Wowe n'umukunzi wawe mushobora kuba mwari mumaze igihe mugerageza gutwita. Niba iyo nzozi itarasohora, ni ibisanzwe kumva ufite agahinda cyangwa impungenge. Ushobora no kwibaza uti "Kuki ibi bitubaho?" Ndakwinginze, ntugatinye; nturi wenyine. Abashakanye benshi bahura n'ibi bibazo nk'ibyo. Ku bw'amahirwe, bitewe n'iterambere mu buvuzi bwa none, hari uburyo bwinshi bwiza bwo gushaka ibisubizo. Imwe muri izo ntambwe ni ugukorerwa ibizamini by'uburumbuke , bigamije kugufasha wowe n'umukunzi wawe gusobanukirwa ubuzima bwawe bw'imyororokere muri Nirogi Lanka.
Ibipimo by'uburumbuke ni iki, kandi kuki ari ngombwa?
Mu magambo make, ibi ni ibikoresho byo gusuzuma bikoreshwa n'abaganga kugira ngo bumve impamvu wowe n'umukunzi wawe mushobora kuba mugorwa no gusama. Kumenya impamvu nyayo bituma byoroha cyane gufata icyemezo cy'uburyo bwiza bwo kuvura. Tekereza ibi nk'uburyo bwo gushaka impamvu nyamukuru y'ikibazo cy'ubuzima. Aho gukomeza kugerageza no kuvura, kumenya impamvu y'ishingiro bitanga uburyo bwiza kandi bunoze bwo kwita ku ndwara.
Hari igihe impamvu iba yoroshye kurusha uko wabitekereza. Bishobora kuba ari ukudahuza guto kw'imisemburo cyangwa ikindi kibazo cy'ubuzima gishobora gukemurwa. Ibi bizamini bigamije kugaragaza neza ibyo bintu.
Ni ryari ugomba kujya kwa muganga kugira ngo apime uburumbuke?
Muri rusange, abahanga mu by'uburumbuke batanga inama yo gupima mu bihe bikurikira:
- Niba uri munsi y'imyaka 35 kandi ukaba utarashobora gusama nyuma y'umwaka umwe w'imibonano mpuzabitsina isanzwe kandi idakingiye.
- Niba ufite imyaka irenga 35 kandi ukaba utarashobora gusama nyuma y'amezi atandatu ukoze imibonano mpuzabitsina idakingiye. (Iyi ngengabihe ni ngufi kuko uburumbuke bugabanuka uko imyaka igenda ishira).
- Niba ufite imihango idahwitse (urugero, imihango imara iminsi irenga 35 cyangwa imihango idasobanutse neza).
Gusaba inama ku muganga w’umuhanga ni bwo buryo bwiza bwo gukora. Ni byiza cyane kumenya ibibazo bishobora kubaho hakiri kare aho gutakaza umwanya w’agaciro.
Ni iki inzobere yawe izakubaza mu gihe cyo gusura kwa mbere?
Mu gihe cyo gusura kwawe kwa mbere, inzobere yawe izakora ikiganiro kirambuye. Tekereza ibi nk'ikusanyirizo ry'ibimenyetso byo gukemura ibanga. Amakuru utanga ni ingenzi kugira ngo bamenye ibizamini bikwiye imimerere yawe yihariye.
Ingingo zisanzwe zo kuganiraho zirimo:
- Amateka y'imihango: Imyaka watangiye kujya mu mihango, igihe cy'ukwezi, igihe wamaze kuva amaraso, imbaraga z'amaraso atemba, n'urugero rw'ububabare.
- Amateka y'abagore: Gutwita mbere, gukuramo inda, cyangwa amateka y'indwara zandurira mu mibonano mpuzabitsina (STIs).
- Amateka rusange y'ubuzima : Indwara zisanzweho (urugero: diyabete, indwara za tiroyide), kubagwa byakozwe mbere, n'indi miti yose ikomeza gukoreshwa.
- Imiti ikoreshwa ubu: Hari imiti ishobora kugira ingaruka ku burumbuke.
- Kunywa kafeyine n'inzoga: Ingeso zawe zisanzwe zo kunywa.
- Ahantu ukorera: Guhura n'ibintu byangiza cyangwa byangiza aho ukorera.
- Amateka y'imibonano mpuzabitsina : Amakuru yerekeye inshuro n'igihe imibonano mpuzabitsina yabereye.
Nyuma yo gusuzuma ibi bisobanuro, muganga wawe azagukorera gahunda yo gusuzuma indwara ijyanye nawe. Nta gahunda yo gupima "ikwiranye na bose". Byose bikorerwa ku giti cyawe hashingiwe ku buzima bwawe.
Ni ibihe bipimo by'uburumbuke biboneka ku bagore?
Hari ibizamini byinshi byo gusuzuma uburumbuke bw'abagore. Ibipimo by'ingenzi birimo:
Gupima amaraso y'uburumbuke
Kudahuza kw'imisemburo bishobora kubangamira ikorwa ry'intanga ngabo. Ibipimo by'amaraso bikorerwa mu byiciro runaka by'ukwezi kwawe bipima urugero rw'imisemburo, nka Progesterone , Estradiol , Thyroid Stimulating Hormone (TSH) , na Prolactin . Ibi bifasha kwemeza niba ikorwa ry'intanga ngabo ririmo gukorwa kandi niba igice cy'imbere mu nda cyateguwe neza kugira ngo gitere.
Ikizamini cyo gupima intanga ngore / AMH
Ibi bikubiyemo guhuza amaraso na ultrasound yo mu gitsina. Ultrasound ipima Antral Follicle Count (AFC) yawe, mu gihe isuzuma ry'amaraso ripima urugero rwa Anti-Mullerian Hormone (AMH) . Hamwe na hamwe, bitanga isuzuma ry'uko intanga zawe zitangwa ukurikije imyaka yawe. Icyitonderwa: iki kizamini ntigikenewe kuri buri wese ; gikunze kugirwa inama ku bantu bakurikirana ikoranabuhanga rifasha mu kubyara, nka In-Vitro Fertilization (IVF) .
Gupima imiterere y'uturemangingo
Hari ibibazo bimwe na bimwe mu bijyanye n'uburumbuke bifitanye isano gene mutations . Gusuzuma ngirabuzimafatizo bishobora kugaragaza ibi bintu by'ingenzi.
Ultrasound y'ikibuno
Iki gikoresho cyo gufata amashusho kizwi kandi nka sonogram , gitanga ishusho irambuye y'ingingo zawe zo kubyara (inda, intanga ngore, fallopian tubes ). Gifasha mu gutahura ibibazo by'imiterere y'umubiri nk'ibibyimba uterine fibroids cyangwa ovarian cysts .
Sonohysterogram
Uburyo bwihariye bwo gufata amashusho butuma muganga wawe abona neza imbere mu kiziba cy'inda yawe kugira ngo amenye imbogamizi zishobora kubaho mu gusama.
Hysterosalpingogram (HSG)
Ubu buryo bukoresha fluoroscopyGufata amashusho arambuye y'umura wawe n'imiyoboro y'inda. Bifasha kumenya niba ibibazo by'uburumbuke biterwa n'ibibazo nk'imiyoboro y'inda yazibye, kuko igi rizima rigomba kunyura muri iyo miyoboro kugira ngo rihure n'intanga ngore kugira ngo risame.
Hysteroscopy
Muri iki gikorwa cyo gusuzuma, muganga wawe azashyira mu muyoboro muto woroheje kandi ugaragara uzwi nka hysteroscope mu mura wawe. Ibi bituma ubona neza kandi neza umura wawe n'igice cy'umura.
Ni ibihe bipimo by'uburumbuke biboneka ku bagabo?
Nubwo ibiganiro ku bijyanye n'uburumbuke bikunze kwibanda ku bagore, uburumbuke bw'abagabo nabwo ni ingenzi. Ibizamini byihariye byo gusuzuma indwara birahari ku bagabo.
Isesengura ry'amasohoro
Iki ni cyo kizamini cy’ibanze kandi gikunze gukoreshwa mu gusuzuma uburumbuke bw’abagabo. Kigenzura ingano y’intanga zawe, ingendo (uburyo zigenda), n’imiterere yazo. Kumenya neza ko ufite intanga zihagije kandi zifite ubuzima bwiza ni ingenzi kugira ngo usame neza.
Ibipimo by'amaraso y'uburumbuke
Iyo isuzuma ry’amasohoro yawe rigaragaje ko hari ibitagenda neza, muganga wawe ashobora gutegeka ko bapima amaraso kugira ngo barebe urugero rw’imisemburo, nka Testosterone, Hormone itera Thyroid (TSH), Hormone itera Luteinizing (LH), Prolactin, Estradiol, na Hormone itera Follicle (FSH), kuko iyi misemburo igira uruhare rutaziguye mu ikorwa ry’intanga ngabo.
Gupima imiterere y'uturemangingo
Kimwe no ku bagore, hari igihe ibintu bigize imiterere y’umubiri bishobora kugira ingaruka ku burumbuke bw’abagabo. Iri suzuma rifasha kumenya niba hari itandukaniro ry’imiterere y’umubiri rituma habaho ibibazo byo kubyara.
Ultrasound y'amabya
Niba isuzuma ry'amasohoro yawe rigaragaza impungenge, iri suzuma ritanga amashusho arambuye y'intanga ngabo n'ibizikikije kugira ngo hamenyekane impamvu zishobora gutera, nko kwaguka kw'imitsi.
Isesengura ry'inkari nyuma yo gusohora
Niba hari impungenge zijyanye no gusohora amasohoro (aho amasohoro yinjira mu ruhago aho gusohoka mu mubiri), muganga wawe ashobora kukugira inama yo gusuzuma iki kizamini kugira ngo arebe niba inkari zawe zirimo intanga.
Ibi bizamini bikorwa bite, kandi se abantu bose bapimwa kimwe?
Uburyo buhinduka bitewe n'ibyo ukeneye byihariye. Ibipimo bimwe na bimwe bisaba gukurura amaraso mu buryo bworoshye, mu gihe ibindi bisaba gupima; akenshi, byombi bivanze.
Icy'ingenzi kurushaho, nubwo ikizamini kimwe gishobora kugaragaza impamvu rimwe na rimwe, ikindi gihe bishobora gusaba isuzuma rikurikiranye kugira ngo hamenyekane neza indwara.
Ikizamini gikwiye kuri wewe giterwa n'amateka y'ubuzima bwawe, imibereho yawe, n'ibyo ukeneye ku giti cyawe. Umuganga wawe wa Nirogi Lanka azagufasha muri iki gikorwa, uburyo bwo kwitegura, no kuganira ku buryo bwo kuvurwa bushoboka.
Bite ho niba ibisubizo by'ibizamini byanjye bitameze neza? Ese nkwiye guhangayika?
Niba ubonye ibisubizo bidasanzwe, muganga wawe azakubwira intambwe zikurikiraho. Ibi bishobora gusaba ibizamini by'inyongera cyangwa gutangira gahunda y'ubuvuzi yihariye. Bazagusobanurira neza icyo ibisubizo byawe bigufitiye akamaro.
Wibuke ko ibisubizo bidasanzwe atari iherezo ry'urugendo rwawe. Nubwo gusama mu buryo busanzwe bigoranye, hari uburyo bwinshi bwo gufasha mu kubyara (ART) nka In-Vitro Fertilization (IVF) na Intrauterine Insemination (IUI). Nirogi Lanka irahari kugira ngo iguhe inkunga n'ibikoresho ukeneye.
Ese ibizamini byo kuboneza urubyaro mu rugo birizewe?
Yego, hari ibikoresho byo gupima intanga mu rugo, nk'ibikoresho byo gupima intanga cyangwa gupima ubuzima bw'intanga. Ariko, ibi ntibisimbura isuzuma ry'abaganga b'inzobere. Niba isuzuma ryawe ryo mu rugo rigaragaza imbogamizi, nyamuneka teganya gahunda yo kubonana n'inzobere mu by'uburumbuke muri Nirogi Lanka kugira ngo igupime neza.
Ese nshobora gupimwa uburumbuke mu gihe nkoresha IUD?
Nubwo IUD (IUD) itagira ingaruka ku burumbuke bwawe bw'igihe kirekire, ishobora kubangamira ibisubizo by'ibizamini bimwe na bimwe. Ushobora kuba ukeneye kuyikuraho by'agateganyo mbere yo gukomeza. Niba ukoresha IUD ubu, buri gihe banza uganire na muganga wawe mbere yo gutangira gupima uburumbuke.
Ubutumwa bw'ingenzi bwo kujyana mu rugo
Gutangiza umuryango ni inzozi nziza abantu benshi bakunze. Niba urimo guhura n'ibibazo byo gutwita, ni ibisanzwe guhangayika niba izo nzozi zizasohora. Ndakwinginze, ntucike intege.
Niba ugorwa no gutwita, intambwe ya mbere y'ingenzi ni ukugana abaganga bawe. Bashobora kugufasha gupima uburumbuke, kandi nibiba ngombwa, bakakohereza abaganga b'inzobere kugira ngo bagufashe mu nzira nziza.
Wibuke ko utari wenyine muri uru rugendo. Ufite amakuru akwiye, ubufasha bw'amarangamutima, n'ubujyanama bw'abaganga b'inzobere, hari inzira igana ku kugera ku nzozi zawe hamwe na Nirogi Lanka.
👩🏽⚕️ Ibibazo Bikunze Kubazwa (Ibibazo Bikunze Kubazwa)
💬 Ese umugore cyangwa umugabo bagomba kubanza gupimwa iyo bahuye n'ibibazo byo kubyara?
Nubwo benshi bakeka ko impamvu ari iy'umugore, mu manza zigera kuri 40%, ikintu kibitera ni igitsina gabo. Kubwibyo, iyo umugabo n'umugore basabye inama z'abaganga, isuzuma ry'amasohoro y'umugabo akenshi riba riri mu ntambwe za mbere zikorwa.
💬 Ni ibihe bipimo bisanzwe by’uburumbuke ku bagore?
Abaganga babanza gupima amaraso kugira ngo bapime urugero rw'imisemburo no kwemeza ko intanga zikora neza. Byongeye kandi, HSG (X-ray yihariye) ikunze gukorwa kugira ngo barebe ubuzima bw'umura no kwemeza ko imiyoboro y'inda idafunze.
💬 Ni izihe mpamvu nyamukuru zitera intanga nke ku bagabo?
Uretse ibintu bikomoka ku ngirabuzimafatizo, amahitamo y’imibereho nko kunywa itabi ryinshi, kunywa inzoga nyinshi, stress nyinshi zidashira, no guhura n’ubushyuhe (kuko ikorwa ry’intanga riterwa n’ubushyuhe) ni ibintu by’ingenzi bigira ingaruka ku buzima bw’intanga.
Amagambo ahinnye: Uburumbuke, Gutwita, Gutwita, Ubugumba, Ibipimo by'Uburumbuke, Ubuzima bw'Abagore, Ubuzima bw'Abagabo
