- - lokhu kukopishwa kusukaI-Medpagetoday
Ukususa womabili ama-ovarist ngaphambi kokuya esikhathini kuhlotshaniswa namathuba aphezulu ezinkinga zempilo ezingapheli kanye nokunciphiswa kokusebenza ngokomzimba eminyakeni ethile kamuva, ikakhulukazi kwabesifazane abathola ukuhlinzwa phambilini, kutholakala isifundo esiphambanweni.
Qhathanisa neqembu elilinganiswe iminyaka yobudala, abesifazane abangaphansi kuka-46 abasebenza nge-premenopal anilateral Oophorectomy (PBO) ngezimo ezingezona ezingezinhle - nge-Hysterectomy - eyenziwe kahle ekuhlolweni komzuzu wokuhamba imizuzu eyisithupha kamuva futhi kungenzeka ukuba nezimo ezingapheli:
I-Asthma: noma i-1.74 (95% CI 1.03-2.93)
I-Arthritis: noma i-1.64 (95% CI 1.06-2.55)
I-apnea yokulala evimbela: noma i-2.00 (95% CI 1.23-3.26)
I-Fracture: noma 2.86 (95% CI 1.17-6.98)
"Le miphumela igqamisa imiphumela emibi yesikhathi eside ye-Oophorectomy yabesifazane abanezinkomba ze-benign noma azikho izinkomba ezingokwemvelo zomdlavuza we-ovari," abaphenyi abaholwa nguMichelle Mielke, i-MD, PhD, ye-Wake Forest Univer Unielke ye Umuthi eWinston-Salem, NC, esihlokweni sokuya esikhathini. Le miphumela ibalulekile lapho ucabanga ukuthi ungaphansi kwe-ovariectomy (PBO) ne-Hysterctomy.
UStephanie Faubion, MD, MBA, umqondisi wezokwelapha we-Menopause Society, uthe okutholakele, okuncike ekufundweni kwe-tubectomy yaseMayo Clinic kanye ne-2 (Moa-2), qinisekisa isidingo sodokotela bashintshe imikhuba yabo.
"Lokhu nje kwenezela ezincwadini ezikhona ezisusa ama-ovari asemncane, ikakhulukazi ngaphansi kweminyaka yobudala engama-46, kuhlotshaniswa nemiphumela yezempilo engemuhle," uFaubion utshele iMedpage namuhla. " Ngalesi sikhathi, ngicabanga ukuthi sidinga nje ukuthatha isenzo. "
Faubion, futhi ongumqondisi wesikhungo sempilo yabesifazane emtholampilo we-mayo eRochester, eMinnesota, kodwa owayengahlanganyeli esifundweni samanje, washo ukuthi ushada kamuva (abesifazane abaphakathi kweminyaka engama-46 no-49) futhi "hhayi a umbono omuhle, "ngokusho kocwaningo. Kuleli qembu, kwandiswe izingqinamba zamathambo kanye nokulala i-apnea uma kuqhathaniswa nontanga eneminyaka yobudala, futhi i-PBO iholele ezingxabanweni eziphakeme zesifo sama-pulmort esingama-pulmort.
Eqenjini le-PBO, cishe amaphesenti angama-90 nawo athola i-hysterectomy, kanti amaphesenti ayi-6 ayene-hysterectomy ngaphambi kwaleyo; Eqenjini elilinganiselwe yeminyaka elingenamikhawulo elingazange lisebenze i-PBO, amaphesenti angama-9 ayene-hysterectomy.
UMielke utshele iMedpage namuhla esusa ama-ovari ngesikhathi se-hysterectomy (ukuhlinzwa okwesibili okuvame kakhulu kwabesifazane) kuwumkhuba ojwayelekile kwabesifazane, ngokwengxenye ngoba kususa ubungozi bomdlavuza we-ovari.
UMieleke uyachaza: "Ngokomlando, kwathiwa, kwathi uma isibeletho sesisusiwe, ngeke esaba khona amandla okuzala, ngakho-ke asikho isidingo sokususa ama-ova." Kodwa-ke, ngokuhamba kwesikhathi, ucwaningo olwengeziwe lukhombisile ukuthi ukususa womabili amaqanda ngaphambi kokuya esikhathini kwemvelo kungaba nemiphumela yesikhathi eside noma ubungozi besikhathi eside sezinye izifo.
Uma ama-ovaries esuswa ngaphambi kokuya esikhathini, ubisi uthe, "kunconywe kakhulu" ukuthi abesifazane bahlala e-estrogen therapy kuze kube iminyaka yobudala engama-50.
Abaphenyi baphawule ukuthi isifundo samanje sasihlanganisa ukuhlolwa okuphelele komuntu kwabesifazane ngomlando obhalwe phansi we-PBO, kanti ezinye izifundo ezikuPBO kanye nemiphumela yezempilo zithembele ngokuyinhloko ekuqoqweni kwezokwelapha, ukwehluleka ukufaka amarekhodi athile ngokusebenza komzimba noma ezinye izindlela ezihlobene nokuguga. "
Imininingwane yeSifundo
UMielke nozakwabo basebenzise idatha evela ku-Roochester epidemiology System's (Rep) System Onezinhlelo zezokwelapha zezokwelapha kanye nesifundo seMoa-2, esatholwa ngabesifazane e-Olmsted County, eMinnesota, abaphathwa ngePBO ngezimo ezingezona eziphakathi kuka-1988 no-2007 futhi owayengekho Ingozi enkulu yomdlavuza we-ovarian: Abahlanganyeli beMoa-2 baqhathaniswa neqembu lezethenjwa labesifazane ababengayitholi i-PBO babhangqwa ngeqembu lezethenjwa labesifazane abangazange bathole i-PBO.
Kusukela ngo-2018, lapho kuqala ucwaningo olubhekene nobuso, iningi lalabo abasePBO namasetheyithi asaphila (91.6% no-93.1%, ngokulandelana).
Iqembu lokucwaninga liqashile abesifazane abangama-274 abakhuluma isiNgisi ukusuka kuMoa-2 abalandela umuntu ngaphambi kweminyaka engu-22, kufaka phakathi iziguli eziyi-161 ezithola inqubo ngaphambi kwesikhathi (ngaphambi kweminyaka engu-46) (59%) neziguli eziyi-113 abathola inqubo sekwephuzile (ubudala abangama-46 kuye ku-49) (41%).
Ababambiqhaza bekufanele babe neminyaka engama-55 noma ngaphezulu ekubhaliseni futhi bakhishwe ngaphandle uma i-pathology ikhombisa ubuhlanya e-PBO yabo noma ukube bebengakaze babonakale ku-rep eminyakeni emihlanu edlule. Babeqondane nababambiqhaza abangama-240 eqenjini lenkomba elalinganayo i-PBO.
Sekukonke, abesifazane babenesikhathi seminyaka engama-67, sasingama-97% -99% amhlophe, futhi cishe ama-60% ayengakaze abheme.
Izifo ezingamahlalakhona zahlolwa amarekhodi ezokwelapha. Ngaphezu kwezinhlangano ezishiwo ngaphambili, abacwaningi abatholanga noma yiziphi izinhlangano eziphakathi kwe-PBO kanye nomdlavuza, ushukela, i-dementia, i-hyperpisidemia, i-osteoporosis, noma ukuhlaselwa kwe-ischemic.
Ukuhlolwa ngokomzimba kufaka nezinyathelo zamandla nokuhamba. Uma kuqhathaniswa neqembu eliqhathaniswe nereferensi yeminyaka yobudala, abesifazane abathola i-PBO banesilinganiso esiphakeme esiphakeme se-thyroid / Pteronavicular fat futhi senziwe kabi ekuhlolweni kokuhamba ngemizuzu engu-6 (kanti abesifazane abasebenza ngaphansi kwe-PBO benze kangcono ngemizuzu engu-6 Ukuhlolwa kokuhamba (-18 amamitha). Abesifazane abasekupheleni kweqembu le-PBO banamaphesenti amaphesenti amaningi isisindo esibi, isisindo sokuncipha kwamathambo, kanye nobuningi be-spinal bone mineral ngokuqhathaniswa neqembu lesethenjwa.
UMielke nozakwabo baphawula lokho ngoba isifundo besisiphambene nesigaba, ukucasuka akunakunconywa, futhi kunconywa izifundo ezinde. Baphinde baphawula nokuthi abesifazane ababambe iqhaza ocwaningweni kungenzeka ukuthi babenempilo kunenani elijwayelekile futhi bakhomba ukubekwa phansi kwabamhlophe njengomunye wemikhawulo yokufunda.
Ukunakekelwa kweHongguan ngempilo yakho.
Bona umkhiqizo owengeziwe weHongguan →https://www.hgcmedical.com/products/
Uma kukhona izidingo ze-Medical Cumables, sicela ukhululeke ukuxhumana nathi.
hongguanmedical@outlook.com
Isikhathi sePosi: Sep-18-2023