Endometriose ni uburwayi burambye kandi bukunda kubabaza, aho umubiri usa n’uruhande rw’imbere rw’umura uterwa hanze yawo. Uyu mubiri ushobora kugaragara ku nzego nk’amagi, amajwi, n’uruhande rw’imbere rw’igice cy’ibanga. Kimwe mu bimenyetso nyamukuru abantu bahura na byo ni ububabare mu gice cy’ibanga, cyane cyane mu gihe cy’imihango. Ubwo bubabare bushobora kugira ingaruka zikomeye ku buzima bwa buri munsi, kandi bushobora no gutera imbogamizi mu gutwita.

Ubushakashatsi bwerekana ko abagore bagera kuri 1 kuri 10 bari mu kigero cyo kubyara ku isi bafite endometriose. Ariko rero, umubare nyakuri ushobora kuba urenze kuko ibyago byinshi biba bitamenyekanye. Ibimenyetso bishobora gutandukana cyane; bamwe bashobora kumva ububabare bukomeye, abandi bashobora kugira ikibazo gito cyangwa nta kibazo na kimwe. Uretse ububabare mu gice cy’ibanga, ibindi bimenyetso bisanzwe birimo imihango myinshi n’ibibazo by’inda.

Ese ibisebe by’amaraso bya endometriose ni iki?

Endometriose ni uburwayi aho umubiri usa n’uruhande rw’imbere rw’umura uterwa hanze y’umura, ugatera ububabare n’ibimenyetso bitandukanye. Kimwe mu bimenyetso bisanzwe ni ukuboneka kw’ibisebe by’amaraso mu gihe cy’imihango.

Ibisebe by’amaraso bifitanye isano ite n’endometriose?

Mu bagore bafite endometriose, umubiri uterwa hanze y’umura witwara nk’uruhande rw’imbere. Mu gihe cy’imihango, uyu mubiri urakomera, ariko ntabwo ufite uburyo bworoshye bwo kuva mu mubiri nk’uruhande rw’imbere rw’umura rusanzwe. Ibi bishobora gutera amaraso gukusanyiriza hamwe no gukora ibisebe.

Kuki ibisebe by’amaraso bikorwa?

Ibisebe by’amaraso bikorwa iyo amaraso ava mu mubiri wa endometriose afunzwe mu gice cy’ibanga. Amaraso ashobora gukusanyiriza mu mura, mu majwi, cyangwa mu magi, hanyuma akora ibisebe bikunze kuba binini kandi biboneka kurusha amaraso asanzwe y’imihango.

Ibimenyetso n’uburyo bwo kuvura ibisebe by’amaraso bya endometriose

Ibimenyetso by’ibisebe by’amaraso bya endometriose	Uburyo bwo kuvura ibisebe by’amaraso bya endometriose
Kuva amaraso menshi mu gihe cy’imihango	Isuzuma ry’igice cy’ibanga
Ibisebe binini by’amaraso mu maraso y’imihango	Ultrasound (Transvaginal cyangwa Abdominal)
Ububabare mu gihe cy’imihango (dysmenorrhea)	Laparoscopy (ubuvuzi bwo kuvura)
Ububabare buhoraho mu gice cy’ibanga	MRI (Magnetic Resonance Imaging)
Ububabare mu gihe cyangwa nyuma yo gutera akabariro	Biopsy ya endometrium (mu bihe bimwe na bimwe)
Ububabare mu mugongo	Ibizamini by’amaraso (kugira ngo turebe anemi)
Uruguruka	Hysteroscopy (nta kintu cyinshi cyo kuvura)
Isesemi no kuruka (akenshi kubera ububabare)	Amateka y’ibimenyetso n’isuzuma ry’umubiri

Ubuyobozi n’uburyo bwo kuvura

Ibisebe by’amaraso mu gihe cy’imihango ni ikibazo gisanzwe ku bantu bafite endometriose, kuko uburwayi bukunda gutera imihango myinshi, kandi ibabaza. Gucunga ibisebe by’amaraso birimo guhangana n’ibimenyetso bya endometriose n’ibintu byose bigira uruhare mu gukora ibisebe. Dore uburyo bwo kuvura n’ubuyobozi busanzwe:

1. Ubuvuzi bwa Hormone

• Ibiyobyabwenge byo kuboneza urubyaro: bigengura imihango kandi bigabanya umubare w’amaraso.

• IUD (intrauterine device): IUD ya hormone, nka Mirena, ishobora kugabanya kuva amaraso mu gihe cy’imihango kandi igatuma ibimenyetso bya endometriose bigabanuka.

• GnRH agonists: imiti nka Lupron ishobora gutera igihe gito cy’ubuzima bwa menopause, bigatuma ibisebe bya endometriose bigabanuka kandi amaraso akava make.

2. Gucunga ububabare

• NSAIDs (non-steroidal anti-inflammatory drugs): Ibintu byo mu maduka nka ibuprofen bishobora kugabanya ububabare n’uburyo bw’ibisebe.

• Imiti yo kugabanya ububabare: Ku bubabare bukomeye, abaganga bashobora kwandika imiti ikomeye.

3. Uburyo bwo kuvura

• Laparoscopy: ubuvuzi buto bwo gukuraho ibisebe bya endometriose n’ibintu byose bifunga, ibyo bishobora kugabanya kuva amaraso menshi no gukora ibisebe.

• Hysterectomy: Mu bihe bikomeye, gukuraho umura ushobora kugenzurwa, cyane cyane ku bantu batakibona ubushobozi bwo kubyara.

4. Impinduka mu mirire n’imibereho

• Imirire irwanya ububabare: Kurya indyo yuzuye ibintu birwanya ububabare (urugero, omega-3 fatty acids, imbuto, na mboga) bishobora kugabanya kuva amaraso no gukora ibisebe.

• Imikino ngororamubiri: Gukora imyitozo ngororamubiri buri gihe bishobora gufasha kugengura urwego rwa hormone no kunoza imiterere y’amaraso, bishobora kugabanya gukora ibisebe.

5. Ibinyobwa by’imiti

Bimwe mu binyobwa by’imiti, nka vitamine B6 cyangwa magnésium, bishobora gufasha kugabanya kuva amaraso menshi no kugengura imihango. Ariko rero, ni ngombwa kubanza kuvugana n’abaganga mbere yo gutangira gukoresha ibinyobwa by’imiti.

6. Ubuvuzi bw’ibindi bintu

Acupuncture n’ubuvuzi bw’ibindi bintu bishobora gufasha mu gucunga ibimenyetso, nubwo ubushakashatsi bwinshi bukenewe kugira ngo hemezwe uko bikora mu kuvura ibisebe by’amaraso byihariye.

Incamake

Ibisebe by’amaraso bya endometriose bikorwa iyo umubiri usa n’uruhande rw’imbere rw’umura uterwa hanze y’umura kandi ukamera mu gihe cy’imihango, bigatuma ibisebe by’amaraso bishobora kuba binini kandi bibabaza. Ibi bisebe bikunze gufatwa n’imihango myinshi, guhindagurika, n’ibindi bibazo. Uburyo bwo kuvura ibisebe by’amaraso birimo kugabanya ububabare binyuze mu miti yo mu maduka, ubuvuzi bwa hormone kugira ngo bigengure imihango, no kuvura kugira ngo hakurweho umubiri wa endometrium urenze urugero.

Byongeye kandi, impinduka mu mibereho nko gukoresha indyo irwanya ububabare no gukora imyitozo ngororamubiri buri gihe bishobora gufasha kugabanya ububabare no kunoza imiterere y’amaraso. Ubuvuzi bw’ibindi bintu nka acupuncture bushobora kandi gufasha kugabanya ibimenyetso. Ubuvuzi bwo kubyara bushobora kugenzurwa ku bagore bahanganye n’uburwayi kubera uburwayi.