Ngokusho kocwaningo lwe-Finnish olwanyatheliswa ngo-2003, ithuba lomfazi lokuthuthukisa umdlavuza we-thyroid lungabuyekezwa kabili ezinyangeni ezingu-18 zokuqala ngemva kokuhlinzeka nge- hysterectomy . Abacwaningi bathola ukuthi abesifazane abano-hysterectomy bebaphindwe kabili njengabanye besifazane ukuthi bathole umdlavuza wegciwane zingakapheli izinyanga eziyisithupha kuya kwezinyanga ezingu-18 emva kokusebenza.
Abalobi bayibeka ukuthi ingozi yomdlavuza we-thyroid kungenzeka yanda ngenxa yezimo ezibangela owesifazane ukuba abe ne-hysterectomy, hhayi kuhlelo ngokwayo.
Ngokusho kocwaningo, ingozi yomdlavuza we-thyroid phakathi kwabesifazane ababa ne-hysterectomy yayingaba ngu-40% ephakeme kunokulinganisa, kodwa izingozi zishona kakhulu ezinyangeni ezingu-18 emva kokuhlinzwa.
Abacwaningi bathi bangakholelwa ukuthi i-hysterectomy ngokwayo yabangela ingozi yomdlavuza wegciwane. Kunalokho, kubonakala sengathi kukhona uhlobo lokuxhumana noma isizinda esivamile phakathi kwesizathu se-hysterectomy-ngokuvamile, izicubu ezinobuthi ezibizwa ngokuthi i- uterine fibroids noma ukuphuma ngokweqile kokuya esikhathini - nomdlavuza we-thyroid.
Ucwaningo olungaphezulu
Esicwaningweni esithi "Ingozi yomdlavuza wesikhathi eside ngemuva kwe-hysterectomy ngezinkinga ezibucayi: isifundo somphakathi esisekelwe kubantu," esamukelwa ukuba sinyatheliswe yi- International Journal of Cancer ngo-2016, umcwaningi waseSweden ngokuvamile ubheka izifo zomdlavuza kubantu abamukelayo i-hysterectomy yezizathu ezinobungozi.
Abacwaningi bathi ukucwaninga kwangaphambilini kubonise ingozi ekhulayo yabesifazane abathuthukisa umdlavuza we-thyroid kuphela ngemuva kwe-hysterectomy kodwa futhi nomdlavuza we-ovarian kanye ne-renal (kidney). Le nengozi eyanda kakhulu iboniswa kwabesifazane abane-hysterectomy abangenayo i- salpingo-oophorectomy (BSO) yomhlaba wonke, noma ukususwa kwama-ovari.
Ngokusobala, lapho ama-ovari ehlala emzimbeni, amahomoni awakhiqiza angase ahlotshaniswe nokuthuthukiswa komdlavuza.
Nakhu okunye okusesho komcwaningi okusekelwe ocwaningweni lwabantu:
- Kubo bobabili besifazane abane-hysterectomy yodwa kanye ne-hysterectomy ne-BSO, kwakukhona ukwehla kwezinga eliphansi emaphethelweni azo zonke izinhlobo zomdlavuza.
- Kubo bobabili abesifazane abane-hysterectomy yedwa kanye ne-hysterectomy ne-BSO, kwanda ukwanda komdlavuza wegciwane nesifo sobuchopho.
- Kubo bobabili besifazane abane-hysterectomy kuphela kanye ne-hysterectomy ne-BSO, kwakungekho ukwanda engozini yomdlavuza webele, wamaphaphu noma wamathumbu .
Sicela uphinde uqaphele ukuthi abesifazane baseSweden abafundiswa abacwaningi babe ne-hysterectomy ngezizathu ezingezona umdlavuza.
Abacwaningi baseSwitzerland baphetha ngokuthi i-hysterectomy kokubili ngaphandle nangaphandle kwe-BSO cishe ayinyuli ingozi yomdlavuza ngendlela ejwayelekile kodwa kunalokho okuhlangene namahomoni.
Iyini Inhlangano Phakathi Kwe-Hysterectomy Ne-Cancer Okushoyo?
Sicela uhlale ukhumbule ukuthi ucwaningo olungenhla lusebenzisa izingozi ezihlobene nokuchaza ubudlelwane phakathi kwe-hysterectomy nomdlavuza. Ngamanye amazwi, ngisho noma ingozi ikhuphuka, kungenzeka ukuthi izinombolo ezincane kuphela zabesifazane empeleni zihlakulela umdlavuza we-thyroid ngemuva kwe-hysterectomy.
Ekuphetheni, uma udokotela wakho eqinisekisa ukuthi udinga i-hysterectomy, kufanele ulandele iseluleko sakhe naphezu kokukhathazeka ngengozi yomdlavuza okwandisiwe. Noma kunjalo, kungaba umqondo omuhle ukugcina ucwaningo olungenhla engqondweni ezinyangeni naseminyaka emva kokuhlinzwa.
Ngokuqondile, kufanele wazi noma yiziphi izinguquko emzimbeni wakho ezingabonisa ushintsho lwe-thyroid noma umdlavuza we-thyroid. Isibonelo, ukwandiswa kwe-thyroid, ukukhathazeka, ukuzwela kwentamo, noma ukwethula entanyeni kungaba zonke izimpawu zezinyosi ze-thyroid noma umdlavuza. Uma ubona noma yiziphi izinguquko ku-thyroid yakho, landela uphinde udokotela wakho ngokushesha.
Kumele ucabange nokuqiniseka ukuthi iphaneli ephelele ye-thyroid-TSH, Free T4, kanye nokuhlolwa kwe-Free T3-yenziwa minyaka yonke emva kwe-hysterectomy, ukuqinisekisa ukuthi noma yikuphi ukuthuthukiswa kwezimo ze-thyroid kunganakwa.
Imithombo:
Isihloko esibizwa ngokuthi "Ingozi yomdlavuza wesikhathi eside ngemuva kwe-hysterectomy ngezingqinamba ezinobungozi: isifundo somphakathi esiphezulu" esivela ku-D Altman kanye nabalobi bezobambisene zamukelwa ukuba kukhishwe kuyi-International Journal of Cancer ngo-2016.
Journal American of Obstetrics and Gynecology 2003; 188: 45-48.