Uburibwe bw'Amagi mbere y'igihe? Ibimenyetso, Intandaro, n'Ubuvuzi

Uburibwe bw'amagi mbere y'igihe burabaho iyo amagi yawe ahagarika gukora neza mbere y'imyaka 40. Ibi bivuze ko ahagarika kurekura intanga buri gihe kandi akora imisemburo ya estrogeno mike cyane ugereranyije n'uko byagombye kuba kuri wowe muri uwo kigero.

Tekereza ko ari amagi yawe agiye mu kiruhuko cy'izabukuru mbere y'igihe, mu gihe agikwiye gukora. Nubwo ibi bishobora gutera ubwoba, kumva icyabaye mu mubiri wawe ni intambwe ya mbere yo kubona ubufasha n'ubuvuzi ukenewe.

Uburibwe bw'amagi mbere y'igihe ni iki?

Uburibwe bw'amagi mbere y'igihe, bwitwa kandi uburibwe bw'amagi bw'ibanze, burabaho iyo amagi yawe ahagarika gukora neza mbere y'igihe cy'imyaka y'ubukure karemano. Amagi yawe ashobora kureka kurekura intanga cyangwa akabikora nabi cyane, kandi akora estrogeno na progesterone bike cyane.

Iki kibazo kiba ku bagore bagera kuri 1 kuri 100 bari munsi y'imyaka 40 na 1 kuri 1000 bari munsi y'imyaka 30. Bitandukanye n'ubukure karemano buzaba buhoro buhoro mu myaka ya 50, uburibwe bw'amagi mbere y'igihe bushobora kuba gatatanye cyangwa mu mezi make.

Ijambo "uburibwe" rishobora gutera ubwoba, ariko risobanura uburyo amagi adakora nk'uko bikwiye. Bamwe mu bagore bafite iki kibazo bashobora kugira imihango rimwe na rimwe cyangwa bakaba batwite, nubwo ibi bibaho gake.

Ibimenyetso by'uburibwe bw'amagi mbere y'igihe ni ibihe?

Ibimenyetso bikunze kumera nk'iby'ubukure karemano, ariko bigaragara hakiri kare mu buzima. Ushobora kubona izi mpinduka zikurikirana mu byumweru cyangwa mu mezi, kandi zishobora gutandukana cyane ukurikije umuntu.

Ibimenyetso bisanzwe birimo:

• Imihango idakurikiranye cyangwa ibura mu mezi menshi
• Ubushyuhe bugaragara mu buryo butunguranye
• Ibyuya by'ijoro bibangamira ibitotsi
• Ubwumva bw'umutwe
• Gukora nabi kw'ubwonko
• Impinduka z'imitekerereze harimo no gucika intege
• Kugabanuka kw'irari ry'imibonano mpuzabitsina
• Amaso cyangwa uruhu rwumye

Bamwe mu bagore bagira ibibazo byo gusinzira, ububabare bw'ingingo, cyangwa impinduka mu miterere y'umusatsi. Ibi bimenyetso bishobora kugira ingaruka ku buzima bwawe bwa buri munsi, ariko ubuvuzi burasohoka kugira ngo ugume umeze neza.

Intandaro y'uburibwe bw'amagi mbere y'igihe ni iyihe?

Mu bihe byinshi, abaganga ntibashobora kumenya neza impamvu uburibwe bw'amagi mbere y'igihe buzaba. Ariko, ibintu byinshi bishobora gutera iki kibazo, kuva ku ntandaro z'umutungo kugeza ku buvuzi.

Intandaro zisanzwe zizwi harimo:

• Indwara ziterwa n'ubudahangarwa aho ubudahangarwa bwawe bugaba igitero ku magigi yawe
• Indwara z'umutungo nka Turner syndrome cyangwa Fragile X syndrome
• Ubuvuzi bwa kanseri nka chemotherapy cyangwa radiotherapy
• Kubaga amagi yombi
• Indwara zimwe na zimwe z'ibyorezo, nubwo ibi bibaho gake

Intandaro ziterwa n'ubudahangarwa zigize hafi 20% by'ibibazo kandi zikunze kuba hamwe n'izindi ndwara ziterwa n'ubudahangarwa nka thyroid disease cyangwa diyabete. Ibintu by'umutungo bigira uruhare mu kigero cya 10-15%, kandi rimwe na rimwe bishobora kuba mu muryango.

Ibiyobyabwenge byo mu kirere, umunaniro ukabije, cyangwa imiti imwe na imwe bishobora kugira uruhare mu bihe bitoroshye, ariko ubushakashatsi buracyakomeza. Ikintu gikomeye ni uko iki kibazo kitaterwa n'icyo wakoze cyangwa utakoreye.

Ni ryari ukwiye kujya kwa muganga kubera uburibwe bw'amagi mbere y'igihe?

Ugomba guhamagara muganga wawe niba warabuze imihango inshuro eshatu cyangwa zirenze kandi uri munsi y'imyaka 40. Gusuzuma hakiri kare ni ingenzi kuko ubuvuzi bwihuse bushobora gufasha kurinda ubuzima bwawe bw'igihe kirekire.

Ntugatege amatwi niba ufite ibimenyetso byinshi nka ubushyuhe, impinduka z'imitekerereze, n'imihango idakurikiranye hamwe. Ibi bihuza bikunze kugaragaza impinduka z'imisemburo zigomba kuvurwa vuba.

Niba ugerageza gutwita kandi utarabigeraho mu mezi atandatu ufite imihango idakurikiranye, ibi bisaba ko uganira na muganga wawe vuba. Igihe gishobora kuba ikintu cy'ingenzi mu gushakisha uburyo bwo kubyara.

Ibyago byo kwibasirwa n'uburibwe bw'amagi mbere y'igihe ni ibihe?

Ibintu byinshi bishobora kongera amahirwe yawe yo kwibasirwa n'iki kibazo, nubwo ufite ibyago ntibisobanura ko uzabona uburibwe bw'amagi mbere y'igihe. Kubyumva bishobora kugufasha kuba maso ku bimenyetso bishoboka.

Ibyago bikuru birimo:

• Amateka y'umuryango y'ubukure karemano cyangwa uburibwe bw'amagi mbere y'igihe
• Ubuvuzi bwa kanseri bwakoresheje chemotherapy cyangwa radiotherapy
• Indwara ziterwa n'ubudahangarwa nka rheumatoid arthritis cyangwa thyroid disorders
• Indwara z'umutungo zigira ingaruka kuri chromosome X
• Kubaga amagi mbere cyangwa imyeyo myinshi y'amagi
• Itabi, rishobora kwihutisha gusaza kw'amagi

Imyaka na yo irakomeye, ibyago bikaba byiyongera uko ugera mu myaka ya 30. Ariko, iki kibazo gishobora kwibasira abagore bari mu myaka yabo y'ubwangavu n'imyaka ya 20, nubwo bibaho gake muri izi nzego z'imyaka.

Ingaruka zishoboka z'uburibwe bw'amagi mbere y'igihe ni izihe?

Imisemburo mike ya estrogeno ifitanye isano n'iki kibazo ishobora gutera ibibazo byinshi by'ubuzima mu gihe kirekire. Ariko, hamwe no kuvurwa neza no kugenzura, ushobora kugabanya cyane ibyo byago kandi ukagumana ubuzima bwiza.

Ingaruka zishoboka harimo:

• Osteoporosis cyangwa amagufa adakomeye kubera ibura rya estrogeno
• Ibyago byiyongereye by'indwara z'umutima
• Amahirwe menshi yo gucika intege cyangwa guhangayika
• Ibibazo byo kubyara cyangwa kudapfa kubyara
• Impinduka zo gutekereza cyangwa ibibazo byo kwibuka
• Ibyago byiyongereye by'izindi ndwara ziterwa n'ubudahangarwa

Ubuzima bw'amagufa buhinduka ikibazo cyihariye kuko estrogeno ifasha kubungabunga uburemere bw'amagufa. Utabonye imisemburo ihagije, ushobora kwibasirwa na osteoporosis mbere y'igihe, bikongera ibyago byo kuvunika.

Ingaruka zo mu mutwe ntizikwiye kwirengagizwa. Abagore benshi bagira agahinda kubera impinduka zo kubyara cyangwa bakumva batandukanye no kugira ibimenyetso by'ubukure mbere y'abandi. Ubujyanama bw'umwuga n'amatsinda y'ubufasha bishobora gufasha cyane muri iki gihe.

Uburibwe bw'amagi mbere y'igihe buramenyekana gute?

Kumenya iyi ndwara bikunze gukorwa hakoreshejwe ibizamini by'amaraso kugira ngo harebwe imisemburo yawe, cyane cyane FSH (follicle-stimulating hormone) na estrogeno. Muganga wawe azasuzumisha iyi misemburo kabiri, hafi ukwezi kumwe, kugira ngo yemeze ibyavuye mu isuzuma.

FSH nyinshi hamwe na estrogeno nke bigaragaza ko amagi yawe adakora neza ukurikije ibyo ubwonko bwawe bwatumye.

Muganga wawe ashobora kandi kureba izindi ndwara zishobora gutera ibimenyetso nk'ibi. Ibi bishobora kuba harimo ibizamini byo gusuzuma imikorere ya thyroid, isuzuma rya chromosome, cyangwa ibizamini byo kureba ibimenyetso by'ubudahangarwa bitewe n'umwanya wawe.

Rimwe na rimwe, ultrasound ifasha gusuzuma imiterere y'amagi yawe no kubara imyeyo ishigaje intanga. Aya makuru afasha muganga wawe kumva uko imikorere y'amagi isigaye imeze no gutegura ubuvuzi bukwiye.

Ubuvuzi bw'uburibwe bw'amagi mbere y'igihe ni iki?

Ubuvuzi bw'imisemburo ni inkingi y'ubuvuzi ku bagore benshi bafite iki kibazo. Ubu buvuzi bufasha gusubiza imisemburo ya estrogeno na progesterone amagi yawe atakiri gukora neza.

Uburyo bwo kuvura busanzwe burimo:

• Ubuvuzi bw'imisemburo ya estrogeno na progesterone
• Ibyongerwamo bya calcium na vitamine D ku buzima bw'amagufa
• Kugenzura uburemere bw'amagufa buri gihe
• Ubuvuzi bwo kubyara niba wifuza gutwita
• Ubujyanama cyangwa amatsinda y'ubufasha ku bwiza bwo mu mutwe

Muganga wawe azakorana nawe kugira ngo abone imisemburo ikwiye n'umwanya. Ibi bishobora kuba birimo imiti, ibyuma, amavuta, cyangwa ubundi buryo bwo gutanga bitewe n'ibyo ukunda n'amateka yawe y'ubuvuzi.

Ku bagore bifuza gutwita, ubuvuzi bwo kubyara nko gutanga intanga cyangwa ubundi buvuzi bugezweho bishobora kuba amahitamo yo kuganiraho n'inzobere mu kubyara. Nubwo gutwita n'intanga zawe ari gake, bishoboka mu bihe byose.

Uburyo bwo guhangana n'uburibwe bw'amagi mbere y'igihe mu rugo

Impinduka mu mibereho zishobora kunoza uko wumva kandi zigafasha ubuzima bwawe muri rusange mugihe uhanganye n'iki kibazo. Impinduka nto, zihoraho, zikunze gutanga itandukaniro rikomeye mu bworoherane bwawe bwa buri munsi no mu buzima bwawe bw'igihe kirekire.

Uburyo bwo guhangana mu rugo burimo:

• Imikino ngororamubiri buri gihe kugira ngo ufashe amagufa
• Kurya ibiryo bikungahaye kuri calcium nka produits laitiers, imboga z'icyatsi, n'ibiryo byongerwamo calcium
• Kwirinda itabi no kugabanya kunywa inzoga
• Guhangana n'umunaniro binyuze mu buryo bwo kuruhuka cyangwa ibikorwa ukunda
• Kwandika ibimenyetso kugira ngo ugenzure imiterere n'ibintu bibitera
• Kuguma ukeye mugihe ufite ubushyuhe binyuze mu bijyana umwuka, ibinyobwa bikonje, cyangwa imyenda yoroheje

Tekereza kujya mu matsinda yo kuri internet cyangwa mu matsinda y'ubufasha aho ushobora kuvugana n'abandi bagore bahura n'ibibazo nk'ibyo. Gusangira uburyo n'ubufasha bwo mu mutwe bishobora gufasha cyane muri uru rugendo.

Kuzigama ibitotsi bihinduka ikintu cy'ingenzi cyane kuko ibyuya by'ijoro n'impinduka z'imisemburo bishobora kubangamira ibitotsi. Komeza icyumba cyawe gikonje, wambare imyenda yoroheje, kandi ushyireho imigenzo yo gusinzira ituje.

Ugomba gutegura gute uruzinduko rwawe kwa muganga?

Zaza ufite amateka y'imihango yawe yuzuye, harimo igihe imihango yawe yatangiye kudakurikirana n'imiterere wabonye. Aya makuru afasha muganga wawe kumva neza uko uhagaze.

Zana urutonde rw'imiti yose, ibyongerwamo, n'amateka y'umuryango w'ubukure karemano cyangwa indwara ziterwa n'ubudahangarwa. Bandika kandi ibimenyetso byose wabonye, nubwo bisa ntibifitanye isano n'imihango yawe.

Andika ibibazo mbere kugira ngo utibagiwe ibibazo by'ingenzi mu gihe cy'isuzumwa. Tekereza kubabaza ku bijyanye n'ubuvuzi, ingaruka ku buzima bw'igihe kirekire, no kubungabunga ubushobozi bwo kubyara niba ibyo bikukwiye.

Niba bishoboka, zana inshuti cyangwa umuryango w'umuryango kugira ngo aguhe inkunga kandi aguhe ubufasha kwibuka amakuru yavuzwe mu gihe cy'isuzumwa. Isesengura ry'ubuvuzi rishobora gutera ubwoba, cyane cyane mugihe utekereza amakuru akomeye y'ubuzima.

Icyo ukwiye kumenya cy'ingenzi ku buribwe bw'amagi mbere y'igihe

Uburibwe bw'amagi mbere y'igihe ni uburwayi bushobora kuvurwa, kandi nubwo buhindura ubuzima, ntibigomba kugabanya ubushobozi bwawe bwo kubaho ubuzima buhamye kandi bwiza. Hamwe no kuvurwa neza no kugenzura, ushobora guhangana neza n'ibimenyetso no kurinda ubuzima bwawe bw'igihe kirekire.

Intambwe y'ingenzi ni ugukorana na baganga bawe kugira ngo mugire gahunda y'ubuvuzi ihuye n'ibyo ukeneye n'intego zawe. Uko byagenda kose, haba kuvurwa imisemburo, ubuvuzi bwo kubyara, cyangwa ubundi buryo, hari amahitamo yo kugufasha kumva neza.

Wibuke ko iyi ndwara itakumenya, kandi nturi wenyine muri uru rugendo. Abagore benshi barabasha guhangana n'iki kibazo mugihe bagumana ubuzima bukomeye kandi buhamye bafite ubufasha n'ubuvuzi bukwiye.

Ibibazo bikunze kubaho ku buribwe bw'amagi mbere y'igihe

Nshobora gutwita niba mfite uburibwe bw'amagi mbere y'igihe?

Nubwo gutwita n'intanga zawe ari gake, bishobora kubaho rimwe na rimwe. Abagore bagera kuri 5-10% bafite iki kibazo bashobora gutwita mu buryo busanzwe, nubwo bitateganijwe. Ubuvuzi bwo kubyara nko gutanga intanga butanga inzira zizewe zo gutwita niba kubaka umuryango ari ingenzi kuri wowe.

Ese ubuvuzi bw'imisemburo buzongera ibyago bya kanseri?

Ku bagore bafite uburibwe bw'amagi mbere y'igihe, ubuvuzi bw'imisemburo busanzwe buzanira umubiri hafi y'imisemburo isanzwe aho kuyirusha. Ubushakashatsi bwinshi bugaragaza ko inyungu zirusha ibyago ku bagore bari munsi y'imyaka 50, ariko uganire n'umuganga wawe ku byago byawe kugira ngo ufate umwanzuro uhamye.

Ese uburibwe bw'amagi mbere y'igihe bumwe n'ubukure karemano?

Aya magambo akenshi akoreshwa kimwe, ariko hariho itandukaniro rito. Uburibwe bw'amagi mbere y'igihe rimwe na rimwe bushobora gusubira inyuma cyangwa kuba rimwe na rimwe, mu gihe ubukure karemano ari bw'iteka. Ariko, yombi agira ingaruka ku mikorere y'amagi mbere y'imyaka 40 kandi asaba uburyo bwo kuvura buhuriye.

Nzamara igihe kingana iki nkenera ubuvuzi bw'imisemburo?

Abaganga benshi bagira inama yo gukomeza ubuvuzi bw'imisemburo kugeza hafi y'imyaka 50-52, igihe ubukure karemano busanzwe buzaba bumaze kuba. Ibi bifasha kurinda amagufa, umutima, n'ubuzima muri rusange mu myaka umubiri wawe usanzwe ukora iyi misemburo.

Ese iyi ndwara ishobora kuba mu muryango wanjye?

Hariho igice cy'umutungo, cyane cyane niba abantu benshi bo mu muryango bagize ubukure karemano. Niba ufite abakobwa cyangwa bashiki bawe, bashobora kungukira kumenya ibyerekeye uburwayi bwawe kugira ngo baganire ku buryo bwo kugenzura n'abaganga babo, nubwo bitavuga ko bazabona iyi ndwara.