Inqaku le-AIRT likhutshelweI-WEDPETOAGOGOGOGOGOGOGOGOTI
Ukususa zombini ii-oviri ngaphambi kokuba kwenziwe iyelenqe linxulunyaniswa neengxaki zempilo ezingapheliyo kwaye kuncitshiswe ukusebenza ngokwasemzimbeni kamva, ngakumbi kubafazi bafumana utyando ngaphambili, kwafunyanwa isifundo sangaphambili.
Xa kuthelekiswa neQela eliDibeneyo le-Age, abafazi abangaphantsi kweminyaka engama-46 abaphantsi kwe-onophoral oophorectomy (PBO) kwiimeko ezingenamzuzu ezi-6 ze-35. Ukuba neemeko ezinganyangekiyo:
Isifuba: okanye 1.74 (95% CI 1.03-2.93)
Isifo samathambo: okanye 1.64 (95% CI 1.06-2.55)
I-APNEARE APANA: OKANYE I-2.00 (95% CI 1.23-3.26)
I-Fracture: okanye i-2.86 (95% CI 1.17-6.98)
"Ezi ziphumo zibalaselisa iziphumo ezimbi zexesha elide ze-OOphorectoctomy yabasetyhini abane-ovar ye-ovamtha ye-ovalles," abaphandi abakhutshelweyo abakhokelwa nguMichelle Mieldke, MD, we-Phd University School University Schoold School Iyeza eWinston-Salem, NC, kwinqaku lokuya esikhathini. Ezi ziphumo zibalulekile xa kuthathelwa ingqalelo ukuba ungaphantsi kwe-ovariectomy (PBO) kunye ne-hysterectomy.
UStephanie Faugion, MD, MBA, UMlawuli wezoNyango woMbutho woMbutho oSebenzayo, utshilo ukufunyanwa, oxhomekeke kwisifundo se-SyO Clinic kunye ne-2
"Oku kongeza kuncwadi olukhoyo olususa i-ovari kubudala, ngakumbi abangaphantsi kweminyaka engama-46," ububele baxelele ihambo namhlanje. " Ngeli xesha, ndicinga ukuba kufuneka nje sithathe inyathelo. "
UTSHINTSHO, onoMlawuli weziko lezempilo yabasetyhini kwikliniki yaseMayo eRochester, Minnesota, kodwa owayengazibandakanyi kwisifundo sangoku, wathi umdlalo weminyaka engama-46 no-49) kukwa "hayi Icebo elilungileyo, "ngokokufunda. Kweli qela, bekukho ukwanda kwe-Artitritis kunye nokulala i-APNeA xa kuthelekiswa nabantakwe babo-abahlobo, kwaye i-PBO yakhokelela ekubeni isifo esiphezulu se-pulmorive engapheliyo.
Kwiqela le-PBO, malunga neepesenti ezingama-90 naphantsi kwe-hysterectomy, kwaye iipesenti ezi-6 zazine-hysterectomy ngaphambi koko; Kwiqela lesalathiso se-Age-Tored ASTHIT esingapheliyo PBO, iipesenti ezi-9 zazine-hysterectomy.
UMielke uxelele i-capvime namhlanje esusa i-ovaries ngexesha le-hysterectomy (eyesibini ixhaphakileyo yabasetyhini) yintshukumo eqhelekileyo yabasetyhini, ngenxa yokuba isusa umngcipheko we-ovarian yomhlaza we-ovarian.
Imbali, "watsho uMielke uthi," Kwakukholelwa ukuba isibeleko sasuswa, kwakungekho sisa sokuvelisa kwakhona, kwaye ke ngoko akusayi kubakho mfuneko yokususa ii-ovari. " Nangona kunjalo, ekuhambeni kwexesha, uphando olungaphezulu nangaphezulu lubonakalisile ukuba ukususa zombini ii-ovari phambi kokuba kubekho imiphumo yendalo okanye ingozi yexesha elide yezinye izifo.
Ukuba i-ovaries isuswe ngaphambi kokuyeka indalo, ubisi uthe "ucetyisiwe kakhulu" ukuba abafazi bahlala kwi-Estrogen Therapy de kube beneminyaka engama-50.
Abaphandi baphawula ukuba isifundo sangoku siquka uvavanyo olubanzi lomzimba lwabantu ababhinqileyo ngembali ye-PBO, ngelixa ezinye izifundo kwi-PBO kunye neziphumo zezempilo zixhomekeki kwi-Primores, ukusilela ekuthinteleni "amasenzi athile Ukusebenza komzimba okanye amanye amanyathelo ahambelana nokwaluphala. "
Iinkcukacha zokufunda
I-Mielke kunye noogxa babo basebenzise idatha evela kwi-rochemiogy project yenkqubo yokunxibelelanisa i-rochemiology kunye ne-MOA-2 yesifundo, echongiweyo kwi-ONBO-2, eyathwalwa nge-PBO yeemeko ezingenamsebenzi phakathi kowe-1988 kwaye ngo-2007 kwaye babengenguye Umngcipheko omkhulu kwi-ovarian yomhlaza we-ovarian.I-MEMI-2 uthatha inxaxheba kwiqela lesalathiso labasetyhini abangazange bafumane pbo ababhinqileyo ababhinqileyo abangenakufumana i-PBO.
Ukusukela ngo-2018, xa uphononongo lobuso ngobuso lwaqala, uninzi lwabo bakwi-PBO kunye nezo ntlobo ze-PBO kunye nesalathiso basaphila (91.6% kunye ne-93.1%, ngokulandelelana).
Iqela lophando liqesha amabhinqa angama-274 abathetha isiNgesi abathetha isiNgesi Ngubani na ohlawula inkqubo kade (iminyaka engama-46 ukuya kwi-49) (41%).
Abathathi-nxaxheba kuye kwafuneka babe ngama-55 ubudala okanye ngaphezulu ekubhaliseni kwaye abakhutshelwa ngaphandle ukuba i-15 ikhutshelwe ukuba i-15 ikhutshelwe ukuba i-15 ikhutshelwe ukuba i-pathology ibonakalise ububi kwi-PBO yayo okanye ukuba ayikhange ibonwe kwi-rep kule minyaka mihlanu idlulileyo. Babengama-240 abatshatileyo kubathathi-nxaxheba abangama-240 kwiqela lereferensi ababengenayo i-PBO.
Lilonke, abafazi babeneminyaka engama-67 beminyaka engama-67, babengama-97% -99% amhlophe, kwaye malunga ne-60% yayingazange itshaye.
Izifo ezingapheliyo zavavanywa ziirekhodi zonyango. In addition to the previously mentioned associations, the researchers did not find any associations between PBO and cancer, diabetes, dementia, hypertension, hyperlipidemia, cardiac arrhythmia, kidney, thyroid, or liver disease, osteoporosis, or transient ischemic attack.
Uvavanyo lomzimba lubandakanya amanyathelo omeleleyo kunye nokuhamba. Xa kuthelekiswa neqela lesalathiso sexesha elimiselweyo, abafazi abaphantsi kwe-PBO babenemilinganiselo ephezulu ye-thyroid / i-pteronavicular ye-factrone kwaye yenziwa kakubi kuvavanyo lwemizuzu emi-6 (-14), ngelixa abafazi bakwenziwa ngcono kwimizuzu emi-6 Uvavanyo lokuhamba (-18 leemitha). Abasetyhini kwiqela le-PBO elifike kade babenentsingiselo ephezulu ngepesenti enkulu, ubunzima obunobunzima, kunye ne-Spinal Bone Mineral Desika ithelekiswa neqela lesalathiso.
UMielke kunye noogxa bakhe baphawula ukuba kuba isifundo sasingabeki candelo, i-souausality ayikwazanga ukususwa, kwaye kuyacetyiswa izifundo ezinde. Baye baphawula ukuba abafazi abathathe inxaxheba kwisifundo basenokuba babesempilweni kunababemi abaqhelekileyo kwaye babonisa ubume babamhlophe njengomnye wemida yokufunda.
I-HongGuan Care malunga nempilo yakho.
Jonga ngakumbi imveliso yeHonggan →https: //www.hgcmed.com/ploves/
Ukuba kukho nayiphi na iimfuno zezinto zonyango, nceda ukhululeke ukunxibelelana nathi.
hongguanmedical@outlook.com
I-Post Time: Sep-18 ukuya kwi-2023