Ni nde muganga w’inzobere mu bijyanye n’imitsi? Reka tuvuge kuri ibi bibazo byihariye by’abagore!

Ese wigeze wumva 'umuganga w'abagore'? Wenda iri zina ni rishya kuri wewe. Ariko aba ni inzobere zivura zimwe mu ngorane z'ingenzi, rimwe na rimwe zikomeye ku buzima bw'abagore. Uyu munsi, turaganira ku bo ari bo, icyo bakora, n'igihe ushobora gushaka kubabona. Ntugahangayike, tuzabisobanura byose mu magambo yoroshye.

Uyu muganga w’indwara z’imitsi ni nde?

Mu magambo make, umuganga w’inzobere mu bijyanye n’indwara zo mu kibuno ku bagore ni umuganga wihariye mu kuvura indwara zo mu kibuno ku bagore. Noneho ushobora kuba wibaza icyo mu kibuno ari cyo, sibyo? Tekereza ko mu gice cyo hasi cy’inda yawe, munsi y’isutiye yawe, hari urusobe rukomeye rw’imitsi n’ingingo zihuza, cyangwa ubwoko bw’aho hasi. Ibyo ni byo twita mu kibuno.

Iyi plastike y'ikibuno ni ingenzi cyane. Kubera ko ifata nyababyeyi yawe, ingingo z'imyororokere nk'igitsina cyawe , n'inkari nk'uruhago rwawe, kandi iyi mitsi yo mu kibuno ni yo ishyigikira. Nk'agaseke gakomeye gafata ibintu byinshi, bifasha gukomeza iyi mitsi. Rero, iyo iyi mitsi yo mu kibuno icitse intege cyangwa igakomereka, ishobora guteza ibibazo mu mikorere y'izo ngingo. Icyo gihe ni bwo ugomba kubonana na muganga w'inzobere mu by'imitsi.

Ni irihe tandukaniro riri hagati y'inzobere mu kuvura indwara z'inkari, inzobere mu ndwara z'abagore, n'inzobere mu kuvura indwara z'inkari?

Iyo wumvise aya mazina atatu, ushobora kumva urujijo gato, si byo se? Ushobora kuba utekereza uti, "Bose ni bamwe, si byo se?" Reka turebe icyo buri wese muri aba bahanga akora. Hanyuma uzasobanukirwa itandukaniro.

• Abaganga b'inkari: Aba baganga bavura cyane cyane indwara zo mu buryo bw'inkari . Ni ukuvuga ibibazo by'ingingo nk'uruhago, impyiko, ureter, n'umuyoboro w'inkari. Bavura indwara zo mu buryo bw'inkari ku bagabo no ku bagore. Abaganga b'inkari banavura indwara zo mu buryo bw'imyororokere bw'abagabo (urugero: ibibazo bya prostate).

• Inzobere mu by'abagore: Inzobere mu by'abagore, cyangwa nk'uko dukunze kubyita, inzobere mu by'abagore, ivura indwara z'imyororokere y'abagore . Ibyo bivuze ibibazo biri mu mura, intanga ngabo, n'igitsina gore (urugero: imihango idakora neza, udukoko two mu mura). Bibanda kandi ku buzima bw'amabere. Hari igihe bavura ibibazo bimwe na bimwe byoroshye biri mu mura w'abagore.

• Umuganga w’inkari: Noneho reba, iri zina rifite amagambo 'uro' (ajyanye n’urusobe rw’inkari) na 'gynecological' (ajyanye n’urusobe rw’imyororokere rw’abagore), si byo se? Ibi bivuze ko aba baganga b’inzobere bavura indwara zijyanye n’ibice bimwe na bimwe by’inzobere mu kuvura indwara z’inkari n’iz’abagore. Mu by’ukuri,Bazibanda ku ndwara ziterwa no kugira intege nke cyangwa kwangirika kw'ikibuno, zizwi nka "Pelvic Floor Disorders." Kimwe n'umuganga w'abagore, bavura indwara z'ikibuno zijyanye n'imyororokere y'abagore, kandi kimwe n'umuganga w'inkari, bavura ibibazo bijyanye n'inkari cyangwa inzira y'inkari, cyane cyane ibifitanye isano n'ikibuno.

Tekereza gato, rimwe na rimwe babiri cyangwa batatu muri aba baganga bashobora gukorana kugira ngo bavure ikibazo cyawe.

Nubwo urology na magonjwa y’abagore bimaze imyaka myinshi ari ishami ry’ubuvuzi, urogynecology yemejwe nk’inzobere yihariye mu 2011. Bityo, urogynecology, cyangwa izwi cyane nka Female Pelvic Medicine and Reconstructive Surgery (FPMRS), yatangiye gutanga icyemezo ku baganga mu 2013.

Ni ubuhe burezi ukeneye kugira ngo ube umuganga w'inzobere mu bijyanye n'imitsi?

Kuba inzobere nk'iyi ntibyoroshye. Nyuma yo kurangiza amashuri y'ubuganga, umuganga wimenyereza umwuga kugira ngo abe umuganga w'inzobere mu bijyanye n'indwara z'abagore cyangwa iz'urwunge rw'imitsi agomba kurangiza amahugurwa yo kuba umuganga w'abagore cyangwa uw'inzobere mu bijyanye n'imitsi. Gahunda zimwe na zimwe z'amahugurwa zitanga amahirwe yo guhabwa amahugurwa muri byombi. Nyuma y'ibyo, bagomba kurangiza amahugurwa y'ubusabane mu buvuzi bwihariye bwitwa Female Pelvic Medicine and Reconstructive Surgery (FPMRS) .

Nyuma y'aya mahugurwa y'ubusabane, bagomba kandi gutsinda ikizamini kugira ngo babe inzobere mu bijyanye n'imiti y'uruhinja yemewe n'inama y'ubutegetsi.

Mu magambo make, nyuma yo kurangiza amashuri y’ubuganga, ugomba kwiga no kwitoza imyaka irindwi kugira ngo ube umuganga w’inzobere mu bijyanye n’imitsi. Rero ni abantu bafite ubumenyi bwinshi muri uru rwego.

Ni iki mu by'ukuri umuganga w'indwara z'imitsi akora?

Abaganga b'indwara z'imitsi basuzuma kandi bakavura indwara zo mu kibuno . Nubwo izi ndwara zishobora kwibasira abagabo n'abagore, abaganga b'indwara z'imitsi bavura cyane cyane indwara zijyanye n'ubuzima busanzwe ku bagore. Urugero, gutwita, kubyara, no gucura byose ni ibintu bishobora gutera indwara zo mu kibuno.

Dore zimwe mu ndwara zikunze kugaragara mu gice cyo hasi cy'ikibuno abaganga b'abagore bavura:

• Kunanirwa kwihagarika inkari: Uku ni ukudashobora kugenzura urujya n'uruza rw'inkari . Hari uburyo bwinshi bwo kuvura ibi:
• `Kudahagarika umutima`: Kuva kw'inkari iyo hari ukwiyongera k'umuvuduko w'amaraso mu nda, nko mu gihe cyo gukorora, kwitsamura, guseka cyane, cyangwa guterura ikintu kiremereye.
• `Gusaba kudakoresha indonke`:Gushaka cyane ni ugushaka cyane kunyara. Hari igihe ushobora kunyara mbere yo kwirukira mu musarani. Bibaho ako kanya iyo wumva ko ugomba kugenda.
• Inkari ikora cyane: Ikunze gukoreshwa kenshi (wenda rimwe mu isaha), ikenera kwihutira kunyara. Ushobora kubyuka inshuro nyinshi nijoro.

• Kugabanuka kw'ingingo z'imbere mu gitsina (POP): Ibi bibaho iyo igice kimwe cyangwa byinshi by'imbere mu gitsina biva mu mwanya wabyo usanzwe bikajya mu gitsina iyo hasi mu kiganza kidashyigikiwe neza. Ibi bisa n'uburyo urukuta rusenyuka n'ibikoresho bivamo. Ingingo zishobora kugabanuka zirimo uruhago rw'inkari (cystocele), nyababyeyi (prolapse y'umura), igice cy'inyuma (rectocele), n'igice cyo hejuru cy'igitsina (prolapse y'imbere mu gitsina). Iyi ndwara ishobora kandi kujyana n'ibibazo by'inkari. Hari abantu bashobora kumva nk'aho hari ikintu kirimo gusohoka mu gitsina.

• Kunanirwa kwihagarika: Iyo imitsi yo hasi mu kibuno icitse intege, ushobora kubura ubushobozi bwo kugenzura imikorere y'amara yawe no kuvamo amacandwe utabigambiriye. Ibi bishobora kuba mu gihe cyo kwihagarika cyangwa amacandwe make y'amazi. Ibi byitwa Kunanirwa kwihagarika.

• Kudakora neza kw'inkari mu gituza: Iyi ndwara ibaho iyo imitsi yo mu gituza igenzura inkari n'imyanda idashobora guhuza neza. Ibi bivuze ko imitsi ikomera iyo igomba kuba ikomeye, kandi igakomeza iyo igomba kuba irekuye. Ibi bishobora gutuma bigorana kunyara cyangwa kwituma (urugero, ntushobora kunyara nubwo waba ugerageje). Bishobora kandi gutera ububabare n'ububabare mu gitsina mu gihe cy'imibonano mpuzabitsina.

• Fistula yo mu gitsina: Ibi bibaho iyo inzira idasanzwe ivutse hagati y’igitsina n’uruhago cyangwa uruhago, byaba bitewe n’igikomere (urugero, mu gihe cyo kubyara, kubagwa) cyangwa indi ndwara. Ibi bishobora gutuma inkari cyangwa amase biva mu gitsina.

Noneho ushobora kuba ubyumva, sibyo? Ibi ni ibibazo bibabaza, ariko ntibibabaza cyane. Ariko ibuka ko hari uburyo bwo kuvura ibi.

Ni ubuhe buryo bwo kuvura abaganga b'indwara z'imitsi (urgynecologists) batanga kuri izi ndwara?

Iyo umuganga w’indwara z’imitsi amaze gusuzuma indwara yawe, azagukorera ubuvuzi bukwiye. Nta buryo bumwe bwo kuvura bushobora kugufasha. Ubuvuzi buterwa n’ibintu byinshi, harimo imiterere n’uburemere bw’indwara yawe, imyaka yawe, n’ubuzima bwawe muri rusange. Dore bumwe mu buryo bakoresha:

• Kwandikira imiti: Ushobora guhabwa imiti igufasha kugenzura uruhago rwawe (urugero: ku ruhago rukora cyane) cyangwa kugenga inzira z'amara (urugero: ku impatwe).
• Gushyiraho ibikoresho:Urugero, niba ufite indwara yitwa "POP" cyangwa prolapse y'ingingo zo mu kibuno, ushobora gushyiramo igikoresho cyitwa "pessary" . Iki ni igikoresho gifite ishusho nk'impeta cyangwa ikindi gikozwe muri silicone, rubber, cyangwa pulasitiki gishyirwa mu gitsina. Gifata ingingo zo mu kibuno mu mwanya wacyo. Ubu ni uburyo bwo kuvura butari ukubaga.
• Kubagwa: Hari igihe, cyane cyane iyo ubundi buryo bwo kuvura budakora cyangwa iyo ikibazo gikomeye, kubagwa bishobora kuba ngombwa. Ibi birimo kubagwa mu buryo bwo kongera kubaka, bigasubiza ingingo z'ikibuno mu mwanya wazo usanzwe. Kubagwa bishobora kandi gufasha mu bibazo byo kurwanya inkari (nk'icyuma gikingira indwara yo kudakora neza kw'isuku). Ubu buryo bwo kubaga bushobora gukoresha ingirangingo zawe bwite n'imitsi, cyangwa gushyiramo ibikoresho ( nk'urushundura ) kugira ngo bikomeze imitsi yo hasi y'ikibuno yangiritse cyangwa yangiritse.
• Imyitozo ngororamubiri yo gukomeza hasi mu gituza: Ushobora kuba warumvise imyitozo ya Kegel . Umuganga w’indwara z’imitsi azakwereka uburyo bwo kuyikora neza. Imyitozo ya Kegel ikomeza imitsi yo hasi mu gituza cyawe. Ni nko guterura ibyuma no kubaka imitsi. Hari igihe bashobora kandi gukorana n’umuganga w’imitsi kugira ngo bakoreshe uburyo bwitwa biofeedback . Biofeedback igufasha kumenya neza igihe imitsi yo hasi mu gituza cyawe iri gukomera no kuruhuka. Ubifashijwemo n’ubu bumenyi, ushobora kugenzura neza iyi mitsi n’ibikorwa bigenzura inkari n’imyanda.
• Gutanga inama ku guhindura imibereho yawe: Bizagufasha kumenya no guhindura ingeso zawe za buri munsi zituma ugira ibimenyetso. Ibi bishobora kuba birimo guhindura ingeso zawe zo kurya (urugero: kugabanya kafeyine, ibiryo biryoshye), kugufasha kugabanya ibiro, kureka kunywa itabi, kongeramo uburyo bwo kuruhuka, cyangwa gutegura ingendo zo kujya mu bwiherero kugira ngo wongere buhoro buhoro igihe ushobora "gufata" inkari (gutoza inkari).

Kuki nkwiye kujya kwa muganga w’inzobere mu bijyanye n’imitsi? / Ni ryari?

Ushobora gutekereza kubonana na muganga w’inzobere mu bijyanye n’imitsi y’amaraso niba ufite kimwe muri ibi bimenyetso:

• Niba utemba inkari cyangwa umwanda ku bushake .
• Niba wumva ukeneye kunyara kenshi kurusha uko bisanzwe .
• Niba wumva ukeneye kunyara mbere yo kujya mu bwiherero , bivuze ko ufite ingorane zo kugera ku bwiherero ku gihe.
• Niba wumva ufite ubushyuhe bwinshi, uburemere, cyangwa igitutu mu gitsina cyawe cyangwa mu kibuno (nk'aho hari ikintu cyafatiwemo).
• IbyaweNiba wumva ikintu kirimo kumanuka cyangwa kugwa kiva mu gitsina cyawe, cyangwa niba koko wumva ikintu nk'icyo.

Icy'ingenzi: Ntugatinye kuvuga kuri ibi bibazo. Ibi ni indwara abagore benshi bashobora guhura na zo, kandi hari uburyo bwo kuvura neza. Ntabwo ugomba kubabara wenyine.

Nanone, kunanirwa kwihagarika inkari no gucika kw'ingingo zo mu kibuno ni ibibazo byihariye ku bantu benshi. Bityo, bishobora kuba ihumure rikomeye kubonana na muganga, kimwe nawe, uhangayikishijwe n'imiterere y'umubiri w'umugore kandi ushobora gusobanukirwa imimerere yawe. Icyo gihe, uko impamvu yo kubonana na muganga yaba iri kose, ntuzagira ubwoba bwinshi kandi ntugire ikibazo mu gihe utegereje mu cyumba cyo gutegereza.

Bigenda bite iyo ugiye kwa muganga w’inzobere mu bijyanye n’imirire y’abagore ku nshuro ya mbere?

Ubunararibonye bwawe bushobora gutandukana gato bitewe n'impamvu ugiye kubonana na muganga w'inzobere mu bijyanye n'imiti, ariko akenshi ibi ni byo bibaho:

• Umuganga w’indwara z’imitsi azakubwira amateka yawe yose y’uburwayi . Ibi bivuze ibintu nk’indwara zabanje, kubagwa wakorewe, imiti ufata, ndetse niba hari umuntu wo mu muryango wawe wigeze kugira ibibazo nk’ibyo.
• Bazakubaza mu buryo burambuye ibimenyetso byawe. Ibi bivuze igihe byatangiriye, igihe bimaze, igihe birushaho kuba bibi, n'uko bigira ingaruka ku buzima bwawe (urugero, niba bibangamira ubushobozi bwawe bwo gutembera cyangwa kwitabira ibikorwa rusange).
• Bazakora isuzuma ry’umubiri . Ibi bikunze kumera nk’isuzuma ry’ikibuno. Bazashaka kureba neza ingingo n’imitsi biri mu kibuno cyawe, aho biherereye n’imbaraga zabyo. Bashobora kandi kugusaba kubereka igitsina cyawe cyangwa gukora ikizamini.

Hashingiwe ku byo ibi bipimo byasanze, bazakugira inama yo kugufasha kuvurwa, cyangwa bakakubwira ibindi bipimo bikenewe kugira ngo umenye neza indwara (urugero: ibizamini by'inkari, ibizamini byihariye nka 'urodynamic studies').

Ni ibihe bibazo nkwiye kubaza umuganga wanjye w’indwara z’imitsi?

Nuhura na muganga wawe, ntutinye kubaza ikibazo icyo ari cyo cyose ufite. Niba hari icyo udasobanukiwe, ongera ubaze. Dore bimwe mu bibazo ushobora kubaza:

• Ni iyihe mpamvu ishoboka cyane itera ibibazo byo mu kibuno cyanjye?
• Ni ingano zingana iki yangiritse ku gice cy'ikibuno cyanjye?
• Ni ubuhe buryo bwo kuvura unsaba? Ni ibihe byiza n'ibibi bya buri bumwe?
• Nzongera kugira imbaraga zingana iki mu gice cy'ikibuno cyanjye nyuma yo kuvurwa? Ni gute nshobora kwitega gukira vuba?
• Ni izihe mpinduka nakora mu buzima bwanjye bwa buri munsi kugira ngo nkomeze gukora neza kw'ikibuno cyanjye no gukumira ko ibi bibazo bitazongera kubaho?
• Uretse ubu buryo bwo kuvura, hari ibintu nk'imyitozo ngororamubiri nshobora gukora?

Ubutumwa bwa nyuma bwo kujyana mu rugo

Ntabwo dutekereza cyane ku mitsi igenzura imikorere y'ibanze y'umubiri nko kwihagarika no kwituma, si byo se? Iyo uva inkari mu buryo utigeze ubikora mbere, cyangwa iyo wumva ubyibushye mu gitsina cyawe, bishobora kubabaza cyane, bigatera isoni, kandi bigatera kwitandukanya n'abandi.

Ariko abaganga b'indwara z'imitsi barabyumva neza. Bafite ubuhanga mu gusuzuma ibibazo byawe byo mu kibuno no kumenya uburyo bwiza bwo kugufasha. Bazagutega amatwi kandi bagerageze gushaka igisubizo cyiza kuri wewe. Bakoranye n'abantu benshi bahuye n'ibibazo nk'ibyo. Niba ufite ibi bibazo, saba muganga wawe w'umuryango kugira ngo akuyobore ku muganga w'indwara z'imitsi, cyangwa ushobora kwihitiramo gahunda.

Wibuke ko nta mpamvu yo guhisha ibi bintu no kubabara, icy'ingenzi ni ukubona ubufasha. Ntabwo uri wenyine!

Urogynecology , Pelvic Parike, Kugenzura inkari, Pelvic Organ Prolapse, Ubuzima bw'abagore, POP, Kudakoresha imibonano mpuzabitsina