Kwakhona kudibaniswa ne-Endocrine kunye neengxaki zokuZenzeka ngokuzenzekelayo
Usenokuba uvile ngekhonkco ekhoyo phakathi kokuhlinzwa kwengqondo (njenge-hysterectomy) kunye nokuphuhliswa kwe- fibromyalgia , kwaye oogqirha baye bakhankanya ukuba i-fibromyalgia inezinxulumano ezinamandla ze-hormonal kunye neziphumo. Oku akubonakali kuyamangalisa njengoko sele sikhankanya ukuba unxibelelwano phakathi kweengxaki ze-endocrine, izimo zesisu kunye nezimo ezizimeleyo.
Yintoni esiyifundayo malunga nale kholeji kwaye yintoni oku kuthetha ntoni kuwe?
Ikhonkco phakathi kwe-Fibromyalgia kunye ne-Gynecologic Disease
Abantu baye baqaphela ukuqala okanye utshintsho kwiimpawu zabo ze-fibromyalgia ngokumalunga neemeko zobunzima kwiminyaka emininzi. Umzekelo, akuqhelekanga ukuba iimpawu zivele emva nje kweempawu zexesha lokugqibela. Ngokufanayo, abanye abantu baye baqaphela ukuphuculwa kweempawu zabo ze-fibromyalgia emva kweenkqubo eziguqula ukuveliswa kwe-hormone yabesifazane.
Ukongezelela, abanye abantu bayaqaphela ukuba ukugqithisa kweempawu okanye ukuvela kweentaba zihambelana namaxesha athile kumjikelezo wokuya esikhathini. Kodwa ukulungiswa akuthethi ukunyusa. Ingaba kukho naluphi na unxibelelwano phakathi kwe-fibromyalgia kunye nesifo se-gynecologic okanye i-hysterectomy?
Okokuqala, makhe sibone iimpawu ze-fibromyalgia kubasetyhini kunye nokuba zibonakala zihluka njani ngama-hormone.
Iimpawu zeFibromyalgia kumaTyhini
Kukho ulwahluko oluninzi phakathi kwamadoda nabasetyhini abane-fibromyalgia enokuba neyiphi into enokuyenza ngayo ngokwahlukana kwama-hormonal, ngokuqala ngento yokuba i-fibromyalgia ixhaphake kakhulu kubasetyhini kunamadoda.
Abafazi abane-fibromyalgia baxhomekeke kwixesha elibuhlungu lokuya esikhathini (i-dysmenorrhea) kunye noxinzelelo oluthile lokukhulelwa, nangona siyazi ukuba abafazi abane-fibromyalgia bafumana ama- hyperalgesia okanye ukukhulisa intlungu. Kukho ububungqina bokuba iirhamente zivela ngokuqhelekileyo ngexesha lexesha lokuqala.
Izimpawu ze-Fibromyalgia kubasetyhini ziyakwazi ukuhluka kunye nomjikelezo wokuzala, kuquka ukukhulelwa, kunye nokuyeka umyeni, kunye nokuphumula komntwana kunye nokwanda kwentlungu ebuhlungu kubantu abane fibromyalgia ezinokuthi zihlobene nokuwa kwamazinga e-estrogen.
Kodwa kuthekani ngokudibanisa phakathi kweemeko zesifo somzimba okanye utyando lomzimba kunye ne-fibromyalgia?
I-Fibromyalgia ne-Gynecologic Surgery
Uphando lusemncinci xa kuvela ekujongeni ukudibanisa phakathi kokuhlinzwa kwe-gynecologic kunye ne-fibromyalgia, kwaye uphando oluncinane luyenziwe kude kube kutshanje.
Uphononongo luka-2015, nangona kunjalo, uhlolisise unxibelelwano olunokwenzeka. Kuphononongo, abaphandi bahlaziya amashadi angama-219 amabhinqa ane-fibromyalgia kunye nabasetyhini abangama-116 abaneentlungu ezingenayo i-fibromyalgia. Ngokukodwa, bavavanya ixesha phakathi kokugula kokugula kunye nokuhlinzwa kwezilwanyana kunye nenani leemeko ezidlulayo kwiqela ngalinye.
Kwakhona bafumanisa ukuba nganye yeentlobo ezintathu zokuxilongwa ababezijongayo zazizimela ngokuzimela kunye ne-fibromyalgia. Isifo se-Thyroid kunye nokuhlinzwa ngonyango kwakuqheleke ngakumbi kubasetyhini abane-fibromyalgia kunezo zineentlobo zentlungu engapheliyo.
Isikhathi soBugqirha be-Gynecologic kunye ne-Onset ye-Fibromyalgia
Ixesha lokuhlinzwa okwenjenjeni ngokubhekiselele kwintlungu eyaqalayo yayinomdla ngokukhethekileyo.
Bafumana uphando oluninzi kwiminyaka nje ngaphambi kokuba intlungu ye-fibromyalgia iqale, okanye ngonyaka emva kokuba intlungu iqala. Le pateni yayihlukile kwiqela le-fibromyalgia.
Ekubonweni kokuqala, kungabonakala kungavumelekanga ukuba ukuhlinzwa okwenziwe ngumzimba kunyaka emva kokuba ubuhlungu buya kuqala buya kuqwalaselwa ngokuphathelele ekuphuhlisweni kwe-fibromyalgia. Nangona kunjalo, umbutho onjalo unokuba ngenxa yezinto ezininzi ezifanelekileyo. Ngokomzekelo, khawucinge ukuba abaninzi abafazi baneengxaki zobunzima ngaphambi kokuba bakhethe ukuhlinzwa njengonyango olukhethiweyo. Kungenzeka ukuba utshintsho lwe-hormonal okanye izifo zesifo somzimba ziyimingcipheko ye-fibromyalgia ngenxa yobuhlobo obusisiseko esingaziqondiyo.
Ngokwezifundo, u-hysterectomy kunye ne-oophorectomies (ukususwa kwe-ovaries) kwakunokwenzeka kakhulu kwiminyaka emine ngaphambi okanye emva kokuqala kwentlungu ye-fibromyalgia.
Ngokuqinisekileyo le ndawo ifuna ukuba uphando olungakumbi. Ekugqibeleni, kunokusinceda siqonde ukuba kutheni iipesenti ezingama-90 zezigulane ze-fibromyalgia ngabafazi. Ngaphandle koko, inokuthi ibonakalise utshintsho lwezinto ezingokwenyama ezingabangela ukuphuhliswa kwesifo, oku kungakhokelela ekunyilweni okungcono kwaye mhlawumbi nokuthintela.
Kuyabasetyhini abaphucula i-fibromyalgia emva kokuhlinzwa kwe-gynecologic, nathi kufuneka siyazi ukuba yintoni indima, ukuba kukho, utyando luyadlala, kunye neendima ezinokwenzeka zokutshintshwa kwe-hormone ezibangelwa utyando. I-hormone ye-post-oprogram yokuguqulwa kwonyango ifanelwe ukubukeka, nayo.
Ngaphantsi kwe-Gynecologic Surgery kunye neFibromyalgia
Siyazi ukuba i-fibromyalgia ixhaphake kakhulu kubasetyhini, kwaye ukuba iimpawu zemo zikwazi ukuhluka kunye nomjikelezo wesini kunye nombuso wamadoda. Uphando olutshanje lufumene ukuba utyando lwezilwanyana, ezifana nokususwa kwesibindi kunye / okanye ama-ovari, kubonakala luqhelekile ngaphambi kokuqala kwe-fibromyalgia. Ingaba oku kulungelelaniswa okanye ukulungelelaniswa akukafuneka kuqinisekiswe, kunye naziphi na izizathu zokuba kutheni le nto ingaba yintoni na ukuba ibangele. Ngenxa yokukhubazeka ehambisana ne-fibromyalgia, oku kubalulekile ukufumana.
> Imithombo:
> Brooks, L., Hadi, J., Amber, K. et al. Ukuvavanya ukukhawuleza kwe-Autoimmune, i-Endocrine, i-Gynecologic, ne-Psychiatric Comorbidities kwiqela elihlukileyo lobuGcisa be-Fibromyalgia Abagulayo: Ingaba ixesha elivela kwi-Hysterectomy linika ingcaciso? . Umbhalo woPhando loPhando . 2015. 8: 561-9.