Adenomyosis

Adenomyosis (ad-uh-no-my-O-sis) ibaho iyo umutsi usanzwe upfundikira umura (umutsi uterine) ukura mu gikuta cy'imikaya y'umura. Uwo mutsi wahindutse aho uherereye ukomeza gukora nk'ibisanzwe — ukaba ukomeye, ukangirika ukavuza amaraso — muri buri gihe cy'imihango. Umutima munini n'imihango ibabaza cyane, kandi ikaze bishobora kuba ibyavuye.

Abaganga ntibemeza icyateza adenomyosis, ariko iyi ndwara isanzwe ikira nyuma y'ihindagurika ry'imihango. Ku bagore bafite ibibazo bikomeye bitewe na adenomyosis, imiti igabanya imisemburo ishobora gufasha. Gukuramo umura (hysterectomy) gukira adenomyosis

Rimwe na rimwe, adenomyosis ntabwo itera ibimenyetso cyangwa ibimenyetso, cyangwa itera ububabare buke gusa. Ariko kandi, adenomyosis ishobora guteza:

• Umuvuduko w'amaraso menshi cyangwa urambanye
• Kugira ububabare bukabije cyangwa ububabare bwahise, nk'ubwo guterwa n'icyuma mu gice cy'ibice by'igitsina (dysmenorrhea)
• Ububabare buhoraho mu gice cy'ibice by'igitsina
• Ububabare mu gihe cy'imibonano mpuzabitsina (dyspareunia)

Uruhago rwawe rushobora gukura. Nubwo ushobora kutamenya niba uruhago rwawe rwakuze, ushobora kumva ububabare cyangwa igitutu mu gice cyo hasi cy'inda.

Niba ufite imihango myinshi kandi ikomeye cyangwa ububabare bukabije mu gihe cy'imihango bigakubuza gukora imirimo yawe ya buri munsi, hamagara muganga wawe.

Intandukwa ya adenomyosis ntiiramenyekana. Hariho imitekerereze myinshi, irimo:

• Ukwaguka kw'umubiri w'ingingo. Bamwe mu bahanga bemeza ko uturemangingo twa endometrium two mu rwambari rw'umura w'imbere twinjira mu gikunzwe gikora uruhome rw'umura w'imbere. Udukata mu mura w'imbere dukora mu gihe cy'igihe nk'igikorwa cya Cesarean (C-section) bishobora guteza imbere kwinjira kw'uturemangingo twa endometrium mu ruhome rw'umura w'imbere.
• Inkomoko y'iterambere. Abandi bahanga bakeka ko umubiri wa endometrium ushyirwa mu gikunzwe cy'umura w'imbere igihe umura w'imbere uba ugiye gukora mu gihe cy'ubwana.
• Kubabara kw'umura w'imbere bifitanye isano no kubyara. Ikindi gitekerezo kigaragaza isano iri hagati ya adenomyosis no kubyara. Kubabara kw'uruhome rw'umura w'imbere mu gihe cy'inyuma y'ibyara bishobora gutera ikibazo mu mikorere isanzwe y'uturemangingo dukingira umura w'imbere.
• Inkomoko y'uturemangingo tw'inkunga. Itegeko rishya rivuga ko uturemangingo tw'inkunga two mu mugozi w'amagufa bishobora kwinjira mu gikunzwe cy'umura w'imbere, bigatera adenomyosis.

Uko adenomyosis yaba itera kose, gukura kwayo biterwa na estrogen iherereye mu mubiri.

Ibintu byongera ibyago byo kwibasirwa na adenomyosis birimo:

• Ibiro byakozwe mu nda, nko kubagwa césarienne, gukuraho fibroids, cyangwa dilatation and curettage (D&C)
• Kubyara
• Kwegereza ubukure

Urugero rwinshi rwa adenomyosis — rushingiye kuri estrogen — rushobora kuboneka mu bagore bafite imyaka 40 na 50. Adenomyosis muri abo bagore ishobora kuba ifitanye isano no kumara igihe kirekire bafite estrogen ugereranyije n'abagore bakiri bato. Ariko kandi, ubushakashatsi buheruka bukeka ko iyi ndwara ishobora kuba myinshi no mu bagore bakiri bato.

Niba ukunda kugira imihango myinshi kandi iramara igihe kinini, ushobora kurwara uburwayi bw'amaraso buhoraho, butera umunaniro n'ibindi bibazo by'ubuzima.

Nubwo atari bibi, ububabare n'imihango myinshi bijyana na adenomyosis bishobora kubangamira imibereho yawe. Ushobora kwirinda ibikorwa wakundaga kera kuko uri mu kuribwa cyangwa ukaba uhangayikishijwe no gutangira kuva.

Ubundi buryo bw'indwara z'umura w'imbere bushobora gutera ibimenyetso n'ibibonwa bisa n'ibyo adenomyosis itera, bigatuma adenomyosis igoye kuvura. Izo ndwara zirimo ibibyimba by'imikaya (leiomyomas), utunyangingo tw'umura dukura hanze y'umura (endometriosis) n'ibikura mu rwambari rw'umura (endometrial polyps).

Umuganga wawe ashobora kurangiza avuga ko ufite adenomyosis gusa amaze guhakana izindi mpamvu zishoboka z'ibimenyetso n'ibibonwa ufite.

Umuganga wawe ashobora gushidikanya ko ufite adenomyosis ashingiye kuri:

Mu bihe bimwe bimwe, umuganga wawe ashobora gukusanya igice cy'umubiri w'umura kugira ngo akore ibizamini (endometrial biopsy) kugira ngo abemeze ko nta ndwara ikomeye ufite. Ariko, endometrial biopsy ntiyazafasha umuganga wawe kwemeza adenomyosis.

Amashusho y'umura w'imbere nka ultrasound na Magnetic resonance imaging (MRI) bishobora kugaragaza ibimenyetso bya adenomyosis, ariko uburyo bwonyine bwo kubyemeza ni ukupima umura nyuma yo kubaga ukuramo umura (hysterectomy).

• Ibimenyetso n'ibibonwa
• Ibizamini by'umura w'imbere bigaragaza umura munini, ubabara
• Amashusho ya ultrasound y'umura
• Amashusho ya Magnetic resonance imaging (MRI) y'umura

Adenomyosis ikunda gushira nyuma y'ihindagurika ry'imihango, bityo kuvurwa bishobora kugaragara ku rugero rwa hafi uri kuri urwo rwego rw'ubuzima.

Uburyo bwo kuvura adenomyosis burimo:

• Imiti irwanya ububabare. Muganga wawe ashobora kugutegurira imiti irwanya ububabare, nka ibuprofen (Advil, Motrin IB, n'izindi), kugira ngo agabanye ububabare. Gutangira imiti irwanya ububabare umunsi umwe cyangwa ibiri mbere y'uko imihango yawe itangira no kuyifata mu gihe cy'imihango yawe, bishobora kugabanya amaraso menshi yo mu mihango kandi bigafasha mu kugabanya ububabare.
• Imiti y'imisemburo. Ibiyobyabwenge by'amahomoni byahujwe na estrogen-progestin cyangwa ibyo kwisiga cyangwa impeta yo mu gitsina bishobora kugabanya amaraso menshi n'ububabare bijyana na adenomyosis. Indyo y'imisemburo gusa, nka kimwe mu bikoresho byo mu kibuno, cyangwa imiti y'amahomoni ikoreshwa buri gihe ikunze gutera amenorrhea - kutagira imihango - bishobora gutanga impumuro runaka.
• Kubaga kw'inda. Niba ububabare bwawe bukabije kandi nta yindi miti yakubayeho, muganga wawe ashobora kugutegurira kubaga kugira ngo akure umura. Gukuraho amagi ntabwo ari ngombwa kugira ngo ugenzure adenomyosis.