Malinga ndi kafukufuku wina wa ku Finnish wofalitsidwa mu 2003, mwayi wamayi wokhala ndi khansa ya chithokomiro ikhoza kuwiriridwa m'miyezi 18 yoyambirira chitatha opaleshoni ya hysterectomy . Ofufuzawa anapeza kuti amayi omwe ali ndi hysterectomy amapezeka kawiri kawiri pomwe amayi ena amapezeka ndi khansa ya chithokomiro mkati mwa miyezi 6 mpaka miyezi 18 mutatha kugwira ntchito.
Olembawo amanena kuti chiopsezo cha khansa ya chithokomiro chikhoza kuwonjezeka chifukwa cha zifukwa zomwe zimapangitsa mkazi kukhala ndi hysterectomy, osati kuchokera pa ndondomeko yokha.
Malingana ndi kafukufukuyo, chiopsezo cha khansa ya chithokomiro pakati pa amayi omwe anali ndi hysterectomy anali pafupifupi 40% kuposa kuposa, koma ngozi zowononga kwambiri zoposa 18 miyezi yowonjezera pambuyo pa opaleshoni.
Akatswiriwa amanena kuti sakhulupirira kuti hysterectomy inachititsa kuti chiopsezo cha khansa yawonjezeke. M'malo mwake, zikuwoneka kuti pali kugwirizana kwa mtundu wina kapena chikhalidwe pakati pa chifukwa cha hysterectomy-kawirikawiri, zotupa zopweteka zotchedwa uterine fibroids kapena kutaya magazi kwambiri - ndi khansa ya chithokomiro.
Kafukufuku Wowonjezera
Mu kafukufuku wotchedwa "Kansalu ya khansa yapamwamba pambuyo poyambitsa matenda a hysterectomy ndi zotsatira zowonongeka: phunziro lowerengera la anthu," lomwe linavomerezedwa kuti lifalitsidwe ndi International Journal of Cancer mu 2016, wofufuzira wa ku Sweden ambiri akuyang'ana zomwe zimachitika khansa pakati pa anthu omwe alandira hysterectomy chifukwa chabwino.
Akatswiriwa adafufuza kuti kafukufuku wam'mbuyomu wawonetsa kuti chiopsezo chachikulu cha amayi sakhala ndi kansa ya kanseri pambuyo pa hysterectomy komanso ovary ndi impso (impso) khansa. Zowonjezerekazi zimawonetsedwa kwa amayi omwe ali ndi hysterectomy omwe alibe kachilombo kawiri ka salpingo-oophorectomy (BSO), kapena kuchotsedwa kwa mazira.
Mwachiwonekere, pamene mazirawa amakhalabe mu thupi, mahomoni omwe amabweretsa akhoza kugwirizana ndi chitukuko cha khansa.
Nawa ena mwazofukufuku zomwe zafukufuku:
- Kwa amayi onse omwe ali ndi hysterectomy okha ndi hysterectomy ndi BSO, pangakhale kuchepa kwapakati pa mitundu yonse ya khansa.
- Kwa amayi onse omwe ali ndi hysterectomy okha ndi hysterectomy ndi BSO, kuwonjezeka kwa chiwopsezo cha kanseri ndi ubongo.
- Kwa amayi onse omwe ali ndi hysterectomy okha ndi hysterectomy ndi BSO, sipanakhale kuwonjezeka kwa chiopsezo cha khansa ya m'mawere, m'mapapo kapena m'mimba .
Chonde dziwani kuti amayi a ku Sweden omwe adaphunzira ndi ochita kafukufuku anali ndi hysterectomy pazifukwa zina osati khansa.
Ofufuza a ku Switzerland akuganiza kuti hysterectomy pamodzi ndi popanda BSO mwinamwake sichikuwonjezera chiopsezo cha khansa mwa njira yowonjezereka koma kakhala ndi chochita ndi mahomoni.
Kodi Chiyanjano Pakati pa Hysterectomy ndi Khansa Chikutanthauzanji?
Chonde kumbukirani kuti kafukufuku wapamwambawa amagwiritsira ntchito zoopsa zomwe zingathandize kufotokoza mgwirizano pakati pa hysterectomy ndi khansa. Mwa kuyankhula kwina, ngakhale ngati chiopsezo chawonjezeka, ndizotheka ndithu kuti nambala yaing'ono chabe ya amayi kwenikweni imakhala ndi kansa ya chithokomiro pambuyo pa hysterectomy.
Pomalizira, ngati dokotala wanu akutsimikizira kuti mukusowa hysterectomy, muyenera kumatsatira malangizo ake ngakhale mukudandaula za vuto lalikulu la khansa. Komabe, lingakhale lingaliro loyenera kusunga zomwe tafufuzazi mmaganizo mu miyezi ndi zaka chitatha opaleshoni.
Makamaka, muyenera kudziwa kusintha kulikonse m'thupi lanu komwe kungasonyeze kusintha kwa chithokomiro kapena khansa ya chithokomiro. Mwachitsanzo, kutsekula kwa chithokomiro, mantha, kupweteka kwa khosi, kapena kukoma mtima m'khosi kungakhale zizindikiro za mitsempha ya khate kapena khansa. Ngati muwona chithokomiro chilichonse, yambani ndi dokotala wanu mwamsanga.
Muyeneranso kulingalira kuti muwonetsetse kuti gulu la TSH, Free T4, ndi Free T3, likuyesedwa chaka chilichonse pambuyo pa hysterectomy, kuonetsetsa kuti chilichonse chomwe chimayambitsa chithokomiro sichinyalanyazidwa.
Zotsatira:
Nkhani yonena kuti "Kuopsa kwa khansa kwa nthawi yaitali pambuyo poyambitsa matenda a hysterectomy ndi zotsatira zake zowonongeka: phunziro lowerengera la anthu" ndi D Altman ndi alembi ena adavomerezedwa kuti azifalitsidwa ku International Journal of Cancer mu 2016.
American Journal of Obstetrics ndi Gynecology 2003; 188: 45-48.