PMDD ni indwara y'ibyiyumvo ikabije, ikunda gusubira igaragara mu cyumweru kimwe cyangwa bibiri mbere y'igihe cy'ibiseke, ikarangirira mu minsi mike nyuma yuko amaraso atangiye gutembera. Abagera kuri 4% by'abantu b'igitsina gore bakora imibonere irasobanutse. Ni indwara yo mu mutwe yemewe, ntabwo ari PMS mbi, kandi ivurwa neza.
Mubifupi: Ibintu by'ingenzi bigomba kwibukwa
- Kuyimenya bisaba nibura ibimenyetso 5 kuri 11 byihariye, kimwe muri byo ni ikimenyetso cy'imyifatire, cyemejwe n'inyandiko za buri munsi mu ngendo ebyiri zikurikirana.
- Ibisubizo bisanzwe byo mu bipimo by'amaraso ntibishobora kuyihakana. Ikibazo ni ugusubizwa bikabije kw'ubwonko ku mpinduka z'isanzwe z'ama hormone, aho kuba ku rwego rw'ama hormone adasanzwe.
- Ibimenyetso bigomba kurangira nyuma yuko amaraso atangiye gutembera. Niba bitarangira burundu, kwiyumvamo birashobora kuba ikindi kintu.
- SSRIs ni umurongo wa mbere kandi zishobora gufatwa mu gihe cy'ikindi gihe cy'amezi, abantu bagera kuri 60% kugeza kuri 70% bakagaragaza impinduka nziza.
- Aho kugira ngo uhore wiyahura biriyongera cyane. Hamagara cyangwa wohereze SMS kuri 988 niba utekereza kwiyahura, kandi hamagara 911 mu gihe ufite akaga ako kanya.
PMDD ntabwo ari PMS mbi, ni ugusubizwa bikabije kw'ubwonko ku amahormone asanzwe
Indwara yo guhangayika cyane imbere y'igihe cy'ibiseke (PMDD) ni indwara y'ibyiyumvo bikabije, ikunda gusubira igaragara ihujwe n'igihe cyo hagati mu cyiciro cy'ama-hormone, iki gihe cy'ibyumweru bibiri hagati y'igihe cyo gusama n'igihe cy'ibiseke. Ni indwara yemewe na DSM-5, ntabwo ari imico, Abagera kuri 4% by'abantu bakora imibonere barasobanutse, ingaruka zisa n'izamavuriro y'ibyiyumvo bikabije bikomeye, kandi ivurwa neza.
Inyigisho y'ibanze yo mu by'ibinyabuzima, ivuye muri Ishami rya NIMH ry'Ubuvuzi bw'Imibonere, ni ugusubizwa bikabije kw'ubwonko ku mpinduka z'isanzwe z'ama hormone mu ngingo zitera imbyaro aho kuba ku rwego rw'ama hormone adasanzwe. Ibyo bifite ingaruka ko hafi ya bose batazi mbere: ibipimo by'amaraso by'ama hormone muri iyi ndwara biba bisanzwe. Ibisubizo bisanzwe ntibishobora kuyihakana.
Aprosenteyi 4 ni imibare igomba kwibukwa. Mu cyegeranyo cy'abantu 3.965 baturutse mu gihugu cyose cy'Amerika, 4.0% bahuye n'ibimenyetso byuzuye. MedlinePlus ivuga ko ingaruka zisa n'izamavuriro y'ibyiyumvo bikabije bikomeye cyangwa kwihangayika by'umwihariko, ibi bihuje n'ibyo abantu bavuga: ibyumweru bibiri by'ubuzima busanzwe n'ibyumweru bibiri bidashyikirwa, buri kwezi, rimwe na rimwe mu myaka myinshi.
Aho kugira ngo uhangayike bikabije. Amateka ya trauma cyangwa kwihanganira stress bikabije birabiyongera, kimwe n' uburyo bw'uturemangingo bwihariye, harimo mu genetsi y'isohorwa ry'imyanya ndangagitsina ESR1 no mu genetsi zikoreshwa n'isohorwa ry'imyanya ndangagitsina.
Nta na kimwe muri ibyo ni ikosa ry'umuntu. Nta na kimwe muri ibyo gukwiye kwihanganirwa.
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Rimwe na rimwe bishoboka. Kubera ko iki kibazo giterwa n'uko ubwonko buba bwumva cyane impinduka z'imisemburo aho kuba imisemburo ubwayo, kwitonda cyane cyangwa guhindagurika kw'imisemburo mu gihe cyo kwegereza icura (perimenopause) bishobora gutuma ibimenyetso birushaho gukomera ufite imyaka iri hagati ya 35 na 50. Ikibazo ni uko imihango itangira kudahora ku gihe, bityo ibimenyetso bigashobora kwitiranywa n'impinduka z'imyumvire ziterwa n'iyo myaka. Komeza gukurikirana imihango yawe hashingiwe ku gihe ubonye amaraso, si ku minsi y'ingengabihe.
Yego, akenshi biragenda bityo. Imiti yo kuboneza urubyaro ikumira iyakuramo ry'intanga ngore, bityo ikagabanya ibimenyetso igihe ukoresha iyo miti. Ariko iyo miti ntivura uko ubwonko bwawe bwumva iyo misemburo, bityo ibimenyetso bikunze kugaruka mu gihe cy'imihango imwe cyangwa ibiri nyuma yo kureka imiti. Niba ufashe icyemezo cyo kureka iyo miti kugira ngo ushake urubyaro cyangwa kubera ingaruka zayo, komeza wandike uko wumva buri munsi nk'uko wari usanzwe ubikora. Ibi bizafasha muganga wawe kumenya amakuru akenewe kugira ngo murebe icyo mwakora gikurikira.
PMDD na PMS: Itandukaniro ni uko PMDD iba ifite ibimenyetso byinshi, ntabwo ari ukwezi kabi
Uburyo bwiza bwo kuvuga PMDD na PMS ntabwo ari uburyo bwo kwiyongera ahubwo ni umurongo utambuka cyangwa utambuka, kuko izi ndwara zombi zitandukanywa n'umurongo ubaririka.
| Ikiranga | PMDD | PMS |
|---|---|---|
| Umubare w'ibimenyetso byihariye | Nibura 5 kuri 11 byihariye | Nta mubare wahagaritswe |
| Ibisabwa ku kimenyetso cy'imyifatire | Yego, nibura kimwe mu bihinduka mu myifatire, kurakara, kwicwa n'isoni, cyangwa guhangayika | Nta bisabwa |
| Uburyo bwo kumenya | Abo bantu b'igitsina gore bafite 4% | Abakora imibonere benshi bafite ibimenyetso bimwe na bimwe mbere y'igihe cy'ibiseke |
| Ingaruka ku buzima busanzwe | Bisabwa kugirango yandikwe | Ntabwo bisabwa |
| Ubuvuzi bw'ibanze | SSRIs, guhagarika gusama | Uburyo bwo kubaho, imiti isubiza ububabare, imiti iboneza |
Zibona ko tabeli itandukanya iki: igihe. Zombi zibaho mu cyiciro cyo hagati mu gihe cy'ama-hormone kandi zombi zigenda zigabanuka amaraso yatangiye gutembera, bityo igihe cyonyine nticyababonerana. MedlinePlus ivuga ko uburyo bwo guhangayika bukunze kuba bugaragara kuruta PMS isanzwe, kandi ko ubuvuzi bwaho buhuza n'ubwakoreshwaga kuri PMS yikabije, ni nabyo bituma kuvuga ubukana bidafite akamaro.
Rero, "PMS yanjye iruta iy'inshuti yanjye" ntabwo ari indwara. Umubare urabarika, kandi kubarira ni akazi.
People also ask
Oya. Iyo uburwayi busanzwe bugaragara mbere y'imihango ariko ntibushire burundu nyuma yayo, icyo si PMDD ahubwo ni ukurushaho gukomera kw'indwara usanzwe ufite (PME), kandi uko bivurwa biterwa n'iyo ndwara ubwayo. PMDD yo isaba ko ugira igihe cy'ibyumweru bimwe na bimwe utarwaye na gato cyangwa umerewe neza nyuma y'imihango. Iyi ni yo mpamvu gukurikirana no kwandika ibimenyetso byawe buri kwezi ari ngombwa kurusha kwisuzumisha ibibazo by'impapuro gusa.
Rimwe na rimwe, ariko bifite ingaruka. Kubaga bakagukuramo ibihekwa (ovaries) bituma imisemburo ihagarara bityo n'ibimenyetso bikaba byashira, ariko ibi bituma ugera mu icura bitewe n'ubuvuzi kandi akenshi bisaba guhabwa imisemburo mu buryo bw'imiti nyuma yaho. Iyi ni intambwe ya nyuma ikwiye gusa igihe uburyo bwo guhagarika imisemburo binyuze mu miti bwamaze kwemeza ko ibimenyetso byawe bishira imisemburo ihagaritswe. Kubaga bakagukuramo nyababyeyi ariko bakagusigira ibihekwa ntibihagarika imisemburo n'ibimenyetso byayo.
Ibimenyetso bya PMDD byagenwe n'igihe, ntabwo ari gusa ubukana
Ibimenyetso bya PMDD ni bimwe mu bibazo abantu benshi babona mbere y'igihe cy'ibiseke, ariko bibaho ku gihe gikomeye cyane cyo gushyiraho urutonde. Bibaho iminsi 10 kugeza 14 mbere y'igihe cy'ibiseke kandi bigakira iminsi ibiri kugeza itatu nyuma yuko igihe cy'ibiseke gitangiye, bisigaza icyumweru gikurikira kidafite akaga cyangwa kitagira ibimenyetso.
- Ibyiyumvo: kurakara cyangwa uburakari, kwicwa n'isoni, guhangayika cyangwa imitsi, guhinduka mu myifatire bikabije, kwifuza kwivuguruza, no kumva wuzuye cyangwa utagenzura.
- Kumenya no gukora: ingorane zo kwibuka, ubwonko bwa buhumyi, amakimbirane mu mibanire, kubura akazi cyangwa ishuli, no kwigunga.
- Umubiri: gutwika amabere, kwishima, kubabara mu ngirwaga cyangwa imitsi, impinduka mu kurya, kutaryama cyangwa kuryama cyane, n'umunaniro.
Amatsinda ayoborwa n'abarwayi arimo ibindi byinshi. Ishyirahamwe mpuzamahanga ry'indwara z'imbere y'igihe cy'ibiseke rizasaba ibimenyetso 40 cyangwa byinshi mu byiciro bitanu, harimo itsinda ry'ubugome n'uburyo bwo kwishyira mu kaga bwo ku munsi bwibagirwa na buri ruhande rw'ibitaro, kandi ntabwo byibagirwa kubera ko kugura byihuse no gufata imyanzuro idafite ubwenge mu cyumweru cyo hagati mu gihe cy'ama-hormone ari byo bintu bya mbere bafatanya na bene wabo.
Hano hari ikintu kimwe cyiza cyane. Niba ibimenyetso byawe bitarangira neza nyuma yuko amaraso atangiye gutembera, iyi ni PMS ikabije y'ikindi kintu cyariho, kandi gushaka indwara y'ibinyoma bizatwara amezi menshi.
People also ask
Akenshi ntibishoboka. Ibimenyetso biterwa n'imikorere y'imisemburo n'isohoka ry'intanga ngore, bityo bikunze gukomeza kugeza igihe imihango ihagarariye burundu (icura). Imbaraga z'ibimenyetso bishobora guhindagurika buri mwaka bitewe n'umunaniro, ibitotsi, cyangwa ibibazo by'ubuzima, ibyo bigatuma wumva nk'aho byakize. Uburyo nyabwo bwo kugarura ibyumweru byawe byiza ni ukwivuza, ntabwo ari ukwitega ko bizishirira.
Ntabwo wakwandikwa PMDD mu kwibuka, bisaba ingendo ebyiri zigenzura
Ibisabwa mu kwandika PMDD ntibishobora kubahirizwa mu kwibuka, ni yo mpamvu gusuzuma PMDD mu ngendo ebyiri zikurikirana ari byo byemeza ko muganga ashobora gukora. Dukurikije icyegeranyo cya AAFP cya DSM-5 na ACOG, ukeneye nibura 5 kuri 11 by'ibimenyetso by'ibyiyumvo n'umubiri byihariye, nibura kimwe muri byo ni uguhinduka mu myifatire, kurakara, kwicwa n'isoni, cyangwa guhangayika, byagaragaye mu ngendo nyinshi mu cyumweru mbere y'igihe cy'ibiseke, bikagenda bigabanuka mu minsi nyuma y'uko amaraso atangiye gutembera, kandi bikaba byagabanutse cyangwa bikaba bidahari mu cyumweru gikurikira.
Ni n'indwara ishingiye ku gusezerana. Indwara ya thyroide, anemia, indwara yo kwicwa n'isoni bikomeye, guhangayika by'umwihariko, n'indwara ya bipolar byose bigomba kwitabwaho mbere. Abaganga bakunda kwemeza uko byagenze binyuze mu Kuvugurura buri munsi ibibazo bikomeye mu ngendo ebyiri.
Iki ni cyo ugomba kwandika, buri munsi:
- Shyira buri kimenyetso ku rwego rwa 0 kugeza 4, harimo n'iminsi wumva wifitiye akamaro.
- Kwereka iminsi ufite amaraso.
- Kwereka ingaruka ku kazi no ku bantu mwegeranye ku ruhande.
- Uzuza igihe kimwe aho kwandika icyumweru ku Cyumweru.
- Zana ingendo zombi zikuzuye ku igenzura.
Akarere k'amazi karimo kumenya amatarak y'igihe cy'ibiseke ntikazakorana iyi mirimo, kandi nta bipimo by'amaraso, scan, cyangwa ikibazo kimwe gishobora gutuma indwara yandikwa.
Ibi ni ibyo abantu benshi batazagusaba: ibyumweru bibiri ni amezi abiri yo kumva bibi mbere yuko ufite ibimenyetso, kandi icyo ni ikiguzi nyakuri. Muganga ashobora kuvura ikintu gikwiye, cyangwa gutangira kuvura hakiri kare igihe ingaruka zikomeye, mugihe ukomeje kwandika. Kwandika ni ko gutandukanya ibi n'ibindi bikoresho bine cyangwa bitanu bifitanye isano, bityo rero birakwiye kubikora uko byagenda kose.
PMDD itera akaga ko kwiyahura gakomeye, kandi ibyo byongera ubukangukiro
PMDD n'iby'ihangayika bikunda guhurira hamwe kurenza uko iyi ndwara yari ifite igitekerezo cyo kuba ikibazo cy'ama hormone. Mu bantu 599 bafite PMDD yemejwe na muganga, 79% bavuga ko babonye ko batekerezaga kwiyahura mu gihe cy'ubuzima kandi 28% bakavuga ko bashakaga kwiyahura mu gihe cy'ubuzima, hafi inshuro 4 kurenza abafite iby'ihangayika kandi inshuro 7 kurenza abagerageje kwiyahura ku bantu badafite iyi ndwara, kandi ubushakashatsi bw'abaturage bwo muri Suwede bwagaragaje hafi inshuro ebyiri z'akaga ko gupfa kw'iyahura. Ibihuje bikomeza nyuma yo kugabana na comorbidities za psychologique (uburyo bwa or 2.22 ku kwicwa n'isoni, 2.27 ku byo bifuzwa, 2.10 ku byo bagize), bityo ntabwo ari gusa kwicwa n'isoni mu rwego rw'agahinda.
Hamagara 911 cyangwa jya ku cyumba cy'ibitaro by'ihutirwa ubu niba:
- Ufite ibitekerezo byo kwiyahura ufite gahunda, umugambi, cyangwa uburyo bwo kubikora.
- Wagerageje kwiyahura.
- Ufite ibitekerezo cyangwa gahunda zo kugira abandi ibyago mu gihe cy'uburakari bwinshi.
- Ufite ibyo wumva cyangwa ubona bidahari, kwivanga bikabije, cyangwa guhura n'ukuri.
- Ntabwo ushobora kwirinda kugeza igihe amaraso atangiye gutembera.
Genzura igenzura mu cyumweru gitaha niba:
- Ufite ibitekerezo byo kwiyahura bigaragara bikagenda bigabanuka igihe igihe cy'ibiseke gitangiye.
- Wagenzuye ingendo ebyiri kandi ibimenyetso birimo bikabangamira akazi cyangwa imibanire.
- Ufite amateka yo kwiyahura.
- Ibimenyetso byawe ntibigabane na gato nyuma yuko igihe cy'ibiseke gitangiye.
Vugana n'umuganga mbere yuko utangira niba: utekereza ku kugira SSRI cyangwa ubuvuzi bw'ama hormone kuri PMDD kandi umafite imiti yo kurwanya agahinda, ufite indwara ya bipolar cyangwa amateka y'umuryango ayifite, uri umubyeyi, uronsa, cyangwa urateganya gusama, cyangwa ufite imitsi migare mu ruhanga, amateka yo kwandika, cyangwa unywa itabi kandi ufite hejuru ya 35. Ibyo bya nyuma bitatu bihindura uburyo bwo kuboneza urubyaro bushobora kuba bwiza.
Muri Amerika, 988 Suicide and Crisis Lifeline yakira amahamagara n'amas messages. Kubyakaga byihutirwa, koresha 911 cyangwa icyumba cy'ibitaro cy'ihutirwa cyegereye. Ntuzigere utegereza igihe cy'ibiseke gikurikira cyangwa igenzura risanzwe.
Ubuvuzi bwa PMDD burakora, kandi SSRIs ntabwo bigomba gufatwa buri munsi
Ubuvuzi bwa PMDD burimo bukora neza cyane, kandi uburyo bwo gufata imiti ntabwo busa n'ubuvuzi bw'agahinda. ACOG Clinical Practice Guideline No. 7 ibona SSRIs nk'ubuvuzi bwa mbere bukoreshwa mu miti, ivuga ko impinduka mu myifatire ishobora kugaragara mu minsi, kandi yemera uburyo bwo gufata imiti buri gihe cyangwa gufata imiti mu gihe cyo hagati mu cyiciro cy'ama-hormone.
Gufata imiti mu gihe cyo hagati mu cyiciro cy'ama-hormone ni igice abarushanwa bareka. Mu by'ukuri bisobanura gutangira SSRI hafi y'iminsi 14 mbere y'igihe cy'ibiseke cyateganyijwe no guhagarara igihe amaraso atangiye gutembera, hafi igice cy'ukwezi ufata imiti. Ugereranyije n'agahinda, aho imiti ifatwa buri munsi kandi ikamara ibyumweru bine kugeza bitandatu ngo ibe ikora. Fluoxetine, sertraline, na paroxetine yo kugenzura ifite uburenganzira bwa FDA bwihariye kuri PMDD, kandi abagera kuri 60% kugeza kuri 70% by'abarwayi bakagaragaza impinduka nziza.
Ikindi cyemerwa ni uguhagarika gusama burundu, cyane cyane n'imiti y'ibinyabuzima ikoreshwa na drospirenone na ethinyl estradiol mu buryo bwa 24/4. Niba ushaka gukoresha imiti yo kuboneza urubyaro, ubu ni bwo buryo bukunda kuba bwiza cyane. Niba utabishaka, SSRI isanzwe ni uburyo bworoshye.
Ku bibazo by'ubuvuzi bikomeye, abasaba bashobora gukoresha umuti wa GnRH agonist hamwe na esterogeni na progestin ku yongerera, uhagarika byihuse ibiciro mugihe wongerera ama hormone asabwa kurinda amagufwa n'ubuzima bw'umutima. Gukuraho imikondo ni umuti wa nyuma, ugomba kwemerwa nyuma yuko uburyo bwa GnRH bwerekanye ko gukuraho ibiciro byahagaritse ikibazo.
Ubuvuzi bw'ubwenge, imyitozo ngororamubiri isanzwe, kuryama bihoraho, calcium, no kugabanya inzoga n'ikawa byose bifasha, ariko bibiteze nk'ikongerwa aho kuba gusimbura ku rwego rw'ubukana. Kandi wamenye ko ibigombye: SSRIs bikunda gutera isesemi, ibibazo by'imibonere, n'ibimenyetso byo guhagarika imiti niba byahagaritswe mu buryo butunguranye, bityo wivugire uwaguhaye imiti ibyo wasabye byose.
Niba ufite ibyumweru bibiri by'amakuru kandi nta muganga wo kwerekana, kwivuza kwa August ku mafaranga 39 bikuhuza n'umuganga wemewe muri Leta Zunze Ubumwe za Amerika washobora kureba ibimenyetso byawe byanditse, akongeramo ibindi byateje ikibazo, kandi akaba yemeza ko imiti yanditswe ari yo ikwiye. Umuganga ni we ufata icyo cyemezo, bityo nta miti yanditse yemezwe, kandi igenzura rimwe ntirishobora gusimbura ibyumweru bibiri by'igenzura byemeza indwara. Ni nanone ntabwo ari igikoresho gikwiye ku bibazo byo kwiyahura. Koresha 988 cyangwa 911 kuri ibyo.
Bimwe mu bibazo bibazwa cyane
Ese PMDD ishobora gutangira nyuma mu buzima cyangwa ikarushaho kuba mbi mu gihe cyo kwizera cyane?
Rimwe na rimwe. Kubera ko iyi ndwara igaragaza uburyo bwo gusubizwa bikabije ku mpinduka z'ama hormone aho kuba ku rwego rw'ama hormone, impinduka zikomeye kandi zidasanzwe zo mu gihe cyo kwizera cyane cyane zishobora kongera ibimenyetso mu myaka ya nyuma ya mirongo itatu n'imyaka mirongo ine. Ikibazo ni uko ingendo zigenda zitagenda neza, bityo imihindagurikire y'igihe ikaba igenda ihindagurika kandi ibimenyetso bikaba byanditse nk'impinduka z'imyifatire yo mu gihe cyo kwizera cyane. Komeza kwandika ku mataraka y'amaraso, aho kuba ku cyumweru.
Ese PMDD yanjye izagaruka niba nahagaritse imiti yo kuboneza urubyaro nakoreshaga ngo nyihure?
Yego, kenshi. Guhagarika gusama biragenzura ibimenyetso mugihe ufite, ariko ntibihindura uburyo bw'ubwonko bwo gusubizwa bikabije, bityo ibimenyetso bikagaruka mu gihe cy'ingendo imwe cyangwa ebyiri nyuma y'uko gusama bitangiye. Niba uhagaritse kugirango usame cyangwa kubera ingaruka zikabi, tangira gusubiramo inyandiko zawe buri munsi icyarimwe. Ibyo bituma muganga wawe afite amakuru y'ubu kugirango ategure intambwe ikurikira.
Ese PMDD ni agahinda gakomeye cyangwa indwara ya bipolar ibyuka mbere y'igihe cyanjye cy'ibiseke?
Oya. Igihe indwara yari isanzwe igenda igaragara cyane mbere y'igihe cy'ibiseke ariko ntihagere ku rwego rwiza nyuma y'igihe cy'ibiseke, ibyo ni PME, kandi umurongo w'ubuvuzi ni indwara iri hasi. Indwara yo guhangayika isaba igihe cy'ibimenyetso bike cyangwa kitagira ibimenyetso nyuma y'igihe cy'ibiseke. Iki gitandukanya ni cyo gituma kwandika gusanzwe bifite akamaro kuruta ikibazo cyose.
Ese gusimburwa kw'igitsina gore cyangwa gukuraho imikondo byacyura PMDD?
Rimwe na rimwe, ku giciro. Gukuraho imikondo guhagarika ama-hormone y'ibice kandi bishobora guhagarika ibimenyetso, ariko bitera igihe cyo kubyara cy'imihindagurikire kandi bikunda gusaba gusimburwa kw'ama hormone nyuma. Ni umuti wa nyuma, ubusanzwe ukwiye nyuma yuko uburyo bwa GnRH bwahagaritse ibiciro bwerekanye ko gukuraho ibiciro byahagaritse ibimenyetso byawe. Gukuraho igitsina gore bihindura ibiciro mu gihe bidahagaritse igiciro cy'ama hormone.
Ese PMDD ishobora kwigendera yonyine?
Ntabwo kenshi. Ibimenyetso biterwa n'ibiciro by'isaha, bityo bikunda kumara kugeza igihe ibiciro bihindurwa, bityo kenshi ku bantu benshi bikaba byibuze. Ubukana bushobora guhinduka umwaka ku mwaka n'imihangayiko, kuryama, n'imiterere y'ubuzima, bityo igihe cyo kuruhuka kigahinduka nk'ikisubizo. Ubuvuzi, aho kwihanganira, ni inzira nyakuri yo kugaruza ibyo byumweru bibiri.
Ibihamya by'ingenzi kuri PMDD
Ni uburyo bwo kwisuzuma bw'ubwonko bwo gusubizwa bikabije ku mpinduka zisanzwe z'ama hormone, aho kuba PMS mbi yo kwihanganira. Intambwe yawe ikurikira uyu munsi: tangira kwandika buri munsi ibimenyetso, ubikore mu ngendo ebyiri zizuye, hanyuma uzijyane ku muganga. SSRIs zifasha abagera kuri 60% kugeza kuri 70% by'abantu. Niba ufite ibitekerezo byo kwiyahura, hamagara cyangwa wohereze SMS kuri 988 ubu.
Ubusabe: Inyandiko iriho ni uburyo bwo gutanga amakuru gusa kandi ntabwo bifatwa nk'inama nziza y'ubuvuzi. Komeza kwegera umukozi w'ubuvuzi ufite ubuhanga kugirango wihitemo kandi wihitemo uburyo bwo kwivuza. Niba ufite ikibazo cy'ubuvuzi bwihutirwa, hamagara 911 cyangwa jya ku cyumba cy'ibitaro byihutirwa uhuye.
