Qodobka ayaa laga soo koobiyeyMedpagodo
Ka saarida labada ugxanleyda ka hor inta dhalmo-daadashadu la xidhiidho suuragalnimada dhibaatooyinka caafimaad ee daba-dheeraada iyo yareynta sanadaha jimicsiga ee xilli dambe, gaar ahaan haweenka qalliinka qalliinka ka hor, isbarbardhig qayb-hoosaad ah.
Marka la barbar dhigo koox da 'ah, dumarka ka yar 46 sano ee ku dhacay ophaportect-ka geeska ah ee' PBO '(PBO) ee xaalado aan caadi ahayn - oo aan si fiican u shaqeynin rukhsad lix daqiiqad ah oo lagu maamuli karo rugta bukaan-socod ee laba sano kadibna ay u badan tahay Si loo yeesho xaalado daba-dheeraada:
Neefta: ama 1.74 (95% CI 1.03-2.93)
Arthritis: ama 1.64 (95% CI 1.06-2.55)
Hurdo horjoogsanaya APNEA: ama 2.00 (95% CI 1.23-3.26)
Jab: ama 2.86 (95% CI 1.17-6.98)
Natiijooyinkaani waxay muujinayaan saameynta xun ee muddada fog ee muddada fog ee loogu talagalay haweenka qaba astaamaha jilcinta ama celcelis ahaan halisyada hidde ee ay hogaaminayeen Michelle Mi'iil, MD, ee dugsiga Jaamacadda kaynta ka dib ee kaynta Daawada Winston-Salem, NC, maqaal ku saabsan dhalmada. Natiijooyinkaani waa muhiim marka laga fiirsanayo bal in la maro ovarriectomy (PBO) iyo HySterectomy.
Stephanie Faubion, MD, MBA, medical director of the Menopause Society, said the findings, which rely on the Mayo Clinic's Tubectomy and Aging Cohort Study-2 (MOA-2), confirm the need for clinicians to change their practices.
"Tani waxay ku dartay suugaanta jira ee ka saareysa ugxan-sideyaasha da 'da' yar, gaar ahaan ka yar da'da 46, waxay la xiriirtaa natiijooyinka caafimaad ee liita," ayay ku soo baxday Maanta Merpage maanta. " Halkaas, waxaan u maleynayaa inaan u baahan nahay inaan tallaabo qaadno. "
Faubion, oo sidoo kale agaasimaha xarunta loogu talagalay caafimaadka haweenka ee rugta caafimaadka ee Rochester, Minnesota, laakiin ku lugeynin guurka dabadiisa, dumarka da'doodu u dhaxayso 46 iyo 49) sidoo kale "maahan Fikrad fiican, "sida ku xusan daraasadda. Kooxdan, waxaa kordhay cabirro arthritis iyo apnea hurdada marka la barbar dhigo asxaabtooda da'doodu tahay, iyo PBO waxay u horseeday fursado sare oo cudurka sambabka ee xannibaya ee wada-noolaanshaha.
Kooxda PBO, qiyaastii 90 boqolkiiba ayaa sidoo kale maray a-kudheer-ka-hetectomi, oo boqolkiiba 6 boqolkiiba waxay lahaayeen hurdo-daran ka hor taas; Kooxda tixraaca da'da ciyaarta oo aan la helin PBO, 9 boqolkiiba waxay lahaayeen aantterectomy.
Mielke ayaa u sheegay Merpage maanta oo ka saaraya ugxan-sideyaasha inta lagu gudajiro caloosha (labaad ee ugu caansan ee haweenka) waa caado ay la leedahay haweenka, qayb ahaan sababtoo ah waxay baabi'isaa halista kansarka ugmata.
"Taariikh ahaan," ayuu yiri Milikes, "waxaa la rumeysan yahay in markii ilmo galeenka laga saaray, ma jiri doono awood uu ku dhaco soo saarida, sidaas darteedna looma baahna in laga saaro ugxan-sidaha." Si kastaba ha noqotee, waqti ka dib, inbadan oo cilmi baaris ah ayaa muujisay in meesha laga saarayo labada ugxan-sifooyinka ka hor inta dhalmada dabiiciga ah laga yaabo inay cawaaqib xumo ama halis muddo dheer ah ka dhalato cudurada kale.
Haddii ugxan-sidaha loo saaro ka hor inta dhalmada dabiiciga ah, oo caanoku yiraahdaan, waa "si xoogan loogula taliyay" in haweenku ay ku sii jiraan daweyn estrogen ah ilaa da'da 50.
Baarayaasha waxay xuseen in daraasadda hadda jirta ay ka mid yihiin qiimeyn ahaan shaqsi ahaaneed oo ku saabsan haweenka leh taariikhda la diiwaangeliyay PBO, halka daraasadihii kale ee la taaban lahaa ee natiijooyinka ka soo baxa diiwaannada caafimaadka, oo ku guuldareystay qabashada "domains gaar ah oo ka mid ah shaqeynta jir ahaaneed ama tallaabooyin kale oo la xiriira gabowga. "
Faahfaahinta waxbarasho
MIELKE iyo asxaabta waxay adeegsadeen xogta ka socota Nidaamka Isku xirka Mashruuca ee Rochester (Repidemiology) (Rep) Nidaamka iskuxirka ee Rochester (Rep) Nidaamka MOA-2, oo cadeeyay haweenka gobolka Olmnesos, oo lagu daweeyay PBO loogu talagalay xaaladaha aan nooleyn ee u dhexeysa 1988 iyo kuwa aan joogin Khatar sare oo loogu talagalay kansarka ugmata.
Laga soo bilaabo 2018, markii daraasadda wajiga wajiga ay bilaabatay, inta badan dadka ku jira PBO iyo kooxaha tixraaca ayaa wali nool (91.6% iyo 93.1%, siday u kala horreeyaan).
Kooxda cilmi baarista ee ay qortay 274 dumarka ku hadla Af-Ingiriiska ee MoA-2 oo aan la garaneynin qof-ku-dafiska Pbo kadib markii da 'yarta 22 sano, oo ay ku jiraan da'da 41 ee da'doodu ka soo baxday Hore (kahor da'da 46) (59%) iyo 113 bukaan ah kaasoo maray howsha goor dambe (da 'ahaan 46 ilaa 49) (41%).
Kaqeybgalayaashu waa inay ahaadaan 55 sano jir ama ka weyn diiwaangelinta oo laga saaray haddii lagu muujiyo cilmi-baarista oo muujisay malaa'igo ah PBO ama hadii aan lagu arag dib-u-dhigga 5-tii sano ee la soo dhaafay. Waxay ahaayeen da 'ay gaarayaan 240 kaqeybgale kooxdii tixraac ee aan lahayn PBO.
Guud ahaan, haweenku waxay lahaayeen da 'dhexe oo ah 67 sano, waxay ahaayeen 97% -99% cad, qiyaastii 60% waligood sigaar cabin.
Cudurrada daba-dheeraada waxaa qiimeeya diiwaannada caafimaadka. Ka sokow ururada hore ee la soo sheegay, cilmi-baarayaashu kama helin dugsiyo u dhexeysa PBO iyo kansarka, cudurka 'dhiig karka, cudurka wadnaha, ama cudurka beerka, osteoporosis, ama weelka ischeprosis.
Baadhitaanka jirka waxaa ka mid ahaa tallaabooyin xoog iyo dhaqdhaqaaq. Marka la barbar dhigo kooxda tixraaca da'da, haweenka ku dhacay PBO waxay leeyihiin saamiga tayroodh sareeya / pteronavicular-ka oo si xun u sameeya imtixaanka 6-daqiiqo ee socodka (-14 mitir), halka dumarka waqtigiisuna maray si ka fiican 6-sano Imtixaanka socodka (-18 mitir). Haweenka ku jira xafladda PBO ee xafladda PBO waxay lahaayeen celcelis ahaan boqolkiiba dufan, cufan oo jilicsan, iyo cufnaanta macdanta laf-dhabarka laf-dhabarka marka la barbar dhigo kooxda tixraaca.
Mielke iyo asxaabta ayaa xustay in sababtoo ah daraasaddu ay ahayd isku-hoosaad, sababtuna waa mid aan la jabin karin, iyo daraasadaha waqti dheer lagula talinayo. Waxay sidoo kale xuseen in haweenka ka qaybqaatay daraasadda ay ka caafimaad qabaan kuwa guud ee guud ee loo tilmaamay ugu badnaan la'aanta dadka cadeynta ah.
Hongguan Daryeel caafimaadkaaga.
Eeg wax badan oo wax soo saar Hongguran ah →https://www.hgcmedical.com/prudectics/
Haddii ay jiraan wax baahiyo ah oo ka mid ah walxaha caafimaad, fadlan xor u noqo inaad nala soo xiriirto.
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Waqtiga Post: Sep-18-2023