Shin Matan Amurka suna da Hysterectomies marasa mahimmanci?

Wadatacce

• Na farko, menene hysterectomy?
• Me ya sa mata da yawa ke samun hysterectomies?
• Bambance -bambancen launin fata A Hysterectomy
• Yadda Ake Samun Kulawar da Ka Cancanta
• Bita don

Cire mahaifar mace, sashin da ke da alhakin girma, da ɗaukar jariri da haila shine babba. Don haka za ku yi mamakin sanin cewa hysterectomy - cirewar mahaifar da ba za a iya jurewa ba - yana ɗaya daga cikin fiɗa akai-akai akan mata a cikin US Yep, kun ji cewa dama: Wasu 600,000 Ana yin hysterectomies kowace shekara a cikin Amurka Kuma ta wasu ƙididdiga, kashi ɗaya bisa uku na duk matan Amurka za su sami ɗaya kafin shekara 60.

Heather Irobunda, MD, wani babban likita a birnin New York ya bayyana cewa, "Kafin maganin zamani, ana ganin hysterectomies a matsayin magani ga kusan duk wani lamari da mace za ta je wurin likita ko mai warkarwa." "A cikin tarihin baya -bayan nan, duk wata matsala da mace za ta kawo wa likitanta wanda ya haɗa da ƙashin ƙugu za a iya yi mata aikin tiyata."

A yau, cututtuka da yawa-kansar, fibroids mai rauni (ƙwayar da ba ta da ƙwayar cuta a cikin tsokar mahaifa na iya zama super mai raɗaɗi), zubar da jini mara kyau - na iya haifar da likita don ba da shawarar yin aikin tiyata. Amma masana da yawa suna jayayya cewa aikin tiyata ya wuce kima kuma an ba shi izini sosai, musamman ga wasu yanayi kamar fibroids-musamman ga mata masu launi.

Don haka menene kuke buƙatar sanin game da wannan hanya ta gama gari, waɗannan bambance-bambancen launin fata, kuma - mafi mahimmanci - menene yakamata ka Shin idan an taba ba ku daya a matsayin magani?

Na farko, menene hysterectomy?

A takaice, hanya ce da ke cire mahaifa, amma akwai nau’o’in hysterectomy daban -daban. Kwalejin Kwararrun Likitocin mata da mata na Amurka (ACOG) ta lura cewa jimlar hysterectomy shine lokacin da duk mahaifa (gami da mahaifa, ƙananan ƙarshen mahaifa da ke haɗa mahaifa da farji). Hysterectomy mafi yawan supracervical (aka subtotal ko partial) shine lokacin da kawai aka cire babba na mahaifa (amma ba cervix) ba. Kuma tsirrai masu tsattsauran ra'ayi shine lokacin da kuke da cikakkiyar hysterectomy tare da cire kayan kamar ovaries ɗinku, ko bututun Fallopian (faɗi, a game da cutar kansa).

Ana amfani da hysterectomy da yawa don magance kisa na yanayin kiwon lafiya daga fibroids da haɓakar mahaifa (lokacin da mahaifa ya ragu zuwa ko cikin farji) zuwa zubar da jini mara kyau, cututtukan gynecologic, ciwon pelvic na yau da kullun, har ma da endometriosis, a cewar ACOG.

Dangane da irin nau'in hysterectomy da kuke buƙata (da abin da dalilin ku na buƙatar shi), ana iya yin tiyata ta hanyoyi daban-daban: ta hanyar farjin ku, ta cikin ciki, ko ta hanyar laparoscopy - inda aka shigar da ƙaramin na'urar hangen nesa don gani da kuma gani. Likitan fiɗa zai iya yin aikin tiyata tare da ƙarami kaɗan.

Me ya sa mata da yawa ke samun hysterectomies?

Wasu hysterectomies (kamar waɗanda aka yi ta cikin ku) sun fi sauran ɓarna fiye da wasu (wanda aka yi ta laparoscopy). Kuma yana da mahimmanci a lura cewa sau da yawa, koda lokacin da aka nuna tsotsar ciki, akwai wasu zaɓuɓɓukan magani da ake da su (faɗi, don batutuwa kamar su fibroids ko endometriosis). Matsalar? Waɗannan zaɓuɓɓuka ba koyaushe ake gabatar da su azaman zaɓuɓɓuka na zahiri ba ko'ina.

“Wani lokaci, ya danganta da bangaren kasar da kake ciki, akwai likitocin fida da ba su da dadin jiyya da karancin magunguna da ke kai wa dukkan wadannan matan kamuwa da cutar mahaifa,” in ji Dokta Irobuna.

Ga misali: Lokacin amfani da fibroids, hysterectomy yayi yi ƙoƙarin tabbatar da cewa bayyanar cututtuka ba za su dawo ba (bayan haka, mahaifar ku inda waɗannan fibroids suka kasance yanzu sun tafi), amma za ku iya cire fibroids ta hanyar tiyata kuma ku bar mahaifa a wurin. "Ina tsammanin akwai hysterectomies da likitoci ke ba da shawarar kawai saboda sun sami fibroids akan jarabawa," in ji Jeff Arrington, MD, ƙwararren masanin ilimin likitan mata da ƙwararren masaniyar endometriosis a Cibiyar Endometriosis a Atlanta, GA. Kuma yayin da fibroids na iya zama mai raɗaɗi mai raɗaɗi da raɗaɗi (kuma hysterectomy na iya taimakawa kawar da wannan zafin), fibroids na iya zama marasa zafi. "Za a sami marasa lafiya da yawa waɗanda za su iya fahimtar cewa fibroids suna nan kuma suna da kyau," in ji Dokta Arrington na zaɓin rashin aiki.

Sauran ƙananan hanyoyin da ba su da ƙarfi sun haɗa da myomectomy (fida don cire fibroids daga mahaifa), jiyya kamar kumburin fibroids na mahaifa (yankewar jini zuwa fibroids), da ablation na rediyo (wanda ke ƙone fibroids). Bugu da ƙari, akwai zaɓuɓɓukan jiyya da yawa waɗanda ba masu cutarwa ba kamar maganin hana haihuwa na baka da sauran magunguna.

Amma, ga abin: “Hysterectomies sun daɗe da kasancewa, kuma kowane likitan mata yana koyon yadda ake yin su a cikin horo na zama - [amma] wannan ba gaskiya bane ga duk zaɓuɓɓukan magani,” gami da waɗannan hanyoyin da ba su da haɗari, Inji Dr.Irobuna.

A cikin wannan jijiya, yayin da ake ɗaukar hysterectomy a matsayin "tabbatacce" (karanta: dindindin) magani don endometriosis, "babu wata shaida - ba binciken guda ɗaya ba - wanda ke nuna cewa kawai shiga da cire mahaifa sihiri yana sa duk sauran endometriosis su tafi. tafi, "in ji Dokta Arrington. Bayan haka, ta hanyar ma'ana, endometriosis shine lokacin da nama wanda yayi kama da na rufin mahaifa ke girma waje na mahaifa. Hysterectomy, ya ce, iya inganta matakan jin zafi na wasu mutane na endometriosis, amma ba a ciki da kansa yake maganin cutar ba. (Mai alaƙa: Lena Dunham Tana da Cikakkun Ciwon Jiki don Dakatar da Ciwon Endometriosis)

Don haka me yasa sau da yawa ake ba da hysterectomy ga mata masu endometriosis? Yana da wuya a faɗi, amma yana iya zuwa horo, kwanciyar hankali, da fallasawa, in ji Dokta Arrington. An fi yin maganin endometriosis ta hanyar tiyatar cire endometriosis kanta, wanda aka sani da tiyatar cirewa, in ji shi. Kuma ba kowane likitan tiyata aka horar da shi a cikin irin wannan tiyata ba kamar yadda aka saba koyar da tsirrai.

Bambance -bambancen launin fata A Hysterectomy

Wannan wuce -gona -da -iri na hysterectomies ya zama mafi bayyane yayin kallon tarihin aikin tsakanin marasa lafiyar Black. Wasu bincike sun nuna cewa baƙar fata mata sun fi huɗu huɗu samun ciwon huhu fiye da fararen mata. Cibiyoyin Kula da Cututtuka da Cututtuka (CDC) suma sun ba da rahoton bayanan da ke nuna bambancin launin fata tsakanin waɗanda ke da hanyar. Kuma wasu bincike sun gano cewa matan Black suna da hysterectomies a mafi girma fiye da kowane sauran tseren.

Binciken da kwararrun sun bayyana: Lallai mata baƙar fata sun fi mata farar fata samun aikin tiyata, in ji Melissa Simon, MD, darektan Cibiyar Kiwon Lafiyar Jama'a da Cibiyar Canjin Daidaita Lafiya a Makarantar Medicine ta Feinberg ta Arewa maso yamma. Musamman, su ma suna iya fuskantar ƙarin haɗarin haɓakar ciki, in ji ta.

Akwai dalilai da yawa don wannan. Na ɗaya, Baƙar fata mata suna fuskantar fibroids - ɗaya daga cikin dalilan gama gari don tsotsar ciki tsakanin kowane jinsi - a mafi ƙima fiye da fararen mata. Charlotte Owens, MD, darektan kula da magunguna na AbbVie ta ce "Adadin cutar ya ninka sau biyu zuwa uku a cikin matan Afirka na Amurka fiye da na fararen matan Amurka." "Matan Ba'amurke 'yan Afirka ma suna da alamun kamuwa da cututtukan da suka fi tsanani kuma a baya, galibi a cikin shekaru 20." Kwararru ba su da cikakken tabbacin dalilin da ya sa haka, in ji Dokta Owens.

Amma akwai yuwuwar fiye da bambancin launin fata fiye da abin da ya faru na fibroids. Na ɗaya, wannan batun samun damar yin amfani da ƙananan magunguna? Zai iya bugun mata masu launi da ƙarfi. Dakta Irobunda ya ce "Ba da kuɗaɗen wasu fasahar da ake buƙata don yin ƙarin ci gaba, ƙarancin jiyya mai haɗari ba za a iya samu a asibitocin da ke bautar da wasu al'ummomin da wasu mata baƙar fata ke zaune a ciki," in ji Dr. Irobunda. (Mai Alaka: Wannan Bala'in Mace Mai Ciki Ya Nuna Bambance-Bambance A Cikin Kiwon Lafiyar Mata Baƙaƙe)

Hakanan, idan ya zo ga zaɓuɓɓuka don kulawa ga mata masu launi da maganin fibroid, ba sau da yawa ana tattauna zaɓuɓɓuka daban-daban, in ji Kecia Gaither, MD, MPH, ob-gyn da likitan likitan mahaifa a asibitocin lafiya na NYC/Lincoln. "Hysterectomy an ba shi azaman zaɓi na warkewa kawai." Amma gaskiyar al'amarin ita ce, yayin da hysterectomy sau da yawa zaɓi ne a cikin menu na zaɓin magani na mace, yawanci ba haka bane. kawai zabi. Kuma kada ku taɓa jin cewa dole ne ku ɗauka ko ku bar shi idan ya zo ga lafiyar ku.

Har zuwa wannan, akwai wariyar launin fata da nuna bambanci wanda ke taka rawa a nan, in ji masana. Bayan haka, yawancin hanyoyin ƙashin ƙugu da na haihuwa suna da tushen wariyar launin fata kamar yadda aka samo asali kuma aka gwada su akan barorin mata baƙi. A farkon shekarun 2000, akwai kuma lokuta na rashin haihuwa a tsarin kurkuku na California, in ji Dokta Irobuna.

"Sanannen abu ne cewa akwai son zuciya kamar yadda ya shafi baƙar fata mata da kula da lafiya-Ni da kaina na shaida hakan," in ji Dokta Gaither.

Bambancin likitocin tiyata kuma na iya haskakawa. Idan likitan tiyata, alal misali, yana tunanin cewa baƙar fata mata ba za su iya yin biyayya da zaɓuɓɓukan magani kamar kwayar hana haihuwa ta yau da kullun ko harbi (kamar Depo Provera wanda zai iya taimakawa tare da ciwon ƙashin ƙugu da hauhawar haila), suna iya zama ƙari mai yiyuwa ne a ba da ƙarin magani mai cutarwa kamar hysterectomy, in ji ta. "Ni, abin takaici, na sami marasa lafiya da yawa baƙar fata sun zo ganina da damuwa bayan wasu likitocin tiyata sun yi musu tiyata kuma ban tabbata ba ko tiyatar mahaifa shine hanyar da ta dace a gare su."

Yadda Ake Samun Kulawar da Ka Cancanta

Hysterectomies magani ne mai mahimmanci ga wasu matsalolin likita - babu tambaya. Amma hanya yakamata a bayar dashi azaman wani sashi na shirin jiyya mai yuwuwa, kuma koyaushe a matsayin zaɓi. "Yana da mahimmanci cewa tare da yanke shawara mai mahimmanci kamar cire gaba ɗaya, majiyyaci ta fahimci abin da ke faruwa da jikinta da kuma irin nau'ikan zaɓuɓɓukan da ake da su don magani," in ji Dokta Irobunda.

Bayan haka, ciwon mahaifa yana zuwa tare da sakamako masu illa - komai daga rashin samun damar haihuwa zuwa maƙarƙashiya ko rashin jin daɗi da kuma farkon menopause idan ba a dabi'a ku shiga cikin wannan ba. (BTW, hysterectomies ɗaya ne daga cikin abubuwan da ke haifar da farkon menopause.)

Wasu abubuwa da za ku tuna idan aikin tiyata ya zo cikin tattaunawa? "A koyaushe ina ba da shawara ga marasa lafiya, musamman marasa lafiya masu launin fata da baƙar fata, kada ku ji tsoron yin tambayoyi," in ji Dokta Simon. "Tambayi dalilin da yasa likitan tiyata ko likita ke ba da shawarar wata hanya ta neman magani don wani yanayi, tambaya idan akwai wasu zaɓuɓɓukan magani, kuma - idan an ƙaddara cewa aikin tiyata shine hanyar da za a bi-tambaya game da hanyoyin da za a iya amfani da su, kamar ƙaramin ƙima. "

A takaice: Ya kamata ku ji cewa an amsa muku tambayoyinku kuma ana jin ku. Idan ba ku yi ba, nemi ra'ayi na biyu (ko na uku), in ji ta. (Masu Alaka: Abubuwa 4 Da Ya Kamata Kowacce Mace Ta Yi Domin Lafiyar Jima'inta, Cewar Wani Ob-Gyn)

Daga qarshe, hysterectomy zabi ne na mutum wanda ya dogara da komai daga wace fitowar da kuke fuskanta, wane matakin rayuwa kuke, da kuma burin da kuke da shi. Kuma kasan abin shine tabbatar da cewa an sanar da kai yadda yakamata shine mabuɗin.

"Ina kokarin in bi dukkan zabuka daban -daban, ribobi da fursunoni, sannan in taimaki majiyyaci ya yanke shawarar wane zaɓi ne mafi kyau a gare su," in ji Dokta Arrington.

Bita don