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Ese ujya urya imbuto n'imboga zimwe na zimwe, ujya urya umunwa n'umuhogo? Ibi bishobora kuba ari indwara yo kurwara indwara y'ubwivumbure bw'ibiryo!

Ese ujya urya imbuto n'imboga zimwe na zimwe, ujya urya umunwa n'umuhogo? Ibi bishobora kuba ari indwara yo kurwara indwara y'ubwivumbure bw'ibiryo!

Ese wigeze wibaza impamvu umunwa wawe, iminwa yawe n'umuhogo wawe bihita bikururuka kandi bigacika intege iyo uriye imbuto cyangwa imboga nshya? Hari igihe ibi bitaba ari impanuka gusa. Uyu munsi, tugiye kuvuga ku ndwara ishobora gutera ibi niba warigeze kugira ikibazo nk'icyo.

Iyi ndwara yo kurwara indwara y’ibiryo bikomoka ku mungu ni iyihe?

Mu magambo make, irindi zina ry'ibi ni "Oral Allergy Syndrome". Ubu kandi ni ubwoko bwa allergy, ni ukuvuga "Allergy". Ariko akenshi, bigira ingaruka ku minwa yawe, mu kanwa no mu muhogo gusa. By'umwihariko, iyi ndwara ibaho iyo umuntu urwaye "Pollen Allergy" ariye ubwoko bumwe na bumwe bw'ibiribwa - cyane cyane imbuto mbisi, imboga, n'imbuto zimwe na zimwe .

Iyi allergie y'ibiryo by'umukungugu ibaho ite?

Noneho reka turebe uko ibi bigenda. Umuntu ufite `(Pollen-Food Allergy Syndrome)` cyangwa `(PFAS)` afite ubudahangarwa bw'umubiri mu mubiri we butekereza ko poroteyine zimwe na zimwe mu biribwa bimwe na bimwe ari poroteyine zo mu mukungugu. Ni nk'impanga zitera urujijo. Mu buvuzi, ibi tubyita `(Cross-reaction)` . Rero iyo ushyize ibyo biribwa mu kanwa, utangira kugira ibimenyetso mu minota mike.

Ni ibihe bimenyetso by'ibi?

Noneho reka turebe ubwoko bw'ibimenyetso umuntu ufite `(PFAS)` ashobora kugira nyuma yo kurya imbuto n'imboga mbisi nk'uko wabivuze:

  • Kuryarya cyangwa gushyuha mu kanwa no mu muhogo: Iki ni cyo kimenyetso gikunze kugaragara ku bantu benshi . Bishobora kumvikana nk'aho hari udukoko duto twinjira mu kanwa.
  • Kumva ubabaye mu muhogo: Hari abantu bashobora kumva umuhogo wabo urimo kunyimwa, cyangwa se nk'aho hari ikintu cyabafashe mu muhogo.
  • Ijwi rituje: Ijwi rishobora guhinduka mu buryo butunguranye rigasakuza.
  • Kubyimba cyangwa gutukura kw'iminwa cyangwa mu maso: Ibintu nk'iminwa ibyimbye no gutukura kw'isura bishobora kubaho.
  • Gusharira mu matwi no mu mazuru: Ibi nabyo ni ibintu bamwe bahura na byo.

Ibi bimenyetso bikunze kugaragara ako kanya nyuma yo kurya ibiryo kandi bishobora kumara iminota mike kugeza ku minota 30. Ariko, ni gake cyane , hari abantu bashobora kugira ibimenyetso by'ubwivumbure bukomeye. Kubwibyo, ni ngombwa kubimenya no.

Ese hari icyakorwa kugira ngo bigabanye ibi bimenyetso?

Yego, hari ibintu bimwe na bimwe ushobora kugerageza.

Tekereza gato, hari abantu bamwe batabona ibyo bimenyetso iyo bariye imbuto cyangwa imboga batazikuyeho uruhu. Ibyo bivuze ko rimwe na rimwe uruhu rushobora kuba rurimo poroteyine nyinshi itera ubwivumbure.

Ikindi kintu ni uko abantu benshi batagira ikibazo cyo kurya izi mbuto cyangwa imboga nyuma yo kuziteka.Impamvu ni uko iyo bishyushye, imiterere ya poroteyine zitera ibimenyetso irahinduka. Urugero, umuntu ubabara mu muhogo nyuma yo kurya pome mbisi ashobora kurya pome nta kibazo. Kubera ko pome zitetse muri pome.

Ariko hari ikintu cyo kuzirikana. Niba umuntu afite ubwivumbure ku bijumba cyangwa ibindi bijumba by’ibiti, ashobora kugaragaraho ibimenyetso nubwo byaba bitetse. Ibi biterwa nuko poroteyine zibirimo zidahinduka cyane iyo bishyushye.

Ni ubuhe bwoko bw'ibiribwa butera ibi bimenyetso?

Iki ni ikibazo cy'ingenzi cyane. Ubwoko bw'umukungugu uterwa na ubwivumbure ni bwo bugena ibiryo bitera ibimenyetso byawe. Ni ukuvuga ko ibiryo bihura n'ubwoko bwose bw'umukungugu biratandukanye. Reka turebe ubwoko bumwe bw'ingenzi bw'umukungugu n'ibiribwa bishobora kujyana na byo.

Indwara zo mu bwoko bwa 'Tree Pollen' n'ibindi biryo bifitanye isano:

Abantu bafite ubwivumbure ku mbuto z’ibiti bya birch , cyane cyane, bashobora kugira ibi bikurikira:

  • Imbuto: Pome, amapera, sheri, prunes, peaches, apricots, kiwi
  • Imboga: Karoti, seleri, ibirayi
  • Imbuto: Hazelnut, Almond

Tekereza, niba uhora uhura n'izuru ritose n'amaso asharira iyo ibiti bitangiye kurabya mu mpeshyi, bivuze ko ushobora kuba ufite "Allergie ya Birch Pollen". Iyo umuntu nk'uwo ariye pome mbisi, aba afite amahirwe menshi yo kurwara mu kanwa.

Indwara zo mu ishyamba ry'ibyatsi n'ibiribwa bifitanye isano nabyo:

Abantu bakunda kugira allergie mu gihe cy'indabyo z'ibyatsi (akenshi mu mpeshyi) bashobora kugira ibi bikurikira:

  • Imbuto/Imboga: Inyanya, watermelon, cantaloupe, amacunga, peaches, kiwi, ibirayi, seleri

Allergie iterwa n'umukungugu w'ibyatsi n'ibiribwa bifitanye isano:

Cyane cyane ku bantu bafite ubwivumbure ku mbuto za ragweed (ziboneka nyinshi mu gihe cy'impeshyi):

  • Imbuto: Igitoki, watermelon, cantaloupe, honeydew (ubundi bwoko bw'ikinyobwa)
  • Imboga: Inkeri, zucchini

Indi mboga ni Mugwort . Ku bafite ubwivumbure kuri yo:

  • Imboga: seleri, karoti, urusenda (urusenda rw'amafi)
  • Ibirungo: persil, coriandre, fennel, anise

Icy'ingenzi: Uru rutonde ntirukubiyemo ibintu byose, kandi si buri wese ufite ubwivumbure kuri ibyo biribwa byose. Ibi bishobora gutandukana bitewe n'umuntu ku wundi. Ibi ni byo bikunze kugaragara.

Ibi ni nk'akazi k'ubugenzuzi. Ugomba kwita ku bintu bitera ubwivumbure ku mubiri wawe ndetse n'ibyo kurya urya muri icyo gihe cy'umwaka bitera ibyo bimenyetso.

Ni ryari ngomba kujya kwa muganga?

Noneho, ko ufite ibimenyetso nk'ibi, ni ngombwa kumenya igihe cyo gushaka inama kwa muganga.

  • Niba ukunze kugira ibi bimenyetso cyangwa niba bikomeye .
  • Nkuko byavuzwe mbere, niba ugize ibimenyetso nko kugorwa no guhumeka, gufungana mu gituza, isereri, cyangwa uduheri mu mubiri wawe wose , usibye no kubabara mu kanwa no mu muhogo, bishobora kuba ikimenyetso cy'ingaruka zikomeye z'ubwivumbure bw'umubiri zitwa "Anaphylaxis." Ibi nibibaho, ugomba kwihutira gushaka abaganga.
  • Niba ushaka kumenya neza niba ufite iyi ndwara ya `(PFAS)` cyangwa utayifite, muganga wawe ashobora kukwohereza ku `(Ikizamini cya Allergy)`.
  • Shaka inama nyazo ku biribwa bibi kuri wewe n'ibyo ushobora kurya.

Wibuke ko utakwisuzuma. Ni byiza kujya kwa muganga ukaganira kuri ibi.

Abaganga bakora iki kuri ibi?

Iyo ugiye kwa muganga, abanza kukubaza ibimenyetso byawe, ibyo urya, ndetse niba hari izindi aleriji ufite (cyane cyane ku ivumbi). Hanyuma, nibiba ngombwa, bashobora gukora ibizamini kugira ngo bamenye neza niba ufite aleriji.

  • Ikizamini cyo gukomeretsa uruhu: Ibi bikubiyemo gusiga ingano nto y'ikintu ufite ubwivumbure ku ruhu rwawe hanyuma ukagitera urushinge ruto cyane. Iyo agace gahindutse umutuku kakabyimba gato mu minota 15-20, bivuze ko ufite ubwivumbure kuri icyo kintu.
  • Isuzuma ry'amaraso: Hari igihe amaraso afatwa agapimwa ibintu byihariye byitwa IgE Antibodies. Izi ni antibodies zikorwa cyane mu mubiri mu gihe cy'allergie.

Ibi bizamini bishobora kugufasha kumenya impongo n'ibiribwa ufite ubwivumbure. Hanyuma muganga wawe azakugira inama ku biribwa ugomba kwirinda n'icyo wakora mu gihe ugaragaje ibimenyetso. Hari igihe ushobora guhabwa imiti, nka antihistamines, kugira ngo ugenzure ibimenyetso byawe.

None se, ni iki twagombye kwibuka muri ibi byose?

Noneho rero, ubu usobanukiwe neza icyo twavuzeho, "Indwara yo Kurwara Indwara z'Ibiryo by'Impongo". Muri make:

  • Niba ufite ubwivumbure bw'umukungugu, ushobora kugira ibimenyetso nko kuribwa mu kanwa, mu muhogo, no kugira ibinya nyuma yo kurya imbuto zimwe na zimwe mbisi, imboga, n'imbuto z'ibinyampeke. Ibi byitwa PFAS.
  • Impamvu ni uko ubudahangarwa bw'umubiri wawe buvanga poroteyine ziri mu biribwa na poroteyine z'umukungugu (cross-reaction).
  • Akenshi, ibi bimenyetso ntabwo biba bikomeye , kandi guteka ibiryo bishobora gukemura ikibazo cyane cyane (usibye ibintu bimwe na bimwe nk'ubunyobwa n'ubunyobwa).
  • Bitewe n'umusaruro w'ibimera utera ubwivumbure, ibiryo utera ubwivumbure bishobora gutandukana.
  • Niba ibimenyetso bikunze kugaragara, bikomeye, cyangwa niba ushaka kumenya neza , menya neza ko wagiye kwa muganga .
  • Ntukigere wisuzuma ngo ufate umwanzuro ko kurya ibiryo bidahagije atari byiza. Inama za muganga ni ngombwa, cyane cyane iyo umwana afite ibi bimenyetso. Kuko gusiba kurya bitari ngombwa bishobora gutuma agira ikibazo cyo kubura intungamubiri.

Rero, ndizera ko aya makuru azagufasha. Tega amatwi umubiri wawe witonze, kandi wite ku mpinduka zose ubona. Ubuzima bwiza kuri bose!


` Indwara yo kurwara indwara y'ibiryo by'umukungugu, Indwara yo kurwara indwara y'umukungugu mu kanwa, ubwivumbure bw'ibiryo, ubwivumbure bw'ibiryo, umunwa uryarya, umuhogo uryarya, ibimenyetso by'ubwivumbure

⚠️ 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 1 + 8 =
Ese ujya urya imbuto n'imboga zimwe na zimwe, ujya urya umunwa n'umuhogo? Ibi bishobora kuba ari indwara yo kurwara indwara y'ubwivumbure bw'ibiryo!

Ese ujya urya imbuto n'imboga zimwe na zimwe, ujya urya umunwa n'umuhogo? Ibi bishobora kuba ari indwara yo kurwara indwara y'ubwivumbure bw'ibiryo!

Ese wigeze wibaza impamvu umunwa wawe, iminwa yawe n'umuhogo wawe bihita bikururuka kandi bigacika intege iyo uriye imbuto cyangwa imboga nshya? Hari igihe ibi bitaba ari impanuka gusa. Uyu munsi, tugiye kuvuga ku ndwara ishobora gutera ibi niba warigeze kugira ikibazo nk'icyo.

Iyi ndwara yo kurwara indwara y’ibiryo bikomoka ku mungu ni iyihe?

Mu magambo make, irindi zina ry'ibi ni "Oral Allergy Syndrome". Ubu kandi ni ubwoko bwa allergy, ni ukuvuga "Allergy". Ariko akenshi, bigira ingaruka ku minwa yawe, mu kanwa no mu muhogo gusa. By'umwihariko, iyi ndwara ibaho iyo umuntu urwaye "Pollen Allergy" ariye ubwoko bumwe na bumwe bw'ibiribwa - cyane cyane imbuto mbisi, imboga, n'imbuto zimwe na zimwe .

Iyi allergie y'ibiryo by'umukungugu ibaho ite?

Noneho reka turebe uko ibi bigenda. Umuntu ufite `(Pollen-Food Allergy Syndrome)` cyangwa `(PFAS)` afite ubudahangarwa bw'umubiri mu mubiri we butekereza ko poroteyine zimwe na zimwe mu biribwa bimwe na bimwe ari poroteyine zo mu mukungugu. Ni nk'impanga zitera urujijo. Mu buvuzi, ibi tubyita `(Cross-reaction)` . Rero iyo ushyize ibyo biribwa mu kanwa, utangira kugira ibimenyetso mu minota mike.

Ni ibihe bimenyetso by'ibi?

Noneho reka turebe ubwoko bw'ibimenyetso umuntu ufite `(PFAS)` ashobora kugira nyuma yo kurya imbuto n'imboga mbisi nk'uko wabivuze:

  • Kuryarya cyangwa gushyuha mu kanwa no mu muhogo: Iki ni cyo kimenyetso gikunze kugaragara ku bantu benshi . Bishobora kumvikana nk'aho hari udukoko duto twinjira mu kanwa.
  • Kumva ubabaye mu muhogo: Hari abantu bashobora kumva umuhogo wabo urimo kunyimwa, cyangwa se nk'aho hari ikintu cyabafashe mu muhogo.
  • Ijwi rituje: Ijwi rishobora guhinduka mu buryo butunguranye rigasakuza.
  • Kubyimba cyangwa gutukura kw'iminwa cyangwa mu maso: Ibintu nk'iminwa ibyimbye no gutukura kw'isura bishobora kubaho.
  • Gusharira mu matwi no mu mazuru: Ibi nabyo ni ibintu bamwe bahura na byo.

Ibi bimenyetso bikunze kugaragara ako kanya nyuma yo kurya ibiryo kandi bishobora kumara iminota mike kugeza ku minota 30. Ariko, ni gake cyane , hari abantu bashobora kugira ibimenyetso by'ubwivumbure bukomeye. Kubwibyo, ni ngombwa kubimenya no.

Ese hari icyakorwa kugira ngo bigabanye ibi bimenyetso?

Yego, hari ibintu bimwe na bimwe ushobora kugerageza.

Tekereza gato, hari abantu bamwe batabona ibyo bimenyetso iyo bariye imbuto cyangwa imboga batazikuyeho uruhu. Ibyo bivuze ko rimwe na rimwe uruhu rushobora kuba rurimo poroteyine nyinshi itera ubwivumbure.

Ikindi kintu ni uko abantu benshi batagira ikibazo cyo kurya izi mbuto cyangwa imboga nyuma yo kuziteka.Impamvu ni uko iyo bishyushye, imiterere ya poroteyine zitera ibimenyetso irahinduka. Urugero, umuntu ubabara mu muhogo nyuma yo kurya pome mbisi ashobora kurya pome nta kibazo. Kubera ko pome zitetse muri pome.

Ariko hari ikintu cyo kuzirikana. Niba umuntu afite ubwivumbure ku bijumba cyangwa ibindi bijumba by’ibiti, ashobora kugaragaraho ibimenyetso nubwo byaba bitetse. Ibi biterwa nuko poroteyine zibirimo zidahinduka cyane iyo bishyushye.

Ni ubuhe bwoko bw'ibiribwa butera ibi bimenyetso?

Iki ni ikibazo cy'ingenzi cyane. Ubwoko bw'umukungugu uterwa na ubwivumbure ni bwo bugena ibiryo bitera ibimenyetso byawe. Ni ukuvuga ko ibiryo bihura n'ubwoko bwose bw'umukungugu biratandukanye. Reka turebe ubwoko bumwe bw'ingenzi bw'umukungugu n'ibiribwa bishobora kujyana na byo.

Indwara zo mu bwoko bwa 'Tree Pollen' n'ibindi biryo bifitanye isano:

Abantu bafite ubwivumbure ku mbuto z’ibiti bya birch , cyane cyane, bashobora kugira ibi bikurikira:

  • Imbuto: Pome, amapera, sheri, prunes, peaches, apricots, kiwi
  • Imboga: Karoti, seleri, ibirayi
  • Imbuto: Hazelnut, Almond

Tekereza, niba uhora uhura n'izuru ritose n'amaso asharira iyo ibiti bitangiye kurabya mu mpeshyi, bivuze ko ushobora kuba ufite "Allergie ya Birch Pollen". Iyo umuntu nk'uwo ariye pome mbisi, aba afite amahirwe menshi yo kurwara mu kanwa.

Indwara zo mu ishyamba ry'ibyatsi n'ibiribwa bifitanye isano nabyo:

Abantu bakunda kugira allergie mu gihe cy'indabyo z'ibyatsi (akenshi mu mpeshyi) bashobora kugira ibi bikurikira:

  • Imbuto/Imboga: Inyanya, watermelon, cantaloupe, amacunga, peaches, kiwi, ibirayi, seleri

Allergie iterwa n'umukungugu w'ibyatsi n'ibiribwa bifitanye isano:

Cyane cyane ku bantu bafite ubwivumbure ku mbuto za ragweed (ziboneka nyinshi mu gihe cy'impeshyi):

  • Imbuto: Igitoki, watermelon, cantaloupe, honeydew (ubundi bwoko bw'ikinyobwa)
  • Imboga: Inkeri, zucchini

Indi mboga ni Mugwort . Ku bafite ubwivumbure kuri yo:

  • Imboga: seleri, karoti, urusenda (urusenda rw'amafi)
  • Ibirungo: persil, coriandre, fennel, anise

Icy'ingenzi: Uru rutonde ntirukubiyemo ibintu byose, kandi si buri wese ufite ubwivumbure kuri ibyo biribwa byose. Ibi bishobora gutandukana bitewe n'umuntu ku wundi. Ibi ni byo bikunze kugaragara.

Ibi ni nk'akazi k'ubugenzuzi. Ugomba kwita ku bintu bitera ubwivumbure ku mubiri wawe ndetse n'ibyo kurya urya muri icyo gihe cy'umwaka bitera ibyo bimenyetso.

Ni ryari ngomba kujya kwa muganga?

Noneho, ko ufite ibimenyetso nk'ibi, ni ngombwa kumenya igihe cyo gushaka inama kwa muganga.

  • Niba ukunze kugira ibi bimenyetso cyangwa niba bikomeye .
  • Nkuko byavuzwe mbere, niba ugize ibimenyetso nko kugorwa no guhumeka, gufungana mu gituza, isereri, cyangwa uduheri mu mubiri wawe wose , usibye no kubabara mu kanwa no mu muhogo, bishobora kuba ikimenyetso cy'ingaruka zikomeye z'ubwivumbure bw'umubiri zitwa "Anaphylaxis." Ibi nibibaho, ugomba kwihutira gushaka abaganga.
  • Niba ushaka kumenya neza niba ufite iyi ndwara ya `(PFAS)` cyangwa utayifite, muganga wawe ashobora kukwohereza ku `(Ikizamini cya Allergy)`.
  • Shaka inama nyazo ku biribwa bibi kuri wewe n'ibyo ushobora kurya.

Wibuke ko utakwisuzuma. Ni byiza kujya kwa muganga ukaganira kuri ibi.

Abaganga bakora iki kuri ibi?

Iyo ugiye kwa muganga, abanza kukubaza ibimenyetso byawe, ibyo urya, ndetse niba hari izindi aleriji ufite (cyane cyane ku ivumbi). Hanyuma, nibiba ngombwa, bashobora gukora ibizamini kugira ngo bamenye neza niba ufite aleriji.

  • Ikizamini cyo gukomeretsa uruhu: Ibi bikubiyemo gusiga ingano nto y'ikintu ufite ubwivumbure ku ruhu rwawe hanyuma ukagitera urushinge ruto cyane. Iyo agace gahindutse umutuku kakabyimba gato mu minota 15-20, bivuze ko ufite ubwivumbure kuri icyo kintu.
  • Isuzuma ry'amaraso: Hari igihe amaraso afatwa agapimwa ibintu byihariye byitwa IgE Antibodies. Izi ni antibodies zikorwa cyane mu mubiri mu gihe cy'allergie.

Ibi bizamini bishobora kugufasha kumenya impongo n'ibiribwa ufite ubwivumbure. Hanyuma muganga wawe azakugira inama ku biribwa ugomba kwirinda n'icyo wakora mu gihe ugaragaje ibimenyetso. Hari igihe ushobora guhabwa imiti, nka antihistamines, kugira ngo ugenzure ibimenyetso byawe.

None se, ni iki twagombye kwibuka muri ibi byose?

Noneho rero, ubu usobanukiwe neza icyo twavuzeho, "Indwara yo Kurwara Indwara z'Ibiryo by'Impongo". Muri make:

  • Niba ufite ubwivumbure bw'umukungugu, ushobora kugira ibimenyetso nko kuribwa mu kanwa, mu muhogo, no kugira ibinya nyuma yo kurya imbuto zimwe na zimwe mbisi, imboga, n'imbuto z'ibinyampeke. Ibi byitwa PFAS.
  • Impamvu ni uko ubudahangarwa bw'umubiri wawe buvanga poroteyine ziri mu biribwa na poroteyine z'umukungugu (cross-reaction).
  • Akenshi, ibi bimenyetso ntabwo biba bikomeye , kandi guteka ibiryo bishobora gukemura ikibazo cyane cyane (usibye ibintu bimwe na bimwe nk'ubunyobwa n'ubunyobwa).
  • Bitewe n'umusaruro w'ibimera utera ubwivumbure, ibiryo utera ubwivumbure bishobora gutandukana.
  • Niba ibimenyetso bikunze kugaragara, bikomeye, cyangwa niba ushaka kumenya neza , menya neza ko wagiye kwa muganga .
  • Ntukigere wisuzuma ngo ufate umwanzuro ko kurya ibiryo bidahagije atari byiza. Inama za muganga ni ngombwa, cyane cyane iyo umwana afite ibi bimenyetso. Kuko gusiba kurya bitari ngombwa bishobora gutuma agira ikibazo cyo kubura intungamubiri.

Rero, ndizera ko aya makuru azagufasha. Tega amatwi umubiri wawe witonze, kandi wite ku mpinduka zose ubona. Ubuzima bwiza kuri bose!


` Indwara yo kurwara indwara y'ibiryo by'umukungugu, Indwara yo kurwara indwara y'umukungugu mu kanwa, ubwivumbure bw'ibiryo, ubwivumbure bw'ibiryo, umunwa uryarya, umuhogo uryarya, ibimenyetso by'ubwivumbure

⚠️ 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 1 + 8 =