--This tsab xov xwm tau theej los ntawmMedpagnetay
Tshem tawm ob lub zes qe menyuam ua ntej lub cev ntas yog qhov ua rau muaj kev mob siab rau cov poj niam thiab txo lub cev kev phais mob pom.
Piv rau pab pawg muaj hnub nyoog muaj hnub nyoog, cov poj niam hnub nyoog qis dua 46 leej twg tsis muaj kev ua yeeb yam zoo tshaj plaws ntawm kev sim ua si ib feeb thiab tsis muaj ob xyoo kom muaj mob ntev:
Hawb pob: lossis 1.74 (95% CI 1.03-293)
Mob caj dab: Lossis 1.64 (95% Ci 1.06-255)
Ob qho tib si pw tsaug zog apnea: lossis 2.00 (95% CI 1.23-3.26)
Txhab: lossis 2.86 (95% CI 1.17-6.98)
"Cov txiaj ntsig cov txiaj ntsig no hais txog qhov muaj peev xwm ua rau cov poj niam muaj kev pheej hmoo ua tus kabmob Otetign," Milege Mishke, MD, PhD, ntawm Hav Zoov Tsev Kawm Ntawv ntawm Tshuaj nyob rau hauv Winston-Salem, NC, hauv ib tsab xov xwm hauv lub cev ntas. Cov txiaj ntsig no yog qhov tseem ceeb thaum txiav txim siab seb puas yuav yauv tawm ovariectomy (PBO) thiab hysterectomy.
Stephanie Faubion, MD, MBA, tus thawj coj kho mob ntawm Lub Koom Haum Kev Kho Mob, uas paub meej tias qhov kev xav tau ntawm cov kws kho mob kom hloov lawv txoj kev coj ua.
"Qhov no tsuas yog ntxiv rau cov ntaub ntawv uas tau tshem tawm cov zes qe menyuam, tshwj xeeb tshaj yog hnub nyoog qis dua 46, yog qhov cuam tshuam nrog cov txiaj ntsig kev noj qab haus huv, tshwj xeeb, Txij ntawm no, Kuv xav tias peb tsuas yog yuav tsum tau ua. "
Faamion, uas yog tus thawj coj ntawm lub chaw rau poj niam kev noj qab haus huv hauv Roto Mayoter, Minnesota, tab sis tsis koom nrog hnub nyoog ntawm 46 thiab 49) kuj yog "tsis yog" Lub tswv yim zoo, "raws li txoj kev kawm. Nyob rau hauv pab pawg no, muaj nce zuj zus ntawm kev mob caj dab thiab pw tsaug zog apnas piv, thiab PBO coj mus rau ntau tus kab mob pulmonary hauv tag nrho cov kev sib tw.
Nyob rau hauv pawg PBO, li 90 feem pua kuj tau txais kev hysterectomy, thiab 6 feem pua muaj qhov hysterectomy ua ntej ntawd; Nyob rau hauv pab pawg hnub nyoog ntsig txog pab pawg uas tsis tau dhau PBO, 9 feem pua muaj hysterectomy.
Mielke tau qhia Medi -Page hnub no uas tshem tau cov zes qe menyuam rau cov poj niam, ib feem ntawm kev coj ua rau cov poj niam, hauv ib feem ntau ntawm cov kev pheej hmoo ntawm cov mob zes qe menyuam.
"Keeb kwm keeb kwm," Nws ntseeg tau tias, "Nws ntseeg tau tias thaum lub tsev menyuam menyuam tau raug tshem tawm, yuav tsis muaj peev xwm muaj peev xwm muaj peev xwm ua kom muaj kev txhim kho, thiab yog li ntawd yuav tsis tas yuav tshem lub zes qe menyuam." Txawm li cas los xij, sijhawm dhau sijhawm, ntau dua kev tshawb fawb tau pom tias kev tshem tawm ob lub zes qe menyuam yuav muaj kev pheej hmoo ntev los yog lwm yam kab mob.
Yog tias zes qe menyuam tau muab tshem tawm ua ntej lub cev nqaij daim tawv, nws "pom zoo" uas cov poj niam nyob twj ywm ntawm estrogen kho kom txog thaum muaj hnub nyoog 50 xyoos.
Cov kws tshawb nrhiav tau sau tseg tias txoj kev tshawb fawb tam sim no suav nrog kev sau cov ntaub ntawv ntawm PBO, thaum lwm cov kev tshawb fawb los ntawm cov ntaub ntawv kho mob los ntawm kev kho cov ntaub ntawv kho mob, ua tsis tau txais "cov chaw ua haujlwm ntawm lub cev muaj nuj nqi lossis lwm yam kev ntsuas cuam tshuam txog kev laus. "
Kawm cov ntsiab lus
Mielke thiab cov npoj yaig siv cov ntaub ntawv los ntawm Rochester Epidemiology Project's (REP) Kev pheej hmoo siab rau cov kabmob Odariance.Qhov Moa-2 tau muab piv nrog pab pawg ntawm cov poj niam uas tsis tau txais PBO tau ua khub nrog cov poj niam siv tau txais PBO.
Raws li ntawm xyoo 2018, thaum lub ntsej muag kev kawm lub ntsej muag pib, feem ntau ntawm cov neeg nyob hauv pawg pbo thiab siv tau tseem muaj sia nyob (91.6% thiab 93.1%, feem nrog).
Pab Pawg Tshawb Fawb nrhiav 274 Cov poj niam hais lus Askiv los ntawm Moa-2 uas tau ua raws li cov neeg muaj hnub nyoog 23 xyoos, suav nrog 161 tus neeg mob tau dhau los ntawm 46) (59%) thiab 113 tus neeg mob Leej twg underwent cov txheej txheem lig (muaj hnub nyoog 46 txog 49) (41%).
Cov neeg tuaj koom yuav tsum muaj hnub nyoog 55 xyoos lossis tshaj saud ntawm kev cuv npe thiab raug tshem tawm yog pategy qhia malignancy nyob rau hauv lawv PBO tau pom malignancy nyob rau hauv lawv PBO tau qhia nyob rau hauv cov neeg sawv cev hauv 5 xyoos dhau los. Lawv tau muaj hnub nyoog rau 240 tus neeg koom rau hauv cov pawg siv uas tsis muaj ib lub PBO.
Zuag qhia tag nrho, cov poj niam muaj lub 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 ntev tau raug tshuaj xyuas los ntawm cov ntaub ntawv kho mob. Ntxiv rau cov koomhaum uas tau hais dhau los, cov kws tshawb nrhiav tsis pom muaj ib lub koom haum ntawm PBO thiab mob qog noj ntshav, cov ntshav qab zib, epernoris, epentoporosis, lossis cov Isient Ischamic Attack.
Kev tshuaj ntsuam lub cev muaj kev ntsuas ntawm lub zog thiab kev mus ncig. Piv nrog cov pab pawg muaj hnub nyoog sib piv Taug kev sim (-18 meters). Cov poj niam nyob hauv pab pawg Pbo tau muaj ntau dua yog cov rog rog feem pua
Mielke thiab cov npoj yaig tau sau tseg tias vim tias txoj kev tshawb no hla ntu, ua kom ncaj ncees tsis tuaj yeem xav tau, thiab kev tshawb fawb ntev tau pom zoo. Lawv kuj tau sau tseg tias cov poj niam uas koom nrog txoj kev kawm yuav muaj kev noj qab haus huv dua li cov pejxeem dav dav thiab taw qhia rau cov neeg uas tsis muaj kev kawm.
Hongguan mob txog koj kev noj qab haus huv.
Saib cov khoom lag luam Hongguan ntxiv →https://www.hgcmedical.com/products/
Yog tias muaj kev xav tau ntawm kev siv tshuaj kho mob, thov hu rau peb.
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Lub sijhawm Post: Sep-18-2023