Ni iki Oophorectomy? Impamvu, Uburyo & Gukira

Oophorectomy ni ugukuraho mu buryo bw'ubuvuzi imwe cyangwa zombi mu ntara z'intanga. Iyi nzira ikorwa iyo intara z'intanga zirwaye, ziteje ibibazo by'ubuzima, cyangwa nk'igice cyo kuvura kanseri. Nubwo gutekereza kubagwa intara z'intanga bishobora kumvikana nk'ibiremereye, gusobanukirwa ibibera muri iyi nzira birashobora kugufasha kumva witeguye kandi ufite icyizere ku kwitabwaho kwawe.

Ni iki oophorectomy?

Oophorectomy ni inzira yo kubaga aho abaganga bakuraho imwe cyangwa zombi mu ntara z'intanga mu mubiri w'umugore. Intara zawe z'intanga ni ingingo ntoya, zimeze nk'amande zikora amagi na hormone nka estrogen na progesterone. Iyo intara imwe ikuweho, bita unilateral oophorectomy, kandi iyo zombi zikuweho, bita bilateral oophorectomy.

Uku kubaga gushobora gukorwa wenyine cyangwa guhuzwa n'izindi nzira. Rimwe na rimwe abaganga bakuraho intara z'intanga hamwe n'imiyoboro ya fallopian, bita salpingo-oophorectomy. Uburyo bwihariye buterwa n'ubuzima bwawe bwihariye kandi n'impamvu yo kubagwa kwawe.

Kuki oophorectomy ikorwa?

Abaganga basaba oophorectomy kubera impamvu nyinshi z'ubuvuzi, kuva ku kuvura kanseri kugeza ku gucunga indwara zibabaza. Umwanzuro uhora ushingiye ku byo ukeneye mu buzima bwawe bwihariye n'amateka yawe y'ubuvuzi. Gusobanukirwa izi mpamvu birashobora kugufasha kumva ufite amakuru menshi kuri gahunda yawe yo kuvurwa.

Dore indwara z'ingenzi zishobora gusaba gukuraho intara z'intanga:

• Kanseri y'intanga: Iyo kanseri yateye mu ntanga, kuzikuraho akenshi ni uburyo bwiza bwo gukumira ikwirakwira ryayo
• Udufuka tw'intanga: Udufuka tunini, tumara igihe kirekire, cyangwa duteye urujijo tudasubiza ku zindi nshuti dushobora gukenera gukurwaho mu kubaga
• Endometriose: Ibyago bikomeye aho imitsi ya endometrial ikura ku ntanga, bigatera ububabare bukomeye n'ingorane
• Kuzunguruka kw'intanga: Iyo intanga izunguruka igahagarika amaraso yayo, bigasaba kuyikuraho byihutirwa kugira ngo hirindwe urupfu rw'imitsi
• Indwara y'uburwayi bwo mu gatuza: Indwara zikomeye zangiza intanga zikarenga gukosorwa
• BRCA gene mutations: Abagore bafite ibyago byinshi bya kanseri y'intanga bashobora guhitamo gukurwaho mu buryo bwo kwirinda

Impamvu zitamenyerewe zirimo kuvura kanseri y'ibere ikorana na hormone n'indwara zimwe na zimwe zishingiye ku mikorere y'uturemangingo. Muganga wawe azagereranya neza inyungu n'ibibazo mbere yo kugusaba kubagwa, akemeza ko ari uburyo bwiza ku buzima bwawe.

Ni iki gikorerwa mu kubaga intanga?

Oophorectomy irashobora gukorwa hakoreshejwe uburyo butandukanye bwo kubaga, bitewe n'uburwayi bwawe bwihariye n'imiterere yawe. Uburyo bwinshi muri iki gihe bukoresha uburyo butagira ingaruka nyinshi, bivuze ko hakoreshwa ibikomere bito kandi igihe cyo gukira kigufi. Umuganga ubaga azahitamo uburyo bwiza bushingiye ku bintu nk'ubunini bw'intanga zawe, kubaho kw'imitsi y'ibikomere, n'impamvu yo kubagwa.

Uburyo bubiri bukuru bwo kubaga ni:

1. Kubaga oophorectomy hakoreshwa imashini: Umuganga ubaga akora ibikomere bito 3-4 mu nda yawe akoresheje kamera ntoya yitwa laparoscope kugira ngo ayobore kubaga. Ubu buryo akenshi butera kubabara guke, ibikomere bito, no gukira vuba.
2. Kubaga oophorectomy bisanzwe: Umuganga ubaga akora igikomere kinini mu nda yawe kugira ngo agere ku mitsi y'intanga maze ayikureho. Ubu buryo bushobora kuba ngombwa ku bice binini, imitsi myinshi yangiritse, cyangwa mu gihe cy'indwara ya kanseri.

Mugihe cyo kubaga, uzahabwa imiti igutera gusinzira ku buryo uzaba usinziriye rwose. Kubaga akenshi bifata amasaha 1-3, bitewe n'uburyo ikibazo cyawe kimeze. Umuganga ubaga azitondera cyane gutandukanya imitsi y'intanga n'imitsi n'ibindi bice by'umubiri mbere yo kuyikuraho.

Nyuma yo gukuraho, imitsi y'intanga akenshi yoherezwa muri laboratwari kugira ngo isuzumwe. Ibi bifasha abaganga kwemeza icyo barwaye no gutegura izindi nshuti zishobora gukenerwa.

Ni gute witegura kubagwa oophorectomy?

Kwitegura kubagwa oophorectomy bikubiyemo intambwe nyinshi zifasha kumenya ko kubaga kwawe kugenda neza kandi ko gukira kwawe kuzaba koroshye uko bishoboka kose. Itsinda ry'abaganga bazagufasha muri buri ntambwe yo kwitegura, ariko kumenya icyo witegura bishobora kugufasha kugabanya impungenge.

Ibi nibyo ushobora kwitega mu byumweru n'iminsi mbere yo kubagwa kwawe:

• Ibizamini mbere yo kubagwa: Ibizamini by'amaraso, isesengura rishushanyije, ndetse n'ibizamini bya EKG kugira ngo wemeze ko ufite ubuzima bwiza buhagije kugira ngo ubazwe
• Isesengura ry'imiti: Muganga wawe azasesengura imiti yose n'ibyongerera imbaraga, ahagarike imwe ishobora kongera ibyago byo kuva amaraso
• Amabwiriza yo kwiyiriza: Uzagomba kwirinda kurya cyangwa kunywa mu masaha 8-12 mbere yo kubagwa kugira ngo wirinde ingorane zishobora kubaho mugihe cyo gukoresha imiti ituma umuntu atagira ubwenge
• Gutegura ubufasha: Teganya umuntu uzagutwara akakugeza mu rugo kandi agufashe mu bikorwa bya buri munsi muminsi mike ya mbere
• Gutegura urugo rwawe: Gura imyenda yoroshye kandi yagutse, ibiryo byoroshye gutegura, n'ibikoresho byose byasabwe

Umuvuzi wawe kandi azaganira icyo witegura mugihe cyo gukira kandi asubize ibibazo byose ufite. Ntukazuyaze kubaza icyo aricyo cyose kiguhangayikishije - itsinda ryawe ry'abaganga rishaka ko wumva wishimye kandi witeguye.

Ni gute usoma ibisubizo byawe bya oophorectomy?

Nyuma ya oophorectomy yawe, igice cy'uruhu rwakurwaho rwo mu mitsi y'intanga zoherezwa muri laboratori y'ubuvuzi kugira ngo isuzumwe neza. Iri sesengura ritanga amakuru y'ingenzi yerekeye ubuzima bwawe kandi rifasha kuyobora irindi vuzi ryose rishobora gukenerwa. Raporo y'ubuvuzi isanzwe igera muminsi 3-7 nyuma yo kubagwa.

Raporo yawe y'ubuvuzi izakubiyemo ibintu byinshi by'ingenzi:

• Ibisobanuro by'uruhu: Ibisobanuro birambuye ku bunini, uburemere, n'imigaragaro y'intanga zakuweho
• Ibyavumbuwe bya mikorosikopi: Uko uruhu rugaragara munsi ya mikorosikopi, harimo n'uturemangingo tudasanzwe
• Icyemezo: Uburwayi bwihariye bwabonetse, nk'utubumbe twiza, endometriosis, cyangwa kanseri
• Kugena urwego rwa tumor: Niba kanseri ibonetse, raporo isobanura uko yateye imbere kandi niba yaragutse

Muganga wawe azasobanura ibi bisubizo mu buryo burambuye mu gihe cyo kongera guhura. Bazahindura imvugo ya gihanga mu rurimi ushobora kumva kandi baganire icyo ibyavuyeho bisobanuye ku buzima bwawe mu gihe kizaza.

Ni gute wakwitwara nyuma yo gukuraho intanga ngore?

Kuvura nyuma yo gukuraho intanga ngore bitandukana bitewe n'uburyo bwo kubaga bwakoreshejwe n'uburyo bwawe bwihariye bwo gukira. Abagore benshi babazwe bakoresheje uburyo bwo kubaga bwo mu nda bakira vuba kurusha ababazwe bakoresheje uburyo bwo kubaga bwo hanze. Kumva icyo witegura gishobora kugufasha gutegura igihe cyo gukira neza.

Ibi nibyo ushobora kwitegura mugihe cyo gukira:

• Kuguma mu bitaro: Kubaga mu nda akenshi byemerera gusohoka ku munsi umwe, mugihe kubaga hanze bishobora gusaba iminsi 1-3 mu bitaro
• Kugenzura ububabare: Uzahabwa imiti yanditswe na muganga mu minsi mike ya mbere, hanyuma ushobora guhindukira ukoresheje ibindi bisanzwe
• Kwirinda ibikorwa: Nta gukora ibintu biremereye (birenze ibiro 10) mu byumweru 4-6, hamwe no gusubira buhoro buhoro mu bikorwa bisanzwe
• Kwita ku gikomere: Guma ibikomere byera kandi byumye, ureba ibimenyetso byo kwandura nk'umutuku, kubyimba, cyangwa ibintu bidasanzwe biva mu gikomere
• Igihe cyo kongera guhura: Kugenzura buri gihe na muganga wawe kugirango akurikirane gukira no kuganira ku bibazo byose

Abagore benshi basubira mu kazi mu byumweru 2-6, bitewe n'ibisabwa by'akazi kabo n'iterambere ryo gukira. Muganga wawe azatanga amabwiriza yihariye ashingiye ku miterere yawe bwite n'uburyo bwo kubaga.

Ni izihe mpinduka za hormone nyuma yo gukuraho intanga ngore?

Gukuraho intanga ngore imwe cyangwa zombi bigira ingaruka ku mikorere ya hormone yawe, bishobora gutera impinduka zitandukanye zumubiri n'amarangamutima. Niba ukuraho intanga ngore imwe, intanga ngore isigaye ikunda gukora hormone zihagije kugirango zigumane imikorere isanzwe. Ariko, gukuraho intanga ngore zombi bitera guhagarara imihango ako kanya, hatitawe ku myaka yawe.

Iyo amagi yombi akurwaho, ushobora guhura n'izi mpinduka za hormone:

• Guhagarara kw'imihango ako kanya: Imihango yawe irahagarara burundu, kandi ntuzongera gusama mu buryo busanzwe
• Gushyuha cyane no kubira ibyuya nijoro: Ibi ni ibisanzwe igihe umubiri wawe uhinduka kubera urwego ruto rwa estrogen
• Impinduka z'imitekerereze: Ushobora guhura n'imihindagurikire y'imitekerereze, guhangayika, cyangwa kwiheba bitewe n'imihindukire ya hormone
• Ibibazo byo gusinzira: Impinduka mu buryo bwo gusinzira ni ibisanzwe muri iki gihe cyo guhinduka
• Ubwumve bw'igitsina gore: Kugabanuka kwa estrogen bishobora gutuma imitsi y'igitsina gore iba mito kandi itagira amazi menshi

Muganga wawe ashobora kugusaba imiti isimbura hormone kugira ngo ifashe mu guhangana n'ibi bimenyetso. Ubu buvuzi bushobora kunoza cyane imibereho yawe muri iki gihe cyo guhinduka.

Ni izihe ngaruka zirambye zo gukuraho amagi?

Gukuraho amagi bishobora kugira ingaruka zirambye ku buzima bwawe, cyane cyane niba amagi yombi yakurwaho mbere yuko imihango ihagarara mu buryo busanzwe. Kumva izi mpinduka zishoboka bifasha gukorana n'ikipe yawe y'ubuvuzi kugira ngo urinde ubuzima bwawe uko igihe kigenda.

Ibitekerezo nyamukuru birambye birimo:

• Ubuzima bw'amagufa: Urwego ruto rwa estrogen rushobora kongera ibyago byo kurwara osteoporosis, bigatuma gukurikirana ubucucike bw'amagufa ari ingenzi
• Ubuzima bw'umutima: Estrogen ifasha kurinda indwara z'umutima, bityo ushobora gukenera gukurikiranwa cyane mu bijyanye n'imitsi y'umutima
• Ubuzima bw'imibonano mpuzabitsina: Impinduka mu rwego rwa hormone zirashobora kugira ingaruka ku kwifuza imibonano mpuzabitsina no kumva neza mu mibonano mpuzabitsina, ariko ibi bibazo biravurwa
• Imikorere y'ubwenge: Abagore bamwe babona impinduka mu kwibuka cyangwa kwitondera, nubwo ubushakashatsi bukomeje
• Impinduka z'uburemere: Impinduka za hormone zirashobora kugira ingaruka ku mikorere y'umubiri no gukwirakwiza ibiro

Gukorana bya hafi n’ikipe yawe y’ubuvuzi birashobora kugufasha guhangana n’ibi bikorwa by’igihe kirekire neza. Kugenzura buri gihe, guhitamo ubuzima bwiza, n’imiti ikwiye birashobora kugufasha kugumana ubuzima bwiza nyuma yo gukuraho intanga.

Ni izihe ngaruka n’ibibazo byo gukuraho intanga?

Kimwe n’ubundi buryo bwose bwo kubaga, gukuraho intanga bifite ingaruka zimwe na zimwe n’ibibazo bishobora kuvuka. Nubwo ibibazo bikomeye bidakunze kubaho, gusobanukirwa n’ibi bishoboka bifasha gufata ibyemezo bifitiye akamaro ku byerekeye ubuvuzi bwawe no kumenya ibimenyetso byo kwitondera mugihe cyo gukira.

Ingaruka zisanzwe zifitanye isano no gukuraho intanga zirimo:

• Kuva amaraso: Kuva amaraso gato mugihe cyangwa nyuma yo kubaga ni ibisanzwe, ariko kuva amaraso menshi bishobora gusaba imiti yiyongera
• Udukoko: Ibyago byo kwandura ahantu habagiwe cyangwa imbere, akenshi birinda no kwitabwaho neza
• Uko umubiri witwara ku miti ituma umuntu asinzira: Ibikorwa bibi bidasanzwe ariko bishoboka ku miti rusange ituma umuntu asinzira
• Amavumba y'amaraso: Ibyago bito byo gukora amavumba mu maguru cyangwa mu muhaha, cyane cyane mugihe cyo kubaga kirekire
• Gukomeretsa ibice byegereye: Ibyago bidasanzwe byo gukomeretsa uruhago, amara, cyangwa imitsi y'amaraso

Ibibazo bidasanzwe ariko bikomeye bishobora kuba birimo kuva amaraso menshi bisaba gutanga amaraso, gukomeretsa ibice bikomeye by'umubiri, cyangwa indwara ziteje ubuzima akaga. Ikipe yawe yo kubaga ifata ingamba nyinshi zo kugabanya izi ngaruka, kandi abagore benshi barakira nta bibazo bikomeye.

Ninde igihe nkwiriye kubonana na muganga nyuma yo gukuraho intanga?

Kumenya igihe cyo kuvugana n’umuganga wawe nyuma yo gukuraho intanga ni ingenzi ku mutekano wawe no kugira umutima utekanye. Nubwo kutumva neza no guhinduka bimwe bisanzwe mugihe cyo gukira, ibimenyetso bimwe na bimwe bisaba ubufasha bwihuse bw’ubuvuzi.

Vugana n’umuganga wawe ako kanya niba ubonye:

• Ukuva amaraso menshi: Kujujubika pad imwe kurenza isaha imwe mu masaha menshi
• Ibimenyetso by'ubwandu: Umuriro uri hejuru ya 101°F, kubabara bikabije mu nda, cyangwa gukururuka bifite impumuro mbi
• Ibibazo byo guhumeka: Kugorana guhumeka, kubabara mu gituza, cyangwa gukorora amaraso
• Urubabare rukabije: Uburibwe butagabanuka n'imiti yategetswe cyangwa burushaho kwiyongera
• Ukubyimba kw'ukuguru: Ukubyimba kw'ukuguru gutunguranye, kubabara, cyangwa gushyuha

Ugomba kandi guteganya gahunda yo gusuzumwa buri gihe kugira ngo ukurikirane imikoreshereze yawe kandi uganire ku bibazo byose bikomeje. Itsinda ryawe ry'ubuvuzi rirahari kugira ngo rigushyigikire mu rugendo rwawe rwo koroherwa.

Ibikunze kubazwa kuri oophorectomy

Q.1 Ese oophorectomy ni yo mvura yonyine ya ovarian cysts?

Oya, oophorectomy si yo mvura yonyine ya ovarian cysts. Ovarian cysts nyinshi ni nziza kandi zikemura zonyine nta kuvurwa. Muganga wawe ashobora kubanza kugusaba gutegereza, gukoresha imiti yo kuboneza urubyaro, cyangwa indi miti yo gucunga cysts.

Kubagwa bikunze gutekerezwa iyo cysts nini, zidakuka, ziteza ibimenyetso bikabije, cyangwa zigaragara ko zikekwaho kanseri. Ndetse n'iyo, abaganga bakunze kugerageza gukuraho cyst gusa mugihe bakiza ovary, cyane cyane kubagore bakiri bato bifuza gukomeza kubyara.

Q.2 Ese oophorectomy itera menopause ako kanya?

Oophorectomy itera menopause ako kanya gusa niba ovaries zombi zakuweho. Niba ufite ovary imwe nzima isigaye, akenshi itanga imisemburo ihagije kugira ngo ikomeze imihango isanzwe kandi irinde ibimenyetso bya menopause.

Ariko, abagore bamwe bafite ovary imwe bashobora guhura na menopause mbere gato yuko byari kuba bisanzwe. Ovary isigaye akenshi ikomeza gukora neza mumyaka myinshi nyuma yo kubagwa.

Q.3 Ese ndashobora gukomeza kubyara nyuma ya oophorectomy?

Ubushobozi bwawe bwo kubyara nyuma yo gukuraho intanga rugero biterwa n'intanga rugero zingahe zakuweho niba ufite izindi ngingo z'imyororokere zidakozweho. Niba intanga rugero imwe gusa yakuweho kandi ukaba ugifite igituntu cyawe, mubisanzwe ushobora gusama mu buryo busanzwe.

Niba zombi zakuweho, ntushobora gusama ukoresheje amagi yawe bwite. Ariko, ushobora kuba ugishobora gutwita ukoresheje amagi yatanzwe binyuze mu guhuza intanga n'intanga, mugihe igituntu cyawe gifite ubuzima bwiza.

Q.4 Bimara igihe kingana iki kugira ngo umuntu akire nyuma yo gukuraho intanga rugero?

Igihe cyo gukira gitandukanye bitewe n'uburyo bwo kubaga n'uburyo bwawe bwite bwo gukira. Abagore benshi babazwe bakoresheje uburyo bwo kubaga bwo mu nda basubira mu bikorwa bisanzwe mu byumweru 2-4, mugihe kubaga bisanzwe bishobora gusaba ibyumweru 4-6 kugira ngo umuntu akire neza.

Ushobora kumva unaniwe mu cyumweru cya mbere cyangwa bibiri igihe umubiri wawe ukira. Uburibwe mubisanzwe buragabanuka cyane mu minsi mike ya mbere, kandi abagore benshi bashobora gusubira ku kazi mu byumweru 2-6 bitewe n'ibyo akazi kabo kasaba.

Q.5 Nzakeneye imiti isimbura imisemburo nyuma yo gukuraho intanga rugero?

Ushobora gukenera imiti isimbura imisemburo niba zombi zakuweho, cyane cyane niba ukiri muto kurusha imyaka isanzwe yo gucura. Imisemburo ifasha gucunga ibimenyetso byo gucura no kurinda ibyago by'ubuzima by'igihe kirekire nk'umugongo.

Muganga wawe azaganira niba imiti isimbura imisemburo ikwiriye kuri wowe bitewe n'imyaka yawe, amateka y'ubuzima bwawe, n'impamvu yo kubagwa kwawe. Icyemezo giterwa n'ibintu by'ubuzima byawe bwite n'ibyo ukunda.