Hari ibintu bimwe na bimwe mu buzima wumva ari nk'aho umuntu ahumeka cyane, adafite icyo avuze. Gukuramo inda ni kimwe mu bintu nk'ibyo—ububabare bugoye kubivugaho, bubabaza cyane, kandi akenshi bugatuma umuntu aba wenyine. Niba usoma iyi mirongo, ushobora kuba uhanganye n'ikibazo gikomeye: "Kuki ibi byambayeho?" Ndakwinginze, ntutekereze gutya. Ibi si ikosa ryawe na gato. Uburemere buri mu mutima wawe, ubwo bubabare, ibyo bibazo—byose bifite ishingiro kandi ni ibya muntu muri iki gihe.
Muri iyi nkuru, ndashaka kugufasha gusobanukirwa ibibazo byihishe mu mutima wawe, kugufasha kumva ko utari wenyine, no gutanga imbaraga zo kugufasha muri uru rugendo rutoroshye. Ese twaganira kuri ibi byose, intambwe ku yindi, buhoro buhoro?
Ukuri kwihishe inyuma y'ijambo "Gukuramo inda"
Nubwo dukoresha ijambo " gukuramo inda ," hari byinshi bidafite ishingiro byo gusobanukirwa.
Abaganga babisobanura bate?
Abaganga babyita "Gukuramo inda mu buryo bwihuse." Mu magambo make, bivuze ko mbere y'uko umwana wawe—uruhinja—rukura bihagije kugira ngo rubeho hanze ya nyababyeyi (ubusanzwe mbere y'ibyumweru 20 byo gutwita), urugendo rurangira ubwarwo, nta kibazo kivuye kuri wowe cyangwa undi muntu uwo ari we wese. Ni nk'indabyo zitangiye kumera zigwa hasi mu buryo butunguranye. Iyo iki kintu kibabaje kibaye nyuma y'ibyumweru 20, mu buvuzi cyitwa "Gukuramo inda mu buryo butunguranye," ibi bikaba ari ibintu bitandukanye gato.
Ese hari ubwoko butandukanye bw'inda ziterwa n'inda?
Yego, nk'uko hari ibice bitandukanye mu nkuru, hari uburyo butandukanye bwo gukuramo inda bishobora kugaragara. Abaganga babishyira mu byiciro bikurikira:
Ese ni ubwoba gusa? – Gukuramo inda mu kaga
Muri iki gihe, ushobora kuva amaraso make mu gitsina mu gihe cyo gutwita. Ariko, igitangaje ni uko umura w'inkondo y'umura ukomeza gufunga. Ibi bivuze ko nubwo wabanje kugira ubwoba, haracyari icyizere, kandi gutwita bishobora gukomeza neza.
Ese ntibishobora kurokorwa? – Gukuramo inda mu buryo budashobora kwirindwa
Aha, hamwe no kuva amaraso no kubabara mu nda, umura w'inkondo y'umura uba wamaze gukinguka. Kimwe n'urugi rudashobora gufungwa iyo rumaze gukingurwa, abaganga basanze, muri iki gihe, bigoye gukiza inda.
Ese hari igitambaro gisigaye? - Gukuramo inda ku buryo butuzuye
Ibi bibaho iyo igice kimwe cy'ingingo cyangwa placenta y'inda gisohotse gusa, mu gihe bimwe bisigaye mu mura .
Ese byose birarangiye? – Gukuramo inda burundu
Nk'uko izina ribisobanura, urusoro, ingobyi, n'uturemangingo twose two gutwita bisohoka burundu mu mura. Ni nko kurangiza urupapuro rwa nyuma rw'igitabo.
Byabaye bucece? – Gutakaza inda
Ibi biragoye kurushaho. Uruhinja ruba rwarahagaze gukura, ariko ruguma mu mura utabonye amaraso menshi cyangwa ibindi bimenyetso bigaragara. Akenshi ruboneka gusa mu gihe cyo gupimwa buri gihe.
Ese ibi bigaruka? - Gukuramo inda inshuro nyinshi
Ibi bivuga gutakaza inda inshuro eshatu cyangwa zirenga zikurikiranye. Iyo ibi bibaye, wumva ari nko kubaho mu nzozi zimwe inshuro nyinshi. Hakenewe iperereza ryihariye ry’abaganga kugira ngo hamenyekane impamvu nyamukuru.
Gukuramo inda ni ibintu bikunze kugaragara cyane kurusha uko ubitekereza
Iyo uri kwihanganira ubu bubabare, ushobora kwibaza uti: "Kuki ibi bibaho gusa?" Ukuri ni uko gukuramo inda bigira ingaruka ku miryango myinshi. Imibare igaragaza ko abaganga bavuga ko hafi 10% kugeza kuri 20% by'inda zizwi zirangirana n'inda. Mu by'ukuri, umubare ushobora kuba munini, kuko zimwe mu nda zibaho hakiri kare ku buryo umugore ashobora no kutamenya ko atwite, akenshi akitiranya kuva amaraso n'imihango idasanzwe. Inda nyinshi zibaho mu mezi atatu ya mbere (ibyumweru 12 bya mbere).
Icyo umubiri wawe ukubwira: Ibimenyetso n'uburyo bwo kubimenya
Umubiri wawe ushobora kugerageza kwerekana ko inda irimo gukoroka cyangwa ko yabayeho. Ni ngombwa kumenya ibi bimenyetso.
Ibimenyetso by'ingenzi ugomba kwitondera
Ibimenyetso bisanzwe by'inda ikuramo birimo:
- Kuva amaraso mu gitsina: Iki ni cyo kimenyetso gikunze kugaragara mbere y'igihe. Bishobora kuba ari ukureba mu buryo bworoheje cyangwa biremereye kurusha imihango isanzwe.
- Kubabara mu nda yo hasi cyangwa kuribwa mu nda: Ibi bishobora kumva nk'uburibwe bukomeye mu gihe cy'imihango cyangwa ikindi kintu gikomeye kurushaho.
- Gushyira ingirabuzima fatizo mu gitsina: Ushobora kubona ingirabuzima fatizo cyangwa uduce tw’amaraso bisohoka hamwe n’amaraso.
- Ububabare bw'umugongo: Bamwe bagira ububabare bw'umugongo wo hasi hamwe n'ububabare bwo mu nda.
- Ibimenyetso byo gutwita bigabanuka: Kubura buhoro buhoro cyangwa mu buryo butunguranye ibimenyetso nko kubabara amabere cyangwa gusesa mu gitondo.
Abaganga babyemeza bate?
Uramutse ubonye ibi bimenyetso, muganga azakora ibi bikurikira:
- Isuzuma ry'inkondo y'umura: Kureba niba umura w'inkondo y'umura ufunguye cyangwa ufunze no gusuzuma amaraso.
- Gupima hakoreshejwe ikoranabuhanga rya Ultrasound: Iki ni cyo gipimo gifatika cyo gusuzuma umutima w'umwana n'uko nyababyeyi imeze.
- Ibizamini by'amaraso: Ibi bizamini by'umusemburo wa hCG , wiyongera mu gihe cyo gutwita. Niba urugero rudakomeje kwiyongera nk'uko byari byitezwe cyangwa rurimo kugabanuka, bishobora kugaragaza ko inda yavuyemo. Urugero rwa progesterone narwo rushobora kugenzurwa.
Ikibazo giteye agahinda cya "Kuki?": Impamvu zo gukuramo inda
Iki ni cyo kibazo gikomeye kuri benshi: "Kuki ibi byambayeho?" Mu by'ukuri, inda nyinshi ziterwa n'ikosa ry'umuntu uwo ari we wese.
Impamvu ikunze kugaragara: Ibintu bitera imiterere y'umubiri
Nk’uko abahanga mu by’ubuvuzi babivuga, hafi kimwe cya kabiri cy’inda zose ziterwa ahanini n’impinduka nto mu miterere y’uturemangingo—cyane cyane chromosomes —mu gihe cyo gusama. Kimwe n’indabyo nziza zishobora rimwe na rimwe kurabya zifite akantu gato, iki si ikosa rya nyina cyangwa se; ni ikintu gisanzwe kidasanzwe kandi gitunguranye.
Imiterere y'ubuzima bw'umubyeyi n'imibereho ye
Mu bindi bihe, hari uburwayi cyangwa imibereho y’umubyeyi bishobora gutuma inda ikura.
- Imyaka y'umubyeyi: Ingaruka zo gukuramo indaigenda yiyongera gato uko urengeje imyaka 35.
- Indwara zidakira: Ibibazo by'ubuzima bidakemuwe nka diyabete , indwara za tiroyide , umuvuduko ukabije w'amaraso , cyangwa indwara ziterwa n'ubwiyongere bw'umubiri (urugero, Systemic Lupus Erythematosus).
- Ibitagenda neza mu mura: Utumenyero duto cyangwa imiterere y'imbere mu mura (urugero: septum y'umura cyangwa fibroids) rimwe na rimwe dushobora kubuza urusoro gutera cyangwa gukura neza.
- Kudahuza kw'imisemburo: Indwara nko kubura progesterone cyangwa PCOS (Polycystic Ovary Syndrome).
- Indwara: Indwara za bagiteri cyangwa virusi nka listeriosis, toxoplasmosis, rubella, cyangwa cytomegalovirus.
- Ibintu bitera imibereho: Kunywa itabi, kunywa inzoga, cyangwa gukoresha ibiyobyabwenge bitemewe n'amategeko.
- Ibibazo by'ibiro: Kuba ufite ibiro byinshi cyangwa bike cyane (imirire mibi).
- Amateka y'inda zigaruka.
Gutwita kwa Anembryonic (Inda itwite)
Iyi ni indi mpamvu izwi yo gukuramo inda. Muri iki gihe, intanga y’uruhinja iterwa n’imisemburo mu rukuta rw’umura n’agasaho k’inda karavuka, ariko uruhinja ntirukure imbere. Ibi akenshi biterwa n’imiterere mibi ya chromosomes.
Ingorane z'umubiri n'ingaruka z'amarangamutima nyuma yo gukuramo inda
Gukuramo inda ni ikintu kigira ingaruka ku mubiri wawe gusa, ndetse no ku mibereho yawe y'amarangamutima.
Ingorane z'umubiri
- Gukuramo inda kutuzuye: Iyo uturemangingo tw’inda cyangwa nyababyeyi tugumye mu mura, bishobora gutera kuva amaraso cyangwa kwandura indwara zidashira.
- Kwandura: Ushobora kuba ufite ibyago byo kwandura indwara mu mura cyangwa mu gice cy'ikibuno gikikije (nk'indwara yo kubyimba mu kibuno).
- Kuva amaraso: Nubwo bidakunze kubaho, kuva amaraso menshi bishobora gukenera ubuvuzi bwihutirwa.
Umutwaro w'amarangamutima n'ingaruka zo mu mutwe
Gukuramo inda ni igihombo gikomeye, kimwe no kubabara indi mpinduka ikomeye mu buzima. Ni ibisanzwe rwose kumva ufite agahinda, uburakari, uwicira urubanza, ubwoba, imihangayiko, cyangwa kwiheba. Kwitwara muri aya marangamutima bifata igihe n'inkunga.
Uko muganga wawe yagufasha: Kuvura inda zivuyemo
Uburyo bwo kwa muganga buterwa n'ibintu nk'ubwoko bw'inda yavuyemo, igihe cyo gutwita, uburemere bw'ibimenyetso byawe, ubuzima bwawe muri rusange, n'ibyo ukunda.
Ubuyobozi bw'Icyitegererezo
Ibi bikubiyemo kwemerera umubiri wawe kunyura mu bice bisigaye by’umubiri utwite nta buvuzi cyangwa ngo ubagwe. Ibi bishobora gufata iminsi myinshi cyangwa ibyumweru, aho muganga wawe azagukurikiranira hafi.
Ubuyobozi bw'Ubuvuzi
Muganga wawe ashobora kukwandikira imiti (urugero: misoprostol), ifatwa mu kanwa cyangwa ishyirwa mu gitsina, kugira ngo ifashe nyababyeyi kwifata no gusohora ingingo zisigaye.
Uburyo bwo Kubaga
Uburyo bwo gukora buto, nka Dilation and Curettage (D&C) cyangwa Dilation and Evacuation (D&E), bushobora gukorwa kugira ngo ukureho neza ibisigazwa bisigaye mu mura. Ibi akenshi birasabwa niba urimo kuva amaraso menshi, ibimenyetso by'ubwandu, cyangwa niba ubundi buryo butaragize icyo bugeraho.
Ibipimo by'indwara ya Rh
Niba ufite Rh-negative kandi inda yawe yari Rh-positive, umubiri wawe ushobora kugira ubudahangarwa bw'umubiri bushobora kugira ingaruka ku nda zizaza. Kugira ngo wirinde ibi, muganga wawe azagutera urushinge rwa Anti-D immunoglobulin.
Gukiza umubiri wawe n'ubwonko bwawe: Kwitaho nyuma yo gukuramo inda
Gukira bifata igihe. Intambwe zikurikira zishobora kugufasha gukira ku mubiri no mu byiyumvo:
- Shyiraho umwanya wo kuruhuka: Ha umubiri wawe n'ubwenge bwawe umwanya wo gukira.
- Gucunga ububabare: Koresha imiti igabanya ububabare nk'uko muganga wawe yabigutegetse.
- Genzura ibimenyetso: Niba ugize umuriro mwinshi, ububabare bukabije mu nda, cyangwa uva amaraso mu buryo bubi, shaka ubufasha bwa muganga byihutirwa mu ishami ryita ku bibazo byihutirwa.
- Irinde ibintu bitera umujinya: Irinde gukora imibonano mpuzabitsina no gukoresha tampons mu gihe cyose muganga yagutegetse kugira ngo ugabanye ibyago byo kwandura.
- Subiramo ibikorwa buhoro buhoro: Ntukihutire gusubira mu bikorwa biruhije.
Gutekereza ahazaza: Kwitegura gutwita neza
Ni ibisanzwe kumva uhangayikishijwe n'ejo hazaza nyuma yo gukuramo inda.
Gukuramo inda inshuro nyinshi
Kubyara inda imwe ntabwo byongera cyane amahirwe yo gukuramo indi. Ariko, gukuramo inda inshuro eshatu cyangwa zirenga zikurikiranye bisobanurwa nk'"gutakaza inda inshuro nyinshi." Muri ibyo bihe, ni byiza kugisha inama inzobere kugira ngo ikore ubushakashatsi ku mpamvu zishobora gutera.
Kubona icyizere nanone
Niba uteganya kongera gutwita, tekereza ku nama mbere yo gusama na muganga wawe. Kugumana ubuzima bwiza—imirire iboneye, gukora imyitozo ngororamubiri ihoraho, gufata inyunganiramirire ya aside folike, guhangana n’indwara zidakira, no kugabanya stress—bishobora kongera cyane amahirwe yo gusama neza.
Gukira ibikomere byawe byo mu mutima: Kubona inkunga
Kumva ufite agahinda, agahinda n'umujinya nyuma yo gukuramo inda ni ibintu bisanzwe kandi birasanzwe. Gira ubuntu kuri wowe mu gihe ugerageza guhangana n'ayo marangamutima, kandi usabe ubufasha bw'inzobere cyangwa inama niba wumva uremerewe.
- Emera kandi ugaragaze amarangamutima yawe: Ihe uburenganzira bwo kubabara. Waba ukeneye kurira cyangwa kuvuga amarangamutima yawe gusa, kurekura ayo marangamutima ni intambwe y'ingenzi mu nzira yawe yo gukira.
- Shingira ku buryo bwo kugushyigikira: Egera umukunzi wawe, umuryango wawe, n'inshuti za hafi. Kumenya ko utari wenyine bishobora kuguha imbaraga nyinshi muri iki gihe kigoye.
- Shaka ubuyobozi bw'inzobere nibiba ngombwa: Guhuza n'umujyanama cyangwa umuvuzi ni ikimenyetso cy'ubutwari, si intege nke. Kuganira n'inzobere mu bijyanye n'ububabare bwawe ni uburyo bw'ingirakamaro bwo gutangira gukira mu buryo bw'amarangamutima.
- Jya mu matsinda y'abaterankunga: Gukorana n'abandi basangiye ubunararibonye nk'ubwabo bishobora kwemeza cyane. Kuba umwe mu bagize umuryango bikwibutsa ko ushyigikiwe kandi ko utigeze uba wenyine by'ukuri.
Ibuka ko nubwo iki gihombo ari igice kibabaza, ntabwo ari cyo kigena urugendo rwawe rwose. Muri Nirogi Lanka, twifuza ko umenya ko hari abantu benshi biteguye kugufasha no kugufasha muri iki gikorwa cyo gukira.
