Uterasi Ibiri: Ibimenyetso, Impamvu, n’Uko Uvuzwa

Uterasi ibiri, izwi mu mvugo y’abaganga nka uterus didelphys, ni uburwayi buke cyane aho umuntu avukana uterasi ebyiri zitandukanye aho kuba imwe. Ibi bibaho iyo imiyoboro isanzwe ihurira hamwe mu gihe cy’ubwangavu itarihuye neza, bigatuma habaho utwumba tubiri tw’uterasi.

Nubwo ibi bishobora kugaragara nk’ibiteye impungenge, abantu benshi bafite iki kibazo babaho ubuzima busanzwe kandi bashobora gutwita neza. Ni uburyo butandukanye gusa bwo gukora kw’imiterere y’imyororokere mbere y’ivuka, kandi hakoreshejwe ubuvuzi bukwiye, ibibazo byinshi bishobora guhangana neza.

Uterasi ibiri ni iki?

Uterasi ibiri ibaho iyo ufite imiterere ibiri y’uterasi itandukanye, buri imwe ifite umuyoboro wayo w’inkondo y’umura, rimwe na rimwe ifite n’umuyoboro wayo w’inda.

Iki kibazo kibaho ku bagore bagera kuri 1 kuri 2,000 kugeza kuri 1 kuri 3,000 ku isi hose. Ni kimwe mu bundi burwayi bwitwa Müllerian duct anomalies, buva mu gihe imiyoboro y’imyororokere idakora neza mu gihe cy’ubwangavu.

Buri uterasi muri iki kibazo isanzwe iba nto kurusha uterasi isanzwe imwe. Ariko kandi, zikora ukwazo, bisobanura ko ushobora gutwita muri imwe muri zo.

Ibimenyetso by’uterasi ibiri ni ibihe?

Abantu benshi bafite uterasi ibiri nta bimenyetso bagira, kandi babimenya gusa mu isuzuma rya buri munsi rya gynecologique cyangwa mu gihe cyo gutwita. Iyo ibimenyetso bibaho, bisanzwe bijyana n’imihango cyangwa ibibazo byo gutwita.

Dore ibimenyetso bisanzwe ushobora kubona:

• Imihango myinshi cyangwa irambanye
• Kubabara cyane mu gihe cy’imihango bitavurwa n’imiti isanzwe yo kugabanya ububabare
• Kuva amaraso hagati y’imihango
• Kubabara mu gihe cy’imibonano mpuzabitsina
• Gutwita kenshi kudashoboka cyangwa gukuramo inda
• Kubyara imburagihe cyangwa imyanya idasanzwe y’umwana mu gihe cyo gutwita

Bamwe bashobora kumva umuvuduko mu gice cy’ibice by’imyanya y’ibitsina. Niba ufite imiyoboro ibiri y’inda, ushobora kubona ko ibintu byo gukumira amaraso yo mu mihango bitabuza amaraso yose, ibyo bishobora gutera urujijo kugeza igihe iki kibazo kivuwe.

Wibuke ko kugira ibi bimenyetso ntibisobanura ko ufite uterasi ibiri, kuko ubundi burwayi bwinshi bushobora gutera ibibazo nk’ibi. Ikintu nyamukuru ni ukugira isuzuma rikwiye rikozwe n’umuganga wawe.

Impamvu ziterwa n’uterasi ibiri ni izihe?

Uterasi ibiri iterwa mu ntangiriro cyane zo gutwita, hagati y’icyumweru cya 6 kugeza ku cya 22 cy’ubwangavu. Iterwa no kudahuza neza kw’imiterere ibiri isa n’imiyoboro yitwa Müllerian ducts.

Ubusanzwe, iyi miyoboro ihurira hamwe ikabaka uterasi yawe, imiyoboro y’amagi, n’igice cyo hejuru cy’inda. Iyo ubu buryo bwo guhuza budakozwe neza, uzarangira ufite utwumba tubiri tw’uterasi aho kuba imwe.

Ibi ntibibaho kubera ikintu cyose nyoko yakoze cyangwa atagize mu gihe cyo gutwita. Ni uburyo butandukanye gusa bwo gukora kw’imiterere y’imyororokere yawe, kimwe n’uko bamwe bavukana ibara ry’amaso ritandukanye cyangwa uburebure.

Abahanga mu bya siyansi ntibasobanukiwe neza impamvu ubu buryo bwo guhuza rimwe na rimwe budakora neza. Nta kimenyetso cyerekana ko ibintu byo mu kirere, imiti, cyangwa imibereho mu gihe cyo gutwita biterwa n’iki kibazo.

Ni ryari ukwiye kujya kwa muganga kubera uterasi ibiri?

Wagomba kuvugana n’umuganga wawe niba ufite imihango myinshi, ububabare bukabije mu gihe cy’imihango, cyangwa gutwita kenshi kudakunda. Ibi bimenyetso bikwiye gukorwaho ubushakashatsi uko byaba biterwa kose.

Niba ugerageza gutwita kandi bigoranye, cyangwa niba warakuyeho inda kenshi, ni ngombwa kuganira ibyo bibazo n’inzobere mu byo kubyara. Bashobora gusuzuma niba uterasi ibiri cyangwa ibindi bibazo by’imiterere bishobora kuba ari byo bituma bibaho.

Uretse ibyo, niba ufite ububabare mu gihe cy’imibonano mpuzabitsina cyangwa ukabona amaraso hagati y’imihango, ibi bimenyetso bikwiye kuvurwa. Kumenya hakiri kare bishobora kugufasha gusobanukirwa umubiri wawe neza no gutegura ubuvuzi bukwiye.

Ntugatinye gushaka ubuvuzi niba hari ikintu kigaragara kitari cyo ku mihango yawe cyangwa ubuzima bw’imyororokere. Ubwenge bwawe ku mubiri wawe ni ingenzi, kandi abaganga bahari kugufasha gusobanukirwa icyo ari cyo gisanzwe kuri wowe.

Ibyago byo kugira uterasi ibiri ni ibihe?

Kubera ko uterasi ibiri ari uburwayi bwavutse mbere y’ivuka, nta byago bisanzwe nk’imibereho cyangwa ibintu byo mu kirere byongera amahirwe yo kubigira.

Ariko kandi, hari ibintu bimwe na bimwe abashakashatsi bamenye:

• Amateka y’umuryango afite Müllerian duct anomalies cyangwa ibibazo by’imiterere y’imyororokere
• Kugira ubundi burwayi bwavutse, cyane cyane ibyangiza iterambere ry’impyiko
• Uburwayi bumwe na bumwe bw’imiterere y’indwara bugira ingaruka ku bice byinshi by’umubiri

Hagati ya 25% kugeza kuri 50% by’abantu bafite Müllerian duct anomalies nabo bafite ibibazo by’impyiko. Ubu buhunganire buhari kuko uburyo bumwe bwo gukora kw’imiterere y’imyororokere bugira ingaruka no ku gukora kw’impyiko.

Bikwiye kuzirikana ko ibi atari “ibyago” bisanzwe. Ahubwo, ni ibintu abaganga babonye, bishobora gufasha kuyobora isuzuma ry’abaganga n’ibiganiro byo gutegura urubyaro.

Ibibazo bishoboka by’uterasi ibiri ni ibihe?

Nubwo abantu benshi bafite uterasi ibiri babaho batagira ibibazo, bamwe bashobora guhura n’ibibazo bijyanye n’ubuzima bwo gutwita n’ubuzima bw’imihango. Gusobanukirwa ibyo bishoboka bishobora kugufasha gukorana n’itsinda ryawe ry’abaganga kugira ngo ugenzure kandi ubone ubuvuzi bukwiye.

Ibibazo bisanzwe birimo:

• Ibyago byiyongereye byo gukuramo inda, cyane cyane mu gihe cya mbere cyo gutwita
• Kubyara imburagihe
• Imibonano idasanzwe y’umwana, nko kuba umwana ari mu mwanya utari mwiza
• Gukura gake kw’umwana kubera ubushobozi buke bw’uterasi
• Ibibazo by’umwanya w’umwana, harimo no kudahuza neza
• Ibyago byiyongereye byo kubagwa

Ibibazo bike ariko bishoboka birimo ububabare bukabije mu gihe cy’imihango budakira, no kugorana gutwita, nubwo abantu benshi bafite iki kibazo batwita mu buryo busanzwe.

Mu bihe bidafite akamaro, niba ufite imiyoboro ibiri y’inda, imwe ishobora gufunga, bigatuma amaraso arakara kandi akaba indwara. Iki kibazo, kitwa hematocolpos, gisaba kubagwa ariko ni gake cyane.

Inkuru nziza ni uko hakoreshejwe ubugenzuzi bukwiye n’ubuvuzi, ibibazo byinshi bishobora guhangana neza. Abantu benshi bafite uterasi ibiri bagira gutwita neza no kubyara.

Uterasi ibiri imenyekanwa gute?

Kumenya uterasi ibiri bisanzwe bikubiyemo ibizamini byo kubona amashusho bifasha abaganga kubona imiterere y’imiterere y’imyororokere yawe neza. Uburyo busanzwe butangira gusuzuma ibice by’imyanya y’ibitsina, nubwo ibi byonyine bikunze kudakora neza mu kumenya iki kibazo.

Umuganga wawe ashobora kugusaba ibizamini bimwe muri ibi:

• Pelvic ultrasound kugira ngo ubone amashusho y’ibanze y’imiterere y’uterasi yawe
• MRI (magnetic resonance imaging) kugira ngo ubone amashusho arambuye y’imiterere y’imyororokere yawe
• HSG (hysterosalpingography), ikoresha amabara yo kugaragaza imiyoboro y’uterasi yawe
• Hysteroscopy, aho kamera nto isuzumira imbere y’uterasi yawe
• Laparoscopy, uburyo buto bwo kubaga kugira ngo urebe ibice by’imyanya y’ibitsina

MRI isanzwe ifatwa nk’uburyo bwiza bwo kumenya ibibazo by’uterasi kuko itanga amashusho meza kandi arambuye. Ariko kandi, umuganga wawe ashobora gutangira abanza gukora ibizamini bitakora cyane.

Rimwe na rimwe, uterasi ibiri iboneka mu buryo butunguranye mu gihe cyo gusuzuma gutwita cyangwa isuzuma rya buri munsi rya gynecologique. Niba utwite igihe wamenye, itsinda ryawe ry’abaganga rizibanda ku gukurikirana gutwita kwawe kurushaho aho gukora ibizamini byinshi.

Uko uvurwa uterasi ibiri

Uburyo bwo kuvura uterasi ibiri biterwa n’ibimenyetso byawe niba uteganya kubyara. Abantu benshi bafite iki kibazo ntibakenera kuvurwa na gato, cyane cyane niba batagira ibibazo.

Niba ufite ububabare bukabije mu gihe cy’imihango cyangwa amaraso menshi, umuganga wawe ashobora kugusaba kuvurwa hakoreshejwe imiti igabanya imihango nk’imiti y’ubuzima kugira ngo igabanye imihango yawe. Imiti igabanya ububabare n’imiti irwanya ububabare ishobora kandi kugufasha guhangana n’ububabare.

Ku bantu bafite ibibazo byo gutwita kenshi, hari uburyo bwo kubaga ariko bugomba gutekerezwaho neza. Uburyo bwitwa metroplasty rimwe na rimwe bushobora guhuza utwumba tubiri tw’uterasi, nubwo ubu buvuzi budasabwa buri gihe kuko abantu benshi bafite uterasi ibiri bashobora gutwita neza batavuwe.

Niba ufite umuyoboro w’inda ufunze utuma amaraso arakara, kubagwa bisanzwe bikenewe kandi bifite akamaro cyane. Ubu buvuzi bukorwa kugira ngo amaraso asohoke neza kandi birinda ibibazo.

Mu gihe cyo gutwita, ubuvuzi buzibanda ku gukurikirana neza aho gukosora imiterere y’uterasi. Itsinda ryawe ry’abaganga rizaba rikurikirana ibimenyetso byo kubyara imburagihe no gukurikirana ubukure bw’umwana n’imyanya ye kurusha mu gihe cyo gutwita gisanzwe.

Uko uhangana n’uterasi ibiri mu rugo

Guhangana n’uterasi ibiri mu rugo bisobanura kwita ku buzima bwawe bw’imyororokere muri rusange no kumenya imiterere y’umubiri wawe. Kwita ku mihango yawe bishobora kugufasha wowe n’umuganga wawe kumenya impinduka cyangwa ibibazo.

Kubabara mu gihe cy’imihango, ibintu bishyushya, amazi ashyushye, n’imyitozo ngororamubiri byoroshye bishobora kugufasha. Imiti yo kugabanya ububabare nk’ibuprofen ishobora kugabanya ububabare n’uburyo.

Niba ugerageza gutwita, kugira imibereho myiza ifite indyo nziza, imyitozo ngororamubiri, no guhangana n’umunaniro bishobora gufasha ubuzima bwawe bw’imyororokere. Gufata intungamubiri z’abagore zifite acide folique birakenewe kuri buri wese uteganya gutwita.

Witondere impinduka iyo ari yo yose mu bimenyetso byawe, nko kwiyongera kw’ububabare, amaraso menshi, cyangwa ububabare bushya. Kugira ibitabo by’ibimenyetso bishobora kugufasha mu biganiro n’umuganga wawe.

Niba utwite ufite uterasi ibiri, gukurikiza gahunda yawe yo kwita ku gutwita ni ingenzi cyane. Ruhukira igihe ukeneye kandi ntutinye kuvugana n’itsinda ryawe ry’abaganga niba ufite impungenge.

Uko witegura kujya kwa muganga

Mbere yo kujya kwa muganga, andika ibimenyetso byawe byose, harimo igihe byatangiye n’uko bigira ingaruka ku buzima bwawe bwa buri munsi. Garagaza amakuru yerekeye imihango yawe, nko kuba myinshi, igihe, n’ububabare.

Zana urutonde rw’imiti yose ukoresha, harimo intungamubiri n’imiti yo mu maduka. Nanone, kora amakuru yerekeye amateka y’ubuzima bw’umuryango wawe, cyane cyane ibibazo by’imyororokere cyangwa iby’impyiko.

Tegura ibibazo ushaka kubabaza umuganga wawe. Ushobora kwibaza ku ngaruka zo kubyara, ibyago byo gutwita, cyangwa uburyo bwo kuvura. Ntugatekereze ko ubaza ibibazo byinshi – umuganga wawe ashaka kugufasha gusobanukirwa uburwayi bwawe.

Niba warigeze gukora ibizamini byo kubona amashusho cyangwa dosiye z’ubuvuzi zijyanye n’ubuzima bw’imyororokere, zana kopi cyangwa komeza umuganga wawe ashobora kubibona. Aya makuru ashobora kugufasha kwirinda gukora ibizamini bidakenewe.

Tekereza kuzana inshuti cyangwa umuryango wawe kugira ngo bagufashe, cyane cyane niba utuje kubera iyi nama. Bashobora kugufasha kwibuka amakuru y’ingenzi no kugufasha mu byiyumvo.

Icyo ukwiye kumenya cyane ku uterasi ibiri

Uterasi ibiri ni uburwayi buke ariko bushobora kuvurwa, abantu benshi babaho neza. Nubwo bishobora gutera ibibazo, cyane cyane bijyanye no gutwita, abantu benshi bafite iki kibazo bashobora kugira ubuzima bwiza bw’imyororokere hakoreshejwe ubuvuzi bukwiye.

Ikintu cy’ingenzi cyo kwibuka ni uko kugira uterasi ibiri ntibisobanura ko uzagira ibibazo. Abantu benshi bamenya ko bafite iki kibazo mu isuzuma rya buri munsi cyangwa mu gihe cyo gutwita neza.

Niba umaze kumenya ko ufite uterasi ibiri, gukorana n’itsinda ryawe ry’abaganga ni ingenzi. Bashobora kugufasha gusobanukirwa uko uhagaze n’uko ukeneye kuvurwa.

Wibuke ko ubumenyi bw’abaganga kuri iki kibazo bukomeza gutera imbere, kandi hari uburyo bwiza bwo guhangana n’ibibazo bishobora kuvuka. Ntabwo uri wenyine muri uru rugendo, kandi ubufasha burahari.

Ibibazo byakunda kubazwa ku uterasi ibiri

Urashobora gutwita ufite uterasi ibiri?

Yego, abantu benshi bafite uterasi ibiri bashobora gutwita mu buryo busanzwe. Nubwo hari ibyago bike byo kugira ibibazo byo gutwita, gutwita neza n’abana bazima bishoboka. Ushobora gukenera gukurikiranwa kenshi mu gihe cyo gutwita, ariko ibi ntibisobanura ko udashobora kubyara.

Nzagomba kubagwa niba mfite uterasi ibiri?

Oya ntabwo ari ngombwa. Nubwo amahirwe yo kubagwa ashobora kuba menshi kubera ibintu nk’imyanya idasanzwe y’umwana cyangwa kubyara imburagihe, abantu benshi bafite uterasi ibiri babyara mu buryo busanzwe. Uburyo bwo kubyara buzaterwa n’uko uhagaze n’uko gutwita kwawe kagenda.

Kugira uterasi ibiri bigira ingaruka ku mihango yanjye?

Bamwe bafite uterasi ibiri bagira imihango myinshi cyangwa ibabaza, abandi bagira imihango isanzwe. Ingaruka zitandukanye cyane ukurikije umuntu.

Kubagwa bihora bikenewe ku uterasi ibiri?

Oya, kubagwa ntibihora bikenewe. Abantu benshi bafite uterasi ibiri ntibakenera kubagwa. Kubagwa bisanzwe bigirwa gusa niba ufite ibibazo byo gutwita kenshi bishobora kuba bijyanye n’imiterere y’uterasi, cyangwa niba ufite umuyoboro w’inda ufunze utera ibibazo.

Uterasi ibiri ishobora kumenyekana mu isuzuma risanzwe ry’ibice by’imyanya y’ibitsina?

Rimwe na rimwe umuganga ashobora gushidikanya ko hari ikibazo cy’uterasi mu isuzuma ry’ibice by’imyanya y’ibitsina, ariko kumenya neza bisaba ibizamini byo kubona amashusho nk’ultrasound cyangwa MRI. Abantu benshi bafite uterasi ibiri babimenya mu buryo butunguranye mu gihe cyo gukora ibizamini by’ibindi bibazo.