Adenomyosis ni iki? Ibimenyetso, Impamvu, n'Uko Ivurwa

Adenomyosis ni uburwayi aho umubiri usanzwe uba mu kibuno cyawe ukura mu rukuta rw’imikaya y’ikibuno cyawe. Tekereza ko ari nk’aho uruhu rw’ikibuno cyawe rwagize icyemezo cyo gukura ahantu rutari rukwiye.

Ubu burwayi bugira ingaruka ku bagore benshi, cyane cyane abari mu myaka 30 na 40. Nubwo bushobora gutera ibimenyetso bidahagaze neza, ni ingenzi kumenya ko adenomyosis atari kanseri kandi itazambuka mu zindi ngingo z’umubiri wawe.

Ibimenyetso bya adenomyosis ni ibihe?

Ikimenyetso cy’ingenzi cya adenomyosis ni ukuzana amaraso menshi, igihe kirekire, kandi akaba menshi kurusha igihe usanzwe uzana.

Abagore benshi bafite adenomyosis bagaragaza ibimenyetso bikurikira, bishobora kuba byoroheje cyangwa bikomeye:

• Kubabara cyane mu kibuno igihe cy’imihango, bikarushaho kuba bibi uko iminsi igenda iba myinshi
• Kuzana amaraso menshi mu gihe cy’imihango, arimo n’ibice by’amaraso bikarishye
• Kuzana amaraso hagati y’imihango
• Imihango irambanye, imara iminsi irenga irindwi
• Umuvuduko mu kibuno no kubyimbagira
• Kubabara mu gihe cy’imibonano mpuzabitsina
• Ikibuno kibabara, cyariyongereye

Bamwe mu bagore bagaragaza n’ibimenyetso bidafite akamaro nk’ububabare mu gihe cyo kunyara, ububabare buhoraho mu kibuno hagati y’imihango, cyangwa umunaniro uterwa no kubura amaraso menshi. Ubukana bw’ibimenyetso ntibuhora buhuye n’uburemere bw’uburwayi, bityo adenomyosis yoroheje ishobora rimwe na rimwe gutera ibibazo bikomeye.

Impamvu za adenomyosis ni izihe?

Impamvu nyamukuru ya adenomyosis ntiyaramenyekana neza, ariko abashakashatsi bemeza ko iterwa n’uko uruzitiro ruri hagati y’uruhu rw’ikibuno n’urukuta rw’imikaya rwongeye gukomera cyangwa rugapfa. Ibi bituma umubiri w’ikibuno ukura aho utakwiye.

Ibintu byinshi bishobora gutera ubu burwayi:

• Imyanya yabaga yarakozwe mu kibuno mbere, nko kubagwa cyangwa gukuraho ibibyimba
• Kubyara, bishobora gutera ibikomere bito mu rukuta rw’ikibuno
• Guhindagurika kw’imisemburo, cyane cyane urwego rwa estrogen
• Kubabara mu kibuno biturutse ku bintu bitandukanye
• Impinduka ziterwa n’imyaka mu mubiri w’ikibuno

Bamwe mu bagore bashobora kugira ubushobozi bwo kuvukana adenomyosis, nubwo ubu buhunganizi bugikorerwaho ubushakashatsi. Ubu burwayi busanzwe butera gahoro gahoro uko iminsi igenda iba myinshi aho kugaragara gitunguranye.

Ibyago byo kurwara adenomyosis ni ibihe?

Ibintu bimwe bishobora kongera ibyago byo kurwara adenomyosis, nubwo kugira ibyo byago ntibihamya ko uzayirwara. Imyaka ni yo ntandaro ikomeye, aho abenshi bayirwara bari hagati y’imyaka 35 na 50.

Ibyago bisanzwe birimo:

• Kuba uri mu myaka 30 y’ubukure kugeza ku myaka 50
• Kuba warabyaye
• Kubagwa mu kibuno mbere
• Kuba wararwaye endometriosis
• Imihango migufi (iminsi iri munsi ya 24)
• Gutangira imihango hakiri kare

Ibyago bidafite akamaro birimo gutwita inshuro nyinshi, kugira ibibazo mu gihe cyo gutwita, cyangwa kugira indwara zimwe na zimwe z’umubiri.

Ni ryari ukwiye kujya kwa muganga kubera adenomyosis?

Wagomba guhamagara muganga wawe niba imihango yawe yabaye myinshi cyane, irambe cyangwa ikaba ibabaza kurusha uko bisanzwe. Ntugatege amatwi niba izi mpinduka zigira ingaruka ku buzima bwawe bwa buri munsi cyangwa bikubuza akazi cyangwa ibikorwa.

Shaka ubufasha bwa muganga vuba niba ufite:

• Uzana amaraso menshi ku buryo ugomba guhindura agatambakazi cyangwa tampon buri saha mu gihe cy’amasaha menshi
• Imihango imara iminsi irenga irindwi
• Ububabare bukomeye mu kibuno bukubuza gukora ibikorwa bya buri munsi
• Kuzana amaraso hagati y’imihango
• Ibimenyetso bya anemia nko kunanirwa, guhindagurika, cyangwa guhumeka nabi

Hamagara muganga wawe ako kanya niba ufite ububabare bukomeye kandi butunguranye mu kibuno, amaraso menshi atahagarara, cyangwa ibimenyetso bya anemia ikomeye nko kubabara mu gituza cyangwa kugira ikibazo cyo guhumeka. Ibi bimenyetso, nubwo bidafite akamaro, bisaba ko ugenzurwa na muganga vuba.

Ingaruka zishoboka za adenomyosis ni izihe?

Nubwo adenomyosis ubwayo atari indwara yica, ishobora gutera ingaruka nyinshi zigira ingaruka ku mibereho yawe n’ubuzima bwawe muri rusange. Ingaruka isanzwe ni anemia iterwa no kubura amaraso menshi.

Ingaruka zishoboka zirimo:

• Anemia iterwa no kubura amaraso
• Umunaniro uhoraho n’intege nke
• Kubangamira ubushobozi bwo kubyara (nubwo gutwita bishoboka)
• Ingaruka ku mibanire y’abashakanye kubera ububabare mu gihe cy’imibonano mpuzabitsina
• Ingaruka zo mu mutwe nko kwiheba cyangwa guhangayika kubera ububabare buhoraho
• Kubura ibitotsi kubera amaraso menshi n’ububabare

Ingaruka zidafite akamaro zishobora kuba anemia ikomeye isaba ko umara amaraso cyangwa kujya mu bitaro kubera amaraso menshi adakira. Bamwe mu bagore bashobora kugira ibibazo mu gihe cyo gutwita niba bafite adenomyosis, nubwo abenshi bagira utwitwanyi twiza bafashwe neza na muganga.

Adenomyosis imenya gute?

Kumenya adenomyosis bisanzwe bitangira muganga wawe akubajije ibimenyetso byawe n’amateka yawe y’ubuzima, hanyuma akakora isuzuma ry’ikibuno. Muganga azashakisha ikibuno kinini kandi kibabara mu gihe cy’isuzuma.

Ibizamini byinshi bishobora gufasha kwemeza uburwayi:

• Ultrasound ikoreshwa mu kibuno kugira ngo irebane imiterere y’ikibuno
• MRI kugira ngo ibone ibishushanyo by’imikaya y’ikibuno
• Ibizamini by’amaraso kugira ngo harebwe anemia cyangwa hagamijwe guhakana izindi ndwara
• Biopsy y’uruhu rw’ikibuno kugira ngo harebane umubiri w’uruhu rw’ikibuno

Rimwe na rimwe muganga wawe ashobora kugusaba ibindi bizamini nko gushyira amazi mu kibuno mu gihe cy’isuzuma rya ultrasound kugira ngo ibone ibishushanyo byiza. Mu bihe bidafite akamaro aho hakenewe guhakana izindi ndwara, laparoscopy ishobora gusabwa, nubwo bitabaho kenshi kuri adenomyosis gusa.

Uko adenomyosis ivurwa

Uburyo bwo kuvura adenomyosis biterwa n’uburemere bw’ibimenyetso byawe, imyaka yawe, niba ushaka kubika ubushobozi bwawe bwo kubyara. Abagore benshi bashobora koroherwa n’ubuvuzi budakoresha ubuganga, abandi bakeneye uburyo bukomeye.

Uburyo bwo kuvura budakoresha ubuganga burimo:

• Imirima igabanya ububabare (NSAIDs) kugira ngo igabanye ububabare
• Imirima y’imisemburo kugira ngo igenzure amaraso
• IUD ikoresha imisemburo kugira ngo igabanye amaraso
• GnRH agonists kugira ngo ihagarike imihango by’agateganyo
• Tranexamic acid kugira ngo igabanye amaraso menshi

Ku bagore bafite ibibazo bikomeye bitavurwa n’imiti, uburyo bwo kubaga bushobora kugenzurwa. Ibi birimo kubaga uruhu rw’ikibuno kugira ngo rirushe, guhagarika amaraso mu mitsi y’ikibuno, cyangwa kubaga ikibuno kugira ngo kivurwe burundu igihe kubika ubushobozi bwo kubyara bitari ikibazo.

Uko wakwitwara mu rugo ufite adenomyosis

Uburyo bwo kwivuza mu rugo bushobora gufasha cyane kugabanya ibimenyetso byawe no kunoza imibereho yawe hamwe n’ubuvuzi bwa muganga. Ubushyuhe busanzwe bukoreshwa cyane mu kuvura ububabare mu kibuno no kubabara.

Uburyo bwo kwivuza mu rugo burimo:

• Gukoresha ibintu bishyushya cyangwa amazi ashyushye kugira ngo ugabanye ububabare
• Gukora imyitozo ngororamubiri yoroheje nko kugenda cyangwa yoga kugira ngo ugabanye ububabare
• Kurya ibiryo birimo umuringa kugira ngo wirinde anemia
• Kuryama bihagije, cyane cyane mu gihe cy’imihango
• Kumenya uko uhangayitse binyuze mu gutekereza cyangwa uburyo bwo kuruhuka
• Kwandika ibimenyetso byawe kugira ngo umenye imiterere yabyo

Bamwe mu bagore bashobora koroherwa no guhindura imirire nko kugabanya kafeyin na alcool, abandi bakungukira mu byuzuza nka magnésium cyangwa omega-3 fatty acids. Ariko, ugomba buri gihe kuvugana na muganga wawe mbere yo kubikoresha, cyane cyane niba ufashe imiti indi.

Uko wakwitegura kujya kwa muganga

Kwitoza kujya kwa muganga bizagufasha kubona byinshi mu ruzinduko rwawe kandi bizatuma muganga wawe agira amakuru yose akenewe kugufasha. Tangira ukomeze imihango yawe n’ibimenyetso byawe byibuze amezi abiri mbere y’uruzinduko rwawe.

Zana amakuru akurikira:

• Amateka y’imihango yawe, harimo uburebure bw’imihango n’ubwinshi bw’amaraso
• Urutonde rw’imiti ufashe n’ibindi byuzuza
• Amateka y’uburwayi mu muryango wawe
• Ibibazo ku buryo bwo kuvura n’ingaruka zabyo
• Inyandiko z’ubuvuzi zabanje zijyanye n’ibibazo by’abagore

Andika ibintu byihariye byerekana uko ibimenyetso bigira ingaruka ku buzima bwawe bwa buri munsi, akazi, cyangwa imibanire. Ntukagire ipfunwe ryo kuvugana ku bintu by’ibanga, kuko ayo makuru ari ingenzi mu kumenya neza uburwayi no gutegura uburyo bwo kuvura.

Icyo ukwiye kumenya cyane kuri adenomyosis

Adenomyosis ni uburwayi bushobora kuvurwa bugira ingaruka ku bagore benshi, kandi ntugomba kwihanganira mu mucyo imihango ibabaza kandi ifite amaraso menshi. Nubwo ishobora kugira ingaruka ku mibereho yawe, hari uburyo bwinshi bwo kuvura bushobora kugufasha kumva neza.

Ikintu cy’ingenzi cyo kwibuka ni uko kumenya uburwayi hakiri kare no kuvurwa bishobora gukumira ingaruka mbi no kunoza ibimenyetso byawe cyane. Uburambe bw’umugore wese ufite adenomyosis butandukanye, bityo gukorana na muganga wawe kugira ngo ubone uburyo bukwiye bwo kuvura buhuye n’umwanya wawe ni ingenzi.

Hamwe no kwitabwaho neza na muganga n’uburyo bwo kwivuza, abagore benshi bafite adenomyosis bashobora kugira ubuzima bwiza kandi buhamye. Ntuzuze gusaba ubufasha niba ufite ibimenyetso, kuko ubuvura bufatika buhari.

Ibibazo byakenshi bibazwa kuri adenomyosis

Adenomyosis ishobora kugira ingaruka ku bushobozi bwo kubyara?

Adenomyosis ishobora gutera imbogamizi mu gutwita kandi ishobora kongera ibyago byo kubura imbuto, ariko abagore benshi bafite ubu burwayi bagira utwitwanyi twiza. Ubu burwayi bushobora kugira ingaruka ku gushyira imbuto kandi bushobora gutera ibibazo mu gihe cyo gutwita, ariko hamwe no kwitabwaho neza na muganga, abagore benshi bagira abana bazima. Niba ugerageza gutwita kandi ufite adenomyosis, korana na muganga wawe kugira ngo wongere ibyago byo gutwita neza.

Adenomyosis irakira nyuma y’imyaka y’ubukure?

Yego, ibimenyetso bya adenomyosis bisanzwe bigabanuka cyane nyuma y’imyaka y’ubukure igihe urwego rwa estrogen rugabanutse. Kubera ko estrogen itera gukura kw’umubiri w’ikibuno, kugabanuka kw’imisemburo nyuma y’imyaka y’ubukure bituma umubiri utari mu mwanya ukwiye ugabanuka kandi utakora cyane. Abagore benshi basanga ibimenyetso byabo byakize burundu mu myaka mike nyuma y’imyaka y’ubukure, nubwo impinduka z’umubiri w’ikibuno zishobora kugumaho.

Adenomyosis ni kimwe na endometriosis?

Oya, nubwo ubu burwayi bwose burimo umubiri w’ikibuno ukura aho utakwiye, ni uburwayi butandukanye. Muri adenomyosis, umubiri ukura mu rukuta rw’imikaya y’ikibuno, mu gihe muri endometriosis, ukura hanze y’ikibuno. Ariko, abagore bagera kuri 15-20% bafite ubu burwayi bombi icyarimwe, kandi bashobora kugira ibimenyetso bisa nko kubabara mu gihe cy’imihango no kuzana amaraso menshi.

Adenomyosis ishobora gutera umubyibuho?

Adenomyosis ubwayo ntigatera umubyibuho, ariko ishobora gutera kubyimbagira no kubyimbagira mu kibuno bishobora gutuma wumva uremeretse cyangwa imyenda ikakugora. Bamwe mu bagore bashobora kugira umubyibuho kubera umunaniro uterwa no kubura amaraso menshi bigatuma badakora cyane, cyangwa kubera imiti y’imisemburo ikoreshwa mu kuvura ubu burwayi. Ikibuno kinini gishobora kandi gutera kumva wuzuye cyangwa kubyimbagira mu kibuno.

Ibimenyetso bya adenomyosis bitera gute?

Ibimenyetso bya adenomyosis bisanzwe bitera gahoro gahoro mu mezi cyangwa imyaka aho kugaragara gitunguranye. Abagore benshi babona imihango yabo iba myinshi kandi ibabaza uko iminsi igenda iba myinshi. Iterambere ridafite igihe bisobanura ko ibimenyetso bishobora gufatwa nk’impinduka zisanzwe z’imihango, ariyo mpamvu abagore benshi batamenyekana kugeza igihe ibimenyetso bibaye bikomeye bihagije kugira ingaruka ku buzima bwabo bwa buri munsi.