Ese ufite ibikomere ku maguru yawe bidakira? Reka twige kuri iki 'gisebe cy'imitsi'!

Ese wigeze ubona ko hari igihe ibikomere bigaragara ku maguru yawe, cyane cyane mu kibuno cyangwa mu kaguru, kandi bigafata igihe kirekire kugira ngo bikire? Ushobora kuba warigeze kubibona. Ibi si ibikomere bisanzwe. Tubyita 'Ibisebe by'imitsi', mu rurimi rwa Sinhala bisobanura 'ibisebe byo mu mitsi '. Mu magambo make, ibi ni ibikomere biba ku ruhu bitewe n'amaraso adatembera neza mu mubiri wacu. Reka tubiganireho birambuye uyu munsi, kuko iki ni ikintu gishobora kugira ingaruka ku bantu benshi.

Ibisebe byo mu mitsi ni iki?

Mu magambo make, ibisebe byo mu mitsi ni ibikomere biba ku ruhu rwacu. Ariko ibi si ibikomere gusa. Biterwa n'ibibazo by'amaraso atembera mu mubiri wacu, ni ukuvuga inzira z'amaraso. Akenshi, ibi bikomere biboneka ku maguru yacu, cyane cyane amaguru yo hasi n'ibirenge. Ariko bishobora no kugaragara ahandi hantu. Ibi bikomere bifata igihe kirekire kugira ngo bikire, kandi rimwe na rimwe bishobora kuba ngombwa ko habaho ubuvuzi bwihariye nko kubagwa.

Hari impamvu ebyiri z'ingenzi zituma ibi bisebe byo mu mitsi bibaho.

1. Kimwe ni ukugabanuka kw'amaraso mu mitsi yacu. Imitsi niho umubiri ubona intungamubiri na ogisijeni ukeneye. Rero iyo habayeho ikibazo kuri ibi, ibikomere biravuka.

2. Indi mpamvu ni uko amaraso adatembera neza mu mitsi yacu. Ni mu mitsi amaraso, hamwe n'imyanda iri mu mubiri, bijyanwa mu mutima binyuze muri iyo mitsi. Iyo habayeho ikibazo kuri ibyo, havuka imvune.

Ibikunze kugaragara cyane muri ibi ni ibikomere biba mu mitsi, ibyo twita kandi ibisebe byo mu mitsi .

Izi mvune zikunze kugaragara gute?

Mu by’ukuri, ibi bisebe byo mu mitsi bikunze kugaragara cyane kurusha uko wabitekereza, cyane cyane uko ugenda ukura. Ugereranyije, hafi 1% by’abantu bakuru bashobora kugira iyi ndwara. Mu bantu barengeje imyaka 65, iri janisha rishobora kuba hagati ya 3% na 5%. Rero iki si ikintu cyo gufata nk'ikintu cyoroshye.

Ni gute ibi bisebe byo mu mitsi bigira ingaruka ku mibiri yacu?

Izi mvune zishobora kugira ingaruka mbi zitandukanye ku buzima bwawe. Tekereza gusa...

• Ubwinshi bw'ibyago byo kwandura: Uruhu rwacu rumeze nk'ingabo iturinda mikorobe. Rero igikomere nk'iki ni ikintu gicika muri iyo ngabo, bigatuma mikorobe zinjira mu mubiri byoroshye.
• Sepsis: Iyo indwara idavuwe neza, ishobora gukwirakwira mu mubiri wose ikagera ku ndwara ikomeye cyane yitwa sepsis . Iki ni cyo gihe ubudahangarwa bw'umubiri bwacu bukabije bugatangira kwangiza ibice bitandukanye by'umubiri.
• Gangrene: Bitewe n'ubwandu cyangwa kubura amaraso ajya mu gikomere, uturemangingo dukikije igikomere dutangira gupfa. Ibi bishobora gutera indwara yitwa gangrene . Iyo itavuwe, ishobora gukwirakwira ndetse ikagera no ku rupfu.
• Ububabare n'ingorane zo kugenda:Ibi bisebe byo mu mitsi bishobora kubabaza cyane. Bitewe n'aho igisebe kiri, ushobora kudashobora gukora, gusinzira, cyangwa gukora imirimo ya buri munsi. Kubera ko imyitozo ngororamubiri ituma amaraso atembera neza, niba udashobora kugenda bitewe n'igisebe kibabaza, igisebe gishobora kwiyongera.

Icy'ingenzi cyane: Ntukirengagize izi mvune kuko ari ntoya. Ni ngombwa cyane gushaka inama kwa muganga byihuse.

Ibimenyetso ni ibihe?

Ibimenyetso by'igisebe cyo mu mitsi biterwa n'icyagiteye, kandi rimwe na rimwe hari impamvu nyinshi zishobora kubaho.

Ibimenyetso by'ibisebe byo mu mitsi / ibisebe bya stasis

Ibi bimenyetso bikunze kugaragara mbere yuko ibisebe byo mu mitsi bitangira:

• Inyama zo ku maguru zirahinduka umutuku kandi zirabyimba.
• Uruhu rurakomera, rugakomera, kandi rugahinduka ibara ryijimye (ubusanzwe ritukura, umuhengeri, cyangwa umukara).
• Hashobora kubaho ibinya no kwishimagura mu gace kafashwe n'indwara (ibi twita 'stasis dermatitis' ).
• Imitsi yo mu bwoko bwa Varicose ni ikimenyetso gisanzwe cy'uko umuntu agira ibibazo by'imitsi.

Ibisebe bya stasis mu gihe gisanzwe bigira ibi bikurikira:

• Ibikomere bikunze kubaho hafi y'akaguru.
• Ibikomere ntibiba byimbitse kandi bishobora kuba bitwikiriwe n'igitambaro gitukura kugeza ku muhondo.
• Imiterere y'ibikomere ntabwo imeze neza, ifite impande zitangana.
• Uruhu rukikije igikomere rushobora kuba rubengerana kandi rushobora kugaragara nk'aho rwarambuye.
• Ako gace gashobora kumva gashyushye kurusha ahandi.
• Ibisebe birababaza kandi bishobora kuvamo amazi, nk'amaraso cyangwa amazi. Iyo byanduye, bishobora kugira impumuro mbi n'amabyi.

Ibimenyetso by'ibisebe byo mu mitsi

Ibi bimenyetso bishobora kugaragara mbere yuko ibisebe byo mu mitsi bitangira:

• Uruhu rukikije igikomere rurabengerana kandi rwumye. Rushobora kandi kugaragara nk'aho rufunganye kandi rufunze.
• Gutakaza umusatsi biba ku kuboko/kuguru byafashwe cyangwa hafi y'igikomere bitewe n'uko amaraso atembera nabi.
• Amaraso atembera neza ashobora kugabanywa iyo uryamye cyangwa uzamuye amaguru. Ibi bishobora gutuma amaguru yawe yumva ashaje kandi akonje. Amaguru yawe ashobora kubabara iyo uzamuye amaguru yawe cyangwa uryamye. (Ubu bubabare bushobora koroherwa no kureka amaguru yawe agakomeza kumanuka. Amaguru yawe ashobora no guhinduka umutuku uko amaraso atembera neza.)

Ibisebe byo mu mitsi bikunze kugira ibimenyetso bikurikira:

• Ibisebe bitangira kugaragara mu bice by'umubiri biri kure cyane y'umutima, cyane cyane ku mano no hagati y'amano.
• Ibikomere bigaragara nk'umukara mu ibara (cyane cyane umutuku, umuhondo, imvi, umukara).
• Ibikomere biba binini, rimwe na rimwe bigashyira ahagaragara imitsi cyangwa imitsi.
• Impande zikikije igikomere zisa n'aho zasunitswe.
• Ibikomere bishobora kudava amaraso, kandi nta bubabare buhari.

Ni nde ugerwaho n'iki kibazo cyane?

Ibisebe byo mu mitsi bikunze kugaragara cyane ku bantu bakuze cyangwa abafite ibibazo bimwe na bimwe by'ubuzima, cyane cyane abafite ibibazo by'umutima n'imiyoboro y'amaraso. Hariho indwara zijyana nabyo:

• Diyabete (Diabete Mellitus)
• Umubyibuho ukabije
• Indwara z'imitsi yo mu mpande - ni ukuvuga indwara y'imitsi yo mu mpande (PAD) cyangwa indwara y'imitsi yo mu mpande (PVD)
• Indwara z'umutima n'imitsi
• Umuvuduko ukabije w'amaraso (Hypertension)
• Kunywa itabi no gukoresha ibikomoka ku itabi

Nubwo nta ndwara ihari, ibisebe byo mu mitsi bishobora kugaragara iyo amaraso adatembera neza kubera izindi mpamvu. Urugero:

• Ibikomere: Gucika intege, gushya, no gukomereka kw'imitsi bishobora kwangiza imitsi y'amaraso yegereye ndetse bigatera ibibazo mu gutembera kw'amaraso.
• Guhagarara igihe kirekire: Abantu bahagarara igihe kirekire badakora (nk'abashinzwe gucunga amafaranga, abakozi bo mu migati, abakozi bo muri hoteli) bashobora kugira amaraso yishyira hamwe mu mitsi y'amaguru yabo. Iyo imitsi yo mu mitsi idakora neza, amaraso ntasubira mu mutima neza. Ibi bitera umuvuduko mwinshi ku mitsi bigatuma ikura, bigatera 'Imitsi ya Varicose'. Amazi ava mu mitsi anyura mu turemangingo tuyikikije, bigatuma ibyimba. Aya mazi, hamwe n'amaraso na poroteyine, bishobora gutera utudomo tw'umukara ku maguru, cyane cyane imbere mu gice cy'imbere cy'igituba. Ibi bishobora gukurura, kandi uruhu rushobora kuma no kwangirika. Bagiteri zishobora kwinjira muri izi mvune zigatera indwara y'uruhu yitwa 'Cellulitis' cyangwa igikomere gifitanye isano n'imitsi.
• Amateka y'umuryango: Niba hari umuntu wo mu muryango wawe wagize bene ibi bikomere, nawe ushobora kuba uri mu kaga ko kubyibasira.

Kuki ubwoko bw'ibikomere bubaho? Ni izihe mpamvu?

Ibisebe byo mu mitsi akenshi bishobora gushyirwa mu byiciro bitewe n'impamvu zabyo. Ariko, igisebe kimwe gishobora kugira impamvu nyinshi. Urugero rwiza rw'ibi ni ukurwara ibisebe byo mu mitsi bitewe na diyabete.

• Ibisebe bya Stasis: Ibi biterwa n'ibibazo by'imitsi. Ibyinshi mu bisebe byo mu mitsi bigwa muri iki cyiciro. Bikunze kugaragara cyane mu maguru no mu birenge uko ugenda usaza. Ibi bibaho iyo imitsi yo mu mitsi yo mu maguru idakora neza akazi kayo. Ibi bivuze ko amaraso yakagombye kuzamuka mu mutima adashobora guhagarika gutemba kubera imbaraga z'umubiri. Kubera iyo mpamvu, amaraso menshi yirundanya mu maguru no mu birenge, bigashyira igitutu kinini ku mitsi y'amaraso. Iki gitutu gishobora gutuma imitsi iva amazi ndetse ikaturika. Uko igihe kigenda gihita, ibi bishobora gutera ibisebe.
• Ibisebe by'imitsi: Ibi kandi byitwa 'Ibisebe by'imitsi' . Biterwa no kubura kw'amaraso mu gace kafashwe. Ibi tubyita 'Ibisebe by'imitsi'.Binavugwa. Bitewe n'uko amaraso adatembera neza, igice cy'umubiri cyafashwe (akenshi ukuboko cyangwa ukuguru) gitangira gupfa buhoro buhoro.

Ubimenya ute? Abaganga babisuzuma bate?

Umuganga ashobora kumenya vuba igisebe cy’imitsi agisuzumye. Azareba neza igisebe, wenda agakubita agace kacyo, hanyuma akareba ibimenyetso byihariye.

Ariko, umuganga agomba kandi kumenya icyateye imvune. Amakuru azaboneka mu gihe cyo gusuzuma imvune na yo azafasha muri ibi. Ariko, hari ibizamini bimwe na bimwe bizasabwa kugira ngo hamenyekane impamvu nyayo. Ibi biterwa nuko hari impamvu nyinshi zishobora kugira ingaruka ku mvune zo mu mitsi, kandi izi mpamvu zishobora kuba zifitanye isano.

Ni ibihe bizamini birimo gukorwa?

Muganga wawe cyangwa inzobere ashobora gukora ibi bizamini:

• Igipimo cy'umuvuduko w'amaraso: Muganga azapima umuvuduko w'amaraso uri mu kuboko kwawe. Azapima kandi umuvuduko w'amaraso uri mu maguru yawe kugira ngo arebe niba hari itandukaniro hagati y'ibyo byombi. Iki kizamini cyitwa Ankle-Brachial Index (ABI) .
• Gutega amatwi umutima wawe no kugenzura uko umutima wawe utera: Mu gutega amatwi umutima wawe no guhumeka, muganga wawe ashobora gushaka ibimenyetso by'indwara y'umutima ishobora kuba itera ibisebe mu mitsi. Ashobora kandi kumva amagufwa (amagufwa yo mu gice cy'imbere) mu maguru no mu birenge byo hasi. Imbaraga z'amagufwa - cyangwa niba nta magufwa yumvikana - zishobora gufasha muganga wawe gusuzuma neza.
• Gupima amaraso: Gupima amaraso bishobora gufasha muganga wawe gusuzuma no gufata icyemezo cy'uko yavura imvune yawe. Ikizamini kimwe cyihariye ni ikizamini cya hemoglobine ya A1C . Ibi bishobora gufasha kumenya niba urwaye diyabete, niba ari yo, ubukana bwayo.
• Gufata amashusho: Muganga wawe ashobora gutegeka ko hakorwa ibizamini byo gufata amashusho kugira ngo hatarebwa gusa imvune ahubwo hanarebe amaraso ayikikije. Ashobora kandi gutegeka ko hakorwa ibizamini byo gufata amashusho y’imitsi minini n’indi mitsi iri ahandi mu mubiri, kuko bishobora no kugaragaza ibibazo bijyanye n’imvune y’imitsi. Ibi bizamini bishobora kuba birimo X-rays, MRIs, CT scans , na ultrasounds .

Ese ibi bikomere bishobora gukira? Ni ubuhe buryo bwo kuvura?

Kenshi na kenshi, igisebe cyo mu mitsi gishobora gukira. Ariko, amahirwe yo gukira kw'igisebe biterwa n'uburemere bwacyo. Kubwibyo, kuvura ibisebe byo mu mitsi vuba ni ingenzi cyane kugira ngo habeho umusaruro mwiza.

Ni ngombwa kandi gukemura ikibazo cy’ingenzi cyateye imvune. Muganga wawe azavura imvune kandi aguhe inama yo kuvura ibibazo by’ubuzima ushobora kuba ufite. Zimwe mu nama ze zizaba zikubiyemo guhindura imibereho yawe. Izi mpinduka zishobora kugufasha kugabanya ibyago byo kurwara indi mvune no kunoza ubuzima bwawe muri rusange.

Uburyo bwo kuvura

Uburyo butandukanye bwo kuvura bukoreshwa bitewe n'uburemere bw'ibisebe byo mu mitsi n'icyabiteye.

Imiti

• Antibiyotike: Izi zishobora kuvura indwara zandura, kandi rimwe na rimwe (nk'igihe cyo kubagwa), nazo zitangwa kugira ngo hirindwe kwandura.
• Gel n'amavuta yo kwisiga: Ibi bifasha gukuraho ingingo zapfuye cyangwa zanduye, kunoza amaraso ajya mu gace kafashwe n'indwara, gukumira kwandura, no gufasha igisebe gukira vuba.
• Imiti yo kuvura ikibazo cy’ingenzi: Ibintu nko kugenzura umuvuduko w’amaraso na cholesterol, kureka kunywa itabi, no kugenzura urugero rw’isukari mu maraso bishobora gufasha ibikomere gukira.
• Imiti igabanya ububabare cyangwa imiti igabanya ububabare: Ibisebe byo mu mitsi hamwe n'imwe mu miti yabyo bishobora kubabaza. Ni ibisanzwe gukoresha imiti igabanya ububabare cyangwa imiti igabanya ububabare mu gihe cyo kuvura.

Amapfundo n'amapfundo

Ibipfuko n'ubwoko butandukanye bw'ibikoresho byo kwambara bikunze gukoreshwa mu kuvura ibisebe byo mu mitsi. Ibi bigomba gukoreshwa gusa nk'uko muganga yabigutegetse. Iyo bikoreshejwe nabi, igisebe cyo mu mitsi gishobora kwiyongera aho kuba cyiza.

• Gupfuka igisebe: Gupfuka igisebe n'igisebe cyo kurinda igisebe bishobora gufasha mu kurinda indwara. Hari n'ibisebe bishobora kuba birimo imiti, ishobora gufasha igisebe gukira vuba.
• Imyenda yo gukanda: Irimo amasogisi, amasogisi, n'ibindi bikoresho. Bishyira igitutu ku kuguru kose, bigafasha kugabanya cyangwa guhagarika kubyimba. Bikunze gukoreshwa mu kuvura ibisebe byo mu mitsi. Bifasha mu gukumira amaraso kwivanga mu maguru no ku birenge.
• Inkweto, amasogisi cyangwa ibikoresho byihariye byo gukamura amaguru: Ibisebe byinshi byo mu mitsi, cyane cyane ibisebe bya diyabete, biterwa no gukururana no gukandagira byoroshye. Akenshi, iyo wumva ububabare, uhindura uburyo ugendamo kandi ukagabanya kwangirika k'agace kagize ikibazo. Ariko, si ko bimeze ku bisebe bya diyabete. Akenshi biterwa no kubura ibyiyumvo byuzuye cyangwa igice cy'ibirenge.

Uburyo bugezweho

Ubu buryo bwo kuvura bugezweho bushobora gukoreshwa ku bikomere binini, cyangwa imitsi ifata igihe kirekire kugira ngo bikire.

• Gusubiza amaraso mu mitsi: Kuziba kw'imitsi y'amaraso y'ingenzi bishobora gutera ibisebe byo mu mitsi. Uburyo bwo kuvura indwara zo gusubiza amaraso mu mitsi bugerageza gukuraho izi mbogamizi, gukiza ibisebe byari bisanzweho, no gukumira ibisebe bishya.
• Kubaga: Kubaga bishobora gukorwa ku bikomere byanduye cyangwa binini kandi bigoye gukira. Umuganga w'inzobere mu kubaga ashobora kubaga kugira ngo akureho ibikomere byapfuye cyangwa byanduye mu gikomere kinini ( 'Debridement' ), bityo byoroheye igikomere gukira. Ibi bishobora kuba birimo:Gutera uruhu n'ubundi buryo bwo gusana bishobora gukoreshwa. (Ariko, mu gihe habayeho indwara y'ibisebe bikomeye cyangwa kwangirika gukomeye kw'imitsi, rimwe na rimwe gucibwa igice cy'ikirenge cyangwa ukuguru birakenewe. Ibi bikorwa kugira ngo harokorwe ubuzima kandi hirindwe ingorane zikomeye. Ikibabaje ni uko abantu barwaye diyabete bafite amahirwe akubye inshuro 30 yo kurwara indwara y'ibisebe mu birenge byabo kurusha abaturage muri rusange.)
• Gutembera n'amaguru: Imyitozo ngororamubiri, cyane cyane iyo ikozwe n'inama za muganga, ifasha kunoza urujya n'uruza rw'amaraso no gukumira kuremwa kw'ibisebe bishya byo mu mitsi.
• Kuvura ogisijeni ikabije: Igipimo gisanzwe cya ogisijeni idukikije ni 21%. Muri 'Hyperbaric oxygen therapy', ushyirwa mu cyumba gifite ogisijeni 100% n'umuvuduko w'ikirere wiyongera. Muri ibi bihe, ibikomere, cyane cyane ibikomere byo mu mitsi, bishobora gukira vuba.
• Gukuraho ibisebe: Ibisebe byapfuye n'ibyanduye biri mu gisebe kinini no hafi yacyo bishobora gutinda gukira ndetse bigatera ingorane zikomeye nka gangrene. Gukuraho ibisebe bikubiyemo gukuraho ibi bice byapfuye cyangwa ibyanduye, hagasigara gusa ibisebe bizima.

Ni gute wakwifata no kugabanya ibyago byo kurwara?

Niba ufite ibyago byo kurwara igisebe cyo mu mitsi, hari ibintu ushobora gukora kugira ngo urinde ubuzima bwawe kandi wirinde ko igisebe kivuka. Ibi ni ingenzi cyane cyane niba urwaye diyabete cyangwa indi ndwara igabanya uburyohe bw'ibirenge byawe.

• Isuzume: Suzuma ibirenge byawe buri munsi. Witondere cyane hagati y'amano, hafi y'akaguru, no ku birenge.
• Rinda ibirenge byawe: Rinda ibirenge byawe imvune wambaye inkweto n'amasogisi bikwiranye neza.
• Shaka ubuvuzi bukwiye ku birenge: Niba urwaye diyabete, ugomba kujya kwa muganga w’amaguru buri gihe kugira ngo arebe ibimenyetso by’ibisebe ku birenge byawe. Azakugira inama y’uburyo bwiza bwo kwita ku birenge byawe.
• Kugenzura indwara ziterwa n'uburwayi: Kwita ku bintu nk'umuvuduko w'amaraso, cholesterol, isukari mu maraso, n'ibiro bishobora gufasha kwirinda imvune.

Niba usanzwe ufite igisebe mu mitsi, muganga wawe azagufasha ku kuvura. Akunze kukugira inama kuri ibi bikurikira:

• Komeza igisebe gisukuye: Koresha ibitambaro hanyuma ubihindure nk'uko muganga yabigutegetse.
• Kuruhuka nk'uko byavuzwe: Niba ufite igisebe mu mitsi, muganga wawe azakubwira gukomeza kuzamura amaguru yawe kugira ngo wirinde kubyimba.
• Fata imiti yawe neza: Fata imiti yawe, cyane cyane imiti igabanya ubukana bw'ibiyobyabwenge, umuvuduko w'amaraso, diyabete, n'imiti ya cholesterol nyinshi, ku gihe.

Ni iki wakwitega mu gihe ubana n'iyi mvune?

Niba ufite igisebe cyo mu mitsi, cyangwa se ukaba warigeze kukirwara mbere, uba ufite ibyago byinshi byo kurwara ikindi. Kwita ku buzima bwawe ni bwo buryo bwiza bwo gutinza igisebe gishya. Iyo ucunga neza ubuzima bwawe, uba ufite amahirwe menshi yo kubaho igihe kirekire muri rusange kandi nta bibazo byinshi by'ubuzima ufite.

Ku rundi ruhande, iyo utitaye ku buzima bwawe, igisebe cyo mu mitsi - ndetse n'ubuzima bwawe muri rusange - gishobora kwiyongera. Mu bihe bibi cyane, iyo utitaye ku gisebe n'ubuzima bwawe, bishobora gutuma ucibwa amaguru, ndetse bikanagutera urupfu.

Ni ryari ukwiye kujya kwa muganga?

Jyana na muganga w’umuryango wawe nibura rimwe mu mwaka kugira ngo agupime umubiri wose. Ibi ni ingenzi kugira ngo umenye ibibazo by’ubuzima, harimo n’ibishobora gutera ibisebe mu mitsi, nubwo bitagaragaza ibimenyetso.

Nanone, vugana na muganga wawe niba ufite kimwe muri ibi bikurikira:

• Niba igikomere cyo ku kaguru cyangwa ku kirenge cyawe gifata igihe kirekire kuruta uko byari byitezwe gukira.
• Niba ufite ibimenyetso bigaragaza ko ufite ibibazo byo gutembera kw'amaraso mu maguru yawe (cyane cyane kubyimba, ububabare, guhinduka ibara, cyangwa ububabare buhinduka bitewe n'uburyo ufata ukuguru kwawe).
• Niba ufite ububabare mu maguru yawe, birushaho koroha iyo uruhuka.

Ni ryari ugomba kujya mu cyumba cy’ubutabazi bw’ibanze?

Niba ufite igisebe cy’imitsi, kikandura kandi ukagaragaza ibimenyetso nk’ibi, ugomba kujya mu cyumba cy’ubutabazi bw’ibanze:

• Iyo uruhu rukikije agace karwaye ruhindutse umukara wijimye cyangwa umukara, cyane cyane ku ntoki.
• Niba ufite umuriro cyangwa ubukonje kandi urimo guhinda umushyitsi.
• Iyo hari impumuro mbi ituruka mu gisebe cyo mu mitsi.
• Iyo igisebe cy'imitsi gitemba amazi menshi cyangwa amaraso menshi kurusha uko bisanzwe, cyane cyane niba amazi asohoka ari ibicu cyangwa umuhondo.
• Niba igikomere n'ahantu hagikikije byarabyimbye, bitukura, kandi bishyushye iyo ubikozeho.

Muri make, ubutumwa bwo kujyana mu rugo:

Ibisebe byo mu mitsi akenshi ni ikimenyetso cy'indwara idakira. Nubwo ibi bibazo bikomeye, birashobora gukemurwa kandi ushobora kwishimira ubuzima bwawe. Ntutinye cyangwa ngo ugire ubwoba.

Muganga wawe ashobora kugufasha, akaguha ibikoresho bikenewe, akanaguha ubundi bufasha. Ibi byose bizagufasha kwirinda indwara zidakira zakwangiza ubuzima bwawe no kubaho ubuzima wifuza. Ni ngombwa gushaka inama z'abaganga hakiri kare. Wite ku birenge byawe, wite ku buzima bwawe.

Ibikomere byo mu mitsi, ibibazo by'amaraso, ibikomere by'ibirenge, ibikomere byo mu mitsi, ibikomere byo mu mitsi, ibikomere bya diyabete, ibikomere bidakira