Ese ibintu byo mu myanya y’imyororokere ni iki? Ibimenyetso, Intandaro, n’Ubuvuzi

Ibintu byo mu myanya y’imyororokere ni udukoko dukura mu myanya ikingikije umura, harimo amagi, amajwi, n’imikaya iherereye hafi. Ibyinshi muri ibyo bintu nta cyangiza (bitari kanseri), ariko bimwe bishobora kuba bibi (kanseri) cyangwa bikagira ubushobozi bwo kuba kanseri uko iminsi igenda ishira.

Ibyo bintu birakunda cyane, cyane cyane mu bagore bari mu myaka yo kubyara. Nubwo ijambo “ibintu” rishobora gutera ubwoba, risobanura gusa ukura kw’umubiri kutari ko. Abagore benshi babana n’ibintu bitari bibi byo mu myanya y’imyororokere batanabizi, kuko akenshi nta bimenyetso bigira.

Ese ibimenyetso by’ibintu byo mu myanya y’imyororokere ni ibihe?

Ibintu byinshi byo mu myanya y’imyororokere nta bimenyetso bigaragaza, cyane cyane iyo ari bito cyangwa bitari bibi. Ibi ni ibisanzwe kandi nta cyo bikwiye guhangayikisha mu ntangiriro. Ariko, uko ibintu bikura cyangwa bitewe n’aho biherereye, ushobora gutangira kubona ibimenyetso bimwe na bimwe.

Iyo ibimenyetso bigaragaye, bishobora gutandukana cyane bitewe n’ubunini, ubwoko, n’aho ibintu biherereye. Dore ibimenyetso ushobora kubona, utangiriye ku bimenyetso bisanzwe:

• Kubabara mu myanya y’imyororokere cyangwa kumva umuvuduko ushobora kuza no kugenda cyangwa ukagumaho
• Kubyimbagira cyangwa kumva umubiri wuzuye mu nda
• Guhinduka mu mihango, harimo imihango idahwitse
• Kubabara mu gihe cy’imibonano mpuzabitsina
• Gushaka kenshi kujya kwinjira cyangwa kugorana gusuka umusego rwose
• Isesemi cyangwa kuruka, cyane cyane iyo ibintu byahindukiye
• Impatwe cyangwa guhinduka mu mirire

Mu bihe bitoroshye, ushobora kugira ibimenyetso bikomeye bisaba ubufasha bw’ihutirwa. Ibi birimo kubabara cyane mu myanya y’imyororokere (bishobora kugaragaza ibintu byahindukiye), kubyimbagira mu nda vuba, cyangwa isesemi n’ukurukira bidashira.

Wibuke ko kugira ibi bimenyetso bitavuze ko ufite uburibwe bw’adnexal. Indwara nyinshi zishobora gutera ibimenyetso nk’ibi, niyo mpamvu isuzuma ry’abaganga ari ingenzi cyane.

Ubwoko bw’ibibyimba bya adnexal ni bwo buhe?

Ibibyimba bya adnexal bifite ubwoko butandukanye, buri bwoko bufite imico n’imikorere yabwo. Gusobanukirwa ubwoko bwabyo bishobora kugufasha gusobanukirwa neza ibyo muganga wawe ashobora kuba agutekerereza.

Ubwoko busanzwe cyane ni imikaya yo mu gihagararo, ari yo mifuka yuzuye amazi itera cyangwa iri mu gihagararo cyawe. Imikaya ikora imirimo itera nk’igice cy’imihango yawe isanzwe kandi isanzwe irakura yonyine mu mezi make.

Ubundi bwoko buterwa n’indwara zitari kanseri harimo imikaya ya dermoid (ishobora kuba ifite imyanya itandukanye nka ubwoya cyangwa amenyo), cystadenomas (ibyibumba byuzuye amazi), na endometriomas (imikaya yuzuye amaraso y’imihango ava muri endometriosis). Fibromas ni ibibyimba bikomeye, bitaterwa na kanseri bishobora kuba mu gihagararo.

Ibibyimba bya adnexal biterwa na kanseri birimo ubwoko butandukanye bwa kanseri y’igihagararo, nko kubyimba kwa epithelium (ubwoko busanzwe cyane), ibibyimba by’uturemangingo (bisanzwe cyane mu bagore bakiri bato), n’ibibyimba bya stromal (bishobora gutera imisemburo).

Hariho kandi ibibyimba biri ku ruhande, biri hagati y’ibiterwa na kanseri n’ibitaterwa na kanseri. Ibi bifite imico imwe ya kanseri ariko ntibyakwirakwira cyane nk’ibibyimba bya kanseri by’ukuri.

Ni iki giterwa n’ibibyimba bya adnexal?

Impamvu nyamukuru y’ibibyimba byinshi bya adnexal ntisobanuwe neza, ariko abashakashatsi bamenye ibintu byinshi bishobora gutera iterambere ryabyo. Gusobanukirwa izi mpamvu bishobora kugufasha guhumurizwa, kuko byinshi muri byo bijyanye n’imikorere isanzwe y’umubiri.

Guhindagurika kw’imisemburo bigira uruhare runini mu bihe byinshi. Imihango yawe y’ukwezi igizwe n’impinduka zikomeye z’imisemburo zishobora rimwe na rimwe gutera iterambere ry’imikaya. Ibi ni ibisanzwe kandi bisobanura impamvu imikaya ya ovarian ikora imirimo ari myinshi mu bagore bari mu myaka y’uburumbuke.

Hari ibindi bintu byinshi bishobora gutera uburwayi bwa kanseri:

• Impinduka mu mbaraga z’umubiri (gene) zibaho uko iminsi igenda ishira
• Amateka y’umuryango afite kanseri y’inda cyangwa iy’amabere
• Endometriosis, aho imyanya y’imbere y’inda ikura hanze y’inda
• Indwara z’ubwandu cyangwa iz’uburibwe mu gice cy’inda
• Imyaka, kuko zimwe muri zo zirushaho kugaragara nyuma y’igihe cy’uburumbuke
• Indwara zimwe na zimwe z’imbaraga z’umubiri nka BRCA1 cyangwa BRCA2

Mu bihe bitoroshye, kwandura ibintu bimwe na bimwe byo mu kirere cyangwa kuvurwa kanseri mbere bishobora kongera ibyago. Ariko rero, ni ingenzi kumva ko kugira ibyago ntibisobanura ko uzabona kanseri.

Ku bagore benshi, uburwayi bwa kanseri mu myanya y’imbere y’inda butera nta mpamvu isobanutse cyangwa ibyago. Ibi bishobora gutera agahinda, ariko mu by’ukuri ni ibintu bisanzwe mu buvuzi kandi ntibigaragaza ikintu icyo ari cyo cyose wakoze cyangwa utarakora.

Ni ryari ukwiye kujya kwa muganga kubera uburwayi bwa kanseri mu myanya y’imbere y’inda?

Wagomba kuvugana n’umuganga wawe niba ufite ububabare buhoraho mu gice cy’inda, cyane cyane niba buri kwiyongera uko iminsi igenda ishira. Nubwo ububabare buke bwo mu gice cy’inda bushobora kuba bisanzwe, ububabare buhoraho bubangamira ibikorwa byawe bya buri munsi bukwiye kuvurwa.

Shaka ubufasha bwa muganga vuba niba ubona impinduka zikomeye mu mihango yawe, kubyimba bihoraho bidakira no guhindura imirire, cyangwa ububabare mu gihe cy’imibonano mpuzabitsina. Aya bimenyetso, nubwo atari akomeye buri gihe, bikwiye gusuzuma neza.

Ukeneye ubufasha bwa muganga ako kanya niba ufite ububabare bukomeye, bwihuse mu gice cy’inda, cyane cyane niba buherekejwe n’iseseme, kuruka, cyangwa umuriro. Ibi bishobora kugaragaza ikibyimba cy’igihembo (ovarian torsion), gisaba ubuvuzi bwihuse.

Ibindi bimenyetso byihutirwa birimo kubyimba mu nda, kugorana guhumeka kubera umuvuduko mu nda, cyangwa kuruka bihoraho bikubuza kurya cyangwa kunywa. Ibi bibazo, nubwo bidafite akamaro, bikeneye isuzuma rya muganga ryihuse.

Ntuzuzagire ubwoba bwo kuvugana na muganga wawe, nubwo ibimenyetso byawe bisa nkaho ari bito ariko bikaguha impungenge. Kumenya hakiri kare no kuvura indwara yose yerekeye imyanya myibarukiro muri rusange bigatanga umusaruro mwiza kandi bigatuma umuntu aruhuka.

Ni ibihe bintu bishobora guteza ibyago byo kurwara udukoko mu myanya y’imyororokere?

Hari ibintu byinshi bishobora kongera ibyago byo kurwara udukoko mu myanya y’imyororokere, nubwo kuba ufite ibyo bintu ntibihamya ko uzabirwara. Gusobanukirwa ibyo bintu bishobora kugufasha wowe na muganga wawe gufata ibyemezo byiza bijyanye no gusuzuma no kwirinda.

Imyaka igira uruhare runini mu kumenya ibyago byawe. Udukoko twa ovule dukorera neza tuba twinshi cyane mu myaka y’uburumbuke, mu gihe ibyago byo kurwara udukoko mbi byiyongera nyuma y’imyaka y’uburumbuke, cyane cyane nyuma y’imyaka 50.

Ibintu bisanzwe byongera ibyago birimo:

• Amateka y’umuryango afite kanseri y’ovule, iya mama, cyangwa iya colon
• Amateka bwite ya kanseri ya mama cyangwa kanseri y’imbere y’inda
• Kutarwara inda cyangwa gutwita bwa mbere nyuma y’imyaka 35
• Gutangira imihango hakiri kare cyangwa guhagarika imihango nyuma y’igihe kinini
• Gukoresha imiti yo kubyara cyangwa imiti igabanya imisemburo
• Endometriose cyangwa polycystic ovary syndrome (PCOS)
• Impinduka mu mbaraga za gene nka BRCA1, BRCA2, cyangwa syndrome ya Lynch

Uburyo bwo kubaho bushobora kandi kugira ingaruka ku byago, nubwo ibimenyetso bitandukanye. Ibi birimo umubyibuho ukabije, kunywa itabi, n’ibiribwa, nubwo uruhare rwabyo mu iterambere ry’udukoko mu myanya y’imyororokere bitaramenyekana neza.

Bikwiye kuzirikana ko bimwe mu bintu byahoze bizerwa ko byongera ibyago, nko gukoresha ifu y’italcum, byarakozweho ubushakashatsi burimo ibintu bitandukanye. Ubucuti hagati y’ibintu bitandukanye byo mu kirere n’iterambere ry’udukoko biracyakorerwaho ubushakashatsi.

Ni ibihe bibazo bishobora guterwa n’udukoko mu myanya y’imyororokere?

Umuhengeri munini w’ibice by’imbere by’umubiri, cyane cyane utari kanseri, ntabwo utera ingaruka zikomeye kandi ushobora kuvurwa neza hakoreshejwe ubuvuzi bukwiye. Ariko rero, gusobanukirwa ingaruka zishoboka bizagufasha kumenya igihe ukwiye gushaka ubuvuzi bwihuse.

Ingaruka ikunze kugaragara ni ukubogama kw’ovari, aho umuhengeri utera ovari guhindukira kuri yo ubwayo. Ibi bituma amaraso ajya muri ovari acika, bikaba byatera ububabare bukabije butunguranye busaba kubagwa vuba kugira ngo hirindwe gukomeretsa ovari burundu.

Izindi ngaruka zishoboka zirimo:

• Guturika kw’icyimo, bishobora gutera ububabare butunguranye no kuva imbere
• Dukuri, cyane cyane niba icyimo cyakomeye cyangwa kikaturuka
• Kumanika ku bice by’imbere by’umubiri, bikaba byatera ibibazo byo kwinjira cyangwa guhita
• Ibibazo byo kubyara niba imihengeri minini igira ingaruka ku mikorere ya ovari
• Guhinduka kwa kanseri ya tumwe mu mihengeri yo ku ruhande
• Kugira imisemburo itari yo ituruka ku mihengeri ikora imisemburo

Mu bihe bitoroshye, imihengeri minini itari kanseri ishobora gutera kubyimbagira mu nda no kugorana guhumeka kubera kumanika ku diafragme. Imihengeri minini cyane ishobora kandi gutera amaraso gukomera mu birenge kubera kumanika ku mitsi y’amaraso.

Inkuru nziza ni uko ingaruka nyinshi zishobora kwirindwa hakoreshejwe gukurikirana buri gihe no kuvura bikwiye. Muganga wawe azakorana nawe kugira ngo amenye uburyo bwiza bushingiye ku mimerere yawe n’imiterere y’umuhengeri wawe.

Uburyo bwo kwirinda imihengeri y’ibice by’imbere by’umubiri?

Nubwo utazi kwirinda burundu ubwoko bwose bw’imihengeri y’ibice by’imbere by’umubiri, imyifatire yo mu buzima n’ingamba zo kuvura bishobora kugabanya ibyago byawe. Ni ngombwa gusobanukirwa ko imihengeri myinshi iterwa n’ibintu udashobora kuyobora, bityo kwirinda ntibishoboka buri gihe.

Gukoresha imiti igabanya imbyaro mu kanwa mu myaka myinshi bishobora kugabanya ibyago byo kurwara kanseri y’ovari, nubwo iki kintu cyiza gikwiye gutegerwa hamwe n’ibyago bishoboka byo gukoresha imiti igabanya imbyaro ikoresha imisemburo. Gutwita no konsa na byo bigaragara ko bifite akamaro ko kurinda imyinshi y’ubwoko bwa kanseri y’ovari.

Uburyo butandukanye bushobora gufasha kugabanya ibyago byawe:

• Kugira ibiro byiza binyuze mu mirire yuzuye no gukora imyitozo ngororamubiri buri gihe
• Kudakora cyangwa kureka itabi niba utabi ukoresha ubu
• Kugabanya kunywa inzoga
• Kwita ku guhangayika binyuze mu buryo bwiza bwo guhangana
• Kujya gukorerwa isuzuma n’abaganga b’abagore buri gihe
• Kuganira n’umuganga wawe ku mateka y’indwara mu muryango wawe kugira ngo ubone uburyo bwo kwirinda bujyanye n’ikibazo cyawe

Ku bagore bafite amateka akomeye y’indwara ya kanseri y’ovari cyangwa iya kanseri y’amabere mu muryango wabo, inama z’abaganga ku birebana n’imiterere y’imiryango n’isuzuma bishobora gusabwa. Mu bihe bitoroshye cyane cyane bifite ibyago byinshi by’imiterere, kubagwa kugira ngo bakureho ovari na trompe de Fallope bishobora kuganirwaho.

Ibuka ko uburyo bwo kwirinda tuganiraho bugamije cyane kugabanya ibyago bya kanseri. Uruhererekane rw’ibintu byinshi bitera indwara, cyane cyane imikaya ikora, ni igice cy’imikorere isanzwe y’ovari kandi ntabwo byoroshye kubirinda.

Uburyo indwara ziterwa n’imikaya igaragaraho zimenyekana?

Kumenya indwara ziterwa n’imikaya bigenda bitangira hagamijwe kuganira ku bimenyetso byawe n’amateka yawe y’ubuzima, hakurikiyeho isuzuma ngororamubiri. Umuganga wawe ashobora gukora isuzuma ry’igice cy’ibitsina kugira ngo arebe ko hari ibintu byuzuye cyangwa ibice bibabaza.

Isuzuma rya mbere risanzwe kandi rifite akamaro ni ultrasound ikoreshwa mu gitsina, itanga amashusho arambuye y’ovari na bimwe mu bice biyikikije. Iri suzuma ntabwo ribabaza kandi rishobora gufasha kumenya ubunini, aho biherereye, n’imiterere y’ibintu byuzuye.

Ibindi bisuzumwa bishobora kuba bikubiyemo:

• Ibizamini by’amaraso kugira ngo barebe ibimenyetso bya kanseri nka CA-125, nubwo bitagaragaza burundu uburwayi
• Scan ya CT cyangwa MRI kugira ngo babone ishusho ihamye igihe bibaye ngombwa
• Doppler ultrasound kugira ngo barebe imiterere y’amaraso yerekeza kuri iyo kibyimba
• Isuzuma ryo kureba niba utwite kugira ngo habeho kubuza gutwita hanze y’inda
• Isuzuma ry’amaraso kugira ngo barebe ibimenyetso by’indwara cyangwa ububura bw’amaraso

Mu bihe bimwe bimwe, muganga wawe ashobora kugusaba gukurikirana icyo kibyimba ukora ultrasound kenshi, cyane cyane niba kimeze neza kandi kitagutera ikibazo. Ubu buryo, bwitwa “gukurikirana no gutegereza,” busanzwe bukwiriye kuri cysts nto kandi zoroheje.

Niba hari impungenge z’uko ari kanseri, cyangwa niba icyo kibyimba kinini cyangwa kikugiraho ingaruka, muganga wawe ashobora kukujyana kwa muganga w’abagore ushinzwe kanseri kugira ngo akore isuzuma rihamye kandi ashoboke gufata igice cy’umubiri kugira ngo akore isuzuma.

Ni iki kivura ibintu byo mu myanya y’imyororokere?

Uburyo bwo kuvura ibintu byo mu myanya y’imyororokere butandukanye cyane bitewe n’ubwoko, ubunini n’imiterere yacyo, ndetse n’imyaka yawe, ibimenyetso, n’icyo wifuza ku bijyanye no kubyara mu gihe kizaza. Ibintu byinshi bito kandi byiza ntabwo bisaba kuvurwa, ahubwo gukurikiranwa gusa.

Ku birebana na cysts zo mu gihagararo, muganga wawe ashobora kugusaba gutegereza kugira ngo arebe niba zizakira ubwazo, kuko akenshi zikira mu gihe cy’amezi make y’imihango. Rimwe na rimwe, imiti igabanya imisemburo itangwa kugira ngo habeho kwirinda ko izindi cysts zidakomeza kuvuka.

Uburyo bwo kuvura bushobora kuba:

• Gukurikirana no gutegereza hakoreshejwe ultrasound buri gihe
• Imiti igabanya imisemburo kugira ngo ihagarike imisemburo yo kubyara kandi habeho kwirinda ko izindi cysts zidakomeza kuvuka
• Ubuvuzi bukoresha ibikoresho bito (laparoscopy) kugira ngo bakureho cysts bagasiga umugongo
• Ubuvuzi bukoresha igitsina kinini ku birebana n’ibintu binini cyangwa bitoroshye
• Gukuraho burundu umugongo uhangayitse niba bibaye ngombwa
• Chemotherapy ku birebana na kanseri
• Uburyo bwo kuvura bugenewe ubwoko runaka bwa kanseri

Ku bagore batararangiza imihango kandi bifuza kubungabunga ubushobozi bwabo bwo kubyara,abaganga bazakora ibishoboka byose kugira ngo bakureho uburibwe gusa, basige imyanya y’amagi imeze neza. Ubu buryo, bwitwa kubungabunga amagi, bushobora gukorwa kenshi ku buribwe budakomeye.

Icyemezo kijyanye nigihe cyo kuvurwa na cyo ni ingenzi. Kubagwa byihutirwa biba bikenewe ku ngorane nka torsion y’igi, mu gihe izindi mimerere zemerera igihe cyo gutegura neza no gusaba ibitekerezo by’abandi.

Uko wakwita ku bimenyetso murugo mu gihe ufite uburibwe bw’ibice by’imbere?

Nubwo kuvurwa kwa muganga bikunda kuba ngombwa ku buribwe bw’ibice by’imbere, hari ibintu byinshi ushobora gukora murugo kugira ngo ufashe gucunga ibimenyetso kandi wongere uburyohe bwawe. Izi ngamba zikora neza nk’uburyo bw’inyongera hamwe n’ubuvuzi bukwiye.

Ku bimenyetso byoroheje by’uburibwe mu gice cy’imbere, imiti igabanya ububabare iboneka mu maduka nka ibuprofen cyangwa acetaminophen ishobora kugufasha. Ubuvuzi bw’ubushyuhe, nko koga mu mazi ashyushye cyangwa gushyira igipfunyika cyashyushujwe ku gice cy’imbere, bishobora kandi kugufasha kugabanya ububabare.

Dore ingamba zifasha zo kwita ku buribwe murugo:

• Imikino yoroheje nko kugenda cyangwa yoga kugira ngo ugabanye kubyimbagira no kunoza imiterere y’amaraso
• Kurya ibiryo bike, ariko bikunze kugira ngo ugabanye igitutu mu nda
• Kunywa amazi ahagije kugira ngo ushyigikire ubuzima bwawe muri rusange
• Kwambara imyenda yoroshye, idakomeye kugira ngo wirinde igitutu gikabije mu nda
• Gukora imyitozo igabanya umunaniro nko guhumeka cyangwa gukora meditation
• Kuryama bihagije kugira ngo ushyigikire uburyo umubiri wawe ukira
• Kwirinda imirimo ikomeye cyangwa imikino ikomeye ishobora kongera ububabare

Jya ubandika ibimenyetso byawe kugira ngo umenye igihe ububabare cyangwa ibindi bimenyetso biba, icyabuteye cyangwa icyabukiza, n’uko bigira ingaruka ku mirimo yawe ya buri munsi. Aya makuru ashobora gufasha cyane muganga wawe.

Ariko rero, ibuka ko imiti yo mu rugo itazigera isimbura ubuvuzi bw’umwuga. Hamagara muganga wawe ako kanya uramutse wumvise ububabare bukabije, umuriro, kuruka kenshi, cyangwa ibindi bimenyetso bikubangamiye.

Wategura gute uruzinduko rwawe kwa muganga?

Gutegura neza uruzinduko rwawe kwa muganga bishobora kugufasha kugira ngo ubone ibizamini byiza kandi ubone uburyo bwiza bwo kuvurwa. Tangira wandike ibimenyetso byawe byose, harimo igihe byatangiye n’icyo biba byiza cyangwa biba bibi.

Zana urutonde rwuzuye rw’imiti yose ukoresha ubu, harimo imiti yo mu maduka, inyongeramusaruro, n’imiti y’ibimera. Bandika kandi allergie cyangwa ingaruka mbi wahuye nazo ku miti mu gihe gishize.

Amakuru akomeye yo gutegura harimo:

• Amateka y’imihango yuzuye, harimo uburebure bw’imihango n’impinduka iheruka
• Urutonde rw’inda zabanje, gukuramo inda, cyangwa kuvurwa kw’uburumbuke
• Amateka y’umuryango wa kanseri y’ovari, iyamama, cyangwa izindi kanseri
• Ibisabwa byabanje by’abagore cyangwa ibyabaga
• Ikoreshwa ry’ubu ry’imiti igabanya imisemburo cyangwa imiti y’imisemburo
• Ibisabwa byabanje bitari ibisanzwe bya Pap cyangwa ibibazo by’abagore

Andika ibibazo byawe mbere y’igihe kugira ngo utabyibagirwa kubibaza mu gihe cy’uruzinduko. Tekereza kuzana inshuti cyangwa umuryango w’umuryango w’umuryango kugira ngo aguhe inkunga, cyane cyane niba wumva uhangayitse kubyerekeye uruzinduko.

Ntutigondere kuvuga amakuru y’ibanga ku bimenyetso byawe cyangwa impungenge. Muganga wawe akeneye amakuru yuzuye kandi y’ukuri kugira ngo atange ubuvuzi bwiza bushoboka, kandi bahuguwe mu gukora ibiganiro nk’ibi mu buryo bw’umwuga kandi bufite imbabazi.

Ni ikihe kintu gikomeye cyo kuzirikana ku byerekeye imikaya ya adnexal?

Ikintu cy’ingenzi cyo gusobanukirwa ku byerekeye imikurire mu myanya y’imyororokere ni uko abenshi muri bo ari intungane kandi bavurwa neza. Nubwo kubona iyi ndwara bishobora kuguha ikibazo, abagore benshi bafite imikurire mu myanya y’imyororokere bakomeza kubaho ubuzima busanzwe, bwiza.

Kumenya hakiri kare no kuvurwa neza ni byo bikurinda cyane mu guhangana n’ubwoko ubwo aribwo bwose bw’imikurire mu myanya y’imyororokere. Kujya gusuzuma inda buri gihe bishobora gufasha kumenya imikurire mbere y’uko itera ibimenyetso cyangwa ingaruka, bigatuma uburyo bworoshye bwo kuvura n’ibisubizo byiza.

Wibuke ko kugira imikurire mu myanya y’imyororokere ntibigena ubuzima bwawe cyangwa ejo hazaza hawe. Hamwe no kuvurwa neza, imikurire myinshi ishobora kuvurwa neza cyangwa ikakira burundu, bigatuma usubira mu mirimo yawe isanzwe n’intego zawe mu buzima.

Gira icyizere itsinda ry’abaganga bawe kandi ntutinye kubabaza ibibazo cyangwa gushaka ubundi buvuzi igihe bibaye ngombwa. Uri umuvugizi wawe mwiza, kandi kumenya no kwitabira ubuvuzi bwawe bizafasha guhamya ibyiza bishoboka.

Ibibazo bikunze kubaho ku byerekeye imikurire mu myanya y’imyororokere

Ese imikurire mu myanya y’imyororokere ishobora kugira ingaruka ku bushobozi bwanjye bwo gutwita?

Imikurire myinshi mu myanya y’imyororokere ntabwo igira ingaruka ku kubyara, cyane cyane iyo ari nto kandi ari intungane. Ariko kandi, imikurire minini cyangwa iyikuraho igice cy’ovari ishobora kugira ingaruka ku bushobozi bwawe bwo kubyara. Niba uri guteganya gutwita, banira iki kibazo muganga wawe hakiri kare mu igenamigambi ryawe ryo kuvurwa. Hariho uburyo bwinshi bwo kubaga budahungabanya ubushobozi bwo kubyara, kandi n’abagore babuze ovule imwe bashobora gutwita mu buryo bw’umwimerere bakoresheje ovule isigaye.

Ese nzakenera kubagwa niba mfite imikurire mu myanya y’imyororokere?

Oya rwose. Ibintu byinshi bito, bitagira akaga, bishobora kuvurwa hakoreshejwe uburyo bwo kubikurikirana hakoreshejwe amashusho ya ultrasound buri gihe. Kubaga bisanzwe biteganywa igihe ibintu byinshi ari binini, bigatera ibimenyetso, bigaragara nkiby’indwara ya kanseri, cyangwa bigatera ingorane nko guhindagurika kw’ovari. Muganga wawe azisuzuma ibintu nka myaka yawe, ibimenyetso, n’imiterere y’ibintu mugihe akora ibyifuzo byo kuvura. Niba kubaga ari ngombwa, uburyo buke bwo kubaga bushobora kuba bushoboka.

Nkwiye kugira gahunda z’isuzuma ngarukahe nyuma yo kubona indwara?

Ubwinshi bw’isuzuma ngarukahe biterwa n’imimerere yawe bwite na gahunda yo kuvura. Kubintu bikurikiranwa hatakozwe kuvura, ushobora kuba ukeneye amashusho ya ultrasound buri mezi make mu ntangiriro, hanyuma ukagabanya igihe igihe ibintu bikomeza kuba nta kibazo. Nyuma yo kubaga, gahunda z’isuzuma ngarukahe zishobora gutegurwa buri mezi make mu mwaka wa mbere, hanyuma buri mwaka. Muganga wawe azategura gahunda yo gukurikirana ishingiye ku byo ukeneye n’ibyago.

Ese ibintu byo muri adnexa birakomoka ku miryango?

Nubwo ibintu byinshi byo muri adnexa bibaho ku buryo butunguranye, zimwe muri zo zigira ibintu byo mu miryango. Abagore bafite impinduka za gène za BRCA1 cyangwa BRCA2 bafite ibyago byinshi byo kurwara kanseri y’ovari. Indwara ya Lynch nayo yongera ibyago byo kurwara kanseri y’ovari. Ariko kandi, abagore benshi bafite ibintu byo muri adnexa nta mateka y’indwara nk’izo mu miryango yabo. Niba ufite amateka akomeye y’indwara ya kanseri y’ovari cyangwa iy’amabere mu muryango wawe, ubushakashatsi bwo mu muryango bushobora kugufasha kumenya ibyago byawe.

Ese ibintu byo muri adnexa bishobora gusubira nyuma yo kuvurwa?

Amahirwe yo kugaruka kw’indwara biterwa n’ubwoko bw’ibibyimba n’uburyo bwo kuvura bwakozwe. Ibibyimba by’imisemburo bikunda gukira burundu kandi bishobora kutazongera kugaruka, nubwo ibindi bishya bishobora kuvuka nk’igice cy’imikorere isanzwe y’ovari. Ibibyimba bitagira akaga byakuweho burundu mu buryo bwa chirugical ntabwo bikunda kugaruka. Ibibyimba bibi bifite ibyago bitandukanye byo kugaruka bitewe n’ubwoko n’icyiciro byabyo. Muganga wawe azakuganiriza ku byago byawe byo kugaruka kw’indwara n’uburyo bukwiye bwo gukurikirana ubuzima bwawe bushingiye ku burwayi bwawe n’uburyo bwo kuvura.