Le I-premenstrual syndrome (i-PMS) iqoqo lezimpawu ezingokomzimba nezingokomzwelo ezivame ukwenzeka ezinsukwini ezi-2 kuya kweziyi-7 ngaphambi kwesikhathi sakho (ngezinye izikhathi kuze kufike ezinsukwini eziyi-14). Ngokuvamile ziphela ngokuqala kwesikhathi sakho noma phakathi nezinsuku ezimbalwa zakhona.

Izimpawu ezivame kakhulu a ukukhathala liphinyiselwe, i amabele azwelayo futhi avuvuke, a ukuvuvukala du isisu esingezansi, izinhlungu zekhanda futhi ukucasuka.

Ukushuba kwezimpawu nobude bazo kuyehluka kakhulu kumuntu wesifazane.

Bangaki abesifazane abathintekile?

Cishe u-75% wabesifazane abavundile uba nezimpawu ezithambile ngosuku olwandulela noma phakathi nesikhathi sokuya esikhathini, njengamajaqamba esibeletho. Lokhu akubavimbeli ukuthi baqhubeke nemisebenzi yabo evamile futhi, kukonke, akubaphazamisi kakhulu. Kwe U-20% kuya ku-30% wabesifazane babe nezimpawu ezinzima ngokwanele ukuthi ziphazamise imisebenzi yabo yansuku zonke³⁸.

Le I-premenstrual dysphoric disorder (PDD) ibhekisela ku-premenstrual syndrome okubonakaliswa kwayo okungokwengqondo kuvelele kakhulu. Kungathinta u-2% kuya ku-6% wabesifazane³⁸.

kwesifo

The nenqubo ukuxilonga isifo sangaphambi kokuya esikhathini isikhathi eside bahlala bengachazwanga kahle. Isigaba esisha esivela ku-International Society for Premenstrual Disorders (ISPMD) sicacisa isimo. Ngakho-ke, kuye kwatholakala ukuthi ukuze kutholwe ukuthi une-PMS, izimpawu kufanele zivele phakathi ne-PMS iningi lemijikelezo yokuya esikhathini onyakeni odlule. Ngaphezu kwalokho, izimpawu kufanele zingabi khona ngokuphelele okungenani isonto elingu-1 ngenyanga.

Ezinye izimo zingase zididaniswe ne-PMS, njengokunqamuka kokuya esikhathini nokucindezeleka.

Izimbangela

Izimbangela eziqondile zalesi simo azikaziwa kahle. Siyazi ukuthi isifo sangaphambi kokuya esikhathini kuhlobene nenge-ovulation kanye nomjikelezo wokuya esikhathini. Enye yezincazelo ukushintshashintsha kwama-hormone okuvamile engxenyeni yesibili yomjikelezo wokuya esikhathini: kuyilapho ukukhishwaestrogen nciphisa, lokho kwe progesterone iyanda, bese iwela ngokushintshana ngokungabikho kokukhulelwa. I-Estrogen ibangela ukuvuvukala kwebele nokugcinwa koketshezi, okuyinto i-progesterone evame ukuyidambisa. Kodwa-ke, uma kune-estrogen eyengeziwe noma i-progesterone enganele, ukungezwani okubuhlungu kwenzeka emabeleni. Ngaphezu kwalokho, ukuguquguquka kwalawa ma-hormone we-2 kubonwa ubuchopho futhi kungachaza izimpawu ezingokwengqondo. Kungase futhi kube nokushintshashintsha kwama-neurotransmitters ebuchosheni (i-serotonin, ikakhulukazi), kulandela ukushintshashintsha kwama-hormone emjikelezweni wokuya esikhathini.