Ese nawe ujya uva amaraso menshi mu gihe cy'imihango yawe ya buri kwezi? Reka tuvuge kuri Menorrhagia!

Ku bagore benshi, imihango si ikintu gishimishije. Hari abantu bigora kurangiza iyi minsi mike y'ukwezi bafite ibintu nko kubabara mu nda, kumva ufite intege nke, no guhinduka kw'amarangamutima. Ariko niba uva amaraso menshi kurusha uko bisanzwe, niba uva amaraso iminsi myinshi yikurikiranya, cyangwa niba urimo kubyimba amaraso menshi, bishobora kuba indwara yitwa Menorrhagia . Ibi bishobora no guhungabanya ubuzima bwawe bwa buri munsi. Reka tubiganireho birambuye uyu munsi.

Menorrhagia ni iki? Ese nawe ufite ibi bimenyetso?

Muri make, menorrhagia ni kuva amaraso menshi kurusha uko bisanzwe mu gihe cy'imihango cyangwa bigakomeza iminsi myinshi. Niba ukeka ko ufite iyi ndwara, tekereza kuri ibi bimenyetso:

• Ese imihango yawe imara iminsi irenga irindwi ?
• Ese rimwe na rimwe uva amaraso menshi ku buryo ugomba guhindura agakoresho ko kwisiga cyangwa tampon nibura rimwe mu isaha ?
• Ese ngomba gukoresha udupapuro tubiri icyarimwe kugira ngo nhagarike kuva amaraso?
• Ese ugomba kubyuka nijoro kugira ngo uhindure pad yawe ndetse n'igihe uryamye?
• Ese uvura amaraso angana n'igiceri cyangwa menshi inshuro nyinshi ku munsi?
• Ese wumva utameze neza mu gihe cy'imihango yawe ku buryo udashobora gukora imirimo yawe isanzwe ?

Abantu benshi ntibakunda kujya mu mihango. Ariko iyo uyifite (menorrhagia), ishobora kuba ikibazo kibabaza cyane. Kutabasha kujya ku kazi cyangwa ku ishuri, gukoresha pad nyinshi no kuguma mu rugo bishobora kugutera agahinda.

Niba ubonye kimwe muri ibi bimenyetso, hita ubonana na muganga . Ashobora gusuzuma ibimenyetso byawe no kumenya icyateye kuva amaraso menshi. Hanyuma, ashobora kuguha uburyo bwo kuvura bukwiye.

Iyi ndwara ikunze kugaragara gute?

Mu by’ukuri, kuva amaraso menshi mu gihe cy’imihango si ibintu bidasanzwe nkuko wabitekereza . Bigira ingaruka ku bagore bari hagati ya 27% na 54% mu gihe cy’imihango. Ibi bivuze ko utari wenyine.

Wamenya ute niba utakaza amaraso menshi cyane?

Hari ibimenyetso byinshi byo kuva amaraso menshi. Twabiganiriyeho gato mbere. Mu yandi magambo:

• Imihango imara iminsi irenga irindwi.
• Amaraso arenze kimwe angana n'igiceri arahita. Aya maraso ashobora kuba umutuku, umutuku, umukara, cyangwa se akaba afite ibara ry'ingese.
• Kuva amaraso bimara amasaha abiri, binyobwa mu mazi arenze rimwe cyangwa tampon mu isaha imwe.
• Ugomba kubyuka nijoro kugira ngo uhindure agatambaro kabigenewe ndetse n'igihe ushaka gusinzira.
• Gukoresha udupira tubiri hamwe kugira ngo utinye ko amaraso ashobora kuva.
• Ubusanzwe, ibiyiko 2-3 by'amaraso biratakara mu gihe cy'imihango. Ariko, iyo hatakaye ibiyiko birenga 5 by'amaraso (ibi biragoye kubipima, ariko akenshi bivugwa ko ari ko bimeze), ibyo nabyo biba ari ukuva amaraso menshi.
• Kugira ububabare bukomeye mu gifu cyangwa kubabara mu gihe cy'imihango.
• Kuva amaraso menshi bishobora gutera intege nke, umunaniro, no kubura umwuka . Ibi bishobora gutera kubura amaraso .

Wamenya ute neza ko ufite Menorrhagia? Ikwiye kumera ite mu bihe bisanzwe?

Kuva amaraso menshi mu mihango bishobora kugira ingaruka ku mibereho yawe . Abantu benshi batekereza ko imihango igomba kuba igoye kandi iteje akaga. Wenda babonye abagize umuryango wabo bababara cyane mu mihango ntibayishake, kandi bamaze kumenyera kubaho muri ubwo buryo. Ariko imihango ntabwo igomba guhagarika imirimo yawe ya buri munsi cyangwa ngo igutere ububabare.

Ubusanzwe, ibi ni byo bibaho mu gihe cy'imihango:

• Ugomba kuba ushobora gukoresha agakoresho gasanzwe cyangwa tampon mu gihe cy'amasaha atatu kugeza kuri ane utayihinduye.
• Ugomba kuba ushobora gukoresha agapapuro kamwe gusa cyangwa tampon. Ntabwo ugomba gushyiramo bibiri.
• Ugomba kuba ushobora gukoresha agakoresho ko kuraramo iyo uryamye nijoro.
• Ntabwo ukeneye kwitwaza imyenda n'ibindi bikoresho by'inyongera iyo uvuye mu nzu.
• Ugomba kuba ushobora kujya ku kazi, gusohoka no kubaho ubuzima bwawe nk'uko bisanzwe nta mbogamizi.

Niba imihango yawe ibangamiye ubuzima bwawe, ni cyo gihe cyiza cyo kubonana na muganga.

Kuki habaho kuva amaraso menshi cyane? Ni izihe mpamvu?

Kubyara ikibyimba bishobora guterwa n'impamvu nyinshi. Bishobora guterwa n'ibibazo by'imisemburo, indwara zimwe na zimwe, cyangwa imiti imwe n'imwe ufata.

Kudahuza kw'imisemburo

Ukwezi kwawe kwa buri kwezi kugenzurwa n'imisemburo ikorwa n'umubiri wawe, nka estrogen na progesterone. Iyi misemburo kandi niyo igena ingano y'amaraso wavaga mu gihe cy'imihango yawe. Niba hari ikibazo gituma iyi misemburo idakora neza, ushobora kuva amaraso menshi cyane. Urugero:

• Kunanirwa gusohora igi mu ntanga ngore.
• Indwara ya tiroyide.
• Indwara y'intanga ngabo (PCOS).

Byongeye kandi, kugira umubyibuho ukabije bishobora kugira ingaruka ku ikorwa ry'imisemburo no kuva amaraso menshi. Vugana na muganga wawe ku buremere bw'umubiri wawe bukwiye kugira ngo urebe niba hari icyo butera iyi ndwara.

Ibibyimba bitari kanseri mu mura wawe

Bimwe mu bibyimba bitagira ingaruka mbi biba mu mura ndetse n'imiterere y'uturemangingo tw'umura ikura mu buryo budasanzwe nabyo bishobora gutera kuva amaraso menshi.

• Polyps: Izi ni uturemangingo duto twibasira uturemangingo (endometrium) cyangwa uturemangingo tw'inkondo y'umura.
• Fibroide: Izi ni indwara zitari kanseri zikura mu mitsi yo muri nyababyeyi. Abagore benshi barazirwara, ariko bashobora kuba badafite ibimenyetso.
• Adenomyosis: Iki ni igihe ingingo zituruka mu gice cy'imbere cya nyababyeyi zikura zigahinduka imitsi ya nyababyeyi.

Indwara zandurira mu mubiri

Hari ubwandu bumwe na bumwe, harimo n'indwara zandurira mu mibonano mpuzabitsina (STIs), nabwo bushobora gutera kuva amaraso menshi.

• Trichomoniasis
• Gonorrhea
• Chlamydia
• Endometrite idakira - indwara y'igihe kirekire y'imbere mu mura.

Ingorane zo gutwita

Kuva amaraso menshi bishobora kandi kuba ikimenyetso cy'uko hari ingorane zimwe na zimwe zishobora kubaho mu gihe cyo gutwita.

• Gukuramo inda.
• Gutwita mu nda: Gutera urusoro hanze y'umura.
• Ibibazo bijyanye n'inkovu nyuma yo kubagwa (niche yo kubagwa).

Izindi ndwara

Kurara mu nda ni ikimenyetso cy'izindi ndwara zitandukanye, harimo n'indwara zo kuva amaraso. Zimwe mu ndwara zikunze gutera kuva amaraso menshi zirimo:

• Indwara ya Von Willebrand - ikibazo cyo kuvura amaraso.
• Indwara y'umwijima.
• Indwara y'impyiko.
• Indwara yo kubyimba mu gituza (PID).
• Indwara za kanseri y'amaraso cyangwa plaquette.

Ibibyimba bya kanseri mu mura wawe

Kubyara umwana ugiye kubyara (Menorrhagia) bishobora guterwa n’indwara itaratangira kanseri yitwa endometrial hyperplasia. Nanone, izindi kanseri zigira ingaruka ku myanya myibarukiro yawe zishobora gutera kuva amaraso menshi.

• Kanseri yo mu mura.
• Kanseri y'inkondo y'umura.

Imiti imwe n'imwe

Hari imiti ishobora no gutera kuva amaraso menshi mu gihe cy'imihango.

• Imiti igabanya amaraso na asipirine.
• Uburyo bwo kuvura indwara yo gusimbuza imisemburo.
• Tamoxifen (umuti ukoreshwa mu kuvura kanseri y'ibere).
• Ibikoresho byo mu nda y'umubyeyi (IUDs).
• Implants zo kuboneza urubyaro.
• Ibinini byo kuboneza urubyaro n'inshinge (urugero: NuvaRing®, Depo-Provera®, Implanon®).

Kudakuraho igikoresho cyawe cyo kuboneza urubyaro ku gihe nabyo bishobora gutera kuva amaraso mu gihe kidasanzwe mu mura. Ni ngombwa kumenya neza igihe cyo gukuramo IUD cyangwa imashini yawe.

Ni nde uri mu kaga gakomeye ko kurwara menorrhagia?

Umuntu wese ashobora kurwara indwara yo kubyara. Ariko, ikunze kugaragara cyane ku bantu begereje gucura . Niba ufite imisemburo idahuye cyangwa ufite umubyibuho ukabije (BMI) uri hejuru ya 30), uba ufite ibyago byinshi byo kugira imihango myinshi.

Ni izihe ngorane zishobora guterwa no kuva amaraso menshi mu gihe cy'imihango?

Kuva amaraso menshi cyane,Bishobora guteza akaga, cyane cyane iyo utakaje amaraso ahagije kugeza aho utangiye kugaragaza ibimenyetso by'amaraso make. Kubura amaraso bishobora gushyira ubuzima mu kaga iyo bitavuwe.

Nanone, zimwe mu ndwara, nka kanseri, zitera imihango myinshi zishobora gusaba ubufasha bwa muganga hakiri kare. Vugana na muganga wawe ku ngaruka zose zijyanye no kuva mu mihango.

Ni gute abaganga basuzuma indwara ya menorrhagia?

Kugira ngo amenye niba ufite ikibazo cyo kubyara, muganga wawe azakubaza ibibazo bike ku bijyanye n'amateka y'ubuzima bwawe n'ukwezi kwawe, ndetse agukorere isuzuma ry'umubiri n'isuzuma ry'ikibuno.

Muganga ashobora kubaza ibintu nk'ibi:

• Ni mu kihe kigero wagize imihango yawe ya mbere?
• Imihango imara iminsi ingahe?
• Ni mu minsi ingahe muri iyo uva amaraso menshi?
• Hari umuntu wo mu muryango wawe ufite amateka yo gucura cyane?
• Ni ubuhe buryo bwo kuboneza urubyaro bwawe n'uburyo bwo kuboneza urubyaro ukoresha ubu?
• Ni iyihe miti (harimo n'imiti itangwa mu iduka rya muganga (OTC)) urimo gufata ubu?

Itegure kuganira nawe ku mibereho yawe. Muganga azashaka kumenya niba ukoresha udupira tubiri icyarimwe, niba usibye akazi bitewe n'imihango yawe, cyangwa niba ufite ibyo udashobora gukora mu buzima bwawe bwa buri munsi.

Ni ibihe bizamini bikorwa?

Uburyo busanzwe bwo gusuzuma indwara yo kubyara mu kibuno ni bwo buryo abaganga bakunze gusuzuma indwara yo kubyara. Ibindi bizamini bishobora gukorwa bitewe n'imyaka yawe n'uburemere bw'ibimenyetso byawe.

• Gupima amaraso: Kureba niba amaraso afite amaraso make, ibibazo byo kuvura amaraso, n'indwara ya tiroyide.
• Ultrasound ya Transvaginal: Reba imiterere y'ingingo n'imitsi yo mu kibuno.
• Ishusho ya Magnetic Resonance (MRI): Iyo ultrasound idatanga amakuru ahagije, ikoreshwa mu gushakisha imiterere idasanzwe mu mura.
• Pap smear: Isuzuma uturemangingo tw’umura kugira ngo harebwe niba hari impinduka za kanseri.
• Gupima indwara y'inkondo y'umura: Kugira ngo harebwe niba nta bwandu bwanduye.
• Isuzuma rya endometrial biopsy: Isuzuma uturemangingo twa kanseri cyangwa ibindi bintu bitameze neza mu mubiri w'umura.

Ubundi buryo bushobora gufasha kumenya icyateye kuva amaraso:

• Sonohysterogram (sonography y'umunyu-umunyu): Kugira ngo harebwe niba hari ibibazo biri mu gice cy'umura. Ibi bisaba kuzuza umunyu mu mura no kureba imbere.
• Hysteroscopy: Gusuzuma polyps, fibroids, cyangwa izindi ngingo zitameze neza mu mura. Ubu buryo bushobora gusuzuma igitsina gore, inkondo y'umura, n'umura. Bushobora kandi gukuraho ibintu bitera kuva amaraso, nka fibroids na polyps.

Ni ubuhe buryo bwiza bwo kuvura Menorrhagia?

Uburyo bwo kuvura buterwa n'icyateye kuva amaraso, ubukana bw'amaraso, ubuzima bwawe, imyaka yawe, n'amateka y'ubuzima bwawe.

Hari igihe menorrhagia irushaho koroha iyo umuntu atavuwe. Ibi bishobora guterwa n'impinduka nto mu misemburo cyangwa indwara nko kwiyongera ibiro (menorrhagia ikunze kugabanuka iyo umaze kugira ibiro bizima).

Vugana na muganga wawe ku bibazo by'ubuzima bwawe n'icyo witeze ku buvuzi. Hanyuma ashobora kukugira inama y'uburyo bwiza bwo kuvura.

Imiti

Ubusanzwe abaganga batanga imiti mbere yo kubagwa.

• Inyongeramusaruro z'icyuma: Subiza urugero rw'icyuma cyawe.
• Imiti igabanya ububabare idakoresha steroide (NSAIDs): Ibintu nka ibuprofen cyangwa aspirine bishobora gufasha kugabanya ububabare no kugabanya kuva amaraso.
• Kuboneza urubyaro: Ibinini, impeta zo mu gitsina, uduce duto, na IUD bishobora gufasha mu kugena imihango no kugabanya kuva amaraso.
• Uburyo bwo gusimbuza imisemburo (HRT): Ibi bishobora gufasha kuringaniza urugero rwa estrogen na progesterone mu mubiri no kugabanya kuva amaraso mu mihango. Nubwo ibi byemewe ku kuva amaraso menshi mu gihe cyo kuva amezi menshi, bifite ibyago, bityo vugana na muganga wawe kuri ibyo.
• Imisemburo ya Gonadotropin-releasing hormone (GnRH) agonists na antagonists: Iyi ishobora guhagarika cyangwa kugabanya kuva amaraso by'agateganyo.
• Spray ya Desmopressin mu mazuru (Stimate®): Ifasha guhagarika kuva amaraso bifitanye isano n'indwara ya von Willebrand binyuze mu gufasha kubumba amaraso.
• Imiti igabanya ububabare bw'amaraso: Ibintu nka aside tranexamic bisenya amaraso afunganye kandi bikarinda kuva amaraso menshi.

Kubaga n'ubundi buryo bwo kuvura

Niba imiti idakuraho ibimenyetso, muganga wawe ashobora kukugira inama yo kubagwa. Biterwa n'icyateye kuva amaraso.

• Hysteroscopy: Ibi bishobora gusuzuma no kuvura imihango ikomeye. Muganga akoresha umuyoboro muto kandi urimo urumuri kugira ngo arebe imbere muri nyababyeyi. Hanyuma, ibikoresho byo kubaga bikoreshwa mu gukuraho ikintu cyose gitera kuva amaraso, nka polyps.
• Kwaguka no gucukura (D&C): Uburyo bwo gukuraho igice cyo hanze cy'umura. Iki gihimba gishobora koherezwa muri laboratwari kugira ngo hamenyekane icyateye kuva amaraso.
• Myomectomy: Kubagwa kugira ngo hakurweho fibroids mu mura.
• Guhagarika imitsi yo mu nda y'umura (UAE): Uburyo bugabanya amaraso ku miyoboro y'amaraso n'ibibyimba.
• Gukuraho endometrial:Uburyo bwo gusenya igice cyose cy'umura cyangwa igice cyacyo.
• Gukuramo igitsina: Kubagwa kugira ngo ukuremo nyababyeyi. Nyuma y'ibi, ntuzagira imihango cyangwa ngo utwite.

Muganga wawe azagusaba uburyo bwiza bwo kuvura icyateye kuva amaraso. Ubuvuzi bushobora gutangirira ku miti, hanyuma bugakomereza ku buryo bworoheje no kubagwa. Vugana na muganga wawe kugira ngo aguhitiremo ikikubereye.

Bigenda bite iyo menorrhagia itavuwe?

Kuva amaraso menshi bishobora gutera indwara yo kubura amaraso , ibi bikaba byaba bikomeye. Niba ubona ko ufite ikibazo cyo kubura amaraso, ni ngombwa kujya kwa muganga no kuvurwa.

Ese indwara (Menorrhagia) ishobora koroherwa?

Yego, rimwe na rimwe indwara yo kubyara ikibyimba ishobora gushira nta kuvurwa. Ariko ni byiza kuganira na muganga wawe niba ari uko bimeze kuri wewe. Kubyara ikibyimba gishobora kuba icy'igihe gito kandi kikagenda gikira nta buvuzi butanga. Ariko, akenshi, hari ikibazo cyihishe inyuma y'imihango yawe ikomeye. Ushobora kutabona uruhu rwo kubyara ikibyimba kugeza igihe iyo ndwara ivuriwe.

Ese kuva amaraso menshi mu gihe cy'imihango bishobora kwirindwa?

Si impamvu zose zitera imihango myinshi zishobora kwirindwa, ariko kuganira na muganga kugira ngo agusuzume kandi aguhe imiti bishobora kugufasha gucunga kuva amaraso kwawe bitabangamiye ubuzima bwawe.

Uvuga iki ku bijyanye no kubana n'iki kibazo? (Ibisobanuro)

Iyo bitavuwe, imihango ikomeye ishobora guhungabanya ubuzima bwawe. Byongeye kandi, imihango ikomeye ishobora gutera amaraso make, bigatuma wumva unaniwe kandi ufite intege nke. Iyo bitavuwe, hari n'izindi ngorane z'ubuzima zishobora kuvuka. Hamwe n'ubuvuzi bukwiye n'ubufasha bw'abaganga, imihango ikomeye ishobora kugenzurwa nta kibazo cyagira ku buzima bwawe.

Ni ryari wagombye kujya kwa muganga niba ukeka ko wavuye amaraso menshi?

Niba ufite ibimenyetso by'imihango myinshi, kubura amaraso, cyangwa niba imihango yawe igira ingaruka ku mibereho yawe, ugomba kujya kwa muganga. Gukurikirana imihango yawe kuri kalendari cyangwa muri porogaramu bishobora kugufasha kumenya niba imihango yawe iremereye kuruta uko bisanzwe kandi imara iminsi myinshi. Erekana izi nyandiko kwa muganga wawe.

Fata gahunda yo kubonana na muganga wawe ukimara kubona ko ugomba gukoresha udupira tubiri icyarimwe, cyangwa ko ubura ibintu wishimira mu gihe cy'imihango yawe.

Ese ukeneye kujya mu Ishami ry’Ubuvuzi bw’Ingoboka (ETU) ?

Guheba cyane akenshi ntabwo bishyira ubuzima mu kaga. Ariko, iyo uvuye amaraso menshi cyane, bishobora guteza akaga. Niba uva amaraso amasaha abiri cyangwa atatu mu gihe cy'amasaha, cyangwa niba urimo kwinika amapadi cyangwa tamponi zirenze ebyiri mu isaha, ni ikimenyetso cy'uko ukeneye kujya kwa muganga cyangwa gushaka ubuvuzi bwihutirwa.

Nubwo imihango myinshi ikunze kubaho, ntugomba kwihanganira ububabare buterwa na byo. Niba kugenzura kuva amaraso bibangamira ubuzima bwawe bwo mu mutwe no ku mubiri, vugana na muganga wawe. Ashobora kugufasha kubona uburyo bwo kugufasha no kubaho ubuzima wifuza, ndetse no mu gihe cy'imihango yawe.

Ubutumwa bwa nyuma bwo kujyana mu rugo

• Kuva amaraso menshi mu gihe cy'imihango (menorrhagia) bishobora kuba ikibazo gikomeye, bityo ntugire isoni cyangwa ngo ugire ubwoba, ahubwo shaka inama kwa muganga.
• Niba ufite ibimenyetso bitandukanye n'imihango yawe isanzwe kandi bigatera kumererwa nabi (urugero: guhinduranya udupira buri saha, kuva amaraso menshi, cyangwa imihango imara iminsi irenga 7), ntubyirengagize.
• Kubura amaraso ni ikibazo gikomeye cy’iyi ndwara, bityo rero itondere ibintu nk'intege nke, umunaniro, no kugorwa no guhumeka.
• Iyi ndwara ishobora kugenzurwa neza no kumenya icyayiteye no kuvurwa neza.
• Ntabwo uri wenyine, hari abantu benshi bahura n'ibibazo nk'ibyo. Ntugatinye gusaba ubufasha. Ubuzima bwawe ni cyo kintu cy'ingenzi kurusha ibindi!

Kurya imisemburo, kuva amaraso menshi mu mihango, imihango, ubuzima bw'abagore, nyababyeyi, imisemburo, kubura amaraso