Ese Kugwa Gukomeye ni iki? Ibimenyetso, Impamvu, n’Uko Bivurwa

Ese kugwa gukomeye (grand mal seizure), ubu bizwi nka kugwa kwa toni-kloniki, ni ubwoko bw’ikigwa gikwirakwira umubiri wose, kikagira ibimenyetso bikomeye, bigaragara nk’ugukomera kw’imikaya n’imihindagurikire y’imikaya. Aya magwa akenshi ni yo abantu bibwira iyo batekereza kuri epilepsi, nubwo ashobora kubaho kuri uwo ari we wese mu gihe runaka.

Nubwo kubona cyangwa kugira ikigwa gukomeye bishobora gutera ubwoba, gusobanukirwa ibiri kuba mu mubiri wawe bishobora kugufasha kugabanya imihangayiko no kugufasha kubona ubufasha bukwiye. Abantu benshi bagira aya magwa bashobora kubaho ubuzima buzuye, bukorwa neza, bafite ubuvuzi bukwiye n’ubufasha.

Ese Kugwa Gukomeye ni iki?

Kugwa gukomeye kubaho iyo ibikorwa by’amashanyarazi mu bwonko bwawe bihinduka bidasanzwe, bigatera ko uturemangingo tw’imikaya dukora vuba kandi bidashoboka kubigenzura. Iyi mivurungano y’amashanyarazi igira ingaruka ku mpande zombi z’ubwonko bwawe icyarimwe, niyo mpamvu abaganga babyita ikigwa “gikwirakwira”.

Ijambo “grand mal” rikomoka mu gifaransa, risobanura “indwara ikomeye”, ariko iri zina rya kera ryasimbuwe n’ijambo “kugwa kwa toni-kloniki” risobanura neza. Icyiciro cya “toni” kivuga gukomera kw’imikaya, naho “kloniki” kivuga imihindagurikire y’imikaya ikurikira.

Aya magwa asanzwe aramara iminota imwe kugeza kuri itatu. Imiterere isanzwe y’amashanyarazi y’ubwonko bwawe ihinduka, bigatuma ubutumwa busanzwe hagati y’uturemangingo tw’imikaya buhagarara by’agateganyo, bigatera ibimenyetso by’umubiri ushobora kubona.

Ibimenyetso byo Kugwa Gukomeye ni ibihe?

Kugwa gukomeye bikurikira uburyo runaka bufite ibice bitandukanye, buri kimwe gifite ibimenyetso bitandukanye. Kumenya ibi bice bishobora kugufasha gusobanukirwa ibiri kuba no kumenya igihe ugomba gushaka ubufasha bw’ihutirwa.

Ikigwa gisanzwe gitangira mu cyiciro cya toni, aho imikaya yawe ikomera mu buryo butunguranye kandi ukabura ubwenge. Ushobora gutaka kuko umwuka uvanwa mu bihaha byawe, kandi ushobora kugwa hasi niba uhagaze.

Mu gihe cy’ikigwa nyamukuru, uzagira:

• imihindagurikire y’imikaya y’amaboko n’amaguru
• kubura ubushobozi bwo kwikinisha
• kugira ikibazo cyo guhumeka cyangwa guhagarika guhumeka by’agateganyo
• kubabara mu minwa cyangwa mu maso
• kuva amaraso mu kanwa
• kuruma ururimi (nubwo ibi bidafite akamaro kuruta uko abantu babitekereza)

Nyuma y’ikigwa, uzinjira mu cyiciro cyitwa icyiciro cya nyuma y’ikigwa. Iki gihe cyo gukira gishobora kumara iminota kugeza ku masaha, aho ushobora kumva udasobanukiwe, unaniwe, cyangwa ugira ikibazo cyo kuvuga neza.

Bamwe mu bantu bagira ibimenyetso by’uburyo bwa “aura” mbere y’uko ikigwa gukomeye gitangira. Ibi bishobora kuba harimo impumuro zidasanzwe, uburyohe, cyangwa kumva nk’aho wabibonye, nubwo atari bose bagira ibi bimenyetso.

Ese Impamvu zo Kugwa Gukomeye ni izihe?

Kugwa gukomeye bishobora guterwa n’ibintu bitandukanye cyangwa ibintu bibitera, kandi rimwe na rimwe impamvu nyayo itaboneka. Gusobanukirwa impamvu zishoboka bifasha abaganga kumenya uburyo bwiza bwo kuvura ukurikije uko uhagaze.

Epilepsi niyo mpamvu isanzwe y’ikigwa gukomeye gikomeza kubaho. Muri epilepsi, ubwonko bwawe bugira umuco wo gukora ibikorwa by’amashanyarazi bidasanzwe, bigatera kugwa kenshi igihe kirekire.

Indwara nyinshi zishobora gutera aya magwa:

• imvune z’ubwonko ziterwa n’impanuka cyangwa imvune
• indwara yo mu bwonko cyangwa izindi ndwara zigira ingaruka ku mitemberere y’amaraso mu bwonko
• ibiryo by’ubwonko cyangwa indwara z’ubwonko nka meningitis
• indwara z’ubuzima ziterwa na gene zigira ingaruka ku iterambere ry’ubwonko
• isukari yo mu maraso iri hasi cyangwa kubura ubushobozi bw’amashanyarazi
• umuriro mwinshi, cyane cyane mu bana bato
• guhagarika kunywa inzoga cyangwa ibiyobyabwenge

Rimwe na rimwe, kugwa gukomeye kubaho nta ndwara y’ubuzima izwi. Abaganga babyita epilepsi “idatandukanye”, bisobanura ko impamvu itazwi ariko ishobora kuba ifite ibintu by’ubuzima bito by’ubuzima.

Indwara z’ubuzima zidasanzwe zishobora kandi gutera aya magwa, harimo indwara ya Dravet, indwara ya Lennox-Gastaut, cyangwa indwara zitandukanye z’imikorere y’umubiri zigira ingaruka ku buryo ubwonko bwawe bukoresha ingufu.

Ni ryari ugomba kubona muganga kubera Kugwa Gukomeye?

Ugomba gushaka ubufasha bw’ubuvuzi bw’ihutirwa ako kanya niba wowe cyangwa undi muntu mugira ikigwa gukomeye kiramba iminota irenga itanu, cyangwa niba hari ibigwa byinshi biba nta gukira hagati yabyo. Ibi birasaba ubufasha bw’ubuvuzi bw’ihutirwa.

Hamagara 911 ako kanya niba umuntu ufite ikigwa agira ikibazo cyo guhumeka nyuma y’ikigwa, agaragara nk’uwakomeretse, cyangwa adasubira mu buzima busanzwe mu gihe gikwiye.

Tegura gahunda yo kubona muganga vuba niba:

• iki ari ikigwa cyawe cya mbere
• ufite ibigwa byinshi kurusha bisanzwe
• ibigwa byawe bihinduka mu buryo cyangwa mu gukomeza
• ufite ibimenyetso bishya mbere cyangwa nyuma y’ibigwa
• imiti yawe ubu ntabwo igenzura ibigwa byawe neza

Ndetse niba wumva umeze neza nyuma y’ikigwa, ni ingenzi kubona umuvuzi kugira ngo akore isuzuma rikwiye kandi akureho ibibazo by’ubuzima bikomeye.

Ibyago byo Kugwa Gukomeye ni ibihe?

Ibintu byinshi bishobora kongera amahirwe yo kugira ikigwa gukomeye, nubwo kugira ibyago ntibisobanura ko uzabigira. Gusobanukirwa ibi bintu bigufasha wowe n’umuganga wawe gusuzuma ibyago byawe muri rusange.

Imyaka igira uruhare rukomeye mu byago byo kugwa. Abana bari munsi y’imyaka ibiri n’abakuze barengeje imyaka 65 bafite amahirwe menshi yo kugira ibigwa, akenshi biterwa n’ibibazo by’iterambere ry’ubwonko mu bana cyangwa impinduka z’ubwonko ziterwa n’imyaka mu bantu bakuze.

Amateka y’umuryango agira ingaruka zikomeye ku byago byawe, cyane cyane niba abavandimwe ba hafi bafite epilepsi cyangwa indwara z’ikigwa. Ibintu by’ubuzima bishobora gutuma ubwonko bwawe bugira ubushobozi bwo guhangana n’imvururu z’amashanyarazi ziterwa n’ibigwa.

Ibindi byago birimo:

• imvune z’umutwe mbere cyangwa imvune z’ubwonko
• indwara yo mu bwonko cyangwa izindi ndwara z’umutima
• indwara z’ubwonko cyangwa indwara z’ubwonko
• kubura ibitotsi cyangwa umunaniro ukabije
• kunywa inzoga nyinshi cyangwa gukoresha ibiyobyabwenge
• imiti imwe igabanya urwego rw’ikigwa

Indwara z’ubuzima zidasanzwe zigira ingaruka ku byago byo kugwa, harimo tuberous sclerosis, neurofibromatosis, cyangwa ibibazo by’imiterere y’ibinyabuzima bigira ingaruka ku iterambere ry’ubwonko.

Kugira kimwe cyangwa ibyago byinshi ntibisobanura ko uzagira ibigwa, ariko bisobanura ko ugomba kumenya ibimenyetso by’uburyo bwo kubyirinda no kuganira n’umuvuzi wawe ku buryo bwo kubyirinda.

Ingaruka zishoboka zo Kugwa Gukomeye ni izihe?

Nubwo ibigwa gukomeye byinshi birangira bidateye ibibazo by’ubuzima, ingaruka zishobora kubaho, cyane cyane ibigwa bikomeye cyangwa ibigwa byinshi. Kumenya ibi bishoboka bigufasha gufata ingamba zikwiye no gushaka ubufasha bw’ubuvuzi bw’igihe.

Imvune z’umubiri ni ikibazo cya mbere mu gihe cy’ikigwa. Ushobora kwangiza ubwawe ugasanga, cyangwa ukagira ibikomere n’ibicupa uvuye mu kugonga ibintu hafi yawe mu gihe cy’imihindagurikire y’imikaya.

Ingaruka zisanzwe zirimo:

• imvune ziterwa no kugwa cyangwa kugonga ibintu mu gihe cy’ikigwa
• kuruma ururimi cyangwa gukomeretsa amenyo
• kugira ikibazo cyo guhumeka mu gihe cy’ikigwa cyangwa nyuma yaho
• gufata umwuka mu bihaha niba umunyu winjira mu bihaha
• kudashyira mu gaciro cyangwa kubura kwibuka nyuma y’ibigwa
• umunaniro cyangwa imihangayiko bijyanye no kubana n’ibigwa

Ingaruka zikomeye ariko zidasanzwe zishobora kuba harimo status epilepticus, aho ikigwa kiramba iminota irenga itanu cyangwa ibigwa biba bikurikirana nta gukira. Ibi ni ubutabazi bw’ubuvuzi bukeneye kuvurwa mu bitaro ako kanya.

Ingaruka zidasanzwe zishobora kuba harimo SUDEP (Urupfu rutunguranye rutateganijwe muri Epilepsi), nubwo ibi bigira ingaruka ku bantu batarengeje 1% bafite epilepsi kandi biba kenshi ku bantu bafite ibigwa bidafite ubuvuzi bukwiye.

Inkuru nziza ni uko ingaruka nyinshi zishobora kwirindwa hakoreshejwe uburyo bukwiye bwo gucunga ibigwa, gukurikiza imiti, n’ingamba zo kwirinda mu buzima bwawe bwa buri munsi.

Ese Kugwa Gukomeye bishobora kwirindwa gute?

Nubwo udashobora kwirinda kugwa gukomeye rwose, ushobora kugabanya cyane kenshi kubaho kwabyo n’ingaruka zabyo binyuze mu buryo buhoraho bwo kubigenzura. Ikintu nyamukuru ni ukumenya no kwirinda ibintu bitera ibigwa byawe mugihe ukomeza ubuzima bw’ubwonko muri rusange.

Guta imiti yavuzwe n’abaganga ukurikije amabwiriza ni ikintu cya mbere cyo kwirinda. Aya miti akora agacisha ibikorwa by’amashanyarazi mu bwonko bwawe, bigatuma ibigwa biba bike.

Impinduka mu mibereho zishobora kugufasha kwirinda ibigwa birimo:

• kuryama bihagije (amasaha 7-9 buri joro ku bantu bakuze benshi)
• gucunga umunaniro binyuze mu buryo bwo kuruhuka cyangwa inama
• kwirinda kunywa inzoga nyinshi
• kurya ibiryo buri gihe kugira ngo ugire isukari yo mu maraso ihoraho
• kuguma ufite amazi ahagije no kugira ubushobozi bw’amashanyarazi bukwiye
• kwirinda ibintu bizwi bitera ibigwa nka amatara akayangana (niba ufite ubushobozi bwo kubona amatara)

Bamwe mu bantu basanga kwandika ibigwa byabo bifasha kumenya imiterere cyangwa ibintu bitabateye batabizi. Kwandika igihe ibigwa biba, ibyo wakoraga, n’uko wumvaga mbere bishobora gutanga amakuru y’ingenzi.

Kubera ibigwa biterwa n’ibibazo by’ubuzima, kuvura ibyo bibazo bikenshi bigabanya kenshi kubaho kw’ibigwa. Ibi bishobora kuba harimo gucunga diyabete, kuvura indwara, cyangwa guhangana n’ibindi bibazo by’ubuzima.

Ese Kugwa Gukomeye bipimwa gute?

Gupima kugwa gukomeye bisaba guhuza amakuru aturuka mu bice bitandukanye kuko abaganga badakunze kubona ikigwa ubwacyo. Icyo usobanura ku bimenyetso, hamwe n’ibyo ababibonye bavuga, bitanga amakuru y’ingenzi yo gupima.

Muganga wawe azatangira asuzuma amateka yawe y’ubuzima, akubaza ibimenyetso by’ikigwa, ibimenyetso byose wabonye, n’uburyo wakize. Azifuza kandi kumenya amateka y’umuryango wawe y’ibigwa cyangwa indwara z’ubwonko.

Ibizamini byinshi bifasha kwemeza uko uhagaze:

• Electroencephalogram (EEG) kugira ngo upime ibikorwa by’amashanyarazi y’ubwonko
• MRI cyangwa CT scan kugira ngo urebe ibibazo by’ubwonko
• Ibizamini by’amaraso kugira ngo urebe indwara, isukari yo mu maraso, cyangwa ibindi bibazo by’ubuzima
• Isuzuma ry’ubwonko kugira ngo urebe imikorere y’ubwonko
• Kureba videwo ya EEG niba ibigwa biba kenshi

EEG ni ingenzi cyane kuko ishobora kubona ibikorwa bidasanzwe by’amashanyarazi mu bwonko bwawe, ndetse no hagati y’ibigwa. Rimwe na rimwe, ushobora gukenera gukurikiranwa igihe kirekire kugira ngo ubone ibikorwa by’ikigwa.

Mu bindi bihe, gupima gene zishobora gusabwa niba abaganga bakeka indwara y’ubuzima iterwa na gene, cyane cyane niba ibigwa byatangiye mu bwana cyangwa niba hari amateka y’umuryango akomeye.

Kubona uko uhagaze neza ni ingenzi kuko bigena uburyo bwawe bwo kuvurwa kandi bigufasha kumenya uko uzaba umeze mu gihe kirekire.

Ese Kugwa Gukomeye Bivurwa Gute?

Kuvura kugwa gukomeye bigamije kwirinda ibigwa by’ejo hazaza mugihe bigabanya ingaruka mbi kandi bigufasha kugumana ubuzima bwiza. Uburyo bwo kuvura biterwa n’impamvu nyamukuru n’uko ibigwa biba kenshi.

Imiti yo kwirinda ibigwa niyo ivura abantu benshi bafite ibigwa gukomeye. Aya miti akora agacisha ibikorwa by’amashanyarazi mu bwonko bwawe, bigatuma ibigwa biba bike.

Imiti isanzwe irimo:

• Phenytoin (Dilantin) - ikunze gukoreshwa nk’imiti ya mbere
• Carbamazepine (Tegretol) - ikora neza ku bwoko bwinshi bw’ibigwa
• Valproic acid (Depakote) - ikora neza ku bigwa bikwirakwira
• Levetiracetam (Keppra) - imiti mishya ifite imiti mike
• Lamotrigine (Lamictal) - ikunze kwihanganirwa neza ifite ingaruka nke

Muganga wawe azatangira imiti imwe hanyuma agahindura umwanya ukurikije uko igenzura ibigwa byawe n’ingaruka mbi ugira. Kubona imiti ikwiye rimwe na rimwe bisaba igihe n’uburyo.

Niba imiti idagenzura ibigwa byawe neza, ubundi buryo bwo kuvura burimo gukangurira umutsi wa vagus (igikoresho gishyirwa munsi y’uruhu), kuvura indwara binyuze mu mirire ya ketogenic, cyangwa mu bihe bidasanzwe, kubaga ubwonko kugira ngo ukureho ikigwa.

Kubera ibigwa biterwa n’ibibazo by’ubuzima nka indwara cyangwa ibibazo by’imikorere y’umubiri, kuvura icyo kibazo bikenshi bikemura ikibazo cy’ikigwa rwose.

Uko Wakwitwara Mu Rugo Mu Gihe cyo Kugwa Gukomeye

Guhangana n’ikigwa gukomeye mu rugo bigamije umutekano mu gihe cy’ikigwa no kubungabunga ubuzima bwawe hagati y’ibigwa. Kugira gahunda isobanutse bigufasha wowe n’abo mubana mu rugo gusubiza neza mu gihe ibigwa biba.

Mu gihe cy’ikigwa, ikintu cya mbere ni ugucunga umutekano w’umuntu. Gahoro gahoro umuyobore hasi niba ahagaze, umushyire ku ruhande kugira ngo wirinde guhumeka, kandi upime igihe cy’ikigwa.

Ingamba z’umutekano mu rugo zirimo:

• Kuraho ibintu bikaze cyangwa ibikoresho bishobora gutera imvune
• Shyira ikintu cyoroshye munsi y’umutwe we niba bishoboka
• Nta kintu na kimwe ushyire mu kanwa cyangwa ugerageze kumufata
• Mugume kumwe na we kugeza asubiye mu buzima busanzwe
• Hamagara ubutabazi bw’ihutirwa niba ikigwa kiramba iminota irenga itanu

Hagati y’ibigwa, shyira imbaraga mu gufata imiti yawe buri gihe, kuryama bihagije, no kwirinda ibintu bizwi bitera ibigwa. Kurema ahantu heza mu rugo hashobora kuba harimo gukuraho ibyo gukandagira, gushyira ibikoresho byo gufata mu bwiherero, no kubika amakuru y’ubufasha bw’ihutirwa aho byoroshye kubibona.

Imiryango imwe isanga ari ingirakamaro kugira imiti yo gutabara, nka diazepam yashyizwe mu kibuno cyangwa midazolam yo mu mazuru, ishobora guhagarika ibigwa byarambye. Muganga wawe azagena niba ibyo bikwiye ku mimerere yawe.

Tegereza kwambara ibikoresho byo kwerekana uburwayi bwawe, bikerekana uburwayi bwawe kandi bikerekana abantu bo guhamagara mu gihe cy’ubufasha bw’ihutirwa, cyane cyane niba utuye wenyine cyangwa umaze igihe kinini ahantu hahurira abantu benshi.

Uko Wakwitegura Kugira Inama n’Umuvugi

Kwitwara neza mu nama yawe n’umuganga bigufasha kubona amakuru n’inama z’ubuvuzi zifasha. Kwitegura neza bifasha muganga wawe gusobanukirwa uko uhagaze neza no gufata ibyemezo byiza ku bijyanye no kwitaho.

Mbere y’inama yawe, andika ibisobanuro birambuye by’ibigwa byawe, harimo ibyo wibuka mbere, mu gihe, na nyuma ya buri kigwa. Niba abagize umuryango cyangwa inshuti babonye ibigwa byawe, babasabe gusangira ibyo babonye.

Zana amakuru y’ingenzi:

• Urutonde rwuzuye rw’imiti ubu ukoresha, harimo n’umwanya
• Igitabo cy’ibigwa cyangwa urutonde niba wari ugifite
• Urutonde rw’ibibazo ushaka kubaza
• Amakuru y’ubwisungane n’irangamuntu
• Ibisubizo by’ibizamini byabanje cyangwa impapuro z’ubuvuzi
• Amateka y’ubuzima bw’umuryango, cyane cyane indwara z’ubwonko

Tegereza kuzana umuntu wo mu muryango cyangwa inshuti ukunda uzagufasha kwibuka amakuru yavuzwe mu nama kandi atange andi makuru y’ibigwa byawe.

Tegura ibibazo byihariye ku bijyanye n’uburyo bwo kuvura, impinduka mu mibereho, amabwiriza yo gutwara ibinyabiziga, n’icyo witeze mu gihe kizaza. Ntugatinye kubaza icyo ari cyo cyose gikubabaza cyangwa kidafatika.

Niba iyi ari inama yawe ya mbere nyuma y’ikigwa, tegura kuganira ku bintu bishoboka bitera ibigwa, indwara zihariye, impinduka z’imiti, cyangwa ibintu by’ubuzima byateye umunaniro bishobora kuba bifitanye isano.

Icyo Ugomba Kumenya Ku Kugwa Gukomeye

Kugwa gukomeye bishobora gutera ubwoba iyo ubimenye bwa mbere, ariko ni indwara ishobora kuvurwa neza kandi ivurwa neza. Abantu benshi bafite aya magwa bashobora kubaho ubuzima buzuye, bukorwa neza, bafite ubuvuzi bukwiye n’impinduka mu mibereho.

Ikintu cya mbere cyo kwibuka ni uko ibigwa bidakugena cyangwa bidagabanya ubushobozi bwawe. Nubwo bisaba kwitabwaho buri gihe no kuvurwa, iterambere mu kuvura byatumye abantu benshi bashobora kugira ibigwa bike.

Gukorana n’itsinda ryawe ry’abaganga, gufata imiti nk’uko byavuzwe, no gukora impinduka mu mibereho bishobora kugabanya kenshi kubaho kw’ibigwa n’ingaruka zabyo. Abantu benshi bamaze amezi cyangwa imyaka nta bigwa bafite bafite ubuvuzi bukwiye.

Nturetse ubwoba cyangwa ipfunwe bikubuza gushaka ubufasha cyangwa kubaho ubuzima bwawe. Ufite ubufasha bukwiye n’ubuvuzi, ushobora guhangana n’ikigwa gukomeye neza mugihe ukomeza intego zawe kandi ukagumana umubano mwiza.

Ibibazo Bikunze Kubahwa Ku Kugwa Gukomeye

Ese ushobora gupfa kubera kugwa gukomeye?

Nubwo kugwa gukomeye kudapfa, ingaruka zishobora rimwe na rimwe kuba zikomeye. Ibyago ni byinshi ku bigwa birambye iminota irenga itanu (status epilepticus) cyangwa niba guhumeka bigenda nabi. SUDEP (Urupfu rutunguranye rutateganijwe muri Epilepsi) ni gake cyane, bigira ingaruka ku bantu batarengeje 1% bafite epilepsi, kandi biba kenshi ku bantu bafite ibigwa bidafite ubuvuzi bukwiye.

Ese nzagira ibigwa gukomeye ubuzima bwanjye bwose?

Oya ntabwo ari ngombwa. Bamwe mu bantu bagira ibigwa bitewe n’ibibazo by’igihe gito nka indwara, imiti, cyangwa ibibazo by’imikorere y’umubiri bikira neza hakoreshejwe ubuvuzi. Abandi bashobora kugira ibigwa bigenzurwa neza hakoreshejwe imiti cyangwa bikaba byashira burundu. Uko uzaba umeze mu gihe kirekire biterwa n’impamvu nyamukuru n’uko ibigwa byawe bisubiza ubuvuzi.

Ese nashobora gutwara ibinyabiziga niba mfite ibigwa gukomeye?

Amabwiriza yo gutwara ibinyabiziga atandukanye bitewe n’igihugu kandi biterwa n’uko ibigwa byawe bigenzurwa neza. Ibihugu byinshi bisaba ko uba udafite ibigwa mu gihe runaka (akenshi amezi 3-12) mbere yo kongera gutwara. Muganga wawe azaganirira namwe kuri ibyo bisabwa kandi azagufasha kumenya igihe ari cyo gikwiye kongera gutwara. Abantu benshi bafite ibigwa bigenzurwa neza baragenda neza.

Ese kugwa gukomeye birakomoka mu muryango?

Ubuzima bushobora kugira uruhare mu ndwara z’ikigwa, ariko kugira umuntu wo mu muryango ufite epilepsi ntibisobanura ko uzagira ibigwa. Indwara z’ubuzima zimwe na zimwe ziterwa na gene zitera ibigwa, ariko ibigwa byinshi bya epilepsi birimo ibintu byinshi by’ubuzima n’ibintu by’ibidukikije. Niba ufite impungenge ku mateka y’umuryango, ganganira n’umuganga wawe ku bijyanye n’ubuvuzi bwa gene.

Ese umunaniro ushobora gutera kugwa gukomeye?

Yego, umunaniro ushobora gutera ibigwa ku bantu basanzwe bafite ibyago byabyo. Umunaniro ntabwo utera epilepsi, ariko ushobora kugabanya urwego rw’ikigwa kandi ugatera ibigwa kenshi. Gucunga umunaniro binyuze mu buryo bwo kuruhuka, kuryama bihagije, imyitozo ngororamubiri, n’inama bishobora kuba igice cy’ingenzi cyo kwirinda ibigwa.