Ese ni iki kibazo cya Kanseri y’ubwonko ku bana? Ibimenyetso, Intandaro, n’Ubuvuzi

Kanseri y’ubwonko ku bana ni ukwaguka kw’uturemangingo kutari ibisanzwe, kwibasira ubwonko bw’umwana cyangwa imyanya iburundikira. Iyi kanseri ishobora kuba itari kanseri (ibyiza) cyangwa kanseri (ibibi), kandi niyo kanseri ikunze kugaragara mu bana.

Nubwo kumva ngo “kanseri y’ubwonko” bishobora gutera ubwoba, ni ingenzi kumenya ko kanseri nyinshi z’ubwonko ku bana zishobora kuvurwa. Iterambere mu buvuzi ryatumye hagira ibyiza byinshi bigerwaho ku bana bafite iyi ndwara. Gusobanukirwa ibyo uhura na byo bishobora kugufasha kumva witeguye kandi ufite icyizere mu rugendo rwawe.

Ni ibihe bimenyetso bya kanseri y’ubwonko ku bana?

Ibimenyetso bya kanseri y’ubwonko ku bana bikunze kugaragara buhoro buhoro, kandi bishobora gufatwa nk’ibibazo bisanzwe by’abana mu ntangiro. Ibimenyetso biterwa ahanini n’aho kanseri iherereye n’ubunini bwayo.

Ibimenyetso bya mbere bikunze kugaragara ni ukwiyongera kw’umuvuduko mu mutwe. Ushobora kubona umwana wawe arwara umutwe uhoraho, utandukanye n’umutwe usanzwe. Uyu mutwe ukunze kuba mubi cyane mu gitondo cyangwa ukamukangurira mu gihe aryamye.

Dore ibimenyetso bikunze kugaragara ugomba kwitondera:

• Kuruka kenshi, cyane cyane mu gitondo cyangwa ata mvazi afite mbere yo kuruka
• Guhinduka kw’ubuhanga bwo kubona, nko kubona ibintu bibiri, kubona nabi, cyangwa kubura ubushobozi bwo kubona ibiri ku mpande
• Ibibazo byo kugira umutekano mucyenda, kugorana mu kugenda, cyangwa kugwa kenshi
• Uburwayi budasanzwe cyangwa guhinduka bikomeye mu mbaraga
• Guhinduka kw’imico cyangwa imyitwarire itari yo
• Gukomera mu kuvuga cyangwa gusobanukirwa amagambo
• Imihindagurikire, cyane cyane niba umwana atigeze ayigira mbere
• Ibibazo byo guhuza ibikorwa cyangwa ubuhanga buto bwo gukoresha intoki

Mu bana bato n’abana bakiri bato, ibimenyetso bishobora kugaragara bitandukanye. Ushobora kubona umutwe ukura vuba, ibice byoroshye by’umutwe byavunitse, cyangwa umujinya udakunze kugaragara utarimo impamvu isobanutse.

Bamwe mu bana bashobora kugira ibibazo byo kwiga, ibibazo byo kwibuka, cyangwa kugorana mu kwibanda ku ishuri. Ibi bihinduka mu bwenge bishobora kuba bito mu ntangiro ariko bishobora kugaragara cyane uko igihe gihita.

Ni iyihe mitype ya kanseri y’ubwonko ku bana?

Kanseri y’ubwonko ku bana ihabwa ubwoko butandukanye hashingiwe ku ho itera n’ubwoko bw’uturemangingo igizwe na byo. Gusobanukirwa ubwoko bufasha abaganga gutegura uburyo bwiza bwo kuvura.

Ubwoko bwakunze kugaragara harimo medulloepithelioma, itera mu bwonko buto kandi ikagira ingaruka ku mbaraga zo kugira umutekano mucyenda no guhuza ibikorwa. Brainstem gliomas itera mu gice cy’ubwonko kiyobora imikorere y’ingenzi nko guhumeka no gukora kw’umutima.

Dore ibice by’ingenzi bya kanseri y’ubwonko ku bana:

• Astrocytomas - Iyi itera mu turemangingo tw’ubwonko dufite ishusho y’inyenyeri kandi ishobora kuva ku itera buhoro buhoro kugeza ku itera cyane
• Medulloepitheliomas - Kanseri y’ubwonko ikunze kugaragara mu bana, ikunze kuboneka mu bwonko buto
• Ependymomas - Iyi itera mu turemangingo dukingira ahantu hazuye amazi mu bwonko
• Brainstem gliomas - Kanseri itera mu gice cy’ubwonko kiyobora imikorere y’ingenzi y’umubiri
• Craniopharyngiomas - Kanseri zikunze kuba nziza ziterera hafi y’umusemburo wa pituitary
• Germ cell tumors - Kanseri zidafite akagero gakomeye zikunze kuboneka hagati mu bwonko

Zimwe muri kanseri zifatwa nk’izigera buhoro buhoro, bisobanura ko zikura buhoro buhoro kandi zidafite amahirwe yo gukwirakwira. Kanseri zikura cyane zisaba ubuvuzi bukomeye. Itsinda ry’abaganga bazasobanura neza ubwoko bw’umwana wawe n’icyo bisobanura ku mimerere ye.

Ese ni iki giteye kanseri y’ubwonko ku bana?

Impamvu nyamukuru ya kanseri nyinshi z’ubwonko ku bana ntirazwi, ibyo bishobora kubabaza ababyeyi bashaka ibisubizo. Bitandukanye na kanseri nyinshi z’abakuze, kanseri y’ubwonko ku bana ntabwo ikunze guhuzwa n’imibereho cyangwa ibintu byo mu kirere.

Kanseri nyinshi z’ubwonko ku bana zisa nkaho ziterwa n’impinduka z’imiterere y’uturemangingo ziba mu gihe uturemangingo dukura kandi tugakwirakwira. Izi mpinduka ntizirakomoka ku babyeyi - ziba gusa mu buryo budasobanutse mu gihe cy’iterambere risanzwe ry’uturemangingo.

Igice gito cy’ubwonko ku bana kihuzwa n’ibibazo by’imiterere y’impyiko. Ibi birimo neurofibromatosis, Li-Fraumeni syndrome, na tuberous sclerosis. Niba umwana wawe afite kimwe muri ibyo bibazo, muganga wawe azakuganira ku bijyanye no kugenzura no gukumira.

Kuba warashyizweho imirasire mu mutwe, nko kuvurwa kanseri indi, bishobora kongera ibyago byo kurwara kanseri y’ubwonko. Ariko, ibi bigize igice gito cyane cy’ibibazo muri rusange. Abana benshi barwara kanseri y’ubwonko nta kintu na kimwe kizwi cyabateye.

Ni ingenzi kumenya ko nta kintu wakoze cyangwa utakoreye cyateye umwana wawe kanseri y’ubwonko. Ababyeyi bakunze kwibasira, ariko kanseri y’ubwonko ku bana iterwa n’ibintu biri hanze y’ububasha bw’umuntu wese.

Ni ryari ukwiye kujya kwa muganga kubera kanseri y’ubwonko ku bana?

Ugomba kuvugana na muganga w’umwana wawe niba ubona ibimenyetso biramba bikuguha impungenge, cyane cyane niba bikomeza gukura uko igihe gihita.

Tegura gahunda yo kujya kwa muganga niba umwana wawe arwara umutwe uhoraho utandukanye n’uwari usanzwe. Witondere cyane umutwe umukangurira mu gihe aryamye cyangwa uba mubi cyane mu gitondo.

Shaka ubuvuzi vuba niba ubona:

• Kuruka kenshi nta bimenyetso by’uburwayi
• Guhinduka kw’ubuhanga bwo kubona cyangwa kugaragaza ko abona ibintu bibiri
• Guhinduka gitunguranye mu mbaraga zo kugira umutekano mucyenda cyangwa guhuza ibikorwa
• Guhinduka bikomeye mu mico cyangwa imyitwarire
• Imihindagurikire mishya
• Uburwayi budasanzwe cyangwa guhuzagurika

Ku bana bato, hamagara muganga wawe niba ubona umutwe ukura vuba, ibice byoroshye by’umutwe byavunitse, cyangwa kurira guhoraho bisa n’ibidasanzwe.

Wibuke ko ibimenyetso byinshi bishobora kuba bifite izindi mpamvu zoroheje. Ariko, bihora ari byiza ko ibimenyetso bikubabaza bisuzumwa vuba kuruta gukomeza gutegereza. Kumenya hakiri kare akenshi bigira ingaruka nziza ku buvuzi.

Ni ibihe bintu bishobora kongera ibyago byo kurwara kanseri y’ubwonko ku bana?

Bitandukanye na kanseri nyinshi z’abakuze, kanseri y’ubwonko ku bana ntabwo ifite ibintu byinshi byamenyekanye bishobora kongera ibyago. Abana benshi barwara iyi kanseri nta kintu na kimwe kizwi cyabateye.

Imyaka igira uruhare, ubwoko bumwe bukaba busanzwe mu myaka runaka. Kanseri y’ubwonko ishobora kuba mu myaka yose y’ubwana, ariko ubwoko bumwe busanzwe mu bana bato cyane mu gihe ubundi busanzwe mu bangavu.

Ibintu by’ingenzi bishobora kongera ibyago birimo:

• Ibibazo by’imiterere y’impyiko nk’umuryango wa neurofibromatosis cyangwa Li-Fraumeni syndrome
• Kuba warashyizweho imirasire mu mutwe cyangwa ubwonko
• Kugira ubudahangarwa bw’umubiri butameze neza
• Amateka y’umuryango afite ibibazo bimwe by’imiterere y’impyiko

Igitsina gishobora kugira ingaruka gato ku byago. Ubwoko bumwe bwa kanseri y’ubwonko busanzwe mu bahungu, mu gihe ubundi busanzwe mu bakobwa. Ariko, itandukaniro riri hagati yabyo muri rusange riba rito.

Ni ingenzi kumenya ko kuba ufite ikintu gishobora kongera ibyago ntibivuze ko umwana wawe azahura na kanseri y’ubwonko. Abana benshi bafite ibyago ntibabona kanseri, mu gihe abana benshi barwara iyi kanseri nta kintu na kimwe kizwi cyabateye.

Ni ibihe bibazo bishobora kubaho kubera kanseri y’ubwonko ku bana?

Ibibazo bishobora kubaho kubera kanseri y’ubwonko ku bana bishobora guterwa na kanseri ubwayo, aho iherereye, cyangwa ubuvuzi bwakoreshejwe kuyivura. Gusobanukirwa ibibazo bishobora kubaho bifasha imiryango kwitegura no gukorana n’abaganga kugira ngo bagabanye ibyago.

Ubwongereza buyobora imikorere myinshi y’ingenzi, bityo kanseri ishobora kugira ingaruka ku bushobozi butandukanye bitewe n’aho iherereye. Bamwe mu bana bashobora kugira ibibazo byo kugenda, bikagira ingaruka ku bushobozi bwabo bwo kugenda cyangwa guhuza ibikorwa neza.

Ibibazo bikunze kugaragara birimo:

• Guhinduka mu bwenge, harimo ibibazo byo kwibuka, kwitonda, cyangwa kwiga
• Ibibazo byo kugenda bigira ingaruka ku kugenda, kugira umutekano mucyenda, cyangwa guhuza ibikorwa
• Ibibazo byo kuvuga no kuvuga
• Guhinduka kw’ubuhanga bwo kubona cyangwa kumva
• Kudahuza neza kwa hormone niba kanseri igira ingaruka ku misemburo ya pituitary
• Imihindagurikire ishobora gukomeza nubwo ubuvuzi bwarangiye
• Hydrocephalus (amazi menshi mu bwonko)

Ibibazo bishobora guterwa n’ubuvuzi birimo umunaniro, gutakaza umusatsi kubera imirasire, n’ingaruka zishobora kubaho mu gihe kirekire ku iterambere n’ubukure. Bamwe mu bana bashobora kugira impinduka mu bushobozi bwabo bwo kwiga amakuru mashya cyangwa kuyakoresha vuba nk’uko byari bisanzwe.

Ibibazo byinshi bishobora gufatwa neza cyangwa bigakira neza hifashishijwe ubuvuzi bwo gufasha nko kuvura umubiri, kuvura imirimo, cyangwa kuvura kuvuga. Itsinda ry’abaganga bazakurikirana ibibazo kandi batange ubufasha bukwiye kugira ngo umwana wawe agire ubuzima bwiza.

Ese kanseri y’ubwonko ku bana ishobora gukumirwa?

Ikibabaje ni uko nta buryo bwo gukumira kanseri nyinshi z’ubwonko ku bana buzwi. Kubera ko abenshi baterwa n’impinduka z’imiterere y’uturemangingo ziba mu buryo busanzwe, uburyo bwo gukumira bukorera izindi ndwara ntibukora hano.

Kubura uburyo bwo gukumira bishobora gutera ababyeyi kwiheba, ariko ni ingenzi kwibanda ku byo ushobora kugenzura. Kwita ku buzima bw’umwana wawe muri rusange binyuze mu mirire myiza, imyitozo ngororamubiri, no gusinzira bihagije bishyigikira ubushobozi bw’umubiri we bwo guhangana n’ibibazo byose byabaho.

Ku bana bafite ibibazo by’imiterere y’impyiko bizwi bizamura ibyago byo kurwara kanseri y’ubwonko, kugenzura no gusuzuma buri gihe bishobora gufasha kumenya kanseri hakiri kare mu gihe ivurwa neza. Muganga wawe azakugira inama ku buryo bukwiye bwo kugenzura niba ibyo bireba umwana wawe.

Kwirinda imirasire idakenewe ni byiza, nubwo ingano y’imirasire iva mu bipimo by’ubuvuzi bisanzwe nka CT scan muri rusange iba ari nto kandi akamaro kenshi gasumba ibyago iyo ari ngombwa mu buvuzi.

Ese kanseri y’ubwonko ku bana imenyekanwa gute?

Kumenya kanseri y’ubwonko ku bana bikunze gutangira muganga w’umwana wawe afata amateka y’ubuzima arambuye kandi akora isuzuma ry’umubiri ryuzuye. Azabaza ibibazo ku bimenyetso, igihe byatangiye, n’uko byahindutse uko igihe gihita.

Isuzuma ry’ubwonko rigenzura imikorere y’imitsi, imbaraga z’imitsi, guhuza ibikorwa, n’imikorere y’ubwonko. Ibi bifasha abaganga gusobanukirwa ibice by’ubwonko bishobora kuba byagizweho ingaruka kandi bigatuma bafata ibyemezo byo gukora ibizami byinshi.

Ibizami byo kubona amashusho bigaragaza amashusho arambuye y’ubwonko bw’umwana wawe. MRI (magnetic resonance imaging) akenshi iba ari ibizami bya mbere kandi by’ingenzi kuko igaragaza imyanya yoroshye nkubwonko neza cyane. Iyi scan ishobora kugaragaza aho kanseri iherereye, ubunini bwayo, n’aho ihuriye n’ibice by’ubwonko biri hafi.

Ibizami byiyongereye bishobora kuba CT scan, ifata amashusho ya X-ray aturuka mu mpande zitandukanye kugira ngo ikore amashusho y’ubwonko. Rimwe na rimwe abaganga bategeka MRI zihariye zifite ibara ry’umwenda kugira ngo babone amashusho meza ya kanseri.

Niba amashusho agaragaza kanseri y’ubwonko, biopsy ishobora kuba ikenewe kugira ngo bamenye neza ubwoko bwayo. Muri ubu buryo, igice gito cy’uturemangingo twa kanseri gikurwaho kandi kigenzurwa munsi ya microscope. Rimwe na rimwe biopsy ishobora gukorwa icyarimwe n’ubuganga bwo gukuraho kanseri.

Lumbar puncture (spinal tap) ishobora kugirwa inama yo kureba niba uturemangingo twa kanseri twakwirakwiriye mu mazi yo mu mugongo. Ibi bisobanura gushyira igishishwa gito mu mugongo kugira ngo hakurweho amazi make yo mu mugongo kugira ngo asuzumwe.

Ese ubuvuzi bwa kanseri y’ubwonko ku bana bukorwa gute?

Ubuvuzi bwa kanseri y’ubwonko ku bana bugaragara ku bintu byinshi birimo ubwoko bwa kanseri, aho iherereye, ubunini bwayo, n’imyaka y’umwana n’ubuzima bwe muri rusange. Intego ihora ari uguha ubuvuzi burambuye mugihe ugabanya ingaruka mbi z’igihe kirekire.

Ubuganga akenshi ni bwo buryo bwa mbere bwo kuvura iyo bishoboka. Umuganga uzahangana n’ubwonko azagerageza gukuraho igice kinini cya kanseri mu buryo butekanye mugihe akomeza imikorere isanzwe y’ubwonko. Rimwe na rimwe gukuraho byose ntibishoboka kubera aho kanseri iherereye hafi y’ibice by’ingenzi by’ubwonko.

Uburyo bwo kuvura busanzwe burimo:

• Ubuganga bwo gukuraho igice cyose cyangwa igice cya kanseri
• Ubuvuzi bw’imirasire ikoresha imirasire ikomeye yo kurimbura uturemangingo twa kanseri
• Ubuvuzi bwa chemotherapy hamwe n’imiti igabanya uturemangingo twa kanseri
• Ubuvuzi bugamije imiti yagenewe ubwoko bumwe bwa kanseri
• Immunotherapy gufasha ubudahangarwa bw’umubiri guhangana na kanseri
• Isuzuma rya kliniki ritanga uburyo bwo kuvura bushya

Abana benshi bakira ubuvuzi buhujwe, nko kubagwa nyuma ya chemotherapy cyangwa imirasire. Itsinda ry’abaganga rizategura gahunda yihariye ishingiye ku mimerere y’umwana wawe.

Ubuvuzi busanzwe butangwa n’itsinda ry’abaganga b’indwara z’abana barimo abahanga mu kuvura kanseri y’abana, abaganga babaga ubwonko, abahanga mu kuvura imirasire, n’abita ku buzima. Ubu buryo bwo gukorana bufasha umwana wawe kubona ubuvuzi burambuye kandi buhujwe mu rugendo rwe rwo kuvurwa.

Uko watanga ubuvuzi bw’i mu rugo mu gihe cyo kuvura kanseri y’ubwonko ku bana

Kwita ku mwana ufite kanseri y’ubwonko mu rugo bisobanura gucunga ingaruka mbi z’ubuvuzi, kubungabunga imirire, no gutanga inkunga yo mu mutima. Itsinda ry’abaganga bazakugira inama zihariye, ariko amategeko rusange ashobora kugufasha kuyobora uburyo bwawe.

Guhangana n’ibimenyetso n’ingaruka mbi biba iby’ingenzi buri munsi. Komeza kwita ku bimenyetso by’umwana wawe, imiti, n’impinduka ubonye. Aya makuru afasha itsinda ry’abaganga guhindura ubuvuzi uko bikenewe.

Imirire ishobora kuba ikibazo iyo umwana wawe atameze neza. Muhe ibiryo bike, bikunze kubaho kandi wibande ku biryo ashobora kwihanganira. Komeza kuvugana n’umuhanga mu mirire y’abana ushobora kugira inama ku buryo bwo kubungabunga imirire ihagije mu gihe cyo kuvurwa.

Uburyo bw’ingenzi bwo kwita mu rugo burimo:

• Kugendera ku gahunda y’imiti uko yategetswe
• Kwitondera ibimenyetso by’indwara nka fiive cyangwa umunaniro udakunze kugaragara
• Kugira umutuzo uhagije no gusinzira
• Gukora imyitozo ngororamubiri uko bishoboka
• Gutanga inkunga yo mu mutima no kugira ubuzima busanzwe uko bishoboka
• Kwandika amateka y’ibimenyetso n’ingaruka mbi

Ntuzuyaze kuvugana n’itsinda ry’abaganga wawe ufite ibibazo cyangwa impungenge. Bari aho kugira ngo bagufashe kandi bakwishimira kumva ibibazo bito kuruta gutegereza ko ibibazo bikomeye.

Tekereza guhuza n’andi miryango ifite uburambe bwa kanseri y’ubwonko ku bana. Amatsinda y’inkunga, haba mu bantu cyangwa kuri interineti, ashobora gutanga inama zifatika n’inkunga yo mu mutima y’abantu basobanukiwe neza ibyo uhura na byo.

Uko wakwitegura kujya kwa muganga

Kwita ku gahunda yo kujya kwa muganga bigufasha gukoresha neza igihe cyawe na muganga kandi bigatuma amakuru y’ingenzi adasibangana. Zana urutonde rw’ibimenyetso byose by’umwana wawe, harimo igihe byatangiye n’uko byahindutse.

Andika ibibazo byawe mbere kuko biroroshye kwibagirwa ibintu by’ingenzi iyo wumva ufite umunaniro cyangwa ubwoba. Ntukabe umunaniro wo kugira ibibazo byinshi - itsinda ry’abaganga ryariteze kandi rirabikira.

Zana urutonde rwuzuye rw’imiti yose umwana wawe afata, harimo imiti yo mu maduka n’ibindi. Zana kandi impapuro z’ubuvuzi, ibisubizo by’amashusho, cyangwa raporo z’ibizamini byakozwe n’abandi baganga.

Tekereza kuzana inshuti cyangwa umuryango w’umuntu ukunda. Bashobora kugufasha kwibuka amakuru yavuzwe no gutanga inkunga yo mu mutima. Imiryango myinshi isanga ari ingirakamaro kugira umuntu wandika mu gihe cy’ibiganiro by’ingenzi.

Tegura umwana wawe ukurikije imyaka ye kugira ngo azajye kwa muganga. Sobanura mu magambo yoroshye ibyo bizabaho n’impamvu uruzinduko ari ingenzi. Zana ibintu bimutera ihumure nka gikinisho cyangwa igitabo akunda kugira ngo yumve afite umutekano.

Icyo ukwiye kumenya cyane kuri kanseri y’ubwonko ku bana

Ikintu cy’ingenzi cyo kwibuka ni uko kanseri y’ubwonko ku bana, nubwo ari ikibazo gikomeye, ikunze kuvurwa neza hifashishijwe iterambere mu buvuzi muri iki gihe. Abana benshi bakomeza kubaho ubuzima buzira umuze nyuma yo kuvurwa.

Kumenya ibimenyetso hakiri kare no gushaka ubuvuzi vuba bishobora kugira uruhare runini mu byiza. izera icyo umutima wawe ukubwira kandi ntutinye gushaka ubuvuzi kubera ibimenyetso biramba cyangwa bikubabaza.

Ubuvuzi bwa kanseri y’ubwonko ku bana bwateye imbere cyane mu myaka mike ishize. Igipimo cy’abarokoka cyiyongereye, kandi abaganga babaye beza cyane mu kugabanya ingaruka mbi z’igihe kirekire mugihe bakomeza ingaruka z’ubuvuzi.

Wibuke ko nturi wenyine muri uru rugendo. Itsinda ry’abaganga bawe, umuryango, inshuti, n’imiryango y’inkunga bose bari aho kugira ngo bagufashe guca muri ibi bihe bigoye. Ibanda ku gufata ibintu umunsi ku munsi no kwishimira intsinzi nto mu nzira.

Ibibazo bikunze kubaho kuri kanseri y’ubwonko ku bana

Ese kanseri y’ubwonko ku bana ihora ari kanseri?

Oya, kanseri y’ubwonko ku bana si kanseri zose. Kanseri nyinshi z’ubwonko ku bana ni nziza, bisobanura ko ntizakwirakwira mu bindi bice by’umubiri. Ariko, nubwo kanseri nziza zishobora gutera ibibazo bikomeye niba zikanda ku bice by’ingenzi by’ubwonko. Aho iherereye n’ubunini bwayo akenshi biba by’ingenzi kuruta niba ari kanseri cyangwa atari yo.

Ese ubuvuzi busanzwe buramara igihe kingana iki?

Igihe ubuvuzi buramara gitandukanye cyane bitewe n’ubwoko bwa kanseri n’uburyo bwo kuvura. Bamwe mu bana barangiza ubuvuzi mu mezi make, mu gihe abandi bashobora gukenera ubuvuzi umwaka cyangwa igihe kirekire. Itsinda ry’abaganga bazakugira inama isobanutse ishingiye ku burwayi bw’umwana wawe n’uburyo bwo kuvura. Wibuke ko ubuvuzi burambye ntibivuze ko ibyago ari bibi.

Ese umwana wanjye azashobora gusubira mu bikorwa bisanzwe nyuma yo kuvurwa?

Abana benshi basubira mu ishuri n’ibikorwa bisanzwe nyuma yo kuvurwa kanseri y’ubwonko, nubwo igihe gitandukanye. Bamwe mu bana bashobora gukenera ubufasha bwiyongereye nko kuvura umubiri, kuvura imirimo, cyangwa ubufasha mu myigire. Itsinda ry’abaganga bazakorana nawe kugira ngo bategurire gahunda yo gusubira mu bikorwa bisanzwe uko umwana wawe akira.

Ese umwana wanjye azakenera kwitabwaho kenshi gute?

Kwitabwaho nyuma yo kuvurwa bikunze kuba harimo gusuzuma buri gihe n’amashusho yo kugenzura ibimenyetso byo kugaruka kwa kanseri. Mu ntangiro, gusura bishobora kuba buri mezi make, hanyuma bigahita bigabanuka buri mwaka uko igihe gihita. Kwitabwaho igihe kirekire ni ingenzi kuko ingaruka zimwe z’ubuvuzi zishobora kugaragara nyuma y’imyaka myinshi, kandi kumenya ibibazo hakiri kare bituma habaho ubufasha vuba.

Ese nakwiye kubwira abarimu b’umwana wanjye iby’uburwayi?

Yego, muri rusange ni byiza kubwira abarimu b’umwana wawe n’abakozi b’ishuri iby’uburwayi. Ibi bizatuma batanga ubufasha bukwiye n’ubufasha uko bikenewe. Amashuri menshi afite gahunda zihariye zo gufasha abana bafite ibibazo by’ubuzima kugira ngo bagire icyo bageraho mu myigire. Itsinda ry’abaganga bawe rishobora gutanga ibyangombwa by’ubufasha bw’amashuri cyangwa serivisi.