Kuvhiringika Kukuru

Kurwisa kwe tonic-clonic, kwaizivikanwa kare se grand mal seizure, kunokonzera kurasikirwa nepfungwa uye kuita kwemhasuru zvine simba. Iyi ndiyo rudzi rwekukwisa rwavanoona vanhu vazhinji pavanosangana nekurwara uku. Panguva yekurwisa, pane kuwanda kwemagetsi muuropi kunokonzera shanduko mumaitiro nekuita kwemuviri. Kurwisa kunogona kuva kwechigadziko, zvinoreva kuti kuwanda kwemagetsi kunoitika munzvimbo imwe chete yeuropi. Kana kuti kurwisa kunogona kuva kwakapararira, umo kunokonzerwa nekuwanda kwemagetsi munzvimbo dzose dzeuropi. Kurwisa kwe tonic-clonic kunogona kutanga sekurwisa kwechigadziko munzvimbo duku yeuropi wozoenda kunova kurwisa kwakapararira kunosanganisira uropi hwese. Kurwisa kwechigadziko nekwakapararira zvine zviratidzo zvakasiyana. Vanhu vane kurwisa kwakapararira vanowanzo rasikirwa nepfungwa. Asi vanhu vane kurwisa kwechigadziko vangarasikirwa kana kusarasikirwa nepfungwa. Mukurwisa kwe tonic-clonic, mhasuru dzinonamira, zvichikonzera munhu wacho kuwira. Zvadaro mhasuru dzinotangazve kusimuka nekudzikira. Kazhinji, kurwisa kwe tonic-clonic kunokonzerwa nechirwere cheEpilepsy. Asi dzimwe nguva rudzi urwu rwekukwisa runogona kukonzera matambudziko mamwe ezveutano. Shuga yakaderera yeropa, fivha yakakwirira kana kurova kweropa kunogona kukonzera kurwisa kwe tonic-clonic. Vanhu vazhinji vane kurwisa kwe tonic-clonic havambonzwi zvakare uye havadi kurapwa. Asi munhu ane kurwisa kunodzokororwa anoda kurapwa ne mishonga ye anti-seizure zuva nezuva kudzora uye kudzivirira kurwisa kwe tonic-clonic kwenguva yemberi.

'Marwadzo etonic-clonic ane nhanho mbiri: Nhanho yeTonic. Munhu anorasikirwa nepfungwa. Tsitsi dzinokurumidza kuoma uye zvinoita kuti munhu awire pasi. Nhanho iyi inowanzo kutorwa kwemasekondi gumi kusvika makumi maviri.\nNhanho yeClonic. Tsitsi dzinopinda mukati mekukonzeresa kwakarongeka. Dzinotambanudza uye dzinozorora. Kuita kwakadaro kunowanzo kutorwa kwemaminitsi imwe kana maviri kana zvishoma. Zviratidzo zvinotevera zvinoitika kune vamwe asi kwete kune vanhu vose vane marwadzo etonic-clonic: Kuchema. Vamwe vanhu vangachema pakutanga kwechirwere.\nKurasikirwa nekuita kwematumbu nemarunda. Izvi zvinogona kuitika panguva kana mushure mechirwere.\nKusapindura mushure mekukonzeresa. Munhu angasazive kwemaminitsi akati wandei mushure mekunge kukonzeresa kwapera.\nKusanzwisisika. Munhu kazhinji anenge asina kunzwisisa mushure mechirwere chetonic-clonic. Izvi zvinonzi kusanzwisisika kwepostictal.\nKuneta. Kurara kunowanzoitika mushure mechirwere chetonic-clonic.\nMusoro unorwadza. Misoro inogona kuitika mushure mechirwere chetonic-clonic. Fonera 911 kana rubatsiro rwekurapa rekukurumidza kana: Chirwere chacho chikatora maminitsi anopfuura mashanu.\nKufema kana pfungwa dzisingadzoki mushure mekunge chirwere chamira.\nChirwere chechipiri chinotevera nekukurumidza.\nUne fivha yakakwirira.\nUri kusangana nekuneta nekudziya.\nUri nepamuviri.\nUne chirwere cheshuga.\nWakakuvadzwa panguva yechirwere. Kana ukawana chirwere kekutanga, ona nyanzvi yehutano. Onawo nyanzvi yehutano kana iwe kana mwana wako: Uine huwandu hwakawanda hwezvirwere pasina chikonzero chakajeka.\nCherechedza zviratidzo zvitsva zvechirwere.'

'Dana 911 kana rubatsiro rwekurapa hwakakurumidza kana: Kurwisa kwacho kuchipfuura maminitsi mashanu. Kufema kana kuziva hazvidzoki mushure mekunge kurwisa kwacho kumirira. Kurwisa kwechipiri kunotevera nekukurumidza. Une fivha yakanyanya. Uri kusangana nekushaya simba nekuda kwenyika inopisa. Uri nepamuviri. Une chirwere cheshuga. Wakakuvadzwa panguva yekurwisa. Kana ukasangana nekurwisa kekutanga, ona nyanzvi yekurapa. Onawo nyanzvi yekurapa kana iwe kana mwana wako: Munosangana nekuwanda kwekurwisa pasina chikonzero chakajeka. Munoona zviratidzo zvitsva zvekurwisa.'

Masero ehuropi kazhinji anokurukura nekuendesa mameseji emagetsi nemakemikari kuburikidza nemasynapse anobatanidza masero. Kuita kwezviitiko zve tonic-clonic kunoitika kana paine kuwedzera kwemabasa emagetsi pamusoro pehuropi. Masero akawanda aneta anopisa panguva imwe chete, nekukurumidza kupfuura kazhinji. Chaizvoizvo chinokonzera shanduko idzo dzinoitika kazhinji hachizivikanwi. Zvisinei, kuita kwezviitiko zve tonic-clonic kunokonzerwa dzimwe nguva nematambudziko ehutano, akadai se: Kukuvadzwa kwemusoro. Kuwanda kwezvirwere, sekudhaka kana meningitis. Kana nhoroondo yezvirwere zvakadaro. Kukuvadzwa nekuda kwekukanganisa kweoksijeni kare. Kutadza kwehuropi. Midziyero yeropa isina kuumbwa zvakanaka muhuropi. Zvirwere zvemajini. Zvirwere zvehuropi. Mazai eropa ari pasi zvikuru eglucose, sodium, calcium kana magnesium. Kushandisa kana kubvisa mishonga, kusanganisira doro.

'Zvinokonzera kukonzera kuita tonic-clonic seizures zvinosanganisira: Nhoroondo yemhuri yezvirwere zvekuita seizures. Kukuvadzwa kwepfungwa nekuda kwekutambudzika, kurova, hutachiona hwakapfuura nezvimwe zvikonzero. Kushaya hope. Matambudziko ezvechiremba anokanganisa kuenzana kwema electrolytes. Kushandisa zvinodhaka zvisiri pamutemo. Kushandisa doro zvakanyanya.'

Kuva nekuhwanda kwenguva dzakatarwa kunogona kuva ngozi kwauri kana kune vamwe. Ungave uri pangozi yeku: Kuwa. Kana ukawira panguva yekuhwanda, unogona kukuvadza musoro wako kana kupwanya mapfupa. Kuparara. Kana uine kuwanda panguva yekushambira kana kugeza, uri pangozi yekuparara netsaona. Zviitiko zvemotokari. Kuwanda kunokonzera kurasikirwa nekuziva kana kudzora kunogona kuva ngozi kana uri kutyaira mota kana kushandisa michina yakawanda. Zvinetso zvepamuviri. Kuwanda panguva yepamuviri kunokonzera ngozi kuna mai nembabwa. Uye mishonga yakawanda inorwisa kuwanda inowedzera njodzi yekukanganisa kwekuzvarwa. Kana uine chirwere chekuhwanda uye uchida kuva nepamuviri, taura nachiremba. Mishonga yako inogona kudikanwa kugadziriswa. Chiremba anogona kutevera pamuviri wako. Zvinetso zveutano hwepfungwa. Vanhu vane kuwanda vane mukana wakakura wekuva nekuora mwoyo nekushushikana. Zvinetso zveutano hwepfungwa zvinogona kuva mugumisiro wekubata nechirwere ichocho kana semugumisiro wemishonga inokonzeresa.

Basa reEEG rekuita kwehuropi Wedzera mufananidzo Vhara basa rehuropi reEEG Basa rehuropi reEEG EEG inonyora basa remagetsi rehuropi kuburikidza ne electrodes dzakabatanidzwa kune ganda. Mhedzisiro yeEEG inoratidza shanduko mubasa rehuropi izvo zvinogona kubatsira pakuzivisa mamiriro ehuropi, kunyanya chirwere cheepilepsy nemamwe mamiriro anoita kuti pave nekuvhiringika. EEG ine density yakakwira Wedzera mufananidzo Vhara EEG ine density yakakwira EEG ine density yakakwira Panguva yeEEG ine density yakakwira, ma disc emagetsi akati sandara anonzi electrodes anobatanidzwa kune ganda. Electrodes dzakabatana nema shini eEEG. Vamwe vanhu vanopfeka chivharo cheelastic chakakodzera ne electrodes panzvimbo yekunamatira kunamatira paganda ravo. Kuona nzvimbo yekuvhiringika Wedzera mufananidzo Vhara Kuona nzvimbo yekuvhiringika Kuona nzvimbo yekuvhiringika Aya ma SPECT mafoto anoratidza kuyerera kweropa muhuropi hwemunhu kana pasina basa rekuvhiringika (kuruboshwe) uye panguva yekuvhiringika (pakati). Iyo subtraction SPECT coregistered ku MRI (kurudyi) inobatsira kuona nzvimbo yebasa rekuvhiringika nekufanana nemhedzisiro yeSPECT nema MRI emhedzisiro. Mushure mekuvhiringika, ona nyanzvi yehutano kuti uongorore zvizere zviratidzo zvako uye nhoroondo yako yezvehutano. Ungada bvunzo dzakati wandei kuti uone chikonzero chekuvhiringika kwako. Bvunzo dzinogona kusanganisira: Kuongororwa kweNeurological. Ungave nebvunzo yekufamba kwako, hunyanzvi hwemamotor uye basa repfungwa. Izvi zvinobatsira kuona kana paine dambudziko rehutano nehuropi hwako uye system yenyuve. Bvunzo dzeropa. Sampuli yeropa inogona kutarisa zviratidzo zvehutachiona, mamiriro emajini, mazinga eshuga yeropa kana kusawirirana kwe electrolyte. Lumbar puncture, inozivikanwawo se spinal tap. Ungada kubvisa sampuli yemvura ye cerebrospinal kuti uongorore kana hutachiona hungave hwakakonzera kuvhiringika. Electroencephalogram (EEG). Mubvunzo iyi, ma disc emagetsi akati sandara anonzi electrodes akabatanidzwa kune ganda rako anonyora basa remagetsi rehuropi hwako. Izvi zvinoonekwa semitsara yakakombama pane rekodhi yeEEG. EEG inogona kuratidza muenzaniso unotiudza kana kuvhiringika kungangoitika zvakare. Kuongororwa kweEEG kunogona kubatsirawo kubvisa mamwe mamiriro anogona kukonzera kuvhiringika. Computerized tomography (CT) scan. CT scan inoshandisa X-rays kuti uwane mifananidzo ye cross-sectional yehuropi hwako. CT scans inogona kuratidza zvirwere, kubuda ropa uye cysts muhuropi izvo zvingakonzera kuvhiringika. Magnetic resonance imaging (MRI). MRI inoshandisa magetsi ane simba uye ma radio waves kuti uite maonero akakwana ehuropi hwako. MRI inoratidza chimiro chehuropi. Izvi zvinogona kubatsira kuona chii chingave chiri kukonzera kuvhiringika. Positron emission tomography (PET). PET scans inoshandisa huwandu hudiki hwezvinhu zvine radioactive zvishoma zvinopfurwa mumutsinga. Zvinhu izvozvo zvinobatsira kuona nzvimbo dzinoshingaira dzehuropi. Izvi zvinogona kubatsira nyanzvi yehutano kuona kuti kuvhiringika kuri kuitika kupi. Single-photon emission computerized tomography (SPECT). Bvunzo yeSPECT inoshandisa huwandu hudiki hwezvinhu zvine radioactive zvishoma zvinopfurwa mumutsinga. Bvunzo yacho inogadzira mepu yakakwana, ye3D yekuyerera kweropa muhuropi hwako kunoitika panguva yekuvhiringika. Ungave neimwe fomu yebvunzo yeSPECT inonzi subtraction ictal SPECT coregistered ku magnetic resonance imaging (SISCOM). Izvi zvinogona kuenzanisa kuyerera kweropa panguva yekuvhiringika nekuyerera kweropa pakati pekuvhiringika. Rumwe ruzivo EEG (electroencephalogram) MRI

'Kwete munhu wese ane kurwara kwemhata anomwe kumwezve. Nekuti kurwara kwemhata kunogona kuva chiitiko chimwe chete, ungasatanga kurapwa kusvika wava nekupfuura chimwe. Kurapwa kazhinji kunosanganisira kushandiswa kwemishonga inorwisa kurwara kwemhata. Mishonga Mishonga yakawanda inoshandiswa pakurapa chirwere chepfuura nekurwara kwemhata, kusanganisira: Brivaracetam (Briviact). Carbamazepine (Carbatrol, Tegretol, nezvimwewo). Clobazam (Onfi, Sympazan). Felbamate (Felbatol). Gabapentin (Gralise, Horizant, Neurontin). Lacosamide (Vimpat). Lamotrigine (Lamictal). Levetiracetam (Keppra, Spritam, Elepsia XR). Oxcarbazepine (Oxtellar XR, Trileptal). Perampanel (Fycompa). Phenobarbital (Sezaby). Phenytoin (Dilantin, Phenytek). Topiramate (Topamax, Qudexy XR, nezvimwewo). Asidhi yeValproic. Zonisamide (Zonegran, Zonisade). Kuwana mushonga chaiwo nehuwandu kunogona kuva kwakaoma. Munyanzvi wehutano anogona kutanga kunyora mushonga mumwe chete nehuwandu hushoma. Munyanzvi wehutano anogona kuwedzera huwandu zvishoma nezvishoma kusvika kurwara kwako kwemhata kwadzorwa zvakanaka. Vanhu vazhinji vane chirwere chepfuura vanokwanisa kudzivirira kurwara kwemhata nemushonga mumwe chete. Asi vamwe vanoda kupfuura mumwe. Kana wakamboedza nzira mbiri kana kupfuura dzemushonga mumwe chete pasina kubudirira, ungada kuedza musanganiswa wemishonga miviri. Kuti uwane kudzora kwakanaka kwemhata sezvinobvira, tora mishonga sezvakanyorwa. Gara uchifona kune munyanzvi wehutano usati wawedzera mishonga yakawanda. Izvi zvinosanganisira mishonga inorayirwa, mishonga inowanikwa pasina kuraira kana mishonga yemiti. Uye usambomira kutora mushonga wako usati wataura nemunyanzvi wehutano. Zviratidzo zvishoma zve mishonga inorwisa kurwara kwemhata zvinogona kusanganisira: Kuneta. Kuwedzera uremu. Zviratidzo zvinotyisa zvinoda kuunzwa kumunyanzvi wehutano nekukurumidza. Zvinosanganisira: Kushanduka kwemanzwiro. Maronda eganda. Kurasikirwa nekugadzirisa. Matambudziko ekukurukura. Kuneta kwakanyanya. Matumbo akafuta. Kuwedzera kumeso kana maziso, kana maronda anorwadza mumuromo kana kumativi emaziso. Matambudziko ekuruma kana kufema, kusanganisira panguva yekurovedza muviri. Kusviba kweganda kana maziso sekusviba. Kuvhunduka nekurova ropa izvo zvisiri zvemazuva ese. Fivha uye kurwadziwa kwemhasuru. Muzviitiko zvisingawanzoitiki, mushonga we lamotrigine wakabatana nenjodzi yakawedzera yemenningitis isina hutachiona. Meningitis isina hutachiona kuzvimba kwemamembranes anochengetedza uropi nemutadzi wemutsipa. Chirwere ichi chakafanana nemeningitis ine mabhakitiriya asi haina kukonzerwa nemabhukitiriya. US Food and Drug Administration yakanyevera kuti mishonga miviri inorwisa kurwara kwemhata inogona kukonzera kuita kwakasimba, kunyangwe zvichiitika zvishoma. Levetiracetam ne clobazam zvinogona kukonzera kuzvimba nezviratidzo zvinosanganisira maronda, fivha, matumbo akafuta, uye kuwedzera kumeso kana maziso. Pasina kurapwa nekukurumidza, kuita kwacho kunogona kutungamira kukuvara kwezvikamu zvemuviri, kusanganisira chiropa, itsvo, mapapu, mwoyo kana pancreas. Zvinogona kutungamirawo kurufu. Aya maratidzo anogona kutanga mavhiki maviri kusvika masere mushure mekutanga levetiracetam kana clobazam, asi zviratidzo zvinogonawo kuitika kare kana gare gare. Tora rubatsiro rwekurapa nekukurumidza kana uchitora mishonga iyi uye uine kuita kana chero rimwe remaitiro aya akakomba. Gara uchitaura nemunyanzvi wehutano usati wamisa mishonga iyi. Kumisa mishonga nekukurumidza kunogona kukonzera kurwara kwemhata kudzoka. Kuopereta nemamwe kurapwa Kusimudzira kwevagus nerve yakasimbiswa Wedzera mufananidzo Vhara Kusimudzira kwevagus nerve yakasimbiswa Kusimudzira kwevagus nerve yakasimbiswa Mukusimbiswa kwevagus nerve yakasimbiswa, jenereta yepulasitiki ne waya inotungamira inomutsa vagus nerve. Izvi zvinodzikamisa basa remagetsi muuropi. Kusimudzira kwakadzika kweuropi Wedzera mufananidzo Vhara Kusimudzira kwakadzika kweuropi Kusimudzira kwakadzika kweuropi Kusimudzira kwakadzika kweuropi kunosanganisira kuisa electrode yakadzika mukati memuuropi. Huwandu hwekusimudzira hunoitwa ne electrode hunodzorwa nedhijitari yakaita se pacemaker yakamiswa pasi peganda muchipfuva. Waye inofamba pasi peganda inobatanidza mudziyo ku electrode. Kana mishonga inorwisa kurwara kwemhata isingashande, mamwe kurapwa anogona kuva sarudzo: Kuopereta. Chinangwa chekuopereta ndechekumisa kurwara kwemhata kuti kuitike. Vanachirangaridzi vanowana uye vanobvisa nzvimbo yeuropi rako uko kurwara kwemhata kunotanga. Kuopereta kunoshanda zvakanaka kune vanhu vane kurwara kwemhata kunogara kuchibva panzvimbo imwe chete muuropi rwavo. Kusimudzira kwevagus nerve. Mudziyo wakamiswa pasi peganda rechipfuva chako unosimudzira vagus nerve mumutsipa wako. Izvi zvinotumira zviratidzo kuuropi rako izvo zvinodzivisa kurwara kwemhata. Nekusimudzira kwevagus nerve, unogona kuzoda kutora mushonga, asi unogona kuderedza huwandu. Kusimudzira kwakapindura. Panguva yekusimbiswa kwakapindura, mudziyo wakamiswa pamusoro peuropi rako kana mukati memusoro weuropi unogona kuona basa rekurwara kwemhata. Mudziyo unogona kupa kusimudzira kwemagetsi kunzvimbo yakawanikwa kuti umise kurwara kwemhata. Kusimudzira kwakadzika kweuropi. Nekurapa uku, nyanzvi yekuopereta inoisa electrodes mukati menzvimbo dzakati dzouropi. Electrodes inogadzira maimpulses emagetsi anodzora basa reuropi. Electrodes inobatanidza kune mudziyo wakaita se pacemaker wakamiswa pasi peganda rechipfuva chako. Mudziyo uyu unodzora huwandu hwekusimudzira hunoitwa. Kurapa kwemudya. Kudya kwakakwira mafuta uye kwakaderera mucarbohydrates, kunonzi ketogenic diet, kunogona kuvandudza kudzora kwemhata. Kushanduka kwe ketogenic diet zvishoma zvinobudirira asi zvinogona kupa rubatsiro. Zvinosanganisira kudya kwakaderera glycemic index uye modified Atkins diet. Pamuviri nekurwara kwemhata Vakadzi vane kurwara kwemhata kare vanowanzo kukwanisa kuva nepamuviri hune hutano. Kukanganisika kwekuzvarwa kunobatanidzwa nemimwe mishonga kunogona kuitika dzimwe nguva. Zvikuru, asidhi yevalproic yakabatana nekukanganisika kwepfungwa uye kukanganisika kwe neural tube, sekunge spina bifida. American Academy of Neurology inokurudzira kuti vakadzi vadzivise kushandisa asidhi yevalproic panguva yepamuviri nekuda kwenjodzi kumwana. Zvakakosha zvikuru kudzivirira asidhi yevalproic panguva yekutanga trimester yepamuviri, kana zvichibvira. Kurukurai njodzi idzi nemunyanzvi wehutano. Kuronga usati wava nepamuviri kunokosha zvikuru kune vakadzi vane kurwara kwemhata. Kuwedzera kune njodzi yekukanganisika kwekuzvarwa, pamuviri kunogona kuchinja mazinga emushonga. Muzvimwe zviitiko, zvingave zvakanaka kuchinja huwandu hwemushonga wekurwara kwemhata usati wava nepamuviri kana panguva yepamuviri. Mishonga inogona kuchinjwa muzviitiko zvisingawanzoitiki. Kudzivirira pamuviri nemishonga inorwisa kurwara kwemhata Zvakakoshawo kuziva kuti mimwe mishonga inorwisa kurwara kwemhata inogona kuita kuti oral contraceptives - fomu rekudzivirira pamuviri - isashande zvakanaka. Uyewo, mimwe oral contraceptives inogona kukurumidza metabolism yemishonga yekurwara kwemhata. Tarisa nemunyanzvi wehutano kuti uongorore kana mushonga wako unobatanidzwa ne oral contraceptive yako. Bvunza kana mamwe mafomu ekudzivirira pamuviri anoda kufungwa. Kumbira musangano Pane dambudziko neruzivo rwakatumirwa nekuda kwekumbira uku. Ongorora / gadziridza ruzivo rwakasimbwa pazasi uye tumira fomu. Tora ruzivo rwekupedzisira rechirwere chepfuura kubva kuMayo Clinic rwakatumirwa mubhokisi rako. Nyorera mahara uye gamuchira zvakapedzisira pakurapa chirwere chepfuura, kutarisirwa uye manejimendi. Ndingada kudzidza zvakawanda nezve: Zvakapedzisira pane kutarisirwa kwechirwere chepfuura chakatsva Mazano ekutarisira chirwere chepfuura Kero ye email Chikanganiso Munda we email unoda Chikanganiso Taura kero ye email yakakodzera Nyorera Dzidza zvakawanda nezvekushandiswa kwe data yeMayo Clinic. Kuti tikupe ruzivo rwakakodzera uye runobatsira, uye kunzwisisa kuti ruzivo rwupi runobatsira, tinogona kusanganisa email yako uye ruzivo rwekushandisa webhusaiti neruzivo rwedu rwunokubata. Kana uri murwere weMayo Clinic, izvi zvinogona kusanganisira ruzivo rwehutano rwakachengetedzwa. Kana tikasanangura ruzivo urwu neruzivo rwako rwehutano rwakachengetedzwa, tichaita kuti ruzivo urwo ruve ruzivo rwehutano rwakachengetedzwa uye tichashandisa kana kuzivisa ruzivo urwu sezvakataurwa mune zvatinozivisa nezvekuita kwepamuviri. Unogona kusarudza kubva pakukurukurirana kwe email chero nguva nekudzvanya pane unyore link mu email. Ndatenda nekubhalisa! Uchakurumidza kutanga kugamuchira ruzivo rwehutano rwakapedzisira rawakakumbira mubhokisi rako. Zvirevo, chimwe chinhu chakashata nekubhalisa kwako Ndokumbirawo, edza zvakare mumaminitsi mashoma Edza zvakare'

Kurarama nechirwere chekuhwina kunogona kunetsa. Kunetsa kunogona kukanganisa utano hwepfungwa, saka zvakakosha kutaura nachiremba nezvemanzwiro ako, uyo anogona kukupa mazano ekutsvaga rubatsiro. Pamba mhuri yako inogona kupa rutsigiro runodiwa zvikuru. Vaudza zvaunoziva nezvechirwere chako chekuhwina. Vazivise kuti vanogona kukubvunza mibvunzo, uye uve akasununguka kukurukura nezvezvinhu zvavanotya. Vabatsire kunzwisisa mamiriro ako nekugovana zvinhu zvedzidzo kana zvimwe zviwanikwa. Pabasa Sangana nebhosi rako uye taura nezvechirwere chako chekuhwina uye maitiro acho anokukanganisa. Kurukura zvaunoda kubva kubhosi rako kana vashandi pamwe chete kana ukawana kuhwina uri pabasa. Funga kutaura nevashandi pamwe chete nezvechirwere chekuhwina. Izvi zvinogona kukubatsira kuwedzera hurongwa hwako hwematsigiro. Zvinogona zvakare kuunza kugamuchirwa nekunzwisisa. Hausi wega Yeuka, haufanire kuzviita wega. Tsvaga mhuri neshamwari. Bvunza chiremba wako nezvemapoka ekutsigira munzvimbo yako kana kubatana nechikwata chekutsigira pamhepo. Usatya kukumbira rubatsiro. Kuve nehurongwa hwakasimba hwekutsigira kwakakosha pakurarama nechinetso chekurapa chero chipi zvacho.