Imiyoborere Yuzuye yo Kudacunga Abakuze

Kutanyurwa bisobanura gutakaza ubushobozi bwuruhago rwawe cyangwa amara. Ntabwo ari kunanirwa kugiti cyawe. Nikibazo cyubuzima, kandi urashobora kugicunga.

Kutagira inkari bikunze kugaragara mu bantu barengeje imyaka 60. Ubushakashatsi bwakozwe na Aly n'abandi. wasangaga ibibazo byo kugenzura uruhago muri 80% byabagore barengeje imyaka 60. Kwirengagiza ibibazo byo kutagira ingaruka bigira ingaruka kubuzima bwawe, icyubahiro, nubuzima bwa buri munsi. Nyamara ubufasha burahari, kandi intambwe nto akenshi zizana ihumure nyaryo.

Ukwiriye ibisubizo byukuri ninkunga ifatika. Uku gucunga kutayobora kuyobora abakuze barashobora kwizera bitangirana nigitekerezo kimwe cyoroshye: vuga kumugaragaro, kandi ukore kare. Imiyoborere myiza itangirana no gusobanukirwa.

Ibyingenzi

• Kutiyumanganya nikibazo gisanzwe cyubuzima, ntabwo ari kunanirwa kugiti cyawe, kandi urashobora kugicunga nintambwe nto.

• Gerageza imyitozo y'uruhago hamwe n'imyitozo ya pelvic hasi kugirango imitsi ikomere kandi ugabanye kumeneka.

• Hindura ibyo urya n'ibinyobwa kugirango wirinde ibintu bibabaza uruhago rwawe no kwirinda kuribwa mu nda.

• Tora iburyo ibicuruzwa bikurura kugirango ugume neza kandi urinde uruhu rwawe.

• Baza umuganga wawe ibyapa byo kuburira hamwe nuburyo bwo kuvura kugirango bigufashe kugenzura neza uruhago rwawe.

Sobanukirwa no Kudahagarika Inkari mubantu bakuze

Guhindura umubiri kwinshi bizamura ibyago byo kutagira inkari kubantu bakuze. Bamwe udashobora kuyobora. Abandi urashobora guhinduka. Iki gice gisobanura impamvu nubwoko bwingenzi.

Impamvu zisanzwe hamwe ningaruka ziterwa

Imyaka izana imitsi igera kuri 3-5% kumyaka icumi. Ibi bigabanya imitsi ifata uruhago. Estrogene yo hepfo nyuma yo gucura ituma ingirangingo zoroha. Uruhago narwo rufite inkari nke mugihe runaka. Imiterere yubwonko nkibimenyetso bya Alzheimer na Parkinson bitiranya uruhago. Prostate nini irashobora gutera abagabo. Hysterectomie, diyabete, inkorora, na sclerose nyinshi nabyo bitera ibyago. Inkari kutanyurwa mubantu bakuze gake gake bifite impamvu imwe.

Impamvu zimwe ushobora guhinduka. Ikawa, icyayi, inzoga, ibinyobwa bya gaz, nibiryo bya acide birashobora gutuma byihutirwa. Indwara zifata inkari zituma wumva ko ukeneye kugenda kenshi. Uburemere burenze bushyira impagarara. Imibereho yo kwicara igabanya intege hasi. Kuribwa mu nda hamwe n'imiti imwe n'imwe birashobora gutuma ibimenyetso birushaho kuba bibi. Bwira muganga wawe kubyerekeye byombi. Gusobanukirwa kudashaka mubasaza bisobanura kurebera hamwe ibyo bintu byose.

Ubwoko Bukuru bwo Kudashaka

Gusobanukirwa impamvu abantu bakuze bafite ikibazo cyo kutagira inkari bitangirana n'ubwoko. Buri bwoko bufite impamvu zitandukanye no gukosora gutandukanye.

Guhangayika bisobanura kumena inkari mugihe cyo kuniha. Kwihutira kutavuga bisobanura kwihuta gutunguranye ntushobora guhagarara. Kurengana birenze bisobanura gutembera kenshi kuva mu ruhago rwuzuye. Kudakora neza bisobanura inzira yinkari ikora neza, ariko arthrite cyangwa guta umutwe bihagarika umusarani mugihe. Kwita izina ubwoko buyobora imiyoborere myiza. Irinda uruhago kandi ifasha hamwe kutitonda kubantu bageze mu zabukuru . Ifasha kandi kudacika intege kubantu bakuze umunsi kuwundi.

Uburyo bwimyitwarire yo gucunga ibidashoboka mubusaza

Tekinike yimyitwarire ntacyo itwaye kandi nta ngaruka mbi. Basubiramo umubiri kandi bakubaka imbaraga. Urashobora gutangira inzira zombi muri iki cyumweru.

Amahugurwa y'uruhago hamwe no guta igihe

Igihe cyo guta igihe bivuze ko ujya mu musarani kuri gahunda, ntabwo iyo wumva ubishaka. Ivuriro rya Cleveland riratanga inama yo gusiba uruhago buri masaha abiri cyangwa atatu, nubwo waba utumva ko ugomba kugenda. Ubushakashatsi bushigikira iyi njyana. Ubushakashatsi bwinshi, kuva Ouslander mu 1988 kugeza Schnelle mu 1995, bwakoresheje gahunda ihamye y’ubwiherero bw’amasaha abiri hamwe n’abatuye mu kigo cyita ku bageze mu za bukuru. Urashobora gukoresha igitekerezo kimwe murugo.

Gerageza iyi gahunda yoroshye. Shiraho ingengabihe ya buri masaha abiri cyangwa atatu kumunsi. Fasha umuntu kumusarani kuri buri mwanya, yaba yumva cyangwa adakeneye. Bika igitabo cyanditse cya wet kandi yumye mugihe cyicyumweru. Ikirangantego cyerekana ibishushanyo, hamwe nuburyo bwo kuyobora.

Huza gahunda na gahunda y'amazi. Tanga ibinyobwa byinshi hagati ya mugitondo na nimugoroba. Mugabanye amazi mbere yamasaha abiri cyangwa atatu mbere yo kuryama. Irinde cafeyine n'inzoga, bibabaza uruhago. Uku guhuza gukora umugongo wa imiyoborere idahwitse kubasaza.

Imyitozo ya Pelvic Igorofa hamwe nu murongo wubwiherero

Imyitozo ngororamubiri ya pelvic, bakunze kwita Kegels, ikomeza imitsi ishyigikira urethra na rectum. Iyi mitsi irashobora gucika intege imyaka, kubyara, kubagwa, cyangwa umubyibuho ukabije. Imitsi ikomeye igarura neza uruhago no kugenzura amara. Ubushakashatsi bwerekana imyitozo ya pelvic igabanya kumeneka haba mumaganya no gusaba inkari.

Dore uko wakora Kegel neza:

1. Gabanya imitsi nkaho ugerageza kutanyura gaze. Komeza inda, amaguru, n'ibibuno.

2. Komeza gukanda amasegonda 3, hanyuma uruhuke amasegonda 5 kugeza 10.

3. Ongeramo isegonda 1 mucyumweru kugirango ufate kugeza ugeze kumasegonda 10.

4. Subiramo inshuro 10 kumasomo, ugamije amasomo 3 kugeza 8 kumunsi.

Ntukitoze Kegels mugihe urimo kwihagarika. Iyo ngeso irashobora kwangiza uruhago mugihe runaka. Hagarara urebe muganga niba imyitozo itera ububabare cyangwa ntizitezimbere nyuma y'amezi 3 kugeza 4.

Imyitozo ngororangingo ya pelvic ikora imyitozo ya buri munsi, nko koza amenyo cyangwa kureba amakuru ya mugitondo. Inanga ihamye ikora inkoni isanzwe. Huza imyitozo ya pelvic imitsi hamwe namahugurwa y'uruhago kubisubizo bikomeye. Hamwe hamwe bakemura intege nke zimitsi nibyihutirwa.

Gahunda yubwiherero yuzuza ishusho. Tanga urugendo mu bwiherero mbere yo kuva mu rugo, nyuma yo kurya, na mbere yo kuryama. Gucunga kutitonda mubakuru biroroha mugihe gusura umusarani byateganijwe. Gucunga ubudahangarwa kubantu bageze mu zabukuru nabyo biratera imbere mugihe abarezi bahise bitonda kandi nta gitutu. Gucunga neza abantu bakuze bishingiye kuri izi ngeso nto, zihamye. Gucunga ibinini byabasaza bisaba kwihangana, kandi gucunga inkari bisaba guhuzagurika. Ubu buryo bwo kuyobora buhemba byombi. Kudahagarika inkari byitabira neza imyitozo yimitsi ya pelvic, kandi imiyoborere idahwitse iratera imbere mugihe ukurikirana iterambere buri cyumweru.

Imibereho no Guhindura Ibidukikije

Indyo, Amazi, hamwe no Kwitaho

Ibyo urya n'ibinyobwa bigira ingaruka ku ruhago rwawe rukubwira kugenda. Impinduka nto mumenyero yawe ya buri munsi irashobora koroshya inkari zidafite imiti. Tangira kuri ibi byahinduwe:

• Mugabanye ibinyobwa birimo cafeyine (ikawa, icyayi, cola) n'inzoga, ariko komeza unywe amazi.

• Intego y'ibirahuri bine kugeza kuri bitandatu by'amazi cyangwa ibinyobwa bidafite cafeyine buri munsi. Amazi make cyane atuma ubwiherero bwawe butabaza bisanzwe, kandi inkari zikomeye zibabaza uruhago.

• Kumanywa nijoro, reka kunywa amasaha abiri cyangwa atatu mbere yo kuryama.

• Kurikiza gahunda y'amazi kugirango wongere uruhago. Gabanya ibinyobwa nyuma ya saa kumi n'ebyiri z'umugoroba kugirango ugabanye ingendo zo mu bwiherero bwa nijoro.

• Gabanya ibintu bibabaza uruhago, nka cafeyine, inzoga, ibiryo birimo citrusi, n'itabi.

• Irinde igogora hamwe nimirire ikungahaye kuri fibre namazi ahagije. Amara yuzuye asunika ku ruhago kandi bigatuma ibimenyetso birushaho kuba bibi.

Gahunda y'amazi yanditse igufasha kubona imiterere. Kurikirana ibyo unywa nigihe ibibyimba bibaye icyumweru. Iyi nyandiko yoroshye ishyigikira ibyiza imiyoborere idahwitse kandi iha umuganga wawe ibimenyetso byingirakamaro.

Urugo Guhindura Umutekano n'icyubahiro

Ubwiherero bwawe bugomba kumva butekanye mugihe ukeneye kugenda gitunguranye. Shyiramo utubari dukomeye kuruhande rwumusarani no kwiyuhagira kugirango uhamye. Hitamo ubwiherero bwubwiherero bwa santimetero 17-19 kugirango wicare kandi uhagarare byoroshye. Shira hasi hasi kunyerera kugirango wirinde kugwa mugihe cyingendo zihutirwa. Kuraho itapi irekuye hamwe na clutter itera kugenda. Komeza ubwiherero na koridoro byaka cyane cyane nijoro. Kode yo kuryama cyangwa umusarani wikuramo bifasha mugihe kuzenguruka bigoye.

Amabanga afite akamaro nkumutekano. Shushanya umwanya wubwiherero ufite ibitekerezo byihariye, harimo ubwiherero bworoshye, kugirango urinde icyubahiro. Izi mpinduka zirinda uruhago no kugabanya imihangayiko ishobora gutera kumeneka. Nibyiza kutita ku rugo murugo byombi imiterere itekanye kubaha uyikoresha.

Guhitamo Ibicuruzwa bidasobanutse hamwe na Chiaus

Ibicuruzwa bidasobanutse nigikoresho kimwe gifasha muri gahunda yawe rusange. Bakora neza hamwe ningamba zimyitwarire nubuzima hejuru. Ntabwo basimbuza imyitozo yimpago cyangwa imyitozo yo hasi. Bongeyeho gusa urwego rwumutekano mugihe izo ngeso zitangira gukurikizwa.

Chiaus ikora impuzu zikuze, ipantaro yo gukurura, hamwe no kudashyira munsi kubintu bitandukanye. Isosiyete ifite impamyabumenyi ya FDA, ISO, na OEKO-TEX mubyangombwa byayo byiza. Abatanga ibicuruzwa barashobora kandi gusaba serivisi ya OEM na ODM kubicuruzwa byabigenewe.

Guhuza ibicuruzwa kubikenewe

Huza ibicuruzwa kuri ni bangahe usohora na gahunda zawe za buri munsi. Isubiramo ryibigeragezo byateganijwe wasangaga nta gishushanyo cyiza kuri buri wese. Guhitamo neza biterwa nuburinganire, imiterere, nigihe cyumunsi. Isubiramo ryerekana kandi ko kuvanga ibishushanyo, nkibicuruzwa bimwe kumunsi nindi nijoro, bishobora gukora neza kandi bigatwara make kuruta gukoresha ubwoko bumwe gusa.

Reba ibimenyetso bitonyanga kumupaki. Ibitonyanga byinshi bisobanura kwinjirira hejuru. Abakuze bakora cyane bakunda guhitamo ipantaro yo gukora ingendo. Abakuze baryamye barashobora gukenera byose-muri-imwe hamwe ninkunga yinyongera. Kutitonda munsi kurinda uburiri n'intebe nkigice cyinyuma.

Bikwiye, Kwita ku ruhu, hamwe ninama zo kujugunya

Guhuza neza birinda kumeneka no kumeneka kwuruhu. Gupima ikibuno n'amatako ugereranije n'imbonerahamwe y'ubunini mbere yo kugura. Hindura ibicuruzwa buri gihe, kabone niyo byaba bitose. Sukura uruhu kuri buri mpinduka ukoresheje ubwitonzi, pH-buringaniye, butagira impumuro nziza. Kata uruhu rwumye aho kuryama. Koresha amavuta yo kwisiga cyangwa amavuta yo gukingira kugirango urinde uruhu.

Fata ibicuruzwa byakoreshejwe inzira nziza:

1. Wizike ibicuruzwa byakoreshejwe mumufuka.

2. Shyira mu myanda.

3. Ntuzigere ujugunya mu musarani.

Izi ngeso zirinda ubuzima bwuruhu kandi zigasukura urugo rwawe. Imiyoborere myiza idahwitse ihuza ibicuruzwa byiza hamwe no kwita kuri buri munsi.

Igihe cyo Gushaka Ubufasha bwo Kudahagarika Inkari

Kumeneka bimwe nibibazo ushobora gukemura murugo. Ibindi bisohoka ni ikimenyetso cyuko ikindi kintu gikeneye kwitabwaho. Kumenya itandukaniro birinda ubuzima bwawe kandi biguha amahoro yo mumutima.

Ibimenyetso byo kuburira bikeneye umuganga

Ntutegereze igenzura ryateganijwe mugihe ibimenyetso bimwe bigaragara. Ibimenyetso bimwe byerekana ibibazo bikeneye kwitabwaho byihuse. Koresha iyi mbonerahamwe nkuyobora.

Amaraso mu nkari zawe cyangwa gutwika mugihe ushonje birashobora kuba ikimenyetso cya a kwandura inkari . Umuriro ufite ububabare bwo ku ruhande ukeneye kwitabwaho ako kanya. Intege nke cyangwa kunanirwa mu maguru no mu kibuno bikwiye guhamagarwa byihutirwa. Ibi bimenyetso birashobora kwerekana ibibazo byimitsi irenze ibintu byoroshye.

Gutemba gutunguranye akenshi biva mubibazo byinkari cyangwa imiti mishya. Zana urutonde rwawe rwose rw'imiti gusurwa. Vuga kandi igogora, kuko rishobora gutuma ibimenyetso birushaho kuba bibi.

Ibyo abatanga ubuvuzi bashobora gutanga

Ubufasha burahari, kandi butangirana n'intambwe yoroshye. Utanga ibintu ashobora gutangira umurongo wambere wita kubwoko bwose bwinkari. Ibi bikubiyemo kukwigisha uko umeze, ihinduka ryimyitwarire, estrogene yo mu gitsina iyo ihuye, imyitozo yimitsi ya pelvic hasi, kugenzura ibiro, kugenzura amazi, no kwirinda ibintu bibabaza uruhago.

Niba umurongo wa mbere kwitaho bidahagije, uwaguhaye serivisi afite amahitamo menshi:

1. Guhitamo umurongo wa kabiri harimo ibinini, ibikoresho birwanya kumeneka nka pessary, neuromodulation, hamwe no kubaga.

2. Utanga isoko agenzura ibimenyetso byinshi byateye imbere nyuma y'amezi abiri utangiye kwivuza.

3. Kubibazo bitesha umutwe bitaba byiza, baza kubijyanye na pessary ikwiranye nuwabitanze.

4. Kubimenyetso byihutirwa bikomeza, uwaguhaye serivisi arashobora gutanga imiti hanyuma akongera kugenzura mugihe cyibyumweru bitandatu.

5. Niba kuvura bikunanira, saba kohereza urologiya cyangwa urogynecology.

Imiti yo kwihutirwa igabanya ibice hafi 30-60% kumunsi. Koresha witonze mubantu bakuze. Anticholinergique irashobora gutera umunwa wumye, kuribwa mu nda, kuzunguruka, no kutabona neza. Gukoresha igihe kirekire bifitanye isano ningaruka zo guta umutwe. Beta-3 agoniste ikundwa kubantu bafite cyangwa bafite ibibazo byo gutekereza. Umuguzi wawe arashobora kugenzura inkari zisigaye nyuma yo gushishoza niba utanze raporo yuzuye ubusa. Bazahagarika ibiyobyabwenge niba uterekanye ko nta terambere ryukuri nyuma yibyumweru 12 kurwego rwo hejuru.

Inzobere zitanga ubuvuzi buhanitse bwo kumeneka. Muri byo harimo kubyutsa imitsi ya tibial nervice, uburozi bwa onabotulinum A kurasa mumitsi y'uruhago, na neuromodulation sacral. Pessary nigikoresho cyo murwego rwo kwa silicone igikoresho gishyigikira ijosi ryuruhago. Utanga amahugurwa yahuguwe arabikwiye, kandi umuganga abigenzura buri mezi atatu kugeza kuri atandatu. Kubaga kumeneka harimo gushiramo inkari. Kubyimba bifite ibyago bike kandi bikwiranye nabarwayi bafite intege nke. Hagati ya urethral ibice ni byo byizwe neza, hamwe nitsinzi ryinshi.

Imicungire myiza isobanura guhuza imiti yo kutagira inkari kubwoko bwawe, uko ari bibi, n'intego zawe. Baza ibibazo. Zana ibimenyetso byawe. Wowe hamwe nuwaguhaye serivisi urashobora kubaka gahunda irinda kugenzura uruhago kandi ikagarura ikizere cya buri munsi.

Igitabo cyo Kwita ku Basaza Kutita ku Barezi

Kubungabunga Icyubahiro no Gushyikirana Gufungura

Iyi mfashanyigisho yita ku bageze mu za bukuru itangira kububaha. Amagambo ukoresha yerekana uko umuntu yumva ameze kumiterere ye. Toranya ururimi rworoheje, rukuze. Vuga 'ubwiherero ' cyangwa 'ubwiherero ' aho kuvuga 'inkono. ' Vuga 'ibintu byita kumuntu 'aho kugirango ' impapuro. 'Aya mahitamo mato arinda icyubahiro mugihe cyose cyo kwita kubintu bidahwitse.

Tangira ibiganiro bikomeye mugihe gituje, wiherereye. Gerageza: 'Ndashaka kumenya neza ko wumva umerewe neza. Turashobora kuvuga kubyumva bikugoye? ' Noneho umva nta rubanza. Reka umuntu asangire gucika intege cyangwa ipfunwe. Reba kandi ibimenyetso bitavuze. Kuruhuka cyangwa kurakara bitunguranye birashobora kwerekana ubwiherero bukeneye badashobora kuvuga. Tanga amahitamo, nkibicuruzwa wakoresha cyangwa igihe cyo guhinduka. Shishikarizwa gusohokana no kwitegura, bityo bamenye ko kudaceceka bidasobanura. Iki gitabo cyita ku barezi gifata kugenzura uruhago nkikibazo cyubuzima, ntabwo ari ibanga riteye isoni.

Kurinda abarezi gutwikwa

Gucunga kutitonda mubakuru bisaba imbaraga zihamye. Reba ibimenyetso byo kuburira muri wewe. Umunaniro uhoraho, guhora uhangayitse, cyangwa kurakara kubintu bito byose byerekana umunaniro. Kutitaho ibintu byongera ibibazo byayo, nko kumva uri hafi mugihe ibikoresho bitangiye. Fata izi ntambwe kugirango wirinde:

1. Kuruhuka igihe ubishoboye, hanyuma ufate ikiruhuko gito kumunsi.

2. Emera ubufasha buva mumuryango kandi utekereze kubitaho.

3. Kurya buri gihe, gumana amazi, kandi ufate urugendo rugufi hanze.

4. Injira mumatsinda yita kubarezi kandi ukomeze guhuza inshuti.

5. Shiraho imipaka kandi urebe nawe wenyine.

Mugabanye umunaniro wicyemezo hamwe na gahunda zoroshye. Bika ibikoresho ahantu hamwe hanyuma usubire mbere yo gukora hasi. Gapakira igikapu cyo gusohoka hamwe inyongera ngufi , guhanagura, no guhindura imyenda. Niba imihangayiko yumva idashobora gucungwa, hamagara utanga ubuvuzi cyangwa umujyanama. Ubuyobozi bw'abarezi bukora neza mugihe umurezi agumye neza. Kuvura neza inkari zirimo kwiyitaho wenyine.

Kutanyurwa birasanzwe. Irashobora kandi gucungwa. Ubu ufite ishusho isobanutse: gusobanukirwa ibitera, gerageza ingamba zifatika, shakisha inkunga yumwuga, no kwita kumarangamutima munzira. Uku gucunga kutayobora kuyobora abantu bakuru barashobora kwishingikiriza kubibyimba kugeza bihamye, ibikorwa bito.

Tangira intambwe imwe cyangwa ebyiri muri iki cyumweru. Shiraho gahunda yubwiherero buri masaha abiri cyangwa atatu. Andika uruzinduko rwa muganga kubyerekeye inkari zawe. Buri ntambwe yubaka ikizere kandi ikarinda kugenzura uruhago.

Icyubahiro ni icya buri muntu mukuru. Shigikira ibibazo kubarezi nabo. Urashobora guhura no kutanyurwa n'ubumenyi, kwihangana, n'impuhwe. Iterambere riza umunsi umwe umwe.

Ibibazo

Ni kangahe ukwiye guteganya kuruhuka?

Shiraho ingengabihe buri masaha abiri cyangwa atatu kumunsi. Fasha umuntu kumusarani kuri buri kibazo, kabone niyo atabishaka. Kurikirana igenzura ritose kandi ryumye icyumweru kimwe. Injyana yoroshye igizwe nurufatiro rwimiyoborere myinshi yo kuyobora abantu bakuru bakurikira murugo.

Imyitozo ya pelvic irashobora kugabanya rwose kumeneka?

Yego. Ubushakashatsi bwerekana imyitozo ya pelvic igabanya kumeneka haba mumaganya no gusaba ubwoko. Kanda nkaho ufashe gaze inyuma, fata amasegonda atatu, hanyuma uruhuke. Kubaka kugeza kumasegonda icumi kumasegonda. Huza imyitozo hamwe ningeso ya buri munsi kugirango gahunda ikomeze.

Nibihe bicuruzwa bikurura bikwiranye n'umucyo uremereye?

Huza ibicuruzwa nuburyo usohora. Imirongo hamwe nudupapuro duto duto duto duto. Imyenda y'imbere ikingira hamwe na bigufi bikwiranye nubunini bunini. Abakuze bigufi bakora akazi ko kwambara ijoro ryose. Ibicuruzwa bidahwitse bishyigikira gahunda yawe hamwe namahugurwa yimpago nimpinduka zubuzima.

Ese kugabanya amazi bifasha kumeneka?

Ntabwo ari rwose. Kunywa bike cyane byibanda ku nkari kandi bikarakaza uruhago. Intego y'ibirahuri bine kugeza kuri bitandatu by'amazi cyangwa ibinyobwa bidafite kafeyine buri munsi. Mugabanye amazi mbere yamasaha abiri cyangwa atatu mbere yo kuryama. Iyi mpirimbanyi ishyigikira kugenzura uruhago idateye ibibazo bishya.

Ni ryari umurezi agomba guhamagara umuganga?

Hamagara ako kanya amaraso mu nkari, umuriro ufite ububabare bwo ku ruhande, cyangwa kunanirwa mu maguru no mu kibuno. Raporo kandi yamenetse yangiza cyangwa ihungabanya ubuzima bwa buri munsi. Ubufasha bwambere butuma kutagira inkari kubantu bakuze byoroshye kuvura. Imiyoborere myiza idahwitse iyobora abantu bakuru bakuze kwizera buri gihe harimo inkunga yumwuga.