
2026-04-09
Kuvura kanseri y'umwijima mu 2026 bikubiyemo uburyo bwo kubaga buhanitse, kuvura indwara, gukingira indwara, hamwe n'ubuhanga bwo gutabara bujyanye n'indwara. Ubusanzwe ikiguzi kiva kumadorari 7,000 yo kubagwa hakiri kare kugeza hejuru ya 70.000 $ yo kuvura byimazeyo icyiciro cya nyuma kirimo uburyo bushya bwo gufata ibiyobyabwenge. Ibitaro bikomeye muri Beijing na Chengdu ubu bitanga amahitamo agezweho nka TACE hamwe no kuvura indwara-immunite, kugera ku kigero cyo kurwanya indwara.
Imiterere ya kuvura kanseri y'umwijima byahindutse cyane muri 2026, biva muburyo bumwe bwo guhuza ingamba zihamye. Ibigo by’ubuvuzi mu Bushinwa, cyane cyane i Beijing na Chengdu, byinjije ubwenge bw’ubukorikori mu bikorwa byo gusuzuma no kwemeza amahame y’ubufatanye ku isi mu gupima amavuriro.
Iterambere rya vuba ryibanda ku kwagura ubuzima muri rusange (OS) no kubaho nta terambere (PFS) binyuze mu kwemeza ibiyobyabwenge bishya. Kwinjiza ubuvuzi gakondo bwabashinwa hamwe na oncologiya igezweho mubigo byihariye bitanga inzira yuzuye, mugihe ibitaro byo murwego rwo hejuru bikomeza ubufatanye nibigo mpuzamahanga byubuvuzi nka UPMC kugirango habeho ubumenyi bwisi yose.
Muri iki gihe abarwayi bungukirwa na “arsenal” nini y’intwaro zo kuvura, harimo imiti cumi n'itandatu n’ikoranabuhanga ririndwi ryavuzwe mu ntangiriro za 2026.Ibishya bishya bigamije gukemura ibibazo by’indwara ya kanseri y’umwijima (HCC) ndetse n’indwara ziterwa na metastatike, bitanga ibyiringiro aho inzira zabanje zari nke.
Icyerekezo cyibanze muri 2026 ni intambwe igana ku buvuzi bwihariye butwarwa na geneti ya genoside hamwe nisesengura rya biomarker. Ibitaro biragenda bikora nkibigo byubushakashatsi, bikora ibizamini bya Phase II na III byemerera abarwayi kubona hakiri kare imiti mishya yiperereza mbere yo kwemezwa nisoko ryagutse.
Iyindi mpinduka ihambaye ni uguhuza inama ya Multi-Disciplinary Team (MDT). Ibigo bikuru bya kanseri ubu bitegeka MDT gusuzuma buri kibazo kitoroshye, bakemeza ko abaganga ba oncologue babaga, abaganga, n’imirasire bafatanya muri gahunda imwe yo kuvura. Ubu buryo bugabanya ubwitonzi butandukanye kandi bugahindura ibisubizo.
Ibikoresho byubuzima bwa digitale nabyo byabaye intangarugero. Sisitemu yo kwisuzumisha ifashwa na AI ifasha abahanga mu bya radiologue gutahura ibikomere hakiri kare kandi neza, mugihe ibigo byubushakashatsi bwubuvuzi bwa digitale bisesengura imibare nini kugirango hamenyekane ibisubizo by’abarwayi ku buryo bwihariye bwo kuvura indwara.
Umwaka wa 2026 ni umwanya w'ingenzi kugira ngo imiti igire uruhare muri kanseri y'umwijima, abakozi benshi b'ingenzi bemerewe n'amategeko cyangwa bagera ku ntambwe zikomeye zo kugerageza. Iyi miti yibasira inzira yihariye yo kubuza ikibyimba no kongera ubushobozi bwumubiri bwo kurwanya kanseri.
Inzego zishinzwe kugenzura Ubushinwa na Amerika zihutishije gahunda yo gusuzuma ibyiringiro byo kuvura. Icyerekezo cyibanze cyane kubuvuzi bwa mbere buhuza tyrosine kinase inhibitor (TKIs) hamwe na inhibitor immunite, byerekana imikorere isumba iyindi mitiweli ishaje.
Lenvatinib, izwi mu bucuruzi nka Lenvima, ikomeje kuba urufatiro rwo kuvura HCC idashoboka. Muri Nyakanga 2025, yakiriye icyemezo gishya cyerekana ibimenyetso mu Bushinwa kugira ngo gikoreshwe hamwe na pembrolizumab na Transarterial Chemoembolisation (TACE).
Ubu buryo bwa "TACE + Target-Immune" bugereranya ibikorwa byambere byemewe kwisi yose bihuza ubu buryo butatu. Ubuvuzi buvuye mu cyiciro cya III LEAP-012 bwerekanye amezi 24 muri rusange ubuzima bwo kubaho bwa 75% kubitsinda rihuriweho, burenga 69% bigaragara mumatsinda yo kugenzura.
Ubuzima bwo hagati butabaho butabaho (PFS) kubarwayi kuri ubu buvuzi butatu bwageze ku mezi 14,6, iterambere rikomeye mu mezi 10.0 yagaragaye hamwe n'ubuvuzi busanzwe. Iki cyemezo cyemeza ingamba zo gutera ikibyimba hakoreshejwe uburyo bwinshi icyarimwe: guhagarika amaraso, kubuza ibimenyetso byikura, no gukora ubudahangarwa bw'umubiri.
Urwego rw’imiti mu gihugu cy’Ubushinwa rumaze gutera intambwe byemejwe na Finotonlimab (SCT-I10A), recombinant yumuntu wanduye anti-PD-1 IgG4 antibody ya monoclonal yakozwe na Sinocelltech. Byemejwe mu ntangiriro za 2025 kuri HCC, ikoreshwa kenshi hamwe na bivimilars ya bevacizumab.
Igeragezwa rya Clinical ryagaragaje igipimo cyo gusubiza (ORR) cya 33% cyo guhuza, hejuru cyane ya 4% mumatsinda yo kugereranya. Abarwayi bahuye na PFS yo hagati y'amezi 7.1 na OS yo hagati y'amezi 22.1, ibyo bikaba byagabanutseho 40% ibyago byo gupfa ugereranije no kugenzura.
Uyu muti utanga ubundi buryo buhendutse kubarwayi bo mu Bushinwa, butanga ubuvuzi buhanitse nta giciro cyo hejuru gikunze guhuzwa n’ibinyabuzima bitumizwa mu mahanga. Intsinzi yayo irashimangira ubushobozi bugenda bwiyongera bwibigo bya biotech byaho guhatanira kurwego rwisi.
Mu iterambere rikomeye ryo kumenyekana kwisi yose, camrelizumab ya Medicine ya Hengrui ifatanije na apatinib yakiriwe na FDA yo muri Amerika kugirango isuzumwe mu ntangiriro za 2026.Iyi porogaramu igamije kuvura umurongo wa mbere kuri HCC idashobora gukemurwa cyangwa metastatike.
Gahunda yerekanaga OS yo hagati y'amezi 22.1 na PFS yo hagati y'amezi 5.6 mubigeragezo byisi byitabiriwe nabitabiriye 543 mubihugu 13. Itariki yo gufata ibyemezo ya FDA yashyizweho muri Nyakanga 2026, birashoboka ko iyi ishobora kuba amahitamo-yubuvuzi ku isi yose.
Ishoramari ryinshi mu bushakashatsi, hafi miliyari 3.2 z'amafaranga y'u Rwanda, ryerekana ubushake bwo guteza imbere amakuru akomeye yujuje ubuziranenge mpuzamahanga. Uku kwemerwa gushobora kuvugurura isoko ryisi yose yo gukingira kanseri yumwijima.
Gusobanukirwa ningaruka zamafaranga ya kuvura kanseri y'umwijima ni ingenzi ku barwayi n'imiryango iteganya kwita. Ibiciro biratandukanye cyane ukurikije icyiciro cyo gusuzuma, uburyo bwo kuvura bwatoranijwe, aho uherereye, ndetse n’ibiyobyabwenge byatumijwe mu mahanga cyangwa byo mu rugo bikoreshwa.
Mu 2026, amafaranga yose yakoreshejwe arashobora kuva kumadolari 7,000 yo gutangira kubaga hakiri kare kugeza ku madorari arenga 70.000 yo gucunga neza ibyiciro byerekeranye no guhinduranya cyangwa gukingira indwara igihe kirekire. Ubwishingizi hamwe n'inkunga ya leta bigira uruhare runini mu kugabanya ayo mafaranga.
Kanseri y'umwijima yo hambere, isanzwe ivurwa no kubaga cyangwa gukuraho radiofrequency, muri rusange itanga amafaranga ari hagati ya $ 7,000 na $ 21,000. Ibi bikubiyemo kwisuzumisha mbere yo kubaga, uburyo bwo kubaga ubwabwo, anesteziya, n'amafaranga yo mu bitaro.
Ku ndwara ziciriritse, aho intervention ihujwe nubuvuzi bugamije, amafaranga asanzwe agabanuka hagati y $ 14,000 na 28.000. Igiciro cyisubiramo cya TKI yo munwa nka lenvatinib cyangwa sorafenib igira uruhare runini kuriyi mibare, kuko iyi miti ifatwa ubudahwema.
Kanseri yatinze cyangwa metastatike isaba ubuvuzi bwuzuye, harimo chimiotherapie, immunotherapy, hamwe nuburyo bwo gutabara. Ibiciro hano birashobora kwiyongera kugeza $ 21,000 - $ 42,000 cyangwa arenga. Niba guhindurwa umwijima bibaye ngombwa, fagitire yose, harimo guhuza abaterankunga n’imiti yo kurwanya kwangwa ubuzima bwabo bwose, irashobora kugera ku madolari 35.000 kugeza 70.000.
Ubuvuzi bugenewe bugize igice kinini cyibiciro byo kwivuza bikomeje. Ibiyobyabwenge bitumizwa mu mahanga nka sorafenib cyangwa lenvatinib birashobora kugura amadolari 2.800 na $ 4.200 buri kwezi mu mijyi yo mu cyiciro cya mbere. Mu mijyi yo mu cyiciro cya kabiri, ibiciro bishobora kuba bike kubera politiki y'ibiciro by'akarere.
Ubundi buryo bwo murugo nka apatinib butanga amahitamo ahendutse, hamwe nibiciro bya buri kwezi kuva $ 700 kugeza $ 1,400. Iyo uhujwe na biologiya nka bevacizumab, amafaranga yinyongera ya buri kwezi angana na $ 700 kugeza $ 1100 agomba gutegurwa.
Gukurikirana buri gihe nabyo ni ikintu. Kwerekana amashusho hamwe no gupima imikorere yumwijima, bisabwa buri byumweru bike kugirango usuzume igisubizo kivurwa, ongeraho amadorari 110 kugeza 210 kuri buri gusura. Umwaka urenga, ibiciro byinyongera birundanya, bisaba gutegura neza imari.
Inzira zintera nka Transarterial Chemoembolisation (TACE) zirasanzwe mugucunga ikibyimba cyaho. Isomo rimwe risanzwe rigura hagati ya $ 2.800 na $ 7,000. Abarwayi benshi bakeneye amasomo menshi, akenshi atatu kugeza kuri atanu, bakwirakwira mumezi menshi.
Ibiciro byo kuvura imirasire biterwa nikoranabuhanga ryakoreshejwe. Amasomo asanzwe ya radiotherapi ashobora kugura $ 1,400 kugeza $ 4.200 kuri buri cyiciro. Nyamara, tekinoroji yubuhanga igezweho nka proton beam therapy, irinda ingirabuzimafatizo nziza, irashobora kurenga $ 14,000 kumasomo.
Ubuvuzi bwaho bwaho nka microwave cyangwa gukuraho radiofrequency ntabwo bihenze cyane, kuva $ 2.800 kugeza $ 5,600 kuri buri nzira. Ibi bikunze guhitamo kubyimba bito cyangwa abarwayi badakandida kubagwa bikomeye.
Guhitamo ikigo cyubuvuzi gikwiye nibyingenzi kugirango bigerweho neza. Ubushinwa bufite ibitaro byinshi byo ku isi by’inzobere mu ndwara z’umwijima, bifite ibikoresho bigezweho by’ikoranabuhanga hamwe n’itsinda ry’impuguke zizwi. Pekin na Chengdu bigaragara nk'ahantu hambere hitaweho kuvura kanseri y'umwijima mu 2026.
Ibi bigo ntabwo bitanga serivisi zamavuriro gusa ahubwo binagira uruhare runini mubikorwa byubushakashatsi ku isi. Benshi bafite impamyabumenyi nkibigo byita ku mavuriro (GCP) kandi bagafatanya na bagenzi babo mpuzamahanga kuzana imiti igezweho ku barwayi.
Pekin yakiriye ibikoresho byinshi byo mu rwego rwo hejuru byahariwe onkologiya. Ibitaro byihariye byibibyimba hamwe nicyiciro rusange cya gatatu-A ibitaro bitanga serivisi zuzuye za kanseri yumwijima. Ibi bigo bikunze kugenwa nkibice byo gusuzuma kanseri hakiri kare hamwe na MDT yo kugisha inama.
Ikigo kimwe gikomeye kirimo ishami riyobowe ninzobere zifite uburambe bwimyaka irenga 30 mu kubaga hepatobiliary. Itsinda ryabo ryinzobere mu kuvura ibintu bigoye, gucunga neza imiyoboro y'amazi, no guhinduranya umwijima indwara zanyuma. Babonye ibihembo byinshi byubumenyi n’ikoranabuhanga mu iterambere.
Ubufatanye ninzego mpuzamahanga nka kaminuza yubuvuzi ya kaminuza ya Pittsburgh (UPMC) byongera ubushobozi bwabo. Ubwo bufatanye bworohereza guhanahana tekinike zo kubaga no kugera ku mavuriro y’isi yose, bigatuma abarwayi bahabwa ubuvuzi bujyanye n’imikorere myiza mpuzamahanga.
Byongeye kandi, ibyo bitaro byashyizeho ibigo byubushakashatsi bwubuvuzi. Mugukoresha AI mugusuzuma no gufasha mugutegura ubuvuzi, batezimbere neza kwisuzumisha kandi bagahitamo ingamba zo kuvura, bagashyiraho igipimo cyubuvuzi bwubwenge muri oncology.
Chengdu ni ikindi kigo cyingenzi cyo kuvura kanseri y'umwijima mu burengerazuba bw'Ubushinwa. Ibitaro by’Ubushinwa byo muri kaminuza ya Sichuan biragaragara nk’ibitaro binini bya Grade-A byuzuye kandi bifite ubumenyi bwimbitse ku ndwara z’umwijima. Ibikoresho byayo byateye imbere nimbaraga zikomeye za tekiniki bituma ihitamo ahantu hagoye.
Ibitaro bya Kanseri ya Sichuan, ikigo cyihariye cya oncology, cyibanda gusa ku gusuzuma no kuvura kanseri. Ifite ibikoresho bya radiotherapi bigezweho hamwe nitsinda ryabaforomo babigize umwuga ryita ku kurwanya ingaruka ziterwa na kanseri ikaze.
Ibitaro bya gatatu byabantu ba Chengdu bitanga imbaraga zidasanzwe mumashami yacyo ya Hepatology na Gastroenterology. Azwiho uburyo bwihariye bwo gusuzuma no gucunga, itanga ubuvuzi bwuzuye kubibazo bitandukanye bya hepatobiliary, harimo na malariya.
Byongeye kandi, Ibitaro Bikuru by’Ubuyobozi bwa Gisirikare bya Chengdu bizwi cyane kubera ishami ry’ubuvuzi bwa hepatobiliary, inzobere mu mavuriro mu majyepfo y’iburengerazuba bw’Ubushinwa. Iratangaje cyane mu kubaga umwijima no kuvura byoroheje, bivura urwego rwa tekinike mu gihugu hose.
Ku barwayi bashishikajwe n’ubuvuzi bwuzuye, Ibitaro bishamikiye kuri kaminuza ya Chengdu y’ubuvuzi gakondo bw’Abashinwa bihuza imiti gakondo n’ibiti bigezweho. Ubu buryo bwuzuye bushyigikira gukira kwabarwayi no gucunga ibimenyetso hamwe nubuvuzi busanzwe.
Guhitamo inzira ikwiye yo kuvura biterwa nibintu bitandukanye birimo ingano y'ibibyimba, aho biherereye, imikorere y'umwijima, n'imikorere y'abarwayi. Hano haribigereranyo byuburyo bwambere bwo kuvura buboneka muri 2026 kugirango bufashe gusobanukirwa ninshingano zabo zitandukanye.
| Uburyo bwo kuvura | Ibintu by'ingenzi biranga | Icyifuzo Cyiza |
|---|---|---|
| Kubaga | Intego yo gukiza; ikuraho ikibyimba burundu; bisaba kubika umwijima uhagije. | Icyiciro cya mbere HCC hamwe n'ibibyimba byonyine kandi nta gutera imitsi. |
| Guhindura Umwijima | Gusimbuza umwijima urwaye; ikiza kanseri hamwe na cirrhose; bigarukira kubaterankunga baboneka. | Icyiciro cya mbere HCC mubipimo bya Milan; abarwayi bafite cirrhose yangiritse. |
| Gukuraho Ahantu (RFA / MWA) | Ntibisanzwe; isenya ikibyimba ikoresheje ubushyuhe; igiciro gito kuruta kubaga. | Ibibyimba bito (<3cm); abarwayi ntibakwiriye kubagwa bikomeye. |
| TACE (Interventional) | Ihagarika gutanga amaraso + itanga chemo mugace; ikiraro cyangwa ikiraro. | Hagati ya HCC; ibibyimba byinshi bidafite gukwirakwira bidasanzwe. |
| Ubuvuzi bugamije (TKI) | Imiti yo mu kanwa; ibuza ibimenyetso byo gukura kw'ibibyimba; burigihe burimunsi. | Iterambere ridasubirwaho HCC; akenshi bihujwe no gukingira indwara. |
| Immunotherapy (PD-1 / PD-L1) | Ikora sisitemu yubudahangarwa yibasira kanseri; gushingira; ubushobozi bwo gusubiza igihe kirekire. | HCC; umurongo wa mbere cyangwa umurongo wa kabiri ukurikije guhuza. |
| Radiotherapy (SBRT / Proton) | Imirasire ikabije; kudatera; Ibice bikikije imyenda. | Ibibyimba byaho bidakwiriye gukurwaho; portal vein trombose. |
Buri buryo bwo kuvura butwara inyungu nimbibi. Gusobanukirwa ibi bifasha mugushiraho ibyifuzo bifatika no gufata ibyemezo byuzuye mubyumvikanyeho nabashinzwe ubuvuzi.
Kuyobora urugendo rugoye rwo kuvura kanseri y'umwijima birashobora kuba byinshi. Uburyo bunoze butuma abarwayi bahabwa ubuvuzi bwihuse kandi bukwiye. Intambwe zikurikira zerekana inzira isanzwe kuva gukekwa kugeza gutangira kwivuza.
Kwitabira ibizamini byamavuriro bitanga uburyo bwo kuvura bigezweho mbere yuko biboneka henshi. Ibitaro byinshi byo hejuru i Beijing na Chengdu byemewe na GCP, bikora ibizamini bya Phase II na III kumiti mishya.
Abarwayi biyandikishije muri ibyo bigeragezo bakunze gukurikiranirwa hafi no kuvurwa byimazeyo nta yandi mafaranga yiyongera kumiti yiperereza. Kuganira kubijyanye no kwemererwa na muganga wawe birashobora gukingura amarembo yubuvuzi bushya nka PD-1 inhibitor cyangwa uburyo bushya bwo guhuza ibishya.
Byongeye kandi, gutanga umusanzu mubushakashatsi bwamavuriro bifasha guteza imbere umurima, bigirira akamaro abarwayi bazaza. Amakuru yatanzwe muri ubu bushakashatsi ni ishingiro ry’amabwiriza mashya no kwemezwa, bigatuma habaho ihindagurika ry’ubuvuzi bwa kanseri y'umwijima.
Ubumenyi bwa Teoretiki bwunguka agaciro iyo bukoreshejwe muburyo nyabwo. Gusuzuma imyirondoro isanzwe y’abarwayi yerekana uburyo inzira zitandukanye zo kuvura zatoranijwe hashingiwe ku miterere yihariye y’ubuvuzi 2026.
Tekereza umurwayi wasuzumwe hakiri kare HCC yagaragaye mugihe cyo kwisuzumisha bisanzwe. Hamwe n'ikibyimba gito gito hamwe n'imikorere y'umwijima yabitswe, barashobora kubagwa. Nyuma yo kubagwa, barashobora kwandikirwa imiti igamije kuvura kugirango itazongera kubaho, bakurikije protocole iheruka gushingira ku bimenyetso.
Mu bundi buryo, umurwayi agaragaza indwara yo hagati-yerekana udusimba twinshi ariko nta gukwirakwira kure. TACE ihujwe na immunotherapy irashobora kuba inzira isabwa. Izi ngamba zombi zigamije kugabanya ibibyimba byaho mugihe bitera ubudahangarwa bw'umubiri gufata micrometastase.
Kubibazo byateye imbere aho kubaga atari amahitamo, intumbero ihinduka kuramba no gukomeza ubuzima bwiza. Gahunda ya TKI yo mu kanwa hiyongereyeho IV immunotherapie, birashoboka ko harimo ibikoresho bishya byemewe nka finotonlimab, bihinduka bisanzwe. Inkunga yo kuvura indwara ihuriweho hakiri kare kugirango ikemure ibimenyetso kandi itange ubufasha bwimitekerereze.
Mu turere tumwe na tumwe nka Chengdu, guhuza Ubuvuzi gakondo bw'Abashinwa (TCM) hamwe na oncologiya isanzwe ni ikintu cyihariye. Ibitaro bifitanye isano na kaminuza ya TCM bitanga ubuvuzi hamwe aho imiti y’ibimera ishyigikira imikorere yumwijima no kugabanya uburozi buterwa na chimiotherapie.
Iyi moderi yibikorwa ntabwo isimbuza ubuvuzi busanzwe ahubwo irayuzuza. Abarwayi bavuga ko ubushake bwo kurya, gusinzira neza, no kwihanganira imiti ivura ubukana. Ubuyobozi bwuzuye buvuga abantu bose, bugahuza no kwibanda ku kwita ku barwayi.
Icyakora, ni ngombwa ko inyongeramusaruro iyo ari yo yose iganirwaho nitsinda rya oncology kugirango birinde ibiyobyabwenge. Ubuyobozi bw'umwuga buteganya ko guhuza umutekano bifite umutekano kandi bigahuza aho kubangamira.
Urebye muri 2026, ahazaza havura kanseri yumwijima bigaragara ko itanga icyizere hamwe no guhanga udushya. Ubushakashatsi bwibanze ku buryo bunoze bwo kwibasira hamwe no gukingira ibisekuruza bizaza bigabanya kurwanya.
Ubwenge bwa artificiel buteganijwe kugira uruhare runini kurushaho, atari mugupima gusa ahubwo no guhanura ibizavurwa no guhitamo gahunda yo kunywa. Impanga ya digitale yabarwayi barashobora kwigana uburyo ikibyimba cyakira imiti yihariye mbere yubuyobozi.
Ubuhanga bwo guhindura gen hamwe nubuvuzi bwa CAR-T nabwo burimo gukorwaho iperereza kubyibyimba bikomeye nka HCC. Mugihe bikiri mubyiciro byambere, ubu buryo bufite ubushobozi bwo gutanga uburyo bwo kuvura abarwayi bafite ibyiringiro bike.
Ubufatanye hagati yinzego zUbushinwa n’abafatanyabikorwa ku isi butuma aya majyambere azagerwaho vuba. Mugihe "intwaro" yo kurwanya kanseri y'umwijima yagutse, intego ihinduka kuva gusa kuramba ikagera no gukira igihe kirekire no gukira imikorere.
Umwaka wa 2026 ugereranya ibihe bihinduka muri kuvura kanseri y'umwijima, irangwa nuburyo butandukanye bwibiyobyabwenge bifatika, tekinoroji yo kubaga igezweho, hamwe nuburyo bwo kwita kubantu. Kuva byemejwe nuburyo bukomeye bwo guhuza nka Lenvatinib wongeyeho pembrolizumab kugeza kumenyekanisha kwisi yose udushya twimbere mu gihugu nka camrelizumab, abarwayi bafite amahitamo menshi kuruta mbere hose.
Nubwo ibiciro bishobora kuba ingirakamaro, kuva ku bihumbi kugeza ku bihumbi icumi by'amadolari bitewe n'ubuvuzi bugoye, kuba hari ubwishingizi, rusange mu gihugu, hamwe n'ibigeragezo bivura bifasha kugabanya imitwaro y'amafaranga. Guhitamo ibitaro bizwi hamwe nitsinda ryinshi rigizwe nintambwe ikomeye mugutwara uru rugendo.
Hamwe n’ubushakashatsi bukomeje n’ubufatanye mpuzamahanga, guhanura abarwayi ba kanseri y’umwijima bikomeje gutera imbere. Kumenya hakiri kare, hamwe niterambere rigezweho ryo kuvura, bitanga inzira ifatika iganisha ku mibereho yo kubaho no kuzamura imibereho y’abafite iyi ndwara itoroshye.