Ese ni iki? Ibimenyetso, Impamvu, n'Ubuvuzi

Hydrocele ni ububabare budakomeretsa mu gitsina cy’umugabo giterwa n’amazi menshi akunze kuba ari hafi y’igitsina cy’umugabo. Utekereza nk’umupira w’amazi uba uri hafi y’igitsina cy’umugabo, ugatera ububabare buke, busanzwe budakomeye, ushobora kubona no kumva.

Iyi ndwara isanzwe iboneka cyane, cyane cyane mu bahungu bakiri bato n’abagabo bakuze. Nubwo ishobora kugaragara nk’ikibazo, hydrocele nyinshi nta kibazo ziteza kandi ntizibangamira ubushobozi bwo kubyara cyangwa ubuzima muri rusange. Inkuru nziza ni uko nyinshi zikira zinyuze, kandi iyo ubuvuzi bukenewe, busanzwe buboroheye kandi bugira akamaro.

Ibimenyetso bya hydrocele ni ibihe?

Ikimenyetso nyamukuru uzabona ni ububabare budakomeretsa mu gitsina cy’umugabo, bukaba bumeze nk’ubworoshye kandi bumeze neza. Ubwo bubabare bushobora kuba ku ruhande rumwe cyangwa ku mpande zombi, kandi busanzwe bumera nk’aho ufite umupira muto w’amazi.

Dore ibimenyetso by’ingenzi bishobora kwerekana ko ufite hydrocele:

• Ububabare budakomeretsa mu gitsina cy’umugabo, bukaba bumeze nk’ubworoshye
• Kumva ibintu biremereye cyangwa byuzuye mu gitsina cy’umugabo
• Ububabare bushobora kugaragara cyane mu mpera z’umunsi
• Ibara ry’umweru iyo umucyo uca muri byo
• Kubura ububabare buhoro hohoro mu byumweru cyangwa amezi

Abantu benshi nta bubabare baba bafite iyo bafite hydrocele. Niba wumva ubabara, busanzwe ari ububabare buke buturuka ku kuremereye no kuba kinini kuruta ububabare bukomeye. Ubwo bubabare busanzwe ntibuza kugaragara nk’izindi ndwara.

Ubwoko bwa hydrocele ni ubuhe?

Hari ubwoko bubiri nyamukuru bwa hydrocele, kandi gusobanukirwa ubwoko ufite bifasha gusobanura impamvu yabaye. Itandukaniro riri mu gihe n’uburyo amazi yakusanyirijwe.

Hydrocele y’ivuka ibaho iyo abahungu bavuka bayifite. Mu iterambere risanzwe, imyanya y’igitsina cy’umugabo imana iva mu nda igana mu gitsina cy’umugabo binyuze mu nzira isanzwe ifunga mbere y’uko umwana avuka. Iyo iyo nzira idafunze neza, amazi ava mu nda ashobora kumanuka agakusanyiriza hafi y’igitsina cy’umugabo.

Hydrocele y’ubukure iba nyuma y’imyaka myinshi, akenshi mu bagabo barengeje imyaka 40. Iyi ibaho iyo umubare w’amazi akora n’amazi akurwaho hafi y’igitsina cy’umugabo atangira kudakora neza. Umubiri wawe usanzwe ukora amazi make yo gusiga amavuta hafi y’igitsina cy’umugabo, ariko rimwe na rimwe uwo muti ntukora neza nk’uko bikwiye.

Ese hydrocele iterwa n’iki?

Hydrocele ibaho iyo amazi akunze kuba ari hafi y’igitsina cy’umugabo, ariko impamvu nyamukuru itandukanye bitewe n’imyaka yawe n’ibyabaye.

Mu bana bato n’abana, impamvu isanzwe ni ikibazo cy’iterambere mu gihe cyo gutwita. Mbere y’uko umwana avuka, buri gitsina cy’umugabo kigenda kiva mu nda binyuze mu muyoboro witwa processus vaginalis. Uwo muyoboro ugomba gufunga neza, ariko rimwe na rimwe usigara ufunguye, bituma amazi ava mu nda amanuka agakusanyiriza hafi y’igitsina cy’umugabo.

Ku bagabo bakuze, ibintu byinshi bishobora gutera hydrocele:

• Imvune cyangwa ikibazo mu gitsina cy’umugabo
• Indwara mu gitsina cy’umugabo
• Kubabara bituruka ku bintu bitandukanye
• Igisubizo cyakozwe mbere mu gitsina cy’umugabo
• Indwara zimwe na zimwe ziterwa n’udukoko (zikunze kugaragara mu turere dukennye)

Rimwe na rimwe, hydrocele ibaho nta mpamvu igaragara. Uburyo bw’amazi busanzwe mu gitsina cy’umugabo bushobora guhinduka bitewe n’imyaka, imvune ntoya ushobora kutazi, cyangwa impinduka ntoya mu buryo sisitemu yawe y’amaraso ikuraho amazi muri ako gace.

Ni ryari ukwiye kujya kwa muganga kubera hydrocele?

Ugomba guhamagara muganga wawe niba ubona ububabare ubwo aribwo bwose mu gitsina cy’umugabo, nubwo budakomeretsa. Nubwo hydrocele isanzwe idakomeye, ni ngombwa kubona ubuvuzi kugira ngo habeho gusesengura izindi ndwara zishobora kumera kimwe.

Shaka ubuvuzi vuba niba ufite ibimenyetso byombi hamwe n’ububabare mu gitsina cy’umugabo:

• Ububabare bukomeye kandi budasanzwe mu gitsina cy’umugabo
• Isesemi cyangwa kuruka hamwe n’ububabare mu gitsina cy’umugabo
• Umuhango hamwe n’ububabare mu gitsina cy’umugabo
• Kubura ububabare vuba
• Ibibyimba bikomeye cyangwa ibice bidasanzwe mu bubabare

Ibi bimenyetso bishobora kwerekana izindi ndwara zikomeye nk’uburwayi bw’igitsina cy’umugabo cyangwa indwara zisaba ubuvuzi bw’ibanze. Ntugatege amatwi cyangwa ugerageze kwivura, cyane cyane niba ufite ububabare cyangwa ibindi bimenyetso bikomeye.

Ku babyeyi b’abana bato, hydrocele nyinshi z’ivuka zikira zinyuze mbere y’isabukuru y’umwaka w’umwana. Ariko rero, ugomba kugisha inama muganga wawe kugira ngo yemeze uburwayi kandi akurikirane uburwayi.

Ibyago byo kwandura hydrocele ni ibihe?

Ibintu bimwe na bimwe bishobora gutuma ufite amahirwe menshi yo kwandura hydrocele, nubwo ufite ibyo byago ntibisobanura ko uzayirwara. Gusobanukirwa ibi bishobora kugufasha kumenya impinduka ziba mu mubiri wawe.

Imyaka igira uruhare runini mu byago byo kwandura hydrocele. Abahungu bakiri bato bafite amahirwe menshi yo kuyirwara bitewe n’inzira y’iterambere twavuze haruguru. Ibyago nyuma bigabanuka cyane mu bwana n’ubwangavu, hanyuma bikongera nyuma y’imyaka 40 uko uburyo bw’amazi busanzwe mu mubiri bugenda budakora neza.

Ibindi bintu bishobora kongera ibyago byawe birimo:

• Imvune yabayeho mbere mu gitsina cy’umugabo
• Amateka y’indwara mu myanya y’igitsina
• Igisubizo cyakozwe mbere mu gitsina cy’umugabo
• Indwara zimwe na zimwe ziterwa no kubura amazi
• Kuba mu turere cyangwa kujya mu turere indwara ziterwa n’udukoko zikunze kugaragara

Ufite ibyo byago ntibisobanura ko ukwiye guhangayika. Abagabo benshi bafite ibyago byinshi ntibagira hydrocele, mu gihe abandi badafite ibyago byagaragaye bayirwara. Ikintu nyamukuru ni ukumenya umubiri wawe no gusaba inama y’abaganga iyo ubona impinduka.

Ingaruka zishoboka za hydrocele ni izihe?

Hydrocele nyinshi ntiziterwa n’ingaruka zikomeye, ariko hari ibibazo bike bishoboka ukwiye kumenya. Izo ngaruka ni nke, cyane cyane iyo hydrocele ikurikiranwe neza kandi ivurwa igihe bikenewe.

Ingaruka isanzwe ni ububabare buturuka ku bunini n’uburemere bwa hydrocele nini. Iyo hydrocele ikura cyane, ishobora gutuma kugenda, kwicara, cyangwa kwambara imyenda runaka biba bibi. Abagabo bamwe na bamwe banahangayikishwa n’uburyo igaragara, ibyo bikaba bishobora kugira ingaruka ku kwihesha agaciro no ku mibanire y’abakundana.

Ingaruka zikomeye ariko nke zishobora kuba:

• Indwara y’amazi cyangwa imyanya iri hafi
• Hydrocele ishobora kwangirika, nubwo ari nke cyane
• Gukanda amaraso ajya mu gitsina cy’umugabo niba hydrocele ikura cyane
• Kuba hari hernia mu gihe processus vaginalis isigara ifunguye

Izo ngaruka zikomeye ni nke cyane, kandi nyinshi zishobora kwirindwa no gushaka ubuvuzi bukwiye igihe bikenewe. Muganga wawe azakurikirana ubunini n’impinduka zose muri hydrocele yawe kugira ngo abone ibibazo hakiri kare.

Ni byiza kuzirikana ko hydrocele ubwayo idabangamira ubushobozi bwo kubyara cyangwa gukora imisemburo. Igitsina cy’umugabo gikomeza gukora neza nubwo cyakikirijwe n’amazi.

Hydrocele ishobora kwirindwa gute?

Ikibabaje ni uko nta buryo bwo kwirinda hydrocele nyinshi kuko akenshi iterwa n’ibintu udashobora kuyobora, nko gutinda kw’iterambere mu bana bato cyangwa impinduka ziterwa n’imyaka mu bakuze. Ariko rero, hari intambwe ushobora gutera kugira ngo ugabanye ibyago byo kwandura hydrocele y’ubukure.

Kwirinda imvune ni imwe mu ngamba zikomeye zo kwirinda. Kwambara ibikoresho bikwiranye byo kwirinda imvune mu mikino, cyane cyane imikino ikomeye cyangwa ibikorwa aho imvune mu gitsina cy’umugabo ikunze kubaho. Niba ukora mu biro aho imvune mu gitsina cy’umugabo ishoboka, tekereza ku bikoresho byo kwirinda.

Kugira ubuzima bwiza muri rusange bishobora kandi kugufasha. Ibi birimo:

• Kuvura vuba indwara zose ziba mu gitsina cy’umugabo
• Gukurikiza amabwiriza yo gukora imibonano mpuzabitsina y’umutekano kugira ngo ugabanye ibyago byo kwandura indwara
• Gushaka ubuvuzi kubimenyetso bidakuze mu gitsina cy’umugabo
• Kuba uri mu rwego rw’inkingo zisabwa niba ujya mu turere indwara ziterwa n’udukoko zikunze kugaragara

Ku babyeyi, nta kintu ushobora gukora kugira ngo wirinde hydrocele y’ivuka kuko iba mu gihe cyo gutwita. Inkuru nziza ni uko nyinshi muri zo zikira zinyuze nta buvuzi bukenewe.

Hydrocele imenyekanwa gute?

Kumenya hydrocele bisanzwe bitangira muganga wawe akubaza ibibazo byawe kandi agasuzuma gitsina cy’umugabo. Iyo isuzuma ngirakamaro isanzwe ari igice cy’ingenzi cyane cyo kumenya uburwayi kandi ishobora kugaragaza igisubizo.

Mu gihe cy’isuzuma, muganga wawe azakora ku gace kababaye kugira ngo amenye ubunini, imiterere, niba ari ububabare. Kimwe mu bimenyetso bya hydrocele ni uko umucyo ushobora kuyaca, ikizamini cyitwa transillumination. Muganga wawe ashobora gushyira umucyo ukomeye ku bubabare kugira ngo arebe niba ugaragara, ibyo bikaba byerekana amazi kuruta umubiri ukomeye.

Niba isuzuma ngirakamaro ritagaragaza uburwayi, muganga wawe ashobora kugusaba ibindi bizamini:

• Isuzuma rya ultrasound kugira ngo abone ishusho y’ibiri mu gitsina cy’umugabo
• Ibizamini by’amaraso kugira ngo arebe ibimenyetso by’indwara cyangwa izindi ndwara
• Ibizamini by’inkari niba hari indwara

Ultrasound ifasha cyane kuko ishobora kwerekana amazi neza kandi ifasha gutandukanya hydrocele n’izindi ndwara nk’hernia cyangwa ibibyimba. Nta bubabare iba ifite kandi itanga amashusho y’ibintu byinshi bifasha muganga wawe gutegura uburyo bwiza bwo kuvura.

Muganga wawe azashaka kandi gukuraho izindi ndwara zishobora gutera ububabare mu gitsina cy’umugabo, nka hernia, ibibyimba mu gitsina cy’umugabo, cyangwa indwara. Kubona ubuvuzi nyabwo bituma uhabwa ubuvuzi bukwiye.

Ubuvuzi bwa hydrocele ni ubuhe?

Ubuvuzi bwa hydrocele bushingiye ahanini ku myaka yawe, ubunini bwa hydrocele, niba butera ububabare. Hydrocele nyinshi, cyane cyane mu bana bato, ntizisaba ubuvuzi kandi zikira zinyuze uko igihe kigenda.

Ku bana bavuka bafite hydrocele, abaganga basanzwe bagira inama yo gutegereza no kureba. Hydrocele nyinshi z’ivuka zikira zinyuze mbere y’isabukuru y’umwaka w’umwana uko umubiri usanzwe ukuraho amazi menshi kandi inzira y’ibanze ifunga neza.

Mu bakuze, uburyo bwo kuvura burimo:

• Kureba no gukurikirana hydrocele nto idakomeretsa
• Gukuraho amazi hakoreshejwe igikoresho kugira ngo amazi akurweho by’agateganyo
• Gusibura (hydrocelectomy) ku hydrocele nini cyangwa ikomeye
• Sclerotherapy, aho umuti ushyirwa kugira ngo amazi adasubira

Gusibura bisanzwe bisabwa iyo hydrocele ari nini bihagije gutera ububabare, bigira ingaruka ku bikorwa byawe bya buri munsi, cyangwa bikomeza gukura. Icyo gikorwa cyo kubaga, cyitwa hydrocelectomy, kigizwe no gukora umwanya muto kugira ngo amazi akurweho kandi umufuka wari uyifitemo ukurweho cyangwa ukorweho.

Gukuraho amazi hakoreshejwe igikoresho ni igisubizo cy’agateganyo gishobora kugufasha, ariko amazi akenshi asubira kuko impamvu nyamukuru idakemurwa. Muganga wawe ashobora kugusaba ubu buryo niba utari umuntu ukwiye kubagwa cyangwa niba ushaka gufashwa by’agateganyo mu gihe utekereza ku byo wakora.

Uko wakwitwara mu rugo ufite hydrocele

Mu gihe utegereje ubuvuzi cyangwa niba muganga wawe akugira inama yo gukurikirana hydrocele yawe, hari ibintu byinshi ushobora gukora mu rugo kugira ngo ugume utuje kandi ufashe gukira. Ibyo bintu ntibizakiza hydrocele, ariko bishobora kugufasha guhangana n’ububabare.

Kwambara imyenda ishyigikira bishobora kugira uruhare runini mu gutuza. Hitamo imyenda migufi cyangwa imyenda migufi ishyigikira itakaza cyane. Abagabo bamwe basanga abashyigikiye imikino cyangwa imyenda ishyigikira igitsina cy’umugabo yagenewe uburwayi itanga ubufasha bwiza n’ituza.

Dore izindi ngamba zo kwifasha mu rugo:

• Shyiraho ubukonje bufutse mu gipfunsi gito iminota 10-15 niba ufite ububabare
• Fata imiti igabanya ububabare nk’ibuprofen cyangwa acetaminophen uko bikenewe
• Irinde imirimo ikomeye cyangwa imirimo ikomeye ishobora kongera ububabare
• Kwambara imyenda idafunze kugira ngo ubone umwanya
• Kuryama ufite ikibuno hagati y’amaguru yawe kugira ngo ubone ubufasha n’ituza

Witondere impinduka zose mu bunini, ububabare, cyangwa ibindi bimenyetso. Kanda kuri izo mpinduka kugira ngo ubiganirizeho na muganga wawe mu gihe cyo gukurikirana. Iyo amakuru afasha muganga wawe kumenya niba gahunda yawe yo kuvura ikwiye guhinduka.

Zirikana ko ibyo bintu byo mu rugo ari ubufasha gusa. Ntibizatuma hydrocele igaragara, ariko bishobora kugufasha kuguma utuje mu gihe umubiri wawe ukirinda cyangwa mu gihe witegura kuvurwa.

Uko wakwitegura gusura muganga wawe

Kwitwara neza mu gihe ugiye kwa muganga bituma uhabwa ubuvuzi bwiza kandi bifasha muganga wawe kugufasha neza. Tangira wandike igihe wabonye ububabare bwa mbere n’impinduka wabonye kuva icyo gihe.

Mbere yo kujya kwa muganga, kora amakuru yerekeye ibimenyetso byawe n’amateka yawe y’ubuzima. Bandika ububabare, ituza, cyangwa impinduka mu bunini bw’ububabare. Tekereza kandi ku mvune, indwara, cyangwa ibyabaga byabayeho vuba, nubwo bigaragara nk’ibidafite aho bihuriye.

Zana ayo makuru mu gihe ugiye kwa muganga:

• Urutonde rw’imiti yose n’ibindi bikoresho ukoresha
• Amakuru yerekeye igihe wabonye ububabare bwa mbere
• Amateka y’umuryango w’ibibazo nk’ibyo
• Ibibazo ushaka kubaza muganga wawe
• Amakuru yerekeye ibibazo byabayeho mbere mu gitsina cy’umugabo

Tegura ibibazo ugomba kubaza muganga wawe. Ushobora kwifuza kumenya ibijyanye n’uburyo bwo kuvura, icyo ugomba kwitega niba uhisemo gutegereza no kureba, cyangwa uko iyi ndwara ishobora kugira ingaruka ku buzima bwawe bwa buri munsi. Ntugatinye kubaza icyo ari cyo cyose gikubangamiye, nubwo kigaragara nk’ikintu gito.

Kwambara imyenda yoroshye, idafunze izoroha gukuraho mu gihe cy’isuzuma. Gerageza koga mbere yo kujya kwa muganga, kandi tekereza kuzana inshuti cyangwa umuryango wawe wizeye niba uhangayitse ku gusura.

Icyo ukwiye kumenya cyane kuri hydrocele

Ikintu cy’ingenzi cyo kwibuka kuri hydrocele ni uko isanzwe idakomeye kandi ivurwa neza. Nubwo kubona ububabare ubwo aribwo bwose mu gitsina cy’umugabo bishobora gutera ubwoba, hydrocele nke cyane igaragaza ibibazo bikomeye by’ubuzima kandi ntibangamira ubushobozi bwo kubyara cyangwa gukora imisemburo.

Hydrocele nyinshi iba buhoro buhoro kandi ntiterwa n’ububabare, nubwo ishobora kuba mbi niba ikura cyane. Mu bana, abenshi muri bo bakira zinyuze nta buvuzi bukenewe. Ku bakuze, uburyo bwiza bwo kuvura buhari iyo ibimenyetso biba bibi cyangwa hydrocele ibangamira ibikorwa bya buri munsi.

Ikintu nyamukuru ni ukutaribagirwa ububabare mu gitsina cy’umugabo, nubwo budakomeretsa. Kubona ubuvuzi nyabwo bituma uhabwa ubuvuzi bukwiye. Kugisha inama muganga wawe hakiri kare bishobora kwirinda ingaruka mbi kandi bikaguha amahoro mu mutima.

Zirikana ko kugira hydrocele ntibigaragaza imyifatire yawe y’ubuzima cyangwa imyifatire yawe. Izo ndwara zishobora kubaho kubera impamvu zitandukanye, nyinshi muri zo zidashobora kuyoborwa. Ibanda ku gushaka ubuvuzi bukwiye no gukurikiza amabwiriza ya muganga wawe kugira ngo ubone ibyiza.

Ibibazo bikunze kubaho kuri hydrocele

Hydrocele ishobora kugira ingaruka ku bushobozi bwo kubyara cyangwa imibonano mpuzabitsina?

Oya, hydrocele isanzwe ntigira ingaruka ku bushobozi bwo kubyara cyangwa imibonano mpuzabitsina. Amazi akunze kuba ari hafi y’igitsina cy’umugabo ariko ntiyangiza gukora intanga ngabo cyangwa urwego rw’imisemburo. Igitsina cy’umugabo gikomeza gukora neza nubwo hari hydrocele. Ariko rero, hydrocele nini cyane ishobora gutera ikibazo mu gihe cy’imibonano mpuzabitsina kubera ubunini n’uburemere, ariko icyo kibazo ni icy’uburyo kuruta ikibazo cy’imikorere y’imyororokere.

Hydrocele yanjye izakomeza gukura?

Hydrocele ishobora gukura uko igihe kigenda, ariko ibyo biba buhoro buhoro, akenshi mu mezi cyangwa imyaka kuruta iminsi cyangwa ibyumweru. Hydrocele zimwe ziguma zimeze kimwe igihe kirekire, mu gihe izindi zikura buhoro buhoro. Uburyo bwo gukura butandukanye uko umuntu atandukanye kandi biterwa n’impamvu nyamukuru. Niba ubona ko ikura vuba cyangwa impinduka zidasanzwe, hamagara muganga wawe vuba kuko bishobora kugaragaza izindi ndwara cyangwa ingaruka.

Ese kubaga hydrocele bibabaza kandi gukira ni gute?

Kubaga hydrocele bisanzwe bikorwa hakoreshejwe imiti igabanya ububabare cyangwa imiti yo kubaga, bityo ntuzumva ububabare mu gihe cyo kubaga. Nyuma yaho, ugomba kwitega ububabare n’ububabare mu minsi mike kugeza ku cyumweru. Abantu benshi bashobora gusubira mu mirimo yoroshye mu minsi mike kandi bagasubira mu mirimo isanzwe mu byumweru 1-2. Gukira burundu bisanzwe bimamara ibyumweru 4-6. Umuganga wawe azakugira inama y’uburyo bwo gukira n’uburyo bwo kugabanya ububabare.

Hydrocele ishobora gusubira nyuma yo kuvurwa?

Ibyago byo gusubira nyuma yo kubagwa neza ni bike cyane, bisanzwe biri munsi ya 5%. Ariko rero, hydrocele ishobora gusubira rimwe na rimwe, cyane cyane niba impamvu nyamukuru idakemurwa cyangwa niba gukira bitagenda neza. Gukuraho amazi hakoreshejwe igikoresho bifite ibyago byinshi byo gusubira kuko bidakemura ikibazo nyamukuru. Niba hydrocele yawe isubira nyuma yo kuvurwa, banira ku bindi bisubizo na muganga wawe.

Ndagomba guhangayika niba umwana wanjye afite hydrocele?

Hydrocele y’ivuka mu bana bato isanzwe iboneka cyane kandi isanzwe idatera impungenge. Hagati ya 80-90% bya hydrocele zikira zinyuze mbere y’isabukuru y’umwaka w’umwana nta buvuzi bukenewe. Muganga wawe azakurikirana uburwayi mu gihe cyo gusuzuma. Ugomba guhamagara muganga wawe niba hydrocele ikura cyane, niba umwana wawe asa n’ufite ububabare, cyangwa niba ubona ubukonje cyangwa ubushyuhe mu gitsina cy’umugabo.