Maererano neHinnish yekutsvakurudza kwakaitwa muna 2003, mukana wevakadzi wekudzivirira kenza yekemokari inogona kuvirirwa mumwedzi 18 yekutanga pashure pokuvhiyiwa kwehutano . Vatsvakurudzi vakawana kuti vakadzi vaiva ne hysterectomy vaiwanzoita sevamwe vakadzi kuti vaongorwe nekenza yekroid mukati memwedzi mitanhatu kusvika pamwedzi 18 mushure mekushanda.
Vanyori vanocherechedza kuti njodzi yekenza yekodhi inogona kuwedzera nekuda kwemamiriro ezvinhu anokonzera mukadzi kupinda hysterectomy, uye kwete kubva payo nzira yacho pachayo.
Maererano nekudzidza, dambudziko rekenza yekodhi pakati pevakadzi vane hutachiona hwakanga huri makumi mana kubva muzana kupfuura huwandu hwehuwandu, asi njodzi dzinodonha zvikuru kudarika mwedzi 18 mushure mekuvhiyiwa.
Vatsvakurudzi vakataura kuti havabvumi kuti hysterectomy pachayo inokonzera ngozi yakawanda yekenza yekemikari. Pane kudaro, zvinoita sokuti kune rumwe rudzi rwekubatana kana ruzivo rwakafanana pakati pechikonzero che hysterectomy-kazhinji, zvipembenene zvinotapira zvinonzi uterine fibroids kana kuwedzerwa kwekubuda kwemwedzi - uye kenza yekameti.
Kutsvakurudza kwakawanda
Mune chidzidzo chinonzi "Murefu wenguva yemukana wekenza mushure mokunge hysterectomy ichinyanya kukosha: chidzidzo chevanhu vanoongorora cohort," iyo yakagamuchirwa kuti ibudiswe neInternational Journal of Cancer muna 2016, muongorori wechiSweden anowanzoona nezvechiitiko chekenza pakati pevanhu vanogamuchira kunyengedzera kwehutano hunokonzera.
Vatsvakurudzi vanocherechedza kuti tsvakurudzo yapfuura yakaratidza dambudziko rinowedzera revakadzi vanosimbisa kwete kenza yemukati chete mushure me hysterectomy asiwo ovarian uye renal (kidzo) kenza. Izvi zvinowedzera dambudziko rinoratidzirwa kuvakadzi vane hysterectomy vasingatoriwo sarpingo-oophorectomy (BSO) pamwe chete, kana kubviswa kweivhai.
Zvinoita sokuti, kana mazai emuviri aripo mumuviri, mahomoni ayo aanobudisa angave akabatana nekukura kwekenza.
Pano pane zvimwe zvitsvakurudzo zvakawanikwa zvichibva pachidzidzo chevanhu:
- Kune vakadzi vaviri vane hysterectomy voga uye hysterectomy ne BSO, paiva nekuderera kwepakati pepakati pengozi yemhando dzose dzekenza.
- Kune vakadzi vaviri vane hysterectomy voga uye hysterectomy neBSO, paive nekuwedzera mudambudziko rekenza uye kenza yeuropi.
- Kune vakadzi vaviri vane hysterectomy voga uye hysterectomy ne BSO, pakanga pasina kuwedzera mudambudziko remuti wepamu, wepapu kana wepamuviri .
Ndapota cherechedza zvakare kuti vakadzi vekuSweden vakadzidza nevatsvakurudzi vaiva hysterectomy nokuda kwezvikonzero zvimwe kunze kwekenza.
VaSwitzerland vatsvakurudzi vanogumisa kuti hysterectomy pamwe uye pasina BSO pamwe haigoni kuwedzera mungozi yekenza nemagetsi akawanda asi pane zvine chokuita nemahomoni.
Chii Chinobatana Pakati Pehysterectomy neCarter Zvinoreva?
Ndapota ramba uchiyeuka kuti tsvakurudzo iri pamusoro apa inoshandisa zvipingamupinyi zvakasanangurwa kutsanangura kusangana pakati pe hysterectomy nekenza. Mune mamwe mazwi, kunyange kana njodzi ichiwedzerwa, zvinogoneka zvikuru kuti nhamba shomanana dzevakadzi chaizvoizvo inokura chirwere chetachiona mushure me hysterectomy.
Mukupedzisa, kana chiremba wako achisimbisa kuti iwe unoda hysterectomy, iwe unofanirwa kutevera mazano ake pasinei nekunetseka pamusoro pehuwandu hwekenza. Zvisinei, inogona kunge iri pfungwa yakanaka kuchengetedza tsvakurudzo iri pamusoro apa mumwedzi nemakore mushure mekuvhiyiwa.
Kunyanya, iwe unofanirwa kunge uchiziva kuchinja chero kupi zvako mumuviri wako kunogona kuratidza utachiona hwehutano kana kenza yekameti. Semuenzaniso, kukura kwetachiona, kushaya simba, mutsi unonzwa, kana unyoro mumutsipa zvese zvinogona kuva zviratidzo zvevhundukirini yehutano kana kenza. Kana ukacherechedza chero kuchinja kwetachiona yako, teerera pamwe nachiremba wako pakarepo.
Iwe unofanirwawo kufunga kuve nechokwadi chekuti utachiona hwakakwana weT-TSH, Free T4, uye Free T3 kuedza-kunoitwa gore negore mushure mekushaya hysterectomy, kuve nechokwadi chokuti chero upi zvake huripo hunoita hutachiona husingakanganwiki.
Sources:
Chinyorwa chinonzi "Nguva refu yenguva yekenza mushure mokunge hysterectomy ichinyanya kukosha: huwandu hwevanhu hunodzidza mazano" naD Altman uye vanyori vanyori vakabvuma kubudiswa mu International Journal of Cancer muna 2016.
American Journal of Obstetrics uye Gynecology 2003; 188: 45-48.