Mbese Uburibwe bwo mu Rutugu ni iki? Ibimenyetso, Ibiteye, & Ubuvuzi bwo mu Rugo

Uburibwe bwo mu rutugu ni ukutamererwa neza cyangwa kubabara mu ngingo y'urutugu rwawe, imitsi, cyangwa ibindi bice biyikikije. Ni kimwe mu byo abantu benshi bavuga ko bibabaza, kandi hari impamvu nziza - urutugu rwawe rugoye cyane, rufite ingingo nyinshi, imitsi, n'imitsi y'imitsi bikorera hamwe kugira ngo baguhe urwo rugero rwiza rw'imitsi ukoresha buri munsi.

Mbese uburibwe bwo mu rutugu ni iki?

Uburibwe bwo mu rutugu ni ukutamererwa neza kose wumva muri cyangwa hafi y'urutugu rwawe. Urutugu rwawe si ingingo imwe gusa - mu by'ukuri rugizwe n'ingingo nyinshi, imitsi, imitsi y'imitsi, n'imitsi ikorera hamwe nk'ikipe ikora neza.

Tekereza urutugu rwawe nk'ingingo yoroshye cyane y'umubiri. Uku koroha gutangaje kuza hamwe n'ikiguzi: nanone ni kimwe mu byoroshye cyane gukomeretswa no kwangirika. Uburibwe bushobora gutandukana kuva ku kubabara gake kuza no kugenda kugeza ku kubabara cyane, gutera ububabare buguhagarika.

Uburibwe bwinshi bwo mu rutugu butera buhoro buhoro uko igihe kigenda, akenshi biturutse ku bikorwa bikomeza cyangwa kwangirika guto. Rimwe na rimwe bigaragara mu buryo butunguranye nyuma yo gukomereka cyangwa kwimuka nabi.

Uburibwe bwo mu rutugu bumeze gute?

Uburibwe bwo mu rutugu bushobora kumvikana mu buryo butandukanye bitewe nicyo kibitera. Ushobora guhura no kubabara cyane, guhoraho bisa nkaho biturutse imbere mu ngingo ubwayo, cyangwa kubabara cyane, kurasa bikugwa gitumo iyo wimuka mu buryo runaka.

Uburibwe akenshi burushaho iyo ugerageza kugera hejuru, inyuma y'umugongo wawe, cyangwa hirya y'umubiri wawe. Ushobora kubona ko bibangamira cyane nijoro, cyane cyane iyo uryamye ku ruhande rurebwa.

Abantu benshi basobanura kumva nkaho urutugu rwabo "rufata" cyangwa "rusya" iyo barwimuye. Bamwe bahura no gukakara bituma bigoye kuzamura ukuboko cyangwa kugera ku bintu. Abandi bumva intege nke, nkaho urutugu rwabo rutazakorana iyo barukeneye.

Ibiteye uburibwe bwo mu rutugu?

Urubabare rwo mu rutugu ruturuka ku mpamvu nyinshi zitandukanye, kandi gusobanukirwa icyateye urubabare birashobora kugufasha kubona uburyo bwiza bwo kubohoka. Reka turebe impamvu zisanzwe zikubangamiye.

Dore impamvu nyamukuru z’ububabare bwo mu rutugu, dutangiriye ku zisanzwe cyane:

1. Ibibazo bya rotator cuff – Iyi mikaya ine mito n'imitsi yayo irashobora kubyimba, gucika, cyangwa gukomereka biturutse ku gukoresha cyane cyangwa imvune
2. Urutugu rwakomeretse – Igice cy'urutugu rwawe kirabyimba kandi kigakomera, bigatuma urugendo rugabanuka cyane
3. Guhura kw'urutugu – Imitsi yoroshye ifungirwa hagati y'amagufa iyo uzamuye ukuboko kwawe
4. Arthritis – Kwangirika cyangwa kubyimba mu ngingo z'urutugu
5. Bursitis – Utuntu duto twuzuye amazi dukingira ingingo zawe turabyimba
6. Gukomereka kw'imitsi – Imitsi y'urutugu yakoreshejwe cyane cyangwa yarambuye mu buryo butunguranye
7. Imyifatire mibi – Kwicara cyangwa kwigunga imbere bishyira igitutu kinini ku mikaya y'urutugu
8. Uburyo bwo kuryama – Kuryama ku rutugu rwawe mu buryo buteye isoni amasaha menshi

Impamvu zitajegajega ariko z'ingenzi zirimo imitsi yafunzwe mu ijosi ryawe, ibibazo by'umutima (bishobora gutera ububabare bwimuriwe), cyangwa indwara. Muganga wawe ashobora kugufasha kumenya niba muri ibyo hari icyo kikureba.

Urubabare rwo mu rutugu ni ikimenyetso cy'iki?

Urubabare rwo mu rutugu rushobora kugaragaza ibibazo bitandukanye byihishe, kuva ku gufatana kw'imitsi mito kugeza ku bibazo bikomeye by'ingingo. Akenshi, ni uburyo umubiri wawe ukubwira ko hari ikintu mu gice cy'urutugu rwawe gikeneye kwitabwaho no kwitabwaho.

Dore ibibazo bisanzwe bitera urubabare rwo mu rutugu:

• Tendinitis ya rotator cuff – Kubyimba kw'imitsi ifasha kugenda mu rutugu rwawe
• Ibice bya rotator cuff – Ibice byuzuye cyangwa bituzuye muri iyi mitsi y'ingenzi
• Capsulitis y'ubugome (igituza cyumye) – Gukakara n'ububabare bigenda byiyongera buhoro buhoro
• Syndrome yo guhagarika urutugu – Guhagarika imitsi yoroshye mugihe cyo kugenda kw'ukuboko
• Osteoarthritis – Kwangirika kw'ingurube y'urutugu
• Rheumatoid arthritis – Kubyimba kw'imitsi y'ubwirinzi bukora ku ngingo
• Bursitis y'urutugu – Kubyimba kw'udusaho duto tw'uburinda
• Tendinitis ya bicep – Kubyimba kw'umitsi ihuza bicep yawe n'urutugu rwawe

Ibintu bike bitamenyerewe birimo gutandukana kw'urutugu, gukurwa mu mwanya, cyangwa gukomereka. Mu buryo butamenyerewe, ububabare bw'urutugu burashobora kuba ikimenyetso cy'ibibazo by'umutima, cyane cyane kubagore, cyangwa guhagarika imitsi mu gice cy'ijosi.

Ese ububabare bw'urutugu burashobora gushira bwonyine?

Ibimenyetso byinshi by'ububabare bw'urutugu biragenda birushaho, cyane cyane iyo biterwa no gukomeretsa imitsi mito, uburyo bwo gusinzira butari bwiza, cyangwa gukoresha cyane by'igihe gito. Umubiri wawe ufite ubushobozi bwo gukira butangaje, kandi mugihe cyagenwe no kwitabwaho neza, ububabare bworoheje bw'urutugu akenshi buva mu buryo bwa kamere.

Igihe cyo gukira mu buryo bwa kamere kiratandukanye cyane. Gukomeretsa imitsi mito birashobora kumvikana neza muminsi mike kugeza icyumweru. Ariko, ibibazo bikomeye nkibibazo bya rotator cuff cyangwa igituza cyumye bishobora gufata ibyumweru kugeza kumyaka kugirango bigaruke, kabone niyo uvurwa.

Ububabare buva mumikorere ikomeza cyangwa imyanya mibi akenshi irushaho iyo ukemuye icyateye. Niba uhagaritse igikorwa giteza ububabare kandi ugaha urutugu rwawe kuruhuka neza, birashoboka ko uzabona iterambere ryoroheje.

Nubwo bimeze bityo, indwara zimwe na zimwe zirushaho kuba mbi iyo zitavuwe neza. Urugero, igitugu cyumye gishobora kugenda kigira ingaruka nyinshi uko igihe kigenda gihita kitavuwe hakiri kare.

Ni gute ububabare bwo mu gitugu buvurwa mu rugo?

Akenshi ushobora kwivura ububabare bwo mu gitugu bworoshye cyangwa buringaniye neza mu rugo ukoresheje uburyo bworoshye kandi bworoheje. Ikintu cy'ingenzi ni ukumva umubiri wawe kandi ntukomeze gukora ibintu bikomeye iyo ufite ububabare bukomeye.

Dore imiti yo mu rugo yemejwe ishobora kugufasha kugabanya ububabare bwo mu gitugu:

1. Kuruhuka no guhindura ibikorwa – Irinda ibikorwa byongera ububabare, ariko ntukareke rwose gukora ibintu
2. Kuvura ukoresheje urubura – Shyira urubura ku gitugu iminota 15-20 inshuro nyinshi ku munsi mu masaha 48 ya mbere
3. Kuvura ukoresheje ubushyuhe – Koresha ibintu bishyushye cyangwa ibikoresho bishyushya nyuma yuko ububyimbirwe bwa mbere bugabanutse
4. Kunyeganyega gake – Kora imyitozo yoroshye kandi igenzurwa kugira ngo ugumane ubushobozi bwo kunyeganyega
5. Imiti igabanya ububabare itagurishwa ku gasoko – Ibuprofen cyangwa acetaminophen bishobora kugabanya ububabare no kubyimbirwa
6. Uburyo bwo kuryama bukwiye – Ryamira ku mugongo cyangwa ku ruhande rutagize ikibazo ukoresheje umusego
7. Gukosora imyitwarire – Guma ugira ibitugu byiza kandi wirinde kwicara wunamye
8. Ukoza massage yoroheje – Kwikoraho massage yoroheje cyangwa kugira umuntu ukora massage yoroheje kuri ako gace

Ubu buvuzi bwo mu rugo bukora neza cyane ku bubabare bworoshye bumaze ibyumweru bike. Wibuke, intego ni ugushyigikira uburyo umubiri wawe ukira mu buryo busanzwe, atari ukugabanya ububabare bukomeye bukeneye ubuvuzi.

Ni ubuhe buvuzi bw'ububabare bwo mu gitugu?

Ubuvuzi bw'ububabare bwo mu gitugu buterwa nicyo gitera ububabare bwawe n'uburyo bukomeye. Muganga wawe azakorana nawe kugira ngo akore gahunda y'ubuvuzi ikemura ibibazo byawe byihariye n'intego zawe.

Abaganga benshi batangira kuvura bakoresheje uburyo bworoshye mbere yo gutekereza ku buryo bukomeye. Kuvura hakoreshejwe imyitozo ngororamubiri akenshi ni bwo buryo bwa mbere bwo kuvura, bugufasha kugarura imbaraga n'ubushobozi bwo gukora imyitozo yihariye n'uburyo bwo gukora imyitozo.

Ushobora gusabwa n'umuganga wawe imiti yandikwa niba imiti itagurishwa ku isoko itatanga umuti uhagije. Iyi miti irimo imiti ikomeye irwanya ububyimbirwe, imiti iruhura imitsi, cyangwa mu bihe bimwe na bimwe, inshinge za corticosteroid zishyirwa mu gice cy'ukuboko.

Ku bibazo bikomeye cyangwa bikomeye, umuganga wawe ashobora gutanga ibitekerezo by'ubuvuzi bwihariye nk'ubuvuzi bwa ultrasound, gushyiraho umuriro, cyangwa uburyo bwo gutera inshinge kugira ngo bagabanye ububyimbirwe kandi bafashe gukira.

Kubaga akenshi bibikirwa ibibazo bikomeye bitashoboye kuvurwa n'ubundi buryo. Ibi bishobora kuba birimo uburyo bwa arthroscopic bwo gukora imitsi yashwanyaguritse cyangwa gukuraho urugingo rwabyimbye, cyangwa mu bihe bidasanzwe, kubaga urugingo.

Ni ryari nkwiriye kubona umuganga kubera kubabara mu rutugu?

Ukwiye kubona umuganga niba kubabara mu rutugu kwawe ari gukabije, bikomeye, cyangwa bikubuza gukora imirimo yawe ya buri munsi. Wizere ubwenge bwawe - niba hari ikintu kimeze nkaho kidakora neza, birakwiye ko ukigenzura.

Dore ibimenyetso bigaragaza neza ko ukeneye ubufasha bw'abaganga:

• Urubabare rukaze, rukomeye – Cyane cyane nyuma yo gukomereka cyangwa kugwa
• Kutabasha rwose gukora urutugu rwawe – Ukuboko kwawe kumva "gupfuye" cyangwa gucika intege rwose
• Ubugore bugaragara – Urutugu rwawe ruteye ukundi cyangwa rutagaragara neza
• Ibimenyetso byo kwandura – Umuriro, umutuku, ubushyuhe, cyangwa kubyimba
• Umutsi cyangwa kuribwa – Mu kuboko kwawe, ukuboko, cyangwa intoki
• Urubabare rumara iminsi irenga mike – Hatabayeho iterambere nubwo uvurwa mu rugo
• Urubabare ruzamba uko iminsi igenda ishira – Aho kugenda bikira buhoro buhoro
• Urubabare rwo mu ijoro – Rutuma uhinduka cyangwa rukubuza gusinzira

Shaka ubufasha bwihutirwa bw'abaganga niba wumva urubabare mu gituza hamwe n'ububabare mu rutugu, kuko ibi bishobora kwerekana ikibazo cy'umutima, cyane cyane niba ufite ibyago byo kurwara umutima.

Ni ibihe byago byo kurwara urubabare mu rutugu?

Ibintu byinshi bishobora kongera amahirwe yo kurwara urubabare mu rutugu, nubwo kugira ibyago ntibishobora guhamya ko uzagira ibibazo. Kumva ibi bintu bishobora kugufasha gufata ingamba zo kwirinda.

Imyaka ni kimwe mu byago bikomeye. Uko ugenda usaza, imitsi yo mu rutugu rwawe irangirika kare, bituma gukomereka no kwangirika bishoboka cyane. Ibibazo byinshi byo mu rutugu biba rusange nyuma yimyaka 40.

Ibikorwa byawe bya buri munsi n'umwuga wawe bigira uruhare runini. Imirimo cyangwa ibikorwa byawe bya buri munsi bikubiyemo imirimo ikorwa kenshi hejuru, kuzamura ibintu biremereye, cyangwa gukoresha mudasobwa igihe kirekire bishobora guhangayikisha urutugu rwawe uko igihe kigenda.

Dore ibyago nyamukuru byo kwitondera:

• Imyaka irenga 40 – Imikorere isanzwe yiyongera uko igihe kigenda
• Ibikorwa bikorwa kenshi hejuru y'umutwe – Imikino nka tenisi, koga, cyangwa umukino wa baseball
• Imyifatire mibi – By'umwihariko biturutse ku mirimo yo ku meza cyangwa kureba hasi kuri ibikoresho
• Ubukomere bwo ku rutugu bwo hambere – Ibibazo byabayeho bishobora gutuma ibibazo by'ahazaza bishoboka cyane
• Imirimo imwe n'imwe – Kubaka, gushushanya, cyangwa imirimo isaba kuzamura ibintu biremereye
• Imiterere y'imitsi idahuye – Imitsi yo mu mugongo idakomeye cyangwa imitsi yo mu gituza ifatanye cyane
• Indwara zifata imitsi – Artrite cyangwa izindi ndwara zifata imitsi
• Diyabete – Ishobora kongera ibyago byo kugira urutugu ruzana

Inkuru nziza ni uko ibintu byinshi bishobora guhindurwa binyuze mu guhindura imibereho, gukoresha ibikoresho neza, no gukomeza ubuzima bwiza bw'urutugu binyuze mu gukora imyitozo ngororamubiri no kurambura.

Ni izihe ngaruka zishobora guterwa n'ububabare bwo ku rutugu?

Iyo ububabare bwo ku rutugu butavurwa neza, bishobora gutera ingaruka nyinshi zishobora gutuma uburwayi bwawe bugorana kuvurwa. Ingaruka isanzwe ni ububabare buhoraho bumara amezi cyangwa imyaka.

Ibibazo byo ku rutugu bitavuwe akenshi bitera kugabanuka kw'imikorere y'urutugu no gukakara. Ushobora gusanga bigenda bigorana gukora ibikorwa bya buri munsi nko kugera hejuru, inyuma yawe, cyangwa hirya y'umubiri wawe.

Dore ingaruka zishobora kubaho ugomba kumenya:

• Indwara y'ububabare buhoraho – Ububabare buhoraho bugorana kuvura uko igihe kigenda
• Urugero rw'ukuboko rwahagaze – Urugero rukomeye rushobora kumara imyaka myinshi
• Ubugufi bw'imitsi – Biturutse ku kwirinda gukoresha urugero rubabaza
• Ibibazo byo kwishyura – Ububabare mu ijosi ryawe, umugongo, cyangwa urundi rugero biturutse ku gukoresha cyane
• Ibyo gusinzira bibangamiwe – Ububabare buhoraho bugira ingaruka ku kuruhuka no koroherwa kwawe
• Kwiheba no guhangayika – Biturutse ku guhangana n'ububabare buhoraho n'imbogamizi
• Ubumuga bwo gukora – Kudashobora gukora neza inshingano z'akazi
• Ukwangirika kw'ingingo bigenda byiyongera – Mu gihe cya arthrite itavuwe cyangwa amarira

Izi ngorane zerekana akamaro ko gukemura ububabare bwo mu rugero hakiri kare no gukurikiza ubuvuzi bukwiye. Ingaruka nyinshi zirashobora kwirindwa hamwe n'ubuvuzi bukwiye n'ubwitange.

Ese ububabare bwo mu rugero ni bwiza cyangwa ni bubi ku gukira?

Ububabare bwo mu rugero rwawe bufasha nk'ikimenyetso cyo kwihanangiriza no kuyobora gukira kwawe. Urwego runaka rw'akababaro mugihe cyo gukira ni ibisanzwe kandi byitezwe, ariko ububabare bukomeye butuma utagenda cyangwa bukiyongera uko igihe kigenda ntibigira umumaro.

Ububabare buke kugeza buringaniye mugihe cyo kugenda gahoro no gukora imyitozo ngororamubiri akenshi ni igice cyo gukira. Bikubwira ko umubiri wawe ukora kugirango wikore, kandi bigufasha gusobanukirwa imbogamizi zawe zirimo.

Urufatiro ni ukwiga gutandukanya ububabare "bwiza" n'ububabare "bubisha". Ububabare bwiza akenshi buroroshye, bw'agateganyo, kandi burushaho gukira hamwe n'ikiruhuko gikwiye cyangwa kugenda gahoro. Ububabare bubi burasharira, bukomeye, cyangwa bukiyongera cyane hamwe n'ibikorwa.

Mugihe cyo gukira, ububabare bumwe bufasha mu kwirinda gukora ibikorwa birenze urugero bishobora gutera kongera kwangirika. Ariko, ububabare bwinshi bushobora gutera imitsi guhagarara, urugero rugahagarara, no gutinya kugenda byatumye gukira bigenda gahoro.

Umuvuzi wawe ashobora kugufasha gusobanukirwa urwego rw'ububabare bukwiye mugihe cyo gukira kwawe no kumenya igihe cyo gukomeza nubwo utameze neza, cyangwa igihe cyo kuruhuka no gushaka ubuvuzi bwiyongereye.

Ni iki gishobora kwitiranywa n'ububabare bwo mu rutugu?

Ububabare bwo mu rutugu rimwe na rimwe bushobora kwitiranywa n'izindi ndwara, kandi mu buryo bunyuranye, ibibazo byo mu bindi bice by'umubiri wawe bishobora kwigaragaza nk'ububabare bwo mu rutugu. Iyi ni yo mpamvu kubona icyemezo cy'ukuri ari ingenzi cyane.

Urubavu rwo mu ijosi rishobora kumanuka rugera mu rutugu rwawe, bigatuma wumva ko ari ikibazo cyo mu rutugu kandi mu by'ukuri ni ikibazo cy'umugongo wo mu ijosi. Mu buryo nk'ubwo, ibibazo by'imitsi yo mu mugongo wawe wo hejuru bishobora gutera ububabare wumva mu gice cy'urutugu rwawe.

Dore indwara zisanzwe zivangiranywa n'ububabare bwo mu rutugu:

• Ibibazo byo mu ijosi – Imitsi yafunzwe cyangwa ibibazo by'umugongo wo mu ijosi
• Ibibazo by'umutima – By'umwihariko ku bagore, guturika k'umutima bishobora gutera ububabare bwo mu rutugu
• Ibibazo bya gallbladder – Bishobora gutera ububabare bwoherezwa mu rutugu rw'iburyo
• Ibibazo by'ibihaha – Harimo umusonga cyangwa ibibyimba by'ibihaha
• Kugorana k'umugongo wo hejuru – Imitsi y'imitsi hagati y'ibitugu
• Ibibazo by'urubavu – Harimo imvune cyangwa imitsi yagendanije
• Kugabanuka kw'imitsi – Mu kuboko cyangwa mu gice cy'igituza cyo hejuru
• Fibromyalgia – Ububabare bw'imitsi bwose harimo n'ibitugu

Umuvuzi wawe azatekereza kuri izi ngingo mugihe cyo kugusuzuma, cyane cyane niba ububabare bwawe butitabira ubuvuzi busanzwe bwo mu rutugu cyangwa niba ufite izindi mpamvu zitajyana n'icyemezo cy'urutugu.

Ibikunze kubazwa kubyerekeye ububabare bwo mu rutugu

Q1: Ubusanzwe ububabare bwo mu rutugu bumara igihe kingana iki?

Igihe cy'ububabare bwo mu rutugu giterwa n'icyo kibutera. Gukomereka gato kw'imitsi akenshi bikira mu minsi mike cyangwa icyumweru kimwe hakoreshejwe uburyo bwiza bwo kwita ku mubiri. Ibibazo bikomeye nk'ibibazo by'imitsi izenguruka urutugu bishobora gufata ibyumweru byinshi cyangwa amezi menshi kugira ngo bikire neza.

Indwara nka 'frozen shoulder' ifite igihe cyayo cyihariye, akenshi imara amezi 12-18 ifite ibice bitatu bitandukanye. Abantu benshi babona impinduka buhoro buhoro uko igihe kigenda, cyane cyane hamwe n'imiti ikwiye no kwihangana.

Q2: Nshobora gukora imyitozo ngororamubiri mfite uburibwe mu rutugu?

Akenshi urashobora gukomeza gukora imyitozo ngororamubiri zimwe na zimwe ufite uburibwe mu rutugu, ariko uzakenera guhindura ibikorwa byawe. Jya wibanda ku ngendo zoroshye zitongera uburibwe bwawe, kandi wirinde gukora ibikorwa byo hejuru cyangwa kuzamura ibintu biremereye kugeza urutugu rwawe rukize.

Ibikorwa byoroshye nko kugenda, gukoresha igare rito cyangwa yoga yoroheje bishobora gufasha gukomeza ubuzima bwawe muri rusange mugihe urutugu rwawe rukira. Uhora wumva umubiri wawe kandi uhagarare niba uburibwe bwiyongera cyane.

Q3: Ni byiza gukoresha ubushyuhe cyangwa urubura ku buribwe bwo mu rutugu?

Koresha urubura mu masaha 48 ya mbere nyuma yo gukomereka cyangwa iyo ufite umubiri wabyimbye. Urubura rufasha kugabanya umubiri wabyimbye no gutuma uburibwe butumvikana. Koresha ibikoresho by'urubura iminota 15-20 inshuro nyinshi ku munsi.

Nyuma yuko umubiri wabyimbye utuje, ubushyuhe bushobora kuba bwiza kurushaho. Ubushyuhe bufasha kuruhura imitsi, guteza imbere imikorere y'amaraso, no kugabanya umubavu. Koresha ibikoresho bishyushye cyangwa ibikoresho bishyushya iminota 15-20 icyarimwe.

Q4: Ndeberanye n'urutugu rwanjye rubabara?

Ni byiza kwirinda kuryama kuri urutugu rwawe rubabara. Uku kwishyira mu buriri bishobora gutuma umubiri wabyimbye urushaho no kubuza ibitotsi byawe. Ahubwo, ryama ku mugongo wawe cyangwa ku ruhande rutababaye.

Niba ugomba kuryama ku ruhande rwawe, shyira umusego hagati y'amaboko yawe kugira ngo ushyigikire urutugu rwawe kandi ugabanye umuvuduko ku ngingo. Abantu bamwe basanga bifasha kuryama mu mwanya muremure hakoreshejwe imisego yinyongera.

Q5: Nzamenya ryari niba uburibwe bwo mu rutugu bwanjye bukomeye?

Uburibwe bwo mu rutugu rwawe bushobora kuba bukomeye niba bukaze, buje mu buryo butunguranye, cyangwa buherekejwe n'ibindi bimenyetso biteye inkeke. Ibimenyetso bikwiriye guhita bitangirwa ubuvuzi harimo kutabasha rwose gukora urutugu rwawe, guhinduka kugaragara, ubuzima bwo mu ngingo, cyangwa uburibwe buza hamwe no kutumva neza mu gituza.

Uburibwe butagira icyo buhinduka nyuma y'iminsi mike yo kwivuza mu rugo, burushaho kuba bubi, cyangwa buvangira cyane imirimo yawe ya buri munsi na bwo bukwiye gusuzumwa n'umuganga.