Ni iki cyitwa Electromyography (EMG)? Intego, Uburyo & Ibipimo

Electromyography, cyangwa EMG, ni isuzuma ryo mu buvuzi ripima imikorere y'amashanyarazi mu misitsi yawe. Bitekereze nk'uburyo abaganga bumva ibiganiro by'amashanyarazi bibera hagati y'imitsi yawe n'imitsi yawe. Iri suzuma rifasha abaganga gusobanukirwa neza n'uko imitsi yawe n'imitsi iyigenga bikorana.

Iri suzuma rikoresha ibikoresho bito bishyirwa ku ruhu rwawe cyangwa gushyira inshinge ntoya mu misitsi runaka. Ibi bikoresho bifata ibimenyetso bito by'amashanyarazi imitsi yawe ikora iyo yikoreye kandi ikaruhuka. Ni nko kugira mikoro yoroheje cyane ishobora gufata ibihuha by'imikorere y'imitsi yawe.

Ni iki cyitwa Electromyography (EMG)?

EMG ni isuzuma ryo gupima risuzuma imikorere y'amashanyarazi ikorwa n'imitsi yawe. Imitsi yawe ikora ibimenyetso bito by'amashanyarazi iyo yikoreye, kandi iri suzuma rifata ibyo bimenyetso kugira ngo rifashe abaganga gusuzuma imikorere y'imitsi n'imitsi.

Hariho ubwoko bubiri bw'ingenzi bwo gupima EMG. Surface EMG ikoresha ibikoresho bishyirwa ku ruhu rwawe kugira ngo bipime imikorere y'imitsi kuva ku ruhu. Needle EMG ikubiyemo gushyira inshinge ntoya cyane mu gice cy'imitsi kugira ngo ubone ibipimo birambuye by'imitsi yose.

Iri suzuma ritanga amakuru y'agaciro ku buzima bw'imitsi, imikorere y'imitsi, n'inzira zo guhuza ubwonko bwawe, umugongo, n'imitsi. Aya makuru afasha abaganga gusuzuma indwara zitandukanye zifitanye isano n'imitsi n'imitsi no gutegura imiti ikwiye.

Kuki Electromyography (EMG) ikorwa?

Abaganga basaba gupima EMG iyo ubona ibimenyetso byerekana ibibazo by'imitsi yawe cyangwa imitsi iyigenga. Iri suzuma rifasha kumenya niba ibimenyetso byawe biva mu ndwara z'imitsi, kwangirika kw'imitsi, cyangwa ibibazo byo guhuza imitsi n'imitsi.

Umuvuzi wawe ashobora kugusaba iki kizamini niba urimo kugira intege nke z'imitsi, kuribwa, cyangwa guhinda umushyitsi bitagira impamvu igaragara. Bifasha kandi iyo ufite ubumuga, kuribwa, cyangwa kubabara bishobora kwerekana ibibazo by'imitsi.

Iki kizamini gifite akamaro cyane mu gusuzuma indwara zigira ingaruka ku buryo sisitemu yawe y'imitsi ivugana n'imitsi yawe. Aha hari impamvu zisanzwe abaganga bategeka gukora ibizamini bya EMG:

• Intege nke z'imitsi cyangwa guhagarara kw'imitsi
• Guhinda umushyitsi cyangwa kuribwa kw'imitsi
• Ubumuga cyangwa kuribwa mu maboko cyangwa amaguru
• Urubabare rw'imitsi rutumvikana
• Kugorana mu kugenzura imitsi
• Gukeka ko imitsi yangiritse biturutse ku mvune cyangwa indwara
• Gukurikirana uko indwara zizwi z'imitsi n'imitsi zigenda

Ibizamini bya EMG bishobora gufasha kumenya indwara z'imitsi n'imitsi zisanzwe kandi zitavugwa. Indwara zisanzwe zirimo syndrome ya carpal tunnel, imitsi yafunzwe, n'imitsi yagurumbye. Indwara zitavugwa zirimo muscular dystrophy, myasthenia gravis, cyangwa amyotrophic lateral sclerosis (ALS).

Ni iki gikorerwa muri EMG?

Uburyo bwa EMG busanzwe bufata iminota 30 kugeza kuri 60 kandi bukorerwa mu biro by'abaganga cyangwa mu bitaro. Uzahabwa ibyo kwambara byoroshye byoroshye bigufasha kugera ku mitsi iri gupimwa.

Mugihe cya EMG yo hejuru, umuvuzi wawe azahanagura uruhu hejuru y'imitsi iri gupimwa hanyuma ashyireho ibikoresho bito, bifatanye akoresheje ibishishwa byo kwifatanya. Ibi bikoresho bifatanye n'igikoresho cyandika kigaragaza ibikorwa by'amashanyarazi kuri ecran ya mudasobwa.

Muri EMG y'urushinge, muganga wawe azashyira inshinge zoroheje cyane mu mitsi yihariye. Nubwo bishobora kumvikana ko bitari byiza, inshinge zoroheje cyane kurusha izikoreshwa mu gukuramo amaraso. Urashobora kumva urubabare gato iyo urushinge rushyizwemo, ariko abantu benshi babyihanganira neza.

Mugihe cy'igerageza, uzasabwa kuruhura imitsi yawe rwose, hanyuma uyikoreshe buhoro cyangwa ukoreshe imbaraga nyinshi. Muganga azaguha amabwiriza asobanutse yerekeye igihe ugomba gukoresha no kuruhura buri tsinda ry'imitsi riri gupimwa.

Muri iki gikorwa, uzumva amajwi ava muri mashini ya EMG uko ifata ibikorwa by'amashanyarazi. Aya majwi ni asanzwe kandi afasha muganga wawe gusobanura ibisubizo. Igerageza muri rusange ni ryiza, nubwo ushobora guhura no kuribwa guto ahantu inshinge zashyizweho nyuma.

Uburyo bwo kwitegura EMG yawe?

Kwitegura igerageza rya EMG biroroshye kandi bisaba kwitegura gake cyane. Ikintu cy'ingenzi ni ukwambara imyenda yoroshye, yoroshye ituma imitsi muganga wawe akeneye gupima iboneka byoroshye.

Ugomba kwirinda gukoresha amavuta, amavuta, cyangwa amavuta ku ruhu rwawe ku munsi wo gupimwa. Ibi bicuruzwa bishobora kubangamira ubushobozi bwa elegituro bwo kumenya ibimenyetso by'amashanyarazi neza. Niba usanzwe ukoresha ibi bicuruzwa, ubireke gusa ku munsi wo gupimwa.

Dore intambwe zimwe zo kwitegura zifasha kugirango ubone ibisubizo byiza byo gupimwa:

• Wambare imyenda yoroshye ishobora gukurwaho cyangwa kuzunguruka byoroshye
• Wibagirwe amavuta, amavuta, cyangwa amavuta ku ruhu rwawe
• Komeza gufata imiti yawe isanzwe keretse ubwiwe ibindi
• Fata ifunguro ryawe risanzwe mbere yo gupimwa
• Irinde kafeine niba uyumva, kuko ishobora kugira ingaruka ku bikorwa by'imitsi
• Kura imitako ahantu hari gupimwa
• Zana urutonde rw'imiti yawe ikoreshwa ubu

Menyesha muganga wawe niba ufata imiti ituma amaraso atiyongera, kuko ibi bishobora kugira ingaruka ku gice cy'igerageza rya EMG. Imiti myinshi ntibangamira ibisubizo bya EMG, ariko umuganga wawe azakuyobora ku mabwiriza ayo ari yo yose.

Uburyo bwo gusoma EMG yawe?

Ibyavuye mu isuzuma rya EMG byerekana uko imitsi yawe ikora amashanyarazi, ibyo muganga wawe asobanura kugira ngo asobanukirwe neza uko imitsi yawe n'imitsi y'ubwonko bikora.

Iyo imitsi iruhutse rwose, igomba kugaragaza ibikorwa bito bya amashanyarazi. Mu gihe imitsi ikora, imitsi y'ubuzima bwiza itanga uburyo bwihariye bw'ibimenyetso bya amashanyarazi byiyongera bitewe n'imbaraga z'imitsi.

Ibyavuye mu isuzuma rya EMG bidahwitse birashobora kugaragaza ibibazo bitandukanye byerekeye imikorere y'imitsi cyangwa imitsi y'ubwonko. Muganga wawe azasobanura icyo uburyo bwihariye busobanura ku buzima bwawe n'ubuzima muri rusange.

Dore ibyo ibintu bitandukanye bya EMG bisanzwe byerekana:

• Ibikorwa bisanzwe byo kuruhuka: Imikorere y'imitsi n'imitsi y'ubwonko nziza
• Ibikorwa bidasanzwe byo kuruhuka: Irashobora kuba irakaza imitsi cyangwa yangiza imitsi y'ubwonko
• Imbaraga nke z'ikimenyetso: Gushobora kuba intege nke z'imitsi cyangwa ibibazo by'imitsi y'ubwonko
• Uburyo butajegajega: Gushobora kuba indwara z'imitsi n'imitsi y'ubwonko
• Igisubizo cyatinze: Gushobora kuba ibibazo byo gukwirakwiza imitsi y'ubwonko
• Kutagira ibikorwa: Kwangirika gukomeye kw'imitsi cyangwa imitsi y'ubwonko

Umuzamu w'ubuzima bwawe azaganira nawe ku byavuye muri byo byihariye kandi asobanure uko bifitanye isano n'ibimenyetso byawe. Ibyavuye mu isuzuma rya EMG ni igice kimwe gusa cy'urugero rwo gupima kandi buri gihe bisobanurwa hamwe n'amateka yawe y'ubuvuzi, isuzuma ry'umubiri, n'ibindi byavuye mu bipimo.

Ni gute wakosora urwego rwawe rwa EMG?

Ibyavuye mu isuzuma rya EMG ntibifite "urwego" rugomba gukosorwa nk'uko bipimo by'amaraso bikora. Ahubwo, EMG yerekana uburyo bw'ibikorwa bya amashanyarazi bigaragaza uko imitsi yawe n'imitsi y'ubwonko bikorana neza.

Ubuvuzi bushingiye rwose ku cyo indwara yihishe EMG yerekana. Niba ikizamini cyerekana imitsi y'ubwonko ikandamiza, nk'indwara ya carpal tunnel, ubuvuzi bushobora kuba burimo ibikoresho byo mu kuboko, imiti ivura umubiri, cyangwa rimwe na rimwe kubaga.

Ku bibazo bifitanye isano n'imitsi byagaragajwe na EMG, muganga wawe ashobora kugusaba uburyo butandukanye. Imyitozo ngororamubiri ishobora gufasha gukomeza imitsi idakomeye no kunoza imikorere. Imiti ishobora kwandikwa kugira ngo igabanye umubyimbirwe cyangwa icunge ububabare.

Uburyo bwo kuvura busanzwe bushingiye ku byavuye muri EMG burimo:

\n
• Imyitozo ngororamubiri yo gukomeza imitsi no kunoza imigendekere
\n
• Imiti igabanya umubyimbirwe cyangwa icunga ibimenyetso
\n
• Guhindura imibereho yo kwirinda ibikorwa byongera ibimenyetso
\n
• Uburyo bwo kubaga kubera guhura gukabije kw'imitsi
\n
• Ibikoresho bifasha gufasha mu bikorwa bya buri munsi
\n
• Ubuvuzi bw'akazi bwo guhuza akazi n'ibidukikije byo mu rugo
\n

Icy'ingenzi ni ugukorana n'ikipe yawe y'ubuzima kugira ngo utegure gahunda yo kuvura ijyanye n'uburwayi bwawe bwihariye n'ibyo ukeneye. Uburwayi bumwe burushaho gukira uko igihe kigenda, naho ubundi bisaba gukomeza gucunga kugira ngo umuntu agumane imikorere n'ubuzima bwiza.

Ni iki cyiza mu byavuye muri EMG?

Ibyavuye muri EMG byiza ni ibigaragaza imikorere isanzwe y'amashanyarazi mu mitsi yawe n'imitsi. Ibi bivuze ko imitsi yawe ituje iyo iruhutse kandi ikora ibimenyetso by'amashanyarazi bikwiye iyo uyikoresha.

Ibyavuye muri EMG bisanzwe bigaragaza ko imitsi yawe yakira ibimenyetso by'imitsi neza kandi igasubiza neza. Imiterere y'amashanyarazi igomba kuba ihamye kandi ikomeye, igaragaza imibanire myiza hagati y'imitsi yawe n'imitsi.

Ariko, icyitwa

Umuganga wawe azasobanura ibisubizo byawe bya EMG mu rwego rw'ibimenyetso byawe, amateka yawe y'ubuvuzi, n'izindi igeragezwa. Rimwe na rimwe, ibisubizo bitandukanye gato mu muntu udafite ibimenyetso ntibishobora guhangayikisha, mugihe impinduka ntoya mu muntu ufite indwara izwi zishobora kuba zikomeye.

Ni ibihe bintu byongera ibyago byo kugira EMG idasanzwe?

Ibintu byinshi bishobora kongera amahirwe yawe yo kugira ibisubizo bitandukanye bya EMG. Imyaka ni ikintu gikomeye, kuko imikorere y'imitsi n'imitsi igabanuka karemano uko igihe kigenda, bituma abantu bakuze bashobora kurwara ibintu bitandukanye.

Indwara zimwe na zimwe zongera cyane ibyago byo kugira ibisubizo bitandukanye bya EMG. Diyabete irashobora kwangiza imitsi uko igihe kigenda, bigatuma habaho imikorere idasanzwe y'amashanyarazi. Indwara ziterwa n'ubwirinzi bw'umubiri zishobora kugira ingaruka ku mitsi n'imitsi.

Ibintu by'imibereho nabyo bigira uruhare mu buzima bw'imitsi n'imitsi. Hano hari ibintu by'ingenzi byongera ibyago bishobora gutuma habaho ibisubizo bitandukanye bya EMG:

• Imyaka yakuze (kwangirika karemano kw'imitsi n'imitsi)
• Diyabete (ishobora gutera kwangirika kw'imitsi uko igihe kigenda)
• Indwara ziterwa n'ubwirinzi bw'umubiri (zishobora kwibasira imitsi n'imitsi)
• Ubukomere butuma umuntu arushya (buturuka ku mirimo cyangwa imikino)
• Ubukomere bwa mbere cyangwa kubagwa bikora ku mitsi cyangwa imitsi
• Gukoresha inzoga nyinshi (bishobora kwangiza imitsi)
• Kubura vitamine (cyane cyane vitamine B)
• Kumenyekana kw'uburozi cyangwa imiti imwe n'imwe

Indwara zimwe na zimwe zidakunze kubaho ziterwa n'imiterere ya kamere zirashobora gutera ibisubizo bitandukanye bya EMG kuva bavuka cyangwa hakiri kare mu buzima. Ibi birimo uburyo butandukanye bwa muscular dystrophy n'indwara z'imitsi zirindwa.

Kumenya ibi bintu byongera ibyago birashobora kugufasha na muganga wawe gusobanura ibisubizo bya EMG neza. Ariko, kugira ibintu byongera ibyago ntibishingiye ku bisubizo bitandukanye, kandi abantu bamwe bafite ibisubizo bitandukanye bya EMG ntibafite ibintu byongera ibyago bigaragara.

Ese birakwiriye kugira imikorere ya EMG yo hejuru cyangwa yo hasi?

Ibikorwa bya EMG ntibyoroshye kuba "hejuru" cyangwa "hasi" nk'izindi igerageza ryo kwa muganga. Ahubwo, intego ni ukugira ibikorwa by'amashanyarazi bikwiye bihuza n'ibyo imitsi yawe ikwiye gukora umwanya uwo ariwo wose.

Iyo imitsi yawe iruhutse rwose, ibikorwa by'amashanyarazi make cyangwa bidahari ni ibisanzwe kandi bifite ubuzima bwiza. Ibi byerekana ko imitsi yawe ishobora guhagarara neza iyo itakenewe, ibyo bikaba ari ngombwa kimwe no gushobora kwikurura igihe bibaye ngombwa.

Mugihe cyo kwikurura kw'imitsi, urashaka kubona ibikorwa by'amashanyarazi bikomeye, bihuje, byiyongera neza n'imbaraga zo kwikurura. Ibikorwa bike bishobora kwerekana intege nke z'imitsi cyangwa ibibazo by'imitsi, mugihe ibikorwa byinshi cyangwa bidahwitse bishobora kwerekana uburakari bw'imitsi cyangwa kwangirika kw'imitsi.

Uburyo n'igihe cy'ibikorwa bya EMG bifite agaciro kuruta gusa umubare. Imitsi ifite ubuzima bwiza yerekana uburyo bworoshye, buhuje igihe ikurura kandi ituza rwose igihe iruhutse. Icyo aricyo cyose cyo gutandukira kuri ubu buryo busanzwe gitanga ibimenyetso byerekeye ibibazo bishoboka.

Ni izihe ngaruka zishoboka za EMG idasanzwe?

Ibyavuye muri EMG idasanzwe ubwayo ntibitera ingaruka, ariko birashobora kwerekana ibibazo byihishe bishobora gutera ibibazo bitandukanye niba bitavuwe. Ingaruka zihariye ziterwa n'icyo ikibazo EMG idasanzwe yerekana.

Intege nke z'imitsi zagaragajwe na EMG zirashobora gukomeza uko imyaka yicuma niba bitavuzwe neza. Ibi bishobora gutera ingorane mu bikorwa bya buri munsi, kongera ibyago byo kugwa, cyangwa kugabanya ubuziranenge bw'ubuzima.

Iyo EMG yerekana kwangirika kw'imitsi, ingaruka nyinshi zirashobora gutezwa imbere nta kuvurwa bikwiye. Izi ziva ku bibazo bito kugeza ku bumuga bukomeye, bitewe n'uburemere n'ahantu hari ibibazo by'imitsi.

Ingaruka zishoboka z'ibibazo byagaragajwe na EMG idasanzwe zirimo:

• Ubugoyagoye bw'imitsi bugenda bukabije bugira ingaruka ku bikorwa bya buri munsi
• Urubabare rurambye rubuza gusinzira no gukora neza
• Gutakaza ubushobozi bwo kugenzura imitsi mito bigira ingaruka ku kazi cyangwa ibikorwa by'imyidagaduro
• Kugira ibyago byinshi byo kugwa bitewe n'ubugoyagoye bw'imitsi
• Kugorana guhumeka niba imitsi ifasha mu guhumeka yagizeho ingaruka
• Ibibazo byo kumira mu gihe gikomeye
• Ukwangirika kw'imitsi ku buryo budahinduka niba indwara zitavuwe vuba

Inkuru nziza ni uko indwara nyinshi zimenyekana na EMG idasanzwe zishobora kuvurwa neza cyangwa zigacungwa. Kumenya indwara hakiri kare binyuze mu igeragezwa rya EMG bituma havurwa vuba, akenshi bikakumira cyangwa bikagabanya ibi bibazo bishoboka.

Ni ryari nkwiriye kubona umuganga kugira ngo nkorerwe EMG?

Ukwiye kubona umuganga ku bijyanye no gukorerwa igeragezwa rya EMG niba urimo guhura n'ubugoyagoye bw'imitsi burambye, urubabare rw'imitsi rutumvikana, cyangwa ibyiyumvo bidasanzwe nk'ubugumba cyangwa kuribwa. Ibi bimenyetso bishobora kwerekana ibibazo byashobora gufasha kumenya indwara ya EMG.

Niba ufite imitsi ikubita, kwikubita, cyangwa kwikubita kw'imitsi kudashira n'ikiruhuko n'uburyo bwo kwita bwa mbere, birakwiye kubiganiraho n'umuganga wawe. EMG ishobora gufasha kumenya niba ibi bimenyetso bifitanye isano n'ibibazo by'imitsi cyangwa imitsi.

Ntugategereze gushaka ubufasha bw'ubuvuzi niba uhuye n'ibimenyetso by'ubundi cyangwa bikomeye. Nubwo ibibazo byinshi by'imitsi n'imitsi bigenda bikura buhoro buhoro, ibibazo bimwe na bimwe bisaba isuzuma n'imiti byihuse.

Dore ibihe byihariye ukwiye kuganira n'umuganga ku bijyanye no gukorerwa igeragezwa rya EMG rishoboka:

• Ubugoyagoye bw'imitsi burambye bugira ingaruka ku bikorwa bya buri munsi
• Urubabare rw'imitsi rutumvikana rumara ibyumweru birenga bike
• Ubugumba cyangwa kuribwa kudakira uko igihe kigenda
• Imitsi ikubita cyangwa kwikubita kw'imitsi bikomeza cyangwa bigakwira
• Kugorana kugenzura imitsi
• Ukwangirika kw'imitsi gukekwa biturutse ku mvune cyangwa indwara
• Amateka y'umuryango y'indwara z'imitsi n'imitsi bifite ibimenyetso bishya

Muganga wawe w'ibanze ashobora gusuzuma ibimenyetso byawe akamenya niba ikizamini cya EMG gikwiriye kuri wowe. Ashobora kuguha icyemezo cyo kujya kwa muganga w'inzobere mu by'imitsi cyangwa undi muganga w'inzobere ushobora gukora iki kizamini no gusobanura ibisubizo.

Ibibazo bikunze kubazwa kuri EMG

Q.1 Ese ikizamini cya EMG ni cyiza mu gusuzuma indwara ya carpal tunnel syndrome?

Yego, ikizamini cya EMG ni cyiza cyane mu gusuzuma indwara ya carpal tunnel syndrome. Iki kizamini gishobora kugaragaza gutinda kw'imikorere y'imitsi ndetse n'impinduka z'imitsi zibaho iyo umutsi wa median ukandamizwa mu gukabya.

EMG akenshi ikubiyemo inyigo y'imikorere y'imitsi ipima uburyo ibimenyetso by'amashanyarazi bigenda vuba mu mitsi yawe. Muri carpal tunnel syndrome, ibi bimenyetso biragenda bigenda gahoro iyo banyuze mu gace gakandamijwe mu gukabya kwawe. Ikizamini gishobora kandi kugaragaza niba ukandamiza byagize ingaruka ku mitsi yo mu ntoki zawe.

Q.2 Ese imikorere mike ya EMG itera intege nke z'imitsi?

Imikorere mike ya EMG ntiteranya intege nke z'imitsi, ariko ishobora kugaragaza ibibazo by'ibanze bitera intege nke. Iyo EMG yerekana imikorere mike y'amashanyarazi mugihe imitsi ikora, akenshi bivuze ko imitsi itabona ibimenyetso by'imitsi bikwiye cyangwa imitsi ubwayo yangiritse.

Intege nke ziva ku kibazo cy'ibanze, ntabwo ziva ku bisubizo bike bya EMG. EMG yerekana gusa icyo kiri kuba mu buryo bw'amashanyarazi mu mitsi, ifasha abaganga gusobanukirwa impamvu urimo kugira intege nke.

Q.3 Isubizo rya EMG rifata igihe kingana iki?

Isubizo rya EMG akenshi riboneka mu minsi mike kugeza ku cyumweru nyuma y'ikizamini cyawe. Muganga wawe akenshi azasuzuma ibisubizo akavugana nawe kugirango baganire ku byavuye muri icyo kizamini ndetse n'intambwe zikurikira.

Ibitekerezo bya mbere bishobora kuboneka ako kanya nyuma y'ikizamini, ariko isesengura ryuzuye no gusobanura bifata igihe. Umuganga wawe azasobanura icyo ibisubizo bisobanuye kuri wowe byihariye kandi aganire ku buryo bwo kuvura niba bikenewe.

Q.4 Ese EMG ishobora kugaragaza ibimenyetso bya mbere bya ALS?

EMG ishobora kumenya ibimenyetso bya mbere bya ALS (amyotrophic lateral sclerosis), ariko si yo gusa ikoreshwa mu gusuzuma. ALS itera imiterere yihariye y'imikorere y'amashanyarazi y'imitsi n'imitsi y'imitsi ishobora kumenyekana na EMG, ndetse no mu ntangiriro.

Ariko, gusuzuma ALS bisaba ibizamini byinshi no gusuzuma neza uko bigenda mu gihe. EMG ni igice cyingenzi cyo gusuzuma, ariko abaganga kandi bazirikana ibimenyetso byo kwa muganga, ibindi bizamini, n'uko iyi ndwara ikura mbere yo gukora iri suzuma.

Q.5 Ese EMG irababaza?

EMG yo ku gasozi ntibabaza na gato. Ibyuma bya elegitoro biba ku ruhu rwawe gusa kandi ntuzumva bimenya ibimenyetso by'amashanyarazi. Inshinge za EMG zirimo kutumva neza igihe inshinge zoroheje zinjizwa, ariko abantu benshi babona ko byihanganirwa.

Kwinjiza urushinge kumva nk'umutsimbura muto, bisa n'inshinge za acupuncture. Iyo inshinge zimaze gushyirwa, ntugomba kumva ububabare bukomeye. Abantu bamwe bahura no kubabara guto ahantu hateranirijwe umunsi umwe cyangwa ibiri nyuma y'ikizamini.