Zimadalira ngati mazira anu amachotsedwanso
Ngati mwangoyamba kumene kukhala ndi hysterectomy monga chofunikira chachipatala kapena mukulingalira njirayi ngati chithandizo chamankhwala pa vuto lachipatala, mukutheka mukudabwa momwe zidzakhudzira mahomoni anu mofulumira komanso mofulumira. Pali mitundu yambiri ya zachiwerewere, kuphatikizapo kuchotsa chiberekero, kuchotsedwa kwa chiberekero ndi kachilombo ka HIV, komanso kuchotsa chiberekero ndi ziwalo zozungulira, monga mazira ndi / kapena mazira.
Mankhwala osokoneza bongo amachotsa chiberekero komanso mazira, ndipo amachotsa mazira ochuluka omwe ali ndi mphamvu zowononga kuti ayambe kusamba mosayembekezereka. Ndicho chifukwa mazira ambiri ndi omwe amapanga mahomoni anu.
Pali umboni wina wosonyeza kuti hysterectomy ikhoza kuwonetsa kupanga kwa mahomoni ngakhale pamene mazira amawasungira. Koma mbali zambiri, madokotala amanena kuti kusunga mazira ndi kuchotsa chiberekero kumapangitsa amayi kuti azipita kusamba.
Choyenera Kuyembekezera Ngati Ovariya Anu Atachotsedwa
Kwa amayi ngati Ruth Lamar, omwe ali ndi chiberekero ndi mazira ochotsedwa, opaleshoni ikhoza kutsatidwa ndi zizindikiro zotero za mimba ngati kutentha ndi kutentha. "Ndingakhale ndikulira miniti imodzi, ndikukwiyitsa yotsatira, ndikukondwera yotsatira," akukumbukira Lamar, wa Fenton, Mo.
Kusokonezeka maganizo kwa Lamar ndi kwa amayi omwe amaloledwa kupita kumapeto kwa nthawi yomweyo kuchotsa mazira awo.
Zizindikiro za kusintha kwa kusamba kwa mimba ndi zofanana ndi zowonongeka pang'onopang'ono, koma zovuta kwambiri. Amaphatikizapo kutentha, kutaya tulo ndikugona tulo, m'munsi mwa libido, khungu louma, kuuma kwa amayi ndi kusinthasintha. Kuchita kusamba kwa thupi kumayambanso kukumbukira kukumbukira, zomwe malinga ndi North American Menopause Society (NAMS), sichikuwoneka mwa akazi omwe amapita kusamba kwachibadwa.
Kukhala ndi mazira ochotsedwa mmalo mokhala ndi kutseka kwachilengedwe kumatanthauza osati kutayika kwa estrogen komanso kutayika kwa testosterone zomwe zingachepetse kutentha, kusunga chilakolako cha kugonana ndi kusinthasintha maganizo. "Akupeza mahomoni awiri," akutero Martha Richardson, MD, wothandizira wotsogoleredwa ndi matenda opatsirana pogonana ku Harvard Vanguard Medical Associates ku Boston.
Chifukwa Chimene Madokotala Ambiri Akusunga Ozira
Mpakana zaka zingapo zapitazo, madokotala nthawi zonse ankachita oophorectomy (kuchotsedwa kwa mazira ochulukirapo) panthawi yachisokonezo kwa amayi atatsala pang'ono kutha. Maganizowa anali oti mazira awo anali pafupi kutsekedwa ndipo kuti kuwachotsa kumathetsa kuthetsa vuto lalikulu kwambiri.
"Dokotala wanga anati kwa amayi a zaka zoposa 40, amasiya mazira. Ngati muli ndi zaka zoposa 40, amazitulutsa kuti musadandaule ndi khansa ya ovari, "anatero Lamar, yemwe ankasokonezeka chifukwa cha nthawi yovuta yomwe inatenga pafupifupi milungu itatu kuchokera mwezi uliwonse.
Tsopano, madokotala ochulukirapo akusungira mazira ambiri , mosasamala kanthu za msinkhu wake. Kafukufuku akuwonetsa mwayi wa mayi kutenga khansara ya ovari pa moyo wake (zosakwana 2 peresenti) ndizochepa kwambiri kuposa chiopsezo cha matenda a mtima (oposa 36 peresenti).
Ngakhale atatha kusamba, mazira amatha kutulutsa mahomoni ang'onoang'ono, kuteteza akazi omwe amatha kudwala matendawa ndi matenda a mtima , komanso kupweteka kwa mafupa.
Kuonjezera apo, kafukufuku wina amasonyeza kuti msinkhu wa msinkhu wanu wopita kuchipatala, mwamsanga msinkhu wa chidziwitso kumapeto kwa moyo, zomwe zikutanthauza kuti kusintha kosasunthika kwa mahomoni kumakhudzanso kuzindikira kwa amayi.
Chinthu chimodzi chosiyana ndi zomwe amaika m'mimba mwawo: Azimayi omwe ali ndi mbiri ya banja la khansa ya ovari angakhale akulangizidwa kuti apitirize kuthamangitsidwa ndi chiberekero pamene chiberekero chawo chichotsedwa. Akazi oterewa angasankhe kuti ma ovari awo asatengedwe ngati palibe hysterectomy, makamaka omwe amayesa kusintha kwa kusintha kwa BRAC zowonjezereka zomwe zimawonjezera chiopsezo cha khansa ya ovari.
Mpumulo ku Zizindikiro za Mwamuna
Lamar ankamasulidwa nthawi yomweyo, ndipo katemera wake anamaliza kuchiritsidwa. Komabe, anavutika ndi kutentha kwake komanso kusokonezeka kwa ubongo, kugona tulo, ndi kugonana kwapakati kwa mwezi umodzi patatha opaleshoni yake.
Kenaka dokotala wake analamula Enjuvia (estrogen ya chomera chochokera ku chomera), ndipo libido yake inakwezeka, maganizo ake amakula ndipo kuwala kwake kutentha kunachepera pakatha sabata imodzi. Lamar akunena kuti amasangalala kupeza mpumulo koma amaganizira za zotsatira zina za mthempha ya menopausal (MHT), zomwe zimaphatikizapo kuwonjezeka kwa chiopsezo cha amayi cha khansa ya m'mawere, kudwala, ndi matenda a mtima.
"Ine ndikudandaula za matenda a mtima chifukwa bambo anga anamwalira ali ndi zaka 48 kuchokera ku matenda a mtima ndi shuga," Lamar akuti.
Akazi omwe ali ndi mbiri yaumwini kapena banja la khansara ya m'mawere angafunikire kutenga Nolvadex (tamoxifen) kapena wina wotchedwa estrogen inhibitor pamene akudwala MHT. Musanayambe kutulutsa mahomoni otentha okha, madokotala ena amauza amayi kuti athandize kupeza mankhwala opatsirana pogonana, zitsamba monga zakudya zakuda , kapena zakudya zamchere.
Malinga ndi NAMS, momwe mayi amamvera akamva kuti chiberekero chake ndi mazira ake achotsedwa zimadalira zinthu zingapo, kuphatikizapo ngati ali ndi MHT. Iwo omwe anali opsinjika maganizo kapena omwe anali ndi vuto la kugonana asanachitidwe opaleshoni akhoza kuona kuti zinthuzo zikuipiraipira. Akazi omwe amasangalala ndi ubwino wokhudzana ndi kugonana asanachitidwe opaleshoni, komabe, angathe kukhala ndi bwino m'maderawa, makamaka ngati ali ndi mankhwala a mahomoni.
Ngakhale amayi ena atulutsa phindu lolemera pambuyo poyambitsa hysterectomy ndi oophorectomy , Lamar akukondwera kuti amachoka ndikugwira ntchito kumbuyo kwake. Iye wataya mapaundi 15 kuyambira njira zake zamankhwala ndipo akuti opaleshoni yake yamulimbikitsa kuti aziganizira za moyo wathanzi.
"Ndikuganiza kuti ndi mwayi woti ndiyang'ane moyo wanga ndikuti, Chabwino, mukuyandikira 50," Lamar akunena. "Ndi nthawi yoyamba kudziyang'anira bwino nokha."
> Zotsatira:
> Riley Bove, MD, Elizabeth Secor, MA, Lori B. Chibnik, Ph.D., Lisa L. Barnes, Ph.D., Julie A. Schneider, MD, MS, David A. Bennett, MD, Philip L. De Jager, MD, Ph.D.Age atayamba kuchita opaleshoni ya kusintha kwa chizoloŵezi cha kutha kwa chidziwitso komanso matenda a Alzheimer kwa amayi achikulire. Neurology. December 11, 2013.
> Martha Richardson, MD. Kuyankhulana kwa foni. 5 Aug. 2008.
> Orozco LJ, A. Salazar, J. Clarke, ndi M. Tristan. "Kusokonezeka kwa Hysterectomy ndi Hysterectomy Plus Oophorectomy kwa Azimenopaususal Women." Laibulale ya Cochrane Isamba 316 Jul 2008 26 Aug 2008.
> Ruth Lamar. Kuyankhulana kwa Telefoni. 13 Aug. 2008.
> Tapisiz, OL , T. Gungor, H. Aytan, S. Zergeroglu, B. Mulazimoglu, U. Bilge, ndi L. Mollamahmutoglu. "Kodi Hysterectomy Imakhudza Katemera wa Ovava?" European Journal of Obstetrics & Gynecology ndi Biology yobereka. 140: 1 (2008): 61-6.
> Umland, EM "Njira Zothandizira Zothandizira Kuchepetsa Kulemedwa kwa Zizindikiro Zogonana ndi Kusamba Kwambiri." Journal of Managed Care Care Pharmacy 14: 3 (2008): 14-9.