Ubugumba ntabwo ari icyemezo cyurukiko

Mozgovaya E.M., Ph.D., umuganga w’umugore-w’umugore w’ishami rishinzwe kuvura ubugumba. 

Kutabyara ntabwo ari ukudashobora gusama gusa mugihe cyumwaka ukora imibonano mpuzabitsina udakoresheje uburyo bwo kuboneza urubyaro, ni nisoko yintimba nini no gucika intege kumuryango. Niba umwaka w’imbaraga n’ibigeragezo byarangiye, ariko nta gisubizo, noneho buri gutangira imihango bishyira iherezo ku byiringiro bito … Kandi, ikibabaje, dushobora gutekereza ko ubugumba burimo kubaho.

Birakenewe kwitabaza ubufasha bwinzobere: ntugasigare wenyine ufite ibibazo. Uyu munsi, abashakanye 1 kuri 8 barwaye ubugumba muri Ukraine kandi, ikibabaje ni uko umubare w’abashakanye uriyongera gusa.

Ku bashakanye barengeje imyaka 35, byubahirizwa inshuro 2 kuruta kubashakanye. Niyo mpamvu ari ngombwa cyane kubashakanye barengeje imyaka mirongo itatu kandi bahura ningorane zo gusama, bahita bafata icyemezo bagasaba ubufasha bwinzobere. Ikibazo kibonetse vuba, birashoboka cyane ko uzagikuraho.

Niba umugore nyuma yimyaka 1-2 akora imibonano mpuzabitsina adasanzwe adakoresheje uburyo bwo kuboneza urubyaro ananiwe gusama, ugomba rero kubaza muganga kugirango akugire inama kubyerekeranye n’ubugumba. Niba hari impamvu zigaragara zuburumbuke – kutubahiriza imihango, gutwita kwa ectopique kera, indwara zanduza – noneho ntugomba gutegereza umwaka, ugomba kuvurwa. Ibi birashobora kuba indorerezi ninzobere mu bagore bamenyereye, cyangwa byiza na muganga winzobere mu kuboneza urubyaro.

Bitewe no kwisuzumisha bikwiye hamwe nubuvuzi bwatoranijwe, abarenga kimwe cya kabiri cyabashakanye batabyara bashoboye gusama umwana.

Mubibazo byinshi (hafi kimwe cya gatatu cyabashakanye), iki kibazo giterwa nubugumba bwumugabo, mubindi bitatu bya gatatu, umugore arwara ubugumba, naho mugice cya gatatu cyanyuma cyabashakanye, nticyamenyekanye. Ariko, kuri ubu, zimwe mu mpamvu zitera kutabyara ntizishobora kumenyekana. Mu bihe nk’ibi, abaganga bakoresha uburyo bwo kororoka bufashijwe kugirango bakemure iki kibazo. Muri iki gihe, abantu benshi cyane barimo kwivuza bizabafasha kubyara. Kutabyara ntabwo ari indwara gusa. Iyi ni indwara ishobora guterwa nimpamvu amagana, haba kumugore ndetse no kumugabo. Kandi ikintu kigoye cyane nukubona impamvu yuburumbuke mubashakanye runaka. Uru nirwo rufunguzo rwo gutsinda. Ntabwo abagore benshi b’abagore n’abashinzwe urologiste bashobora kubikora. Ibi ntibisaba uburambe bwiza gusa, ahubwo bisaba amahirwe menshi yo gusuzuma abarwayi.

Ibihe nkibi bikunze guhura nabyo: abashakanye batabyara baza kugisha inama kumavuriro adafite amahirwe yo kwisuzumisha bigezweho. Kandi amasomo yo kuvura ibizamini atangira munsi yinteruro “Bite ho niba uyifite?” Imisemburo imwe ihindurwamo izindi inshuro nyinshi, kandi amasomo menshi ya antibiotique ikomeye yongeweho byanze bikunze. Amaherezo, ibintu byose bisubira mubisanzwe, ariko umugabo numugore basanzwe bari “gukira” kuburyo numugabo muzima, ukomeye adashobora gusama. Igihe kinini cyatakaye, amafaranga menshi yarakoreshejwe, ibyiringiro birapfa.

Uburyo ubwo aribwo bwose bwo kuvura bufite impande zombi z’igiceri, ntabwo rero byemewe kubikora ku bushake. Kugira ngo afashe neza, umuganga agomba kuba inzobere mu kutabyara. Agomba kuba afite uburambe bunini muri uru rwego, impamyabumenyi ihanitse, abasha gukora ubushakashatsi bukenewe, kugisha inama izindi nzobere. Byongeye kandi, agomba kohereza umugabo kwisuzumisha no kuvurwa, kubera ko muri 30-40% byabashakanye batabyara, ubushobozi bwo gusama bugabanuka kumugabo. Nubusa ko igitsina gikomeye kigerageza kwirinda ikibazo. Kubwibyo, nibyiza kuza kugisha inama hamwe, hamwe numugabo wawe.

Ibi byose birashoboka rwose mubigo byihariye bijyanye no kuvura ubugumba. Aho niho abaganga bakora bakemura iki kibazo kurwego rwo hejuru. Ingingo nziza yerekana ni icyamamare cyikigo, izina ryacyo. Urashobora gusaba umuganga w’umugore cyangwa inshuti yawe kuguha inama yihariye yo kuvura ubugumba. Niba udahita ubariza ikigo nkicyo, urashobora guhora wihutira kuva kwa muganga ujya mubindi, gutakaza umwanya, amafaranga nicyizere. Nibintu bisanzwe cyane kubarwayi batabyara, kuko biragoye kubafasha.

Niba udatuye mumujyi munini, birashoboka cyane ko nta ivuriro ridafite ubugumba riri hafi. Noneho urashobora kwandika ibaruwa kuri aderesi yikigo cyihariye. Sobanura uko ibintu bimeze, andika ubushakashatsi bwakozwe nibisubizo byabyo, ubuvuzi n’ingaruka zabwo. Niba ikigo giha agaciro izina ryacyo, noneho uzabwirwa icyo gukora gikurikiraho, nibindi bizamini bizakorwa nigihe cyo kuza kubonana.

Hafi yuburyo bwose bwo kuvura no gusuzuma bijyanye n’ubugumba burishyurwa. Ariko, ikibabaje, mubuvuzi bwubucuruzi bugezweho bwo murugo, ubuvuzi bwiza ntabwo buri gihe buhuye nigiciro, kandi ikiguzi nticyama gihuye nurwego rwa serivisi. Kubwibyo, mugihe uhisemo ivuriro, umuntu ntashobora gukora akurikije ihame “aho bihenze” cyangwa, “aho bihendutse.” Urashobora gutanga amafaranga menshi yo kwamamaza neza. Kandi urashobora gutonda umurongo ku ivuriro kubuntu. Ijambo rizwi cyane ry’Abongereza ku bintu bihendutse rishobora kubivuga mu magambo make: “Ntabwo dukize bihagije ku buryo dushobora kuvurirwa aho bihendutse.”

Fata rero. Cyangwa ako kanya, nubwo bihenze gato, ariko ugereranije neza. Cyangwa ubanza bihendutse, hanyuma inshuro nyinshi birhendutse (muri rusange biracyahenze). Kugeza, amaherezo, utabishaka ugera kubuhanga bwiza cyangwa ugasama kubushake bwigihe.

Hariho impamvu nyinshi zo kutabyara, kandi kugirango ubimenye, ugomba kunyura muri gahunda yose yubushakashatsi: imisemburo, ultrasound, yanduye, ikingira. Kimwe na hysterosalpingography (kugenzura patensiyo yigituba), spermogramu nibindi byinshi, nibiba ngombwa. Rimwe na rimwe, ugomba “kugera munsi” yuburyo bwa molekile, genetique na immunologiya.

Gusa nyuma yo kumenya impamvu, urashobora gutangira kwivuza. Sisitemu yimyororokere ikora neza cyane, kandi irakaze, imiti idakwiye irashobora gusa kongera imiterere. Ariko ntiwibagirwe: hamwe n’imyaka, ubushobozi bwo gusama no gutwara umwana buragabanuka. Amahirwe yo gusama aragabanuka cyane uko umugore akuze kandi nubuvuzi burebure bwo kutabyara yagize. Niba bivuwe igihe kinini cyane, noneho urashobora kugera kumyaka umubiri utagishoboye gutwita.

Mu bigo kabuhariwe, igihe cyo gusuzuma ubugumba ntigishobora kurenza amezi 2-3, kandi ubuvuzi bugomba gutanga ibisubizo bitarenze imyaka ibiri uhereye igihe waboneye ivuriro.

Mugutegura kwivuza, urashobora kuzigama bike. Kora ubushakashatsi bukenewe kugirango umenye ibitera ubugumba aho utuye. Ibi birashobora kuba ultrasound, spermogramu, ubushakashatsi bwanduye. Icyo gihe ikiguzi cyikizamini kizagabanuka. Uzakenera gukora ibizamini bidasanzwe byateganijwe ukurikije ibimenyetso bya muganga – imisemburo, immunologiya. Kumenya ibi bintu bisa nkibito bizorohereza cyane inzira yose yo kwitegura no kuvura.

Tugomba kwitegura kumenya ko uburyo bwo kuvura ubugumba bugira ingaruka ku mubiri wumugore. Akenshi usanga bafite impinduka zumutima, gutsindwa biragaragara cyane cyane, kwicuza bivuka kumafaranga yatakaye, kandi amaherezo umugore areka kugerageza kubyara byibuze umwana umwe.

Hariho igitekerezo kivuga ko ubugumba hafi ya bwose bushobora kuzengurutswa hakoreshejwe uburyo bwo gufumbira vitro, kugirango umwana akure mu kizamini. Nibyo? Birakwiye gukubita ibishwi n’imbunda?

Niba iryo hohoterwa ridasubirwaho, noneho ubugumba burashobora gukemurwa nibiyobyabwenge bisanzwe, mugukosora imiterere ya hormone hamwe ningaruka nkeya zituruka kumubiri, cyangwa kubaga laparoskopi. Muri vitro ifumbire isanzwe ikoreshwa nkuburyo bwa nyuma. Ubu ni uburyo buhenze kandi bugoye. Kugerageza gusama bitwara amadolari ibihumbi byinshi, kandi i Burayi bihenze cyane. Kugerageza kenshi birasabwa kenshi, kubera ko imikorere yimwe irenga 30%. Mubyongeyeho, benshi bahagarikwa nimbogamizi ya psychologiya kuri ubu buryo budasanzwe. Ariko niba imari yemerera, ntakintu kibangamira, noneho urashobora kugerageza no kurenza kamere.

Nibyo, ubuvuzi ntabwo bushobora byose, kandi ntabwo abantu bose bashoboye gufasha. Igipimo cyo gutwita nyuma yo kuvura uburumbuke kiri hagati ya 20 na 80%. Ibi biterwa ahanini nimiterere yihohoterwa. Kurugero, indwara ya hormone itanga neza kugirango ikosorwe, kandi guhagarika imiyoboro yigitereko bisaba kugerageza inshuro nyinshi gutera intanga. Nyuma yisuzuma ryuzuye muri 5-10% byabashakanye, igitera ubugumba ntikiramenyekana neza.

Twabibutsa kandi ko gushyikirana ninzobere mu myororokere hafi ya byose birenze ibyifuzo byumwuga. Ni ngombwa kwiringira umuganga, umuganga wimyororokere ni igice cya psychologue gishobora kugutuza, kugutera ibyiringiro byo kuvurwa neza.Ikintu nyamukuru ntabwo ari ugutandukira intego ugamije kandi ukizera ingaruka nziza zokuvurwa no gutangira. gutwita! Kubwibyo, bizere ko byose bizagenda neza. Kandi wifurize umwana.

Leave a Reply

Your email address will not be published.