Indwara ya Meningite: Ibimenyetso, Impamvu, n’Uko Ivurwa

Meningite ni iki?

Meningite ni ububabare bw’ingingo zikingira ubwonko n’umugongo. Izi ngingo, zizwi nka meninges, zikora nk’umwenda ukingira imyanya y’ingenzi cyane mu mubiri.

Iyo izi ngingo zibabaye bitewe n’ubwandu cyangwa ibindi bintu, zishobora gukanda ubwonko n’umugongo. Uku gukanda gutera ibimenyetso bikomeye bya meningite, bikaba bisaba ubuvuzi bw’ihutirwa.

Iyi ndwara ishobora kuza gitunguranye cyangwa buhoro buhoro, bitewe n’icyayiteye. Nubwo ijambo “meningite” rishobora gutera ubwoba, gusobanukirwa icyo ari cyo no kumenya ibimenyetso byayo bishobora kugufasha kubona ubuvuzi bw’ihutirwa.

Ibimenyetso bya meningite ni ibihe?

Ibimenyetso bya meningite bikunze gutangira gitunguranye, kandi bishobora kumera nk’umurwayi ukomeye mu ntangiriro. Ibimenyetso by’ingenzi bigaragara uko ububabare bw’ubwonko n’umugongo bugenda bwiyongera.

Ibimenyetso bisanzwe ushobora kugira birimo:

• Uburwayi bukomeye bw’umutwe butandukanye n’uburwayi busanzwe bw’umutwe
• Umuhango ukomeye uza vuba
• Igufa ry’ijosi ritera ububabare mu gihe ugerageza kwimura umutwe
• Kugira ubwoba bw’umucyo
• Isesemi no kuruka
• Gucika intekere cyangwa kugorana gutekereza
• Uburwayi cyangwa kugorana kurara

Bamwe mu bantu bagira n’uburwayi budasanzwe budapfa guhita bugenda iyo ushyizeho igikombe. Ubu burwayi bugaragarira nk’ibice bito by’umukara cyangwa ibikomere, kandi bishobora gukwirakwira mu mubiri vuba.

Mu bihe bidasanzwe, ushobora kugira ibibazo by’indwara zifata ubwonko, ibibazo by’umutuzo, cyangwa kugorana kuvuga. Ibi bimenyetso bigaragaza ko ubwandu bugera ku mirimo y’ubwonko, bikaba bisaba ubuvuzi bw’ihutirwa.

Abana bato n’abana bato cyane bashobora kugaragaza ibimenyetso bitandukanye, birimo gucika intekere, kudashaka kurya, umutwe ubabara, cyangwa kurara cyane. Ibi bimenyetso bishobora kuba bigoye kubimenya, ariko bifite akaga kimwe.

Ubwoko bwa meningite ni ubuhe?

Meningite ifite ubwoko butandukanye, buri bwoko bufite impamvu yabwo n’uburemere bwabwo. Gusobanukirwa ibi bitandukanye bishobora kugufasha kumenya icyo witeze.

Meningite iterwa na bagiteri niyo ikomeye kandi isaba ubuvuzi bw’ihutirwa. Bagiteri zisanzwe ziterwa n’iyi ndwara harimo Streptococcus pneumoniae, Neisseria meningitidis, na Haemophilus influenzae. Iyi ndwara ishobora kuba ikomeye mu masaha make.

Meningite iterwa na virusi ikunze kubaho kandi ikaba nta kaga ikomeye nk’iya bagiteri. Virusi nka enteroviruses, herpes simplex, na influenza zishobora gutera iyi ndwara. Abantu benshi barakira neza bafashwe neza.

Meningite iterwa n’ibinyampeke ni gake ibaho, kandi ikunze kwibasira abantu bafite ubudahangarwa bw’umubiri buke. Iterambere ryayo rirambana ibyumweru, kandi isaba ubuvuzi bw’imiti yica ibinyampeke.

Meningite idaterwa n’ubwandu ishobora guterwa n’imiti imwe, kanseri, cyangwa indwara zifata ubudahangarwa bw’umubiri. Iyi ndwara ntiyimuka kuva ku muntu umwe ajya ku wundi, kandi ikunze gukira iyo impamvu yayo ivuwe.

Impamvu za meningite ni izihe?

Meningite iterwa n’udukoko cyangwa ibindi bintu bibabaza ingingo zikingira ubwonko n’umugongo. Ibi bintu bishobora kwinjira mu mubiri mu nzira zitandukanye.

Udukoko tw’abagiteri dukunze gutangira ahandi mu mubiri, hanyuma tugakwirakwira mu maraso kugera ubwonko. Rimwe na rimwe, bagiteri binjira mu buryo butaziguye binyuze mu gucika kw’igitoki, indwara y’amatwi, cyangwa indwara y’amazuru ikwirakwira mu myanya y’imbere.

Udukoko twa virusi bishobora gutera meningite nk’ingaruka z’indwara zisanzwe. Virusi ziterwa n’imbeho, grippe, cyangwa indwara z’igifu rimwe na rimwe zijya mu mikorere y’ubwonko zikayitera ububabare.

Udukoko tw’ibinyampeke uhumeka mu kirere rimwe na rimwe bishobora gutera meningite, cyane cyane iyo ubudahangarwa bw’umubiri bwawe butameze neza. Ibi bikunze kubaho ku binyamapeke biboneka mu butaka cyangwa mu mwanda w’inyoni.

Impamvu zitaterwa n’ubwandu harimo imiti imwe itera ububabare, utubuto twa kanseri twimukira kuri meninges, cyangwa indwara zifata ubudahangarwa bw’umubiri aho umubiri utera ubwenge utera igitero ku ngingo ze.

Ni ryari ukwiye kujya kwa muganga kubera meningite?

Ugomba gushaka ubuvuzi bw’ihutirwa niba ufite ibimenyetso bishobora kugaragaza meningite. Iyi ndwara ishobora kwihuta cyane, cyane cyane meningite iterwa na bagiteri, bityo guhita ufata ingamba ni ingenzi.

Hamagara 911 cyangwa ujye kwa muganga vuba niba ufite ububabare bukomeye bw’umutwe hamwe n’umuriro n’igifu ry’ijosi. Ibi bimenyetso bitatu hamwe ni ikimenyetso gikomeye cy’ubuzima gisaba ko uba ugenzurwa na muganga vuba.

Ntugatege amatwi niba ubona uburwayi budapfa guhita bugenda iyo ushyizeho igikombe, cyane cyane niba bugaragara hamwe n’ibindi bimenyetso. Ubu bwoko bw’uburwayi bushobora kugaragaza ubwandu bukomeye bwa bagiteri busaba ubuvuzi bw’ihutirwa.

Shaka ubuvuzi bw’ihutirwa niba wowe cyangwa undi muntu agaragaza ibimenyetso byo gucika intekere, kurwara cyane, cyangwa kugorana kurara. Ibi bimenyetso bigaragaza ko ubwonko bugira ingaruka, bikaba bisaba ubuvuzi bw’ihutirwa.

Ku bana bato n’abana bato cyane, hamagara muganga wawe vuba niba bagaragaza gucika intekere, kudashaka kurya, umuriro, cyangwa impinduka zose ku mutwe. Abana bashobora kurwara cyane vuba cyane bafite meningite.

Ibyago byo kurwara meningite ni ibihe?

Ibintu bimwe bishobora kongera amahirwe yo kurwara meningite, nubwo ari ingenzi kumenya ko umuntu wese ashobora kurwara iyi ndwara. Gusobanukirwa ibi byago bishobora kugufasha gufata ingamba zikwiye.

Imyaka igira uruhare runini mu kaga. Abana bari munsi y’imyaka 2 bafite ibyago byinshi kuko ubudahangarwa bwabo bukiri buto. Abangavu n’abasore nabo bafite ibyago byinshi, cyane cyane mu myanya y’abantu benshi nk’amacumbi.

Aho uba bishobora kugira ingaruka ku kwandura kw’udukoko dutera meningite:

• Kuba mu myanya y’abantu benshi nk’amacumbi ya kaminuza cyangwa ibirindiro by’abasirikare
• Kwitabira ibigo byita ku bana cyangwa amashuri mu gihe cy’icyorezo
• Kujya mu turere tumwe na tumwe ubwoko bumwe bwa meningite bukunze kugaragara
• Gukora muri laboratwari ifite bagiteri ziterwa na meningite

Indwara zifata ubudahangarwa bw’umubiri zigabanya ubudahangarwa bwawe. Ibi birimo HIV/SIDA, diyabete, indwara z’impyiko, cyangwa gufata imiti igabanya ubudahangarwa bw’umubiri.

Kudakingirwa byongera ibyago byinshi. Inkingo zikingira bagiteri na virusi nyinshi ziterwa na meningite.

Imihino y’umutwe iherutse kubaho, indwara z’amatwi, cyangwa indwara z’amazuru bishobora guha inzira utudodo kugera ubwonko. Kwikuraho umwijima byongera ibyago kuko uyu mwijima ufasha kurwanya ubwandu bumwe na bumwe bwa bagiteri.

Ingaruka zishoboka za meningite ni izihe?

Nubwo abantu benshi bakira neza meningite, bamwe bashobora kugira ingaruka ziramba, cyane cyane niba ubuvuzi bwatinze. Gusobanukirwa ibi bishoboka bishobora gushimangira akamaro ko guhita uhabwa ubuvuzi.

Ingaruka zisanzwe zigira ingaruka ku mikorere y’ubwonko kandi zishobora kuba:

• Iguhuka ry’amatwi, rishobora kuba rike cyangwa rikomeye
• Ibibazo byo kwibuka cyangwa kugorana gutekereza
• Ibibazo by’indwara zifata ubwonko bishobora gukomeza nyuma yo gukira
• Ibibazo byo kugendera no guhuza
• Impinduka z’ububone cyangwa ubuhumyi
• Gukomera kuvuga

Bamwe mu bantu bagira ibibazo byo kwiga cyangwa impinduka mu myitwarire, cyane cyane abana bari bafite meningite bakiri bato. Ibi bishobora kugaragara nyuma y’amezi cyangwa imyaka.

Mu bihe bikomeye, meningite ishobora gutera ubwonko kwangirika, gutakaza ubushobozi bw’ubwonko, cyangwa kubyimba bigira ingaruka ku mikorere y’ubwonko burundu. Ubwandu bushobora no gukwirakwira mu bindi bice by’umubiri.

Ingaruka zidasanzwe ariko zikomeye harimo gucika intege kw’impyiko, gutakaza amaraso, cyangwa ibibazo byo gutakaza amaraso. Ibi bikunze kubaho kuri meningite iterwa na bagiteri itera imbere vuba.

Inkuru nziza ni uko ubuvuzi bw’ihutirwa kugabanya ibyago by’ingaruka. Abantu benshi bahabwa ubuvuzi bukwiye mu gihe hakiri kare barakira batagize ingaruka ziramba.

Meningite ishobora kwirindwa gute?

Urashobora gufata ingamba nyinshi zikomeye zo kwirinda wowe n’umuryango wawe meningite. Inkingo niyo ntwaro ikomeye yo kurwanya ubwoko busanzwe kandi bukomeye bw’iyi ndwara.

Guhabwa inkingo zisabwa niyo ngamba ikomeye yo kwirinda. Izi nkingo zikingira bagiteri na virusi ziterwa na meningite.

Inkingo z’ingenzi harimo:

• Inkingo za Meningococcal ku bangavu n’abanyeshuri ba kaminuza
• Inkingo za Pneumococcal ku bana bato n’abakuze
• Inkingo za Haemophilus influenzae type b (Hib) ku bana bato
• Inkingo za MMR zikingira meningite iterwa na mumps

Isuku nziza ishobora kugabanya kwandura kw’udukoko dutera meningite. Koga intoki kenshi, cyane cyane mbere yo kurya nyuma yo gukoresha ubwiherero cyangwa kuba ahantu hahurira abantu benshi.

Irinde gusangira ibintu byawe nk’ibikombe byo kunywa, ibikoresho byo kurya, lip balm, cyangwa ibirungo byo gukura amenyo. Ibi bintu bishobora kwanduza umusemburo n’udukoko dufite kuva ku muntu umwe ujya ku wundi.

Komeza ubuzima bwiza muri rusange no kuryama bihagije, kurya ibiryo biringaniye, no gukora imyitozo ngororamubiri buri gihe. Ubudahangarwa bw’umubiri bukomeye bufasha umubiri wawe kurwanya ubwandu mbere yuko butera ibibazo bikomeye.

Niba uri mu rugendo mu turere meningite ikunze kugaragara, vugana na muganga wawe ku bindi nkingo cyangwa ingamba ushobora gukenera.

Meningite imenyekanwa ite?

Kumenya meningite bisaba ibizamini byinshi by’ubuvuzi kuko ibimenyetso byayo bishobora kumera nk’ibindi bibazo bikomeye. Muganga wawe azahita akora kugira ngo amenye niba ufite meningite n’ubwoko bwayo.

Uburyo bwo gupima busanzwe butangira hakoreshejwe isuzuma ry’umubiri aho muganga wawe areba ijosi ry’ijosi, uburwayi bw’uruhu, n’ibimenyetso byo kubabara ubwonko. Azakubaza kandi ibimenyetso byawe n’indwara uheruka kurwara.

Gutera igisabo mu mugongo, bizwi kandi nka spinal tap, ni ikizamini cy’ingenzi cyo kumenya meningite. Muri ubu buryo, muganga wawe ashyira umugozi mu mugongo wawe kugira ngo akurikire igice gito cy’amazi yo mu mugongo.

Iyi sampuli y’amazi yo mu mugongo irakorwa mu nama kugira ngo ishakishe ibimenyetso by’ubwandu. Inama ishobora kumenya bagiteri, virusi, cyangwa ibindi bintu biterwa n’ububabare, kandi imenye ubuvuzi buzakora neza.

Ibizamini by’amaraso bifasha gushyigikira isuzuma ryo kumenya ibimenyetso by’ubwandu mu mubiri wawe. Ibi bizamini bishobora kandi kumenya utudodo twihariye dutera indwara.

Rimwe na rimwe muganga wawe ashobora gutegeka CT scan cyangwa MRI y’umutwe kugira ngo akureho ibindi bintu by’ibimenyetso byawe nk’ibibyimba by’ubwonko cyangwa kuva amaraso. Ibi bizamini byo gufata amashusho bishobora kandi kugaragaza niba hari kubyimba mu bwonko.

Ubuvuzi bwa meningite ni ubuhe?

Ubuvuzi bwa meningite biterwa n’icyo gitera ububabare, ariko kwihuta bihora ari ingenzi. Itsinda ryawe ry’abaganga rikunze gutangira ubuvuzi mbere y’uko ibisubizo byose by’ibizamini biboneka kugira ngo birinde ingaruka.

Meningite iterwa na bagiteri isaba ubuvuzi bw’ihutirwa hamwe n’imiti ikomeye yica bagiteri itangwa mu buryo bwa IV. Muganga wawe azahitamo imiti yica bagiteri ishingiye ku bagiteri bashobora kuba batera ubwandu bwawe, hanyuma akosore ubuvuzi iyo ibisubizo by’ibizamini biboneka.

Uzabona kandi corticosteroids kugira ngo ugabanye kubyimba kw’ubwonko no kubabara. Iyi miti ifasha kwirinda zimwe mu ngaruka zishobora kubaho kuri meningite iterwa na bagiteri, cyane cyane iguhukira ry’amatwi.

Meningite iterwa na virusi ntigisaba imiti yihariye yo kurwanya virusi kuko ubudahangarwa bw’umubiri bushobora kurwanya ubwandu. Ubuvuzi bugamije gucunga ibimenyetso byawe no kugutera amahoro mu gihe ukomeza gukira.

Kwitaho ni ingenzi kuri buri bwoko bwa meningite kandi birimo:

• Amazi ya IV kugira ngo wirinde gucika intege
• Imiti igabanya ububabare bw’umutwe
• Imiti igabanya umuriro
• Imiti igabanya isesemi
• Inkunga y’umwuka niba ikenewe

Meningite iterwa n’ibinyampeke isaba ubuvuzi bw’igihe kirekire hamwe n’imiti yica ibinyampeke. Ubu buvuzi bukunze gukomeza ibyumweru cyangwa amezi, bitewe n’uburyo uhinduka n’ubwoko bw’ibinyampeke bikubiyemo.

Abantu benshi bafite meningite iterwa na bagiteri cyangwa virusi baba mu bitaro iminsi myinshi kugira ngo bakurikirane uburyo bakira kandi barebe ingaruka. Itsinda ryawe ry’abaganga rizakurikirana ibimenyetso byawe hafi kandi rikosore ubuvuzi uko bikenewe.

Uko wakwitaho iwawe mu gihe cyo gukira

Gukira meningite bisaba igihe, kandi ugomba kwihangana n’umubiri wawe mu gihe ukomeza gukira. Igice kinini cyo gukira kwawe kizaba iwawe nyuma yo kuvurwa mu bitaro.

Ikiruhuko ni ingenzi cyane mu gihe cyo gukira. Ubwonko bwawe n’umubiri wawe byanyuzemo umunaniro ukomeye, bityo uteganya kurara kurusha igihe usanzwe, kandi wirinde ibikorwa bikomeye ibyumweru byinshi.

Komeza amazi ahagije mu mubiri wawe unywa amazi menshi umunsi wose. Gucika intege bishobora kongera ububabare bw’umutwe no kugabanya umuvuduko wo gukira.

Fata imiti yawe uko yagenewe, nubwo watangira kumva umeze neza. Niba uri ku miti yica bagiteri, kurangiza ubuvuzi bwose kugira ngo ube wizeye ko ubwandu bwakize burundu.

Genzura ibimenyetso bikomeza gukurikira ukoresheje uburyo bworoshye:

• Koresha imiti igabanya ububabare bw’umutwe uko yagenewe na muganga wawe
• Ruhukira mu cyumba cyiza, gitonotse niba ukiri kumva umucyo n’ijwi
• Kurya ibiryo bike, kenshi niba isesemi ikomeje
• Gahoro gahoro kongera ibikorwa byawe uko wumva ukomeye

Kora isuzuma ry’ibimenyetso by’ubuzima bishobora kugaragaza ingaruka cyangwa ibyo gukenera ubuvuzi bundi. Hamagara muganga wawe niba ufite ibimenyetso bishya, ububabare bw’umutwe buri kwiyongera, cyangwa ibimenyetso by’ubwandu.

Menya ko gukira bishobora gufata ibyumweru cyangwa amezi, kandi bamwe mu bantu bagira umunaniro, ibibazo byo gutekereza, cyangwa ububabare buke bw’umutwe igihe kirekire. Ibi ni ibisanzwe, ariko menyesha itsinda ryawe ry’ubuvuzi uko ugendeye.

Uko wakwitegura gusura muganga

Niba ukekako ufite meningite, ntuzategereze gahunda y’isura. Iyi ndwara isaba ubuvuzi bw’ihutirwa, bityo ujye kwa muganga cyangwa uhamagare 911.

Ariko rero, niba ukurikira nyuma yo kuvurwa cyangwa ufite impungenge ku bijyanye no kwandura, kwitegura isura yawe bishobora kugufasha kubona byinshi mu ruzinduko rwawe.

Andika ibimenyetso byawe byose, harimo igihe byatangiye n’uko byahindutse. Harimo amakuru yerekeye uburyo umuriro uhinduka, uburemere bw’ububabare bw’umutwe, n’uburwayi ubwo arirwo rwose wabonye.

Zana urutonde rw’imiti yose ufashe ubu, harimo imiti yo mu maduka n’ibindi. Bandika kandi indwara, imvune, cyangwa ingendo uheruka gukora.

Tegura ibi bintu by’ingenzi ugomba kuvuga:

• Guhura uheruka kugira n’umuntu wari ufite meningite
• Amateka yawe y’inkingo, cyane cyane inkingo za meningite
• Imihino y’umutwe cyangwa ubwandu uheruka kugira
• Impinduka mu mikorere yawe yo gutekereza cyangwa kwibuka
• Ibibazo ku gihe cyo gukira

Tekereza kuzana umuntu wo mu muryango cyangwa inshuti kugira ngo aguhe ubufasha kwibuka amakuru no kubaza ibibazo. Meningite ishobora kugira ingaruka ku mikorere yawe yo gutekereza, bigatuma bigoye gutunganya amakuru y’ubuvuzi.

Ntukabe ikibazo cyo kubaza icyo utazi. Itsinda ryawe ry’ubuvuzi rishaka ko ufite amakuru yose ukeneye kugira ngo ukire neza.

Icyo ukwiye kumenya cyane kuri meningite

Meningite ni indwara ikomeye ariko ivurwa isaba ubuvuzi bw’ihutirwa. Ikintu cy’ingenzi cyo kugira umusaruro mwiza ni ukumenya ibimenyetso hakiri kare no kubona ubuvuzi bw’ihutirwa.

Wibuke ko ibimenyetso bya meningite bikunze gutangira nk’umurwayi ariko vuba bigahinduka bikomeye. Ihuriro ry’ububabare bukomeye bw’umutwe, umuriro, n’igifu ry’ijosi bigomba guhita byohereza kwa muganga.

Kwiringira inkingo niyo kurinda kwiza kurwanya ubwoko bukomeye bwa meningite. Kora isuzuma ry’ubuzima bwawe n’umuryango wawe kugira ngo ube uri mu buzima bwiza.

Hamwe no gupima vuba no kuvurwa neza, abantu benshi barakira neza meningite. Nubwo ingaruka zibaho, nyinshi zishobora gucungwa neza hamwe n’ubuvuzi bukwiye n’ubuvuzi bwo kuvugurura.

Gira icyizere niba hari ikintu kibabaza cyane. Meningite si indwara yo gutegereza. Niba uhangayitse, shaka ubuvuzi bw’ihutirwa.

Ibibazo byakenshi bibazwa kuri meningite

Q1: Meningite yandura?

Ubwoko bumwe bwa meningite bushobora kwandura kuva ku muntu umwe ajya ku wundi, ariko si ubwoko bwose bw’iyi ndwara burambura. Meningite iterwa na bagiteri na virusi rimwe na rimwe ishobora kwandura binyuze mu mpfuruka z’ubuhumekero iyo umuntu akose cyangwa akoroga, cyangwa binyuze mu mibanire ya hafi nk’aho usomana. Ariko kandi, meningite iterwa n’ibinyampeke na meningite idaterwa n’ubwandu ntiyimuka kuva ku muntu umwe ajya ku wundi. Nubwo ari ubwoko bw’iyi ndwara burambura, guhura bisanzwe nk’aho uri mu cyumba kimwe ntibihagije kugira ngo ubwandu bukwirakwire.

Q2: Bitwara igihe kingana iki gukira meningite?

Igihe cyo gukira gitandukanye bitewe n’ubwoko bwa meningite n’uburyo ubuvuzi butangira vuba. Meningite iterwa na virusi ikunze gukira mu minsi 7-10, nubwo ushobora kumva unaniwe ibyumweru byinshi. Gukira meningite iterwa na bagiteri bisanzwe bifata ibyumweru 2-4, ariko bamwe mu bantu bakenera amezi kugira ngo bagaruke mu mbaraga zabo. Bamwe mu bantu bagira ingaruka ziramba nk’umunaniro cyangwa ibibazo byo gutekereza bishobora kumara amezi. Muganga wawe azakurikirana uko ugendeye kandi aguhe uko witeze mu mimerere yawe.

Q3: Ushobora kurwara meningite incuro nyinshi?

Yego, bishoboka kurwara meningite incuro nyinshi, nubwo ari gake. Kugira ubwoko bumwe bwa meningite ntibikurinda kwandura bagiteri cyangwa virusi zitera meningite. Bamwe mu bantu bafite ibibazo by’ubudahangarwa bw’umubiri bafite ibyago byinshi byo kwandura inshuro nyinshi. Iyi ni imwe mu mpamvu kuba uri mu buzima bwiza bikomeza kuba ingenzi na nyuma yo gukira meningite.

Q4: Hariho ingaruka ziramba za meningite?

Abantu benshi barakira neza meningite batagize ingaruka ziramba, cyane cyane iyo ubuvuzi butangiye hakiri kare. Ariko kandi, bamwe mu bantu bashobora kugira ingaruka ziramba nk’iguhukira ry’amatwi, ibibazo byo kwibuka, kugorana gutekereza, cyangwa ibibazo byo kwiga. Ibyago by’ingaruka biri hejuru kuri meningite iterwa na bagiteri kandi iyo ubuvuzi bwatinze. Kwitabwaho buri gihe bishobora gufasha kumenya no gucunga ingaruka ziramba zibaho.

Q5: Ndakwiye gukora iki niba nahuriye n’umuntu ufite meningite?

Hamagara muganga wawe vuba niba wahuriye hafi n’umuntu uheruka kuvurwa meningite iterwa na bagiteri. Bitewe n’ubwoko bwa bagiteri n’uburyo wahuriye, muganga wawe ashobora kwandika imiti yo kwirinda. Abahuriye hafi barimo abo mubana, abaturanyi, cyangwa uwo ari we wese wasangiye ibikoresho byo kurya cyangwa wagiranye imibanire ya hafi. Ishami ryawe ry’ubuzima rushobora kandi kukubwira niba riri gukora iperereza ku cyorezo. Ntugatere ubwoba, ariko shaka inama y’abaganga vuba.