Kutenga hysterectomy, monga opaleshoni iliyonse, ikhoza kukhala yovuta. Koma ndi hysterectomy, ndizomveka ngati mumakhudzidwanso ndi zotsatira, kuphatikizapo kuthekera kwa kusamba.
Chowonadi ndi chakuti kaya mukulowa kusamba kwa thupi pambuyo pa hysterectomy kumadalira chinthu chimodzi chofunikira-ngati mazira anu amachotsedwanso pa opaleshoni.
Tiyeni tifufuze chifukwa chake (kapena bwanji osati) ma ovariza amachotsedwa pa hysterectomy, ndi zomwe mungayembekezere ngati ali.
Kumvetsa Hysterectomy
Mankhwala otchedwa hysterectomy amatanthauza kuchotsedwa kwa chiberekero cha mkazi. Mankhwala osokoneza bongo angapangidwe pa zifukwa zingapo, zonse zoyipa (mwachitsanzo, uterine fibroids) ndi khansa (monga khansa ya uterine).
Malingana ndi chifukwa chomwe chimachititsa kuti hysterectomy ichitike, dokotala angathenso kuchotsa mazira ochuluka a mayi ndi mazira (ma tubes omwe amagwirizanitsa mazira a mkazi ku chiberekero chake).
Ndi kuchotsa mazira ambiri, mkazi wamwamuna amayamba kusamba, kutchedwa opaleshoni kapena kuchepetsa kusamba. Popeza mkazi alibe mazira ochuluka kuti atulutse estrogen, akhoza kukhala ndi zizindikiro zachidziwitso za kutentha kwa estrogen monga kutentha ndi / kapena kuuma kwa m'mimba.
Kuphatikiza pa zizindikiro, palinso matenda omwe amagwiritsidwa ntchito ndi otsika kwambiri m'mimba ya kusamba, monga matenda a mitsempha ya mafupa (pamene mafupa anu amachepa ndikuyamba kutha).
Ngati muli ndi minofu ndi mazira anu osachotsedwa mu hysterectomy, thupi lanu lidzapitiriza kubala estrogen. Komabe, simudzakhalanso ndi nthawi, popeza palibe chipinda cha uterine chotsanulira.
Zizindikiro Zenizeni za Kusamba Kwambiri Kusamba
Pali zizindikiro zambiri zomwe zimagwirizanitsa ndi kusintha kwa thupi ndi kupaleshoni; Zambiri mwazimenezi zimaphatikizapo kutentha ndi kutentha kwa amayi.
Kuuma kwa Vaginal
Kutayika kwa estrogen, kukwera kwa chiberekero cha mkazi kumakhala kowuma ndi koopsa-chodabwitsa ichi chimatchedwa kuti vaginal atrophy. Kuuma kwapakati, kuyabwa, ndi kuyaka nthawi zambiri zimapangitsa kuti kugonana kumve zopweteka komanso kumachepetsa chilakolako cha mkazi kugonana.
Kutentha Kwambiri
Kulephera kwa Estrogen kumataya momwe ubongo wa mkazi umayendetsera kutentha kwa thupi, ndipo izi zingayambitse kutentha. Moto woyaka ndikutentha kwadzidzidzi, kutentha kapena kutentha pamaso panu, khosi, ndi chifuwa, nthawi zambiri kumatsagana ndi kufiira.
Thuku la usiku limatanthauzira kutentha kwachangu komwe kumachitika pogona. Kutuluka kwa usiku kungakhudzire kwambiri kugonana kwa amayi komwe kungabweretse kufooka masana.
Zizindikiro Zina za Kusamba Kwambiri Kusamba Kwambiri
Pali zizindikilo zingapo za kutha kwa thupi, ngakhale kuti ena a iwo amakhulupirira kuti amakhalanso ndi zaka zambiri.
Zizindikiro izi zikuphatikizapo:
- Kusintha kwa thupi kumasintha, monga kupsinjika maganizo ndi nkhawa
- Kulemera kwalemera, makamaka kuzungulira m'chiuno
- Khungu louma ndi kutaya tsitsi
- Kuwonjezeka kwa mavuto a ubodzo, makamaka matenda a mitsempha ndi kukomoka kosalekeza (kutaya mkodzo popanda kulamulira)
Ndikofunika kuzindikira kuti amayi omwe adzichotsa opaleshoni ya mazira awo, zizindikiro za mimba zimakhala zolimba kwambiri kuposa mkazi yemwe amatha kusamba mwachibadwa.
Zoonadi, izi sizili zovuta komanso zofulumira-zizindikiro za menopausal zimasiyanasiyana kwambiri komanso poyerekeza ndi mkazi ndi mkazi.
Ngakhale zili choncho, kuwonjezereka kwakukulu kwa matenda a mitsempha amayamba chifukwa cha kuchotsa mwadzidzidzi mazira a mkazi, omwe ali gwero lake lalikulu la estrogen.
Pa mbali yopuma, kumayambiriro kwa kusamba kwa thupi, mazira a m'mimba mwake amalephera kuthetsa estrogen, kotero thupi likhoza (kusintha) mosavuta mosavuta.
Hysterectomy Ndi Ovariya Kutsika Kwambiri
Akazi omwe ali ndi mazira awo amatha koma alibe chiberekero sadzakhalanso ndi nthawi yawo. Komabe, mukhoza kukhala ndi vuto loyambitsa matendawa (PMS) kapena matenda osokoneza bongo (PMDD) chifukwa mahomoni opangidwa ndi mazirawa amachititsa thupi lanu kuyenda "mwezi".
Nthaŵi zina, akazi omwe mazira awo sanachotsedwe panthaŵi ya hysterectomy amawotcha ndi zina zizindikiro za mimba. Izi makamaka chifukwa cha kusokonezeka kwa magazi m'magazi opanga mazira mkati mwa opaleshoni.
Kuphatikiza apo, amayi ena amatha kusamba zaka zingapo posachedwa (omwe ali ndi zaka zoposa 51) kuposa momwe amachitira ngati sakanakhala ndi hysterectomy.
Mawu Ochokera
Pambuyo pa hysterectomy, zimakhala zachilendo kuti amayi azidziona ngati atayika. Ichi ndi chowonadi ngati mkazi atachotsa mazira ake kapena ayi. Kusokonezeka maganizo kungakhale kolimba kwambiri pamene hysterectomy yomwe simudziyembekezera imalepheretsa mkazi ndi mkazi wake kukhala ndi ana omwe adakonzekera.
Uthenga wabwino ulipo ndi zowonjezera kunja komwe kukuthandizani kupyolera mu nthawi yovutayi, monga magulu othandizira. Chonde funsani chithandizo kuchokera kwa dokotala wanu kuti muthe kuchiza ndi kukulitsa mutatha opaleshoni.
> Zotsatira:
> Lonnée-Hoffmann R, Pinas I. Zotsatira za hysterectomy pa ntchito yogonana. Kugonana Kwachidakwa 2014; 6 (4): 244-51.
> North American Menopause Society. (2017). Nthenda yapamwamba yothetsera kusamba.
> North American Menopause Society. (2014). Zomwe Zimayambira Mwezi: Buku la Clinician's Guide, 5th ed.Mayfield Heights, OH: North American Menopause Society.
> WomensHealth.gov. (2017). Hysterectomy