Chii Chinonzi Claudication? Zviratidzo, Zvinokonzera, & Kurapa

Claudication kurwadziwa kwemhasuru dzembamu kana kuomarara kunoitika kana uchifamba kana kurovedza muviri, wozopoka kana wagara. Funga nezvazvo sekuti mhasuru dzako dzembamu dziri kuchema kuti dzida ropa rakawanda rine oksijeni panguva yekurovedza muviri, sezvinoita chipfuva chako kana chiri kuoma panguva yekurovedza muviri kana mwoyo wako uchida oksijeni yakawanda.

Dambudziko iri rinotapura mamiriyoni evanhu, kunyanya sezvo vakura. Mashoko akanaka ndeakuti claudication inogona kutongwa zviri nyore nerubatsiro rwakakodzera, uye vanhu vazhinji vanorarama hupenyu hunofadza, hunoshanda kana vangonzwisisa zviri kuitika uye nzira yekuzvigadzirisa.

Chii chinonzi claudication?

Claudication inoitika kana mhasuru dzako dzembamu dzisingawani ropa rakakwana panguva yekurovedza muviri. Mhasuru dzako dzinoda oksijeni yakawanda kana uchifamba kana kurovedza muviri, asi ropa rinopindirana kana kuti rakavharwa harigoni kuunza ropa rakakwana kuti risangane nezvinodiwa.

Shoko iri rinobva pashoko rechiLatin rinoreva "kutambanudza," iro rinotsanangura nzira yavanhu vazhinji vanofamba nayo kana vari nerudzi urwu rwechirwere. Kazhinji, claudication inotapura mhasuru dzako dzemabvi, kunyange zvazvo inogonawo kutapura mapapiro ako, chiuno, kana matako.

Kune marudzi maviri makuru aunofanira kuziva nezvawo. Intermittent claudication ndiyo yakajairika, apo kurwadziwa kunouya nekuenda nemabasa. Neurogenic claudication, kune rumwe rutivi, inoitika kana matambudziko emuviri achimanikidza mitsipa panzvimbo pematambudziko eropa.

Zviratidzo zveClaudication ndizvipi?

Chiratidzo chikuru kurwadziwa kwemhasuru, kuomarara, kana kuneta kunoitika panguva yekufamba kana kurovedza muviri, wozopera mukati memaminitsi mashoma ekugara. Iyi nzira inofanotaurwa inobatsira vanachiremba kusiyanisa claudication nemamwe matambudziko emubamu.

Heano zviratidzo zvaunogona kuona, uye yeuka kuti ruzivo rweumwe neumwe runogona kusiyana zvishoma:

• Kuomarara kana kurwadziwa kwemhasuru mumabvi ako, mapapiro, kana matako
• Kuneta kwemhasuru kana kuoma kunoita kuti kufamba kuome
• Kurwadziwa kunotanga nguva dzose mushure mekutambanudza kure kure kwakafanana
• Kupoka mukati memaminitsi 1-5 ekumira nekugara
• Kutonhora kana kusanzwa mumabvi ako kana tsoka
• Maronda anorapa zvishoma pabvi rako kana tsoka
• Ganda rakapenya, rakapfava pabvi rako
• Simba risina simba kana risina kuoneka mumabvi ako kana tsoka

Zvisingawanzoitika, vamwe vanhu vanonzwa zviratidzo zvakakomba izvo zvinogona kuratidza matambudziko makuru ekufambisa ropa. Izvi zvinosanganisira kurwadziwa kunogara kuripo kunyangwe uchigara, kuchinja kwemavara mumabvi ako kana tsoka, kana maronda asingarapiki zvakanaka.

Kurwadziwa kazhinji kunonzwa sekurwadziwa kwakadzika, kuomarara, kana kunzwa kwekupisa. Vamwe vanhu vanotsanangura sekuti mhasuru dzavo "dzinobata" kana kunzwa sekunge vari "kurova madziro" panguva yekufamba.

Marudzi eClaudication ndeapi?

Kune marudzi maviri makuru eclaudication, uye kunzwisisa kuti ndeipi yaunogona kuva nayo kunobatsira kutungamira nzira yekurapa yakakodzera. Marudzi ese ane zvinokonzera zvakasiyana uye anogona kuda nzira dzakasiyana dzekutonga.

Intermittent claudication ndiyo yakajairika uye inoitika nekuda kwekufambisa ropa kusina kunaka. Arteries dzako dzave dzakapindirana kana kuti dzakavharwa, kazhinji nekuda kweatherosclerosis, zvinoreva kuti mafuta akaunganidzwa pamadziro e artery kwenguva yakareba.

Neurogenic claudication, inonziwo pseudoclaudication, inoitika kana chiteshi chako chemuviri chikapindirana uye chikamanikidza mitsipa. Rudzi urwu runowanzokanganisa makumbo ese panguva imwe chete uye runogonawo kukonzera kurwadziwa kumusana, kusanzwa, kana kuchema.

Musiyano mukuru ndewokuti neurogenic claudication inogona kuvandudza kana wakakotama mberi (sekuendesa chikwereti), nepo vascular claudication inoda kuzorora zvizere kuti ipfuure. Chiremba wako anogona kukubatsira kuona kuti ndeipi yaunayo kuburikidza nemiedzo yakakosha nekuongororwa.

Chii chinokonzera claudication?

Chikonzero chakajairika checlaudication ndeyeatherosclerosis, mamiriro ayo mafuta anounganidzwa anonzi plaque anounganidzwa mukati me arteries kwenguva yakareba. Kuunganidzwa uku kunopindirana arteries dzako uye kunoderedza kufambisa ropa kumhasuru dzako dzembamu.

Zvinhu zvakati wandei zvinogona kuita kuti claudication ibude, uye kazhinji inoumbwa nezvinhu zvakawanda pane chimwe chikonzero chete:

• Kusvuta, kunokuvadza madziro e artery uye kunokurumidza kuunganidzwa kwe plaque
• Chirwere cheshuga, chinogona kukuvadza midziyero yeropa nekufamba kwenguva
• Kuderera kweropa kunowedzera kunetseka pamadziro e artery
• Kuderera kwe cholesterol kunobatsira pakugadzira plaque
• Kuchinja kwezera mumidziyero yeropa
• Nhoroondo yemhuri yezvirwere zvemoyo
• Hupenyu husina kurovedza muviri husina kukurudzira kufambisa ropa kwakanaka
• Kuonda, kunowedzera kunetseka pane yako circulatory system

Zvisingawanzoitika, claudication inogona kubva pakukuvadzwa kweropa, kuzvimba kwe artery, kana zvirwere zvisingawanzoitika zvinotapura chimiro chemidziyero yeropa. Vamwe vanhu vanoibata mushure mekukuvadzwa kunokuvadza arteries kana mishonga inokanganisa kufambisa ropa.

Muitiko usina kujairika, mamiriro ezvinhu akadai seBuerger's disease (yakajairika muvadzimai vaduku vanosvuta) kana arterial embolism (kutakura ropa rinopindirana) zvinogona kukonzera zviratidzo zvakafanana. Mamiriro ezvinhu aya anoda nzira dzekurapa dzakasarudzika.

Rini unofanira kuona chiremba nekuda kweClaudication?

Unofanira kuona chiremba wako kana uchinzwa kurwadziwa kwemhasuru, kuomarara, kana kuneta kunoitika nguva dzose nekufamba uye kunovandudzwa nekuzorora. Kuongororwa nekurapa nekukurumidza kunogona kudzivirira mamiriro ezvinhu kuti asavandudze uye kukubatsira kuchengetedza kufamba kwako.

Usamirire kutsvaka rubatsiro rwechiremba kana ukaona aya mazviratidzo akakomba. Zvinogona kuratidza kuti kufambisa ropa kwako kwave kukanganiswa zvakanyanya:

• Kurwadziwa mumabvi ako kana tsoka kunyangwe uchigara
• Maronda kana maronda pabvi rako kana tsoka anorapa zvishoma kana kuti asina kurapa zvachose
• Kuchinja kwakakomba kwemavara mumabvi ako kana tsoka
• Kutonhora kwakanyanya mumabvi ako kana tsoka
• Kurasikirwa nebvudzi pabvi rako kana tsoka
• Kusakwanisa kunzwa simba mutsoka dzako

Aya mazviratidzo anogona kuratidza ischemia yakakomba yemubamu, mamiriro ezvinhu akakomba anoda rubatsiro rwechiremba nekukurumidza. Kunyangwe izvi zvisingawanzoitika kupfuura claudication yakajairika, zvakakosha kuziva aya mazviratidzo ekunyevera.

Kunyangwe zviratidzo zvako zvichinzwa zvishoma, zvakakosha kuzvikukurukura nachiremba wako. Claudication kazhinji inoratidza chirwere chemoyo chinokanganisa zvimwe zvikamu zvemuviri wako, kusanganisira mwoyo wako nehuropi.

Zvinokonzera njodzi dzeClaudication ndizvipi?

Kunzwisisa zvinokonzera njodzi dzako kunokubatsira kutora matanho ekudzivirira claudication kana kuidzivirira kuti isavandudze. Zvinhu zvizhinji izvi zviri mukudzora kwako, izvo zviri nhau dzakanaka.

Zvinokonzera njodzi dzakakosha zvinosanganisira mararamiro ezvinhu nezvirwere zvinokuvadza midziyero yako yeropa nekufamba kwenguva:

• Kusvuta kana kushandisa fodya chero ipi zvayo
• Chirwere cheshuga, kunyanya kana shuga yeropa isingadzorwi zvakanaka
• Kuderera kweropa (hypertension)
• Kuderera kwe cholesterol kana triglyceride levels
• Zera pamusoro pemakore 50, kunyange zvazvo zvinogona kuitika kare
• Nhoroondo yemhuri yezvirwere zve peripheral artery kana chirwere chemoyo
• Kuonda kana kuva uremu hwakanyanya
• Hupenyu husina kurovedza muviri husina kurovedza muviri kazhinji

Zvimwe zvinokonzera njodzi zvausingakwanisi kuchinja, senge zera rako, pabonde (varume vari panjodzi yakakura), uye nhoroondo yemhuri. Nekudaro, zvinokonzera njodzi zhinji zvinogona kuchinjwa kuburikidza nekuchinja mararamiro uye kutonga kwechiremba.

Zvisingawanzoitika asi zvakakosha zvinokonzera njodzi zvinosanganisira chirwere cheitsvo chekuenderera mberi, zvimwe zvirwere zve autoimmune, uye nhoroondo yekurapa kwemwaranzi kumabvi. Mishonga yakati wandei inogonawo kukanganisa kufambisa ropa, kunyange izvi zvisingawanzoitika.

Matambudziko anogona kuitika eClaudication ndeapi?

Kunyangwe claudication pachayo ichitongwa, inogona dzimwe nguva kuenderera mberi kuita matambudziko makuru ekufambisa ropa kana isina kurapwa. Kunzwisisa aya maitiko kunokubatsira kuramba uchiri kucherechedza zviratidzo zvako nekurapa.

Matambudziko anogona kuitika anobva pane zvinetso zvehupenyu kusvika kune zvinetso zvakakomba zvechiremba:

• Kuderedzwa kwekutambanudza uye kuderedzwa kwemabasa emuviri
• Kurasikirwa nerusununguko mumabasa ezuva nezuva
• Kushaya simba kwemhasuru kana atrophy kubva pakushandisa kwakaderera
• Ischemia yakakomba yemubamu ine kurwadziwa kwakanyanya nekuvadza tishu
• Maronda asingarapiki kana maronda pabvi kana tsoka
• Kuwedzera njodzi yekurwara kwemoyo kana kurova kwehuropi
• Muitiko wakakomba, kudiwa kwekucheka

Mashoko akanaka ndeakuti vanhu vazhinji vane claudication havazomboiti aya matambudziko akakomba, kunyanya nerurapwo rwakakodzera uye kutonga kwehupenyu. Kutarisirwa kwechiremba nguva dzose nekutevera chirongwa chako chekurapa zvinoderedza zvikuru njodzi idzi.

Zvisingawanzoitika, vamwe vanhu vanoita ischemia yakakomba yemubamu, apo kufambisa ropa kunomanikidzwa zvakanyanya nekukurumidza nekuda kweropa rinopindirana kana kupindirana kwakanyanya. Izvi ndizvo zvinoda rubatsiro rwechiremba nekukurumidza.

Claudication inogona kudzivirirwa sei?

Kudzivirira kunotarisa pakuchengetedza midziyero yeropa ine hutano uye kufambisa ropa kwakanaka muhupenyu hwako hwese. Nzira dzakawanda dzakafanana dzinoita kuti chirwere chemoyo chidzivirirwe zvinobatsirawo kudzivirira claudication.

Nzira dzakanakisa dzekudzivirira dzinogadzirisa zvinokonzera chirwere che artery:

• Usambosvuta, kana kubvisa kana uchivuta iye zvino
• Chengetera ropa rako riri pasi pekutonga kuburikidza nezvokudya, kurovedza muviri, uye mishonga kana zvichidiwa
• Chengetedza cholesterol levels iri pasi pekutonga
• Tonga chirwere cheshuga zvakanaka nekudzora shuga yeropa zvakanaka
• Kurovedza muviri nguva dzose, uchiedza kwemaminitsi anenge 30 mazuva mazhinji
• Chengetera uremu hwako hwakanaka
• Idya zvokudya zvine hutano zvine michero, miriwo, uye zviyo zvizere
• Tonga kushushikana kuburikidza nenjodzi dzakanaka

Kana iwe uchitova nezvinokonzera njodzi senge chirwere cheshuga kana kuderera kweropa, kushanda zvakanaka nachiremba wako kuti uchengetedze zviri pasi pekutonga zvakakosha. Kuongororwa nguva dzose kunogona kubata matambudziko nekukurumidza kana ari kurapika zvikuru.

Kunyangwe kuchinja kwakaita zvishoma kunogona kuita musiyano mukuru. Semuenzaniso, kufamba kwemaminitsi gumi zuva nezuva kunogona kuvandudza kufambisa ropa, uye kuderedza munyu kunogona kubatsira kuderedza ropa.

Claudication inoziviswa sei?

Kuziva claudication kazhinji kunotanga nachiremba wako achiteerera zviratidzo zvako nenhoroondo yako yekurapa. Nzira yakajairika yekurwadziwa kwemhasuru nekufamba inovandudzwa nekuzorora kazhinji inopa mazano akasimba nezviri kuitika.

Chiremba wako achaita bvunzo yemuviri inosanganisira kuongorora simba mumabvi ako netsoka, kuteerera kurira kusina kujairika pamusoro pe arteries dzako, uye kutsvaga zviratidzo zvekufambisa ropa kusina kunaka senge kuchinja kwe ganda kana maronda anorapa zvishoma.

Miedzo yakati wandei inogona kusimbisa kuongororwa uye kuona kuti mamiriro ako ezvinhu akakomba sei. Ankle-brachial index (ABI) kazhinji ndiyo bvunzo yekutanga inoitirwa. Inoenzanisa ropa rekumanikidza mumabvi ako neropa rekumanikidza muruoko rwako uchishandisa bhandi repasi ropa rakareruka uye chishandiso chemaoko.

Miedzo yakawedzerwa inogona kusanganisira ultrasound imaging kuona kufambisa ropa, treadmill testing kuona kuti unogona kufamba kure sei usati wazonzwa zviratidzo, kana mifananidzo yakakwirira senge CT kana MR angiography kuti uwane mifananidzo yakadzama ye arteries dzako.

Muitiko wakaoma, chiremba wako anogona kukurudzira angiography, apo dye inopihwa mu arteries dzako kuti iite mifananidzo yakadzama kwazvo. Bvunzo iyi kazhinji inosara kune vanhu vanofunga nezvezvinhu zvekuvhiya.

Kurapa kweClaudication chii?

Kurapa kwe claudication kunotarisa pakuderedza zviratidzo zvako, kuvandudza kukwanisa kwako kufamba, uye kudzivirira mamiriro ezvinhu kuti asavandudze. Mashoko akanaka ndeakuti vanhu vazhinji vanoona kuvandudzwa kukuru nerubatsiro rwakakodzera rwekurapa.

Chirongwa chako chekurapa chichava chinosanganisira nzira dzakati wandei dzinoshanda pamwe chete:

• Kurovedza muviri kunotarisirwa kuvandudza kure kwekufamba uye kushanda kwemhasuru
• Mishonga yekuvandudza kufambisa ropa uye kudzivirira ropa rinopindirana
• Kuchinja kwezvinokonzera njodzi senge kubvisa kusvuta uye kutonga chirwere cheshuga
• Muitiko wakati wandei, nzira dzekuvhura arteries dzakavharwa

Kurovedza muviri kazhinji kunofungwa se kurapa kwakanakisa kwe claudication. Chirongwa chekufamba chakarongwa, chakatarisirwa nevanachiremba, chinogona kuvandudza zvakanyanya kuti unogona kufamba kure sei uye kuderedza zviratidzo zvako.

Mishonga inogona kusanganisira mishonga ye antiplatelet senge aspirin kana clopidogrel kudzivirira ropa rinopindirana, mishonga inoderedza cholesterol, uye dzimwe nguva mishonga yakagadzirirwa kuvandudza kufambisa ropa kumhasuru dzembamu.

Kune zviitiko zvakakomba, nzira senge angioplasty (kuvhura arteries neruoko rwakaita sebharuni) kana bypass surgery (kugadzira nzira itsva dzakapoteredza arteries dzakavharwa) zvinogona kukurudzirwa. Izvi kazhinji zvinosara kune vanhu vane miganho yakakomba kana zviratidzo zve ischemia yakakomba yemubamu.

Nzira yekutonga claudication pamba?

Kutonga kumba kunotamba basa rinokosha mukutonga zviratidzo zve claudication uye kudzivirira kuenderera mberi. Nzira dzaunoshandisa pamba kazhinji dzinoona kuti uchakwanisa sei kwenguva refu.

Kufamba ndiyo chishandiso chako chakakosha chekutonga claudication pamba. Tanga nemakore madiki uye wedzera zvishoma nezvishoma sezvinoitwa. Kana kurwadziwa kwauya, zorora kusvikira kwapfuura, wobva wafamba. Iyi nzira ye "kumira-nekufamba" inobatsira kuvaka simba rako rekufamba nekufamba kwenguva.

Kutarisira tsoka kunova kukosha zvikuru kana uine matambudziko ekufambisa ropa. Tarisa tsoka dzako zuva nezuva kuti uone kana paine makatsi, maronda, kana kuchinja kwemavara. Chengetedza tsoka dzako dzakachena uye dzakaoma, pfeka shangu dzakakodzera, uye usambofamba uchinge usina shangu, kunyanya kunze.

Kutonga mamwe mamiriro ezvinhu ehutano pamba kunotsigira kurapwa kwako kwese. Izvi zvinosanganisira kutora mishonga sezvakarongwa, kuongorora shuga yeropa kana uine chirwere cheshuga, kudya zvokudya zvine hutano hwemoyo, uye kudzivisa fodya muzvimiro zvese.

Kutonga tembiricha kunogona kubatsira nerunyararo. Chengetedza mabvi ako akapisa, asi dzivisa kushandisa heating pads kana hot water bottles, sezvo kusanzwa kunogona kukonzera kupisa. Panzvimbo pezvo, pfeka masokisi akapisa nemapants mumamiriro ekunze akatonyanya kunotonhora.

Unofanira kugadzirira sei kuenda kwako kuchiremba?

Kugadzirira kuenda kwako kuchiremba kunobatsira kuve nechokwadi chekuti unowana zvakanyanya kubva panguva yako nemutapi wenyu wehutano. Kuuya wakarongeka neruzivo nemibvunzo kunoita kuti kushanya kuve kunobatsira zvakanyanya kwauri.

Usati waenda kuchiremba, nyora zvakadzama nezviratidzo zvako. Cherechedza kuti unogona kufamba kure sei usati watanga kurwadziwa, kurwadziwa kunonzwa sei, nguva yakareba inotora kuti ipfuure nekuzorora, uye kana wakacherechedza chero kuchinja nekufamba kwenguva.

Uya nerondedzero yakazara yemishonga yese yaunotora, kusanganisira mishonga yekutengesa uye zvinowedzerwa. Gadzirirawo pfupiso yenhoroondo yako yekurapa, kunyanya chero matambudziko emwoyo, chirwere cheshuga, kuderera kweropa, kana kuvhiya kwakapfuura.

Funga nezvekukoka nhengo yemhuri kana shamwari kuenda kwako kuchiremba. Vanogona kukubatsira kuyeuka ruzivo rwakakosha uye kupa rutsigiro, kunyanya kana uchinetseka nezviratidzo zvako.

Nyora mibvunzo yaunoda kubvunza chiremba wako. Izvi zvinogona kusanganisira mibvunzo nezvemiganho yekurovedza muviri, rini unofanira kunetseka nezviratidzo, kana kuti kuchinja kwemararamiro kunogona kubatsira zvikuru munzvimbo yako.

Chii chinonyanya kukosha nezve claudication?

Claudication mamiriro anotongwa anokanganisa vanhu vazhinji, kunyanya sezvo vakura. Kunyangwe zvingave zvine njodzi kana uchitanga kuona zviratidzo, kunzwisisa kuti kurapa kwakakosha kuripo kunofanira kukupa tariro nekukurudzira kutsvaka rubatsiro.

Chinhu chakakosha chokuyeuka ndechekuti claudication kazhinji inopindura zvakanaka pakurapa, kunyanya kana yakawanikwa nekukurumidza. Vanhu vazhinji vanovandudza zvakanyanya kukwanisa kwavo kufamba uye hupenyu hwakanaka kuburikidza nekurovedza muviri, kuchinja mararamiro, uye kurapwa kwakakodzera kwechiremba.

Mamiriro ezvinhu aya ane chiratidzo chekuti yako cardiovascular system inoda kutarisirwa. Kutarisira claudication kazhinji zvinoreva kutarisira hutano hwako hwemoyo nemidziyero yeropa, izvo zvinobatsira muviri wako wese.

Usarega claudication ichikudzivisa kurarama hupenyu hunoshanda, hunofadza. Nerubatsiro rwakakodzera uye rutsigiro kubva muchikwata chako chehutano, unogona kutonga mamiriro ezvinhu aya zvakakodzera uye kuramba uchiita zvinhu zvaunofarira.

Mibvunzo inobvunzwa kazhinji nezve claudication

Claudication inogona kupera pachayo here?

Claudication haina kuvandudza pasina kurapwa, uye kazhinji inowedzera nekufamba kwenguva kana chirwere che artery chichienderera mberi. Nekudaro, nerurapwo rwakakodzera kusanganisira kurovedza muviri uye kutonga kwezvinokonzera njodzi, vanhu vazhinji vanoona kuvandudzwa kukuru muzviratidzo zvavo. Vamwe vanhu vanotowana kuti kukwanisa kwavo kufamba kunodzoka padanho rakanaka nerurapwo rwakasimba.

Zvakachengeteka here kurovedza muviri ne claudication?

Hongu, kurovedza muviri chimwe chezvinhu zvinonyanya kushanda pakurapa claudication, asi chinofanira kuitwa pasi pekutungamira kwechiremba pakutanga. Kurovedza muviri kunotarisirwa kunofungwa se kurapa kwakanakisa. Chiremba wako anogona kukubatsira kugadzira chirongwa chekurovedza muviri chakachengeteka chinokura simba rako zvishoma nezvishoma uchiremekedza miganho yemuviri wako.

Ndichada kuvhiya here nekuda kwe claudication?

Vanhu vazhinji vane claudication havadi kuvhiya uye vanogona kutonga mamiriro avo ezvinhu zvakakodzera nekurovedza muviri, mishonga, uye kuchinja mararamiro. Kuvhiya kana nzira senge angioplasty kazhinji inosara kune vanhu vane zviratidzo zvakakomba zvinoderedza zvakanyanya mabasa ezuva nezuva kana avo vane zviratidzo zve ischemia yakakomba yemubamu.

Nguva yakareba yakareba inotora kuti uone kuvandudzwa nerurapwo?

Vanhu vazhinji vanotanga kuona kuvandudzwa kukuru mukukwanisa kwavo kufamba mukati memavhiki 4-8 ekutanga chirongwa chekurovedza muviri chakarongwa. Kuwedzera kukuru kazhinji kunoitika pamwedzi 3-6 yekurapa kwakasimba. Nguva inogona kusiyana zvichienderana nehutano hwako hwese, kuti mamiriro ako ezvinhu akakomba sei, uye kuti unotevera sei chirongwa chako chekurapa.

Claudication inogona kukanganisa makumbo ese here?

Hongu, claudication inogona kukanganisa gumbo rimwe kana ese maviri, kunyange zvazvo kazhinji inotanga mugumbo rimwe uye inogona kupedzisira ikakanganisa rimwe. Kana makumbo ese ari maviri akakanganiswa, zvinogona kuratidza chirwere che artery chakafara. Vamwe vanhu vanonzwa zviratidzo zvakasiyana mugumbo rega rega, rimwe richikanganiswa zvakanyanya kupfuura rimwe.