Ni iki cyo kubaga umugongo wo mu muhogo ku bana? Impamvu, uburyo bwo kubaga & Gukira

Kubaga umugongo wo mu muhogo ku bana ni uburyo bwihariye bukorerwa mu gice cyo mu muhogo cy'umugongo w'abana iyo ibibazo bikomeye bitashobora kuvurwa n'ubundi buryo. Ubu bwoko bwo kubaga bwibanda ku magufa arindwi mato yo mu muhogo w'umwana wawe, yitwa cervical vertebrae, arinda umugongo kandi agashyigikira umutwe.

Iyo abana bafite ibibazo bikomeye by'umugongo mu gice cy'umuhogo wabo, kubaga birashobora kuba uburyo bwiza bwo kwirinda ibindi byangiritse no kubafasha kubaho neza. Nubwo byumvikana biteye ubwoba, ubu buryo bukorerwa n'abaganga babishinzwe babaga umugongo w'abana bafite imyitozo ihagije, bafite umwihariko wo kuvura abana.

Ni iki cyo kubaga umugongo wo mu muhogo ku bana?

Kubaga umugongo wo mu muhogo ku bana bikubiyemo kubaga igice cyo mu muhogo cy'umugongo w'umwana kugirango hakemurwe ibibazo by'imiterere, gukuraho umuvuduko ku mugongo, cyangwa gufata amagufa adahagaze. Umugongo wo mu muhogo ugizwe na vertebrae zirindwi zanditse C1 kugeza kuri C7, zitangirira ku gice cy'igihanga.

Ubu bwoko bwo kubaga butandukanye cyane no kubaga umugongo ku bantu bakuru kuko imigongo y'abana ikiri gukura kandi igatera imbere. Amagufa aroroshye, imitsi iroroshye cyane, kandi imiterere iratandukanye ugereranije n'abantu bakuru. Abaganga babaga imigongo y'abana bahabwa imyitozo yihariye kugirango bumve ibi biranga byihariye.

Kubaga birashobora gukubiyemo guhuza amagufa hamwe, gukuraho ibice byangiritse, cyangwa gushyiramo ibikoresho byihariye nk'imisumari n'imigozi kugirango bitange umutekano. Uburyo bwose butegurwa neza hashingiwe ku burwayi bwihariye bw'umwana wawe n'imyaka ye.

Kuki kubaga umugongo wo mu muhogo ku bana bikorwa?

Abaganga basaba kubaga umugongo wo mu muhogo ku bana iyo imiti itari iy'ububaga itagize icyo ikora kandi uburwayi butera ibyago bikomeye ku buzima bw'umwana wawe cyangwa iterambere rye. Intego ni ukugerageza kuvura mbere na mbere, ariko rimwe na rimwe kubaga birakenewe kugirango birinde ibyangiritse bihoraho.

Ibyiciro bitandukanye bishobora gusaba ubu bwoko bw'ubuvuzi, kandi kubisobanukirwa birashobora kugufasha kwitegura neza ibiganiro n'ikipe y'abaganga b'umwana wawe.

Ibyiciro by'ivuka ni ibibazo umwana wawe avukana. Ibi birimo kutagira umutekano wa atlantoaxial, aho amagufwa abiri ya mbere yo mu ijosi adahuzwa neza, na syndrome ya Klippel-Feil, aho amagufwa amwe yo mu ijosi ahuzwa kuva akivuka. Chiari malformation, aho igice cy'ubwonko kigera mu muyoboro w'umugongo, nayo ishobora gusaba kubagwa.

Ubukomere buturutse ku ngaruka zituruka ku mpanuka, kugwa, cyangwa imikino bishobora kwangiza umugongo wo mu ijosi. Ibi bishobora kuba birimo imvune, gukurwaho, cyangwa kwangirika kw'imitsi ifata amagufwa y'umugongo hamwe. Ndetse n'ibikomere bisa nk'ibito bishobora kuba bikomeye ku bana kuko imiterere y'ijosi ryabo itandukanye n'iy'abantu bakuru.

Ibimeme n'indwara zandura mu gice cy'umugongo wo mu ijosi, nubwo bitajyenda bibaho, bishobora gusaba ubuvuzi bwo kubaga. Ibimeme bishobora kuba byiza (bitari kanseri) cyangwa bibi (kanseri), n'indwara zandura nka osteomyelitis zishobora kwangiza igufwa n'ibice byegereyeho.

Ibyiciro byangiza ntibisanzwe ku bana ariko birashobora kubaho. Ibi birimo artrite itangira kare cyangwa ibibazo bya disiki bitera kutagira umutekano cyangwa umuvuduko ku muyoboro w'umugongo.

Ni iki gikorerwa kubaga umugongo wo mu ijosi ku bana?

Uburyo bwo kubaga butandukanye bitewe n'icyiciro umwana wawe afite, ariko kubaga umugongo wo mu ijosi ku bana bose bikurikiza amabwiriza y'umutekano yitondewe. Umwana wawe azaba ari munsi ya anesthesia rusange mugihe cyose cyo kubagwa, bivuze ko azaba asinziriye rwose kandi ntazumva ikintu icyo aricyo cyose.

Mbere yo gutangira kubaga, umwana wawe azashyirwa neza cyane ku meza yo kubagiraho. Ibikoresho byihariye bikurikirana umuvuduko w'umutima, umuvuduko w'amaraso, n'imikorere y'imitsi mugihe cyose cyo kubagwa. Ikipe y'abaganga babaga irimo abaganga babaga umugongo w'abana, abaganga b'ibijyanye na anesthesia, n'abaforomo b'inzobere.

Umuganga usanzwe akora icyo bita incision (gukata) imbere mu ijosi (anterior approach) cyangwa inyuma mu ijosi (posterior approach). Guhitamo biterwa n'aho ikibazo giherereye n'ubwoko bw'uburyo bwo gukora isanwa bukenewe. Uburyo bwo imbere bukoreshwa kenshi mu gukuraho disiki yangiritse cyangwa ibice by'amagufa, naho uburyo bwo inyuma bukoreshwa cyane mu guhuza no gushyiraho ibikoresho bifasha.

Mugihe cyo kubaga, umuganga ashobora gukuraho igice cyangiritse, gusubiza amagufa mu murongo, cyangwa gushyiramo ibikoresho nk'imisumari, imigozi, cyangwa amasahani kugirango bitange umutekano. Niba guhuza bikenewe, ibikoresho by'amagufa bifasha imitsi yo mu mugongo gukura hamwe burundu. Iyi nzira yose irashobora gufata amasaha ari hagati ya abiri n'umunani, bitewe n'uburyo bigoye.

Ikoranabuhanga rigezweho nko gukurikiranira hafi mu gihe cyo kubaga rifasha kurengera umugongo w'umwana wawe mugihe cyo kubaga. Ibi bikubiyemo gushyiraho ibyuma byihariye bikomeza kugenzura imikorere y'imitsi, bigatuma ikipe ibaga ikora impinduka niba bibaye ngombwa.

Ni gute wakwitegura kubagwa umugongo w'umwana wawe?

Kwitegura kubagwa umwana wawe bikubiyemo intambwe zifatika no kwitegura mu byiyumvo by'umuryango wawe. Ikipe yawe ibaga izatanga amabwiriza arambuye, ariko kumva ibyo byitezwe birashobora kugabanya impungenge kuri wowe no ku mwana wawe.

Kwitegura mu buvuzi bisanzwe bitangira ibyumweru byinshi mbere yo kubagwa. Umwana wawe azakenera ibizamini bitandukanye harimo ibizamini by'amaraso, ibizamini byerekana amashusho nka MRI cyangwa CT scans, ndetse no gusura umuganga w'abana w'umutima kugirango barebe ko umutima wabo ufite ubuzima bwiza kugirango babage.

Uzakira amabwiriza arambuye yerekeye kurya no kunywa mbere yo kubagwa. Muri rusange, umwana wawe ntashobora kurya cyangwa kunywa ikintu icyo aricyo cyose nyuma ya saa sita z'ijoro mbere yo kubagwa. Ibi ni ngombwa kugirango umutekano wabo mu gihe cyo gutera urushinge. Niba umwana wawe afata imiti isanzwe, baza ikipe ibaga imiti yo gukomeza no guhagarika.

Kitegura mu byiyumvo na byo ni ingenzi. Sobanurira umwana wawe ibyerekeye kubagwa ukoresheje amagambo akwiriye imyaka ye, wibanda ku buryo bizamufasha kumva amerewe neza. Ibitaro byinshi bitanga ingendo mbere yo kubagwa aho abana bashobora kubona icyumba cyo kubagiramo no guhura n'abakozi bamwe.

Imyiteguro ikora irimo gutegura igihe cyo kutajya ku kazi, gutegura abana bato, no gutegura urugo rwawe kugira ngo umwana wawe akire. Umwana wawe azakenera ahantu hatuje kandi heza aho ashobora kuruhukira, akaba yegereye ubwiherero n'ahantu h'imiryango.

Ni gute usoma ibisubizo byo kubagwa kw'umwana wawe?

Kumenya ibisubizo byo kubagwa kw'umwana wawe bikubiyemo kumenya icyo umuganga yabashije gukora n'icyo ishusho ikurikira yerekana. Umuganga wawe azasobanura ibisobanuro byihariye byakozwe mugihe cyo kubagwa n'icyo ibi bisobanuye ku gukira kw'umwana wawe.

Ibisubizo byo kubagwa byihuse byibanda ku ntego zagezweho. Niba kubagwa kwari ukugirango imitsi idahagaze neza ikomere, umuganga azemeza ko imiterere ikwiye yagarutse kandi ibikoresho bishyirwa neza. Kubagwa kugirango igabanuke, bazasobanura umuvuduko wari waragabanutse ku mugongo cyangwa imitsi.

Inyigo zikurikira z'amashusho nka X-ray, CT scans, cyangwa MRI zizerekana uburyo ahantu hakorewe kubagwa hakira neza. Mu kubagwa kw'imitsi, aya mashusho akurikirana uburyo amagufa akura hamwe, ubu ni uburyo buhoro buhoro bufata amezi menshi kugirango burangire.

Ibisubizo bikora ni ingenzi kandi bigenda bikura uko igihe kigenda. Imikorere y'imitsi y'umwana wawe, harimo imbaraga, kumva, no guhuza, bizakurikiranwa hafi. Iterambere muri izi nzego akenshi rikomeza amezi menshi nyuma yo kubagwa mugihe kubyimba kugabanuka no gukira bigenda.

Itsinda ryawe ry'ubuvuzi rizakoresha ingero zihuriweho kugirango bipime iterambere ry'umwana wawe mu buryo butabogamye. Ibi bishobora kuba birimo isuzuma ry'urugero rw'ububabare, imbogamizi z'ibikorwa, n'iterambere ry'ubuzima muri rusange.

Ni gute wafasha umwana wawe gukira kubagwa umugongo?

Gufasha umwana wawe gukira bikubiyemo gukurikiza amabwiriza ya muganga neza mugihe utanga ubufasha bwo mumutwe muri iki gihe kitoroshye. Gukira nyuma yo kubagwa umugongo wo mumuhogo mubisanzwe ni inzira itinda kandi isaba kwihangana mumuryango wose.

Gucunga ububabare mubisanzwe nibyo biza mbere nyuma yo kubagwa. Umwana wawe azahabwa imiti igabanya ububabare mumavuriro, kandi uzahabwa amabwiriza yihariye yerekeye gukomeza kugabanya ububabare murugo. Ntukazuyaze gutanga imiti nkuko byategetswe - kugenzura ububabare bifasha gukira.

Kugabanya ibikorwa ni ngombwa kugirango ukire neza. Umwana wawe ashobora gukenera kwambara umukufi cyangwa igikoresho cyo mumuhogo muminsi cyangwa amezi. Bazagira imbogamizi zihariye zo kuzamura, gupfukama, nibikorwa byumubiri. Izi mbogamizi zirashobora kumvikana zibabaje, ariko ni ngombwa mugukingira ahantu habagiriwe.

Imiti yimibiri akenshi itangirira mumavuriro ikomeza murugo cyangwa ahantu hanze yivuriro. Umuganga uzigisha umwana wawe uburyo bwo kwimuka neza nimyitozo yo gukomeza imbaraga nubushobozi bwo guhinduka. Gukurikiza gahunda yimiti buri gihe bifasha kunoza ibisubizo byigihe kirekire.

Ubuvuzi bwibikomere bukubiyemo gukomeza gukora isuku no kumisha igikomere, kureba ibimenyetso byo kwandura, no gukurikirana nitsinda ryabaganga nkuko byateganyijwe. Abana benshi barashobora gusubira ku ishuri muminsi mike, nubwo bazakenera ibikoresho kubera imbogamizi zumubiri.

Mbese ni izihe nyungu nziza zo kubagwa umugongo wo mumuhogo kubana?

Ibyiza byo kubagwa umugongo wo mumuhogo kubana biterwa nibintu byinshi, harimo uko byari bimeze mbere, imyaka yumwana wawe, nuko bakurikiza amabwiriza nyuma yo kubagwa. Abana benshi bakorerwa ubu bwoko bwo kubagwa barabona iterambere rikomeye mumyitwarire yabo no mumibereho myiza.

Kubaga neza bikunze gutuma umugongo ugororoka, igitutu ku mugongo cyangwa imitsi kigabanuka, kandi bikakumira ko ubuzima bukomeza kwangirika. Abana akenshi baragabanyirizwa ububabare, imikorere y'imitsi igatungana, kandi bagashobora kwitabira ibikorwa bibakwiriyeho bitewe n'imyaka yabo.

Intsinzi irambye ipimirwa ku bushobozi bw'umwana bwo gukura no gukura neza mu gihe akomeza kungukirwa n'ibyo yabazwe. Mu kubaga bifatanya, intego ni uko amagufa akira neza, agahurira hamwe, agashyiraho imiterere ikomeye, ihamye izamara ubuzima bw'umwana wanyu bwose.

Ibyiza biza iyo imiryango ikorana bya hafi n'ikipe y'abaganga, ikurikiza amabwiriza yose neza, kandi ikitabira gahunda z'isuzuma risanzwe. Abana babagirwa mu bitaro by'abana byihariye bifite abaganga b'inararibonye bakunze kugira ibisubizo byiza muri rusange.

Ni ibihe bintu bishobora gutera ingorane mu kubaga umugongo w'umwana?

Kumva ibintu bishobora gutera ingorane bifasha wowe n'ikipe yawe y'abaganga gufata ingamba zo kugabanya ingorane zishoboka. Nubwo ingorane zikomeye zidakunze kubaho, kumenya ibintu bishobora gutera ingorane bituma habaho kwitegura neza no gukurikirana.

Ibyiciro by'imyaka bifite uruhare runini mu ngaruka z'ububabare. Abana bato cyane (buri munsi y'imyaka 2) bafite ibyago byinshi bitewe n'ubunini bwabo buto n'imiterere yabo ikiri gukura. Urubyiruko rwegereza gusaza kw'amagufa rushobora kugira uburyo butandukanye bwo gukira ugereranije n'abana bato.

Indwara zisanzwe zishobora kongera ibyago by'ububabare. Ibi birimo ibibazo by'umutima, indwara z'ibihaha, indwara zituma amaraso ava cyane, cyangwa indwara zigira ingaruka ku gukira nk'indwara ya diyabete cyangwa indwara z'ubudahangarwa. Ikipe yawe y'abaganga izasuzuma neza ibi bintu mugihe itegura kubaga.

Uburyo bukomeye n'aho kubaga bibera nabyo bigira uruhare mu rwego rw'ibyago. Kubaga bikubiyemo amagufa menshi, gusubiramo imikorere, cyangwa kubaga hafi y'ibice by'ingenzi nk'imitsi minini y'amaraso bitera ibyago byinshi ugereranije n'imikorere yoroheje.

Imiterere y'imirire igira uruhare mu gukira. Abana bafite uburemere bukabije cyangwa butari buke cyane bashobora kugira ibyago byinshi byo guhura n'ingorane. Itsinda ryawe ry'abaganga rishobora kugusaba kunoza imirire mbere yo kubagwa niba bibaye ngombwa.

Ni izihe ngorane zishobora kuvuka nyuma yo kubaga umugongo mu bana?

Nubwo ingorane zitaba kenshi, ni ngombwa gusobanukirwa ibibazo bishobora kuvuka kugirango umenye ibimenyetso byo kwitondera kandi usabe ubufasha vuba. Ingorane nyinshi, niba zibayeho, ziravurwa iyo zamenyekanye hakiri kare.

Udukoko ni imwe mu ngorane zikunze kubaho ariko zibaho ku bashyiraho munsi ya 5%. Ibimenyetso birimo umuriro, kuribwa cyane, gutukura cyangwa kumeneka ku gice cyakomeretse, no kumva umubiri utameze neza. Udukoko twimbitse dushobora gusaba kubagwa, mugihe udukoko tworoheje akenshi twitabira imiti yica udukoko.

Ingorane zerekeye imitsi ntabwo zikunze kubaho ariko zirakomeye. Ibi bishobora kuba ukuboko kw'agateganyo cyangwa guhoraho, gucika intege, cyangwa impinduka mu kumva. Ibyago bitandukana bitewe n'ahantu n'uburyo bwo kubagwa, ariko abaganga babaga umugongo b'abana bafite uburambe bafata ingamba nyinshi zo kugabanya ibi byago.

Ingorane zijyanye n'ibikoresho zishobora kubaho iyo hakoreshwa imisumari, imigozi, cyangwa amasahani. Ibi bishobora kuba gucika kw'ibikoresho, gucika, cyangwa kwimuka. Ibibazo byinshi by'ibikoresho ntibitera ibimenyetso kandi ntibisaba kubagwa, ariko bimwe bishobora gukenera gukosorwa no kubagwa.

Ingorane zijyanye no guhuza zikoreshwa mu kubagwa aho amagufa agamije gukura hamwe. Rimwe na rimwe guhuza ntibiba byuzuye (byitwa pseudoarthrosis), bishobora gusaba kubagwa. Ibibazo byo ku rwego rukurikira, aho imitsi iri iruhande rwo guhuza iterana ibibazo, bishobora kubaho nyuma y'imyaka ariko ntibikunze kubaho mu bana.

Ibikomere bikomoka ku buryo bwo kubaga ariko bikomeye birimo amaraso, ibisubizo byo kubagwa, cyangwa gukomeretsa ibice byegereye nk'imitsi y'amaraso cyangwa umuhogo. Itsinda ryawe ry'abaganga bakurikirana ibi bibazo buri gihe mu gihe cyo kubaga no nyuma yaho.

Ni ryari nshyiraho kuvugisha muganga nyuma yo kubagwa umugongo w'umwana wanjye?

Kumenya igihe cyo kuvugisha itsinda ry'ubuvuzi ry'umwana wawe bifasha kumenya ko ibibazo bikemurwa vuba. Ntukagombye gushidikanya guhamagara niba ufite impungenge ku buzima bw'umwana wawe - itsinda ry'ubuvuzi ryiteguye kandi ryakira aya mahamagara.

Vugisha muganga ako kanya niba umwana wawe agize umuriro urenze 101°F (38.3°C), cyane cyane niba uherekejwe n'ubukonje cyangwa kumva umerewe nabi muri rusange. Ibi bishobora kuba ibimenyetso by'indwara ikeneye kuvurwa vuba.

Impinduka mu mikorere ya neurologique zisaba kwitabwaho ako kanya. Hamagara ako kanya niba umwana wawe agize intege nke nshya, guhumeka, kuribwa, cyangwa impinduka mu kumva mu maboko ye cyangwa mu ntoki ze. Impinduka zose mu guhuza cyangwa kugorana mu buhanga bwo gukoresha imitsi mito bigomba kandi gutangazwa.

Ibibazo by'ibikomere bikenera isuzuma ry'ubuvuzi. Vugisha muganga niba ubona umutuku wiyongera, ubushyuhe, kubyimba, cyangwa kuvomera ku gice cyakoreweho. Igice cyakoreweho kigomba gukomeza kugaragara neza uko igihe kigenda, ntabwo kigenda kibi.

Uburibwe bukomeye cyangwa bukiyongera butitabira imiti yategetswe bugomba gutangazwa. Nubwo uburibwe bumwe busanzwe nyuma yo kubagwa, bugomba gukomeza kuzamuka uko igihe kigenda. Uburibwe buvuyeho butunguranye bushobora kugaragaza ikibazo.

Impinduka mu miterere y'umwana wawe, nk'urujijo rudasanzwe, uburakari bukabije, cyangwa kugorana gusinzira, bikenera ubufasha bw'ubuvuzi bwihutirwa. Ibi bishobora kuba ibimenyetso by'ibibazo bikomeye bisaba kuvurwa byihutirwa.

Ibikoresho bibazwa kenshi ku bijyanye no kubagwa umugongo w'abana

Q.1 Ese kubagwa umugongo w'abana biratekanye ku bana bato?

Kubaga umugongo mu bana muri rusange biratekanye iyo bikozwe n'abaganga babigize umwuga babishinzwe mu bigo byihariye. Umutekano biterwa n'ibintu byinshi birimo imyaka y'umwana wawe, ubuzima muri rusange, n'uburwayi bwihariye buri kuvurwa.

Abana bato bafite ibitekerezo bidasanzwe bituma kubaga bigoye. Ubunini bwabo buto, imiterere yabo igenda ikura, n'uburyo butandukanye bwo gukira bisaba ubumenyi bwihariye. Ariko, abaganga babaga umugongo mu bana bahabwa imyitozo ihagije yihariye kubera izo mbogamizi.

Umutanzu wo gukomeza kubaga ukorwa gusa iyo inyungu ziruta cyane ibyago. Itsinda ryawe ry'abaganga bazaganira neza ibyago byose bishoboka n'inyungu zihariye ku mwana wawe mbere yo kugusaba kubaga.

Q.2 Kubaga umugongo mu bana bigira ingaruka ku mikurire y'umwana wanjye?

Kubaga umugongo mu bana bishobora kugira ingaruka ku mikurire, ariko ingaruka ziterwa n'ubwoko bwo kubaga n'imyaka y'umwana wawe. Kubaga guhuza amagufwa y'umugongo bizabuza imikurire kuri urwo rwego rwihariye, ariko ibi ntibitera ibibazo bikomeye mu gice cy'ijosi.

Abana bafite ubushobozi budasanzwe bwo guhangana n'ahantu hafunganye. Ibice by'umugongo bitahujwe akenshi bigumana imikorere isanzwe. Umuganga wawe azatekereza ku bushobozi bwo gukura igihe ategura kubaga kandi agerageze kugabanya ingaruka mbi zose.

Mu bihe bimwe na bimwe, kubaga bifasha mu kurinda imikurire isanzwe no gukosora ubumuga cyangwa gukumira ibindi byangiritse. Itsinda ryawe ry'abaganga rizakurikirana imikurire n'iterambere ry'umwana wawe neza mu gihe cyo gusuzuma nyuma yo kubaga.

Q.3 Bifata igihe kingana iki kugira ngo umwana akire nyuma yo kubagwa umugongo?

Igihe cyo gukira gitandukanye cyane bitewe n'ubwoko bwo kubaga n'uburyo umwana wawe akira. Abana benshi bashobora gusubira ku ishuri mu byumweru 2-4, nubwo bazakenera kubuza ibikorwa mu mezi menshi.

Ubusanzwe gukira kw'ahakorewe isuzuma ry'ubuvuzi bifata ibyumweru 2-3. Muri iki gihe, umwana wawe azagomba kugabanya ibikorwa kandi ashobora kwambara ikolaro cyangwa igikoresho gifasha umugongo. Uburibwe n'akababaro mubisanzwe bigabanuka cyane mu byumweru bike bya mbere.

Gukira neza, cyane cyane kubaga kugira ngo imyungiro ihuzwe, bifata amezi menshi. Guhuza amagufa ni inzira itinda ikomeza mu mezi 3-6 cyangwa rimwe na rimwe igihe kirekire. Umwana wawe azajya agira gahunda yo gusuzumwa kenshi kugira ngo hakurikiranwe uko gukira bigenda.

Q.4 Ese umwana wanjye azakenera kubagwa bundi bushya mu gihe kizaza?

Gukenera kubagwa bundi bushya biterwa n'uburwayi bwa mbere n'ubwoko bw'ubuvuzi bwakozwe. Abana benshi bakenera kubagwa rimwe gusa kandi bagira ibisubizo byiza by'igihe kirekire batagombye gukora izindi nzira.

Uburwayi bumwe na bumwe, cyane cyane ubwo bukoresha ibikoresho bikura cyangwa ubumuga bukomeye, bushobora gusaba kubagwa bundi bushya nk'uko umwana wawe akura. Itsinda ry'abaganga bazaganira kuri iyi ngingo mu gihe cy'inama ya mbere niba bireba umwana wawe.

Kubagwa bundi bushya kutateguwe ntibisanzwe ariko bishobora gukenerwa niba hari ibibazo bibayeho cyangwa niba ikibazo cy'umwimerere gikomeje. Gahunda yo gusuzumwa kenshi ifasha kumenya ibibazo hakiri kare igihe byoroshye kuvura.

Q.5 Ese umwana wanjye ashobora kwitabira imikino nyuma yo kubagwa umugongo wo mu gatuza?

Kwitabira imikino nyuma yo kubagwa umugongo wo mu gatuza biterwa n'ubwoko bw'ubuvuzi bwakozwe n'uburwayi bwihariye bw'umwana wawe. Abana benshi bashobora gusubira mu bikorwa by'imikino, ariko igihe n'inzitizi biratandukanye cyane.

Imikino ikoranwa n'abandi nka ruhago, hockey, cyangwa gusamirana mubisanzwe ifite inzitizi nyinshi kurusha ibikorwa bitakorana n'abandi nko koga cyangwa gukora siporo yo gusiganwa. Umuganga wawe azatanga amabwiriza yihariye ashingiye ku buvuzi bw'umwana wawe n'uko gukira bigenda.

Umutekano wo kwitabira imikino ufatirwa icyemezo buhoro buhoro uko umwana wawe akira kandi akerekana imikorere ihamye y'umugongo. Itsinda ry'abaganga bazakorana nawe kugira ngo babone ibikorwa bikwiriye byatuma umwana wawe akomeza gukora imyitozo ngororamubiri mu gihe barinda ibyavuye mu kubagwa.