Vari Vakadzi veAmerica Vane Zvisingakoshi Hysterectomies?

Zvemukati

• Kutanga, chii chinonzi hysterectomy?
• Nei vakadzi vazhinji vari kuwana hysterectomies?
• Kusiyana Kwemarudzi MuHysterectomy
• Nzira Yokuwana Nayo Kutarisirwa Kwaunofanirwa
• Ongororo ye

Kubvisa chibereko chemukadzi, nhengo inoona nezvekukura, uye kutakura mwana uye kuenda kumwedzi ndeye hombe dhiri. Saka unogona kushamisika kuziva kuti hysterectomy - kuvhiyiwa kusingadzoreki kubviswa kwechibereko - ndeimwe yeanowanzo itwa maoparesheni evakadzi muU.S. Yep, wakanzwa izvo zvakanaka: Vamwe 600,000 hysterectomies inoitwa gore rega rega muU.S. Uye nekumwe kuverenga, chetatu chevakadzi vese vekuAmerica vanenge vaine imwe pazera ramakore makumi matanhatu.

"Pamberi pemishonga yazvino, kusununguka kwakaonekwa semushonga wenyaya chero mukadzi angauya kwachiremba kana kun'anga," anotsanangura Heather Irobunda, M.D., ob-gyn akasimbiswa mubhodhi muNew York City. "Mune imwe nhoroondo yazvino, chero matambudziko angaunzwa nemukadzi kuna chiremba wake anosanganisira chiuno chake angadai akarapwa nehutachiona."

Nhasi, zvakawanda zvirwere - cancer, inokanganisa fibroids (isiri-cancerous kukura mumhasuru yechibereko chako iyo inogona super zvinorwadza), kubuda ropa zvisina kujairika - kunogona kuendesa chiremba kukurudzira hysterectomy. Asi nyanzvi zhinji dzinopokana kuti kuvhiyiwa kwacho kwakanyanyisa uye kunyorerwa zvakanyanya, kunyanya kune mamwe mamiriro akadai sefibroids - kunyanya kuvakadzi vane ruvara.

Saka chii chaunoda kuti uzive nezve inoitika nzira, aya marudzi akasiyana, uye - zvakanyanya kukosha - chii chinofanirwa iwe kuita kana wambopihwa imwe semushonga?

Kutanga, chii chinonzi hysterectomy?

Muchidimbu, maitiro anobvisa chibereko, asi kune mhando dzakasiyana dzehyssterectomy. The American College of Obstetricians and Gynecologists (ACOG) inotaura kuti hysterectomy yakazara ndeye apo chibereko chako chese (kusanganisira chibereko chako chechibereko, kumucheto kwezasi kwechibereko chako kunobatanidza chibereko uye chibereko). Iyo supracervical (aka subt subtotal kana chidimbu) hysterectomy ndipo panongobviswa chikamu chepamusoro chechibereko chako (asi kwete cervix). Uye iyo yakasununguka hysterectomy ndipo paunenge uine yakazara hysterectomy pamwe nekubviswa kwezvivakwa senge mazai ako, kana Fallopian machubhu (iti, mune kesi yekenza).

Hysterectomy inowanzo shandiswa kurapa akaurayiwa ehutano mamiriro kubva ku fibroids uye uterine prolapse (apo chibereko chinodzika chakananga kana kupinda mukati memukadzi) kune chisina kujairika kubuda kweropa, gynecologic cancer, kurwadziwa kusingaperi kwepelinha, uye kunyange endometriosis, sekureva kweACOG.

Zvichienderana nemhando ipi yehysterectomy yaunoda (uye kuti chikonzero chako chekuchida chii), kuvhiyiwa kunogona kuitwa nenzira shoma dzakasiyana: kuburikidza nenhengo yako yemukadzi, kuburikidza nedumbu rako, kana kuburikidza nelaparoscopy - apo teresikopu diki inoiswa kuti ionekwe uye. chiremba anovhiya anokwanisa kuita kuvhiya aine zvidiki zvidiki.

Nei vakadzi vazhinji vari kuwana hysterectomies?

Mamwe ma hysterectomy (kufanana neaya akaitwa kuburikidza nedumbu rako) anonyanya kukanganisa kupfuura mamwe (imwe yakaitwa kuburikidza nelaparoscopy). Uye zvakare zvakakosha kuti uzive kuti kakawanda, kunyangwe kana hysterectomy inoratidzwa, kune dzimwe nzira dzekurapa dziripo (iti, kune nyaya dzakadai se fibroids kana endometriosis). Dambudziko nderei? Idzo sarudzo hadziwanzo kuratidzwa sedzinogoneka sarudzo kwese kwese.

“Dzimwe nguva, zvichienderana nechikamu chenyika yauri, kune vanachiremba vanovhiya vasingagadzikane nemishonga isingadhuri izvo zvinoita kuti vakadzi vose ivavo vabatwe ne<em>hysterectomy,” anotsanangura kudaro Dr. Irobuna.

Heino muenzaniso: Kana ichishandiswa kune fibroids, hysterectomy zvinoita inowanzoita kuti zviratidzo zvirege kudzoka (mushure mezvose, chibereko chako uko kwaive neaya mafibroids chave kuenda), asi iwe unogona kuvhiya kubvisa fibroid uye kusiya chibereko munzvimbo. "Ini ndinofunga kune ma hysterectomies ayo anokurudzirwa navanachiremba nekuda kwekuti vanowana fibroids pabvunzo," anodaro Jeff Arrington, MD, chiremba wepamberi wevadzvanyiriri vegynecologic uye endometriosis nyanzvi kuThe Center for Endometriosis muAtlanta, GA. Uye nepo fibroids inogona kurwadza zvisingaite uye ichipedza simba (uye hysterectomy inogona kubatsira kubvisa marwadzo iwayo), fibroids inogonawo kusarwadza. "Pangave nenhamba yevarwere vangave vakanyatsonzwisisa kuti fibroids iripo uye kuti vane hutsinye," anodaro Dr. Arrington nezvesarudzo yekusashanda.

Dzimwe nzira dzisiri dzehasha dzinosanganisira myomectomy (kuvhiya kubvisa fibroid kubva muchibereko), kurapwa senge uterine fibroid embolization (kucheka ropa rinopa kune fibroids), uye radiofrequency ablation (iyo inonyanya kupisa iyo fibroids). Uyezve, kune akawanda asinga pindike ekurapa sarudzo senge emuromo ekudzivirira kubata pamuviri uye mimwe mishonga.

Asi, hechino chinhu: "MaHysterectomies anga aripo kwenguva yakareba, uye wega gynecologist anodzidza maitiro ekuzviita mukugara kwavo kwekugara - [asi izvo hazvisi zvechokwadi kune dzese nzira dzekurapa," kusanganisira izvi zvishoma zvinokanganisa maitiro, anodaro Dr. Irobuna.

Mune iyi tsinga, nepo hysterectomy ichionekwa se "yechokwadi" (verenga: zvachose) kurapwa kweendometriosis, "hapana humbowo - hapana chidzidzo chimwe chete - chinoratidza kuti kungopinda nekubvisa chibereko nemashiripiti kunoita kuti mamwe ese endometriosis aende. kure,” anotsanangura kudaro Dr. Arrington. Mushure mezvose, netsanangudzo, endometriosis ndipo apo matishu akafanana neaya emukati mechibereko anokura. kunze yechibereko. Hysterectomy, anoti, unokwanisa kugadzirisa mamwe marwadzo endometriosis evamwe vanhu, asi hazviite uye zvega zvinorapa chirwere. (Yakabatana: Lena Dunham Aive neZere Hysterectomy yekumumisa Her Endometriosis Pain)

Saka nei hysterectomy inowanzo kupihwa kune vakadzi vane endometriosis? Zvakaoma kutaura, asi zvinogona kuuya kuzodzidziswa, kugadzikana, uye kuratidzwa, anodaro Dr. Arrington. Endometriosis inorapwa zvakanyanya kuburikidza nekuvhiya kubviswa kweendometriosis pachayo, inozivikanwa sekuvhiya kwekubvisa, anodaro. Uye havasi chiremba vose vanovhiya vakadzidziswa mumhando iyi yekuvhiya nenzira imwecheteyo hysterectomy inowanzodzidziswa.

Kusiyana Kwemarudzi MuHysterectomy

Uku kupamhidzirwa kwema hysterectomies kunova kunotonyanya kuoneka kana uchitarisa nhoroondo yemaitiro pakati pevarwere vatema. Kumwe kutsvagurudza kunoratidza kuti vakadzi vatema vane mukana wakapetwa kana kuwana hysterectomy kupfuura vakadzi vachena. ICentre for Disease Control and Prevention (CDC) yakashumawo data rinoratidza kusiyana kwemarudzi pakati pevaya vane maitiro acho. Uye kumwe kutsvagurudza kunoona vakadzi veBlack vane hysterectomy pamitengo yakakwira kupfuura chero rumwe rudzi.

Tsvagurudzo uye nyanzvi dzakajeka: Vakadzi vatema vane mukana wakanyanya kupfuura vakadzi vachena wekuvhiyiwa, anodaro Melissa Simon, MD, director weInstitute for Public Health and Medicine Center for Health Equity Transformation kuNorthwestern's Feinberg School of Medicine. Zvikurukuru, ivo zvakare vane mukana wekuita zvakanyanya invasive abdominal hysterectomy, anowedzera.

Panogona kuva nezvikonzero zvakawanda zveizvi. Kune rimwe chete, vakadzi vatema vanoona fibroids - chimwe chezvikonzero zvakajairika zvehyssterectomy pakati peimwe nhangemutange - pamitengo yakakwira kupfuura vakadzi vachena. "Huwandu hwezviitiko hwakakura zvakapetwa kaviri kana katatu muvakadzi vemuAmerican Africa kupfuura vakadzi vachena muAmerica," anodaro Charlotte Owens, MD, director director wezvekurapa kuAbbVie. "Vakadzi veAfrica veAmerica vanowanzoita zviratidzo zvakanyanya uye kare, kazhinji mumakore avo makumi maviri." Nyanzvi hadzinyatsoziva kuti nei zvakadaro, anodaro Dr. Owens.

Asi pane mukana wakawanda kune kusaenzana kwerudzi pane kuitika kwefibroids. Kune imwe, iyo nyaya yekuwana kurapwa kushoma? Inogona kurova vakadzi vemavara zvakanyanya. "Mari yekubatsira kweimwe yehunyanzvi inodiwa kuita marapirwo epamberi, isinganyanye kukuvadza inogona kunge isingawanikwe kuzvipatara zvinoshandira dzimwe nharaunda munogara vamwe vakadzi vatema," anotsanangura Dr. Irobunda. (Yakabatana: Ichi Chiitiko Chevakadzi Vane Pamuviri Chiitiko Chinoomesa Chinosimbisa Misiyano Mune Hutano hweVatema Vakadzi)

Zvakare, kana zvasvika kune zvingasarudzwa zvekutarisira vakadzi vane ruvara uye kurapwa kwefibroid, sarudzo dzakasiyana hadziwanzo kukurukurwa, anodaro Kecia Gaither, M.D., M.PH., chiremba wezvechiremba wezvechiremba wezvechiremba paNYC Health Hospitals/Lincoln. "Hysterectomy inopiwa senzira chete yekurapa." Asi chokwadi chenyaya ndechekuti, nepo hysterectomy inowanzo kuve sarudzo pane yemadzimai menyu ekurapa sarudzo, kazhinji haisi iyo chete sarudzo. Uye iwe haufaniri kunzwa sokuti unofanira kuitora kana kuisiya kana zvasvika kune hutano hwako.

Kusvika padanho iri, kune systemic rusaruraganda uye kusarudzika zvinoita basa pano, vanodaro nyanzvi. Mushure mezvose, nzira dzakawanda dzepelvic uye dzekubereka dzine midzi yerusaruraganda sezvadzakanga dzakaitwa pakutanga uye dzakaedzwa pavaranda vechikadzi vechitema. Mukutanga kwema2000, pakange painewo nyaya dzekusabvumidza kubereka mujeri reCalifornia, anotsanangura Dr. Irobuna.

"Zvinonyatso kuzivikanwa kuti kusarura kuripo maererano nevakadzi vatema nekurapwa - ndakazvionera," anodaro Dr. Gaither.

Kusarura kwevavhiyi kunogonawo kupenya. Kana chiremba anovhiya, semuenzaniso, achifunga kuti vakadzi vechitema vangave vashoma kutevedzera nzira dzekurapa senge piritsi rekudzivirira kuzvara kana kupfura (seDepo Provera iyo inogona kubatsira nekurwadziwa kwepelvic uye kubuda ropa kwakanyanya anogona kupa kurapwa kwakanyanya senge hysterectomy, anodaro. "Ini, zvinosuruvarisa, ndakave nevarwere vakawanda vechikadzi Vatema vauya kuzondiona vaine zvinovanetsa mushure mekupihwa hysterectomy nevamwe vanachiremba uye vasina chokwadi kana hysterectomy yaive nzira yakakodzera yekurapa kwavari."

Nzira Yokuwana Nayo Kutarisirwa Kwaunofanirwa

Hysterectomy kurapwa kwakakosha kune mamwe matambudziko ekurapa - hapana mubvunzo. Asi nzira yacho inofanira kupiwa se chikamu yeiyo inogona kurapwa chirongwa, uye nguva dzose senzira. "Zvakakosha kuti nesarudzo yakakosha sekubvisa nhengo, murwere anonzwisisa zviri kuitika nemuviri wake uye kuti ndedzipi nzira dzekurapa," anodaro Dr. Irobunda.

Mushure mezvose, hysterectomy inouya nemhedzisiro - zvese kubva pakusakwanisa kubereka vana kusvika pakuvhara kana kuderera kwemanzwiro uye nekukasira uye nekukasika kuenda kumwedzi kana usati wagara wapfuura neizvi. (BTW, hysterectomies ingori imwe ye * dzakawanda * zvikonzero zvekutanga kuenda kumwedzi.)

Zvimwe zvinhu zvekuchengetedza mupfungwa kana hysterectomy inouya mukutaurirana? "Ndinogara ndichipa mazano kuvarwere, kunyanya varwere vemuvara uye veVatema, kuti vasatya kubvunza mibvunzo," anodaro Dr. Simon. "Bvunza kuti sei chiremba kana chiremba ari kukurudzira imwe nzira yekurapwa kweimwe mamiriro, bvunza kana paine dzimwe nzira dzekurapa, uye - kana zvatemwa kuti chirwere chekuvhiya ndizvo nzira yekuenda - bvunza nezve nzira dzingashandiswa, senge nzira isingadhure."

Muchidimbu: Iwe unofanirwa kunzwa kuti wapindurwa mibvunzo yako uye kuti urikunzwikwa. Ukasadaro, tsvaga wechipiri (kana wechitatu) pfungwa, anodaro. (Zvakafanana: 4 Zvinhu Zvinodiwa Mukadzi Wese Kuti Aite Nehutano Hwake Hwepabonde, Maererano naOb-Gyn)

Pakupedzisira, hysterectomy isarudzo yega yega inoenderana nezvose kubva pane nyaya yauri kutarisana nayo, nhanho ipi yehupenyu yauri, uye chinangwa chaunacho. Uye icho chinonyanya kukosha ndechekuti kuve nechokwadi chekuti iwe une ruzivo sezvinobvira kiyi.

"Ndinoedza kupfuura nesarudzo dzakasiyana, zvayakanakira nezvayakaipira, ndobva ndabatsira murwere kusarudza kuti ndeipi sarudzo inovanakira," anodaro Dr. Arrington.

Ongororo ye