Zizindikiro ndi zotsatira za opaleshoni iyi
Sulpingo-oophorectomy, yomwe imatchedwanso BSO, ndiyo njira yopaleshoni yomwe mazira ndi mazira amachotsedwa. Opaleshoniyi nthawi zambiri imachitika nthawi ya hysterectomy, yomwe chiberekero cha mkazi chimachotsedwa, koma osati nthawi zonse.
Mosiyana ndi zimenezi, pamene pulogalamu imodzi yokhayo imachotsedwa, njirayi imatchedwa "unilateral salpingo-oophorectomy".
Nthaŵi zina amatchulidwa kuti ali kumanja kapena kumanzere ndi RSO (salpingo-oophorectomy) kapena LSO (kuseri salpingo-oophorectomy).
Zisonyezo
Silipingo-oophorectomy yapakati imodzi yachitika pofuna kuthana ndi mitundu ina ya khansa ya amayi , makamaka khansara ya ovari. Zingathenso kutetezedwa kuti tipewe khansa ya m'mawere ndi khansa ya m'mimba mwa amayi omwe ali ndi chiopsezo cha majini.
Zotsatira za Opaleshoni Ichi
Pamene mazira amachotsedwa, amayi amatha kusamba nthawi yomweyo. Izi zikutanthauza kuti amayi omwe anali asanamwalire asanayambe opaleshoni adzakhala post-menopausal. Kupititsa patsogolo kusamba kwa mimba kumatsanzira zomwe zimachitika pakubadwa kwa thupi, pamene maestrojeni a mkazi amatha msinkhu, chifukwa cha kuchepa kwa ntchito yoyambira. Kumatanthauzanso kuti mkazi sangathe kukhala ndi ana.
Kutsika kwa estrogen kumabweretsa zizindikiro zokhudzana ndi menopausal monga kutentha, kutuluka usiku, ndi kuyanika kwa amayi. Kutsika kwadzidzidzi kwa estrogen mu thupi ndi kuchotsa opaleshoni ya mazira ochuluka kungachititse kuti zotsatira za kuchepa kwa thupi zikhale zovuta kwambiri, poyerekeza ndi kuchepa kwa estrogen mochepa pakuwona kusamba kwa thupi.
Dontho la estrogen pambuyo pochotsa mazira ozungulira amatha kuonjezera chiopsezo cha amayi cha matenda a mtima ndi kufooka kwa mafupa, kapena kutayika kwa mafupa - monga momwe zimakhalira kumasamba kwa thupi.
Kodi N'chiyani Chimachitika Patatha Opaleshoni?
Mkazi adzafunika kutsatiridwa ndi dokotala wake wa zachipatala ndi dokotala woyang'anira chisamaliro pambuyo pa opaleshoni kuti ayang'ane zoopsa zaumoyo, monga matenda a mtima ndi matenda otupa mafupa, komanso kuti adziwe ngati mankhwala a homophose a menopusal ndi ofunika.
Mankhwala a hormone a menopausal ali ndi estrogen ndi / kapena progesterone, omwe ndi mahomoni omwe mazira a mkazi amapanga. Ngati mkazi atachotsedwa chiberekero ndi mazira ake, akhoza kutenga mankhwala a estrogen yekha. Komabe, ngati mayi akadali ndi chiberekero, adzafunika mankhwala a progesterone, kuwonjezera pa estrogen. Thandizo la Progesterone limaperekedwa pofuna kupewa kutsekemera kwa eserojeni ya chiberekero cha uterine, chomwe chingayambitse khansa ya uterine.
Chigamulo chotenga mankhwala otchedwa menopausal mankhwala ndi ovuta ndipo chimadalira pa zinthu zingapo monga zaka zanu, zizindikiro, mbiri ya banja, mbiri yachipatala, ndi zosowa zanu. Mlingo, nthawi, zoopsa, ndi phindu la mankhwala a mahomoni am'thupi ayenera kuyankhulana mosamala ndi dokotala - ndilo lingaliro losiyana ndi mkazi aliyense.
Zotsatira:
American Cancer Society. (2015). Opaleshoni ya Khansa ya Ovariya.
The North American Menopause Society. (2014). Mmene Mungayambira Kusamba: Buku la Clinician, 5th. Mayfield Heights, OH: North American Menopause Society.