Ese ufite ububabare budasanzwe mu mubiri wawe? Reka twige kuri ibi (Ubuhanga bwo mu maso)!

Ese hari igihe ujya ugira ububabare budasanzwe cyangwa kutamererwa neza mu nda, mu gituza, cyangwa ahandi hantu hose mu mubiri wawe? Ese ubu bubabare bukomeje kugutera ikibazo nubwo utabona impamvu isobanutse neza, ndetse n'igihe abaganga bavuga ko ari nta kibazo gikomeye? Niba ari byo, uyu munsi tugiye kuvuga ku kintu gishobora kuba ingenzi cyane kuri wewe. Ibi byitwa visceral hypersensitivity, cyangwa `(Visceral Hypersensitivity)`.

Ubushobozi bwo kumva ubudahangarwa bw'umubiri mu maso (visceral hypersensitivity) ni iki?

Mu magambo make, "Visceral Hypersensitivity" ni igihe wumva ububabare cyangwa kutamererwa neza mu ngingo zoroshye z'imbere mu mubiri wawe, nko mu gituza, mu nda no mu nda yo hasi , byoroshye kurusha umuntu usanzwe. Mu by'ukuri, urugero rwo kumva ububabare muri izi ngingo ruri hasi ugereranije n'umuntu usanzwe.

Tekereza, abaganga bashobora gupima ubu bubabare bakoresheje ibizamini bimwe na bimwe. Muri ibyo bizamini, igitutu gito gishyirwa ku ngingo. Abantu benshi ntibagira ikibazo na kimwe bumva. Ariko, ku muntu ufite "Visceral Hypersensitivity", ndetse n'igitutu gito gishobora kumvikana nk'ububabare bwinshi. Si ibyo gusa, ahubwo ushobora no kumva utameze neza bitewe n'ibyiyumvo abandi batakumva kandi bigaterwa n'imikorere isanzwe y'ingingo.

Ibi bigira ingaruka zite ku mubiri?

Iyo tuvuze ku ngingo zacu z'imbere, tuba dushaka kuvuga ibintu byinshi, nko umutima, ibihaha, uruhago, imyanya ndangagitsina, n'amara mu buryo bw'igogora ryacu. Iyo ufite "Visceral Hypersensitivity" (VH), ushobora kumva utameze neza nubwo kimwe cyangwa byinshi muri ibi bice bikora neza. Akenshi, abantu bafite iyi ndwara nabo bari mu cyiciro cy ' "Indwara z'imikorere y'umubiri" , cyane cyane izijyanye n'uburyo bw'igogora.

Kudakora neza kw'umubiri ni igihe ikintu nk'umwuka, amazi, cyangwa ibiryo binyura mu ngingo, bigatera ububabare no kumererwa nabi. Ubusanzwe nta mpamvu igaragara, nko gukomereka cyangwa kwandura. Abaganga bemeza ko indwara yitwa "Visceral Hypersensitivity" ishobora kuba itera iyi ndwara.

Ese ibi na `(IBS)` ni ibintu bitandukanye?

Oya, ibi ntabwo ari kimwe na IBS (Irritable Bowel Syndrome). Ariko hari isano ikomeye hagati y’ibyo byombi. Abantu barwaye IBS bakunze gupimwa Visceral Hypersensitivity. Byagaragaye ko hafi 40% by’abantu barwaye IBS bafite Visceral Hypersensitivity. Abaganga bemeza ko Visceral Hypersensitivity ishobora guterwa n’ibimenyetso bya IBS by’igihe kirekire kandi ishobora no gutuma ibimenyetso bya IBS birushaho kuba bibi. Ifitanye isano kandi n’izindi ndwara z’imikorere, ariko ubushakashatsi bwinshi bwakozwe ku isano ifitanye na IBS.

Iyi ndwara ikunze kugaragara gute?

Uburwayi bwo mu maso mu buryo bw’umubiri (visceral hypersensitivity) mu by’ukuri ni indwara iherutse kumenyekana. Rero ntabwo tuzi neza uburyo ikunze kugaragara. Ariko ubumuga bwayo bukunze kugaragara cyane. Uburwayi bwo mu maso mu buryo bw’umubiri (IBS) bwonyine bugira ingaruka nibura kuri 20% by’abaturage. Kandi ukurikije ko 40% by’abantu barwaye IBS nabo bafite uburwayi bwo mu maso mu buryo bw’umubiri, dushobora kwemeza ko iyi ndwara igira ingaruka nibura kuri 10% by’abaturage.

Ni nde ufite amahirwe menshi yo kubyiteza imbere?

Ubusanzwe indwara yo mu mutwe ikunze kugaragara mu zindi ndwara z’imikorere. Ariko, si abantu bose bafite ikibazo cyo mu mutwe bafite ikibazo cyo mu mutwe. Nanone gifitanye isano rya bugufi n’indwara zo mu mutwe ziterwa no guhangayika . Hari ibimenyetso bigaragaza ko igaragara mu miryango, bivuze ko ishobora kugira ingaruka ku miterere y’umubiri . Igitangaje ni uko iyi ndwara ikunze kugaragara ku bagore inshuro ebyiri kurusha abagabo .

Ushobora kuba ufite amahirwe menshi yo kurwara iyi ndwara niba ufite:

• Indwara y'amara iterwa n'uburakari (IBS)
• Dyspepsia y'imikorere
• Ububabare bwo mu gituza butari ubwo umutima
• Ikibazo cy'imitsi yo mu kibuno (Anismus)
• Indwara ya Cystitis yo mu bwoko bwa Interstitial
• Fibromyalgie
• Gutera ububabare mu mihango (Dysmenorrhea)
• Ibibazo byo mu mutwe nk'indwara zo guhangayika
• Ihungabana
• Kugira ububabare mu mubiri w'umuntu wo mu muryango.
• Niba waragize ububabare bukomeye mu gifu (Colic) ukiri uruhinja.
• Kugira uburyo bwo kubyara bw’abagore.

Ubu bubabare bumeze bute ?

Iyo tubivuzeho, ijambo "visceral" risobanura ikintu kiva imbere, ikintu cyimbitse, ikintu gishingiye ku mara. Ni nko kuvuga "reaction y'inyama." Kandi bifitanye isano n'amara yacu, nk'"ibyiyumvo by'inyama." Uko ni ko ubu bubabare bw'inyama bumeze.

Ikunze kuba ikwirakwira , bivuze ko bigoye kumenya neza aho ibabara, nubwo ububabare bwaba bukomeye. Akenshi, igira ingaruka ku mara yawe. Ibimenyetso nko kubabara mu gifu, isesemi, no kudakora neza kw'igifu bishobora kubaho, nubwo ububabare bwaba buri ahandi hantu.

Nanone, ubu bubabare bushobora kuba bufitanye isano rikomeye n'imiterere yawe yo mu mutwe no mu byiyumvo . Ububabare mu ngingo z'imbere bushobora gutera stress, kandi stress nayo ishobora gutuma ubu bubabare bwiyongera.

Ni ibihe bimenyetso by'ibi?

Abantu bafite ubumuga bwo mu nda (visceral hypersensitivity) bakunze kugira ububabare buhoraho mu gituza, mu nda, cyangwa mu nda yo hasi mu gihe kirenga amezi atatu .Ububabare budakira ni ububabare bumara igihe kirekire. Ubu bubabare bushobora kuza bukagenda, cyangwa bugaterwa n'imikorere imwe n'imwe y'umubiri, nko igihe uruhago rwuzuye cyangwa iyo rumira. Zimwe mu ngingo zishobora kugira ingaruka zirimo:

• Umuyoboro w'amaso
• Umutima
• Ibihaha
• Igifu
• Pancreas
• Uduce duto tw'amara
• Ura runini
• Impumuro y'uruhago
• Urethra
• Umura
• Igitereko cy'inyuma

Ububabare bw'imbere bushobora gukwirakwira, kugorana kubumenya, ndetse rimwe na rimwe bukagera no mu tundi duce. Ibi bituma bigorana cyane kubusuzuma. Kimwe mu bintu byihariye by'ubu bubabare ni uko bushobora gutera ingaruka zikomeye ku buryo bw'imitsi y'umubiri wawe. Urugero:

• Uruhu rurahinduka umukara (Umukara)
• Kubira ibyuya
• Ibisubizo by'imitsi y'umubiri wose
• Impinduka mu bushyuhe bw'umubiri
• Impinduka mu muvuduko w'amaraso
• Impinduka mu gipimo cy'umutima

Abantu bafite ubumuga bwo mu nda bashobora kandi kugira ibindi bimenyetso by’indwara zo mu nda. Ibimenyetso by’izi ndwara bisa n’iby’indwara zo mu nda nka GERD (Gastroesophageal Reflux Disease), Peptic Ulcer Disease, na Inflammatory Aromal Disease. Itandukaniro ryonyine ni uko mu ndwara zo mu nda, abaganga badashobora kubona impamvu y’ibinyabuzima, nk’igisebe, aside reflux, cyangwa indwara idakira yo kubyimba.

Ibimenyetso bisanzwe by'indwara y'amara imikorere ni ibi bikurikira:

• Kuribwa mu gituza
• Ububabare bwo mu gituza
• Kudakora neza kw'igogora
• Inda yabyimbye
• Ububabare bwo mu nda
• Isesemi no kuruka
• Impiswi
• Impatwe

Hariho kandi ibimenyetso byinshi bidakunze kugaragara abaganga babona ku bantu barwaye IBS bakeka ko bishobora kuba bifitanye isano na Visceral Hypersensitivity. Urugero:

• Kumva ububabare nubwo mu nda hakozweho gato.
• Kumva ubushyuhe mu bice bitandukanye by'umubiri.
• Guterwa n'ibicurane cyane.
• Ububabare bukwirakwira ku maguru.

Ibi bimenyetso bigaragaza ko atari ibintu bitera imbaraga gusa, ahubwo no ku mikorere y'ubwonko .

Kuki ibi bibaho?

Abashakashatsi baracyagerageza gusobanukirwa neza uburyo Visceral Hypersensitivity ibaho. Bakeka ko ishobora guterwa n'imihangayiko y'umubiri, iy'ubwenge cyangwa iy'amarangamutima.Bikekwa ko kubabara, byaba bikomeye cyangwa bisubirwamo, bishobora gutuma uturemangingo tw’imitsi tugira ibyiyumvo bikabije. Abashakashatsi bagaragaje ibintu byinshi bishobora gutuma ubu bubabare butera. Bimwe muri byo birimo:

• Ingirabuzimafatizo: Hari abantu bashobora kuba bafite imiterere y’uturemangingo yo kugira ingaruka ku burwayi, ibyo bigatuma bumva ububabare neza.
• Ihungabana ryo mu bwana: Ubwana ni igihe cy'ingenzi mu iterambere ry'imiyoboro y'ubwonko igenzura imihangayiko n'ububabare. Ihungabana muri iki gihe, cyane cyane iyo hari imiterere y'uturemangingo, rishobora guhindura uburyo iyi miyoboro ikura. Ibi bishobora kuba birimo ihungabana ryo mu mutwe/amarangamutima, cyangwa indwara ikomeye, ubwandu, cyangwa imvune mu bwana.
• Indwara zo mu mutwe: Zimwe mu nzira zimwe zishobora gutera ububabare zishobora no gutera indwara zo mu mutwe, nko guhangayika no kwiheba. Nanone, kubera ko abantu bafite ibibazo byo mu mutwe bahora bakora ububabare n'imihangayiko, bashobora kugira ububabare bwinshi.
• Ibintu bitera stress mu mibereho y'abantu: Hari ibintu byinshi bitera stress mu buzima bw'abantu bakuru. Ariko, abantu benshi bashobora guhangana na byo iyo bafite ubufasha buhagije mu mibereho y'abantu no kwihangana mu mubiri. Ariko, bamwe mu bantu bakuru baba bashobora kwibasirwa n'ibintu byavuzwe haruguru. Iyo ibi bidakemuwe neza, bamwe bagira ububabare budakira.
• Indwara yo kuzana amaraso mu mara: Kimwe n'izindi mpamvu zikomoka ku binyabuzima, stress idakira ishobora no gutera ububyimbirwe bw'igihe kirekire mu mara. Ibi bishobora kwangiza igice cy'amara kirinda. Inyigisho imwe ni uko ibi bituma ibintu bitera ububyimbirwe binyura mu mara bigatera imbaraga uturemangingo tw'imitsi.
• Mikorobe y'igifu kibi: Ingano ya bagiteri ziba mu gifu cyawe ishobora kugira ingaruka ku bubabare bwo mu nda. Bagiteri zo mu gifu zimenyesha uturemangingo tw'imitsi yo hagati uko igifu cyawe kimeze. Nubwo impamvu idasobanutse neza, kwiyongera cyane kwa bagiteri zitari zo, cyangwa kwangirika kwa bagiteri nziza hakoreshejwe imiti yica udukoko, byagaragaye ko bitera Visceral Hypersensitivity.

Iyo uturemangingo tw’imitsi twamaze kwitegura uburyo bwo gusubiza ububabare bukabije, ububabare bwo mu nsi bushobora gutangirira mu rugingo ubwarwo, cyangwa bugatangira mu bwonko nk'igisubizo kidasanzwe ku miterere y’umubiri w’umuntu ku muhangayiko. Abaganga basanze "Ububabare bwo mu nsi y’umugongo" bukunze kubaho nyuma y’ikintu runaka. Urugero, imvune, ubwandu, cyangwa umuvuduko ukomeye bishobora gutera ububabare bukomeye no kubyimba mu rugingo rwawe rumwe. Ariko, ndetse na nyuma y’uko ubutabazi burangiye, imitsi yawe ikomeza gufata ibyiyumvo bisanzwe nk’ububabare no kohereza ibyo bimenyetso by’ububabare mu bwonko.

Iyi mitsi yohereza ibimenyetso by'ububabare ku gice cy'ubwonko bwawe cyerekana ububabare. Icyo gice, na cyo, cyohereza ibimenyetso ku bice by'ubwonko bwawe bitunganya ibice by'amarangamutima by'ububabare. Uburyo umubiri wawe usubizamo amarangamutima ni bwo buryo umubiri wawe ukoresha mu kukwigisha kwirinda ikintu cyakubabaje. Ariko, iyi nzira y'imitsi na yo ikora mu bundi buryo. Ni ukuvuga ko imihangayiko n'amarangamutima bishobora kongera uburyo umuntu yumva ububabare cyangwa kubabara mu ngingo z'imbere . Iyo ufite Visceral Hypersensitivity, ububabare bw'umubiri n'imihangayiko y'amarangamutima bikomeza gukomera. Ubwonko bwawe busubiza byombi hamwe n'imisemburo y'imihangayiko. Ibi bituma ibimenyetso byawe birushaho kwiyongera.

Ibi bifitanye isano ite n'indwara z'amara nka IBS?

Uduce tw’igogora dufite uturemangingo twayo. Twitwa uturemangingo tw’igogora. Dukwirakwira mu nzira y’igogora. Rimwe na rimwe twitwa "ubwonko bwa kabiri" cyangwa "ubwonko buri mu mara." Imisozo y’imitsi y’iyi nzira y’igogora iri muri buri gice cy’inzira y’igogora. Iyi misozo y’imitsi iterwa n’ibintu byinshi, harimo ibikubiye mu igogora, bagiteri n’ibikomoka kuri bagiteri, kunanura no kwaguka, kubyimba, n’ibimenyetso by’imiti.

Iyi mitsi ntituma ubwonko bwawe bugira ikibazo gusa, ahubwo inamenyesha umubiri wawe ko ugomba gusubiza mu buryo butandukanye icyo ubona ko ari ikibazo gikomeye: kugabanya umuvuduko w'igogora, kwihutisha igikorwa, no gusohora uburozi. Iyo iyi mitsi ikomeje gukangurwa cyane, ishobora gutuma ibi bibazo bigaruka kenshi. Ibyo nibyo bitera ibimenyetso. Cyangwa, ushobora kugira ikibazo cyitwa "Visceral Hypersensitivity", aho ubona ko no mu igogora risanzwe ari ikibazo kibabaza.

Abaganga babibona bate?

Nubwo ibizamini bitandukanye bikoreshwa mu bushakashatsi bwa muganga kugira ngo hamenyekane `(Hypersensitivity in the visceral)`, ibi bizamini ntibikunze gukorwa ku barwayi baza kwivuza. `(Hypersensitivity in the visceral)` akenshi bipimwa mu buryo bumwe n'izindi ndwara zisanzwe: mu gusuzuma ibimenyetso byawe no gukuraho izindi mpamvu z'imiterere y'umubiri (indwara) . Nyuma yo kukubaza amateka yuzuye y'ubuzima no gukora isuzuma ryuzuye, hasabwa ibizamini bisanzwe. Iyo ibyo bizamini bitabonye ikintu gikomeye, ushobora gusanga ufite `(Hypersensitivity in the visceral)`.

Ni ubuhe buryo bwo kuvura ibi?

Abashakashatsi baracyashakisha uburyo bushya bwo kwibasira Visceral Hypersensitivity. Ubusanzwe ubu bukoresha imiti ivanze n'ubuvuzi bwo mu mutwe/umubiri . Kubera ko iyi ndwara ifata ingingo zawe z'umubiri n'ubwonko bwawe, uburyo bugizwe n'ibice bibiri ni bwo buryo bwiza kandi bushobora kugira icyo bugeraho mu gihe kirekire.

Imiti

Imiti ivura "visceral hypersensitivity" igamije gutuza uturemangingo tw'imitsi yawe.Imiti isanzwe igabanya ububabare ntabwo ikora kuri ubu bwoko bw'ububabare . Imiti igabanya ububabare ikomeye nka narcotics na opioid ntiyemerwa kuko ingaruka zayo zishobora gutuma ikibazo kirushaho gukomera. Ahubwo, abaganga bakunze gutanga imiti imwe ikoreshwa mu kuvura indwara zo mu mutwe nk'imihangayiko n'ihungabana, ariko ku rugero ruto cyane .

Ibi ntibivuze ko abaganga bakeka ko ufite indwara yo mu mutwe. Hari abantu bafite Visceral Hypersensitivity baba bafite indwara yo mu mutwe, ariko hari n'abatazifite. Niba ibimenyetso byo mu mutwe bigabanya ububabare, iyi miti ishobora gufasha kongera ubwo buremere. Ariko kandi, igabanya ibimenyetso by'ububabare biva mu mitsi yawe. Kuvura ububabare ubwabyo bishobora gufasha kugabanya imisemburo ya stress no gutegura umubiri wawe n'ubwonko bwawe kugira ngo bungukire cyane mu buvuzi bw'ubwonko/umubiri.

Ubwoko bw'imiti igabanya ubukana bw'indwara ziterwa no kwiheba burimo:

• Imiti igabanya ubukana bwa tricyclic
• Inhibitors zo Gufata Serotonin (SSRIs) zitoranijwe
• Inhibitors za Noradrenaline na Serotonin (SNRIs) zitoranijwe

Indi miti ishobora gufasha kuvura ububabare bw'imitsi:

• Antagonists za Histamine H1
• Imiti igabanya ifatwa ry'ibyihebe

Uburyo bwo kuvura mu mutwe/umubiri

Imiti ishobora kuvura ibimenyetso byawe, ariko ntabwo ivura ikibazo cy’inyuma. Ibyo ni byo ubuvuzi bwo mu mutwe/umubiri bugerageza gukora. Gukoresha uburyo bwo kuvura indwara z’ubwonko - ubushobozi bw’imitsi n’ubwonko bwawe bwo kwiga imiterere mishya - ubu buryo bwo kuvura bugerageza guhagarika ububabare bw’imitsi. Ubu buryo bwo kuvura busabwa burimo:

• Ubuvuzi bw'imyitwarire mu bwenge (CBT): Ubu ni uburyo bw'igihe kirekire kandi bunoze bwo kongera gutoza uburyo uturemangingo tw'imitsi yawe dusubiza mu bwenge ku byiyumvo "biturutse hejuru kugeza hasi" - ni ukuvuga ku rwego rw'ubwonko.
• Hypnotherapy: Imbaraga zo gutanga igitekerezo mu gihe umuntu arwaye hypnosis zishobora gufasha gutuza ububabare bw'imitsi.
• Biofeedback: Ubu buryo bwo kuvura bukoresha ibikoresho kugira ngo bupime uko umubiri wawe witwara ku bubabare kandi bukwerekeze kuri ubwo buryo. Hanyuma ushobora gukora ibishoboka byose kugira ngo ubuhindure.

Ubuvuzi bw'inyongera

Nubwo izi nama zitarageragezwa neza, ziratanga icyizere mu kuvura indwara ya Visceral Hypersensitivity.

• Probiyotike:Bitewe n’uko mikorobe zitaringaniye mu mara (visceral hypersensitivity) zishobora kuba ari zo zitera, probiotics na prebiotics zishobora gufasha ibimenyetso.
• Gukoresha Acupuncture: Byagaragaye ko gukoresha Acupuncture ari ingirakamaro mu kuvura ububabare budakira kuri bamwe mu bantu.
• Ubuvuzi bw'imitekerereze: Iyo bibaye ngombwa, ubuvuzi bw'imitekerereze ku bijyanye n'imihangayiko n'ihungabana bushobora kugufasha kugabanya imihangayiko yo mu mutwe/amarangamutima no kugira ingaruka ku buryo ubona ububabare.

Ese ibi bishobora gukira burundu?

Ntitubizi. Hari raporo zitera inkunga zivuga ko hari abantu bagiye batera imbere cyane bitewe n'uburyo bumwe na bumwe bwo kuvura. Ariko, ibi akenshi biterwa n'ibintu byinshi , nko impamvu nyamukuru y'ibimenyetso byabo n'ibindi bintu byinshi bigira uruhare mu gutuma barushaho kugira ubushake bwo kubyihanganira. Inkuru nziza ni uko ubushakashatsi bukomeje, kandi hari uburyo bwinshi bwiza bwo kwibasira "visceral hypersensitivity" burimo gusuzumwa.

Ese ibi bishobora koroherwa no kurya no kunywa?

Guhindura imirire akenshi ni byiza kugira ngo bifashe mu kuvura ibimenyetso bya IBS. Niba ubushobozi bwawe bwo kumva imbere mu gifu buri mu buryo bw'igogora, guhindura imirire bishobora kugabanya ububabare buterwa no kubura igogora.

Gusya ibiryo si ngombwa mu kugira ubwivumbure mu mara. Ariko, niba udashobora kwihanganira ibiryo, bishobora gutera ububyimbirwe budakira, kwangiza uruzitiro rw'amara yawe, no kwiyongera kwa bagiteri mbi mu mara zirya karubohidrati udashobora gusya. Izi ngaruka zose zavuzwe ko ari zo zitera ubwivumbure mu mara. Niba ari uko bimeze, izi gahunda z'imirire zishobora gufasha:

• Indyo yo Kurandura: Iyi ni indyo y'agateganyo igufasha kumenya ibiryo bigutera ibibazo. Ibi bikubiyemo gukuraho ibiryo bikunze gutera ibibazo hanyuma ukabisubiza buhoro buhoro bitewe n'ibimenyetso byawe.
• Indyo nkeya ya FODMAP: Iyi ni indyo yihariye yo gukuraho ibinure. Yibanda ku bwoko bwa karubohidrati bukunze gutera ibibazo byo mu igogora. Niba ufite bagiteri nyinshi, indyo nkeya ya FODMAP ishobora kugufasha kuzigabanya kuko utaziha karubohidrati zikenewe.
• Ibyokurya bya Probiotic: Niba ibibazo byawe biterwa na mikorobe mbi mu mara, probiotic zishobora kugufasha. Bumwe mu buryo bwiza bwo kubona probiotic buri munsi ni ukurya ibiryo bya probiotic. Urugero, harimo yawurute, yawurute, foromaje ya cottage, sauerkraut (ubwoko bw'amashu yatetse), na supu ya miso (ubwoko bw'isupu y'Abayapani).

Amaherezo, ibintu byo kwibuka

Ubuvuzi bukabije bw’amatwi ni ikibazo kigoye. Gisaba uburyo bwose bwo kuvura. Abaganga bakomeje kwiyongeraAkamaro k'isano hagati y'igifu n'ubwonko karimo kumenyekana. Abashakashatsi barimo kugerageza gusobanukirwa neza uburyo ubwonko bwacu, ingingo zacu, n'imitsi biganira, n'uburyo ibi bishobora kugenda nabi.

Ikintu kimwe ntashidikanya: Ububabare bw'imbere ntabwo "buri mu mutwe wawe." Ariko, bureba ubwonko, ku rugero runaka. Rero biragoye gato kuruta kuvura ikibazo cy'imikorere. Ariko biguha imbaraga. Ukoresheje imbaraga z'ubwonko bwawe, ushobora gukora ibishoboka byose kugira ngo ugabanye ububabare. Hari icyizere!

` Kubabara cyane mu nda, IBS, Indwara y'amara, Ububabare bwo mu nda, Stress, Udutsiko tw'imitsi, Uburyo bwo kuvura