Ibyishimo ugira iyo umenye ko utwite birarenze. Ariko nanone, wumva ufite ubwoba gato, si byo se? Ese ibintu byose bizagenda neza kandi umwana azaba ameze neza? Akenshi, ibintu byose bigenda neza. Ariko rimwe na rimwe, tugomba guhura n'ibintu tutari twiteze, bikomeye kurushaho. Kimwe mu bintu nk'ibi gisaba ubuvuzi ni ugutwita inda itarabyara. Nubwo iki ari ikibazo giteye ubwoba gato, ni ngombwa cyane ko ubimenya.
Mu magambo make, gutwita mu gihe cyo gutwita ari mu nda ni iki?
Igikunze kubaho ni uko igi ry’intanga ngore rifata ku rukuta rw’umura wawe, aho rikura buhoro buhoro rikaba umwana. Ni nko gutera ikimera mu butaka bwiza. Umura ni ahantu heza ho kugitera.
Ariko, mu gihe cyo gutwita "Ectopic Pregnancy", igi riterwa n'intanga rishyirwa ahantu hatari muri nyababyeyi. Ibi birenga 90%, biba mu "Fallopian tube". Kubwibyo, iyi ndwara yitwa "Tubal pregnancy". Byongeye kandi, urusoro rushobora gutera ahantu nka "Ovary", "Abdominal cavity" cyangwa "Cervix".
Icy'ingenzi ni uko uruhinja rwashyizwe hanze y'umura rudashobora kubaho cyangwa ngo rukure rube umwana muzima . Kubera ko rudahabwa amaraso, umwanya, n'indyo rukeneye hanze y'umura, ibi birangira ruvuyemo inda ('Gutakaza inda').
Iyo iki kibazo kitamenyekanye kandi kikavurwa hakiri kare, urugingo (akenshi umuyoboro w’inda) aho uruhinja rwashyizwe rushobora gucika (gucika). Ibi bibaye, bishobora gutera kuva amaraso menshi imbere ndetse bikaba byanashyira ubuzima mu kaga. Kubwibyo, ni ngombwa cyane kubimenya.
Ni ibihe bimenyetso by'iyi ndwara?
Mu ntangiriro, ibimenyetso byo gutwita hanze y'igitsina bisa cyane n'iby'imibonano mpuzabitsina isanzwe. Ushobora kubura imihango yawe, ukagira ububabare mu ibere, kandi ukumva umerewe nabi mu nda. Bityo rero bishobora kugorana kubimenya mu ntangiriro.
Ariko, ibimenyetso byihariye bikunze kugaragara hagati y'ibyumweru 4 na 12.
| Ibimenyetso bya mbere | Ibisobanuro |
|---|---|
| Kuva amaraso mu gitsina | Bishobora kuba bitandukanye no kuva amaraso mu gihe cy'imihango bisanzwe, kandi bishobora kuza mu buryo bw'umukara woroheje. |
| Ububabare bwo mu nda yo hasi | Ushobora kugira ububabare bukabije kandi bwiyongera ku ruhande rumwe rw'igifu cyawe. |
| Kuzungera no kugira intege nke | Ushobora kugira isereri giturumbuka cyangwa ukumva ufite isereri. |
| Kubabara ku rutugu | Iki ni ikimenyetso kidasanzwe. Iyo hari amaraso mu nda, imitsi ishobora gukangurwa no kuyumva nk'ububabare mu gice cy'urutugu. |
| Kuruka no kugira isesemi | Kuruka bishobora kujyana no kubabara mu gifu. |
| Menya ikibazo cyihutirwa (Gutwita kwa Ruptured Ectopic)! | |
Iyo umuyoboro w'inda uturitse, ni ikibazo gikomeye gishobora guhita gihita gipfa . Niba ufite ibi bimenyetso, jya mu cyumba cy'ubutabazi bw'ibanze cy'ibitaro (ETU) vuba cyangwa uhamagare imbangukiragutabara.
| |
Kuki ibi bibaho? Ni ibihe bintu bishobora gutera ibyago?
Akenshi biragoye kubona impamvu yihariye ibitera. Ariko, impamvu nyamukuru ishobora kuba ari uko umuyoboro w'inda wangiritse mu buryo runaka, bigatuma igi ry'intanga ngore ritagera mu mura bigorana.
Ushobora kuba ufite ibyago byinshi byo gutwita hanze y'inyuma y'imibonano mpuzabitsina niba:
- Iyo unywa itabi: Kunywa itabi bishobora kwangiza imikorere y'imiyoboro y'inda .
- Niba ufite imyaka irenga 35.
- Niba warigeze kugira indwara zandurira mu mibonano mpuzabitsina (STIs) mu bihe byashize: Indwara zandurira mu mibonano mpuzabitsina, cyane cyane chlamydia, zishobora kwangiza inkuta zoroshye z'imiyoboro y'inda ibyara ndetse zigatera inkovu.
- Niba warabazwe mu nda cyangwa mu kibuno: Urugero, kubagwa appendix cyangwa kubagwa ubwicanyi rimwe na rimwe bishobora gutera inkovu imbere.
- Niba warigeze gusama inda itarabyara mbere: Niba warigeze kuyisama, ibyago byo kongera kuyisama ni byinshi.
- Niba warigeze guterwa imiyoboro y'amaraso nk'uburyo bwo kuboneza urubyaro cyangwa niba warabazwe kugira ngo bihinduke.
- Niba warigeze kuvurwa uburyo bwo kubyara nka IVF.
- Iyo utwite ukoresheje uburyo bwo kuboneza urubyaro nka IUD, hari amahirwe menshi ko gutwita bizavamo gutwita hanze y'inyuma y'imibonano mpuzabitsina.
- Niba ufite indwara yitwa "Endometriosis": Muri iyi ndwara, ingirangingo zisa n'iziboneka mu mura zikurira hanze ya nyababyeyi. Ibi bishobora no gutuma imiyoboro y'inda ifungana.
Ubibona ute, Muganga?
Niba ufite kimwe mu bimenyetso byavuzwe haruguru, muganga wawe azagusuzuma. Ibipimo bikurikira bikunze gukorwa:
1. Isuzuma ry'ikibuno: Isuzuma ububabare n'ingano y'umura.
2. Isuzuma ry'amaraso: Ibi bipima urugero rw'umusemburo wo gutwita `hCG` (`horionic gonadotropin y'umuntu`). Mu gihe cyo gutwita mu gihe cy'inda, urugero rw'uyu musemburo rushobora kuba ruri hasi ugereranije n'igihe cyo gutwita gisanzwe, cyangwa ntirwongere vuba uko byari byitezwe.
3. Gupima hakoreshejwe ikoranabuhanga rya Ultrasound: Iki ni cyo kizamini cy'ingenzi cyane. Ibi bituma muganga areba niba agasabo ko gutwita kari imbere cyangwa hanze ya nyababyeyi. Hari igihe, uretse gupima gakorerwa hejuru y'inda, gupima hakoreshejwe ikoranabuhanga rya transvaginal scan nabyo bishobora gukorwa, kuko bituma imiyoboro y'inda n'intanga ngore bigaragara neza.
Ivurwa ite?
Kubera ko gutwita hanze y'umura bidashobora gukurira hanze y'umura kandi bigateza ibyago ku buzima bw'umubyeyi, ni ngombwa gukuramo umwana uri mu nda. Hari uburyo bubiri bw'ingenzi bwo kubigeraho. Muganga wawe azagena uburyo bwiza bwo kuvura hashingiwe ku miterere yawe, imikurire y'umwana uri mu nda, ndetse no niba umuyoboro w'inda waracitse cyangwa utaraturika.
1. Kuvura hakoreshejwe imiti
Iyo iki kibazo kigaragaye hakiri kare, umuyoboro w’inda utaracitse kandi urugero rwa hCG ruri munsi y’urugero runaka, umuti witwa methotrexate ushobora gutangwa nk'urushinge. Uru rushinge ruhagarika gukura kw'uturemangingo tw'umwana uri mu nda. Hanyuma, mu byumweru 4-6, umubiri wawe winjiza utuntu twonyine. Ubu buryo ntibusaba kubagwa. Ariko, muganga azagukurikirana kugeza igihe urugero rwa hCG rugabanutse burundu rugera kuri zeru.
2. Ubuvuzi bukorwa hakoreshejwe uburyo bwo kubaga
Mu bindi bihe, kubagwa birakenewe.
- Laparoscopy: Ubu ni bwo buryo bukunze gukoreshwa cyane. Nanone bwitwa "kubaga imyobo y'urufunguzo." Hakorwa uduce duto cyane mu nda yo hasi, hanyuma hagashyirwamo umuyoboro muto ufite kamera kugira ngo hakurwemo urusoro rwa "ectopic". Iyo umuyoboro w'inda wangiritse, ushobora gukurwamo hamwe n'umuyoboro.
- Laparotomy: Kubagwa byihutirwa bikorerwa mu gufungura inda mu gihe umuyoboro w'inda wacitse kandi amaraso menshi akava.
Ushobora kumva unaniwe kandi ukagira ikibazo cyo mu nda mu byumweru bike nyuma yo kuvurwa. Ugomba kwiha umwanya wo gukira haba ku mubiri no mu mutwe.
Nyuma y'iki gihe ...
Gutwita inda itarabyara ni ikintu kibabaza cyane, haba ku mubiri no mu byiyumvo. Agahinda ko kubura umwana gashobora kugorana kwihanganira. Ni ngombwa cyane kubiganiraho n'umugabo wawe, umuryango wawe, cyangwa inshuti yawe wiringira. Niba bibaye ngombwa, ntutindiganye gushaka ubufasha bw'umujyanama w'inzobere.
Mbere yo kugerageza kongera gusama, ugomba guha umubiri wawe umwanya wo gukira. Ubusanzwe abaganga bagusaba gutegereza byibuze amezi 3. Vugana na muganga wawe kugira ngo agufashe umwanzuro w'igihe cyiza kuri wewe. Niba wakuwemo umuyoboro umwe w'inda ariko undi muyoboro ukaba umeze neza, ushobora kongera gusama bisanzwe. Vugana na muganga wawe kuri ibyo kandi.
Ubutumwa bwo kujyana mu rugo
- Gutwita mu nda ni indwara ikomeye aho umwana uri mu nda yinjirira hanze y'umura, bityo ikaba isaba ubufasha bwihuse kwa muganga.
- Ibimenyetso bya mbere bishobora gusa n'iby'inda isanzwe, ariko hangayikishwa cyane n'amaraso adasanzwe ava mu gitsina, ububabare bukabije ku ruhande rumwe rw'inda, no kuzerera.
- Niba ugize ububabare butunguranye kandi budashobora kwihanganira mu nda, kuva amaraso menshi, cyangwa guta ubwenge,Jya mu Ishami ry’Ubuvuzi bw’Ingoboka (ETU) ry’ibitaro ako kanya.
- Hari uburyo bwo kuvura. Iyo igaragaye hakiri kare, iyi ndwara ishobora gukemurwa n'imiti cyangwa kubagwa.
- Ni ibisanzwe kumva ubabaye kandi wihebye kubera iki kibazo. Ntugapfuke ibyo byiyumvo. Vugana na muganga wawe, kandi nibiba ngombwa, vugana n'umujyanama mu by'ubuzima bwo mu mutwe, kugira ngo akufashe.
💬 Comments (0)
Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha
Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.