Endometriose

Hariho ibisobanuro bimwe bishoboka byerekana icyatuma umubiri usa n’uw’imbere mu kibuno ukura ahantu hatariho. Ariko impamvu nyamukuru iracyari itaramenyekana. Ariko hari ibintu bimwe na bimwe byongera ibyago byo kurwara endometriosis, nko kutazigera ubyara, imihango ikaza kenshi kurusha buri minsi 28, imihango myinshi kandi irambye imara iminsi irenga irindwi, kugira urugero rwinshi rwa estrogen mu mubiri, kugira umubyibuho muke, kugira ikibazo cy’imiterere y’inda, umuyoboro w’inda cyangwa nyababyeyi bigatuma amaraso y’imihango adasohoka mu mubiri, amateka y’umuryango wa endometriosis, gutangira imihango hakiri kare, cyangwa gutangira menopause ugeze mu zabukuru.

Ikimenyetso cy’ingenzi cya endometriosis ni ububabare mu kibuno, haba mu gihe cy’imihango cyangwa hanze yacyo, burenze ububabare busanzwe bw’imihango. Ububabare busanzwe bw’imihango bugomba kwihanganirwa kandi ntibugomba gutuma umuntu ahagarika ishuri, akazi cyangwa ibikorwa bisanzwe. Ibindi bimenyetso birimo: ububabare butangira mbere y’imihango kandi bugakomeza nyuma yayo, ububabare mu mugongo cyangwa mu nda, ububabare mu gihe cy’imibonano mpuzabitsina, ububabare mu gihe cyo kunnya cyangwa kwinnya, no kudapfa gutera inda. Abantu barwaye endometriosis bashobora kumva umunaniro, impatwe, kubyimbagira, cyangwa isereri, cyane cyane mu gihe cy’imihango. Niba ufite ibi bimenyetso, ni byiza kuvugana n’abaganga bawe.

Icya mbere, umuganga azakubaza uko ubabara, harimo n’aho ububabare mu kibuno buri. Icyakurikiyeho, ashobora gukora isuzuma ry’inda, ecographie, cyangwa MRI kugira ngo abone neza imiterere y’ibice by’imyororokere, harimo nyababyeyi, amagi, n’amatembabuzi. Kugira ngo hamenyekane neza endometriosis, hari ubuvuzi bukenewe. Ibi bikorwa cyane cyane hakoreshejwe laparoscopy. Umuntu aba yasinziriye mu gihe umuganga ashyira kamera mu nda binyuze mu gice gito kugira ngo asuzume niba hari umubiri usa n’uw’imbere mu kibuno. Iyo tissue igaragara nk’iya endometriosis ikurwaho isuzumwa kuri microscope kugira ngo hamenyekane niba hari endometriosis cyangwa ntayo.

Iyo bivuye ku kuvura endometriosis, intambwe ya mbere ni ugugerageza guhangana n’ibimenyetso binyuze mu miti igabanya ububabare cyangwa imiti y’imisemburo. Imisemburo, nka pilule z’ubuzima, igenzura ukwiyongera n’igabanuka rya estrogen na progesterone mu gihe cy’imihango. Niba iyo miti ya mbere itabashije kugira icyo ikora kandi ibimenyetso bikaba bigira ingaruka ku mibereho y’umuntu, ubuvuzi bwo gukuraho umubiri wa endometriosis bushobora kugenzurwa.

Muri endometriosis, ibice by’urukuta rw’imbere mu kibuno (endometrium) - cyangwa umubiri usa n’uwa endometrium - bikura hanze y’inda ku bindi bice by’imyororokere. Hanze y’inda, umubiri uba ukomeye kandi ukava amaraso, kimwe n’umubiri wa endometrium usanzwe mu gihe cy’imihango.

Endometriosis (en-doe-me-tree-O-sis) ni uburwayi butera ububabare, aho umubiri usa n’urukuta rw’imbere mu kibuno ukura hanze y’inda. Akenshi bikora ku magigi, amatembabuzi n’umubiri upfunyika ikibuno. Gake cyane, ibice bya endometriosis bishobora kuboneka kure y’aho ibice by’imyororokere biri.

Umubiri wa endometriosis ukora nk’urukuta rw’imbere mu kibuno - ukomeza, ukangirika kandi ukava amaraso buri gihe cy’imihango. Ariko urakurira ahantu hatariho, kandi ntusohoke mu mubiri. Iyo endometriosis ikora ku magigi, havuka udukoba twitwa endometriomas. Imikaya yo hafi ishobora kubabara kandi ikavamo inkovu. Ibice by’umubiri bifatanye byitwa adhesions na byo bishobora kuvuka. Ibi bishobora gutuma ibice by’imyororokere n’ibice by’umubiri bifatanye.

Endometriosis ishobora gutera ububabare, cyane cyane mu gihe cy’imihango. Ibibazo byo kubyara na byo bishobora kuvuka. Ariko ubuvuzi bushobora kugufasha guhangana n’uburwayi n’ingaruka zabyo.

Ikimenyetso nyamukuru cya endometriosis ni ububabare mu kibuno. Akenshi biba bifitanye isano n'imihango. Nubwo abantu benshi bagira ububabare mu gihe cy'imihango, abafite endometriosis bakunze kuvuga ko ububabare bw'imihango bukabije cyane ugereranyije n'ubusanzwe. Kandi ububabare bushobora kwiyongera uko iminsi igenda. Ibimenyetso bisanzwe bya endometriosis birimo: Ububabare mu gihe cy'imihango. Ububabare mu kibuno no gucikagurika bishobora gutangira mbere y'imihango bikamara iminsi myinshi. Ushobora kandi kugira ububabare mu mugongo no mu nda. Izindi nyandiko z'ububabare mu gihe cy'imihango ni dysmenorrhea. Ububabare mu gihe cy'imibonano mpuzabitsina. Ububabare mu gihe cy'imibonano mpuzabitsina cyangwa nyuma yayo ni bimenyetso bisanzwe bya endometriosis. Ububabare mu gihe cyo kunnya cyangwa gukora imyeyo. Bishoboka cyane ko ugira ibi bimenyetso mbere cyangwa mu gihe cy'imihango. Kuvira amaraso cyane. Rimwe na rimwe, ushobora kugira imihango myinshi cyangwa kuvira amaraso hagati y'imihango. Kubura imbuto. Kuri bamwe, endometriosis iboneka bwa mbere mu bipimo byo kuvura kubura imbuto. Ibindi bimenyetso. Ushobora kugira umunaniro, impiswi, kubabara mu nda, kubyimbagira cyangwa isereri. Ibi bimenyetso birakwiye cyane mbere cyangwa mu gihe cy'imihango. Uburemere bw'ububabare bwawe bushobora kuba atari ikimenyetso cy'umubare cyangwa ubwinshi bw'ibikomere bya endometriosis mubiri bwawe. Ushobora kugira umubiri muto w'umubiri ufite ububabare bukabije. Cyangwa ushobora kugira umubiri munini wa endometriosis ufite ububabare buke cyangwa nta bubabare. Ariko kandi, bamwe mu bafite endometriosis nta bimenyetso bagira. Akenshi, bamenya ko bafite iyi ndwara iyo badashobora gutwita cyangwa nyuma yo kubagwa kubera impamvu indi. Kuri abo bafite ibimenyetso, endometriosis rimwe na rimwe ishobora kumera nk'izindi ndwara zishobora gutera ububabare mu kibuno. Ibi birimo indwara y'uburwayi bw'imboro cyangwa imikaya y'ovari. Cyangwa bishobora kuvurwa nk'indwara ya irritable bowel syndrome (IBS), itera impiswi, kubabara mu nda no gucikagurika. IBS ishobora kandi kuba hamwe na endometriosis. Ibi bituma bigorana ku kigo cy'ubuzima cyawe gushaka impamvu nyayo y'ibimenyetso byawe. Reba umwe mu bagize itsinda ryawe ry'ubuvuzi niba utekereza ko ushobora kugira ibimenyetso bya endometriosis. Endometriosis ishobora kuba ikibazo cyo gucunga. Ushobora kuba ufashe neza ibimenyetso niba: Itsinda ryawe ryita ku buzima riboneye iyi ndwara vuba ugereranyije n'igihe kirekire. Wiga byinshi bishoboka kuri endometriosis. Ubona ubuvuzi mu itsinda ry'abanyamwuga b'ubuvuzi baturuka mu byiciro bitandukanye by'ubuvuzi, niba ari ngombwa.

Sura umwe mu bagize itsinda ry'ubuzima bwawe niba utekereza ko ushobora kuba ufite ibimenyetso bya endometriosis. Endometriosis ishobora kuba ikibazo cyo guhangana. Ushobora kuba ubasha gufata iya mbere ku bimenyetso niba: -Itsinda ry'abaganga bakwitaho riboneye indwara hakiri kare. -Wize ibyerekeye endometriosis uko bishoboka kose. -Ubonye ubuvuzi mu itsinda ry'abanyamwuga b'ubuzima bakomoka mu bice bitandukanye by'ubuvuzi, niba ari ngombwa.

Impamvu nyakuri y'indwara ya endometriosis ntiirasobanutse. Ariko zimwe mu mpamvu zishoboka zirimo:

• Ukuzana kw'amaraso y'ukwezi inyuma. Ibi bibaho iyo amaraso y'ukwezi asubira inyuma anyura mu myanya y'amagi agasubira mu kibuno aho kuva mu mubiri. Ayo maraso aba afite utunyangingo tw'imbere y'umura. Utwo tunyangingo dushobora gukomera ku bice by'imbere by'umubiri no ku ngingo z'imbere z'umubiri. Aha, bishobora gukura bikomeza kwiyongera no kuva amaraso mu gihe cy'amezi yose.
• Utunyangingo tw'imbere twahindutse. Impuguke zivuga ko imisemburo cyangwa ibintu byo mu mubiri bishobora gufasha guhindura utunyangingo dukingira imbere y'inda, twitwa utunyangingo tw'imbere, mu tunyangingo dumeze nk'utwo dukingira imbere y'umura.
• Impinduka z'utunyangingo tw'imbanyi. Imisemburo nka estrogene ishobora guhindura utunyangingo tw'imbanyi - utunyangingo mu ntangiriro y'iterambere - mu bikomera nk'ibyo mu mura mu gihe cy'ubwangavu.
• Ingaruka z'igikomere cyakozwe n'abaganga. Utunyangingo tw'imbere dushobora gukomera ku gikomere cyakozwe n'abaganga mu gice cy'inda, nko kubaga umwana.
• Gutwara utunyangingo tw'imbere. Uburyo bw'amaraso cyangwa amazi yo mu mubiri bishobora kwimura utunyangingo tw'imbere mu bice by'umubiri.
• Uburwayi bw'umubiri. Ikibazo cy'umubiri gishobora gutuma umubiri udashobora kumenya no kurimbura umubiri wa endometriosis.

Ibintu byongera ibyago byo kurwara endometriosis birimo:

• Kutazigera ubyara.
• Gutangira imihango hakiri kare.
• Kuzenguruka imihango mu gihe gikura.
• Imirongo migufi y'imihango — urugero, munsi y'iminsi 27.
• Imihango myinshi iramara iminsi irenga irindwi.
• Kugira urwego rwo hejuru rwa estrogen mu mubiri wawe cyangwa guhura n'estrogen nyinshi mu buzima bwawe.
• Indangagaciro ya BMI iri hasi.
• Umwe cyangwa abandi bantu bo mu muryango bafite endometriosis, nka nyina, nyirarume cyangwa mushiki wabo.

Uburwayi ubwo aribwo bwose buabuza amaraso kuva mu mubiri mu gihe cy'imihango bushobora kuba ikintu cyongera ibyago byo kurwara endometriosis. Ibyo kandi bishobora kuba ku ndwara z'ibice by'imyororokere.

Ibimenyetso bya endometriosis bikunze kugaragara nyuma y'imyaka myinshi imihango itangiye. Ibimenyetso bishobora kugabanuka mu gihe cyo gutwita. Ububabare bushobora kugabanuka uko igihe kigenda gishira mu gihe cy'imihango, keretse ufata imiti ya estrogen.

Mu gihe cyo gutera imbere, intanga ngabo n'intanga ngore bihuza mu imwe mu miyoboro ya Fallope, bigatanga umubyibuho. Hanyuma, umubyibuho umanuka mu muyoboro wa Fallope, aho uhinduka morula. Iyo ugeze mu kibuno, morula ihinduka blastocyst. Blastocyst hanyuma yinjira mu rukuta rw'umura - igikorwa cyitwa gutera.

Ingorane nyamukuru ya endometriosis ni ugutinda gutwita, bizwi kandi nka kudapfa gutera imbere. Abantu bagera kuri ½ bafite endometriosis bagira ikibazo cyo gutwita.

Kugira ngo umuntu atwita, intanga ngore igomba kuva mu gihagararo. Hanyuma intanga ngore igomba kunyura mu muyoboro wa Fallope kandi iterwe imbere n'intanga ngabo. Intanga ngore itere imbere hanyuma igomba kwifatira ku rukuta rw'umura kugira ngo itangire gutera imbere. Endometriosis ishobora gufunga umuyoboro, ikabuza intanga ngore n'intanga ngabo guhurira hamwe. Ariko kandi iyi ndwara isa n'igira ingaruka ku bushobozi bwo gutera imbere mu buryo butari bwose. Urugero, ishobora kwangiza intanga ngabo cyangwa intanga ngore.

N'ubwo bimeze bityo, abantu benshi bafite endometriosis ya make cyangwa yo hagati baracyashobora gutwita no kubyara umwana. Abaganga bamwe bagira inama abafite endometriosis yo kudatinda kubyara. Ni ukubera ko iyi ndwara ishobora kuba mbi uko iminsi igenda ishira.

Ubushakashatsi bumwe bugaragaza ko endometriosis izamura ibyago byo kurwara kanseri y'igihagararo. Ariko rusange ibyago byo kurwara kanseri y'igihagararo mu gihe cy'ubuzima bwose ni bike. Kandi bikomeza kuba bike mu bantu bafite endometriosis. Nubwo ari bito, ubundi bwoko bwa kanseri bwitwa endometriosis-associated adenocarcinoma bushobora kubaho mu myaka y'ubukure mu bantu barwaye endometriosis.

Ndagirwa nshobora kubabwira igisubizo cy'icyo kibazo, ariko ikibabaje ni uko tutabizi. Kuri ubu, tutekereza ko isoko ishoboka ya endometriosis iba mu gihe cy'iterambere nk'umwana uri mu nda. Rero iyo umwana ari gutera imbere mu nda ya nyina, nibwo tutekereza ko endometriosis itangira. Icyo kibazo ni cyiza cyane. Rero endometriosis ni ikintu gishobora kuba kigoye gato, ariko dushobora kubikeka dukurikije ibimenyetso ushobora kuba ufite. Niba ufite ububabare mu gihe cy'imihango, ububabare mu kibuno muri rusange, ububabare mu gihe cy'imibonano mpuzabitsina, kunywa, guhita, ibyo byose bishobora kutwereka ko dukekwaho endometriosis. Ariko ikibabaje ni uko uburyo bwonyine bwo kuvuga neza niba ufite cyangwa udafite endometriosis ari ukubaga. Kuko mu gihe cy'ubuganga dushobora gukuramo imyenda, tukayireba munsi ya mikoroskopi, kandi tukabasha kuvuga neza niba ufite cyangwa udafite endometriosis. Ikibabaje ni uko, akenshi, oya. Igice kinini cya endometriosis ni endometriosis ya superficial, bisobanura ko bisa nkaho ari ibara ryasutswe ku rukuta, tudashobora kubibona keretse tubanje kujyayo tukareba neza. Ihinduka ry'ibyo ni niba endometriosis ikura mu mubiri mu kibuno cyangwa mu nda nka rimwe na rindi cyangwa umwijima. Bita endometriosis yinjira cyane. Muri ibyo bihe, dushobora kenshi kubona iyo ndwara kuri ultrasound cyangwa kuri MRI. Si ngombwa. Rero endometriosis, ni uturemangingo duhuye n'urukuta rw'inda rukura hanze y'inda. Rero si ikibazo cy'inda na gato, aricyo duvura hamwe na hysterectomy. Ibyo bivuze ko hari ubundi burwayi buhuye na endometriosis bita adenomyosis kandi bukunze kubaho kuri 80 kugeza kuri 90% by'abarwayi, kandi hamwe na adenomyosis, inda ubwayo ishobora kuba isoko y'ibibazo, harimo ububabare. Muri ibyo bihe, rimwe na rimwe dutekereza kuri hysterectomy mu gihe duvura endometriosis. Ikintu nyamukuru cyo kwibuka hano ni uko endometriosis ari indwara itera imbere, kandi izakomeza gukura kandi ishobora gutera ibimenyetso byiyongera. Rero kuri bamwe, bisobanura ko mbere ububabare bwari mu gihe cy'imihango gusa. Ariko uko igihe gihita iyo ndwara ikomeza, ububabare bushobora gutangira kubaho hanze y'igihe, rero mu bihe bitandukanye by'ukwezi, mu gihe cyo kunywa, mu gihe cyo guhita, mu gihe cy'imibonano mpuzabitsina. Ibyo bishobora kutubera impamvu yo guhagarika no kuvura niba tutari tumaze gukora ikintu mbere. Ariko ibyo bivuze ko nubwo tuzi ko endometriosis itera imbere, kuri bamwe, ntizigera itera imbere ku buryo twakenera kuvura kuko ari ikibazo cy'imibereho. Kandi niba bidakora ku mibereho, ntabwo dukeneye gukora ikintu na kimwe. 100%. Urashobora kubyara abana niba ufite endometriosis. Iyo tuvuga ku kubura ubushobozi bwo kubyara, abo ni abarwayi bahanganye no gutwita. Ariko niba turebye abarwayi bose bafite endometriosis, buri wese ufite iyo ndwara, abenshi barashobora kubona inda nta kibazo na kimwe. Bashobora gutwita, bashobora gutwara inda. Bagenda bava mu bitaro bafite umwana mwiza mu maboko yabo. Rero, yego, ikibabaje ni uko kubura ubushobozi bwo kubyara bishobora guhuzwa na endometriosis. Ariko akenshi, si ikibazo rwose. Kuba umufatanyabikorwa w'itsinda ry'abaganga ni ingenzi cyane. Abantu benshi bafite endometriosis bamaze igihe kinini bafite ububabare, ikibabaje ni uko umubiri wahindutse ukurikije ibyo. Kandi ububabare bumaze kuba nk'inyanya ifite endometriosis mu mutima wayo. Rero dukeneye gukora ibintu bitari ukwita kuri endometriosis gusa, ahubwo no kuvura izindi nzego zishobora gutera ububabare. Kandi ndakugira inama yo kwiga, bitari ukugira ngo uze kwa muganga wawe ukagira ibiganiro n'ikiganiro ku byo ukeneye n'ibyo uhangayikishijwe na byo. Ariko kandi kugira ngo ube umuvugizi kandi wimeze neza ko uboneye ubuvuzi ukeneye kandi ukwiriye. Kandi ubiganirizeho. Abagore bazi ko, imyaka n'imyaka, babwiwe ko imihango igomba kubabaza kandi tugomba kubyihanganira. Si ukuri. Ukuri ni uko tutagomba kuba turi hasi mu bwogero mu gihe dufite imihango. Ntabwo tugomba kurira mu gihe cy'imibonano mpuzabitsina. Ibyo si ibisanzwe. Niba ubikurimo, uvuga. Biganiro n'umuryango wawe, biganiro n'inshuti zawe. Biganiro n'umuganga wawe. Babwire ibibaho. Kuko rwose, turi hano kugira ngo dufashe kandi hamwe dushobora gutangira kugira ingaruka kuri endometriosis kuri wowe, ariko endometriosis muri sosiyete muri rusange. Ntuzigere utinya kubabaza itsinda ry'abaganga ibibazo cyangwa impungenge ufite. Kuba ufite amakuru rwose bigira itandukaniro. Murakoze ku gihe cyanyu kandi tubifuriza ibyiza. Mu gihe cy'ubuganga bwo gusuzuma inda, umuganga cyangwa umukozi w'ubuvuzi akoresha igikoresho gisa n'inkoni bita transducer. Transducer ishyirwa mu gitsina cyawe mu gihe uri kuryama hasi ku meza yo gusuzuma. Transducer itanga amajwi atanga amashusho y'imigongo y'inda. Kugira ngo umenye niba ufite endometriosis, umuganga wawe azatangira akugira ibizamini by'umubiri. Uzabazwa gusobanura ibimenyetso byawe, harimo aho numva ububabare nigihe. Ibipimo byo kureba ibimenyetso bya endometriosis birimo: - Ibizamini by'inda. Umuganga wawe yumva ibice by'inda yawe akoresheje urutoki rumwe cyangwa ebyiri zifite utuboko kugira ngo arebe impinduka zidasanzwe. Izi mpinduka zishobora kuba harimo imyanda ku migongo y'imyororokere, ibice bibabaza, ibintu bidasanzwe bita nodules n'ibikomere inyuma y'inda. Akenshi, ibice bito bya endometriosis ntibishobora kumvikana keretse hari imyanda yavutse. - Magnetic resonance imaging (MRI). Iki kizamini gikoreshwa ikamyo y'amabuye y'amabuye n'amajwi ya radiyo kugira ngo akore amashusho y'imigongo n'imiterere iri mu mubiri. Kuri bamwe, MRI ifasha mu gutegura ubuganga. Itanga umuganga wawe amakuru arambuye yerekeye aho endometriosis ikura n'ubunini bwayo. - Laparoscopy. Mu bihe bimwe, ushobora koherezwa kwa muganga kugira iki gikorwa. Laparoscopy iha umuganga uburyo bwo kureba imbere mu nda kugira ngo arebe ibimenyetso by'imiterere ya endometriosis. Mbere y'ubuganga, uhabwa imiti ikugira mu gihe cyo gusinzira kandi ikabuza ububabare. Hanyuma umuganga wawe akora umunwa muto hafi y'inda yawe hanyuma ashyiramo igikoresho cyo kureba gito cyitwa laparoscope. Laparoscopy ishobora gutanga amakuru yerekeye aho endometriosis ikura, ubunini n'ubunini bwayo. Umuganga wawe ashobora gufata igice cy'umubiri cyitwa biopsy kugira ngo akore ibizamini byinshi. Hamwe no gutegura neza, umuganga ashobora kenshi kuvura endometriosis mu gihe cya laparoscopy kugira ngo ukeneye ubuganga bumwe gusa. Laparoscopy. Mu bihe bimwe, ushobora koherezwa kwa muganga kugira iki gikorwa. Laparoscopy iha umuganga uburyo bwo kureba imbere mu nda kugira ngo arebe ibimenyetso by'imiterere ya endometriosis. Mbere y'ubuganga, uhabwa imiti ikugira mu gihe cyo gusinzira kandi ikabuza ububabare. Hanyuma umuganga wawe akora umunwa muto hafi y'inda yawe hanyuma ashyiramo igikoresho cyo kureba gito cyitwa laparoscope. Laparoscopy ishobora gutanga amakuru yerekeye aho endometriosis ikura, ubunini n'ubunini bwayo. Umuganga wawe ashobora gufata igice cy'umubiri cyitwa biopsy kugira ngo akore ibizamini byinshi. Hamwe no gutegura neza, umuganga ashobora kenshi kuvura endometriosis mu gihe cya laparoscopy kugira ngo ukeneye ubuganga bumwe gusa.