Kurwara ya Scoliosis ni iki? Ibimenyetso, Impamvu, n'Ubuvuzi

Scoliosis ni uburwayi aho umugongo wawe uhindagurika ku ruhande, ufite ishusho ya S cyangwa C aho kuba uhagaze neza. Ibi bibaho cyane mu buryo buke kandi ntibitera ibibazo bikomeye, nubwo bamwe bashobora kumva ububabare bw'umugongo cyangwa bagasanga imyanya yabo itaboneka neza.

Ubu bupfukiranwa bw'umugongo bugira ingaruka ku bantu bagera kuri 2-3%, kandi busanzwe bumenyekana mu bwana cyangwa mu gihe cy'ubwangavu igihe iterambere ryihuse ry'umubiri ritera ubwo bupfukiranwa kugaragara cyane. Inkuru nziza ni uko, hakoreshejwe ubugenzuzi bukwiye n'ubuvuzi igihe bibaye ngombwa, abantu benshi barwaye scoliosis babaho ubuzima busanzwe, buzira umuze.

Ibimenyetso bya scoliosis ni ibihe?

Abantu benshi barwaye scoliosis ya make nta bimenyetso na bimwe bagira, ariyo mpamvu rimwe na rimwe iki kibazo kigenda kitaramenyekana imyaka myinshi. Iyo ibimenyetso bigaragaye, bisanzwe bijyanye n'uburyo umugongo uhindagurika ugira ingaruka ku myanya y'umubiri wawe.

Dore ibimenyetso bisanzwe ushobora kubona:

• Ijosi rimwe rigaragara hejuru y'irindi
• Urukibuno rwawe rugaragara rutari ruringaniye cyangwa umutwe umwe ugaragara hejuru
• Uruhande rumwe rw'amagongo rugaragara ruri hanze kurusha urundi
• Umutwe wawe ntiwubanza hejuru y'igice cyo hasi cy'umubiri wawe
• Uruhande rumwe rw'amabere rugaragara ruri hanze kurusha urundi
• Imyenda yawe ntiyihambira neza ku mubiri wawe

Bamwe bagira n'ububabare, cyane cyane uko bakura. Ububabare bw'umugongo ni bwo bugaragara cyane, nubwo bikwiye kumenyeshwa ko abantu benshi barwaye scoliosis batagira ububabare bukomeye.

Mu bihe bikomeye, ibindi bimenyetso bishobora kuba birimo:

• Umunaniro w'imikaya nyuma yo guhagarara cyangwa kwicara igihe kirekire
• Gukomerana guhumeka niba ubwo bupfukiranwa bukomesha ibihumekero byawe
• Ibibazo by'igogorwa niba ubwo bupfukiranwa bugira ingaruka ku mpyiko zawe
• Kubabara cyangwa intege nke mu maguru (ibi ni bito)

Ibi bimenyetso bikomeye bisanzwe bigaragara gusa iyo ubwo bupfukiranwa bw'umugongo ari bukomeye cyane, busanzwe bugera kuri dogere 70-80 ku bipimo bya X-ray.

Ubwoko bwa scoliosis ni ubuhe?

Scoliosis ifite ubwoko butandukanye, kandi gusobanukirwa ubwoko ufite bigufasha kumenya uburyo bwiza bwo kuvura. Ubusanzwe, ubwoko bwayo bushingiye ku gihe uburwayi bugaragariraho n'icyo bubiteye.

Ubwoko busanzwe burimo:

• Scoliosis ya Idiopathic: Ibi bivuze ko impamvu itazwi, kandi igize hafi 80% by'ibibazo byose
• Scoliosis ya Congenital: Igaragara kuva ku ivuka kubera iterambere ritari ryo ry'umugongo
• Scoliosis ya Neuromuscular: Iterwa n'uburwayi bugira ingaruka ku mikaya n'imitsi
• Scoliosis ya Degenerative: Igaragara mu bakuze kubera kwambara no gukura kw'umugongo

Scoliosis ya Idiopathic ikomeza kugabanywamo bitewe n'imyaka uburwayi bugaragariraho. Scoliosis ya Infantile idiopathic igaragara mbere y'imyaka 3, iya Juvenile igaragara hagati y'imyaka 4-9, na Adolescent idiopathic scoliosis igaragara hagati y'imyaka 10-18.

Adolescent idiopathic scoliosis ni yo isanzwe cyane, cyane cyane mu bakobwa mu gihe cy'iterambere ryihuse ry'umubiri. Iki gihe ni ingenzi kuko iterambere ryihuse rishobora gutuma ubwo bupfukiranwa bukwirakwira vuba.

Iki gitera scoliosis ni iki?

Igisubizo nyacyo ni uko tutazwi icyo gitera scoliosis mu bihe byinshi. Hafi 80% by'ibibazo byitwa "idiopathic," ibyo ni amagambo y'abaganga avuga ko "tutazi impamvu nyayo."

Ariko, tuzi ko imvange z'ababyeyi zigira uruhare. Niba hari umuntu mu muryango wawe ufite scoliosis, ushobora kurwara nawe, nubwo atari icyemezo.

Ku bihe dushobora kumenya impamvu, dore impamvu nyamukuru:

• Uburwayi bwavuka: Rimwe na rimwe umugongo ntubasha gukura neza mu gihe cy'inda
• Uburwayi bw'imikaya cyangwa imitsi: Indwara nka cerebral palsy cyangwa muscular dystrophy zishobora kugira ingaruka ku myanya y'umugongo
• Imvune cyangwa indwara: Imvune ku mugongo cyangwa indwara zikomeye zishobora rimwe na rimwe gutera scoliosis
• Impinduka zijyanye n'imyaka: Uko dukura, arthrite na disc degeneration bishobora gutera umugongo guhindagurika

Birakomeye ko dukuraho imyumvire imwe ya kera. Imikorere mibi, gutwara ibyo twikoreye biremereye, cyangwa kuryama mu buryo runaka ntibitera scoliosis, nubwo ibyo bishobora gutuma ubwo bupfukiranwa bugaragara cyane.

Mu bihe bito, scoliosis ishobora guterwa n'ibibyimba biri mu mugongo cyangwa hafi yawo, indwara z'imiterere y'umubiri nka Marfan syndrome, cyangwa kubagwa ku gatuza byabayeho mbere bigira ingaruka ku gukura kw'umugongo.

Igihe cyo kujya kwa muganga kubera scoliosis ni iki?

Wagomba kujya kwa muganga niba ubona ibimenyetso byo kudahura kw'imyanya y'umubiri wawe cyangwa umwana wawe, nubwo nta bubabare buhari. Kumenya hakiri kare biguha amahirwe meza yo kugenzura uburwayi no guhagarika ubwo bupfukiranwa buramutse bukwirakwira.

Tegura gahunda yo kujya kwa muganga niba ubona impinduka nk'izi:

• Ijosi cyangwa amagongo adahura
• Urukibuno cyangwa umutwe udahura
• Uruhande rumwe rw'amabere ruri hanze kurusha urundi
• Imyenda idahura neza ku mubiri

Shaka ubufasha bwa muganga vuba niba ufite:

• Ububabare bukomeye bw'umugongo butunguranye
• Gukomerana guhumeka cyangwa guhumeka nabi
• Kubabara, gucika intege, cyangwa intege nke mu maguru
• Gutakaza ubushobozi bwo kwitinya cyangwa kujya mu bwiherero

Ibi bimenyetso bikomeye bishobora kugaragaza ko ubwo bupfukiranwa bw'umugongo bugira ingaruka ku mikorere y'imitsi cyangwa inzego z'imbere, bisaba isuzuma ryihuse.

Ku bana n'abangavu, igenzura rya buri gihe mu gihe cy'iterambere ryihuse ry'umubiri ni ingenzi cyane kuko ubwo bupfukiranwa bushobora gukwirakwira vuba muri ibyo bihe.

Ibyago byo kurwara scoliosis ni ibihe?

Ibintu byinshi bishobora kongera amahirwe yo kurwara scoliosis, nubwo kugira ibyo byago ntibisobanura ko uzayirwara. Kubyumva bishobora kugufasha kuba maso ku bimenyetso bya mbere.

Ibyago bikomeye birimo:

• Amateka y'umuryango: Kugira umubyeyi cyangwa umuvandimwe ufite scoliosis byongera ibyago byawe
• Kuba umukobwa: Abakobwa bafite amahirwe menshi inshuro 8 yo kugira ubwo bupfukiranwa busaba ubuvuzi
• Imyaka: Ibi bibazo byinshi bigaragara mu gihe cy'iterambere ryihuse ry'umubiri mu gihe cy'ubwangavu
• Indwara zimwe na zimwe: Indwara z'imitsi zongera cyane ibyago

Ibindi byago bito bikwiye kumenyeshwa birimo kuba wavutse utarakuze, indwara zimwe na zimwe z'imvange nka Marfan syndrome, no kubagwa ku gatuza mu bwana.

Icyo dukwiye kumenya ni uko, nubwo abakobwa bafite amahirwe menshi yo kurwara scoliosis muri rusange, abahungu n'abakobwa bafite amahirwe angana yo kugira ubwo bupfukiranwa buke. Itandukaniro riri mu gukwirakwira - ubwo bupfukiranwa bw'abakobwa bufite amahirwe menshi yo kuba mabi kandi bukenera ubuvuzi.

Ingaruka zishoboka za scoliosis ni izihe?

Abantu benshi barwaye scoliosis nta ngaruka zikomeye bagira, cyane cyane ku bapfukiranwa bake. Ariko, birakomeye gusobanukirwa icyo gishobora kubaho niba ubwo bupfukiranwa buhinduka bukomeye cyangwa ntibuvurwe.

Ingaruka zisanzwe ushobora guhura nazo zirimo:

• Ububabare bw'umugongo buhoraho n'umunaniro w'imikaya
• Gutakaza ubushobozi bwo guhumeka niba ubwo bupfukiranwa bukomesha igituza cyawe
• Ibibazo by'umutima mu bihe bikomeye cyane kubera igituza gikomeye
• Ibibazo by'ikizere cy'umuntu kubera impinduka z'imyanya y'umubiri
• Gukomerana gukora imyitozo ngororamubiri cyangwa siporo

Ingaruka zikomeye ni nke ariko zishobora kubaho ku bapfukiranwa bakomeye (busanzwe hejuru ya dogere 70-80). Ibyo bishobora kuba birimo guhumeka nabi cyane, umutima ukomera, kandi mu bihe bikomeye cyane, kwangirika kw'umugongo.

Mu gihe cyo gutwita, abagore barwaye scoliosis bashobora kugira ububabare bw'umugongo bukomeye, nubwo abenshi bashobora gutwita no kubyara neza. Ikibazo nyamukuru ni niba ubwo bupfukiranwa bugira ingaruka ku mikorere y'ibihaha cyane.

Ingaruka zo mu mutwe ntizikwiye kwirengagizwa. Bamwe, cyane cyane abangavu, bahangayikishwa n'imyanya y'umubiri wabo cyangwa bumva batishimye uko basa, ibyo bisanzwe kandi bikwiye kuvurwa hakoreshejwe inkunga.

Scoliosis ishobora gukumirwa gute?

Ikibabaje ni uko nta buryo bwemewe bwo gukumira scoliosis ya idiopathic kuko tutayizi neza icyo itera. Ibi bishobora gutera agahinda, ariko wibuke ko ibyinshi muri byo ari bito kandi bishobora kuvurwa.

Ariko, ushobora gufata ingamba zo kuyimenya hakiri kare no gukumira ingaruka:

• Igenzura rya buri gihe mu bwana no mu gihe cy'ubwangavu
• Kuba maso ku mpinduka z'imyanya y'umubiri wawe cyangwa abana bawe
• Kugira ubuzima bwiza bw'umugongo hakoreshejwe imyitozo ngororamubiri
• Kugendera ku nama z'ubuvuzi niba scoliosis imenyekanye

Bamwe bibaza niba imyitozo ngororamubiri cyangwa gukosora imyanya y'umubiri bishobora gukumira scoliosis, ariko nta gihamya cy'ubushakashatsi cyerekana ko ibyo bintu bikora mu gukumira. Imikorere myiza n'imikaya ikomeye ni byiza ku buzima bw'umugongo muri rusange, ariko ntibizabuza scoliosis kuza.

Uburyo bwiza bwo "gukumira" ni ukumenya hakiri kare no kugenzura neza, ibyo bigatuma habaho ubutabazi mbere y'uko ubwo bupfukiranwa buhinduka bukomeye.

Scoliosis imenyeshwa gute?

Kumenya scoliosis bisanzwe bitangira hakoreshejwe isuzuma ryoroshye rya muganga ashobora gukora mu biro. Uburyo ni bworoheje kandi ntabwo burimo ibikorwa bibabaza.

Muganga wawe ashobora kukusaba kugerageza kugendera imbere mu gihe akurikirana umugongo wawe inyuma. Iki "kigeragezo cya Adams forward bend" gitera ubwo bupfukiranwa bw'umugongo kugaragara cyane kandi bigafasha kumenya uko umugongo utahuye.

Niba scoliosis ikekwako, intambwe ikurikira ni X-ray y'umugongo wawe. Iyi shusho igaragaza uburebure nyabwo bw'ubwo bupfukiranwa kandi ifasha kumenya uburemere bw'uburwayi bwawe.

Uburyo bwo kumenya uburwayi busanzwe burimo:

• Suzuma amateka y'uburwayi, harimo n'amateka y'umuryango
• Suzuma imyanya y'umubiri wawe n'umugongo
• Pima uko imyanya y'umubiri idahura
• X-rays yo gupima uburebure n'aho ubwo bupfukiranwa buri

Mu bihe bimwe na bimwe, muganga wawe ashobora gutegeka ibindi bipimo nka MRI kugira ngo akureho uburwayi buri hasi, cyane cyane niba ufite ibimenyetso by'imitsi cyangwa niba ubwo bupfukiranwa budasanzwe.

Uburemere bwa scoliosis bupimwa muri dogere hakoreshejwe ikintu cyitwa Cobb angle. Ubupfukiranwa buri munsi ya dogere 10 ntibufatwa nka scoliosis, mu gihe ubwo buri hejuru ya dogere 50 busanzwe bufatwa nka bukomeye.

Ubuvuzi bwa scoliosis ni ubuhe?

Ubuvuzi bwa scoliosis bushingiye cyane ku buryo ubwo bupfukiranwa bwawe bukomeye, niba bushobora kuba mbi, n'uburyo bugira ingaruka ku buzima bwawe bwa buri munsi. Inkuru nziza ni uko ibyinshi muri byo bikenera ubugenzuzi gusa, atari ubuvuzi nyabwo.

Ku bapfukiranwa bake (dogere 10-25), uburyo busanzwe ni "gukurikirana no gutegereza." Ibi bivuze igenzura rya buri gihe kugira ngo harebwe niba ubwo bupfukiranwa bukwirakwira, busanzwe buri mezi 4-6 mu gihe cy'iterambere ryihuse ry'umubiri.

Ubupfukiranwa buciriritse (dogere 25-45) mu bana bakura bakeneye imyenda y'ubuvuzi. Iyo myenda ntikosora ubwo bupfukiranwa buhari ariko ishobora kubuza gukwirakwira mu gihe cy'iterambere ryihuse ry'umubiri.

Uburyo bwo kuvura burimo:

• Kumenya: Kumenya neza hakoreshejwe X-rays ku bapfukiranwa bake, bahagaze
• Imfashanyo: Kwambara amasaha 16-23 buri munsi ku bana bakura bafite ubwo bupfukiranwa buciriritse
• Ubuvuzi bw'umubiri: Imyitozo ngororamubiri yo kunoza imbaraga, kugira ubushobozi bwo kugenda, n'imyanya y'umubiri
• Kubagwa: Bibujijwe ku bapfukiranwa bakomeye (busanzwe hejuru ya dogere 45-50) bakomeza gukwirakwira

Kubagwa, igihe bibaye ngombwa, bisanzwe birimo spinal fusion - guhuza amagufwa y'umugongo afite ubwo bupfukiranwa hakoreshejwe amagufwa n'ibyuma kugira ngo umugongo ukosorwe kandi uhagarare. Ibi ni ubuvuzi bukomeye ariko bugira icyo bugeraho mu guhagarika ubwo bupfukiranwa gukwirakwira.

Gucunga ububabare ni ingenzi mu buvuzi bw'abafite ububabare. Ibyo bishobora kuba birimo ubuvuzi bw'umubiri, imiti igabanya ububabare, cyangwa ubundi buryo nko kuvura hakoreshejwe chiropractic.

Uburyo bwo gucunga scoliosis mu rugo ni ubuhe?

Nubwo utazi gukiza scoliosis mu rugo, hari ibintu byinshi ushobora gukora kugira ngo ubone ubuvuzi kandi ushyigikire ubuzima bw'umugongo wawe muri rusange. Ibyo bintu bikora neza hamwe n'ubuvuzi bwa muganga.

Kuguma ukora siporo ni kimwe mu bintu by'ingenzi ushobora gukora. Imyitozo ngororamubiri ya buri gihe ifasha kugumana ubushobozi bwo kugenda, imbaraga, kandi ishobora kugabanya ububabare ku bantu benshi barwaye scoliosis.

Uburyo bwo gucunga mu rugo burimo:

• Imyitozo ngororamubiri idakomeye nko koga, kugenda, cyangwa yoga
• Imyitozo ngororamubiri yo gukomeza imikaya yo mu gice cyo hagati kugira ngo ushyigikire umugongo wawe
• Kuryama neza hakoreshejwe amabati n'udukingirizo byiza
• Ubushyuhe cyangwa ubukonje kugira ngo ugabanye ububabare uko bibaye ngombwa
• Uburyo bwo gucunga umunaniro, kuko umunaniro ushobora kongera ububabare bw'umugongo

Witondere ibikorwa byawe bya buri munsi. Guhagarika kwicara igihe kirekire, gukoresha ibikoresho by'akazi byiza, no kwirinda ibikorwa bitera ububabare bukomeye bishobora kugira uruhare mu kwiyumva neza.

Niba wambaye imyenda y'ubuvuzi, kugendera ku gihe cyo kuyambara ni ingenzi kugira ngo ikore neza. Ibyo bishobora kuba bigoye, cyane cyane ku bangavu, ariko gukomeza ni byo biguha amahirwe meza yo kubuza ubwo bupfukiranwa gukwirakwira.

Andika ibimenyetso byawe kugira ngo umenye icyo gikora n'icyo kidakora. Ibyo bishobora kuba byiza ku itsinda ryawe ry'ubuvuzi mu guhindura gahunda y'ubuvuzi bwawe.

Uburyo bwo kwitegura gahunda yawe yo kujya kwa muganga ni ubuhe?

Kwitwara neza mu gihe ugiye kwa muganga kubera scoliosis bigufasha kugira icyo ugeraho mu ruzinduko rwawe kandi ntiwibagirwe kuvugana ibibazo byawe by'ingenzi. Kwitwara gato bigira uruhare runini.

Mbere yo kujya kwa muganga, kora kopi y'amafoto ya X-ray cyangwa inyandiko z'ubuvuzi zijyanye n'umugongo wawe. Niba ari uruzinduko rwo gukurikirana, kumenya igihe amafoto yawe ya X-ray yafashwe bishobora gufasha muganga wawe kumenya niba amafoto mashya akenewe.

Tegura amakuru yerekeye:

• Igihe wabonye ibimenyetso bya scoliosis bwa mbere
• Amateka y'umuryango yerekeye ibibazo by'umugongo
• Ibimenyetso ubu ufite n'uburyo bigira ingaruka ku bikorwa byawe bya buri munsi
• Ibibazo ku buryo bwo kuvura cyangwa impungenge ku gukwirakwira
• Imiti igabanya ububabare cyangwa ubuvuzi wagerageje

Andika ibibazo byawe mbere kugira ngo utabyibagirwa mu gihe uri kwa muganga. Ibibazo bisanzwe bishobora kuba birimo kubaza ku biremezwa, amahirwe yo gukwirakwira, cyangwa ibimenyetso byo kwitondera.

Niba ujyanye umwana cyangwa umwangavu, mutegure icyo bagomba kwitega mu gihe cy'isuzuma. Babwire ko bagomba kugendera imbere kandi ko bashobora gukenera X-rays, ariko banashimangiye ko ibyo bintu bidazazana ububabare.

Icyo dukwiye kumenya cy'ingenzi kuri scoliosis ni iki?

Ikintu cy'ingenzi cyo kwibuka kuri scoliosis ni uko busanzwe ari uburwayi bushobora kuvurwa kandi budakwiye kugira ingaruka ku buzima bwawe cyane. Nubwo kumenya uburwayi bishobora gutera ubwoba, abantu benshi barwaye scoliosis babaho ubuzima busanzwe, buzira umuze.

Kumenya hakiri kare no kugenzura neza ni byo bikoresho byiza byo gucunga scoliosis neza. Uko ubwo bupfukiranwa bwawe buke cyangwa bukomeye kandi bukenera ubuvuzi, kugumana umubano n'itsinda ryawe ry'ubuvuzi biguha ibisubizo byiza.

Wibuke ko kugira scoliosis ntibikugaragaza cyangwa ntibigabanye icyo ushobora gukora. Abakinnyi benshi, ababyinnyi, n'abantu bakora imirimo ikomeye bafite scoliosis kandi bakora ku rwego rwo hejuru.

Icy'ingenzi ni ugukora uko bishoboka kugira ngo harebwe, hahabwe ubuvuzi igihe bibaye ngombwa, no kugira ubuzima bwiza, buzira umuze buhuye n'imiterere yawe.

Ibibazo bisanzwe bibazwa kuri scoliosis

Scoliosis ishobora gukizwa burundu?

Scoliosis ntishobora "gukizwa" mu buryo busanzwe, ariko ishobora gucungwa neza cyane. Ubupfukiranwa buke busanzwe buhora buhagaze ubuzima bwose nta buvuzi. Ubupfukiranwa buciriritse bushobora kubuzwa gukwirakwira hakoreshejwe imyenda y'ubuvuzi mu gihe cy'iterambere ry'umubiri. Ubupfukiranwa bukomeye bushobora gukosorwa cyane hakoreshejwe ubuvuzi, nubwo ubwo bupfukiranwa bumwe busanzwe busigara. Intego y'ubuvuzi ni ukubuza gukwirakwira no kugumana imikorere, atari ugukuraho umugongo uhindagurika.

Scoliosis izakomeza kuba mbi uko nkura?

Ibi biterwa n'ibintu byinshi, harimo uburemere bw'ubwo bupfukiranwa bwawe niba ukiri gukura. Mu bakuze, ubwo bupfukiranwa buri munsi ya dogere 30 ntabwo bukwirakwira cyane. Ubupfukiranwa buri hagati ya dogere 30-50 bushobora gukwirakwira buhoro buhoro (dogere 1-2 ku mwaka). Ubupfukiranwa buri hejuru ya dogere 50 bufite amahirwe menshi yo gukomeza gukwirakwira ubuzima bwose. Ariko, nubwo ubwo bupfukiranwa bukwirakwira mu gihe cy'ubukure, impinduka isanzwe iba buhoro kandi ishobora gucungwa neza hakoreshejwe ubuvuzi bukwiye.

Nshobora gukina siporo niba mfite scoliosis?

Abantu benshi barwaye scoliosis bashobora gukina siporo n'imyitozo ngororamubiri nta kibazo. Mu by'ukuri, kuguma ukora siporo bisanzwe bitewe kuko bifasha kugumana imbaraga n'ubushobozi bwo kugenda. Siporo zimwe na zimwe zishobora kugabanywa niba ufite scoliosis ikomeye cyangwa wabagiwe umugongo, ariko ibyo byemezo bigomba gufatwa ku giti cyawe na muganga wawe. Koga ni byiza cyane ku barwaye scoliosis kuko bitanga imyitozo myiza idakomeretsa umugongo.

Scoliosis itera ububabare kuri buri wese uyirwaye?

Oya, abantu benshi bafite scoliosis ya make cyangwa iciriritse nta bubabare bukomeye bagira. Ububabare bw'umugongo busanzwe bukunze kugaragara mu bakuze barwaye scoliosis kurusha abana cyangwa abangavu. Iyo ububabare buhari, busanzwe bujyanye n'umunaniro w'imikaya ukomoka ku guhangana n'ubwo bupfukiranwa bw'umugongo, aho kuba ubwo bupfukiranwa ubwawo. Ubupfukiranwa bukomeye bufite amahirwe menshi yo gutera ububabare, ariko nubwo bimeze bityo, uburyo bwo gucunga ububabare neza buhari.

Kubagwa kwa scoliosis buhora bikenewe ku bapfukiranwa bakomeye?

Kubagwa bisanzwe bitewe ku bapfukiranwa bari hejuru ya dogere 45-50 mu bana bakura cyangwa ubwo buri hejuru ya dogere 50 mu bakuze, cyane cyane niba bakomeza gukwirakwira. Ariko, icyemezo ntikishingira gusa ku burebure bw'ubwo bupfukiranwa. Muganga wawe azareba kandi imyaka yawe, ubushobozi bwo gukura busigaye, ibimenyetso, n'uburyo ubwo bupfukiranwa bugira ingaruka ku mibereho yawe. Bamwe bafite ubwo bupfukiranwa bukomeye bahitamo kutabagwa kandi bagacunga uburwayi bwabo mu buryo bworoheje, nubwo ibyo bisaba kugenzura neza ingaruka zishoboka.