Ese nawe watakaje icyizere? Tuvuge ku bijyanye no gukuramo inda?

Abahuye n'ububabare bwo gutakaza icyizere cyabo ni bo bonyine bazi ukuntu bibabaje. Hari igihe ibintu nk'ibi bishobora kubaho mu byumweru bya mbere byo gutwita mu gihe utabyiteze. Uyu munsi, tugiye kuvuga ku ngingo abantu benshi batinyuka kuvugaho, ariko ni ingenzi cyane. Ni cyo gisobanuro cyo gukuramo inda.

Mu by'ukuri, gukuramo inda ni iki?

Mu magambo make, gukuramo inda , bamwe babyita ' gukuramo inda ku bushake' , ni ugutakaza inda mu buryo butunguranye mu byumweru 20 bya mbere byo gutwita, ari byo mezi agera kuri 5. Nubwo byitwa ' gukuramo inda ', ni ngombwa kwibuka ko iki atari ikintu kibi wakoze . Akenshi, ibi bintu ni ibintu tudashobora kugenzura, kandi bibaho kuko umwana uri mu nda ahagarika gukura .

Ni ubuhe bwoko bw'inda buhari?

Noneho ushobora kuba wibaza niba izi nda ziba mu buryo bumwe. Yego, muganga wawe ashobora kukubwira kuri ubu bwoko bw'inda:

Gukuramo inda byabuze

Ikiba muri iki kibazo ni uko utazi ko wakuyemo inda. Ibyo bivuze ko nta bimenyetso bikunze kubaho mu gihe cyo gukuramo inda. Ariko ni uko iyo ukoze ultrasound gusa ari bwo umenya ko nta mutima w'umwana uri mu nda. Tekereza ukuntu bibabaje kumenya ikintu nk'icyo.

Gukuramo inda burundu

Muri iki gihe, inda iba yatakaye burundu kandi umura wawe ukaba urimo ubusa. Ushobora kuva amaraso, kandi ibice by'uturemangingo tw'umwana uri mu nda na byo bishobora gusohoka . Muganga ashobora kwemeza niba ari ukuvamo inda burundu akoresheje ultrasound .

Gukuramo inda inshuro nyinshi

Ibi bibaho iyo uvuyemo inda inshuro eshatu zikurikiranye. Bivugwa ko iyi ndwara ifata abantu bagera kuri 1% by'abashakanye. Ni ibisanzwe kumva ufite stress nyinshi iyo habayeho ikintu nk'iki.

Gukuramo inda mu kaga

Muri iki gihe, nubwo umura wawe w'inkondo y'umura ufunze, ushobora kuva amaraso no kubabara mu nda yo hasi, nk'igihe cyo kujya mu mihango. Ariko akenshi , gutwita bikomeza nta kibazo . Ariko, muganga wawe azagukurikiranira hafi mu gihe cyose utwite. Ni ngombwa gukurikiza amabwiriza ya muganga wawe nta guhangayika muri iki gihe.

Gukuramo inda mu buryo butunguranye

Ushobora kuba urimo kuva amaraso, ubabara mu nda yo hasi, kandi umura wawe ushobora kuba utangiye gufungura. Ushobora kandi kuba urimo kuva amazi yo mu nda , amazi y'umura akikije umwana. Iki ni cyo gihe uba ufite amahirwe menshi yo kuvamo burundu inda.

Namenya nte ko inda yanjye irimo gucika? (Ibimenyetso)

Hari igihe ushobora no kutamenya ko uri gukuramo inda. Ariko ku bantu bagaragaza ibimenyetso mu gihe cyo gukuramo inda, ibi ni byo bimenyetso bikunze kugaragara:

• Kuva amaraso bigenda byiyongera buhoro buhoro. Hari igihe ibice by'imvi cyangwa amaraso ashobora kugabanuka.
• Ububabare bwo mu nda yo hasi no kubabara mu nda. Ubusanzwe ububabare buruta ububabare uhura nabwo mu gihe cy'imihango yawe ya buri kwezi.
• Kubabara umugongo. Ibi bishobora gutangira buhoro buhoro bikarushaho gukomera kuri bamwe, kandi bishobora kuba byoroshye ku bandi.
• Ibimenyetso byo gutwita biragabanuka buhoro buhoro. Urugero, ibintu nko kuzungera no kugira isesemi bishobora kugabanuka.

Niba ufite kimwe muri ibi bimenyetso, ugomba guhita uhamagara umuganga wawe wita ku babyeyi batwite . Azakubwira niba ugomba kuza ku biro cyangwa kujya mu cyumba cyita ku barwayi barembye. Biragoye kudatinya mu gihe nk'iki, ariko ni ngombwa gufata ingamba vuba.

Ni iki gitera gukuramo inda?

Abantu benshi bibaza bati “Kuki ibi byambayeho?” “Ese hari ikintu nakoze nabi?” Ariko ukuri ni uko inda nyinshi ziterwa n’ikosa ryawe bwite. Reka turebe impamvu nyamukuru zibitera.

Ibintu Bitagenda neza mu mikorere ya chromosome

Utumenyetso twa chromosomes dutuma habaho 50% by'inda zikura mu gihembwe cya mbere cy'inda, ari na cyo gihe cy'ibyumweru 13 utwite. Wibuke ko chromosomes ari utuntu duto tuba mu turemangingo twacu dutwara genes zacu zose. Ibintu byose kuva ku gitsina cy'umuntu kugeza ku ibara ry'umusatsi we, ibara ry'amaso, n'ubwoko bw'amaraso bigenwa n'izi genes.

Iyo igi n'intanga bihuye bigatera urusoro, hari ubwoko bubiri bwa chromosomes buteranywa. Tekereza, niba igi cyangwa intanga ngabo zifite chromosomes nke cyangwa nyinshi kuruta izisanzwe, urusoro ruvuyemo ruzaba rufite umubare udasanzwe wa chromosomes. Hanyuma, uko urusoro rukura, uturemangingo turagabanyuka kandi tukororoka, kandi ibitagenda neza muri iyo gahunda bishobora gutera gukura nabi. Akenshi, ibi bibazo bya chromosomes biba ku buryo butunguranye. Ntibiramenyekana neza impamvu ibi bibaho.

Ni izihe mpamvu zindi zitera gukuramo inda?

Uretse ubusembwa bw'uturemangingo tw'amaraso, hari n'ibindi bintu byinshi bishobora gutera gukuramo inda:

• Indwara zitandukanye.
• Guhura n'indwara zo mu itsinda rya TORCH.Izi ni zimwe mu ndwara zishobora guteza akaga mu gihe cyo gutwita. (Urugero: Toxoplasmose, Rubella, Cytomegalovirus, Herpes simplex)
• Kudahuza kw'imisemburo.
• Gushyira igi ry'intanga ngore mu rukuta rw'inda bidakwiye.
• Imyaka yawe. Ibyago byo gukuramo inda byiyongera gato uko ugenda ukura.
• Utumenyero duto (urugero: impinduka mu miterere y'umura, fibroids)
• Inkondo y'umura idakora neza: Iki ni cyo gihe inkondo y'umura itangira gufungura hakiri kare cyane mu gihe cyo gutwita.
• Bimwe mu bintu bitera imibereho. Urugero, kunywa itabi, kunywa inzoga, no gukoresha ibiyobyabwenge bitemewe n'amategeko.
• Indwara z'ubudahangarwa bw'umubiri, nka lupus .
• Indwara ikomeye y'impyiko.
• Indwara y'umutima yavukanye.
• Diyabete idakira neza.
• Indwara ya Tiroyide.
• Guhura n'imirasire.
• Imiti imwe n'imwe. Urugero, imiti nka Isotretinoin (Isotretinoin / Accutane®) ivura ibiheri.
• Imirire mibi ikabije.

Igikomeye ni uko nta gihamya ya siyansi igaragaza ko guhangayika, imyitozo ngororamubiri, imibonano mpuzabitsina, cyangwa gukoresha ibinini byo kuboneza urubyaro igihe kirekire bitera gukuramo inda. Uko imimerere yawe yaba imeze kose, ntukiyicire urubanza niba wakuyemo inda. Inda nyinshi zo gukuramo inda ntiziterwa n'ikintu icyo ari cyo cyose wakoze cyangwa utakoze. Kubyumva bishobora kugufasha gufata umwanzuro.

Gukuramo inda bibabaza gute?

Ibi biratandukanye cyane bitewe n'umuntu ku giti cye. Hari abantu bashobora kugira ububabare bukomeye mu nda yo hasi no kubabara mu nda. Abandi bashobora kugira ububabare nk'ubwo mu gihe cy'imihango. Ingano y'ububabare ishobora gutandukana bitewe n'ubwoko bw'inda wagize. Urugero, niba wagize "inda yuzuye" mu rugo, ushobora kugira ububabare bwinshi kurusha umuntu wagize "inda yabuze" kubera gukuramo inda kwa muganga.

Ni iki kibaho bwa mbere mu gihe cyo gukuramo inda? Bifata igihe kingana iki?

Biragoye kuvuga neza ikiba mbere na mbere mu gihe cyo gukuramo inda, kuko ibimenyetso bya buri wese biratandukanye. Hari igihe nta bimenyetso na bike bibaho, kandi scan ya ultrasound ni bwo buryo bwonyine bwo kumenya niba gukuramo inda kwabayeho. Abagore benshi bagira ububabare mu nda no kuva amaraso . Ariko ikiba mbere gitandukanye bitewe n'umuntu ku giti cye.

Ni nako bigenda ku gihe bifata kugira ngo inda ikure, biratandukanye bitewe n'umuntu ku giti cye.Abagore bamwe bashobora kugira ububabare bukabije no kuva amaraso menshi kurusha abandi. Muganga wawe ashobora kukubwira icyo wakwitega kandi akaguha inama z'uko wakwitwara muri ubu bubabare n'imibabaro.

Ni ibihe bintu bishobora gutera gukuramo inda?

Impamvu y’ibyago ni ikintu kiranga cyangwa imyitwarire yongera amahirwe yo kurwara indwara cyangwa indwara. Hari ibintu byinshi by’ingenzi bishobora gutera gukuramo inda:

• Imyaka yawe: Ubushakashatsi bwagaragaje ko ibyago byo gukuramo inda ku bagore bari mu kigero cy'imyaka 20 biri hagati ya 12% na 15%, bikiyongeraho hafi 25% mu gihe cy'imyaka 40. Gukuramo inda nyinshi ziterwa n'imyaka biterwa n'imiterere mibi ya chromosome , iyo umwana uri mu nda afite chromosome nyinshi cyangwa nke cyane.
• Kuba warigeze gukuramo inda mbere: Niba warigeze gukuramo inda mbere, ufite amahirwe agera kuri 25% yo kongera gukuramo inda (ibi ni byinshi gato ugereranyije n'umuntu utigeze akuramo mbere).
• Indwara: Diyabete idacunzwe neza, indwara zitandukanye, cyangwa ibibazo bimwe na bimwe ku mura wawe cyangwa ku nkondo y'umura bishobora kongera ibyago byo gukuramo inda.

Vugana na muganga wawe ku byerekeye ibi bintu bishobora gutera ibyago. Azasuzuma amateka y'ubuzima bwawe maze akubwire ibyago byawe.

Ni abagore bangahe bakuramo inda? Ni izihe ngaruka zishobora kubaho buri cyumweru?

Bivugwa ko hagati ya 10% na 20% by'inda zose zizwi zirangirana n'inda . Inyinshi muri izi nda (hafi 80%) ziba mu mezi atatu ya mbere yo gutwita (ni ukuvuga mu byumweru 13). Nyuma y'ibyumweru 20, inda zitari munsi ya 5% zibaho.

Hari igihe, iki gipimo gishobora kuba kinini kurushaho iyo utekereje ku gutwita inda bikunze kubaho nyuma gato yo guterwa. Muri ibyo bihe, kuva amaraso bishobora kubaho kenshi nk'uko bigenda mu gihe cy'imihango isanzwe, bityo umuntu ashobora no kutamenya ko atwite. Ibi kandi byitwa 'gutwita hakoreshejwe imiti' .

Inkuru nziza ni uko ibyago byo gukuramo inda bigabanuka uko ugenda usaza . Bivugwa ko hafi 15% by'inda zirangira zikuramo inda. Ibyago byo gukuramo inda mu gihembwe cya kabiri (ibyumweru 13 kugeza 19) biri hagati ya 1% na 5%. Ibintu byinshi, nk'imyaka yawe n'ubuzima bwawe, bigira ingaruka kuri ibi byago. Ariko, niba nta bindi bibazo by'ubuzima ufite, ibyago byo gukuramo inda bigabanuka uko ugenda usaza.

Ni gute wamenya neza niba inda yavuyemo?

Kugira ngo wemeze ko inda yavuyemo, muganga ashobora gukora ibizamini bikurikira:

• Ultrasound: Ibi bireba niba umutima w'umwana utera cyangwa niba hari 'umuhondo w'igi', ushobora kugaragara mu ntangiriro z'uruhinja.
• Isuzuma ry'amaraso:Ibi bipima urugero rw'umusemburo witwa 'Human Chorionic Gonadotropin' (hCG) . Uyu ni umusemburo ukorwa na placenta. Urugero ruri hasi rwa hCG rushobora kwemeza ko inda yavuyemo.
• Isuzuma ry'inkondo y'umura: Ibi bireba niba umura wawe ufunguye.

Gukuramo inda bivurwa gute?

Iyo inda ivuyemo, umwana uri mu nda agomba gukurwa mu mura wawe. Iyo hari ibice by'inda bisigaye mu mubiri wawe, ushobora kwandura indwara, kuva amaraso menshi, cyangwa izindi ngorane .

Iyo inda irangiye, bivuze ko ingirangingo zose z'umwana uri mu nda zakuwe mu mura, nta bundi buvuzi bukenewe. Muganga wawe azagukorera ultrasound kugira ngo arebe neza ko nta kintu na kimwe gisigaye mu mura.

Ariko, niba umubiri wawe utarakuraho iyi ngingo yose, cyangwa niba utaratangira kuva amaraso, muganga wawe ashobora kukugira inama yo gukuraho iyi ngingo haba hakoreshejwe imiti cyangwa kubagwa.

Ubuvuzi Butari Ubwabagi

Muganga wawe ashobora kukubwira gutegereza ko umubiri wawe usohora inda. Ibi ni ukuri cyane cyane mu gihe inda yabuze. Ariko gutegereza ko inda ishira bishobora gufata iminsi myinshi. Niba atari byiza kubikora, cyangwa niba ushaka gukuramo inda vuba bishoboka, muganga wawe ashobora kuguha umuti wo gufasha inda gucika. Ubu buryo bukunze kuboneka gusa iyo wakuyemo inda mbere y'ibyumweru 10 utwite.

Nubwo inda yavuyemo itaramenyekana neza, niba ufite ibimenyetso by'inda yavuyemo, muganga wawe ashobora kukugira inama yo kuryama mu buriri iminsi mike. Ushobora kandi kurara mu bitaro kugira ngo ukurikiranwe. Iyo amaraso amaze guhagarara, ushobora gukomeza gukora imirimo isanzwe. Iyo umura wawe ufunguye, ufatwa nk'aho ari 'umura udafite ubushobozi' kandi ushobora kubagwa kugira ngo ufunge umura (byitwa 'umura wo mu kibuno') .

Ubuvuzi bwo Kubaga

Niba inda yawe itararangira, cyangwa niba urimo kuva amaraso menshi, muganga wawe ashobora kugukorera D&C (Dilation and Curettage) cyangwa D&E (Dilation and Evacuation) . Niba utwite ibyumweru birenga 10, kubagwa bishobora kuba ari bwo buryo bwonyine. Muri ubu buryo, umura wawe w'inkondo y'umura urafungurwa kandi igice cyose gisigaye cy'inda kikavanwa mu mura wawe binyuze mu gukurura cyangwa gukurura. Ubu buryo bukorerwa mu bitaro, munsi y'ikinyabutabire.

Ni ibihe bimenyetso nyuma yo gukuramo inda? Ni ryari nkwiye kujya kwa muganga?

Ni ibisanzwe kugira ibizinga no kubabara nyuma yo gukuramo inda.

Ariko, niba ubonye kimwe muri ibi bimenyetso, ugomba guhita uhamagara muganga wawe , kuko ibi bishobora kuba ibimenyetso by'ubwandu:

• Nta kibazo kuva amaraso menshi cyangwa kuva amaraso menshi cyane.
• Kurwara umuriro.
• Ubukonje.
• Ububabare bukabije cyane.

Ntugashyire ikintu icyo ari cyo cyose mu gitsina cyawe nibura ibyumweru bibiri nyuma yo gukuramo inda. Ibi bivuze kudakoresha tampons, gukora imibonano mpuzabitsina, cyangwa gukoresha intoki cyangwa ibikinisho by'imibonano mpuzabitsina muri iki gihe. Muganga wawe azaguteganyiriza gahunda yo gukurikirana kugira ngo arebe niba wakize ndetse n'ingorane zose.

Ni ibihe bipimo bikwiye gukorwa niba inda zawe zikomeje kugabanuka?

Niba warakuyemo inda inshuro zirenze eshatu zikurikiranye (ibi byitwa 'gukuramo inda inshuro nyinshi'), muganga wawe ashobora kugutegeka gupima amaraso cyangwa gupima imiterere y'umubiri. Bimwe muri ibyo birimo:

• Ibizamini bya Genetic: Mwembi, wowe n'umukunzi wawe, mushobora gupimwa amaraso, nko gusuzuma karyotyping, kugira ngo hamenyekane ko nta busembwa bwa chromosomes. Niba hari ingirangingo z'uruhinja rwavutse, rushobora no gupimwa niba nta busembwa bwa chromosomes zabayeho.
• Gupima amaraso: Gupima amaraso bishobora gukorwa kugira ngo harebwe niba hari indwara ziterwa n’ubwiyongere bw’umubiri cyangwa indwara ziterwa n’imisemburo zishobora gutera gukuramo inda.

Byongeye kandi, muganga wawe ashobora gukoresha bumwe muri ubu buryo kugira ngo asuzume nyababyeyi yawe:

• Hysterosalpingogram: Ubu buryo bukoresha irangi, nk'irya X-ray, kugira ngo usuzume nyababyeyi yawe n'imiyoboro y'inda.
• Hysteroscopy: Muri ubu buryo, muganga areba imbere mu mura akoresheje igikoresho gito cyane, kimeze nka telesikope.
• Laparoscopy: Muri ibi, muganga areba ingingo zo mu kibuno akoresheje igikoresho gikozwe mu mucyo.

Ese ushobora kongera gusama nyuma yo gukuramo inda? Bizagera ryari?

Yego, urashobora. Abagore benshi bakuramo inda (hafi 87%) bakuramo inda zisanzwe kandi bakabyara abana bazima. Kukuramo inda ntibisobanura ko ufite ikibazo cyo kubyara. Wibuke ko gukuramo inda nyinshi biterwa n'imiterere idahwitse ya chromosomes, ntabwo ari ikintu wakoze.

Umwanzuro ku gihe cyo kugerageza kongera gutwita ni ikintu wowe na muganga wawe mugomba gufata hamwe. Abagore benshi bashobora kongera gutwita nyuma y'imihango imwe "isanzwe".

Igikuru ni ugufata umwanya wo gukira ku mubiri no mu mutwe nyuma yo gukuramo inda.Ubujyanama burahari kugira ngo bugufashe guhangana n'iki kibazo. Amatsinda y'ubufasha aho ushobora kuganira ku kubura inda yavuyemo ashobora kuba isoko y'ingirakamaro kuri wowe n'umukunzi wawe. Baza muganga wawe amakuru arambuye ku bujyanama n'andi matsinda y'ubufasha. Ikirenze byose, ntukiteho icyaha cyo gukuramo inda. Fata umwanya wawe wo kubabara.

Niba warakuyemo inda inshuro eshatu zikurikiranye, baza muganga wawe ibijyanye no gupima kugira ngo umenye impamvu y’ishingiro. Ni byiza gukoresha uburyo bwo kuboneza urubyaro kugeza igihe ubonye ibisubizo by’ibyo bipimo. Muganga azasuzuma ibisubizo by’ibizamini, hanyuma akubwire ko uhagarika gukoresha uburyo bwo kuboneza urubyaro hanyuma ugerageze kongera gusama.

Ese gukuramo inda ukundi gushobora kwirindwa?

Mu by’ukuri, akenshi ntibishoboka kwirinda gukuramo inda. Niba warakuyemo inda, si uko ari wowe wabikoze kugira ngo bibe byayiteye. Ikintu cyiza wakora ni ukwita ku mubiri wawe neza. Dore bumwe mu buryo ushobora kwiyitaho:

• Kwitabira ubuvuzi bwawe bw'igihe utwite buri gihe.
• Kugumana ibiro byiza bikubereye.
• Kwirinda ibintu bishobora gutera gukuramo inda, nko kunywa inzoga no kunywa itabi.
• Gufata vitamine mbere yo kubyara.
• Gukora imyitozo ngororamubiri ihoraho no kurya indyo yuzuye.

Ni gute wakwihanganira agahinda ko gukuramo inda? ( Icya nyuma, ibuka ibi )

Gutakaza inda ni ikintu giteye ishozi, kikuzanira amarangamutima menshi n'ibibazo byinshi. Gukira mu marangamutima nyuma yo gukuramo inda akenshi biramba cyane kandi biragoye kuruta gukira ku mubiri. Fata umwanya ukeneye wo kuririra uwapfuye. Ganira n'umukunzi wawe, inshuti n'umuryango wawe ku byiyumvo byawe. Cyangwa shaka itsinda rishinzwe gufasha ababuze inda kuri interineti. Ifatanye n'abantu bagufasha, cyangwa shaka ubufasha bw'inzobere kugira ngo bagufashe guhangana n'icyo kibazo.

Gukuramo inda ni igihe giteye agahinda ku babyeyi batwite, kandi ni ibisanzwe kubabara kubera kubura. Wibuke ko gukuramo inda bidashoboka kwirindwa, kandi si ikintu kibi wakoze. Ntibivuze ko udashobora kongera kubyara, cyangwa ko uzongera gukuramo inda. Ni ibisanzwe kumva ubabaye. Shaka ubufasha mu muryango, inshuti, amatsinda y’ubufasha kuri interineti, cyangwa umujyanama wemewe. Niba uteganya kongera gutwita, vugana na muganga wawe ku bijyanye no gutwita kwawe gutaha, igihe bizabera, n'ibibazo ushobora kuba ufite.

Gukuramo inda, Gutwita, Ubuzima bw'Abagore, Ibimenyetso, Impamvu, Uburyo bwo Kuvura, Gukuramo Inda