{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,28]],"date-time":"2025-07-28T21:47:55Z","timestamp":1753739275604},"reference-count":50,"publisher":"Akademiai Kiado Zrt.","issue":"26","license":[{"start":{"date-parts":[[2022,6,26]],"date-time":"2022-06-26T00:00:00Z","timestamp":1656201600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2022,6,26]]},"abstract":"<jats:p>A premenstru\u00e1lis szindr\u00f3ma (PMS) a reprodukt\u00edv \u00e9letkor\u00fa n\u0151k egyik leggyakoribb probl\u00e9m\u00e1ja. A fizikai, ment\u00e1lis \u00e9s magatart\u00e1sbeli t\u00fcnetek a ciklus lutealis f\u00e1zis\u00e1ban jelentkeznek visszat\u00e9r\u0151en, \u00e9s \u00e9letmin\u0151s\u00e9g-roml\u00e1st okoznak a mindennapi \u00e9letben, befoly\u00e1solva a p\u00e1ciens szoci\u00e1lis, munkahelyi \u00e9s csal\u00e1di kapcsolatait. A t\u00fcnetekre jellemz\u0151, hogy p\u00e1r nap alatt a menstru\u00e1ci\u00f3 kezdete ut\u00e1n spont\u00e1n elt\u0171nnek. A PMS \u00e9s a premenstru\u00e1ci\u00f3s dysphori\u00e1s zavar (PMDD) diagn\u00f3zisa a k\u00f6vetkez\u0151 krit\u00e9riumok alapj\u00e1n \u00e1ll\u00edthat\u00f3 fel a Premenstru\u00e1lis Rendelleness\u00e9gek Nemzetk\u00f6zi T\u00e1rsas\u00e1g\u00e1nak (International Society for Premenstrual Disorders \u2013 ISPMD) aj\u00e1nl\u00e1sa szerint: a PMS eset\u00e9ben a n\u0151nek 1\u20134 t\u00fcnete van, amelyek lehetnek fizikai, viselked\u00e9si vagy affekt\u00edv\/pszichol\u00f3giai jelleg\u0171ek, vagy minimum 5 t\u00fcnettel rendelkezik, melyek fizikai vagy viselked\u00e9si jelleg\u0171ek. Ha viszont egy n\u0151nek 5 vagy t\u00f6bb t\u00fcnete van, \u00e9s ezek k\u00f6z\u00fcl az egyik affekt\u00edv t\u00fcnet (p\u00e9ld\u00e1ul ingerl\u00e9kenys\u00e9g, hangulatingadoz\u00e1s, d\u00fch) a fizikai vagy viselked\u00e9si t\u00fcnetek mellett, akkor a pontosabb PMDD diagn\u00f3zisa \u00e1ll\u00edthat\u00f3 fel. A diagn\u00f3zisok meger\u0151s\u00edt\u00e9s\u00e9hez az \u00e1ltal\u00e1nos \u00e9s a n\u0151gy\u00f3gy\u00e1szati anamn\u00e9zis mellett a p\u00e1ciens \u00e1ltal naponta kit\u00f6lt\u00f6tt prospekt\u00edv sk\u00e1l\u00e1k, p\u00e9ld\u00e1ul a menstru\u00e1ci\u00f3s t\u00fcnetek hat\u00e1s\u00e1nak \u00e9s s\u00falyoss\u00e1g\u00e1nak prospekt\u00edv nyilv\u00e1ntart\u00e1sa, tov\u00e1bb\u00e1 a probl\u00e9m\u00e1k s\u00falyoss\u00e1g\u00e1nak napi nyilv\u00e1ntart\u00e1si sk\u00e1l\u00e1ja jelent seg\u00edts\u00e9get. A ter\u00e1pi\u00e1s terv kialak\u00edt\u00e1sakor fontos figyelembe venni a t\u00fcnetek s\u00falyoss\u00e1g\u00e1t, a n\u0151 fogamz\u00e1si terveit vagy fogamz\u00e1sg\u00e1tl\u00e1si ig\u00e9nyeit, a t\u00e1rsul\u00f3 egy\u00e9b betegs\u00e9geit \u00e9s a kor\u00e1bbi kezel\u00e9si m\u00f3dszerekre adott v\u00e1lasz\u00e1t. A ter\u00e1pi\u00e1s lehet\u0151s\u00e9gek k\u00f6z\u00e9 tartozik \u2013 a PMS \u00e9s a PMDD s\u00falyoss\u00e1g\u00e1t\u00f3l f\u00fcgg\u0151en \u2013 a rendszeres aerob testmozg\u00e1s, a stresszold\u00e1s, a kognit\u00edv viselked\u00e9ster\u00e1pia, a gy\u00f3gyszeres kezel\u00e9sek (szelekt\u00edv szerotoninvisszav\u00e9tel-g\u00e1tl\u00f3k, kombin\u00e1lt oralis \u00f6sztrog\u00e9n-progesztin fogamz\u00e1sg\u00e1tl\u00f3k, GnRH-agonist\u00e1k). Orv Hetil. 2022; 163(26): 1023\u20131031.<\/jats:p>","DOI":"10.1556\/650.2022.32496","type":"journal-article","created":{"date-parts":[[2022,11,18]],"date-time":"2022-11-18T23:20:06Z","timestamp":1668813606000},"page":"1023-1031","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":3,"title":["Premenstru\u00e1lis szindr\u00f3ma \u00e9s premenstru\u00e1lis dysphori\u00e1s zavar."],"prefix":"10.1556","volume":"163","author":[{"given":"Zolt\u00e1n","family":"Kov\u00e1cs","sequence":"first","affiliation":[{"name":"R\u00f3bert Mag\u00e1nk\u00f3rh\u00e1z, Sz\u00fcl\u00e9szeti Oszt\u00e1ly Budapest Magyarorsz\u00e1g"},{"name":"P\u00e9csi Tudom\u00e1nyegyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Kar, Eg\u00e9szs\u00e9gtudom\u00e1nyi Doktori Iskola P\u00e9cs Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriella","family":"Hegyi","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Kar, Eg\u00e9szs\u00e9gtudom\u00e1nyi Doktori Iskola P\u00e9cs Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henrik","family":"Sz\u0151ke","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Kar, Eg\u00e9szs\u00e9gtudom\u00e1nyi Doktori Iskola P\u00e9cs Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"ref0","doi-asserted-by":"publisher","first-page":"1053","DOI":"10.1001\/archneurpsyc.1931.02230110151009","article-title":"The hormonal causes of premenstrual tension","volume":"26","author":"1 Frank","year":"1931","unstructured":"1 Frank RT. 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