Ese nawe wumva unaniwe? Reka tuvuge ku bijyanye n'ihungabana.

Ni ibisanzwe kumva ubabaye kandi uhangayitse rimwe na rimwe. Ariko rimwe na rimwe, iyo iki mibabaro no kutagira icyo ushishikajwe bikomeje mu byumweru, bishobora kuba birenze agahinda gasanzwe. Uyu munsi tugiye kuvuga ku kibazo nk'iki, ni ukuvuga kwiheba, cyangwa nk'uko abantu benshi babyita, "Depression". Iyi ni ingingo ikunze kugaragara mu bantu benshi, ariko ntabwo ivugwaho cyane.

Kwiheba ni iki mu by'ukuri?

Mu magambo make, kwiheba ni indwara igira ingaruka ku byiyumvo byawe, "indwara y'ibyiyumvo" nk'uko abaganga babyita. Muri ibi, uhora wumva ubabaye, ubabaye, kandi wihebye. Ushobora kubura ubushake bwo gukora ibintu wakundaga. Tekereza, ntukifuza kureba filime, guhura n'inshuti, cyangwa gusoma igitabo. Si ibyo gusa, ahubwo bishobora no kugira ingaruka zikomeye ku buryo utekereza, kwibuka ibintu, kurya, no gusinzira nijoro.

Ni ibisanzwe kumva ubabaye kandi wihebye mu bihe bikomeye mu buzima, nko kubura akazi, kubura uwo ukunda, cyangwa guhura n'ikibazo gikomeye. Ni kamere ya muntu. Ariko kwiheba ni ikintu gitandukanye rwose. Ni ibyiyumvo bihoraho by'agahinda bimara nibura ibyumweru bibiri, kandi bigaherekezwa n'ibindi bimenyetso byinshi.

Hari ubwoko butandukanye bw'ihungabana. Twebwe abaganga tubyita "Clinical depression" cyangwa "major depression disorder (MDD)", akenshi yitwa "depression". Ubu ni bwo bwoko bw'ihungabana rikomeye kandi rikunze kugaragara muri sosiyete.

Igikuru ni uko iyo itavuwe, kwiheba bishobora kwiyongera, bikamara igihe kirekire, kandi bikagira ingaruka zikomeye ku buzima bwawe. Mu bihe bimwe na bimwe bikomeye, ushobora no kugira ibitekerezo byo kwiyangiza cyangwa kwiyahura. Ariko inkuru nziza ni uko iyo uvuwe neza, ibi bimenyetso bishobora kugenzurwa no gucungwa. Rero nta kintu cyo gutinya cyangwa isoni kirimo.

Ni ubuhe bwoko bw'ingenzi bw'indwara yo kwiheba?

Dukurikije urwego rw'ishyirahamwe ry'abaganga b'indwara zo mu mutwe b'Abanyamerika (DSM-5), hari ubwoko butandukanye bw'indwara yo kwiheba. Reka turebe iby'ingenzi, hanyuma tugerageze kubyumva mu buryo bworoshye:

• Ihungabana ry’ihungabana / indwara ikomeye yo kwiheba (MDD): Muri ibi, wumva ubabaye cyane, wihebye, kandi ntacyo umaze iminsi myinshi, nibura ibyumweru bibiri. Hamwe n’ibi, ushobora kugira ibimenyetso nko kugira ibibazo byo gusinzira (kubura ibitotsi cyangwa gusinzira cyane), kubura ubushake bwo gukunda ibintu wakundaga, impinduka zikomeye mu irari ry’ibiribwa (kwiyongera cyangwa kugabanuka), impinduka z’ibiro, umunaniro, no kugorwa no kwibanda ku bintu. Ubu ni bwo bwoko bw’ihungabana rikomeye kandi rikunze kugaragara.
• Indwara yo kwiheba idashira (PDD):Iyi ni indwara aho umuntu agira ihungabana ryoroheje cyangwa riciriritse mu gihe cy'imyaka ibiri. Ibimenyetso ntabwo bikomeye nk'iby'indwara ikomeye yo kwiheba, ariko bishobora gushyira ubuzima bwe mu kaga bitewe n'igihe kirekire. Iyi ndwara mbere yitwaga dysthymia.
• Indwara yo kurakara cyane mu buryo bw'amarangamutima (DMDD): Iyi ni indwara igaragara ku bana bato. Bakunze kugira uburakari bukabije, batakaza umujinya kubera utuntu duto, kandi akenshi bararakara. Ibimenyetso bikunze gutangira mbere y'imyaka 10.
• Indwara yo kubura igitsina mbere yo gushyingirwa (PMDD): Iyi ni indwara ifata abagore. Uretse ibimenyetso bisanzwe bya PMS, hari n'ibimenyetso bikomeye byo mu mutwe nko kurakara cyane, guhangayika, kurakara, cyangwa kwiheba. Nubwo ibi bimenyetso bigabanuka mu minsi mike nyuma yo gutangira imihango, rimwe na rimwe bishobora kuba bikomeye ku buryo bibangamira imirimo ya buri munsi.
• Indwara yo kwiheba iterwa n'indi ndwara: Indwara zimwe na zimwe zishobora gutera kwiheba binyuze mu gutuma umubiri uhinduka mu misemburo no mu binyabutabire. Urugero, hypothyroidism (tiyode idakora neza), indwara z'umutima, indwara ya Parkinson, kanseri, n'indwara z'ububabare budakira. Kuvura iyo ndwara akenshi bifasha mu gihe cyo kwiheba.

Byongeye kandi, hari ubwoko bwihariye bwa "indwara ikomeye yo kwiheba":

• Indwara y’ibihe by’ihungabana (SAD): Iyi nayo ni ubwoko bwa `(indwara ikomeye yo kwiheba)`. Igaragara cyane cyane mu bihe bimwe na bimwe by’izuba, urugero, mu gihe cy’ubukonje n’imvura (mu gihugu cyacu, ishobora kugira ingaruka ku bantu bamwe mu gihe cy’imvura), hanyuma ikabura mu gihe cy’izuba n’izuba.
• Ihungabana rikabije mbere yo kubyara no kwiheba nyuma yo kubyara: Ihungabana rikabije ribaho mu gihe cyo gutwita ryitwa "Ihungabana rikabije mbere yo kubyara." Ihungabana rikabije ribaho mu byumweru bine nyuma yo kubyara ryitwa "Ihungabana rikabije nyuma yo kubyara." Iki ni ikibazo kireba ababyeyi benshi, ariko ntikivugwaho. Abaganga bombi bita "indwara ikomeye yo kwiheba (MDD) iyo umuntu atangiye kubyara."
• Ihungabana ridasanzwe: Ibimenyetso by'ubu bwoko bitandukanye gato n'ihungabana "risanzwe". Itandukaniro rikomeye ni uko iyo ikintu cyiza kibaye, cyangwa umuntu akavuga ikintu cyiza, imitekerereze irushaho kuba myiza by'igihe gito (reactivity). Ariko ibyishimo ntibiyongera. Ibindi bimenyetso birimo kongera ubushake bwo kurya (cyane cyane ibiryo biryoshye), gusinzira birenze urugero, kumva uremereye mu ngingo, no gutinya kwangwa n'abandi (kumva ko abandi banze kumva).

Ingingo y'ingenzi:Abantu bafite indwara ya bipolar disorder bashobora kugira ibihe byo kwiheba, hamwe n'ibihe byo gukora cyane, gushyuha, no kwiheba, cyangwa hypomania. Kubwibyo, ni ngombwa ko ubuvuzi butandukanya ibi bibazo.

Ni nde wibasirwa cyane n'indwara yo kwiheba?

Mu by’ukuri, kwiheba bishobora kugira ingaruka ku muntu uwo ari we wese . Bishobora kugira ingaruka ku bana, ingimbi n’abangavu, abantu bakuru, abagabo, abagore, ndetse na buri wese. Ntacyo bitwaye uko ubuzima bwawe, ubukungu bwawe, cyangwa amashuri yawe ari kose.

Ariko, hari ibintu bimwe na bimwe bishobora gutuma urwara indwara yo kwiheba. Urugero, indwara yo kwiheba ikunze kugaragara cyane ku bantu bafite indwara zikurikira:

• Indwara zigenda zigabanya buhoro buhoro uturemangingo tw’imitsi, nka Alzheimer's disease na Parkinson's disease.
• Indwara yo mu bwonko (stroke).
• "Multiple sclerosis". (Indwara ya sclerosis nyinshi).
• Indwara zo mu mutwe nk'igicuri.
• Kanseri.
• Kwangirika kw'amagufwa y'amaso.
• Ububabare budakira (urugero: ububabare bw'umugongo budashira, ububabare bw'ingingo).

Ihungabana rikunze kugaragara gute?

Ihungabana ry’ihungabana mu by’ukuri ni indwara ikunze kugaragara cyane. Nk’uko bivugwa n’Ishami ry’Umuryango w’Abibumbye ryita ku Buzima, abantu babarirwa muri za miriyoni ku isi barwaye indwara yo kwiheba. Ubushakashatsi bumwe bwerekana ko umuntu umwe kuri batandatu bakuru azahura n’ikibazo cyo kwiheba mu gihe runaka mu buzima bwe.

Ariko, abahanga bemeza ko iyi mibare iri hasi ugereranyije n’uko iri kuko abantu benshi badashaka kuvuga ku bibazo byabo byo mu mutwe, ntibashake inama kwa muganga ku bimenyetso by’indwara yo kwiheba, kandi ntibahabwe isuzuma. Iki kibazo gishobora kugaragara muri Sri Lanka ku rugero runaka cyangwa ruto. Wenda umuntu uzi, cyangwa umuntu wo mu muryango wawe, yahuye n’ikibazo nk’icyo, ariko wenda ntibakivuga.

Ni ibihe bimenyetso by'indwara yo kwiheba?

Ibimenyetso by'indwara yo kwiheba bishobora gutandukana gato bitewe n'ubwoko bwayo. Bishobora gutandukana kuva ku byoroheje kugeza ku bikomeye. Si buri wese uzahura n'ibimenyetso byose. Muri rusange, ushobora guhura na kimwe cyangwa byinshi muri ibi bikurikira:

• Guhora wumva ufite agahinda gakabije, kwiheba, ubusa cyangwa guhangayika. Abana bato n'ingimbi bafite agahinda bashobora kugaragaza uburakari, umujinya no gukaza umurego kurusha agahinda.
• Gutakaza ubushake cyangwa ibyishimo mu bintu byari bisanzwe bishimishije (urugero: ibyo umuntu akunda, kumarana umwanya n'inshuti, kumva umuziki).
• Kurakara vuba, guhangayika, no kubura kwihangana.
• Kurya ibirenze ibyo ukwiye kurya cyangwa kubura ubushake bwo kurya burundu. Ibi bishobora gutuma wongera ibiro cyangwa ugatakaza ibiro mu buryo butunguranye.
• Ibibazo byo gusinzira: Kubura ibitotsi, gusinzira cyane ku manywa, cyangwa gusinzira cyane (hypersomnia).
• Umunaniro ni ukumva unaniwe cyane, ukumva unaniwe igihe cyose. Ushobora kumva unaniwe cyane nubwo waba umaze gukora akazi gato.
• Kugorwa no gushyira ibitekerezo ku kintu, gufata ibyemezo no kwibuka ibintu. Ushobora kumva nk'aho umutwe wawe wuzuyemo igihu.
• Kubabara umubiri: Ibintu nko kuribwa umutwe, kubabara mu gifu, kubabara imitsi, cyangwa kudakora neza mu mibonano mpuzabitsina bitagaragara.
• Kumva wicira urubanza, kumva nta cyo umaze.
• Gutekereza kenshi ku rupfu, kwiyahura, cyangwa kwiyahura.

Icy'ingenzi cyane: Niba wowe cyangwa umuntu uzi afite ibitekerezo byo kwiyahura, ndakwinginze ntukabihishe. Ntabwo ari ikimenyetso cy'intege nke, ahubwo ni ugusaba ubufasha. Hamagara Inshuti za Sri Lanka (nimero za terefone: 0112692909, 0112682535) cyangwa umurongo w'igihugu wita ku buzima bwo mu mutwe 1926. Biteguye kukumva no kugufasha. Cyangwa ujye mu ishami ryita ku bibazo byihutirwa by'ibitaro biri hafi yawe ako kanya.

Ni izihe mpamvu zitera kwiheba?

Abashakashatsi ntibaramenya neza impamvu imwe rukumbi itera kwiheba. Ariko ubu byemerwa ko hari ibintu byinshi bitera iyi ndwara. Ibyo ni ibi bikurikira:

• Ubumenyi bw'ubwonko: Kudahuza kw'ibinyabutabire biri mu bwonko bwacu byitwa neurotransmitters (nka serotonin, dopamine, na norepinephrine) ni ingenzi mu gutera kwiheba. Ibi bifasha mu kugenga ibintu nk'amarangamutima yacu, ibitotsi, n'ubushake bwo kurya. Ni nk'ikibazo mu buryo butuma umuntu adakora neza mu buryo bwegereye amarangamutima yacu.
• Ingirabuzimafatizo: Niba umuntu wo mu muryango wawe (yaba umubyeyi wawe, umuvandimwe wawe, cyangwa umwana wawe) afite ikibazo cyo kwiheba, ufite amahirwe make yo kugirwara kurusha umuntu usanzwe. Ibi bivuze ko hashobora kubaho imiterere y’ingirabuzimafatizo. Ariko, ni ngombwa kwibuka ko kwiheba bishobora no gukwirakwira hatabayeho amateka y’umuryango.
• Ibintu bihangayikisha mu buzima: Kwiheba bishobora guterwa n'ibintu bigoye nko gupfusha uwo ukunda mu buryo butunguranye, impanuka ikomeye, ihohoterwa rishingiye ku gitsina cyangwa ku mubiri, gutandukana, gutakaza akazi, ibibazo by'amafaranga, irungu, kwigunga, no kubura ubufasha. Hari igihe, urukurikirane rw'ibibazo bito rushobora gutera iyi ndwara.
• Indwara: Indwara zimwe na zimwe zidakira zishobora gutera kwiheba. Urugero, indwara ya tiroyide, indwara y'umutima, diyabete, indwara ya Parkinson, kanseri, n'ububabare budakira. Kubabara umubiri, impinduka mu mibereho, n'imihangayiko ijyana n'izi ndwara bishobora gutera kwiheba.
• Imiti n'imiti ikoreshwa:Kwiheba bishobora kuba ingaruka mbi z'imiti imwe n'imwe (urugero: imiti imwe n'imwe y'umuvuduko ukabije w'amaraso, imisemburo). Nanone, kunywa inzoga n'ibindi biyobyabwenge ni byo bitera kwiheba cyangwa bigatuma kwiheba kuriho birushaho kwiyongera.

Ni gute wasuzuma indwara yo kwiheba? (Isuzuma)

Ihungabana ryibasira ripimwa na muganga w’umuhanga, umuganga w’indwara zo mu mutwe, cyangwa inzobere mu by’imitekerereze. Bazakubaza ikibazo kirambuye ku bimenyetso byawe. Ibi birimo ibimenyetso ufite, igihe umaze uhari, n’uko bigira ingaruka ku buzima bwawe bwa buri munsi. Bazakubaza kandi amateka y’umuryango wawe y’indwara zo mu mutwe, amateka y’ubuzima bwawe, n’imiti iyo ari yo yose ufata.

Kugira ngo umenyekane ko ufite ihungabana, ugomba kugira ibimenyetso bitanu cyangwa birenga byavuzwe haruguru, akenshi buri munsi, byibuze ibyumweru bibiri. Kandi ibimenyetso bigomba kubangamira cyane imibereho yawe, akazi, cyangwa ibindi bice by'ingenzi by'ubuzima bwawe.

Muganga wawe ashobora kandi gutegeka ko ibizamini bya muganga, urugero nk'ibipimo by'amaraso, kugira ngo amenye niba ibimenyetso by'ihungabana ryawe biterwa n'indi ndwara y'umubiri (urugero: ibibazo bya tiroyide, kubura vitamine).

Ihungabana rivurwa rite?

Ihungabana ni indwara yo mu mutwe ivurwa cyane. Mu by'ukuri, umubare munini w'abantu bashaka kuvurwa, hagati ya 80% na 90%, bakira neza iyo bavuwe kandi bagakira. Rero, ntugatekereze uti "Ibi ntibizigera bikira."

Hari uburyo bwinshi bwo kuvura, kandi akenshi hakoreshwa bumwe cyangwa bwinshi muri ubu buryo:

• Ubuvuzi bw'imitekerereze: Ubu buvuzi bwitwa kandi uburyo bwo kuvugana. Ibi bikubiyemo kuganira n'inzobere mu by'ubuzima bwo mu mutwe (umuhanga mu by'imitekerereze, umuvuzi w'imitekerereze) ku bibazo byawe, ibyiyumvo byawe, n'ibitekerezo byawe. Umuvuzi wawe azagufasha kumenya no guhindura ibyiyumvo bibi, imiterere y'ibitekerezo, n'imyitwarire, no gushaka uburyo bwiza bwo guhangana n'ibibazo byawe. Hari ubwoko bwinshi bw'ubuvuzi bw'imitekerereze. Ubuvuzi bw'imyitwarire mu bwenge (CBT) na Ubuvuzi bw'imibanire y'abantu (IPT) ni bimwe mu bikunze gukoreshwa cyane. Rimwe na rimwe, hakenewe ubuvuzi bw'igihe gito gusa (amasomo make). Ku bandi, ubuvuzi bushobora gukomeza amezi cyangwa imyaka.
• Imiti: Imiti yanditswe na muganga yitwa imiti igabanya ubukana bw'imiti ifasha gukosora ubusumbane mu bwonko butera kwiheba. Hari ubwoko butandukanye bw'imiti igabanya ubukana (urugero: SSRIs, SNRIs, TCAs). Muganga wawe azaguhitiramo igufitiye akamaro kandi ifite ingaruka nke. Iyi miti ntikora ako kanya; bishobora gufata ibyumweru byinshi.Nanone, imwe mu miti igabanya ubukana bw'indwara ishobora kugira ingaruka mbi (nk'ibitotsi, isereri, kubabara mu gifu), ariko akenshi izi zishira uko igihe kigenda gihita. Iyo zitarangiye, cyangwa niba zidakira, vugana na muganga wawe. Ntugahagarike gufata imiti yawe cyangwa ngo uhindure ingano yayo utabanje kugisha inama muganga wawe.
• Ubuvuzi bw'inyongera: Ubu ni uburyo bwo kuvura bushobora gukoreshwa hamwe cyangwa bukongeraho ubundi buvuzi busanzwe bwo mu Burengerazuba. Ku bantu bafite ikibazo cyoroheje cyo kwiheba cyangwa ibimenyetso bidashira, uburyo bwo kuvura nka acupuncture, massage, hypnosis, na biofeedback bushobora gutanga ihumure. Ariko, ni ngombwa kuvugana na muganga mbere yo kubikoresha nk'uburyo bwo gusimbuza uburyo busanzwe bwo kuvura.
• Uburyo bwo kuvura indwara zo mu bwonko: Ubu buryo bwo kuvura bushobora gufasha abantu bafite ikibazo gikomeye cyo kwiheba cyangwa kwiheba gukabije hamwe n’indwara zo mu mutwe zitakiriye neza ubundi buryo bwo kuvura. Urugero, harimo uburyo bwo kuvura hakoreshejwe amashanyarazi (ECT), uburyo bwo kuvura hakoreshejwe amashanyarazi mu bwonko (TMS), n’uburyo bwo kuvura imitsi yo mu bwonko (VNS). Ubu buryo bukorwa buyobowe n’inzobere mu bitaro.

Byongeye kandi, hari ibintu ushobora gukora mu rugo, binyuze mu guhindura imiterere yawe y'ubuzima, kugira ngo ugabanye ibimenyetso by'ihungabana no gufasha mu gukira:

• Imyitozo ngororamubiri isanzwe: Ikintu cyose kuva ku kugenda, kwiruka, koga, kubyina, nibindi. Imyitozo ngororamubiri isohora imiti mu bwonko ituma umuntu yumva ameze neza.
• Gira ibitotsi bihagije kandi bihagije (atari bike cyane, atari byinshi cyane). Igire akamenyero ko kuryama no kubyuka icyarimwe buri munsi.
• Kurya indyo yuzuye kandi yuzuye. Kurya imboga nyinshi, imbuto, ibinyamisogwe, n'ibinyampeke byuzuye. Gabanya ibiryo birimo isukari, amavuta, n'ibiribwa byatunganyijwe uko bishoboka kose.
• Irinde burundu inzoga n'ibiyobyabwenge. Inzoga ni ikintu cyongera ihungabana kandi kikabangamira imikorere y'imiti igabanya ubukana bw'indwara zo kwiheba.
• Marana umwanya n'abantu ukunda, ubitaho, kandi ubafasha. Ntukabe wenyine.
• Kora ibintu bikunezeza kandi bikuruhura mu mutwe.
• Itoze uburyo bwo guhangana n'imihangayiko: ibintu nko gutekereza cyane, yoga, n'imyitozo ngororamubiri yo guhumeka cyane.

Ni iki giteganyijwe ku ndwara y'ihungabana?

Uko ikibazo cyo kwiheba gihagaze, ni ukuvuga imiterere n'igihe cyo gukira, bishobora gutandukana bitewe n'umuntu ku giti cye. Biterwa n'ibintu byinshi:

• Ubukana n'ubwoko bw'ihungabana.
• Byaba ari iby'igihe gito (urugero: biterwa n'ikintu runaka) cyangwa iby'igihe kirekire.
• Niba barahawe ubuvuzi bukwiye cyangwa batahawe, n'uburyo batangiye kuvurwa vuba.
• Waba ufite izindi ndwara zo mu mutwe (urugero: guhangayika), indwara z'umubiri, cyangwa izindi ndwara zijyana no kurwara nko gukoresha ibiyobyabwenge nabi.

Inkuru nziza ni uko iyo umuntu asuzumwe neza kandi agahabwa ubuvuzi bukwiye, abantu benshi bafite ikibazo cyo kwiheba bashobora kubaho ubuzima bwiza, bushimishije kandi busanzwe. Ariko, ndetse na nyuma yo kuvurwa, hari abantu bashobora kongera kurwara. Kubwibyo, ni ngombwa gushaka inama kwa muganga hakiri kare bishoboka niba wumva ibimenyetso byawe bitangiye kugaruka.

Ihungabana iyo ridavuwe:

• Bishobora kwiyongera, kandi ibimenyetso bikaba byarushaho kwiyongera.
• Izindi ngorane z'ubuzima, nko kwibagirwa, zishobora kongera ibyago byo kurwara indwara nka kwibagirwa.
• Bishobora kongera ibibazo by'ubuzima bisanzwe, nka diyabete cyangwa ububabare budakira.
• Bishobora kugira ingaruka ku buzima bwose, harimo imibanire y'abantu ku giti cyabo, akazi, n'uburezi.
• Amaherezo, bishobora gutuma umuntu yiyangiza cyangwa ndetse akanicwa.

Ihungabana n'izindi ndwara zo mu mutwe byagaragaye ko ari byo bintu bikomeye bitera kwiyahura muri Sri Lanka. Kubwibyo , niba wowe cyangwa undi muntu uzi afite ibitekerezo byo kwiyahura, nyamuneka ntubyirengagize. Shaka ubufasha bw'inzobere ako kanya. Hamagara Sumithrayo (0112692909, 0112682535) cyangwa umurongo w'igihugu wita ku buzima bwo mu mutwe 1926. Cyangwa ujye mu cyumba cy'indembe cy'ibitaro biri hafi yawe.

Ese kwiheba bishobora kwirindwa?

Nubwo kwiheba bitashobora kwirindwa buri gihe, hari ibintu ushobora gukora kugira ngo ugabanye ibyago byawe kandi bigufashe gukomeza ubuzima bwawe bwo mu mutwe:

• Gukomeza gusinzira neza (amasaha 7-8 ku munsi).
• Gukoresha uburyo bwiza bwo gucunga imihangayiko. Urugero, kuganira n'umuntu wizeye udapfukiranye ibibazo, imyitozo yo guhumeka, gutekereza cyane.
• Kora ibikorwa byo kwiyitaho nko gukora imyitozo ngororamubiri ihoraho, gutekereza cyane, na yoga. Shaka umwanya wo gukora ibintu bikuzanira ibyishimo.
• Komeza umubano mwiza n'umuryango n'inshuti.
• Irinde inzoga n'ibiyobyabwenge.

Niba warigeze kugira ikibazo cyo kwiheba mbere, uba ufite amahirwe menshi yo kongera kukirwara. Rero, ukimara kubona ibimenyetso by'ihungabana, ntutegereze ko rishira gusa, ahubwo shaka ubufasha vuba bishoboka.

Ni ryari wagombye kujya kwa muganga ku bijyanye n'indwara yo kwiheba?

Niba ufite kimwe mu bimenyetso by'ihungabana byavuzwe muri iyi nkuru mu gihe kirenga ibyumweru bibiri, kandi niba ibi bimenyetso bigira ingaruka ku buzima bwawe bwa buri munsi, ku kazi, cyangwa mu mibanire yawe, hita ubonana na muganga cyangwa umujyanama mu by'ubuzima bwo mu mutwe .Bashobora kuguha igisubizo nyacyo no kuguha uburyo bwiza bwo kuvura.

Niba waratangiye kuvura indwara yo kwiheba kandi bisa nkaho bitagufashije, cyangwa ufite ingaruka mbi utabasha kwihanganira, ntutinye kuvugana na muganga wawe. Ashobora guhindura ubwoko cyangwa ingano y'imiti yawe, cyangwa akakugira inama yo kuyivura ukundi.

Amaherezo, ibuka (Ubutumwa bwo kujyana mu rugo)

Ihungabana ni indwara ikunze kugaragara cyane kandi ishobora kuba ikomeye, ikaba yibasira abantu babarirwa muri za miriyoni buri mwaka. Umuntu wese ashobora kwiheba, nubwo nta mpamvu igaragara ihari. Si intege nke cyangwa ikimenyetso. Ni indwara isaba kuvurwa.

Inkuru nziza ni uko indwara yo kwiheba ishobora kuvurwa. Niba ufite ibimenyetso by'indwara yo kwiheba, ntutinye, ntugire isoni, kandi ntubabare wenyine. Vugana na muganga wawe cyangwa undi muntu wizeye. Uko ushakisha ubufasha vuba, ni ko urushaho gukira no kongera kwishimira ubuzima bwawe. Ntukarwane iyi ntambara wenyine, hari abantu benshi bashobora kugufasha no kugutega amatwi.

Ihungabana , ubuzima bwo mu mutwe, agahinda, imihangayiko, ubuvuzi, ibimenyetso