Zovuta Zakale Zomwe Zidzakonzedweratu
Gulu la asilikali a US Preventive Services - udindo wapamwamba wa dziko pazinthu zothandizira ma ARV-yatsimikiziranso ndondomeko yake yapitayi yokhudzana ndi mankhwala omwe amachititsa kuti asatengeke. Apanso, Task Force yatulutsa njira iyi kalata ya "D," yomwe ikuwonetsera ndondomeko motsutsa izi potsatira umboni.
Kugwiritsa ntchito mfundo zake zapamwamba komanso zapamwamba zowonjezera, komanso kuthandizira kufunsa mafunso omwe angapangidwe ngati azimayi kapena azimayi (HR) akhoza kutonthozedwa "mwachindunji" kwa amayi onse omwe ali ndi chizoloŵezi choletsa kuchepa kwa matenda a mtima, khansa, shuga, chifuwa chachikulu cha m'mimba, ndipo chiopsezo cha imfa yam'mbuyomu yokhudzana ndi iliyonse ya izi, Task Force ndithu ndi yolondola. Yankho la funso limeneli mu umboni ulipo ndi: ayi. Pali zambiri zomwe zingapindule ndi mahomoni m'malo mwake, koma zowonongeka zambiri, komanso zonse, deta kuchokera ku mayesero akuluakulu komanso abwino kwambiri omwe amachokera pamtunda.
Koma pamene Task Force yankho likhoza kukhala losavomerezeka, funso lawo ndilo nkhani ina. Kodi mapeto afika pamapeto pa kusintha kwa mahomoni pakusintha kwa thupi, makamaka kwa akazi onse, movomerezeka kumasuliridwa kukhala malangizo abwino kwa mkazi wina aliyense? Mukuona kwanga, izo siziri. Ndipo, pamene mfundo yomaliza ya Task Force ikutsatira mwachidziwikire kuchokera ku umboni womwe ukukwaniritsa miyezo yawo yapamwamba, malire a umboniwo akhoza kutsutsidwa.
Zambiri zofunika kuziganizira ndizosavomerezedwe, zophunziridwa, kapena kungowanyalanyaza m'nyanja ya deta.
Zovuta Zinayi
Ndi kulemekeza kwathunthu kwa Task Force ndi mapeto awo, ndiye, ndikugawana nawo anzanga kuti pali vuto linalake lachidziwitso chotsutsana ndi ma hormone m'malo mwake. Mwachindunji, ndikulingalira kuti ndondomeko ya Task Force ili ndi zida zinayi:
1) Kutaya Kupyolera Kugawa
Nthawi iliyonse potanthauzira dera lonena za anthu, pali zovuta zosapeŵeka m'zinthu ziwiri zotsutsana: kupukuta, ndi kupatukana. Kuwombera ndi pamene anthu osiyana kwambiri a gulu lalikulu amachitidwa chimodzimodzi. Kutupa ndi pamene malipiro amapangidwa chifukwa cha kufunika kwa kusiyana pakati pa gulu, makamaka pogwiritsa ntchito kagulu kafukufuku.
Chifukwa ntchito ya Task Force ikupereka ndondomeko yokhudza anthu ambiri, kapena mbali yaikulu ya izo, zimakhala zovuta zokhotakhota.
Kodi ndizolakwa ziti? Zomwe amakhulupirira zokhudzana ndi mahomoni amachokera makamaka pamsampha waukulu kwambiri pa nkhaniyi, Women's Health Initiative . Koma chiyesochi chinalembetsa akazi onse achikulire ndi achichepere; Azimayi omwe adayambitsa HR atangomaliza kusamba, ndi omwe adayambitsa zaka khumi kenako; amayi omwe anali ndi hysterectomy ndipo anali, motero, amatha kutenga estrogen okha; komanso amayi omwe ali ndi chiberekero choyenera chomwe anafunikira kugwirizanitsa estrogen ndi progesterone.
Kodi akazi onsewa ali ndi zotsatira zofanana kuchokera kwa HR? Ayi. Anzanga ndi ine tinasindikiza kafukufuku mu 2013 mu American Journal of Public Health , yochokera pa data kuchokera ku Women's Health Initiative, koma inaganizira za zotsatira za nthawi yayitali kwa amayi omwe anadwala hysterectomy ndipo anali kutenga estrogen okha.
Amayi awa atayamba mankhwala a estrogen pafupi kapena asanakwanitse zaka 50, nthawi yeniyeni ya kusamba kwa mimba, idasokonezeka kwambiri pazifukwa zomwe zimayambitsa matenda. Kutanthauzira kwathu kunali kuti kwa gulu ili la akazi, omwe akuwerengera makumi khumi mwa ma miliyoni ku United States, kulephera kugwiritsa ntchito njira ya estrojeni kunachititsa makumi masauzande ambiri kufa imfa isanakwane zaka khumi zilizonse. Zomwezo, ndiye, ndizoopsa za kupuma.
2) Mwa ana aamuna ndi a Baths
Mphepete mwachindunji ndi kulephera kusiyanitsa madzi ndi madzi osamba panjira yopita mwachidule. Deta kuchokera ku mayesero omwe gulu la Task Force limapereka limatsindika kufunika kwa msinkhu pa nthawi yowonjezeretsa mahomoni, nthawi yomwe imayambira kusamba, komanso ngati estrogen ndi progesterone iyenera kuphatikizidwa.
Ngakhale kulimbikitsidwa kwa amayi onse kuti agwiritse ntchito HR kumalephera kuthetsa madzi osamba, malangizowo omwe amalephera kuwombola mwanayo.
3) Lamulo lachitatu la Newton
Lamulo lodziwika lachitatu la kuyendayenda ndilo: pachithunzi chirichonse, chofanana ndi chotsutsana . Pazaka zapitazi, tachokera ku chidziwitso chochuluka chokhudza mahomoni, kuti tifalikire mwakhama pamaziko a mayesero oyang'anitsitsa, kubwerera ku chidziwitso chokhazikika pamaziko a mayesero osinthika. Pamene kulumpha kwa pendulum komweku kumadziwitsidwa ndi chidziwitso ndi deta zamakono, komanso, mbali imodzi, zomwe zimagwirizana ndi zomwe zisanachitike. Lingaliro la sayansi lingakhale losagwirizana ndi lamulo lophweka loyendayenda ngati bwalo la flotsam, koma lingaliro langa ndiloti siliteteze kwathunthu, kaya.
4) Palibe Umboni Wosiyana ndi Umboni Wosakhala Wopanda
Makhalidwe apamwamba a kafukufuku omwe akugwiridwa ndi Task Force akutsimikizira kuti umboni umene amagwiritsa ntchito udzakhala wabwino. Koma kodi ndi zotsimikiziridwa zotani zoperekedwa zokhudzana ndi kusowa kwa umboni wofunika kwambiri pa chidziwitso chonse? Palibe, ndithudi. Ndithudi, gulu la Task Force liyenera kusankha ngati umboni ulipo wokwanira kutsimikizira mfundo yomveka bwino, ndipo iwo ali ndi mayina a kalata kuti asonyeze ngati palibe. Koma komabe, ndondomeko yowonetsera umboni imasonyezeratu kuti palibe umboni wa umboni woti palibe.
Zomwe zikutanthawuza pa nkhaniyi ndikuti pafupifupi zonse zomwe zimayesedwa kuti ndizolowera ku "mahomoni" m'malo mwake, zimakhala zochepa kwambiri, zomwe zimakhala zosafunika kwambiri. Kutsogoleredwa kwa Premarin (mawonekedwe a estrogen kuchokera ku mahatchi, osati anthu), ndi Provera (medroxyprogesterone acetate, progesterone yapamwamba kwambiri). Kuphatikizidwa kwa izi kumatchedwa "Prem / Pro." Kodi zomwe tikudziwa zokhudza mahomoni amenewa zimatiuza zambiri za ena onse? Ayi, si-apo ndi pomwe umboniwo ulibe. Task Force yapanga kuti "palibe umboni" ngati tingatsimikizire kuti zikugwirizana ndi lingaliro lakuti pali umboni wodalirika wosapezekapo kuchokera ku malo a homoni, ngakhale pokonzekera bwino. Mfundo yosavuta ndi yakuti, sitikudziwa kwenikweni.
Kusankha Choyenera Kwa Inu
Monga zida zapamwambazi, zikuwoneka kuti ndondomeko ya Task Force imalephera kuonetsetsa kuti pali zinthu zitatu zofunika kwambiri-zomwe zingakuuzeni nokha, kupanga:
1) Ndendende Chiyani?
Akatswiri amavomereza kwambiri kuti kukonzekera kwa ma hormone kumasiyana kwambiri ndi zotsatira zake. Dongosolo loyesedwa lachidziwitso mwachidule silingapezeke pazinthu zambiri zomwe akukonzekera omwe akatswiri ambiri amalangiza. Ngakhale sitikudziwa kuti njira zina zokonzekera zimathandiza kuchepetsa matenda aakulu pamene Prem / Pro sali, mayesero a Prem / Pro sangawononge phindu limeneli. Ngakhale mu deta yomwe ilipo, zotsatira za estrogen kuphatikizapo progesterone, motsutsana ndi estrogen yokha, ndi zosiyana kwambiri.
2) Ndendende liti?
Zotsatira za kusinthika kwa mahomoni zimasiyana kwambiri ndi nthawi. Gwiritsirani ntchito ndi atsikana achichepere, pafupi ndi nthawi ya kusamba, amapereka phindu lalikulu komanso zocheperapo kusiyana ndi ntchito yamtsogolo. Mayesero akuluakulu osokoneza bongo amayenera kuphatikizapo kugwiritsira ntchito mochedwa, polemba deta kuchokera m'magulu awa pamodzi.
3) Ndani kwenikweni?
Akazi omwe adzizidwa ndi hysterectomy akhoza kutenga estrogen popanda progesterone. Poyambira kumayambiriro kwa kusamba kwa thupi, zimakhala zowonjezereka kwambiri zowonjezera mahomoni. Zotsatira zake zokhudzana ndi chiopsezo chaumwini zimakhala zosiyana ndi mbiri ya banja komanso zoopsa za banja. Ngakhale Task Force ili ndi udindo wopereka chitsogozo cha chiwerengero cha anthu, izi ndizovuta pamene njira yabwino yopewera imakhala yovomerezeka kwambiri. Ndicho chigwirizano chomwe chinaperekedwa ndi mabungwe opambana omwe amagwiritsidwa ntchito pa umoyo wa amayi, komanso funso lokhazikika la zoopsa zokhudzana ndi kusamba.
Pomaliza, HR imagwiritsidwa ntchito pochizira zizindikiro, osati kuchepetsa matenda oopsa. Malingaliro apamwamba okhudza kugwiritsa ntchito HR kwa omwewo angadabwe, ndipo moyenera, lankhulani akazi ndi madotolo awo kuti asagwiritse ntchito. Ngakhale HR sathandiza kuchepetsa chiopsezo cha matenda opatsirana kwa amayi onse, sizingaonjezere zambiri; Zangokhala "kusamba." Zowopsa zina zimakwera, zina zimatsika. Kugwiritsiridwa ntchito kwa HR nthawi yayitali kuthetsa zizindikiro za mthupi kumakhalabe kovuta, kosavuta, komanso koopsa kwambiri.
Chotsatira pa zonsezi ndi chakuti pamene Task Force inapereka yankho lodalirika, lozikidwa pa umboni pa funso loperekedwa lokhudza amayi ambiri, funsoli siloyenera kwa mkazi aliyense makamaka. Kudalira njira zamoyo zomwe zingachepetse chiopsezo cha matenda osatha kulimbikitsidwa kwa onse, koma HR akhoza kulangizidwa kwa ena. Njira yabwino yothetsera yankho lanu payekha ndikum'funsa dokotala wanu zomwe zili zomveka osati kwa anthu, koma kwa inu.