Ese inzozi zawe zo kubyara zirimo gukumirwa? Reka tuvuge ku bijyanye no kutabyara

Wowe n'umukunzi wawe mushobora kuba mwiteze kongeramo umushyitsi mushya mu muryango wanyu mufite ibyiringiro bikomeye. Ariko iyo iyo nzozi itabaye nyuma y'amezi menshi, wenda n'umwaka mugerageza, biragoye gusobanura agahinda, imihangayiko, n'irungu wumva? Ibi birushaho kuba umutwaro bitewe n'ibibazo bituruka ku bagukikije. Ariko ntugatekereze ko uhanganye na byo wenyine. Uyu munsi turimo kuvuga kuri iki kibazo abantu benshi bahisha mu mitima yabo, ni ukuvuga ubugumba. Reka tubiganireho mu buryo bweruye kandi busobanutse.

Mu magambo make, ubugumba ni iki?

Ubugumba ni ukudashobora gutwita bitewe n'ikibazo kiri mu buryo bw'imyororokere yawe. Bishobora kugira ingaruka kuri buri wese. Akenshi, ntibiterwa n'ikintu kimwe, ahubwo biterwa n'ibintu byinshi.

Tekereza kuri ibi, gutwita ni igikorwa gitangaje cyane, gikorwa mu ntambwe nyinshi. Ni nk'urunigi, iyo urunigi rumwe rucitse, urunigi rwose ruracika.

• Ubwa mbere, ubwonko bwawe bugomba gukora imisemburo igenzura imikorere y'intanga zawe.
• Icya kabiri, iyo misemburo igomba gutuma igi rikura muri imwe mu ntanga zawe.
• Hanyuma, igi rikuze rigomba kurekurwa mu ntanga ngore. Ibi tubyita ovulation .
• Hanyuma, igi rigomba gufatwa binyuze mu muyoboro wa Fallopian.
• Hagati aho, intanga ngabo zigomba kwinjira mu mura zinyuze mu gitsina, zikanyura mu muyoboro w'inda, zikagera ku gi.
• Aho ngaho, intanga zigomba kwihuza n'igi zikaritera ifumbire, bikarema urusoro .
• Amaherezo, igi ryatewe n'intanga ngore rigomba kunyura mu muyoboro w'inda rigashyirwa mu rukuta rw'umura.

Iyo kimwe muri ibi bitakozwe neza, ntabwo inda izatwita.

Ubusanzwe, abaganga basuzuma ubugumba bakoresheje:

• Niba uri munsi y'imyaka 35 kandi utaratwita nyuma y'umwaka umwe (amezi 12) w'imibonano mpuzabitsina isanzwe udafite uburyo bwo kuboneza urubyaro.
• Niba ufite imyaka 35 cyangwa irenga kandi ukaba umaze amezi 6 ugerageza kudatwita.

Ni ubuhe bwoko bw'ingenzi bw'ubugumba?

Ubugumba bushobora kugabanywamo ubwoko butatu bw'ingenzi. Kugira ngo ubyumve neza, reba imbonerahamwe iri hepfo.

Ni iki gitera ubugumba?

Akenshi nta gisubizo kimwe cyoroshye gihari kuri ibi. Hari igihe gishobora kuba ikibazo cy'umugore, hari igihe gishobora kuba ikibazo cy'umugabo. Hari igihe gishobora kuba uruvange rwa byombi. Dore icyo ubushakashatsi bwagaragaje:

• Mu 33% by'ibibazo, impamvu ifitanye isano n'umugore .
• Mu 33% by'ibibazo, impamvu iba ifitanye isano n'umugabo .
• 33% bisigaye by’abanduye bibasirwa n’impamvu zifitanye isano n’impamvu zombi cyangwa izitazwi .

Ibintu bisanzwe bishobora gutera ibyago

Ingeso zimwe na zimwe z’ubuzima n’imibereho bishobora kugira ingaruka ku burumbuke.

• Imyaka: Uburumbuke bugabanuka vuba, cyane cyane ku bagore bari mu kigero cy'imyaka 30 cyangwa 40. Ku bagabo, ingaruka ziyongera nyuma y'imyaka 50.
• Kunywa itabi no kunywa ibiyobyabwenge/inzoga: Ibi byangiza mu buryo butaziguye imiterere y'intanga ngabo n'amagi.
• Ubwinshi bukabije cyangwa buke: Uburemere budasanzwe bw'umubiri bugira ingaruka ku ireme ry'imisemburo.
• Indwara zo kurya: Indwara nka `(Anorexia nervosa)` na `(Bulimia)`.
• Imyitozo ngororamubiri ikabije:Imyitozo ngororamubiri ikabije ishobora no kugira ingaruka ku misemburo.
• Guhura n'uburozi bukomoka ku bidukikije: Ibintu nk'imiti yica udukoko, imiti ikoreshwa mu kwica udukoko, n'ibindi.
• Stress: Byagaragaye ko stress y'igihe kirekire igira ingaruka ku burumbuke.
• Indwara zandurira mu mibonano mpuzabitsina (STIs): Indwara zitavuwe zishobora kwangiza imyanya myibarukiro.
• Uburyo bwo kuvura kanseri: Ubuvuzi bushingiye ku mirasire cyangwa imiti ivura kanseri.

Impamvu zihariye ku bagore

Impamvu nyamukuru itera ubugumba ku bagore ni ibibazo byo gutanga intanga . Ibi bivuze ko igi ritakura cyangwa ngo rivemo neza. Byongeye kandi, ibi bintu bishobora kugira ingaruka kuri ibi bikurikira:

• Endometriosis: Uturemangingo twagombye gukurira imbere muri nyababyeyi dukurira hanze ya nyababyeyi (ahantu nka ovaries, imiyoboro y'inda, n'ahandi).
• Indwara y'intanga ngabo (PCOS): Ihindagurika ry'imisemburo rituma habaho utunyangingo duto mu dusabo tw'intanga ngabo no gusohora intanga mu buryo butari bwo.
• Imiyoboro y'inda ifunze: Imiyoboro y'inda ifunze, bitewe n'ubwandu (urugero: Indwara yo kubyimba mu gituza - PID) cyangwa kubagwa, bibuza intanga n'intanga guhura.
• Ibibazo byo mu mura: Ibibyimba byo mu mura cyangwa polyps cyangwa ibibazo byo mu nda bifitanye isano n'imiterere y'umura.
• Izindi ndwara: Indwara nka tiroyide, diyabete, indwara z'impyiko, n'indwara z'ubwiyongere bw'umubiri.
• Ubwiza bw'igi buragabanuka uko imyaka igenda ishira.

Impamvu zihariye ku bagabo

Impamvu nyamukuru itera ubugumba ku bagabo ni ibibazo by'intanga ngabo . Muri byo harimo:

• Umubare muto w'intanga ngore.
• Intanga ngabo ntizikora neza.
• Imiterere idasanzwe y'intanga ngore.

Uretse ibi, impamvu zikurikira zishobora kuba zirimo:

• Ibibazo by'intanga: Varicocele, imvune ku ntanga, cyangwa intanga zidakura.
• Guhura n'ubushyuhe bwinshi: Kwambara imyenda y'imbere ifunganye cyane, kwiyuhagira kenshi bishyushye, gukoresha mudasobwa igendanwa ku bibero byawe, n'ibindi.
• Ibibazo by'imisemburo: testosterone nkeya.
• Indwara z'uturemangingo: Indwara z'uturemangingo nka `(syndrome ya Klinefelter)`.
• Kuziba kw'imiyoboro y'amasohoro.
• Ibibazo byo gusohora cyangwa kudakora neza kw'intanga.
• Gukoresha nabi ibiyobyabwenge nka steroide zikoresha anabolic .

Ni gute indwara yo kutabyara ipimwa? Ni ibihe bipimo by'ubuvuzi?

Iyo wowe n'umukunzi wawe mugiye kwa muganga, azabanza kukubaza amateka y'ubuzima bwanyu, ubuzima bwanyu mu mibonano mpuzabitsina, n'imibereho yanyu. Hanyuma, bazagutegeka gukorerwa ibizamini byinshi kugira ngo bamenye impamvu. Mwembi muzakenera gukora ibi bizamini.

Ni ubuhe buryo bwo kuvura buhari?

Nyuma yo kumenya impamvu, muganga wawe azagusaba uburyo bwiza bwo kuvura mwembi, akurikije imyaka yawe, icyateye ubugumba bwawe, n'igihe umaze ugerageza.

Ubuvuzi ku bagore

• Imiti: Imiti yo kubyara itangwa kugira ngo itere imbere intanga no gutuma intanga imwe cyangwa nyinshi zidafite indwara zirekurwa.
• Kubagwa: Kubagwa bikorwa kugira ngo imiyoboro y'inda ifunguke iyo ifunze, gukuraho udukoko two mu nda, cyangwa kuvura indwara ya endometriosis.
• Guhindura imibereho: Kugumana ibiro bizima, kurya indyo yuzuye, no kwirinda kunywa itabi.

Ubuvuzi ku bagabo

• Imiti: Gutanga imiti yo gukosora urugero rw'imisemburo cyangwa kuvura ikibazo cy'imibonano mpuzabitsina.
• Kubaga: Kubaga bikorwa kugira ngo hakurweho imiyoboro y'intanga cyangwa gukosora imitsi yo mu nda ibyara (Varicocele).
• Guhindura imibereho: kureka kunywa itabi no kunywa inzoga, kwirinda imyenda y'imbere ifunganye, kurya indyo yuzuye.

Ikoranabuhanga ry’imyororokere rifashijwe (ART)

Mu bihe bimwe na bimwe, iyo uburyo bwavuzwe haruguru budatanga umusaruro mwiza cyangwa ikibazo kikaba gikomeye kurushaho, abaganga bakoresha ikoranabuhanga ry’inyongera mu kuboneza urubyaro. Bumwe mu buryo bw’ingenzi ni ubu:

• Gutera intanga mu nda y'umubyeyi (IUI): Muri ibi, intanga z'umugabo zitegurwa by'umwihariko kandi zigashyirwa mu mura w'umugore binyuze mu muyoboro muto cyane icyarimwe n'imisemburo. Ibi bituma intanga zigera ku ntanga zoroshye.
• Gutera Intanga mu buryo bwa Vitro (IVF): Ibi bikunze kwitwa "gutera Intanga mu buryo bwa vitro." Muri ubu buryo, intanga z'umugore zikurwa mu mubiri we, zigaterwa intanga z'umugabo muri laboratwari, hanyuma intanga imwe cyangwa nyinshi zizima zigasubizwa mu mura.
• Inshinge z'intanga ngore mu maraso (ICSI):Ubu buryo budasanzwe bukorwa mu gihe cyo gukoresha IVF. Mu gihe intanga ngabo zidakora neza cyangwa umubare wazo uri hasi cyane, hatoranywa intanga imwe nzima hanyuma igashyirwa mu gi.

Ni ryari ukwiye kujya kwa muganga?

Iki ni ikibazo cy'ingenzi cyane. Gusaba ubufasha mu gihe gikwiye bishobora kongera amahirwe yo gutsinda.

• Niba uri munsi y'imyaka 35: Niba umaze umwaka ugerageza kuboneza urubyaro utarinze kubyara kandi utaratwite, gana muganga.
• Niba ufite hagati y'imyaka 35 na 39: Shaka inama kwa muganga nyuma y'amezi 6 ugerageza.
• Niba ufite imyaka 40 cyangwa irenga: Ni ngombwa gushaka inama kwa muganga vuba bishoboka, nubwo waba umaze igihe kitarenze amezi 6 ugerageza, kuko uburumbuke bugabanuka vuba uko imyaka igenda ishira.
• Niba wowe cyangwa umukunzi wawe mufite ikibazo cy’ubuzima kizwi: urugero, imihango idahwitse, endometriosis, indwara zo mu kibuno zabayeho mbere, hita ubonana na muganga kugira ngo akugire inama.

Kutabyara ni urugendo rugoye cyane, haba ku mubiri no mu mutwe. Ni ngombwa cyane ko wowe n'umukunzi wawe mukorana muri uru rugendo mushyigikiwe kandi mukumvana. Ntugatinye gusaba inama z'imitekerereze niba bibaye ngombwa.