Indwara z’Umutima Zavutse Waziriwe: Ibimenyetso, Intandaro n’Ubuvuzi

Indwara z’Umutima Zavutse Waziriwe ni iki?

Indwara z’umutima zavutse waziriwe zisobanura ibibazo by’umutima wavutse ufite, ariko ubu ukaba ubigenzura nk’umuntu mukuru. Ibi ni ibibazo by’imiterere y’umutima wawe byagaragaye mu gihe wari ukiri mu nda, mbere y’uko uvuka.

Tekereza kuri ibi: umutima wawe ntabwo wakozwe neza nk’uko byari biteganyijwe mu byumweru byambere byo gutwita. Wenda urukuta ruri hagati y’ibice by’umutima ntabwo rwafunze neza, cyangwa umusego ntabwo wakozwe neza. Ibi bimenyetso byari bikaze cyane mu bwana, ariko kubera iterambere ry’ubuvuzi, abantu benshi bafite ibibazo by’umutima bavutse bafite ubu bafite ubuzima bwiza, buhamye.

Ushobora kuba uba ubonye iyi ndwara bwa mbere nk’umuntu mukuru, cyangwa waba umaze igihe uzi ibibazo by’umutima wawe kuva mu bwana. Uko byagenda kose, nturi wenyine. Abantu barenga miliyoni imwe muri Leta Zunze Ubumwe za Amerika babaho bafite indwara z’umutima zavutse.

Ibimenyetso by’Indwara z’Umutima Zavutse Waziriwe ni ibihe?

Ibimenyetso ushobora kugira biterwa n’ubwoko bw’indwara y’umutima ufite n’uburemere bwayo. Bamwe bumva bafite amahoro kandi ntibabimenye ko bafite ibibazo by’umutima kugeza igihe bakorewe isuzuma rusange. Abandi babona ibimenyetso bitera gahoro gahoro.

Dore ibimenyetso bisanzwe abantu bakuru bafite indwara z’umutima bavutse bashobora kugira:

• Guhumeka nabi mu gihe ukora ibikorwa bisanzwe cyangwa imyitozo ngororamubiri
• Kumva unaniwe cyane, nubwo uburuhukira uhagije
• Kubabara mu maguru, mu birenge, cyangwa mu birenge
• Ibara ry’ubururu ku ruhu, ku minwa, cyangwa ku misumari (bitwa cyanose)
• Kubabara mu gituza cyangwa kudatuza
• Gukubita cyane kw’umutima cyangwa gukubita nabi kw’umutima
• Kuzenguruka cyangwa kumva ugiye kugwa
• Guta ubwenge

Bamwe bagira kandi ibimenyetso bidafite akamaro, bishobora kugaragara nk’ibidafite aho bihuriye n’ibibazo by’umutima. Ibi bishobora kuba harimo indwara nyinshi z’ubuhumekero, kudashira amafunguro, cyangwa kugorana kongera ibiro. Niba ufite indwara y’umutima ikomeye, ushobora kubona ko ubushobozi bwawe bwo gukora imyitozo ngororamubiri bwagabanutse uko iminsi igenda ishira.

Ni ngombwa kwibuka ko abantu bakuru benshi bafite indwara z’umutima bavutse babaho batagira ibimenyetso. Uburambe bwawe bushobora gutandukanye n’ubw’abandi, kandi ibyo ni ibisanzwe.

Ubwoko bw’Indwara z’Umutima Zavutse Waziriwe ni ibihe?

Hariho ubwoko butandukanye bw’indwara z’umutima zavutse, kuva ku zoroheje kugeza ku zikomeye. Ubwoko bwawe bw’indwara bugira ingaruka ku mikorere y’umutima wawe n’ubuvuzi ushobora gukeneye.

Indwara zoroheje zirimo ibyuho biri mu bice by’umutima wawe. Atrial septal defect bivuga ko hari icyuho kiri hagati y’ibice bibiri byo hejuru by’umutima wawe. Ventricular septal defect ni icyuho kiri hagati y’ibice bibiri byo hasi. Aya byuho rimwe na rimwe ashobora kwifunga ubwayo uko ukura, ariko andi manini ashobora gukenera ubuvuzi.

Ibibazo by’imisego na byo ni bimenyerewe. Ushobora kugira umusego mwinshi (stenosis), udafite akamaro (regurgitation), cyangwa utarakozwe neza. Ibibazo by’imisego bikunze kugaragara bigira ingaruka ku musego wa aortic, ugenzura imiterere y’amaraso ava mu mutima ujya mu mubiri wawe.

Indwara zikomeye zirimo ibibazo by’ukuntu imitsi minini y’amaraso yawe ihuriye hamwe. Tetralogy of Fallot irimo ibibazo bine bitandukanye by’umutima bibaho rimwe. Transposition of the great arteries bisobanura ko imitsi minini y’amaraso yawe yahinduwe uhereye ku mwanya wayo usanzwe.

Bamwe bafite ibibazo by’umutima umwe, aho icyumba kimwe cyo gupompa amaraso mu mutima aricyo gikorera neza. Ibi bibazo bikomeye bikunze gusaba imikorere myinshi mu buzima bwo mu bwana no kwitabwaho buhoraho nk’umuntu mukuru.

Intandaro y’Indwara z’Umutima Zavutse Waziriwe ni iki?

Indwara z’umutima zavutse ziterwa mu byumweru bike byambere byo gutwita igihe umutima wawe uba ukiri gukora. Mu bihe byinshi, nta mpamvu isobanutse y’ibyo bibaho. Ntabwo ari ikintu ababyeyi bawe bakoze nabi cyangwa bashoboraga kwirinda.

Rimwe na rimwe, ibintu by’umuzuko bigira uruhare. Niba ufite amateka y’umuryango w’indwara z’umutima zavutse, hari amahirwe make yo kugira ibibazo by’umutima. Indwara zimwe na zimwe z’umuzuko, nka Down syndrome cyangwa DiGeorge syndrome, zihuriye n’ubwoko bumwe bw’ibibazo by’umutima.

Ibintu by’ibidukikije mu gihe cyo gutwita bishobora kugira uruhare mu bimenyetso bimwe na bimwe. Ibi bishobora kuba harimo imiti imwe nyina yafashe, indwara mu gihe cyo gutwita, cyangwa kwandura inzoga cyangwa ibiyobyabwenge. Ariko, akenshi, indwara z’umutima zavutse zibaho nta ntandaro isobanuwe.

Ni ngombwa kumva ko indwara z’umutima zavutse zitandura kandi zidatandukanywa n’undi muntu. Ntabwo kandi ziterwa n’icyo wakoze cyangwa utakoreye mu buzima bwawe. Ibi bimenyetso bigaragaza uburyo butandukanye umutima wawe wakozwe mbere y’uko uvuka.

Ni ryari ukwiye kubona muganga kubera Indwara z’Umutima Zavutse Waziriwe?

Ukwiye kubona muganga niba ufite ibimenyetso bikubangamiye, cyane cyane niba ari bishya cyangwa bikomeye. Ntugatege amatwi niba ufite ububabare mu gituza, guhumeka nabi cyane, cyangwa guta ubwenge.

Nubwo wumva umeze neza, ni ngombwa gukora isuzuma rusange niba uzi ko ufite indwara y’umutima yavutse. Umutima wawe ushobora guhinduka uko iminsi igenda ishira, kandi kumenya hakiri kare ibibazo bifasha guhamya ibyiza bishoboka.

Tegura gahunda yo kubona muganga niba ubona ko unaniwe kurusha ubusanzwe, ugira ibibazo byo gukurikirana ibikorwa wakoraga utabangamiwe, cyangwa niba ufite kimwe mu bimenyetso byavuzwe haruguru. Muganga wawe ashobora kugufasha kumenya niba ibyo bihinduka bifitanye isano n’indwara y’umutima wawe cyangwa ikindi kintu.

Niba utaravuzweho indwara ariko ufite amateka y’umuryango w’indwara z’umutima zavutse, ni byiza kubiganiraho na muganga wawe. Rimwe na rimwe indwara z’umutima ziba zitaramenyekana kugeza mu buzima bw’ubukure, cyane cyane izoroheje zidatanga ibimenyetso bigaragara.

Ibyago by’Indwara z’Umutima Zavutse Waziriwe ni ibihe?

Kubera ko indwara z’umutima zavutse ziterwa mbere y’uko umuntu avuka, ibyago byabyo bijyanye ahanini n’ibiba mu gihe cyo gutwita. Kumenya ibi bintu bishobora gufasha mu gutegura umuryango, ariko wibuke ko ibimenyetso byinshi bibaho nta kintu kizwi cyabyo.

Kugira amateka y’umuryango w’indwara z’umutima zavutse byongera ibyago byawe gato. Niba umwe mu babyeyi bawe afite indwara y’umutima yavutse, ibyago byawe ni nka 3-5% ugereranije n’ibyago rusange by’abantu bose byo ku kigero cya 1%. Kugira umuvandimwe ufite indwara y’umutima yavutse na byo byongera ibyago byawe.

Indwara zimwe na zimwe z’umuzuko zihuriye n’ibipimo byinshi by’indwara z’umutima zavutse. Ibi birimo ibibazo by’imiterere ya chromosome nka Down syndrome, Turner syndrome, cyangwa Marfan syndrome. Indwara zimwe na zimwe z’umuzingo umwe zishobora kandi kugira ingaruka ku iterambere ry’umutima.

Ibintu by’umubyeyi mu gihe cyo gutwita bishobora kugira ingaruka ku byago. Ibi birimo diabete y’umubyeyi, indwara zimwe na zimwe mu gihe cyo gutwita (nka rubella), cyangwa gufata imiti imwe na imwe. Imyaka myinshi y’umubyeyi (irenga 35) ihuriye n’ibyago byiyongereye gato by’ubwoko bumwe bw’ibibazo by’umutima bivutse.

Kwandura ibidukikije mu gihe cyo gutwita, nko kunywa inzoga cyangwa kwandura ibintu bimwe na bimwe, bishobora kugira uruhare. Ariko, ni ngombwa gushimangira ko abantu benshi bafite indwara z’umutima bavutse badafite ibyo byago.

Ingaruka zishoboka z’Indwara z’Umutima Zavutse Waziriwe ni izihe?

Nubwo abantu bakuru benshi bafite indwara z’umutima bavutse babaho ubuzima bwiza, bwiza, zimwe mu ngaruka zishobora kuza uko iminsi igenda ishira. Kumenya ibyo bishoboka bigufasha kumenya icyo ugomba kwitondera n’igihe ukwiye gushaka ubuvuzi.

Ibibazo by’umuvuduko w’umutima biri mu ngaruka zisanzwe. Uburyo bw’amashanyarazi y’umutima wawe bushobora kudakora neza, bigatuma umutima ukubita nabi cyangwa arrhythmias. Bamwe bagira atrial fibrillation, aho ibice byo hejuru by’umutima bikubita nabi.

Umutima ushobora kunanirwa niba umutima wawe umaze imyaka myinshi ukora cyane kurusha uko ukwiye. Ibi ntibisobanura ko umutima wawe uhagarara gukora, ahubwo ni uko utapompa neza nk’uko bikwiye. Ushobora kubona umunaniro wiyongereye, guhumeka nabi, cyangwa kubabara mu maguru.

Kwandura kw’imisego y’umutima cyangwa uruhu (endocarditis) ni ingaruka ikomeye ariko irashobora kwirindwa. Abantu bafite ubwoko bumwe bw’indwara z’umutima bavutse bafite ibyago byiyongereye byo kwandura, niyo mpamvu antibiotique yo kwirinda rimwe na rimwe isabwa mbere y’ibikorwa by’amenyo.

Ibisubizo by’amaraso n’ibyago byo kugira stroke bishobora kuba byiyongereye mu bwoko bumwe bw’indwara z’umutima zavutse, cyane cyane ibyo bifitanye isano n’imiterere idasanzwe y’amaraso. Muganga wawe ashobora kugutegeka imiti yo kugabanya amaraso niba ufite ibyago byiyongereye.

Umuvuduko ukabije w’amaraso mu mwijima, cyangwa pulmonary hypertension, ushobora kuza mu ndwara zimwe na zimwe zikomeye z’umutima. Ibi byongera umuvuduko ku mutima wawe kandi bishobora kugabanya ubushobozi bwawe bwo gukora imyitozo ngororamubiri uko iminsi igenda ishira.

Indwara z’Umutima Zavutse Waziriwe Zimenyekanwa Bite?

Kumenya indwara z’umutima zavutse mu bantu bakuru bikunze gutangira muganga wawe yumvise umutima wawe kandi akabaza ibimenyetso byawe n’amateka yawe y’ubuzima. Bareba niba hari umuvuduko w’amaraso cyangwa ibindi bimenyetso bishobora kugaragaza ikibazo cy’imiterere.

Electrocardiogram (EKG) yandika ibikorwa by’amashanyarazi y’umutima wawe kandi ishobora kugaragaza niba umuvuduko w’umutima wawe ari mwiza. Iki kizamini cyoroshye, kidakubabaza, gifata iminota mike kandi gitanga amakuru y’agaciro ku mikorere y’umutima wawe.

Echocardiogram ikoresha amajwi yo gukora amashusho y’umutima wawe. Iki kizamini kigaragaza imiterere y’ibice by’umutima wawe n’imisego, uko umutima wawe upompa neza, n’uko amaraso acengera mu mutima wawe. Ni ikizamini cy’ingenzi cyo kuvura no kugenzura indwara z’umutima zavutse.

Rimwe na rimwe hakenerwa amashusho arambuye. Cardiac MRI ishobora gutanga amashusho arambuye cyane y’imiterere n’imikorere y’umutima wawe. Cardiac catheterization ishobora gusabwa niba muganga wawe akeneye gupima umuvuduko uri mu mutima wawe cyangwa akareba imitsi y’amaraso yawe neza.

Isuzuma ry’imyitozo ngororamubiri rishobora gufasha kumenya uko umutima wawe uhangana n’imirimo ngororamubiri. Uzajya ugenda ku mashini cyangwa ukagendera kuri velo mu gihe umuvuduko w’umutima wawe n’umuvuduko w’umutima bigenzurwa. Ibi bifasha muganga wawe kumenya ubushobozi bwawe kandi ategura ubuvuzi bukwiye.

Ubuvuzi bw’Indwara z’Umutima Zavutse Waziriwe ni buhe?

Ubuvuzi bw’indwara z’umutima zavutse butandukanye cyane bitewe n’ubwoko bw’indwara ufite n’uko bugira ingaruka ku buzima bwawe bwa buri munsi. Abantu benshi bakeneye gukurikiranwa gusa, abandi bagira akamaro mu miti cyangwa mu bikorwa.

Imiti ishobora gufasha gucunga ibimenyetso no kwirinda ingaruka. Ushobora gufata imiti yo kugenzura ibibazo by’umuvuduko w’umutima, kugabanya umuvuduko w’amaraso, kwirinda ibisubizo by’amaraso, cyangwa gufasha umutima wawe gupompa neza. Diuretics ishobora gufasha kugabanya kubabara niba hari ikibazo cyo kubika amazi.

Ibikorwa byakozwe hifashishijwe catheter bishobora gukosora ibibazo bimwe by’umutima nta kubagwa. Ibi bivura bike byangiza bikorwa hifashishijwe imiyoboro mito yinjizwa mu mitsi y’amaraso. Urugero rurimo gufunga ibyuho mu mutima hifashishijwe ibikoresho bidasanzwe cyangwa gufungura imisego yafunzwe hifashishijwe balloons.

Kubagwa bishobora kuba bikenewe ku bibazo bikomeye cyangwa igihe ubuvuzi buke butari bwo bukwiye. Ibi bishobora kuba harimo gusana cyangwa gusimbuza imisego y’umutima, gufunga ibyuho, cyangwa gusana imitsi y’amaraso. Ubu buryo bwa none bw’ubuvuzi bufite ibyiza byinshi, kandi abantu benshi barakira neza.

Bamwe bagira akamaro mu bikoresho nka pacemakers kugira ngo bagengure umuvuduko w’umutima cyangwa implantable defibrillators kugira ngo birinde arrhythmias zikomeye. Ibi bikoresho ni bito kurusha ibyo byari bisanzwe kandi ntibigira ingaruka ku mirimo ya buri munsi.

Gusimbuza umutima bifatwaho gusa mu bihe bikomeye aho ubundi buvuzi butarabashije kugira icyo bukoze. Iki kibazo cyabaye cyiza cyane, abantu benshi babaho ubuzima bwiza, buhamye nyuma yo gusimbuzwa umutima.

Uko wakwitaho ufite Indwara z’Umutima Zavutse Waziriwe

Kwitaho ufite indwara y’umutima yavutse birimo ubuvuzi n’imikorere y’ubuzima ishyigikira ubuzima bwawe muri rusange. Inkuru nziza ni uko inama nyinshi ari imyifatire myiza y’ubuzima ifitiye buri wese akamaro.

Imikino ngororamubiri isanzwe iterwa inkunga, ariko ni ngombwa gukorana na muganga wawe kugira ngo umenye icyo gikwiriye ku ndwara yawe. Abantu benshi bashobora kwitabira ibikorwa byinshi, abandi bashobora gukenera kwirinda imikino cyangwa ibikorwa bimwe na bimwe bikomeye. Ikintu nyamukuru ni ugukorana n’itsinda ryawe rya ba muganga kugira ngo mutegure gahunda y’imyitozo ngororamubiri ikwiye kandi ikuryohera.

Kurya indyo yuzuye ifasha umutima wawe. Fata imbuto n’imboga nyinshi, ibinyampeke byuzuye, ibiryo byuzuye, n’amavuta meza. Kugabanya umunyu bishobora kuba ikintu cy’ingenzi cyane niba ufite ikibazo cyo kubika amazi cyangwa umuvuduko w’amaraso mwinshi.

Kuguma ugezweho mu gukingira ni ngombwa kuko indwara z’ubuhumekero zishobora kuba zikomeye iyo ufite indwara y’umutima. Kora inkingo ya grippe buri mwaka kandi ugume ugezweho mu zindi nkingo zisabwa.

Kwita ku menyo ni ingenzi kuko udukoko dukomoka mu kanwa rimwe na rimwe dushobora gutera indwara zikomeye z’umutima. Kwoza amenyo yawe no kuyasukura buri gihe, ujye ubona umudogiteri w’amenyo kugira ngo akore isuku rusange, kandi ubwire itsinda ryawe ry’abaganga b’amenyo ibibazo by’umutima wawe.

Kwirinda itabi no kugabanya kunywa inzoga ni ingenzi ku buzima bw’umutima. Niba unywa itabi, guhagarika ni kimwe mu bintu byiza ushobora gukorera umutima wawe. Muganga wawe ashobora kugufasha kubona ubufasha bwo guhagarika kunywa itabi.

Uko wakwitegura gahunda yawe yo kubona muganga

Kwitaho gahunda yawe yo kubona muganga bifasha guhamya ko uboneye igihe cyawe cyiza hamwe n’itsinda ryawe ry’abaganga. Tangira wandike ibimenyetso byose wari ufite, harimo igihe bibaho n’icyo bikora kugira ngo bigabanuke cyangwa bikomeze.

Zana urutonde rwuzuye rw’imiti yose ufata, harimo imiti yo kuvura no kuvura. Harimo n’umwanya uba ufata. Aya makuru afasha muganga wawe kumenya neza uko ubuvuzi bwawe buhagaze.

Kora kopi y’ibyemezo by’ubuvuzi byabanje, ibisubizo by’ibizamini, cyangwa raporo z’abandi baganga wabonye. Niba wabagiwe umutima cyangwa wabagiwe, zana ibyo byemezo. Aya makuru afasha muganga wawe kumenya amateka yawe y’ubuzima.

Andika ibibazo ushaka kubabaza mbere y’uko ubyibagirwa. Ibibazo bisanzwe bishobora kuba harimo kubabaza ibyo ugomba kwirinda, igihe ugomba guhamagara muganga, cyangwa ibimenyetso ugomba kwitondera. Ntukabe ikibazo cyo kubabaza icyo aricyo cyose gikubangamiye.

Tegereza kuzana umuntu wo mu muryango wawe cyangwa inshuti yawe mu gihe cyo kubona muganga. Bashobora kugufasha kwibuka amakuru y’ingenzi no kugushyigikira. Bamwe basanga ari byiza kwandika mu gihe cyo kubona muganga cyangwa kubabaza niba bashobora kwandika amabwiriza y’ingenzi.

Icyemezo nyamukuru ku ndwara z’umutima zavutse waziriwe

Ikintu cy’ingenzi cyo kumva ni uko kugira indwara y’umutima yavutse nk’umuntu mukuru ntibisobanura ko utazashobora kubaho ubuzima buhamye, bufite icyo buvuze. Iterambere ry’ubuvuzi ryatumye abantu benshi bafite ibyo bibazo babasha kubaho neza bafite ubuvuzi bukwiye no gukurikiranwa.

Gukurikiranwa buri gihe na cardiologue uzi indwara z’umutima zavutse ni ingenzi. Aba baganga bamenya uko indwara z’umutima zavutse zihinduka uko iminsi igenda ishira kandi bashobora kugufasha kugumana ubuzima bwiza mu buzima bwawe bwose.

Uburambe bwa buri muntu bufite indwara y’umutima yavutse ni bwihariye. Icyakorera undi ntibishobora kukubereye, kandi ibyo ni ibisanzwe. Itsinda ryawe ry’abaganga rizakorana nawe kugira ngo mutegure gahunda ihuye n’ibyo ukeneye n’imibereho yawe.

Kumenya neza ibibazo byawe biguha ububasha bwo kwitabira ubuvuzi bwawe. Ntukabe ikibazo cyo kubabaza ibibazo, gushaka ibitekerezo by’abandi iyo bibaye ngombwa, no kwitabira ubwira bwawe. Uzi umubiri wawe kurusha undi muntu wese.

Ibibazo byakunze kubaho ku ndwara z’umutima zavutse waziriwe

Nshobora gukora imyitozo ngororamubiri niba mfite indwara y’umutima yavutse?

Abantu benshi bafite indwara y’umutima yavutse bashobora gukora imyitozo ngororamubiri mu mutekano, ariko ubwoko n’uburemere byabyo biterwa n’ubwoko bw’indwara ufite. Cardiologue yawe ashobora gukora ikizamini cy’imyitozo ngororamubiri kugira ngo amenye urwego rw’imikino ikwiye kuri wewe. Abantu benshi bakora imyitozo ngororamubiri ya cardio, imyitozo yo gushimangira imitsi, n’imikino y’imyidagaduro nta kibazo.

Ese indwara y’umutima wanjye yavutse izakomeza gukomera uko nshaje?

Oya. Abantu benshi bafite indwara y’umutima yavutse baguma bahamye imyaka myinshi bafite ubuvuzi bukwiye. Ariko, zimwe mu ndwara zishobora guhinduka uko iminsi igenda ishira, niyo mpamvu gukurikiranwa buri gihe ari ingenzi. Umutima wawe ushobora gukenera gukora cyane uko ushaje, kimwe n’abantu badafite ibibazo by’umutima. Kumenya hakiri kare ibyo bihinduka bituma ubuvuzi buhita butangira kugira ngo ubuzima bwawe bugume buhamye.

Nshobora kubyara abana niba mfite indwara y’umutima yavutse?

Abagore benshi bafite indwara y’umutima yavutse bashobora gutwita neza, ariko bisaba gutegura neza no kwitabwaho byihariye. Cardiologue yawe n’umuganga w’abagore batwite bashobora gusuzuma indwara yawe kandi bagufasha kumenya ibyago. Zimwe mu ndwara z’umutima zigira ibyago byinshi mu gihe cyo gutwita, izindi nta ngaruka zigira. Inama mbere yo gutwita ifasha guhamya ibyiza bishoboka kuri wowe n’umwana wawe.

Nkeneye gufata antibiotique mbere y’ibikorwa by’amenyo?

Ibi biterwa n’ubwoko bw’indwara y’umutima yavutse. Amabwiriza ya none asaba antibiotique yo kwirinda gusa ku bantu bafite ibyago byinshi byo kwandura bikomeye, nka ba bandi bafite ubwoko bumwe bw’indwara y’umusego cyangwa banduye umutima mbere. Cardiologue yawe ashobora kukubwira niba ukeneye antibiotique yo kwirinda kandi akaguha ikarita cyangwa ibaruwa ku muganga wawe w’amenyo isobanura ibyo ukeneye.

Kanga nshobora kubona cardiologue?

Ubwinshi bw’ibyavuye biterwa n’uburemere bw’indwara yawe n’uko uhagaze. Abantu bafite indwara zoroheje kandi bahagaze neza bashobora kubona cardiologue wabo rimwe mu mwaka, mu gihe abafite indwara zikomeye bashobora gukenera kubona buri mezi 3-6. Muganga wawe azakugira inama y’igihe gikwiye kuri wewe. Gukurikiranwa buri gihe bifasha gufata ibyo bihinduka hakiri kare kandi bihamya ko uhabwa ubuvuzi bukwiye mu buzima bwawe bwose.