Menorrhagia ni iki? Ibimenyetso, Impamvu, n'Uko Ivurwa

Menorrhagia ni izina ry’ubuganga rikoreshwa ku kuva amaraso menshi cyangwa igihe kirekire mu mihango. Niba uhinduranya agatambakazi cyangwa tampon buri saha mu gihe cy’amasaha menshi, cyangwa igihe cy’imihango yawe kirenga iminsi irindwi, ushobora kuba ufite menorrhagia.

Iki kibazo kibaho ku bagore bagera kuri umwe kuri batanu mu buzima bwabo. Nubwo imihango ikaze ishobora kugaragara nk’ikibazo gikomeye kandi kibangamira, inkuru nziza ni uko uburyo bwo kuvura bufatika buhari kugira ngo ugarure ubushobozi bwawe n’ituze.

Menorrhagia ni iki?

Menorrhagia bivuga ko amaraso ava mu mihango yawe menshi cyane cyangwa igihe kirekire kurusha ibyo abantu benshi bamenyereye. Abaganga babivugaho nk’igihe umuntu atakaje amaraso arenga mililitiro 80 mu gihe cy’imihango ye, nubwo utabikenera gupima.

Imihango yawe ifatwa nk’ikaze igihe ukeneye guhindura agatambakazi cyangwa tampon buri saha mu gihe cy’amasaha menshi yikurikiranya. Nanone ni menorrhagia igihe imihango yawe imara iminsi irenga irindwi, cyangwa igihe uvanaho ibice by’amaraso binini kurusha ikaramu.

Iki kibazo gishobora kubaho mu myaka yose yo kubyara. Bamwe mu bagore baragira rimwe na rimwe, abandi bakabana nacyo buri kwezi. Uko byagenda kose, ukwiriye ubufasha n’uburyo bwo kuvura bukubereye.

Ibimenyetso bya Menorrhagia ni ibihe?

Ibimenyetso by’ingenzi bya menorrhagia birenga gusa “imihango ikaze”. Uzabona impinduka nyinshi zibangamira imirimo yawe ya buri munsi n’ituze.

Dore ibimenyetso by’ingenzi ukwiye kwitondera:

• Guhinduranya agatambakazi cyangwa tampon buri saha mu gihe cy’amasaha menshi yikurikiranya
• Gukoresha amatambakazi abiri icyarimwe cyangwa agatambakazi hamwe na tampon kugira ngo urinde neza
• Kuva amaraso iminsi irenga irindwi
• Kuvanaho ibice by’amaraso binini kurusha ikaramu
• Kuva amaraso menshi cyane cyangwa gukuramo amaraso menshi cyane bitunguranye
• Kuva amaraso hagati y’imihango cyangwa nyuma yo gucura
• Kubabara cyane mu nda mu gihe imiti yo kugabanya ububabare idafasha

Ushobora kandi kugira ibimenyetso bifitanye isano no kubura amaraso. Ibyo birimo kumva unaniwe cyane, udashoboye, cyangwa ufite umwuka muke. Bamwe mu bagore babona umutima wabo ukubita vuba kurusha igihe, cyane cyane mu gihe bakora imyitozo ngororamubiri.

Niba kuva amaraso menshi bikubuza gusinzira, gukora, cyangwa gukora ibikorwa by’imibereho yawe, ibyo ni ikimenyetso kinini. Imihango yawe ntikwiye kugukurikira cyangwa kukutera impungenge zo kuva mu rugo.

Impamvu za Menorrhagia ni izihe?

Menorrhagia ishobora guterwa n’impamvu nyinshi zitandukanye. Rimwe na rimwe biba bifitanye isano n’impinduka z’imisemburo, andi mezi bikaba biterwa n’ibibazo by’imiterere y’imitegurire y’imyororokere.

Impamvu zisanzwe harimo:

• Kubura ubusugire bw’imisemburo, cyane cyane hagati ya estrogen na progesterone
• Uterine fibroids (ibice by’umubiri bidakomeretsa mu rufunzo rw’inda)
• Uterine polyps (ibice bito, bidakomeretsa ku rukuta rw’inda)
• Adenomyosis (igihe urukuta rw’inda rukura mu gikombe cy’inda)
• Ibishoboka byo gukumira gutwita (IUDs), cyane cyane ibya cuivre
• Imiti imwe nka anticoagulants
• Indwara z’umwijima
• Indwara z’amaraso zigira ingaruka ku gukama kw’amaraso

Biciye bugari, menorrhagia ishobora kugaragaza ibibazo bikomeye. Endometrial hyperplasia ibaho igihe urukuta rw’inda rukura cyane. Gake, kanseri y’inda cyangwa iy’inkondo y’inda ishobora gutera kuva amaraso menshi, nubwo ibi biba cyane ku bagore barengeje imyaka 45.

Rimwe na rimwe abaganga ntibashobora kumenya impamvu nyamukuru, ibyo bikaba byitwa kuva amaraso mu nda bidakomoka ku ndwara. Ibi ntibisobanura ko ntacyo wakora – uburyo bwo kuvura buracyakora neza.

Ni ryari ukwiye kujya kwa muganga kubera Menorrhagia?

Ukwiye kuvugana n’umuganga wawe niba imihango yawe yabaye myinshi cyangwa igihe kirekire kurusha ibyo wamenyereye. Ntugatege amatwi ngo urebe niba bizagenda ubwabyo, cyane cyane niba bigira ingaruka ku mibereho yawe.

Shaka ubufasha bw’abaganga vuba niba ufite ibimenyetso byose ibi bikurikira:

• Kuva amaraso akubura agatambakazi cyangwa tampon buri saha mu gihe cy’amasaha arenga abiri
• Imihango imara iminsi irenga irindwi
• Ibice by’amaraso binini kurusha ikaramu
• Kuva amaraso hagati y’imihango
• Kubabara cyane bikubuza gukora imirimo ya buri munsi

Ukwiye gushaka ubufasha bw’abaganga vuba niba wumva utuje, udashoboye, cyangwa unaniwe cyane. Ibi bimenyetso bishobora kugaragaza kubura amaraso menshi bikeneye ubufasha bwihuse.

Niba ufite umunaniro, umwuka muke, cyangwa umutima ukubita vuba, ibyo bishobora kuba ibimenyetso bya anemia iterwa no kubura amaraso. Nubwo atari ikintu kibangamira ubuzima bw’umuntu, ibi bimenyetso bisaba ko ujya kwa muganga uwo munsi cyangwa ukurikiyeho.

Ibyago byo kurwara Menorrhagia ni ibihe?

Ibintu bimwe bishobora kongera amahirwe yo kurwara menorrhagia. Gusobanukirwa ibyo byago bishobora kugufasha kumenya impinduka mu mihango yawe.

Imyaka igira uruhare runini mu kaga ufite. Abangavu batangiye imihango n’abagore begereza gucura bafite amahirwe menshi yo kuva amaraso menshi kubera impinduka z’imisemburo.

Dore ibyago by’ingenzi ukwiye kumenya:

• Kuba umwangavu cyangwa uri muri perimenopause (imyaka ibanziriza gucura)
• Kugira amateka yo mu muryango yo kuva amaraso menshi cyangwa indwara z’amaraso
• Kuba ufite umubyibuho ukabije
• Kugira diyabete cyangwa indwara z’umwijima
• Gukoresha imiti imwe, harimo anticoagulants
• Kugira polycystic ovary syndrome (PCOS)
• Ibibazo byabayeho mu gihe cyo gutwita
• Gukoresha IUDs za cuivre mu gukumira gutwita

Kugira kimwe cyangwa ibyago byinshi ntibisobanura ko uzabona menorrhagia. Abagore benshi bafite ibyo byago ntibabona kuva amaraso menshi, abandi badafite ibyago bizwi barabibona.

Ingaruka zishoboka za Menorrhagia ni izihe?

Nubwo menorrhagia ubwayo atari ikintu kibangamira ubuzima, ishobora gutera ingaruka zigira ingaruka ku buzima bwawe n’imibereho yawe. Ikibazo gisanzwe ni anemia iterwa no kubura umuringa kubera kubura amaraso bikomeje.

Anemia ibaho igihe umubiri wawe udafite uturemangingo tw’amaraso duhagije dutwara ogisijeni neza. Ushobora kumva unaniwe igihe cyose, udashoboye, cyangwa ukonje. Bamwe mu bagore babona uruhu rwabo rugaragara nk’urw’umweru cyangwa imisumari yabo ikaba ihindagurika.

Dore ingaruka nyamukuru zishobora kubaho:

• Anemia iterwa no kubura umuringa
• Umunaniro ukabije ubangamira imirimo ya buri munsi
• Kwikurura mu mibanire kubera gutinya kuva amaraso
• Impungenge cyangwa agahinda bifitanye isano no kuva amaraso menshi bidateganijwe
• Kubura ibitotsi kubera kuva amaraso nijoro
• Umutwaro w’amafaranga uterwa no kugura amatambakazi cyangwa tampon kenshi

Mu bihe bitoroshye, kuva amaraso menshi cyane bishobora gutera ingaruka zikomeye. Anemia ikabije ishobora gusaba ko umuntu aterwa amaraso, nubwo ibi bidahabaye kenshi. Bamwe mu bagore bagira ibibazo by’umutima niba anemia ikabije kandi idavuwe igihe kirekire.

Ingaruka zo mu mutwe ntizikwiye kwirengagizwa. Abagore benshi bumva bababajwe, bashyirwa mu gahinda, cyangwa batinya imihango yabo idateganijwe. Ibi bishobora kugira ingaruka ku mibanire, imirimo, n’imibereho muri rusange.

Menorrhagia ishobora gukumirwa gute?

Nubwo udashobora gukumira impamvu zose za menorrhagia, imyifatire myiza yo mu buzima ishobora kugabanya ibyago byawe. Kugira umubyibuho ukwiye no gucunga neza ibibazo by’ubuzima ni uburyo bwiza bwo gukumira.

Imikino ngororamubiri isanzwe ishobora kugufasha kuringaniza imisemburo yawe mu buryo bw’umwimerere. Gerageza gukora imyitozo ngororamubiri byibuze iminota 30 y’imyitozo ngororamubiri mu minsi myinshi yo mu cyumweru. Ibyo ntibikwiye kuba bikomeye – kugenda, koga, cyangwa yoga byose bibarirwa.

Dore intambwe zishobora kugufasha gukumira menorrhagia:

• Kugira umubyibuho ukwiye binyuze mu mirire yuzuye n’imyitozo ngororamubiri
• Gucunga umunaniro binyuze mu buryo bwo kuruhuka cyangwa inama
• Gusinzira bihagije (amasaha 7-9 buri joro)
• Gufata ibinyobwa by’umuringa niba umuganga wawe abikubwiye
• Kugabanya kunywa inzoga
• Kutanywa itabi, kuko bishobora kongera kubura ubusugire bw’imisemburo
• Kwita ku mihango yawe kugira ngo umenye impinduka hakiri kare

Niba ufite ibibazo nka diyabete cyangwa indwara z’umwijima, kubicunga neza bishobora kugufasha gukumira ibibazo by’imihango. Kwisuzumisha buri gihe kwa muganga bishobora gufata ibibazo mbere yuko bikomeza.

Impamvu zimwe za menorrhagia, nka indwara z’amaraso zikomoka ku muryango cyangwa ibibazo by’imiterere, ntibishobora gukumirwa. Ariko, kubimenya hakiri kare no kuvurwa bishobora kugabanya ingaruka zabyo ku buzima bwawe.

Menorrhagia ipima ite?

Umuganga wawe azatangira akubaza ibibazo birambuye ku mateka yawe y’imihango n’ibimenyetso byawe. Azashaka kumenya igihe imihango yawe imara, uko ikaze, n’igihe impinduka zatangiye.

Kwandika imihango yawe mu mezi make mbere y’isuzumwa bishobora kugufasha cyane. Andika amatariki y’imihango yawe, umubare w’amatambakazi cyangwa tampon ukoresha buri munsi, n’ibimenyetso byose nko kubabara mu nda cyangwa kuvamo ibice by’amaraso.

Uburyo bwo gupima busanzwe burimo intambwe nyinshi:

1. Amateka y’ubuzima n’isuzuma ry’umubiri
2. Isuzuma ry’inda kugira ngo harebwe ibibazo
3. Ibisuzumwa by’amaraso kugira ngo harebwe anemia, ibibazo by’umwijima, n’indwara z’amaraso
4. Isuzuma ryo kureba niba utwite kugira ngo harebwe ibibazo byo gutwita
5. Pap smear niba ugiye gukora isuzuma rya buri gihe

Bishingiye ku bimenyetso byawe n’ibisubizo by’ibizamini bya mbere, umuganga wawe ashobora kugusaba ibindi bizamini. Ultrasound ishobora kugaragaza fibroids, polyps, cyangwa ibindi bibazo by’imiterere mu nda yawe no mu gihagararo.

Rimwe na rimwe hakenerwa ibizamini byihariye. Endometrial biopsy irimo gufata igice gito cy’urukuta rw’inda kugira ngo harebwe uturemangingo tudasanzwe. Hysteroscopy iha umuganga wawe uburyo bwo kureba imbere mu nda yawe akoresheje ikintu gito, gifite umucyo.

Ntukabe impungenge niba ukeneye ibizamini byinshi – ubu buryo burambuye bufasha guhamya ko ubonye uburyo bwiza bwo kuvura. Ibizamini byinshi ni byihuse kandi biterwa gusa no kubabara gato.

Uburyo bwo kuvura Menorrhagia ni buhe?

Uburyo bwo kuvura menorrhagia biterwa n’impamvu nyamukuru, imyaka yawe, n’imishinga yawe yo gutwita mu gihe kizaza. Inkuru nziza ni uko hari uburyo bwinshi bufatika buhari, kuva ku miti kugeza ku buryo buto bwo kubaga.

Umuganga wawe azatangira ashyira imbere uburyo buto bwo kuvura. Imiti ishobora kenshi gutanga impumuro ikomeye idasaba kubaga cyangwa ibindi bikorwa.

Dore uburyo nyamukuru bwo kuvura:

• Gukumira gutwita hakoreshejwe imisemburo (imiti, ibitambakazi, cyangwa impeta) kugira ngo imihango irangire
• Ubuvuzi bwa progestin kugira ngo imisemburo irangire
• Imiti igabanya ububabare idafite steroide (NSAIDs) kugira ngo igabanye kuva amaraso n’ububabare
• Tranexamic acid kugira ngo amaraso akame neza
• Ibinyobwa by’umuringa kugira ngo bavure cyangwa bakumire anemia
• IUD ya hormone (Mirena) kugira ngo igabanye urukuta rw’inda

Niba imiti idahagije, umuganga wawe ashobora kugusaba ibindi bikorwa. Endometrial ablation yangiza urukuta rw’inda kugira ngo igabanye kuva amaraso. Iyi ni procedure ikorwa uwo munsi idakomeretsa kurusha kubaga.

Ku bagore bafite fibroids cyangwa polyps, uburyo bwo kubakuraho bushobora gukorwa mu nda idafunguwe. Kubaga indwara y’inda bikorwa gusa igihe ibindi bivuriro bitakora kandi udakeneye gutwita mu gihe kizaza.

Uburyo bukubereye bwo kuvura biterwa n’ibintu byinshi. Umuganga wawe azakorana nawe kugira ngo ubone uburyo buhuye n’imibereho yawe, intego zawe z’ubuzima, n’ibyo ukunda.

Uko wakwitaho mu rugo mu gihe ufite Menorrhagia

Mu gihe ukora n’umuganga wawe ku buryo bwo kuvura igihe kirekire, uburyo bwo kuvura mu rugo bushobora kugufasha gucunga kuva amaraso menshi neza. Ibyo bintu ntibizakiza menorrhagia, ariko bishobora gutuma ubuzima bwawe bwa buri munsi burushaho kuba bwiza.

Mbere na mbere, shaka ibikoresho byiza byo mu mihango biguha kurinda neza. Amatambakazi yo mu ijoro, tampon zikomeye, cyangwa ibikombe byo mu mihango bishobora kugutera icyizere no kurinda igihe kirekire.

Dore ingamba zo kwivura mu rugo zikora:

• Koresha igipfunsi cyangwa amazi ashyushye kugira ngo ugabanye ububabare mu nda
• Fata ibuprofen cyangwa naproxen kugira ngo ugabanye kuva amaraso n’ububabare
• Funga ibiryo byuzuye umuringa nka epinari, inyama zoroheje, n’ibishyimbo
• Kunywa amazi menshi
• Kuryama igihe kirekire mu minsi yawe ikaze
• Kwambara imyenda imirabura no gutwara ibikoresho byinshi igihe uvuye mu rugo
• Tegura ibikoresho byo kurinda matela yawe kugira ngo uruhuke

Bamwe mu bagore basanga ibiryo bimwe cyangwa ibinyobwa bifasha kugabanya kuva amaraso, nubwo ibimenyetso bya siyansi ari bike. Vitamin C ishobora kugufasha umubiri wawe gufata umuringa neza. Ubushakashatsi bumwe bwerekana ko sinamoni cyangwa imbuto zishobora kugira ingaruka nke zo kurwanya ububabare.

Gucunga umunaniro bishobora kandi gufasha, kuko imisemburo y’umunaniro ishobora kongera ibibazo by’imihango. Gerageza uburyo bwo kuruhuka nko guhumeka neza, gukora meditation, cyangwa yoga yoroheje. Gusinzira bihagije ni ingenzi cyane ku mibanire y’imisemburo.

Komeza kwita ku bikugirira neza. Ibyo bizaba byiza igihe uganira n’umuganga wawe ku buryo bwo kuvura.

Uko wakwitegura isuzumwa rya muganga

Kwitunganya mbere y’isuzumwa ryawe bishobora kugufasha kubona byinshi mu ruzinduko rwawe kandi bikaba byaha umuganga wawe amakuru yose akenewe kugira ngo akwiteho. Tangira ukusanya amakuru ku mihango yawe n’ibimenyetso byawe.

Kora ibitabo by’imihango yawe niba utarabikora. Kora amatariki y’imihango yawe, uko ikaze, n’ibimenyetso byose byibuze mu mihango ibiri mbere y’isuzumwa ryawe. Ibi biha umuganga wawe amakuru afatika yo gukoresha.

Dore ibyo wakwitegura mbere y’isuzumwa ryawe:

• Urutonde rw’imiti yose n’ibinyobwa ufasha
• Amateka yo mu muryango yo kuva amaraso menshi cyangwa indwara z’amaraso
• Ibibazo ku buryo bwo kuvura n’ingaruka zabyo
• Amakuru ku byo ukeneye mu gukumira gutwita n’imishinga yawe yo gutwita
• Ibisobanuro by’uko imihango igira ingaruka ku buzima bwawe bwa buri munsi
• Ibisubizo by’ibizamini byabanje cyangwa imyirondoro y’ubuvuzi ifitanye isano n’ibibazo by’abagore

Andika ibibazo byawe by’ingenzi mbere. Biragoye kwibuka ibyo washakaga kubaza umaze kwinjira mu cyumba cy’isuzumwa. Ntukabe impungenge zo kubaza icyakubangamiye.

Tegura umuntu ukunda cyangwa umuryango wawe kugira ngo aguhe inkunga, cyane cyane niba wumva uhangayitse. Bashobora kugufasha kwibuka amakuru y’ingenzi no kugutera inkunga.

Tegura isuzumwa ryawe mu gihe utari mu mihango niba bishoboka. Ibi biha umwanya wo gukora isuzuma ryuzuye, ariko ntukwiye gutinda gushaka ubufasha niba ufite ibimenyetso bikomeye.

Icyo ukwiye kumenya kuri Menorrhagia

Menorrhagia ni ikibazo gisanzwe ariko kivurwa gifata abagore benshi. Imihango ikaze cyangwa igihe kirekire si ikintu ukwiye kwihanganira nta kintu ukora – uburyo bwo kuvura bufatika buhari kugira ngo ugarure ituze ryawe n’imibereho yawe.

Ikintu cy’ingenzi cyo kwibuka ni uko uzi umubiri wawe kurusha undi. Niba imihango yawe yabaye myinshi cyane, igihe kirekire, cyangwa ibangamira kurusha ibyo wamenyereye, wizeye ibyo wumva kandi ushake ubufasha bw’abaganga.

Kuvurwa hakiri kare bishobora gukumira ingaruka nka anemia kandi bikagufasha gusubiza ubushobozi bwawe mu bikorwa bya buri munsi. Abagore benshi babona impumuro ikomeye mu buryo bwa mbere bagerageje, abandi bakeneye gushakisha uburyo butandukanye kugira ngo babone icyabakora.

Ntukemerere isoni cyangwa gutekereza ko imihango ikaze ari “isanzwe” bikubuza gushaka ubufasha. Umuganga wawe afite ubunararibonye bwinshi mu ndwara z’imihango kandi ashaka kugufasha kumva neza.

Hamwe no gupima neza no kuvura, abagore benshi bafite menorrhagia bashobora gusubira kugira imihango yoroshye idabangamira ubuzima bwabo. Ukwiriye kumva utekanye kandi ufite icyizere buri munsi w’ukwezi.

Ibibazo byakenshi bibazwa kuri Menorrhagia

Q1: Nshobora kumenya gute niba imihango yanjye ikaze ku buryo ifatwa nk’menorhagia?

Niba uhinduranya agatambakazi cyangwa tampon buri saha mu gihe cy’amasaha menshi yikurikiranya, cyangwa niba imihango yawe imara iminsi irenga irindwi, ushobora kuba ufite menorrhagia. Kuvanaho ibice by’amaraso binini kurusha ikaramu cyangwa kuva amaraso menshi cyane bitunguranye ni ibimenyetso byo kuva amaraso menshi atari asanzwe.

Ntukwiye gupima umubare nyakuri w’amaraso yatakaye. Ibaze uko imihango yawe igereranywa n’ibyo wamenyereye kandi niba ibangamira imirimo yawe ya buri munsi.

Q2: Menorrhagia ishobora gutera kubura imbyaro?

Menorrhagia ubwayo ntisanzwe itera kubura imbyaro, ariko impamvu zimwe zishobora kugira ingaruka ku bushobozi bwawe bwo gutwita. Ibibazo nka fibroids, polyps, cyangwa kubura ubusugire bw’imisemburo bishobora rimwe na rimwe kubangamira gutwita.

Inkuru nziza ni uko uburyo bwinshi bwo kuvura menorrhagia bushobora gutuma imbyaro zirushaho kuba nziza binyuze mu gukemura ibyo bibazo. Niba ugerageza gutwita, biganire n’umuganga wawe igihe uhisemo uburyo bwo kuvura.

Q3: Ni byiza gukora imyitozo ngororamubiri mu gihe cy’imihango ikaze?

Imikino ngororamubiri yoroheje cyangwa yo hagati ni myiza kandi ishobora kugufasha kugabanya ububabare mu nda no kunoza imitekerereze yawe mu gihe cy’imihango ikaze. Ibikorwa nko kugenda, yoga yoroheje, cyangwa koga bishobora kugufasha.

Tega amatwi umubiri wawe kandi wirinde imyitozo ikomeye niba wumva unaniwe cyangwa utuje kubera kubura amaraso. Niba ufite anemia ikabije, umuganga wawe ashobora kugusaba kugabanya imyitozo ngororamubiri kugeza igihe umubare w’umuringa wawe uzamutse.

Q4: Menorrhagia izagenda ubwayo?

Rimwe na rimwe menorrhagia irakira ubwayo, cyane cyane niba iterwa n’impinduka z’imisemburo z’igihe gito. Ariko, ni ingenzi kudategereza no kwiringira ko izagenda, cyane cyane niba igira ingaruka ku mibereho yawe.

Kuvurwa hakiri kare bishobora gukumira ingaruka kandi bikagufasha kumva neza vuba. Impamvu nyinshi z’imiterere ya menorrhagia zikenera uburyo bwo kuvura kugira ngo zikemuke burundu.

Q5: Umunaniro ushobora kongera menorrhagia?

Yego, umunaniro uhoraho ushobora kongera menorrhagia binyuze mu kubangamira imibanire y’imisemburo yawe. Umunaniro ugira ingaruka ku miterere ya hypothalamic-pituitary-ovarian, igenzura imihango yawe.

Gucunga umunaniro binyuze mu buryo bwo kuruhuka, gusinzira bihagije, n’imyitozo ngororamubiri isanzwe bishobora kugufasha kugabanya ubukana bwo kuva amaraso menshi. Ariko, niba ufite menorrhagia, ushobora kuba ukeneye uburyo bwo kuvura uhereye kwa muganga uretse gucunga umunaniro.