Chii chinonzi Embryonal Tumor? Zviratidzo, Zvinokonzera, & Kurapa

Embryonal tumors ndizvirwere zvisingawanzoiti zvekenza zvinokura kubva kumasero asati akura zvizere panguva yekukura kwekutanga. Aya matumor kazhinji anokanganisa vacheche nevana vaduku, kunyange zvazvo dzimwe nguva anogona kuitikawo pakukura kwevanhu vakuru.

Funga nezveaya matumor sekusimukira kubva kumasero akasungwa mukuvandudzwa kwavo. Panzvimbo yekukura kuva masero akakwana, anoramba ari mumamiriro ezvinhu asina kukura uye anotanga kuwanda zvisingadzoreki. Kunyange zita racho ringanzwikwa richitya, kunzwisisa aya matumor kunogona kukubatsira kufamba munzira iyi yakaoma uchivimba zvakanyanya.

Aya matumor eembryonal chii chaizvo?

Embryonal tumors ndekenza dzinobva kumasero ekutanga anofanana neaya anowanikwa muembryos ari kukura. Aya masero anofanira kukura kuva marudzi akasiyana siyana etishu, asi chimwe chinhu chinokanganisa iyo nzira yakajairwa.

Marudzi akajairika anosanganisira medulloepithelioma, ependymoblastoma, uye atypical teratoid/rhabdoid tumors (AT/RT). Mumwe nomumwe ane hunhu hwake, asi vose vanogovana chinhu chakafanana chekusimukira kubva kumasero asina kukura. Mazhinji embryonal tumors anokura muchikamu chepakati chetsiva, kunyanya mubongo, kunyange zvazvo anogona kuoneka mune dzimwe nzvimbo dzemuviriwo.

Aya matumor anoratidzirwa sekenza yepamusoro, zvinoreva kuti anowanzo kukura nekukurumidza. Zvisinei, izvi zvinorevawo kuti kazhinji anopindura zvakanaka pakurapa kana akabatwa nekukurumidza.

Zviratidzo zveembryonal tumors ndizvipi?

Zviratidzo zveembryonal tumors zvakasiyana zvakanyanya zvichienderana nekuti tumor iri kupi uye yakakura sei. Sezvo aya matumor kazhinji anokanganisa bongo nechikamu chepakati chetsiva, zviratidzo zvizhinji zvine chekuita nekuwedzera kumanikidzo mukati memusoro.

Heano zviratidzo zvakajairika zvaunogona kuona:

• Misoro inoramba ichirwadza inowedzera nekufamba kwenguva, kunyanya mangwanani
• Kusvotwa uye kurutsa, kunyanya pakumuka
• Kushanduka kwemufambiro, hunhu, kana kushanda kwepfungwa
• Kuita zvisingatarisirwi kana kufamba kwasingawanzoitika
• Matambudziko ekururamisa kana kunetseka kufamba
• Kushanduka kwekuona kana kuona kaviri
• Kurara kwakanyanya kana kuneta
• Kukanganisika kwekuvanduka muvana

Muvana vacheche, unogona kuona zviratidzo zvimwe zvakadai sekukura kwemusoro kwakanyanya, kuzvimba kwemasofa pamusoro pemusoro, kana kushatirwa kwakanyanya. Aya maratidzo anokura nekuti tumor inogadzira kumanikidzo mukati memusoro, ichikanganisa kushanda kwemubongo kwakajairwa.

Zvisingawanzoitiki, vamwe vana vanogona kunetseka nekushaya simba kune rumwe rutivi rwemiviri, matambudziko ekukurukura, kana matambudziko ekurongeka. Chinhu chikuru chekuyeuka ndechekuti zviratidzo kazhinji zvinoitika zvishoma nezvishoma, saka kushanduka kunogona kunge kuri kushoma pakutanga.

Chii chinokonzera embryonal tumors?

Chikonzero chaicho cheembryonal tumors hachizivikanwi zvakanyanya, izvo zvinogona kunzwa zvisina kunaka kana uri kutsvaga mhinduro. Zvatinoziva ndechekuti aya matumor anobva pakushanduka kwemajini kunoitika panguva yekukura kwekutanga, zvichikonzera masero kukura zvisina kujairika panzvimbo yekukura zvakakwana.

Mazhinji embryonal tumors anoita seanoitika pasina chikonzero chakajeka kana chinogona kudzivirirwa. Izvi zvinoreva kuti hapana chawakaita kana kusaita chakakonzera tumor kuti iumbwe. Iri kungori kusanganiswa kwakashata kwezvinhu zvemajini zvakaita panguva yekukura.

Zvisinei, vatsvakurudzi vakawana mamwe mamiriro emajini anowedzera njodzi zvishoma. Izvi zvinosanganisira Li-Fraumeni syndrome, neurofibromatosis, uye mamwe maabnormalities echromosome. Kunyange neaya mamiriro, vazhinji vanhu havazomboiti embryonal tumors.

Zvinhu zvakatipoteredza hazvina kuoneka zvine basa rakakura mukukonzera aya matumor. Kusiyana nemamwe marudzi ekenza evakuru, embryonal tumors haina kubatana nezvinhu zvehupenyu, kudya, kana kusiyiwa kune kemikari kana radiation panguva yekukura kwevana.

Rini unofanira kuona chiremba nekuda kweembryonal tumor inofungidzirwa?

Unofanira kubata chiremba wako nekukurumidza kana ukaona zviratidzo zvinoramba zvichikunetseka, kunyanya kana zvichiwedzera nekufamba kwenguva. Kunyange zvazvo mazhinji misoro uye kushanduka kwemufambiro muvana kune tsananguro dzisingakuvadzi, zviri nani nguva dzose kubvunza nyanzvi yehutano.

Tsvaga rubatsiro rwekurapa nekukurumidza kana mwana wako akaita misoro yakanyanya ine kurutsa, kushanduka kwenguva pfupi kwekuziva, kuita zvisingatarisirwi, kana kunetseka kuramba akamuka. Aya maratidzo anogona kuratidza kuwedzera kumanikidzo mubongo, izvo zvinoda kuongororwa nekukurumidza.

Usamirira kana ukaona zviratidzo zvakawanda zvichiitika pamwe chete, sekunge misoro pamwe chete nematambudziko ekururamisa kana kushanduka kwekuona. Chiremba wako wevana anogona kuita kuongororwa kwekutanga uye kukutuma kunyanzvi kana zvichidiwa.

Yeuka kuti kuonekwa nekukurumidza kazhinji kunotungamira kumigumisiro iri nani. Kunyange kana zvinokunetsa zvikazova chimwe chinhu chisingakuvadzi, kuwana rugare rwepfungwa nguva dzose kunokosha.

Zvinhu zvinowedzera njodzi yeembryonal tumors ndizvipi?

Mazhinji embryonal tumors anoitika pasina zvinhu zvinowedzera njodzi zvinogona kuzivikanwa, zvinoreva kuti anogona kukanganisa chero mwana pasinei nehupenyu hwemhuri kana mararamiro. Zvisinei, kune zvinhu zvishoma zvinowedzera mukana wekuita aya matumor.

Chinhu chikuru chinowedzera njodzi ndechemazera. Aya matumor akajairika muvana vacheche nevana vane makore asina kusvika mashanu, nekukura kwakanyanya kunoitika mugore rekutanga rehupenyu. Mushure memakore mashanu, njodzi inodonha zvakanyanya.

Mamwe mamiriro emajini anogona kuwedzera njodzi, kunyange izvi zvinomiririra chikamu chiduku chezviitiko:

• Li-Fraumeni syndrome
• Neurofibromatosis type 1
• Gorlin syndrome
• Turcot syndrome
• Mamwe maabnormalities echromosome

Kuva nehupenyu hwemhuri hwezvirwere zvebongo zvinogona kuwedzera njodzi zvishoma, asi mazhinji vana vane embryonal tumors havana nhoroondo yemhuri yekenza. Zvakakosha kunzwisisa kuti kunyange neaya zvinhu zvinowedzera njodzi, kuita embryonal tumor kuri kuramba kuri shoma kwazvo.

Rudzi rwepabonde rine basa diki, nevakomana vane mukana wakakura wekuita mamwe marudzi eembryonal tumors kupfuura vasikana. Zvisinei, musiyano uyu uri muduku uye haufaniri kukonzera kunetseka kwakanyanya.

Matambudziko anogona kuitika eembryonal tumors ndeapi?

Matambudziko kubva kuembryonal tumors anogona kuitika kubva kune tumor pachayo, nzvimbo yayo, kana kubva pakurapa. Kunzwisisa aya mikana kunogona kukubatsira kugadzirira uye kushanda pedyo nechikwata chako chekurapa kuderedza njodzi.

Nzvimbo ye tumor kazhinji inotsanangura rudzi rwezvinetso zvaunogona kusangana nazvo. Matumor ebongo anogona kukonzera kuwedzera kumanikidzo mukati memusoro, zvichikonzera misoro, matambudziko ekuona, uye kushanduka kwekuziva. Kana tumor ikakanganisa nzvimbo dzakakosha dzebongo, inogona kukanganisa kutaura, kufamba, kana kushanda kwepfungwa.

Heano matambudziko akajairika ekurangarira:

• Hydrocephalus (kuunganidzwa kwemvura mubongo)
• Kuita zvisingatarisirwi kana epilepsy
• Kukanganisika kwepfungwa kana kukura
• Matambudziko ekufamba
• Matambudziko ekuona kana kunzwa
• Kusawirirana kwehomoni
• Matambudziko ekukurukura nemutauro

Matambudziko ane chekuita nekurapa anogona kusanganisira zvinokonzerwa ne chemotherapy, sekunge kuwedzera njodzi yekutapukirwa, kusvotwa, kana kurasikirwa nevhudzi. Radiation therapy, kana yakashandiswa, inogona kukonzera kuneta uye kushanduka kwe ganda, uye inogona kukanganisa kukura kwemubongo kwakajairwa muvana vaduku kwazvo.

Matambudziko ekubatanidzwa, kunyange zvisingawanzoitika, anogona kusanganisira kubuda ropa, kutapukirwa, kana kushanduka kwenguva pfupi kwepfungwa. Chikwata chako chekubatanidzwa chichakurukura aya matambudziko zvizere usati waita chero nzira.

Mashoko akanaka ndeakuti matambudziko mazhinji anogona kutarisirwa zvakanaka nerubatsiro rwekurapa uye mabasa ekudzoreredza. Kuita zvinhu nekukurumidza kazhinji kunotungamira kumigumisiro iri nani kwenguva refu.

Embryonal tumors inogona kudzivirirwa here?

Zvinosuruvarisa, hapana nzira inozivikanwa yekudzivirira embryonal tumors sezvo zvinokura kubva pakushanduka kwemajini kunoitika zvisina kujairika panguva yekukura kwekutanga. Izvi zvinogona kunzwa zvisina kunaka, asi zvakakosha kunzwisisa kuti aya matumor haana kukonzerwa nechinhu chinogona kudzivirirwa.

Kusiyana nemamwe marudzi ekenza evakuru anogona kudzivirirwa nekuchinja mararamiro, embryonal tumors anoita seanoitika zvisina kujairika. Haana kukonzerwa nezvinhu zvakatipoteredza, kudya, kana mabasa panguva yekuzvitakura.

Kune mhuri dzine syndromes dzemajini dzinozivikanwa dzinoita kuti njodzi iwedzere, genetic counseling inogona kupa ruzivo rwakakosha nezvekuongorora uye nzira dzekuonekwa nekukurumidza. Zvisinei, kunyange mune aya mamiriro, hapana nzira yekudzivirira matumor kuti asabude.

Chinhu chakakosha chaunogona kuita ndechekuramba uchiyeuka zviratidzo zvinogona kuitika uye kutsvaga rubatsiro rwekurapa nekukurumidza kana zvinokunetsa zvikaitika. Kuonekwa nekukurumidza nekurapa zvinoramba zviri zvishandiso zvakanakisa zvatinazvo pakuwana migumisiro yakanaka.

Embryonal tumors inozwiwa sei?

Kuziva embryonal tumors kazhinji kunosanganisira nhanho dzakawanda uye ongororo dzemafomati. Chiremba wako anotanga nenhoroondo yakakwana yekurapa uye kuongororwa kwemuviri, achinyanya kufunga nezvekushanda kwepfungwa uye chero zviratidzo zvawaona.

Chishandiso chekutanga chekuongorora kazhinji chinowanzova MRI scan yebongo nemutadzi. Iyi mifananidzo yakakwana inobatsira madokota kuona nzvimbo ye tumor, saizi, uye hukama nezvimwe zvinhu zvakapoteredza. Dzimwe nguva CT scan inogona kushandiswa pakutanga, kunyanya munzvimbo dzezviitiko zvinokurumidza.

Kana mifananidzo ikaratidza tumor, nhanho inotevera kazhinji biopsy kana kubviswa kwe tumor. Panguva iyi nzira, masampuli etishu anoongororwa pasi pe microscope kuti aone rudzi rwakakwana rwe embryonal tumor uye aronge kurapa kwakakodzera.

Kuongororwa kwakawedzerwa kunogona kusanganisira lumbar puncture kuongorora masero ekenza mumvura yemutadzi, bvunzo yeropa kuongorora hutano hwese, uye dzimwe nguva kuongororwa kwakakosha kwemajini etishu ye tumor. Aya ma bvunzo anobatsira kugadzira mufananidzo wakakwana wehunhu hwe tumor.

Nzira yese yekuongorora kazhinji inotora mazuva mashoma kusvika mavhiki, zvichienderana nekuoma kwemhosva. Chikwata chako chekurapa chichakuchengetedza wakaziva panguva ino yese uye kupindura chero mibvunzo yaunayo munzira.

Kurapa kweembryonal tumors chii?

Kurapa kweembryonal tumors kazhinji kunosanganisira kusanganiswa kwekuvhiya, chemotherapy, uye dzimwe nguva radiation therapy. Chirongwa chakakosha chekurapa chinotsamira marudzi e tumor, nzvimbo, saizi, uye mazera emurwere nehutano hwese.

Kuita kuvhiya kazhinji ndiyo nhanho yekutanga kana zvichibvira. Chinangwa ndechekubvisa zvakawanda zve tumor sezvinobvira zvakachengeteka nepo kuchengetedza kushanda kwemubongo kwakajairwa. Dzimwe nguva kubviswa kwakakwana hakubviri nekuda kwenzvimbo ye tumor, asi kunyange kubviswa kwechikamu kunogona kubatsira zvakanyanya.

Chemotherapy kazhinji inotevera kuvhiya kunangisa chero masero ekenza asara. Mishonga chaiyo neye nguva inotsamira marudzi e tumor nezvinhu zvinowedzera njodzi. Vana vazhinji vanotsungirira chemotherapy zvakanaka, kunyange zvazvo zvinokonzerwa sekusvotwa, kuneta, uye kuwedzera njodzi yekutapukirwa zvakajairika.

Heano zviri mukati mechirongwa chekurapa chakajairika:

1. Kuvhiya kwekutanga kubvisa tumor
2. Nguva yekudzorera nerubatsiro rwekutsigira
3. Chemotherapy cycles pamwedzi yakati wandei
4. Kuongororwa nguva dzose ne MRI scans
5. Mabasa ekudzoreredza sezvinodiwa
6. Kutarisirwa kwenguva refu

Radiation therapy inoshandiswa zvakanyanya, kunyanya muvana vaduku kwazvo, nekuda kwezvinogona kukanganisa kukura kwetishu yemubongo. Kana yakashandiswa, inorongwa zvakanyanya kunangisa nzvimbo ye tumor nepo kuderedza kusiyiwa kune tishu dzakakwana.

Panguva yekurapa, kutsigirwa kunotarisira zvinokonzerwa, kuchengetedza chikafu, kudzivirira kutapukirwa, uye kutsigira hutano hwese. Izvi zvinogona kusanganisira mishonga yekudzivirira kusvotwa, rutsigiro rwechikafu, uye physiotherapy.

Ungatarisira sei kurapa pamba panguva yekurapa?

Kutarisira kurapa pamba panguva yekurapa kwe embryonal tumor kunosanganisira kugadzira nharaunda inotsigira nepo uchitevera nhungamiro yechikwata chako chekurapa zvakanyanya. Basa rako semutarisiri ndiro rinokosha pakubatsira kuwana mugumisiro wakanakisa.

Kudzivirira kutapukirwa kunova chinhu chikuru panguva ye chemotherapy kana sisitimu yekudzivirira muviri yakasimba. Izvi zvinoreva kugeza maoko kazhinji, kudzivisa nzvimbo dzakazara vanhu, uye kuramba uchiita majekiseni anokurudzirwa sezvakabvumirwa nechikwata chako che oncology.

Heano mazano ekutarisira pamba ekutarisa:

• Chengetera kuchena kwakanaka uye nzvimbo dzakachena dzekugara
• Tarisa tembiricha uye ripoti fevers nekukurumidza
• Iva nechokwadi chekudya kwakakwana uye hydration
• Tarisa mishonga chaizvo sezvakanyorwa
• Tarisa zviratidzo uye zvinokonzerwa
• Chengetera maitiro ekurara akajairika
• Papa rutsigiro rwepfungwa uye zvinhu zvakajairwa kana zvichibvira

Chikafu chinogona kuva chinonetsa panguva yekurapa, kunyanya kana kusvotwa kuri dambudziko. Zvokudya zviduku, zvinowanzoitika kazhinji zvinoshanda zvakanaka kupfuura zvikuru. Shanda nenhengo yekudya kana zvichidiwa kuti uve nechokwadi chekukwana kwemakorari uye zvinovaka muviri.

Chengeta zuva nezuva re zviratidzo, mishonga, uye chero zvinokunetsa. Iyi ruzivo inobatsira chikwata chako chekurapa kugadzirisa kurapa sezvinodiwa uye kubata matambudziko anogona kuitika nekukurumidza.

Usambotya kubata chikwata chako chekurapa nemibvunzo kana zvinokunetsa. Vanoda kunzwa kubva kwauri nezve chimwe chinhu chiduku kupfuura kukanganisa chiratidzo chakakosha.

Unofanira kugadzirira sei kuenda kuchiremba?

Kugadzirira kuenda kuchiremba panguva yekurapa kwe embryonal tumor kunobatsira kuve nechokwadi chekuti unowana zvakanyanya kubva kune imwe neimwe shanyo uye usakanganwa mibvunzo yakakosha kana zvinokunetsa. Kugadzirira kwakanaka kunobatsirawo chikwata chako chekurapa kupa rubatsiro rwakanakisa.

Usati waenda kune imwe neimwe shanyo, nyora chero zviratidzo kana kushanduka kwaona kubvira pashanyo yapfuura. Sanganisira ruzivo nezve nguva, kukura, uye chero chinhu chinoita kuti zviratidzo zvive nani kana zvakanyanya. Iyi ruzivo inobatsira madokota kutevera kufambira mberi uye kugadzirisa kurapa kana zvichidiwa.

Uya neruzivo rwakakwana remishonga yese, kusanganisira mishonga yekutengesa uye zvinowedzerwa. Uyaiwo nechero rekodhi yekurapa kana migumisiro yebvunzo kubva kune vamwe vanopa, kunyanya kana uri kuona nyanzvi dzakawanda.

Heano zvaunofanira kuuya nazvo kune imwe neimwe shanyo:

• Zuva rezviratidzo kana manotsi
• Ruzivo rwemishonga iripo
• Makadhi einishuwarenzi uye zvinhu zvinokuzivisa
• Ruzivo rwemibvunzo nezvinokunetsa
• Migumisiro yebvunzo yapfuura kana mifananidzo
• Ruzivo rwevanhu vanogona kubatsira munzvimbo dzezviitiko zvinokurumidza

Gadzira mibvunzo chaiyo nezve kufambira mberi kwekurapa, zvinokonzerwa, miganho yekufamba, uye zvaunofanira kutarisira zvinotevera. Usanetseka nezve kubvunza mibvunzo yakawanda - chikwata chako chekurapa chinoda kuti uve wakaziva.

Funga nezvekutora shamwari yakavimbika kana nhengo yemhuri kuenda kunoshanya, kunyanya kune hurukuro dzakakosha nezve marongero ekurapa. Vanogona kukubatsira kuyeuka ruzivo uye kupa rutsigiro rwepfungwa.

Kana zvichibvira, svikira maminitsi mashoma usati wasvika kuti upedze chero bepa uye unganidza pfungwa dzako usati wasvika.

Chii chinonyanya kukosha nezve embryonal tumors?

Chinhu chakakosha chekunzwisisa nezve embryonal tumors ndechekuti kunyange zvazvo zviri zvirwere zvakakomba zvinoda kurapwa nekukurumidza, vana vazhinji vanowana migumisiro yakanaka nerubatsiro rwakakodzera. Aya matumor asingawanzoiti anorapika zvikuru, kunyanya kana akaonekwa nekukurumidza.

Yeuka kuti kuva ne embryonal tumor hazvirevi kuti wakaita chimwe chinhu chisina kunaka kana kuti waigona kudzivirira. Aya matumor anokura zvisina kujairika kubva pakushanduka kwemajini panguva yekukura kwekutanga, uye haisi mhosva yemunhu.

Kurapa kwakavandudzwa zvakanyanya mumakore achangopfuura, uye vana vazhinji vanorarama hupenyu hwakanaka, hwakanaka mushure mekurapa. Kunyange zvazvo rwendo urwu runogona kuva rakaoma, hausi wega - makwata akakwana ekurapa uye mabasa ekutsigira aripo kukubatsira munhanho imwe neimwe.

Tarisa pakutora zvinhu zuva nezuva uye kushanda pedyo nechikwata chako chekurapa. Bvunza mibvunzo, tsvaga rutsigiro kana uchida, uye yeuka kuti tariro nekutsunga zvinogona kuva shamwari dzakasimba murwendo urwu.

Mibvunzo inowanzo bvunzwa nezve embryonal tumors

Embryonal tumors nguva dzose here ndedzekenza?

Hongu, embryonal tumors nguva dzose anonzi malignant kana cancerous. Zvisinei, izvi hazvirevi kuti haagoni kurapwa zvakanaka. Mazhinji embryonal tumors anopindura zvakanaka pakurapa, uye zvinotarisirwa zvavandudzwa zvakanyanya nezviitiko zvemazuva ano zvekurapa. Chinhu chikuru ndechekuwana kurapwa nekukurumidza, kwakakodzera kubva kuchikwata chakakwanisa che pediatric oncology.

Nguva yakareba sei kurapa kwe embryonal tumors kazhinji kunotora?

Nguva yekurapa inosiyana zvichienderana nerudzi rwakakosha rwe tumor uye chirongwa chekurapa, asi kazhinji inobva pamwedzi mitanhatu kusvika kumakore maviri. Izvi zvinosanganisira kuvhiya, chemotherapy cycles, uye nguva yekudzorera. Chikwata chako che oncology chichapa nguva yakakosha zvichienderana nemamiriro ako chaiwo. Yeuka kuti kurapa kwenguva refu hazvirevi kuti migumisiro yakaipa - kazhinji kunoratidza nzira yakakwana yekuve nechokwadi chemigumisiro yakanakisa.

Embryonal tumors inogona kudzoka here mushure mekurapa?

Kunyangwe kudzoka kuri kuitika nekenza chero ipi zvayo, vana vazhinji vane embryonal tumors vanoramba vasina kenza mushure mekurapa kwakabudirira. Chikwata chako chekurapa chichatarisira zvakanyanya nekuongororwa kwenguva dzose kwenguva refu uye mifananidzo kuti uone chero kushanduka nekukurumidza. Njodzi yekudzoka inosiyana nerudzi rwe tumor nezvimwe zvinhu, izvo chiremba wako anogona kukurukura newe zvakadzama.

Mwana wangu achakwanisa kupinda chikoro here panguva yekurapa?

Vana vazhinji vanogona kuramba vachiita rudzi rwechikoro panguva yekurapa, kunyange zvazvo zvingada kuchinjwa. Sarudzo dzinosanganisira chikoro chemuchipatara, kudzidziswa kumba, kana kupinda chikoro chakachinjwa kana sisitimu yekudzivirira muviri ichibvumira. Chikwata chako chekurapa chichavashandira newe nechikoro kugadzira chirongwa chekudzidza chakachengeteka, chakakodzera chinonyanya kufunga nezvehutano hwemwana wako nepo uchichengeta mikana yekudzidza.

Mabasa ekutsigira aripo kumhuri dzinosangana ne embryonal tumors ndeapi?

Mabasa ekutsigira akakwana kazhinji anowanikwa kuburikidza ne pediatric cancer centers, kusanganisira vashandi vemagariro, nyanzvi dzevana, vanachiremba vezvikafu, uye nyanzvi dzehupenyu hwepfungwa. Mazhinji machipatara anopawo mapoka ekutsigira mhuri, mazano emari, uye kubatana nezviwanikwa zvemunharaunda. Usambotya kubvunza chikwata chako chekurapa nezve mabasa aripo - akagadzirirwa kubatsira mhuri yako yese panguva ino yakaoma.