Ibyitso byo mu kibuno: Ibimenyetso, Intandaro, n’Uko Bivurwa

Ibyitso byo mu kibuno ni ibintu bito, bworoshye bikura mu gice cy’imbere cy’umura w’umugore, kitwa endometrium. Utekereza nk’ibintu bito, bisa n’intoki, bifata ku rukuta rw’umura, bisa nk’ibipfundikizo bito ku mugozi.

Ibi bintu bikura cyane kandi akenshi nta cyago biba bitera, bisobanura ko atari kanseri. Abagore benshi bafite ibyitso byo mu kibuno bashobora kubigenzura neza bafashijwe n’ubuvuzi, kandi benshi ntibabimenya keretse mu isuzuma rusanzwe.

Ibimenyetso by’ibyitso byo mu kibuno ni ibihe?

Abagore benshi bafite ibyitso byo mu kibuno nta bimenyetso bagira, niyo mpamvu akenshi biboneka mu isuzuma rusanzwe rya muganga w’abagore. Ariko, iyo ibimenyetso bibayeho, bigira aho bikora ku mibonano y’ukwezi.

Dore ibimenyetso bisanzwe ushobora kubona:

• Kuva amaraso mu gihe cy’imihango bidakurikije igihe cyangwa imihango ihinduka mu gihe n’umubare w’amaraso
• Kuva amaraso menshi mu gihe cy’imihango, akaba ari menshi ku buryo atuma udashobora gukoresha agatambakazi cyangwa tampon
• Kuva amaraso hagati y’imihango cyangwa gutinda amaraso mu gihe kitateganijwe
• Kuva amaraso nyuma y’imyaka y’uburumbuke, ibi bigomba gusuzuma muganga
• Imihango iramba kurusha igihe gisanzwe, ikarenga igihe cyayo gisanzwe
• Kugorana gutwita cyangwa kubura imbaraga zo gutwita

Bamwe mu bagore bagira n’ububabare bw’inda cyangwa mu kibuno, nubwo bitabaho kenshi. Ibimenyetso bishobora kuba bito mu ntangiriro, bityo ni ngombwa kwita ku mpinduka ziba mu mubiri wawe no kubivugana n’abaganga bawe.

Ubwoko bw’ibyitso byo mu kibuno ni ubuhe?

Ibyitso byo mu kibuno bigabanywamo amoko hakurikijwe aho biri mu mura w’umugore n’uburyo bw’uturemangingo tubigize. Gusobanukirwa utwo turere bishobora kugufasha kuvugana neza n’umuganga wawe ku kibazo cyawe.

Amoko nyamukuru arimo:

• Ibyitso bya endometrium: Ni cyo kigero gisanzwe, gikura mu mubiri wa endometrium ukingira umura wawe
• Ibyitso byo ku kiziba cy’umura: Bikura ku kiziba cy’umura aho kuba mu mura ubwawo
• Ibyitso bifite umugozi: Bifata ku rukuta rw’umura hakoreshejwe umugozi muto, bituma byimuka byoroshye
• Ibyitso bifite urufatiro rugufi: Bifata ku rukuta rw’umura bifite urufatiro rugufi

Ibyitso byinshi biba bito, kuva kuri milimetero mike kugeza kuri santimetero nyinshi. Gake, bimwe bishobora gukura bikaba binini, ariko ibi ntibikora ku buzima bwabo.

Intandaro y’ibyitso byo mu kibuno ni iyihe?

Intandaro nyakuri y’ibyitso byo mu kibuno ntisobanuwe neza, ariko bisa nkaho bifitanye isano n’impinduka z’imisemburo mu mubiri wawe. Estrogen, imisemburo ifasha kongera uburebure bw’urukuta rw’umura buri kwezi, isa nkaho igira uruhare rukomeye mu mikurire yabyo.

Ibintu byinshi bishobora gutera ibyitso:

• Impinduka z’imisemburo, cyane cyane ku rugero rwinshi rwa estrogen
• Impinduka ziterwa n’imyaka, kuko ibyitso biyongera mu myaka 40 na 50
• Kubabara mu buryo buhoraho mu rukuta rw’umura
• Imiti imwe n’imwe, cyane cyane tamoxifen ikoreshwa mu kuvura kanseri y’amabere
• Umuvuduko ukabije w’amaraso, ushobora kugira ingaruka ku mitembereze y’amaraso mu rukuta rw’umura

Mu bihe bitoroshye, ibintu by’umurage cyangwa ibibazo by’ubuzima nk’uburwayi bwa Lynch bishobora kongera ibyago. Ariko, ku bagore benshi, ibyitso bikura nta ntandaro isobanutse, kandi ibi ni ibisanzwe.

Ni ryari ukwiye kujya kwa muganga kubera ibyitso byo mu kibuno?

Wagomba kuvugana n’abaganga bawe niba ubona impinduka zidasanzwe mu mihango yawe cyangwa ukagira ibimenyetso bikubabaza. Kumenya hakiri kare bishobora gufasha gukemura ibibazo mbere yuko bigorana.

By’umwihariko, hamagara muganga wawe niba ufite:

• Kuva amaraso nyuma y’imyaka y’uburumbuke, nubwo ari make
• Imihango myinshi ituma udashobora gukora imirimo yawe ya buri munsi
• Kuva amaraso hagati y’imihango bikamara iminsi irenga umunsi umwe cyangwa ibiri
• Imihango iramba iminsi irenga irindwi buri gihe
• Kugorana gutwita nyuma yo kugerageza amezi menshi
• Ububabare bukabije bw’inda cyangwa mu kibuno mu gihe cy’imihango

Ntugategereze niba uri kuvura amaraso nyuma y’imyaka y’uburumbuke, kuko ibi bihora bisaba ubuvuzi bw’ihutirwa. Nubwo akenshi biterwa n’ibintu bidakabije nka ibyitso, ni ngombwa gukuraho ibindi bibazo binyuze mu isuzuma rikwiye.

Ibyago byo kugira ibyitso byo mu kibuno ni ibihe?

Gusobanukirwa ibyago byawe bishobora kugufasha kumenya ibimenyetso bishoboka no kugira ubuvuzi buhoraho bw’abagore. Ibyago byinshi bifitanye isano n’imisemburo mu buzima bwawe.

Ibyago bisanzwe birimo:

• Kuba uri hagati y’imyaka 40-50, iyo impinduka z’imisemburo ziba zikomeye
• Kuba ufite ibiro byinshi, kuko ibinure byinshi bishobora kongera estrogen
• Guta imiti y’imisemburo cyangwa imiti imwe n’imwe yo kuvura kanseri y’amabere
• Kugira umuvuduko ukabije w’amaraso cyangwa diyabete
• Kutarwara inda, bigira ingaruka ku misemburo mu buzima bwose
• Kugira amateka y’ibindi bibazo by’umura

Ibyago bitoroshye birimo ibibazo by’umurage nk’uburwayi bwa Lynch cyangwa Cowden, bishobora gutera ubwoko butandukanye bw’ibintu bikura. Ariko, kugira ibyago ntibisobanura ko uzagira ibyitso, kandi abagore benshi badafite ibyago barabibona.

Ingaruka zishoboka z’ibyitso byo mu kibuno ni izihe?

Ibyitso byinshi byo mu kibuno nta cyago biba bitera kandi nta ngaruka zikomeye zigira, ariko ni byiza gusobanukirwa ibibazo bishobora kuvuka. Ingaruka nyinshi zirakomeza kuvurwa neza.

Ingaruka zishoboka harimo:

• Anemia iterwa no kuva amaraso menshi, bishobora gutera umunaniro n’intege nke
• Ibibazo byo gutwita, kuko ibyitso bishobora kubangamira gutera imbuto
• Kubura inda kenshi mu bihe bimwe na bimwe
• Kuva amaraso bidakurikije igihe bihoraho bigira ingaruka ku mibereho

Mu bihe bitoroshye cyane, ibyitso bishobora guhinduka kanseri. Ibi bibaho mu kigero kiri munsi ya 1% kandi biba byinshi mu bagore bamaze imyaka y’uburumbuke. Gukurikirana buri gihe no kuvurwa neza bishobora gufasha gukumira ingaruka zikomeye.

Inkuru nziza ni uko, hakoreshejwe ubuvuzi bukwiye, ingaruka nyinshi zirindwa cyangwa zivurwa byoroshye iyo zibaho.

Uko wakwirinda ibyitso byo mu kibuno

Nubwo udashobora kwirinda burundu ibyitso byo mu kibuno, ushobora gufata ingamba zo kugabanya ibyago byabyo no kwita ku buzima bwawe bw’imyororokere. Ibanda ku kubungabunga imisemburo no kwita ku buzima bwawe muri rusange.

Uburyo bwo kwirinda burimo:

• Kubungabunga ibiro bikwiye binyuze mu mirire myiza no gukora imyitozo ngororamubiri buri gihe
• Kwita ku muvuduko w’amaraso na diyabete niba ubifite
• Kuvugana n’umuganga wawe ku bijyanye n’imiti y’imisemburo
• Kwita ku buvuzi bw’abagore buhoraho
• Kwita ku guhangayika, bishobora kugira ingaruka ku misemburo

Ubushakashatsi bumwe bwerekana ko imibereho imwe n’imwe nk’imyitozo ngororamubiri buri gihe n’imirire ikungahaye ku mboga n’imbuto bishobora gufasha kubungabunga imisemburo. Ariko, ibuka ko ibyitso bishobora kuvuka nubwo ufite imibereho myiza, ntukwibande ku byago niba bibaye.

Uko ibyitso byo mu kibuno bipimwa

Kumenya ibyitso byo mu kibuno bisaba kuvugana ku bimenyetso byawe no gukoresha amashusho cyangwa uburyo bwo kubona ibintu by’imbere. Muganga wawe azatangira akuzanira amateka yawe y’ubuzima n’isuzuma rusanzwe.

Uburyo bwo gupima busanzwe burimo:

• Ultrasound ikoresha igice cy’imbere kugira ngo ibone urukuta rw’umura kandi ibone ibintu bikura
• Hysteroscopy, aho kamera nto ishyirwa kugira ngo ibone imbere y’umura wawe
• Gucukura endometrium kugira ngo hafatwe igice cy’umubiri gisuzuma
• Saline infusion sonohysterography, ikoresha amazi yo kunoza amashusho ya ultrasound

Uburyo bwo gupima busanzwe buroroshye kandi bushobora gukorwa mu biro by’umuganga. Hysteroscopy ifatwa nk’uburyo bwiza kuko iboneka neza kandi ishobora kuba uburyo bwo gupima no kuvura.

Mu bihe bitoroshye iyo ibimenyetso bikomeza nubwo ibizamini bya mbere byiza, umuganga wawe ashobora kugusaba gukora MRI cyangwa gusubiramo ibizamini kugira ngo nta kintu cyabuze.

Uko ibyitso byo mu kibuno bivurwa

Uburyo bwo kuvura ibyitso byo mu kibuno biterwa n’ibimenyetso byawe, imyaka yawe, niba ugerageza gutwita. Ibyitso bito, bidatera ibimenyetso, bishobora gukurikiranwa nta kuvurwa byihuse.

Uburyo bwo kuvura bushobora kuba:

• Gutegereza: Gukurikirana ibyitso bito, bidatera ibimenyetso, hakoreshejwe isuzuma rya buri gihe
• Imiti: Imiti y’imisemburo yo guhangana n’ibimenyetso byo kuva amaraso by’igihe gito
• Hysteroscopic polypectomy: Kubaga ibyitso hakoreshejwe uburyo buto
• Dilation and curettage (D&C): Gukuraho urukuta rw’umura kugira ngo hakurweho ibyitso

Hysteroscopic polypectomy niyo nzira ikunzwe kuko ari nto kandi ikurikiranwa neza, kandi ikurikiranwa neza.

Mu bihe bitoroshye birimo ibyitso binini cyangwa impungenge z’uko ari kanseri, uburyo bukomeye bushobora kuba ngombwa, ariko ibi ntibibaho kenshi kandi byavugwa nawe mbere.

Uko wakwitwara mu rugo mu gihe ufite ibyitso byo mu kibuno

Nubwo ubuvuzi buvuza ibyitso ubwayo, ushobora gufata ingamba mu rugo kugira ngo ubone uko uhangana n’ibimenyetso kandi ubungabunge ubuzima bwawe muri rusange. Ibanda ku buryo bwo guhumuriza no kugabanya ibimenyetso.

Uburyo bwo kwitwara mu rugo burimo:

• Gukoresha ibintu bishyushya cyangwa amazi ashyushye kugira ngo ugabanye ububabare bw’inda n’ububabare mu kibuno
• Guta imiti igabanya ububabare nk’ibuprofen kugira ngo ugabanye ububabare n’uburibwe
• Gukoresha ibintu bikwiye byo gufata amaraso menshi, harimo n’amatambakazi yo mu ijoro
• Kurya ibiryo bikungahaye kuri fer
• Kuryama bihagije, cyane cyane mu gihe uva amaraso menshi
• Kwandika ibimenyetso byawe kugira ngo ubisangize umuganga wawe

Imikino myoroheje nk’ugenda cyangwa yoga ishobora kandi gufasha guhangana n’umunaniro no guteza imbere ubuzima muri rusange. Ariko, irinda imikino ikomeye mu gihe uva amaraso menshi kugira ngo wirinde umunaniro ukabije.

Ibuke ko kwitwara mu rugo bigomba gushimangira, bitasimbura, ubuvuzi. Buri gihe ukurikije inama z’umuganga wawe ku bijyanye no kuvura no gukurikirana.

Uko wakwitegura kujya kwa muganga

Kwitwara neza mbere yo kujya kwa muganga bigufasha kubona uburyo bwo gupima neza no kuvurwa neza. Kwitegura neza bigufasha kumva ufite icyizere kandi ufatanye mu mikurire yawe.

Mbere yo kujya kwa muganga, kora ibi bikurikira:

• Amateka y’imihango yawe, harimo igihe cy’imihango, umubare w’amaraso, n’impinduka zose
• Urutonde rw’imiti yose n’ibindi ukoresha
• Inyandiko z’igihe ibimenyetso byatangiye n’uko byahindutse
• Amateka yawe y’ubuzima, harimo n’ubuvuzi bw’abagore
• Ibibazo ushaka kubabaza ku bijyanye no gupima n’uburyo bwo kuvura

Tegereza kwandika imihango yawe mu mezi make mbere yo kujya kwa muganga, wandike uburyo bwo kuva amaraso, ububabare, n’ibindi bimenyetso. Aya makuru ni ingenzi mu gufasha umuganga wawe gusobanukirwa ikibazo cyawe.

Ntuzuyaze kuzana inshuti cyangwa umuryango wawe kugira ngo bagufashe, cyane cyane niba uhangayikishijwe no kujya kwa muganga cyangwa kubagwa.

Icyo ukwiye kumenya ku byitso byo mu kibuno

Ibyitso byo mu kibuno ni ibisanzwe, akenshi nta cyago biba bitera, kandi abagore benshi babona nta ngaruka zikomeye. Nubwo bishobora gutera ibimenyetso nk’amaraso adakurikije igihe, uburyo bwo kuvura buhari kugira ngo bukemure ibyitso n’ibimenyetso byabyo.

Ikintu cy’ingenzi cyo kwibuka ni uko kumenya hakiri kare no kuvurwa neza bigira ingaruka nziza. Abagore benshi bafite ibyitso byo mu kibuno bakomeza kubaho ubuzima busanzwe, bwiza nyuma yo kuvurwa.

Nturetse ubwoba cyangwa ipfunwe bikubuze gushaka ubuvuzi niba ufite ibimenyetso. Umuganga wawe ariho kugufasha guhangana n’iki kibazo ufite impuhwe n’uburambe, kandi ukwiye kumva utekanye kandi uhawe amakuru mu nzira yose.

Ibibazo byakenshi bibazwa ku byitso byo mu kibuno

Ese ibyitso byo mu kibuno bishobora guhinduka kanseri?

Nubwo ibyitso byinshi byo mu kibuno bikomeza kuba nta cyago bitera, igice gito cyane gishobora guhinduka kanseri. Ibi bibaho mu kigero kiri munsi ya 1% kandi biba byinshi mu bagore bamaze imyaka y’uburumbuke. Gukurikirana buri gihe no kuvurwa neza bifasha kugenzura impinduka zose ziteye impungenge hakiri kare, iyo zivurwa neza.

Ese gukuraho ibyitso byo mu kibuno bizagira ingaruka ku bushobozi bwanjye bwo gutwita?

Gukuraho ibyitso byo mu kibuno akenshi bituma umuntu abasha gutwita kurushaho aho kubangamira. Ibyitso bishobora kubangamira gutera imbuto no gutera kubura inda kenshi, bityo gukuraho akenshi bifasha abagore gutwita. Uburyo buto bwo kubaga ntibwangiza umubiri w’umura, bugumisha ubushobozi bwawe bwo kubyara.

Igihe cyo gukira nyuma yo gukuraho ibyitso ni ikihe?

Gukira nyuma yo gukuraho ibyitso hakoreshejwe hysteroscopy bisanzwe bihita, abagore benshi bagaruka mu mirimo yabo isanzwe mu minsi mike. Ushobora kuva amaraso make cyangwa gutinda amaraso mu gihe cy’ibyumweru bibiri, kandi umuganga wawe ashobora kugusaba kwirinda gukoresha tampon, gukaraba umura, cyangwa imibonano mpuzabitsina muri icyo gihe cyo gukira. Gukira burundu bisanzwe biba mu byumweru 2-4.

Ese ibyitso byo mu kibuno bihora biterwa no kuva amaraso menshi?

Si ibyitso byose byo mu kibuno biterwa no kuva amaraso menshi, kandi abagore benshi nta bimenyetso bagira. Iyo ibimenyetso bibayeho, bishobora kuva ku gutinda amaraso make hagati y’imihango kugeza ku kuva amaraso menshi cyane mu gihe cy’imihango. Ubunini, aho biri, n’umubare w’ibyitso bigira uruhare mu buryo butera impinduka mu buryo bwo kuva amaraso.

Ese ibyitso byo mu kibuno bishobora gusubira nyuma yo kubikuraho?

Nubwo gukuraho ibyitso ari byiza cyane, ibindi byitso bishobora kuvuka nyuma y’igihe, cyane cyane niba ibintu by’imisemburo bikomeza kubaho. Igipimo cyo gusubira bibaho gitandukanye, ariko ubushakashatsi bwerekana ko 10-15% by’abagore bashobora kugira ibindi byitso mu myaka mike. Gukurikirana buri gihe bifasha kugenzura ibintu byose bishya kandi kubikemura vuba niba bibaye ngombwa.