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Icyo ukeneye kumenya ku binini bya Nabumetone

Icyo ukeneye kumenya ku binini bya Nabumetone

Kubana n'ububabare bw'ingingo n'indwara nk'indwara ya rubagimpande rimwe na rimwe bishobora kugorana cyane, si byo se? Hari igihe ububabare buba bukomeye cyane ku buryo udashobora no kugenda cyangwa gukora ikintu icyo ari cyo cyose cy'ingirakamaro, bigatuma ubuzima burushaho kuba bubi. Rero, imwe mu miti y'ingenzi muganga aduha mu bihe nk'ibi ni imiti igabanya ububabare. Uyu munsi turimo kuvuga ku muti umwe nk'uwo ugabanya ububabare, umuti witwa Nabumetone, ukunze kwandikirwa rubagimpande.

Nabumetone ni iki?

Mu magambo make, uyu ni umuti ugabanya ububabare no kubyimba (inflammation) mu mubiri wawe. Mu by'ukuri, uyu ni umuti uri mu itsinda ry' 'imiti idatera ububabare', ni ukuvuga imiti idatera ububabare (NSAIDs) . Iyo ufite indwara nk'indwara ya rubagimpande, uyu muti ufasha mu kugabanya ububabare no kubyimba bijyana na wo. Abaganga bashobora kandi kuwutanga ku bubabare buterwa n'izindi mpamvu.

Ibintu ugomba kubwira muganga wawe mbere yo gufata uyu muti

Mbere yo gutangira imiti iyo ari yo yose, ni ngombwa guha muganga wawe amateka yuzuye y'ubuzima bwawe. Cyane cyane mbere yo gutangira umuti nka Nabumetone, menya neza ko wabimenyesheje muganga wawe niba ufite imwe mu ndwara zavuzwe haruguru.

Imiterere cyangwa ingeso ikureba Kuki ugomba gutanga amakuru?
Indwara z'umutima, indwara z'umutima, umutima unanirwa, cyangwa umuvuduko ukabije w'amaraso. Uyu muti ushobora kongera gato ibyago byo kurwara indwara z'umutima n'imitsi yo mu bwonko.
Kubagwa bypass vuba aha (Coronary artery bypass graft - CABG). Ntibyemewe gufata uyu muti mu byumweru bibiri bya mbere nyuma yo kubagwa.
Ibisebe byo mu gifu, kuva amaraso mu gifu, cyangwa ibibazo byo mu mara. Uyu muti wongera ibyago byo kuva amaraso mu gifu no gukomereka.
Indwara y'impyiko cyangwa umwijima. Uyu muti ushobora kugira ingaruka ku mikorere y'impyiko n'umwijima.
Imiti ibuza amaraso kuzura (urugero: Warfarin) cyangwa indwara zo kuva amaraso. Ibyago byo kuva amaraso bishobora kwiyongera.
Gukoresha imiti ya steroid (urugero: Prednisone, Dexamethasone). Ingaruka mbi zo mu gifu zishobora kwiyongera.
Asima cyangwa indwara z'ubuhumekero. Hari abantu bashobora kugira ibibazo byo guhumeka.
Kunywa itabi cyangwa kunywa inzoga kenshi. Izi ngeso zongera ibyago byo kuva amaraso mu gifu.
Gutwita, kugerageza gutwita, cyangwa konsa. Uyu muti ntukwiriye gukoreshwa mu gihe cy'ababyeyi batwite n'abonsa.
Kugira allergie kuri uyu muti cyangwa indi miti cyangwa ibiryo. Ibi ni ingenzi kugira ngo hirindwe ingaruka zikomeye z'ubwivumbure.

Uyu muti nkwiye kuwukoresha nte?

  • Kurikiza amabwiriza ya muganga wawe: Fata umuti wawe neza neza nk'uko muganga wawe yagutegetse, mu gipimo cyagenwe, kandi mu gihe gikwiye. Ubusanzwe ni byiza kuwufata mu gihe kimwe buri munsi.
  • Mu gihe urya cyangwa utarya: Uyu muti ushobora gufatwa mu gihe urya cyangwa utarya. Ariko, niba urwaye igifu cyangwa ukagira ikibyimba mu gifu, ni byiza gufata umuti nyuma yo kurya .
  • Ntugahagarike giturumbuka: Komeza gufata umuti nk'uko muganga wawe yabigutegetse. Ntugahagarike gufata umuti wenyine.
  • Niba ufite imyaka irenga 65:Abantu barengeje imyaka 65 bashobora kuba barushaho kumva ingaruka z'uyu muti. Kubwibyo, bashobora gukenera doze nto. Muganga wawe niwe uzabigena.
  • Ku bana: Hakenewe ubwitonzi bwihariye iyo uyu muti uhawe abana, bityo ubikore gusa ku nama za muganga.

Wakora iki niba ufashe imiti myinshi?

Niba ubona ko wafashe imiti myinshi cyane, jya ku bitaro bikuru byita ku butabazi bwihuse (ETU). Cyangwa hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo . Bifate nk’ibintu byihutirwa.

Uyu muti wanditswe kuri wewe gusa. Ntuwusangire n'undi muntu uwo ari we wese ku mpamvu iyo ari yo yose.

Bite ho nintakaza urugero rw'umuti?

Niba wibagiwe gufata dose, fata ako kanya wibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, rekeraho dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri icyarimwe kugira ngo wishyure dose yabuze.

Ibindi bintu bishobora kugira ingaruka kuri uyu muti

Nabumetone ishobora kugira ingaruka ku yindi miti, vitamine, n'ibikomoka ku bimera ufata. Bityo rero bwira muganga wawe ibyo ufata byose. Uyu muti ushobora kugira ingaruka ku bikurikira, cyane cyane:

  • Inzoga
  • Asipirine
  • Izindi ndwara zigabanya ububabare (urugero: Ibuprofen, Ketorolac, Naproxen)
  • Imiti ibuza amaraso kuzura (urugero: Warfarin)
  • Umuti w'umuvuduko w'amaraso
  • Utunyangingo tw'imitsi
  • Lithiyumu
  • Methotrexate
  • Pemetrexed
  • Cidofovir

Uru rutonde ntirwuzuye, bityo ni byiza kumenyesha muganga wawe imiti iyo ari yo yose ufata.

Ibintu ugomba kuzirikana mu gihe ukoresha umuti

  • Kuva amaraso mu nda n'ibisebe: Iyi ni yo ngaruka zikomeye ziterwa n'iyi miti. Kunywa itabi, kunywa inzoga, gusaza, no kugira ubuzima bubi bishobora kongera iyi ngaruka. Niba ugize ibimenyetso nko kubabara mu gifu, kuruka bisa n'ibirungo bya kawa, cyangwa kwituma mu buryo bw'umukara , shaka ubufasha kwa muganga vuba.
  • Ingaruka zo gutera umutima n'indwara zo gucika kw'imitsi: Uyu muti nturinda indwara z'umutima cyangwa indwara zo gucika kw'imitsi. Mu by'ukuri, izi ngaruka zishobora kwiyongera gato iyo ukoresheje igihe kirekire cyangwa niba usanzwe ufite indwara z'umutima. Niba ufata aspirine kugira ngo wirinde indwara z'umutima, vugana na muganga wawe ku bijyanye no gufata nabumetone.
  • Indwara zikomeye ku ruhu:Hari igihe ingaruka zikomeye ku ruhu zishobora kubaho nyuma y'ibyumweru byinshi utangiye imiti. Niba ugize uduheri dufite ibimenyetso bisa n'umuriro n'ubukonje , cyangwa niba uduheri duhinduka umutuku cyangwa umuhengeri, hanyuma uduheri n'uruhu bigashira, hita ugana muganga.
  • Gutwita: Niba uteganya gutwita, cyangwa usanzwe utwite, ganira na muganga wawe kuri ibi. Gufata uyu muti, cyane cyane nyuma y'ibyumweru 20 utwite, bishobora guteza ingaruka mbi ku mwana. Gufata uyu muti nyuma y'ibyumweru 30 ntibyemewe na gato.
  • Gusinzira no kuzungera: Uyu muti ushobora gutuma uzungera no kuzungera. Kubwibyo , irinde gutwara imodoka cyangwa gukoresha imashini zisaba kuba maso kugeza igihe umenye uko uyu muti ukugiraho ingaruka.

Ingaruka mbi zishobora guterwa n'umuti

Ingaruka mbi zikomeye ugomba guhita umenyesha muganga wawe
Ubushobozi bwo kugira ubwivumbure Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa, ku rurimi cyangwa mu muhogo.
Kuva amaraso Amasambu y'umukara, ahora asubirwamo; kuruka bisa n'ikawa; inkari zitukura cyangwa ibara ry'umukara wijimye; uduce dutukura/umuhengeri ku ruhu.
Ibimenyetso by'indwara y'umutima Ububabare/gufungana mu gituza, mu bitugu, mu maboko, cyangwa mu rwasaya, isesemi, kugorwa no guhumeka.
Umutima unanirwa Kugorwa no guhumeka, kubyimba utubuto, ibirenge, amaboko, kwiyongera ibiro mu buryo butunguranye.
Ibibazo by'impyikoKugabanuka k'umuvuduko w'inkari, kubyimba utubuto tw'ibirenge, amaboko n'ibirenge.
Indwara z'umwijima Kubabara mu nda yo hejuru iburyo, kubura ubushake bwo kurya, uruhu cyangwa amaso bigahinduka umuhondo, inkari zijimye.
Ibimenyetso bya Stroke Kubura imbaraga mu maso, ku kuboko, cyangwa ku kuguru, kugorwa no kuvuga, urujijo.
Ingaruka mbi ubusanzwe zitari zikomeye, ariko zigomba kumenyeshwa muganga mu gihe zikomeje
Umutwe Gukunda kurya
Isesemi Kubabara mu nda/kubyimba

Ni gute wabika kandi ukajugunya imiti?

  • Bika ahantu abana n'amatungo batagera.
  • Bika ahantu hari ubushyuhe bw'icyumba (hagati ya dogere selisiyusi 20-25).
  • Ta imiti yarengeje igihe. Kugira ngo ujugunye imiti idakenewe, banza ubaze muganga wawe cyangwa icyapa cy'imiti kugira ngo urebe niba nta kibazo ifite cyo kuyijugunya. Niba urimo kuyijugunya, kuramo ibinini mu gikoresho, ubyivange n'ikawa cyangwa ifu yakoreshejwe, ubishyire mu gikapu, ugifunge neza, hanyuma ujugunye.

Ubutumwa bwo kujyana mu rugo

  • Nabumetone ni umuti w'ingirakamaro wo kugabanya ububabare no kubyimba. Ariko, ntabwo ukwiriye buri wese. Buri gihe ukoreshe gusa ubanje kugirwa inama na muganga.
  • Mbere yo gutangira uyu muti, bwira muganga wawe indwara zawe zose n'indi miti yose ufata.
  • Buri gihe menya ibimenyetso by'umuburo nko kubabara mu gifu, kwituma mu mwijima w'umukara, kubabara mu gatuza, guhumeka bigoranye, cyangwa uduheri dukomeye ku ruhu. Niba hari kimwe muri ibi kibayeho, shaka ubufasha bwa muganga byihutirwa.
  • Mu gihe ufata uyu muti, utabanje kubibaza muganga,Ntugafate indi miti igabanya ububabare nka aspirine cyangwa ibuprofen.
  • Niba utwite, uteganya gutwita, cyangwa uri umubyeyi wonsa, irinde gufata uyu muti kandi vugana na muganga wawe.

Nabumetone, Ububabare, Imiti igabanya ububabare, Ububabare bw'ingingo, NSAID, Ingaruka mbi
⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha

Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.

Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha 7 + 6 =
Icyo ukeneye kumenya ku binini bya Nabumetone
Imiti2026 Nyakanga 15

Icyo ukeneye kumenya ku binini bya Nabumetone

Kubana n'ububabare bw'ingingo n'indwara nk'indwara ya rubagimpande rimwe na rimwe bishobora kugorana cyane, si byo se? Hari igihe ububabare buba bukomeye cyane ku buryo udashobora no kugenda cyangwa gukora ikintu icyo ari cyo cyose cy'ingirakamaro, bigatuma ubuzima burushaho kuba bubi. Rero, imwe mu miti y'ingenzi muganga aduha mu bihe nk'ibi ni imiti igabanya ububabare. Uyu munsi turimo kuvuga ku muti umwe nk'uwo ugabanya ububabare, umuti witwa Nabumetone, ukunze kwandikirwa rubagimpande.

Nabumetone ni iki?

Mu magambo make, uyu ni umuti ugabanya ububabare no kubyimba (inflammation) mu mubiri wawe. Mu by'ukuri, uyu ni umuti uri mu itsinda ry' 'imiti idatera ububabare', ni ukuvuga imiti idatera ububabare (NSAIDs) . Iyo ufite indwara nk'indwara ya rubagimpande, uyu muti ufasha mu kugabanya ububabare no kubyimba bijyana na wo. Abaganga bashobora kandi kuwutanga ku bubabare buterwa n'izindi mpamvu.

Ibintu ugomba kubwira muganga wawe mbere yo gufata uyu muti

Mbere yo gutangira imiti iyo ari yo yose, ni ngombwa guha muganga wawe amateka yuzuye y'ubuzima bwawe. Cyane cyane mbere yo gutangira umuti nka Nabumetone, menya neza ko wabimenyesheje muganga wawe niba ufite imwe mu ndwara zavuzwe haruguru.

Imiterere cyangwa ingeso ikureba Kuki ugomba gutanga amakuru?
Indwara z'umutima, indwara z'umutima, umutima unanirwa, cyangwa umuvuduko ukabije w'amaraso. Uyu muti ushobora kongera gato ibyago byo kurwara indwara z'umutima n'imitsi yo mu bwonko.
Kubagwa bypass vuba aha (Coronary artery bypass graft - CABG). Ntibyemewe gufata uyu muti mu byumweru bibiri bya mbere nyuma yo kubagwa.
Ibisebe byo mu gifu, kuva amaraso mu gifu, cyangwa ibibazo byo mu mara. Uyu muti wongera ibyago byo kuva amaraso mu gifu no gukomereka.
Indwara y'impyiko cyangwa umwijima. Uyu muti ushobora kugira ingaruka ku mikorere y'impyiko n'umwijima.
Imiti ibuza amaraso kuzura (urugero: Warfarin) cyangwa indwara zo kuva amaraso. Ibyago byo kuva amaraso bishobora kwiyongera.
Gukoresha imiti ya steroid (urugero: Prednisone, Dexamethasone). Ingaruka mbi zo mu gifu zishobora kwiyongera.
Asima cyangwa indwara z'ubuhumekero. Hari abantu bashobora kugira ibibazo byo guhumeka.
Kunywa itabi cyangwa kunywa inzoga kenshi. Izi ngeso zongera ibyago byo kuva amaraso mu gifu.
Gutwita, kugerageza gutwita, cyangwa konsa. Uyu muti ntukwiriye gukoreshwa mu gihe cy'ababyeyi batwite n'abonsa.
Kugira allergie kuri uyu muti cyangwa indi miti cyangwa ibiryo. Ibi ni ingenzi kugira ngo hirindwe ingaruka zikomeye z'ubwivumbure.

Uyu muti nkwiye kuwukoresha nte?

  • Kurikiza amabwiriza ya muganga wawe: Fata umuti wawe neza neza nk'uko muganga wawe yagutegetse, mu gipimo cyagenwe, kandi mu gihe gikwiye. Ubusanzwe ni byiza kuwufata mu gihe kimwe buri munsi.
  • Mu gihe urya cyangwa utarya: Uyu muti ushobora gufatwa mu gihe urya cyangwa utarya. Ariko, niba urwaye igifu cyangwa ukagira ikibyimba mu gifu, ni byiza gufata umuti nyuma yo kurya .
  • Ntugahagarike giturumbuka: Komeza gufata umuti nk'uko muganga wawe yabigutegetse. Ntugahagarike gufata umuti wenyine.
  • Niba ufite imyaka irenga 65:Abantu barengeje imyaka 65 bashobora kuba barushaho kumva ingaruka z'uyu muti. Kubwibyo, bashobora gukenera doze nto. Muganga wawe niwe uzabigena.
  • Ku bana: Hakenewe ubwitonzi bwihariye iyo uyu muti uhawe abana, bityo ubikore gusa ku nama za muganga.

Wakora iki niba ufashe imiti myinshi?

Niba ubona ko wafashe imiti myinshi cyane, jya ku bitaro bikuru byita ku butabazi bwihuse (ETU). Cyangwa hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo . Bifate nk’ibintu byihutirwa.

Uyu muti wanditswe kuri wewe gusa. Ntuwusangire n'undi muntu uwo ari we wese ku mpamvu iyo ari yo yose.

Bite ho nintakaza urugero rw'umuti?

Niba wibagiwe gufata dose, fata ako kanya wibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, rekeraho dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri icyarimwe kugira ngo wishyure dose yabuze.

Ibindi bintu bishobora kugira ingaruka kuri uyu muti

Nabumetone ishobora kugira ingaruka ku yindi miti, vitamine, n'ibikomoka ku bimera ufata. Bityo rero bwira muganga wawe ibyo ufata byose. Uyu muti ushobora kugira ingaruka ku bikurikira, cyane cyane:

  • Inzoga
  • Asipirine
  • Izindi ndwara zigabanya ububabare (urugero: Ibuprofen, Ketorolac, Naproxen)
  • Imiti ibuza amaraso kuzura (urugero: Warfarin)
  • Umuti w'umuvuduko w'amaraso
  • Utunyangingo tw'imitsi
  • Lithiyumu
  • Methotrexate
  • Pemetrexed
  • Cidofovir

Uru rutonde ntirwuzuye, bityo ni byiza kumenyesha muganga wawe imiti iyo ari yo yose ufata.

Ibintu ugomba kuzirikana mu gihe ukoresha umuti

  • Kuva amaraso mu nda n'ibisebe: Iyi ni yo ngaruka zikomeye ziterwa n'iyi miti. Kunywa itabi, kunywa inzoga, gusaza, no kugira ubuzima bubi bishobora kongera iyi ngaruka. Niba ugize ibimenyetso nko kubabara mu gifu, kuruka bisa n'ibirungo bya kawa, cyangwa kwituma mu buryo bw'umukara , shaka ubufasha kwa muganga vuba.
  • Ingaruka zo gutera umutima n'indwara zo gucika kw'imitsi: Uyu muti nturinda indwara z'umutima cyangwa indwara zo gucika kw'imitsi. Mu by'ukuri, izi ngaruka zishobora kwiyongera gato iyo ukoresheje igihe kirekire cyangwa niba usanzwe ufite indwara z'umutima. Niba ufata aspirine kugira ngo wirinde indwara z'umutima, vugana na muganga wawe ku bijyanye no gufata nabumetone.
  • Indwara zikomeye ku ruhu:Hari igihe ingaruka zikomeye ku ruhu zishobora kubaho nyuma y'ibyumweru byinshi utangiye imiti. Niba ugize uduheri dufite ibimenyetso bisa n'umuriro n'ubukonje , cyangwa niba uduheri duhinduka umutuku cyangwa umuhengeri, hanyuma uduheri n'uruhu bigashira, hita ugana muganga.
  • Gutwita: Niba uteganya gutwita, cyangwa usanzwe utwite, ganira na muganga wawe kuri ibi. Gufata uyu muti, cyane cyane nyuma y'ibyumweru 20 utwite, bishobora guteza ingaruka mbi ku mwana. Gufata uyu muti nyuma y'ibyumweru 30 ntibyemewe na gato.
  • Gusinzira no kuzungera: Uyu muti ushobora gutuma uzungera no kuzungera. Kubwibyo , irinde gutwara imodoka cyangwa gukoresha imashini zisaba kuba maso kugeza igihe umenye uko uyu muti ukugiraho ingaruka.

Ingaruka mbi zishobora guterwa n'umuti

Ingaruka mbi zikomeye ugomba guhita umenyesha muganga wawe
Ubushobozi bwo kugira ubwivumbure Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa, ku rurimi cyangwa mu muhogo.
Kuva amaraso Amasambu y'umukara, ahora asubirwamo; kuruka bisa n'ikawa; inkari zitukura cyangwa ibara ry'umukara wijimye; uduce dutukura/umuhengeri ku ruhu.
Ibimenyetso by'indwara y'umutima Ububabare/gufungana mu gituza, mu bitugu, mu maboko, cyangwa mu rwasaya, isesemi, kugorwa no guhumeka.
Umutima unanirwa Kugorwa no guhumeka, kubyimba utubuto, ibirenge, amaboko, kwiyongera ibiro mu buryo butunguranye.
Ibibazo by'impyikoKugabanuka k'umuvuduko w'inkari, kubyimba utubuto tw'ibirenge, amaboko n'ibirenge.
Indwara z'umwijima Kubabara mu nda yo hejuru iburyo, kubura ubushake bwo kurya, uruhu cyangwa amaso bigahinduka umuhondo, inkari zijimye.
Ibimenyetso bya Stroke Kubura imbaraga mu maso, ku kuboko, cyangwa ku kuguru, kugorwa no kuvuga, urujijo.
Ingaruka mbi ubusanzwe zitari zikomeye, ariko zigomba kumenyeshwa muganga mu gihe zikomeje
Umutwe Gukunda kurya
Isesemi Kubabara mu nda/kubyimba

Ni gute wabika kandi ukajugunya imiti?

  • Bika ahantu abana n'amatungo batagera.
  • Bika ahantu hari ubushyuhe bw'icyumba (hagati ya dogere selisiyusi 20-25).
  • Ta imiti yarengeje igihe. Kugira ngo ujugunye imiti idakenewe, banza ubaze muganga wawe cyangwa icyapa cy'imiti kugira ngo urebe niba nta kibazo ifite cyo kuyijugunya. Niba urimo kuyijugunya, kuramo ibinini mu gikoresho, ubyivange n'ikawa cyangwa ifu yakoreshejwe, ubishyire mu gikapu, ugifunge neza, hanyuma ujugunye.

Ubutumwa bwo kujyana mu rugo

  • Nabumetone ni umuti w'ingirakamaro wo kugabanya ububabare no kubyimba. Ariko, ntabwo ukwiriye buri wese. Buri gihe ukoreshe gusa ubanje kugirwa inama na muganga.
  • Mbere yo gutangira uyu muti, bwira muganga wawe indwara zawe zose n'indi miti yose ufata.
  • Buri gihe menya ibimenyetso by'umuburo nko kubabara mu gifu, kwituma mu mwijima w'umukara, kubabara mu gatuza, guhumeka bigoranye, cyangwa uduheri dukomeye ku ruhu. Niba hari kimwe muri ibi kibayeho, shaka ubufasha bwa muganga byihutirwa.
  • Mu gihe ufata uyu muti, utabanje kubibaza muganga,Ntugafate indi miti igabanya ububabare nka aspirine cyangwa ibuprofen.
  • Niba utwite, uteganya gutwita, cyangwa uri umubyeyi wonsa, irinde gufata uyu muti kandi vugana na muganga wawe.

Nabumetone, Ububabare, Imiti igabanya ububabare, Ububabare bw'ingingo, NSAID, Ingaruka mbi
⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

💬 Comments (0)

Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha

Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.

Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha 7 + 6 =