Ni iki cyitwa Endometrial Ablation? Impamvu, Uburyo bwo gukora & Ibivamo

Endometrial ablation ni uburyo bwo kuvura bukoreshwa mu buvuzi bukuraho cyangwa bugasenya urugingo ruto rutwikiriye igice cy'umura, rwitwa endometrium. Ubu buryo bwo kuvura butagoye bufasha kugabanya imivuduko miremire y'imihango iyo ubundi buryo bwo kuvura butagize icyo bugeraho.

Bitekereze nk'uburyo bwihariye bwo gukemura ikibazo cy'urugingo rw'umura rutera ibibazo, rukugiraho ingaruka buri kwezi. Muganga wawe akoresha ibikoresho byihariye akuraho uru rugingo witonze, ibi bishobora koroshya cyane imihango yawe cyangwa rimwe na rimwe bikayihagarika burundu.

Ni iki cyitwa endometrial ablation?

Endometrial ablation ikuraho endometrium, urugingo ruzamuka buri kwezi rukavaho mu gihe cy'imihango yawe. Ubu buryo bugamije uru rugingo rwihariye gusa rutagira ingaruka ku bice byimbitse by'umura wawe.

Mugihe cyo kuvurwa, muganga wawe akoresha ubushyuhe, ubukonje, imbaraga z'amashanyarazi, cyangwa ubundi buryo bwo gusenya urugingo rwa endometrial. Ibi birinda urugingo gukura bisanzwe, ibi bikagabanya umubare w'amaraso ava mu mihango.

Ubu buryo bufatwa nk'ubutagoye kuko bukorwa binyuze mu gitsina cyawe no mu ijosi ry'umura. Muganga wawe ntabwo akeneye gukora ibikomere mu nda yawe, ibi bivuze ko ukira vuba kandi ukagira ibibazo bike ugereranije no kubagwa gukomeye.

Kuki endometrial ablation ikorwa?

Endometrial ablation ivura imivuduko miremire y'imihango igira ingaruka zikomeye ku buzima bwawe bwa buri munsi. Niba imihango yawe ikomeye cyane ku buryo uhindura ibikoresho byo mu gihe cy'imihango buri saha, umara iminsi irenga irindwi uvira, cyangwa ugira amaraso menshi n'udupfunyika, ubu buryo bushobora kugufasha.

Muganga wawe akenshi agushishikariza gukoresha ablation iyo ubundi buryo bwo kuvura butagize icyo bugeraho. Ibi bishobora kuba imiti ikoreshwa mu guhindura imisemburo, ibinini bigabanya urubyaro, cyangwa IUD isohora imisemburo kugirango igabanye imihango.

Ubu buryo bukora neza ku bagore barangije imiryango yabo kandi batagishaka abana. Gutwita nyuma yo gukoresha ubu buryo bwo gukura urwungano rw'amaraso rushobora guteza akaga ku mubyeyi n'umwana, bityo rero iki ni ikintu cy'ingenzi cyo gusuzuma.

Abagore bamwe bahitamo gukoresha ubu buryo kugira ngo barusheho kugira ubuzima bwiza. Kuva amaraso menshi bishobora gutera amaraso make, umunaniro, no kubangamira akazi, imyitozo ngororamubiri, n'ibikorwa by'imibereho. Benshi babona ubufasha bukomeye nyuma yo gukoresha ubu buryo.

Ni iki ubu buryo bwo gukura urwungano rw'amaraso?

Gukura urwungano rw'amaraso akenshi bikorwa nk'uburyo bwo kwa muganga, bivuze ko ushobora gutaha uwo munsi. Muganga wawe azaganira ku buryo bwiza bwo gufata ku kibazo cyawe cyihariye n'amateka yawe y'ubuvuzi.

Mbere yo gutangira ubu buryo, uzahabwa imiti kugira ngo igufashe kuruhuka no gucunga ibibazo byose. Muganga wawe azashyiramo buhoro igikoresho gito, gihinduka binyuze mu gitsina cyawe no mu muhogo kugira ngo ugere ku mura wawe.

Uburyo nyabwo bwo gukura urwungano rw'amaraso buterwa n'uburyo muganga wawe ahitamo. Dore uburyo nyamukuru bukoreshwa:

• Gukoresha imirasire ya radio bikoresha ingufu z'amashanyarazi kugira ngo bishyushye kandi byangize urwungano rw'amaraso
• Cryoablation ikonjesha urwungano rw'amaraso rukoresheje ubushyuhe bukabije
• Ubuvuzi bwo gushyushya imiyoboro yuzura umura wawe n'umuyoboro wuzuye amazi ashyushye
• Gukoresha imirasire ya microwave bikoresha ingufu za microwave kugira ngo bishyushye urwungano rw'amaraso
• Gukoresha amazi ashyushye bikoresha umuti ushyushye unyuze mu mura wawe

Uburyo bwose bwangiza neza urwungano rw'amaraso, nubwo uburyo bwihariye bushobora gutandukana bitewe n'imiterere y'umura wawe n'ubuhanga bwa muganga wawe. Ubu buryo bwose akenshi bufata iminota 15 kugeza kuri 45.

Uzaruhuka ahantu ho kugaruka nyuma mugihe imiti igenda. Abagore benshi bahura no kuribwa nk'uko kuribwa mu gihe cy'imihango, akenshi bikagenda neza mu masaha make.

Ni gute wakwitegura gukura urwungano rw'amaraso?

Kitegura kwawe gitangira mu byumweru byinshi mbere y'igikorwa hamwe n'ibiganiro by'ingenzi n'ikipe yawe y'ubuvuzi. Uzaganira ku mateka yawe y'ubuvuzi, imiti ukoresha ubu, n'ikibazo icyo aricyo cyose ku bijyanye n'ubuvuzi.

Muganga wawe ashobora kugutera imiti igabanya uruhu rw'inyuma rw'umura mbere y'igikorwa. Ibi bituma ablation ikora neza kandi akenshi ifatwa mu gihe cy'ukwezi mbere y'igikorwa.

Uzaba ukeneye gutegura umuntu uzakugeza mu rugo nyuma y'igikorwa kuko uzahabwa imiti igabanya ububabare. Teganya gufata ikiruhuko cy'uwo munsi ku kazi cyangwa mu bikorwa bikomeye.

Ku munsi w'igikorwa cyawe, birashoboka ko uzasabwa kwirinda kurya cyangwa kunywa mu masaha menshi mbere y'igikorwa. Ikipe yawe y'ubuvuzi izaguha amabwiriza yihariye yerekeye igihe cyo guhagarika kurya no kunywa.

Abaganga bamwe basaba gufata imiti igabanya ububabare itangwa nta cyangombwa cy'umuganga isaha imwe mbere yo guhura na muganga wawe. Ibi birashobora gufasha kugenzura kubabara mu gihe cy'igikorwa no nyuma yacyo.

Ni gute usoma ibisubizo byawe bya endometrial ablation?

Intsinzi nyuma ya endometrial ablation ipimwa n'uburyo amaraso yawe yo mu gihe cy'imihango agabanuka. Abagore benshi babona impinduka zigaragara mu mezi make, nubwo bishobora gufata umwaka kugirango ubone ibisubizo byuzuye.

Abagore bagera kuri 40 kugeza kuri 50 ku ijana bahagarika imihango burundu nyuma ya ablation. Abandi 35 kugeza kuri 40 ku ijana bahura n'imihango yoroheje cyane kandi icungwa neza kurusha mbere.

Muganga wawe azagukurikirana mu gihe gito kugirango arebe uko urugendo rwawe rumeze. Bazakubaza ibijyanye n'uburyo amaraso yawe ava, urugero rw'ububabare, n'umunezero muri rusange w'ibisubizo.

Abagore bamwe bakomeza kugira amaraso make cyangwa imihango migufi, yoroheje. Ibi ni ibisanzwe kandi bigaragaza igisubizo cyiza niba ikibazo cyawe cyo kuva amaraso menshi cyarakemutse.

Niba utabona impinduka nyuma y'amezi atandatu, cyangwa niba kuva amaraso menshi gusubiye, menyesha muganga wawe. Rimwe na rimwe igikorwa cya kabiri cyangwa uburyo bwo kuvura butandukanye birashobora kuba ngombwa.

Ni iki cyiza gishobora kuvamo nyuma yo gukoresha uburyo bwo gukura urwungano rw'amaraso mu nda?

Icyiza gishobora kuvamo ni igihe amaraso menshi yo mu gihe cy'imihango agabanutse cyane cyangwa akaba yarahagaze burundu, bigatuma ushobora gukora imirimo yawe isanzwe nta mpungenge. Abagore benshi bavuga ko bumva bafite imbaraga nyinshi kandi bafite icyizere nyuma yo gukoresha ubu buryo neza.

Intsinzi iratandukanye cyane bitewe n'imyaka yawe, ubunini n'imiterere y'inkondo yawe y'umura, n'icyateye amaraso menshi. Abagore bakiri bato bashobora kugira amaraso agaruka nyuma y'igihe.

Abagore benshi bagira impinduka nziza mu mibereho yabo. Ushobora gusanga utakigira impungenge zo kuvirira, gutwara ibikoresho byinshi, cyangwa gutegura ibikorwa byawe bitewe n'imihango yawe.

Ubu buryo kandi bugabanya kuribwa mu gihe cy'imihango n'ibindi bimenyetso bifitanye isano n'imihango. Abagore benshi bavuga ko basinzira neza kandi bagira imbaraga nyinshi mu gihe cy'ukwezi.

Ni ibihe bintu bishobora gutera ingaruka mbi nyuma yo gukoresha uburyo bwo gukura urwungano rw'amaraso mu nda?

Ibintu bimwe bishobora kongera ibyago byo kugira ingaruka mbi mu gihe cyangwa nyuma yo gukoresha uburyo bwo gukura urwungano rw'amaraso mu nda. Kubisobanukirwa bifasha wowe na muganga wawe gufata icyemezo cyiza ku miterere yawe.

Kugira inkondo y'umura nini cyane cyangwa ibibyimba bikomeye bishobora gutuma ubu buryo bugorana. Muganga wawe ashobora kugusaba kubanza kuvura ibyo bibazo cyangwa agasaba izindi nzira zo kuvura.

Kubagwa mu nda mbere cyangwa izindi nshingano zo kubaga inkondo y'umura bishobora guteza imitsi y'imvune igorana ubu buryo. Muganga wawe azasuzuma amateka yawe yo kubagwa neza mu gihe cyo kugisha inama.

Indwara zifata mu ngingo z'umubiri zigomba kuvurwa neza mbere yo gukoresha ubu buryo. Ibyerekana indwara bizatinda uburyo bwawe kugeza igihe uzaba wakize neza.

Indwara zimwe na zimwe zigira ingaruka ku bushobozi bwawe bwo gukoresha ubu buryo. Muri zo harimo:

• Umutima cyangwa inda yegereye
• Kwifuriza kuzabyara mu gihe kizaza
• Ubwoko bumwe na bumwe bwa IUD zisaba gukurwaho mbere
• Ibisubizo bidasanzwe bya Pap smear bisaba isuzuma ryimbitse
• Kanseri y'uruhu rw'umura cyangwa impinduka zibanza kanseri

Muganga wawe azasuzuma yitonze ibi bintu mugihe cyo kugisha inama. Kuganira neza ku mateka yawe y'ubuvuzi n'imigambi yawe y'ahazaza bifasha kumenya neza ibisubizo byiza bishoboka.

Ese ni byiza gukoresha endometrial ablation cyangwa izindi nshuti?

Ubuvuzi bwiza buterwa n'imimerere yawe, imyaka yawe, n'intego zo gutegura umuryango. Endometrial ablation ikora neza kubagore benshi, ariko ntabwo ariyo nziza kuri buri wese.

Niba ushaka kubyara abana mu gihe kizaza, ablation ntisabwa kuko gutwita nyuma y'iyi nzira bishobora guteza akaga. Ubuvuzi bwa hormone cyangwa izindi nzira zishobora guhinduka zaba arizo nziza.

Kubagore barangije imiryango yabo kandi bifuza igisubizo kirambye, ablation itanga ibisubizo byiza hamwe n'igihe gito cyo gukira kurusha hysterectomy. Ariko, hysterectomy yemeza ko imihango izahagarara burundu.

Abagore bamwe bakunda kugerageza ubuvuzi butavuna cyane mbere, nk'ibiyobyabwenge bya hormone IUD cyangwa imiti. Ibi birashobora gukora cyane kandi birahinduka rwose niba uhinduye umutima wawe.

Muganga wawe azagufasha gupima inyungu n'ibibazo bya buri nzira hashingiwe ku byo ukeneye n'ibyo ukunda.

Ni izihe ngaruka zishobora guterwa na endometrial ablation?

Abagore benshi bahura n'ingaruka nto zikemuka muminsi mike kugeza kuminsi mike. Kumva icyo witegura bifasha kwitegura no kumenya igihe cyo kuvugisha muganga wawe.

Ingaruka zisanzwe z'igihe gito zirimo kuribwa, kuva amaraso make cyangwa kubona amaraso, no gusohoka amazi bishobora kumara ibyumweru byinshi. Ibi ni ibice bisanzwe byo gukira.

Ibyago bikomeye biraboneka ariko bishobora kubaho. Ni ngombwa kumenya ibimenyetso by'imburira bisaba ubufasha bwihuse bw'abaganga:

• Gusohoka amaraso menshi yuzura ipadi buri saha
• Urubavu rukabije rutagabanuka n'imiti
• Ibimenyetso by'ubwandu nk'umuriro, guhinda umushyitsi, cyangwa gusohoka kw'ibintu bifite impumuro mbi
• Kugorana kwihagarika cyangwa amaraso mu nkari
• Isesemi no kuruka bituma kutagumana amazi

Mu buryo butavugwa, ubu buryo bushobora guteza imvune mu mara cyangwa mu rwagashya, cyangwa gukora icyuho mu rukuta rw'inkondo y'umura. Ibi byago mubisanzwe bisaba kubagwa, ariko ntibisanzwe.

Abagore bamwe bagira indwara yitwa syndrome ya post-ablation, aho amaraso yo mu gihe cy'imihango afatirwa inyuma y'igice cy'ibikomere. Ibi bishobora gutera ububabare bukomeye buri kwezi kandi bishobora gusaba indi miti.

Ni ryari nkwiriye kubona umuganga nyuma yo gukorerwa ablation ya endometrial?

Ugomba guhamagara umuganga wawe ako kanya niba ubonye gusohoka amaraso menshi, ububabare bukomeye, cyangwa ibimenyetso by'ubwandu nyuma yo gukorerwa ubu buryo. Ibi bimenyetso bishobora kugaragaza ibibazo bisaba kuvurwa vuba.

Teganya gahunda yo gusubira kwa muganga niba imiterere y'amaraso yawe itagabanutse nyuma y'amezi menshi. Nubwo bishobora gufata igihe kugira ngo ubone ibisubizo byuzuye, umuganga wawe ashobora gusuzuma niba indi miti yagira akamaro.

Ubuvuzi busanzwe bwa gynecologique buracyakomeye kabone niyo ablation yagenze neza. Uzakenera gukomeza gukora Pap smears na pelvic exams nkuko byasabwe n'umuganga wawe.

Niba ubonye ibimenyetso bishya nk'ububabare budasanzwe, impinduka mu gusohoka, cyangwa ibindi bimenyetso biteye impungenge, ntugahweme kuvugana n'umuganga wawe. Kuvugana hakiri kare akenshi bifasha kwirinda ko ibibazo bito byaba binini.

Ibikunze kubazwa kuri ablation ya endometrial

Ese ablation ya endometrial ni nziza ku gihe cy'imihango kiremereye?

Yego, gukoresha ablation ya endometrial byateguwe byihariye kuvura amaraso menshi yo mu gihe cy'imihango kandi bikora neza kuri iyi ntego. Ubushakashatsi bwerekana ko abagore bagera kuri 85 kugeza kuri 90 ku ijana bagira imihango yoroheje cyane cyangwa ihagarara burundu nyuma yo gukora iki gikorwa.

Ubu buvuzi bukora neza ku bagore bafite amaraso menshi aterwa n'urukuta rwa endometrial ubwarwo, aho guterwa n'ibibazo byihishe nk'ibibazo binini cyangwa polyps. Muganga wawe azasuzuma icyateye amaraso menshi yawe kugirango amenye niba ablation ariyo nziza.

Ese gukoresha ablation ya endometrial bitera imihagariko y'igihe?

Oya, gukoresha ablation ya endometrial ntibitera imihagariko y'igihe cyangwa ngo bigire icyo bihindura ku misemburo yawe. Iki gikorwa kivana gusa urukuta rw'umura kandi ntigikora ku ntanga zawe, zigakomeza gukora imisemburo bisanzwe.

Uracyashobora guhura n'ibimenyetso bisanzwe byo mu gihe cy'imihango nk'imihindagurikire y'amarangamutima, kubabara amabere, cyangwa kubyimba, kabone niyo imihango yawe yaba yoroheje cyane cyangwa igahagarara burundu. Umubiri wawe ukomeza urugendo rwawo rusanzwe rw'imisemburo.

Ese nshobora gutwita nyuma yo gukoresha ablation ya endometrial?

Gutwita nyuma yo gukoresha ablation ya endometrial birashoboka ariko birakumirwa cyane kuko bishobora guteza akaga ku mubyeyi no ku mwana. Iki gikorwa kigabanya cyane amahirwe yo gutwita, ariko ntigifatwa nk'uburyo bwizewe bwo kuboneza urubyaro.

Niba gutwita bibayeho, hariho ibyago byinshi byo gukuramo inda, kwifatanya bidasanzwe kwa placenta, n'ibindi bibazo bikomeye. Abaganga benshi basaba ubugumba burundu cyangwa uburyo bwo kuboneza urubyaro bwizewe cyane nyuma ya ablation.

Bifata igihe kingana iki kugirango umuntu akire nyuma yo gukoresha ablation ya endometrial?

Abagore benshi bakira vuba nyuma yo gukoresha ablation ya endometrial kandi bashobora gusubira mu bikorwa bisanzwe mu minsi mike. Ushobora guhura no kuribwa no kuva amaraso make mu minsi mike kugeza ku byumweru byinshi mugihe umubiri wawe ukira.

Irinde kuzamura ibintu biremereye, imyitozo ikomeye, no gukora imibonano mpuzabitsina mu gihe cy'icyumweru kimwe cyangwa uko muganga wawe abikubwiye. Abagore benshi basubira mu kazi nyuma y'umunsi umwe cyangwa ibiri, bitewe n'ubwoko bw'akazi bakora.

Ese nzajya ngikeneye gukorerwa isuzuma rya Pap smear nyuma yo gukorerwa ablation ya endometrial?

Yego, uzakomeza gukenera gukorerwa isuzuma rya Pap smear risanzwe n'ibizamini by'abagore nyuma yo gukorerwa ablation ya endometrial. Iki gikorwa ntigihindura urugingo rw'umura cyangwa ibyago byo kurwara kanseri y'umura, bityo isuzuma risanzwe rikomeza kuba ingenzi.

Muganga wawe azakomeza gukurikirana ubuzima bwawe bw'abagore muri rusange kandi ashobora kugusaba gukurikiza gahunda imwe yo gusuzuma nk'iyo wari ufite mbere y'iki gikorwa. Gusuzumwa buri gihe bifasha kandi kumenya niba ablation ikora neza kuri wowe.