Ese ukuboko kwawe kurimo kubura ibinya cyangwa kurimo kubura ibinya? Bishobora kuba ari imvune ya Brachial Plexus! Ese twavuga kuri ibi?

Ese wigeze wumva ubabaye, ufite intege nke, cyangwa ububabare mu kuboko kwawe? Hari igihe ushobora kumva ubu burwayi kuva ku rutugu rwawe kugeza ku ntoki zawe. Birateye ubwoba cyane iyo habayeho ikintu nk'iki, si byo se? Uyu munsi rero tugiye kuvuga ku mpamvu imwe ishobora gutera ibi bimenyetso. Ni ukwangirika kw'imitsi yitwa Brachial Plexus.

Plexus ya Brachial ni iki?

Mu magambo make, plexus ya brachial ni uruhurirane rw'imitsi iva mu ijosi ryawe inyura mu kwaha no mu kuboko kwawe. Ni nk'udutsi duto dufatanye. Iyi mitsi igenzura ingendo n'uburyo urutugu rwawe, ukuboko, ikiganza, n'intoki zawe biyumva. Urugero, niba ukuboko kwawe gukubiswe butunguranye, cyangwa umutwe wawe n'ijosi byawe bikaguruka ku ruhande rumwe kandi urutugu rwawe rukaguruka ku rundi, uru rusobe rw'imitsi rushobora kwangirika. Igikomere gito gishobora gukira kitavuwe. Ariko , niba ibyangiritse bikomeye kurushaho, kubagwa bishobora kuba ngombwa kugira ngo ukuboko kwawe kugaruke . Iyi ndwara ishobora no ku bana bato, cyane cyane mu nda cyangwa mu gihe cyo kuvuka. Tuyita `(Neonatal Brachial Plexus Palsy - NBPP)`.

Ni iyihe mitsi iri muri Brachial Plexus?

Noneho reka turebe uko Brachial Plexus ibaho. Uru rusobe rw'imitsi itanu y'ingenzi itangirira ku ijosi ry'umugongo wawe ikavamo. Nk'uko uruzi rukura, iyi mitsi nayo irakura ikagera ku kuboko kose. Mu buvuzi, `(Plexus)` bivuga uruhurirane rw'imitsi, imitsi y'amaraso, cyangwa imitsi ya lymph ihujwe gutya. Ijambo `(Brachial)` risobanura 'ifitanye isano n'ukuboko'. Rero brachial plexus ni itsinda ry'imitsi ijya ku kuboko.

Buri mitsi itanu muri iyi ifite akazi kayo. Imwe itera imbaraga imitsi, indi ijyana ibintu nk'ubushyuhe no gukoraho mu bwonko. Ibimenyetso ubona n'uburyo ukeneye bwo kuvurwa bizaterwa n'imitsi yangiritse n'imiterere y'ibyangiritse.

Imitsi itanu y'ingenzi irayigizemo uruhare:

• Umutsi wo mu gatuza: Ufasha mu kujyana no gutuza kw'amagufwa no kuyashyira mu mwanya wayo.
• Imitsi yo hagati: Ifasha mu kuzunguza imitsi y'ukuboko n'ukuboko, no kuzunguza ukuboko n'intoki. Ni ingenzi kandi ku kumva mu kiganza, igikumwe, urwego rw'imbere, hagati, n'impeta.
• Imitsi yo mu mubiri: Ifasha gukora imitsi yo hejuru y'ukuboko (urugero: biceps) no kunama inkokora no guhindukira ukuboko.
• Imitsi yo mu bwonko: Ifasha kwagura inkokora n'ukuboko binyuze mu gukora imitsi iri inyuma y'ikiganza no ku kuboko. Ifasha kandi kumva igikumwe, urutoki rw'imbere, urutoki rwo hagati, n'igice cy'urutoki rw'impeta inyuma y'ikiganza.
• Imitsi yo mu gifu:Bifasha mu gukora neza kw'ikiganza binyuze mu gukora imitsi y'ikiganza n'ukuboko. Binagira uruhare mu kumva igice cy'urutoki rw'impeta n'urutoki ruto.

Ni ubuhe bwoko bw'indwara za Brachial Plexus?

Izi mvune zo mu gice cy'imbere cy'umutima zishobora kubaho mu buryo butandukanye, bitewe n'uburemere bw'imvune. Imitsi myinshi muri uru rusobe rw'imitsi ishobora kwangirika ku rugero rutandukanye mu gihe kimwe.

• Kurambura/Kuvura indwara z'imitsi: Ibi bibaho iyo umutsi ukuweho gato. Ibi bishobora kwangiza igipfundikizo gikingira imitsi. Ibi bishobora kubangamira ihererekanya ry'ibimenyetso by'imitsi, ariko akenshi, nta cyangiritse gikomeye gihari ku mutsi uri munsi yawo. Iyi ndwara ishobora kwikemurirwa ubwayo , cyangwa ikavurwa hakoreshejwe uburyo bworoshye bwo kuvura nk'ubuvuzi bw'umubiri.
• Gucika: Ibi bibaho iyo umutsi ukuwe cyane ugacika igice cyangwa burundu mu buryo butunguranye. Izi mvune akenshi zishobora gusanwa no kubagwa .
• Guturika: Ubu ni bwo bwoko bubi cyane . Ni igihe umuzi w'imitsi utandukanye n'umugongo. Izi mvune akenshi zisaba kubagwa kugira ngo zigarure imikorere.

Ese ibi bitandukanye n'indwara ya radiculopathy yo mu mura?

Hari abantu bashobora gutekereza ko ibi ari nk'"Cervical Radiculopathy / Pinched Neurve". Nubwo ibimenyetso bisa gato, izi ndwara zombi mu by'ukuri ziratandukanye.

Indwara ya radiculopathy yo mu mugongo ni indwara ibaho iyo umuzi w'imitsi ukomoka ku ruti rw'umugongo rwo mu ijosi ubyimbye cyangwa urimo gukazwa. Ibi bishobora gutera ibimenyetso nko kubabara mu ijosi no gukomera kw'imitsi yo mu ijosi.

Ariko, ububabare bw'imitsi yo mu bwonko bukunze guterwa no gukubitwa cyangwa gucikagurika k'imitsi. Ibi bikunze kuba biterwa n'imitsi myinshi kandi ntibikunze gutera ibimenyetso byo mu ijosi (ububabare, gukomera) nk'uko bigenda muri radiculopathy yo mu bwonko.

Ni nde urwara iyi ndwara? Ni ku rugero rungana iki?

Mu by’ukuri, iyi ndwara yo mu bwonko ishobora kugaragara ku muntu uwo ari we wese w’imyaka iyo ari yo yose, hatitawe ku gitsina. Abana bavutse nabo baba bafite ibyago byo kurwara iyi ndwara iyo bavutse.

Ariko, ikunze kugaragara cyane mu basore bari hagati y'imyaka 15 na 25 .

Biragoye kuvuga neza umubare w’abantu barwara iyi ndwara buri mwaka, ariko abashakashatsi bavuga ko umubare urimo kwiyongera. Ibi bishobora guterwa n’ibintu nko kwiyongera kw’abakina imikino ikoresha ingufu nyinshi ndetse n’ubwiyongere bw’umubare w’abantu barokoka impanuka z’imodoka zihuta cyane.

Tekereza gato, 70% by'imvune zo mu bwonko ziterwa n'impanuka nk'izi ziterwa n'impanuka zo mu muhanda . Kandi 70% by'izo mpanuka ni impanuka za moto cyangwa igare! Ibyo bivuze ko dusobanukiwe uburyo tugomba kwitonda iyo turi mu muhanda, si byo se?

Iyo tuvuze kuri iyi ndwara (Neonatal Brachial Plexus Palsy) ku bana bavutse, ku busanzwe, abana 2-3 gusa ni bo bashobora kuyibona.

Ibimenyetso ni ibihe?

Ibimenyetso by'iyi ndwara biratandukanye bitewe n'ubwoko bw'imitsi yangiritse n'imiterere y'ibyangiritse. Ibi bimenyetso bishobora kubaho hamwe n'ibindi bikomere.

Ibimenyetso by'ingenzi bigaragara ku bantu bakuru n'abana:

• Ukuboko gusa n'aho kumanika nta buzima.
• Indwara nko gucika intege kw'ukuboko cyangwa ikiganza.
• Kugorwa no kugenzura ikiganza, ukuboko, cyangwa ukuboko.
• Kubura ibyiyumvo cyangwa kubura kumva mu kiganza cyangwa mu kuboko.
• Ububabare mu kiganza, mu kiganza, cyangwa mu kuboko.

Ibimenyetso bigaragara ku bana bavutse:

• Kubura ikintu icyo ari cyo cyose mu kuboko kw'umwana, mu kuboko ko hasi, cyangwa mu kuboko kwe.
• Kubura uburyo bwo kugarura umutima mu gihe ubabaye (ni ukuvuga ko umwana adakoresha ukuboko iyo agize ubwoba).
• Uruhinja rufashe ukuboko kwarwo ku mubiri we, ruramburiye ku nkokora.
• Kugabanuka kw'imbaraga zo gufata ku ruhande rwafashwe.

Ni izihe mpamvu zitera indwara zo mu bwonko bw'imbere (brachial plexus)?

Hari impamvu nyinshi z'ingenzi zituma uru rusobe rw'imitsi ya plexus yo mu mutwe rushobora kwangirika.

1. Ihungabana rikomeye

Akenshi, igice cyo hejuru cy'urusobe rw'imitsi kirangirika iyo urutugu rwawe rukandagiwe hasi, hanyuma ijosi n'umutwe wawe bikazamurwa hejuru bikajya ku ruhande rw'urutugu rwawe. Tekereza nk'impanuka ya moto .

Igice cyo hasi cy'imitsi gishobora kwangirika cyane iyo ukuboko kwawe gukuruwe cyane hejuru y'umutwe wawe.

Ingero z'impanuka nk'izo ni izi:

• Impanuka z'ibinyabiziga zihuta cyane, cyane cyane impanuka za moto .
• Gusumo.
• Gukubitwa n'ikintu kitari gityaye (urugero: mu mirwano).
• Muri siporo zimwe na zimwe, habaho gukomereka mu mutwe (akenshi hakunze kuba imvune nto, zitwa kandi "burners" cyangwa "stingers").
• Ibikomere biterwa n'intwaro ityaye (urugero: igikomere cyo guterwa icyuma) cyangwa ibikomere by'amasasu (ihungabana ry'umupira).

2. Ibibyimba

Hari igihe ibibyimba bishobora kuvuka imbere cyangwa ku ruhande rw'ubwonko, cyangwa bigaterwa n'ibibyimba bibishyiramo igitutu.

Kanseri y'ibere na kanseri y'ibihaha ni zo kanseri nyamukuru zigira ingaruka ku gice cy'ubwonko.

Byongeye kandi, kanseri nka lymphoma na melanoma zishobora gukwirakwira mu tunyangingo tw’imitsi mu kwaha no kugira ingaruka kuri uru rusobe rw’imitsi.

3. Kubyimba

Iyo imibiri yacu yibasiwe na mikorobe nka virusi cyangwa bagiteri, cyangwa iyo twakomeretse, ubudahangarwa bwacu bw'umubiri burakora. Uturemangingo tw'ububyimbirwe turarekurwa. Nubwo ibi ari ngombwa, rimwe na rimwe ubu budahangarwa bw'umubiri bushobora kwibasira ingingo nzima. Cyangwa se, igisubizo cy'umugera gishobora kuba kinini cyane kikangiza ingingo z'umubiri.

Mu ndwara idakunze kugaragara yitwa `Parsonage-Turner Syndrome` (nanone yitwa `(Brachial Neuritis)`), kubyimba kw'agahu k'ubwonko bibaho nta gikomere kigaragara ku rutugu. Bitangirana n'ububabare bukomeye mu rutugu cyangwa ku kuboko, bigakurikirwa no gucika intege no kugira ibinya.

4. Ibikomere byo mu gihe cyo kuvuka

Abana bavutse bashobora kwangirika ku gice cyo hasi cy'ubwonko, byaba bitewe n'ihungabana mu gihe bari mu nda ya ba nyina cyangwa mu gihe cyo kubyara bigoranye. Ibi byitwa ``Neonatal Brachial Plexus Palsy (NBPP)``. Ibi bikurikira bishobora kubaho:

• Iyo umutwe w'umwana usohotse n'amatugu akaza, umutwe n'ijosi birakururwa ku ruhande rumwe (ibi kandi byitwa `(Shoulder Dystocia)`).
• Bitewe n'uko amatugu y'umwana yakururwaga mu gihe cyo kubyara mbere y'uko avuka.
• Mu gihe cyo kubyara umwana atwite, amaboko ye azamurwa mu gituza ashyirwa ku gitutu.

Ubimenya ute? Ni ibihe bizamini bikorwa?

Niba ufite ibi bimenyetso, muganga azagusuzuma neza kugira ngo arebe niba ari imvune yo mu gice cy'imbere cy'umutima cyangwa niba hari izindi mvune. Ibi biterwa nuko akenshi izi mvune ziterwa n'impanuka zikomeye, kandi hashobora kubaho n'izindi mvune.

Muganga azasuzuma buri tsinda ry'imitsi ifitanye isano na brachial plexus kugira ngo agerageze kumenya neza aho byangiritse n'uburemere bwabyo .

Iyo umwana uvutse agaragaje ibi bimenyetso, muganga azasuzuma niba umwana ashobora kwimura amaboko n'amaguru ye ndetse niba afite Moro reflex.

Kugira ngo umuganga amenye neza iyi ndwara kandi arebe ko nta bindi bibazo afite, ashobora gukora ibizamini bitandukanye, urugero:

• Imirasire ya X: Iyi mirasire ishobora kubona neza ibintu bikomeye nk'amagufwa. Imirasire ya X ifatwa mu ijosi, mu gituza, mu bitugu no mu maboko kugira ngo harebwe niba hari ibyavunitse.
• Gupima CT Myelogram: Ibi bikubiyemo gutera amazi yihariye akikije imitsi yo mu ruti rw'umugongo no gukoresha X-ray na mudasobwa kugira ngo hakorwe amashusho asobanutse neza y'imbere mu mubiri. Iki gifatwa nk'ikizamini cyiza cyo kureba niba umuzi w'imitsi wavuye mu ruti rw'umugongo (`(Avulsion)`). Abaganga bamwe bashobora no gukora MRI scan hamwe n'ibi, cyangwa se bakayikoresha mu mwanya wayo.
• Ibizamini bya elegitoroniki: Ibi birimo ibizamini byitwa `(Electromyogram - EMG)` na `(Inyigo zo Gutwara Imitsi)`. Ibi bipima uburyo ibimenyetso by'imitsi bigenda n'ibimenyetso mu mitsi. Ibi bizamini bishobora kwemeza ko brachial plexus yakomeretse, kumenya aho imvune yakomeretse, kumenya ubukana bw'imvune, no gusuzuma umuvuduko w'imitsi yoroheye. Isuzuma rya mbere rikunze gukorwa nyuma y'ibyumweru 3-4 nyuma y'imvune. Hanyuma, bisubirwamo mu mezi 2-3 kugira ngo harebwe niba imitsi irimo gukira.

Iyo umwana uvutse afite ibi bimenyetso, X-ray ishobora gukorwa kugira ngo harebwe niba igufwa rye ryavunitse. Ibi biterwa nuko hari indwara yitwa "Pseudoparalysis", aho umwana adashobora kwimura ukuboko kwe bitewe n'igufwa ryavunitse n'ububabare, atari ukwangirika kw'imitsi.

Ni ubuhe buryo bwo kuvura?

Kubera ko ubu bwoko bw'imvune zo mu gice cy'imbere cy'umutima bukunze kubaho nyuma y'impanuka ikomeye, abantu benshi bahura n'izindi mvune zikomeye . Urugero, kwangirika k'imitsi y'amaraso, kuvunika kw'urutugu, ukuboko, umugongo cyangwa imbavu, ibihaha byacitse, kwangirika k'umugongo, cyangwa imvune yo mu bwonko. Kubwibyo, itsinda ry'abaganga rizabanza kuvura izi mvune zishobora gushyira ubuzima mu kaga mbere yo gutangira kuvura imvune zo mu gice cy'imbere cy'umutima.

Mu kuvura ibi, abaganga b'indwara z'imitsi, abaganga b'imitsi, abaganga b'amaboko, abaganga b'imitsi, abaganga b'inzobere mu by'ubuzima, hamwe n'umuganga w'umuryango wawe (Umujyanama w'Ubuzima w'ibanze) bakorana nk'ikipe.

Hari uburyo bubiri bw'ingenzi bwo kuvura: kuvura utari ukubaga no kuvura kubaga.

Ubuvuzi butarimo kubagwa

Imvune nyinshi zo mu gice cy'ubwonko, cyane cyane izoroheje, zikira zitabazwe mu byumweru bike cyangwa amezi make . Imvune zo mu mitsi zikira ubwazo akenshi zigira umusaruro mwiza mu bijyanye n'imikorere y'imitsi n'imitsi.

Niba umuganga wawe atekereza ko hari amahirwe menshi ko uzakira utarinze kubagwa, ashobora gutegereza kugeza igihe igisebe gikize mbere yo gutekereza kubagwa.

Muganga wawe ashobora kukugira inama yo gukoresha physiotherapy kugira ngo ingingo n'imitsi yawe bitazakomera mu gihe imvune yawe ikiri gukira. Uzakenera kandi kuruhuka ukuboko no ku rutugu rwawe no kwirinda gukora imirimo ivunanye.

Ubuvuzi bwo kubaga

Iyo imitsi idakize ubwayo, cyangwa iyo idakize neza ku buryo yongera gukora neza ku kiganza no ku kuboko, abaganga basaba kubagwa.

Igikuru ni ukumenya ko, bitewe n'uburemere bw'imvune, ndetse na nyuma yo kubagwa, ushobora kutagira imikorere nk'iyo wagize mbere y'imvune, cyangwa se ushobora kutagira imikorere yose .

Abaganga b'imitsi bakoresha uburyo butandukanye mu kuvura ibikomere by'imitsi, bitewe n'ubwoko bw'igikomere, ubukana bwacyo, n'igihe kimaze kibayeho.

• Gusana imitsi: Muri ubu buryo, umuganga ubaga yongera gufata impande z'imitsi yacitse. Ibi bikorwa vuba iyo habaye imvune zikabije, nko gutema icyuma.
• Gutera imitsi:Muri ubu buryo, umuganga ubaga akura umutsi muzima mu kindi gice cy'umubiri wawe akawudoda hagati y'impande ebyiri z'umutsi waciwe. Uyu mutsi muzima washyizwemo ukora nk'igisenge, ugafasha impande ebyiri z'imitsi yakomeretse gukura hamwe.
• Kohereza imitsi: Uku kubagwa gukorwa iyo nta mitsi ihagije ikora mu ijosi yo guterwamo. Muri ubu buryo, umuganga ubaga agabanya umutsi w’umutanga ufite ubuzima bwiza akawuhuza n’umutsi wakomeretse. Ibi bituma umutsi wohereza ibimenyetso ku mitsi yacitse intege.

Uburyo bwo kuvura abana bavutse

Iyo umwana uvutse afite ikibazo gito mu gice cy'ubwonko, muganga ashobora kumusaba gusigwa ukuboko k'umwana no gukora imyitozo ngororamubiri yo kugabanya imitsi.

Iyo ibyangiritse bikomeye, cyangwa bitakize mu byumweru bike bya mbere, umwana ashobora gukenera koherezwa kwa muganga w’indwara z’imitsi y’abana. Iyo imbaraga z’umwana zitarushijeho kwiyongera mu mezi 3-9, ashobora gutekereza kubagwa.

Ese hari ingorane ziri mu kubaga?

Nkuko bigenda mu kubaga kose, ubu buryo bwo kubaga bushobora kugira ingaruka zimwe na zimwe. Urugero:

• Ibibazo bijyanye no gusinziriza.
• Kwandura indwara.
• Kuva amaraso menshi cyane.

Byongeye kandi, niba ufite izindi ndwara wari usanzwe ufite (urugero: diyabete, umuvuduko ukabije w'amaraso), ibyago byawe byo kugira ingorane zikurikira bishobora kwiyongera:

• Ububabare budakira (`(Ububabare budakira)`).
• Amaraso apfutse.
• Indwara y'umutima.
• Indwara yo mu bwonko (stroke).

Bifata igihe kingana iki kugira ngo umuntu akire?

Imitsi ikira buhoro buhoro . Kubwibyo, bifata igihe kugira ngo ukire nyuma y'imvune ya brachial plexus. Ushobora kutabona impinduka mu gihe cy'amezi menshi.

Igikuru ni ukugira imyumvire myiza no kwiyemeza gahunda yawe yo kuvurwa.

Umuganga w’inzobere mu by’ubuzima bw’umubiri ashobora kugufasha kwiga gukora imirimo ya buri munsi (nko kurya no kwiyuhagira) n’ukuboko kwawe kudakomeretse.

Uzakenera kandi gukomeza ubuvuzi bw'umubiri kugira ngo utugu twawe, inkokora, amaboko n'intoki bitazakomera kandi wirinde ko imitsi icika intege.

Niba imikorere y'ukuboko kwawe cyangwa ukuboko kwawe itarasubira uko byari bimeze mbere y'imvune, ni ngombwa cyane kugira imbaraga zo mu mutwe no kuba umuntu ushoboye guhindura ibintu kugira ngo ugire impinduka zikenewe mu buzima bwawe (akazi, imirimo ya buri munsi).

Ni ibihe bintu byongera ibyago byo kubyangiza?

Hari ibintu byinshi byongera ibyago byo kurwara iyi ndwara ya brachial plexus:

• Gukina imikino imwe n'imwe, cyane cyane imikino yo gukubitana (urugero: umupira w'amaguru, rugby, imikino yo gusiganwa ku maguru).
• Gutwara imodoka no kwihuta cyane.

Buri gihe witondere umutekano mu gihe ukina siporo no gutwara imodoka kandi ugerageze kwirinda impanuka nk'izi.

Ibintu byongera ibyago byo kurwara iyi ndwara (`(Neonatal Brachial Plexus Palsy - NBPP)`):

• Gutanga imodoka zigendanwa.
• Umubyibuho ukabije w'umubyeyi.
• Kuba umwana munini urenze umwana usanzwe.
• Kugorwa no gukuraho ibitugu by'umwana nyuma y'uko umutwe w'umwana usohotse (Shoulder Dystocia).

Ni iki kizaba mu gihe kizaza? (Ibibazo)

Iterambere ryawe (cyangwa iterambere) nyuma y'iyi mvune riterwa n'ibintu byinshi:

• Ubwoko n'uburemere bw'ibyangiritse by'imitsi (`(Avulsion)`, gucika, gukurura).
• Uvuga iki iyo uvuze imitsi yangiritse?
• Ese hari izindi mvune ufite?
• Uburyo wavuwe vuba nyuma yo gukomereka.
• Uburyo witangiye ubuvuzi bw'umubiri n'ubundi buryo bwo gukira.

Mu gihe imitsi yavunitse cyangwa igacika, ubusanzwe nta bushobozi bwo kugarura imikorere n'imikorere y'imitsi keretse iyo imitsi yongeye gufatanywa ku gihe binyuze mu kubagwa .

Abantu benshi bafite imvune zo mu mitsi (neuropraxia) bongera gukora neza 90% - 100% by'imikorere y'imitsi yabo batabanje kubagwa .

Abana benshi bavukanye iki kibazo barakira burundu mu mezi 3-4 . Icyizere cy'abana batakira muri iki gihe ntabwo ari cyiza cyane. Muri ibyo bihe, bashobora kuba barahuye n'ikibazo cyo kubura imitsi.

Ni ryari ngomba kujya kwa muganga?

Niba waragize imvune mu gice cy'ubwonko (brachial plexus), uzakenera guhura n'itsinda ry'abaganga buri gihe kugira ngo bakurikirane gukira n'imikorere y'imitsi yawe mu gihe cyose urimo gukira.

Nanone, niba ufite gahunda yo kuvura indwara zo mu mutwe, ugomba guhura n'umuvuzi wawe w'umubiri buri gihe. Ni ngombwa cyane kwitabira ubu buvuzi witanze kugira ngo ugere ku musaruro mwiza.

Imitsi ifata igihe kugira ngo ikire. Nyuma y'imvune yo mu gice cy'imbere cy'umutima, cyane cyane nyuma yo kubagwa, igihe cyo gukira akenshi kiba kirekire. Gahunda yo kugarura ubushobozi bw'umubiri isaba ubwitange bwinshi. Nubwo ibi bishobora kugorana gato, ni ngombwa kugira imyitwarire myiza . Saba ubufasha ku nshuti zawe n'umuryango wawe. Abaganga bawe nabo biteguye kugufasha no kuguha gahunda nziza yo kuvura.

Amaherezo, ibuka ibi.

Rero, indwara ya brachial plexus twavuze uyu munsi ni indwara ikomeye ishobora kugira ingaruka ku mikorere y'amaboko n'amaboko yacu.

• Ibi biterwa ahanini n'impanuka, ibibyimba, indwara zo kubyimba, n'ubumuga bwo kuvukana .
• Niba ugize ibimenyetso nko kugira ibinya, gucika intege, ububabare, cyangwa kubura ubushobozi bwo kwifata mu ntoki zawe , ugomba kujya kwa muganga .
• Hari uburyo bwo kuvura, ariko gukira bifata igihe n'ubwitange bwinshi . Ubuvuzi bw'umubiri ni bwo nshuti yawe magara muri uru rugendo.
• Impamvu zimwe na zimwe (cyane cyane impanuka) zishobora kwirindwa. Buri gihe zirikana umutekano.
• Niba amaboko y'uruhinja ruvutse adakora, bwira muganga ako kanya.

Ndizera ko aya makuru azagufasha. Niba warigeze guhura n'ikibazo nk'iki, ntugahangayike. Uramutse uhawe inama n'ubuvuzi bukwiye, nawe ushobora gutsinda iki kibazo.

Plexus yo mu bwonko, Ibikomere bya Plexus yo mu bwonko, Indwara z'imitsi, Kubura ikiganza, Gukomereka kw'imitsi, NBPP