Ku bakyala bangi obulumi n’okuvaamu omusaayi omungi ebijja n’okugenda mu nsonga biba bya bulijjo. Naye oluusi wayinza okubaawo ensonga endala emabega w’ebintu bino. Eyo y’embeera gye tugenda okwogerako leero, eyitibwa adenomyosis. Tofaayo, ka twogere ku nsonga eno mu bujjuvu.
Adenomyosis kye ki?
Mu ngeri ennyangu, adenomyosis mbeera ng’ebitundu ebifaananako n’oluwuzi lwa nnabaana wo (ebiyitibwa
endometrium ) bikula ne biyingira mu bbugwe w’ebinywa bya nnabaana wo (ekiyitibwa
myometrium) . Teebereza, ekitundu eky’ekika kino bwe kikula ne kiyingira mu bbugwe wa nnabaana, nnabaana yeeyongera mpolampola n’egaziwa. Oluusi
esobola n’okukubisaamu emirundi ebiri oba esatu obunene bwayo obwa bulijjo. Eno y’ensonga lwaki ofuna obulumi obw’amaanyi ng’ogenda mu nsonga, okuvaamu omusaayi omungi, okuvaamu amabala, n’okulumwa olubuto/olubuto olwa wansi.
Ani asinga okufuna kino?
Abakyala bangi tebamanyi na nti balina obulwadde bwa adenomyosis. Si buli muntu nti alina obubonero, n’olwekyo kizibu okwogera ddala engeri gye butera okubaawo. Wabula okunoonyereza kuzudde nti kisinga kubeera
mu bakyala abalongoosebwa nnabaana ne
mu bakyala abasukka mu myaka 40. Era kiyinza okukwata abakyala abato (roughly 2% to 5%) abalumwa ennyo mu nsonga.
Bubonero ki obulaga kino?
Abantu nga kimu kya kusatu kigambibwa nti tebalina bubonero bwonna, naye abamu bayinza okufuna ebintu nga:
- Obulumi obw’amaanyi ng’oli mu nsonga (era eyitibwa dysmenorrhea ).
- Okuvaamu omusaayi omungi ng’oli mu nsonga (kino kiyitibwa menorrhagia ).
- Okugenda mu nsonga ezitali za bulijjo.
- Obulumi mu lubuto olwa wansi (nga waliwo oba nga tewali bulumi bwa maanyi mu mugongo ).
- Obulumi nga weegatta (kino kiyitibwa dyspareunia ).
- Okukaluubirirwa okuzaala abaana (Obutazaala).
- Okugaziwa kwa nnabaana .
- Okuwulira ng’ojjudde oba ng’oli muzito mu lubuto (abantu abamu kino nabo bakiyita ‘adenomyosis belly’).
Lwaki kino kibaawo? Ensonga ze ziruwa?
Abanoonyereza n’okutuusa kati tebamanyi bulungi lwaki abantu abamu bafuna obulwadde bwa adenomyosis, oba kiki ekituufu ekivaako. Kyokka okunoonyereza okumu kulaga nti
enkyukakyuka mu busimu, obuzaale, okuzimba mu mubiri oba okulumwa nnabaana biyinza okubaako kye bikola.Ebintu ng’ebyo bisobola okukosa kino.
Biki ebiyinza okuvaako akabi?
Adenomyosis esinga kulabibwa mu bakyala aba:
- Abantu abali wakati w’emyaka 40 ne 50.
- Abo abazadde waakiri omwana omu.
- Abo abamaze okulongoosebwa nnabaana nga okulongoosebwa okuggyamu ebinywa by’omu nnabaana oba D&C (Dilation and Curettage).
- Abantu abalina endometriosis.
Wabula kati obulwadde bwa adenomyosis butera okuzuulibwa mu bakyala abali mu myaka 30 abafuna omusaayi ogutali gwa bulijjo mu bukyala oba obulumi obw’amaanyi mu nsonga.
Adenomyosis esobola okuleeta ebizibu ebirala?
Yee, ng’olina obulwadde bwa adenomyosis, obubonero buyinza okweyongera katono oluvannyuma lw’ekiseera.
Naddala jjukira nti okufiirwa omusaayi ekisusse kiyinza okuvaako okukendeeza ku musaayi . N’olwekyo bw’oba owulira ng’okooye era ng’onnyogoga buli kiseera, ekyo nakyo kimanye.
Okukendeera kw’omusaayi mbeera yokka ng’omubiri gwo tegulina butoffaali bumyufu obulimu ekyuma bumala. Kino kiyinza okukuleetera
okuwulira ng'okooye n'okunnyogoga .
Ono ayinza okuba kookolo?
Nedda
Adenomyosis si kookolo. Era tekiviirako kookolo. Kale tewali kintu kyonna kyeraliikirira.
Omusawo kino akitegeera atya?
Abasawo batera okuteebereza obulwadde bwa adenomyosis nga babuuza ku bubonero bwo ne bakola ekimu oba ebisingawo ku bigezo bino:
- Okukebera ekisambi: Mu kukeberebwa kuno, omusawo ayinza okukiraba nti nnabaana wo munene okusinga ku bulijjo, nga mugonvu oba ng’okuluma ng’okwatako.
- Ultrasound scan: Ultrasound okuyita mu bukyala naddala ekolebwa okuyita mu bukyala, ekozesa amaloboozi okukuba ebifaananyi by’ebitundu byo eby’omu kifuba . Ebifaananyi bino oluusi bisobola okulaga okugonza kw’ekisenge kya nnabaana.
- MRI scan: MRI (Magnetic Resonance Imaging) scan eraga bulungi engeri nnabaana gy’agaziye n’engeri ebitundu ebimu ebya nnabaana gye bigonvuwamu.
Oluusi omusawo ayinza okuggya akatundu akatono ak’ebitundu by’omubiri okuva mu nnabaana wo (akayitibwa
biopsy ) n’akasindika mu laabu okukebera embeera endala ez’amaanyi.
Obujjanjabi bwe buliwa?
Ebiseera ebisinga,
estrogenObusimu obuyitibwa estrogen buyamba ekitundu kino eky’omu lubuto okukula. N’olwekyo,
oluvannyuma lw’okuggwaamu amaanyi, okugenda mu nsonga bwe kukoma ddala, obubonero bw’obulwadde bwa adenomyosis okusinga bujja kuggwaawo. Naye okutuusa olwo, obujjanjabi buno busobola okuyamba okukendeeza ku bulumi, okufuga omusaayi omungi, n’okuwa obuweerero ku bubonero obulala:
- Eddagala eriweweeza ku bulumi : Eddagala eriziyiza okuzimba eritali lya steroid (NSAIDs), nga ibuprofen (Advil®, Motrin®) ne naproxen (Aleve®), likendeeza ku bulumi.
- Eddagala ly’obusimu: Eddagala erimu erya hormone liyinza okuyamba okufuga omusaayi okuva mu nsonga n’okugenda mu nsonga ezitali za bulijjo. Eby’okulabirako mulimu empeke eziziyiza okuzaala , essasi lya Depo-Provera® , n’ebyuma ebikozesa obusimu mu nnabaana (IUDs ) nga Mirena® .
- Eddagala eritali lya busimu: Eddagala nga tranexamic acid liyinza okukendeeza ku bungi bw’omusaayi mu bukyala.
- Adenomyomectomy: Okulongoosa kuno kuggya ebitundu by’omubiri ebiyitibwa adenomyosis tissue okuva mu binywa bya nnabaana. Kino kifaananako n’eky’okuggyamu obuwuka obuyitibwa myomectomy, ekiggyawo obuwuka obuyitibwa fibroids mu nnabaana.
- Okuggyamu nnabaana: Kino kizingiramu okuggyawo nnabaana mu bujjuvu. Oluvannyuma lw’okuggyibwako nnabaana , tojja kuddamu kugenda mu nsonga era tojja kusobola kuzaala.
Kiki ekibaawo singa obujjanjabi tebuweebwa?
Singa tebujjanjabwa, adenomyosis eyinza okuvaako
obutazaala oba okuvaamu embuto , kubanga ekendeeza ku mikisa gy’embuto okuteekebwa mu bbugwe wa nnabaana. Era kiyinza okuleeta
obulumi obutasalako mu lubuto olwa wansi n'ekisambi .
Waliwo engeri y’okuziyiza kino?
Olw’okuba ekituufu ekivaako obulwadde bwa adenomyosis tekimanyiddwa, abasawo tebannaba kumanya ngeri ntongole ey’okubuziyiza.
Kiki ky’oyinza okusuubira ng’obeera n’embeera eno?
Abantu bangi abalina obubonero bw’obulwadde bwa adenomyosis obutaataaganya obulamu bwabwe obwa bulijjo bafuna obuweerero nga bajjanjabwa. Nga bwe kyayogeddwako emabegako, obubonero bulina okuggwaawo oluvannyuma lw’okuggwaamu amaanyi mu nsonga. Kyokka nnabaana agaziye ayinza okusigalawo.
Adenomyosis n’okufuna embuto
Adenomyosis etera okulabibwa mu bakyala abazadde waakiri omwana omu. Wabula olw’embeera eno
Kiyinza okuba ekizibu okufunyisa omwana olubuto omulundi ogusooka, oba okuzaala omwana omulala. Ne bw’oba ofunye olubuto, waliwo akabi akayinza okuvaamu, gamba nga:- Okuvaamu olubuto.
- Okuzaala nga tekunnatuuka.
Ddi lwe nnina okulaba omusawo?
Bw’oba olina obubonero buno, mazima ddala laba omusawo:- Okuvaamu omusaayi oguyitiridde mu nsonga.
- Obulumi obw’amaanyi ennyo mu nsonga.
- Obulumi nga beegatta.
- Okuwulira ng’olubuto lujjudde oba ng’ozitowa.
Ebibuuzo ebikulu by’olina okubuuza omusawo
Bw’oba ozuuliddwa nti olina obulwadde bwa adenomyosis, oyinza okwagala okubuuza omusawo ebibuuzo nga:- "Lwaki nafuna obulwadde bwa adenomyosis?"
- "Nkola ki ey'obujjanjabi esinga okunsinga?"
- "Nkozese enkola endala ey'okuziyiza okuzaala?"
- "Nnaasobola okuzaala?"
- "Nsaana okweraliikirira obubonero bw'ebizibu?"
Njawulo ki eriwo wakati wa Adenomyosis ne Endometriosis?
Adenomyosis ne endometriosis zombi mbeera nga ebitundu ebifaananako n’oluwuzi lwa nnabaana (endometrium) bikula ebweru wa nnabaana. Zombi ziyinza okukuluma. Wabula obulwadde bwa adenomyosis butera okuvaako omusaayi omungi okuva mu nsonga. Enjawulo enkulu wakati w’embeera zino zombi ye kitundu ekikula:- Adenomyosis: Ebitundu ebifaananako n’omumwa gwa nnabaana bikula ne bifuuka ebinywa bya nnabaana.
- Endometriosis: Ebitundu ebiringa endometrium bikula ebweru wa nnabaana, okugeza mu nkwaso oba mu nnabaana .
Embeera eno ya maanyi?
Adenomyosis tetera kuleeta bizibu bya maanyi, ebiyinza okutta omuntu. Kyokka, kiyinza okuvaako obuzibu mu kufuna olubuto oba okuvaamu olubuto. Ekisinga obukulu kwe kunoonya amagezi g’abasawo okusinga okubonaabona wekka singa obubonero buno buba butaataaganya obulamu bwo obwa bulijjo.
N’olwekyo totya kwogera na musawo wo ku ngeri gy’oyinza okuwulira obulungi. Obubaka bwe twagala okutwala awaka okuva mu mboozi eno bwe...
Okay, kale twogedde nnyo ku adenomyosis. Bw’oba ofuna obubonero nga buno, gamba ng’okuzimba ennyo mu nsonga, okuvaamu omusaayi omungi, n’okulumwa wansi mu lubuto, kirungi okugenda ew’omusawo n’ofuna amagezi okusinga okubonaabona wekka. Jjukira nti ono si kookolo, era abantu bangi basobola okufuna obuweerero nga bafunye obujjanjabi.Obubonero buno butera okukka oluvannyuma lw’okuggwaamu amaanyi mu nsonga. Bw’oba toteekateeka kuzaala, okuggyamu nnabaana kusobola okuwonya ddala embeera eno. Kale, totya kuteesa ku bikweraliikiriza n’omusawo wo n’ofuna eky’okugonjoola ekikukwatako.
💬 Comments (0)
Tewali bigambo biwandiikiddwa n'okutuusa kati. Yongera wano comment yo omulundi ogusoose.
Yongera ku comment yo