Ese Kurema Kw’Imiterere y’Umutima mu Gice cy’Ijosi? Ibimenyetso, Impamvu, n’Ubuvuzi

Indwara yo gufata umutima mu gice cy’amaguru (Popliteal artery entrapment syndrome) ibaho iyo imitsi cyangwa imigozi yo mu gice cy’amaguru y’inyuma ikingira umutima munini uri inyuma y’ivi, bigatuma amaraso adatembera neza mu gice cy’amaguru yo hasi. Iyi ndwara ikunda kugaragara ku bantu bakiri bato kandi bakora imyitozo ngororamubiri, ikaba itera ububabare bwo mu gice cy’amaguru mu gihe cy’imyitozo, bugahita bugenda iyo uhagaritse imyitozo.

Tekereza nk’umuyoboro w’amazi ukingiwe – iyo umutima ukingiwe, amaraso make ashobora gutembera kugira ngo agaburire imitsi yawe. Nubwo byumvikana bibi, kubimenya hakiri kare no kuvurwa neza bishobora kugufasha gusubira mu mirimo yawe ya buri munsi nta kibazo cy’igihe kirekire.

Ese Kurema Kw’Imiterere y’Umutima mu Gice cy’Ijosi Ni iki?

Indwara yo gufata umutima mu gice cy’amaguru (PAES) ibaho iyo umutima wa popliteal – umutima munini utembera inyuma y’ivi – ukingiwe n’imitsi iwugose cyangwa imigozi. Iyo kingira kibangamira uko amaraso atembera neza mu gice cy’amaguru yo hasi n’ikirenge mu gihe cy’imyitozo ngororamubiri.

Iyi ndwara isanzwe iterwa n’uko imitsi yawe n’imitima byakozwe mu gihe cy’ubukungu mu nda ya nyina. Rimwe na rimwe, umutima utembera mu nzira idasanzwe, cyangwa imitsi yo mu gice cy’amaguru ikura mu buryo butuma uwo mutima ukingirwa mu gihe ukora imyitozo.

Abantu benshi bafite iyi ndwara ni abakinnyi bakiri bato cyangwa abantu bakora imyitozo ngororamubiri cyane bari munsi y’imyaka 30. Inkuru nziza ni uko, uko kuvurwa neza no kubimenya hakiri kare, ushobora kwitega ibisubizo byiza kandi ugasubira mu mirimo yawe yose.

Ni ibihe bimenyetso byo Kurema Kw’Imiterere y’Umutima mu Gice cy’Ijosi?

Ikimenyetso cy’ingenzi uzabona ni ububabare bwo mu gice cy’amaguru butangira mu gihe cy’imyitozo, bugahita bugenda iyo uhagaritse imyitozo. Ubwo bubabare busanzwe bumvikana nk’ubukomeye, ububabare, cyangwa ubushyuhe, kandi busanzwe bugira ingaruka ku kaguru kamwe gusa.

Dore ibimenyetso by’ingenzi byo kwitondera:

• Ububabare cyangwa ububabare mu gice cy’amaguru mu gihe cyo kwiruka, kugenda, cyangwa imyitozo indi
• Urujijo cyangwa ubushyuhe mu kirenge mu gihe cy’imyitozo
• Kumva imitsi yo mu gice cy’amaguru “ikomeye” cyangwa “iremereye”
• Ikirenge kiba gikonje cyangwa kigaragara gikaze nyuma y’imyitozo
• Intege nke mu gice cy’amaguru yo hasi mu gihe cy’imyitozo ngororamubiri
• Ububabare buhita bugenda mu minota mike uhagaritse imyitozo

Icyatuma iyi ndwara igorana kuvura ni uko ibimenyetso byayo bikunda gusa n’ibindi bibazo bisanzwe nk’ububabare mu mavi cyangwa ububabare bw’imitsi. Itandukaniro ry’ingenzi ni uko ibimenyetso byawe bibaho buri gihe ku rwego rumwe rw’imyitozo kandi bigahita bigenda iyo uhagaritse imyitozo.

Mu bihe bikomeye, ushobora kubona ibi bimenyetso bikomeye bigaragaza ko umutima wagiye ukingirwa igihe kirekire:

• Ububabare mu gice cy’amaguru nubwo utakiri gukora imyitozo
• Urujijo cyangwa ubushyuhe buhoraho mu kirenge
• Impinduka ziboneka mu ibara ry’ikirenge cyangwa intoki
• Umutima muke mu kirenge muganga ashobora kubona

Ibyo bimenyetso bikomeye ni bike ariko bisaba ubuvuzi bwihuse kugira ngo hirindwe ingaruka.

Ni iyihe mitype yo Kurema Kw’Imiterere y’Umutima mu Gice cy’Ijosi?

Abaganga bagabanya indwara yo gufata umutima mu gice cy’amaguru mu bwoko butandukanye hashingiwe ku cyateye iyo kingira n’aho ibaye. Gusobanukirwa ubwoko bwawe bw’iyi ndwara bifasha mu gupima uburyo bwiza bwo kuvura.

Ubwoko busanzwe burimo:

• Ubwoko bwa mbere: Umutima utembera mu nzira idasanzwe ugana ku mutwe w’imbere w’umutsi wo mu gice cy’amaguru
• Ubwoko bwa kabiri: Umutima utembera mu nzira isanzwe, ariko aho umutsi ufataniye n’umubiri biherereye nabi
• Ubwoko bwa gatatu: Igice cy’inyongera cy’umutsi gitera kingira ku mutima
• Ubwoko bwa kane: Umutima utembera mu buryo buhambaye kandi ukingirwa n’imigozi
• Ubwoko bwa gatanu: Umutima n’umuyoboro w’amaraso inyuma y’ivi byombi bigira ingaruka
• Ubwoko bwa gatandatu (ubwoko bukora): Imiterere isanzwe, ariko imitsi yo mu gice cy’amaguru ikomeye cyangwa nini cyane itera kingira

Ubwoko bwa gatandatu, buzwi nka kingira ikora, burakomeye cyane mu bakinnyi bakora imyitozo cyane. Imitsi yawe yo mu gice cy’amaguru ishobora kuba yarakuze cyane kubera imyitozo ku buryo ikingira umutima nubwo byose byakozwe neza mu gihe cy’ubukungu.

Muganga wawe azamenya ubwoko bwawe bw’iyi ndwara binyuze mu bipimo by’amashusho, bikamufasha gutegura uburyo bwiza bwo kuvura.

Ni iki giterwa Kurema Kw’Imiterere y’Umutima mu Gice cy’Ijosi?

Kurema kw’imiterere y’umutima mu gice cy’amaguru bisanzwe biterwa n’uko imitima yawe n’imitsi byakozwe mbere y’uko uvuka. Mu gihe cy’ubukungu, rimwe na rimwe umutima ntujya mu nzira isanzwe, cyangwa imitsi iwugose ikura mu buryo butuma habaho kingira.

Impamvu z’ingenzi ziterwa n’ubukungu harimo:

• Umutima utembera mu nzira idasanzwe ugana mu mutsi cyangwa unyuze muri wo
• Aho imitsi ifataniye n’umubiri biherereye nabi
• Imigozi y’inyongera y’umubiri ikura hafi y’umutima
• Imitsi ikura cyane cyangwa mu buryo butandukanye n’ubusanzwe

Mu kingira ikora, impamvu itandukanye – imiterere yawe yakozwe neza, ariko imyitozo ikomeye yatumye imitsi yawe yo mu gice cy’amaguru ikura cyane ku buryo ikingira umutima mu gihe cy’imyitozo. Ubwo bwoko burakomeye cyane mu bakora imyitozo ngororamubiri, abakina umupira w’amaguru, n’abandi bakinnyi bakora imyitozo ikomeye yo mu gice cy’amaguru.

Gake cyane, ibikomere bivuye mu gukomeretsa mbere cyangwa kubagwa muri ako gace bishobora gutera kingira, ariko ibi bigize igice gito cyane cy’ibibazo.

Ni ryari ukwiye kujya kwa muganga kubera Kurema Kw’Imiterere y’Umutima mu Gice cy’Ijosi?

Ukwiye kujya kwa muganga niba ufite ububabare buhoraho mu gice cy’amaguru mu gihe cy’imyitozo bugahita bugenda iyo uhagaritse imyitozo, cyane cyane niba bigukoma mu nkokora. Kubimenya hakiri kare bishobora kubuza iyi ndwara gutera imbere no gutera ingaruka zikomeye.

Tegura gahunda yo kujya kwa muganga niba ubona:

• Ububabare mu gice cy’amaguru buhoraho ku rwego rumwe rw’imyitozo
• Ububabare buhoraho bugira ingaruka ku kaguru kamwe
• Ibimenyetso bidakira n’ikiruhuko, gukora imyitozo yo kwaguka, cyangwa guhindura uburyo bwawe bwo kwitoza
• Urujijo cyangwa ubushyuhe mu kirenge mu gihe cy’imyitozo cyangwa nyuma yayo
• Impinduka z’ibara mu kirenge cyangwa intoki

Shaka ubuvuzi bwihuse niba ufite:

• Ububabare bukomeye, butunguranye mu gice cy’amaguru cyangwa mu kirenge
• Urujijo rwuzuye mu kirenge
• Ikirenge kibaye cyera, kibaye kibisi, cyangwa kiba gikonje cyane
• Ikindi kimenyetso cyerekana ko amaraso adatembera neza

Wibuke ko iyi ndwara ikunda kuvurwa nabi mu ntangiriro kuko ibimenyetso byayo bishobora gusa n’ibindi bibazo bisanzwe. Ntugatinye gushaka ubundi buvuzi niba ibimenyetso byawe bikomeje nubwo wavuwe ibindi bibazo.

Ni ibihe bintu byongera ibyago byo Kurema Kw’Imiterere y’Umutima mu Gice cy’Ijosi?

Hari ibintu bimwe na bimwe bikongera ibyago byo kurwara indwara yo gufata umutima mu gice cy’amaguru. Gusobanukirwa ibyo bintu bishobora kugufasha wowe na muganga wawe kumenya iyi ndwara vuba.

Ibintu by’ingenzi byongera ibyago harimo:

• Imyaka: Ikunda kugaragara ku bantu bari munsi y’imyaka 30
• Igitsina: Igira ingaruka ku bagabo inshuro zigera kuri eshanu kurusha abagore
• Imikino ngororamubiri: Cyane cyane kwiruka, gukina umupira w’amaguru, rugbi, n’indi mikino ikomeye
• Iterambere ry’imitsi: Imitsi yo mu gice cy’amaguru ikomeye kubera imyitozo ikomeye
• Amateka y’umuryango: Ishobora kuba ifite isano n’imiterere y’umuryango mu miryango imwe na imwe

Abakinnyi bakina imikino imwe na imwe bafite ibyago byinshi kubera ibyo imitsi yo mu gice cy’amaguru isabwa gukora. Abakina umupira w’amaguru, abakinnyi ba rugbi, n’abasirikare bakora imyitozo yo kugenda cyangwa kwiruka cyane ni bamwe mu bantu bakunda kurwara iyi ndwara.

Icy’ingenzi ni uko, kugira imitsi yo mu gice cy’amaguru ikomeye – bisanzwe ari ikimenyetso cy’ubuzima bwiza – bishobora kongera ibyago byo kurwara ubwoko bwo gukora. Niyo mpamvu iyi ndwara rimwe na rimwe itera iyo abakinnyi bongereye imbaraga zabo cyangwa imitsi.

Nubwo udashobora guhindura ibintu nk’imyaka yawe, igitsina, cyangwa uko imitima yawe yakozwe, kumenya ibyo bintu byongera ibyago bigufasha kumenya hakiri kare niba ibimenyetso bigaragara.

Ni iyihe ngaruka zishoboka zo Kurema Kw’Imiterere y’Umutima mu Gice cy’Ijosi?

Iyo bimenwe hakiri kare, indwara yo gufata umutima mu gice cy’amaguru gake cyane itera ingaruka zikomeye. Ariko, niba iyi ndwara idakize mu mezi cyangwa imyaka myinshi, iyo kingira ihoraho ishobora gutera ibibazo ku mutima.

Ingaruka zishoboka ziterwa n’ikingira igihe kirekire harimo:

• Ikingira ry’amaraso mu mutima ukingiwe
• Gutomba cyangwa gukomeretsa umutima mu buryo buhoraho
• Guhagarika umutima rwose
• Iterambere ry’imitima mito ishobora kudatanga amaraso ahagije
• Ibibazo by’umubiri mu gice cy’amaguru kubera amaraso adatembera neza

Ingaruka ikomeye ni thrombosis y’umutima, aho amaraso akingira mu mutima wangiritse. Ibi bishobora gutera ububabare bukomeye butunguranye kandi bisaba ubuvuzi bwihuse kugira ngo amaraso asubire gutera neza kandi hirindwe urupfu rw’umubiri.

Mu bihe bike cyane, amaraso adatembera neza igihe kirekire ashobora gutera:

• Urujijo cyangwa intege nke mu kirenge
• Impinduka z’uruhu cyangwa ibikomere bitinda gukira
• Gutakaza imitsi mu gice cy’amaguru yo hasi
• Ububabare buhoraho nubwo utakiri gukora imyitozo

Inkuru nziza ni uko ibyo bibazo bikomeye birindwa hakiri kare kuvurwa neza. Abantu benshi bavurwa vuba bashobora kwitega ibisubizo byiza nta kibazo cy’igihe kirekire.

Uburyo bwo kwirinda Kurema Kw’Imiterere y’Umutima mu Gice cy’Ijosi?

Kubera ko indwara yo gufata umutima mu gice cy’amaguru isanzwe iterwa n’uko imiterere yawe yakozwe mbere y’uko uvuka, nta buryo bwo kwirinda ubwoko bw’iyi ndwara buterwa n’ubukungu. Ariko, ushobora gufata ingamba zo kugabanya ibyago byo kurwara kingira ikora no kwirinda gutera imbere kw’ibimenyetso.

Ku bakinnyi n’abantu bakora imyitozo ngororamubiri, izi ngamba zishobora gufasha:

• Kuringaniza imyitozo yawe kugira ngo wirinde imitsi yo mu gice cy’amaguru ikura cyane
• Kwinjiza imyitozo yo kwaguka n’ubushobozi mu buryo bwawe bwo kwitoza
• Kwiyongerera imbaraga z’imyitozo buhoro buhoro aho guhindura mu buryo butunguranye
• Kwitondera ububabare budasanzwe mu gihe cy’imyitozo
• Kwita ku bubabare buhoraho mu gice cy’amaguru aho kubukomeza

Niba uri mu kaga kubera amateka y’umuryango cyangwa ukora ibikorwa by’akaga, kwitondera ibimenyetso hakiri kare birakomeye cyane. Kubimenya hakiri kare no kuvurwa bishobora kubuza iyi ndwara gutera imbere kugira ngo itere ingaruka zikomeye.

Ku bantu basanzwe barwaye iyi ndwara, gukurikiza gahunda yawe yo kuvurwa no kwirinda ibikorwa bitera ibimenyetso bishobora kubuza umutima gukomeretsa mu gihe ukorera uburyo bwo kuvura burangira.

Uburyo bwo kuvura Kurema Kw’Imiterere y’Umutima mu Gice cy’Ijosi?

Kuvura indwara yo gufata umutima mu gice cy’amaguru biterwa n’ubwoko ufite, uko ibimenyetso byawe bikomeye, niba umutima wangiritse. Intego ni ugufasha iyo kingira no gusubiza amaraso gutera neza mu kaguru.

Ku bihe byoroheje, kuvura bisanzwe bishobora kuba:

• Guhindura uburyo bwawe bwo kwitoza cyangwa imyitozo
• Ubuvuzi bw’umubiri bugamije kwaguka no kuringaniza imitsi
• Imiti igabanya ububabare kugira ngo igabanye kubyimba kw’imitsi
• Kwirinda ibikorwa bitera ibimenyetso

Ariko, ubundi bwoko bwa kingira busaba ubuvuzi bwo kubaga kugira ngo kingira ikemuke burundu. Ubuvuzi bwo kubaga bwihariye biterwa n’ubwoko bwawe bwa kingira kandi bushobora kuba:

• Gukata umutsi cyangwa imigozi itera kingira
• Gusubiza umutima mu mwanya usanzwe
• Gukuraho igice cyangiritse cy’umutima
• Gusimbuza ibice byangiritse by’umutima hakoreshejwe ibice by’umubiri cyangwa ibice byakozwe

Uburyo bwo kubaga bugezweho busanzwe bukorwa hakoreshejwe ibikomere bito kandi busanzwe butuma abantu bakira vuba. Ubuvuzi bwinshi bwo kubaga bushobora gukorwa nk’ubuvuzi bwo hanze cyangwa bukorerwa mu bitaro ijoro rimwe.

Niba umutima wangiritse kubera kingira igihe kirekire, ubundi buryo bushobora kuba bukenewe kugira ngo amaraso asubire gutera neza. Ibi bishobora kuba harimo angioplasty kugira ngo ifungure ibice byato cyangwa kubaga hakoreshejwe umuyoboro w’amaraso wawe cyangwa igice cyakozwe.

Ibyago byo kubaga ni byiza iyo bikozwe mbere y’uko umutima wangirika cyane, abantu benshi bagasubira mu mirimo yabo yose mu mezi make.

Uburyo bwo kuvurwa mu rugo mu gihe cyo Kurema Kw’Imiterere y’Umutima mu Gice cy’Ijosi?

Mu gihe utegereje uburyo bwo kuvura burangira cyangwa ukomeza gukira nyuma yo kubagwa, uburyo bumwe bwo kuvurwa mu rugo bushobora kugufasha gucunga ibimenyetso byawe no kwirinda iyi ndwara gutera imbere.

Mu gihe cy’ububabare bukomeye, shyiramo akamenyero:

• Kwirinda ibikorwa bitera ibimenyetso byawe
• Gushyira igikonjo mu gice cy’amaguru yawe nyuma y’imyitozo niba hari kubyimba
• Gukora imyitozo yo kwaguka imitsi yo mu gice cy’amaguru umunsi wose
• Guhagarika ikirenge mu gihe cyo kuruhuka kugira ngo amaraso atemberane neza
• Gufata imiti igabanya ububabare nk’uko muganga wawe yabigutegetse

Kugira ngo ubone ubuvuzi buhoraho mbere yo kubagwa:

• Guhindura uburyo bwawe bwo kwitoza kugira ngo wirinda gutera ibimenyetso
• Guhitamo imyitozo idakomeye nk’koga cyangwa kugendera kuri velo
• Kwiyuhagira neza mbere y’imyitozo ngororamubiri
• Guhagarika imyitozo ako kanya niba ibimenyetso bigaragara
• Kwitondera ibimenyetso byawe no kubwira muganga wawe impinduka zose

Nyuma yo kubagwa, kora ibyo umuganga wawe yagutegetse, bisanzwe birimo gusubira mu mirimo buhoro buhoro mu byumweru byinshi. Abantu benshi bashobora gusubira mu mirimo yoroheje mu minsi mike kandi bagasubira mu mikino mu mezi 2-3 bakurikije amabwiriza y’umuganga wabo.

Wibuke ko kuvurwa mu rugo gusa kudakiza kingira – ibyo bipimo bigamije kugufasha gucunga ibimenyetso mu gihe uteganya uburyo bwo kuvura burangira.

Uko wakwitegura kujya kwa muganga?

Kwitoza neza mbere yo kujya kwa muganga bishobora gufasha muganga wawe gupima neza vuba. Kubera ko indwara yo gufata umutima mu gice cy’amaguru ishobora kugorana kuvura, amakuru utanga ni ingenzi.

Mbere yo kujya kwa muganga, tegura kuvugana:

• Igihe ibimenyetso byawe bibaho n’icyo bibatera
• Igihe ibimenyetso bimara n’icyo bibakuraho
• Uburyo bwawe busanzwe bwo kwitoza n’imbaraga
• Impinduka zose mu myitozo yawe zabaye mbere y’uko ibimenyetso bigaragara
• Uburyo bwo kuvura wari warigeze kugerageza n’uko byagenze
• Amateka y’umuryango w’ibibazo by’amaraso

Tegura kwandika ibimenyetso byawe mu byumweru bimwe cyangwa bibiri mbere yo kujya kwa muganga. Andika ibikorwa byihariye, igihe, n’imbaraga bitera ibimenyetso byawe, ndetse n’igihe bifata kugira ngo bikire iyo uhagaritse imyitozo.

Zana urutonde rw’imiti yose n’ibindi bintu ufata, harimo imiti igabanya ububabare cyangwa imiti igabanya ububabare wari warigeze gukoresha kubera ibimenyetso byawe. Nanone, zana ibisubizo by’ibipimo byose cyangwa amashusho ajyanye n’ububabare bw’amaguru.

Andika ibibazo ushaka kubaza, nko kumenya ibizamini bishobora kuba bikenewe, uburyo bwo kuvura, n’uko bishobora kugira ingaruka ku mirimo yawe. Kugira ibibazo byawe biteguye bifasha kumenya amakuru yose ukeneye mu gihe cy’uruzinduko.

Icy’ingenzi cyo Kumenya ku Kurema Kw’Imiterere y’Umutima mu Gice cy’Ijosi?

Indwara yo gufata umutima mu gice cy’amaguru ni indwara ivurwa ikunda kugaragara ku bantu bakiri bato kandi bakora imyitozo ngororamubiri. Ikintu cy’ingenzi mu kugira ibisubizo byiza ni ukumenya hakiri kare no kuvurwa neza mbere y’uko umutima wangirika burundu.

Niba ufite ububabare buhoraho mu gice cy’amaguru mu gihe cy’imyitozo bugahita bugenda iyo uhagaritse imyitozo, cyane cyane niba uri munsi y’imyaka 30 kandi ukora imyitozo ngororamubiri, ntukirengagize ibyo bimenyetso. Nubwo iyi ndwara ishobora kuba ikomeye, ibyago ni byiza iyo bimenwe hakiri kare.

Abantu benshi bavurwa vuba kandi bakavurwa neza bashobora gusubira mu mirimo yose nta kibazo cy’igihe kirekire. Uburyo bwo kubaga bugezweho burakomeye kandi busanzwe butuma abantu bakira vuba.

Wibuke ko ububabare buhoraho bw’amaguru buterwa n’imyitozo si ikintu ukwiye gukomeza cyangwa ukumva ko kizakira ubwabwo. Izerera ibyo umubiri wawe ukubwira kandi shaka ubuvuzi kubimenyetso bibangamira imirimo yawe cyangwa bidakira n’ikiruhuko n’uburyo bworoshye bwo kuvura.

Ibibazo Bikunze Kubahwa Ku Kurema Kw’Imiterere y’Umutima mu Gice cy’Ijosi

Ese Kurema Kw’Imiterere y’Umutima mu Gice cy’Ijosi bishobora kugira ingaruka ku maguru yombi?

Nubwo indwara yo gufata umutima mu gice cy’amaguru ikunda kugira ingaruka ku kaguru kamwe gusa, ishobora kuba ku mpande zombi mu kigero cya 25-30%. Niba ufite ibimenyetso ku kaguru kamwe, muganga wawe ashobora kugenzura akandi kaguru, nubwo udafite ibimenyetso.

Nzashobora gusubira mu mikino yo guhatana nyuma yo kuvurwa?

Abantu benshi bashobora gusubira mu rwego rwabo rwa mbere rw’imikino ngororamubiri nyuma yo kuvurwa neza, busanzwe mu mezi 2-3 nyuma yo kubagwa. Ibyago byo gusubira mu mikino yo guhatana ni byinshi iyo iyi ndwara ivuwe mbere y’uko umutima wangirika cyane. Muganga wawe azakugira inama yihariye hashingiwe ku bwoko bwawe bwa kingira n’uburyo bwakozwe.

Kubaga bimara igihe kingana iki kandi gukira bigenda gute?

Ubuvuzi bwinshi bwo kubaga indwara yo gufata umutima mu gice cy’amaguru bimamara amasaha 1-3, bitewe n’uburemere bw’ikibazo cyawe. Byinshi bishobora gukorwa nk’ubuvuzi bwo hanze cyangwa bukorerwa mu bitaro ijoro rimwe. Ubusanzwe uzaba ugendera umunsi umwe, ushobora gusubira mu kazi mu cyumweru kimwe, kandi ugasubira mu mikino ngororamubiri buhoro buhoro mu byumweru 6-12 ukurikije amabwiriza y’umuganga wawe.

Ibimenyetso byanjye bishobora kuba ibindi bitandukanye n’indwara yo gufata umutima mu gice cy’amaguru?

Yego, hari ibindi bibazo bishobora gutera ibimenyetso nk’ibyo, harimo indwara ya compartment syndrome, gufata imigozi, gucika kw’amagufwa, cyangwa gukomeretsa imitsi. Niyo mpamvu ibizamini byo kuvura ari ingenzi. Muganga wawe azakoresha ibimenyetso byawe, isuzuma ry’umubiri, n’ibizamini byihariye kugira ngo atandukanye ibyo bibazo kandi akumenye uburyo bwiza bwo kuvura.

Hariho ibyago byo gusubira kw’iyi ndwara nyuma yo kubagwa?

Gusubira kw’iyi ndwara nyuma yo kubagwa neza ni bike iyo ikibazo cy’imiterere cyakemuwe neza. Ibyago byo gukira ni hejuru ya 90% ku bwoko bwinshi bwa kingira. Ariko, niba ufite kingira ikora ifitanye isano n’ubunini bw’imitsi, ushobora gukenera guhindura uburyo bwawe bwo kwitoza igihe kirekire kugira ngo wirinda ibimenyetso gusubira. Muganga wawe azakugira inama yihariye yo kwirinda hashingiwe ku kibazo cyawe.