Malariya ni iki? Ibimenyetso, Impamvu, n'Ubuvuzi

Malariya ni indwara ikomeye iterwa na mikorobe nto zitwarwa n'imbuga zanduye, zikazanduza abantu mu gihe zibakanyaga. Iyo imbuga yanduye iguhannye, izo mikorobe zinjira mu maraso yawe, zijya mu mwijima, aho zikwirakwira mbere yo kugaba igitero ku uturemangingo dutukura tw'amaraso.

Iyi ndwara iratwara abantu benshi ku isi buri mwaka, cyane cyane mu turere dukennye n'ubushyuhe bwinshi. Nubwo malariya ishobora kuba ikomeye cyane idakize, inkuru nziza ni uko irashobora kwirindwa kandi ikavurwa mu gihe yafashwe hakiri kare ikavurwa neza.

Ibimenyetso bya malariya ni ibihe?

Ibimenyetso bya malariya bigaragara mu minsi 10 kugeza kuri 15 nyuma yo gukanyagwa n'imbuga yanduye. Ariko kandi, zimwe mu bwoko bwayo zishobora kuba mu mwijima igihe kirekire cyangwa imyaka mbere yo gutera ibimenyetso.

Ibimenyetso bya mbere bikunze kumera nk'iby'igicurane gikomeye. Ushobora kugira umuriro mwinshi uza ukagenda, ubukonje bukomeye bugutera guhinda umushyitsi, no gucana umusego cyane. Abantu benshi bagira n'ububabare bukomeye bw'umutwe kandi bakumva bananiwe cyane.

Dore ibimenyetso by'ingenzi ugomba kwitondera:

• Umuriro mwinshi (akenshi urenze 38.3°C) ushobora kuzamuka no kugabanuka mu buryo runaka
• Ubukonje bukomeye no guhinda umushyitsi
• Guca umusego cyane, cyane cyane nyuma y'uko umuriro uhagaze
• Ububabare bukomeye bw'umutwe
• Ububabare bw'imikaya n'amagufwa
• Isesemi no kuruka
• Ubunani bukabije n'intege nke
• Impiswi

Bamwe mu bantu bashobora kubona uruhu rwabo n'amaso byahindutse umuhondo, ibi bibaho iyo mikorobe yangije uturemangingo dutukura tw'amaraso kurusha uko umubiri wawe ushobora kubisubiza.

Mu bihe bikomeye, malariya ishobora gutera ingaruka zikomeye. Izo ngaruka zirimo kugira ikibazo cyo guhumeka, gucika intege cyangwa guhinduka kw'imitekerereze, guta umutwe, no kugira ubusembwa bukabije. Niba ubona ibimenyetso nk'ibi, ni ngombwa gushaka ubuvuzi bw'ihutirwa.

Uduce twa malariya ni utuhe?

Hari ubwoko butanu bw'imikorobe ya malariya ishobora kwanduza abantu, nubwo bubiri ari bwo butera indwara nyinshi ku isi. Buri bwoko bugira imikorere itandukanye gato mu mubiri wawe kandi busaba uburyo bwihariye bwo kuvura.

Plasmodium falciparum itera ubwoko bukomeye bwa malariya kandi ni yo itera urupfu rwinshi rwa malariya. Ubu bwoko bushobora kwihuta cyane kuba ikibazo gikomeye kuko bugira ingaruka ku bwonko, impyiko n'ibindi bice by'ingenzi by'umubiri. Bukunze kugaragara muri Afurika yo munsi y'ubutayu bwa Sahara.

Plasmodium vivax ni ubwoko bwakwirakwijwe cyane ku isi kandi bushobora kuba mu mwijima igihe kirekire cyangwa imyaka. Iyo isubukuye, uzabona ibimenyetso byisubiramo. Ubu bwoko bukaba bukunze kugaragara muri Aziya na Amerika y'Amajyepfo.

Ubundi bwoko butatu ntabwo bukunze kugaragara ariko ni ingenzi kubumenya:

• Plasmodium ovale - isa na vivax, ishobora gutera indwara zisubiramo
• Plasmodium malariae - itera ibimenyetso bidakomeye ariko bishobora kumara imyaka
• Plasmodium knowlesi - yabonetse mu nkono, ikomeje kwanduza abantu muri Aziya y'Uburasirazuba

Muganga azamenya ubwoko ufite binyuze mu bipimo by'amaraso, kuko bigira ingaruka ku buryo bwo kuvura no gukurikirana ubuvuzi.

Iki gitera malariya ni iki?

Malariya ibaho iyo imbuga z'igitsina gore za Anopheles zanduye na mikorobe ya malariya ziguhannye zikinjiza izo mikorobe mu maraso yawe. Ni amwe mu moko y'imbuga gusa ashobora gutwara no kwambuka mikorobe ya malariya.

Iyo zinjira mu mubiri wawe, izo mikorobe zijya mu mwijima aho zikura kandi zikwirakwira. Nyuma y'icyumweru kimwe, zisohoka mu mwijima zinjira mu maraso, aho zinjira kandi zangiza uturemangingo dutukura tw'amaraso. Iri yangirika ry'uturemangingo dutukura tw'amaraso ni ryo ritera ibimenyetso byinshi uba ufite.

Uruhererekane rukomeza iyo indi mbuga iguhannye ikakuramo izo mikorobe mu maraso yawe yanduye. Mu mbuga, izo mikorobe zikura kandi zitegura kwanduza undi muntu mbuga izahana.

Ni ngombwa kumva ko malariya idakwirakwira mu bantu binyuze mu mibanire isanzwe, inkorora, cyangwa guhisha. Ushobora kubona malariya gusa binyuze mu kanyago k'imbuga, amaraso yanduye, cyangwa kuva ku mubyeyi ku mwana mu gihe cyo gutwita cyangwa kubyara.

Ni ryari ukwiye kujya kwa muganga kubera malariya?

Ukwiye gushaka ubuvuzi bw'ihutirwa niba ufite umuriro, ubukonje, cyangwa ibimenyetso nk'iby'igicurane mu byumweru bike nyuma yo kujya mu gace malariya ikunze kugaragara. Nubwo wafashe imiti yo kwirinda, urashobora kwandura.

Ntugatege amatwi ngo urebe niba ibimenyetso bizagenda ubwabyo. Malariya ishobora kwihuta kuva ku bimenyetso bidakomeye kugeza ku ngaruka zikomeye mu masaha 24 kugeza kuri 48, cyane cyane ku bwoko bumwe bw'imikorobe.

Hamagara serivisi z'ubutabazi bw'ihutirwa niba ubona ibimenyetso bikomeye nk'ibi:

• Gukoma guhumeka cyangwa guhumeka nabi
• Gucika intege cyangwa guhinduka kw'imitekerereze
• Guta umutwe cyangwa guhinda umushyitsi
• Kurukira cyane bituma udashobora kunywa amazi
• Ibimenyetso by'ubusembwa bukabije (ubunani bukabije, uruhu rwera)
• Inkari z'umukara cyangwa amaraso
• Ihuriro (uruhu n'amaso byahindutse umuhondo)

Nubwo ibimenyetso byawe bisa n'ibidakomeye, bihora ari byiza gusuzuma kwa muganga niba hari uburyo ushobora kuba ufite malariya. Kumenya hakiri kare no kuvura birashobora kwirinda ingaruka zikomeye kandi bikabuza gukira neza.

Ibyago byo kwandura malariya ni ibihe?

Ibyago byo kwandura malariya biterwa ahanini n'aho uba cyangwa ujya, nubwo hari ibindi bintu bishobora kongera amahirwe yo kwandura cyangwa indwara ikomeye. Gusobanukirwa ibyo byago bishobora kugufasha gufata ingamba zikwiye.

Aho uba ni cyo kintu gikomeye cyane gitera ibyago. Malariya ikunze kugaragara mu turere dukennye n'ubushyuhe bwinshi, cyane cyane muri Afurika yo munsi y'ubutayu bwa Sahara, bimwe mu bice bya Aziya, ibirwa bya Pasifika, na Amerika yo hagati n'Amerika y'Amajyepfo. Muri utwo turere, uturere tw'icyaro n'uturere twa kure akenshi biba bifite umuvuduko mwinshi w'ikwirakwira.

Dore ibintu by'ingenzi byongera ibyago bya malariya:

• Kuba mu turere cyangwa kujya mu turere malariya ikunze kugaragara
• Kudakoresha uburyo bukwiye bwo kwirinda imbuga
• Kujya mu ngendo mu bihe by'imvura iyo imbuga ziba nyinshi
• Kuba mu mahoteli adafite amazu meza cyangwa amahoro
• Kumara igihe hanze mu gitondo no ku mugoroba iyo imbuga ziba zikora cyane

Uduce tumwe na tumwe dufite ibyago byinshi byo kugira malariya ikomeye iyo banduye. Abana bato bari munsi y'imyaka 5 ntibarabona ubudahangarwa kandi barahangayikishijwe cyane n'ingaruka zikomeye. Abagore batwite nabo bafite ibyago byinshi, kuko malariya ishobora gutera ingaruka ku mubyeyi n'umwana.

Abantu bafite ubudahangarwa buke, barimo abafite virusi itera SIDA cyangwa abafata imiti igabanya ubudahangarwa, bashobora kwandura indwara zikomeye. Byongeye kandi, niba ukuriye mu gace malariya idakunda kugaragara, ntuzagira ubudahangarwa bw'igice nk'uko abantu bo mu turere twanduye babona uko babayeho.

Ingaruka zishoboka za malariya ni izihe?

Nubwo malariya ivurwa, ishobora gutera ingaruka zikomeye niba idakuweho kandi ikavurwa vuba. Ubukana bw'ingaruka ziterwa ahanini n'ubwoko bw'imikorobe ya malariya ufite n'uburyo ubuvuzi buhabwa vuba.

Malariya ikomeye, ikunze guterwa na Plasmodium falciparum, ishobora kugira ingaruka ku bice byinshi by'umubiri wawe. Ibi bibaho iyo mikorobe zifunga imiyoboro y'amaraso mito, bigabanya umuvuduko w'amaraso mu bice by'ingenzi by'umubiri.

Ingaruka zikomeye cyane zirimo:

• Malariya y'ubwonko - igira ingaruka ku bwonko, itera guta umutwe, koma, cyangwa kwangirika burundu kw'ubwonko
• Ubusembwa bukabije - gutera kwangirika kw'uturemangingo dutukura tw'amaraso, bigatera intege nke n'ibibazo byo guhumeka
• Guhumeka nabi - amazi mu bihaha bituma guhumeka bigorana
• Kwangirika kw'impyiko - kubera kugabanuka kw'umuvuduko w'amaraso no kubitsa uburozi
• Kwangirika kw'umwijima - gutera ihuriro n'ibibazo byo kuva amaraso
• Isukuke y'isukari mu maraso - ishobora gutera gucika intege, guta umutwe, cyangwa koma
• Gukama - kubera kubura amazi cyane no kudakora neza kw'imirimo y'umubiri

Mu bagore batwite, malariya ishobora gutera izindi ngaruka zirimo kubyara imburagihe, abana bavutse bafite ibiro bike, n'ibyago byinshi byo kubura imbanyi. Iyi ndwara ishobora no kwambuka kuva ku mubyeyi ku mwana mu gihe cyo gutwita cyangwa kubyara.

Bamwe mu bantu bashobora kugira ingaruka z'igihe kirekire nubwo bavuwe neza, harimo umunaniro udashira, ibibazo byo kwibuka, cyangwa ibimenyetso by'umuriro bisubiramo. Ariko kandi, abantu benshi barakira neza iyo malariya ifashwe ikavurwa hakiri kare.

Malariya ishobora kwirindwa gute?

Kwiringira malariya byibanda ku kwirinda kanyago k'imbuga, kandi mu bindi bihe, gufata imiti yo kwirinda. Inkuru nziza ni uko ukoresheje ingamba zikwiye, ushobora kugabanya cyane ibyago byo kwandura.

Kwiringira kanyago k'imbuga ni cyo kintu cya mbere cyo kwirinda. Koresha imiti yo kwirinda imbuga irimo DEET, picaridin, cyangwa amavuta ya lemon eucalyptus ku ruhu rugaragara. Wambare amapulover maremare n'ipantaro ndende, cyane cyane mu gitondo no ku mugoroba iyo imbuga ziba zikora cyane.

Dore ingamba z'ingenzi zo kwirinda:

• Kurara munsi y'amazu y'ubutabazi yanduye
• Kuba mu mahoteli afite amahoro cyangwa amazu meza
• Koresha imiti yo kwirinda imbuga ku ruhu rugaragara n'imyenda
• Wambare imyenda ikwirinda ikwambika amaboko n'amaguru
• Fata imyenda n'ibikoresho byawe hamwe n'imiti yo kwirinda imbuga ya permethrin
• Kuraho amazi ahagaze hafi y'aho uba

Niba ujya mu gace malariya ikunze kugaragara, muganga ashobora kugutegeka gufata imiti yo kwirinda yitwa chemoprophylaxis. Iyi miti ifasha kwirinda kwandura niba uhannye n'imbuga yanduye.

Imiti yihariye iterwa n'aho ujya, igihe uzamara, n'amateka yawe y'ubuzima. Uzasanzwe utangira gufata imiti mbere y'urugendo rwawe, ukomeze mu gihe uri mu rugendo, kandi ibyumweru bike nyuma yo gusubira mu rugo.

Malariya imenyekana ite?

Kumenya malariya bisaba ibizamini bya laboratwari kugira ngo hamenyekane izo mikorobe mu maraso yawe. Muganga ntashobora kumenya malariya gusa ashingiye ku bimenyetso, kuko bisa n'izindi ndwara nyinshi nk'igicurane cyangwa uburwayi bw'ibiryo.

Isuzuma rya laboratoire rikomeye ni isuzuma ry'amaraso, aho igice cy'amaraso yawe gisuzumwa kuri mikoroskopi. Abakozi ba laboratwari bashaka mikorobe ya malariya mu turemangingo dutukura tw'amaraso kandi bashobora kumenya ubwoko bw'imikorobe itera indwara yawe.

Ibizamini byihuse byo kumenya (RDTs) bitanga ibisubizo vuba, akenshi mu minota 15 kugeza kuri 20. Ibi bizamini bimenya imikorere yihariye iterwa na mikorobe ya malariya mu maraso yawe. Nubwo ari byoroshye, bishobora kuba bitanoze nk'isuzuma rya mikoroskopi mu bihe byose.

Muganga ashobora kandi gutegeka ibindi bizamini kugira ngo arebe ingaruka:

• Igipimo cy'amaraso kugira ngo arebe ubusembwa
• Igipimo cy'isukari mu maraso kugira ngo arebe isukari nke mu maraso
• Ibizamini by'umwijima kugira ngo asuzume ubuzima bw'umwijima
• Ibizamini by'impyiko niba malariya ikomeye ikekwirwa

Niba ibizamini bya mbere bitagaragaje ikintu ariko muganga agikemanga malariya, ashobora gusubiramo ibizamini by'amaraso. Rimwe na rimwe mikorobe iba ari nke ku buryo zitaboneka mu isuzuma rya mbere.

Ubuvuzi bwa malariya ni buhe?

Malariya ivurwa neza, kandi abantu benshi barakira neza iyo ubuvuzi butangiye vuba. Imiti yihariye n'uburyo bwo kuvura biterwa n'ubwoko bw'imikorobe ya malariya ufite n'uburyo indwara yawe ikomeye.

Kubera malariya idakomeye, muganga azakwandikira imiti yo kunywa mu rugo. Imiti ifatanye ya Artemisinin (ACTs) ni yo ivura neza malariya iterwa na Plasmodium falciparum, ubwoko bukomeye.

Imiti ikunze kuvura irimo:

• Artemether-lumefantrine (Coartem) - ifatwa kabiri ku munsi iminsi 3
• Artesunate-amodiaquine - buri munsi iminsi 3
• Atovaquone-proguanil (Malarone) - buri munsi iminsi 3
• Chloroquine - kubwoko bumwe bwa malariya bugikomeza kuvurwa n'iyi miti
• Primaquine - yongeraho ku mikorobe yo mu mwijima mu bwoko bumwe

Niba ufite malariya ikomeye cyangwa udashobora kunywa imiti kubera kuruka, uzakenera ubuvuzi mu bitaro hamwe n'imiti yo mu mitsi. Artesunate itangwa mu mitsi ni yo ivura neza malariya ikomeye.

Muganga azavura kandi ingaruka zose zigaragara, nko gutanga ubufasha mu kudakora neza kw'imirimo y'umubiri, gucunga guta umutwe, cyangwa kuvura ubusembwa bukabije hamwe n'amaraso niba ari ngombwa.

Abantu benshi batangira kumva barushijeho kumera neza mu masaha 48 kugeza kuri 72 nyuma yo gutangira kuvurwa, nubwo gukira burundu bishobora kumara ibyumweru bike. Ni ngombwa gufata imiti yose yatanzwe nk'uko byategetswe, nubwo utangiye kumva umeze neza.

Uburyo bwo gucunga malariya mu rugo mu gihe cyo kuvurwa

Mu gihe ufata imiti yatanzwe, hari ibintu byinshi ushobora gukora mu rugo kugira ngo ufashe umubiri wawe gukira no gucunga ibimenyetso. Ibuka ko kwita ku buzima mu rugo bifasha ubuvuzi bwawe ariko ntibugusubiza.

Ikiruhuko ni ingenzi mu gukira. Umubiri wawe ukeneye imbaraga zo kurwanya indwara, rero wirinde ibikorwa bikomeye kandi uryama bihagije. Ntukabe wenyine niba wumva unaniwe cyane ibyumweru bike nyuma yo kuvurwa - ibi ni ibisanzwe.

Kunywa amazi bihagije ni ingenzi, cyane cyane niba ufite umuriro, uca umusego, cyangwa uruka. Nywa amazi menshi nkamazi, amasupu meza, cyangwa amazi yo kuvura imyeyo. Umunywa muke, ukunze kunywa, akora kurusha ibinini byinshi icyarimwe niba wumva ufite isesemi.

Dore ingamba zifasha mu kwita ku buzima mu rugo:

• Fata imiti nk'uko byategetswe, nubwo wumva umeze neza
• Koresha imiti igabanya umuriro nka acetaminophen cyangwa ibuprofen
• Shira imyenda ikonje, yonyoye ku gahanga kawe mu gihe ufite umuriro
• Funga ibiryo byoroshye, byoroshye kunywa igihe wumva ufite ubwenge
• Irinde inzoga na kafeyin, bishobora kongera kubura amazi
• Komeza kwirinda imbuga kugira ngo wirinde kwandura

Kwitondera ibimenyetso byawe hafi kandi uhamagare muganga niba bikomeye cyangwa ibimenyetso bishya bigaragara. Ugomba guhamagara niba udashobora kunywa imiti kubera kuruka, kuko ushobora kenera ubundi buryo bwo kuvura.

Uko wakwitegura gusura muganga

Kwitegura gusura muganga bifasha muganga kugira amakuru yose akenewe kugira ngo amenye indwara yawe kandi ayivure neza. Amakuru menshi ushobora gutanga ku bimenyetso byawe n'amateka yawe y'ingendo, ni byiza.

Andika ibimenyetso byawe, harimo igihe byatangiye, uko bikomeye, n'uburyo ubona. Bandika niba umuriro wawe uza ukagenda, kuko ibi bishobora kuba ikimenyetso cy'ingenzi cyo kumenya malariya.

Amateka yawe y'ingendo ni amakuru y'ingenzi ugomba kuzana:

• Ibihugu n'uturere wasuye mu mwaka ushize
• Itariki y'ingendo n'igihe umaze muri buri gace
• Ubwoko bw'amahoteli wakoresheje
• Ingamba zo kwirinda wafashe (imiti, amazu y'ubutabazi, imiti yo kwirinda imbuga)
• Ibyago by'imbuga wibuka
• Ibikorwa wakoze, cyane cyane ibikorwa byo hanze

Zana urutonde rw'imiti yose ufashe ubu, harimo imiti yo kwirinda malariya wakoresheje mu ngendo. Harimo kandi ibindi bintu byongera cyangwa imiti yo mu maduka.

Tegura ibibazo ugomba kubabaza muganga, nko kumenya ibizamini ushobora gukenera, igihe kuvura bizamara, n'ingaruka ugomba kwitondera. Ntugatinye kubabaza icyo udasobanukiwe.

Icyo ukwiye kumenya cyane kuri malariya

Malariya ni indwara ikomeye ariko ishobora kwirindwa kandi ikavurwa iratwara abantu benshi ku isi. Ikintu cy'ingenzi cyo kwibuka ni uko kumenya hakiri kare no kuvura bigatuma abantu benshi bakira neza.

Niba ujya mu turere malariya ikunze kugaragara, gufata ingamba zikwiye bishobora kugabanya cyane ibyago byawe. Ibi birimo gukoresha uburyo bwo kwirinda imbuga no gufata imiti yo kwirinda iyo muganga abikubwiye.

Niba ufite umuriro, ubukonje, cyangwa ibimenyetso nk'iby'igicurane mu gihe cy'urugendo cyangwa nyuma yo kujya mu turere malariya ikunze kugaragara, shaka ubuvuzi bw'ihutirwa. Ntugatege amatwi ngo urebe niba ibimenyetso bizagenda ubwabyo, kuko malariya ishobora kwihuta kuva ku bimenyetso bidakomeye kugeza ku bikomeye.

Hamwe n'ubuvuzi bukwiye, abantu benshi barakira neza malariya nta ngaruka z'igihe kirekire. Ikintu cy'ingenzi ni ukumenya ibimenyetso hakiri kare no kubona ubuvuzi bukwiye vuba bishoboka.

Ibibazo bikunze kubaho kuri malariya

Wabona malariya incuro nyinshi?

Yego, ushobora kwandura malariya incuro nyinshi mu buzima bwawe. Kugira malariya rimwe ntibiguha ubudahangarwa ku zindi ndwara. Mu by'ukuri, abantu baba mu turere malariya ikunze kugaragara bakunze kwandura incuro nyinshi, nubwo bashobora kubona ubudahangarwa buke bufasha kugabanya ubukana bw'izindi ndwara. Niba warigeze ufite malariya, birakomeye gukoresha uburyo bwo kwirinda igihe ujya mu turere dufite ibyago.

Igihe kingana iki kugira ngo ukire malariya?

Abantu benshi batangira kumva barushijeho kumera neza mu masaha 48 kugeza kuri 72 nyuma yo gutangira kuvurwa, ariko gukira burundu bisanzwe bifata ibyumweru 2 kugeza kuri 4. Ushobora kugira umunaniro udashira, intege nke, no kumva nabi ibyumweru bike nyuma y'uko ubuvuzi burangiye. Igihe cyo gukira gishobora gutandukana bitewe n'ubwoko bwa malariya wari ufite, uko indwara yawe yari ikomeye, n'ubuzima bwawe muri rusange. Ni ibisanzwe kumva unaniwe kandi ufite intege nke igihe kirekire cyangwa ukwezi kumwe nyuma yo kuvurwa.

Malariya irandura hagati y'abantu?

Oya, malariya ntishobora kwambuka mu bantu binyuze mu mibanire isanzwe, inkorora, guhisha, cyangwa gusangira ibiryo n'ibinyobwa. Ushobora kubona malariya gusa binyuze mu kanyago k'imbuga yanduye, amaraso yanduye, cyangwa kuva ku mubyeyi ku mwana mu gihe cyo gutwita cyangwa kubyara. Ariko kandi, niba ufite malariya, imbuga zishobora kuguhannye zikwirakwize indwara ku bandi bantu, bityo kwirinda imbuga bikomeza kuba ingenzi no mu gihe cyo kuvurwa.

Malariya ishobora gukira burundu?

Yego, malariya ishobora gukira burundu hamwe n'ubuvuzi bukwiye. Ubwoko bwinshi bwa malariya buva mu mubiri wawe igihe urangije imiti yatanzwe. Ariko kandi, ubwoko bumwe nka Plasmodium vivax na Plasmodium ovale bushobora kuba mu mwijima kandi bugatera izindi ndwara nyuma y'amezi cyangwa imyaka. Muganga ashobora kwandika indi miti yo gukuraho izo mikorobe ziryamye no kwirinda izindi ndwara.

Ibiberaho niba malariya idakize?

Malariya idakize ishobora kwihuta kuba ikibazo gikomeye, cyane cyane indwara iterwa na Plasmodium falciparum. Mu minsi mike, indwara ishobora kugera ku ngaruka zikomeye zirimo kwangirika kw'ubwonko, kudakora neza kw'imirimo y'umubiri, ubusembwa bukabije, n'urupfu. Mikorobe ikomeza kwiyongera kandi yangiza uturemangingo dutukura tw'amaraso mu gihe ifunga imiyoboro y'amaraso mu bice by'ingenzi by'umubiri. Ni yo mpamvu ari ngombwa gushaka ubuvuzi bw'ihutirwa niba ufite ibimenyetso nyuma yo kujya mu turere malariya ikunze kugaragara, nubwo wafashe imiti yo kwirinda.