Kuburamo Inzira (Kugwa Icyuya)? Ibimenyetso, Impamvu, n’Uko Bivurwa

Kuburamo inda, bisanzwe bizwi nka kugwa icyuya, ni igihe inda irangirira mu buryo bw’umwimerere mbere y’ibyumweru 20 byo gutwita. Ibi bibaho ku kigero cya 10-20% by’inda zizwi, bityo bikaba byinshi kurusha uko abantu benshi babizi.

Nubwo ijambo “kugwa icyuya” rishobora kumvikana nk’iry’ubuvuzi, rigaragaza ikibazo gikomeye cyane gishobora kuzana amarangamutima akomeye. Gusobanukirwa ibyabaho mu gihe cyo kuburamo inda bishobora kugufasha kumva uriteguye kandi ufite ubufasha muri icyo gihe gikomeye.

Kuburamo inda bisobanura iki?

Kuburamo inda bibaho iyo inda irangirira mu buryo bw’umwimerere mbere y’uko umwana ashobora kubaho adafite umubyeyi mu nda. Ibyinshi mu bibazo byo kuburamo inda bibaho mu gihembwe cya mbere cyo gutwita, akenshi hagati y’ibyumweru 6-12 byo gutwita.

Umutima wawe urangiza inda mu buryo bw’umwimerere iyo umwana urimo ataratera imbere neza. Uyu muti, nubwo ubabaza cyane, akenshi ni uburyo umubiri wawe ugaragaza ko hari ikibazo cy’imiterere y’umwana cyangwa ibindi bibazo by’iterambere byabuza inda kugenda neza.

Abaganga bagabanya kuburamo inda mu bwoko butandukanye bushingiye ku gihe n’imiterere yabyo. Kuburamo inda hakiri kare bibaho mbere y’ibyumweru 13, naho kuburamo inda nyuma bibaho hagati y’ibyumweru 13-20.

Ni ibihe bimenyetso byo kuburamo inda?

Ibimenyetso byo kuburamo inda bishobora gutandukana cyane uhereye ku muntu umwe ku wundi. Bamwe bagira ibimenyetso byumvikana, abandi ntibagire ibimenyetso na mba.

Ibimenyetso bisanzwe ushobora kubona birimo:

• Kuva amaraso mu gitsina, bishobora gutangira buhoro buhoro bikarushaho kuba byinshi
• Kubabara cyangwa kuribwa mu nda yo hasi cyangwa mu mugongo
• Kuvamo umubiri w’umwana cyangwa amaraso menshi mu gitsina
• Kugabanuka k’ibimenyetso byo gutwita nk’iseseme cyangwa kubabara mu mabere
• Kubabara cyane mu nda bidakira nubwo waribakiye

Ariko rero, ni ingenzi kumenya ko kuva amaraso make cyangwa kuribwa buhoro mu gihe cyo gutwita hakiri kare ntibihora bivuze kuburamo inda. Abantu benshi bagira ibyo bimenyetso bagakomeza gutwita neza.

Mu bindi bihe, ushobora kutabona ibimenyetso na mba. Ubu bwoko bwo kuburamo inda, bwitwa kuburamo inda bitamenyekanye, busanzwe bumenyekana mu isuzuma rya ecographie iyo batabonye umutima w’umwana.

Ni ibihe bwoko byo kuburamo inda?

Abaganga bagabanya kuburamo inda mu bwoko butandukanye bushingiye ku byaba mu mubiri wawe. Gusobanukirwa ibyo bwoko bishobora kugufasha kuvugana neza n’abaganga bawe.

Ubwoko nyamukuru burimo:

• Kuburamo inda bishobora kwirinda: Uva amaraso kandi ukababara, ariko umuyoboro w’inda ukingiye kandi inda ishobora gukomeza
• Kuburamo inda kutahishika: Umuyoboro w’inda waguye kandi inda ntishobora gukomeza
• Kuburamo inda itarangiye: Igice cy’umubiri w’umwana kivuye hanze, ariko ikindi kiguma mu nda
• Kuburamo inda kurangira: Umubiri wose w’umwana wavuyemo mu buryo bw’umwimerere
• Kuburamo inda bitamenyekanye: Igihe inda irangiriye ariko umubiri wawe utaravamo umubiri w’umwana
• Kuburamo inda kenshi: Kuburamo inda eshatu cyangwa zirenze zikurikiranye

Buri bwoko bushobora gusaba uburyo butandukanye bwo kuvura no kugenzura. Umuganga wawe azamenya ubwoko ufite binyuze mu isuzuma ry’umubiri n’isuzumwa rya ecographie.

Ni iki gituma inda ibura?

Ibyinshi mu bibazo byo kuburamo inda bibaho kubera ikibazo cy’imiterere y’umwana urimo gutera imbere. Ibyo bibazo by’imiterere bibaho mu buryo butunguranye mu gihe cyo gutwita kandi ntabwo biterwa n’icyo wakoze cyangwa utarakora.

Impamvu zisanzwe zirimo:

• Ikibazo cy’imiterere (kigira uruhare ku kigero cya 50-60% cyo kuburamo inda hakiri kare)
• Kubura ubusugire bw’imisemburo igira uruhare mu gutwita
• Ibibazo by’imiterere y’inda cyangwa umuyoboro w’inda
• Indwara zikomeye zibasira inda
• Indwara z’umubiri zifata uruhare mu iterambere ry’inda
• Diabete idakurikiranwa cyangwa ibibazo by’umwijima

Impamvu zidakunze kubaho ariko zishoboka zirimo imiti imwe n’imwe, kwandura ibintu byangiza ibidukikije, cyangwa imvune ikomeye. Ariko kandi, ibikorwa bisanzwe bya buri munsi, imyitozo ngororamubiri, akazi gakomeye, cyangwa gukora imibonano mpuzabitsina ntibitera kuburamo inda.

Mu byinshi, cyane cyane ku bantu babuze inda bwa mbere, abaganga ntibashobora kumenya impamvu nyamukuru. Ubu butamumenya bushobora gutera agahinda, ariko ni ingenzi kwibuka ko ibyinshi mu bibazo byo kuburamo inda bitarinda.

Ni ryari ukwiye kujya kwa muganga kubera kuburamo inda?

Ukwiye guhamagara umuganga wawe ako kanya iyo ubonye amaraso menshi, ububabare bukomeye, cyangwa ibimenyetso by’indwara mu gihe cyo gutwita. Ntugatege amatwi ngo urebe niba ibimenyetso bizakira byonyine.

Shaka ubufasha bw’abaganga ako kanya iyo ufite:

• Amaraso menshi ashobora kunywa ibikoresho bibiri byo gukinga amaraso mu isaha imwe mu masaha abiri yikurikiranya
• Kubabara cyane mu nda cyangwa mu kibuno bidakira nubwo wafashe imiti yo kugabanya ububabare
• Ubushyuhe burenze 100.4°F (38°C) n’igikomere
• Kuva mu gitsina gifite impumuro mbi
• Kuzenguruka cyangwa gucika intege
• Ibimenyetso byo gucika intege nk’umutima ukubita cyane cyangwa kugorana guhumeka

Nubwo ibimenyetso byawe bisa nkaho ari bike, bihora ari byiza guhamagara umuganga wawe kugira ngo aguhe ubuyobozi. Bashobora kugufasha kumenya niba ukeneye ubufasha bw’ihutirwa cyangwa niba ushobora gutegereza gahoro gahoro.

Niba ukekako ufite ikibazo cyo kuburamo inda ariko ntufite ibimenyetso by’ihutirwa, hamagara umuganga wawe mu masaha 24. Bashobora gushaka kukubona ako kanya cyangwa bagutege amatwi.

Ni ibihe bintu byongera ibyago byo kuburamo inda?

Nubwo kuburamo inda bishobora kuba ku muntu wese, hari ibintu bimwe na bimwe bishobora kongera ibyago byabyo. Gusobanukirwa ibyo bintu bishobora kugufasha wowe n’umuganga wawe gukurikirana inda yawe neza.

Imyaka igira uruhare runini mu kuba ibyago byo kuburamo inda byiyongera. Ibyago byiyongera buhoro buhoro nyuma y’imyaka 35 kandi byiyongera cyane nyuma y’imyaka 40, ahanini bitewe n’ikibazo cy’imiterere y’igi yiyongera mu gihe cy’imyaka.

Indwara zishobora kongera ibyago birimo:

• Kubura inda mbere (cyane cyane kubura inda kenshi)
• Diabete idakurikiranwa neza
• Ibibazo by’umwijima
• Indwara zifata umubiri nk’indwara ya lupus cyangwa antiphospholipid syndrome
• Polycystic ovary syndrome (PCOS)
• Ibibazo by’inda cyangwa umuyoboro w’inda
• Indwara ikomeye y’impyiko

Ibintu byo mu buzima nk’itabi, kunywa inzoga nyinshi, cyangwa gukoresha ibiyobyabwenge birashobora kongera ibyago. Ariko kandi, kugira ibyago ntibisobanura ko uzabura inda.

Abantu benshi bafite ibyago byinshi bagakomeza gutwita neza bafite ubufasha bw’abaganga n’ubukurikirane.

Ni ibihe bibazo bishobora kubaho kubera kuburamo inda?

Nubwo ibyinshi mu bibazo byo kuburamo inda bikira bitagize ibibazo, hari ibindi bibazo bisaba ubufasha bw’abaganga kugira ngo birindwe ibibazo bikomeye by’ubuzima. Umuganga wawe azakukurikirana neza kugira ngo abone ibibazo hakiri kare.

Ibibazo by’umubiri bishobora kuba:

• Kuburamo inda itarangiye bisaba ubufasha bw’abaganga cyangwa kubagwa
• Kuva amaraso menshi bishobora gutera ikibazo cy’amaraso make cyangwa gusaba amaraso
• Indwara y’inda (endometritis) niba hari igice cy’umubiri w’umwana kigumamo
• Ibikomere by’inda bitewe no kubagwa kenshi
• Ibibazo byo kugumura amaraso mu bihe bitoroshye

Ibibazo by’amarangamutima na byo ni ingenzi kubikurikirana. Abantu benshi bagira agahinda, kwiheba, guhangayika, cyangwa ibibazo mu rukundo nyuma yo kubura inda. Ibyo byiyumvo ni ibisanzwe kandi ni byiza.

Inkuru nziza ni uko ibibazo byinshi bivurwa iyo byafashwe hakiri kare. Ikipe yawe y’abaganga izakorana nawe kugira ngo wirinde kandi ugenzure ibibazo byose byabaho.

Kuburamo inda bipimwa bite?

Umuganga wawe azakoresha uburyo butandukanye kugira ngo yemeze kuburamo inda kandi agene uburyo bwiza bwo kubivura. Uburyo bwo gupima busanzwe butangira isuzuma ry’umubiri n’amateka y’ubuzima.

Ibisuzumwa bisanzwe birimo:

• Isuzuma ry’inda kugira ngo barebe umuyoboro w’inda kandi basuzume amaraso
• Ibisuzumwa by’amaraso kugira ngo bapime urugero rw’imisemburo yo gutwita (hCG)
• Ecographie kugira ngo barebe inda kandi barebe umutima w’umwana
• Ibisuzumwa by’amaraso kugira ngo barebe ikibazo cy’amaraso make bitewe no kuva
• Kumenya ubwoko bw’amaraso n’ikimenyetso cya Rh

Umuganga wawe ashobora gusubiramo ibizamini by’amaraso mu minsi mike kugira ngo akurikirane impinduka z’urugero rw’imisemburo. Mu gutwita neza, urugero rw’imisemburo ya hCG rusanzwe rwiyongera kabiri buri masaha 48-72 mu gihe cyo gutwita hakiri kare.

Rimwe na rimwe, ubuvuzi ntibumvikana ako kanya, cyane cyane mu gihe cyo gutwita hakiri kare. Umuganga wawe ashobora kugusaba gukurikiranwa n’ibizamini bisubirwamo mu minsi mike kugira ngo amenye icyabaho.

Ni iki kivura kuburamo inda?

Kuvura kuburamo inda biterwa n’ubwoko bwo kuburamo inda n’imiterere yawe. Umuganga wawe azakuganiraho uburyo bwiza bushingiye ku mimerere yawe n’ibyo ukunda.

Uburyo nyamukuru butatu bwo kuvura burimo:

• Gutegereza: Gutegereza ko umubiri wawe uvanaho umubiri w’umwana mu buryo bw’umwimerere
• Kuvura hakoreshejwe imiti: Gukoresha imiti kugira ngo ufashe umubiri wawe kuvamo umubiri w’umwana
• Kuvura hakoreshejwe kubaga: Igikorwa gito cyo kubaga kitwa dilation and curettage (D&C) kugira ngo bakureho umubiri w’umwana

Gutegereza bikora neza kuri benshi, cyane cyane ku bantu babuze inda mu buryo bwuzuye. Ubu buryo bufasha umubiri wawe kurangiza ibintu mu buryo bw’umwimerere, bishobora gufata iminsi mike kugeza ku byumweru bike.

Kuvura hakoreshejwe imiti birimo gukoresha imiti nk’iya misoprostol kugira ngo ufashe umubiri wawe gukomera no kuvamo umubiri w’umwana. Iki gikorwa akenshi gikora mu masaha 24-48 kandi gishobora gutera kuribwa no kuva amaraso.

Kuvura hakoreshejwe kubaga ni bwo bugaragaza umusaruro wihuse kandi bishobora kugusabwa niba ufite amaraso menshi, ibimenyetso by’indwara, cyangwa ukunda uburyo buhamye. Icyo gikorwa gisanzwe gikorerwa mu bitaro.

Uko wakwitwara iwawe mu gihe cyo kuburamo inda

Kwitwara mu gihe cyo kuburamo inda bisaba kwita ku mubiri no ku marangamutima. Umuganga wawe azakugira inama yihariye ishingiye ku buryo bwo kuvura n’ibyo ukeneye.

Kugira ngo umubiri wawe ugume utuje, ushobora:

• Koresha ibikoresho bishyushya cyangwa amazi ashyushye kugira ngo ugabanye ububabare
• Fata imiti yo kugabanya ububabare nk’uko umuganga wawe yabigutegetse
• Ruhuka uko bishoboka kose kandi wirinde ibikorwa bikomeye
• Nywa amazi menshi kandi urye ibiryo biringaniye igihe wumva ubikwiye
• Koresha ibikoresho byo gukinga amaraso aho gukoresha tampon kugira ngo ukure amaraso
• Irinde imibonano mpuzabitsina kugeza umuganga wawe akwemereye

Kwiyitaho neza kandi uhamagare umuganga wawe niba amaraso menshi akomeza, ububabare bukomeye, cyangwa ukabona umuriro cyangwa igikomere.

Ubufasha mu byiyumvo ni ingenzi muri icyo gihe. Reka wibabare kandi ntukihute mu gukira. Tekereza gushaka ubufasha ku baganga, amatsinda y’abantu bafite ibibazo nk’ibyawe, cyangwa incuti n’abavandimwe bawe.

Uko wakwitegura kujya kwa muganga

Kwitunganya kujya kwa muganga bishobora kugufasha kubona ibyiza byinshi mu gihe cyawe n’umuganga wawe. Andika ibibazo byawe n’ibyo uhangayikishijwe mbere y’igihe kugira ngo wibuke ibyingenzi.

Mbere yo kujya kwa muganga, kora ubushakashatsi ku byerekeye:

• Igihe ibimenyetso byawe byatangiye n’uko byahindutse
• Urugero n’ubwoko bw’amaraso wavuyemo
• Ububabare cyangwa kuribwa wari ufite
• Itariki ya nyuma y’ukwezi kwawe
• Imirire cyangwa imiti ufata
• Amateka yawe yo gutwita mbere

Zana urutonde rw’ibibazo ushaka kubabaza umuganga wawe. Ushobora kwifuza kumenya ibijyanye no gukurikirana, igihe ushobora kongera gushaka gutwita, cyangwa icyo witeze mu gihe cyo gukira.

Tekereza kuzana umukunzi wawe cyangwa inshuti igufasha. Bashobora kugufasha kwibuka amakuru no kugufasha mu gihe gikomeye.

Icyo ukwiye kumenya cyane ku bijyanye no kuburamo inda

Kuburamo inda ni ikibazo gisanzwe kibaho ku bantu benshi, kandi ni ingenzi kwibuka ko atari amakosa yawe. Ibyinshi mu bibazo byo kuburamo inda bibaho kubera ikibazo cy’imiterere y’umwana bibaho mu buryo butunguranye kandi bitarinda.

Nubwo ibi bishobora gutera agahinda, abantu benshi babuze inda bakomeza gutwita neza mu gihe kizaza. Umuganga wawe ashobora kugufasha gusobanukirwa imimerere yawe n’ibyo uteganya mu gutwita kizaza.

Fata umwanya wo kwiheba no gukira haba ku mubiri no ku marangamutima. Shaka ubufasha ku baganga, abaganga b’amarangamutima, amatsinda y’abantu bafite ibibazo nk’ibyawe, cyangwa abantu bakukunda. Wibuke ko buri wese akira mu buryo bwe, kandi nta gihe cyiza cyo gukira.

Niba uteganya kongera gushaka gutwita, ganira ku gihe n’ingamba ukeneye hamwe n’umuganga wawe. Bashobora kugufasha kunoza ubuzima bwawe no gukemura ibibazo byose ku bijyanye no gutwita kizaza.

Ibibazo byakenshi bibazwa ku bijyanye no kuburamo inda

Birama igihe kingana iki gukira kuburamo inda?

Gukira bisanzwe bimamara ibyumweru 2-6, bitewe n’igihe wari utwite n’uburyo bwo kuvura wakoresheje. Ukweswa kw’ukwezi gusanzwe gusubira mu byumweru 4-6. Ariko rero, gukira mu byiyumvo akenshi bimamara igihe kirekire kandi bitandukana cyane uhereye ku muntu umwe ku wundi.

Ni ryari nakwemererwa kongera gushaka gutwita nyuma yo kubura inda?

Abaganga benshi bagira inama yo gutegereza kugeza ubwo wabonye ukwezi kw’ukwezi kumeze neza mbere yo kongera gushaka gutwita. Ibi bituma umubiri wawe ukura kandi bifasha mu gupima neza inda zizaza. Ariko rero, igihe gishobora gutandukana bitewe n’imimerere yawe n’ubwoko bwo kuburamo inda wahuye na bwo.

Kubura inda bizagira ingaruka ku bushobozi bwanjye bwo kubyara mu gihe kizaza?

Abantu benshi babuze inda bashobora kongera gutwita no kubyara abana bazima mu gihe kizaza. Kubura inda rimwe ntibyongera cyane ibyago byo kubura inda mu gihe kizaza. Ndetse n’abantu babuze inda kenshi bakomeza kubyara abana bazima bafite ubufasha bw’abaganga.

Nkeneye ibizamini bidasanzwe nyuma yo kubura inda rimwe?

Nyuma yo kubura inda rimwe, gukora ibizamini byinshi ntibikenewe kuko ibyinshi mu bibazo byo kubura inda biterwa n’ikibazo cy’imiterere y’umwana bibaho mu buryo butunguranye. Umuganga wawe ashobora kugusaba gukora ibizamini niba wabuze inda kenshi, ufite ibyago bimwe na bimwe, cyangwa niba hari ibintu bidasanzwe byabaye mu gihe wabuze inda.

Ni ibisanzwe kumva urakaye, ubabaye, cyangwa ufite icyaha nyuma yo kubura inda?

Yego, kugira amarangamutima menshi nyuma yo kubura inda ni ibisanzwe kandi ni byiza. Agahinda, kubabara, kurakara, icyaha, ndetse no kworoherwa ni byose bisanzwe. Ibyo byiyumvo bishobora kuza no kugenda mu buryo butunguranye, kandi nta buryo bwiza bwo kwiheba.