—– Zaj lus no yog theej los ntawmMedpage Hnub no
Kev tshem tawm ob lub zes qe menyuam ua ntej lub cev tsis muaj zog yog cuam tshuam nrog qhov muaj feem ntau ntawm cov teeb meem kev noj qab haus huv thiab txo lub cev ua haujlwm ntau xyoo tom qab, tshwj xeeb tshaj yog nyob rau hauv cov poj niam uas tau phais ua ntej lawm, kev tshawb fawb hla ntu pom.
Piv rau ib pawg hnub nyoog sib xws, cov poj niam hnub nyoog qis dua 46 xyoo uas tau txais kev kho mob premenopausal bilateral oophorectomy (PBO) rau cov mob tsis zoo-nrog lossis tsis muaj hysterectomy-ua tau zoo tsawg dua ntawm kev sim rau-feeb taug kev hauv tsev kho mob sab nraud ob xyoos tom qab thiab muaj feem ntau dua. kom muaj mob ntev:
Asthma: los yog 1.74 (95% CI 1.03-2.93)
Kev mob caj dab: lossis 1.64 (95% CI 1.06-2.55)
Obstructive pw tsaug zog apnea: los yog 2.00 (95% CI 1.23-3.26)
Fracture: los yog 2.86 (95% CI 1.17-6.98)
"Cov txiaj ntsig no qhia txog qhov cuam tshuam tsis zoo rau lub sijhawm ntev ntawm oophorectomy rau cov poj niam uas muaj qhov tsis zoo lossis tsis muaj qhov qhia txog zes qe menyuam uas muaj feem cuam tshuam txog kev pheej hmoo ntawm caj ces ntawm zes qe menyuam," cov kws tshawb fawb xaus lus coj los ntawm Michelle Mielke, MD, PhD, ntawm Wake Forest University School of Tshuaj nyob rau hauv Winston-Salem, NC, nyob rau hauv ib tsab xov xwm nyob rau hauv Menopause.Cov txiaj ntsig no yog qhov tseem ceeb thaum txiav txim siab seb puas yuav tau txais ovariectomy (PBO) thiab hysterectomy.
Stephanie Faubion, MD, MBA, tus thawj coj kho mob ntawm Menopause Society, tau hais tias qhov kev tshawb pom, uas tso siab rau Mayo Clinic's Tubectomy thiab Aging Cohort Study-2 (MOA-2), lees paub qhov xav tau rau cov kws kho mob hloov lawv cov kev coj ua.
"Qhov no tsuas yog ntxiv rau cov ntaub ntawv uas twb muaj lawm uas tshem cov zes qe menyuam thaum muaj hnub nyoog yau, tshwj xeeb tshaj yog hnub nyoog qis dua 46, cuam tshuam nrog kev noj qab haus huv tsis zoo," Faubion hais rau MedPage Hnub no.Lub sijhawm no, kuv xav tias peb tsuas yog yuav tsum tau nqis tes ua. "
Faubion, uas tseem yog tus thawj coj ntawm Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv ntawm Cov Poj Niam ntawm Mayo Clinic hauv Rochester, Minnesota, tab sis leej twg tsis koom nrog txoj kev tshawb fawb tam sim no, tau hais tias kev sib yuav tom qab (cov poj niam hnub nyoog 46 thiab 49 xyoo) kuj "tsis yog ib qho. lub tswv yim zoo, "raws li kev tshawb fawb.Hauv pab pawg no, muaj qhov sib txawv ntawm kev mob caj dab thiab pw tsaug zog apnea piv nrog lawv cov hnub nyoog sib xws, thiab PBO ua rau muaj qhov sib txawv ntau dua ntawm cov kab mob pulmonary nyob rau hauv tag nrho pawg.
Hauv pawg PBO, kwv yees li 90 feem pua ntawm cov neeg tau txais kev kho mob hysterectomy, thiab 6 feem pua tau muaj hysterectomy ua ntej;nyob rau hauv pab pawg neeg uas muaj hnub nyoog sib xws uas tsis tau txais PBO, 9 feem pua tau muaj hysterectomy.
Mielke hais rau MedPage Hnub no tias tshem tawm zes qe menyuam thaum lub sijhawm hysterectomy (qhov kev phais thib ob feem ntau rau cov poj niam) yog ib qho kev coj ua rau cov poj niam, ib feem vim tias nws tshem tawm txoj kev pheej hmoo ntawm kev mob qog noj ntshav ntawm zes qe menyuam.
"Keeb kwm," Mielke piav qhia, "nws ntseeg tau tias thaum lub tsev menyuam raug tshem tawm, yuav tsis muaj peev xwm rov tsim dua tshiab, thiab yog li ntawd yuav tsis tas yuav tshem cov zes qe menyuam."Txawm li cas los xij, dhau sijhawm, kev tshawb fawb ntau ntxiv tau pom tias tshem tawm ob lub zes qe menyuam ua ntej lub cev tsis muaj zog tuaj yeem ua rau muaj kev cuam tshuam ntev lossis muaj kev pheej hmoo ntev ntawm lwm yam kab mob.
Yog tias zes qe menyuam raug tshem tawm ua ntej lub cev tsis muaj zog, Mis tau hais tias, nws tau "pom zoo" tias cov poj niam nyob twj ywm ntawm kev kho tshuaj estrogen kom txog thaum muaj hnub nyoog 50 xyoo.
Cov kws tshawb fawb tau sau tseg tias txoj kev tshawb fawb tam sim no suav nrog kev ntsuam xyuas lub cev ntawm tus poj niam nrog cov ntaub ntawv keeb kwm ntawm PBO, thaum lwm cov kev tshawb fawb ntawm PBO thiab cov txiaj ntsig kev noj qab haus huv tau vam khom feem ntau ntawm kev sau cov txiaj ntsig tau los ntawm cov ntaub ntawv kho mob, ua tsis tiav "cov npe tshwj xeeb. ntawm lub cev ua haujlwm lossis lwm yam kev ntsuas ntsig txog kev laus. "
Kawm paub meej
Mielke thiab cov npoj yaig tau siv cov ntaub ntawv los ntawm Rochester Epidemiology Project's (REP) Medical Record Linkage System thiab MOA-2 txoj kev tshawb fawb, uas tau txheeb xyuas cov poj niam hauv Olmsted County, Minnesota, uas tau kho nrog PBO rau qhov tsis zoo ntawm 1988 thiab 2007 thiab leej twg tsis nyob ntawm Kev pheej hmoo siab rau kev mob qog noj ntshav ntawm zes qe menyuam.Cov neeg koom nrog MOA-2 tau muab piv nrog cov pab pawg neeg siv ntawm cov poj niam uas tsis tau txais PBO tau ua ke nrog ib pab pawg neeg siv cov poj niam uas tsis tau txais PBO.
Raws li xyoo 2018, thaum txoj kev tshawb nrhiav ntsej muag tau pib, feem ntau ntawm cov neeg nyob hauv PBO thiab cov pab pawg neeg siv tseem muaj sia nyob (91.6% thiab 93.1%, feem).
Pab neeg tshawb fawb tau nrhiav 274 tus poj niam hais lus Askiv los ntawm MOA-2 uas tau ua raws li tus kheej nrog PBO tom qab nruab nrab ntawm 22 xyoo, suav nrog 161 tus neeg mob uas tau ua tiav cov txheej txheem ntxov (ua ntej hnub nyoog 46) (59%) thiab 113 tus neeg mob. uas tau ua tiav cov txheej txheem lig (hnub nyoog 46 txog 49) (41%).
Cov neeg koom yuav tsum muaj hnub nyoog 55 xyoos lossis laus dua ntawm kev tso npe thiab raug cais tawm yog tias pathology pom tias muaj mob hnyav hauv lawv cov PBO lossis yog lawv tsis tau pom hauv REP hauv 5 xyoo dhau los.Lawv tau muaj hnub nyoog sib npaug rau 240 tus neeg koom hauv pawg neeg siv uas tsis muaj PBO.
Zuag qhia tag nrho, cov poj niam muaj hnub nyoog nruab nrab ntawm 67 xyoo, yog 97% -99% dawb, thiab kwv yees li 60% tsis tau haus luam yeeb.
Cov kab mob ntev tau raug soj ntsuam los ntawm cov ntaub ntawv kho mob.Ntxiv rau cov koom haum uas tau hais dhau los, cov kws tshawb fawb tsis pom muaj kev koom tes ntawm PBO thiab mob qog noj ntshav, ntshav qab zib, dementia, kub siab, hyperlipidemia, plawv arrhythmia, raum, thyroid, lossis kab mob siab, osteoporosis, lossis transient ischemic nres.
Kev kuaj lub cev muaj xws li ntsuas lub zog thiab kev txav mus los.Piv nrog rau pawg neeg siv hnub nyoog sib tw, cov poj niam uas tau txais PBO muaj cov thyroid / pteronavicular rog ntau dua thiab ua tsis tau zoo ntawm 6-feeb taug kev xeem (-14 meters), hos cov poj niam uas tau txais PBO ntxov ua tau zoo dua ntawm 6-feeb. taug kev xeem (-18 meters).Cov poj niam nyob rau hauv pawg PBO lig muaj ntau dua qhov feem pua ntawm cov rog rog, appendicular lean loj, thiab cov pob txha pob txha pob txha pob txha muaj zog piv nrog cov pab pawg neeg siv.
Mielke thiab cov npoj yaig tau sau tseg tias vim tias txoj kev tshawb fawb yog ntu ntu, kev ua tsis tiav tsis tuaj yeem suav tau, thiab kev tshawb fawb ntev tau pom zoo.Lawv kuj tau sau tseg tias cov poj niam uas koom nrog txoj kev tshawb fawb no yuav muaj kev noj qab haus huv ntau dua li cov pej xeem thiab tau taw qhia txog qhov tseem ceeb ntawm cov neeg dawb yog ib qho ntawm cov kev txwv.
Hongguan mob siab rau koj txoj kev noj qab haus huv.
Saib ntxiv Hongguan Khoom →https://www.hgcmedical.com/products/
Yog tias muaj kev xav tau ntawm cov khoom siv kho mob, thov hu rau peb.
hongguanmedical@outlook.com
Post lub sij hawm: Sep-18-2023