, da kuma abubuwan da suka shafi tunanin mutum.

Yawancin mata suna fuskantar alamun PMS yayin shekarun haihuwarsu. PMS yana faruwa sau da yawa a cikin mata:

• Tsakanin ƙarshen shekarunsu na 20 zuwa 40
• Wadanda suka sami akalla yaro daya
• Tare da tarihin mutum ko na iyali na babban damuwa
• Tare da tarihin baƙin ciki bayan haihuwa ko rikicewar yanayi

Kwayar cutar galibi tana yin muni a ƙarshen 30s zuwa 40s yayin da al'ada ta gabatowa.

Mafi yawan alamun cututtukan PMS sun haɗa da:

• Kumburin ciki ko jin gasi
• Taushin nono
• Rashin hankali
• Maƙarƙashiya ko gudawa
• Sha'awar abinci
• Ciwon kai
• Lessarancin haƙuri ga surutai da fitilu

Sauran cututtukan sun hada da:

• Rikicewa, damuwar hankali, ko mantuwa
• Gajiya da jin jinkiri ko kasala
• Jin bakin ciki ko bege
• Jin tashin hankali, damuwa, ko ɓacin rai
• Mai saurin fushi, na gaba, ko nuna haushi, tare da yawan fusata ga kai ko wasu
• Rashin sha'awar jima'i (na iya ƙaruwa ga wasu mata)
• Yanayin motsi
• Rashin yanke hukunci
• Rashin hoton kai, jin laifi, ko ƙarin tsoro
• Matsalar bacci (yawan bacci ko kadan)

Babu takamaiman alamu ko gwaje-gwajen gwaji da zasu iya gano PMS. Don yin sarauta da sauran yuwuwar dalilan bayyanar cututtuka, yana da mahimmanci a sami:

• Cikakken tarihin lafiya
• Nazarin jiki (ciki har da na pelvic)

Kalanda na alama zai iya taimaka wa mata gano mafi alamun cututtuka. Wannan kuma yana taimakawa wajen tabbatar da cutar ta PMS.

Riƙe littafin rubutu na yau da kullun ko shiga don akalla watanni 3. Yi rikodin:

• Nau'in alamun da kake da shi
• Yaya tsananin su
• Har yaushe zasu dore

Wannan rikodin zai taimaka muku da mai ba ku kiwon lafiya su sami mafi kyawun magani.

Kyakkyawan salon rayuwa shine farkon matakin sarrafa PMS. Ga mata da yawa, hanyoyin rayuwa sau da yawa sun isa su sarrafa alamun. Don sarrafa PMS:

• Sha ruwa mai yawa kamar ruwa ko ruwan 'ya'yan itace. Kada a sha abubuwan sha mai laushi, giya, ko wasu abubuwan sha tare da maganin kafeyin. Wannan zai taimaka wajen rage kumburin ciki, ajiyar ruwa, da sauran alamomin.
• Ku ci abinci akai-akai, ƙananan abinci. Karka wuce sa'o'i 3 tsakanin abun ciye ciye. Guji yawan cin abinci.
• Ku ci abinci mai kyau. Extraara ƙarin hatsi, kayan lambu, da 'ya'yan itace a cikin abincinku. Iyakance cin gishirin da sukari.
• Mai ba da sabis ɗinku na iya ba da shawarar ku ɗauki abubuwan abinci mai gina jiki. Ana amfani da Vitamin B6, calcium, da magnesium. Tryptophan, wanda aka samo shi a cikin kayan kiwo, na iya taimakawa.
• Yi motsa jiki na motsa jiki na yau da kullun a cikin watan. Wannan yana taimakawa wajen rage tsananin alamun PMS. Motsa jiki sau da yawa kuma da wuya a cikin makonnin da kake da cutar PMS.
• Gwada canza halayen barcin dare kafin shan ƙwayoyi don matsalolin bacci.

Ciwon cututtuka irin su ciwon kai, ciwon baya, ƙyamar haila, da taushin nono ana iya bi da su da:

• Asfirin
• Ibuprofen
• Sauran NSAIDs

Magungunan hana haihuwa na iya rage ko kara alamun PMS.

A cikin yanayi mai tsanani, magunguna don magance baƙin ciki na iya zama taimako. Magungunan antidepressants da aka sani da masu zaɓin maganin serotonin reuptake (SSRIs) galibi ana gwada su da farko. Wadannan an nuna suna da matukar taimako. Hakanan zaka iya neman shawarar mai ba da shawara ko mai ilimin hanyoyin kwantar da hankali.

Sauran magunguna da zaku iya amfani da su sun haɗa da:

• Magungunan anti-tashin hankali don tsananin damuwa
• Diuretics, wanda na iya taimakawa tare da riƙewar ruwa mai tsanani, wanda ke haifar da kumburin ciki, taushin nono, da ƙimar kiba

Yawancin mata waɗanda ake bi da su don alamun PMS suna samun sauƙi mai kyau.

Kwayar cutar PMS na iya zama mai tsananin isa don hana ka aiki kullum.

Adadin kashe kansa a cikin mata masu fama da baƙin ciki ya fi girma a lokacin rabi na biyu na lokacin al'ada. Rashin lafiyar yanayi yana buƙatar bincikar lafiya da magance shi.

Yi alƙawari tare da mai ba da sabis idan:

• PMS baya tafiya tare da maganin kansa
• Alamun cutar ka suna da ƙarfi sosai don sun iyakance damar yin aikin ka
• Kuna jin kamar kuna son cutar da kanku ko wasu

PMS; Ciwon dysphoric na premenstrual; PMDD

• Ciwon ciki kafin haihuwa
• Sauke PMS

Katzinger J, Hudson T. Ciwon premenstrual. A cikin: Pizzorno JE, Murray MT, eds. Littafin koyar da Magunguna. 5th ed. Philadelphia, PA: Elsevier; 2021: babi na 212.

Magowan BA, Owen P, Thomson A. Zubar da jini mai yawa, dysmenorrhea da cututtukan premenstrual. A cikin: Magowan BA, Owen P, Thomson A, eds. Clinical Obetetrics da Gynecology. 4th ed. Elsevier; 2019: sura 7.

Marjoribanks J, Brown J, O'Brien PM, Wyatt K. Mai zaɓin maganin serotonin reuptake masu hana cutar premenstrual syndrome. Cochrane Database Syst Rev.. 2013; (6): CD001396. PMID: 23744611 pubmed.ncbi.nlm.nih.gov/23744611/.

Mendiratta V, Lentz GM. Tsarin dysmenorrhea na farko da na sakandare, cututtukan premenstrual, da kuma cutar dysphoric na premenstrual: ilimin halittu, ganewar asali, gudanarwa. A cikin: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. M Gynecology. 7th ed. Philadelphia, PA: Elsevier; 2017: babi na 37.