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Taaruf

Qabal az Hayd bechaini ka airdha, jise angrezi mein Premenstrual Dysphoric Disorder (PMDD) kaha jata hai, ek sangeen aur shadeed qism ki qabal az hayd alamat hai. Yeh haalat aam tor par hayd se ek ya do haftay pehle shuru hoti hai aur hayd ke shuru hone ke chand din baad kam ho jati hai. Jabke Premenstrual Syndrome (PMS) ek aam haalat hai jo lagbhag 80% khawateen ko mutasir karti hai, PMDD nisbatاً kam payi jati hai, aur yeh lagbhag 3-8% khawateen ko mutasir karti hai. Iski alamat itni shadeed ho sakti hain ke rozmarra ki zindagi, taluqaat, aur majmu’i sehat par asar andaz hoti hain. Mazeed tafseelat ke liye, yahaan dekhein.

PMDD Ki Alamat

PMDD ki alamat jazbati, nafsiyati aur jismani hoti hain, jo aam tor par itni shadeed hoti hain ke kaam, school, social life, aur taluqaat mein rukawat paida karti hain. Yeh alamat aam tor par hayd se 7-10 din pehle zahir hoti hain aur hayd ke shuru hone ke foran baad kam ho jati hain.

1. Jazbati Aur Nafsiyati Alamat

   • Shadeed mood ki tabdeeliyaan
   • Depression ya mayoosi ke jazbat
   • Ghussah ya chirchiraapan
   • Shadeed bechaini ya tanav
   • Rad karne ki hasasiyat mein izafa
   • Tawajjoh markaz karne mein mushkilat
   • Achaanak gham ya rohne ki keefiyat

2. Jismani Alamat

   • Thakawat ya taqat ki kami
   • Neend ke masail (be-khobi ya zyada sona)
   • Bhook mein tabdeeli ya khanay ki khwahish
   • Seene ki narami ya soojan
   • Sar dard ya migraine
   • Peet mein gas ya soojan
   • Joron ya pathon mein dard

Asbab Aur Khatray Ke Aamils

PMDD ka sahi sabab abhi tak mukammal tor par samjha nahi gaya, lekin yeh khayal kiya jata hai ke yeh mahowari ke doran hone wali hormonal tabdeeliyon par ghair mamooli rad-e-amal ki wajah se hota hai. Mazeed tafseelat ke liye, yahaan dekhein.

Mumkin Asbab:

• Hormonal Tabdeeliyan: Mahawari ke doran estrogen aur progesterone ki satah mein hone wali tabdeeliyan sensitive PMDD ki aham wajah ban sakti hain.
• Serotonin Ki Adam Taqdeer: Serotonin mein hone wali tabdeeliyan, jo ke mood ko control karne wala ek neurotransmitter hai, PMDD ki alamat ko barha sakti hain.
• Jeniati Wajuhat: PMDD ka khandan mein paya jana is baat ki nishandi hai ke yeh jeniati tor par virasat mein milne wali haalat ho sakti hai.
• Nafsiyati Bimari Ki Tareekh: Woh khawateen jinki mazi mein depression, bechaini ya doosri mood ki bimariyon ki tareekh rahi ho, un mein PMDD ke imkanat zyada hote hain.

Tashkhees

PMDD ki tashkhees ke liye nafsiyati alamat ka jaiza liya jata hai, jo DSM-5 (Diagnostic and Statistical Manual of Mental Disorders) mein di gayi hidaayat par mabni hota hai. Kam az kam paanch alamat ki maujoodgi aur un mein se ek ka jazbati noiyat ka hona zaroori hai. Alamat ko rozmarra ki zindagi mein numaya mdaakhat karni chahiye aur hayd ke shuru hone ke chand din baad kam ho jani chahiye. Mazeed maloomat ke liye, yahaan dekhein.

Ilaaj Ke Tareeqe

PMDD ka ilaaj alamat ko kam karne par markuzi hota hai aur ismein lifestyle mein tabdeeli, therapy, dawaiyan, aur mutabadil ilaaj shamil ho sakte hain.

1. Lifestyle Mein Tabdeeliyaan

   • Ghiza: Caffeine, alcohol, shakar, aur namak ki maqdaar ko kam karein; carbohydrates, protein, aur omega-3 fatty acids ki maqdaar barhayein.
   • Warzish: Baqaida jismani sargarmi mood ko behtar bana sakti hai aur taqat ki satah ko barha sakti hai.
   • Tanav Ka Intizam: Mindfulness, meditation, aur relaxation techniques bechaini ko kam kar sakti hain.

2. Dawaiyan

   • Anti-Depressants: Selective Serotonin Reuptake Inhibitors (SSRIs) jaise Fluoxetine (Prozac) aur Sertraline (Zoloft) jazbati alamat ko kam karne mein mo’asar sabit ho sakte hain.
   • Man’a Karne Wali Goliyan: Hormonal birth control hormonal satah ko mustahkam karne mein madad kar sakta hai.
   • Gonadotropin-Releasing Hormone (GnRH) Agonist: Shadeed cases mein, GnRH agonist ka istemal mahawari ko arzi tor par rok kar alamat ko control karne mein madad kar sakta hai.
   • Anti-Suzshi Dawaiyan: NSAIDs jaise Ibuprofen jismani alamat jaise dard aur seene ki narami ko kam kar sakti hain.

3. Therapy

   • Counseling Aur Therapy: CBT (Cognitive Behavioral Therapy) PMDD ke jazbati pehluon ko manage karne mein madadgar sabit ho sakti hai.
   • Support Groups: Support groups mein shamil hone se jazbati support mil sakti hai aur mushkilat ko samajhne mein aasani ho sakti hai.

PMDD Ke Saath Jeena

PMDD ko munazzam karne ke liye khud aagahi aur amali hikmat-e-amli ahm hain. Yahaan kuch tajweez di ja rahi hain:

• Alamat Ki Tracking Karein: Rozana alamat ki diary rakhna pattern ko samajhne mein madadgar sabit ho sakta hai.
• Support Network Banayen: Doston, khandan, ya support groups se baat karna tanhai ke ehsaas ko kam kar sakta hai.
• Khul Kar Baat Karein: Sehat ki dekh bhal faraham karne wale se PMDD par baat karein taake mozu ilaaj ke tareeqe apnaye ja saken.