Ni iki cyitwa Kwimura Umutima? Impamvu, Uburyo Bikorwamo & Gukira

Kwimura umutima ni uburyo bwo kubaga aho umutima urwaye cyangwa wangiritse usimburwa n'umutima muzima uturutse ku muntu watanze umutima. Ubu buvuzi burokorera ubuzima buba uburyo bwo gufata icyemezo igihe umutima wawe utagishobora gutera amaraso neza, kandi izindi nshuti z'ubuvuzi zitarafasha kunoza uko umeze.

Bitekereze nk'uko uha umubiri wawe intangiriro nshya hamwe n'umutima ushobora gukora akazi k'ingenzi umutima wawe w'umwimerere utagishobora gukora. Nubwo bisa nk'aho biremereye, kwimura imitima byafashije ibihumbi by'abantu gusubira mu buzima bufite icyo buvuze, bukora.

Ni iki cyitwa kwimura umutima?

Kubaga umutima bikubiyemo gukuraho umutima wawe wangiritse ukawusimbuza umutima muzima watanzwe. Umutima mushya uva ku muntu wapfuye kandi wari warabyemeye gutanga ingingo ze, aguha impano yo gukomeza kubaho.

Mugihe cyo kubaga, abaganga bakuraho umutima wawe witonze ku mitsi minini y'amaraso hanyuma bagahuza umutima watanzwe mu mwanya wawo. Umutima mushya ufata akazi ko gutera amaraso mu mubiri wawe. Ubu bwoko bwo kubaga bugenda bufata amasaha 4 kugeza kuri 6 kandi bisaba itsinda ry'abaganga bafite ubuhanga buhanitse.

Itsinda ryawe ry'abaganga rizagusaba gusa ubu buryo igihe umutima wawe wananiwe cyane kandi izindi nshuti nka imiti, ibikoresho, cyangwa kubaga kutagira ingaruka bizaba bitazafasha. Bifatwa nk'uburyo bwa nyuma bwo kuvura, ariko birashobora kunoza cyane uburebure n'ubuziranenge bw'ubuzima bwawe.

Kuki kwimura umutima bikorwa?

Kwimura umutima biba ngombwa igihe umutima wawe wangiritse cyane ku buryo utagishobora gutera amaraso neza, kandi uhanganye n'umutima wananiwe utera ubuzima bw'akaga. Muganga wawe azatekereza kuri ubu buryo igihe imiti, impinduka z'imibereho, n'izindi nshuti zitanoje uko umeze.

Indwara zikomeye z'umutima zishobora gutuma umuntu akeneye kwimurirwa umutima. Izi ndwara zituma imitsi y'umutima wawe inanuka cyangwa igakomera cyane ku buryo itashobora guha umubiri wawe amaraso arimo umwuka wa oxygen ukeneye kugira ngo ubeho.

Impamvu zisanzwe zitera kwimurirwa umutima zirimo:

• Cardiomyopathy (umutima wagutse, ufite imitsi ikomeye cyangwa yuzuye)
• Indwara y'imitsi y'umutima ifite ibibazo bikomeye ku mutima
• Indwara y'imitsi y'umutima idashobora gusanwa
• Ubumuga bw'umutima bwo kuva mu ivuka
• Umutima wimuriwe mbere utagikora neza
• Uburwayi bw'umutima butavurwa neza
• Ibimeme by'umutima bidashobora gukurwaho mu kubaga

Mu buryo butajegajega, indwara nka virusi ikomeye yibasira imitsi y'umutima cyangwa ingaruka ziterwa na chimiothérapie zishobora gutuma umuntu atekereza kwimurirwa umutima. Itsinda ryawe ryo kwimurirwa umutima rizagenzura neza niba ufite ubuzima bwiza buhagije bwo kubagwa kandi bikaba bishoboka ko uzungukirwa n'umutima mushya.

Ni iki gikorerwa kwimurirwa umutima?

Kubaga umutima wo kwimurirwa ni uburyo bukorerwa neza butangira umwanya umutima w'uwatanze uhuye n'uwo ukeneye uboneka. Uzasabwa guhita uza ku bitaro ako kanya, kuko imitima y'abatanze igomba kwimurwa mu masaha 4 kugeza kuri 6 nyuma yo gukurwaho.

Umaze kugera ku bitaro, itsinda ryawe ry'abaganga rikorera vuba ariko neza mu ntambwe zose. Kubaga ubwabyo bikubiyemo gusimbuza umutima wawe umutima w'uwatanze kandi ukemeza ko imikoranire yose ikora neza.

Ibi nibyo bibaho mugihe cyo kubaga:

1. Uhabwa imiti igutera kutumva ibiri kuba no kutagira ububabare
2. Abaganga bacamo urukonda hagati mu gituza cyawe hanyuma bagafungura igufwa ry'igituza cyawe
3. Uhuza n'imashini ifasha umutima n'ibihaha ikora akazi k'umutima wawe
4. Umutima wawe urwaye uvanywamo witonze, hasigara inkuta z'inyuma z'ibyumba byo hejuru by'umutima wawe
5. Umutima watanzwe urahozwa mu mwanya wawo hanyuma ugahuzwa n'imitsi yawe y'amaraso
6. Umutima mushya uratangizwa, rimwe na rimwe hakoreshwa umuriro
7. Iyo umutima uteye neza, urahuzwa n'imashini ifasha umutima n'ibihaha
8. Igituza cyawe gifungwa n'insinga hanyuma uruhu rwawe rugaterwa imitsi

Kubagwa byose hamwe bikunze gufata amasaha 4 kugeza kuri 6, nubwo bishobora gufata igihe kirekire niba hari ibibazo bibaye. Itsinda ry'abaganga bakubaga rigizwe n'abaganga babaga imitima, abaganga b'indwara zo mu mutwe, abaganga bakoresha imashini ifasha umutima n'ibihaha, n'abaforomo b'inzobere.

Ni gute witegura kubagwa umutima?

Kwitegura kubagwa umutima bikubiyemo ibizamini byinshi by'ubuvuzi no guhindura imibereho kugira ngo wemeze ko witeguye kubagwa no gukira. Itsinda ryawe ry'abaganga bazagufasha mu ntambwe zose z'iyi gahunda yo kwitegura.

Uburyo bwo gusuzuma bufasha kumenya niba ufite ubuzima bwiza buhagije bwo kubagwa kandi bikaba bishoboka ko uzagira ibisubizo byiza mu gihe kirekire. Ubu buryo bushobora gufata ibyumweru byinshi cyangwa amezi, aho uzakorwa ibizamini byinshi kandi ukaganira n'abaganga.

Kwitegura kwawe bizakubiyemo:

• Ibizamini by'amaraso byo kureba imikorere y'ingingo no kwirinda indwara zandura
• Ibizamini by'umutima nk'ibizamini bya echocardiogram na catheterization ya cardiac
• Ibizamini by'imikorere y'ibihaha n'imirasire ya X y'igituza
• Isesengura ry'imikorere y'impyiko n'umwijima
• Ibizamini byo gupima kanseri bikwiye imyaka yawe
• Isesengura ryo mu mutwe ryo gusuzuma ubushake bwawe
• Inama z'akazi ka societe ku bijyanye n'inzego z'ubufasha
• Inama z'imari ku bijyanye n'ubwishingizi n'ibiciro

Mbere yo kubagwa, uzakenera kuguma ufite ubuzima bwiza bushoboka kandi ugahora uvugana n’ikipe yawe y’abantu bazagufasha mu guhindurirwa umutima. Uzahabwa inyigisho zikwereka ibyo witegura kandi wige ku miti uzakenera nyuma yo guhindurirwa umutima.

Ugomba kandi gutegura ubufasha bw’umuryango mu gihe cyo gukira kwawe, kuko uzakenera ubufasha mu bikorwa bya buri munsi mu byumweru byinshi nyuma yo kubagwa. Kugira uburyo bufasha bukomeye bituma amahirwe yawe yo gukira neza yiyongera cyane.

Ni gute usoma ibisubizo byo guhindurirwa umutima?

Nyuma yo guhindurirwa umutima, ikipe yawe y’abaganga ikurikirana uko ukira hakoreshejwe ibizamini bitandukanye n’ibipimo byerekana uko umutima wawe mushya ukora neza. Kumva ibi bisubizo bifasha kuguma ufite amakuru ku iterambere ryawe n’ubuzima bwawe.

Abaganga bawe bazakurikiza ibipimo byinshi byingenzi kugira ngo barebe ko umutima wawe mushya ukora neza kandi umubiri wawe utawanga. Ibi bipimo bifasha kuyobora uburyo uvurwa n’uko imiti ihindurwa.

Ibyo bipimo byingenzi birimo:

• Ejection fraction - yerekana amaraso umutima wawe utera mu gihe cyo gutera kwose (ibisanzwe ni 50-70%)
• Ibisubizo bya biopsy y’umutima - kugenzura ibimenyetso byo kwangwa ku rwego rw’uturemangingo
• Ibyo umuvuduko w’amaraso ugaragaza - bigomba kugenzurwa neza, akenshi munsi ya 140/90
• Umuvuduko w’umutima n’imiterere yawo - bikurikiranwa hakoreshejwe EKGs rimwe na rimwe n’ibikoresho bikomeza gukurikirana
• Urugero rw’imiti igabanya ubudahangarwa - kugenzura ko imiti iri ku rwego rwo kuvura
• Ibizamini by’imikorere y’impyiko - gukurikirana ingaruka ziterwa n’imiti
• Ibyerekana indwara zandura - kureba ibimenyetso byerekana ko ubudahangarwa bwawe bwahagaritswe cyane

Ikipe yawe y’abantu bazagufasha mu guhindurirwa umutima izasobanura icyo buri gisubizo gisobanuye ku miterere yawe. Muri rusange, imibare ihamye cyangwa irimo iterambere yerekana ko umutima wawe mushya ukora neza kandi umubiri wawe urawemera.

Niba hari ibisubizo bigaragaza impinduka ziteye impungenge, itsinda ryawe ry’abaganga rizagena imiti yawe cyangwa rigusabe ibindi bizami. Gukurikiranira hafi buri gihe bituma hakorwa isuzuma hakiri kare n’imiti y’ibibazo byose.

Ni gute wakwita ku mutima wawe watewe?

Kwita ku mutima wawe watewe bisaba ubwitange bw’ubuzima bwose ku miti, kwitabwaho n’abaganga buri gihe, no guhitamo imibereho myiza. Gukurikiza neza ibyo itsinda ryawe ryateye umutima rigusaba bikuganisha ku mahirwe meza yo kugira icyo ugeraho mu gihe kirekire.

Gufata imiti igabanya ubudahangarwa nk'uko byategetswe ni ngombwa cyane mu gukumira kwangwa. Iyi miti irinda umubiri wawe kwibasira umutima wawe mushya, ariko bisaba kubanza kubipima neza kugira ngo wirinde ingaruka ziterwa nayo.

Ubuvuzi bw'ingenzi burimo:

• Gufata imiti yose ku gihe, ntuzigere ukererwa doze
• Kwitabira gahunda zose zo gukurikiranwa n'abaganga n'ibizamini
• Gukora biopsies z'umutima buri gihe kugira ngo harebe niba hari kwangwa
• Gukurikiranira hafi ibimenyetso by'indwara ziterwa no kugabanuka kw'ubudahangarwa
• Gukurikiza imirire y'umutima ifite umunyu muke na lisipasi ituzuye
• Gukora imyitozo ngororamubiri buri gihe nk'uko byemejwe n'itsinda ryawe ryateye umutima
• Kwimuka mu kwegera indwara no gufata inkingo ziteganijwe
• Gucunga izindi ndwara z'ubuzima nka diyabete cyangwa umuvuduko w'amaraso uri hejuru

Uzakeneye kugenzurwa kenshi mu mwaka wa mbere nyuma yo guterwa umutima, hanyuma buhoro buhoro bikagenda bigabanuka niba byose bigenda neza. Ariko, buri gihe uzakeneye gukurikiranwa buri gihe mu buzima bwawe bwose.

Kwirinda indwara birahinduka cyane cyane ngombwa kuko ubudahangarwa bwawe bugabanutse. Ibi bisobanura kwitonda cyane ku mutekano w'ibiryo, kwirinda amateraniro mu gihe cy'ibicurane, no kuvura vuba ibimenyetso byose by'uburwayi.

Ni iki cyiza cyavamo mu guterwa umutima?

Ibyavuye mu guhindurirwa umutima neza ni ukubaho ubuzima burebure kandi bwiza, umutima wawe mushya ukora neza kandi nta ngorane nyinshi. Abantu benshi bahabwa umutima mushya bashobora gusubira mu kazi, urugendo, no kwishimira ibikorwa batashoboraga gukora mbere yo kubagwa.

Ibyavuye mu guhindurirwa umutima neza bisobanura ko umutima wawe mushya utera neza, ufite imbaraga zihagije, kandi ushobora kwitabira ibikorwa bisanzwe nta mbogamizi zikomeye. Abantu benshi bahabwa umutima mushya bavuga ko bumva bameze neza kurusha uko bari bameze mu myaka yashize.

Ibimenyetso by'ibyavuye mu guhindurirwa umutima neza birimo:

• Imikorere isanzwe y'umutima mu bizami nk'ibya echocardiograms
• Urugero ruzima rw'imiti igabanya ubudahangarwa
• Nta gihe cyo kwangwa kw'umutima
• Kwishimira imyitozo myiza n'imbaraga zihagije
• Kutagira indwara zikomeye cyangwa ingorane
• Umuvuduko w'amaraso ugenda neza n'izindi ngamba z'ubuzima
• Ubushobozi bwo gusubira mu kazi no mu bikorwa bisanzwe

Imibare y'ubu igaragaza ko hafi 85-90% by'abantu bahabwa umutima mushya babaho mu mwaka wa mbere, kandi hafi 70% bakiriho nyuma y'imyaka itanu bahinduriwe umutima. Abantu benshi babaho imyaka 10, 15, cyangwa 20 bafite imitima yabo yimuriwe.

Urufunguzo rwo kugera ku byavuye mu guhindurirwa umutima neza ni ukurikiza neza inama z'ikipe yawe y'abaganga no kugirana ibiganiro byisanzuye ku bijyanye n'impungenge zose cyangwa impinduka uko wumva umeze.

Ni ibihe bintu byongera ibyago byo kugira ingorane nyuma yo guhindurirwa umutima?

Ibintu byinshi bishobora kongera ibyago byo kugira ingorane nyuma yo guhindurirwa umutima, nubwo ikipe yawe y'abaganga ikora cyane kugira ngo igabanye ibyo byago. Kumva ibyo bintu bifasha wowe n'abaganga bawe gufata ibyemezo byiza ku bijyanye n'ubuvuzi bwawe.

Ibintu bimwe byongera ibyago ntushobora guhindura, mu gihe ibindi ushobora kubigiraho ingaruka binyuze mu guhitamo imibereho n'imicungire y'ubuvuzi. Ikipe yawe y'abantu bahindura imitima isuzuma ibyo bintu byose mbere yo kugusaba kubagwa.

Ibintu byongera ibyago byo kugira ingorane birimo:

• Imyaka irenze 65
• Indwara ya diyabete, cyane cyane niba itagenzurwa neza
• Indwara y'impyiko cyangwa umwijima
• Kubagwa mbere byateye inkovu
• Umubyibuho ukabije cyangwa imirire mibi ikomeye
• Udukoko dukora mu gihe cyo kwimurwa
• Umuvuduko ukabije w'amaraso mu muhogo (umuvuduko ukabije w'amaraso mu miyoboro y'ibihaha)
• Amateka y'umutima wa kanseri
• Ukunywa itabi cyangwa gukoresha ibiyobyabwenge
• Ubufasha buke mu muryango

Byongeye kandi, ibintu bimwe na bimwe byihariye ku mutima wawe bishobora kongera ibyago. Urugero, niba warabazwe umutima inshuro nyinshi mbere, uburyo bwo kwimurwa burushaho kugora mu buryo bw'ikoranabuhanga.

Itsinda ryawe ryo kwimurwa ritondekanya neza ibi bintu by'ibyago n'inyungu zo kwimurwa. N'ubwo waba ufite ibintu bimwe na bimwe by'ibyago, kwimurwa birashobora kuba uburyo bwiza niba umutima wawe unanirwa bikomeye.

Ese ni byiza kwimurwa umutima mbere cyangwa nyuma?

Igihe cyo kwimurwa umutima giterwa no kuringaniza ibyago by'uburwayi bwawe bw'umutima bw'ubu n'ibyago byo kubagwa no guhagarika ubudahangarwa ubuzima bwose. Muri rusange, kwimurwa birasabwa iyo umutima wawe unanirwa bikomeye ku buryo inyungu zirusha neza ibyago.

Kugira kwimurwa hakiri kare bivuze gufata ibyago byo kubagwa n'ingaruka z'imiti ubuzima bwose mu gihe umutima wawe ushobora gukora neza amezi cyangwa imyaka. Ariko, gutegereza igihe kirekire bishobora kuvuga kurwara cyane ku buryo utabazwa cyangwa guhura n'ibibazo biteye ubuzima bw'akaga.

Itsinda ryawe ryo kwimurwa rizirikana ibintu byinshi iyo rigena igihe cyo kubagwa. Basuzuma uburyo umutima wawe ugenda ugabanuka, uburyo ukira neza ku zindi nshuti, n'ubuzima bwawe muri rusange.

Ibintu byoroshya ko gushyirwaho urugingo byakorwa hakiri kare birimo imikorere y'umutima igenda iba mibi cyane, kujya mu bitaro kenshi, kutabasha gukora imirimo ya buri munsi, no kutitabira imiti neza. Ibintu byoroshya ko gushyirwaho urugingo byakorwa nyuma birimo ibimenyetso bihamye, kwitabira neza imiti iriho, no kuba hari izindi ngorane z'ubuzima zongera ibyago byo kubagwa.

Intego ni ugukora gushyirwaho urugingo igihe urwaye bihagije ku buryo byagufasha cyane ariko ukaba ukiri muzima bihagije ku buryo byatanga umusaruro mwiza mu kubagwa no kubaho igihe kirekire. Iki gihe gisaba isuzuma rihoraho ryitonze n'ikipe yawe y'abaganga.

Ni izihe ngaruka zishobora guterwa no gushyirwaho urugingo rw'umutima?

Gushyirwaho urugingo rw'umutima bishobora gutera ingorane zihutirwa zo kubagwa n'ibibazo by'igihe kirekire bijyanye no kugira urugingo rwashyizweho. Nubwo izi ngaruka zisa nk'iziteye impungenge, nyinshi zirindwa cyangwa zigakira neza iyo zamenyekanye hakiri kare.

Ikipe yawe y'abaganga iragukurikiranira hafi kugira ngo imenye kandi ikemure ibibazo byose vuba. Kumva ingaruka zishoboka bifasha kumenya ibimenyetso by'imburira no gushaka ubufasha bw'ubuvuzi bwihuse igihe bibaye ngombwa.

Ingaruka zihutirwa nyuma yo kubagwa zirimo:

• Kuva amaraso bisaba kubagwa kongera
• Amabara y'amaraso mu maguru cyangwa mu muhaha
• Umutsiro cyangwa umutima guhagarara
• Ibibazo by'impyiko cyangwa umwijima biturutse ku miti
• Kugorana guhumeka
• Ibibazo byo gukira kw'ibikomere cyangwa indwara zandura
• Umutima utagenda neza

Ingaruka z'igihe kirekire zishobora kuza nyuma y'amezi cyangwa imyaka nyuma yo gushyirwaho urugingo. Izi akenshi zijyanye n'imiti igabanya ubudahangarwa ukeneye kugira ngo wirinde kwangwa, bishobora kugira ingaruka ku bindi bice by'umubiri wawe.

Ingaruka zishoboka z'igihe kirekire zirimo:

• Kwanga burundu bituma umutima ugenda ugabanuka imikorere
• Kwiyongera kw’ibibazo by’indwara ziterwa n’udukoko kubera ko ubudahangarwa bugabanutse
• Kwiyongera kw’ibibazo bya kanseri, cyane cyane kanseri z’uruhu na lymphoma
• Ukwangirika kw’impyiko biturutse ku miti igabanya ubudahangarwa
• Umubyimba mwinshi n’indwara ya diyabete
• Kugabanuka kw’amagufa (osteoporose)
• Indwara y’imitsi y’umutima mu mutima watewe

Kugenzura buri gihe no kwirinda bifasha cyane kugabanya ibibazo bikomeye. Ibibazo byinshi bishobora kuvurwa neza iyo byamenyekanye hakiri kare binyuze mu kwivuza buri gihe.

Ni ryari nkwiriye kubona umuganga nyuma yo guterwa umutima?

Nyuma yo guterwa umutima, ugomba guhita uvugana n’ikipe yaguteye umutima ako kanya niba wumva ibimenyetso bibangamiye, kabone niyo byaba bisa nk’ibito. Kubera ko ubudahangarwa bwawe bugabanutse, ibibazo bishobora kwiyongera vuba kandi bigasaba ubufasha bwihuse bw’abaganga.

Ikigo cyaguteye umutima gitanga amakuru yo guhamagara amasaha 24 ku byerekeye ibibazo byihutirwa. Ntuzuyaze guhamagara niba ufite impungenge ku mpinduka zose uko wumva, kuko gufata iya mbere bishobora kwirinda ibibazo bikomeye.

Vugana n’ikipe yaguteye umutima ako kanya kuri:

• Urubavu rurenze 100.4°F (38°C) cyangwa guhinda umushyitsi
• Kugufiwa umwuka cyangwa kugorwa no guhumeka
• Uburibwe mu gituza cyangwa umutima utera nabi
• Kongera ibiro mu buryo butunguranye (birenze 2-3 pounds ku munsi)
• Kubyimba amaguru, ibibero, cyangwa mu nda
• Kunanirwa cyane cyangwa intege nke
• Isesemi, kuruka, cyangwa kutabasha gufata imiti
• Ibimenyetso by’ubwandu nk’inkorora, kubabara mu muhogo, cyangwa ibintu bidasanzwe bisohoka
• Impinduka mu kunyara cyangwa imikorere y’impyiko

Ugomba kandi kuvugana n’ikipe yawe ku mpinduka zitihutirwa ariko z’ingenzi nk’umutwe udashira, impinduka z’imitekerereze, ibibazo by’amaso, cyangwa ibindi bimenyetso bishya biguteye impungenge.

Wibuke ko ibimenyetso byinshi bishobora kuba bito ku bandi bantu bishobora kuba bikomeye iyo ufata imiti igabanya ubudahangarwa. Itsinda ryawe ryo gushyiraho urugingo ryifuza kumva ibyo uvuga ku kintu cyagaragaye ko ari gito kuruta uko wacikanwa n'ikintu cy'ingenzi.

Ibibazo bikunze kubazwa ku bijyanye no gushyiraho urugingo rw'umutima

Q.1 Ese gushyiraho urugingo rw'umutima ni byiza ku mutima urwaye cyane?

Yego, gushyiraho urugingo rw'umutima akenshi ni uburyo bwiza bwo kuvura umutima urwaye cyane iyo izindi nshuti zananiranye. Ku barwayi batoranyijwe neza, gushyiraho urugingo rushobora kunoza cyane imibereho n'ubuzima bwiza, bigatuma abantu benshi basubira mu bikorwa bisanzwe kandi bakabaho imyaka myinshi bafite umutima wabo mushya.

Q.2 Ese gushyiraho urugingo rw'umutima bivura indwara y'umutima?

Gushyiraho urugingo rw'umutima rusimbuza umutima wawe urwaye ariko ntiruvura imiterere y'indwara y'umutima. Urashobora kurwara indwara y'imitsi y'umutima mu mutima wawe mushya nyuma y'igihe, kandi uzakenera imiti y'ubuzima bwose kugirango wirinde kwangwa. Ariko, biguha umutima muzima ushobora gukora neza imyaka myinshi.

Q.3 Umuntu ashobora kumara igihe kingana iki afite umutima washyizweho?

Abantu benshi bamara imyaka 10-15 cyangwa irenga bafite umutima washyizweho, kandi bamwe bamaze imyaka irenga 20. Imibare y'ubu igaragaza ko abagera kuri 85-90% babaho mu mwaka wa mbere kandi abagera kuri 70% bakiriho nyuma y'imyaka itanu. Imiterere yawe yihariye iterwa n'ibintu nk'imyaka, ubuzima muri rusange, n'uburyo ukurikiza ubuvuzi bwawe.

Q.4 Ese urashobora kwangwa nyuma y'imyaka myinshi?

Yego, kwangwa bishobora kubaho igihe icyo aricyo cyose nyuma yo gushyiraho urugingo, ndetse no nyuma y'imyaka myinshi. Ibi nibyo bituma ukeneye imiti igabanya ubudahangarwa ubuzima bwose no gukurikiranwa buri gihe hamwe na biopsy y'umutima. Kwangwa kudasanzwe, gutera buhoro buhoro mu myaka myinshi, bitandukanye no kwangwa gukaze kandi bishobora gutera imikorere y'umutima igenda igabanuka buhoro.

Q.5 Ni ibihe bikorwa ushobora gukora nyuma yo gushyiraho urugingo rw'umutima?

Abenshi mu bantu bakiriwe imitima bashobora gusubira mu bikorwa bisanzwe birimo akazi, urugendo, n'imyitozo igihe bamaze gukira kubagwa. Uzagomba kwirinda imikino ikorana imibiri kandi ugatwara ingamba zo kwirinda indwara zandura, ariko abantu benshi bakunda kugenda mu misozi, koga, gutwara igare, n'ibindi bikorwa batashoboraga gukora mbere yo kwimurirwa umutima.