Best and Worst Service Providers 2016

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Created on 19 October 2015 Written by DR. RACHNA PANDE
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Buri muntu wese agira icyo akora haba mu rugo, ku kazi, mu ruganda n’ahandi hose haba akazi cyangwa bizinesi. Ushobora kuba ukora umurimo ukubeshaho cyangwa utuma ubona ibyo umuryango ukeneye. Ndetse n’umwana nawe hari uturimo akora mu rugo kugira ngo afashe abandi.

 

Amaboko n’amaguru bigufasha mu gukora imirimo itandukanye  naho umugongo uba inkingi ishyigikira amaguru n’amaboko. Hashize ibinyejana byinshi umuntu yaravumbuye ubuhanga bumufasha gukora imirimo, ariko ibyo ntibyabujije ko habaho ibibazo byinshi bibangamira ubuzima . Bimwe muri ibyo bibazo ushobora kubyirinda bitewe n’uburyo uhagararamo cyangwa wicaramo igihe ukora akazi kawe.

 

Kimwe mu burwayi abantu bakunze guhura nabwo ni ukurwara umugongo. Ubwo burwayi bukunze kuza igihe umuntu ari igikwerere/ijigija cyangwa mu gihe cy’ubusaza ariko umuntu ashobora kugira ubwo burwayi akiri muto. Kumva umugongo wabaye nk’igiti ni bimwe mu biwutera kubabara. Urubyiruko rushobora kugira ikibazo cy’umugongo bitewe n’ukwirega kw’imikaya y’uruti rw’umugongo cyangwa kugorama k’urutirigongo.

 

Umugongo ushobora guterwa n’ibintu byinshi ariko ushobora kubyirinda. Kuko umuntu agenda akoresheje amaguru abiri, kubera uburemere umugongo urakora cyane, iyo umuntu awukoresheje nabi nka rasoro akihengeka uko ashatse umugongo urahababarira cyane bikawutera kurwara. Kwirinda umugongo ni ibintu byoroshye cyane. Umuntu agomba guhora ahagaze/yicaye neza adahese umugongo.

 

Niba ugiye gufata ikintu hasi ni byiza gupfukama, umugongo ugororotse hanyuma ugahaguruka utunamye. Ni byiza kwicara ku ntebe zikomeye inyuma aho ushyira umugongo aho kwicara ku ntebe zinepa inyuma aho wegamiza umugongo. Si byiza kuryama kuri matora zorohereye cyane kuko umugongo ntuba uri ahantu hawufasha gukora neza.

 

Iyo bibaye ngombwa ko uterura ikintu kiremereye ugomba kugiterurisha amaboko yombi kandi ukagifatira imbere. Ibi bituma umugongo utahangirikira.

 

Kugabanuka k’ubushobozi bwo kureba neza na cyo ni ikibazo gishobora kwirindwa. Kubera ko ikoranabuhanga cyane cyane ikoreshwa rya mudasobwa n’ibindi bikoresho nka televiziyo, za ayipadi rigenda ryiyongera usanga n’abana basigaye bambara indorerwamo zikomeye haba mu bihugu byateye imbere no mu biri mu nzira y’amajyamabere.

 

Abana bagomba kwigishwa ko atari byiza kureba televiziyo no kureba muri mudasobwa igihe kirekire. Si byiza kureba televiziyo uyegereye kuko byangiza amaso. Niba ukoresheje mudasobwa cyangwa urebye televiziyo igihe kirekire hanyuma ukaribwa mu maso, ni byiza gufunga amaso mu minota mike hanyuma ukayafungisha ibiganza kugira ngo imikaya y’amaso iruhuke.

 

Igihe usoma ugomba kugenzura ko urumuri atari ruke cyangwa rwinshi. Ugomba gukora ku buryo hatagira igicucu gihuma ipaji uri gusoma. Ibi bituma iyo usoma amaso adakoresha ingufu nyinshi bikaba byayaviramo kwangirika.

 

Hari ibindi bibazo by’ubuzima bishobora guterwa no gukoresha mudasobwa igihe kirekire. Kimwe muri ibyo ni ukumva hari utuntu tumeze nk’amahwa mu ntoki no mu kiganza. Kugira ngo ubyirinde  ni ukugabanya kwandika igihe kirekire.

 

Igihe wandika kuri mudasobwa ugomba gucishamo ukaruhuka kugira ngo akaboko karuhuke. Kubabara mu ijosi na byo biterwa no gukoresha mudasobwa igihe kirekire. Mu rwego rwo kwirinda icyo kibazo ni byiza gukoresha mudasobwa itegereye cyane amaso. Iyo wandika kuri mudasobwa ugomba kuba wicaye neza udahengamye ijosi riringaniye n’ibyo wandika.

Imodoka nazo zabaye igikoresho gisanzwe cy’ubuzima aho ugenda igihe kirekire ari yo ukoresha. Ariko iyo utwara imodoka hari ibyo ugomba kwitwararikaho kugira ngo wirinde ikibazo cy’umugongo, ijosi n’amaguru.

 

Naho ubundi abantu benshi basigaye barwara umugongo cyane, bakumva mu ijosi hari utuntu tubajomba tumeze nk’amahwa, mu maguru no mu maboko bikaba uko, akumva mu ntoki , mu maboko, mu maguru hari utuntu tudasanzwe tumurya, mbese mu bice byose by’umubiri bikoreshwa mu gutwara imodoka. Ibi bikunze kuba ku batwara imodoka ahantu harehare. Ndetse n’abagenzi bakunze kuribwa umugongo iyo bakoze urugendo rurerure mu modoka.

 

Ugomba kwitonda ukamenya niba umugongo udahetamye igihe utwara imodoka. Iyo utunganyije intebe neza ukumva umugongo ntuhagaze neza ugomba gushyiraho umusego inyuma kugira ngo utume umugongo uhagarara neza. Za retorovizeri n’ikirahuri kigufasha kureba inyuma bigomba kuba bitunganyije ku buryo ushobora kureba aho ushaka hose utunamye cyangwa ngo uhine ijosi.

 

Ugomba kwitwararika iyo utwara igare cyangwa moto. Ibyinshi muri ibi binyabiziga bikenera icyuma batera nk’umugeri kugira ngo bagihagurutse. Uko gukubita umugeri icyo kinyabiziga bitera ububabare akaguru cyangwa ikirenge ndetse n’umugongo iyo utabyitondeye. Ugomba gukandagira cya cyuma cyatsa moto umugongo uhagaze neza  kandi ugakandagira buhoro. Ibyo bikorwa ufata neza ikinyabiziga cyawe ugahora ugishyiramo amavuta kandi ugisukura.

Umugongo wawe ugomba guhora ugororotse ukirinda kunama igihe woga cyangwa usukura inzu. Ni byiza gukoresha amaboko abiri kugira ngo utananiza cyane ukuboko kumwe. Ibi ni byo bishobora gutera kumva ufite utuntu tukujomba mu maboko n’amaguru cyangwa  akagagara bitewe n’iyo mirimo.

 

Uburiri bukomeye bufite matora n’agasego gato bituma umuntu asinzira neza.

 

Indyo yuzuye ni ingenzi cyane mu kubungabunga umubiri wacu. Imyitozo ihoraho ituma amaguru n’amaboko ndetse n’umubiri wose muri rusange ukora neza. Iyo wise ku ndyo yuzuye , ugakora imyitozo ngororamubiri buri munsi kandi ugahora uhagaze neza utunama cyangwa ngo wihengeke cyane bituma ugira ubuzima bwiza.

 

Dr. Rachna Pande ni Inzobere mu buvuzi bw’indwara zitandukanye

 

 

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Created on 17 July 2015 Written by Dr. Rachna Pande
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Many people after 35-40 years of age, particularly office workers start complaining of pain in the neck and/or pain in one or both arms, hands, fingers or shoulders. This pain commonly comes after working continuously for some time. They may also have abnormal sensations like tingling, numbness, e.t.c. in their limbs.

One of the main reason for these complaints is “cervical spondylosis”. “Cervical spondylosis”, is a condition of de- generation of the spine in the neck. Though it occurs due to advancing age, it appears early in life as compared to other degenerative changes because the neck is a very delicate part. It supports the head and is put through a lot of movement and stress with the head movements for practically all day time activities of a person.

Reading or writing for long hours continuously with the neck bent makes one more prone to cervical spondylosis. Working on a computer for a long time also increases the risk. Cervical spondylosis is the result of all these activities. Using high pillows while sleeping also exposes one to the risk of cervical spondylosis. With a high pillow, the alignment of the spine at neck does not remain level with the rest of the spine thus putting it to stress.

As the neck is subjected to stress for multiple reasons, space between the vertebrae (bones of the joints of the spine) is reduced, thus causing pain in the neck on movement. Small new bones called osteophytes are formed between the vertebrae. Compression of nerves by these osteophytes is the cause of numbness, tingling and pain in the affected area. The symptoms may be felt in the neck, shoulders, upper back, arms, forearms, fingers or hands depending on the location of the osteophytes.

At times carotid arteries that supply blood to the brain may be compressed by the osteophytes or reduced space between vertebrae, causing dizziness while walking. One may also get paralysis of up- per and/or lower limbs due to blood supply to the brain being curtailed. These symptoms also depend on the site of degenerative changes in the neck. Damage higher up in the neck can involve all 4 limbs, whereas changes in the middle or lower part of neck can manifest as more localized problems in the limbs. Blood supply to the inner part of the ear may be com- promised by the osteophytes, causing dizziness and tinnitus, i.e. hearing abnormal sounds inside the ear.

Cervical spondylosis cannot be cured by medication, all that can be done is prevent further progress. The first

useful step to remove high pillows while sleeping. Ideally, “no pillow”, is best, but if necessary, one should use a very thin, hard and even pillow. Avoid bending the neck while working. For example, during reading and writing one can place the book/copy at the level of the eyes. Similarly, turn round completely to look back instead of turn- ing just the neck.

Calcium supplements are useful to prevent and reduce osteoporosis. If neck exercises are done regularly they are also very useful for those who suffer from spondylosis. Exercise helps to retain flexibility of the neck and pre- vents further progression of spondylosis.

Those suffering from severe spondylosis are advised to wear a cervical collar. This supports the neck and minimizes movement which gives relief from pain and other troublesome symptoms. Cervical spondylosis is a change that occurs with aging in some people and with pre- cautions, one can lead a near to normal life even with the condition.

 

Dr. Rachna Pande is a specialist in Internal medicine at Ruhengeri Hospital
E-mail – rachna212002@yahoo. co.uk

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