Abagore benshi rimwe na rimwe bagira ikibyimba gito mu gitsina cyabo. Ibi bishobora kubabaza gato, kandi bikaba bitabashimisha iyo bicaye cyangwa bagenda. Mu buvuzi, ibi twita Bartholin cysts. Hari igihe ibi bibyimba bigaruka nyuma yo kuvurwa. Rero, uyu munsi tugiye kuvuga ku buryo bwihariye kandi bufite akamaro cyane bwo kuvura ibi bibyimba bidakira. Byitwa `(Marsupialization)`.
Mu magambo make, Marsupialization ni iki?
Reka tubanze turebe uko izi cysts za Bartholin zigira. Ku mpande zombi z'umwobo w'igitsina cyawe, hari imvubura ebyiri nto cyane zitwa Bartholin glands. Inshingano yazo nyamukuru ni ugusohora amazi atuma igituba kigumana ubushuhe. Iyo ku mpamvu runaka amazi ava muri izi mvubura azibye, amazi aterana imbere akabyimba nk'ikibyimba. Ibyo ni byo twita ikibyimba cya Bartholin.
Noneho, ibi nibyo bibaho mu gihe cyo kubagwa cyitwa "Marsupialization".
Muganga wawe azaca agace gato hejuru y’ikibyimba maze asohore amazi yose arimo. Hanyuma, ikintu cy'ingenzi ni uko bikorwa. Kugira ngo ikibyimba gifunze kandi hirindwe ko ikindi kibyimba cyabaho, impande ebyiri za kibyimba zigashyirwa mu ruhu rukikije hanyuma zigapfundikirwa nk'agafuka gato.
Mu by’ukuri, agafuka gato gakorwa aho ikibyimba cyahoze kiri, gafite umwanya uhoraho, kugira ngo amazi ava muri gland ya Bartholin akomeze gusohoka nta nkomyi.
Gukora ibi bigabanya cyane ibyago byo kongera gukururana amazi muri ako gace bigatuma habaho ikibyimba.
Ni mu bihe ibihe ubu buryo bwo kubaga busabwa?
Si abantu bose bafite ikibyimba cya Bartholin bazakorerwa ubu buryo bwo kubagwa. Mu by'ukuri, akenshi si bwo buryo bwa mbere abaganga basaba. Hariho uburyo bworoshye bwo kuvura. Urugero, kwicara mu mazi ashyushye iminsi mike (kwiyuhagira muri sitz) cyangwa gukata ikibyimba no gusohora amazi ni bimwe mu bintu bya mbere ushobora kugerageza.
Ariko, hari igihe kubaga Marsupialization bishobora gutekerezwaho.
| Amahirwe | Ibisobanuro |
|---|---|
| Iyo ikibyimba kibabaza cyane | Niba ikibyimba kigutera ububabare bwinshi cyangwa kumererwa nabi ku buryo udashobora gukora imirimo ya buri munsi. |
| Iyo ibisebe byongeye kugaruka | Nubwo habayeho kuvurwa, ikibyimba cyongeye kugaragara ahantu hamwe nyuma y'igihe runaka, iki gishobora kuba igisubizo cyiza. |
| Niba ubundi buryo bwo kuvura budakora neza | Iyo ikibyimba kidakize neza hakoreshejwe ubundi buryo bworoshye bwo kuvura, nka catheter ya Word . |
Ubundi buryo bwo kuvura ni catheter ya Word. Ibi bikubiyemo gushyira umuyoboro muto mu kibuno mu gihe cy'iminsi mike kugira ngo amazi asohoke. Biroroshye gato kurusha ubu buryo bwo kubaga, bityo muganga wawe ashobora kubanza kubigerageza. Ariko niba ibyo bidakora, Marsupialization ishobora kwitabwaho.
Ni iki kibaho mbere yo kubagwa?
Niba umuganga wawe ahisemo kubaga, azagusobanurira byose neza kandi aguhe uburenganzira.
- Amateka y'ubuzima bwawe azasuzumwa: Bazakubaza ibyerekeye izindi ndwara ufite n'imiti ufata kugira ngo barebe neza ko ubu buvuzi bukubereye.
- Ivuga ku ngaruka: Nk’uko bigenda ku kubagwa kose, uzamenyeshwa ingaruka nto zishobora kuvuka.
- Amabwiriza yo kwitegura: Amabwiriza y'icyo wakora mbere yo kubagwa n'icyo wakwitaho mu gihe cyo gukira nyuma yo kubagwa. Urugero, niba urimo kubagwa ukoresheje ikinya rusange, uzasabwa kuzana umuntu wo kugutwara mu modoka nyuma yo kubagwa kuko utazashobora gutwara imodoka. Uzabwirwa kandi ko uzakenera iminsi mike yo kuruhuka ku kazi .
Ni iki kibaho mu gihe cyo kubagwa?
Mu by’ukuri iki gikorwa cyoroshye cyane kandi gito kurusha uko wabitekereza. Akenshi kimara hagati y’iminota 10 na 15. Bikorerwa mu cyumba cyo kubaga, ariko uzashobora gutaha uwo munsi.
Reka turebe uko bigenda mu gihe cyo kubagwa uko bikurikirana:
1. Aho uherereye: Uzashyirwa ku buriri bwihariye, amaguru yawe arambuye kandi ashyigikiwe (aho ushyira amaguru mu kibuno).
2. Anesthesia:Anesthesia itangwa kugira ngo ikureho ibisebe. Ishobora kuba anesthesia yo mu gace runaka, cyangwa ishobora kugusinzira burundu (anesthesia rusange). Muganga wawe ni we uzagufata icyemezo.
3. Gusukura: Kugira ngo hirindwe kwandura, ahantu ho kubagwa (harimo n'ahantu hagati y'igitsina gore n'ikibuno) hasukurwa neza.
4. Gufungura ikibyimba: Muganga atemagura ikibyimba, agakuramo amazi yose ari imbere, hanyuma agasukura neza imbere n'amazi y'umunyu.
5. Kudoda 'agasakoshi': Hanyuma, impande ebyiri z'urukuta rwaciwe zirazingirwa inyuma, zigashyirwa ku ruhu ruzengurutse, hanyuma zigadodeshwa hamwe n'udushumi dushongeshwa. Ibi birema agasakoshi gato kandi gafunguye twavuze mbere.
Nyuma yo gufungura ikibyimba, muganga azasuzuma inkuta z'imbere za kibyimba kugira ngo arebe niba hari ingingo zidasanzwe. Niba hari gushidikanya, agace gato kacyo gashobora gufatwa kakoherezwa "biopsy". Ariko ntugahangayike, ikibyimba cya Bartholin gikunze kuba kanseri.
Igihe cyo gukira nyuma yo kubagwa kiba gite?
Bishobora gufata ibyumweru bibiri kugeza kuri bine kugira ngo igikomere gikire neza nyuma yo kubagwa. Muri iki gihe, ni ngombwa cyane gukurikiza amabwiriza ya muganga wawe neza.
Icyo wakwitega mu gihe cyo gukira
- Iminsi ibiri ya mbere: Ushobora kumva ububabare n'ingorane aho igikomere cyakomeretse, ariko bizagenda bigabanuka buhoro buhoro.
- Iminsi 3-5 iri imbere: Muganga wawe ashobora kukugira inama yo kwiyuhagira mu buryo bworoshye (sitz oil) rimwe cyangwa kabiri ku munsi. Ibi bizafasha kugabanya ububabare no gukira vuba.
- Ibyumweru bibiri biri imbere: Ushobora kubona uduheri duto cyangwa utuvange tw'amaraso mu gitsina. Ibi bishobora gupfukwa n'agatambaro gasanzwe ko mu ipantaro. Ushobora kandi kumva unaniwe gato.
| Ibintu byo gukora kugira ngo ukire vuba | Ibintu byo kwirinda mu gihe cy'ibyumweru bigera kuri bine |
|---|---|
| - Fata imiti igabanya ububabare n'indi miti nkuko muganga yabigutegetse. | - Mu gukora imibonano mpuzabitsina. |
| - Ambara imyenda y'imbere idafite ipamba n'imyenda irekuye. | - Gukoresha tampons. |
| - Nywa amazi menshi kandi urye ibiryo bifite intungamubiri. | - Gusiga amasabune n'amavuta yo kwisiga ku gisebe. |
| - Kuruhuka bihagije kandi wirinde akazi katoroshye. | - Imyitozo ngororamubiri ikomeye nko gusiganwa ku magare no guterura ibiremereye. |
Ni izihe nyungu n'ingorane zishobora guterwa n'uku kubagwa?
Akamaro gakomeye k'ubu buvuzi ni uko bufite igipimo cyo hejuru cyane cyo kwirinda ko ibibyimba bya Bartholin byisubiramo. Abantu bake cyane, bari hagati ya 2 na 13 kuri 100, ni bo bongera kugira ikibyimba nyuma y'ubu buvuzi.
Nk’uko bigenda mu kubagwa kose, hari ingaruka zimwe na zimwe, ariko ingorane ni nke cyane.
- Ububabare
- Kwandura
- Inkovu
- Hematoma (amaraso yirundanyije hafi y'igikomere)
- Kubabara mu gihe cy'imibonano mpuzabitsina (Dyspareunia)
Niba ufite impungenge kuri kimwe muri ibi, vugana na muganga wawe kuri byo.
Niba ufite ibi bimenyetso, hita ubonana na muganga.
Ntucikwe n'iminsi "yo gukurikirana" nyuma yo kubagwa. Nanone, niba ubonye kimwe muri ibi bimenyetso bikurikira, hita ubonana na muganga wawe.
- Niba urwaye umuriro.
- Niba urimo kuva amaraso menshi unyuze mu ipantaro ukoresha.
- Iyo ububabare buturuka ku gikomere bwiyongera umunsi ku wundi aho kugabanuka.
- Niba ufite amatembabuzi mu gitsina adasanzwe mu ibara, ubunini, cyangwa afite impumuro mbi.
Uku kubagwa bizagufasha gukuraho burundu ikibyimba cya Bartholin kidakira kandi kibabaza. Kandi kubera ko kidakuraho ikibyimba cya Bartholin, ntabwo bizahindura imikorere yacyo karemano.
Ubutumwa bwo kujyana mu rugo
- Marsupialization ni uburyo bwiza cyane bwo kubaga Bartholin cysts isubira cyangwa ibabaza cyane.
- Ubu ni uburyo bwo kubaga buto bushobora gukorwa mu minota 10-15 gusa.
- Intego nyamukuru y'iki gikorwa cyo kubaga ni ugushyiraho inzira ihoraho kugira ngo amazi asohoka muri iyo ngirabuzimafatizo atembera neza.
- Bifata ibyumweru 2-4 kugira ngo umuntu akire neza, kandi ni ngombwa cyane gukurikiza inama za muganga muri icyo gihe.
- Niba ufite impungenge cyangwa ubwoba kuri ibi, ganira na muganga wawe ku mugaragaro.
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