Izvo zvinoenderana nokuti mavhavhai enyu akabviswawo zvakare
Kana iwe munguva ichangopfuura uine hysterectomy sezvinodiwa mune zvehutano kana uchitarisa iyi nzira sekurapa kusarudzwa kwehutano hwehutano, iwe unogona kunge uchishamisika kuti zvakanyanya uye nokukurumidza zvichaita sei mahomoni ako. Kune mhando dzakawanda dzehutachiona, kusanganisira kubviswa kwechibereki chete, kubviswa kwechibereko chechibereko uye chibereko chechirwere, uye kubviswa kwechibereko uye zvivako zvakakomberedza, zvakadai seamashizha uye / kana mawere.
Kuwedzera kwehutachiona hunobvisa chibereko pamwe chete nemavhizha, uye kubviswa kwemaovari ako ane simba rekuunza pakudarika kwemvura kamwe, iyo inonzi chirwere chokuvhiya. Izvozvo ndezvokuti mazai mazai ndivo vatori vemahomoni enyu.
Pane humwe uchapupu hwokuti hysterectomy inogona kukanganisa kubudiswa kwehomoni kunyange kana mavha mavari ari kuchengetedzwa. Kunyanya chikamu, kunyange zvakadaro, vanachiremba vanotaura kuti kuchengetedza mazamu uye kungobvisa chibereko ichi kunobvumira vakadzi kuti vapfuure kuburikidza nekuguma kwemazuva.
Chii Chaunotarisira Kana Amai Ovari Akabviswa
Kune vakadzi vakaita saRuth Lamar, avo vose vane chibereko chavo uye mazai avo vakabviswa, chirwere chinogona kutevedzwa nokukurumidza nemararamiro emametaopausal akadaro sekupisa kunopisa uye mafungiro evanhu vanochinja. "Ndichange ndichichema miniti imwe, nditsamwira wotevera, ndinofara wotevera," anoyeuka Lamar, weFenton, Mo.
Lamar inoshungurudzika mupfungwa inowanzoita kuti vakadzi varongedzwe pakuguma kwemazuva mashure mushure mekubvisa mavari mavari.
Zviratidzo zvekuvhara kuenda kumwedzi zvakangofanana neaya anowanzovhara masikati, asi akaoma zvikuru. Zvinosanganisira kupisa kunopisa, kunetseka kurara nehope uye kurara hope, pasi pfupi libido, ganda rakaoma, kuomeswa kwemadzimai uye mafungiro emhepo. Kuvhiya kwemwedzi kunogonawo kukonzera kurasikirwa mupfungwa, izvo maererano neNorth American Menopause Society (NAMS), hazvionekwi kuvakadzi vanowanzoguma pakarepo.
Kuva nezvivharasi zvabviswa panzvimbo yekuona kuregererwa kwepanyama zvinoreva kwete kurasikirwa kweesrogen asiwo kurasikirwa kwe testosterone kunogona kuderedza kupisa kunopisa, kuchengeta chido chepabonde uye kugadzikana mafungiro. "Vari kutora mahomoni maviri," anodaro Martha Richardson, MD, mutungamiri mukuru wezvinetso uye gynecology paHarvard Vanguard Medical Associates muBoston.
Chikonzero nei MaMatokari Akawanda Achichengetedza Ovha
Kusvikira makore anoverengeka apfuura, vanachiremba vaigara vachiita oophorectomy (kubviswa kweiyo mavari) munguva yehutano hwevakadzi mukati mekuguma kwemwedzi. Kufunga kwaiva kuti mazai avo akanga ava pedyo nokuvhara chero zvakadaro uye kuti kuvabudisa kunze kwaizobvisa zvachose kukwanisa kwechiitiko chakakomba zvikuru.
"Chiremba wangu akati kune vakadzi vari pasi pemakore makumi mana, vanosiya mavhavha. Kana iwe uine makore anopfuura makumi mana, vanozvitora kunze kuitira kuti iwe usafanirwa kunetseka nezvekenza yevarivha, "anodaro Lamar, uyo hysterectomy yakakonzerwa nehuwandu hunenge hwakatora nguva inenge mavhiki matatu pamwedzi mumwe nomumwe.
Iye zvino, vanachiremba vanowedzera vachichengetedza mazai mavari , pasinei nemakore ekurwara. Kutsvakurudza kunoratidza mikana yemukadzi kuwana kenza yemuvhariki munguva yeupenyu hwake (pasi pe2 peresenti) yakawanda zvikuru kudarika ngozi yehutano hwepfungwa (inopfuura 36 muzana).
Kunyangwe mushure mekupera kwemazuva, mazai emuviri anoita zvidhinha zvishoma, kudzivirira vakadzi vanotemopaopausal kubva kurwere chepfungwa uye kurohwa , pamwe nekurasikirwa kwefupa.
Mukuwedzera, kumwe kutsvakurudza kunoratidza kuti kare kare makore ako ekuvhiya kumwedzi, kukurumidzira kutengesa kwako kwekufungisisa kwekupedzisira muhupenyu, izvo zvinoratidza kuti kushandiswa kwemahomoni zvakashata kunokanganisa kusanganisa kwevakadzi.
Chimwe chinhu kunze kwekuchengetedza-ma-ovaries mindset: vakadzi vane mhuri yemhuri yekenza yevarivha vangaramba vachirayirwawo kuti vawane oophorectomy kana vane chibereko chavo chakabviswa. Vakadzi vakadaro vanogona kusarudza kuti mavari mavari awedwe kana pasina hysterectomy inodiwa, kunyanya avo vanoedza kutenderera kune BRAC gadziriro yezvemugadziri inowedzera kuwedzera kungozi yekenza yevana.
Relief kubva kuMenopausal Symptoms
Lamar akafadzwa nokukurumidza pakarepo kubva panguva dzakaoma, uye kushambadzira kwake pakupedzisira kwakaporesa. Akarwisana, kunyange zvakadaro, nemoto wake unopisa uye mafungiro asina kukanganisa pamwe chete nemadzimai akaomeswa, kushaya hope, uye kurara kwepabonde kwepamwedzi kwemwedzi mushure mekuvhiyiwa kwake.
Zvadaro chiremba wake akaraira Enjuvia (plant-derived synthetic estrogen), uye libido yake yakasimudzwa, mafungiro ake akavandudzwa uye kupisa kwaro kupisa kwakaderera munguva yevhiki imwe chete. Lamar anoti anofara kuwana ruzivo asi ane hanya nezvimwe zvinoguma zve menopausal hormone therapy (MHT), iyo inosanganisira kuwedzera kwengozi yomudzimai wekenza yepazamu, chirwere chepfungwa, uye mamiriro emwoyo.
"Ndinoshushikana nezvechirwere chemwoyo nokuti baba vangu vakafa apo vaiva nemakore makumi mana nemapfumbamwe kubva pakurwara kwepfungwa uye chirwere cheshuga," Lamar anoti.
Vakadzi vane nhoroondo yemunhu kana yemhuri yekenza yemazamu vangada kutora Nolvadex (tamoxifen) kana imwe isrogen inhibitor pavanenge vari pasi peMHT. Asati asarudza mahomoni emoto anopisa chete, vamwe vanachiremba vanotanga kurayira vakadzi kuti vatsvake rubatsiro nemishonga inorwisa mweya, miriwo yakaita seyemusiki , kana kuti kudya kwe-soy.
Maererano neNAMS, mukadzi akanaka sei anonzwa mushure mokunge chibereko chake uye mazai abviswa kubva pane zvimwe zvinhu, kusanganisira kana ane MHT. Vaya vakange vakaora mwoyo kana kuti vane dambudziko repabonde vasati vambovhiyiwa vanogona kuona kuti mamiriro acho ezvinhu ari kuwedzera. Vakadzi vanofarira hupenyu hunogutsa nekuita zvepabonde vasati vambovhiyiwa, zvisinei, vangave vanoona kuvandudzwa munharaunda idzi, kunyanya kana vane hormone therapy.
Nepo vamwe vakadzi vanorondedzera kuwedzera kwehupfumi mushure mekushaya hysterectomy uye oophorectomy , Lamar anofara iye akaenderera mberi iyo kuburikidza nekushanda kunze nekudzikisa kumashure ayo. Akarasikirwa nemadhora gumi nemashanu kubva pakurapa kwake uye anoti chirwere chake chakamukurudzira kuisa pfungwa pahupenyu hwakanaka.
"Ndinofunga kuti yaiva mukana wekuti nditarise hupenyu hwangu uye ndikati, Zvakanaka, uri kusvika 50," Lamar anoti. "Inguva yekutanga kutora zvakanaka iwe pachako."
> Sources:
> Riley Bove, MD, Elizabeth Secor, MA, Lori B. Chibnik, Ph.D., Lisa L. Barnes, Ph.D., Julie A. Schneider, MD, MS, David A. Bennett, MD, Philip F. De Jager, MD, Ph.D.Age pakuvhiya kumwedzi kunokonzera kukanganisa kunonoka uye chirwere cheAlzheimer muvakadzi vakwegura. Neurology. December 11, 2013.
> Martha Richardson, MD. Nhare yehurukuro. 5 Aug. 2008.
> Orozco LJ, A. Salazar, J. Clarke, naM. Tristan. "Hysterectomy Versus Hysterectomy Plus Oophorectomy yeVemenopausal Women." The Cochrane Library Issue 316 Jul 2008 26 Aug 2008.
> Ruth Lamar. Telefoni Hurukuro. 13 Aug. 2008.
> Tapisiz, OL , T. Gungor, H. Aytan, S. Zergeroglu, B. Mulazimoglu, U. Bilge, naL. Mollamahmutoglu. "Kunyanya Kuita Zvepabonde Kunoita Basa reOvarian?" European Journal ye Obstetrics & Gynecology uye Reproductive Biology. 140: 1 (2008): 61-6.
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