Created at:1/16/2025
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Umuhogo wumye ubaho iyo ibyondo byawe bidasohoka amazi ahagije yo gutuma umunwa wawe uba mwiza. Iyi ndwara, izwi mu rwego rw’ubuvuzi nka xerostomia, ibagiraho abantu benshi kandi ishobora kuva ku kibazo gito kugeza ku kibazo gikomeye cy’ubuzima kigira ingaruka ku buzima bwawe bwa buri munsi.
Umunwa wawe ukeneye amazi yo mu kanwa kurusha uko ushobora kubyiyumvisha. Amazi yo mu kanwa akurinda kuruma, kwishima, no kurya neza, kandi akurinda amenyo yawe microbes mbi. Iyo uyu muco w’umye uhungabanye, uzabona vuba ingaruka.
Umuhogo wumye ubaho iyo ibyondo byawe bigabanya umusaruro wabyo usanzwe. Umunwa wawe ufite imirongo itatu y’ibyondo bikomeye byo mu kanwa hamwe n’ibindi byinshi bito bito bifatanije gutanga litiro 1-2 z’amazi yo mu kanwa buri munsi.
Iyi ndwara si ukwumva inyota gusa. Iyo umunwa wawe ubuze amazi ahagije, bituma habaho ahantu microbes zishobora gukura byoroshye. Amazi yo mu kanwa akora nk’uburyo bwo gusukura umunwa wawe, asukura ibice by’ibiribwa kandi agatanga acide microbes mbi zikora.
Umuhogo wumye ushobora kuba igihe gito, ukamara amasaha make cyangwa iminsi, cyangwa ukaba indwara iramara igihe kirekire isaba ubuvuzi buhoraho. Ubukana bwayo butandukanye cyane ukurikije umuntu ku wundi, bamwe bagira ibibazo bike mu gihe abandi bahura n’ibibazo bikomeye mu kurya, kuvuga, cyangwa gusinzira.
Ubusanzwe uzabona ibimenyetso by’umuhogo wumye buhoro buhoro, nubwo rimwe na rimwe bishobora kugaragara mu buryo butunguranye bitewe n’intandaro yabyo. Ibyo bimenyetso bikunze kugaragara cyane mu bikorwa bisanzwe bikurura amazi yo mu kanwa, nko kurya cyangwa kuvuga.
Ibimenyetso bisanzwe ushobora kugiramo harimo:
Ushobora kandi kubona ibimenyetso bidafatika cyane bikuraho uko iminsi igenda. Ururimi rwawe rushobora kumva rworoshye cyangwa rukagira imiterere itandukanye, kandi iminwa yawe ishobora gukama cyangwa guswera kurusha ubusanzwe. Bamwe bagira ikibazo cyo kwambara amenyo y’ibinyoma neza kuko umusohoro ufasha gukora umukingo ubayifata.
Mu bihe bikomeye, ushobora kugira ibisebe mu kanwa cyangwa ukabona ko umunwa wawe uhinduka utukura kandi ukababara kenshi. Ibi bimenyetso bibaho kuko umusohoro ubusanzwe ufasha kugumisha ubuzima bwiza bw’ububiko mu kanwa.
Umunwa ukama ubaho iyo ikintu cyabujije imisemburo y’umunwa gukora neza. Ikintu gikunze gutera iki kibazo ni imiti, ariko hari ibindi bintu byinshi bishobora gutera kugabanuka kw’umusohoro.
Imiti ni yo itera umunwa gukuma cyane, ikagira ingaruka ku misemburo y’umunwa. Imiti myinshi ikunze kuvurwa ishobora kugabanya umusohoro, irimo:
Indwara z’ubuzima zishobora kandi guhungabanya umusaruro usanzwe w’umusemburo. Indwara ziterwa n’ubudahangarwa bw’umubiri nka Sjogren’s syndrome zigaba igitero ku mitsi ikora umusemburo n’amarira. Diabete ishobora kugira ingaruka ku musaruro w’umusemburo, cyane cyane igihe urugero rw’isukari mu maraso rutari ku rwego rwiza.
Izindi ndwara z’ubuzima zishobora gutera umunwa wumye harimo:
Ubuvuzi bwa kanseri kenshi bituma umunwa wumye nk’ingaruka mbi. Kugira radiotherapy mu gice cy’umutwe n’ijosi bishobora kwangiza imisemburo, rimwe na rimwe bikaba burundu. Chemotherapy ishobora kandi kugabanya by’agateganyo umusaruro w’umusemburo, nubwo iyi ngaruka isanzwe ikira nyuma y’ubuvuzi.
Ibintu by’imibereho bigira uruhare na byo. Kuvuza itabi cyangwa kunywa itabi bishobora kugabanya umusaruro w’umusemburo no kurushaho kuba nabi ibimenyetso by’umunwa wumye. Guhumeka mu kanwa buri gihe, yaba bitewe n’uburwayi bw’izuru cyangwa apnée du sommeil, bishobora kumuka imitsi yo mu kanwa.
Kubuza amazi ahagije, kunywa ikawa cyane, cyangwa kunywa inzoga bishobora kandi gutera ibimenyetso by’umunwa wumye. Ndetse no guhangayika no kwigunga bishobora kugira ingaruka ku musaruro w’umusemburo mu bantu bamwe.
Wagomba kuvugana n’abaganga bawe niba umunwa wumye ukomeza iminsi irenga mike nta mpamvu isobanutse y’igihe gito nka grippe cyangwa kubura amazi. Kugira ubutabazi hakiri kare bishobora gufasha gukumira ingaruka mbi no kunoza ubuzima bwawe cyane.
Shaka ubuvuzi bw’abaganga vuba niba ufite ibimenyetso bikomeye nko kugira ikibazo cyo kwishima, kubabara mu kanwa buri gihe, cyangwa ibimenyetso by’ubwandu mu kanwa. Ibi bishobora kuba harimo ibice byera mu kanwa ryawe, ibikomere bidasanzwe bitakira, cyangwa amasura y’amenyo yabubutse.
Tegura gahunda yo kubonana na muganga niba umunwa wumye ukubuza gukora ibikorwa byawe bya buri munsi. Ibi birimo kugira ikibazo cyo kurya ibinyobwa bimwe na bimwe, kugira ikibazo cyo kuvuga neza, cyangwa kudasinzira neza kubera umunwa wumye. Muganga wawe ashobora kugufasha kumenya icyateye icyo kibazo no kugutegurira uburyo bwiza bwo kuvura.
Niba ufashe imiti kandi ukabona umunwa wumye, ntukareke imiti yagutegetswe wenyine. Ahubwo, banira ibyo bimenyetso muganga wawe, ashobora kuguhindurira umwanya cyangwa akakugira inama yo gufata indi miti.
Ibintu byinshi bishobora kongera ibyago byo kurwara umunwa wumye. Izabukuru ni ikintu gikomeye cyane cyibyo bintu, kuko abantu bakuze bakunze gufata imiti myinshi kandi bashobora kugira ibibazo by'ubuzima bigira ingaruka ku musaruro w'umusemburo.
Kuba umugore bigushyira mu kaga kenshi cyo kurwara indwara zimwe na zimwe ziterwa n'ubudahangarwa bw'umubiri nka Sjögren's syndrome, ikunze gutera umunwa wumye. Impinduka z'imisemburo mu gihe cy'ihindagurika ry'imihango zishobora kandi kugira ingaruka ku musaruro w'umusemburo mu bagore bamwe.
Amateka yawe y'ubuzima agira uruhare rukomeye ku kaga ufite. Kugira diabete, cyane cyane niba ugira ikibazo cyo kugenzura isukari mu maraso, byongera amahirwe yo kurwara umunwa wumye. Abantu barwaye indwara ziterwa n'ubudahangarwa bw'umubiri bafite ibyago byinshi kubera imiterere y'izo ndwara.
Uburyo bwo kubaho bushobora kongera ibyago byawe. Kunywa itabi buri gihe, haba kunywa cyangwa guhekenya, byongera cyane amahirwe yo kurwara umunwa wumye. Kunywa inzoga nyinshi no kunywa ikawa nyinshi bishobora kandi gutera icyo kibazo.
Guta imiti myinshi icyarimwe, ikintu cyitwa polypharmacy, byongera cyane ibyago byo kurwara umunwa wumye. Ibi bikunze kugaragara mu bantu bakuze bashobora kuba barimo kuvura ibibazo byinshi by'ubuzima.
Umuhogo wumye udavuwe ushobora gutera ibibazo byinshi by’ubuzima bw’amenyo bishobora kuba bibi uko igihe gihita. Gusobanukirwa ibyo bibazo bishoboka bifasha gushimangira impamvu gukemura ibimenyetso by’umunwa wumye ari ingenzi ku buzima bwawe rusange.
Ibibazo by’amenyo ni byo bibazo bisanzwe by’umunwa wumye igihe kirekire. Udasize amazi ahagije yo gusenya aside no gukuraho ibice by’ibiribwa, uhura n’ingaruka nyinshi zo kugira:
Amazi afite ubushobozi bwo kurwanya udukoko dufasha kugenzura udukoko mbi mu kanwa kawe. Iyo umusaruro w’amazi ugabanutse, ibyo bidukoko bishobora kwiyongera vuba, bigatuma umwuka mubi uhoraho n’ingaruka nyinshi z’indwara.
Ibibazo by’imirire bishobora kuvuka iyo umunwa wumye ugora kurya. Ushobora kwirinda ibiryo bimwe byiza nka imbuto n’imboga kuko bigoye kuyimenya no kuyamenya nta mazi ahagije. Ibi bishobora gutera ibibazo by’imirire uko igihe gihita.
Bamwe bagira ingaruka zo mu mibanire n’imitekerereze iterwa n’umunwa wumye igihe kirekire. Umwuka mubi uhoraho, kugorana mu kuvuga neza, cyangwa kudakunda kurya bishobora kugira ingaruka ku bwizerwa bwawe mu mibanire yawe kandi bikagira ingaruka ku mibereho yawe.
Mu bihe bitoroshye, umunwa wumye cyane ushobora gutera indwara zikomeye z’amenyo zishobora gusaba ubuvuzi bukomeye. Indwara ziterwa n’ibinyampeke nka thrush mu kanwa zirakomeye iyo uburyo bwo kwirinda bw’umunwa butabonetse.
Nubwo utazibuza impamvu zose z’umunwa wumye, cyane cyane izirebana n’imiti ikenewe cyangwa ibibazo by’ubuzima, hari uburyo butandukanye bushobora kugufasha kugabanya ibyago byawe no kugabanya ibimenyetso iyo bibaye.
Kuguma ufite amazi ahagije mu mubiri ni imwe mu ngamba zikomeye zo kwirinda. Gerageza kunywa amazi umunsi wose aho gutegereza kugeza ubwo wumva ufite inyota. Ibi bifasha mu kugumana umusaruro mwiza w’umusemburo w’amunwa kandi bikagumisha imitsi y’akanwa yawe ifite ubuhehere.
Kugabanya ibintu bishobora gukama akanwa byagira ingaruka nziza cyane. Kugabanya kunywa inzoga, kugabanya caffeine, no kwirinda itabi rwose. Ibi bintu bishobora kubangamira umusaruro usanzwe w’umusemburo w’amunwa kandi bikarushaho kuba nabi ibimenyetso by’umunwa wumye.
Imyitwarire myiza yo kwita ku buzima bw’amenyo ifasha mu kwirinda ingaruka mbi, nubwo utaweza kwirinda burundu umunwa wumye. Kwoza amenyo yawe inshuro ebyiri ku munsi ukoresheje ijisho ry’amenyo rifite fluoride, koresha uburoso bw’amenyo buri gihe, kandi ukoreshe amazi yo kwoza amenyo adafite alcool kugira ngo wirinde gukuma imitsi y’akanwa.
Kurema ikirere gifite ubuhehere mu rugo rwawe, cyane cyane mu cyumba cyawe cyo kuryamamo, bishobora kugufasha kwirinda gukama kw’akanwa nijoro. Gukoresha igikoresho cyongera ubuhehere cyangwa no gushyira isahani y’amazi hafi y’igitanda cyawe bishobora kongera ubuhehere mu kirere uhumeka.
Niba uhumeka unyuze mu kanwa buri gihe, guhangana n’impamvu zibitera nka congestion mu mazuru cyangwa sleep apnea bishobora kugufasha kugabanya ibyago byo gukama kw’akanwa. Ganira n’abaganga bawe ku bijyanye n’uburyo bwo kuvura ibi bibazo.
Umuganga wawe azapima umunwa wumye ahereye ahanini ku isuzuma ngaruka mbere n’ibiganiro ku bimenyetso byawe n’amateka yawe y’ubuzima. Uburyo bwo gupima busanzwe butangira ibibazo ku gihe wabonye ibimenyetso bwa mbere n’ibintu bisa n’ibibikiza cyangwa bibirushaho kuba bibi.
Mu gihe cy’isuzuma, muganga wawe azareba imbere mu kanwa kawe kugira ngo asuzume imiterere y’imitsi y’akanwa. Azareba ibimenyetso byo gukama, asuzume imisemburo y’amunwa niba hari kubyimba, kandi arebe ingaruka mbi nko guhenda kw’amenyo cyangwa indwara z’amenyo.
Muganga wawe azasuzumana ubushishozi imiti ukoresha ubu, kuko ari yo ntandaro ikunze gutera umunwa gukuma. Azashaka kumenya imiti yose yandikiwe na muganga, imiti igurwa mu maduka nta cyemezo cya muganga gikenewe, n’ibindi byongerwamo ukoresha, harimo n’igihe watangiye gukoresha buri kimwe.
Mu bihe bimwe na bimwe, umuvuzi wawe ashobora gukora ibizamini byoroshye kugira ngo apime umusaruro w’umusemburo w’amunwa. Ibi bishobora kuba bikubiyemo kugutuma usuka mu gikombe mu gihe runaka cyangwa gukoresha ibintu bishira amazi kugira ngo hapimaze umusaruro w’umusemburo w’amunwa.
Niba hakekwa uburwayi runaka, muganga wawe ashobora gutegeka ibizamini byiyongereyeho. Ibizamini by’amaraso bishobora gufasha kumenya indwara ziterwa n’ubudahangarwa bw’umubiri nka Sjögren, mu gihe ibizamini by’amashusho bishobora kuba bikenewe niba hakekwa ikibazo cy’ibice by’umusemburo w’amunwa.
Rimwe na rimwe, birasabwa koherezwa kwa muganga w’inzobere. Muganga w’inzobere mu kuvura amenyo, muganga w’indwara z’uruhu, cyangwa muganga w’amatwi, izuru n’umunwa ashobora gutanga ubumenyi bwiyongereyeho bitewe n’intandaro y’uburwayi ikekwako.
Ubuvuzi bw’umunwa ukumye bugamije guhangana n’intandaro yabwo mu gihe bishoboka no gucunga ibimenyetso kugira ngo hakorwe neza kandi hirindwe ingaruka. Uburyo umuvuzi wawe azagutegurira buzaterwa n’icyo gituma umunwa wawe ukumye n’uburemere bw’ibimenyetso ufite.
Niba imiti ari yo itera umunwa wawe gukuma, muganga wawe ashobora guhindura umwanya cyangwa akaguha imiti indi idatera iyo ngaruka. Ariko, ibi ntibishoboka buri gihe, cyane cyane niba ukoresha imiti yo kuvura indwara zikomeye.
Ibisimbuza umusemburo w’amunwa n’ibimutera bishobora kugufasha cyane. Ibisimbuza umusemburo w’amunwa bigurwa mu maduka nta cyemezo cya muganga gikenewe biboneka mu buryo butandukanye harimo amavuta, amazi yo kumesa, n’imiti yo kurandura ushobora gukoresha umunsi wose. Ibi bintu bifasha gutuma umunwa wawe ugorora by’agateganyo.
Imiti yo kuvura ishobora kugerwaho mu bihe bikomeye. Imiti nka pilocarpine (Salagen) cyangwa cevimeline (Evoxac) ishobora gukangurira ibyondo byawe byo mu kanwa gutanga amazi menshi, nubwo atari meze kuri buri wese kandi ishobora kugira ingaruka mbi.
Ku bantu bafite ibibazo byo mu mubiri bifitanye isano n'ubwirinzi bw'umubiri, kuvura indwara y'ibanze bikunze gufasha kunoza ibimenyetso byo kubura amazi mu kanwa. Ibi bishobora kuba bikubiyemo gukorana n'inzobere nka ba muganga b'indwara z'uruhu bashobora kwandikira imiti ikwiye.
Umuganga wawe w'amenyo agira uruhare rukomeye mu gucunga ingaruka ziterwa no kubura amazi mu kanwa. Bashobora kugutegurira imiti yo gukuraho plaque, amazi yo kumesa mu kanwa afite fluoride, cyangwa gusukura amenyo kenshi kugira ngo wirinde kwangirika kw'amenyo n'indwara z'umunwa.
Guhindura imibereho bigira uruhare runini mu kuvura. Ibi birimo guhora unywa amazi, kwirinda ibintu byumisha umunwa, gukoresha umwuka w'ubushyuhe, no kugira isuku nziza y'amenyo.
Kwita ku kibazo cyo kubura amazi mu kanwa mu rugo bikubiyemo ingamba nyinshi zishobora kunoza ubuzima bwawe no kugufasha kwirinda ingaruka mbi. Izi ngamba zikora neza iyo zikoreshwa buri gihe nk'igice cy'imirimo yawe ya buri munsi.
Kunywana amazi kenshi mu gihe cy'umunsi bifasha kurushaho kugumisha umunwa ufite amazi kurusha kunywa amazi menshi icyarimwe. Jya ufite icupa ry'amazi kandi ujye unywa utudodo duto buri gihe, cyane cyane igihe cyo kurya no igihe uvugira igihe kirekire.
Imyenda idafite isukari n'udusebe bishobora gukangurira umusaruro w'amazi mu kanwa mu buryo bw'umwimerere. Shaka ibintu birimo xylitol, bitabasha gukangurira amazi mu kanwa gusa ahubwo binagufasha kurinda amenyo yawe kwangirika. Irinde ibintu birimo isukari, kuko bishobora kurushaho kubaza ibibazo by'amenyo.
Hindura imirire yawe kugira ngo ubone ibiryo byoroshye kuruma no gutema. Ibiryo byoroshye, binyongoye nka sopu, ibinyampeke, n'ibinyobwa byoroshye bishobora kuba byoroshye. Ongeramo isosi cyangwa amavuta ku biryo byumye, kandi wirinda ibiryo byinshi byumunyu, ibirungo, cyangwa acide bishobora kubabaza umunwa wawe.
Tegura gahunda yo kuryama ihagarika umunwa wumye nijoro. Komereza amazi iruhande y'igitanda cyawe, koresha umwuka mu cyumba cyawe cyo kuryamamo, kandi ugerageze gukoresha amazi yo kumesa umunwa adafite inzoga mbere yo kuryama. Bamwe basanga kuryama umutwe wabo uhagaze gato bituma bagabanya guhumeka mu kanwa.
Witondere cyane gahunda yawe yo kwita ku buzima bw'amenyo. Koresha iminwa ifite fluoride byibuze kabiri ku munsi, koresha umugozi wo gukuraho ibyondo buri gihe, kandi ukoreshe amazi yo kumesa umunwa adafite inzoga. Gerageza gukoresha iminwa yoroheje niba umunwa wawe ubaye ubabaza.
Kwirinda ibintu bishobora kurushaho kuba bibi ibimenyetso by'umunwa wumye. Ibi birimo amazi yo kumesa umunwa arimo inzoga, itabi, na kafeyin nyinshi. Nubwo hari ibicuruzwa bigaragara ko bidakora nabi nka za minwa zimwe na zimwe zifite sodium lauryl sulfate bishobora kongera umunwa wumye kuri bamwe.
Gutegura neza uruzinduko rwawe bifasha guhamya ko ubona ubuvuzi bwiza kandi buhamye. Gufata umwanya wo gutegura amakuru yawe mbere bishobora gutuma uruzinduko rwawe ruba rwiza kandi rudateza umutwe.
Tegura urutonde rwuzuye rw'imiti yose ukoresha ubu, harimo imiti y'abaganga, imiti yo mu maduka, amavitamini, n'ibindi biribwa. Bandika umwanya w'imiti n'igihe umaze uyikoresha, kuko ayo makuru ari ingenzi mu kumenya impamvu zishoboka.
Andika neza ibimenyetso byawe, harimo igihe byatangiye, uko bikomeye, n'icyo bigaragara ko kibikiza cyangwa kibirushaho kuba bibi. Bandika ibyo wabonye, nko kumenya niba ibimenyetso biri bibi mu bihe bimwe by'umunsi cyangwa nyuma y'ibikorwa bimwe na bimwe.
Tegura amateka yawe y'ubuzima yuzuye harimo uburwayi buhoraho, indwara uheruka kugira, cyangwa ubuvuzi wakiriye. Ibi ni ingenzi cyane niba wakiriye imirasire, chemotherapy, cyangwa ibyo kubaga bikubiyemo umutwe n'ijosi.
Andika ibibazo wifuza kubabaza umuvuzi wawe. Ibi bishobora kuba ibibazo bijyanye n’impamvu zishoboka, uburyo bwo kuvura, impinduka mu mibereho ushobora gukora, n’uburyo bwo kwirinda ingaruka.
Tegereza kuzana inshuti cyangwa umuryango w’umuntu wizeye mu nama yawe, cyane cyane niba wumva uhangayitse cyangwa niba umunwa wumye ukugora kuvuga neza. Bashobora kugufasha kwibuka amakuru akomeye no kugufasha mu byiyumvo.
Niba umaze kugerageza imiti yo mu rugo cyangwa imiti igurwa mu maduka, andika ibyo wakoze niba byagufashije. Aya makuru afasha muganga wawe kumva uburyo bushobora kukugirira akamaro.
Umunwa wumye ni ikibazo gishobora kuvurwa gikunda guhura n’abantu benshi, kandi ntugomba kwemera ko ububabare ari ukuri. Nubwo bishobora guterwa n’ibintu bitandukanye birimo imiti n’ibibazo by’ubuzima, uburyo bwo kuvura no gucunga buhari kugira ngo ugume utekanye.
Ikintu cy’ingenzi cyo kwibuka ni uko kuvura hakiri kare bigira uruhare runini. Kugira ngo ubone uko uburibwe bw’umunwa wumye buhita buvurwa, bishobora kugufasha kwirinda ingaruka nk’ubupfu bw’amenyo n’indwara z’umunwa, no kunoza imibereho yawe muri rusange.
Gukorana n’umuvuzi wawe ni ingenzi mu gushaka uburyo bukwiriye bukubereye. Bashobora kugufasha kumenya icyateye ikibazo no gutegura gahunda yo kuvura ibimenyetso byawe n’ibintu byose bibitera.
Abantu benshi basanga guhuza kuvurwa n’abaganga n’ubwitabire bw’igihe kirekire mu rugo ari byo bigira ingaruka nziza. Ibi bishobora kuba imiti y’amabwiriza hamwe n’impinduka mu mibereho nk’uko ubuzima bwawe bumeze no gukoresha imiti igabanya umunyu mu kanwa.
Wibuke ko gucunga umunwa wumye akenshi ari igikorwa gikomeza kubaho aho kuba igisubizo kimwe. Icyakugirira akamaro gishobora guhinduka uko igihe gihita, bityo kuguma uganira nitsinda ryabaganga bawe no kwemera guhindura uburyo bwawe ni ingenzi kugira ngo ugere ku ntsinzi irambye.
Umunwa wumye igihe kirekire ushobora gutera kwangirika kw'amenyo n'indwara z'umukaya niba utaravuwe, ariko ibyo bibazo ntabwo ari ngombwa. Hamwe no kwitaho neza harimo isuku nziza y'amenyo, gusura inzobere mu menyo buri gihe, no kuvura neza umunwa wumye ubwawo, ushobora kurinda amenyo yawe neza. Ikintu nyamukuru ni uguhangana n'ikibazo hakiri kare no kugumana ubuvuzi bw'ubwirinzi buhoraho.
Nubwo kuguma wisutse ari ingenzi kandi bishobora gufasha ku bimenyetso byoroheje by'umunwa wumye, gusa kunywa amazi menshi ntibizakiza umunwa wumye uterwa n'imiti cyangwa ibibazo by'ubuzima. Amazi afasha by'agateganyo, ariko niba impamvu yihishe iri kugabanya umusaruro w'amashyira, ukeneye kuvurwa by'inyongera nka imiti ishyira mu mwanya w'amashyira cyangwa imiti ikangurira umusaruro w'amashyira.
Umunwa wumye ntabwo ari ikintu gisanzwe mu gukura ubwawo, ariko abantu bakuze bafite amahirwe menshi yo kubona kubera ikoreshwa ry'imiti nyinshi n'igipimo cyo hejuru cy'ibibazo bimwe by'ubuzima. Impinduka zijyanye n'imyaka mu mitsi y'amashyira akenshi iba nto kandi ntibyatera ibibazo bikomeye by'umunwa wumye ubwabyo. Niba ufite umunwa wumye uhoraho, birakwiriye kubiganiraho n'abaganga bawe uko waba uri kose.
Yego, umunaniro n’ihungabana bishobora kugabanya by’agateganyo umusaruro w’umusemburo w’amunwa, bikagira uruhare mu kwishima kw’umunwa. Ibi bibaho kuko umunaniro ugira ingaruka ku mikorere y’imiterere y’imyakura, iyobora imikorere y’ibice by’umusemburo w’amunwa. Nubwo kwishima kw’umunwa guterwa n’umunaniro bisanzwe ari by’agateganyo, umunaniro uhoraho ushobora kugira uruhare mu bimenyetso bikomeza. Gucunga umunaniro binyuze mu buryo bwo kuruhuka, imyitozo ngororamubiri, cyangwa inama zishobora gufasha kunoza imibereho yawe muri rusange ndetse n’ibimenyetso byo kwishima kw’umunwa.
Igihe cyo kumera neza gitandukanye bitewe n’ubuvuzi n’intandaro y’ibanze. Ibintu bisimbura umusemburo w’amunwa n’amazi yo kumesa umunwa bishobora gutanga ihumure ryihuse ariko ry’agateganyo. Imiti ivura isaba umuganga isakuza umusaruro w’umusemburo w’amunwa isanzwe ifata ibyumweru bike kugira ngo igaragaze ingaruka zose. Niba kwishima kw’umunwa guterwa n’imiti kandi muganga agakosora imiti yawe, kunoza bishobora kubaho mu minsi mike cyangwa ibyumweru nyuma y’impinduka.