Reproductive Health

Indwara ya Myoma

Indwara ya myoma cyangwa uterine fibroids ni ibibyimba bitari kanseri bifata nyababyeyi, bikura mu turemangingo dukoze inyama za nyababyeyi. Ibi bibyimba bikunze kuboneka mu bakobwa n’abagore bari mu myaka yo kubyara, ni ukuvuga hagati y’imyaka 12 na 50. Ibi bibyimba si kanseri kandi nta nubwo bitera kanseri ya nyababyeyi.

Impamvu ya nyayo itera ibi bibyimba ntabwo izwi, gusa ubushakashatsi bwagaragaje ko imisemburo ya estrogen na progesterone ikorwa mu mubiri w’umugore ari yo ibigiramo uruhare cyane; ni na yo mpamvu iyo umugore yamaze gucura cyangwa yageze muri menopoze ibi bibyimba biyenga kuko ya misemburo ntabwo iba igikorwa ari myinshi nk’iy’umuntu uri mu kigero cyo kubyara. Nubwo impamvu ibitera itazwi, hari ibintu byongera ibyago byo kurwara ibi bibyimba; harimo: kujya mu mihango uri muto cyane – ni ukuvuga mbere y’imyaka 12, kunywa inzoga nyinshi, umubyibuho ukabije, kuba ufite umuvuduko w’amaraso uri hejuru cyane, no kuba mu muryango wawe hari umuntu wigeze kubirwara.

Ibimenyetso byerekana iyi ndwara:

Inshuro nyinshi umugore ufite ibi bibyimba ntabwo aba abizi kuko nta bimenyetso aba afite, akenshi amenya ko abirwaye yagiye kwa muganga nko kwivuza izindi ndwara zo mu myanya myibarukiro na byo bakaba babibona; gusa iyo afite ibimenyetso, ibikunze kuboneka ni: kuva bidasanzwe hagati mu kwezi kw’imihango ariko akava atari igihe cye cyo kujya mu mihango, ubugumba, kuvanamo inda kenshi, kuvira ku nda, kumva aremerewe mu myanya myibarukiro no kuribwa bidasanzwe mu kiziba cy’inda – ibi bikunze kubaho iyo ibibyimba byabaye binini cyane, ndetse no kuribwa cyane mu gihe cy’imihango.

Ibi bibyimba biravurwa kandi bigakira, muganga ashobora kuguha imiti cyangwa bikaba ngombwa ko umugore ubifite abagwa. Ni ngombwa cyane ko buri mukobwa cyangwa umugore uri mu myaka yo kubyara yisuzumisha imyanya myibarukiro kugirango amenye uko ubuzima bwe buhagaze kuko nkuko twabivuze haruguru iyi ndwara inshuro nyinshi umuntu uyirwaye nta bimenyetso agaragaza. Ikindi kandi iyo bibonetse kare birinda ubifite kuba yagira izindi ngaruka bitera nko kubura urubyaro no kubagwa inshuro nyinshi – na byo byongera ibyago byo kuba wabura urubyaro.

Sources: 1. Callahan & Caughey Blueprints: Obstetrics &Gynecology; 2.ACOG Practice Bulletin 96: Alternatives to Hysterectomy in the Management of Leiomyomas (April 2008); 3.SOGC Clinical Practice Guideline 318: The Management of Uterine Leiomyomas (February 2015); 4. Mayoclinic.org

Why is my period late?

Some women might often miss their period without being pregnant, or their periods might stop altogether. Regular menstruation cycles usually last around 28 days. However, it’s also common for cycles to last from 21 to 40 days. Periods may be early or later, may last from 3 to 7 days and might be heavier or lighter.
There are various reasons why periods might stop. The most common ones are pregnancy, stress, sudden weight loss, being overweight, doing too much exercise, taking the contraceptive pill, menopause and/or polycystic ovary syndrome. Other reasons include medical conditions, such as heart disease, uncontrolled diabetes, an overactive thyroid, or premature menopause.

Pregnancy
– If you’re sexually active and your period suddenly stops, you might be pregnant
– Wait a few days to see because your period might just be late
A pregnancy test could confirm whether you’re pregnant or not
– It’s possible to get pregnant in the days after your period is normally due
Illness and stress might delay the release of an egg leading to pregnancy

Stress
Stress can lead to:
– Longer or shorter menstrual cycles
– Periods stopping altogether
– Painful periods
How to calm stress:
– Regular exercise can help you relax
– Breathing exercises can also help
10 Simple Ways to Relieve Stress

Weight irregularities
Sudden weight loss: restricting the amount of calories you eat stops the production of hormones needed for ovulation
Being overweight: your body may produce an excess amount of oestrogen one of the hormones that regulate the reproductive system in women

Excessive exercise
– Stressing your muscles too much through excessive physical activity can affect your hormones
– Losing too much body fat through intense exercise can stop you ovulating

Contraceptive pill
It is normal to miss your period sometimes when taking the contraceptive pill.

Polycystic ovary syndrome
Polycystic ovaries contain a large number of harmless follicles, which are underdeveloped sacs in which eggs develop. If you have PCOS, these sacs are often unable to release an egg, which means ovulation does not take place.

Irregular periods
Causes of irregular periods include:
– Puberty, periods might be irregular for the first year or two
– Menopause, usually between the ages of 45 and 55
– Early pregnancy
– Some types of hormonal contraception
– Weight irregularities
– Medical conditions, such as polycystic ovaries syndrome

Heavy periods
Heavy periods (also called menorrhagia) are common and may be normal for you. If they’re affecting your daily life, you might need to see a doctor.
Symptoms:
– Need to change your pad or tampon every 1 to 2 hours, or empty your menstrual cup more often than is recommended
– Need to use 2 types of sanitary products together, such as a pad and a tampon
– Have periods lasting more than 7 days
– Have blood clots larger than about 2.5cm (the size of a 10p coin)
– Bleed through your clothes or bedding
– Avoid daily activities, like exercise, or take time off work because of your periods
– Feel tired or short of breath

Causes
For some people it can be normal to have heavy periods. They can be heavy at different times, like in puberty, after pregnancy or during menopause.
Other causes include:
– Conditions affecting your womb, ovaries or hormones, such as polycystic ovary syndrome, fibroids, endometriosis and pelvic inflammatory disease
– Some medicines and treatments, including anticoagulant medicines and chemotherapy medicines
– Stress and depression

When to see a doctor
– Periods are affecting your daily life
– Heavy periods occur for a long period of time
– You have severe pain during your periods
– You bleed between periods or after sex
– You have heavy periods and other symptoms such as pain when peeing, pooing or having sex
– You experience fever, nausea and vomiting

Sources:
healthline. Why Is My Period Late: 8 Possible Reasons.
NHS. Stopped or missed periods.
NHS. Heavy periods.
NHS. Irregular periods.

Ingaruka zo kugira isuku nke mu mihango

Mu bice bimwe na bimwe usanga umugore mu gihe cy’imihango atabasha kubona iby’ingenzi akeneye byamufasha kwita ku isuku neza; aha twavuga nk’amazi meza, udutambaro tw’isuku two kwibinda, isabune, ndetse n’ahantu h’ubwiherero habugenewe yakwifashisha. Ibi byose rero bikaba byatuma isuku ikenewe ititabwaho ndetse ubuzima n’iterambere ry’umugore muri rusange bikadindira.

Isuku idahagije ishobora gutera ingaruka zitandukanye mu buzima. Zimwe mu ngaruka zaterwa no kutagira isuku ihagije mu gihe cy’imihango harimo: Kwandura zimwe mu ndwara ziterwa n’udukoko duturutse mu gukoresha udutambaro tudasukuye mu kwibinda bikaba byagera no kuri nyababyeyi, kurwara indwara ku ruhu rukikije imyanya ndangagitsina, kurwara indwara z’udukoko mu myanya ndangagitsina, ndetse n’ikwirakwizwa rya zimwe mu ndwara zandurira mu matembabuzi nka hepatite ndetse na virusi itera SIDA, indwara zo mu miyobora y’inkari, kuzana uduheri ku myanya ndangagitsina, kurwara kanseri y’inkondo y’umura bishobora kuvamo no kutabyara.

Kugirango umugore agire isuku ihagije mu gihe cy’imihango hari bimwe mu byo akeneye harimo: amazi meza yo gukoresha bisukura ndetse banasukura udutambaro n’imyambaro, kubona ahantu habugenewe biherera bari mu isuku, kubona ibikoresho bikenewe bibafasha mu gihe cy’imihango, kubona aho babasha kujugunya imyanda cyangwa se udutambaro bakoresheje.

Ni byiza rero kwita ku isuku mu gihe cy’imihango kugirango twirinde ingaruka ziva mu isuku nke.

Uko umugore ashobora gusuzuma amabere ye

Buri mugore yari akwiye kumenya gusuzuma amabere ye buri gihe kugirango amenye hakiri kare ibibazo yaba afite kuko 95% za kanseri y’ibere zishobora kuvurwa zigakira iyo zimenyekanye hakiri kare. Ibi birareba cyane cyane abagore kuva ku myaka 40 kujyana hejuru kuko muri iyo myaka ari bwo haba hari ibyago byinshi byo kuba barwara kanseri y’ibere.

Abagore bo muri iyi myaka bagomba kandi kujya kwisuzumisha kwa muganga byibura rimwe mu mwaka kugirango barebe niba nta kanseri y’amabere baba batangiye kugira. Bakorerwa ikizamini cyitwa mammographie.

Uburyo ushobora kwisuzumamo:

Uhagaze imbere y’indorerwamo nini, itegereze neza amabere yawe, urebe niba ubunini bwayo butagenda buhinduka, urebe niba nta bibara bidasanzwe biri ku mabere, urebe niba amabere yombi angana, niba ntahagaragara akobo kadasanzwe cyangwa guhinamirana.
Hanyuma, zamura akaboko k’iburyo maze ukandakande buri bere witonze ukoresheje intoki eshatu (igikumwe, musumbazose na mukubitarukoko), kugirango wumve niba nta hantu humvikana akabyimba.
Ibere ryose ugomba kurikandakanda ukageza aho ritereye mu maha kuko ari ho hakunze kuboneka ibibyimba bya kanseri y’ibere (50%).
Kanda imoko woroheje urebe niba nta matembabuzi avamo adasanzwe.

Mu gukandakanda ibere, biba byiza iyo ubikoze uryamye kuko ari bwo imikaya iba itareze.

Mu gihe ubonye ikimenyetso kidasanzwe mu ibere, ni byiza kwihutira kubimenyesha muganga. Icyo ugomba kumenya gusa ni uko akabyimba kose kaboneka mu ibere bitavuze ko aba ari aka kanseri.

Suzuma amabere yawe nibura rimwe mu kwezi, kandi ntuzigere ubihagarika na rimwe. Ugomba kubikora nyuma y’igihe cy’imihango kuko kubikora mu gihe cy’imihango umubiri uba urimo impinduka nyinshi ku buryo ushobora kwibeshya. Mu gihe utakijya mu mihango wakwigenera umunsi umwe mu kwezi uzajya usuzuma byimbitse amabere yawe yombi.

Bimwe mu bimenyetso bigaragaza uburwayi mu myanya ndangagitsina ku bagore

Ku bagore, mu myanya ndangagitsina havamo amatembabuzi; ariko bitewe n’uko asa, impumuro ndetse n’ibiyagize bishobora kugaragaza uburwayi.

Ubusanzwe amatembabuzi asohoka mu myanya ndangagitsina ku bagore aba ari nk’amazi, nta bara agira cyangwa se akaba yamera nk’umweru w’igi bitewe n’ibihe umugore arimo; aha twavuga nk’igihe cy’uburumbuke cyangwa atwite.

Igihe ibara ry’amatembabuzi rihindutse rikaba ryasa umweru, umuhondo nk’amashyira, icyatsi, asa n’amaraso cyangwa se afite irindi bara ridasanzwe, bishobora kugaragaza uburwayi. Ibindi bimenyetso bikunze kwiyongeraho ni ukugira impumuro idasanzwe mu gitsina, kugira uburyaryate mu gitsina, ndetse no kocyerwa mu gihe uri kwihagarika.

Igihe ugararagaje kimwe muri biriya bimenyetso, ni byiza kugana kwa muganga kugirango barebe niba waba udafite zimwe mu ndwara zifata imyanya ndangagitsina ndetse ubashe no kwitabwaho bikwiye.

Wari uzi ko ushobora gusama uramutse ukoze imibonano mpuzabitsina idakingiye uri mu mihango

Yego birashoboka, bitewe n’uko intanga ngabo ishobora kumara iminsi igera kuri itanu mu bice ndangagitsina by’umugore itarapfa, udusabo tw’intanga z’umugore turamutse dutanze igi mu minsi ya mbere akiva mu mihango kandi umugore akaba yarakoze imibonana mpuzabitsina mu minsi ya nyuma ari mu mihango haba hari amahirwe ko intanga ngabo yahura na rya gi akaba yasama; ibi biterwa n’uko ukwezi kw’umugore kungana.

Ibikenewe ku mwangavu n’umugore kugira ngo bite kw’isuku bari mu mihango

Kimwe cya kabiri cy’abagore batuye isi bari mu myaka y’uburumbuke, nyamara benshi muri bo bagorwa no kubona ibikenewe by’ibanze kugirango bite kw’isuku mu gihe bari mu mihango.

Bimwe mu by’ibanze baba bakeneye harimo ibi bikurikira: ubumenyi buhagije ku bijyanye n’isuku mu gihe cy’imihango, amazi meza n’isabune byo gukaraba, ibikoresho by’isuku– nk’udutambaro two kwibinda, ubwiherero bakoresha bahindura udutambaro, ndetse no kubona ahantu habugenewe babasha gushyira imyanda.

Birakwiye ko abangavu n’abagore bashyigikirwa kugirango babashe kubona ibi by’ibanze bakenera buri kwezi, bityo n’ubuzima bwabo bubashe kubungabungwa neza.

Impinduka zishobora Kuba ku mugore mu gihe ari mu mihango

Igihe umugore agiye kujya mu mihango hari impinduka zishobora kuba mu mubiri we bitewe n’uko hari imisemburo iba irimo ikorwa mu mubiri itari isanzwe.

Zimwe muri izo mpinduka harimo: kubabara umugongo, kubabara umutwe, kubyimba amabere ndetse ukumwa asa n’akubabaza, kubabara mu ngingo, guhinduka kw’ijwi, guhinduka mu byiyumviro ukaba wagira uburakari, kumva udashaka kurya, kuzana uduheri mu maso, kwigunga ndetse n’ubwoba.

Izi mpinduka ziza mbereho gato yo kujya mu mihango zikarangirana n’igihe cy’imihango; mu gihe ugize kimwe muri ibi bimenyenso bije bikabije wagana kwa muganga bakaba baguha ubufasha.

Impinduka ku mubiri uva mu bwana ujya mu bwangavu ndetse n’ubugimbi

Ubwangavu n’ubugimbi ni ikigero abakobwa n’abahungu bageramo maze imibiri yabo igahinduka; harimo kwiyongera ibiro, uburebure n’ibindi.

Umukobwa ugeze mu bwangavu ashobora gusama, naho umuhungu ugeze mu bugimbi ashobora gutera inda. Ibi bibaho bitewe n’uko umubiri ukora imisemburo mishya akaba ari yo itera impinduka mu mubiri, uwari umwana agahinduka umuntu mukuru.

Ubwangavu muri rusange butangira hagati y’imyaka 8 na 13, naho ubugimbi bugatangira hagati y’imyaka 10 na 15. Gusa bishobora kuba mbere cyangwa nyuma y’iyi myaka bitewe n’umubiri w’umuntu.

Impinduka zibaho ku bahungu mu gihe cy’ubugimbi harimo: gutangira kugira ijwi rinize, kuzana ubwanwa, kuyaga kw’uruhu no kuba yazana ibiheri mu maso, kumera ubwoya ku gitsina (insya), ku maguru, mu gituza, mu maso, mu maha; amabere aramera akabyimba kandi agatonekara, kugara igituza n’intugu, akiyongera ibiro n’uburebure, kuzana ibyuya no guhinduka kw’impumuro y’umubiri, gutangira kwiroteraho no gushyukwa, kwiyongera kw’ibice ndangagitsina — urugero: imboro n’amabya, guhinduka mu byiyumviro — urugero amarangamutima, kurakazwa n’utuntu duto, no kugira ibyifuzo ku bijyanye n’imibonano mpuzabitsina.

Impinduka zibaho ku bakobwa harimo: kuzana amabere akabyimba kandi agatonekara, kujya mu mihango, kuyaga kw’uruhu no kuba yarwara ibiheri mu maso, kwiyongera kw’ubwoya bwo ku gitsina (insya), bwo ku maguru, n’ubwo mu maha; amatako aragara, ibiro n’uburebure bikiyongera, ibyuya biriyongera kandi umubiri ugahindura impumuro, ijwi riniga gato, hakabaho no guhinduka mu byiyumviro — harimo amarangamutima ku bo badahuje igitsina.

Ni ibintu bisanzwe kuba umwana yajya mu bugimbi cyangwa ubwangavu mbere cyangwa nyuma, hagati y’imyaka 8 na 14.

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