Chii chinonzi cystic fibrosis? Ngatinzwisise zviri nyore!

Pamwe wakambonzwa kuti vamwe vanhu vanozvarwa vaine chirwere chemajini, handiti? Cystic Fibrosis (CF) chirwere chemajini. Vanhu vazhinji vanofunga kuti ichi chirwere chinongokanganisa mapapu chete, nekuti matambudziko ekufema uye hutachiona hwemapapu hunowanzoitika nechirwere ichi. Asi nyaya yacho yakaoma zvishoma kupfuura izvozvo. Ngatitarisei kuti chii.

Chii chinonzi cystic fibrosis (CF)?

Zvichitaurwa zviri nyore, cystic fibrosis (CF) chirwere chemajini chinokonzera huwandu hwakawanda hwemapundu akakora, anonamira mumiviri yedu. Mapundu akakora aya anogona kukuvadza nhengo idzodzo uye kukanganisa mashandiro adzo.

Kazhinji, madzihwa ari mumapapu nemumhino dzedu anoyerera zvishoma uye akatetepa. Anochengetedza nzvimbo idzodzo dzakanyorova uye anosunga tsvina nemarara. Asi kune vanhu vane CF, kushanduka kwemajini kunoshandura magadzirirwo emadzihwa aya. Puroteni inokonzera izvi inenge isipo kana kuti isingashande nemazvo. Nekuda kweizvozvo, munyu unoonda madzihwa unobatwa mukati memasero, zvichiita kuti madzihwa acho ave makobvu uye anonamira.

Kunyange hazvo vanhu vazhinji vachifunga kuti chirwere chemapapu, CF yakawana zita rayo nekuti inokonzera mavanga uye mavanga (fibrosis) mupancreas. Kukuvara uku, pamwe nekukora kwejira, zvinogona kuvharira nzira dzinoburitsa ma enzymes ekugaya anobatsira kugaya chikafu chatinodya. Izvi zvinogona kudzivirira muviri kuti usatore zvinovaka muviri kubva muchikafu nemazvo. Kuwedzera kumapapu nepancreas, zvinogonawo kukanganisa chiropa, sinuses, ura, uye nhengo dzepabonde.

Chirwere cheCF chirwere chinoberekwa nemunhu. Izvi zvinoreva kuti chirwere chehupenyu hwese chinogona kutowedzera kuipa nekufamba kwenguva. Vanhu vane chirwere cheCF vanogona kurarama kwenguva pfupi pane vasina chirwere ichi.

Kune mhando huru dze cystic fibrosis (CF) here?

Ehe, mhando mbiri huru dze `CF` dzinogona kuzivikanwa:

1. Classic cystic fibrosis: Izvi zvinowanzo kanganisa nhengo dzakawanda mumuviri. Chirwere ichi chinowanzoonekwa mumakore mashoma ekutanga ehupenyu.

2. Atypical cystic fibrosis: Iyi imhando yeCF isina kunyanya kuoma uye isina kusimba. Inogona kukanganisa nhengo imwe chete, kana kuti zviratidzo zvinogona kuuya zvichienda. Inowanzoonekwa muvana vakuru kana vechidiki.

Ndezvipi zviratidzo zve cystic fibrosis (CF)?

Munhu ane CF anogona kuona zviratidzo zvakaita se:

• Kurwara kwemapapu kakawanda (semuenzaniso, pneumonia inodzokorora kana bronchitis)). Fungidzira, vamwe vana vadiki vanogara vachingobuda mhino, vachikosora, uye vachifemereka muchipfuva, uye kunyangwe vaine mishonga, vanoramba vachidzoka kakawanda vasina kana zororo. Ndizvo zvazviri.
• Kubvisa tsvina isina kusimba kana ine mafuta.
• Kutadza kufema zvakanaka.
• Kufemereka kurira kunowanzo nzwika kubva muchipfuva.
• Utachiona hwe sinus hunowanzoitika.
• Kukosora kunoramba kuripo.
• Kukura kunonoka.
• Kukundikana kukura zvakanaka, kunyangwe uchidya zvakanaka uye uchiwana macalorie anodiwa nemuviri wako, chirwere chekuti hauwedzere uremu kana kuti hauonde.

Zviratidzo zveatypical cystic fibrosis (Atypical CF)

Vanhu vane chirwere cheCF chisingawanzoitiki vanogonawo kuva nezvimwe zvezviratidzo zvataurwa pamusoro apa. Nekufamba kwenguva, vanogonawo kusangana nezvinhu zvakaita se:

• Sinusitis isingaperi.
• Mapombi emhino.
• Kusakwana kwema electrolyte mumuviri kunogona kukonzera kupera mvura mumuviri kana kupisa muviri.
• Manyoka.
• Chipembenene.
• Kuderedza uremu usingazive.

Chii chinokonzera cystic fibrosis (CF)?

Chikonzero chikuru cheCF imutation (variant kana mutation) mu gene inonzi CFTR. CFTR gene inogadzira protein inoshanda se ion channel pamusoro pemasero. Funga nezvayo segedhi diki riri mu cell membrane. Magedhi aya anobvumira zvimwe zvikamu kuti zvipfuure nepakati.

Puroteni inogadzirwa nejini re'CFTR' inowanzo shanda segedhi remaion echloride (rudzi rwemunyu une simba remagetsi risingashande zvakanaka). Kana maion echloride akabuda musero, mvura inodhonzwawo. Apa ndipo apo manyoka anova matete uye anotsvedza. Asi kune vanhu vane 'CF', maitiro aya haaitike zvakanaka nekuda kwekuchinja kwejini re'CFTR'. Maion echloride anobva abatwa mukati memasero, zvichiita kuti manyoka acho ave matete uye anamate.

Kune mhando dzakasiyana dzekuchinja kwemajini eCFTR (kirasi I kusvika VI). Dzimwe shanduko hadziburitse mapuroteni, dzimwe dzinoburitsa mapuroteni mashoma chete, uye dzimwe hadziburitse mapuroteni adzinoita.

Ko cystic fibrosis (CF) chirwere chekuzvarwa nacho here?

Ehe, `CF` chirwere chemajini chinogarwa nhaka kubva pakuzvarwa. Munhu ane `CF` anogara nhaka makopi maviri ejini iri re`CFTR` rakachinja - rimwe kubva kuna amai, uye rimwe kubva kuna baba (izvi zvinonzi `autosomal recessive` nhaka).

Vabereki vako havafanirwe kuva neCF kuti iwe uve neCF. Kutaura zvazviri, mhuri zhinji hadzina nhoroondo yemhuri yeCF. Munhu ane kopi imwe chete yejini rakachinja anonzi carrier . Vanotakura havaratidzi zviratidzo zveCF.

Vanhu vakuru vanogonawo kuva ne cystic fibrosis (CF) here?

Kwete, unozvarwa uine gene mutation inokonzera CF. Zvisinei, kana zviratidzo zvacho zviri zvishoma, kana kuti zvikauya zvoenda, vamwe vanhu vangasaonekwa kusvika vakura, zvichida kusvika vakura.

Ndezvipi zvinetso zvinogona kuitika nekuda kweCF?

CF inogona kukonzera matambudziko akadai se:

• Utachiona: Matehwe akakora anobata mabhakitiriya mumapapu ako nemunzira dzekufema, zvichiita kuti zviomere kubuda. Izvi zvinogona kukonzera hutachiona hunowanzoitika.
• Kusavapo kwevas deferens vakaberekwa vari vaviri (CBAVD): Muchirwere ichi, varume havana vas deferens, iyo chubhu inotakura urume. Saka, vanoda rubatsiro pakurapwa kwekubereka kana vachida kuva nevana.
• Chirwere cheshuga: Chirwere cheshuga chinokonzerwa ne cystic fibrosis chinogona kuitika nekuda kwekukuvara kwepancreas.
• Kusadya zvakanaka: Kushaikwa kwematehwe akakora mumuviri uye ma enzymes epancreas anobatsira kugaya chikafu kunowedzera njodzi yekushaya chikafu chinovaka muviri.
• Osteopenia uye Osteoporosis: Zvirwere zvinoderedza simba remapfupa zvinogona kuitika nekuda kwekusakwanisa kupinza zvinovaka muviri kubva mudumbu.
• Matambudziko epamuviri: Kurwara kweCF kunogona kukanganisa kugaya chikafu uye kukonzera kushaya chikafu chakakwana. Izvi zvinowedzera njodzi yematambudziko epamuviri. Kuzvara mwana nguva isati yakwana ndiyo dambudziko rinowanzoitika.

Cystic fibrosis (CF) inoonekwa sei?

Vanachiremba vanowanzo ongorora vana vacheche kuti vaone kana vane chirwere cheCF panguva yekuongorora mwana achangoberekwa. Izvi zvinoitwa nekutora madonhwe mashoma eropa kubva pachitsitsinho chemwana. Murabhoritari, sampuro yeropa iyi inoongororwa kemikari inonzi immunoreactive trypsinogen (IRT) . Izvi zvinogadzirwa nepancreas. Vanhu vane CF vane huwandu hwakakwira hweIRT muropa ravo. Vacheche vanoongororwa IRT pakuzvarwa uye zvakare mushure memavhiki mashoma.

Zvisinei, mamwe mamiriro ezvinhu, akadai sekuzvarwa nguva isati yakwana, anogonawo kukonzera kuwanda kweIRT. Saka, kuongororwa kweIRT hakurevi kuti mwana ane CF. Kana huwandu hweIRT hwemwana hwakakwira kupfuura zvaitarisirwa, chiremba acharaira mimwe miedzo kuti aonekwe kekupedzisira.

Dzimwe nguva (inenge 5% yezviitiko), kuongororwa kwevacheche kungasaone huwandu hweIRT hwakakwira mumunhu ane CF. Kana kuti, ungave usina kuongororwa CF nguva dzose pakuzvarwa. Kana iwe kana mwana wako muine zviratidzo zveCF, chiremba achaita bvunzo yekudikitira uye, kana zvichidikanwa, mimwe miedzo.

Kuongororwa kwe cystic fibrosis (CF)

• Kuyedzwa kwedikita:Izvi zvinoyera huwandu hwechloride mudikita rako. Vanhu vane CF vane huwandu hwakawanda hwechloride mudikita ravo. Iyi ndiyo bvunzo chaiyo yekuongorora CF. Zvisinei, zvinogona kuitika kune vanhu vane CF isingawanzoitiki.
• Kuongororwa kwemajini: Masampuli eropa anotorwa kuti aone kana paine shanduko mumajini anokonzera CF.
• Kuongororwa kwemifananidzo: Zvinhu zvakaita seX-rays yemhino nechipfuva zvinoshandiswa kusimbisa kana kutsigira kuongororwa kweCF. Kuongororwa kwemifananidzo uku chete hakugone kuongorora CF.
• Kuongororwa kwebasa remapapu (PFTs): Izvi zvinoyera kuti mapapu ako ari kushanda zvakanaka sei.
• Kugadzirwa kwetsvina: Chiremba wako achatora sampuro yetsvina inobuda mumapapu ako paunokosora oiedza kuona kana paine mabhakitiriya. Mamwe marudzi emabhakitiriya, akadai sePseudomonas, anowanzoonekwa muvanhu vane CF.
• Kuongororwa kwepancreatic biopsy: Izvi zvinoita kuti chiremba wako aone kana paine ma cysts kana maronda mupancreas yako.
• Musiyano wesimba remhino (NPD): Izvi zvinoyera simba diki remagetsi rinowanzo kuwanikwa mumhino. Simba iri rinogadzirwa nekufamba kwemaion. Vanhu vane CF vane kufamba kushoma kwemaion nekuda kwenzira iyo CF inokanganisa nayo nzira dzeion.
• Kuyerwa kwesimba remudumbu (ICM): Kuti aite bvunzo iyi, chiremba anotora sampuli yenyama yemudumbu. Rabhoritari inoyera kuti chloride yakawanda sei inoburitswa kubva mumuenzaniso uyu.

Chirwere che cystic fibrosis (CF) chinorapwa sei?

Zvinosuwisa kuti hapana mushonga weCF. Zvisinei, nerubatsiro rwenyanzvi yeCF nevamwe vari muchikwata chenyu chehutano, munogona kubata chirwere ichi nezviratidzo zvacho. Kurapa uku kunosanganisira:

• Kuchengetedza nzira dzekufema dzakachena uye dzakavhurika nekushandisa nzira dzekufema uye michina yekunyungudutsa manyoka.
• Mishonga inobatsira kugadzirisa matambudziko neprotein ye 'CFTR' ('CFTR modulators').
• Mishonga inoderedza zviratidzo chaizvo.
• Iva nechokwadi chekuti unowana macalorie akakwana uye akakodzera kubva muchikafu.
• Kuvhiyiwa.

Maitiro ekubvisa mafambiro emhepo

Kana uine CF, kune nzira dzakawanda dzekuchengetedza nzira dzako dzekufema dzakachena:

• Maitiro ekukosora nekufema: Nyanzvi yekurapa chirwere cheCF inogona kukudzidzisa nzira dzekuvhura nzira dzekufema uye kusunungura madzihwa.
• Zvishandiso zvekumanikidza mweya (PEP):Zvishandiso izvi zve `PEP` zvinogona kupfekwa mumuromo kana se `mask` pachiso. Zvinopa simba rekudzivirira, saka unofanira kushanda nesimba kuti ubvise mweya. Izvi zvinovhura nzira dzekufema uye zvinosundira mvura kubva mudumbu. Zvishandiso zve `PEP` (semuenzaniso `Flutter®`, `Acapella®`, `AerobikA®`, `RC-Cornet®` ) imhando dzakasiyana dze `PEP` dzinosanganisa kudzungudza nekukwanisa kusunungura mvura kubva mudumbu.
• Mavheti ekubvisa mweya: Anonziwo mudziyo wepamusoro-soro wekudzivirira madziro echipfuva, uyu vheti rinofefeterwa rakabatana nemuchina. Bheti rinodedera uye rinopwanya madzihwa.
• Kuburitsa mvura mumuviri uye kuridza ngoma: Iyi inzira yekurapa nayo muviri. Unopinda munzvimbo dzinobatsira kubvisa tsvina mumapapu. Mumwe munhu anorova chipfuva chako kana kumusana kuti abvise tsvina. Izvi zvinogona kuitwa pamwe chete nenzira dzinokonzera kukosora.

CFTR modulators ye cystic fibrosis

Mishonga yeCFTR modulators imhando yemishonga inobatsira kugadzirisa matambudziko emapuroteni akagadzirwa nejini reCFTR rakachinja uye kuwedzera huwandu hweprotein inoshanda zvakanaka pamusoro pemasero. Hairapi CF. Asi vamwe vanhu vakave nekuvandudzika kukuru muzviratidzo zvavo uye nguva yekurarama. Zvisinei, mishonga iyi yemodulators haina kukodzera munhu wese ane CF, uye vamwe havagoni kuishivirira.

Mimwe mienzaniso ye `CFTR modulators`:

• `Kalydeco® (ivacaftor)`
• ``Orkambi® (ivacaftor/lumacaftor)''
• `Symdeko® (ivacaftor/tezacaftor)`
• `Trikafta® (ivacaftor/tezacaftor/elexacaftor)`

Mimwe mishonga yekurapa cystic fibrosis

Chiremba wako anogonawo kunyora mimwe mishonga yekuderedza kuzvimba, kurapa hutachiona, kana kudzora zviratidzo. Izvi zvinosanganisira:

• Mishonga inorwisa mabhakitiriya: Chiremba wako anogona kukupa mishonga inorwisa mabhakitiriya yekurapa kana kudzivirira hutachiona.
• Zvinofema zvebronchodilator: Zvinofema zvebronchodilator zvinovhura uye zvinozorodza nzira dzekufema, zvichiita kuti zvive nyore kufema.
• Munyu une hypertonic inofema: Munyu uri mu saline solutions unokwezva mvura, izvo zvinoita kuti madzihwa atetepe uye zvinoita kuti zvive nyore kukosora.
• Mishonga inorwisa kuzvimba: Mishonga iyi inoderedza kuzvimba. Iyi inosanganisira corticosteroids uye mishonga isingarwisi kuzvimba (NSAIDS) .
• Maenzyme epancreatic: Aya anobatsira kugaya chikafu uye kupinza zvinovaka muviri kubva machiri.
• Zvinonyorovesa tsvina: Izvi zvinobatsira pazvirwere zvakaita sekuvimbiwa uye zvinoita kuti zvive nyore kubvisa tsvina.

Kudya kwe cystic fibrosis (CF)

Kana uine chirwere cheCF, zvaunoda pakudya zvakasiyana nezvemunhu asina chirwere cheCF. Nekuda kweCF, pancreas yako ingasakwanisa kugadzira kana kuburitsa ma enzymes anokubatsira kugaya chikafu. Izvi zvinoreva kuti ura hwako hungasakwanisa kupinza zvakanaka zvinovaka muviri nemafuta ari muchikafu chako.

Nyanzvi yako yeCF kana nyanzvi yezvekudya yakanyoreswa ichakurudzira chirongwa chekudya chinovaka muviri. Chinogona kusanganisira:

• Macalorie anodiwa pazuva. Izvi zvinogona kupetwa kaviri pane munhu asina CF.
• Kudya chikafu chine mafuta akawanda. Izvi zvakakosha kuti uwane mavhitamini akawanda anonyunguduka mumafuta.
• Kuramba uine huremu hwemuviri hwakakwira kupfuura hwakajairika kubva paudiki. Izvi zvinogona kukubatsira kukura uye mapapu ako anokura. Izvi zvinogona kubatsira nezviratidzo sezvaunokura.
• Kutora makapisiyumu ekuwedzera e enzyme. Ma enzyme anobatsira kugaya chikafu.
• Kuwedzera munyu wakawanda pakudya kwako. Izvi zvinobatsira kutsiva munyu wakawandisa unoraswa nemuviri wako kuburikidza nekudikitira. Izvi zvinonyanya kukosha panguva yekupisa, hunyoro uye paunenge uchirovedza muviri. Bvunza chiremba wako kuti unoda munyu wakawanda sei pazuva.

Kuvhiyiwa kwe cystic fibrosis (CF)

Ungangoda kuvhiyiwa kweCF kana dambudziko reCF. Izvi zvinogona kusanganisira:

• Kuvhiyiwa kwakabatana nemhino kana sinuses.
• Kuvhiyiwa kubvisa matambudziko emudumbu.
• Kuisirwa mapapu.
• Kuisirwa chiropa.

Ko cystic fibrosis (CF) chirwere chinoisa upenyu panjodzi here?

Ehe, chirwere cheCF chirwere chinoisa upenyu panjodzi. Chikonzero chikuru cherufu kukuvara kwemapapu kunokonzerwa nemadzihwa akakora uye hutachiona hwemapapu hunowanzoitika.

Munhu ane cystic fibrosis (CF) anotarisirwa kurarama kwenguva yakareba sei?

Sekureva kwenyanzvi, mumakore achangopfuura, tarisiro yekurarama kwemunhu anozvarwa neCF yave makore angangoita makumi mashanu. Makore mashoma apfuura, tarisiro yekurarama yaive pakati pemakore makumi matatu nemakumi mana, asi izvi zvawedzera mumakore achangopfuura nekuda kwekufambira mberi kwenzira dzekurapa.

Vanhu vane chirwere cheCF chisingawanzoitiki vanowanzorarama kwenguva yakareba kupfuura avo vane chirwere cheCF chekare.

Chii chandinofanira kutarisira kana ndine CF?

Hapana mushonga weCF. Iwe kana mwana wako muchada kurapwa kweupenyu hwese kuti murarame. Izvi zvinosanganisira kurapa hutachiona, kuchengetedza kudya kunovaka muviri, uye kuona nyanzvi yeCF nguva dzose. Zvisinei, mishonga mitsva yakabatsira vana vane CF kurarama zvakanaka kusvika vakura uye kuva nehupenyu hwakanaka.

Kurapa kunoshanda zvakanaka kana CF yaonekwa nekukurumidza. Ndosaka kuongororwa kwevana vacheche kwakakosha. Kutanga kurapwa senge CFTR modulators vachiri vadiki kunogona kuvandudza hutano hwenguva refu uye kuwedzera makore ekurarama.

Ko CF inogona kudzivirirwa here?

Nekuti CF chinhu chaunozvarwa nacho, hapana nzira yekudzivirira. Kana uri mutakuri weCFTR gene mutation, unogona kubvunza chiremba wako nezvekuongororwa kwemajini epamuviri uye mukana wekuti vana vako vabatwe neCF.

Ndingazvitarisira sei?

Kuzvichengeta uine CF zvinoreva kushanda nechikwata chako chehutano kuti ugadzire hurongwa hwekurapa. Kuti urambe uine hutano hwakanaka, unofanirwa kutevedzera hurongwa uhwu zvakanyanya. Hunosanganisira:

• Tevedzerai zvizere maitiro enyu ekuchenesa kufema.
• Kutora mishonga sezvakarairwa.
• Ramba uchienda kukiriniki nechikwata chako chekurapa cheCF.

Wana mazano kubva kuna vanachiremba vako nezvekudya zvine hutano uye kurovedza muviri kwakachengeteka kwakakunakira. Bvunza chiremba wako kana kugadzirisa mapapu ako kuri zano rakanaka kwauri.

Unogona kuderedza njodzi yekutapukirwa nekudzivisa vanhu vanorwara, kushandisa nzira dzakanaka dzekugezesa maoko, uye kuwana majekiseni anokurudzirwa.

Unogonawo kutora chikamu mumiedzo yekiriniki inoedza mishonga mitsva yeCF. Bvunza chiremba wako kana paine yakakunakira. Iva nechokwadi chekuti wawana ruzivo rwakazara nezvemabhenefiti nenjodzi dzemiedzo yekiriniki.

Ndinofanira kuona chiremba wangu rini?

Enda kumakiriniki ese akarongwa pamwe chete nenhengo dzechikwata chako chehutano. Taura nachiremba wako kana uine mibvunzo nezvechirongwa chako chekurapa kana zviratidzo zvako. Vabvunze zvekuita kana uine zviratidzo zvehutachiona. Unogona zvakare kuvaudza kana uchida rubatsiro nematambudziko emagariro evanhu kana emanzwiro.

Ndinofanira kuenda kuDhipatimendi reEmergency (ETU) riini?

Kana uine zviratidzo izvi zvakakomba, enda kuchipatara nekukurumidza:

• Fivha yakanyanya (inopfuura 103 degrees Fahrenheit/40 degrees Celsius).
• Kutadza kufema zvakanaka.
• Hapana kana kuti weti inobuda shoma.
• Kurwadziwa kunogara kuripo muchipfuva kana mudumbu.
• Dzungu.
• Kuvhiringidzika.
• Kurwadziwa kwakanyanya kwetsandanyama kana kushaya simba.
• Kubatwa nepfari.
• Ruvara rwebhuruu rweganda, miromo, kana nzara (`cyanosis` - ichi chinogona kuva chiratidzo chekushomeka kweokisijeni muropa rako kana munyama).
• Kana fivha kana kukosora zvikapera kana kuti zvikapera, zvinozowedzera kuipa zvakare.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Unogona kubvunza chiremba wako mibvunzo yakaita seiyi:

• Ndedzipi nzira dzekurapa dzandinadzo?
• Ndeipi chirongwa chekudya chine hutano chandingatevedzera?
• Ndingaitei kuti ndigadzirise zviratidzo zvangu?
• Ndezvipi zviratidzo zvehutachiona zvandinofanira kutarisa?
• Ndinofanira kukuonai zvakare rini?
• Ndezvipi zviratidzo zvandinofanira kuenda kuchipatara kuti ndiwane emergency room?
• Unoda here kuongorora dzimwe nhengo dzemhuri?

Sei vanhu vane CF vasingafaniri kubata-batana?

Nyanzvi dzezvehutano dzinowanzo kurudzira vanhu vane cystic fibrosis (CF) kuti vasasangana nevamwe vanhu. Izvi zvinodaro nekuti vanhu vane CF vanogona kubata hutachiona hunogona kudzorwa nevamwe. Vane mukana wekuparadzira utachiona kune vamwe vane CF (vane hutachiona hunonetsa kudzora). Vanhu vane CF vanofanirawo kudzivirira chero munhu anorwara.

Pakupedzisira, chimwe chinhu (Mharidzo Yekuenda Kumba)

Zvakajairika kunzwa wakaremerwa zvishoma kana waonekwa kuti une chirwere chausingazombofi wakarwara nacho. Zvisinei, kurapwa kutsva uye kunzwisisa zviri nani kwe cystic fibrosis zvinoreva kuti une nguva yakawanda yekubata zvinhu zuva nezuva. Vanhu vazhinji vane CF vanogona kutarisira kurarama hupenyu hwakazara kusvika vakura. Mwana akaonekwa aine CF nhasi angangove nesarudzo dzakawanda dzekurapa mune ramangwana.

Unganidza timu yevadikani nenyanzvi dzezvekurapa dzaunovimba nadzo kuti dzinzwisise zvaunotarisira, kuti dzikubatsire kugadzirisa matambudziko ehupenyu hwezuva nezuva. Uye, usatya kuwana mumwe munhu wekufunga nezvedambudziko iri. Hausi wega, uye kune vanhu vazhinji vanogona kukubatsira murwendo urwu.

* Cystic fibrosis*, zvirwere zvemajini, zvirwere zvemapapu, madzihwa, CFTR gene, hutano hwevana, matambudziko ekufema