Amafiribwoyidi y'Uterasi ni iki? Ibimenyetso, Impamvu, n'Ubuvuzi

Amafiribwoyidi y'uterasi ni ibintu bidakomeretsa bikura mu kibuno cyawe cyangwa hafi yacyo. Aya mbabura asanzwe akorwa n'imitsi n'umubiri, kandi agera kuri 80% by'abagore bafite imyaka 50.

Tekereza kuri amafiribwoyidi nk'ibintu bidafite akaga bishobora kuba bito cyangwa binini bitewe n'aho biri. Nubwo ijambo “umwenda” rishobora gutera ubwoba, amafiribwoyidi ntabwo akenshi aba ari kanseri kandi abagore benshi babana na yo batanabizi.

Amafiribwoyidi y'uterasi ni ayahe?

Amafiribwoyidi y'uterasi ni imikura y'imitsi yoroheje ikura ku rukuta rw'umura w'umugore. Abaganga bayita leiomyomas cyangwa myomas, ariko ayo mazina yose avuga kimwe.

Aya makura ashobora kuba mato nk'imbuto cyangwa akaba manini nk'imbuto ya melon. Bamwe mu bagore baba bafite firibwoyidi imwe, abandi bagira nyinshi. Inkuru nziza ni uko amafiribwoyidi adakomeretsa, bisobanura ko atazakwirakwira mu zindi ngingo z'umubiri wawe nkuko kanseri yakora.

Amafiribwoyidi ashobora gukura mu bice bitandukanye by'umura w'umugore. Ashobora gukura imbere mu rukuta rw'umura, ku ruhande rwo hanze, cyangwa agahangira ku mura ku gishishwa.

Ni ayahe moko y'amafiribwoyidi y'uterasi?

Abaganga basobanura amafiribwoyidi hakurikijwe aho akura mu mura w'umugore. Aho ari niho bigira ingaruka ku bimenyetso ushobora kugira n'uburyo avurwa.

Dore amoko nyamukuru ukwiye kumenya:

• Amafiribwoyidi yo hagati: Aya akura mu rukuta rw'imitsi rw'umura w'umugore kandi ni yo asanzwe.
• Amafiribwoyidi yo hanze: Aya akura ku rukuta rwo hanze rw'umura w'umugore kandi ashobora gukura cyane.
• Amafiribwoyidi yo hasi: Aya akura munsi y'urukuta rw'umura w'umugore kandi akenshi atuma amaraso menshi ava.
• Amafiribwoyidi afite umugozi: Aya ahangira ku mura w'umugore ku gishishwa kandi ashobora guhindukira, akaba atuma ububabare butunguranye.

Buri bwoko bushobora gutera ibimenyetso bitandukanye, ibi bifasha muganga wawe kumenya uburyo bwiza bwo kuvura hakurikijwe uko uhagaze.

Ni ibihe bimenyetso by'amafiribwoyidi y'uterasi?

Abagore benshi bafite amafiribwoyidi ntabwo bagira ibimenyetso. Ariko, iyo ibimenyetso bibayeho, akenshi bijyana n'ubunini n'aho amafiribwoyidi ari.

Reka turebe ibimenyetso ushobora kubona, tuzirikana ko uko wabyumva bishobora gutandukana n'uko undi mugore yabyumva:

• Kuva amaraso menshi mu mihango: Imihango yawe ishobora kuba myinshi cyangwa ikamara iminsi irenga irindwi.
• Ubwandu mu kibuno cyangwa ububabare: Ushobora kumva umunaniro cyangwa ububabare mu gice cyo hasi cy'inda cyangwa mu kibuno.
• Gushaka kenshi kujya kwinjira: Amafiribwoyidi manini ashobora gukanda kuri vessie, bigatuma ukeneye kenshi kujya kwinjira.
• Kugorana gusuka vessie: Bamwe mu bagore babona bigoye gusuka vessie rwose.
• Kubabara mu nda: Amafiribwoyidi akanda kuri rectum bishobora gutuma kugenda ku musarani bigoye.
• Ubwandu mu mugongo cyangwa mu birenge: Amafiribwoyidi manini ashobora gukanda ku mitsi, bigatuma ububabare buva mu mugongo cyangwa mu birenge.

Ibimenyetso bidafite akaga bishobora kuba harimo ububabare mu gihe cy'imibonano mpuzabitsina cyangwa inda ikomeye ituma usa n'utwite. Niba ufite kimwe muri ibi bimenyetso, birakwiye kubivugana n'umuganga wawe.

Ni iki gitera amafiribwoyidi y'uterasi?

Impamvu nyakuri y'amafiribwoyidi y'uterasi ntiyumvikana neza, ariko abashakashatsi bemeza ko imisemburo n'imiterere y'umuntu bigira uruhare runini. Urwego rw'estrogène na progesterone mu mubiri wawe bisa nkaho byongera ubukura bw'amafiribwoyidi.

Ibintu byinshi bisa nkaho bigira uruhare mu iterambere ry'amafiribwoyidi:

• Guhinduka kw'imisemburo: Estrogène na progesterone byongera ubukura bw'amafiribwoyidi, niyo mpamvu akenshi bagabanuka nyuma y'igihe cyo kubyara.
• Imvange y'umuntu: Niba nyoko cyangwa mushiki wawe yagize amafiribwoyidi, ushobora kubona.
• Ibinyabutabire by'ubukura: Ibintu bifasha umubiri wawe kubungabunga imisemburo bishobora kandi kongera ubukura bw'amafiribwoyidi.
• Urukuta rwo hanze: Iki ni ikintu gituma uturemangingo dukomera hamwe, kandi cyiyongereye mu mafiribwoyidi.

Abashakashatsi baracyiga impamvu bamwe mu bagore bagira amafiribwoyidi abandi ntibayagire. Icyo tuzi ni uko amafiribwoyidi asanzwe kandi nta kintu wakoze cyangwa utagize cyatumye akura.

Ni ibihe bintu byongera ibyago byo kugira amafiribwoyidi y'uterasi?

Ibintu bimwe bishobora kongera amahirwe yo kugira amafiribwoyidi, nubwo kugira ibyago ntibihamya ko uzabona. Gusobanukirwa ibi bintu bishobora kugufasha kumenya ubuzima bwawe.

Dore ibyago nyamukuru abaganga bamenye:

• Imyaka: Amafiribwoyidi asanzwe mu myaka yo kubyara, cyane cyane mu myaka 30 na 40.
• Ubwoko: Abagore b'Abanyamerika b'Abirabura bafite amahirwe menshi yo kugira amafiribwoyidi kandi akenshi bayagira bakiri bato.
• Amateka y'umuryango: Kugira nyina cyangwa mushiki w'umugore ufite amafiribwoyidi byongera ibyago.
• Umurire: Kuba urebye bishobora kongera ibyago, bishobora kuba biterwa n'urwego rwinshi rwa estrogène.
• Ibyokurya: Kurya inyama zitukura n'inyama z'ingurube bishobora kongera ibyago, mu gihe imboga zishobora kurinda.
• Imihango ya mbere: Gutangira imihango mbere y'imyaka 10 bishobora kongera ibyago.

Ibintu bimwe bishobora kugabanya ibyago, harimo kubyara abana, gukoresha imiti y'ubwirinzi, no kurya ibikomoka ku mata. Ibi ni ibintu by'imibare gusa, kandi ubuzima bwa buri mugore ni bwo bwonyine.

Ni ryari ukwiye kujya kwa muganga kubera amafiribwoyidi y'uterasi?

Ukwiye kuvugana n'umuganga wawe niba ufite ibimenyetso bikubuza gukora ibintu byawe bya buri munsi cyangwa bikuguha impungenge. Ntugatege amatwi ibimenyetso bikomeye mbere yo gushaka ubufasha.

Dore igihe runaka ukwiye guhamagara:

• Kuva amaraso menshi: Niba umenyekana cyangwa tampon yose yuzuye buri saha mu masaha menshi.
• Imihango irambye: Imihango ikamara iminsi irenga irindwi.
• Ububabare bukabije: Ubwandu mu kibuno budakira n'imiti igabanya ububabare.
• Ibibazo bya vessie: Gushaka kenshi kujya kwinjira bikubuza gusinzira cyangwa gukora ibintu byawe bya buri munsi.
• Impungenge zo kubyara: Niba ugira ibibazo byo gutwita.

Shaka ubufasha bw'abaganga ako kanya niba ufite ububabare bukabije mu kibuno cyangwa amaraso menshi akugira intege nke cyangwa ukumva ugiye kugwa. Ibi bishobora kuba ibimenyetso by'ibibazo bikeneye kuvurwa vuba.

Ni ibihe bibazo bishobora guterwa n'amafiribwoyidi y'uterasi?

Amafiribwoyidi menshi ntabwo atera ibibazo bikomeye, ariko ni ngombwa kumenya ibibazo bishoboka. Kumenya hakiri kare no kuvura bishobora gukumira ibibazo bikomeye.

Dore ibibazo bishobora kubaho, nubwo bidakunze kubaho:

• Anemia: Kuva amaraso menshi bishobora gutera ibura ry'amabuye y'umutuku, bigatuma umunaniro n'intege nke.
• Ibibazo byo kubyara: Amafiribwoyidi amwe ashobora kubangamira gutwita cyangwa akazinga amafuti.
• Ibibazo byo gutwita: Amafiribwoyidi ashobora kongera ibyago byo kubura imbabura cyangwa kubyara imburagihe.
• Amafiribwoyidi ashaje: Iyo amafiribwoyidi akura arenze amaraso, ashobora gutera ububabare bukabije.
• Udukoko mu nzira y'umushishi: Kugorana gusuka vessie rwose bishobora gutera udukoko.

Gake cyane, firibwoyidi ishobora guhinduka kanseri, ariko ibi bibaho mu kigero kiri munsi ya 1%. Muganga wawe azakurikirana amafiribwoyidi yawe mu bugenzuzi busanzwe kugira ngo amenye impinduka hakiri kare.

Amafiribwoyidi y'uterasi apimwa ate?

Muganga wawe azatangira akugenzure mu kibuno kugira ngo arebe ko hari ikintu kidahuje mu mura wawe. Ashobora kumva ibintu binini cyangwa ibintu bidahuje bishobora kugaragaza ko hari amafiribwoyidi.

Ibizamini byinshi byo kubona amashusho bishobora kwemeza uburwayi no gutanga amakuru arambuye ku mafiribwoyidi yawe:

• Ultrasound: Iki kizamini kidakomeretsa gikoresha ibishushanyo by'amajwi kugira ngo gikore amashusho y'umura wawe.
• MRI: Magnetic resonance imaging itanga amashusho arambuye kandi ifasha gutegura ubuvuzi.
• Hysterosonography: Amazi meza ashyirwa mu mura wawe kugira ngo ubone amashusho meza ya ultrasound.
• Hysteroscopy: Igikoresho gito cyangiritse cyashyizwe mu kiziba cy'umura kugira ngo kirebe imbere mu mura wawe.
• Laparoscopy: Kamera nto ishyirwa mu gice gito gishobora kubona amafiribwoyidi yo hanze y'umura wawe.

Muganga wawe ashobora kandi gutegeka ibizamini by'amaraso kugira ngo arebe ko hari anemia niba ufite amaraso menshi. Ibi bizamini bifasha kumenya uko amafiribwoyidi agira ingaruka ku buzima bwawe.

Ni ikihe kivurirwa amafiribwoyidi y'uterasi?

Kuvura amafiribwoyidi biterwa n'ibimenyetso, ubunini n'aho amafiribwoyidi ari, n'imishinga yawe yo gutwita mu gihe kizaza. Abagore benshi bafite amafiribwoyidi mato, badafite ibimenyetso, ntibakenera kuvurwa.

Reka turebe uburyo bwo kuvura muganga wawe ashobora kugutegurira:

Imiti

• Imiti y'ubwirinzi: Ibiyobyabwenge, ibyo kwisiga, cyangwa IUD bishobora gufasha kugenzura amaraso menshi.
• GnRH agonists: Aya miti igabanya amafiribwoyidi ahagarika gukora imisemburo.
• Tranexamic acid: Iyi miti ifasha kugabanya amaraso menshi mu mihango.
• Imiti y'amabuye y'umutuku: Ibi bifasha kuvura anemia iterwa no kuva amaraso menshi.

Uburyo budakoresha ubuvuzi

• Uterine artery embolization: Udutose duto dukinga amaraso ajya mu mafiribwoyidi, bigatuma agabanuka.
• MRI-guided focused ultrasound: Ibishushanyo by'amajwi by'umuvuduko mwinshi byangiza imisemburo y'amafiribwoyidi.

Uburyo bwo kubaga

• Myomectomy: Gukuraho amafiribwoyidi utabaga umura.
• Hysterectomy: Gukuraho umura rwose, bikuraho amafiribwoyidi burundu.
• Endometrial ablation: Gusenya urukuta rw'umura kugira ngo hagabanyuke amaraso menshi.

Umuganga wawe azakorana nawe kugira ngo atore uburyo bwiza bwo kuvura hakurikijwe uko uhagaze n'ibyo ukunda.

Uburyo bwo kuvura amafiribwoyidi y'uterasi mu rugo?

Nubwo imiti yo mu rugo idashobora gukiza amafiribwoyidi, guhindura imibereho n'uburyo bwo kwita ku buzima bishobora kugufasha gucunga ibimenyetso no kumva wishimye. Ibi bintu bikora neza hamwe no kuvurwa kwa muganga.

Dore uburyo ushobora kwita ku buzima bwawe mu rugo:

• Ubushyuhe: Ikirahuri cyangwa amazi ashyushye bishobora gufasha kugabanya ububabare mu kibuno no guhindagurika.
• Imikino ngororamubiri: Imikino ngororamubiri ishobora gufasha kugabanya ububabare no kunoza ubuzima bwawe muri rusange.
• Kumenya gucunga umunaniro: Uburyo bwo kuruhuka nka yoga cyangwa meditation bishobora gufasha mu gucunga ububabare.
• Guhindura imirire: Kurya imbuto n'imboga nyinshi mu gihe ugabanya inyama zitukura bishobora kugira akamaro.
• Ibiryo byuzuyemo amabuye y'umutuku: Koresha ibiryo nka epinari, ibishyimbo, n'inyama zoroheje kugira ngo urwanye anemia.

Imiti igabanya ububabare nka ibuprofen ishobora gufasha mu kubabara kandi ishobora kugabanya amaraso menshi gato. Ariko, buri gihe banza ubaze muganga wawe mbere yo gutangira imiti mishya cyangwa guhindura imirire yawe cyane.

Uburyo bwo kwitegura kujya kwa muganga?

Kwitegura kujya kwa muganga bishobora kugufasha gukoresha neza igihe cyawe n'umuganga wawe. Kwitegura neza bihamya ko ubasha kubona ibisubizo byose by'ibibazo byawe kandi ukabona ubufasha bwiza.

Dore uburyo bwo kwitegura uruzinduko rwawe:

• Kumenya ibimenyetso byawe: Kora ibitabo by'imihango yawe, urwego rw'ububabare, n'ibindi bimenyetso.
• Andika imiti yawe: Harimo imiti yose yanditswe, imiti yo mu maduka, n'ibindi.
• Tegura ibibazo: Andika byose ushaka kubaza ku burwayi bwawe n'uburyo bwo kuvura.
• Zana umuntu ugushakira inkunga: Tekereza kuzana umuryango wawe cyangwa inshuti kugira ngo aguherekeze mu buvuzi.
• Kora dosiye y'ubuvuzi: Zana ibisubizo by'ibizamini byabanje cyangwa amashusho ajyanye n'amafiribwoyidi yawe.

Ntukabe ikibazo cyo gusaba muganga wawe gusobanura ikintu udasobanukiwe. Umuganga wawe ashaka kugufasha gufata ibyemezo byiza bijyanye n'ubuvuzi bwawe.

Amafiribwoyidi y'uterasi ashobora gukumirwa?

Nta buryo bwo gukumira amafiribwoyidi y'uterasi kuko tutabona impamvu nyamukuri ibiterwa. Ariko, guhitamo imibereho bishobora kugufasha kugabanya ibyago cyangwa kugabanya ubukura bwabyo.

Dore ingamba zishobora kugira akamaro:

• Kugira ibiro byiza: Umurire ujyana no kongera ibyago by'amafiribwoyidi.
• Gukora imikino ngororamubiri buri gihe: Imikino ngororamubiri ishobora gufasha kugenzura imisemburo no kugabanya ibyago.
• Kurya indyo yuzuye: Fata imbuto, imboga, n'ibinyampeke byuzuye mu gihe ugabanya ibiryo byakozwe.
• Kugabanya inzoga: Kunywa inzoga nyinshi bishobora kongera ibyago by'amafiribwoyidi.
• Kumenya gucunga umunaniro: Umunaniro udashira ushobora kugira ingaruka ku misemburo.

Ibuka ko abagore baba bafite ubuzima bwiza bashobora kugira amafiribwoyidi. Niba ubona, ntabwo ari uko wakoze ikintu kibisha, kandi hari uburyo bwo kuvura bushobora kugufasha kumva wishimye.

Ni iki cyingenzi cyo kuzirikana ku mafiribwoyidi y'uterasi?

Amafiribwoyidi y'uterasi asanzwe kandi ashobora gucungwa. Nubwo bishobora gutera ibimenyetso bidafuraha, ntabwo akenshi aba ari akaga kandi hari uburyo bwinshi bwo kuvura buhari.

Ikintu cy'ingenzi cyo kuzirikana ni uko ntugomba kubihangana wenyine. Niba amafiribwoyidi agira ingaruka ku mibereho yawe, umuganga wawe ashobora kugufasha kubona ubuvuzi.

Ubuzima bwa buri mugore bufite amafiribwoyidi butandukanye, ibyakorera undi mugore bishobora kudakukorera. Korana n'itsinda ryawe ry'ubuvuzi kugira ngo mugire gahunda yo kuvura ihuye n'ibimenyetso byawe, imibereho yawe, n'ibyo wifuza.

Ibibazo byakenshi bibazwa ku mafiribwoyidi y'uterasi

Ese amafiribwoyidi y'uterasi ahora atera ibimenyetso?

Oya, abagore benshi bafite amafiribwoyidi batabizi. Ubushakashatsi bwerekana ko abagore bagera kuri 75% bafite amafiribwoyidi badafite ibimenyetso. Amafiribwoyidi mato akenshi ntaboneka kugeza igihe abonwa mu bugenzuzi busanzwe cyangwa mu bipimo by'amashusho by'izindi mpamvu.

Ese amafiribwoyidi ashobora kugira ingaruka ku bushobozi bwanjye bwo gutwita?

Amafiribwoyidi menshi ntabangamira ubushobozi bwo kubyara, ariko amwe ashobora gutuma bigoye gutwita cyangwa gutwara inda kugeza igihe cyo kubyara. Amafiribwoyidi ahindura igice cy'umura cyangwa akazinga amafuti ni yo akenshi atuma haba ibibazo byo kubyara. Niba ugerageza gutwita, vugana n'umuganga wawe ku mafiribwoyidi yawe.

Ese amafiribwoyidi yanjye azakira wenyine?

Amafiribwoyidi akenshi agabanuka wenyine nyuma y'igihe cyo kubyara iyo urwego rw'imisemburo rugabanutse. Ariko, mu myaka yo kubyara, bishoboka ko azaguma uko ari cyangwa akura. Amafiribwoyidi amwe arahagarika gukura cyangwa agabanuka gato, ariko ibi ntabwo ari ikintu ushobora kwiringira.

Ese kubaga ari bwo buryo bwonyine bwo kuvura amafiribwoyidi manini?

Oya ntabwo aribyo. Nubwo amafiribwoyidi manini akenshi asaba ubuvuzi bukomeye, uburyo budakoresha ubuvuzi nka uterine artery embolization bushobora kugira akamaro. Muganga wawe azisuzuma ubunini, aho ari, n'ibimenyetso byatewe n'amafiribwoyidi yawe mu gihe ategura uburyo bwo kuvura.

Ese amafiribwoyidi ashobora guhinduka kanseri?

Birakabije ko amafiribwoyidi yahinduka kanseri. Munsi ya 1% y'amafiribwoyidi ahinduka kanseri. Ubwoko bwa kanseri bushobora kubaho, bwitwa leiomyosarcoma, busanzwe butangira ukwaryo aho kuva ku mafiribwoyidi ariho. Muganga wawe azakurikirana amafiribwoyidi yawe mu bugenzuzi busanzwe kugira ngo arebe impinduka ziteye impungenge.