Kuncike ukuthi ngabe ama-ovari akho asusiwe futhi
Uma usanda kuba ne- hysterectomy njengesidingo sezokwelapha noma ucabangela le nqubo njengendlela yokwelapha inkinga yezokwelapha, cishe uyazibuza ukuthi kangakanani futhi ngokushesha kuyoba nomthelela kumahomoni akho. Kunezinhlobo eziningana ze-hysterectomies, kufaka phakathi ukususwa kwesibeletho esisodwa, ukususwa kwesibeletho nomlomo wesibeletho, nokususwa kwesibeletho nezakhi ezizungezile, njengama-ovari kanye / noma ama-tubespian tubes.
I-hysterectomy ekhululekile isusa isibeletho kanye nama-ovarie, futhi ukususwa kwama-ovari akho anomandla okuletha ekunqumeni kokuphuma komuntu ngokuzumayo, okubizwa ngokuthi ukuhlinzwa kwesisu. Kungenxa yokuthi ama-ovari yibo abakhiqizi abakhulu bamahomoni akho.
Kunobunye ubufakazi bokuthi i-hysterectomy ingathinta ukukhiqizwa kwe-hormone ngisho nalapho ama-ovari egcinwa. Kodwa-ke, odokotela bathi ukugcina ama-ovari nokukhipha nje isibeletho kuvumela abesifazane ukuba bafinyelele esikhathini sokumiswa kwemvelo.
Yini Ongayilindela Uma Ama-Ovari Oso Asuswa
Kwabesifazane abanjengoRuth Lamar, abanezibeletho kanye nama-ovaries asusiwe, ukuhlinzwa kungasilandelwa maduzane yizimpawu zokungena komzimba njengokushisa okushisayo nokuguquguquka kwemizwelo. "Ngizokhala ngomzuzu owodwa, ngithukuthele olandelayo, ngijabule olandelayo," kukhumbula uLamar, kaFenton, Mo.
Ukukhathazeka okungokomzwelo kukaLamar kubonakala ukuthi abesifazane bahlwithwa esikhathini sokuya esikhathini esifushane ngemuva kokususwa kwama-ovaries abo.
Izimpawu zokunqamuka kwesikhashana kokuhlinzwa zifana nokufana nokuvalwa kokuphuma kwe-ovarian, kodwa kunzima nakakhulu. Zihlanganisa ukukhanya okushisayo, ubunzima bokulala nokulala, i-libido esezansi, isikhumba esomile, ukumelela kwesiswini kanye nokushintsha kwemizwelo. Ukunqamuka kokunqamuka kokubeletha kungaholela ekulahlekelweni kwememori, okusho ngokweNorth American Menopause Society (NAMS), engabonakali kwabesifazane abaya esikhathini sangokwemvelo.
Ukuba nama-ovari kususwe kunokuba kutholakale ukuvinjelwa kwemvelo kusho ukulahlekelwa kwe-estrogen kuphela kodwa nokulahlekelwa kwe- testosterone okunganciphisa ukukhanya okushisayo, ukugcina isifiso sobulili nokuzinza isimo. "Bathola i-hormone double whammy," kusho uMaritz Richardson, MD, ongumqondisi womqondisi wezinkinga zokubeletha nezinkinga zokubeletha eHarvard Vanguard Medical Associates eBoston.
Okwenza Odokotela Abadingi Bakugcine Ama-Ovari
Kuze kube neminyaka eminingana edlule, odokotela bavame ukwenza i-oophorectomy (ukususwa kwama-ovari) ngesikhathi sokungabikho komqondo kwabesifazane besendaweni yokuya esikhathini. Ukucabanga ukuthi ama-ovari abo ayezovala noma kunjalo futhi ukuthi ukukhipha kuzoqeda ngokuphelele isimo esingathi sína kakhulu.
"Udokotela wami wathi kubesifazane abangaphansi kuka-40, bashiya ama-ovari. Uma uneminyaka engaphezu kwengu-40, bayayithatha ukuze ungakhathazeki ngomdlavuza we-ovari, "kusho uLamar, owama-hysterectomy owabangelwa yizinkathi ezinzima ezahlala cishe amasonto amathathu ngenyanga.
Manje, odokotela abaningi kakhulu balondoloza ama- ovari , kungakhathaliseki ukuthi uneminyaka yesiguli. Ucwaningo lubonisa amathuba okuba owesifazane othola umdlavuza we-ovarian ngaphezu kokuphila kwakhe (amaphesenti angaphansi kuka-2) amancane kakhulu kunengozi yezifo zenhliziyo (ezingaphezu kwamaphesenti angu-36).
Ngisho nangemva kokumisa esikhathini, ama-ovari akhiqiza ama-hormone amancane, evikela abesifazane base-postmenopausal ezifweni zenhliziyo nokushaya kwesisu , kanye nokulahlekelwa amathambo.
Ngaphezu kwalokho, ucwaningo oluthile lubonisa ukuthi ukudala kwakho esikhathini sokuqala kokuya esikhathini sokuphumula, ngokushesha izinga lakho lokuncipha kwengqondo esikhathini esizayo empilweni, okusikisela ukuthi izinguquko eziphuthumayo ze-hormonal zithonya elibi ekuqapheleni kwabesifazane.
Okunye okungafani nokugcinwa kwe-ovaries mindset: Abesifazane abanomlando womndeni wesifo somdlavuza we-ovarian bangase bacebiswe ukuba nabo baphinde baqhutshekwe i-oophorectomy uma isisu sabo sisusiwe. Abesifazane abanjalo bangase bakhethe nokuba ama-ovari azokwenziwa uma kungekho isidingo se-hysterectomy esidingekayo, ikakhulukazi labo abahlolwayo abanezakhi zokuguqula izakhi ze-BRAC okuqhubeka nokwandisa ingozi yomdlavuza we-ovarian.
Ukukhululwa Kwezimpawu Zokunakekela Amadoda
ULamar wajabulela ukuphumula ngokushesha ezinkathini ezinzima, futhi ukuqubuka kwakhe kwagcina kuguliswa. Kodwa-ke, wayenenkinga yokushisa nokushisa kwakhe kanye nokwehla kwesisu, ubuthongo nokulala okuphansi cishe kwenyanga ngemva kokuhlinzwa kwakhe.
Udokotela wakhe wabe esethi Enjuvia (i-estrogen esetshenziselwa ukutshala izitshalo), futhi i-libido yakhe yaphakanyiswa, imizwa yakhe yaphuthuka futhi ukukhanya kwayo okushisayo kuncipha endaweni yesonto elilodwa. U-Lamar uthi uyajabula ukuthola ukuphumula kodwa okhathazekile ngeminye imiphumela ye- menopausal hormone therapy (i-MHT), ehlanganisa ukwanda komngeni wesifazane wesifo somdlavuza webele, isifo sohlangothi nesimo senhliziyo.
"Ngikhathazeke ngesifo senhliziyo ngoba ubaba washona ngesikhathi eneminyaka engu-48 ubudala esesifo senhliziyo nesifo sikashukela," kusho uLamar.
Abesifazane abanomlando womuntu siqu noma womndeni wesifo somdlavuza webele kungenzeka badinga ukuthatha i-Nolvadex (tamoxifen) noma enye i-estrogen inhibitor uma ihamba nge-MHT. Ngaphambi kokubeka ama-hormone ngokushisa okushisayo yodwa, odokotela abathile baqale bacebise abesifazane ukuba bafune usizo ngama-antidepressants, amakhambi afana nokudla okumnyama , noma ukudla okune-soy.
Ngokusho kwe-NAMS, owesifazane uzizwa kahle kangakanani ngemuva kokuba isisu sakhe kanye nama-ovari asuswe kuxhomeke ezintweni eziningana, kufaka phakathi ukuthi une-MHT. Labo abacindezelekile noma abanenkinga yocansi ngaphambi kokuhlinzwa bangase babone lezo zimo zibe zimbi nakakhulu. Abesifazane abajabulela inhlalakahle egculisayo nobulili ngaphambi kokuhlinzwa, noma kunjalo, bangathola ngcono kulezo zindawo, ikakhulukazi uma bane-hormone therapy.
Ngenkathi abanye besifazane bebika ukuzuza kwesisindo ngemuva kwe-hysterectomy kanye ne- oophorectomy , uLamar uyathokozisa ukuthi wahamba ngaleyo ndlela ngokusebenza futhi ehlehlisa izingxenye zakhe. Ulahlekelwe amakhilogremu angu-15 kusukela kwindlela yakhe yokwelapha futhi uthi ukuhlinzwa kwakhe kumphefumulele ukuba agxile ekuphileni okunempilo.
"Ngicabanga ukuthi kwakuyithuba lokuba ngibheke impilo yami futhi ngithi, Kulungile, ususondela ku-50," kusho uLamar. "Isikhathi sokuqala ukuzinakekela kahle."
> Imithombo:
> Riley Bove, MD, Elizabeth Secor, MA, uLori B. Chibnik, Ph.D., uLisa L. Barnes, Ph.D., uJulie A. Schneider, MD, MS, uDavid A. Bennett, MD, uFiliphu L. UDe Jager, MD, Ph.D.Ukuze kube nomthelela ekunqophiseni ukuphumula komthelela wokukhulelwa komzimba nokuhlukumezeka kwe-Alzheimer kwabesifazane abadala. I-Neurology. Ngo-Disemba 11, 2013.
> UMarta Richardson, MD. Inkulumo yocingo. 5 Agasti 2008.
> Orozco LJ, A. Salazar, J. Clarke, noMnu Tristan. "I-Hysterectomy Versus Hysterectomy Plus i-Oophorectomy yama-Premenopausal Women." I-Cochrane Library Issue 316 Jul 2008 26 Aug 2008.
> Ruth Lamar. Ifoni Ingxoxo. 13 Agasti 2008.
> Tapisiz, OL , T. Gungor, H. Aytan, S. Zergeroglu, B. Mulazimoglu, U. Bilge, noL. Mollamahmutoglu. "Ingabe i-Hysterectomy ithinta umsebenzi we-Ovarian?" I-European Journal ye-Obstetrics & Gynecology ne-Biology Yokuzala. 140: 1 (2008): 61-6.
> Umland, EM "Amasu Okunakekela Ukunciphisa Umthwalo Wezinkomba ZamaVasomotor Ahlanganiswe Nesisu." Journal of Managed Care Pharmacy 14: 3 (2008): 14-9.