Ushobora kuba urimo kuva amaraso mu gitsina bidasanzwe cyangwa ugiye mu mihango myinshi cyane. Hari igihe izi polyps zo mu mura zibaho nta bimenyetso bifatika zigaragaza. Uyu munsi, reka tuganire ku byo polyps zo mu mura ari byo, impamvu zitera, n'uburyo bwo kuvura buhari hano muri Nirogi Lanka.
Mu by'ukuri, polyp yo mu mura ni iki? Reka tubisobanure!
Muri make, polyp yo mu mura ni akantu gato kameze nk'ingirangingo gafite imiterere idahwitse gakura hejuru y'umura wawe cyangwa imbere mu muyoboro w'inkondo y'umura. Nkuko ushobora kuba ubizi, umura ni igice gihuza umura wawe ( umura ) n'igitsina cyawe.
Tekereza nk'agatambaro gato k'uruhu gashobora kugaragara ku mubiri wawe; bisa cyane n'uko polyp isa. Ariko, izi ziri ku mura w'inkondo y'umura. Amahirwe yo kuba polyp yo mu mura w'inkondo y'umura ari make cyane. Akenshi, ntabwo ari mbi. Ariko, mu bihe bidasanzwe, polyps zimwe na zimwe zishobora kuba ziteje kanseri. Niyo mpamvu, niba ufite ibimenyetso, muganga wawe azakugira inama yo gukuraho polyp.
Ese hari ubwoko butandukanye bwa polyps zo mu mura?
Yego, hari ubwoko bubiri bw'ingenzi:
- Polyps zo mu mura w'inkondo y'umura: Izi zituruka ku gice cyo hanze cy'uturemangingo turi ku mura w'inkondo y'umura.
- Polyps zo mu nda y'inkondo y'umura: Izi zikurira mu muyoboro w'inkondo y'umura kandi ni zo zikunze kugaragara cyane.
Polyps zo mu mura zikunze kugaragara gute, kandi ni nde uri mu kaga?
Abagore bagera kuri 2% kugeza kuri 5% bashobora kurwara polyps zo mu mura. Zikunze kugaragara cyane ku bagore bari mu kigero cyo kubyara—cyane cyane abarengeje imyaka 40—n'ababyaye abana barenze umwe.
Ikintu cy'ingenzi cyo kwibuka ni uko inyinshi muri polyps zo mu mura ziba zitarimo ingaruka mbi. Polyps zitera kanseri ni gake cyane, zigaragara munsi ya 1% by'abarwayi, akenshi zigaragara ku bagore bamaze gucura. Muri rusange nta mpamvu yo kumva ikibazo gikomeye.
Ni ibihe bimenyetso bya polyp yo mu mura? Reba niba ubizi ibi bimenyetso
Abantu benshi barwara polyps ariko ntibagire ibimenyetso na gato. Ariko, bamwe bashobora kubona ibi bikurikira:
- Imihango myinshi (menorrhagia): Ibi birimo kuva amaraso amara igihe kirekire kurusha uko bisanzwe cyangwa biremereye cyane.
- Kuva amaraso nyuma yo gukora imibonano mpuzabitsina.
- Kuva amaraso mu gitsina bidasanzwe: Urugero, kuva amaraso hagati y’imihango cyangwa kuva amaraso iyo umaze kugera mu gihe cyo gucura .
- Amavuta yo mu gitsina afite impumuro mbi, umweru cyangwa umuhondo, ashobora kugaragaza ko umuntu yanduye.
Niba ufite kimwe muri ibi bibazo, ni byiza kujya kwa muganga kugira ngo akugishe inama.
Polyp yo mu mura isa gute?
Kenshi na kenshi, izi polyps ziba ndende kandi zifite ishusho nk'iy'amarira. Akenshi zisa nkaho zisohoka mu mura w'inkondo y'umura. Iyo zikozweho, zishobora kumva zoroshye cyangwa zimeze nk'ikibuno. Ibara ryazo rishobora kuba umutuku ukeye, umutuku wijimye, cyangwa imvi-umweru. Zimwe muri polyps zifite igishishwa kirekire kandi gito (pedicle). Nubwo akenshi ziba zitarengeje santimetero imwe, rimwe na rimwe zishobora gukura zikaba nini kandi zishobora kuva amaraso iyo zirakaye.
Kuki polyps zo mu mura zivuka?
Nubwo impamvu nyayo idasobanutse neza, hari ibintu byinshi bivugwa ko bigira uruhare muri ibi bikurikira:
- Kubyimba k'umura igihe kirekire: Ibi bibaho iyo umura ukomeje kubyimba cyangwa kurakara bitewe n'ububyimba buhoraho.
- Indwara zandurira mu mibonano mpuzabitsina ( STIs ): Indwara nka Chlamydia cyangwa Gonorrhea.
- Indwara z'umusemburo cyangwa bagiteri: Izi zishobora no kugira uruhare mu kubyimba k'inkondo y'umura.
- Ingano ya estrogen iri hejuru: Iyi hormone igira uruhare runini mu mikorere y'imyanya myibarukiro y'abagore.
Ni gute umuganga asuzuma ibi?
Ubusanzwe, polyp yo mu mura iboneka mu gihe cyo gusuzuma ikibuno cyangwa ikizamini cya Pap . Nyuma yuko muganga wawe agushyizemo speculum kugira ngo arebe neza umura w'inkondo y'umura, ashobora kumenya byoroshye polyp iyo ari yo yose. Speculum ni igikoresho gisanzwe gikoreshwa mu gufata buhoro buhoro inkuta z'inda kugira ngo harebwe neza umura w'inkondo y'umura.
Ese hakenewe ibindi bipimo?
Ubusanzwe, gusuzuma amaso hakoreshejwe speculum birahagije kugira ngo umenye polyp. Ntabwo uzakenera gupimwa cyane. Ariko, muganga wawe ashobora gukuramo polyp akohereza muri laboratwari kugira ngo arebe neza ko nta turemangingo tudasanzwe dufite.
Mu bihe bimwe na bimwe, muganga wawe ashobora gukora ultrasound kugira ngo arebe agace gakikije umura w'inkondo y'umura. Gupima umubiri - gufata ingero nto y'umubiri - ni bwo buryo bwo kumenya niba polyp ari kanseri. Nkuko byavuzwe, amahirwe yo kubikora ni make cyane.
Ese polyp igomba gukurwaho?
Yego, gukuramo ni bwo buryo bwizewe mu bihe byinshi. Niba ufite ibimenyetso nko kuva amaraso, muganga wawe ashobora gukuramo polyp mu gihe cyo kwipimisha mu kibuno. Niba polyp ari nini cyangwa hari ibyago byo kugira ingorane, muganga wawe ashobora guteganya kuyikura mu cyumba cyo kubaga, ashobora kuba ari munsi y'ikinyabutabire cyo mu gace utuyemo.
Udusimba twakuweho twoherezwa muri laboratwari kugira ngo byemezwe ko twasuzumwe kandi birebe neza ko udusimba dufite ubuzima bwiza.
Gukuraho igitsina bikorwa gute (Polpectomy)?
Ubu buryo bwitwa polypectomy . Muri rusange bukorerwa kwa muganga mu gihe cyo gusuzuma ikibuno. Iyo polyp ari nini, imiti igabanya ububabare ishobora gukoreshwa mu rwego rwo kubaga.
Udukoko duto dukunze gukurwaho hakoreshejwe igikoresho cyabugenewe (forceps) hanyuma tukaduhindura buhoro buhoro. Ibi akenshi ntibisaba ikinya kandi ni vuba kandi nta burwayi bwinshi.
Niba polyp ari nini cyangwa idafite igishishwa gisobanutse, muganga wawe ashobora gukoresha LEEP (Loop Electrosurgical Excision Procedure) . Ibi bisaba gukoresha umugozi muto ushyushye ukoresheje amashanyarazi kugira ngo ukureho icyiyongera ku buso bw'inkondo y'umura. Muganga wawe azabanza gufunga inkondo y'umura kugira ngo arebe ko wumva umerewe neza.
Ese hashobora kubaho ingorane nyuma yo gukuramo?
Ingorane ni gake cyane, ariko rimwe na rimwe, ibi bikurikira bishobora kubaho:
- Kwandura indwara.
- Kuva amaraso menshi cyane.
- Gutobora nyababyeyi (bikunze kugaragara gake cyane).
Bifata igihe kingana iki kugira ngo umuntu akire nyuma yo gukurwaho kwa polyp?
Nyuma yo gukuraho polyp, ushobora kugira ububabare buke . Ni ibisanzwe kandi kugira amabara make nyuma yaho. Ushobora guhangana n'ubu burwayi ukoresheje uburyo bwo kugabanya ububabare ukoresheje parasetamol cyangwa ibuprofen. Mu gihe cy'ibyumweru bibiri, cyangwa kugeza igihe kuva amaraso bihagaze burundu, ugomba kwirinda imibonano mpuzabitsina no gukoresha tampons. Nyamuneka gisha inama muganga wawe kugira ngo akuyobore mu buryo bwihariye bwo gukira.
Ni izihe ngaruka mbi zikunze kugaragara zo gukuraho polyp?
Ingaruka mbi zikunze kugaragara ni ukubura ibisebe byoroshye no kubabara mu nda gato , byombi bikunze kurangira mu minsi mike. Gukuraho polyp ni uburyo bwihuse kandi bwizewe, kandi ingorane zikomeye ni gake cyane. Ugomba gusubira mu mirimo yawe ya buri munsi mu munsi umwe cyangwa ibiri nyuma yo gukorerwa.
Ese nshobora kwirinda polyps zo mu mura?
Nubwo bigoye kwirinda burundu indwara ya cervical polyps kuko hari ibintu bimwe na bimwe bidashobora kugerwaho, ushobora gufata ingamba zo kugabanya ibyago byo kwandura. Urugero, gukora imibonano mpuzabitsina yirinze (nk'ikoresha agakingirizo) ni uburyo bwiza bwo kwirinda.
Ariko, ingamba nziza cyane ni uguteganya ibizamini by’abagore n’ibipimo bya Pap smears buri gihe. Ibi bipimo bifasha muganga wawe kubona no kuvura polyps mbere yuko zitera ibimenyetso.
Ese nkwiye guhangayika ninsanga mfite polyp yo mu mura?
Mu by’ukuri, inyinshi muri polyps zo mu mura ntizitera kanseri kandi zoroshye kuzikuramo. Muganga wawe azakugira inama yo kuzikuramo gusa iyo abonye ko ari ngombwa. Kugira polyp yo mu mura ntibitera ibibazo by’ubuzima by’igihe kirekire, bityo nta mpamvu yo guhangayika bitari ngombwa, nk’uko bivugwa n’impuguke mu by’ubuzima za Nirogi Lanka.
Ese izi polyps zishobora kongera gukura?
Nubwo bidakunze kugaragara ko zisubira, ntabwo bishoboka. Niba warigeze kugira polyps zo mu mura mu bihe byashize, hari amahirwe make ko zishobora kongera kurwara.
Bite ho niba mfite imwe mu gihe ntwite?
Udukoko two mu mura ntabwo dukunze kugaragara cyane mu gihe utwite. Iyo tubonetse, akenshi tuba duto kandi tudatanga ibimenyetso. Hari abaganga bashobora kukugira inama yo kubikuraho, mu gihe abandi bashobora guhitamo kubireka kugira ngo wirinde kurakara bitari ngombwa mu mura. Niba utwite kandi usanzwe ufite udukoko two mu mura, muganga wawe azaguhitiramo uburyo bwiza bwo gukora bitewe n'ubuzima bwawe bwite, ingano ya two, n'aho duherereye.
Ni ryari ngomba kujya kwa muganga?
Ugomba rwose gutegura gahunda yo kubonana n'umuganga wawe mu gihe uhuye n'ibi bikurikira:
- Kuva amaraso mu gitsina ku buryo budasanzwe cyangwa budasanzwe.
- Imihango iremereye kurusha isanzwe cyangwa kuva amaraso hagati y'imihango.
- Kuva amaraso mu gitsina nyuma yo gucura.
- Amavuta adasanzwe cyangwa ibintu biva mu gitsina bifite impumuro mbi.
Wibuke ko ibizamini bisanzwe byo mu kibuno ari bwo buryo bwiza bwo gufata indwara nka polyps zo mu kibuno hakiri kare. Niba ubonye kuva amaraso ku buryo budasanzwe mu gitsina, menya neza ko ubimenyesheje muganga wawe. Nubwo wafatwa na polyp yo mu kibuno, nta mpamvu ikunze gutera ubwoba, kuko akenshi atari ikibazo gikomeye cyangwa ngo bibe ari byo bitera kanseri.
Incamake ya nyuma: Ingingo z'ingenzi zo kwibuka
Mu gusoza, dore ibintu by'ingenzi twafashe mu kiganiro cyacu:
- Utunyangingo tw’inkondo y’umura ni uturemangingo duto, tumeze nk’udukura tumera ku mura w’inkondo y’umura.
- Inyinshi muri zo ntizirwaye kanseri kandi zifatwa nk'izidafite ingaruka mbi.
- Abarwayi bamwe bashobora kugira ibimenyetso nko kuva amaraso menshi cyangwa ku buryo budasanzwe, mu gihe abandi bashobora kutagaragaza ibimenyetso.
- Abaganga bashobora kubimenya byoroshye mu gihe cyo gusuzuma ikibuno gisanzwe.
- Iyo bibaye ngombwa, bishobora gukurwaho byoroshye cyane.
- Kwisuzumisha abagore buri gihe ni ingenzi ku buzima bwawe bw'imyororokere.
- Niba ubonye ibimenyetso bidasanzwe, buri gihe shaka inama z'abaganga b'inzobere.
Twizeye ko aya makuru yagufashije. Ubuzima bwawe ni bwo bw'ingenzi, bityo ntutindiganye kuvugana na muganga wawe niba ufite ikibazo cyangwa impungenge.
