Menorrhagie

Abagore bamwe bagira imihango myinshi cyangwa ikamara iminsi irenga mike. Iyi ndwara yahoze yitwa menorrhagia. Kugira imihango myinshi ni ikibazo gisanzwe. Ariko abagore benshi ntabwo babura amaraso menshi ku buryo byakwitwa imihango myinshi.

Abagore bamwe bagira imihango hagati y’imihango, cyangwa mbere cyangwa nyuma y’igihe cyayo kurusha uko byari biteganyijwe. Ubu bwoko bw’imihango bwitwa imihango idasanzwe y’umura, cyangwa imihango idakurikije igihe.

Ku bagira imihango myinshi, amaraso menshi n’ububabare bigora gukora ibikorwa byawe bisanzwe. Niba utinya igihe cy’imihango yawe kuko ugira imihango myinshi, vugana na muganga wawe. Hari uburyo bwinshi bwo kuvura bushobora kugufasha.

Ibimenyetso byo kuva amaraso menshi mu mihango bishobora kuba birimo: Kwibagirwa cyangwa gukoresha agatambakazi cyangwa tampon buri saha amasaha menshi yikurikiranya. Gukenera kurinda ubwirinzi bw'isuku kugira ngo ugenzure amaraso yawe. Kwikangurira mu ijoro guhindura agatambakazi cyangwa tampon. Kuva amaraso iminsi irenga icyumweru. Gukuramo amaraso menshi arenze igice cy'ikiganza. Kugabanya ibikorwa bya buri munsi kubera amaraso menshi mu mihango. Kumva unaniwe, unaniwe cyangwa ufite umwuka muke kubera kubura amaraso. Shaka ubufasha bw'abaganga mbere y'iperereza ryawe rikurikira niba ufite: Kuva amaraso mu gitsina byinshi ku buryo byibagirwa nibura agatambakazi kimwe cyangwa tampon isaha imwe irenga amasaha abiri yikurikiranya. Kuva amaraso hagati y'imihango cyangwa kuva amaraso mu gitsina bidasanzwe. Kuva amaraso mu gitsina nyuma y'ihindagurika ry'imyaka.

Shaka ubufasha bwa muganga mbere y'ikizamini cyawe gikurikiraho niba ufite:

• Ukuva amaraso mu gitsina byinshi ku buryo binyonyora agatambakazi cyangwa tamponi byibuze kimwe isaha ku isaha igihe kirenga amasaha abiri yikurikiranya.
• Ukuva amaraso hagati y'iminsi y'imihango cyangwa kuva amaraso mu gitsina bidasanzwe.
• Ukuva amaraso mu gitsina nyuma y'ihindagurika ry'imihango.

Hari ubwoko butatu bukomeye bw'ibibyimba byo mu kibuno. Ibibyimba byo mu kibuno biri mu gikuta cy'imikaya yacyo. Ibibyimba byo mu kibuno biri munsi y'urwambika rwo hanze byinjira mu kibuno. Ibibyimba byo mu kibuno biri munsi y'urwambika rwo hanze bigaragara hanze y'umubiri w'umugore. Bimwe mu bibyimba byo mu kibuno biri munsi y'urwambika rwo hanze bishobora kuba bifite umukindo. Ibi bivuze ko bimanuka mu kibuno cyangwa hanze yacyo.

Uduce duto two mu kibuno twikurura ku kibuno gifite urufatiro runini cyangwa umukindo muto. Dushobora gukura kugera kuri santimetero nyinshi. Uduce duto two mu kibuno dushobora gutera kuva kw'amaraso adasanzwe, kuva kw'amaraso nyuma yo kubura imihango, kuva kw'amaraso menshi cyane cyangwa kuva kw'amaraso hagati y'imihango.

Hamwe na adenomyosis, ubwoko bw'umubiri uhuza ikibuno buri mu mikaya igize inkuta z'ikibuno. Nanone ishobora gukura kuva ku ruhare rw'ikibuno igana mu nkuta z'ikibuno. Uyu mubiri uzwi kandi nka endometrium.

Mu mubare w'ibintu, impamvu yo kuva kw'amaraso menshi ntirazwi. Ariko ibintu byinshi bishobora gutera kuva kw'amaraso menshi. Birimwo:

• Hormones zitari mu mibanire. Mu gihe cy'imihango isanzwe, hari ubwumvikane hagati ya hormones estrogen na progesterone. Ibi bigengura uburyo umubiri w'ikibuno wikwirakwira. Umubiri w'ikibuno uzwi kandi nka endometrium. Uyu mubiri ucika mu gihe cy'imihango. Iyo hormones zitari mu mibanire, umubiri uba ukomeye cyane kandi ucika binyuze mu kuva kw'amaraso menshi cyangwa kuva kw'amaraso bitunguranye hagati y'imihango.

  Ibintu byinshi bishobora gutera kudahuza kwa hormones. Birimwo umubyibuho ukabije, kudakora neza kwa insulin, ibibazo by'umwijima na polycystic ovary syndrome, bizwi kandi nka PCOS.

• Ibibazo by'igihembo. Rimwe na rimwe igihembo ntikira umugore mu gihe cy'imihango. Ibi bizwi kandi nka anovulation. Ibi bibaye, umubiri ntukora hormone progesterone uko bisanzwe mu gihe cy'imihango. Ibi bituma hormones zitahura kandi bishobora gutera kuva kw'amaraso menshi cyangwa kuva kw'amaraso bitunguranye hagati y'imihango.

• Ibibyimba byo mu kibuno. Ibi bibyimba bikura mu myaka yo kubyara. Ni byiza, bivuze ko atari kanseri. Ibibyimba byo mu kibuno bishobora gutera kuva kw'amaraso menshi cyane cyangwa kuva kw'amaraso igihe kirekire.

• Uduce duto. Ibi bintu bito biri ku mubiri w'ikibuno bishobora gutera kuva kw'amaraso menshi cyangwa igihe kirekire. Bishobora gutera kuva kw'amaraso hagati y'imihango. Uduce duto dushobora gutera kuva kw'amaraso gato cyangwa kuva kw'amaraso nyuma yo kubura imihango. Ibi bintu atari kanseri.

• Adenomyosis. Muri iki kibazo, imisemburo yo ku mubiri w'ikibuno ikura mu gikuta cy'ikibuno ubwayo. Ibi bishobora gutera kuva kw'amaraso menshi n'ububabare mu gihe cy'imihango.

• Igikoresho cyo mu kibuno, kizwi kandi nka IUD. Kuva kw'amaraso menshi ni ingaruka mbi izwi cyane yo gukoresha IUD idafite hormone mu kuboneza urubyaro. Muganiro na muganga wawe ku bindi bikoresho byo kuboneza urubyaro. IUD zifite progestin zishobora kugabanya kuva kw'amaraso menshi.

• Ibibazo byo gutwita. Igihe kimwe, kuva kw'amaraso menshi, igihe cy'imihango cyatinze bishobora guterwa no kubura imbabura. Ikindi kintu gitera kuva kw'amaraso menshi mu gihe cyo gutwita harimo aho placenta iri, itanga amafunguro ku mwana kandi ikuraho imyanda. Placenta ishobora kuba hasi cyane cyangwa ikakingira umwanya wo hanze w'ikibuno, witwa cervix. Iki kibazo kizwi kandi nka placenta previa.

• Kanseri. Kanseri y'ikibuno cyangwa cervix ishobora gutera kuva kw'amaraso adasanzwe, kuva kw'amaraso bitunguranye cyangwa menshi. Iyi kanseri ishobora kuba mbere cyangwa nyuma yo kubura imihango. Abagore bagiye bakora ikizamini cya Pap kitari cyiza mbere bafite ibyago byinshi byo kurwara kanseri ya cervix.

• Ibibazo byo kuva kw'amaraso byo mu muryango. Bimwe mu bibazo byo kuva kw'amaraso biri mu miryango bitera kuva kw'amaraso menshi. Birimwo indwara ya von Willebrand, indwara aho amaraso atakomera neza.

• Imiti. Imiti imwe ishobora gutera kuva kw'amaraso menshi cyangwa igihe kirekire. Birimwo imiti ya hormone nka pilule zo kuboneza urubyaro zifite estrogen na progestin. Iyi miti isanzwe ifasha kugabanya kuva kw'amaraso ariko rimwe na rimwe itera kuva kw'amaraso bitunguranye hagati y'imihango. Imiti ibuza amaraso gukomera ishobora gutera kuva kw'amaraso menshi. Birimwo warfarin (Jantoven), enoxaparin (Lovenox), apixaban (Eliquis) na rivaroxaban (Xarelto).

• Ibindi bibazo by'ubuzima. Ibintu byinshi by'ubuzima bishobora gutera kuva kw'amaraso menshi. Birimwo indwara z'umwijima, impyiko n'umwijima.

Hormones zitari mu mibanire. Mu gihe cy'imihango isanzwe, hari ubwumvikane hagati ya hormones estrogen na progesterone. Ibi bigengura uburyo umubiri w'ikibuno wikwirakwira. Umubiri w'ikibuno uzwi kandi nka endometrium. Uyu mubiri ucika mu gihe cy'imihango. Iyo hormones zitari mu mibanire, umubiri uba ukomeye cyane kandi ucika binyuze mu kuva kw'amaraso menshi cyangwa kuva kw'amaraso bitunguranye hagati y'imihango.

A number of conditions can cause hormone imbalances. These include obesity, insulin resistance, thyroid problems and polycystic ovary syndrome, which also is called PCOS.

Ibintu byongera ibyago bihinduka bitewe n'imyaka n'uburwayi ufite. Ubusanzwe, igihuha ry'igi ryavuye mu myenda y'igitsina kibyara rimenyesha umubiri gukora progesterone. Progesterone ni hormone ikomeye ishinzwe gutuma imihango iba buri gihe. Niba nta gihuha ryavuye, umubiri ntukora progesterone ihagije. Ibi bishobora gutera kuva amaraso menshi cyangwa kuva amaraso bitunguranye hagati y'imihango.

Mu bangavu, imihango idahwitse cyangwa kuva amaraso menshi kenshi bibaho iyo nta gihuha ryavuye mu gihe cy'imihango. Abangavu bafite amahirwe menshi yo kugira imihango idafite igihuha mu mwaka wa mbere nyuma yo kubona imihango ya mbere.

Mu bagore bakuze bafite ubushobozi bwo kubyara, kuva amaraso menshi kenshi biterwa n'ibibazo by'umura. Ibi birimo fibroids, polyps na adenomyosis. Ariko ibindi bibazo bishobora kandi gutera kuva amaraso menshi. Ingero harimo kanseri y'umura, indwara z'amaraso, ingaruka mbi z'imiti, n'indwara z'umwijima cyangwa impyiko.

Kuva kw'inda bishobora gutera izindi ndwara. Izo ndwara zirimo:

• Kubabara cyane. Hamwe no kuva kw'inda cyane, ushobora kugira ububabare bukabije mu gihe cy'imihango. Ibi bizwi kandi nka dysmenorrhea. Vugana na muganga wawe niba ububabare bugukoma amanga mu bikorwa byawe bya buri munsi.

Anemia. Kuva kw'inda cyane bishobora gutera anemia iterwa no kubura amaraso. Anemia ni uburwayi aho umubiri ubura uturemangingo tw'amaraso dutukura duha umubiri oxygen. Umubare w'uturemangingo tw'amaraso dutukura upimwa hakurikijwe igipimo cya hemoglobin. Hemoglobin ni poroteyine iri mu turemangingo tw'amaraso dutukura itwara oxygen mu mubiri wose.

Ibimenyetso birimo kubabara umutwe no kunanirwa. Nubwo indyo ikinjira mu kibazo cy'anemia iterwa no kubura ibyuma, ikibazo kirushaho kuba kibi kubera imihango myinshi.

Mu gihe cyo gukora hysterosonography (his-tur-o-suh-NOG-ruh-fee), bashyiramo umuyoboro muto, woroshye witwa catheter mu kibuno. Amazi y’umunyu, bita na saline, ashyirwamo muri uwo muyoboro winjira mu gice cy’imbere cy’ikibuno. Igikoresho cyo gukora ultrasound gitanga amashusho y’imbere y’ikibuno kuri ecran iri hafi.

Mu gihe cyo gukora hysteroscopy (his-tur-OS-kuh-pee), igikoresho gito, gifite amatara, kigaragaza imbere y’ikibuno. Iki gikoresho na cyo cyitwa hysteroscope.

Umwe mu bagize itsinda ry’ubuvuzi ryawe azakubaza ibyerekeye amateka yawe y’ubuzima n’imihango yawe. Ushobora gusabwa kwandika ibyo wabonye kugira ngo umenye iminsi ufite imihango n’iminsi utayifite. Andika amakuru nko kumenya uburemere bw’amaraso yawe n’umubare w’udukarito cyangwa tampons wakoresheje kugira ngo ubigumure.

Nyuma yo gukora isuzuma ngaruka mbere, muganga wawe cyangwa undi muntu wo mu itsinda ryawe ry’ubuvuzi ashobora kugutegurira ibizamini cyangwa ubundi buryo. Bishobora kuba birimo:

• Ibizamini by’amaraso. Igice cy’amaraso yawe gishobora gupimwa kugira ngo harebwe niba ufite ubuke bw’amabuye y’umutuku. Icyo gice gishobora kandi gupimwa kugira ngo harebwe izindi ndwara, nko kudakora neza kwa thyroid cyangwa ibibazo byo gukama amaraso.
• Ibizamini bya Pap. Muri iki kizami, bashobora gukuramo utunyangingo mu kiziba cy’inkondo y’umura. Bapima kugira ngo barebe niba hari ububabare cyangwa impinduka zishobora kuba kanseri, bisobanura ko bishobora gutera kanseri. Utunyangingo turapimirwa kandi kugira ngo harebwe virus ya papilloma y’abantu mu bagore bafite imyaka iri hagati ya 25 na 30 n’abarengeje iyo myaka.
• Biopsy y’umura. Muganga wawe ashobora gukuramo igice cy’umubiri mu gice cy’imbere cy’ikibuno. Umuganga upima utunyangingo azareba ibimenyetso bya kanseri cyangwa kanseri itaratera mu kibuno.
• Ultrasound. Ubu buryo bwo kubona amashusho bukoresha amajwi kugira ngo bukore amashusho y’ikibuno cyawe, amagi n’igice cy’imbere cy’igice cy’ibanga.

Ibisubizo by’ibyo bizamini bya mbere bishobora gutuma hakorwa ibindi bizamini, birimo:

• Sonohysterography. Muri iki kizami, amazi ashyirwamo mu muyoboro winjira mu kibuno cyawe binyuze mu gitsina na kiziba cy’inkondo y’umura. Muganga wawe azakoresha ultrasound kugira ngo arebe ibibazo biri mu gice cy’imbere cy’ikibuno.
• Hysteroscopy. Igikoresho gito gifite amatara gishyirwa mu gitsina na kiziba cy’inkondo y’umura winjira mu kibuno. Ibi bituma muganga wawe abona imbere y’ikibuno.

Muganga wawe ashobora kumenya neza icyateye kuva amaraso menshi cyangwa kuva amaraso atari ayo mu mihango gusa nyuma yo kumenya ko nta kindi kibitera. Ibyo bintu bishobora kuba birimo indwara z’imihango, izindi ndwara cyangwa imiti.