Ese ufite ububabare buhoraho mu nda yo hasi? Ibi bishobora kuba ari indwara yo kubyimba kw'imbere mu nda (PCS)!

Ese wigeze ugira ububabare bukabije mu nda yo hasi mu gihe cy'amezi menshi? Ushobora gutekereza ko ari ibisanzwe, cyangwa ko ari imihango gusa. Ariko rimwe na rimwe bishobora kuba ikintu gikomeye kurushaho. Ibyo nibyo tugiye kuvugaho uyu munsi, byitwa Pelvic Congestion Syndrome (PCS).

Indwara yo kugabanya ingano y'ibinure mu nda (PCS) ni iki?

Muri make, Pelvic Congestion Syndrome (PCS) ni indwara ibabaza idakira iterwa n'ikibazo cy'amaraso atembera mu mitsi yo mu nda yo hasi, cyangwa mu kibuno. "Chronic" bivuze ububabare bumara amezi arenga 6 kandi ntibufitanye isano itaziguye n'imihango yawe cyangwa gutwita.

Tekereza, muri iki gihe, imitsi yo mu dusabo tw’intanga no mu kibuno ntikora neza. Iyi mitsi irushaho kuba minini (yaguka), rimwe na rimwe irahindagurika, hanyuma ikazura amaraso ikabyimba. Nk’umuvuduko w’imodoka. Iyo amaraso afatiwe ahantu hamwe, ni ukuvuga iyo 'yahujwe', utangira kumva ububabare.

Ni nde ugerwaho n'iki kibazo cyane?

Iyi ndwara ya `PCS` ikunze kugaragara cyane ku bagore bari hagati y'imyaka 20 na 45 babyaye abana barenze umwe . Byongeye kandi, hari n'ibindi bintu bishobora kuyigiraho ingaruka:

• Niba ufite imitsi iri mu bwonko.
• Niba hari umuntu wo mu muryango wawe ufite imitsi iri kumera nabi.
• Niba ufite indwara ya Polycystic Ovarian Syndrome (PCOS).

Ariko, abagore banyuze mu gihe cyo gucura ntabwo bashobora kurwara Pelvic Congestion Syndrome.

Iyi ndwara ikunze kugaragara gute?

Abagore bagera kuri 40% bajya kwa muganga w’abagore binubira ububabare budakira bwo mu nda yo hasi. Bivugwa ko hafi 30% by’aba bagore bafite indwara yo kubyimba kw’ikibuno . Ibi bivuze ko nubwo atari ikintu gikunze kubaho, gishobora kuba intandaro y’ububabare bw’ikibuno cyo hasi butari busobanuwe kuri bamwe mu bantu.

Ni ibihe bimenyetso by'indwara yo kubyimba kw'imbere mu gituza (Pelvic Congestion Syndrome)?

Ububabare bwo mu nda yo hasi buterwa na PCS bushobora gutandukana. Kuri bamwe, bushobora kuba butoroshye, bubabaza, cyangwa bukaremereye . Ni gake cyane ububabare buba bukabije kandi bukomeye.

Akenshi, ubu bubabare bugaragarira ibumoso gusa. Ariko bushobora no kumvikana iburyo cyangwa impande zombi. Ku bantu benshi, ubu bubabare butangira igihe batwite cyangwa nyuma yo kubyara. Ubu bubabare bushobora kwiyongera iyo batwite nyuma yo gutwita.

Ububabare buterwa na PCS bushobora kwiyongera cyane mu bihe nk'ibi:

• Umunsi urangiye.
• Ni mbere gato y'uko imihango yawe itangira, muri iyo minsi mike.
• Mu gihe cy'imibonano mpuzabitsina na nyuma yayo (iyi ndwara yitwa kandi `dyspareunia`).
• Bibaho iyo uhagaze cyangwa wicaye igihe kirekire (ariko bigabanuka gato iyo uryamye).

Ibindi bimenyetso bike:

• Imitsi y'imitsi igaragara mu kibuno cyawe, mu matako, mu bibero, mu gitsina no mu gitsina.
• Guhorana impiswi no kutagira impatwe (ibizwi kandi nka irritable bowel syndrome).
• Kubura inkari ku bushake iyo useka, ukorora, cyangwa ukora ibintu bishyira igitutu ku ruhago (ibi byitwa 'stress incontinence').
• Kubabara iyo uri kunyara (ibi byitwa `dysuria`).

Ni iki gitera indwara yo kubyimba kw'inyuma (Pelvic Congestion Syndrome)?

Mu by’ukuri, abashakashatsi ntibaramenya impamvu nyayo itera Pelvic Congestion Syndrome. Ariko, biragaragara ko hari ibibazo bijyanye n’amaraso atembera mu mitsi yo mu dusabo tw’intanga ndetse n’imitsi yo mu kibuno.

Ibi ni byo bikunze kubaho: Amaraso atemba azamuka ava mu mitsi iri mu kibuno cyawe, yerekeza ku mutima wawe, anyuze mu mitsi yo mu dusabo tw'intanga. Muri iyo mitsi harimo utuntu duto tumeze nk'umuryango twitwa valves . Ibi bibuza amaraso gutembera inyuma. Uku gutembera inyuma kw'amaraso byitwa 'reflux'.

Ariko ku muntu ufite `PCS`, iyi mitsi irakura kandi imitsi ntikore neza. Hanyuma amaraso atangira gutembera inyuma. Imitsi yuzura amaraso ikagira ihindagurika. Icyo gihe ni bwo amaraso yishyira mu mitsi yo mu kibuno agatera ububabare. Ubu bubabare bushobora kubaho bitewe nuko imitsi yagutse kugira ngo ijyane n'amaraso y'inyongera, cyangwa bitewe nuko imitsi yangiritse iba ikandagiye imitsi iri hafi aho.

Hari impamvu nyinshi zituma imiterere y'imitsi ihinduka muri 'PCS':

• Gutwita: Inyigisho imwe ivuga ko ibi bifitanye isano n'impinduka mu mitsi y'amaraso mu gihe cyo gutwita. Uko umwana akura mu nda, imitsi y'amaraso irakura ho 50% by'ingano yayo isanzwe kugira ngo ishobore guhangana n'amaraso menshi umwana akeneye. Izi mpinduka zishobora kwangiza inkuta z'imitsi y'amaraso igihe kirekire. Hanyuma imitsi ishobora gukomeza kwaguka ndetse na nyuma y'uko umwana avutse.
• Estrogen: Kubera ko abagore bamaze gucura badakunze kugira ikibazo cyo kubyimba kw'ikibuno, bikekwa ko estrogen ishobora kugira uruhare. Igipimo cya estrogen kiragabanuka nyuma yo gucura. Estrogen igira ingaruka ku nkuta z'imitsi y'amaraso, bigatuma imitsi yawe irushaho kwibasirwa n'intege nke zitera PCS.

Ku rugero runini, `PCS` ni ingaruka z'ibintu byinshi bifitanye isano.

Ni gute indwara yo kugabanuka kw'ibyimbirwe by'imbere mu gituza (PCS) ipimwa?

Iyo ugiye kwa muganga, abanza kukubaza amateka y'ubuzima bwawe n'ibimenyetso by'uburwayi bwawe. Hanyuma azakora isuzuma ry'umubiri, rishobora kuba ririmo isuzuma ry'ikibuno. Muganga azasuzuma intanga zawe, inkondo y'umura, na nyababyeyi kugira ngo amenye neza aho ububabare buturuka.

Ibizamini byo gupima indwara bishobora gufasha mu gukuraho izindi ndwara zishobora gutera ububabare buhoraho mu nda yo hasi no kureba niba hari ibitagenda neza mu mitsi ishobora kuba ifite PCS. Ibi bizamini birimo:

• Ultrasound: Akenshi ikintu cya mbere muganga wawe azagutegeka ni ultrasound. Ibi bishobora gusuzuma ko imitsi yagutse. Bishobora kandi gufasha kumenya niba hari ibindi bintu bishobora gutera ububabare. Doppler feature ya ultrasound ishobora no gusuzuma ko amaraso atembera mu mitsi yawe.
• MRI cyangwa CT scan: MRI (Magnetic Resonance Imaging) cyangwa CT (Computed Tomography) scan ishobora kwerekana utuntu duto tw’imitsi ishobora kubura muri ultrasound. Ishobora kwerekana imitsi igoramye n’ikura ry’imitsi mu dusabo tw’intanga no mu kibuno neza kurusha ultrasound. Ishobora kandi kwerekana niba hari ibyimbirwa bidasanzwe mu kibuno bishobora gutera ubundi bubabare bw’igihe kirekire, nka endometriosis.
• Gupima imitsi yo mu kibuno: Iki gipimo gifatwa nk'icyitegererezo cyiza cyo gusuzuma PCS. Ariko, ni ikizamini kigoye, bityo gikunze gukorwa iyo ibindi bizamini bitarafatwaho umwanzuro. Hari igihe muganga wawe ashobora gukoresha iki kizamini mbere yo kubagwa imitsi yawe. Muri venography yo mu kibuno, muganga wawe ashyiramo umuyoboro muto witwa catheter mu mutsi uri mu ijosi cyangwa mu kibuno. Hanyuma akoresha X-ray kugira ngo ayobore umuyoboro ku miyoboro yawe y'iburyo n'ibumoso. Hanyuma haterwa irangi ryizewe mu mutsi. X-ray yerekana imitsi neza. Iyi venography ishobora kwerekana aho imitsi iri, aho iri nini, igoramye, uko amaraso atembera, n'aho amaraso yishyize hamwe.
• Laparoscopy: Laparoscopy ishobora gusuzuma imitsi yagutse. Ariko, ishobora kutagira akamaro nk'ibindi bizamini mu gusuzuma ibibazo by'amaraso ajyanye na PCS. Muganga wawe ashobora kandi gukora laparoscopy kugira ngo yemeze izindi ndwara zishobora gutera ububabare mu nda yo hasi, harimo na PCS. Ibi bikubiyemo gukata uduce duto mu nda yawe no gushyiramo kamera kugira ngo usuzume ingingo z'imyororokere yawe.

Ikintu cy'ingenzi:Gusuzuma indwara yo kubyimba kw'ikibuno rimwe na rimwe bishobora kugorana, kuko abantu benshi badafite ububabare bw'ikibuno bagira impinduka zimwe n'iz'ababufite. Ubushakashatsi bwagaragaje ko abantu bafite ububabare bw'ikibuno n'abatabufite bashobora kugira impinduka mu mitsi no gusubira inyuma kw'amaraso.

Nubwo ibizamini byawe byagaragaza ko imitsi yawe yagutse, ushobora kudakenera kuvurwa keretse ufite ububabare bw'igihe kirekire.

Indwara yo kugabanya ububabare mu nda y'imbere ikunze kugaragara nyuma y'uko izindi mpamvu zose zishobora gutera ububabare mu nda yo hasi zivuyeho.

Ese indwara yo kubyimba kw'imbere mu gituza (PCS) ishobora kuvurwa? Ese ishobora kwirindwa?

Nta muti uhari wa Pelvic Congestion Syndrome, ariko hari imiti n'uburyo bwo kuvura bushobora kugufasha kugabanya ibimenyetso no kugabanya ububabare.

Nanone, nta buryo bwo kwirinda iyi 'Pelvic Congestion Syndrome'.

Ni ubuhe buryo bwo kuvura indwara yo kubyimba kw'imbere mu gituza (Pelvic Congestion Syndrome)?

Ushobora kubonana n'abaganga batandukanye kugira ngo bagufashe kuvurwa. Urugero, inzobere mu ndwara z'abagore, inzobere mu ndwara zo mu nda (GI), inzobere mu bubabare, n'inzobere mu buvuzi bw'umubiri. Muganga wawe cyangwa itsinda ry'abaganga bashobora kukugira inama yo kugabanya ibimenyetso mbere yo kukugira inama yo kubagwa.

Imiti

Imiti igabanya ikorwa rya estrogen ishobora gufasha kugabanya ububabare buterwa na Pelvic Congestion Syndrome. Muri yo harimo:

• "Medroxyprogesterone acetate (Depo-Provera®)"
• "Etonogestrel implant (Implanon®)"
• `Agonists za GnRH` (urugero: Goserelin)

Uburyo bwo Kwakira

Niba imiti idakuraho ibimenyetso byawe, muganga wawe ashobora kukugira inama yo kugufasha muri ubu buryo:

• Kuvura imitsi y'intanga ngore cyangwa sclerotherapy: Ubu buryo bukubiyemo kuziba imitsi ituma amaraso asubira inyuma bigatuma amaraso yishyira hamwe. Ubwa mbere, muganga ashyira catheter mu mitsi y'intanga ngore ifite ikibazo no mu mitsi yo mu kibuno. Hanyuma, imiti iterwa muri catheter kugira ngo ikaze cyangwa itwike imitsi maze igabanuke. Udupira duto tw'icyuma, kole zidasanzwe, cyangwa ifuro nabyo bishyirwa muri iyo mitsi kugira ngo amaraso adasubira inyuma (reflux).
• Laparoscopy: Muganga ashobora gukora uburyo bwa laparoscopy kugira ngo afunge imitsi kugira ngo amaraso adatembera inyuma.
• Kubaga kwa salpingo-oophorectomy hagati y’imitwe ibiri:Niba wararangije kubyara, cyangwa niba utifuza kubyara, muganga wawe ashobora gufata icyemezo cyo gukuramo ibice byo mu kibuno cyawe (inda, imiyoboro y'inda, n'intanga ngore). Ariko, ubu buryo bwo kubaga ntibukunze gukorwa kuri PCS.

Ese indwara yo kuzura kw'inyuma (PCS) ishobora gushyira ubuzima mu kaga? Ni iki wakwitega?

Indwara yo kugabanya ububabare mu nda ntabwo ari indwara ishobora gushyira ubuzima mu kaga . Ariko, bitewe n'uburemere bw'ububabare bwawe, bushobora kuba bukomeye cyane ku buryo bubangamira ubuzima bwawe bwa buri munsi kandi bukakubuza gukora ibintu ukunda. Niba rero ububabare bwo mu nda yo hasi bugira ingaruka ku mibereho yawe, ni ngombwa kubonana na muganga.

Nubwo nta buryo busanzwe bwo kuvura indwara yo kubyimba kw'ikibuno, ibisubizo by'uburyo bwo kugabanya ububabare ni byiza cyane . Urugero, 75% by'abantu bahura n'ikibazo cyo kugabanya imitsi yo mu miyoboro y'intanga ngabo bagabanya ububabare. Muri ibyo bihe, iyi ndwara igaruka mu bantu bake gusa, bagera kuri 5%.

Ni ibihe bibazo ngomba kubaza muganga?

Iyo ugiye kwa muganga, ni byiza kubaza ibi bibazo:

• Ni inzobere zingahe nzakenera kubonana nazo kugira ngo menye niba indwara irahari cyangwa nyivure?
• Ni iyihe miti utanga inama yo kugabanya ibimenyetso?
• Ni ryari nagirwa inama yo kwivuza kugira ngo menye neza ibimenyetso byanjye?
• Ni ubuhe bwoko bw'ubuvuzi usaba?
• Ni izihe ngaruka zishobora guterwa n'ubwo buryo bw'ubuvuzi?

Bishobora gufata igihe kugira ngo umenye impamvu nyayo y'ububabare bwo mu nda yo hasi. Mu by'ukuri, hari indwara nyinshi zishobora gutera ububabare mu kibuno. Gusuzuma indwara yawe ya 'PCS' bishobora gusaba ibizamini byinshi, kandi ushobora gukenera gukorana n'inzobere nyinshi. Inkuru nziza ni uko akenshi ibimenyetso bishobora kugenzurwa n'imiti. Nubwo imiti idakora, muganga wawe ashobora kukugira inama yo kuvura ishobora kugufasha. Rero, ntutinde gushaka ubuvuzi no kubona ubutabazi.

Ubutumwa bwa nyuma bwo kujyana mu rugo

Rero, `Pelvic Congestion Syndrome` ntabwo ari ikibazo gikomeye cyangwa ngo gishyire ubuzima mu kaga nkuko wabitekereza. Ariko, ububabare bw'igihe kirekire butera bushobora kuba inzitizi ikomeye ku buzima bwawe bwa buri munsi ndetse n'ibyishimo byawe.

• Niba umaze amezi menshi wumva ububabare budasanzwe, kuremererwa, cyangwa gukurura inda yo hasi, icy'ingenzi ni ukugisha inama kwa muganga utirengagije gusa.
• Bishobora gufata igihe kugira ngo hamenyekane impamvu, kandi hashobora gukenerwa ibizamini byinshi. Ariko iyo ubonye igisubizo gikwiye, ushobora kubona ubutabazi mu kuvura.
• Wibuke ko utari wenyine. Abagore benshi bahura n'ibi bibazo. Uramutse uhawe ubuyobozi n'ubufasha bukwiye n'abaganga, ushobora kwihanganira iki kibazo no kubaho neza.

Rero, tega amatwi umubiri wawe. Niba wumva ikintu gitandukanye cyangwa kidasanzwe, komeza ubyitondere. Icyo gihe ni bwo dushobora kugira ubuzima bwiza n'ibyishimo.

` Indwara yo kugabanya umubyimba mu gifu, ububabare bwo mu nda yo hasi, imitsi iri mu nda, ububabare bwo mu kibuno, ubuzima bw'abagore, indwara z'abagore, gutembera kw'amaraso, PCS