Ese nawe watakaje uburumbuke bwawe nta mpamvu igaragara? (Ubugumba budasobanutse) Reka tubiganireho!

Ese wowe n'umugabo wawe/umugore wawe mwarose kubyara umwana, ariko ntimurabasha gusohoza iyo nzozi? Hari igihe, ndetse no nyuma yo gukora ibizamini byose, ndetse n'abaganga ntibashobora kuvuga neza bati: "Iyi ni yo mpamvu." Ni bwo tuvuga kuri iyi ndwara yitwa "ubugumba budafite ishingiro." Uyu ni umutwaro ukomeye cyane, ariko reka tubiganireho birambuye, sibyo?

Ubugumba budafite ibisobanuro ni iki?

Mu magambo make, kutabyara bitasobanuwe ni igihe nta mpamvu yumvikana y’uburwayi itera ingorane zo gutwita kwawe n’uwo mwashakanye. Mbere yuko ubikora, muganga wawe azakora ibizamini byose kugira ngo amenye uburumbuke bwawe. Akenshi, ibi bizamini byemeza ibi bikurikira:

• Nta kibazo cyangwa ibibazo by’imiterere y’umura wawe bihari .
• Gusohora ovulation bibaho mu bihe bitandukanye .
• Imiyoboro yawe y'inda irafunze kandi irafunguye .
• Ubwishingizi bw'intanga zawe ni bwiza .
• Imisemburo ikenewe mu kororoka ikorerwa mu bwonko bwawe .
• Isesengura ry'amasohoro y'umukunzi wawe ( umubare w'intanga , ingano, ingendo, n'imiterere) ni ibisanzwe rwose .

Nubwo ibi byose byaba bikwiye, niba uri munsi y'imyaka 35 kandi ukaba utarashobora gusama nibura umwaka umwe cyangwa amezi atandatu niba urengeje imyaka 35, abaganga babyita "ubugumba budasanzwe." Tekereza nawe, rimwe na rimwe iyo tugiye gushaka imiti y'indwara, abaganga bakora ibizamini byinshi, si byo se? Ibi ni bimwe. Bagerageza byose, ariko ntibabasha kubona umuzi w'ikibazo. Birababaje gato, ariko si iherezo ry'isi.

Iyi ndwara ikunze kugaragara gute?

Biragoye kuvuga neza uburyo ibi bikunze kugaragara. Kuko icyo umuganga umwe abona ko ari "cyuzuye" ku bipimo by'uburumbuke gishobora gutandukana bitewe na muganga. Ibyo bivuze ko hari itandukaniro rito mu buryo ibizamini bikorwamo, bityo imibare ishobora kuba idasobanutse neza. Raporo imwe ivuga ko hafi 10% by'abashakanye bagerageza gutwita bashobora kugira ubu bumuga budasobanutse. Ibyo bivuze ko ibizamini byabo byose ari ibisanzwe. Ariko, izindi raporo zivuga ko uyu mubareBishobora kugera kuri 30% . Rero, iki si ikintu kitazwi.

Ese birashoboka kubyara umwana nubwo nta bugumba buzwi?

Yego, urashobora! Iyi ni yo nkuru nziza naguha. Kuba warafashwe n'indwara yo "kutagira ubugumba busobanutse" ntibivuze ko ugomba gutakaza icyizere. Ubushakashatsi bwakozwe n'Ikigo cy'Igihugu cy'Ubuzima (NIH) bwagaragaje ko 92% by'abashakanye bafite ubugumba budasanzwe babyaye umwana nyuma yo kuvurwa indwara zo kutagira ubugumba. Ibyo bivuze ko hakiri amahirwe menshi ko inzozi zawe zizasohora.

" Ubugumba budafite ishingiro" ntibisobanura ko udashobora kubyara. Bisobanura gusa ko ugomba kugerageza mu buryo butandukanye.

Ese koko nta mpamvu? Ni izihe mpamvu zihishe zishobora kuba zitera ibi?

Nubwo bivugwa ko "impamvu idasobanutse neza," rimwe na rimwe haba hari impamvu. Ariko, iyo mpamvu ishobora kuba ikintu kidashobora gupimwa cyangwa ngo kimenyekane mu bizamini biriho ubu. Cyangwa, ishobora kuba ikintu kidasobanutse neza ku buryo kitamenyekana. Reka turebe zimwe mu mpamvu zishobora kuba:

Indwara idasobanutse neza kandi idashobora gupimwa neza

Abashakashatsi baracyari kwiga uburyo indwara zimwe na zimwe zigira ingaruka ku burumbuke. Urugero, indwara ya Celiac (allergie ya gluten), diyabete, n'indwara ya tiroyide byose bishobora kugira ingaruka ku burumbuke. Ushobora kuba ufite imwe muri izi ndwara, ariko ishobora kutamenyekana neza.

Indwara ya endometriosis

Endometriosis ni indwara aho ingingo zisanzwe zikurira mu mura (endometrium) zikurira hanze ya nyababyeyi. Nubwo byaba ari bike cyane, ibi rimwe na rimwe bishobora gutera ubugumba. Kugira ngo umenye neza niba ufite endometriosis cyangwa utayifite, ugomba kubagwa (nk'ikimenyetso cya laparoscopy). Nubwo nta bimenyetso ufite, iyi ndwara ishobora kugira ingaruka ku burumbuke bwawe.

Ibibazo by'urumogi rw'inkondo y'umura

Mu gihe cyo gutanga ovulation , ururenda rw'inkondo y'umura rufasha intanga ngabo guhura n'igi. Iyo uru rurenda rubaye runini cyane, cyangwa niba rurimo ibice bimwe na bimwe, intanga ngabo zishobora kutabasha kunyura mu mura w'inkondo y'umura zijya mu mura w'umura.

Ubwiza bw'igi

Abaganga bashobora gukoresha ultrasound kugira ngo barebe uduce tw’intanga zawe no gupima umubare w’amagi ufite. Ariko, ultrasound ntishobora kumenya ubwiza bw’ayo magi. Nubwo ibizamini by’amaraso na ultrasound bishobora kuguha ishusho y’ubwiza bw’amagi yawe, biragoye kubivuga neza.

Ireme ry'intanga ngabo

Nk'uko bimeze mu magi,Isesengura ry'amasohoro rishobora kugaragaza ibibazo byinshi ku ntanga. Ariko, hari igihe ibindi bibazo bitoroshye ku ntanga bishobora gutera ubugumba budasanzwe.

Ibibazo ku gice cy'imbere cy'umura (Endometrium)

Endometrium ni urwego rw'imbere mu mura wawe. Intanga y'uburumbuke iraterana ikamera mu rusoro muri uru rwego. Ubusembwa bwa luteal phase ni indwara aho endometrium iba idakomeye bihagije cyangwa idateguye bihagije kugira ngo yakire igi ry'uburumbuke. Ibi nibibaho, nubwo igi ry'uburumbuke ryaba ritashobora guterana mu mura. Gutwita ntibizabaho.

Igihe kidahuye cyo gukora imibonano mpuzabitsina

Hari igihe imibonano mpuzabitsina ikorwa inshuro nyinshi, cyangwa igihe cyo kuyikora, bishobora kudahura n'igihe cyo kuyikora. Ibi bishobora gusa nkaho ari ikintu gito, ariko bishobora kugira ingaruka ku mahirwe yawe yo gusama. Hari igihe bishobora kubaho nta mpamvu igaragara, cyangwa impamvu ikaba igoye kuyibona cyangwa kuyivura. Hari ibintu byinshi bigomba kugenda neza kugira ngo umwana asamwe. Iyo hari ikintu gito kidakora neza muri iyo nzira, byose bishobora kugenda nabi. Ariko inkuru nziza ni uko abashakashatsi bahora bashaka uburyo bushya bwo gusuzuma ibibazo by'uburumbuke bijyanye n'ibintu nk'ubwiza bw'igi, imikorere y'ingingo z'imyororokere, n'imikorere y'intanga ngabo.

Ni gute wamenya neza iyi ndwara?

Si indwara zose zo kutabyara zishobora kugaragara hakoreshejwe ikizamini kimwe. Nanone, nta kizamini gifite ukuri 100% (urugero, ibintu bidasanzwe bishobora kutagaragara). Dukurikije Ishyirahamwe ry’Abanyamerika ry’Ubuvuzi bw’Imyororokere (ASRM), gupima uburumbuke bigomba kuba bikubiyemo:

• Isuzuma ry'amateka yuzuye y'ubuvuzi n'imibonano mpuzabitsina .
• Gukora isuzuma ry'umubiri .
• Gupima amaraso kugira ngo harebwe urugero rw'imisemburo .
• Gusuzuma ingingo zawe z'imyororokere, nk'intanga zawe, imiyoboro y'inda, na nyababyeyi . Ibi bishobora gusaba gupimwa hifashishijwe ikoranabuhanga rya ultrasound cyangwa ibizamini bigezweho nka hysterosalpingogram cyangwa laparoscopy .
• Isesengura ry'amasohoro y'umufatanyabikorwa.
• Isuzuma ry'intanga ngore .
• Kureba niba ovulation yawe igenda neza.

Iyo inzobere mu by’uburumbuke cyangwa inzobere mu by’abagore ikoze ibi bizamini byose ariko ntibone impamvu isobanutse neza, icyo gihe byitwa "uburumbuke budasobanutse." Wibuke ko uburyo bwo gupima bwa buri muganga bushobora gutandukana gato. Kubwibyo, niba ubonye isuzuma nk'iri, nta kibazo kirimo kubona "igitekerezo cya kabiri" kivuye ku wundi muganga.

Ni ubuhe buryo bwo kuvura buhari?

Kubera ko umuganga wawe ashobora kuba adashobora kumenya impamvu imwe itera ubugumba bwawe, ashobora kukugira inama yo kuvura akurikije ibisubizo by'ibipimo byawe by'uburumbuke ndetse n'uburambe bwe mu kuvura abashakanye basa. Byongeye kandi, ibintu nk'igihe wifuza gutangira kuvurwa n'imyaka yawe nabyo bizagira uruhare. Ubuvuzi bukunze kugirwa inama buri muri ibi byiciro:

Ikoranabuhanga ry’imyororokere rifashijwe (ART)

Ubuhanga bwo kubyara bufashijwe (ART) ni uburyo bwo kuvura uburumbuke aho igice cy'uburyo bwo gutera intanga gikorerwa muri laboratwari. Ibi birimo nko gutera intanga mu nda (IUI) no gutera intanga mu nda (IVF) .

• Muri IUI , intanga zigezwa mu ivuriro hanyuma zigashyirwa mu mura wawe mu gihe cyo gutanga intanga.
• IVF ikubiyemo gukora intanga muri laboratwari hakoreshejwe amagi yawe n'intanga z'umukunzi wawe (cyangwa iz'uwaguhaye), hanyuma zigashyirwa mu mura wawe kugira ngo zikure. Akenshi, IVF ikubiyemo uburyo bwitwa Intracytoplasmic Sperm Injection (ICSI) . Ibi bikubiyemo gutera intanga mu gi. ICSI ishobora kongera amahirwe yo gutwita mu gihe ubwiza bw'intanga bufatwa nk'intandaro y'ubugumba budasanzwe.

Ubwoko bw'imiti

Imiti itera ovulation no gutanga ovulation nayo ni ingirakamaro cyane. Iyi miti ishobora gukoreshwa yonyine cyangwa hamwe n'imiti ya IUI na IVF. Imiti ikoreshwa cyane ni gonadotropins na clomiphene (Clomiphene - Clomid®) . Hari abaganga banatanga umuti w'uburumbuke witwa letrozole (Femara®) , ariko iyi ni ikoreshwa ritari iry'ingenzi. Gonadotropins ikubiyemo imisemburo yongera umusaruro w'intanga kandi ikoreshwa no kuvura umubare muto w'intanga ngabo. Clomiphene kandi itera imbaraga intanga ngore gukora intanga nyinshi. Muganga wawe azagusaba uburyo bukwiye bitewe n'uko umeze. Ariko, ibuka ko mu gihe ukoresha iyi miti y'uburumbuke, intanga zirenze imwe zishobora kurekurwa mu kwezi kumwe. Ibyo nibibaho, hari amahirwe menshi yo kubyara abana barenze umwe (nk'impanga).

Impinduka mu mibereho

Ingeso zimwe na zimwe zo kubaho zishobora kugira ingaruka ku burumbuke. Dore bimwe mu bintu ushobora gukora kugira ngo wongere amahirwe yo gusama:

• Irinde burundu kunywa itabi, kunywa inzoga n'ibiyobyabwenge.
• Komeza kugira ibiro byiza by'umubiri.
• Kurya indyo nziza kandi yuzuye.
• Gerageza gukora siporo nibura iminota 30 ku munsi.
• Gabanya kunywa kafeyine (icyayi, ikawa).
• Gerageza kugabanya stress yawe .

Witondere igihe cyo gukora imibonano mpuzabitsina.

Hari igihe gito cyane mu mihango yawe igihe ushobora gusama. Muganga wawe ashobora kugufasha kumenya iki gihe. Ibi bishobora gukorwa ukurikirana ubushyuhe bw'umubiri wawe, ushushanya ukwezi kwawe, cyangwa ukoresheje ibikoresho byo gusohora ovulation . Hari abaganga bashobora kandi kuvuga bati: "Gerageza igihe kirekire." Iyi ishobora kuba gahunda yo kuvura igoye kumva, cyane cyane niba uri umuntu urota gushinga urugo vuba bishoboka. Ariko, hari igihe ikibazo gikemuka ubwacyo kandi ubuvuzi bushobora kuba budakenewe. Ariko, nta kibi kirimo kubaza undi muganga niba ubishaka, cyangwa gutangira kuvura uburumbuke vuba aho gutinda.

Ese hari uburyo bwo gukumira ibi?

Nubwo hari ibintu ushobora gukora kugira ngo wongere amahirwe yo gusama, hari ibintu bimwe na bimwe tudashobora kugenzura bigira ingaruka ku burumbuke. Bimwe mu bintu ushobora kugenzura ni ibi bikurikira:

• Uburemere: Komeza kugira ibiro byiza by'umubiri bikubereye.
• Kunywa itabi n'inzoga: Irinde kunywa itabi no kunywa inzoga nyinshi.
• Amateka y'imibonano mpuzabitsina: Koresha agakingirizo kugira ngo wirinde indwara zandurira mu mibonano mpuzabitsina (STIs) .

Vugana na muganga wawe ku bibazo byawe by'uburumbuke kugira ngo agufashe kugufasha gukurikiraho.

Ni bangahe bashakanye badafite ubugumba busobanutse batwita?

Ubushakashatsi bumwe bwagaragaje ko hafi 43% by'aba bantu batwite batabonye uburyo bwo kubyara. Ibyo bivuze ko rimwe na rimwe bishobora kubaho ubwabyo.

Ni ibihe bibazo by'ingenzi ugomba kubaza muganga wawe?

Ni ibisanzwe kugira ibibazo byinshi iyo ufashwe n'indwara yo "gutwita ku buryo budasanzwe." Inkuru nziza ni uko nta kibazo gikomeye gitera ubugumba bwawe. Inkuru mbi ni uko muganga wawe adashobora kukubwira impamvu nyayo udatwita. Vugana na muganga wawe ku kintu cyose kiri mu mutwe wawe. Baza ibibazo nk'ibi:

• Unsaba gukora iki nyuma?
• Ni ubuhe buryo bumpa amahirwe yo gutwita?
• Ese hari ibizamini by'amaraso cyangwa ibizamini byo gufata amashusho bigikeneye gukorwa?
• Ese hari ikibazo cy’uburwayi gishobora kuba ari cyo gitera ubugumba bwanjye?
• Ese nkwiye kubonana n'inzobere mu bijyanye n'uburumbuke?

Umaze igihe kingana iki ugerageza gushaka umuganga?

Abaganga benshi bakugira inama yo kugerageza nibura amezi 12 (umwaka) mbere yo gushaka umuti w’ubugumba. Ariko, niba ufite imyaka 35 cyangwa irenga, gana muganga nyuma y’amezi atandatu . Muganga wawe ashobora kukugira inama yo kuvura hashingiwe ku buzima bwawe n’icyifuzo cyawe cyo kubyara umwana.

Amaherezo, ibintu byo kwibuka (Ubutumwa bwo kujyana mu rugo)

Kutabyara bitasobanuwe neza bishobora kuba ikibazo giteye ishozi kandi giteye urujijo. Bivuze ko nta muntu ushobora kumenya neza impamvu udashobora gusama. Ariko ntugahangayike, cyangwa ngo ucike intege - hari uburyo bwo kugufasha. Hari abashakanye bagira icyo bageraho bakoresheje imiti, imiti igabanya ubukana bw'imibonano mpuzabitsina, cyangwa IVF.

"Ubugumba budafite ishingiro" ntibisobanura ko utazigera ubyara. Bisobanura gusa ko abaganga bawe bazagerageza uburyo butandukanye kugira ngo bagufashe gutwita.

Shaka umuganga wumva ibyiyumvo byawe kandi akagushyigikira muri iki gihe kigoye. Ntugacike intege. Twese tukwifurije amahirwe masa mu rugendo rwawe rwo kugera ku ntego zawe! Ubugumba, Gutakaza Umwana, Ubugumba budasanzwe, Uburumbuke, Gutwita, IVF, IUI