Abenshi bibaza impamvu abarwayi baterwa inshinge ku kibuno, kandi rimwe na rimwe atari ho barimo kubabara, n’igituma ari ho abaganga bahitamo gutera igihe cyose umuntu arwaye.

Inzego zifite aho zihuriye n’ubuzima zivuga ko hari uburyo butandukanye bwo gutangamo imiti, burimo ubwitwa Oral (kuwunyuza mu kanwa). Ubu ni uburyo umuti unyuzwa mu kanwa, ukinjira mu mubiri umuntu awumize, kugira ngo ugere mu gifu no mu mara mbere yo kwinjira mu maraso.

Imwe mu miti itangwa muri ubwo buryo irimo Ibinini (Tablets) bimirwa, utubuto tw’imiti dupfundikiye (Capsules), imiti inyobwa (Syrup) hamwe n’ifu cyangwa utundi tunyobwa tw’imiti tuvangwa n’amazi.

Ubundi buryo imiti itangwamo, ni ubwitwa, Parenteral route, aho umuti utangwa utanyujijwe mu kanwa cyangwa mu nzira y’igogora, ahubwo ugatangwa hakoreshejwe urushinge cyangwa ubundi buryo bwinjira mu mubiri.

Aha umurwayi ashobora guterwa urushinge mu mutsi (Intravenous (IV), mu mutsi w’inyama (Intramuscular (IM) hamwe no munsi y’uruhu (Subcutaneous (SC).

Inzego zifite aho zihuriye n’ubuzima zivuga ko hari imiti umurwayi ashobora guhabwa akawufata awunyujije mu kanwa ukaba udashobora kumukiza ububabare afite, bitewe no kuba wacibwa intege n’ibinyabutabire byihutisha cyangwa bigafasha imikorere n’imyitwarire y’uduce tugize umubiri (chemical reactions) mu mubiri, ari na yo mpamvu bahitamo kuba bawutera mu mutsi, kuko biworohereza kugera vuba mu maraso.

Dr. Hussein Nsabiyera, avuga ko buri nyama yo ku mubiri w’umuntu izengurutswe n’imitsi ijyana ikanagarura amaraso.

Ati “Ubwo rero nta hantu bihuriye no kuvuga ngo aho bateye ni ho hari uburwayi. Cyakora hari uburyo bwo kuvura igice gifite ikibazo, aho kuvura umubiri wose (Target oriented treatment), ugasanga hari imiti batera banyujije aho hari ikibazo. Ibyo rero bitandukanye no kuba bagutera umuti ugabanya ububabare (Pain killer) nko ku kibuno, wari urwaye umutwe.”

Ubundi ngo umubiri w’umuntu awigengaho, ku buryo agira uruhare mu guhitamo ikiwukorerwaho.

Dr Nsabiyera ati “Umurwayi ahitamo igihe icyo ari cyo cyose abishakiye uko yakorerwaho ikintu runaka, adashatse yewe n’uwo muti ntabwo yawuhabwa, bityo rero, inyama tuzigira ahantu hatandukanye. Tuzigira ku kibuno (Gluteal muscles), tukazigira ku kuboko (Deltoid muscle), ari na yo imenyereweho kuba bakingira ahanini cyane, bitanabujijwe ko hari igihe wakingirwa ku bibero, ibyo biterwa n’inkingo, bigaterwa n’ahantu uwo muti woroherezwa kugera vuba, ahantu ugomba gukora akazi kawo.”

Kuba abantu baterwa urushinge ku kibuno ngo ntabwo ari ihame kuko bashobora kuruterwa n’ahandi hose hari inyama ku mubiri w’umuntu.

Ati “Ntabwo ari ihame, ashobora kugutera ku kibuno kuko hari inyama, ariko nanone indi mpamvu ikomeye cyane yatuma umuganga ahitamo gutera ku kibuno, ni uko hari inyama nini, ituma ibice by’umubiri byagombaga guhungabanywa na rwa rushinge bitagerwaho. Iyo uyiteyeho biragora cyane kuba rwahita rwinjira mu mwakura (nerve), bikaba byagutera kugira pararize (Paralyze), cyangwa akaba yatera aho atagombye gutera nko mu mutsi, kuko aba ari inyama itarimo ibindi bintu biyivangiye.”

Yungamo ati “Ariko umurwayi aramutse avuze ati, jye ndashaka ko untera hano, biri mu burenganizira bwe, habaho kwigengesera k’umuganga akabikora. Ariko nanone igihe cyose tubwiye umurwayi icyo tumukorera, tubihuza n’impamvu, tukamubwira tuti, urabishaka ariko ingaruka zabyo mbi ni izi n’izi, ngaho nsinyira ahangaha. Ibyo birakorwa, umuntu akemera ko akorerwa ibintu bitemewe kubera ko abishaka, ariko akanemera ko za ngaruka ziri bubivemo ari buzirengere. Gusa nta nyama y’umwihariko utateramo umuti ngo ube utakora.”

Mu yandi magambo, inyama yose yo ku mubiri mu zo muganga Nsabiyera yatugaragarije muri iyi nkuru, ishobora guterwaho urushinge kandi umuti ugakora, igihe cyose wagiye neza mu mubiri, hatabayeho kugira ikindi gihungabanywa kitari iyo nyama nk’umutsi, umwakura cyangwa igufa.