Ese igice cy'umura wawe kirimo kwiyongera? Reka tuvuge kuri (Endometrial Hyperplasia)!

Ese hari igihe ugira imihango idahoraho, kuva amaraso menshi iminsi myinshi, cyangwa ukabona hagati y’imihango? Hari abantu bibwira ko ibi ari ibisanzwe, cyane cyane iyo wegereje gucura cyangwa nyuma y’icyo gihe, ariko si ko buri gihe biba bimeze. Hari igihe ibi bishobora kuba ikimenyetso cy’ikintu gikwiye guhangayikishwa. Iyo ni yo ndwara tugiye kuvugaho uyu munsi, yitwa `(Endometrial Hyperplasia).` Nubwo izina rishobora kumvikana nk'iry’ibidasanzwe, ni ngombwa cyane kubimenya.

"Endometrial Hyperplasia" ni iki? Reka tubisobanukirwe mu buryo bworoshye.

Mu magambo make, endometrial Hyperplasia ni igihe igice cy'inda yawe, cyitwa endometrium, kiba kinini kuruta ibisanzwe . Iyo utekereje ku cyo endometrium ari cyo, ni igice cy'inda gikurwa buri kwezi mu gihe cy'imihango yawe. Nanone, iyo umwana asamwe, ni muri urwo rubavu umwana atangira gukura bwa mbere. Rero, iyo endometrium ibaye nini kuruta ibisanzwe, yitwa Endometrial Hyperplasia. Hari abagore bamwe bashobora no kuba bafite ibyago byo kurwara kanseri y'inda bitewe n'iyi ndwara. Kubwibyo, ni ngombwa cyane kubimenya.

Ese hari ubwoko butandukanye bw'ibi? Ni ubuhe?

Yego, abaganga bashyira mu byiciro indwara ya Endometrial Hyperplasia bashingiye ku mpinduka mu turemangingo tw’uturemangingo twa endometrium yawe. Hari ubwoko bw’indwara zishobora gutera kanseri, mu gihe ubundi zitabaho.

• Endometrial Hyperplasia idafite Atypia: Muri ubu bwoko, uturemangingo two mu gice cy'umura tuba dusa neza. Ntidushobora kurwara kanseri cyane. Iyi ndwara ishobora koroherwa iyo tutivuje, cyangwa muganga wawe ashobora kukugira inama yo kuvura imisemburo. Ibi kandi bigabanyijemo ubwoko bubiri: ubworoshye n'ubugoye. Bigenwa n'imiterere y'uturemangingo.

• `Atypia yo mu nda idasanzwe / Endometrial Hyperplasia hamwe na Atypia`: Ubu ni bwo bwoko tugomba kwitaho cyane. `Atypia` bivuze ko uturemangingo tudasanzwe, ahubwo dusanzwe gato. Iyo hari uturemangingo nk'utwo, amahirwe yo kurwara kanseri aba menshi. Iyo ibi bidavuwe neza, ibyago byo kurwara kanseri yo mu mura biriyongera. Ibi kandi bifite ubwoko bwitwa `Simple Atypia` na `Complex Atypia`.

Niba muganga wawe akubwiye ko ufite iyi ndwara, ni ngombwa cyane gusobanukirwa neza ubwoko bwayo n'ingaruka zayo.

Ese endometrial Hyperplasia ikunze kugaragara ku rugero rungana iki?

Mu by’ukuri, indwara ya Endometrial Hyperplasia si indwara ikunze kugaragara cyane. Ifata abagore bagera ku 133 kuri 100.000.Iyi ndwara ikunze kugaragara cyane ku bagore bari mu gihe cyo gucura cyangwa bamaze gucura burundu.

Ni ibihe bimenyetso by'ibi? Reba niba nawe ufite ibi

Umuntu urwaye Endometrial Hyperplasia ashobora kugira ibimenyetso nk'ibi bikurikira:

• Kuva amaraso mu gihe cy'imihango ku buryo budasanzwe: Ibi bivuze kuva amaraso hagati y'imihango, cyangwa kongera kuva amaraso nyuma y'uko imihango ihagaze (nyuma yo gucura).
• Ukwezi gugufi: Guhera mu minsi itarenze 21.
• Kuva amaraso menshi mu gihe cy'imihango.
• Kuva amaraso nyuma yo gucura. Iki ni ikimenyetso cy'uko ugomba kujya kwa muganga.
• Hari igihe imihango ihagarara burundu (Amenorrhea).

Ibi bimenyetso akenshi bishobora kugaragara mu gihe cyo gucura. Ni ibisanzwe ko imihango yawe ihungabana, mu mezi amwe bishobora kutabaho, ndetse no kuva amaraso mu buryo butunguranye. Ariko, niba ufite ibi bimenyetso, ni byiza kuvugana na muganga aho gutekereza gusa ko ari ikimenyetso cyo gucura. Hanyuma muganga ashobora guhitamo niba ibi ari "Endometrial Hyperplasia" cyangwa atari byo.

Ese hari ububabare?

Hari igihe umuntu ashobora kubabara mu nda/mu kibuno. Ushobora no kubabara mu gihe cy'imibonano mpuzabitsina (Dyspareunia). Ariko, ikimenyetso gikunze kugaragara ni ukuva amaraso mu buryo budasanzwe.

Kuki ibi bibaho? Impamvu ni izihe?

Abagore barwaye Endometrial Hyperplasia bakora imisemburo myinshi ya estrogen kandi ntibakora imisemburo ya progesterone ihagije. Iyi misemburo ibiri igira uruhare runini mu mihango no gutwita.

Tekereza kuri ibi, mu gihe cyo gutanga intanga, imisemburo ya estrogen ikomeza ubwinshi bw'urura rw'umura (endometrium). Imisemburo ya progesterone itegura nyababyeyi gutwita. Iyo gutwita bitabaye, urugero rwa progesterone ruragabanuka. Uko kugabanuka kwa progesterone bitanga ikimenyetso kuri nyababyeyi, "Noneho, igihe kirageze cyo gusohora uru rura rw'umura." Ibyo ni byo biba mu gihe cy'imihango.

Ariko, ku bagore bafite ``Endometrial Hyperplasia``, umubiri ukora progesterone nke cyane cyangwa ntuyikore na gato. Bityo, igice cy'imbere cy'umura ntigishonga. Ahubwo, igice cy'imbere gikomeza gukura no kwiyongera. Uko kigenda cyiyongera, uturemangingo tuyigize tuba twegeranye cyane tugatangira kuba dutandukanye.

Ni nde ufite amahirwe menshi yo kurwara ibi? (Ibintu bishobora gutera ibyago)

Indwara ya endometrial hyperplasia ikunze kugaragara ku bagore bari hafi yo gucura (perimenopause) cyangwa bamaze gucura. Ni gake cyane ku bagore bari munsi y'imyaka 35 kuyirwara. Izindi mpamvu zishobora gutera ibyago birimo:

• Uburyo bumwe bwo kuvura kanseri y'ibere (urugero:`Tamoxifen`).
• Ku barwayi ba diyabete (Diabetes Mellitus) .
• Gutangira imihango ukiri muto cyane cyangwa kurangira ugiye gucura utinze cyane.
• Niba hari umuntu wo mu muryango wawe warwaye kanseri y'intanga ngore, kanseri y'umura, cyangwa kanseri y'amara .
• Ku bafite indwara y'agasabo k'inkari .
• Niba ufite nyababyeyi, urimo gufata imiti igabanya ubukana irimo estrogen gusa (idafite progesterone).
• Ku bagore batigeze batwita .
• Umubyibuho ukabije .
• Ku bafite `Polycystic Ovary Syndrome' (PCOS) .
• Ku banywa itabi .
• Ku bafite indwara ya tiroyide .
• Guhera mu mihango idahoraho cyangwa kubura imihango igihe kirekire .
• Niba warigeze kugira imirasire mu kibuno .
• Iyo ubudahangarwa bw'umubiri bucitse intege (bitewe n'indwara ziterwa n'umubiri cyangwa imiti imwe n'imwe).

Ni izihe ngorane ibi bishobora gutera?

Uko ubwoko bwa hyperplasia bwaba buri kose, kuva amaraso menshi no kudasanzwe bishobora gutuma ugira ikibazo cyo kubura amaraso, cyangwa kubura amaraso . Kubura amaraso bibaho iyo umubiri udafite uturemangingo dutukura duhagije, turimo icyuma.

Igikuru ni uko iyo ubwoko bwa "atypia" (Atypical Endometrial Hyperplasia) butavuwe, bushobora kuba kanseri.

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Abagore bagera kuri 8% bafite ``Simple Atypical Endometrial Hyperplasia'' bazarwara kanseri nibadavuwe. Hafi 30% by'abagore bafite ``Complex Atypical Endometrial Hyperplasia'' bazarwara kanseri nibadavuwe.

Niyo mpamvu ari ngombwa kujya kwa muganga vuba niba ufite ibimenyetso no kumenya neza ikibazo.

Ni gute umuganga asuzuma ibi? (Isuzuma)

Hari impamvu nyinshi zishobora gutuma uva amaraso mu mura bidasanzwe. Rero, kugira ngo amenye impamvu nyayo y'ibimenyetso byawe, muganga wawe ashobora gukora kimwe cyangwa byinshi muri ibi bikurikira:

• Ultrasound ya Transvaginal: Ibi bikubiyemo gushyira igikoresho gito mu gitsina no gukoresha amajwi kugira ngo ufate amafoto y'umura. Aya mashusho ashobora gufasha kumenya niba agace k'umura gafite ubunini bukabije.
• `Biopsy ya Endometrial`: Ibi bikubiyemo gufata ingero nto y'uturemangingo mu gice cyo hagati cy'umura. Hanyuma utwo turemangingo dusuzumwa hifashishijwe mikorosikopi kugira ngo harebwe niba hari uturemangingo twa kanseri cyangwa imiterere ya `Hyperplasia`.
• Hysteroscopy: Umuyoboro muto, urimo urumuri ufite kamera ifatanye na wo (hysteroscope) unyuzwa mu mura w'inkondo y'umura ukagera mu mura w'umura. Muri iki gikorwa, hashobora gukorwa D&C (kwaguka no gucukura) cyangwa biopsy. Hysteroscopy ituma umuntu areba neza imbere mu mura, kandi niba hari ahantu hakekwa, hashobora gufatwa biopsy.

Ni ubuhe buryo bwo kuvura ibi? (Ubuvuzi)

Indwara ya endometrial Hyperplasia ikunze kuvurwa n'umusemburo witwa progestin. Progestin ni verisiyo y'umusemburo wa progesterone, umubiri wawe ukora ku rugero ruto. Progestin iza mu buryo butandukanye:

• Uburyo bwo kuvura progesterone mu kanwa.
• Nk'igikoresho cyinjizwa mu mura (igikoresho cya `Intrauterine - IUD`, kirimo `Progesterone`).
• Nk'urushinge (urugero: Depo-Provera® ).
• Amavuta yo gusiga mu gitsina (Amavuta yo mu gitsina cyangwa gel).

Ariko, muri ibi bihe, muganga ashobora gusaba ko bakuramo igitsina cyavuye mu nda :

• Niba indwara yawe irushijeho kuba mbi, cyangwa niba uturemangingo twa kanseri dutangiye gukura.
• Iyo indwara idakira neza ukoresheje imiti ya progestin.

Ese ni ngombwa kubaga igitsina cy'umugore?

Ubusanzwe, endometrial hyperplasia ntisaba gukuraho nyababyeyi. Abagore benshi bakira neza ubuvuzi bwa progestin. Ariko, niba ufite ibyago byinshi byo kurwara kanseri y'inkondo y'umura, cyane cyane niba ufite indwara yitwa Complex Atypical Endometrial Hyperplasia, hysterectomy ishobora kuba amahitamo.

Ese hari icyo twakora kugira ngo hirindwe ko habaho `(Endometrial Hyperplasia)`?

Hari ibintu bimwe na bimwe ushobora gukora kugira ngo ugabanye ibyago byo kurwara iyi ndwara:

• Niba urimo gufata imiti igabanya ubukana nyuma yo gucura, koresha progesterone hamwe na estrogen (niba ufite nyababyeyi).
• Niba ufite imihango idahoraho, tekereza gufata ibinini byo kuboneza urubyaro birimo estrogen na progestin (nk'uko muganga yabigutegetse).
• Reka kunywa itabi.
• Komeza kugira ibiro bizima.

Ejo hazaza hazaba hameze gute muri iki kibazo? (Icyitegererezo)

Kuvura indwara ya endometrial hyperplasia bikira neza iyo uvuwe na progestin. Ariko, niba ufite endometrial hyperplasia idasanzwe, ishobora gutera kanseri y'umura. Kubwibyo, muganga wawe ashobora kukugira inama yo gukorerwa ultrasound buri gihe, gupima biopsies, cyangwa gucibwa hysterectomy kugira ngo bikureho burundu ibyago byo kurwara kanseri. Iyi nama itangwa hashingiwe ku ndwara wabonye, ​​amateka y'ubuzima bwawe, ndetse n'ibyago byo kurwara kanseri.

Ese endometrial hyperplasia ihinduka kanseri kuri buri wese?

Oya, si ko bigenda buri gihe. Ibyago byo kurwara kanseri bishobora kuva kuri 8% kugeza kuri 30%, bitewe n'ubwoko bwa Endometrial Hyperplasia ufite. Hari ubwoko bumwe gusa buhinduka kanseri. Muganga wawe ashobora gusobanura ubwoko ufite, uburyo bwiza bwo kuvura, n'ibyago byawe byo kurwara kanseri.

Ni ryari ngomba kubonana na muganga?

Niba ufite kimwe muri ibi bimenyetso, jya kwa muganga:

• Niba uva amaraso menshi cyane cyangwa adasanzwe.
• Niba uva amaraso mu gitsina nyuma yo gucura.
• Niba ufite ububabare bukomeye mu gihe cy'imihango (Dysmenorrhea) .
• Niba ubabara mu gihe uri kunyara (Dysuria) .
• Niba ubabara mu gihe cy'imibonano mpuzabitsina (Dyspareunia) .
• Niba ufite ububabare mu kibuno .
• Iyo hari ibintu bidasanzwe biva mu gitsina .
• Niba usiba imihango yawe kenshi .

Ni ibihe bibazo by'ingenzi ugomba kubaza muganga?

Niba ufite Endometrial Hyperplasia, ushobora kubaza muganga wawe ibi bibazo:

• Ni ubuhe bwoko bwa endometrial hyperplasia mfite?
• Ese mfite ibyago byinshi byo kurwara kanseri y'umura? Niba ari uko bimeze, nkora iki kugira ngo ngire ibyago byo kurwara kanseri y'umura?
• Ni ubuhe buryo bwiza bwo kuvura ubwoko bwanjye bwa Endometrial Hyperplasia?
• Ni izihe ngaruka n'ingaruka mbi z'ubwo buryo bwo kuvura?
• Ese umuryango wanjye uri mu kaga ko kurwara Endometrial Hyperplasia? Niba ari uko bimeze, ni iki bashobora gukora kugira ngo bagabanye ibyago byabo?
• Ni ubuhe buryo bwo gukurikirana ubuvuzi nkeneye nyuma yo kuvurwa?
• Ese nkwiye kwitondera ibimenyetso by'ingorane?

Ni mu kihe kigero cy'imyaka iyi ndwara ikunze kugaragara cyane?

Indwara yo gucura mu gihe cy'imisemburo (Endometrial Hyperplasia) ikunze kugaragara cyane ku bagore bari mu gihe cyo gucura cyangwa barangije gucura. Impuzandengo y'imyaka yo gucura ni hafi imyaka 51. Bityo rero, abagore bari hagati y'imyaka 50 na 60 ni bo bashobora kurwara iyi ndwara.

Ibintu by'ingenzi ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Kubyimba kw'inda mu nda ni indwara ituma igice cy'imbere cy'umura kirushaho kuba kinini. Ibi bishobora gutera kuva amaraso ku buryo budasanzwe ndetse rimwe na rimwe bigatuma umuntu atamererwa neza. Abagore benshi babona ihumure binyuze mu miti igabanya ubukana bwa progestin hormone. Ariko, abagore bafite indwara idasanzwe ya endometrial hyperplasia baba bafite ibyago byinshi byo kurwara kanseri y'umura. Muri ibyo bihe, kubagwa igitsina bishobora kugabanya ibimenyetso no kugabanya ibyago byo kurwara kanseri. Ni ngombwa kuvugana na muganga wawe ku buryo bwiza bwo kuvura. Ntutinye kubaza muganga wawe niba ufite ikibazo.

` Hyperplasia y'inkondo y'umura, kubyimba kw'uruti rw'umura, imihango idahwitse, gucura, progestin, kanseri y'umura