Une mhangura yakawandisa mumuviri wako here? Ngatidzidzei nezvechirwere cheWilson!

Dzimwe nguva unongonzwa kuneta here? Kana kuti unosangana nezvinhu zvakaita sekunzwa kushaya simba, kusagadzikana mudumbu, uye kuvhiringidzika kwepfungwa pasina chikonzero? Kune zvimwe zvirwere zvisinganzwisisike zvinokanganisa muviri nenzira dzatisingatombofungidziri. Nhasi tichataura nezvechirwere chisingawanzoitiki, asi kana ukanyatsoziviswa, unogona kuchiziva nekukurumidza uye kuderedza kukuvara kwachinogona kukonzera kuhupenyu hwako. Ichi chinonzi Wilson Disease .

Chii chinonzi chirwere cheWilson?

Zvichitaurwa zviri nyore, chirwere chaWilson chirwere chisingawanzoitika mumajini chinoita kuti miviri yedu iunganidze mhangura yakawanda kupfuura yainodiwa. Mhangura iyi inoungana muchiropa nemuuropi hwedu. Miviri yedu inoda mhangura shoma kubva muchikafu kuti irambe iine hutano. Zvisinei, kana munhu ane chirwere chaWilson akasarapwa zvakanaka, huwandu hwemhangura mumuviri hunogona kukwira zvine njodzi, zvichikonzera kukuvara kwenhengo dzemuviri.

Ndiani anonyanya kubatwa nechirwere chaWilson?

Chirwere chaWilson chirwere chinotorwa kubva kuvabereki kuenda kuvana . Kuti mwana akure nacho, anofanira kugamuchira jini rimwe chete risingawanzoitiki kubva kumubereki mumwe nemumwe. Izvi zvinonzi inheritance ye autosomal recessive. Zvakaoma kutaura kuti ndiani achachikura. Izvi zvinodaro nekuti kazhinji, vabereki havaratidzi zviratidzo zvekuva nejini iri risingawanzoitiki mumuviri wavo. Saka, havazivi kuti ndivo 'vanotakura' jini iri. Zvisinei, kana hama yepedyo mumhuri yako iine chirwere ichi, iwe unogona kunge uri panjodzi.

Chirwere chaWilson chakajairika zvakadii?

Ichi chirwere chisingawanzoitiki . Zvinofungidzirwa kuti munhu mumwe chete pavanhu zviuru makumi matatu anowana chirwere ichi. Zvisinei, kana mumwe munhu mumhuri aine chirwere ichi, mikana yekuti vamwe vatambure nacho yakakura. Vanhu vakawanda vane rimwe chete remajini asina kunaka, anonzi vatakuri. Kazhinji havaratidzi zviratidzo, asi vanogona kutapurira chirwere ichi kuvana vavo. Sezvo vatakuri vasina zviratidzo, zvakaoma kutaura kuti vangani vanhu vane jini risina kunaka.

Chirwere chaWilson chinokanganisa sei muviri wangu?

Chirwere chaWilson, kana chikasaonekwa uye chikarapwa nekukurumidza, chinogona kukonzera matambudziko anotyisidzira hupenyu . Mhangura inoungana mumuviri kusvika pahuwandu hwechepfu, kunyanya muchiropa nepfungwa. Izvi zvinogona kukonzera kukuvara kwenhengo idzi. Kana huwandu hwemhangura mumuviri hukawedzera, manzwiro ako anogona kuchinja. Unganzwa wakaneta zvikuru, usina simba, uye uine kurwadziwa. Kana uine kushaya simba, kuneta, kana kurwadziwa kunoramba kuripo , zvakanaka kutsvaga mazano echiremba.

Ndezvipi zviratidzo zvechirwere chaWilson?

Zviratidzo zvechirwere chaWilson zvinogona kusiyana zvikuru kubva pamunhu kusvika pamunhu.Kunyangwe ichi chiri chirwere chekuzvarwa nacho, zviratidzo zvinotanga kuoneka mushure mekunge mhangura yaungana muchiropa, muuropi, mumaziso, kana mune dzimwe nhengo dzemuviri. Vanhu vane chirwere chaWilson vanowanzova nezviratidzo pakati pemakore mashanu ne40. Zvisinei, vamwe vanhu vanogona kuva nezviratidzo vachiri vadiki kana vakuru.

Yeukai, dzimwe nguva zviratidzo izvi zvakafanana nezvimwe zvirwere zvechiropa kana matambudziko epfungwa, saka vanhu vanogona kufunga zvisirizvo kuti chimwe chinhu chakasiyana. Zvinogona kuoma kuziva zvechokwadi kana chirwere cheWilson kusvika waongororwa huwandu hwemhangura.

Zviratidzo zvine chekuita nechiropa

Vanhu vazhinji vane chirwere chaWilson vanowana zviratidzo zvehepatitis. Vanogonawo kutanga kutadza kushanda kwechiropa kamwe kamwe. Zviratidzo zvinosanganisira:

• Kugara ndakaneta.
• Kusvotwa nekurutsa.
• Chikafu hachina kunaka.
• Kurwadziwa kurudyi kwedumbu, pamusoro pechiropa.
• Weti yakasviba.
• Zvigaro zvine ruvara rwakajeka.
• Kutsvuka kwemavara machena emaziso neganda (jaundice).

Vamwe vanhu vanogona kungoona zviratidzo kana chirwere chaWilson chikaita matambudziko akadai sechirwere chechiropa chisingaperi uye cirrhosis. Izvi zvinosanganisira:

• Kugara kuneta uye kushaya simba.
• Kudzikira kwehuremu kusingafungidzike.
• Kuzvimba kwedumbu (ascites).
• Kuzvimba kwemakumbo epasi, zvitsitsinho, netsoka (edema).
• Ganda rinokwenya.
• Jaundice yakanyanya.

Zviratidzo zvine chekuita nehurongwa hwepakati hwetsinga

Kana mhangura yaungana mumuviri, vanhu vane chirwere chaWilson vanogona kuva nezviratidzo zvinokanganisa tsinga dzemuviri, izvo zvinogona kukanganisa hutano hwepfungwa. Kunyangwe izvi zvichiwanzoitika kuvanhu vakuru, zvinogonawo kuitika kuvana.

Zviratidzo zvine chekuita nehurongwa hwetsinga zvinogona kusanganisira:

• Matambudziko ekutaura, kumedza, kana kushandira pamwe kwemuviri.
• Kuoma kwetsandanyama.
• Kudedera kana mafambiro asingadzoreki (kusagadzikana).

Zviratidzo zvechirwere chaWilson zvinokanganisa hutano hwepfungwa:

• Kuzvidya mwoyo.
• Kuchinja kwemanzwiro, hunhu, kana maitiro.
• Kuora mwoyo.
• Mamiriro ezvinhu apo pfungwa nemanzwiro zvinokanganiswa uye zvakaoma kusiyanisa chokwadi nenhema (psychosis).

Zviratidzo zvine chekuita nemaziso

Vanhu vazhinji vane chirwere chaWilson vane mhete dzegirini, dzegoridhe, kana dzebrown (mhete dzeKayser-Fleischer) dzakatenderedza cornea (chikamu chitema cheziso). Mhete idzi dze "Kayser-Fleischer" dzinokonzerwa nekuunganidzwa kwemhangura muziso. Chiremba wako anogona kuona mhete idzi panguva yekuongororwa kwemaziso (bvunzo yemwenje inotsvedza).

Vanhu vazhinji vane zviratidzo zvinokanganisa tsinga uye vanoonekwa vaine chirwere chaWilson vane "mhete dzeKayser-Fleischer." Inenge hafu yevanhu vane zviratidzo zvinokanganisa chiropa chete ndivo vanogona kuona mhete idzi.

Zvimwe zviratidzo zvechirwere chaWilson

Chirwere chaWilson chinogonawo kukanganisa dzimwe nhengo dzemuviri wako, zvichikonzera zviratidzo zvakaita se:

• Kushaya ropa kunokonzerwa nekuputsika kwemasero eropa.
• Matambudziko emapfupa nemajoini (arthritis kana osteoporosis).
• Chirwere chetsandanyama dzemwoyo `(cardiomyopathy)`.
• Matambudziko eitsvo (renal tubular acidosis kana matombo eitsvo).

Chii chinokonzera chirwere chaWilson?

Chikonzero chikuru chechirwere chaWilson ikushanduka kuri mujini rinonzi ATP7B . Jini iri ndiro rinobvisa mhangura yakawandisa mumuviri wedu.

Kazhinji, chiropa chinoburitsa mhangura yakawedzerwa muropa (bile). Bhuru iri rinochengetwa munduru. Rinobatsira kugaya chikafu. Bhuru rinobvisa mhangura, pamwe chete nehumwe huturu netsvina, kubva mumuviri kuburikidza nenzira yekugaya. Kana uine chirwere cheWilson, chiropa chako chinoburitsa mhangura shoma muropa. Izvi zvinoita kuti mhangura yakawedzerwa igare mumuviri wako.

Ndingagara nhaka chirwere chaWilson here?

Ehe, unogona kugara nhaka yekuchinja kuri mujini reATP7B rinokonzera chirwere chaWilson. Izvi zvinoreva kuti kuchinja uku kunopfuudzwa kubva kumubereki mumwe kuenda kune mumwe. Kuti munhu awane chirwere chaWilson, anofanira kugara nhaka majini maviri asina kunaka - rimwe kubva kuna amai vake nerimwe kubva kuna baba vake (autosomal recessive) .

Vanhu vane jini rimwe reATP7B risina mutation uye rimwe rine mutation havabate chirwere chaWilson. Asi ndivo vanotakura chirwere ichi. Izvi zvinoreva kuti, zvichienderana nemamiriro emajini emumwe wavo, vanogona kupa jini rine hutano, mamiriro emutakuri, kana chirwere ichi kuvana vavo.

Chirwere chaWilson chinoonekwa sei? (Kuongororwa)

Kuti vaongorore chirwere chaWilson, chiremba wenyu achabvunza nezvenhoroondo yemhuri yenyu yezveutano uye nhoroondo yenyu yezveutano kuti aedze kuona kana zviratidzo zvenyu zvingave zvakakonzerwa nechirwere ichi.

Vanachiremba vachakuongororai kuti vaone kana paine zvimwe zviratidzo zvinoratidza matambudziko echiropa, uropi, kana maziso. Panguva yekuongororwa kwemaziso, chiremba achaita bvunzo ye "slit-lamp." Iyi bvunzo inoshandisa mwenje wakakosha kutsvaga "Kayser-Fleischer rings."

Kana zvichifungidzirwa kuti chirwere chaWilson chakakonzerwa, chiremba wako acharaira kuti ropa neweti zviongororwe.

Ndezvipi zviedzo zvinoshandiswa kuongorora chirwere chaWilson?

Chirwere chaWilson chinowanikwa kuburikidza nekuongororwa kweropa, kuongororwa kweweti, kuongororwa kwemajini, kana kuongororwa kwechiropa.

Kuongororwa kweropa

Kuongororwa kweropa kunogona kuongorora zvinhu zvakawanda zviri muropa rako:

• Ceruloplasmin: Ceruloplasmin ipuroteni inotakura mhangura muropa. Vanhu vane chirwere chaWilson vane huwandu hwakaderera hweceruloplasmin.
• Mhangura: Vanhu vane chirwere chaWilson vanogona kunge vaine mhangura yakawanda kana yakaderera muropa ravo.
• Alanine transaminase (ALT) uye aspartate transaminase (AST): ALT neAST ma enzymes echiropa anowedzera kana chiropa chakuvara.
• Masero matsvuku eropa: Vanhu vane chirwere chaWilson vanogona kunge vaine masero matsvuku eropa mashoma (anemia).

Kana mimwe miedzo yekurapa isingakwanise kusimbisa kana kubvisa chirwere chaWilson, chiremba wako anogona kuraira kuti kuongororwa ropa kuonekwe kana paine shanduko yemajini inokonzera chirwere chaWilson.

Kuongororwa kweweti kwemaawa makumi maviri nemana

Mukati memaawa makumi maviri nemana, uchatora weti yako kumba, mumudziyo wakakosha usina mhangura wakapihwa nachiremba wako. Rabhoritari ichaongorora huwandu hwemhangura muweti yako. Vanhu vane chirwere chaWilson vane mwero wemhangura wakakwira kupfuura wakajairika.

Kuongororwa kwechiropa

Kana bvunzo dzeropa neweti dzikasakwanisa kusimbisa kana kubvisa chirwere chaWilson, chiremba wako anogona kuraira kuti chiropa chako chiongororwe. Mukuita uku, chiremba wako anotora sampuli diki yenyama kubva muchiropa chako. Nyanzvi yezvirwere inoongorora nyama yacho nemaikorosikopu kuti ione zviratidzo zvezvirwere zvechiropa zvakaita sechirwere chaWilson, kukuvara kwechiropa, uye cirrhosis. Chidimbu chenyama yechiropa chinotumirwa kurabhoritari kuti chiongororwe kana chine copper.

Miedzo yemifananidzo

Kana uine zviratidzo zvine chekuita netsinga dzako, chiremba wako anogona kushandisa bvunzo dzemifananidzo kuti aone zviratidzo zvechirwere chaWilson kana zvimwe zvirwere muuropi. Izvi zvinogona kusanganisira:

• MRI (Kufungidzira Magadzirirwo Emagineti)
• `X-ray`
• `CT scan` (Computerized Tomography Scan)

Chirwere chaWilson chinorapwa sei?

Chinangwa chikuru chekurapa chirwere chaWilson ndechekuderedza huwandu hwemhangura ine chepfu mumuviri wako, kudzivirira kukuvara kwenhengo dzemuviri, uye kudzivirira zviratidzo zvinoitika kana nhengo dzisingashande zvakanaka . Kurapa kunosanganisira:

• Kutora mishonga inobvisa mhangura mumuviri (chelating agents - semuenzaniso D-penicillamine, Trientine, Tetrathiomolybdate).
• Kutora zinc kudzivirira kunyudzwa kwemhangura kubva mudumbu.
• Kudya chikafu chine mhangura shoma.

Vanhu vane chirwere chaWilson vanoda kurapwa kwehupenyu hwese. Kana kurapwa kukamiswa, chiropa chinogona kutadza kushanda zvakanaka. Chiremba wako achaita bvunzo dzeropa neweti nguva dzose kuti aone kuti kurapwa kuri kushanda zvakanaka sei.

Ndeipi mishonga yekurapa chirwere chaWilson?

Chiremba wako anogona kukupa mishonga yakasiyana-siyana yekuderedza huwandu hwemhangura mumuviri wako.

Vamiririri veChelating

Mishonga inouraya utachiona inoshanda nekubvisa mhangura mumuviri wako. Mienzaniso yeiyi inosanganisira:

• Penicillamine
• Trientine

Kana kurapwa kwatanga, vanachiremba vanowedzera zvishoma nezvishoma mushonga we chelating agents. Mishonga yakawanda inodiwa kusvika mhangura yakawandisa mumuviri yabviswa. Kana zviratidzo zvechirwere chaWilson zvadzikama uye bvunzo dzaratidza kuti mhangura yave padanho rakachengeteka, chiremba anogona kunyora mishonga ye chelating agents yakaderera semushonga wekuchengetedza. Kurapa kwekuchengetedza kwehupenyu hwese kunodzivirira mhangura kuti isaungane zvakare.

Mishonga iyi inogona kuva nemigumisiro yakaipa, saka zvakakosha kubvunza chiremba wako kana uchida kutora mamwe ma supplements, akadai semavitamini, kana kutora matanho ekudzivirira usati wavhiyiwa.

Zingi

Zinc inodzivirira kunyudzwa kwemhangura kubva mudumbu. Chiremba wako anogona kukupa zinc senzira yekuchengetedza mushure mekubvisa mhangura yakawandisa nemishonga inouraya utachiona. Kana uine chirwere chaWilson asi usina zviratidzo, chiremba wako anogona kukupa zinc.

Chirwere chaWilson chinorapwa sei panguva yekuzvitakura?

Kana uine pamuviri, unofanira kubvunza chiremba wako kuti ungabata sei chirwere cheWilson panguva yese yekuzvitakura kwako. Nekuti mwana ari mudumbu anoda mhangura shoma, chiremba wako anogona kukupa mishonga yekubvisa dumbu ine mwero mudiki. Zvinogona kubatsira kuva nachiremba wezvekubereka anoziva nezvechirwere cheWilson.

Bvunzawo chiremba wako kana zvakachengeteka kuyamwisa mwana paunenge uchirapwa chirwere chaWilson.

Ndezvipi zvekudya zvausingafaniri kudya kana uine chirwere chaWilson?

Kana uine chirwere cheWilson, chiremba wako anogona kukukurudzira kuti usadye zvimwe zvekudya zvine mhangura yakawanda. Zvikuru sei, unofanira kudzivisa:

• Hove dzemashellfish, dzakadai semaclams nema oysters
• Chiropa

Zvimwe zvekudya zvine mhangura yakawanda:

• Chokoreti
• Muchero wakaomeswa
• Bhinzi dzakaomeswa nepizi
• Howa
• Nzungu (dzakadai semacashew, nzungu)

Mushure mekunge huwandu hwemhangura yako hwadzikiswa nekurapwa uye kurapwa kwatanga, taura nachiremba wako nezvekuti ungadya here zvimwe zvezvikafu izvi zvine mwero.

Kana mvura yemupombi yako ichibva mutsime kana kuti ichipinda nemumapaipi emhangura, tarisa huwandu hwemhangura mumvura yako. Ungangodawo kushandisa sefa yemvura kubvisa mhangura mumvura yako yepombi.

Kana uri kufunga nezvekutora mishonga yekuwedzera, yakadai semavhitamini, taura nachiremba wako usati watora mishonga iyi. Mimwe mishonga yekuwedzera inogona kunge iine mhangura.

Pane matambudziko aripo here pakurapwa?

Chirwere chaWilson chinogona kukonzera matambudziko, asi kuzivikanwa nekukasika uye kurapwa kunogona kuderedza njodzi yekukanganisa. Mishonga inoshandiswa kurapa chirwere chaWilson inogonawo kuva nemigumisiro, saka bvunza chiremba wako kuti chii chaunofanira kungwarira.

Kukundikana kwechiropa zvakanyanya

Chirwere chaWilson chinogona kukonzera kutadza kushanda kwechiropa zvakanyanya. Apa ndipo apo chiropa chinongoerekana charasikirwa nekushanda zvakanaka pasina yambiro. Vanhu vanosvika 5% vane chirwere chaWilson vane kutadza kushanda kwechiropa zvakanyanya panguva yekuongororwa. Chirwere ichi chingada kuisirwa chiropa.

Vanhu vane chirwere cheWilson's disease vanowanzovawo nechirwere cheitsvo chinonzi hemolytic anemia.

Kurwara neCirrhosis

Cirrhosis chirwere chinotapukira chiropa chine hutano chinotsiviwa nenyama ine mavanga, zvichiita kuti chiropa chisakwanise kushanda zvakanaka. Mavanga aya anovharawo kufamba kweropa muchiropa kusvika pamwero wakati. Sezvo cirrhosis ichienderera mberi, chiropa chinotanga kusashanda zvakanaka.

Pakati pe35% ne45% yevanhu vanoonekwa vaine chirwere chaWilson vane chirwere checirrhosis panguva yekuongororwa.

Kurwara nechirwere cheCirrhosis kunowedzera njodzi yekubatwa nekenza yechiropa. Zvisinei, vanachiremba vakaona kuti vanhu vanobatwa nechirwere cheCirrhosis nekuda kwechirwere chaWilson vane mikana mishoma yekubatwa nekenza yechiropa kupfuura avo vanobatwa nechirwere cheCirrhosis nekuda kwezvimwe zvikonzero.

Kukundikana kwechiropa

Chirwere cheCirrhosis chinogona kupedzisira chakonzera kutadza kushanda kwechiropa. Kukundikana kushanda kwechiropa kunoitika kana chiropa chako chakuvara zvakanyanya zvekuti chinomira kushanda. Izvi zvinonziwo chirwere chechiropa chekupedzisira. Dambudziko iri rinogona kuda kuisirwa chiropa.

Matambudziko echirwere chaWilson anorapwa sei?

Kana chirwere chaWilson chichikonzera cirrhosis, chiremba wako anogona kukwanisa kurapa matambudziko ako nemishonga kana kuvhiyiwa.

Kana chirwere chaWilson chichikonzera kutadza kushanda kwechiropa zvakanyanya kana kutadza kushanda kwechiropa kwenguva refu nekuda kwechirwere chechiropa, ungangoda kuisirwa chiropa. Vamwe vanhu vanoisirwa chiropa vanopora zvizere kubva kuchirwere chaWilson. Asi chiremba wako achakutarisa zvakanyanya kuti ave nechokwadi chekuti kuisirwa kwacho kwabudirira.

Ndichanzwa zviri nani kwenguva yakareba sei mushure mekurapwa?

Kurapwa kwechirwere cheWilson inzira yehupenyu hwese . Nguva yaunotora kuti unzwe zviri nani inoenderana nekuoma kwezviratidzo zvako. Zvisinei, mushure memwedzi mina kusvika mitanhatu yekurapwa, zvichiteverwa nekurapwa nguva dzose, zviratidzo zvako zvinogona kudzikira zvakanyanya. Chiremba wako achaita bvunzo nguva dzose kuti aone kuti kurapwa kwechirwere chako cheWilson kuri kushanda zvakanaka sei. Iye achagadzirisawo mushonga wako kuti ukwane zvinodiwa nemuviri wako.

Kana ndine chirwere chaWilson, chii chandinofanira kutarisira?

Zvichienderana nekuongororwa kwawakaitwa, ungave uine zviratidzo zvine chekuita nechirwere chaWilson kana kuti kwete. Kana uine zviratidzo, zvinogona kuisa hupenyu panjodzi kana ukasawana kurapwa. Chinhu chakakosha ndechekutevedzera hurongwa hwekurapa hwachiremba wako kuti ubvise mhangura ine chepfu mumuviri wako uye kudzivirira kukuvara kwenhengo dzemuviri.

Chirwere chaWilson chirwere chehupenyu hwese, uye hapana mushonga. Chirwere chaWilson chisati charapwa chine nguva pfupi yekurarama. Vanhu vanoonekwa vaine chirwere chaWilson vobva vaita interception yechiropa vane nguva yakanaka yekurarama. Zvisinei, kunyangwe mushure mekuisirwa chiropa, vanofanirwa kugara pasi pekutarisirwa nachiremba kweupenyu hwavo hwese.

Chirwere chaWilson chinogona kudzivirirwa here?

Chirwere chaWilson chinokonzerwa nekuchinja kwemajini kwakagara nhaka, saka hachigone kudzivirirwa. Kana uine nhoroondo yemhuri yechirwere chaWilson, taura nachiremba wako nezvekuongororwa kwemajini kuti unzwisise njodzi yako yekubata chirwere chaWilson kana kuva nemwana ane chirwere ichi chemajini.

Ndingazvitarisira sei?

Kana uine chirwere cheWilson, unogona kuzvitarisira nekutora mishonga yako sezvakarairwa nachiremba wako uye kubvisa zvekudya zvine mhangura yakawanda kubva mukudya kwako. Nekurapwa, unogona kuderedza zviratidzo zvako uye kudzivirira matambudziko anotyisidzira hupenyu.

Ndinofanira kuona chiremba wangu rini?

Kana zviratidzo zvechirwere cheWilson zvikawedzera, kunyanya kana zvakambova nani, unofanira kuona chiremba wako. Izvi zvinogona kureva kuti mushonga wako unofanira kuchinjwa.

Kana zviratidzo zvechirwere chako cheWilson zvichikutadzisa kuita mabasa ako ezuva nezuva, kunyanya kana usingakwanise kudya, uchirutsa nguva dzose, uchinzwa psychosis, ganda rako richichinja ruvara rweyero (jaundice), kana kuti une kurwadziwa kwakanyanya mudumbu, enda kuchipatara nekukurumidza kana kufonera 911.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

• Ndichada kuisirwa chiropa here?
• Ndezvipi migumisiro yemishonga inorayirwa kurapa chirwere chaWilson?
• Kana ndikaita pamuviri, mwana wangu achabatwa nechirwere chaWilson here?
• Ndingatora mushonga wangu here kana ndikaita pamuviri?
• Ndinofanira kutora mushonga wamakanyorera kwenguva yakareba sei?

Pakupedzisira, yeuka (Mharidzo Yekuenda Kumba)

Kuongororwa nekukurumidza uye kurapwa kwechirwere cheWilson ndiyo nzira dzakanakisisa dzekurapa chirwere ichi chehupenyu hwese. Ungangoda kuchinja mararamiro ako kuti uderedze mhangura mukudya kwako. Iva nechokwadi chekuona chiremba wako kuti uve nechokwadi chekuti kurapwa kwako kuri kushanda kuderedza huwandu hwemhangura mumuviri wako. Kurapa kwakakodzera kunogona kukubatsira kuti uve nani uye kudzivirira matambudziko anotyisidzira hupenyu. Usavhunduke, chinhu chakakosha kuziva uye kutevedzera zano rachiremba wako.

Chirwere chaWilson , mhangura, chiropa, uropi, zvirwere zvemajini, cirrhosis, mhete dzeKeiser-Fleischer