Ese nawe ufite ikibazo cyo kujya mu bwiherero muri iyi minsi? Reka tuvuge ku bijyanye no kutagira impatwe!

Ese hari igihe umara igihe kinini uri mu musarani? Ese wumva inda yawe yumye? Cyangwa wumva hari ikintu cyagufashe mu nda ndetse no nyuma yo kujya mu musarani? Iki ni ikibazo abantu benshi bafite kandi gitera kumererwa nabi. Ariko nta mpamvu yo kugira isoni cyangwa gutinya kubivugaho. Uyu munsi, turaganira birambuye kuri iki kibazo cyitwa impatwe, cyangwa `(Impatwe)`.

Kutagira impatwe ni iki?

Mu magambo make, niba wumva ukeneye kujya mu bwiherero inshuro zitarenze eshatu mu cyumweru, mu buvuzi bizwi nka "constipation". Ariko, inshuro zo kujya mu bwiherero zishobora gutandukana bitewe n'umuntu ku wundi. Hari abantu bajyayo inshuro nyinshi ku munsi, abandi bajyayo rimwe cyangwa kabiri gusa mu cyumweru. Uko imiterere yawe isanzwe yaba iri kose, ni umwihariko kuri wowe, kandi ni ibisanzwe. Ikibazo kivuka iyo utandukanye n'iyo myitwarire isanzwe. Uko imiterere yawe yo kwiyuhagira yaba iri kose, hari ikintu kimwe kigaragara: uko umara igihe kirekire utegereje kujya mu bwiherero, ni ko bigorana kubyica. Hari ibimenyetso byinshi by'ingenzi bishobora kugufasha kumenya impatwe:

• Inda yawe yumye kandi ikomeye nk'ibuye.
• Numva ububabare iyo ngiye mu bwiherero, kandi biragoye kwituma.
• Ndetse na nyuma yo kujya mu bwiherero, numva ko igifu cyanjye kitarashiramo umwuka wose.

Mu by’ukuri, iyi ndwara yitwa impatwe ikunze kugaragara cyane. Si wowe wenyine, abantu babarirwa muri za miriyoni ku isi barwaye iki kibazo. Kubwibyo, ni ngombwa kubifata nk'ibisanzwe no gufata ingamba zikenewe.

Uku kutagira impatwe (constipation) bibaho gute?

Biroroshye cyane. Kwipana bibaho iyo amara yawe (cyangwa amara manini) yinjije amazi menshi mu mwanda wawe. Ibi bituma umwanda wawe wumuka, ukomera, kandi ukagorana kuwusohora. Mu gusobanura byinshi, uko ibiryo turya binyura mu buryo bw'igogora ryacu, amara yacu agenda yinjiza intungamubiri buhoro buhoro. Imyanda isigaye mu biribwa byagabuwe ni yo ikora umwanda. Uyu mwanda uva mu mara mato ujya mu mara mato. Umwanda munini ufata amazi ava muri uyu mwanda maze ugakomera. Iyo ufite igogora, ibiryo byawe bifata igihe kirekire kugira ngo binyure mu mubiri wawe kuruta uko bikwiye. Ibi biha amara yawe manini umwanya munini wo gukurura amazi. Ingaruka zabyo ni izihe? Umukondo wawe uruma, ukomera, kandi ukagorana kuwusohora.

Ni izihe mpamvu zitera impatwe?

Kurya impatwe bishobora guterwa n'impamvu nyinshi. Hari ibintu bimwe na bimwe mu mibereho yacu, imiti dufata, ndetse n'indwara zimwe na zimwe bishobora kubigiraho ingaruka.

Ibintu bitera imibereho

Zimwe mu ngeso zacu za buri munsi zishobora kuba impamvu ikomeye yo kutagira impatwe. Reba niba izi zikureba nawe:

• Kurya indyo irimo fibre nke : Iyo ibiryo turya bidafite fibre ihagije, umwanda ntuzamera neza kandi ntuzahita woroshye.
• Kugabanuka k'amazi anyobwa (kubura amazi): Iyo umubiri utabonye amazi ahagije, umwanda uhita wumuka.
• Kudakora imyitozo ngororamubiri: Iyo imyitozo ngororamubiri igabanutse, imikorere y'amara nayo iragabanuka.
• Impinduka mu ngeso za buri munsi: Iyi ndwara ishobora kubaho iyo ingendo, kurya, kunywa, cyangwa igihe cyo gusinzira gihindutse.
• Kurya ibintu byinshi nk'amata na foromaje: Hari abantu bagira impatwe iyo bariye byinshi muri ibi.
• Stress : Ntugatangare, stress nayo igira ingaruka kuri ibi.
• Kwifata igihe ukeneye kujya mu bwiherero: Iri ni ikosa abantu benshi bakora. Ni ngombwa kubikora igihe bibaye ngombwa.

Imiti

Imiti imwe n'imwe ufata ishobora gutera impatwe.

• Hari imiti igabanya ububabare ikomeye, urugero nk'irimo `(Codeine)`, `( Oxycodone - nka Oxycontin®)` na `( Hydromorphone - nka Dilaudid®)`.
• Imiti igabanya ubushyuhe itari iya steroide (NSAIDs) , nka Ibuprofen (Advil®, Motrin®) na Naproxen (Aleve®).
• Imiti igabanya ububabare , nka `(Fluoxetine - nka Prozac®)` cyangwa `(Amitriptyline - nka Elavil®)`.
• Aside zimwe na zimwe, cyane cyane izirimo kalisiyumu cyangwa aluminiyumu (nka `Tums®`), zihabwa abantu barwaye gastritis .
• Ibinini bya fer.
• Imiti ivura aleji (Antihistamines) , urugero `(nka Diphenhydramine - Benadryl®)`.
• Imiti imwe n'imwe y'umuvuduko ukabije w'amaraso , urugero `(Calcium channel blockers)` na `(Beta-blockers)`.
• Imiti ivura indwara zimwe na zimwe zo mu mutwe , nka `(Clozapine - Clozaril®)` na `(Olanzapine - Zyprexa®)`.
• Imiti igabanya ubukana bw'indwara , urugero nka `(Phenytoin)` na `(Gabapentin)`.
• Imiti imwe n'imwe ivura kuruka , nka Ondansetron - Zofran®.

Imiti myinshi nk'iyi ishobora gutera impatwe. Niba ufite ikibazo icyo ari cyo cyose ku miti ufata cyangwa kuri iyi ndwara, baza muganga wawe cyangwa umufarumasiye.

Izindi ndwara

Kwiheba mu nda bishobora guterwa n'indwara zimwe na zimwe.

• Ibijyanye n'imikorere y'imisemburoUrugero, hypothyroidism, diyabete, uremia (kwiyongera kw'imyanda mu maraso bitewe no kunanirwa kw'impyiko), na hypercalcemia (ubwiyongere bwa kalisiyumu mu maraso).
• Kanseri y'inkondo y'umura.
• Indwara y'amara iterwa n'uburakari (IBS).
• Diverticulitis (ubwandu bw'udufuka duto mu mara manini).
• Intege nke z'imitsi yo hasi mu kibuno (kubura aho ihagarara mu myanya yo gufunga). Iyi mitsi ifasha mu gusohora umwanda.
• Indwara yo kwituma mu buryo buziba (indwara ituma kwituma mu buryo buziba).
• Kwibasira amara mu buryo bw’impimbano (guhagarika akazi k’amara by’igihe gito).
• Indwara zo mu bwonko , nko gukomereka k'umugongo, indwara ya sclerosis nyinshi, indwara ya Parkinson, na stroke.
• Indwara yo mu mara manini iterwa n'ubunebwe ( lazy bowel syndrome ).
• Kuziba amara.
• Inenge mu miterere y'igogora (urugero, `(Fistula)`, `(Colonic atresia)`).
• Indwara nyinshi z'ingingo , urugero `(Amyloidosis)`, `(Lupus)` na `(Scleroderma)`.
• Gutwita.

Ni ibihe bimenyetso by'impatwe?

Umuntu ufite ikibazo cyo kutagira impatwe ashobora kugira ibimenyetso nk'ibi:

• Kujya mu bwiherero inshuro zitarenze eshatu mu cyumweru.
• Amase yumutse, akomeye, kandi afite ibibyimba.
• Biragoye kwiyuhagira kandi birababaza.
• Bisa n'aho uri kubabara mu nda no gucumbagira.
• Numva mfite isesemi, nk'aho inda yanjye yuzuye.
• Ndetse na nyuma yo kujya mu bwiherero, numva ko igifu cyanjye kitarashiramo umwuka wose.

Ni nde ufite amahirwe menshi yo kurwara impatwe? (Ibintu bishobora gutera ibyago)

Umuntu wese w’imyaka iyo ari yo yose ashobora kugira ikibazo cyo kutagira impatwe rimwe na rimwe. Ariko, hari abantu bashobora kugira iki kibazo igihe cyose (`impatwe idakira`). Ibintu bigira ingaruka kuri ibi birimo:

• Imyaka: Abantu barengeje imyaka 65 muri rusange ntibakora cyane ugereranyije n'abakiri bato, imikorere yabo y'umubiri nayo igenda buhoro, kandi imbaraga zo gufungana kw'imitsi mu buryo bw'igogora nazo zishobora kugabanuka.
• Kuba umugore, cyane cyane mu gihe cyo gutwita na nyuma yo kubyara: Impinduka mu misemburo zishobora gutera impatwe. Mu gihe cyo gutwita, umwana uri mu nda ashobora gusunika amara no kugabanya umuvuduko w'imyanya.
• Kurya ibiryo bike birimo fibre.
• Gukoresha imiti imwe n'imwe.
• Kuba hari indwara zimwe na zimwe zo mu bwonko n'iz'umugongo hamwe n'indwara zo mu gifu.

Ese impatwe ishobora gutera izindi ngorane z'ubuzima?

Yego, iyo umwijima udakoreshejwe neza kandi ku gihe, hari ingorane zimwe na zimwe zishobora kubaho.

• Kubyimba no kubyimba kw'imitsi yo mu mara (hemorrhoids).
• Imiyoboro y'ikibuno (imivune mu ruhu rw'ikibuno) iyo ugerageza guca umwanda ukomeye.
• Kwandura umwanda uri mu dufuka duto (diverticula) twibasira urukuta rw'amara manini (diverticulitis).
• Amase menshi yirundanyije mu nda no mu kibuno (Fecal impaction).
• Gusunika mu gihe ugiye mu bwiherero bishobora kwangiza imitsi yo hasi mu kibuno. Iyi mitsi inafasha mu kugenzura imikorere y'uruhago. Gusunika mu gihe kirekire bishobora no gutuma inkari zisohoka mu ruhago (stress urinary incontinence).

Icy'ingenzi: Ubusanzwe impatwe ntizitera uburozi kwiyongera mu mubiri wawe no kurwara. Uduce tw'amara yawe ni imiterere ishobora kubika imyanda no kwaguka. Ariko, keretse ufite ikibazo gikomeye cy'amara (nk'"Toxic Megacolon"), uburozi ntibusohoka mu nkuta zayo.

Bigenda bite iyo uganiriye na muganga kuri ibi?

Kuganira na muganga cyangwa undi muntu uwo ari we wese ku bijyanye n'ingeso zawe zo kwiyuhagira (cyangwa kutagira ubwo bwiherero!) bishobora kuba akazi katoroshye. Ariko ibuka ko muganga wawe ariho kugira ngo agufashe. Ni abahanga mu by'ubuvuzi babyigiye, kandi baganiriye n'abarwayi ku ngingo zose z'ubuzima ushobora gutekerezaho. Muganga azabanza kukubaza ibibazo bijyanye n'amateka yawe y'ubuvuzi, ingeso zawe zo kwiyuhagira, imibereho yawe, n'ibikorwa byawe bya buri munsi .

Ibibazo bijyanye n'amateka y'ubuvuzi:

• Ni izihe ndwara ufite ubu n'izo wigeze kugira mu bihe byashize?
• Ese waragabanutse cyangwa wariyongereye ibiro vuba aha?
• Ese wigeze ubagwa urugimbu mbere?
• Ni iyihe miti n'inyongera ufata kugira ngo ugabanye impatwe cyangwa izindi ndwara?
• Hari umuntu wo mu muryango wawe ufite amateka yo kurwara impatwe, indwara z’igogora, cyangwa kanseri y’amara?
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Ibibazo ku ngeso zo kwiyuhagira:

• Ujya mu bwiherero kangahe?
• Amase yawe asa ate? (ibara, uburyo agaragara)
• Wigeze ubona imirongo y'amaraso cyangwa itukura mu mwenda wawe?
• Wigeze ubona amaraso ku ntebe y'ubwiherero cyangwa ku mpapuro z'ubwiherero nyuma yo guhanagura?

Ibibazo ku mibereho n'ingeso:

• Urya iki ku munsi usanzwe?
• Urya imbuto n'imboga zingahe?
• Unywa amazi angahe?
• Ingeso zawe zo gukora siporo zimeze zite?

Byongeye kandi, muganga azakora isuzuma ry’umubiri. Ibi bikubiyemo gupima ubushyuhe bwawe, umuvuduko w’amaraso n’umuvuduko w’amaraso. Azumva amajwi yo mu nda yawe akoresheje stethoscope. Azanakubita igifu cyawe kugira ngo arebe niba hari ububabare, kubyimba cyangwa ibibyimba.

Wibuke ko muganga wawe ashobora no gupima amenyo. Iki ni ikizamini cyihuse gishobora kumvikana n'urutoki kugira ngo harebwe ko nta bibyimba cyangwa ibindi bibazo.

Ni ibihe bipimo bikorwa kugira ngo hamenyekane icyateye impatwe?

Muganga wawe ashobora kudakora ibizamini, cyangwa se agategeka ibizamini n'uburyo butandukanye bwo kuvura. Ibi bizaterwa n'ibimenyetso byawe, amateka y'ubuzima bwawe, ubuzima bwawe muri rusange, n'icyo muganga abona ko ari cyo cyabiteye. Kenshi na kenshi, nta bipimo by'inyongera bikenewe kugira ngo hamenyekane indwara. Ariko, muganga wawe ashobora gufata icyemezo cyo gukora ibindi bipimo bitewe n'ibimenyetso byawe.

• Ibizamini byo muri laboratwari: Ibizamini by'amaraso n'inkari bishobora kugaragaza indwara nka hypothyroidism, kubura amaraso, na diyabete. Ikizamini cy'umwanda gishobora gupimwa kugira ngo harebwe ibimenyetso by'ubwandu, kubyimba, na kanseri.
• Ibizamini byo gupima: Muganga wawe ashobora kugutegeka gupimwa CT scan, MRI scan, cyangwa serivise zo mu gifu kugira ngo arebe ibindi bibazo bishobora gutera impatwe. Ariko, ibi akenshi ntibikunze gutegekwa.
• Colonoscopy: Muganga ashobora gukora "Colonoscopy" cyangwa "Sigmoidoscopy" - ibi bikubiyemo gushyira umuyoboro ufite kamera ("scope"") mu nda y'umura kugira ngo urebe imbere mu mara manini. Muri iki gihe, hashobora gufatwa icyitegererezo cy'ingingo ("Biopsy"") kugira ngo harebwe kanseri cyangwa ibindi bibazo, kandi polyps iyo ari yo yose, niba ihari, ishobora gukurwaho.
• Inyigo zo gukwirakwiza umwijima mu mara: Muri ibi bizamini, ufata dose nto y'ikintu gifite imirasire, haba nk'ikinini cyangwa hamwe n'ibiryo, hanyuma igihe n'uburyo ikintu kinyura mu mara yawe bigakurikiranwa.
• Ibindi bizamini by'imikorere y'amara: Muganga wawe ashobora gutumiza ibizamini kugira ngo arebe uburyo anus na rectum bifata kandi bisohora umwanda. Ibi birimo ikizamini cyihariye cya X-ray cyitwa defecography (gikoreshwa mu gusuzuma imikorere mibi y'imyobo n'impatwe), hamwe n'ibizamini birimo gushyira agapira gato mu kibuno cyawe (ikizamini cyo gusohora agapira n'imyanya y'amaraso).

Ni gute wabona ubutabazi bwo kugabanya impatwe?

Inshuro nyinshi zo kubabara mu nda kugeza ku gipimo cyo hasi zishobora gukemurwa mu rugo. Kwiyitaho bitangirira ku kwita ku byo urya n'ibyo unywa no guhindura ibikenewe. Ibintu ushobora gukora mu rugo kugira ngo ugire ubutabazi bwihuse:

• Nywa ibirahuri bibiri kugeza kuri bine by'amazi ku munsi. Irinde ibinyobwa birimo kafeyine na alcool, bishobora gukurura amazi mu mubiri. Nanone, gabanya ibinyobwa by'imbuto n'ibinyobwa biryoshye cyane.
• Irinde inyama zatunganyijwe, ibiryo birimo ibinure, na karubohidrati nziza nk'umugati wera, makaroni n'ibirayi. Rya inyama zitarimo amavuta menshi nk'inkoko n'amata make.
• Shyiramo imbuto, imboga, ibinyamisogwe, ibinyampeke byuzuye, n'ibindi biribwa bikungahaye kuri fibre mu mirire yawe ya buri munsi. Gabanya ibiryo birimo ibinure byinshi nka inyama, amagi na foromaje.
• Kurya amapera, ibinyampeke by'ingano, n'imbuto zikungahaye kuri fibre nka amacunga, inanasi, strawberry, mango, avoka na papayi.
• Andika mu ikaye y'ibiribwa hanyuma umenye ibiryo bitera impatwe.
• Imyitozo ngororamubiri. Ndetse n'ikintu cyoroshye nko kugenda n'amaguru gishobora gufasha.
• Itondere uburyo wicaye ku musarani. Kuzamura amaguru yawe gato, kunama inyuma, cyangwa kwicara urambuye amaguru bishobora koroshya guca mu gitereko.
• Gerageza gufata imiti y'inyongeramusaruro (nka Metamucil®, MiraLAX®, Citrucel®, cyangwa Benefiber®) muri farumasi. Ni byiza gutangira gato mu gihe utangiye iyi miti.
• Niba bibaye ngombwa, fata umuti woroshya intebe cyangwa umuti woroshya ububabare (nka Docusate) muri farumasi. Indabyo zo mu bwoko bwa mineral oil enemas n'imiti yoroshya ububabare nabyo ni amahitamo. Hariho ubwoko bwinshi bw'imiti yoroshya ububabare. Baza umufarumasiye wawe cyangwa muganga wawe kugira ngo akufashe guhitamo ikwiriye. Ntugakoreshe imiti yoroshya ububabare mu gihe kirenze ibyumweru bibiri utabanje kugisha inama muganga. Gukoresha imiti yoroshya ububabare cyane bishobora gutuma ibimenyetso byawe birushaho kwiyongera.
• Ntugakoreshe ibintu nk'ibinyamakuru cyangwa telefoni mu gihe ugerageza kujya mu bwiherero.
• Ntugatinye iyo wumva ukeneye kujya mu bwiherero. Kubikora bishobora kubuza ikimenyetso kiva mu mara yawe kikagera mu bwonko (kikubwira kwituma).

Witondere imiti n'inyongeramusaruro.

Uretse ingamba zo kwita ku buzima bwawe, muganga wawe azareba kandi imiti n'inyongeramusaruro ufata (niba uyifata). Zimwe muri izi zishobora gutera impatwe. Niba ari uko bimeze, muganga wawe ashobora kukugira inama yo guhindura ingano, guhindura undi muti, cyangwa guhagarika iyi nyongeramusaruro. Ntugahagarike gufata imiti cyangwa inyongeramusaruro zawe utabanje kuvugana na muganga wawe.

Umuti wo kuvura impatwe na muganga

Hari ubwoko butandukanye bw'imiti abaganga batanga kugira ngo bavure impatwe:

• `(Lubiprostone (Amitiza®))`
• `(Prucalopride (Prudac®, Motegrity®))`
• `(Plecanatide (Trulance®))`
• `(Lactulose (Cephulac®, Kristalose®))`
• `(Linaclotide (Linzess®))`

Hashingiwe ku bisubizo by'ibizamini byawe, muganga wawe azahitamo umuti ukubereye.

Kubaga

Kubagwa ntibikunze kuba ngombwa kugira ngo havurwe impatwe. Ariko, niba impatwe yawe iterwa n'ikibazo cy'imiterere y'amara yawe, muganga wawe ashobora kukugira inama yo kubagwa. Urugero:

• Kuziba amara.
• Kuziba amara.
• Uduce tw'ikibuno.
• Gutemba kw'inyuma ni ugusohoka kw'igice cy'inyuma cy'inyuma kijya mu gitsina.

Hari indwara zimwe na zimwe zitera ikibazo cyo kubura aho uborera mu nda zishobora kuvurwa no kubagwa. Ibi bishobora kuganirwaho gusa nyuma y'ibizamini. Nanone, niba isuzuma rya colonoscopy rigaragaje ko ufite kanseri mu mara yawe, mu nda yawe, cyangwa mu kibuno, ushobora gukenera kubagwa.

Ni gute wakwirinda impatwe?

Imiti imwe yo mu rugo ikoreshwa mu kuvura impatwe ishobora no gukoreshwa mu kuyirinda kuba ikibazo kidakira:

• Kurya indyo yuzuye irimo fibre. Imbuto, imboga, ibinyamisogwe, imbuto, n'imigati y'ibinyampeke n'ibinyampeke ni isoko nziza ya fibre. Fibre n'amazi bifasha mu kwimura umwanda mu mara. Imbuto nyinshi zifite fibre mu ruhu rwazo. Imbuto zishobora kuribwa hamwe n'imbuto (nk'inkeri) ziba zifite fibre nyinshi. Fibre nayo ni isoko nziza ya fibre. Kurya ibinyampeke bya fibre, cyangwa kongeramo fibre mu biribwa nk'isupu na yawurute. Abantu bafite ikibazo cyo kubura impatwe bagomba kurya hagati ya garama 18 na 30 za fibre ku munsi. (Niba urwaye diverticulitis, muganga wawe ashobora kukugira inama yo kwirinda imbuto zifite imbuto.)
• Nywa ibirahuri 8 bya ounce 8 by'amazi ku munsi. (Icyitonderwa: Hari abantu bashobora kugira impatwe iyo banywa amata.) Ibinyobwa birimo kafeyine nka ikawa, icyayi n'ibinyobwa bidasembuye bishobora gutuma ubura amazi mu mubiri. Ushobora kureka kubinywa kugeza igihe ingeso yawe yo kwiyuhagira igarukiye ku buryo busanzwe.
• Gukora siporo buri gihe. Ntabwo ari ngombwa ko biba byinshi, ndetse no kugenda n'amaguru gusa birafasha cyane.
• Inyongeramusaruro nka manyeziyumu irashobora gukoreshwa mu kuvura impatwe. (Si buri wese ugomba gufata manyeziyumu. Baza muganga wawe mbere yo kuyifata.)
• Iyo ukeneye kujya mu bwiherero, bikora. Ntugatinde.

Ni ryari ngomba kujya kwa muganga?

Muri icyo gihe, ugomba kujya kwa muganga:

• Niba impatwe ari ikibazo gishya kuri wewe.
• Niba ubonye amaraso mu muyoboro wawe.
• Niba ugabanya ibiro utabigambiriye.
• Niba ufite ububabare bukomeye iyo ugiye mu bwiherero.
• Niba impatwe yawe imara ibyumweru birenga bitatu.
• Niba ufite ibimenyetso by' 'impatwe idakora neza'.

Ni ibihe bibazo ugomba kubaza muganga?

Iyo ugiye kwa muganga, ushobora kubaza ibibazo nk'ibi:

• Kuki mfite ubumuga bwo kutagira impatwe?
• Ni iki nakora/nkora kugira ngo mbone uruhu rwo kuruhuka vuba mu gihe cyo kubabara mu nda?
• Ni ubuhe buryo bwo kuvura mu rugo usaba?
• Ni iki nkwiye kurya no kunywa kugira ngo wirinde impatwe?
• Ni gute nakwirinda impatwe?

Wibuke ko ugomba kuvugisha ukuri kandi ukabwira muganga wawe ku bijyanye n'ingeso zawe zo kwiyuhagira ndetse n'ibibazo cyangwa ibibazo ushobora kuba ufite. Kujya mu bwiherero ni ikintu twese tugomba gukora. Kwiheba bishobora kuba indwara y'igihe gito, ikibazo cy'igihe kirekire, cyangwa ikimenyetso cy'indwara ikomeye kurushaho. Rero gira umutekano. Shaka muganga, cyane cyane niba ubonye impinduka mu mikorere yawe yo kwiyuhagira, cyangwa niba wumva amara yawe ari yo ayobora ubuzima bwawe.

Wibuke ikintu cy'ingenzi kurusha ibindi (Ubutumwa bwo kujyana mu rugo)

Rero, impatwe ni indwara ifata abantu benshi, ariko akenshi ishobora gukemurwa mu rugo. Ibintu by'ingenzi ni ukunywa amazi menshi, kurya indyo irimo fibre nyinshi, gukora imyitozo ngororamubiri, no kudatinda kujya mu bwiherero. Hari igihe bishobora guterwa n'imiti dufata cyangwa izindi ndwara. Niba rero ufite iki kibazo gikomeje, cyangwa niba ufite ibimenyetso biteje akaga nko kuva amaraso, jya kwa muganga kandi umugire inama. Nta kintu na kimwe ugomba kugira isoni cyangwa ubwoba, kuko ubuzima bwawe ari cyo kintu cy'ingenzi cyane!

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