Ese imihango yawe ya buri kwezi ihora ihindagurika? Iyi ishobora kuba indwara yitwa (Menometrorrhagia)!

Ese hari igihe ujya uva amaraso menshi mu gitsina utari witeze, adasobanutse, ndetse rimwe na rimwe akagira ingaruka mbi cyane? Cyangwa se imihango yawe imara iminsi myinshi? Ibi bintu bigomba kuba bikubangamiye cyane, sibyo? Hari igihe ushobora gutekereza ko ibi ari ibisanzwe, ariko rimwe na rimwe ibi bishobora kuba ikimenyetso cy'indwara yitwa `(Menometrorrhagia)`. Wihangayika, tuzaganira kuri ibi uyu munsi.

Iyi '(Menometrorrhagia)' ni iki? Reka tubisobanukirwe mu buryo bworoshye.

Mu magambo make, `(Menometrorrhagia)` ni kuva amaraso mu buryo budasanzwe mu mura wawe, bivuze kuva amaraso menshi, kuva amaraso mu buryo budasanzwe, cyangwa kuva amaraso igihe kirekire cyane . Ubusanzwe, imihango y'umugore muzima iba hagati y'iminsi 21 na 35, kandi kuva amaraso kumara iminsi 5. Ariko, muri iyi ndwara ya `(Menometrorrhagia)`, ukwezi kwawe ntigusanzwe. Ntushobora kumenya igihe uzava amaraso, ingano y'amaraso uzava, n'igihe bizamara.

Tekereza ukuntu byaba bikubangamiye uramutse witeguye urugendo rw'ingenzi cyangwa igikorwa runaka hanyuma imihango yawe igatangira, kandi ikaba ikomeye cyane. Bishobora kwangiza umunsi wawe wose, si byo se?

Ubwo bwoko bwo kuva amaraso mu buryo butunguranye bushobora kugira ingaruka zikomeye ku bikorwa byawe bya buri munsi no ku buzima bwo mu mutwe. Rero si byiza kubivuga gusa nk' "ikindi kintu." Ni ngombwa kumenyesha muganga wawe. Bishobora kuba atari indwara ikomeye. Ariko, rimwe na rimwe bishobora kuba ikimenyetso cy'indwara ishobora kugira ingaruka ku burumbuke bwawe cyangwa igatera ibibazo by'ubuzima by'igihe kirekire.

Ni irihe tandukaniro riri hagati ya `(Menorrhagia)` na `(Menometrorrhagia)`?

Aya mazina yombi asa gato, bityo ashobora kwitiranywa.

• Kumara imisemburo ni ukuva amaraso menshi mu gihe cy'imihango yawe isanzwe. Ni ukuvuga kuva amaraso gusa mu gihe cy'imihango yawe, ariko biremereye cyane.
• Menometrorrhagia ni ukuva amaraso menshi mu buryo butunguranye, butunguranye kandi bukabije, atari mu gihe cy'imihango gusa, ahubwo no mu gihe icyo ari cyo cyose.

Ese usobanukiwe itandukaniro? Muri "Menometrorrhagia", ukwezi kwawe kurahungabana.

Menometrorrhagia ikunze kugaragara gute?

Abagore benshi ntibabwira abaganga babo iby’ubu bwoko bw’amaraso adasanzwe. Kubwibyo, nubwo imibare nyayo igoye gutanga, bivugwa ko hagati ya 10% na 35% by’abagore bashobora kugira iyi ndwara. Ariko, uyu mubare ushobora kuba uri hejuru cyane.

By'umwihariko,

• Ku bakobwa bakiri bato batangira kujya mu mihango (bafite hafi imyaka 12)
• Ku bagore bari hafi yo gucura (Perimenopause)

Ibi ni ibisanzwe.

Ni ibihe bimenyetso bya `(Menometrorrhagia)`?

Ibimenyetso bishobora gutandukana bitewe n'impamvu y'iyi ndwara. Ariko, abaganga babona ko kuva amaraso hanze y'imihango isanzwe, iri hagati y'iminsi 21 na 35, kandi ikamara iminsi 5, ari ibintu bidasanzwe. Niba udashobora kumenya igihe, ingano, n'igihe uzava amaraso, bishobora kuba `(Menometrorrhagia)`.

Dore ibimenyetso bimwe na bimwe byerekana ko ushobora kuba utekereza ko kuva amaraso kwawe kudasanzwe:

• Kuva amaraso menshi mu gihe cy'imihango (Menorrhagia): Iyo kuva amaraso kumara amasaha menshi, ni ukuremereye cyane ku buryo ugomba guhindura pads cyangwa tampons buri saha, cyangwa niba ugomba gukoresha pads ebyiri.
• Kuva amaraso cyangwa kuva amaraso mu gihe cy'imihango yawe: Ibi bivuze kuva amaraso ndetse no mu minsi utari mu mihango yawe.
• Imihango y'imihango idasanzwe: Iyo imihango imara iminsi irenga irindwi.
• Ukwezi kw'imihango kudasobanutse neza: Niba ukwezi kwawe ari munsi y'iminsi 21 cyangwa kurenza iminsi 35, kandi igihe kigenda gitandukana bitewe n'ukwezi kumwe.
• Kutagira imihango mu gihe kirenga amezi atatu.
• Kuva amaraso nyuma yo gucura. (Ibi ntabwo ari ibisanzwe na gato , ugomba guhita ugisha inama kwa muganga.)
• Kumva unaniwe kandi ufite intege nke: Ibi ni ibimenyetso by'amaraso make. Kubura amaraso menshi bishobora gutera indwara yo kubura amaraso menshi.

Ni izihe mpamvu za `(Menometrorrhagia)`?

Hari impamvu nyinshi zishobora gutera ibi. Ibibazo by'imisemburo, ibibyimba bitari kanseri, kanseri, indwara zandura, izindi ndwara, ndetse n'imiti imwe n'imwe bishobora gutera uku kuva amaraso kudasanzwe. Muganga wawe ni we wenyine ushobora kukubwira neza icyateye iyi ndwara. Kubera ko hari impamvu nyinshi zishobora gutera, ni byiza kuganira na muganga wawe ku bimenyetso byawe ukamenya ibirimo kuba.

1. Indwara z'imisemburo

Akenshi, kuva amaraso mu nda bidasanzwe biterwa no kudahuza kw'imisemburo. Iminsi y'imihango yawe igenzurwa n'imisemburo. Kimwe n'itsinda ry'abaririmbyi, iyi misemburo yose ikorana kugira ngo imihango yawe ibe isanzwe. Iyo iri teraniro ribangamiwe, ndetse n'akantu gato, kuva amaraso bidasanzwe bishobora kubaho.

Dore zimwe mu mpamvu nk'izo:

• Gutanga ovulation
• Indwara ya tiroyide
• Indwara y'intanga ngabo (PCOS)
• Umubyibuho ukabije: Kubyibuha cyane cyangwa umubyibuho ukabije nabyo bishobora gutera ihindagurika ry'imisemburo.
• Guhangayika

2. Ibyibasira indwara zitari kanseri

Bimwe mu bibyimba bitari kanseri (ibibyimba bidakomeye) mu mura wawe nabyo bishobora gutera kuva amaraso.

Ingero:

• Polyps
• Udukoko twa Fibroide
• Adenomyose
• Endometriosis

3. Mbere ya kanseri na kanseri

Nubwo bidakunze kubaho, hari ubwoko bumwe na bumwe bwa kanseri bushobora gutera indwara yo kubyara.

Ni:

• Kanseri yo mu mura
• Kanseri y'inkondo y'umura
• Kanseri yo mu gitsina
• Kanseri y'intanga ngore
• Kubyimba kw'uruti rw'umura (endometrial hyperplasia)

4. Kwandura indwara

Indwara zandurira mu mibonano mpuzabitsina (STIs) ndetse n'izindi ndwara zitandurira mu mibonano mpuzabitsina zishobora gutera kuva amaraso ku buryo butunguranye.

Ingero:

• Trichomoniasis
• Cervicitis (kubyimba k'umura)
• Indwara yo kubyimba mu gituza (PID)
• Chlamydia
• Gonorrhea
• Endometrite (kubyimba kw'imbere mu nda ya nyababyeyi)
• Kubyimba mu gitsina (vaginitis)

5. Izindi ndwara

Izindi ndwara zishobora gutera kuva amaraso mu nda y'umura ku buryo budasanzwe.

Ingero:

• Indwara y'umwijima
• Indwara y'impyiko
• Indwara ya Von Willebrand (ikibazo cyo kuvura amaraso)
• Izindi ndwara zo kuvura amaraso
• Gutwita
• Gukuramo inda
• Gutwita mu nda
• Ibikomere ku mura (urugero, byatewe n'impanuka y'imodoka)

Niba ugize ikibazo cyo kuva amaraso mu gihe utwite, hita ubonana na muganga. Bishobora kuba ikimenyetso cy'ingorane zikomeye zo gutwita.

6. Imiti

Imiti imwe na imwe ishobora gutera kuva amaraso mu gihe cyo kubyara ku buryo butunguranye. (Igitangaje ni uko imwe muri iyi miti ikoreshwa no kuvura kuva amaraso ku buryo butunguranye.) Ni ngombwa kubwira muganga wawe imiti yose ufata.

Ingero:

• imiti igabanya amaraso na aspirine
• Uburyo bwo kuvura indwara yo gusimbuza imisemburo (HRT)
• Tamoxifen (umuti uvura kanseri y'ibere)
• Ibikoresho byo mu nda y'umubyeyi (IUDs); Iyo wibagiwe gukuramo IUD, bishobora gutera indwara no kuva amaraso mu buryo budasanzwe.
• Ubwoko bumwe na bumwe bwo kuboneza urubyaro

Ni nde wibasirwa cyane na Menometrorrhagia?

Ijambo "kuva amaraso mu nda kudasanzwe" rikunze gukoreshwa mu gusobanura kuva amaraso ku bagore bari mu kigero cyo kubyara badatwite. Ariko, ibi ntibivuze ko bitagira ingaruka ku bagore bamaze gucura cyangwa abagore batwite. Umuntu wese ufite nyababyeyi ashobora kugira ubwo bwoko bw'amaraso adasanzwe mu gihe runaka mu buzima bwe. Ariko, mu bihe byinshi, ntabwo ari ikibazo gikomeye kandi gishobora gukira iyo habayeho kuvurwa neza.

Icy'ingenzi: Niba ugiye mu gihe cyo gucura, bivuze ko imihango yawe yahagaze burundu, ntabwo ari ibisanzwe kuva amaraso nyuma yo gucura. Nubwo amaraso yaba atukura, umutuku, cyangwa umukara, hita ubonana na muganga.

Nanone, niba ugiye kuva amaraso mu gihe utwite, bibwira muganga wawe. Nubwo hari impamvu zidateye akaga, izindi zisaba ubufasha bwa muganga.

Ni izihe ngorane zishobora guterwa na `(Menometrorrhagia)`?

Kuva amaraso mu nda ku buryo budasanzwe ntabwo bishyira ubuzima mu kaga. Ariko, bishobora gutera amaraso make . Kubura amaraso ni igihe udafite uturemangingo tw’amaraso dutukura mu maraso yawe. Ibi bishobora gutuma wumva unaniwe cyane kandi ufite intege nke.

Byongeye kandi, kuva amaraso ku buryo butunguranye bishobora kuba ikimenyetso cya kanseri zimwe na zimwe n'izindi ndwara. Kubera ko ushobora kuba utazi impamvu, ni ngombwa kujya kwa muganga no gushaka ubuvuzi kugira ngo wirinde ingorane nk'izi.

Ni gute Menometrorrhagia ipimwa?

Muganga wawe azakubaza ibibazo byinshi mu gihe asuzuma kuva amaraso mu mura ku buryo budasanzwe.

Ni:

• Kuva amaraso bitangira ryari?
• Bifata igihe kingana iki kuva amaraso?
• Kuva amaraso bigenda bite? (Ese ni hejuru, hasi, ni ibisanzwe?)
• Uva amaraso kangahe?
• Ese ujya wandika ukwezi kwawe?
• Hari ibindi bimenyetso? (urugero: kubabara mu gifu, isereri)
• Ni iyihe miti, vitamine, n'inyongeramusaruro ufata?
• Ese hari gushidikanya ufite ku bijyanye no kuba utwite?

Bishobora kuba ingirakamaro cyane kwandika mu gihe cy'ibyumweru bike kuva amaraso kwawe, mbere yo kujya kwa muganga. Andika igihe watangiriye kuva amaraso, igihe byamaze, ingano (kwangirika, kugabanuka, kuremereye), ndetse niba hari ibindi bimenyetso.

Byongeye kandi, muganga azakora isuzuma ry’umubiri. Ibi bishobora kuba birimo:

• Isuzuma ry'ikibuno
• Gupima Pap (bitewe n'itariki waherukaga kuyipima)

Ni ibihe bipimo byo gusuzuma indwara?

Ubusanzwe muganga akurikiza izi ntambwe:

• Ikizamini cyo gutwita: Kuva amaraso make bishobora kubaho no mu ntangiriro z'igituba.
• Ibipimo by'amaraso: Ibi bishobora kugenzura ibintu nk'uko amaraso yawe yibumba ndetse n'umubare wuzuye w'amaraso (CBC).
• Isuzuma ry'amaraso ku rugero rw'imisemburo: Kugira ngo harebwe niba kuva amaraso biterwa n'ihindagurika ry'imisemburo cyangwa niba ari ikimenyetso cy'indi ndwara.
• Ultrasound y'ikibuno: Isuzuma ry'ibitagenda neza mu buryo bw'imyororokere yawe, nk'ibibyimba. Isuzuma rya sonohysterogram, rikoresha saline, rishobora kandi kubona neza ibitagenda neza mu mura, nka polyps na fibroids.

Bitewe n'ibisubizo by'ibi bizamini, muganga ashobora gukora ibindi bizamini:

• Isuzuma rya Hysteroscopic: Iri suzuma niba hari fibroids, polyps, n'ibimenyetso bya kanseri.
• Isuzuma rya endometrial biopsy:Ingero y'uturemangingo ifatwa mu gice cy'imbere cya nyababyeyi (endometrium) igapimwa kanseri cyangwa uturemangingo tutarabyara kanseri.

Ni ubuhe buryo bwo kuvura `(Menometrorrhagia)`?

Uburyo bwo kuvura buzaterwa n'icyateye kuva amaraso. Hariho imiti n'uburyo bwo kubaga kugira ngo ugenzure ikibazo cyangwa uvure icyagiteye.

Imiti

Muganga abanza gusuzuma uburyo bwo kuvura imiti.

• Ibinini byo kuboneza urubyaro
• Progestin (ishobora gutangwa hakoreshejwe inshinge, igikoresho cyo munsi y'umubiri, cyangwa IUD)
• Imiti igabanya ububyimbirwe itari iya steroide (NSAIDs) (urugero: ibuprofen)
• Imisemburo ya Gonadotropin-releasing hormone (GnRH): Iyi agonists na antagonists ishobora guhagarika cyangwa kugabanya kuva amaraso by'agateganyo. Ishobora kandi gufasha kugabanya fibroids.
• Aside Tranexamic: Ivura kuva amaraso menshi mu gihe cy'imihango.
• Antibiyotike: Niba kuva amaraso gutewe n'ubwandu.
• Inyongeramusaruro za feri: Iyo hakekwa ko hari amaraso make.

Kubaga

Hariho uburyo bwinshi bwo kubaga kugira ngo havurwe kuva amaraso mu gihe cy'inda itara.

• Hysteroscopy: Uburyo bwo gukuraho ibitagenda neza mu mura, nka fibroids na polyps.
• Guhagarika imitsi yo mu nda: Uburyo bwo kuvura bugabanya urujya n'uruza rw'amaraso muri fibroids bigatuma zigabanuka.
• Myomectomy: Uburyo bwo gukuraho fibroids butangiza nyababyeyi, bigatuma habaho uburumbuke mu gihe kizaza.
• Gukuramo inda mu nda: Uburyo bukoresha laser, ubushyuhe, amashanyarazi, ingufu za mikoroonde, cyangwa gukonjesha kugira ngo bwangize igice cy'imbere cy'umura. Iki si igitekerezo cyiza niba wifuza kubyara mu gihe kizaza.
• Kwaguka no gucukura (D&C): Uburyo bwo gukuraho ingirangingo mu mura. Bukoreshwa haba mu gusuzuma no kuvura.
• Gukuraho igitsina: Kubaga bikuraho burundu nyababyeyi. Ibi bikorwa ku ndwara ya kanseri cyangwa impinduka zibaho mbere y’uko habaho kanseri. Ntibishoboka kubyara nyuma y’ibi.

Baza muganga wawe ingaruka n'ibyiza byo kubagwa. Menya neza icyo wakwitega kuri buri buryo bwo kuvura.

Ni iki nakwitega mu gihe mfite Menometrorrhagia?

Igikuru ni ukumenya impamvu nyamukuru itera kuva amaraso mu buryo budasanzwe. Kubona no kuvura impamvu bishobora gufata ibyumweru byinshi, cyangwa bishobora koroha kwa muganga kubibona. Ariko, muganga wawe azasuzuma ibintu byinshi, nk'imyaka yawe, ibimenyetso, n'ibintu bishobora gutera indwara zimwe na zimwe.

Inkuru nziza ni uko kuva amaraso menshi ku buryo budasanzwe bishobora kuvurwa. Kurikiza inama za muganga wawe. Niba umuti utagufitiye akamaro, bwira muganga wawe. Barahari kugira ngo bagufashe.

Nigute nagabanya ibyago byo kurwara `(Menometrorrhagia)`?

Ibintu byinshi bitera kuva amaraso mu gihe cy'inda ntibishobora kwirindwa. Ariko, ushobora kugabanya ibyago byo kurwara zimwe mu ndwara zibitera. Urugero, kugira ibiro byiza bishobora gufasha imisemburo yawe kugumana imisemburo iringaniye. Gukora imibonano mpuzabitsina itekanye (nk'ikoresha agakingirizo) bishobora kugabanya ibyago byo kwandura zimwe na zimwe zandurira mu mibonano mpuzabitsina (STIs) zishobora gutera kuva amaraso mu gihe cy'inda.

Ni ryari ngomba kujya kwa muganga?

Niba wumva urimo kuva amaraso mu mura ku buryo budasanzwe, gana muganga kugira ngo aguhe impamvu nyamukuru.

Witondere cyane ibi bintu:

• Kugira imihango idatunguranye, irambye cyangwa ngufi mu buryo budasanzwe.
• Guhindura ibikoresho by'isuku mu gihe cy'imihango buri saha mu gihe cy'amasaha menshi.
• Kuva amaraso hagati y'imihango (ndetse n'aho umuntu yagera gato)
• Ibimenyetso by'indwara yo kubura amaraso birimo umunaniro, intege nke, no kubura umwuka.

Niba kuva amaraso kudasanzwe bigira ingaruka ku mibereho yawe, gana muganga. Ntabwo ari ngombwa gukoresha udupapuro tubiri kugira ngo ugenzure imihango yawe. Ntabwo ari ngombwa ko ubura ibintu ukunda, cyangwa ngo usibe akazi cyangwa ishuri, bitewe no kuva amaraso ku buryo butunguranye.

Ni ibihe bibazo ngomba kubaza muganga?

Ushobora kubaza muganga ibibazo nk'ibi:

• Ese kuva amaraso kwanjye kudasanzwe?
• Utekereza ko kuki ngira amaraso adasanzwe mu nda ya nyababyeyi?
• Ese imihango yanjye ifatwa nk'aho iremereye?
• Ese mfite ibyago byo kugira ibindi bibazo by'ubuzima bitewe n'uku gutakaza amaraso?
• Ese kuva amaraso menshi ku buryo nzarwara amaraso make?
• Ni ibihe byiza n'ibibi by'uburyo bwo kuvura mfite?
• Niba ntwite abana mu gihe kizaza, ni ubuhe buryo bwiza bwo kuvura?
• Ese muzamvura njyenyine, cyangwa itsinda ry'abaganga rizaba ririmo?
• Ni ubuhe bunararibonye bwo kubaga ufite mu kuvura kuva amaraso mu nda bidasanzwe? Ese ibi ni ibisanzwe mu mwuga wawe?

Ni wowe ugena neza ibisanzwe kuri wewe - uzi igihe imihango yawe isanzwe imara n'ingano y'amaraso wavaga. Niba imihango yawe ikabije, imara igihe kirekire kuruta uko bisanzwe, cyangwa ikava amaraso hanze y'imihango yawe, vugana na muganga. Ntukabivuge gusa ngo "ikindi kintu." Ntureke ngo kuva amaraso ku buryo butunguranye bibe igice cy'ubuzima bwawe kandi bigire ingaruka ku buzima bwawe bwo mu mutwe. Hari uburyo bwinshi bwo kuvura budakoreshejwe imiti igabanya ubukana buhari kugira ngo bugufashe gusubira mu buzima bwawe bwiza.

Amaherezo, ikintu cyo kwibuka

Kuva amaraso mu gitsina ku buryo budasanzwe, bukabije, cyangwa igihe kirekire (Menometrorrhagia) si ikintu cyo kwirengagiza. Bishobora kugira ingaruka ku buzima bwawe bw'umubiri n'ubwo mu mutwe. Impamvu iyo ari yo yose, ishobora gukemurwa n'inama n'ubuvuzi bikwiye. Ntugatinye cyangwa ngo ugire isoni zo kubibwira muganga wawe. Ntabwo uri wenyine, hari ibisubizo.

` Menometrorrhagia, imihango idahoraho, kuva amaraso menshi, kuva amaraso mu gitsina, ubuzima bw'abagore, ibibazo by'imisemburo, indwara zo mu nda