Ese ni iki? Ibimenyetso, Impamvu, n’Uko Bivurwa

Ese ni uburwayi bw’umwijima bugera kuri bamwe mu bagore mu gihe cy’inda yabo ya kabiri cyangwa iya gatatu. Bibaho iyo acide za bile zikubise mu maraso yawe aho kugenda uko bikwiye kuva mu mwijima wawe kugira ngo bifashe mu gusya ibiryo.

Ubu burwayi butera gukorora cyane, cyane cyane ku ntoki no ku birenge, kandi bishobora kugira ingaruka ku mwana wawe. Nubwo byumvikana biteye ubwoba, gusobanukirwa ibiri kuba mu mubiri wawe bishobora kugufasha gukorana n’abaganga bawe kugira ngo mubikemure neza.

Ese ni iki?

Ese ibaho iyo umwijima wawe udashobora gutunganya acide za bile neza mu gihe cy’inda. Umujima wawe ukora bile kugira ngo afashe mu gusenya amavuta, ariko imisemburo y’inda ishobora kugabanya ubu buryo.

Iyo acide za bile zitabasha kuva mu mwijima wawe uko bikwiye, zikubira mu maraso yawe. Ibi biterwa n’ikimenyetso cy’ingenzi cyo gukorora cyane kandi bishobora kugira ingaruka ku buzima bw’umwana wawe niba bitavuwe.

Ubu burwayi busanzwe buza mu bihe byanyuma by’inda, cyane cyane nyuma y’ibyumweru 28. Bugera kuri umwe mu bantu 1000 batwite, nubwo umubare ushobora kuba mwinshi mu matsinda amwe n’amwe y’abantu.

Ibimenyetso bya Ese ni ibihe?

Ikimenyetso gikomeye ni gukorora cyane bitandukanye n’impinduka zisanzwe z’uruhu mu gihe cy’inda. Iki gikorora kenshi gitangira ku kuboko no ku birenge, hanyuma gishobora gukwirakwira mu bindi bice by’umubiri wawe.

Dore ibimenyetso by’ingenzi ushobora kugira:

• Gukorora cyane, cyane cyane ku ntoki no ku birenge, bikaba biba byinshi nijoro
• Gukorora gukwirakwira mu maboko, amaguru, n’ibice by’umubiri
• Inkari z’umukara
• Amashyira yera cyangwa y’umweru
• Umuhondo ku ruhu cyangwa mu maso (jaundice), nubwo ibi bidafata abantu benshi
• Umunaniro urenze umunaniro usanzwe w’inda
• Kubura ubushake bwo kurya
• Isesemi, cyane cyane niba isubira nyuma yo kumera neza mu ntangiriro z’inda

Gukorora kwa Ese bitandukanye n’igikorora gisanzwe cy’inda. Akenshi kivugwa ko ari nk’aho kiva munsi y’uruhu rwawe, kandi gusikamira ntibigufasha.

Ese iterwa n’iki?

Imisemburo y’inda, cyane cyane estrogen na progesterone, ni yo mpamvu nyamukuru ya Ese. Iyi misemburo ishobora kugabanya umuvuduko wa bile uva mu mwijima wawe.

Umujima wawe ukora cyane mu gihe cy’inda kugira ngo ugushyigikire wowe n’umwana wawe. Iyo urwego rw’imisemburo rugera ku rwego rwo hejuru mu gihembwe cya gatatu, imijima y’abagore bamwe ntibashobora gukora neza mu gutunganya acide za bile.

Ibintu byinshi bishobora kongera amahirwe yo kurwara ubu burwayi:

• Amateka y’umuryango wa Ese
• Amateka bwite y’ubwo burwayi mu nda zabanje
• Gutwita abana benshi
• Uburwayi bw’umwijima cyangwa ibibazo by’umwijima mbere
• Gutwita hakoreshejwe uburyo bwa IVF
• Amwe matsinda y’abantu, cyane cyane abo muri Skandinavia, Chili, cyangwa Bolivie

Mu bihe bitoroshye, impinduka za gene zishobora gutuma bamwe mu bagore bumva cyane ingaruka z’imisemburo y’inda ku mitembereze ya bile. Ibi bisobanura impamvu ubu burwayi rimwe na rimwe buri mu muryango.

Ni ryari ukwiye kujya kwa muganga kubera Ese?

Ukwiye kuvugana n’abaganga bawe ako kanya niba ufite gukorora cyane, cyane cyane ku kuboko no ku birenge. Ntugatege amatariki yawe asanzwe, kuko kuvura hakiri kare no gukurikirana ni ingenzi.

Hamagara muganga wawe ako kanya niba ubona inkari z’umukara, amashyira yera, cyangwa umuhondo ku ruhu cyangwa mu maso. Ibi bimenyetso bigaragaza ko umwijima wawe ukeneye ubufasha bw’ihutirwa.

Ndetse niba gukorora kwawe bigaragara ko ari guke, ni byiza kubibwira itsinda ryawe ry’abaganga. Bashobora gukora ibizamini byoroshye by’amaraso kugira ngo barebe urwego rwa acide za bile na gukora kw’umwijima wawe.

Ibyago bya Ese ni ibihe?

Gusobanukirwa ibyago byawe bishobora kugufasha wowe n’umuganga wawe kuba maso ku bimenyetso bya hakiri kare. Bamwe mu bagore bafite amahirwe menshi yo kurwara ubu burwayi bitewe n’amateka yabo bwite n’ay’umuryango.

Ibyago by’ingenzi birimo:

• Ese mbere (ufite amahirwe 60-70% yo gusubira)
• Amateka y’umuryango, cyane cyane nyoko cyangwa bashiki bawe barwaye ubu burwayi
• Gutwita abana benshi
• Kuba umubyeyi mukuru (urenze imyaka 35)
• Amateka y’uburwayi bw’umwijima cyangwa amabuye y’umwijima
• Gutwita hakoreshejwe IVF
• Amwe impinduka za gene zigira ingaruka ku mitembereze ya acide za bile

Amwe matsinda y’abantu afite umubare munini wa Ese. Abagore bo muri Skandinavia, abahutu ba Araucanian, cyangwa bamwe mu baturutse muri Amerika y’Epfo bafite ibyago byinshi.

Kugira ibyago ntibisobanura ko uzahita urwara ubu burwayi. Abagore benshi bafite ibyago byinshi bagira inda nziza, mu gihe abandi badafite ibyago bigaragara bashobora kurwara.

Ingaruka zishoboka za Ese ni izihe?

Nubwo Ese ishobora kuvurwa neza, ifite ibyago bimwe na bimwe itsinda ryawe ry’abaganga rizakurikirana neza. Gusobanukirwa izi ngaruka zishoboka bifasha gusobanura impamvu kuvura hakiri kare ari ingenzi.

Ku mwana wawe, ibyo dukunda kwitaho ni ibi:

• Kuzana umwana hakiri kare (mbere y’ibyumweru 37)
• Ibibazo by’ubuhumekero bitewe no kuzana umwana hakiri kare
• Kuzana umwana afite amashyira (umwana akora amashyira mbere yo kuvuka)
• Kuzana umwana wapfuye, nubwo ibi bidafata abantu benshi iyo hakurikiwe neza
• Kugomba kwitabwaho cyane nyuma yo kuvuka

Ku wowe nk’umubyeyi, ingaruka zikomeye ntabwo zibaho cyane ariko zishobora kuba:

• Gukorora cyane bitubuza gusinzira no gukora imirimo ya buri munsi
• Kuva amaraso menshi mu gihe cyo kubyara bitewe no kubura vitamine K
• Amahirwe menshi yo kubyara hakiri kare
• Kuva amaraso menshi nyuma yo kubyara mu bihe bitoroshye

Inkuru nziza ni uko, iyo hakurikiwe neza kandi havuwe, abana benshi n’ababyeyi bagira amagara mazima. Itsinda ryawe ry’abaganga rizakukurikirana neza kandi rishobora kugutegeka kubyara hakiri kare kugira ngo wirinde ingaruka.

Ese imenyekanwa gute?

Muganga wawe azatangira akumva ibimenyetso byawe akakora isuzuma rusange. Ihuriro rya gukorora cyane n’inda risanzwe rikeka ubu burwayi.

Ibizamini by’amaraso ni ingenzi mu kwemeza ubu burwayi. Muganga wawe azareba urwego rwa acide za bile, zikaba ziyongereye muri Ese. Azareba kandi uko umwijima wawe ukora.

Ibizamini by’ingenzi birimo:

1. Isuzuma rya acide za bile (ikizamini cy’ingenzi)
2. Ibizamini byo gukora kw’umwijima (urwego rwa ALT na AST)
3. Urwego rwa Bilirubin
4. Isuzuma ryuzuye ry’amaraso
5. Ibizamini byo gukuraho ubundi burwayi bw’umwijima

Rimwe na rimwe muganga wawe ashobora gutegeka ibindi bizamini kugira ngo akureho ubundi burwayi bw’uruhu cyangwa umwijima. Ibi bishobora kuba harimo ibizamini bya hepatite cyangwa ibimenyetso bya autoimmune niba ibimenyetso byawe bitumvikana.

Ibisubizo bisanzwe biza mu munsi umwe cyangwa ibiri. Muganga wawe azasobanura icyo imibare ivuga kandi azaganira ku ntambwe zikurikira hashingiwe ku rugero acide za bile zawe ziyongereye.

Ese ivurwa gute?

Kuvura kwibanda ku kugabanya urwego rwa acide za bile, kugabanya gukorora, no kurinda ubuzima bw’umwana wawe. Imiti ikomeye ikoreshwa ni ursodeoxycholic acid (UDCA), ifasha umwijima wawe gutunganya acide za bile neza.

UDCA ifatwa nk’ikintu cyiza mu gihe cy’inda kandi ishobora kunoza cyane ibimenyetso byawe mu gihe ishobora kugabanya ibyago ku mwana wawe. Uzajya ufata iyi miti kugeza ubwo uvyaye.

Gahunda yawe yo kuvurwa ishobora kuba irimo:

• Ursodeoxycholic acid (UDCA) imiti, isanzwe ifatwa kabiri ku munsi
• Imiterere ya vitamine K kugira ngo wirinde ibibazo byo kuva amaraso
• Gukurikirana urwego rwa acide za bile buri gihe
• Gukurikirana umwana wawe buri gihe, harimo ibizamini bisanzwe byo kureba ubuzima bwe
• Gutegura kubyara hakiri kare, hagati y’ibyumweru 36-38

Bamwe mu baganga bashobora kugutegeka imiti yo kurwanya allergie cyangwa imiti yo kwisiga kugira ngo bagufashe gukorora, nubwo ibi bitakemura ikibazo nyamukuru. Kugira amazi akonje no kwambara imyenda yoroshye bishobora kugufasha.

Mu bihe bikomeye cyangwa iyo UDCA idakora neza, muganga wawe ashobora gutekereza ku bindi miti. Ariko kandi, UDCA igumana umwanya wa mbere mu kuvura ifite umutekano mwiza.

Uko wakwitwara mu rugo mu gihe ufite Ese

Nubwo kuvurwa kwa muganga ari ingenzi, hari ibintu byinshi ushobora gukora mu rugo kugira ngo ufashe mu gukemura ibimenyetso byawe no gushyigikira ubuzima bwawe muri rusange. Izi ngamba zikora neza hamwe n’imiti yawe.

Kugira ngo ugabanye gukorora, gerageza ibi bintu byoroshye:

• Koga amazi akonje (atari ayo konjesha)
• Koresha amavuta yo kwisiga adafite impumuro nziza, yoroshye mu gihe uruhu rwawe rugitaka
• Kwambara imyenda yoroshye, yoroheye
• Komeza icyumba cyawe gikonje nijoro
• Koresha humidifier kugira ngo wirinde umwuka wumye
• Gerageza gushyira ibintu bikonje ku bice bikorora

Ibanda ku gushyigikira ubuzima bw’umwijima wawe binyuze mu buzima buto. Funga ibiryo bike, bikunzwe, byoroshye gusya. Fata imbuto n’imboga nyinshi, kandi unywe amazi ahagije.

Kuryama bihagije ni ingenzi, nubwo gukorora bishobora kugorana gusinzira. Gerageza uburyo bwo kuruhuka nka yoga yoroshye cyangwa gutekereza kugira ngo ufashe mu guhangana n’umunaniro no guteza imbere ibitotsi byiza.

Ese ishobora kwirindwa?

Ikibabaje ni uko nta buryo bwemewe bwo kwirinda Ese kuko iterwa ahanini n’uburyo umubiri wawe uhangana n’imisemburo y’inda. Ariko kandi, kugira ubuzima bwiza muri rusange bishobora gushyigikira imikorere y’umwijima wawe.

Niba warwaye Ese mu nda yawe ibanza, biganireho n’abaganga bawe hakiri kare mu nda yawe itaha. Bashobora gushaka kukukurikirana neza no gutangira ibizamini hakiri kare.

Imwe mu myitwarire ishyigikira umwijima muri rusange irimo:

• Kugira ibiro byiza mbere y’inda
• Kurya indyo yuzuye yuzuye imbuto n’imboga
• Kunywa amazi ahagije
• Kwirinda inzoga mu gihe cy’inda
• Kunywa vitamine z’inda nk’uko byategetswe
• Gukemura ibindi bibazo by’ubuzima nka diyabete

Nubwo ibi bintu bitashobora guhamya kwirinda, bishyigikira ubuzima bwawe muri rusange kandi bishobora gufasha umwijima wawe gukora neza mu gihe cy’inda.

Uko wakwitegura kujya kwa muganga

Kwitunganya neza mbere yo kujya kwa muganga bifasha kugira ngo ubone ubuvuzi bwiza kandi buhamye. Muganga wawe azakenera amakuru yihariye ku bimenyetso byawe n’amateka yawe y’ubuzima.

Mbere yo kujya kwa muganga, andika igihe gukorora kwawe byatangiye n’uko byahindutse uko iminsi igenda. Bandika ibice by’umubiri wawe bikora cyane n’ibyagabanya gukorora.

Zana aya makuru:

• Ibisobanuro birambuye by’uburyo ukora
• Urutonde rw’imiti yose n’ibindi ufashe
• Amateka y’umuryango w’ibibazo by’umwijima cyangwa Ese
• Ibibazo byabaye mu nda zabanje cyangwa ibibazo by’umwijima
• Ibibazo ku bijyanye n’uburyo bwo kuvura no gukurikirana
• Uburyo wifuza kubyara n’ibyo uhangayikishijwe

Ntukabe ikibazo cyo kubaza icyo utegereje mu gukurikirana no gutegura kubyara. Gusobanukirwa igihe n’intambwe zikurikira bishobora kugabanya impungenge ku bijyanye n’ubwo burwayi.

Icyo ukwiye kumenya kuri Ese

Ese ni uburwayi bushobora kuvurwa iyo bumenyekanye kandi bukavurwa hakiri kare. Nubwo gukorora cyane bishobora kuba bibi kandi ibyago bishoboka bikaba biteye impungenge, abagore benshi n’abana bagira amagara mazima iyo bavuwe neza.

Ikintu cy’ingenzi ni ukutangaza gukorora cyane, cyane cyane ku ntoki no ku birenge. Kumenya uburwayi hakiri kare bituma itsinda ryawe ry’abaganga ritangira kuvura no gukurikirana ako kanya.

Wibuke ko ubu burwayi busanzwe buva nyuma yo kubyara. Imikorere y’umwijima wawe isubira mu buryo, kandi gukorora bihera mu minsi mike cyangwa mu byumweru nyuma yo kubyara. Ufashwe neza, ushobora kugira umwana muzima nubwo ubu burwayi bugoranye.

Ibibazo byakunda kubazwa kuri Ese

Ese Ese izongera kubaho mu nda z’ejo hazaza?

Niba warwaye Ese rimwe, hari amahirwe 60-70% yo gusubira mu nda z’ejo hazaza. Ariko kandi, ibi ntibisobanura ko udashobora kubyara abandi bana neza. Itsinda ryawe ry’abaganga rizakukurikirana hakiri kare mu nda yawe kandi rishobora gutangira kuvura vuba niba ibimenyetso bigaragara. Abagore benshi bagira inda nyinshi neza nubwo Ese isubira.

Ese nshobora konsa niba narwaye Ese?

Yego, ushobora konsa nyuma yo kurwara Ese. Ubu burwayi buva nyuma yo kubyara, kandi ntibugira ingaruka ku bushobozi bwawe bwo gukora amata cyangwa umutekano wo konsa. Niba wafashe UDCA mu gihe cy’inda, muganga wawe azakugira inama y’icyo gukora mu gihe uonsa, nubwo isanzwe ifatwa nk’ikintu cyiza.

Ese umwana wanjye azavuka hakiri kare?

Abaganga benshi bategeka kubyara hagati y’ibyumweru 36-38 ku bagore bafite Ese, bitewe n’uburemere bw’uburwayi bwawe n’urwego rwa acide za bile. Itsinda ryawe ry’abaganga rizahuza ibyago byo kubyara hakiri kare n’ibyago byo gukomeza inda. Bazakukurikirana wowe n’umwana wawe kugira ngo bamenye igihe gikwiye cyo kubyara.

Ese gukorora ni bibi cyane, cyangwa ndarengana?

Gukorora kwa Ese ni bibi cyane kandi bitandukanye n’igikorora gisanzwe cy’inda. Akenshi kivugwa ko ari nk’aho kiva munsi y’uruhu rwawe, kandi abagore benshi bavuga ko ari gukorora kibi kurusha ibindi byose. Nta kintu uvuga kibi - iki kimenyetso kigira ingaruka ku mibereho n’ibitotsi. Ntukangwe gushaka ubufasha no gusaba kuvurwa neza.

Ese umwijima wanjye uzaba ute nyuma yo kubyara?

Imikorere y’umwijima wawe isubira mu buryo mu minsi mike cyangwa mu byumweru nyuma yo kubyara. Urwego rwa acide za bile rugabanuka vuba iyo imisemburo y’inda igabanutse, kandi gukorora bisanzwe bihera mu cyumweru cya mbere nyuma yo kubyara. Muganga wawe ashobora gusuzuma imikorere y’umwijima wawe nyuma y’ibyumweru bike nyuma yo kubyara kugira ngo yemeze ko byose byasubiye mu buryo. Ibibazo by’umwijima bya Ese mu gihe kirekire ni bito cyane.