Zvironda Zveparotid

Zvironda zveParotid

Maronda eParotid ndiwo maronda anowanikwa pamberi pemhino. Pane imwe gland yeParotid kune rumwe rutivi rwechiso. Pane mamwe maronda akawanda emuromo, makwai, muromo nemuromo. Imwe neimwe inogadzira mate kuti ibatsire pakukwiza, kukwenya nekudya chikafu.

Zvironda zveParotid ndizvo kukura kwemasero anotanga mumaglands eParotid. Maronda eParotid ndiwo maglands maviri anowanikwa pamberi pemhino. Pane imwe kune rumwe rutivi rwechiso. Maronda anogadzira mate kuti abatsire pakukwiza nekudya chikafu.

Pano pane mamwe maronda akawanda emuromo, makwai, muromo nemuromo. Kukura kwemasero, anodanwa kuti zvironda, kunogona kuitika mune chero rimwe remaglands aya. Maronda eParotid ndiwo nzvimbo inowanzoitika yezvironda zve salivary gland.

Kazhinji zvironda zveParotid hazvisi zvekenza. Aya anonzi zvironda zveParotid zvisina kenza kana kuti zvironda zvakanaka. Dzimwe nguva zvironda izvi zvinenge zviri kenza. Aya anonzi zvironda zveParotid zvakaipa kana kuti kenza yeParotid gland.

Zvironda zveParotid kazhinji zvinoita kuti chiso kana kuti muromo uve wakazvimba. Kazhinji hazvikuvadzi. Zvimwe zviratidzo zvinosanganisira matambudziko ekuruma kana kurasikirwa nekufamba kwechiso.

Kuongororwa nekurapwa kwezvironda zveParotid kazhinji kunoitirwa nevashandi vezvechiremba vanoshanda nematambudziko anokanganisa nzeve, mhino nemuromo. Ava vanachiremba vanonzi ENT specialists kana kuti otolaryngologists.

Kuongororwa nekuita zvinhu zvinoshandiswa kuongorora chironda cheParotid zvinogona kusanganisira:

• Kuongororwa kwemuviri. Munyanzvi wehutano anonzwa muromo, mutsipa nemuromo kuti aone kana paine zvimba kana kuti kuzvimba.
• Kuunganidza sampuli yetsinga yekuongorora. Biopsy ndiyo nzira yekuunganidza sampuli yetsinga yekuongorora. Kazhinji inosanganisira kushandisa tsono kuunganidza mvura kana tsinga kubva mugland yeParotid. Tsono inogona kupinza kuburikidza neganda pachiso uye kupinda mugland yeParotid.

Mu laboratori, bvunzo dzinogona kuratidza marudzi emasero anobatanidzwa uye kutaura kana ari kenza. Ruzivo urwu runobatsira timu yako yekurapa kunzwisisa prognosis yako uye kurapwa kwakanakira iwe.

Migumisiro kubva kune needle biopsy haisi nguva dzose chaiyo. Dzimwe nguva migumisiro inoti chironda hachisi kenza kana chiri. Nechikonzero ichi, vamwe vanachiremba havaiti biopsy usati waopareta. Panzvimbo iyoyo, vanogona kutora sampuli yetsinga yekuongorora panguva yekuvhiya.

• Kuongororwa kwemifananidzo. Kuongororwa kwemifananidzo kunobatsira timu yako yekurapa kunzwisisa saizi nenzvimbo yechironda chako. Kana chironda chako cheParotid chiri kenza, kuongororwa kwemifananidzo kunobatsira kutsvaga zviratidzo zvekuti kenza yakapararira. Kuongororwa kunogona kusanganisira ultrasound, MRI neCT.

Kuunganidza sampuli yetsinga yekuongorora. Biopsy ndiyo nzira yekuunganidza sampuli yetsinga yekuongorora. Kazhinji inosanganisira kushandisa tsono kuunganidza mvura kana tsinga kubva mugland yeParotid. Tsono inogona kupinza kuburikidza neganda pachiso uye kupinda mugland yeParotid.

Mu laboratori, bvunzo dzinogona kuratidza marudzi emasero anobatanidzwa uye kutaura kana ari kenza. Ruzivo urwu runobatsira timu yako yekurapa kunzwisisa prognosis yako uye kurapwa kwakanakira iwe.

Migumisiro kubva kune needle biopsy haisi nguva dzose chaiyo. Dzimwe nguva migumisiro inoti chironda hachisi kenza kana chiri. Nechikonzero ichi, vamwe vanachiremba havaiti biopsy usati waopareta. Panzvimbo iyoyo, vanogona kutora sampuli yetsinga yekuongorora panguva yekuvhiya.

Kurapwa kwechironda cheParotid kazhinji kunosanganisira kuvhiya kubvisa chironda. Kana chironda chiri kenza, ungada kurapwa kwakawanda. Izvi zvinogona kuva neradiotherapy nechemotherapy.

Mabasa anoshandiswa kubvisa zvironda zveParotid anosanganisira:

• Kubvisa chikamu cheParotid gland. Kune zvironda zvizhinji zveParotid, vanachiremba vanogona kukamura chironda nechimwe chezvinhu zvine hutano zveParotid gland zvakapoteredza. Chikamu cheParotid gland chisara chinoramba chichiita basa sezvakanga zvakaita kare.
• Kubvisa yose yeParotid gland. Kuita kuvhiya kubvisa yose yeParotid gland kunonzi parotidectomy. Zvinogona kudikanwa kune zvironda zvikuru, zvironda zviri kenza uye izvo zvinokanganisa zvikamu zvakadzika zveParotid gland.
• Kubvisa tsinga yakawanda kuti uwane kenza yose. Kana kenza yeParotid gland yakakura mumapfupa nemisungo iri pedyo, zvimwe zvezvi zvinogona kubviswa neParotid gland. Vanachiremba vanoedza kubvisa kenza yose nechikamu chidiki chetsinga ine hutano inenge ichipoteredza. Zvadaro vanoita basa rekugadzirisa nzvimbo yacho kuti ugone kuramba uchikwiza, kukwenya, kutaura, kufema nekufambisa chiso chako. Izvi zvinogona kusanganisira kufambisa ganda, tsinga, pfupa kana mitsipa kubva kune dzimwe nzvimbo dzemuviri wako kuti ugadzirise. Rudzi urwu rwekuvhiya harudikanwi kune zvironda zveParotid zvisiri kenza.

Kuti vasvike kugland yeParotid, vanachiremba vanoita kacheka paganda pedyo nenzeve. Kacheka kazhinji kavanikwa mukukotama kwe ganda kana kumashure kwenzeve.

Dzimwe nguva sampuli yetsinga yechironda inongororwa panguva yekuvhiya kuti aone kana iri kenza. Chiremba anoshandisa ropa netsinga dzemuviri kuongorora zvirwere, anonzi pathologist, anotarisa sampuli nekukurumidza. Pathologist anoudza chiremba kana chironda chiri kenza. Izvi zvinobatsira chiremba kusarudza kuti chii chakakura cheParotid gland chinofanira kubviswa. Pathologist anogonawo kuongorora lymph nodes iri pedyo netsinga kuti aone kana paine zviratidzo zvekenza.

Gland yeParotid inopoteredza nerve inofambisa misungo yechiso. Nerve iyi inonzi facial nerve. Vanachiremba vanochenjera kuti varege kuikuvadza. Vanogona kushandisa zvishandiso zvemagetsi kuti vaongorore nerve uye vaone kuti inoshanda sezvaitarisirwa mushure mekuvhiya.

Dzimwe nguva facial nerve inotambanudzwa panguva yekuvhiya. Izvi zvinogona kukonzera kurasikirwa nekufamba kwemisungo yechiso. Kufamba kwemisungo kazhinji kunowedzera nekufamba kwenguva. Zvisingawanzoitika, facial nerve inofanira kukamurwa kuti uwane chironda chose. Vanachiremba vanogona kugadzirisa facial nerve vachishandisa mitsipa kubva kune dzimwe nzvimbo dzemuviri kana kubva kune mitsipa yakagadzirwa.

Kuvhiya kwechironda cheParotid kunogona kuva kwakaoma. Kunoda vanachiremba vakadzidziswa zvakanaka uye nyanzvi kuti vawane mugumisiro wakanaka. Kana uri kutarisana nekuvhiya kwechironda cheParotid, taura nachiremba wako usati waita kuvhiya kuti ubvunze mibvunzo. Kudzidza zvakawanda nezve nzira iyi kunogona kukubatsira kunzwa wakasununguka nezve chirongwa chako chekurapwa. Ungafunga kubvunza:

• Uchacheka kupi paganda kuti usvike kugland yeParotid? Ndichava nescar here?
• Chii chakakura cheParotid gland chaunoronga kubvisa?
• Zvinogona sei kuti facial nerve ikuvadzwe? Uchazviita sei?
• Uchaita sei kuti uve nechokwadi chekuti wabvisa chironda chose?
• Uchabvisa lymph nodes here?
• Ndichada kuvhiya kwekugadzirisa here? Izvozvo zvichabatsira sei?
• Ndinofanira kutarisira chii panguva yekudzorera? Zvichatora nguva yakareba sei kuti upore?

Radiotherapy inoshandisa magetsi ane simba kuuraya masero ekensa. Simba rinogona kubva kune zvinhu zvakadai seX-rays neprotons.

Radiotherapy inoshandiswa kurapa kenza yeParotid gland. Radiotherapy inogona kukurudzirwa mushure mekuvhiya. Radiation inogona kuuraya chero masero ekensa aripo. Kana kuvhiya kusina kukwanisika, radiotherapy inogona kuva kurapwa kwekutanga kwekenza yeParotid.

Chemotherapy inoshandisa mishonga ine simba kuuraya masero ekensa. Chemotherapy inoshandiswa dzimwe nguva kurapa kenza yeParotid gland. Zvinogona kudikanwa kana paine njodzi yekuti kenza ingapararira kana kuvhiya kusina sarudzo. Mumamiriro ezvinhu aya, chemotherapy inogona kuitwa panguva imwe chete neradiotherapy.

Chemotherapy inoshandiswa dzimwe nguva yekenza yakakura, senge kenza yakapararira kune dzimwe nzvimbo dzemuviri. Chemotherapy inogona kubatsira kuderedza marwadzo nezvimwe zviratidzo zvinokonzerwa nekenza.

Kuongororwa kwehutachiona hwemukaka wemukaka kunowanzo tanga nekuongororwa kwemuviri kwenzvimbo yacho nemunyanzvi wehutano. Kuongororwa kwemuviri uye biopsy zvinogona kushandiswa kuwana nzvimbo yehutachiona uye kuona rudzi rwesero rinosanganiswa. Munyanzvi wehutano anonzwa chirebvu, mutsipa nehuro kuti aone kana paine zvimiro kana kuzvimba. Kuongororwa kwemuviri kunotora mifananidzo yemuviri. Zvinogona kuratidza nzvimbo nehukuru hwehutachiona hwemukaka wemukaka. Kuongororwa kunogona kusanganisira MRI, CT uye positron emission tomography, iyo inonziwo PET scan. Biopsy ndiyo nzira yekubvisa sampuli yetsinga kuti iongororwe murabhoritari. Kuti uwane sampuli yetsinga, fine-needle aspiration kana core needle biopsy inogona kushandiswa. Panguva yebiopsy, tsono yakatetepa inoiswa mumukaka wemukaka kuti ibudise sampuli yesero rinokonzera kunetseka. Sampuli yacho inotumirwa kurabhoritari kuti iongororwe. Kuongororwa kunogona kuratidza marudzi esero anosanganiswa uye kana masero acho ari kenza. Kana wakazivikanwa nekenza yemukaka wemukaka, unogona kuve nemamwe kuongororwa kuti uone kana kenza yacho yakapararira. Kuongororwa uku kunobatsira timu yako yehutano kuti iwane huwandu hwekenza yako, inonziwo nhanho. Kuongororwa kwenhanho dzekenza kunowanzo sanganisira kuongororwa kwemuviri. Kuongororwa kunogona kutsvaga zviratidzo zvekenza munzvimbo dzako dzema lymph kana mune dzimwe nzvimbo dzemuviri wako. Timu yako yehutano inoshandisa mhinduro dzekuongororwa kwenhanho dzekenza kubatsira kugadzira chirongwa chako chekurapa. Kuongororwa kwemuviri kunogona kusanganisira CT, MRI uye PET scan. Kusiongororwa kwese hakukodzeri munhu wese. Taura nemunyanzvi wako wehutano nezve nzira dzichakuitira basa. Nhanho dzekenza yemukaka wemukaka dzinosvika kubva pa 0 kusvika ku 4. Kenza yemukaka wemukaka ye nhanho 0 iri duku uye iri muganda chete. Sezvo kenza ichikura uye ichikura zvakadzika muganda nekumativi ayo, senge facial nerve, nhanho dzinokwira. Kenza yemukaka wemukaka ye nhanho 4 yakakura kupfuura ganda kana yakapararira kuma lymph nodes mumutsipa kana kune dzimwe nzvimbo dzemuviri.

Kurapa mabhuni egland salivary kazhinji kunosanganisira kuvhiya kubvisa tumor. Vanhu vane cancer yegland salivary vangada kurapwa kuwedzerwa. Aya kurapwa kuwedzerwa kunogona kusanganisira radiation therapy, chemotherapy, targeted therapy kana immunotherapy. Kuvhiya kwemabhuni egland salivary kunogona kusanganisira:

• Kubvisa chikamu chegland salivary yakabatwa. Kana tumor yako iri duku uye iri munzvimbo iri nyore kusvika, chiremba wako anogona kubvisa tumor nechikamu chidiki chetishu ine hutano yakakomberedza.
• Kubvisa gland yese ye salivary. Kana uine tumor yakakura, chiremba wako anogona kukurudzira kubvisa gland yese ye salivary. Kana tumor yako ikapararira kune zvimwe zvikamu zviri pedyo, izvo zvinogona kubviswawo. Zvimwe zvikamu zviri pedyo zvinogona kusanganisira facial nerves, ducts inobatanidza salivary glands, facial bones neganda.
• Kubvisa lymph nodes mumutsipa wako. Kana tumor ye salivary gland yako iri cancer, panogona kunge paine njodzi yekuti cancer yakapararira ku lymph nodes. Chiremba wako anogona kukurudzira kubvisa mamwe lymph nodes kubva mumutsipa wako uye kuayedza kuti aone kana ari cancer.
• Reconstructive surgery. Mushure mekunge tumor yabviswa, chiremba wako anogona kukurudzira reconstructive surgery kugadzirisa nzvimbo yacho. Kana bone, ganda kana nerves zvikabviswa panguva yekuvhiya kwako, izvi zvinogona kuda kugadziriswa kana kutsiviwa uchishandisa reconstructive surgery. Panguva yekuvhiya kwekugadzirisa, chiremba anoshanda kuita kugadzirisa kunovandudza kugona kwako kukochekera, kumira, kutaura, kufema nekufambisa chiso chako. Ungada kuendeswa kwe ganda, tishu, bone kana nerves kubva kune dzimwe nzvimbo dzemuviri wako kugadzira zvakare nzvimbo dziri mumuromo, chiso, muromo kana jaws. Reconstructive surgery. Mushure mekunge tumor yabviswa, chiremba wako anogona kukurudzira reconstructive surgery kugadzirisa nzvimbo yacho. Kana bone, ganda kana nerves zvikabviswa panguva yekuvhiya kwako, izvi zvinogona kuda kugadziriswa kana kutsiviwa uchishandisa reconstructive surgery. Panguva yekuvhiya kwekugadzirisa, chiremba anoshanda kuita kugadzirisa kunovandudza kugona kwako kukochekera, kumira, kutaura, kufema nekufambisa chiso chako. Ungada kuendeswa kwe ganda, tishu, bone kana nerves kubva kune dzimwe nzvimbo dzemuviri wako kugadzira zvakare nzvimbo dziri mumuromo, chiso, muromo kana jaws. Kuvhiya kwe salivary gland kunogona kuoma nekuti mamwe ma nerves akakosha ari munzvimbo uye akakomberedza maglands. Semuenzaniso, nerve iri pachiso inodzora kufamba kwechiso inofamba ne parotid gland. Kubvisa mabhuni anosanganisira ma nerves akakosha kunogona kuda kushanda akakomberedza uye pasi pe facial nerves. Dzimwe nguva facial nerve inotenderera panguva yekuvhiya. Izvi zvinogona kukonzera kurasikirwa nekufamba kwemisungo yechiso. Kufamba kwemisungo kazhinji kunovandudza nekufamba kwenguva. Zvisingawanzoitika, facial nerve inofanira kukamurwa kuti iwane tumor yese. Vavhiya vanogona kugadzirisa facial nerve vachishandisa nerves kubva kune dzimwe nzvimbo dzemuviri kana nezvimwe nzira. Kana wakazivikanwa ne cancer ye salivary gland, timu yako yehutano inogona kukurudzira radiation therapy. Radiation therapy inorapira cancer nemabhemu ane simba. Simba rinogona kubva ku X-rays, protons kana mamwe masosi. Kune cancer ye salivary gland, radiation therapy kazhinji inoitirwa nechirongwa chinonzi external beam radiation. Panguva yekurapwa uku, unovata patafura apo muchina uchifamba-famba uchikukomberedza. Muchina unotungamira radiation kunzvimbo dzakakosha mumuviri wako. Radiation therapy inogona kushandiswa mushure mekuvhiya kuuraya chero masero ecancer anogona kunge asara. Kana kuvhiya kusina kukwanisika nekuti tumor yakakura kwazvo kana iri munzvimbo inoita kuti kubvisa kuve kunotyisa, nyanzvi yako yehutano inogona kukurudzira radiation chete kana pamwe chete ne chemotherapy. Chemotherapy inorapira cancer nemishonga ine simba. Chemotherapy haisi kushandiswa ikozvino sechirongwa chekurapa che cancer ye salivary gland, asi vanoongorora vari kuongorora kushandiswa kwayo. Chemotherapy inogona kunge iri sarudzo kune vanhu vane cancer ye salivary gland yakapfuura. Dzimwe nguva inosanganiswa ne radiation therapy. Targeted therapy ye cancer kurapwa kunoshandisa mishonga inorwisa zvinhu zvakakosha muma cell ecancer. Nekuvhara aya makemikari, kurapwa kwakatarwa kunogona kukonzera kuti masero ecancer afe. Kune cancer ye salivary gland, targeted therapy inogona kushandiswa kana cancer isingakwanisi kubviswa nekuvhiya. Inogona kushandiswawo kune cancer yakapfuura iyo yakapararira kune dzimwe nzvimbo dzemuviri kana cancer inodzoka mushure mekurapwa. Mamwe targeted therapies anoshanda chete kune vanhu vane masero ecancer ane shanduko dzakati dze DNA. Masero ako ecancer anogona kuyedzwa murabhoritari kuti aone kana aya mishonga angakubatsira. Immunotherapy ye cancer kurapwa nemishonga inobatsira immune system yemuviri kuuraya masero ecancer. Immune system inorwisa zvirwere nekurova germ nedzimwe masero dzisingafanire kunge dziri mumuviri. Masero ecancer anorarama nekufuratira immune system. Immunotherapy inobatsira masero e immune system kuwana nekurova masero ecancer. Kune cancer ye salivary gland, immunotherapy inogona kushandiswa pane cancer isingakwanisi kubviswa nekuvhiya. Inogona kushandiswawo kune cancer yakapfuura iyo yakapararira kune dzimwe nzvimbo dzemuviri kana cancer inodzoka mushure mekurapwa. Palliative care rudzi rwakasarudzika rwehutano runokubatsira kunzwa zvakanaka kana uine chirwere chakakomba. Kana uine cancer, palliative care inogona kubatsira kudzikamisa marwadzo nezvimwe zviratidzo. Timu yehutano inogona kusanganisira madokota, vanamukoti nedzimwe nyanzvi dzehutano dzakarovedzwa zvakakosha inopa palliative care. Chinangwa chetimu yekurapa ndechekuvandudza hupenyu hwako nemhuri yako. Palliative care specialists anoshanda newe, mhuri yako netimu yako yekurapa. Vanopa rubatsiro rwakawedzerwa paunenge uine kurapwa kwe cancer. Unogona kuve ne palliative care panguva imwe chete paunenge uchiwana kurapwa kwakasimba kwe cancer, sekunge kuvhiya, chemotherapy kana radiation therapy. Kushandiswa kwe palliative care nezvimwe kurapwa kwakakodzera kunogona kubatsira vanhu vane cancer kunzwa zvakanaka uye kurarama kwenguva refu. Nyorera mahara uye gamuchira gwara rakajeka rekutambura ne cancer, pamwe neruzivo runobatsira pamusoro pekuti ungawana sei pfungwa yechipiri. Unogona kubvisa kunyorera pa link rekubvisa kunyorera mu email. Gwara rako rakajeka rekutambura ne cancer richave mu inbox yako nekukurumidza. Uchazowanawo

Vanhu vane zvirwere zvematumbu emura inonzi salivary gland tumors zvine ngozi vanogona kuoda kurapwa ne radiation therapy. Rimwe divi rakaipa re radiation therapy kumusoro nemutsipa ndekukuva nomukanwa wakaoma kwazvo, rinonzi xerostomia. Kuva nemuromo wakaoma kunogona kukonzera kusagadzikana. Zvinogona kukonzera hutachiona kakawanda mumuromo mako, maburi uye matambudziko mazino ako. Muromo wakaoma unogonawo kuita kuti kudya, kunyengedza uye kutaura zviome.

Unogona kuwana zororo kubva mumuromo wakaoma uye matambudziko awo kana iwe ukati:

• Dzivisa zvokudya nezvinwiwa zvine acid kana zvinopisa. Sarudza zvokudya nezvinwiwa zvisingakupinze muromo. Dzivisa zvinwiwa zvine caffeine ne doro.
• Geza mazino ako kanopfuura kamwe pazuva. Shandisa bhurasho rakapfava uye geza mazino ako zvinyoro nyoro kanopfuura kamwe pazuva. Udza nyanzvi yako yehutano kana muromo wako wava kunzwa kurwadziwa zvakanyanya zvekuti haugone kutsungirira kushambidza zvinyoro nyoro.
• Sarudza zvokudya zvakanyorova. Dzivisa zvokudya zvakaoma. Nyorovesa zvokudya zvakaoma ne sosi, gravy, broth, bata kana mukaka.
• Chengeta muromo wako wakanyorova nemvura kana maswiti asina shuga. Inwa mvura zuva rese kuchengetedza muromo wako wakanyorova. Edzawo gum kana maswiti asina shuga kukurudzira muromo wako kugadzira mate.
• Geza muromo wako nemvura inodziya ine munyu mushure mekudya. Gadzira mvura inodziya ine munyu. Geza muromo wako nemvura iyi mushure mekudya kwega kwega.

Udza nyanzvi yako yehutano kana uine muromo wakaoma. Kurapwa kunogona kukubatsira kubata nezviratidzo zvakanyanya zvemukanwa wakaoma. Unogonawo kutumirwa kuna dietitian anogona kukubatsira kuwana zvokudya zviri nyore kudya kana uri kunetseka nemuromo wakaoma.

Kurapa kwakawedzerwa kana kwakasiyana hakungarapisi zvirwere zve salivary gland tumors. Asi kurapwa kwakawedzerwa nekwakasiyana kunogona kusanganiswa nekutarisirwa kwechikwata chako chehutano kubatsira kuderedza kuneta, kurwadziwa nezvimwe zviratidzo.

Sarudzo dzinogona kusanganisira:

• Acupuncture.
• Kuita maekisesaizi.
• Guided imagery.
• Hypnosis.
• Massage.
• Matekiniki ekusununguka.

Bvunza chikwata chako chehutano kana sarudzo idzi dzakachengeteka kwauri.

Panguva, uchawana zvinokubatsira kubata nezvinokunetsa zvinogona kuuya nechirwere che salivary gland tumor. Kusvika ipapo, unogona kuwana zvinobatsira kuti:

Bvunza chikwata chako chehutano nezve tumor yako, kusanganisira rudzi, danho uye sarudzo dzekurapa. Paunodzidza zvakawanda nezve tumor yako, unogona kuva nechivimbo mukuita sarudzo dzekurapa.

Kuchengeta hukama hwako hwepedyo hwakasimba kunogona kukubatsira kubata panguva yekurapa. Shamwari nemhuri vanogona kukubatsira nebasa diki rausingakwanisi kuita panguva yekurapa. Uye vanogona kuvapo kuti vakuteerere kana uchida kutaura.

Vanhu vamwe vakambova nezvirwere zve salivary gland tumors vanogona kupa rutsigiro rwakasiyana uye kunzwisisa nekuti vanonzwisisa zvaunonzwa. Batana nevamwe kuburikidza nemagrupo ekutsigira munharaunda yako uye online.

Zorora zvakakwana usiku hwese kuitira kuti umuke uchizorora. Edza kuita maekisesaizi kana uchizonzwa uchikwanisa. Sarudza kudya kwakanaka kwakazara nemiriwo nemiti.