Futhi ixhunywe ne-Endocrine ne-Autoimmune Disorders
Kungenzeka ukuthi uzwile mayelana nokuxhumana okukhona phakathi kokuhlinzwa kwegazi (njenge-hysterectomy) kanye nokuthuthukiswa kwe- fibromyalgia , futhi odokotela baye basola isikhathi eside ukuthi i-fibromyalgia inezibopho ezinamandla ze-hormonal. Lokhu akubonakali kumangalisa njengoba sekuyisikhathi eside sikholelwa ukuthi kukhona ukuxhumana phakathi kwezifo ze-endocrine, izimo zesisu, nezimo ezizimele.
Yini esiyifunayo ngalesi sixhumanisi futhi lokho kungasho ukuthini kuwe?
I-Link Between Fibromyalgia Nezifo Zama-Gynecologic
Abantu baye baqaphela ukuqala noma izinguquko ezinqumweni zabo ze-fibromyalgia ngokuphathelene nezimo zesifo somzimba iminyaka eminingi. Isibonelo, akuyona into engavamile ukuthi izimpawu zivele kungekudala ngemuva kwezimpawu zokumiswa kwesikhashana. Ngokufanayo, abanye abantu baye baphawula ukuthuthukiswa kwezibonakaliso zabo ze-fibromyalgia ngemuva kwezinqubo ezishintsha ukukhiqizwa kwe-hormone yabesifazane.
Ngaphezu kwalokho, abanye abantu bayaqaphela ukuthi ukugqama kwezibonakaliso noma ukuvela kwezingqimba kufana nezikhathi ezithile emjikelezweni wokuya esikhathini. Kodwa ukulungiswa akusho ukucabangela. Ingabe kukhona ngempela ukuxhumana phakathi kwe-fibromyalgia nesifo somzimba noma i-hysterectomy?
Okokuqala, ake sibheke izimpawu ze-fibromyalgia kubesifazane nokuthi zibonakala zihluka kanjani nama-hormone.
Izimpawu ze-Fibromyalgia kwabesifazane
Kukhona umehluko omkhulu phakathi kwamadoda nabesifazane abane-fibromyalgia engaba nokuthile okuphathelene nokungafani kwama-hormone, okuqala ngokuthi i-fibromyalgia ivame kakhulu kubantu besifazane kunamadoda.
Abesifazane abane-fibromyalgia bavame kakhulu ukuhamba esikhathini esibuhlungu (i-dysmenorrhea) nezinkinga ezithile zokukhulelwa, nakuba siyazi ukuthi abesifazane abane-fibromyalgia bavame ukubhekana ne- hyperalgesia noma ukukhulisa ubuhlungu. Kukhona nobufakazi bokuthi ama-flare ayenzeka ngokwengeziwe ngesikhathi sokuqala.
Izimpawu ze-Fibromyalgia kubantu besifazane nazo zingase zifani nomjikelezo wokuzala, kuhlanganise nokukhulelwa, nokuya esikhathini sokuya esikhathini, nokuya esikhathini sokuqala kanye nokwanda kokwezwa ubuhlungu kubantu abane fibromyalgia okungenzeka bahlobene nokuwisa amazinga e-estrogen.
Kodwa kuthiwani ngokuhlobana phakathi kwezimo zobunzima noma ukuhlinzwa komzimba kanye ne-fibromyalgia?
I-Fibromyalgia ne-Surgery ye-Gynecologic
Ucwaningo lusemncane uma kuziwa ekubukeni kwesixhumanisi phakathi kokuhlinzwa kwengqondo kanye ne-fibromyalgia, futhi ucwaningo oluncane lwenziwa kuze kube yamuva.
Ucwaningo luka-2015, nokho, luhlolisise ukuxhumana okukhona. Esicwaningweni, abacwaningi bahlaziya amashadi abesifazane abangu-219 abane-fibromyalgia nabesifazane abangu-116 abanezinhlungu ezingezona-fibromyalgia ezingapheliyo. Ngokuqondile, bahlolisisa isikhathi phakathi kokuhlinzwa kokugula nokuhlinzwa komzimba kanye nenani lemibuzo evulekayo eqenjini ngalinye.
Baphinde bathole ukuthi lezi zinhlobo ezintathu zokuxilongwa ababezibuka zazizimele ngokuzimela ne-fibromyalgia. Isifo se-thyroid kanye nokuhlinzwa ngokwemvelo kwakuvame kakhulu kubantu besifazane abane fibromyalgia kunelabo abanezinye izinhlobo zobuhlungu obungapheliyo.
Isikhathi sokuhlinzwa kobuGynecologic nokusetjenziswa kwe-Fibromyalgia
Ukuhlinzeka isikhathi sokuhlinzwa kokubeletha ngokuphathelene nobuhlungu kwaqala kwaba mnandi kakhulu.
Bathole ukuhlinzekwa okuningi eminyakeni ngaphambi nje kokuba ubuhlungu be-fibromyalgia buqale, noma ngonyaka ngemva kokuba ubuhlungu buqala. Lelo phethini lalihlukile kwiqembu le-fibromyalgia.
Ekuboneni kokuqala, kungase kubonakale kungaqondakali ukuthi ukuhlinza ngokubeletha ngonyaka ngemuva kokuba ubuhlungu buqale buzocatshangwa buhlobene nokuthuthukiswa kwe-fibromyalgia. Noma kunjalo, inhlangano enjalo ingase ibe ngenxa yezici eziningana ezibalulekile. Isibonelo, cabanga ukuthi abesifazane abaningi banezinkinga zomzimba ngaphambi kokuba bakhethe ukuhlinzekwa njengokwelashwa okhethwayo. Kungenzeka ukuthi izinguquko ze-hormonal noma izifo zezinkinga zokubeletha ziyizici eziyingozi ngenxa ye-fibromyalgia ngenxa yobuhlobo obuseduze obungakaqondi.
Ngokusho kocwaningo, ukuhlaselwa kwe-oophorectomies (ukususwa kwama-ovari) kwakungenzeka eminyakeni emine ngaphambi noma emva kokuqala kobuhlungu be-fibromyalgia.
Lokhu ngokuqinisekile kuyindawo edinga ukucwaninga okwengeziwe. Ekugcineni, kungasisiza siqonde ukuthi kungani amaphesenti angama-90 weziguli ze-fibromyalgia engabesifazane. Ngaphandle kwalokhu, kungabonisa izinguquko zomzimba ezingabangela ukuthuthukiswa kwalesi sifo, okungaholela ekwelapheni okungcono futhi mhlawumbe ngisho nokuvimbela.
Kulabo besifazane abathuthukisa i-fibromyalgia ngemuva kokuhlinzwa kwegazi, kudingeka futhi siyazi ukuthi yiyiphi indima, uma ikhona, ukuhlinzwa ngokwayo kudlalwa, kanye nezindima ezikhona zokushintsha kwe-hormone okubangelwa ukuhlinzwa. I-hormone ye-post-chirurgical substitution lerapy kufanele ibukeke, futhi.
Ngezansi kokuhlinzwa kwama-gynecologic kanye ne-Fibromyalgia
Siyazi ukuthi i-fibromyalgia ivame kakhulu kubantu besifazane, nokuthi izimpawu zesimo zingahluka ngokujikeleza kokuya esikhathini nesimo somama. Ucwaningo olusanda kutholakala ukuthi ukuhlinza ngokwegazi, njengokususwa kwesibeletho kanye / noma ama-ovari, kubonakala sengathi kuvame kakhulu ngaphambi kokuqala kwe-fibromyalgia. Kungakhathaliseki ukuthi lokhu kuhlanganiswa noma ukucubungula akukafanele kunqunywe, kanye nanoma yiziphi izizathu ezenzeka ukuthi lokhu kungase kwenzeke uma kungumphumela wokubambisana. Njengoba kunikezwe ukukhubazeka okuhlobene ne-fibromyalgia, lokhu kuyimbangela ebalulekile yokuphishekela.
> Imithombo:
> Brooks, L., Hadi, J., Amber, K. et al. Ukuhlola ukuphakama kwe-Autoimmune, i-Endocrine, i-Gynecologic, ne-Psychiatric Comorbidities ku-Cohort Ehlukile Ezingqayizivele Zeziguli Zama-Fibromyalgia Abesifazane: Ingabe Isikhathi Esivela E-Hysterectomy Sinikeza Isihluthulelo? . Journal of Pain Research . 2015. 8: 561-9.