Endometriose ni iki? Ibimenyetso, Impamvu, n'Ubuvuzi

Endometriose ni uburwayi aho umubiri usa n’uw’imbere mu kibuno ukura hanze y’imbere mu kibuno. Uyu mubiri, witwa umubiri wa endometrial, ushobora kwifata ku myenda, amajwi, n’ibindi bice by’imbere mu kibuno, bikaba byatera ububabare n’ibindi bimenyetso.

Hagati ya 1 kuri 10 mu bagore bari mu myaka yo kubyara babana na endometriose, nubwo benshi batazi ko bayifite. Ubu burwayi bugira ingaruka kuri buri muntu mu buryo butandukanye, kandi nubwo bishobora kuba bigoye, ubuvuzi bufatika buhari kugira ngo bugufashe gucunga ibimenyetso no kubungabunga ubuzima bwawe.

Ibimenyetso bya endometriose ni ibihe?

Ikimenyetso cy’ingenzi ni ububabare mu kibuno, cyane cyane mu gihe cy’imihango. Ariko rero, ububabare bwa endometriose busanzwe bukabije kurusha ububabare busanzwe bw’imihango kandi bishobora kutagera ku miti yo kugabanya ububabare igurwa mu maduka.

Dore ibimenyetso ushobora guhura na byo, uhereye ku bimenyetso bisanzwe kugeza ku bimenyetso bidafite akamaro:

• Ububabare bukabije bw’imihango buzamuka uko iminsi igenda ishira
• Kuva amaraso menshi cyangwa kuva amaraso hagati y’imihango
• Ububabare mu gihe cy’imibonano mpuzabitsina cyangwa nyuma yayo
• Ububabare mu gihe cyo kunyara cyangwa gukora imyeyo, cyane cyane mu gihe cy’imihango
• Ububabare buhoraho mu mugongo no mu kibuno
• Gukoma mu kubyara cyangwa kudapfa kubyara
• Umunaniro n’umunaniro ukabije
• Isesemi, kubyimba, cyangwa impatwe mu gihe cy’imihango

Bamwe mu bagore bafite endometriose bagira ibimenyetso bike cyangwa nta bimenyetso na bimwe, abandi bagira ububabare bukabije butera imbogamizi mu bikorwa bya buri munsi. Ubukana bw’ibimenyetso byawe ntibuhora buhuye n’ubunini bw’uburwayi mu mubiri wawe.

Mu bihe bidasanzwe, endometriose ishobora kugira ingaruka ku bindi bice by’umubiri uretse ikibuno. Ushobora kumva ububabare mu kifuba mu gihe cy’imihango niba umubiri ukura ku gifuniko cy’umutima, cyangwa ububabare buhoraho mu bikomere byavuye mu mibaga niba umubiri wa endometrial uhagarara.

Ubwoko bwa endometriose ni ubuhe?

Abaganga basobanura endometriose hashingiwe aho umubiri ukura mu mubiri wawe. Gusobanukirwa ubwoko bw’iyi ndwara bifasha itsinda ry’abaganga bawe gutegura gahunda y’ubuvuzi ibereye uko ibintu bimeze.

Ubwoko butatu nyamukuru ni ibi bikurikira:

• Endometriose y’umwenda wa superficial peritoneal: Ubwoko busanzwe, aho umubiri ukura ku mwenda muke ukingira ikibuno
• Endometriose y’imyenda: Ikora imyenda yuzuye amaraso ashaje ku myenda, yitwa endometriomas cyangwa “imyenda ya shokola”
• Endometriose yinjira mu mubiri: Ubwoko bukabije, aho umubiri ukura kurenga 5mm mu mubiri kandi bishobora kugira ingaruka ku mara, uruhago, cyangwa ibindi bice by’imbere mu kibuno

Muganga wawe ashobora kandi gukoresha uburyo bwo kubara kuva kuri I kugeza kuri IV kugira ngo asobanure uko endometriose yawe ikwirakwira. Icyiciro cya I kigaragaza uburwayi buke, mu gihe icyiciro cya IV kigaragaza endometriose ikabije, ikwirakwira cyane ifite ibikomere byinshi.

Gake, endometriose ishobora kuba ahantu hatari hafi nko mu mwijima, mu bwonko, cyangwa mu bikomere byavuye mu mibaga. Iyi endometriose iri kure igira ingaruka ku bagore batarenze 1% bafite ubu burwayi, ariko ishobora gutera ibimenyetso bidasanzwe bijyanye n’ibyo bice by’umubiri.

Ni iki gatera endometriose?

Impamvu nyamukuru ya endometriose ntirasobanuka, ariko abashakashatsi bamaze kumenya imitekerereze myinshi ku buryo itera. Birashoboka ko ibintu byinshi bifatanije byatera ubu burwayi.

Uburyo bwa mbere buvuga ko amaraso y’imihango asubira inyuma mu majwi ajya mu kibuno aho kuva mu mubiri rwose. Iyi nzira isubira inyuma, yitwa retrograde menstruation, ishobora gushyiraho uturemangingo twa endometrial aho tutakwiriye kuba.

Ariko rero, retrograde menstruation iba mu bagore benshi, ariko bamwe gusa nibo bagira endometriose. Ibi bigaragaza ko ubudahangarwa bw’umubiri n’imiterere y’umuntu bigira uruhare runini.

Ibindi bintu bishobora gutera ubu burwayi birimo:

• Imikorere mibi y’umuryango iheruka mu muryango
• Ibibazo by’ubudahangarwa bw’umubiri bitabasha kumenya no kurimbura uturemangingo twa endometrial
• Ibibazo by’imisemburo, cyane cyane estrogen
• Guhinduka kw’ubundi bwoko bw’uturemangingo mu uturemangingo usa na endometrial
• Ibibazo by’abaganga byatumye uturemangingo twa endometrial bimukira mu gihe cy’imibaga

Imitekerereze mike ivuga ko uturemangingo twa endometrial dushobora kugenda binyuze mu maraso cyangwa mu mikandara y’amaraso yerekeza mu bice by’umubiri biri kure. Ibintu by’ibidukikije no kwandura imiti runaka bishobora kandi kugira ingaruka ku kaga, nubwo ubushakashatsi muri iki kibazo bugikomeza.

Ni ryari ukwiye kujya kwa muganga kubera endometriose?

Ugomba guhamagara muganga wawe niba ububabare mu kibuno bugira ingaruka ku bikorwa byawe bya buri munsi cyangwa ntibugabanuke ukoresheje imiti yo kugabanya ububabare igurwa mu maduka. Abagore benshi batinda gushaka ubufasha kuko batekereza ko ububabare bukabije bw’imihango ari ibisanzwe, ariko si byo.

Shaka ubufasha bw’abaganga niba ufite ibi bikurikira:

• Ububabare bw’imihango bukubera imbogamizi mu kazi, mu kwiga, cyangwa mu kwishimira ibikorwa
• Ububabare mu gihe cy’imibonano mpuzabitsina butera imbogamizi mu mibonano mpuzabitsina cyangwa kuyibuza
• Imihango ikabije imenyekana mu gihe cy’isaha
• Gukoma mu kubyara nyuma yo kugerageza kubyara amezi atandatu kugeza ku mwaka
• Ububabare buhoraho mu kibuno hanze y’igihe cy’imihango

Fata ibi nk’ibintu byihutirwa bisaba ubufasha bw’abaganga vuba niba ufite ububabare bukabije mu kibuno, cyane cyane ufite umuriro, isesemi, cyangwa kuruka. Nubwo bidafite akamaro, ibi bishobora kugaragaza ko imyenda y’imyenda yarasenyutse cyangwa ibindi bibazo bikomeye.

Wibuke ko ububabare bwawe ari ukuri, kandi ukwiriye kwitabwaho neza. Niba umuganga umwe ahakana ibibazo byawe, ntutinye gushaka ubundi buvuzi, cyane cyane ubw’umuganga w’abagore ufite ubunararibonye mu kuvura endometriose.

Ibyago byo kwandura endometriose ni ibihe?

Ibintu bimwe bishobora kongera amahirwe yo kwandura endometriose, nubwo ufite ibyo bibazo ntibibuza ko uzayirwara. Gusobanukirwa ibyo bishobora kugufasha kumenya ibimenyetso no gushaka ubuvuzi hakiri kare.

Ibyago by’ingenzi birimo:

• Amateka y’umuryango wa endometriose mu mubyeyi wawe, mushiki wawe, cyangwa umukobwa wawe
• Gutangira imihango hakiri kare (imbere y’imyaka 11)
• Imihango migufi (munsi y’iminsi 27) cyangwa iminsi miremire (irenga iminsi 7)
• Kutarwara inda
• Uruhare rwinshi rwa estrogen mu mubiri wawe
• Ubunini buke bw’umubiri
• Ibibazo by’imikorere y’imbere mu kibuno bibuza amaraso y’imihango kuva

Imyaka igira uruhare, kuko endometriose ikunda kwibasira abagore bari mu myaka ya 30 na 40. Ariko rero, ubu burwayi bushobora kuba kuva mu gihe cy’imihango ya mbere.

Ibintu bimwe bishobora kugabanya ibyago, birimo kubyara abana, konsa igihe kirekire, no gutangira menopause hakiri kare. Gukora siporo buri gihe no kugira ubuzima bwiza bishobora kandi gutanga uburinzi, nubwo ubushakashatsi bukeneye gukomeza kugira ngo byemezwe.

Ibibazo bishoboka bya endometriose ni ibihe?

Nubwo endometriose muri rusange atari uburwayi buhitana, ishobora gutera ibibazo byinshi bigira ingaruka ku buzima bwawe n’imibereho yawe. Gusobanukirwa ibyo bibazo bishobora kugufasha gukorana n’itsinda ry’abaganga bawe kugira ngo ubirinde cyangwa ubigenzure neza.

Ibibazo bisanzwe birimo:

• Kudapfa kubyara: Bigira ingaruka kuri 30-50% by’abagore bafite endometriose kubera ibikomere n’uburyo bwo kwandura bishobora gufunga amajwi cyangwa kubangamira isohorwa ry’igi
• Imyenda y’imyenda: Imyenda yuzuye amaraso yitwa endometriomas ishobora gusenyuka ikaba itera ububabare bukabije
• Adhesions: Ibikomere bishobora guhuza imyenda hamwe bikaba byatera ububabare buhoraho
• Ibibazo by’amara cyangwa uruhago: Iyo umubiri wa endometrial ugira ingaruka kuri ibyo bice by’umubiri, bikaba byatera ububabare mu gihe cyo kunyara cyangwa gukora imyeyo

Ibibazo bidafite akamaro ariko bikomeye bishobora kubaho iyo endometriose yinjira mu mubiri igira ingaruka ku bice by’ingenzi by’umubiri. Ushobora kugira ikibazo cy’amara niba ibikomere bikabije bifunze amara yawe, cyangwa ibibazo by’impyiko niba endometriose ifunze amajwi yawe.

Mu bihe bidafite akamaro, umubiri wa endometriose ushobora guhinduka kanseri, ukaba kanseri y’imyenda. Ibi bibaho ku bagore batarenze 1% bafite endometriose, cyane cyane abafite endometriomas.

Inkuru nziza ni uko kuvura hakiri kare no kuvura bikwiye bishobora gufasha gukumira ibyo bibazo byinshi. Kwitabwaho buri gihe bituma itsinda ry’abaganga bawe rikurikirana uko ibintu bimeze kandi rigahindura ubuvuzi uko bikenewe.

Endometriose ishobora gukumirwa gute?

Ikibabaje ni uko nta buryo bwo gukumira endometriose buhari kuko tutabasha gusobanukirwa neza icyayitera. Ariko rero, ushobora gufata ingamba zishobora kugabanya ibyago cyangwa gufasha gucunga ubu burwayi niba ubwanduye.

Uburyo bumwe bushobora gufasha birimo:

• Kugira ubuzima bwiza binyuze mu mirire yuzuye no gukora siporo buri gihe
• Kugabanya kunywa inzoga no kwirinda caffeine nyinshi
• Guhangana n’umunaniro binyuze mu buryo bwo kuruhuka, yoga, cyangwa gukora imyitozo yo mu bwenge
• Kuryama bihagije kugira ngo ubudahangarwa bw’umubiri bufashe
• Kwima amateraniro y’ibintu byangiza ibidukikije

Niba ufite amateka y’umuryango wa endometriose, kuba maso ku bimenyetso no gushaka ubufasha bw’abaganga hakiri kare bishobora kugufasha kuvurwa hakiri kare. Kuvura hakiri kare bishobora gukumira ubu burwayi kudakomeza kugera ku cyiciro gikomeye.

Bamwe mu bagore basanga uburyo bwo kuboneza urubyaro bwo gukoresha imisemburo bufasha gucunga ibimenyetso kandi bishobora kugabanya iterambere rya endometriose. Muganire kuri ibyo bintu n’abaganga bawe kugira ngo umenye icyakubereye.

Endometriose imenyekanwa ite?

Kumenya endometriose bishobora kuba bigoye kuko ibimenyetso byayo bihuye n’ibindi burwayi byinshi. Muganga wawe azatangira aganira nawe ku bimenyetso byawe, amateka y’imihango yawe, n’amateka y’ubuzima bw’umuryango wawe.

Uburyo bwo kuvura busanzwe burimo intambwe nyinshi:

1. Isuzuma ry’umubiri: Muganga wawe azakora isuzuma ry’ikibuno kugira ngo arebe ko hari ibibazo, ibice byababara, cyangwa imyenda
2. Ibizamini by’amashusho: Ultrasound cyangwa MRI bishobora gufasha kumenya endometriomas n’ibindi bimenyetso bya endometriose
3. Laparoscopy: Uburyo buto bwo kubaga butuma ushobora kubona neza ibice by’imbere mu kibuno

Laparoscopy iracyari uburyo bwiza bwo kuvura endometriose. Muri ubu buryo, umuganga wawe akora ibikomere bito mu nda hanyuma ashyiramo kamera nto kugira ngo arebe ibice by’imbere mu kibuno.

Niba umubiri wa endometriose uboneka mu gihe cya laparoscopy, umuganga wawe ashobora kuwukuraho ako kanya cyangwa gufata igice gito kugira ngo akore isuzuma. Iyi biopsy yemeza uburwayi kandi ifasha kumenya uburyo bwiza bwo kuvura.

Bamwe mu baganga bashobora kugerageza kuvura endometriose bakeka ko ifite imiti y’imisemburo mbere yo kugira inama yo kubaga. Niba ibimenyetso byawe bigabanuka cyane ukoresheje ubuvuzi, ibi bishobora gutera inkunga uburwayi nubwo nta gihamya yo kubaga.

Ubuvuzi bwa endometriose ni ubuhe?

Ubuvuzi bwa endometriose bugamije gucunga ububabare bwawe, kugabanya iterambere ry’umubiri wa endometrial, no kubungabunga ubushobozi bwawe bwo kubyara niba ushaka kubyara abana. Muganga wawe azakorana nawe kugira ngo ategure gahunda y’ubuvuzi ibereye uko ibintu bimeze, imyaka yawe, n’intego zawe zo kubyara.

Uburyo bwo kuvura busanzwe butera imbere kuva ku buryo buke kugeza ku buryo bukomeye:

Guhangana n’ububabare: Imiti yo kugabanya ububabare igurwa mu maduka nka ibuprofen cyangwa naproxen ishobora gufasha kugabanya ububabare n’uburyo bwo kwandura. Muganga wawe ashobora kwandika imiti ikomeye yo kugabanya ububabare niba bikenewe.

Ubuvuzi bw’imisemburo: Ibiyobyabwenge byo kuboneza urubyaro, ibyo gukoresha ku mubiri, cyangwa IUD zifite imisemburo bishobora gufasha gucunga imihango yawe no kugabanya ububabare. GnRH agonists by’agateganyo bituma haba menopause ishobora kugabanya umubiri wa endometrial.

Uburyo bwo kubaga: Laparoscopic surgery ishobora gukuraho ibikomere bya endometrial n’ibikomere mu gihe ibice by’umubiri byawe bikirindwa. Mu bihe bikomeye, hysterectomy hamwe no gukuraho imyenda bishobora kugenzurwa nk’uburyo bwa nyuma.

Ku bagore bashaka kubyara, ubuvuzi bwo kubyara nko gutera intanga cyangwa in vitro fertilization (IVF) bishobora kugirwa inama hamwe no kuvura endometriose.

Ubuvuzi bushya buri gukorwaho harimo immunotherapy n’imiti igenewe guhagarika inzira runaka zifite uruhare mu iterambere rya endometriose. Ibyo bintu bishobora kuboneka mu gihe kizaza.

Uburyo bwo gucunga endometriose murugo

Nubwo ubuvuzi bw’abaganga ari ingenzi, uburyo bwo kuvura murugo n’impinduka mu mibereho bishobora kugufasha gucunga ibimenyetso bya endometriose no kunoza imibereho yawe muri rusange. Ibyo bintu bikora neza iyo bifatanije n’ubuvuzi bw’abaganga.

Uburyo bwo gucunga murugo bukoreshwa neza birimo:

• Ubuvuzi bw’ubushyuhe: Ibyuma by’ubushyuhe, amazi ashyushye, cyangwa amacupa y’amazi ashyushye bishobora gufasha kuruhuka imikaya y’ikibuno no kugabanya ububabare
• Gukora siporo buri gihe: Ibikorwa byoroshye nko kugenda, koga, cyangwa yoga bishobora kugabanya ububabare no kunoza imitekerereze binyuze mu isohorwa ry’endorphin
• Guhangana n’umunaniro: Gutekereza, guhumeka cyane, cyangwa inama zishobora kugufasha guhangana n’ububabare buhoraho
• Guhindura imirire: Bamwe mu bagore basanga bagabanya ububabare bagabanya ibiryo byangiza kandi bongera omega-3 fatty acids
• Kuryama bihagije: Kugira isuku yo kuryama bihagije bifasha umubiri wawe guhangana n’ububabare n’uburyo bwo kwandura neza

Tegereza kwandika ibimenyetso byawe kugira ngo ukurikirire ububabare bwawe, imihango yawe, n’ibikorwa byawe. Ibyo bintu bishobora kugufasha kumenya ibitera ibibazo n’imiterere mu gihe utanga amakuru y’ingenzi ku itsinda ry’abaganga bawe.

Kwinjira mu matsinda y’ubufasha, haba mu bantu cyangwa kuri internet, bishobora gutanga ubufasha bwo mu mutwe n’amabanga akomoka ku bagore bacunga endometriose. Wibuke ko icyakora kuri umwe gishobora kutakora kuri undi, rero ube umuntu ufite kwihangana uko ushaka uburyo bwiza bwawe.

Uko wakwitegura gusura muganga

Kwitunganya gusura muganga bigufasha kugira icyo umara mu gihe cyawe hamwe n’abaganga bawe. Gutegura neza bishobora gutuma habaho itumanaho ryiza no gutegura ubuvuzi neza.

Mbere yo gusura muganga, kora ibi bikurikira:

• Andika ibimenyetso byawe byose, harimo igihe bibaho n’uburyo bikomeye
• Kanda imihango yawe byibuze amezi abiri, ugaragaze ububabare n’imiterere yo kuva amaraso
• Andika imiti yose, ibintu byongera imbaraga, n’ubuvuzi wagerageje
• Tegura ibibazo bijyanye no kuvura, uburyo bwo kuvura, n’impinduka mu mibereho
• Zana inshuti cyangwa umuryango wawe kugira ngo bagufashe no kwibuka amakuru y’ingenzi

Ntugatinye ibimenyetso byawe cyangwa gusaba imbabazi kububabare bwawe. Vuga ukuri ku buryo endometriose igira ingaruka ku buzima bwawe bwa buri munsi, akazi, umubano, n’ubuzima bwawe bwo mu mutwe.

Tegereza kubaza ibibazo byihariye nka: “Ni ubuhe buryo bwo kuvura mfite?” “Ibi bizagira izihe ngaruka ku bushobozi bwanjye bwo kubyara?” “Ni iki nakora murugo kugira ngo ngabanye ibimenyetso?” na “Ni ryari nzagaruka kukuvura?”

Niba uri kubona umuganga mushya, saba kopi y’ibyemezo byawe by’ubuvuzi byavuye mu baganga bawe ba mbere. Ibi bifasha itsinda rishya ry’abaganga bawe gusobanukirwa amateka yawe no kwirinda gusubiramo ibizamini bidakenewe.

Icyo ugomba kumenya kuri endometriose

Endometriose ni uburwayi bushobora kuvurwa, nubwo ishobora kugira ingaruka ku buzima bwawe. Ikintu cy’ingenzi cyo kwibuka ni uko ububabare bwawe ari ukuri kandi bufite agaciro, kandi ubuvuzi bufatika buhari kugira ngo bugufashe kumva neza.

Kuvura hakiri kare no kuvura bishobora gukumira ibibazo no kunoza imibereho yawe. Nturetse umuntu uwo ari we wese ahakana ibimenyetso byawe nk’ububabare busanzwe bw’imihango – uzi umubiri wawe kurusha undi, kandi ububabare buhoraho mu kibuno bukwiye kwitabwaho n’abaganga.

Hamwe n’itsinda ry’abaganga bakwiriye na gahunda y’ubuvuzi, abagore benshi bafite endometriose bashobora gucunga ibimenyetso byabo neza. Benshi bakomeza kubyara abana kandi bakagira ubuzima buhamye, buzuye.

Wibuke ko gucunga endometriose akenshi ari urugendo rusaba kwihangana no gukomeza. Jya wiyubaha, uharanire ibyo ukeneye, kandi ntutinye gushaka ubufasha ku baganga, umuryango, inshuti, cyangwa amatsinda y’ubufasha.

Ibibazo byakajya bibazwa kuri endometriose

Endometriose ishobora gukira yonyine?

Endometriose gake cyane ikira burundu idakuweho. Ariko rero, ibimenyetso bishobora kugabanuka by’agateganyo mu gihe cyo gutwita cyangwa burundu nyuma ya menopause iyo urugero rwa estrogen rugabanuka cyane. Abagore benshi bakeneye gucungwa kugira ngo bagabanye ibimenyetso kandi bakumire iterambere ry’uburwayi.

Endometriose ihora itera kudapfa kubyara?

Oya, endometriose ntihora itera kudapfa kubyara. Nubwo bishobora gutera imbogamizi mu kubyara, abagore benshi bafite endometriose bashobora kubyara mu buryo busanzwe cyangwa bakoresheje ubuvuzi bwo kubyara. Hagati ya 60-70% by’abagore bafite endometriose yoroheje kugeza hagati bashobora kubyara batabaye ubufasha.

Endometriose ni kanseri?

Endometriose si kanseri, nubwo ifite ibintu bimwe bisangiye nka kwaguka kw’umubiri hanze y’aho bikwiye kuba. Nubwo hari ibyago bike byo kwandura kanseri zimwe na zimwe, cyane cyane kanseri y’imyenda, abagore benshi bafite endometriose ntibagira kanseri.

Abangavu bashobora kwandura endometriose?

Yego, endometriose ishobora kwibasira abangavu, nubwo akenshi idapimwa muri uwo kigero. Ububabare bukabije bw’imihango bukubera imbogamizi mu ishuri cyangwa mu bikorwa bigomba kwitabwaho n’abaganga, kuko kuvura hakiri kare bishobora gukumira iterambere no kunoza imibereho.

Kubyara umwana bizakiza endometriose yanjye?

Gutwita ntikiza endometriose, nubwo abagore benshi bagira ibimenyetso bigabanuka mu gihe cyo gutwita kubera impinduka z’imisemburo. Ibimenyetso bisanzwe bisubira nyuma yo kubyara no konsa, nubwo bamwe mu bagore bavuga ko byabagiriye akamaro igihe kirekire. Uburambe bwa buri wese butandukanye.