Ni iki cyitwa Ibisebe byo mu Bwonko? Ibimenyetso, Ibitera, & Uko byavurwa

Ibisembe byo mu bwonko ni ahantu hari imitsi yo mu bwonko yangiritse cyangwa idasanzwe ishobora kuvuka kubera impamvu nyinshi zitandukanye. Bitekereze nk'uduce cyangwa ibice aho imitsi yo mu bwonko yahindutseho mu buryo runaka, nk'uko igikomere gihindura isura y'uruhu rwawe.

Izindi mpinduka zo mu mitsi yo mu bwonko zishobora kuva ku nto cyane kandi zitagaragara cyane kugeza ku bice binini bishobora kugira ingaruka ku buryo utekereza, wigendera, cyangwa wumva. Inkuru nziza ni uko ibisebe byinshi byo mu bwonko bishobora guhangana nabyo, kandi bimwe bishobora kutagira ibimenyetso na gato.

Ni iki cyitwa Ibisebe byo mu Bwonko?

Ibisembe byo mu bwonko ni ahantu gusa aho imitsi yo mu bwonko yangiritse, yabyimbye, cyangwa yahindutse kuva mu buryo busanzwe. Ubwonko bwawe bugizwe na miriyari z'uturemangingo tw'imitsi ivugana, kandi ibisebe bishobora kubuza iyi mikoranire mu buryo butandukanye.

Izindi mpinduka z'imitsi zishobora kubera ahantu hose mu bwonko bwawe kandi zikaza mu bunini n'imiterere bitandukanye. Bimwe mu bisembe ni bito cyane ku buryo bishobora kugaragara gusa hamwe n'ibizamini bidasanzwe byo mu bwonko, mu gihe ibindi bishobora kuba binini kandi bigaragara cyane.

Ijambo

• Umutwe utandukanye n'uko usanzwe ubyumva
• Impinduka mu kwibuka cyangwa mu kwitonda
• Kugorana kubona amagambo cyangwa kuvuga neza
• Ubugwari cyangwa kumva urugingo rwawe rutemba mu maboko cyangwa mu maguru
• Impinduka mu mikorere y'amaso cyangwa yo kumva
• Kumva udashikamye iyo ugenda
• Impinduka mu myifatire cyangwa mu mico
• Udukorwa mu gihe gikomeye

Wibuke, kugira kimwe cyangwa byinshi muri ibi bimenyetso ntibisobanura ko ufite ibibazo byo mu bwonko. Ibyago byinshi bisanzwe bishobora gutera ibyiyumvo bisa, niyo mpamvu isuzuma ry'ubuvuzi rikwiye ari ingenzi.

Ibitera ibibazo byo mu bwonko?

Ibibazo byo mu bwonko bishobora guterwa n'impamvu nyinshi zitandukanye, kuva ku bibazo bisanzwe cyane kugeza ku ndwara zitabonwa kenshi. Kumva izi mpamvu birashobora kugufasha kumva ufite amakuru menshi ku byashobora kuba biri kuba mu mubiri wawe.

Impamvu zisanzwe cyane akenshi zijyanye n'ibibazo bigira ingaruka ku miyoborere y'amaraso mu bwonko cyangwa bitera umuvumo. Impinduka zijyanye n'imyaka mu miyoborere y'amaraso ni ibisanzwe rwose kandi bishobora guteza ibibazo bito abantu benshi bagira uko bakuze.

Dore ibice by'ingenzi by'impamvu, dutangiriye ku bisanzwe cyane:

Impamvu zisanzwe

• Udu stroke duto cyangwa utwo twa mini-stroke ushobora no kutamenya
• Umubyigano w'amaraso mwinshi wangiza imiyoborere mito y'amaraso uko igihe kigenda
• Diabetes igira ingaruka ku miyoborere y'amaraso mu bwonko
• Impinduka zisanzwe zo gusaza mu miyoborere y'amaraso
• Migraines rimwe na rimwe zishobora gusiga impinduka nto mu gice cy'ubwonko
• Multiple sclerosis, itera umuvumo mu bwonko no mu mugongo

Impamvu zitabonwa cyane

• Indwara z'ubwonko nka meningitis cyangwa encephalitis
• Ubukomere bwo mu bwonko buturutse ku mpanuka cyangwa kugwa
• Ibimeme byo mu bwonko, byaba byiza cyangwa bifite kanseri
• Indwara ziterwa n'umubiri w'umuntu wanga ibyo uteye, zitera umubiri w'umuntu kurwanya igice cy'ubwonko
• Indwara ziterwa n'imiterere y'umubiri zigira ingaruka ku mikurire y'ubwonko

Impamvu zitabonwa

• Indwara zidakunze kuboneka ziterwa n'imirerere zigira ingaruka ku mikorere y'ubwonko
• Indwara zidakunze kuboneka zandura zibasira ubwonko
• Guhura n'uburozi buterwa n'imiti cyangwa ibindi bintu
• Indwara zidakunze kuboneka ziterwa n'umubiri w'umuntu wanga ibiwugize

Ibimenyetso byinshi byo mu bwonko biterwa n'indwara zisanzwe zivurwa aho kuba indwara zikomeye. Muganga wawe ashobora kugufasha kumenya icyateye ibyo bimenyetso mu gihe cyawe.

Ni iki ibimenyetso byo mu bwonko bishobora kwerekana?

Ibimenyetso byo mu bwonko bishobora gufatanya n'indwara zitandukanye, ariko akenshi biba ari ibimenyetso by'ibibazo bisanzwe by'ubuzima aho kuba indwara zikomeye. Ibimenyetso byinshi ni ibintu biboneka gusa biterekana indwara iyo ari yo yose.

Indwara zisanzwe ziterwa n'ubuzima bw'imitsi y'amaraso n'uburwayi bwo mu mubiri. Izi ndwara akenshi ziravurwa neza hakoreshejwe ubuvuzi bukwiye n'imibereho myiza.

Indwara zisanzwe ziterwa

• Multiple sclerosis, itera uburwayi bwo mu bwonko no mu mugongo bugaruka
• Indwara y'imitsi mito, akenshi ifitanye isano no gusaza cyangwa umuvuduko ukabije w'amaraso
• Umutwe w'urushwima, rimwe na rimwe ushobora gutera impinduka ntoya mu bwonko
• Impinduka ziterwa n'indwara ya diyabete mu mitsi y'amaraso
• Umuvuduko ukabije w'amaraso ugira ingaruka ku mitsi mito yo mu bwonko

Indwara zitabonwa cyane

• Umutima w'amaraso cyangwa ibitero byo mu bwonko by'akanya gato (mini-strokes)
• Ibimeme byo mu bwonko, bishobora kuba byiza cyangwa bibi
• Indwara ziterwa n'umubiri w'umuntu wanga ibiwugize nka lupus cyangwa vasculitis
• Indwara zidakira zibasira ubwonko
• Urugero rw'ubwonko ruturutse ku mpanuka zabayeho

Indwara zidakunze kuboneka

• Indwara zidakunze kuboneka ziterwa n'imirerere zigira ingaruka ku mikorere y'ubwonko
• Indwara zidakunze kuboneka ziterwa n'umubiri w'umuntu wanga ibiwugize zibasira ubwonko
• Indwara zidakunze kuboneka zandura
• Indwara ziterwa n'imikorere y'umubiri zigira ingaruka ku mikorere y'ubwonko

Ni ngombwa kwibuka ko kubona ibibazo ku isesengura ry'ubwonko bitavuze ko ufite indwara ikomeye. Abantu benshi bafite ibibazo bito bitigera biteza ibibazo cyangwa ngo bisabe kuvurwa.

Ese ibibazo byo mu bwonko bishobora gukira byonyine?

Ibibazo bimwe byo mu bwonko bishobora gukira cyangwa se bikazima byonyine, cyane cyane niba bifitanye isano n'indwara z'igihe gito nk'ububyimbirizi cyangwa kubyimba. Ariko, ibi biterwa rwose n'icyateye icyo kibazo.

Ibibazo biterwa n'ububyimbirizi, nk'ibyo biva mu kwiyongera kwa sclerose nyinshi, bishobora kugabanuka mu bunini iyo ububyimbirizi bugabanutse. Kubyimba kw'ubwonko biterwa n'indwara cyangwa imvune nako bishobora gukira igihe umubiri wawe ukira.

Ku rundi ruhande, ibibazo biterwa n'ubyangiritse burundu, nk'ibyo biva mu guhagarara kw'amaraso cyangwa urupfu rw'imitsi, mubisanzwe ntibizima burundu. Ariko, ubwonko bwawe burahinduka cyane kandi bushobora gushaka uburyo bushya bwo gukora hirya no hino y'ahantu hangiritse.

Inkuru nziza ni uko abantu benshi bafite ibibazo byo mu bwonko babaho ubuzima busanzwe, hatitawe ku kuba ibibazo bihinduka uko igihe kigenda. Ubushobozi bw'ubwonko bwawe bwo kwihanganira no guhinduka ni ukuri gutangaje.

Ni gute ibibazo byo mu bwonko bivurwa mu rugo?

Nubwo ibibazo byo mu bwonko ubwabyo bitashobora kuvurwa mu rugo, urashobora gufata ingamba z'ingenzi zo gushyigikira ubuzima bw'ubwonko bwawe muri rusange kandi bikaba bishobora gutinda iterambere ry'ibibazo bishya.

Uburyo bwiza bwo mu rugo bwibanda ku kugumana imikorere myiza y'amaraso mu bwonko bwawe no kugabanya ububyimbirizi mu mubiri wawe wose. Impinduka z'ubuzima zishobora gutuma wumva neza kandi ugakora neza.

Dore ingamba zishingiye ku bimenyetso zishobora gufasha gushyigikira ubuzima bw'ubwonko bwawe:

• Kora imyitozo buri gihe kugira ngo uryoshe imikorere y'amaraso mu bwonko bwawe
• Jya ufata indyo yuzuye ifitiye umutima akamaro irimo imbuto, imboga, na aside ya omega-3
• Genzura umunaniro ukoresheje uburyo bwo kuruhuka, gutekereza cyane, cyangwa guhumeka cyane
• Gira ibitotsi bihagije, ugaharanira amasaha 7-9 buri joro
• Guma ukora imirimo yo mu mutwe ukoresheje imikino yo gukemura ibibazo, gusoma, cyangwa kwiga ibintu bishya
• Genzura umuvuduko w'amaraso ukoresheje indyo, imyitozo, n'imiti niba byanditswe na muganga
• Genzura diyabete neza niba ufite iyi ndwara
• Irinde kunywa itabi kandi ugabanye kunywa inzoga

Impinduka z'imibereho ntizizatuma ibibazo byari bisanzwe bigaragara bishira, ariko bishobora gufasha kwirinda ko bishya bivuka no gushyigikira imikorere y'ubwonko bwawe muri rusange. Bitekereze nk'uko warema ahantu heza cyane ubwonko bwawe bushobora kubamo neza.

Ni iki kivurwa mu buvuzi ku bibazo byo mu bwonko?

Ubuvuzi ku bibazo byo mu bwonko bushingiye rwose ku gitera ibyo bibazo niba bitanga ibimenyetso. Ibice byinshi ntibisaba ubuvuzi na busa kandi bikagenzurwa gusa uko igihe kigenda.

Iyo ubuvuzi bukenewe, muganga wawe azibanda ku gukemura icyateye ikibazo aho kwita ku bibazo ubwabyo. Ubu buryo akenshi burakora kandi bufasha kwirinda ko ibibazo bishya bivuka.

Uburyo bwo kuvura busanzwe

• Imiti yo kugenzura indwara zishingiye ku bibazo nk'indwara ya sclerose nyinshi cyangwa umuvuduko mwinshi w'amaraso
• Imiti irwanya umuvumo kugira ngo ugabanye umuvumo wo mu bwonko
• Imiti igabanya umuvuduko w'amaraso kugira ngo irengere udutsi duto tw'amaraso
• Imiti ya diyabete kugira ngo iteze imbere kugenzura isukari mu maraso
• Imiti irwanya amaraso kugira ngo yirinde amaraso mu bihe bimwe na bimwe

Ubuvuzi bwihariye

• Imiti igabanya ubudahangarwa bw'umubiri ku ndwara ziterwa n'umubiri w'umuntu wanga ibiwugize
• Ubuvuzi bukoresha imirasire ku bwoko bumwe na bumwe bwa kanseri yo mu bwonko
• Kubaga mu gihe gake aho ibibazo biteza ibimenyetso bikomeye
• Ubuvuzi bwo kuvura no gusana kugira ngo bufashe mu bibazo byose by'imikorere

Gukurikirana no gukurikirana

• Gusuzuma ubwonko buri gihe kugira ngo hakurikiranwe impinduka uko igihe kigenda
• Ibizami by'imitsi yo mu bwonko kugira ngo hasuzumwe imikorere y'ubwonko
• Ibizami by'amaraso kugira ngo hakurikiranwe indwara ziri inyuma
• Guhindura imiti bitewe n'uburyo ubisuzumaho

Intego y'ubuvuzi akenshi ni ukubuza ibibazo bishya kuvuka no gucunga ibimenyetso byose ushobora kuba urimo guhura nabyo. Abantu benshi bitwara neza ku buvuzi kandi bashobora kugumana ubuzima bwiza.

Ni ryari nkwiriye kubona umuganga ku bibazo byo mu bwonko?

Ukwiriye kubona umuganga niba urimo guhura n'ibimenyetso bishya cyangwa bikomeye byo mu bwonko, cyane cyane niba bibangamiye ubuzima bwawe bwa buri munsi. Isuzuma rito rishobora gufasha kumenya ibitera ibibazo bivurwa kandi bigatanga umutuzo.

Rimwe na rimwe ibibazo byo mu bwonko bivumburwa mu gihe cyo gusuzuma izindi mpamvu. Muri ibyo bihe, umuganga wawe azagufasha gusobanukirwa icyo ibyo byavumbuwe bisobanuye niba hari uburyo bwo gukurikirana bukenewe.

Dore ibihe byihariye aho kwitabwaho kwa muganga ari ngombwa:

Shaka ubuvuzi bwihuse

• Umutwe ukaze utigeze ubaho mbere
• Umunaniro cyangwa ububabare butunguranye, cyane cyane ku ruhande rumwe rw'umubiri wawe
• Kugorana kuvuga cyangwa gusobanukirwa ijambo ryavuzwe
• Impinduka z'uburebure cyangwa kubura k'uburebure
• Udukorwa tw'ubwonko, cyane cyane niba ari bishya kuri wowe
• Urujijo rukomeye cyangwa impinduka mu bwenge

Teganya gahunda yo kubonana na muganga vuba

• Umutwe udashira kandi urushaho kuba mubi
• Impinduka buhoro buhoro mu byo wibuka cyangwa gutekereza
• Kugorana kw'uburinganire cyangwa imikoranire
• Impinduka z'imyitwarire abandi babonye
• Uburyaryate bushya cyangwa intege nke mu ngingo zawe
• Ibibazo byo kureba cyangwa kumva

Wibuke, ibimenyetso byinshi byo mu bwonko ntibiba ari ibibazo by'ubuzima byihutirwa, ariko kugira isuzuma ryiza bifasha kumenya neza ko wakira ubuvuzi bukwiye niba bibaye ngombwa. Muganga wawe ashobora kandi gutanga ihumure niba ibyo bimenyetso bitabangamiye.

Ni ibihe bintu byongera ibyago byo kurwara ibimenyetso byo mu bwonko?

Ibintu bitandukanye bishobora kongera amahirwe yo kurwara ibimenyetso byo mu bwonko, ariko kugira ibyo byago ntibisobanura ko uzabirwara rwose. Kumva ibyo bintu bishobora kugufasha gufata ibyemezo bifitiye ubuzima bwawe akamaro.

Ibintu byinshi byongera ibyago bifitanye isano n'indwara zigira ingaruka ku mikorere y'amaraso mu bwonko cyangwa zitera umuvumo. Inkuru nziza ni uko ibyinshi muri ibyo bintu bishobora guhindurwa binyuze mu mpinduka z'imibereho cyangwa ubuvuzi.

Ibintu byongera ibyago bishobora guhindurwa

• Umubyibuho ukabije, ushobora kwangiza imitsi mito y'amaraso uko igihe kigenda
• Indwara ya diyabete, cyane cyane niba urugero rw'isukari mu maraso rudagenzurwa neza
• Urugero rwo hejuru rwa kolesteroli rutuma indwara z'imitsi y'amaraso
• Umunyonga, wangiza imitsi y'amaraso mu mubiri wose
• Umubyibuho ukabije, wongera umuvumo n'umuvuduko w'imitsi y'amaraso
• Imibereho yo kutagira akazi igabanya imikorere y'amaraso
• Kunywa inzoga nyinshi

Ibintu byongera ibyago bitahinduka

• Kugenda gusaza, uko imitsi y'amaraso ihinduka mu buryo busanzwe uko igihe kigenda
• Amateka y'umuryango y'indwara y'umutima cyangwa indwara z'imitsi y'amaraso
• Indwara zishingiye ku bisekuruza zigira ingaruka ku mitsi y'amaraso cyangwa imikurire y'ubwonko
• Kuba umugabo, kuko abagabo bakunda kurwara ibimenyetso by'imitsi y'amaraso hakiri kare
• Ubukomere bwo mu mutwe bwa mbere cyangwa indwara z'ubwonko

Indwara zongera ibyago

• Indwara ziterwa n'umubiri w'umuntu ubwawo nka multiple sclerosis cyangwa lupus
• Indwara z'umutima cyangwa imikorere idasanzwe y'umutima
• Uburwayi bwo gupfuka kw'amaraso
• Indwara ya kronike y'impyiko
• Kugira ubwoba bwo gusinzira

Nubwo udashobora guhindura ibintu nk'imyaka cyangwa imiterere yawe, kwibanda ku bintu bishobora guhinduka bishobora kugabanya cyane amahirwe yo kurwara indwara zifitanye isano n'ubwonko. Impinduka ntoya mu mibereho yawe zirashobora kugira uruhare runini uko iminsi igenda.

Ni izihe ngaruka zishobora guterwa n'indwara zifitanye isano n'ubwonko?

Indwara nyinshi zifitanye isano n'ubwonko ntizitera ingaruka zikomeye, cyane cyane iyo ziri ntoya kandi ziri ahantu hatagenga imikorere y'ingenzi. Ariko, gusobanukirwa ingaruka zishobora kuvuka birashobora kugufasha kumenya icyo ugomba kwitaho.

Ingaruka zirashoboka cyane iyo indwara zifitanye isano n'ubwonko ari nini, ziri ahantu h'ingenzi mu bwonko, cyangwa iyo hari indwara nyinshi zihari. Nyamara, ubwonko bwawe bufite ubushobozi bwo guhinduka butangaje akenshi butuma ibibazo bikomeye bitabaho.

Ingaruka zisanzwe

• Impinduka mu myumvire nk'ingorane zo kwibuka cyangwa kwitonda
• Kugabanuka guto kw'imbaraga cyangwa ibibazo byo guhuza ibice by'umubiri
• Impinduka mu kumva nk'ukururumba cyangwa ububabare
• Umunaniro utagabanuka iyo uruhutse
• Impinduka mu myumvire zirimo umubabaro cyangwa guhangayika
• Ingorane zo kugendera cyangwa kugendagenda

Ingaruka zitavuka kenshi

• Udukorwa, akenshi dushobora kugenzurwa n'imiti
• Kugabanuka gukomeye kw'imbaraga bigira ingaruka ku bikorwa bya buri munsi
• Ingorane zo kuvuga cyangwa ururimi
• Ibibazo by'amaso bigira ingaruka ku gutwara imodoka cyangwa gusoma
• Kugabanuka gukomeye kw'imyumvire

Ingaruka zitavuka kenshi ariko zikomeye

• Umutsi uva mu ndwara zifitanye isano n'ubwonko zigira ingaruka ku mikorere y'amaraso
• Ukubura kw'ubwonko niba indwara zifitanye isano n'ubwonko ziteje umuvumo
• Kugabanuka kw'imikorere y'imitsi bigenda bikomeza mu bihe bimwe na bimwe
• Ingaruka ziteje ubuzima bwo gupfa ziterwa n'indwara nini zifitanye isano n'ubwonko ziri ahantu h'ingenzi

Ni ngombwa kwibuka ko kugira ibibazo byo mu bwonko bitavuze ko uzahura n’ingorane. Abantu benshi babaho ubuzima bwuzuye, bufite imbaraga bafite ibibazo bitabangamiye na gato.

Ibyo ibibazo byo mu bwonko bishobora kwitiranywa na byo?

Ibibazo byo mu bwonko rimwe na rimwe bishobora kwitiranywa n’izindi ndwara, haba mu gihe ureba amashusho y’ubwonko ndetse no mu gihe utekereza ku bimenyetso. Ibi nibyo bituma isuzuma ry’ubuvuzi rikwiye ari ingenzi cyane kugira ngo umenye neza indwara.

Ku mashusho y’ubwonko, impinduka zisanzwe cyangwa izindi ndwara zishobora kugaragara nk'ibibazo. Umuganga wawe w’imirasire n’umuganga wawe bahawe imyitozo yo kumenya itandukaniro, ariko rimwe na rimwe ibizamini byinshi birakenewe.

Indwara zishobora kugaragara nk'ibibazo ku mashusho

• Impinduka zisanzwe zijyanye n’imyaka mu gice cy’ubwonko
• Imitsi mito y’amaraso igaragara nk’utudomo twaka
• Ibintu biturutse mu buryo bwo gukora isesengura ubwaryo
• Ahantu h’ubwoko butandukanye bw’imitsi busanzwe rwose
• Udukomere duto twabanje twakize rwose

Indwara zishobora gutera ibimenyetso bisa

• Umutwe w’umutwe wa migraine, ushobora gutera ibimenyetso bya neurologique
• Kwiganyira cyangwa kwiheba, bishobora kugira ingaruka ku kwibuka no kwitondera
• Uburwayi bwo gusinzira butera umunaniro n’ibibazo byo mu mutwe
• Kubura vitamine, cyane cyane B12 cyangwa vitamine D
• Ingaruka ziterwa n’imiti zigira ingaruka ku mikorere y’ubwonko
• Uburwayi bwa thyroïde bushobora kwigana ibimenyetso bya neurologique

Izindi ndwara z’ubuvuzi

• Ibibazo byo mu gutwi by’imbere bitera ibibazo byo kuringaniza
• Ibibazo by’amaso bisa nk’ibimenyetso bya neurologique
• Impinduka za hormone zigira ingaruka ku myitwarire no kumenya
• Ibimenyetso bifitanye isano n’umunabi bigana ibibazo bya neurologique

Ibi nibyo bituma umuganga wawe ashobora kugusaba ibizamini byinshi cyangwa gutegereza no gukurikirana ibimenyetso byawe mbere yo gufata icyemezo cya nyuma cyo kumenya indwara. Kumenya indwara neza bituma ubona ubuvuzi bukwiye.

Ibibazo Bikunze Kubazwa ku birebana n'ibibazo byo mu Bwonko

Ibibazo byo mu bwonko bihora ari iby'uburemere?

Oya, ibibazo byo mu bwonko ntibihora ari iby'uburemere. Abantu benshi bafite ibibazo bito bitigera bitera ibimenyetso cyangwa ibibazo. Ubusobanuro bushingiye ku bunini, aho biherereye, n'icyateye ibyo bibazo.

Umubabaro ushobora gutera ibibazo byo mu bwonko?

Umubabaro wenyine ntutera ibibazo byo mu bwonko mu buryo butaziguye, ariko umubabaro urambye ushobora gutuma habaho ibibazo nk'umuvuduko ukabije w'amaraso ushobora kongera ibyago byawe. Gucunga umubabaro ni ingenzi ku buzima bw'ubwonko muri rusange.

Ibibazo byo mu bwonko bihora bigaragara ku isesengura rya MRI?

Isesengura rya MRI rifasha cyane mu kumenya ibibazo byo mu bwonko, ariko ibito cyane birashobora kutagaragara. Rimwe na rimwe ibibazo bihari birashobora kutagaragara neza, cyane cyane niba biri ahantu bigoye kwerekana.

Ibibazo byo mu bwonko bishobora gutera impinduka mu mico?

Ibibazo byo mu bwonko rimwe na rimwe bishobora gutera impinduka mu mico, cyane cyane niba biherereye ahantu hagenzura amarangamutima n'imyitwarire. Ariko, ibibazo bito cyane ntibigira ingaruka na gato ku mico.

Ibibazo byo mu bwonko birandurwa?

Ibibazo byo mu bwonko ubwabyo ntibirandurwa mu buryo butaziguye, ariko ibibazo bimwe na bimwe bitera ibibazo bishobora kwandurira mu miryango. Ibi birimo ibintu nk'uburwayi bwa sclerose nyinshi, indwara zimwe na zimwe zishingiye ku mikorere y'uturemangingo, no kwegamira ku guhura n'indwara ya stroke cyangwa umuvuduko ukabije w'amaraso.