Kuya kuxhomekeka nokuba ngaba ama-ovari akho asuswe kwakhona
Ukuba usanda kuba ne- hysterectomy njengemfuneko yonyango okanye uqwalasela le nkqubo njengendlela yokwenza unyango kwiingxaki zonyango, mhlawumbi uyazibuza ukuba indlela efanelekileyo kwaye ngokukhawuleza iya kuba nefuthe ngayo amahomoni akho. Kukho iintlobo ezininzi zokungabikho komzimba, kubandakanywa nokususwa kwesibeletho, ukususwa kwesibeleko kunye nomlomo wesibeleko, nokususwa kwesibindi kunye nezakhiwo ezikujikelezayo, njengama-ovari kunye / okanye ama-tublopian tubes.
I-hysterectomy ekhululayo isusa isibeleko kunye nama-ovari, kwaye kususwa kwamanqanda akho anamandla okuzisa ukuphuma komntu ngokukhawuleza, okubizwa ngokuba yi-menopause. Kungenxa yokuba ii-ovari ziyizona ziveliso eziphambili ze-hormone zakho.
Kukho ubungqina bokuba i-hysterectomy inokuchaphazela ukuveliswa kwe-hormone nangona i-ovari igcinwa. Nangona kunjalo, ininzi, oogqirha bathi ukugcina ii-ovari kwaye ukususa nje isibeleko kuvumela abafazi ukuba baphumelele kwindoda yokuyeka.
Yintoni onokuyilindela ukuba ama-Ovari akho asuswe
Kwababhinqa abanjengoRuth Lamar, abanezibeleko kunye nama-ovari asuswe, utyando luya kulandelwa ngokukhawuleza ngeempawu ze-menopausal ezifana nokutshisa okutshisa kunye nokuguquka kwemizwelo. "Ndiya kulila ngomzuzu omnye, ndibe nomsindo ngomnye olandelayo, ndonwabile olandelayo," kukhumbula uLamar, kaFenton, Mo.
Ukuphazamiseka kwengqondo kukaLamar kubonisa ukuba abafazi bahlonywa ngokukhawuleza emva kokukhishwa kwimiva yabo.
Izibonakaliso zokuqeda ukunyuka komzimba zifana nezo zokuyeka ukuyeka ukuphuma kwe-ovarian, kodwa kunzima kakhulu. Ziquka ukutshisa okutshisayo, ubunzima bokulala nokulala, i-libido esezantsi, isikhumba esomileyo, ukumelela kwamanzi kunye nokuguquka kwemizwelo. Ukukhishwa komyeni ngokukhawuleza kunokubangelwa ukulahlekelwa kwememori, okokutsho ngokubhekiselele kwiNorth American Menopause Society (NAMS), ayibonakali kwabasetyhini abafumana ukuphela komntu.
Ukuba namaqanda asuswe kunokuba bafumane ukuvalwa kwe-nature kuthetha ukulahlekelwa kwe-estrogen kuphela kodwa kunye nokulahleka kwe- testosterone enganciphisa ukutshisa okutshisa, ukugcina umnqweno wesini kunye nokuzinza. "Bafumana i-hormone e-double whammy," kusho uMarta Richardson, MD, ongumcebisi umphathi wezithintelo kunye nomnxeba kwiHarvard Vanguard Medical Associates eBoston.
Kutheni Kuthetha ukuba oogqirha abaninzi bangagcina ii-ovari
Kude iminyaka emininzi edlulileyo, oogqirha babesenza i-oophorectomy (ukususwa kwee-ovari) ngexesha lokungabikho koxinzelelo kubasetyhini ekupheleni kokumisa. Ukucinga kukuba ii-ovari zabo zaziphantse zivale kwaye ukuba ukuthatha kwabo kuphelisa ngokupheleleyo imeko enzima kakhulu.
"Ugqirha wam wathi ngabasetyhini abangaphantsi kwe-40, bashiye amaqanda. Ukuba uneminyaka engaphezu kwama-40, bayabakhupha ukuze ungakhathazeki malunga nomhlaza we-ovari, "kusho uLamar, owathi u-hysterectomy wabangelwa ngamaxesha amaninzi ahlala kwiiveki ezintathu ngenyanga.
Ngoku, oogqirha baninzi bagcina ama- ovari , kungakhathaliseki ukuba isiguli sineminyaka yobudala. Uphando lubonisa amathuba omfazi ofumana umdlavuza we-ovari ngaphezulu kokuphila kwakhe (ngaphantsi kweepesenti ezi-2) zincinci kakhulu kunomngcipheko wesifo senhliziyo (ngaphezulu kwama-36 ekhulwini).
Nangona emva kokumiswa komzimba, ii-ovari zivelisa inani elincinci lama-hormone, ukukhusela abafazi be-postmenopausal kwisifo senhliziyo kunye nokubetha , kunye nokulahleka kwethambo.
Ukongezelela, uphando oluthile lubonisa ukuba uneminyaka yakho yangaphambili kwiminyaka yokutyunjwa komyeni, ngokukhawuleza izinga lakho lokuncipha kwengqondo emva kwexesha lobomi, olubonisa ukuba utshintsho olusenyongweni oluchaphazelekayo luba nefuthe elibi ekuqondeni kwabasetyhini.
Ngaphandle kwe-ovaries mindset: abafazi abaneengxaki zentsapho yomhlaza we-ovari banokucetyiswa ukuba baphinde bafumane i-oophorectomy xa bekhulelwe isisu. Abafazi abanjalo banokukhetha ukuba bafumane ii-ovaries zabo xa kungekho mfuneko ye-hysterectomy, ingakumbi abo bavavanyayo abanomdla wokuguqula izakhi ze-BRAC ezongezelela ingozi yomhlaza we-ovari.
Ukuncedwa kwiMpawu zeMenopausal
ULamar wayenomdla ngokukhawuleza kwixesha elinzima, kwaye ekugqibeleni kwakhe ukuphilisa kwaphela. Noko ke, wayenzima, kunye nokutshisa kwakhe okutshitshisiweyo kunye nemimoya ephosakeleyo kunye noomama obumileyo, ukulala, nokulala ngesondo eliphantsi malunga neenyanga emva kokuhlinzwa kwakhe.
Emva koko ugqirha wakhe wachaza i-Enjuvia (i-estrogen eyenziwe yintlobo), kunye ne-libido yakhe yaphakanyiswa, iimoya yakhe yaphucula kwaye ukukhanya kwayo kushushu kwancipha kwithuba leveki enye. ULamar uthi uyavuya ukufumana uxolo kodwa akhathazeke ngeminye imiphumo yesifo se-hormone ye- menopausal (MHT), equka ukunyuka komngcipheko wesifo somhlaza wesifuba, ukushaywa kwesifo kunye neemeko zenhliziyo.
"Ndixhalabele ngesifo senhliziyo kuba ubaba wasweleka xa eneminyaka engama-48 ukusuka kwisifo senhliziyo nesifo sikashukela," kusho uLamar.
Amabhinqa anembali yomntu okanye intsapho yomdlavuza webele angadinga ukuthatha i-Nolvadex (tamoxifen) okanye enye i-estrogen inhibitor xa ihamba nge-MHT. Ngaphambi kokumisela i-hormone ngokutshisa okutshisayo, abanye oogqirha baqala ukucebisa abafazi ukuba bafune ukuxhaswa ngama-antidepressants, izityalo ezifana ne- cohosh emnyama , okanye ukutya okunotye.
Ngokutsho kwe-NAMS, ukuba umfazi ovakalelwa njani emva kokuba unesisu sakhe kunye nama-ovari asuswe kuxhomekeka kwizinto ezininzi, kubandakanywa ukuba unayo i-MHT. Abo babecinezelekileyo okanye abaneengxaki zesini ngaphambi kokuhlinzwa, banokubona ukuba loo miqathango ibuhlungu. Abasetyhini abanobuchule obunelisayo kunye nobulili ngaphambi kokuhlinzwa, nangona kunjalo, banokwenene ukuphucula kwezo ndawo, ingakumbi ukuba bane-hormone therapy.
Ngelixa abanye besetyhini babika inzuzo yokuxilonga emva kwe-hysterectomy kunye ne- oophorectomy , uLamar uyavuya xa ehamba ngokusebenza kunye nokukhawuleza kwiindawo zakhe. Ulahlekelwe iipounds eziyi-15 ukusuka kwindlela yakhe yokwelapha kwaye uthi ukuhlinzwa kwakhe kuye kwaphefumlela ukuba kugxile kwimpilo enempilo.
"Ndicinga ukuba kwakuyithuba lokuba ndijonge ebomini bam kwaye ndithi, Kulungile, usondela kuma-50," kusho uLamar. "Yisihlandlo sokuqala ukunyamekela ngokwenene."
> Imithombo:
> URiley Bove, MD, uElizabeth Secor, MA, uLori B. Chibnik, Ph.D., uLisa L. Barnes, Ph.D., uJulie A. Schneider, MD, MS, uDavid A. Bennett, MD, uFilipu L. De Jager, MD, Ph.D.Ukugqithiswa kokunqumla komzimba kuthintela ukuncipha kwengqondo kunye ne-Alzheimer pathology kubafazi abadala. Neurology. Disemba 11, 2013.
> UMaritz Richardson, MD. Udliwano - damsheni. 5 Agasti 2008.
> Orozco LJ, A. Salazar, J. Clarke, noMn. Tristan. "I-Hysterectomy Versus Hysterectomy Plus I-Oophorectomy ye-Women's Premenopausal." I-Cochrane Library Issue 316 Julayi 2008 26 Agasti 2008.
> Ruth Lamar. Ngomnxeba. 13 Agasti 2008.
> Tapisiz, OL , T. Gungor, H. Aytan, S. Zergeroglu, B. Mulazimoglu, U. Bilge, kunye noL. Mollamahmutoglu. "Ngaba i-Hysterectomy ithinta umsebenzi we-Ovariya?" I-European Journal ye-Obstetrics & Gynecology ne-Biological Reproductive. 140: 1 (2008): 61-6.
> Umlande, EM "Amanyathelo okuThatyathwa okuNciphisa umthwalo weMimiselo yeVasomotor Associated-Men Associated." I- Journal ye-Managed Care Pharmacy 14: 3 (2008): 14-9.