Ngokutsho kophando lwe-Finnish oluphandle ngo-2003, ithuba lomfazi lokuhlakulela umdlavuza we-thyroid lungaphindwa kabini kwiinyanga ezili-18 zokuqala emva kokuhlinzwa kwe- hysterectomy . Abaphandi bafumanisa ukuba abafazi abanobuchopho be-hysterectomy babedla ngokuphindwe kabini njengabanye bafazi ukuba bafumane umdlavuza we-thyroid kwiinyanga ezili-6 ukuya kwiinyanga ezili-18 emva kokusebenza.
Ababhali bayaphawula ukuba umngcipheko wesifo somhlaza we-thyroid ukhuphuka ngenxa yeemeko ezibangela ukuba umfazi abe ne-hysterectomy, kungekhona kwenkqubo ngokwayo.
Ngokolu cwaningo, umngcipheko womhlaza we-thyroid phakathi kwabasetyhini abafumana i-hysterectomy yayingama-40% aphezulu kunomyinge, kodwa ingozi ihla kakhulu malunga neenyanga ezili-18 emva kokuhlinzwa.
Abaphandi bathi bangakholelwa ukuba i-hysterectomy ngokwayo ibangele ingozi yomdlavuza we-thyroid. Kunoko, kubonakala ngathi kukho uhlobo loxhumo okanye imvelaphi eqhelekileyo phakathi kwesizathu se-hysterectomy-ngokuqhelekileyo, izicubu ezinobungozi ezibizwa ngokuba yi- uterine fibroids okanye ukuphuma kwexesha lokunyuka kwesisu - kunye nomhlaza we-thyroid.
Uphando olungakumbi
Kwisifundo esibizwa ngokuthi "Ingozi yomdlavuza wesikhathi eside emva kwe-hysterectomy kwiimpembelelo ezinobunzima: uphando oluthile lwamaqela," olwamkelwe ukuba lupapashwe yi- International Journal yeCarcer ngo-2016, umphandi waseSweden ngokubanzi ukhangela iziganeko zomhlaza phakathi kwabantu abafumana i-hysterectomy yezizathu ezinobungozi.
Abaphandi baqaphele ukuba uphando oludlulileyo lubonise ingozi eyongezelelweyo yabasetyhini abangaphumeleli ngumdlavuza we-thyroid kuphela emva kwe-hysterectomy kodwa kunye ne- ovarian and kidal (kidney) yomhlaza. Lo mngcipheko okhulayo uboniswa kubasetyhini abane-hysterectomy abangenayo i- salpingo-oophorectomy (BSO) yomhlaba, okanye ukususwa kwee-ovari.
Kubonakala ukuba, xa ii-ovari zihlala emzimbeni, ama-hormone avelisayo angadibana nokuphuhliswa komhlaza.
Nazi ezinye zezinto ezifunyenwe ngumphandi ezisekelwe kwisifundo sabantu:
- Kuba bobabini abasetyhini kunye ne-hysterectomy yodwa kunye ne-hysterectomy ne-BSO, bekukho ukunciphisa umgangatho osemngciphekweni wezo zonke iintlobo zomhlaza.
- Kuba bobabini abasetyhini kunye ne-hysterectomy yodwa kunye ne-hysterectomy ne-BSO, kukho ukwanda kwengozi ye-thyroid kunye nomhlaza wengqondo.
- Kuba bobabini abasetyhini kunye ne-hysterectomy yodwa kunye ne-hysterectomy ne-BSO, kwakungekho ukwanda kwengozi yomhlaza webele, umphunga okanye umhlaza wesisu .
Nceda uqaphele kwakhona ukuba abafazi baseSweden abafundiswa ngabaphandi babe ne-hysterectomy ngezizathu ezingekho komhlaza.
Abaphandi baseSwitzerland baphetha ngokuthi i-hysterectomy kunye kunye ngaphandle kwe-BSO mhlawumbi ayinyuli umngcipheko wesifo ngomhlaza ngokubanzi kodwa kunento enokuyenza ngamahomoni.
Yintoni Inxulumano Phakathi Kwe-Hysterectomy kunye neCanscer?
Nceda ukhumbule ukuba uphando olungentla lusebenzisa izingozi ezihambelana nokucacisa umbutho phakathi kwe-hysterectomy kunye nomhlaza. Ngamanye amazwi, nangona umngcipheko ukwanda, kunokwenzeka ukuba kuphela inani elincinci labasetyhini liphucula umdlavuza we-thyroid emva kwe-hysterectomy.
Ekugqibeleni, ukuba ugqirha wakho uqinisekisa ukuba ufuna i hysterectomy, kufuneka ulandele isiluleko sakhe nangona unxungulo malunga nomngcipheko wesifo somhlaza. Nangona kunjalo, ingaba yinto efanelekileyo yokugcina uphando olungentla apha engqondweni kwiinyanga kunye neminyaka emva kokuhlinzwa.
Ngokukodwa, kufuneka uqaphele nayiphi na utshintsho emzimbeni wakho onokubonisa utshintsho lwe-thyroid okanye umdlavuza we-thyroid. Ngokomzekelo, ukukhulisa i-thyroid, ukunyaniseka, ukuvezwa kwentamo, okanye ukunyamezela entanyeni kungabikho iimpawu zeengqungquthela ze-thyroid okanye umdlavuza. Ukuba uyaphawula nayiphi na utshintsho kwi-thyroid yakho, landela kunye nodokotela wakho ngokukhawuleza.
Kufuneka uqwalasele ukuqiniseka ukuba i-panel epheleleyo ye-thyroid-TSH, i-Free T4 kunye ne-Free T3-iyenziwa ngonyaka emva kwe-hysterectomy, ukuqinisekisa ukuba nayiphi na imeko yokuphucula i-thyroid.
Imithombo:
I-athikili ebizwa ngokuthi "Ingozi yomhlaza wesikhathi eside emva kwe-hysterectomy kwiimpembelelo ezinobunzima: isifundo seqela esekelwe ngabantu" nguD Altman kunye nabalobi-mbambano bamkele ukupapashwa kwi-International Journal yeCarcer ngo-2016.
I-American Journal ye-Obstetrics ne-Gynecology 2003; 188: 45-48.