Ubwonko ni kimwe mu bice by'ingenzi mu mubiri wacu. None se ubwonko buramutse butabonye amaraso ahagije? Tekereza uko byagenda mu gihe gito. Iki ni cyo kibazo gitunguranye kandi giteje akaga tuvuga uyu munsi, cyitwa stroke. Ushobora kuba warumvise cyitwa 'ubumuga'. Iki ni ikibazo gikomeye cyane, bityo ni ngombwa ko wowe n'abakunzi bawe mumenya neza icyo gukora.
Igisebe cyo mu bwonko (stroke) ni iki? Ni iki kiba ku bwonko mu by'ukuri?
Muri make, indwara yo gucika kw'imitsi ni indwara ibaho iyo amaraso ajyana umwuka n'intungamubiri mu bwonko bwacu abuze cyangwa akagabanuka mu buryo butunguranye. Nk'uko umuyoboro w'amazi wafunzwe mu nzu yacu ushobora gutuma amazi abura, iyo ubwonko butakaje amaraso, uturemangingo tw'ubwonko dutangira gupfa. Ibi ni bibi cyane, kuko iyo uturemangingo tw'ubwonko dupfuye, biragoye cyane kongera kubyutsa.
Hari igihe abaganga babyita "Impanuka zo mu bwonko (CVAs)", bivuze "impanuka ku mitsi y'amaraso mu bwonko." Indwara yo mu bwonko ni yo mpamvu ya kabiri ihitana abantu benshi ku isi, bityo si ikintu cyoroshye gufata.
Indwara yo gucika kw'imitsi ishobora kubaho mu buryo bubiri bw'ingenzi:
1. Ischemic Stroke: Ubu ni bwo bwoko bukunze kugaragara bwa stroke . Indwara y'amaraso ifunga imitsi ijyana amaraso mu bwonko, ikabuza amaraso gutembera burundu cyangwa igice cyayo.
2. Gucika amaraso mu bwonko: Ibi bibaho iyo umutsi w'amaraso mu bwonko uturitse ukajya mu bwonko cyangwa hafi yabwo.
Uko byagenda kose, indwara yo mu bwonko iterwa n’imitsi yo mu bwonko ni ikibazo cyihutirwa. Buri segonda rirakora. Uko umuntu atangira kuvurwa vuba, ni ko amahirwe yo kugabanya kwangirika k’ubwonko no kurokora ubuzima aba menshi.
Ni ibihe bimenyetso by'indwara yo mu bwonko (stroke)? Ubimenya ute?
Ibimenyetso bya stroke bishobora gutandukana bitewe n'umuntu ku wundi. Binatandukana bitewe n'aho stroke iri mu bwonko. Ariko, hari ibimenyetso bimwe na bimwe bisanzwe. Kimwe cyangwa byinshi muri ibi bishobora kubaho icyarimwe:
- Kugorwa no kuvuga, cyangwa kubura ijambo burundu (`Aphasia`). Imvugo idasobanutse neza, kudashobora kuvuga amagambo ushaka kuvuga, no kugorwa no kumva ibyo abandi bavuga.
- Kutabona neza, kureba kabiri (`Diplopia`), cyangwa gutakaza amaso mu buryo butunguranye mu jisho rimwe cyangwa yombi.
- Kumva ntazi kandi mfite impungenge.
- Hari igihe umuntu ashobora gutakaza ubwenge (`Coma`).
- Kuzungera, kumva uzunguruka (`Vertigo`).
- Umutwe utunguranye kandi ukabije. Ibi bishobora kumera nk'aho ari bibi cyane kurusha umutwe usanzwe.
- Kubura ubushobozi bwo kugenzura imitsi ku ruhande rumwe rw'isura. Isura ishobora gusa n'aho ikuruwe ku ruhande rumwe iyo umwenyura.
- Kubura uburinganire, kudashobora kugenzura amaguru n'amaboko, no kunyerera nk'umuntu wasinze (`Ataxia`).
- Gutakaza kwibuka (`Amnesia`).
- Ibintu nk'impinduka zitunguranye mu myitwarire, uburakari, no guhungabana.
- Isesemi no kuruka.
- Ijosi rikomeye.
- Guhita agwa agacika intege.
- Indwara zo mu mutwe.
- Imvugo idasobanutse neza, kuvuga nabi (Dysarthria).
- Ni ibisanzwe ko ibyumviro by'umubiri (kubona, kumva, guhumurirwa, uburyohe, gukoraho) bigabanuka cyangwa bikabura mu buryo butunguranye.
- Kubura imbaraga, intege nke, cyangwa gutakaza imbaraga burundu ku ruhande rumwe rw'umubiri (mu maso, ku kuboko, ku kuguru) (Kuba mu kibuno).
Niba wowe cyangwa umuntu uzi afite kimwe muri ibi bimenyetso, ikintu cyiza ni ugushaka inama kwa muganga ako kanya. Ntugapfushe ubusa umwanya.
Indwara yo mu bwonko ishobora kumara igihe kingana iki? Ingaruka zayo ni izihe?
Igihe indwara yo gucika intege (stroke) imara biterwa n'igihe amaraso anyura mu bwonko ahagarara. Uturemangingo tw'ubwonko ntidushobora kubaho igihe kirekire tudafite ogisijeni. Dutangira gupfa mu minota mike. Iyo uturemangingo tw'ubwonko duhagije dupfuye ahantu runaka, ibyangiritse bishobora kubaho burundu. Ibi bivuze ko ibibazo byo kuvuga, kugenda no kwibagirwa bishobora kumara ubuzima bwose.
Niyo mpamvu tuvuga ko igihe ari ingenzi cyane . Iyo dusubije amaraso mu bwonko vuba bishoboka, dushobora gukumira kwangirika burundu cyangwa nibura tukagabanya ubukana bwabyo.
Ndetse na nyuma yo kuvurwa, ingaruka zo gucika intege zishobora kumara igihe runaka. Ibimenyetso bimwe na bimwe n'ingaruka mbi bishobora kumara umwaka cyangwa irenga.
Ibimenyetso by'umuburo by'indwara yo mu bwonko! Wibuke 'KWIHUTA'
Hari uburyo bworoshye bwo kumenya indwara yo gucika intege. Byitwa 'BE FAST' . Iyi ni incamake yakozwe no guhuza inyuguti za mbere z'amagambo menshi y'Icyongereza. Niba ubyibuka, ushobora gukora vuba niba wowe cyangwa umuntu wawe wa hafi abonye ibimenyetso bya stroke.
- B - Kuringaniza: Ushobora gutakaza kuringaniza mu buryo butunguranye, kumva uzuzuwe, no kugorwa no kugenda.
- E - Amaso: Kutabona neza mu buryo butunguranye, guta ubwenge mu jisho rimwe cyangwa yombi, cyangwa kutabona igice.
- F - Isura: Isura ishobora gukururwa ku ruhande rumwe . Iyo usabwe kumwenyura, uruhande rumwe rw'isura rusa n'aho rumanuka.
- A - Amaboko: Iyo usabwe kuzamura amaboko yombi, ukuboko kumwe gushobora kutazamuka neza kandi gushobora kugwa, cyangwa ukuboko kumwe gushobora kumva nta cyo gushoboye.
- S - Imvugo: Gusobanya amagambo mu gihe uvuga, kutibuka icyo uvuga, cyangwa kumva ko imvugo yawe yacitse intege. Bishobora kandi kugorana kumva ibyo abandi bavuga.
- T - Igihe: Igihe ni igiciro!Niba ubonye kimwe muri ibi bimenyetso , hamagara 1990 (Suwa Sariya) ako kanya cyangwa ujyane uwo muntu ku bitaro biri hafi vuba bishoboka. Kwibuka igihe ibimenyetso byatangiye nabyo bizafasha cyane muganga kubivura. Kuko bumwe mu buryo bwo kuvura bushobora gutangwa mu gihe runaka nyuma y'uko ibimenyetso bitangiye.
Ni izihe mpamvu nyamukuru zitera indwara yo gucika kw'imitsi?
Nkuko twabiganiriyeho mbere, hari ubwoko bubiri bw'ingenzi bw'indwara zo mu mutwe, buri bwoko bufite impamvu zitandukanye.
1. Bitewe no kuziba k'imitsi itwara amaraso (Ischemic Stroke)
Ibi bibaho iyo amaraso apfutse cyangwa ikindi kintu gifashe mu mitsi ijyana amaraso mu bwonko. Ni nk'igitaka gifata mu muyoboro w'amazi. Ibi bishobora guterwa na:
- Ateriosclerosis: Ibi bibaho igihe ibintu birimo ibinure nka cholesterol byiyongera mu nkuta z'imitsi y'amaraso uko igihe kigenda gihita, bigatuma bigenda bigabanuka buhoro buhoro. Ni nk'ingese ziyongera mu muyoboro w'amazi ushaje. Amaraso ashobora kuzura byoroshye muri utwo duce duto maze agafatwa.
- Gutera imitsi mu bwonko: Iyi ni indwara y'umutima idakora neza. Iyo umutima udatera neza, amaraso ashobora kuzura mu mutima. Ayo maraso ashobora gucika agafata imitsi y'amaraso mu bwonko. Iyi ndwara ishobora kugaragara cyane cyane ku bantu bagonga (Sleep Apnea).
- Indwara zo kuvura amaraso: Hari abantu bagira akamenyero ko amaraso yabo yipfundika byoroshye.
- Ubusembwa bw'umutima wavukanye: Urugero, abafite imyobo mu mutima, nka ``Atrial Septal Defect`` cyangwa ``Ventricular Septal Defect``.
- Indwara ya microvascular ischemic: Kwangirika kw'imitsi mito cyane y'amaraso mu bwonko.
2. Bitewe no guturika k'umuyoboro w'amaraso (Hemorrhagic Stroke)
Ibi bibaho iyo umutsi w'amaraso uri mu bwonko uturitse ugatangira kuva amaraso. Ibi bishobora guterwa na:
- Imitsi y'ubwonko: Iki ni igihe urukuta rw'imitsi y'amaraso mu bwonko rucika intege kandi rukabyimba nk'umupira w'amapine. Ibi bishobora guturika mu buryo butunguranye.
- Ibibyimba byo mu bwonko: Bimwe mu bibyimba byo mu bwonko bishobora gushyira umuvuduko ku mitsi y'amaraso bigatuma icika.
- Umuvuduko ukabije w'amaraso: Iyo umuvuduko w'amaraso udacunzwe neza igihe kirekire, hari amahirwe menshi y'uko imiyoboro y'amaraso yangirika ikaturika.
- Indwara ya Moyamoya n'izindi ndwara zica intege imiyoboro y'amaraso mu bwonko.
Reka kandi twige kuri TIA cyangwa 'Mini-Stroke'?
Ushobora kuba warumvise ibyerekeye indwara y’ihungabana ry’umubiri (TIA) mu gihe gito. Nanone yitwa "mini-stroke." Imeze nk'indwara y’ihahamuka, ariko ibimenyetso ni iby'igihe gito. Ibimenyetso birashira mu minota mike cyangwa amasaha make. Icyaba ari uko amaraso ajya mu bwonko ahagarara by'agateganyo, ariko ikibazo gikunze kugaragara kandi amaraso agasubira gutembera.
Ariko se, byagenda bite uramutse ufite TIA?Uwo ni umuburo ukomeye! Bivuze ko ibyago byo kurwara indwara yo mu bwonko mu gihe cya vuba ari byinshi cyane. Kubwibyo, umuntu wese ufite ibimenyetso bya TIA akeneye kwitabwaho byihutirwa na muganga. Abaganga bashobora kumenya impamvu yabyo no kuguha ubuvuzi bukenewe kugira ngo wirinde indwara yo mu bwonko ikomeye.
Ni nde ufite ibyago byinshi byo kurwara indwara yo mu bwonko (stroke)?
Nubwo umuntu wese ashobora kugira stroke, hari abantu bafite ibyago byinshi byo kurwara. Muri ibi harimo:
- Abantu barengeje imyaka 65. Ibyago byo kurwara indwara yo mu bwonko biriyongera uko imyaka igenda ishira.
- Abantu banywa itabi, cyangwa bakoresha ubundi bwoko bw'itabi (urugero: guhekenya itabi), ndetse n'abanywa itabi rya vape.
- Abantu bakoresha ibiyobyabwenge.
Nanone, abantu bafite indwara zimwe na zimwe baba bafite ibyago byinshi byo kurwara indwara yo mu bwonko:
- Abantu babaswe n'inzoga (`Indwara yo gukoresha inzoga`).
- Byagaragaye ko bamwe mu bantu banduye COVID-19 bashobora kugira ibyago byinshi byo kurwara indwara yo mu bwonko mu gihe cy'izabukuru.
- Abantu bakunze kurwara umutwe uterwa na migraine.
- Abantu bafite umuvuduko ukabije w'amaraso (hypertension). Abantu benshi ntibazi ko bafite umuvuduko ukabije w'amaraso.
- Abantu bafite urugero rwa cholesterol mu maraso (Hyperlipidemia).
- Abantu barwaye Diyabete yo mu bwoko bwa 2.
Ni gute wasuzuma neza indwara yo gucika kw'imitsi?
Iyo ugejejwe mu cyumba cy’ubutabazi bw’ibanze, ikintu cya mbere muganga azakora ni ugupima ubwonko. Ibi bivuze kugenzura ubushobozi bwawe bwo kuvuga, imbaraga zawe, uburimbane bwawe, n’amaso yawe.
Hanyuma, hakorwa ibizamini byinshi kugira ngo hemezwe niba ari indwara yo mu bwonko, ubwoko bwayo, n'aho yafashwe neza mu bwonko. Iby'ingenzi ni ibi bikurikira:
- Gupima amaraso: Reba ibintu nk'ibibazo byo kuvura amaraso, urugero rw'isukari, n'urugero rwa cholesterol.
- CT scan: Iyi ifoto y'ubwonko kandi ishobora gusuzuma vuba niba hari amaraso cyangwa imiyoboro y'amaraso yazibye.
- MRI scan: Ibi kandi bifotora neza ubwonko. Ibi bifasha kubona ishusho isobanutse y'ibyangiritse byabaye ku bwonko.
- E.C.G. (`Electrocardiogram - EKG`): Igenzura imikorere y'umutima. Ishobora kumenya ibibazo nka `(Atrial Fibrillation)`.
- EEG (Electroencephalogram - EEG): Ibi bipima imikorere y'amashanyarazi y'ubwonko. Hari igihe ibi bishobora gufasha kwemeza niba hari icyorezo kirimo kubaho.
Ni ubuhe buryo bwo kuvura indwara yo mu bwonko?
Uburyo bwo kuvura buzaterwa n'ibintu byinshi. Muri byo harimo:
- Ni ingano zingana iki yangiritse mu bwonko bitewe n'indwara yo gucika kw'imitsi?
- Ni ikihe gice cy'ubwonko cyagizweho ingaruka?
- Ni ubuhe bwoko bw'indwara yo gucika kw'amaraso wagize? (Umutsi w'amaraso warazibye cyangwa waraturitse?)
Icyakora, intego ya mbere y’abaganga ni ukugarura amaraso mu bwonko vuba bishoboka, ibi bikaba byagabanya kwangirika k’ubwonko burundu.
- Iyo umuntu agize ikibazo cyo gucika kw'amaraso bitewe no kuziba kw'imitsi y'amaraso, uburyo bwo kuvura ni ukugabanya cyangwa gukuraho amaraso yazibye.
- Imiti ivura indwara ya thrombolytic: Iyi iba ingirakamaro cyane iyo itanzwe mu masaha make ibimenyetso bitangiye.
- Kubagwa (`Mechanical thrombectomy`): Hari igihe, cyane cyane iyo ari amaraso menshi, umuyoboro muto winjizwa mu kaguru cyangwa mu kuboko mu bwonko hanyuma agapfundikizo kagakurwamo.
- Nanone hatangwa imiti yo kugenzura umuvuduko w'amaraso.
- Ku muntu wagize ikibazo cyo kuva amaraso mu bwonko bitewe no guturika k'imitsi ijyana amaraso mu bwonko, intego ni uguhagarika kuva amaraso mu bwonko no kugabanya umuvuduko w'amaraso mu bwonko.
- Imiti itangwa kugira ngo ihagarike kuva amaraso no kugabanya umuvuduko w'amaraso.
- Hari igihe, kubagwa bishobora kuba ngombwa kugira ngo amaraso yikusanyirize mu bwonko, gusana imitsi y'amaraso yacitse, cyangwa kugabanya umuvuduko w'ubwonko (umuvuduko wo mu bwonko).
Muganga wawe azakubwira neza uburyo bwo kuvura bukubereye, icyo wakwitegaho, n'igihe bizatwara kugira ngo ukire.
Gusubiza ubuzima mu buryo bw'umubiri nyuma yo kurwara indwara yo mu bwonko (stroke) ni ingenzi gute?
Gusubira mu buzima ni igice cy'ingenzi cyane mu kuvura indwara yo mu bwonko. Ni nko gutangira bundi bushya. Bigufasha kumenyera impinduka mu mubiri wawe no mu bwonko zabaye bitewe n'ibyangiritse mu bwonko bwawe byatewe n'indwara yo mu bwonko. Ni ngombwa ko wongera kugira ubushobozi bwawe bwa kera cyangwa ukiga kubaho ufite ubumuga bushya.
Ubusanzwe, gahunda yo gusubiza mu buzima busanzwe ishobora kuba ikubiyemo kimwe cyangwa byinshi muri ibi bikurikira:
- Kuvugurura ubwenge: Kongera ubushobozi bwo mu mutwe nko kwibuka, kwita ku bintu, no gukemura ibibazo.
- Ubuvuzi bw'akazi: Kwitoza gukora imirimo ya buri munsi (urugero: kwambara, kurya, kwiyuhagira, gukora imirimo yo mu rugo) ku giti cyabo kandi mu mutekano. Ibi ni ingenzi cyane cyane ku mirimo isaba gukora akazi gakomeye.
- Ubuvuzi bw'umubiri: Bukomeza imitsi, bunoza kuringaniza imikorere, kandi bugafasha kongera gukoresha amaguru n'amaboko. Ibi bishobora gufasha mu bintu nko kugenda no guhagarara.
- Ubuvuzi bwo kuvuga: Bufasha kugarura ubumenyi mu kuvuga no mu rurimi. Bunakwigisha uburyo bwo kugenzura imitsi igufasha kuvuga, guhumeka, kurya no kumira.
Iyi gahunda yo kuvugurura ubuzima ishobora kugorana gato, ariko ntucike intege. Ushobora gutera imbere buhoro buhoro.
Igipimo cyo gukira n'igihe cyo gukira kimeze gite nyuma yo kurwara indwara yo mu bwonko?
Biragoye kuvuga neza uburyo abantu bose bakira indwara yo mu bwonko. Indwara yo mu bwonko ishobora kwica kandi igatera ubumuga buhoraho. Ariko, ni ngombwa kugumana icyizere. Gahunda yo gukira kwa buri wese cyangwa umusaruro we si bimwe.
Imitsi yo kuva amaraso, iterwa no guturika k'imitsi y'amaraso, muri rusange ifatwa nk'ifite akaga kurusha imitsi yo mu bwoko bwa ischemic, iterwa no kuziba k'imitsi y'amaraso. Ariko, ibyo ntibivuze ko gukira indwara z'ubundi bwoko bw'imitsi byoroshye, byihuse cyangwa byiza kurushaho.
Iterambere ry'uko ukira riterwa n'ibintu byinshi:
- Uburyo wavuwe vuba.
- Ni ikihe gice cy'ubwonko cyagizweho ingaruka?
- Ni ubuhe bwoko bw'indwara yo gucika kw'imitsi (stroke) wagize?
- Ubuzima bwawe muri rusange bumeze bute?
Bitwara amezi menshi abantu benshi kugira ngo bakire ku rugero runaka nyuma yo kugira indwara yo mu bwonko. Muganga wawe azakubwira icyo wakwitega bitewe n'uburwayi bwawe. Azagufasha kandi gushyiraho intego zo gukira zikubereye.
Ni iki twakora kugira ngo wirinde indwara yo gucika intege mu bwonko?
Bavuga bati: “Kwirinda biruta gukira.” Rero niba dushobora kwirinda indwara yo mu bwonko, icyo ni cyo kintu cyiza cyo gukora. Hari ibintu byinshi twakora kugira ngo tugabanye ibyago:
- Kurya indyo yuzuye. Kurya imbuto nyinshi, imboga, ibinyampeke byuzuye, na fibre. Gabanya amavuta, umunyu n'isukari. Komeza kugira ibiro bizima bikubereye.
- Imyitozo ngororamubiri buri gihe. Kora imyitozo ngororamubiri y'iminota 30 itera ibyuya byibuze iminsi 5 mu cyumweru.
- Komeza kwita ku ndwara zawe (nk'umuvuduko w'amaraso, cholesterol, na diyabete). Fata imiti wahawe na muganga ku gihe.
- Niba unywa itabi, rekera aho. Si byiza kandi kuba hafi y'abantu banywa itabi.
- Jya kwa muganga nibura rimwe mu mwaka kugira ngo agupime byuzuye. Akenshi, nta bimenyetso twumva nubwo ibintu nk'umuvuduko w'amaraso na cholesterol biri hejuru. Bishobora kugaragara gusa binyuze mu isuzuma. Hanyuma, dushobora kubivura hakiri kare no kwirinda indwara zikomeye nka stroke.
Ukwitaho ute nyuma yo kurwara indwara yo mu bwonko? Ni iki wagombye kumenya?
Gukira no kuvura indwara yo mu bwonko nyuma yo gucika intege ni akazi katoroshye. Iyo muganga wawe amaze kuguha gahunda yo kugufasha, kurikiza neza uko bishoboka kose. Muri rusange, zirikana ibi bintu:
- Menya neza ko ugiye mu bitaro byawe byo kuvura indwara zo mu mutwe no mu bindi bitaro.Bwira abaganga bawe niba wumva utameze neza cyangwa ufite umutekano ku kintu runaka. Gusubira mu buzima biragoye, ariko si ngombwa ko uhora uri mu bubabare cyangwa ubabaye.
- Tekereza no ku buzima bwawe bwo mu mutwe. Kwiheba no guhangayika ni ibintu bikunze kubaho nyuma yo gufatwa n'indwara yo mu bwonko. Ntugatekereze ko kumva ubabaye cyangwa uhangayitse bigutera intege nke. Ubuzima bwawe bwo mu mutwe ni ingenzi kimwe n'ubuzima bwawe bw'umubiri. Niba wumva ukeneye ubufasha, vugana na muganga cyangwa umujyanama w'ubuzima bwo mu mutwe .
- Fata umuti wawe neza. Gufata umuti wawe nk'uko muganga wawe akubwira bizafasha umubiri wawe gukira.
Niba ibi bimenyetso byongeye kugaragara, ni ryari nkwiye guhita njya kwa muganga?
Niba utekereza ko uzongera kugira stroke, hamagara 911 ako kanya cyangwa ujye mu cyumba cy’ubutabazi bw’ibanze cy’ibitaro biri hafi yawe vuba. Niba ugize stroke indi, ibyago byo kugira ingorane zikomeye ndetse n’urupfu ni byinshi.
Abantu barwaye indwara yo mu bwonko (stroke) nabo bashobora guhura n'izindi ngorane zikomeye, nko:
- Amaraso apfundika mu maguru (Deep Vein Thrombosis - DVT)
- Indwara y'umutima
- Umusonga
- Guhagarika imitsi y'ibihaha
- Indwara zo mu mutwe
Niba ubonye ibimenyetso by'iyi ndwara, ugomba guhita uhamagara serivisi z'ubuvuzi bwihutirwa cyangwa ukajya kwa muganga.
Ni ibihe bibazo by'ingenzi ugomba kubaza muganga?
Nyuma yo kugira stroke, ni byiza kubaza muganga wawe ibibazo nk'ibi:
- Ni ubuhe bwoko bw'indwara yo gucika kw'imitsi nagize?
- Ese iyi ndwara yo gucika intege (stroke) izantera ingaruka z'igihe kirekire?
- Ni ubuhe bwoko bw'ubuvuzi n'ubuvuzi nkeneye?
- Ni ibihe bimenyetso byo kwiburira ngomba kwitondera kugira ngo menye niba hari indi ndwara yo gucika intege?
Nta muntu uzi umubiri wawe kurusha wowe. Niba wumva hari ikintu kitagenda neza cyangwa kidakwiye, fata ingamba. Indwara yo gucika intege ni ikibazo cyihutirwa cy’ubuvuzi. Niba ubona ko urwaye indwara yo gucika intege, shaka ubufasha vuba bishoboka. Kubona isuzuma no kuvurwa vuba bishoboka ni bwo buryo bwiza bwo kurokora ubuzima bwawe no gukira neza.
None se, ni ikihe kintu cy'ingenzi wifuza kujyana mu kiganiro cyose?
Noneho rero, ukurikije ibyo twavuze, hari ibintu bike ugomba kwibuka:
Igitero cyo mu bwonko gitunguranye. Ni ikintu kibi cyane kandi gishobora gushyira ubuzima mu kaga.
Wibuke ibimenyetso by'umuburo bivuga ngo 'BE VAST'. Niba ubonye ibi bimenyetso, wagombye guhamagara 1990 cyangwa kujya kwa muganga vuba.
Uburyo bwiza bwo kwirinda indwara yo mu bwonko ni ukubaho ubuzima bwiza no kugenzura neza indwara zawe (umuvuduko w'amaraso, cholesterol, diyabete).
Gukira indwara yo mu bwonko bishobora kuba ingorabahizi, ariko ushyizeho imihati n'ubwitange, nta gushidikanya ko ushobora gutera imbere. Kora ikizamini cyawe cyo kuvura indwara yo mu bwonko neza.
Ntabwo uri wenyine. Umuryango, inshuti, abaganga, n'abavuzi bose bariho kugira ngo bagufashe.
Gucika intege mu bwonko bishobora guhindura ubuzima. Ariko urugendo rwo gukira rurakwiye. Ishimire intambwe yose uteye. Intsinzi yose ni intambwe ikomeye mu rugendo rwawe rwo gukira.
` Stroke, stroke yo mu bwonko, ubumuga, GIRA WIHUSE, ibimenyetso by'indwara yo mu bwonko, kuvura indwara yo mu bwonko, kwirinda indwara yo mu bwonko











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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.