Icyo Umuhogo Udashoboye Gukora Aricyo? Ibimenyetso, Impamvu, n’Ubuvuzi

Umuhogo udashoboye gukora ni uwo umuhogo wawe ukinguka hakiri kare mu gihe cyo gutwita, akenshi nta kuribwa cyangwa imitego. Iyi ndwara igaragara mu bitwitwa bike cyane, kandi ishobora gutera igihombo cyo gutwita cyangwa kubyara imburagihe niba idakurikiranwe neza.

Tekereza ku muhogo wawe nk’umuhanda ukomeye ugomba kuguma ufunze mu gihe cyo gutwita kugira ngo umwana wawe agume atekanye imbere. Ku muhogo udashoboye gukora, uyu muhanda utangira gukinguka mu gihe ukwiye kuguma ufunze kugeza igihe ugiye kubyara.

Umuhogo udashoboye gukora ni iki?

Umuhogo udashoboye gukora, witwa kandi ubusembwa bw’umuhogo, ubaho iyo umuhogo wawe utangira kugabanuka kandi ukinguka mu gihembwe cya kabiri cyo gutwita. Ibi bikunda kuba hagati y’ibyumweru 16 na 24, mbere y’igihe umwana wawe yiteguye kuvuka.

Umuhogo wawe ni igice cyo hasi cy’inda yawe gihuza n’inda yawe y’imbere. Mu gihe cyo gutwita kizima, uguma muremure, ukomeye, kandi ufunze cyane kugeza igihe cyo kubyara kigeze. Iyo ubusembwa bw’umuhogo bubayeho, umuhogo ntushobora gukomeza uburemere bw’umwana wawe ukura n’amazi yo mu nda.

Iyi ndwara ikunze kwitwa “ituje” kuko akenshi ntabwo itera ibimenyetso bisanzwe byo kubyara nko kuribwa kw’imitego. Abagore benshi ntibabona ko hari ikibazo kugeza igihe bumvise umuvuduko cyangwa babonye impinduka mu buvuzi busanzwe.

Ni ibihe bimenyetso by’umuhogo udashoboye gukora?

Ikintu kigoye ku busembwa bw’umuhogo ni uko akenshi ntabwo itera ibimenyetso bigaragara mu ntangiriro. Ushobora kutava mu bimenyetso by’umutekano bisanzwe bigaragara hamwe n’izindi ndwara zo gutwita.

Dore ibimenyetso ushobora kubona:

• Kumva umuvuduko mu kibuno cyangwa kuzura
• Kuribwa gato mu mugongo bigenda bigaruka
• Kuva amaraso make cyangwa gutinda
• Impinduka mu mubyimba wo mu gitsina
• Kuribwa gato mu nda
• Kumva ko umwana wawe “asunikira hasi”

Mu bihe bikaze, ushobora kumva nk’aho imitego yo kubyara itangiye. Bamwe mu bagore nabo babona impinduka mu mubyimba wo mu gitsina, ushobora kuba mwinshi cyangwa ufite ibara cyangwa impumuro itandukanye.

Kubura ububabare bukabije ni byo bituma iyi ndwara iba ikibazo cyane. Bitandukanye n’imitego yo kubyara imburagihe, ubusembwa bw’umuhogo bukunze gutera gahoro gahoro, niyo mpamvu isuzuma rya buri gihe ry’ubuvuzi ari ingenzi cyane mu kubona hakiri kare.

Ni iki giterwa n’umuhogo udashoboye gukora?

Ubusembwa bw’umuhogo bushobora guterwa n’impamvu nyinshi, kandi rimwe na rimwe impamvu nyamukuru iba itaramenyekana. Gusobanukirwa izi mpamvu bishobora kugufasha wowe na muganga wawe gusuzuma ibyago byawe no gutegura ubuvuzi bukwiye.

Impamvu zisanzwe zirimo:

• Umuhogo wakomeretse mbere kubera ibikorwa nka LEEP, cone biopsy, cyangwa ibikorwa byinshi bya D&C
• Ibintu by’umurage bigira ingaruka ku ikorwa rya collagen, bigatuma umubiri w’umuhogo uba ufite intege nke
• Uburwayi bw’imiterere wavukiye ubwo
• Kubyara imburagihe mbere cyangwa igihombo cyo gutwita mu gihembwe cya kabiri
• Kuba warahuriye na DES (diethylstilbestrol) mu gihe wari mu nda ya nyoko
• Ibikomere bikomeye by’umuhogo mu gihe cyo kubyara mbere

Impamvu zidafite akamaro zirimo uburwayi bumwe na bumwe bw’imiterere y’umubiri nka Ehlers-Danlos syndrome, bugira ingaruka ku buryo umubiri wawe ukora collagen. Bamwe mu bagore barwara ubusembwa bw’umuhogo nyuma yo gukorerwa ibikorwa byinshi ku muhogo wabo kugira ngo bavuze uturemangingo tudasanzwe.

Mu bihe byinshi, ubusembwa bw’umuhogo bukunze kugaragara mu miryango, bigaragaza ko hari ibintu by’umurage. Ariko rero, kugira ibyago byinshi ntibisobanura ko uzabona iyi ndwara – abagore benshi bafite ibyago byinshi bagira gutwita bisanzwe.

Ni ryari ukwiye kubona muganga kubera umuhogo udashoboye gukora?

Ukwiye guhamagara umuganga wawe ako kanya niba ufite ikimenyetso icyo aricyo cyose kitamenyerewe mu gihembwe cya kabiri, cyane cyane niba ufite ibyago byo kugira ubusembwa bw’umuhogo. Kubona hakiri kare bishobora kugira uruhare runini mu gutwita kwawe.

Hamagara muganga wawe ako kanya niba ubona umuvuduko mu kibuno umeze nk’aho umwana wawe asunikira hasi, nubwo utari ufite imitego. Iki kimenyetso, cyane cyane iyo gikomeje kuribwa mu mugongo cyangwa impinduka mu mubyimba, bisaba isuzuma ryihuse.

Niba ufite amateka yo kubura gutwita mu gihembwe cya kabiri, ubanze uganire n’umuganga wawe ku busembwa bw’umuhogo mu ntangiriro z’ubutwita bwawe. Bashobora kugutegeka gukurikiranwa cyane cyangwa ubuvuzi bwo kwirinda kugira ngo bafashe kurinda ubutwita bwawe ubu.

Ntugatege amatwi ngo urebe niba ibimenyetso biri kugenda biba bibi. Ku busembwa bw’umuhogo, igihe kenshi kiba ari ingenzi, kandi kuvugurura hakiri kare bishobora gufasha kwirinda igihombo cyo gutwita cyangwa kubyara imburagihe cyane.

Ni ibihe byago by’umuhogo udashoboye gukora?

Ibintu byinshi bishobora kongera amahirwe yawe yo kugira ubusembwa bw’umuhogo, nubwo kugira ibyo byago ntibihamya ko uzabona iyi ndwara. Gusobanukirwa ibyago byawe bigufasha muganga wawe gutanga ubuvuzi bwiza.

Ibyago by’ingenzi birimo:

• Igihombo cyo gutwita mbere hagati y’ibyumweru 16-24 nta mpamvu isobanutse
• Amateka yo kubyara imburagihe, cyane cyane niba umuhogo wawe ukingutse nta mitego
• Ibikorwa byakozwe ku muhogo mbere nka LEEP, cone biopsy, cyangwa cold knife conization
• Guhagarika gutwita kenshi cyangwa ibikorwa bya D&C
• Kuvuka ufite uburwayi bw’inda cyangwa umuhogo
• Nyoko yakoresheje DES mu gihe yari atwite
• Uburwayi bw’imiterere y’umubiri bugira ingaruka ku ikorwa rya collagen

Bamwe mu bagore bagira icyo abaganga bita “ubusembwa bw’umuhogo bwabonetse”, buva mu gukomeretsa umuhogo. Abandi bagira “ubusembwa bw’umuhogo bwavutse”, bisobanura ko bavutse bafite umuhogo uba ufite intege nke cyangwa umugufi kurusha ubusanzwe.

Ibyago byawe bishobora kandi kuba byinshi niba utwite abana benshi nka babiri cyangwa batatu, kuko uburemere bwinshi bushyira umuvuduko mwinshi ku muhogo wawe. Ariko rero, abagore benshi bafite ibyago byinshi bakomeza bagira gutwita byiza bafite ubugenzuzi bukwiye n’ubuvuzi.

Ni ibihe bibazo bishoboka by’umuhogo udashoboye gukora?

Iyo ubusembwa bw’umuhogo budakurikiranwe cyangwa budakurikiranwe vuba, bishobora gutera ibibazo bikomeye byo gutwita. Gusobanukirwa ibyo bishobora kubaho bigufasha gusobanura impamvu kumenya hakiri kare no kuvura ari ingenzi cyane.

Ibibazo bikomeye birimo:

• Igihombo cyo gutwita mu gihembwe cya kabiri (kubura umwana nyuma y’ibyumweru 16)
• Kubyara imburagihe cyane (imbere y’ibyumweru 28)
• Guturika k’amazi yo mu nda imburagihe (amazi aturika hakiri kare)
• Kwandura amazi yo mu nda (chorioamnionitis)
• Ibibazo bikomeye byo kubyara imburagihe cyane ku mwana wawe

Abana bavutse imburagihe cyane bahura n’ibibazo bikomeye, birimo ibibazo byo guhumeka, ibibazo byo konsa, no gutinda kw’iterambere. Uko umwana avutse hakiri kare, ni ko ibyo bibazo biba bikomeye.

Mu bihe bidafite akamaro, iyi ndwara ishobora gutera icyo twita “gucika kw’umuhogo”, aho imyenda y’umwana igaragara mu muhogo ukingutse. Iyi mimerere isaba ubuvuzi bw’ihutirwa kandi kenshi ikaba isaba kuvugurura vuba kugira ngo tugerageze kurokora ubutwita.

Inkuru nziza ni uko, hamwe no kuvura no gusuzuma neza, ibibazo byinshi muri ibi bishobora kwirindwa cyangwa uburemere bwabyo bugabanuka cyane.

Umuhogo udashoboye gukora ushobora kwirindwa gute?

Nubwo udashobora kwirinda ibintu byose by’ubusembwa bw’umuhogo, hari intambwe ushobora gutera kugira ngo ugabanye ibyago byawe, cyane cyane niba ufite ibyago byamenyekanye. Kwiringira kenshi bibanda ku kurinda umuhogo wawe gukomeretsa ubusa no kubona ubuvuzi bukwiye bwo gutwita.

Niba ukeneye ibikorwa ku muhogo kubera impamvu z’ubuvuzi, uganire na muganga wawe uburyo bwo kugabanya ingaruka zishoboka ku gutwita kwawe mu gihe kizaza. Rimwe na rimwe, ubuvuzi bw’ibindi cyangwa uburyo bwahinduwe bishobora kugabanya ibyago byo kugira umuhogo ufite intege nke.

Ku bagore bafite amateka yo kubura gutwita cyangwa ibyago byamenyekanye, ubuvuzi bukwiye bwo gutwita hakiri kare kandi buhoraho ni ingenzi. Muganga wawe ashobora kugutegeka gukurikirana uburebure bw’umuhogo utangira kuva mu cyumweru cya 16 kugira ngo abone impinduka zose mbere y’uko ziba zikomeye.

Kwima ibikorwa bidakenewe ku muhogo no kugabanya umubare wo guhagarika gutwita bishobora kandi gufasha kurinda umuhogo wawe. Niba ukeneye ibyo bikorwa, menya ko bikorwa n’abahanga bafite ubunararibonye basobanukiwe uburyo bwo kugabanya gukomeretsa umuhogo.

Umuhogo udashoboye gukora upimwa ute?

Kumenya ubusembwa bw’umuhogo kenshi bisaba guhuza amateka yawe y’ubuvuzi, isuzuma ry’umubiri, no gukurikirana ultrasound. Muganga wawe azashakisha impinduka runaka ku muhogo wawe zigaragaza ko utangira gukinguka hakiri kare.

Ibikoresho by’ingenzi byo gupima birimo transvaginal ultrasound, ipima uburebure bw’umuhogo wawe kandi irebana n’uburyo umuhogo utangira gukinguka imbere. Uburebure bw’umuhogo buri munsi ya 25mm mbere y’ibyumweru 24 bufatwa nk’ikibazo kandi bishobora kugaragaza ubusembwa.

Muganga wawe azakora kandi isuzuma ry’umubiri kugira ngo arebe niba umuhogo wawe umeze neza, umugufi, cyangwa ukingutse. Azakubaza ibibazo birambuye ku bimenyetso byawe kandi azasubiramo amateka yawe yo gutwita kugira ngo abone ibintu byose bigaragaza ubusembwa bw’umuhogo.

Mu bihe bimwe na bimwe, kumenya biba nyuma – bisobanura ko abaganga bamenya ko wari ufite ubusembwa bw’umuhogo hashingiwe ku byabaye mu gutwita kwawe mbere. Aya makuru nyuma azafasha gukurikirana no kuvura gutwita kwawe mu gihe kizaza neza.

Ni iki kivura umuhogo udashoboye gukora?

Kuvura ubusembwa bw’umuhogo bibanda ku gutanga inkunga y’inyongera kugira ngo umuhogo wawe ugume ufunze kugeza igihe umwana wawe yiteguye kuvuka. Uburyo nyamukuru bwo kuvura biterwa n’imimerere yawe n’igihe urimo mu gihe cyo gutwita.

Ubuvuzi nyamukuru burimo:

• Cervical cerclage – uburyo bwo kubaga bushyira imishumi ku muhogo wawe kugira ngo ugumane ufunze
• Kongerera progesterone kugira ngo ifashe gutwita
• Kubuzwa gukora cyangwa kuruhuka mu buriri
• Gukurikirana kenshi hamwe na ultrasounds
• Cervical pessary – igikoresho cya silicone gishyirwa mu nda kugira ngo gishyigikire umuhogo

Cervical cerclage kenshi iba ari ubuvuzi bukoreshwa cyane kandi isanzwe ishyirwa hagati y’ibyumweru 12-14 byo gutwita niba ufite amateka y’ubusembwa bw’umuhogo. Iki gikorwa gisanzwe gikorerwa munsi y’ubuvuzi bwo mu mugongo cyangwa ubwo muri rusange kandi gifata iminota 30.

Muganga wawe ashobora kandi kugutegeka kongerera progesterone, haba nk’imiti ishyirwa mu gitsina cyangwa inshinge. Progesterone ifasha gutwita kandi ishobora gukomeza umuhogo. Kugabanya ibikorwa ntibisobanura kuruhuka mu buriri, ahubwo ni ukwirinda imirimo ikomeye no gukora imyitozo ikomeye.

Gahunda y’ubuvuzi izaterwa n’imimerere yawe, harimo amateka yawe yo gutwita, ibimenyetso ubu ufite, n’uburyo umuhogo wawe ugaragara kuri ultrasound.

Uburyo bwo gufata ubuvuzi bw’umuhogo udashoboye gukora mu rugo?

Guha ubusembwa bw’umuhogo mu rugo bisaba gukurikiza amabwiriza ya muganga wawe neza ugatega amatwi impinduka zose mu bimenyetso byawe. Gahunda yawe yo kuvurwa mu rugo izahujwe n’imimerere yawe n’uburyo bwo kuvura.

Niba muganga wawe akugira inama yo kugabanya ibikorwa, ibi bisobanura kwirinda imirimo ikomeye, guhagarara igihe kirekire, no gukora imyitozo ikomeye. Ntukeneye kuruhuka mu buriri, ariko ugomba kwihuta kandi kuruhuka igihe wumva unaniwe cyangwa ufite umuvuduko mu kibuno.

Kurikirana ibimenyetso byawe buri munsi kandi ubandike impinduka zose mu mubyimba, kuribwa, cyangwa umuvuduko mu kibuno. Abaganga benshi bagira inama yo kubika urutonde rw’uko wumva buri munsi, ibyo bishobora gufasha kumenya ibintu cyangwa impinduka.

Niba ufite amazi menshi kandi ugire imirire myiza kugira ngo ushyigikire ubuzima bwawe muri rusange no gutwita. Irinde impatwe mu kurya ibiryo byuzuye amafibres no kunywa amazi menshi, kuko gukora imbaraga bishobora gushyira umuvuduko mwinshi ku muhogo wawe.

Komeza gukurikirana gahunda yose y’ibikorwa, nubwo wumva umeze neza. Gukurikirana buri gihe ni ingenzi mu kubona impinduka zose mbere y’uko ziba ibibazo bikomeye.

Ugomba gutegura gute inama yawe na muganga?

Gutegura inama yawe bifasha guhamya ko ubonye ubuvuzi burambuye kandi ubashe gusubiza ibibazo byawe byose. Za uriteguye kuganira ku bimenyetso byawe, impungenge, n’amateka yawe yo gutwita mu buryo burambuye.

Andika ibimenyetso byawe byose, harimo igihe byatangiye n’icyo biba byiza cyangwa biba bibi. Bandika ibintu byose wabonye, nko kuba ibimenyetso biba mu bihe runaka by’umunsi cyangwa hamwe n’ibikorwa runaka.

Zana urutonde rwuzuye rw’imiti yawe, imiti y’inyongera, n’ibibazo byose byo gutwita mbere. Niba warigeze ukorerwa ibikorwa ku muhogo mbere, zana ibyo byanditswe cyangwa menya amatariki n’ubwoko bw’ibikorwa.

Tegura urutonde rw’ibibazo ku bijyanye n’uburyo bwo kuvura, kubuzwa gukora, n’ibimenyetso by’umutekano ugomba kwitondera. Ntugatinye kubabaza icyo udasobanukiwe – muganga wawe ashaka ko uba uzi neza ibyerekeye indwara yawe.

Tekereza kuzana umuntu ugushigikira, cyane cyane niba wumva uhangayitse kubera ibyavuye mu isuzuma cyangwa uburyo bwo kuvura. Kugira umuntu uri aho bishobora kugufasha kwibuka amakuru akomeye no gutanga inkunga yo mu mutima.

Ni iki gikuru wakura ku muhogo udashoboye gukora?

Ikintu cy’ingenzi cyo kwibuka ku busembwa bw’umuhogo ni uko kumenya hakiri kare no kuvura neza bishobora kunoza cyane ibyavuye mu gutwita. Abagore benshi bafite iyi ndwara bakomeza bagira abana bazima bafite ubuvuzi bukwiye.

Niba ufite ibyago cyangwa warigeze kubura gutwita mu gihembwe cya kabiri, ntutinye kuganira n’umuganga wawe ku busembwa bw’umuhogo mu ntangiriro z’ubutwita. Gukurikirana no kuvura hakiri kare bishobora kugira uruhare runini.

Wibuke ko kugira ubusembwa bw’umuhogo ntibisobanura ko udashobora kugira gutwita byiza mu gihe kizaza. Hamwe no kuvura neza, abagore benshi bafite iyi ndwara babyara abana bazima, bakuze.

Komeza guhuza n’itsinda ryawe ry’ubuvuzi, kurikiza amabwiriza yabo, kandi ntukirengagize ibimenyetso byose bibangamira. Uburyo bwawe bwo gufata iyi ndwara ni kimwe mu bintu byiza ushobora gukorera wowe n’umwana wawe.

Ibibazo bikunze kubaho ku busembwa bw’umuhogo

Umuhogo udashoboye gukora ushobora gukira burundu?

Ubusembwa bw’umuhogo ni indwara igira ingaruka ku gutwita k’umuntu kuruta ikintu gishobora gukira burundu. Ariko rero, abagore benshi batwita neza kugeza igihe cyo kubyara bafite ubuvuzi bukwiye no gukurikirana. Buri gutwita bigomba gusuzuma ku giti cye, kandi ubuvuzi nka cerclage bushobora kuba bufite akamaro cyane mu kwirinda igihombo cyo gutwita.

Nzahomba gutwita kwawe niba mfite umuhogo udashoboye gukora?

Oya, kugira ubusembwa bw’umuhogo ntibisobanura ko uzahomba gutwita kwawe. Hamwe no kumenya hakiri kare no kuvura neza, abagore benshi bafite iyi ndwara babyara abana bazima. Ikintu nyamukuru ni ugukorana na muganga wawe kugira ngo ukurebe umuhogo wawe kandi ushyireho ubuvuzi igihe bikenewe.

Nshobora kubyara bisanzwe nyuma ya cervical cerclage?

Yego, abagore benshi bakoze cervical cerclage bashobora kubyara mu nda. Cerclage isanzwe ikurwaho hagati y’ibyumweru 36-37 byo gutwita, kandi ushobora kubyara bisanzwe nyuma y’ibyo. Muganga wawe azakuganira ku buryo bwiza bwo kubyara hashingiwe ku mimerere yawe n’uburyo ubutwita bwawe bugenda.

Umuhogo udashoboye gukora ushobora kumenyekana hakiri kare gute mu gihe cyo gutwita?

Ubusembwa bw’umuhogo busanzwe bukurikiwe kuva mu cyumweru cya 16-20 cyo gutwita, kuko icyo gihe impinduka z’umuhogo zisanzwe zigaragara. Niba ufite amateka y’iyi ndwara, muganga wawe ashobora gutangira gukurikirana hakiri kare. Transvaginal ultrasounds isanzwe ishobora kumenya kugabanuka kw’umuhogo mbere y’uko ubona ibimenyetso.

Umuhogo udashoboye gukora ugira ingaruka ku kubyara cyangwa gutwita?

Ubusembwa bw’umuhogo busanzwe ntibugira ingaruka ku bushobozi bwawe bwo gutwita, kuko ari ikibazo cyihariye kiba mu gihe cyo gutwita aho kuba mu gihe cyo gutwita. Ariko rero, niba warigeze ukorerwa ibikorwa byinshi ku muhogo byateye iyi ndwara, hashobora kubaho ingaruka ku kubyara. Uganire n’umuganga wawe igihe uteganya gutwita mu gihe kizaza.