Ese ushobora gutwita mu gihe cya perimenopause?

Igihe cyo gucura (perimenopause) ni igihe cy’ingenzi mu buzima bw’umugore kuko kiyobora ku gihe cyo kubura imihango (menopause). Iyi ntambwe ishobora gutangira hakiri kare nk’imyaka 35 y’amavuko kandi ishobora kumara imyaka myinshi. Ikintu nyamukuru cyo gucura ni impinduka z’imisemburo, cyane cyane estrogen na progesterone. Izi mpinduka z’imisemburo zishobora gutera ibimenyetso byinshi by’umubiri n’iby’amarangamutima, nko kudakurikirana kw’imihango, ubushyuhe bukabije, guhindagurika kw’amarangamutima, no kugorana gusinzira.

Igihe cyo gucura gisanzwe gikubiyemo ibice bibiri: icyiciro cya mbere n’icyiciro cya nyuma. Mu cyiciro cya mbere, imihango ishobora kuba ikiri isanzwe, ariko impinduka z’imisemburo zitangira kubaho. Uko ugera mu cyiciro cya nyuma cyo gucura, imihango ikunze kuba idakurikirana, ibyo bikaba bigaragaza igabanuka ry’ubushobozi bwo gutwita. Nubwo bamwe mu bagore bashobora kwitinya gutwita muri iki gihe, biracyashoboka, cyane cyane mu cyiciro cya mbere.

Ni ngombwa gusobanukirwa izi mpinduka z’imisemburo. Ntabwo zigira ingaruka gusa ku bushobozi bwawe bwo gutwita ahubwo zishobora kugira ingaruka ku buzima bwawe muri rusange. Rero, niba utekereza uti, “Ese umuntu ashobora gutwita mu gihe cyo gucura?”, ni byiza kuvugana n’umuganga ku bijyanye n’umwanya wawe n’ibyiza kuri wowe.

Gusobanukirwa Ubushobozi bwo Gutwita mu Gihe cyo Gucura

Igihe cyo gucura ni igihe cyo guhinduka mbere yo kubura imihango, gisanzwe kiba mu bagore bari mu myaka 40 ariko rimwe na rimwe kikaba hakiri kare nk’imyaka 35. Muri iki gihe, ubushobozi bwo gutwita bugabanuka, ariko gutwita biracyashoboka.

1. Impinduka z’imisemburo n’isohorwa ry’igi ry’uburumbuke

Uruhare rwa estrogen na progesterone ruhindagurika, bigatuma isohorwa ry’igi ry’uburumbuke ridahamye. Nubwo isohorwa ry’igi ry’uburumbuke ritakiba ryizewe, imihango imwe ishobora kuba ikiri ifite ubushobozi bwo gutera gutwita.

2. Kudakurikirana kw’imihango

Imihango ishobora kuba miremire, migufi, myinshi, cyangwa micye, bigatuma gukurikirana isohorwa ry’igi ry’uburumbuke n’igihe cyiza cyo gutwita bigorana.

3. Gutwita mu gihe cyo gucura

Nubwo ubushobozi bwo gutwita bugabanuka, gutwita biracyashoboka niba isohorwa ry’igi ry’uburumbuke ribaye. Abagore bifuza kwirinda gutwita bagomba gukomeza gukoresha uburyo bwo kuboneza urubyaro kugeza igihe cyo kubura imihango kimaze kwemezwa (amezi 12 yikurikiranya adafite imihango).

4. Ibimenyetso bigaragaza igabanuka ry’ubushobozi bwo gutwita

Ibimenyetso nko gushyuha cyane, gucana ijoro, no kumva umwuma mu gitsina bishobora kugaragaza igabanuka ry’ubushobozi bwo gutwita, nubwo bitameza ko udashobora gutwita.

5. Uburyo bwo kuboneza urubyaro bufashwa na tekinoroji (ART)

Ku bantu bahanganye no gutwita, uburyo bwo kuboneza urubyaro nko kuvura IVF cyangwa imisemburo bishobora gufasha. Ariko kandi, umusaruro ugabanuka uko umuntu akura.

Ibyago n’ibyo gukora ku gutwita mu gihe cyo gucura

Amahitamo ku bagore batekereza gutwita mu gihe cyo gucura

Abagore bifuza gutwita mu gihe cyo gucura bafite amahitamo menshi, nubwo bagomba kumenya ibibazo n’ibyago bijyanye no gutwita mu gihe bakuze.

1. Gutwita mu buryo busanzwe

• Bamwe mu bagore baracyashobora gutwita mu buryo busanzwe niba isohorwa ry’igi ry’uburumbuke ribaye.

• Gukurikirana isohorwa ry’igi ry’uburumbuke binyuze mu bushyuhe bw’umubiri, ibikoresho byo gupima isohorwa ry’igi ry’uburumbuke, cyangwa ibizamini by’imisemburo bishobora gufasha kumenya igihe cyiza cyo gutwita.

2. Uburyo bwo kuboneza urubyaro bufashwa na tekinoroji (ART)

• In Vitro Fertilization (IVF): Byongera amahirwe yo gutwita hakoreshejwe intanga ngabo z’umugore cyangwa iz’undi mugore.

• Gutanga igi ry’uburumbuke: Byongera amahirwe yo gutwita ku bagore bafite igi ry’uburumbuke ritameze neza.

• Imisemburo: Imiti nka Clomid cyangwa gonadotropins ishishikariza isohorwa ry’igi ry’uburumbuke.

3. Kubika ubushobozi bwo gutwita

• Gukonjesha igi ry’uburumbuke (Oocyte Cryopreservation): Bifasha abagore kubika ubushobozi bwo gutwita kugira ngo batwite mu gihe kizaza.

• Gukonjesha intanga z’uburumbuke: Intanga z’uburumbuke zifite imboro zishobora kubikwa kugira ngo zikoreshwe nyuma.

4. Kugisha inama umuganga & Guhindura imibereho

• Kugisha inama umuganga w’inzobere mu kuboneza urubyaro bifasha gusuzuma ubuzima bw’imyororokere n’uburyo bwo kuvura.

• Kugira ibiro bikwiye, kurya indyo yuzuye, kugabanya umunaniro, no kwirinda itabi/inzoga bishobora kunoza ubushobozi bwo gutwita.

Incamake

Gutwita mu gihe cyo gucura bishoboka ariko bifite ibibazo kubera igabanuka ry’ubushobozi bwo gutwita n’ibyago byiyongereye by’ubuzima. Abagore bashobora gutwita mu buryo busanzwe niba isohorwa ry’igi ry’uburumbuke rikiriho, ariko gukurikirana ubushobozi bwo gutwita ni ingenzi. Uburyo bwo kuboneza urubyaro bufashwa na tekinoroji (ART), nko kuvura IVF, gutanga igi ry’uburumbuke, n’imisemburo, bitanga andi mahitamo yo gutwita. Uburyo bwo kubika ubushobozi bwo gutwita, nko gukonjesha igi ry’uburumbuke cyangwa intanga z’uburumbuke, bishobora gufasha abatekereza gutwita mu gihe kizaza. Kugisha inama umuganga w’inzobere mu kuboneza urubyaro no kugira imibereho myiza bishobora kunoza amahirwe yo gutwita no gutuma gutwita kuba gifite umutekano. Ubuyobozi bw’abaganga ni ingenzi mu gucunga gutwita mu gihe cyo gucura.

Ibibazo byakunze kubaho

1. Ese nshobora gutwita mu gihe cyo gucura?

Yego, mugihe ukiri gusohora igi ry’uburumbuke, gutwita bishoboka. Ariko kandi, ubushobozi bwo gutwita bugabanuka cyane, kandi isohorwa ry’igi ry’uburumbuke ridahamye, bigatuma gutwita bigorana.

2. Ni ibihe byago byo gutwita mu gihe cyo gucura?

Gutwita muri iki gihe bifite ibyago byinshi, birimo kubura imbanyi, uburwayi bw’imiterere y’imborera (urugero, Down syndrome), diabete iterwa no gutwita, umuvuduko ukabije w’amaraso, kuzana imbanyi imburagihe, no kubagwa (C-section).

3. Ni gute nakwongerera amahirwe yo gutwita mu gihe cyo gucura?

Gukurikirana isohorwa ry’igi ry’uburumbuke, kugira imibereho myiza, no kugisha inama umuganga w’inzobere mu kuboneza urubyaro bishobora gufasha. Uburyo bwo kuboneza urubyaro bufashwa na tekinoroji (ART), nko kuvura IVF cyangwa gutanga igi ry’uburumbuke, bishobora kandi kunoza umusaruro.

4. Ese ngomba gukomeza gukoresha uburyo bwo kuboneza urubyaro mu gihe cyo gucura?

Yego, niba ushaka kwirinda gutwita, uburyo bwo kuboneza urubyaro bukenewe kugeza igihe cyo kubura imihango kimaze kwemezwa (amezi 12 yikurikiranya adafite imihango). Gutwita mu buryo busanzwe biracyashoboka mu gihe cyo gucura.

5. Ese gukonjesha igi ry’uburumbuke ni uburyo bwiza ku bagore bari mu gihe cyo gucura?

Gukonjesha igi ry’uburumbuke bikora neza iyo umuntu akiri muto, ariko bamwe mu bagore bari mu gihe cyo gucura baracyashobora kubikora. Gutanga igi ry’uburumbuke cyangwa gukonjesha intanga z’uburumbuke bishobora kuba amahitamo meza yo gutwita muri iki gihe.