Ese Rectocele Ni Iki? Ibimenyetso, Intandaro, & Uko Ivurwa

Rectocele ibaho iyo uruhu rworoshye ruri hagati y’umura (rectum) n’inda y’imbere (vagina) rugenda rworoshye, bigatuma umura ugaragara mu gice cy’inda y’imbere. Tekereza nk’umufuka muto ugaragara aho ibi bice bibiri bihurira. Iyi ndwara igaragara cyane kurusha uko ushobora kubitekereza, cyane cyane mu bagore babyaye cyangwa bari mu gihe cy’izabukuru.

Abagore benshi babana na rectocele ntoya batanabizi. Inkuru nziza ni uko iyi ndwara ivurwa, kandi gusobanukirwa ibiri kuba mu mubiri wawe bishobora kugufasha gufata ibyemezo byiza bijyanye n’ubuvuzi bwawe.

Ibimenyetso bya Rectocele ni ibihe?

Ibimenyetso bya rectocele bishobora gutandukana cyane ukurikije umuntu. Bamwe mu bagore nta bimenyetso bagira na gato, abandi bagasanga hari impinduka zigira ingaruka ku mibereho yabo ya buri munsi n’imikorere y’ubwiherero.

Ibimenyetso bisanzwe ushobora kubona birimo:

• Kumva hari ikintu kiguhagije cyangwa gukanda mu kibuno cyangwa mu nda y’imbere
• Kugira ikibazo cyo guhagarika umwanda neza
• Kugomba gukanda ku rukuta rw’inda y’imbere cyangwa perineum kugira ngo ufashe mu guhagarika umwanda
• Umutobe woroshye ushobora kumva mu nda y’imbere
• Kubabara mu gihe cy’imibonano mpuzabitsina
• Kubabara mu mugongo hasi bishobora guhurirana no gukanda mu kibuno
• Kumva ko utagize umwanda neza

Bamwe mu bagore bagira kandi ibindi bimenyetso bidafatika cyane nko kuva amaraso mu nda y’imbere, guhora bagira infection y’inzira z’umuyoboro w’inkari, cyangwa kumva hari ikintu “kigwa” mu nda y’imbere. Ibi bimenyetso bikunze kugaragara cyane iyo umaze igihe kinini uhagaze cyangwa utwaye ibintu biremereye.

Wibuke ko uburemere bw’ibimenyetso ntibuhora buhuye n’ubunini bwa rectocele. Rectocele ntoya ishobora gutera ububabare bukomeye, mu gihe iyikomeye ishobora kutagaragara.

Ubwoko bwa Rectocele ni ubuhe?

Abaganga basanzwe basobanura rectocele hakurikijwe ubunini n’aho iherereye. Gusobanukirwa ibyo bitandukanye bituma bamenya uburyo bwiza bwo kuvura hakurikijwe uko umuntu ameze.

Ubwoko nyamukuru burimo:

• Rectocele nto (Igipimo cya 1): Ububyimba bugaragara munsi ya santimetero 2 mu gitsina, kandi akenshi ntibutera ibimenyetso
• Rectocele yo hagati (Igipimo cya 2): Ububyimba bugera ku munwa w’igitsina kandi bushobora gutera ibimenyetso bito cyangwa byoroheje
• Rectocele nini (Igipimo cya 3): Ububyimba burenza umunwa w’igitsina kandi busanzwe butera ibimenyetso byigaragaza cyane

Hari kandi itandukaniro hagati ya rectocele zo hejuru, ziba hejuru hafi y’inkondo y’umura, na rectocele zo hasi, ziba hafi y’umunwa w’igitsina. Muganga wawe azamenya ubwoko ufite mu gihe azakusuzuma.

Ese rectocele iterwa n’iki?

Rectocele iterwa no gusaduka cyangwa kwangirika kw’imiterere ishyigikira hagati y’umwijima n’igitsina. Ubu busaduka busanzwe buhita buhoro horo mu gihe kubera ibintu bitandukanye bisiga igitutu kuri iyo miterere yoroheje.

Ibitera bikunze kugaragara birimo:

• Kubyara, cyane cyane kubyara mu gitsina, aho umubyeyi amara igihe kinini asunika cyangwa akabyara umwana munini
• Impatwe zidakira n’imbaraga zikabije mu gihe cyo kunyara
• Gukura no gusaduka kw’imikaya y’igice cyo hasi cy’umubiri
• Ihinduka ry’imisemburo mu gihe cy’ikuzura ry’imboro rigira ingaruka ku gukomera kw’imiterere
• Kukohoka kenshi kubera indwara nka aasma cyangwa kunywa itabi
• Gutwara ibiremereye cyangwa imirimo isaba imbaraga zikabije
• Imiterere y’umuryango igira ingaruka ku gukomera kw’imiterere ihuriweho

Ibitera bitakunda kugaragara birimo kubagwa mu gice cyo hasi cy’umubiri, umubyibuho ukabije utera igitutu mu nda, ndetse n’indwara zimwe na zimwe z’imiterere ihuriweho nka Ehlers-Danlos syndrome. Rimwe na rimwe, ibintu byinshi bifatanya mu myaka myinshi kugira ngo bishireho gusaduka buhoro buhoro kw’urukuta rwa rectovaginal.

Ni ingenzi kumenya ko kugira ibyo bibazo bitavuze ko uzagira rectocele. Abagore benshi bafite ibibazo nk’ibyo ntibabona icyo kibazo.

Ryari ukwiye kujya kwa muganga kubera rectocele?

Wagombye gutekereza kujya kwa muganga niba ufite ibimenyetso bikubuza gukora imirimo ya buri munsi cyangwa bikuguha impungenge. Kwisuzumisha hakiri kare bishobora gufasha mu kwirinda ko icyo kibazo gikomeza kandi bikarushaho kunoza ubuzima bwawe.

Nta gushidikanya, fata gahunda yo kujya kwa muganga niba ubona ibi bikurikira:

• Umuvuduko cyangwa ububabare mu kibuno buhoraho
• Kugorana mu guhita, bitakemuka no guhindura imirire
• Ububyimba bugaragara mu gitsina
• Kubabara mu gihe cy’imibonano mpuzabitsina
• Indwara z’inzira y’umusemburo zisubira kugaragara
• Kuva amaraso mu gitsina bidakomoka ku mihango

Wagombye gushaka ubufasha bwa muganga vuba niba ufite ububabare bukomeye mu kibuno, kudashaka kujya ku musarani mu minsi myinshi, cyangwa ibimenyetso by’indwara nka fiive hamwe n’ububabare mu kibuno. Ibyo bishobora kugaragaza ingaruka zikenera kuvurwa vuba.

Wibuke ko kuganira n’umuganga wawe ku bibazo by’ubuzima bw’igitsina ari ibintu bisanzwe. Bahuguwe mu gufasha muri ibyo bibazo kandi bashobora gutanga uburyo bwiza bwo kuvura.

Ni ibihe bintu bishobora gutera rectocele?

Ibintu byinshi bishobora kongera ibyago byo kurwara rectocele. Gusobanukirwa ibyo bintu bishobora kugufasha gufata ingamba zo kwirinda no kumenya igihe ukwiye kujya kwa muganga.

Ibyago by’ingenzi birimo:

• Kubyara inda nyinshi mu gihagararo, cyane cyane iyo kubyara byagoranye cyangwa bikamara igihe kirekire
• Kuba umukecuru, cyane cyane nyuma y’igihe cyo kubura imihango
• Impatwe zidakira cyangwa gukomeretsa mu gihe cyo kunnya
• Amateka y’umuryango afite ibibazo byo kugwa kw’imigongo y’imbere
• Ubumenyi, butera igitutu ku migongo y’imbere
• Inkondo idakira iterwa no kunywa itabi cyangwa indwara z’ibihaha
• Imishinga isaba imirimo ikomeye cyangwa guhagarara igihe kirekire
• Kubagwa kwakuweho imboro cyangwa ibindi bibazo byabaga mu mugongo

Abagore bamwe bashobora kugira ibindi bintu byongera ibyago nka indwara z’imiterere y’umubiri, ibibazo by’umukaya bidakira, cyangwa ibibazo bituma igitutu mu nda kiyongera kenshi. Abagore b’Abahispanike n’abazungu basa nkaho bafite umubare munini wa rectocele ugereranije n’indi miryango.

Kugira ibintu byongera ibyago ntibisobanura ko uzagira rectocele. Abagore benshi bafite ibintu byinshi byongera ibyago ntibabona iyi ndwara, mu gihe abandi bafite ibintu bike byongera ibyago bayibona.

Ni iki gishobora kuba ingaruka za rectocele?

Rectoceles nyinshi ntizitera ingaruka zikomeye, cyane cyane iyo ari nto cyangwa zikurikiranwa neza. Ariko, gusobanukirwa ingaruka zishoboka bizagufasha kumenya igihe ugomba gushaka ubufasha bwa muganga bwihuse.

Ingaruka zishoboka zirimo:

• Impatwe zidakira zigenda zigorana guhangana nazo
• Amazi mu nzira y’umukaya asubira kenshi kubera ko umukaya utuzuzwa
• Ibibazo by’imibonano mpuzabitsina cyangwa kubabara mu gihe cy’imibonano mpuzabitsina
• Uruhu rukomeretsa cyangwa kwangirika niba rectocele igaragara cyane
• Kugenda kirushaho kuba kibi bikaba ngombwa kuvurwa cyane
• Kugira ibindi bibazo byo kugwa kw’imigongo y’imbere

Ingaruka nke zishobora kuba harimo inzitizi mu mara niba rectocele ikomeye cyane, cyangwa indwara ikomeye niba hari udukoko.

Inkuru nziza ni uko ingaruka nyinshi zishobora kwirindwa cyangwa kuvurwa neza hakoreshejwe ubuvuzi bukwiye. Gukurikirana buri gihe n’abaganga bawe bifasha mu kubona impinduka zihari hakiri kare.

Uko rectocele ishobora kwirindwa

N’ubwo udashobora kwirinda rectocele zose, cyane cyane iziterwa n’imiterere y’umubiri cyangwa gusaza, ushobora gufata ingamba zo kugabanya ibyago byayo no kwirinda ko ibibazo biriho bikomeza kuba bibi.

Ingamba z’ubwirinzi zikora neza zirimo:

• Kugira imyanya y’ibihaza buri gihe binyuze mu gufata ibiryo birimo fibre n’amazi ahagije
• Kwirinda gukoresha imbaraga mu gihe ugiye ku musarane
• Gukora imyitozo ngororamubiri y’igice cy’ibanga (Kegels)
• Kugira ibiro bikwiye kugira ngo ugabanye umuvuduko ku gice cy’ibanga
• Koresha uburyo bukwiye bwo gutwara ibiremereye no kwirinda gutwara ibiremereye aho bishoboka
• Kuvura inkorora ikaze vuba
• Kuvura impatwe hakoreshejwe impinduka mu mirire cyangwa imiti uko bibaye ngombwa

Mu gihe utwite no nyuma yo kubyara, imyitozo ngororamubiri yoroheje y’igice cy’ibanga ishobora gufasha mu kubungabunga imbaraga z’imikaya. Niba uri mu gihe cya menopause, uganire n’umuganga wawe ku bijyanye no gufata imiti igabanya imisemburo, kuko bishobora gufasha mu kubungabunga imbaraga z’ingingo.

Izi ngamba zo kwirinda zifasha kandi mu kwirinda ko ikibazo gikomeza gukura mu gihe umaze kugira rectocele nto. Kugira umuco wo gukurikiza ibi biruta kuba umuntu wujuje ibisabwa byose.

Uko rectocele imenyekanishwa

Kumenya rectocele bisanzwe bikubiyemo kuvugana n’abaganga ku bimenyetso byawe no gukorerwa isuzuma ngororamubiri. Muganga azashaka gusobanukirwa uko icyo kibazo kibangamira ubuzima bwawe bwa buri munsi no gukuraho izindi ndwara z’igice cy’ibanga.

Uburyo bwo gupima busanzwe burimo:

• Ikiganiro kirambuye ku bimenyetso byawe n’amateka yawe y’ubuzima
• Kusuzuma igice cy’imbere cy’igice cy’ibanga kugira ngo hamenyekane ubunini n’aho rectocele iherereye
• Gusuzuma igihe urimo kwishima cyangwa ukomeza kugira ngo hamenyekane neza
• Kusuzuma umuyoboro w’inyuma w’igice cy’ibanga hakoreshejwe intoki kugira ngo hamenyekane uruhu ruhuza umuyoboro w’inyuma n’uw’igitsina
• Rimwe na rimwe hakorwa ibizamini by’inyongera nka defecography cyangwa MRI ku bintu bigoye

Muganga wawe ashobora kandi gukora ibizamini kugira ngo arebe ibibazo byindi mu gice cy’ibanga, nko gusuzuma imikorere y’umwijima cyangwa gusuzuma izindi nzego z’umubiri zimanuka. Mu bihe bimwe na bimwe, ashobora kukwerekeza ku muguzi w’umwuga nka urogynecologist cyangwa umuganga w’abaganga b’amara.

Isuzuma riba rigufi kandi rikorewe mu buryo bwubaha uko wumva. Ntugatinye kubabaza ibibazo cyangwa gutanga ibitekerezo igihe cyose.

Ni iki kivura rectocele?

Kuvura rectocele biterwa n’uburemere bw’ibimenyetso byawe n’ingaruka z’ubwo burwayi ku mibereho yawe. Benshi bafite uburwayi buke bashobora kuvurwa neza batakoresheje kubagwa.

Uburyo bwo kuvura budakoresheje kubagwa burimo:

• Fizioterapi ya pelvic floor kugira ngo imitsi itera inkunga ikomeze
• Guhindura imirire kugira ngo birinde impatwe kandi bigabanye gukomeza
• Ibikoresho bya pessary bitanga inkunga y’imiterere
• Imiti igabanya ububabare cyangwa ibintu byongera fibre kugira ngo intege nke zorohe
• Ubuvuzi bw’imisemburo ku bagore bamaze guhita mu gihe cyo kubyara, niba bikwiye

Ku bintu bikomeye cyangwa igihe uburyo budakoresheje kubagwa budatanga impumuro, uburyo bwo kubagwa burimo:

• Gusana inyuma, bikomeza uruhu ruhuza umuyoboro w’inyuma n’uw’igitsina
• Gusana hakoreshejwe mesh kugira ngo habeho inkunga y’imiterere
• Gusana hakoreshejwe umuyoboro w’inyuma bikorwa binyuze mu muyoboro w’inyuma
• Ibikorwa byahujwe hamwe niba hari izindi nzego z’umubiri zifite ibibazo

Muganga wawe azaganira nawe ku buryo bwiza bushingiye ku mimerere yawe bwite, ubuzima bwawe muri rusange, n’ibyo ukunda. Ubuvuzi busanzwe bugira akamaro cyane, abagore benshi bagaragaza ko ibimenyetso byabo byagabanutse cyane.

Uko wakwita kuri rectocele mu rugo?

Abagore benshi basanga ingamba zo kwita ku buzima mu rugo zishobora kunoza ubuzima bwabo no gukumira ikomeza ry’ibimenyetso. Izi ngamba zigira akamaro cyane iyo zikoreshwa buri gihe nk’igice cy’imirimo yawe ya buri munsi.

Kwita ku buzima mu rugo neza birimo:

• Kurya indyo yuzuye ifite imbuto, imboga, n’ibinyampeke byuzuye
• Kunywamo amazi ahagije umunsi wose
• Gukora imyitozo ngororamubiri ya pelvic floor (Kegels) buri munsi
• Gukoresha intebe y’amaguru mu gihe cyo guhita mu gikari kugira ngo ubone umwanya mwiza
• Kwirinda gukomeretsa no gufata umwanya uhagije wo guhita neza
• Kugira ibiro byiza binyuze mu mirire yuzuye no gukora imyitozo ngororamubiri

Bamwe mu bagore basanga bishimishije gukoresha uburyo nko gukanda, aho gukanda gake gukorerwa ku rukuta rw’inda mu gihe cyo guhita mu gikari. Abandi bagira inyungu mu guteganya igihe cyo kujya mu bwiherero kugira ngo bashyireho imikorere myiza.

Izi ngamba zo mu rugo zigira akamaro cyane iyo zifatanije n’ubuvuzi bw’umwuga. Jya ukomeza kumenya icyakugiriye akamaro n’icyo kitagukoreye, kugira ngo ubashe kuganira ibyo wabonye n’umuvuzi wawe.

Wategura gute inama yawe na muganga?

Gutegura inama yawe bishobora kugufasha kugira ngo ubone ibyiza byinshi mu ruzinduko rwawe kandi ubone ubuvuzi bwiza. Gufata iminota mike kugira ngo utegure ibitekerezo byawe mbere bituma inama iba ifite umusaruro.

Mbere y’inama yawe:

• Andika ibimenyetso byawe, harimo igihe byatangiye n’icyo biba byiza cyangwa bikabije
• Inika imiti yose, ibinyobwa by’imiti, n’ubuvuzi wagerageje
• Andika ibibazo ushaka kubaza ku bijyanye n’uburyo bwo kuvura, uburyo bwo kuvura, cyangwa guhindura imibereho
• Kora amakuru yerekeye amateka yawe yo kubyara, harimo amakuru yerekeye kubyara
• Teganya kuzana inshuti cyangwa umuryango w’umuryango kugira ngo bagufashe

Ntugenure gahunda y’ibisabwa byawe mu gihe cy’imihango niba bishoboka, kuko bishobora kubangamira isuzuma. Kandi, gerageza kugira umwijima mbere y’uruzinduko rwawe kugira ngo ugume utuje mu gihe cy’isuzuma.

Wibuke ko kuganira ku buzima bw’imbere mu nda ari igice gisanzwe cy’ubuzima bw’abagore. Muganga wawe afite ubunararibonye kuri ibi bibazo kandi ashaka kugufasha kumva neza.

Ni iki gikuru cyo kwibuka kuri rectocele?

Rectocele ni uburwayi bushobora kuvurwa bugira ingaruka ku bagore benshi, cyane cyane nyuma yo kubyara cyangwa mu gihe cy’imyaka y’ubukure. Nubwo bishobora gutera ibimenyetso bidahagaze neza, uburyo bwo kuvura burasohoka kuva ku guhindura imibereho kugeza ku kuvura imiti igihe bibaye ngombwa.

Ikintu gikomeye cyo kwibuka ni uko ugomba kwihanganira mu mucecetse. Abagore benshi bumva bafite ipfunwe bavuga ibibazo by’ubuzima bw’imbere mu nda, ariko ibi bibazo ni bimenyerewe kandi bishobora kuvurwa. Kugira icyo ukora hakiri kare bikunze gutuma ibintu bigenda neza kandi bishobora kubuza uburwayi gutera imbere.

Uko ibimenyetso byawe ari bito cyangwa bikomeye, gukorana n’abaganga bawe bishobora kugufasha kubona imiti ikwiye kugira ngo wongere ubuzima bwawe. Abagore benshi bafite rectocele bakomeza kubaho ubuzima bukomeye, buhumuriza hamwe no gufata neza.

Ibibazo byakajagajagajwe cyane kuri rectocele

Ese rectocele ishobora gukira yonyine?

Uduce duto twa rectocele ntabwo twikira burundu ubwabyo, ariko ibimenyetso bishobora kumera neza cyane hakoreshejwe uburyo bwo kuvura budakoresha imiti. Imikino yo gukomera imitsi y’igice cy’ibanga, guhindura imirire, no kugira imyifatire myiza yo kunyara bishobora gukumira ko ikibazo gikomeza no kugabanya ububabare. Nubwo impinduka z’imiterere zisigara, abagore benshi bagera ku gukira neza ibimenyetso batakoresheje kubagwa.

Mbese kubagwa kwa rectocele bihora bikenewe?

Oya, kubagwa birakenewe gusa iyo uburyo bwo kuvura budakoresha imiti butabashije kugabanya ikibazo, kandi ibimenyetso bikabangamira ubuzima bwawe. Abagore benshi baramenyera rectocele bakoresheje uburyo budakoresha kubagwa nko kuvura imitsi y’igice cy’ibanga, guhindura imirire, no gukoresha ibikoresho byo gufata umwanya. Muganga wawe azagufasha kumenya uburyo bwiza bushingiye ku kibazo cyawe.

Mbese nshobora gukomeza gukora imibonano mpuzabitsina mfite rectocele?

Abagore benshi bafite rectocele bashobora gukomeza gukora imibonano mpuzabitsina, nubwo bamwe bashobora kumva ububabare cyangwa impinduka mu buryo bumva. Kuganira n’uwo mwashakanye ku bijyanye n’imibonano mpuzabitsina ibababaza no gukoresha amavuta ahagije bishobora gufasha. Niba ububabare bukomeje, uganire n’umuganga wawe ku bijyanye n’uburyo bwo kuvura, kuko gukemura ikibazo cya rectocele akenshi bigabanya ububabare mu mibonano mpuzabitsina.

Mbese rectocele izabangamira ubushobozi bwanjye bwo kunyara?

Rectocele ishobora gutuma kunyara bigorana, bigatuma wumva utanyara neza cyangwa ukenera ubufasha bw’amaboko. Ariko kandi, ibyo bimenyetso bikunda kumera neza hakoreshejwe uburyo bwiza bwo kuvura. Guhindura imirire, imiti igabanya ububabare, n’uburyo nko gukoresha ibikoresho bishobora gufasha, mu gihe ibibazo bikomeye bishobora kuvurwa hakoreshejwe kubagwa.

Mbese rectocele ishobora guteza ibindi bibazo by’igice cy’ibanga?

Abagore bafite rectocele bafite ibyago byinshi byo kurwara ibindi bibazo byo gucika kw’imiterere y’igice cy’ibanga, nko gucika kw’umwijima cyangwa w’inda, kuko ibintu bimwe bigabanya imbaraga mu gice kimwe bikunda kugira ingaruka ku bice biri hafi. Gusuzuma igice cy’ibanga buri gihe bifasha kubona impinduka hakiri kare, kandi imyitozo yo gukomera imitsi ishobora gufasha gukumira ko ikibazo gikwirakwira mu bindi bice.