Indwara y’Ukwandura mu Gitsina (PID): Ibimenyetso, Intandaro, n’Umuti

Indwara y’ukwandura mu gitsina (PID) ni ubwandu bugira ingaruka ku ngingo z’imyororokere, harimo umura, amajwi y’imbuto, n’amagi. Bibaho iyo udukoko dutera indwara duzamuka uvuye mu gitsina cyangwa mu kiziba cy’umura ujya muri ibyo bice bisanzwe bidafite udukoko, bigatera kubyimba kandi bigatera ibibazo bikomeye niba bitavuwe.

Iyi ndwara igira ingaruka kuri miliyoni z’abagore buri mwaka, kandi inkuru nziza ni uko ivurwa neza hamwe n’ubuvuzi bukwiye. Gusobanukirwa ibimenyetso no kuvurwa vuba birashobora gufasha kurinda ubuzima bw’imyororokere yawe no gukumira ibibazo by’igihe kirekire.

Ni ibihe bimenyetso by’indwara y’ukwandura mu gitsina?

Ibimenyetso bya PID birashobora kuba byoroshye cyangwa bikomeye, kandi bamwe mu bagore nta bimenyetso bagira na gato mu ntangiriro. Ikibazo ni uko ibimenyetso bikunze kuza gahoro gahoro, bigatuma byoroshye kubireka cyangwa kubipfobya nk’izindi ndwara.

Dore ibimenyetso bisanzwe umubiri wawe ushobora kugaragaza ko ufite PID:

• Kubabara mu nda hasi cyangwa mu gitsina bishobora kuba bikomeye mu gihe cy’imihango cyangwa igihe ukora imibonano mpuzabitsina
• Ibisohora mu gitsina bidasanzwe bishobora kuba byera, by’icyatsi, cyangwa bifite impumuro ikomeye
• Imihango idasanzwe cyangwa kuva amaraso hagati y’imihango
• Kubabara cyangwa gutwika mu gihe umuntu ashaka
• Kubabara mu gihe ukora imibonano mpuzabitsina
• Guhinda umuriro no kugira imbeho, cyane cyane mu gihe cy’ubwandu bukomeye
• Kugira isereri no kuruka mu gihe cy’ubwandu bukomeye

Bamwe mu bagore bagira icyo abaganga bita “PID ituje,” aho ubwandu burakomeza nta bimenyetso bigaragara. Ibi bituma gusuzuma buri gihe kwa muganga ari ingenzi, kuko muganga ashobora kubona ibimenyetso by’ubwandu naho wumva umeze neza.

Ni iki giteza indwara y’ukwandura mu gitsina?

PID iterwa n’udukoko dutera indwara duva mu gitsina cyangwa mu kiziba cy’umura ujya mu ngingo z’imyororokere. Benshi mu barwayi batangira bafite indwara zandurira mu mibonano mpuzabitsina, ariko ibindi bintu bishobora kandi gutera iyi ndwara.

Udukoko dutera indwara dusanzwe twibasira harimo:

• Chlamydia na gonorrhea (zigira uruhare mu bipimo 90% bya PID)
• Udukoko dusanzwe tuba mu gitsina twiyongera
• Udukoko dutera indwara twinjira mu gihe cy’ubuvuzi
• Mycoplasma genitalium, indwara zandurira mu mibonano mpuzabitsina idakunda kugaragara

Ubwugarizi bw’umubiri wawe busanzwe burabuza udukoko dutera indwara kuzamuka, ariko ibintu bimwe na bimwe bishobora gutuma ubu bwugarizi budakora neza. Mu gihe cy’imihango, kiziba cy’umura gifunguka gato, bigatuma udukoko dutera indwara dushobora kwinjira. Ibikorwa by’ubuvuzi nko gushyiramo IUD cyangwa gukuramo inda bishobora kandi guhungabanya ubwugarizi bw’umubiri wawe by’agateganyo.

Bikwiye kuzirikana ko PID atari indwara zandurira mu mibonano mpuzabitsina gusa. Rimwe na rimwe, udukoko dusanzwe tuba mu gitsina dushobora kwiyongera kandi katera ibibazo, cyane cyane niba ubudahangarwa bw’umubiri wawe butameze neza cyangwa niba pH y’igitsina cyawe idahwitse.

Ni ryari ukwiye kujya kwa muganga kubera indwara y’ukwandura mu gitsina?

Ukwiye kuvugana na muganga wawe niba ufite ububabare buhoraho mu gitsina, ibisohora mu gitsina bidasanzwe, cyangwa ikindi kimenyetso icyo ari cyo cyose cya PID. Kuvurwa hakiri kare bigira uruhare rukomeye mu gukumira ibibazo no kurinda ubushobozi bwawe bwo kubyara.

Shaka ubuvuzi bw’ihutirwa niba ufite ibimenyetso bikomeye nko guhinda umuriro mwinshi, ububabare bukomeye mu nda, isereri no kuruka, cyangwa guta ubwenge. Ibi bimenyetso bishobora kugaragaza ubwandu bukomeye bukeneye kuvurwa vuba.

Ntugatege amatwi niba uri umukobwa ukora imibonano mpuzabitsina kandi ukabona impinduka mu mihango yawe, ububabare mu gihe ukora imibonano mpuzabitsina, cyangwa ibisohora mu gitsina bidasanzwe. Ndetse n’ibimenyetso byoroshye bikwiye kwitabwaho, cyane cyane niba ufite ibyago byo kwandura indwara zandurira mu mibonano mpuzabitsina cyangwa wahuye n’ubwandu.

Ni ibihe bintu byongera ibyago byo kurwara indwara y’ukwandura mu gitsina?

Gusobanukirwa ibyago byawe birashobora kugufasha gufata ingamba zo kwirinda no kumenya igihe ukwiye kwitondera ibimenyetso. Bimwe mu bintu byongera ibyago byo kurwara PID kurusha ibindi.

Ibyago by’ingenzi harimo:

• Kugira abakunzi benshi cyangwa umukunzi ufite abakunzi benshi
• Amateka y’indwara zandurira mu mibonano mpuzabitsina, cyane cyane chlamydia cyangwa gonorrhea
• Ibindi bipimo bya PID
• Kuba uri umukobwa ukora imibonano mpuzabitsina uri munsi y’imyaka 25
• Kudakoresha uburyo bwo kwirinda mu gihe ukora imibonano mpuzabitsina
• Gusukura igitsina kenshi, bishobora guhungabanya ubwinshi bw’udukoko tuba mu gitsina
• Gushyiramo IUD vuba aha (ibyago biri hejuru mu byumweru bike byambere)

Imyaka igira uruhare kuko kiziba cy’umura cy’abakobwa bato kiba kikiri gutera imbere kandi gishobora kuba cyoroshye kwandura. Ariko kandi, PID ishobora kwibasira abagore b’imyaka yose bakora imibonano mpuzabitsina.

Kugira ibi byago ntibisobanura ko uzahita urwara PID. Bisobanura gusa ko ukwiye kumenya ibimenyetso no kujya kwa muganga buri gihe.

Ni ibihe bibazo bishobora guterwa n’indwara y’ukwandura mu gitsina?

Nubwo PID ivurwa, ubwandu butavuwe cyangwa buhoraho bushobora gutera ibibazo bikomeye by’igihe kirekire. Gusobanukirwa ibi bibazo bishobora guterwa birashakira gusobanura impamvu kuvurwa hakiri kare ari ingenzi cyane ku buzima bw’imyororokere yawe.

Ibibazo bikomeye harimo:

• Kudapfa kubyara kubera ibikomere mu majwi y’imbuto
• Gutwita hanze y’umura iyo intanga z’umugabo zidashobora kunyura mu majwi y’imbuto yangiritse
• Ububabare buhoraho mu gitsina bushobora kumara amezi cyangwa imyaka
• Ububabare mu majwi y’imbuto n’amagi, ubwandu bukomeye bukeneye kuvurwa vuba
• Ibyago byiyongereye byo kurwara PID mu gihe kizaza

Ibikomere mu majwi y’imbuto ni ikibazo gikomeye cy’igihe kirekire. Ndetse n’ibikomere bito bishobora gutuma bigorana ko intanga z’umugore zivamo mu magi zijya mu mura, bigashobora kugira ingaruka ku bushobozi bwawe bwo gutwita mu buryo bw’umwimerere.

Inkuru nziza ni uko kuvurwa hakiri kare, neza bigabanya cyane ibyago by’ibi bibazo. Abagore benshi bavurwa hakiri kare bakira neza nta ngaruka z’igihe kirekire ku buzima bwabo bw’imyororokere.

Indwara y’ukwandura mu gitsina imenyekanwa gute?

Kumenya PID bishobora kuba bigoye kuko ibimenyetso bikunze gusa n’ibindi bibazo nko kubabara umura, imikaya mu magi, cyangwa ubwandu bw’inzira zumwimerere. Muganga wawe azakoresha uburyo butandukanye kugira ngo amenye niba ufite PID.

Uburyo bwo kuvura busanzwe burimo isuzuma ry’igitsina aho muganga wawe asuzumira ububabare, ibisohora mu gitsina bidasanzwe, cyangwa ibimenyetso by’ubwandu. Azakubaza ibibazo birambuye ku bimenyetso byawe, amateka y’imibonano mpuzabitsina, n’imihango yawe.

Ibisuzumwa by’inyongera bishobora kuba harimo gusuzuma amaraso kugira ngo harebwe ibimenyetso by’ubwandu, gusuzuma imyeyo kugira ngo harebwe niba nta bwandu bw’inzira zumwimerere, no guhinga ibisohora mu gitsina cyangwa mu kiziba cy’umura kugira ngo hamenyekane udukoko dutera indwara. Mu bihe bimwe na bimwe, muganga wawe ashobora kugusaba gukora ultrasound cyangwa CT scan kugira ngo arebe niba hari ububabare cyangwa ibindi bibazo.

Rimwe na rimwe, kuvura bisaba uburyo bwitwa laparoscopy, aho kamera nto ishyirwa mu kibuno kugira ngo isuzume neza ingingo z’imyororokere. Ibi bikunze gukorwa mu gihe ibintu bitumvikana cyangwa hari ibibazo bikekwa.

Ni iki kivura indwara y’ukwandura mu gitsina?

Kuvura PID byibanda ku gukuraho ubwandu hakoreshejwe imiti igabanya ubukana bw’ubwandu no gucunga ibimenyetso byawe mu gihe umubiri wawe ukirinda. Uko kuvurwa gutangira vuba, ni ko amahirwe yo kwirinda ibibazo aba menshi.

Muganga wawe azakwandikira imiti igabanya ubukana bw’ubwandu kugira ngo ihagarike udukoko dutera indwara. Ibi bikunze gukorwa hakoreshejwe imiti ibiri itandukanye y’igihe cy’iminsi 10-14 kugira ngo habeho gukuraho udukoko dutera indwara.

Uburyo bwo kuvura harimo:

• Imiti igabanya ubukana bw’ubwandu ifatwa mu kanwa mu gihe cy’ubwandu buke cyangwa bwo hagati
• Imiti igabanya ubukana bw’ubwandu iterwa mu mubiri ikurikiwe n’imiti ifatwa mu kanwa
• Kuvurirwa mu bitaro hakoreshejwe imiti igabanya ubukana bw’ubwandu iterwa mu mubiri mu gihe cy’ubwandu bukomeye
• Imiti igabanya ububabare kugira ngo igabanye ububabare mu gihe cyo gukira

Ni ngombwa gufata imiti yose y’igabanya ubukana bw’ubwandu nk’uko yagutegetswe, naho waba utangiye kumva umeze neza. Guhagarika hakiri kare bishobora gutuma udukoko dutera indwara dusubira kandi bigatuma rugira imbaraga mu kuvurwa.

Uwo mwashakanye (abo mwashakanye) nawe akwiye kuvurwa, naho adafite ibimenyetso. Ibi birabuza kongera kwandura no guhagarika ikwirakwira ry’indwara zandurira mu mibonano mpuzabitsina zishobora kuba zarateye PID.

Uko wakwitaho mu gihe cyo kuvurwa indwara y’ukwandura mu gitsina

Kwitaho mu gihe cyo kuvurwa PID bifasha umubiri wawe gukira neza kandi bishobora kugabanya ububabare mu gihe imiti igabanya ubukana bw’ubwandu ikora. Kuruhuka no kwitaho umubiri wawe bigira uruhare rukomeye mu gukira.

Fata umwanya wo kuruhuka uhagije kandi wirinde ibikorwa bikomeye kugeza ibimenyetso byawe bigabanutse. Umubiri wawe ukeneye imbaraga zo kurwanya ubwandu, ntukirengagize cyane mu minsi mike ya mbere yo kuvurwa.

Niba uhagije amazi kandi urye ibiryo biringaniye kugira ngo ushyigikire ubudahangarwa bw’umubiri wawe. Irinde inzoga, zishobora kubangamira imiti imwe igabanya ubukana bw’ubwandu kandi zigatinda gukira.

Koresha ibintu bishyushya cyangwa amazi ashyushye kugira ngo ugabanye ububabare mu gitsina no guhinda umuriro. Imiti igabanya ububabare nka ibuprofen ishobora gufasha kugabanya ububabare no kugabanya kubyimba.

Irinde imibonano mpuzabitsina kugeza igihe wowe n’uwo mwashakanye murangije kuvurwa kandi muganga yemeza ko ubwandu bwarangiye. Ibi birabuza kongera kwandura kandi bigaha ingingo z’imyororokere yawe umwanya wo gukira neza.

Uko wakwirinda indwara y’ukwandura mu gitsina

Kwivuza PID ahanini bisobanura kwirinda indwara zandurira mu mibonano mpuzabitsina ziterwa na benshi. Gukora imibonano mpuzabitsina mu buryo buzewe no kujya kwa muganga buri gihe bishobora kugabanya ibyago byawe cyane.

Uburyo bwiza bwo kwirinda harimo gukoresha agakingirizo buri gihe kandi neza mu gihe cyose ukora imibonano mpuzabitsina. Agakingirizo gitanga ikibabi kibabuza udukoko dutera indwara gukwirakwira hagati y’abakunzi.

Ibindi bintu byo kwirinda harimo:

• Kujya gusuzuma indwara zandurira mu mibonano mpuzabitsina buri gihe, cyane cyane niba ufite abakunzi benshi
• Kugabanya umubare w’abakunzi bawe
• Kwima gusukura igitsina, bigahungabanya ubwinshi bw’udukoko tuba mu gitsina
• Kurangiza kuvurwa neza niba wavuwe indwara zandurira mu mibonano mpuzabitsina
• Guhitamo abaganga b’inzobere mu buzima bw’imyororokere

Niba ugiye gushyirwamo IUD, menya neza ko muganga wawe asuzumye indwara zandurira mu mibonano mpuzabitsina mbere. Kuvura ubwandu ubumaze kugira mbere y’ubuvuzi bigabanya cyane ibyago bya PID.

Kuvugana n’abakunzi bawe ku buzima bw’imyororokere no gusuzuma indwara zandurira mu mibonano mpuzabitsina bituma habaho ishingiro ryo kubarinda bombi indwara zishobora gutera PID.

Uko wakwitegura kujya kwa muganga

Kwitoza kujya kwa muganga bifasha guhamya ko ubonye ubuvuzi bukwiye. Kugira amakuru akwiye bitegura gutuma ibintu byoroshye kuri wowe na muganga wawe.

Andika ibimenyetso byawe byose, harimo igihe byatangiye n’uko byahindutse uko iminsi igenda. Bandika ibintu byose, nko kumenya niba ububabare buriyongera mu gihe cy’imihango cyangwa ibikorwa bimwe na bimwe.

Tegura kuvugana n’amateka yawe y’imibonano mpuzabitsina mu buryo butagira ubwoba. Ibi birimo amakuru yerekeye abakunzi bawe ba none n’abahozeho, uburyo bwo kwirinda, n’izindi ndwara zandurira mu mibonano mpuzabitsina. Muganga wawe akeneye aya makuru kugira ngo aguhe ubuvuzi bukwiye, kandi ni ibanga ryuzuye.

Zana urutonde rw’imiti yose n’ibindi byongera imbaraga ufata, harimo n’ibintu ugura utabanje kujya kwa muganga. Imiti imwe ishobora guhangana n’imiti igabanya ubukana bw’ubwandu cyangwa kugira ingaruka ku bimenyetso byawe.

Tekereza kuzana inshuti cyangwa umuryango wawe kugira ngo bagushyigikire, cyane cyane niba utuje kubera kujya kwa muganga cyangwa kuvurwa.

Icyo ukwiye kumenya cyane kuri indwara y’ukwandura mu gitsina

PID ni indwara ikomeye ariko ivurwa neza igira ingaruka ku ngingo z’imyororokere. Ikintu cy’ingenzi cyo kwibuka ni uko kuvurwa hakiri kare birinda ibibazo kandi birinda ubuzima bw’imyororokere yawe bw’igihe kirekire.

Ntutirengagize ububabare buhoraho mu gitsina, ibisohora mu gitsina bidasanzwe, cyangwa ibindi bimenyetso bibangamira. Umubiri wawe uragusobanurira ko hari ikintu gikenewe kuvurwa, kandi gufashwa hakiri kare bigira uruhare rukomeye mu kugaruka kwawe.

Hamwe no kuvurwa neza hakoreshejwe imiti igabanya ubukana bw’ubwandu, abagore benshi barakira neza PID nta ngaruka z’igihe kirekire. Ikintu cy’ingenzi ni ukugisha inama muganga vuba kandi gukurikiza ubuvuzi bwose bwasabwe, harimo no kumenya niba uwo mwashakanye akeneye kuvurwa.

Kwivuza binyuze mu gukora imibonano mpuzabitsina mu buryo buzewe no kujya kwa muganga buri gihe biguma ari uburyo bwiza bwo kwirinda PID. Gufata iya mbere mu buzima bw’imyororokere yawe biguha ububasha bwo kubona no kuvura ibibazo mbere y’uko biba bikomeye.

Ibibazo byakunda kubazwa kuri indwara y’ukwandura mu gitsina

Urashobora kurwara PID udafite indwara zandurira mu mibonano mpuzabitsina?

Yego, nubwo bidahagaragara cyane. PID ishobora kubaho iyo udukoko dusanzwe tuba mu gitsina twiyongera kandi tukagenda mu ngingo z’imyororokere. Ibi bishobora kubaho kubera impinduka z’imisemburo, ubudahangarwa bw’umubiri butameze neza, cyangwa guhungabana kw’udukoko tuba mu gitsina. Ariko kandi, hafi 90% by’indwara za PID zituruka ku ndwara zandurira mu mibonano mpuzabitsina nka chlamydia cyangwa gonorrhea.

PID izagira ingaruka ku bushobozi bwanjye bwo kubyara?

PID ishobora kugira ingaruka ku bushobozi bwo kubyara niba itera ibikomere mu majwi y’imbuto, ariko ibi ntibibaho buri gihe. Ibyago biterwa n’ibintu nko kumenya vuba uko uvuwe, uburemere bw’ubwandu bwawe, niba wari warwaye inshuro nyinshi. Kuvurwa hakiri kare, neza bigabanya cyane ibyago byo kugira ibibazo byo kubyara. Abagore benshi barwaye PID bakomeza gutwita neza.

Birama igihe kingana iki gukira PID?

Abagore benshi batangira kumva bameze neza mu minsi mike nyuma yo gutangira gufata imiti igabanya ubukana bw’ubwandu, kandi bagakira cyane mu mpera y’icyumweru cya mbere. Gukira burundu bisanzwe bimamara ibyumweru 2-4. Ariko kandi, ukwiye gufata imiti yose igabanya ubukana bw’ubwandu nk’uko yagutegetswe, kandi ukirinda imibonano mpuzabitsina kugeza muganga yemeje ko ubwandu bwarangiye. Bamwe mu bagore bagira umunaniro cyangwa ububabare buke mu byumweru byinshi uko umubiri ugenda ukirinda.

PID ishobora gusubira nyuma yo kuvurwa?

PID ishobora gusubira niba wanduye udukoko dutera indwara kimwe cyangwa ibindi. Niyo mpamvu kuvura abakunzi bawe ari ingenzi cyane, naho badafite ibimenyetso. Ufite kandi ibyago byiyongereye byo kurwara mu gihe kizaza niba wari warwaye PID mbere. Gukurikiza amabwiriza yo kwirinda nko gukoresha agakingirizo buri gihe no kujya gusuzuma indwara zandurira mu mibonano mpuzabitsina buri gihe bigufasha kugabanya ibyago byo kongera kwandura.

Ni byiza gukoresha tampon mu gihe cyo kuvurwa PID?

Ubusanzwe ni byiza gukoresha ibintu byo kwisukura aho gukoresha tampon mu gihe uri kuvurwa PID. Tampon zishobora kwinjiza udukoko dutera indwara cyangwa kubangamira uburyo umubiri wawe usohora ibintu byanduye. Muganga wawe ashobora kugutegeka kwirinda gukoresha tampon mu gihe cyo kuvurwa no mu gihe gito nyuma yaho. Iyo ubwandu bwawe burangiye, ushobora kongera gukoresha tampon niba ubikunda.