Sobanukirwa nuburyo masike ya resiveather ikora: umuyobozi wawe ugana ogisijeni mumfashanyo yambere - Zhongxing

Mubihe byihutirwa aho guhumeka buri humeka, gusobanukirwa ibikoresho ufite birashobora gukora itandukaniro. Iyi ngingo yinabira cyane mwisi ya masike yo kuvugurura, gusobanura uko bakora n'impamvu ari ngombwa muri imfashanyo yambere n'ubuvuzi. Niba ushaka kumva ibikoresho bya Gutanga ogisijeni Kandi urebe neza ko ufite ubumenyi bukwiye, iki gitabo ni icyawe. Tuzasenya ibintu byoroshye muburyo bworoshye, bworoshye gusobanukirwa uko iyi masike ishobora kuzigama ubuzima.

1. Ni ubuhe buryo butari bwo muri mask ya resive kandi ari ngombwa?

A mask itari isubikwa ni umwihariko isura ya mask ikoreshwa mubuvuzi kuri Tanga uburyo bwa ogisijeni. Bitandukanye na mask yoroshye, yagenewe gutanga a Kwibanda cyane bya ogisijeni kubarwayi babikeneye byihutirwa. Tekereza nk'intambwe hejuru Gutanga ogisijeni Iyo umuntu akeneye ibirenze ubufasha buke guhumeka.

Ni ryari ari ngombwa? Tekereza scenarios aho umuntu arwana Uhumeka bihagije, wenda kubera guhumeka umwotsi, Uburozi bwa karubone, cyangwa igitero gikomeye cya asima. Muri ibi bihe bikomeye, a mask itari isubikwa ihinduka ingenzi. Iremeza ko umurwayi yakiriye hejuru cyane kwibanda kuri ogisijeni ugereranije nibyo bazabona mubyumba cyangwa bisanzwe isura yoroshye. Ibi bituma bigira igikoresho gikomeye muri imfashanyo yambere, ibyumba byihutirwa, no kubarwayi bafite ubuhumekero.

2. Nigute masike ya resivel ikora kugirango itange ibitekerezo byinshi bya ogisijeni?

Amarozi ya Amasos Norvery Akazi aryamye mu gishushanyo mbonera. Izi masike ntabwo ari gusa masike yoroshye ya ogisijeni; Baringaniza gukora neza. Ibice by'ingenzi ni isura ya mask ubwayo, niyihe igifuniko the izuru n'umunwa, a Umufuka wibigega yometse kuri mask, nurukurikirane rwa inzira imwes.

Dore gusenyuka: mu Umufuka wibigega yuzuye ogisijeni kuva mu kigega. Iyo umurwayi ahumeka, ni Guhumeka ogisijeni mu buryo butaziguye igikapu, itanga hafi yera ogisijeni. The inzira imwe hagati ya mask n'umufuka w'ikigega irinda umwuka uhumeka kuva gusubira mu gikapu. Byongeye kandi, inzira imwes kuri mask ubwayo gukumira umwuka wo kwinjiza mugihe guhumeka kandi urebe neza umwuka uhumeka guhunga, aho kwigarurwa. Iyi gahunda iremeza ko umurwayi ari mbere na mbere guhumeka ogisijeni kuva mu kigega, kugabanya Uwiteka kwibanda kuri ogisijeni bahabwa kandi bagabanuke Rerocrethting Air. Iyi sisitemu inoze yemerera mask itari isubikwa Kuri Tanga uburyo bwa ogisijeni kuri a Kwibanda cyane bya ogisijeni, akenshi hagati ya 60% kugeza 80%, cyangwa kugeza kuri 90% bitewe na igipimo cya ogisijeni.

3. Niki gituma mask itari isubirwamo itandukanye na mask yoroshye?

Mugihe byombi masike yo kuvugurura na masks yoroshye Byakoreshejwe Tanga ogisijeni, bakorera intego zitandukanye kandi bagakora kumahame atandukanye. A mask yoroshye nibyo rwose byumvikana nka - shingiro isura ya mask ibyo bikwiranye hejuru ya izuru n'umunwa kandi ni ihujwe na ogisijeni. Itanga ogisijeni bivanze n'umwuka. A isura yoroshye yagenewe abarwayi bakeneye ogisijeni, ariko ntabwo byanze bikunze ari byiza cyane Kwibanda cyane bya ogisijeni.

The mask itari isubirwamo itandukanye cyane. Kubaho kwa Umufuka wibigega na inzira imwe sisitemu ni itandukaniro ryingenzi. Nkuko twabiganiriyeho, ibi bintu byerekana ko a Ububiko bwa Mask hejuru cyane kwibanda kuri ogisijeni Kuberako igabanya kuvanga umwuka hamwe na ogisijeni kandi irinda Rerotrethting Air yuzuye. Mubyukuri, a mask yoroshye ni ahantu hashyizwe mu gaciro Ubuvuzi bwa Oxyjen, mugihe a mask itari isubikwa ni uko ibintu bisaba hejuru-ogisijeni binyuze mutari ingwate. Tekereza a mask yoroshye nko gutanga ubwitonzi, mugihe a mask itari isubikwa ni nko gutanga imbaraga zikomeye ogisijeni vuba.

4. Ivugurura rya Rebreatery: Nubundi bwoko bwa mask ya ogisijeni?

Yego, a igice cya rebreather mask ni undi Ubwoko bwa ogisijeni mask, kandi yicaye ahantu hagati ya a mask yoroshye na a mask itari isubikwa ukurikije Gutanga ogisijeni. Nka mask itari isubikwa, ifite kandi a Umufuka wibigega, ariko itandukaniro ryingenzi riri muri valve Sisitemu. A Rebreather ntabwo ifite inzira imwes irinda rwose Rerotrethting Air yuzuye.

Aho inzira imwes, a igice cya rebreather mask Gicurasi Koresha inzira ebyiri aho kuba inzira imwe indanga cyangwa udafite indangagaciro hagati ya mask n'umufuka w'ikigega. Ibi bivuze ko mugihe umurwayi guhumeka ogisijeni kuva mu kigega, na bo Uhumeka muri bimwe muribo umwuka uhumeka, byumwihariko umwuka uva mu gice cya mbere cyo guhumeka, ukikize muri ogisijeni. The masike ya recreat hejuru kwibanda kuri ogisijeni kuruta a mask yoroshye, ariko munsi ya a mask itari isubikwa, mubisanzwe bitanga hafi 40-60% kwibanda kuri ogisijeni. Nuburyo bwo hagati mugihe umurwayi akeneye byinshi ogisijeni kuruta a mask yoroshye irashobora gutanga ariko ntibisaba ntarengwa kwibanda kuri ogisijeni ya Inkuba.

5.. Rebreather Mask na Rectlatrianth na Not-Rebreatry: Ni ubuhe buryo bw'ingenzi itandukaniro?

Gusobanukirwa noines hagati ya a rebreather, Rebreather, na mask itari isubikwa ni ngombwa kugirango uhitemo iburyo Ubwoko bwa ogisijeni. Mugihe ijambo "rebreather"Birashobora kumvikana kuri"Rebreather, "Mu rwego rw'ubuvuzi Ubuvuzi bwa Oxyjen, bikunze gukoreshwa cyane cyangwa birashobora rimwe na rimwe kwerekeza kuri sisitemu ikoreshwa muri anesthesia cyangwa igenamiterere ryihariye, aho gukoresha ibisanzwe Gutanga ogisijeni masike kubarwayi benshi bitwaye. Akenshi, iyo abantu bavuga ibyerekeye "masike ya rebreat" mubuvuzi rusange, barashobora kuvuga IGICE CYA RECKETER cyangwa ndetse masike yo kuvugurura.

Kuburyo busanzwe Ubuvuzi bwa Oxyjen, reka twibande Rebreather na masike yo kuvugurura:

• Igice cya Rebreat Congeye: Ifite a Umufuka wibigega Ariko kubura inzira imwes kugirango wirinde rwose Rerotrethting Air yuzuye. Yemerera bamwe kwangwa y'igice cyambere cya umwuka uhumeka Kuva kuri Umufuka wibigega, kongera kwibanda kuri ogisijeni byatanzwe ugereranije na a mask yoroshye ariko munsi ya a Inkuba. Gutanga hafi 40-60% kwibanda kuri ogisijeni.

• Mask itari isubirwamo: Ibiranga a Umufuka wibigega na inzira imwes. Ibi valves irinda umwuka uhumeka Kuva Kwinjira muri Umufuka wibigega no kugabanya umwuka wo kwinjira muri guhumeka. Ibi bituma bishoboka cyane kwibanda kuri ogisijeni Gutanga (60-90%) kuva a isura ya mask Sisitemu. Yashizweho kugirango igabanye Rerocrethting Air.

• "Mask ya Rebreat" (mu byumvikana, bidasanzwe muri ogisijeni isanzwe ya ogisijeni): Mu bihe bimwe na bimwe, "Rebreat" irashobora kwerekeza kuri sisitemu ifunze yakoreshejwe muri anesthesia cyangwa ibidukikije byihariye, aho imyuka ihujwe nayo iteshutse imiti ya karuboni dioxyde na ogisijeni yongeweho mbere yo gusubirwamo. Ibi bitandukanye na igice na masike yo kuvugurura Byakoreshejwe ogisijeni.

Mu myitozo ya buri munsi ya Ubuvuzi bwa Oxyjen, kugereranya nyamukuru ni hagati Rebreather na masike yo kuvugurura. Urufunguzo rwo gufata urufunguzo nirwo masike ya resivery irinda kwangwa neza kandi utange hejuru kwibanda kuri ogisijeni Bitewe na inzira imwe Sisitemu.

6. Kuki ikigega cyabigega ari ikintu gikomeye cya mask itari isubirwamo?

The Umufuka wibigega ntabwo ari umugereka winyongera; nibyiza rwose kuburyo a mask itari isubikwa imikorere n'impamvu ishobora gutanga a Kwibanda cyane bya ogisijeni. Tekereza kuri Umufuka wibigega nka Ikigega cya Oxygen, ikigega cy'ibigega ogisijeni ibyo birahari byoroshye kubarwayi kuri Uhumeka.

Hatariho Umufuka wibigega, a mask itari isubikwa byakora neza nka a mask yoroshye. Intego yumufuka nuguka ingano ihagije ya ogisijeni kugirango iyo umurwayi afashe cyane Uhumeka-Ubuzima bwinshi mugihe guhumeka-Ishobora gushushanya ogisijeni kuva mu kigega. Ibi biboneka ako kanya byijwi rinini ryawe ogisijeni nicyo cyemerera mask kuri gutanga a Kwibanda cyane bya ogisijeni. The Umufuka wibigega bikeneye kwishimana neza hamwe ogisijeni Mbere yuko mask ishyirwa kumurwayi kugirango habeho iki kigega cyiteguye. Niba ogisijeni yoroheje cyangwa urujya n'uruza ntiruhagije kugirango umufuka ukomeze, imikorere ya mask itari isubikwa irahungabana cyane, kandi umurwayi ntashobora kwakira uwagenewe ingano ya ogisijeni.

7. Ni ibihe bihe bishobora gusaba gukoresha mask itari isubirwamo?

Masike ya resivery mubisanzwe yabitswe mubihe abarwayi bafite ibibazo bikomeye byubuhumekero kandi Ukeneye ogisijeni nyinshi vuba. Ntabwo bisanzwe kuri gahunda Murugo Kuvura ogisijeni Ariko ni ingenzi mubihe byihutirwa kandi bitita kuri bute.

Ibintu bikunze gusaba Uwiteka Koresha mask itari isubirwamo Shyiramo:

• Hypoxemia ikaze (urwego ruto rwamaraso ya ogisijeni): Iyo amaraso yumurwayi ogisijeni Kwiyuzuzaga birake cyane, a mask itari isubikwa irashobora kongera vuba kwibanda kuri ogisijeni mu maraso yabo. Ibi birashobora guterwa na pneumonia, asima akomeye, cyangwa izindi ndwara zubuhumekero.
• Uburozi bwa karubone: Mu bihe Uburozi bwa karubone, umubiri ugomba kuzura hamwe kwibanda cyane kwa ogisijeni Kwimura monoxyde ya karubone muri hemoglobine mumaraso. A mask itari isubikwa ni byiza kuriyi ntego.
• Guhumeka umwotsi: Bisa na karuboni yuburozi, guhumeka umwotsi irashobora kumbabaza cyane ogisijeni uptake. Hejuru-ogisijeni binyuze mutari ingwate irashobora gufasha kugabanya ibyangiritse no kunoza ogisijeni urwego.
• Pneumothorax na Hemothorax: Ibisabwa aho umwuka cyangwa amaraso bikusanya mumwanya uzengurutse ibihaha, basenyuka ibihaha, birashobora kuganisha ku kwamburwa ogisijeni. Masike yo kuvugurura irashobora gutanga ibikenewe ogisijeni.
• Ikigo cy'impeshyi: Amaraso yamaraso mubihaha arashobora kugabanya cyane ogisijeni guhana. A mask itari isubikwa irashobora gushyigikira umurwayi mugihe andi makosa yatanzwe.
• Kwiyongera gukabije: Mugihe Ubuvuzi bwa Oxyjen kuri Kopi Abarwayi bakeneye kwitabwa neza kugirango birinde guhagarika disiki yabo yubuhumekero, muri extracracrations zikaze aho urwego ruto rwa exygen ni ingenzi, a mask itari isubirwamo irashobora gukoreshwa by'agateganyo kugirango ushireho umurwayi.

Ni ngombwa kwibuka ko mugihe gito masike yo kuvugurura nibikoresho bikomeye, bigenewe gukoreshwa igihe gito, bukaze. Igihe kirekire Ubuvuzi bwa Oxyjen Ibikenewe mubisanzwe bivugwa nabandi imiterere ya ogisijeni, nka Umuyoboro wa Nasal cyangwa ibindi bidakabije Sisitemu yo gutanga ogisijeni.

8. Urashobora gukoresha mask itari isubirwamo murugo, cyangwa mubisanzwe bikoreshwa mubitaro?

Masike itari isubikwa mubisanzwe bigenewe mask murugo Koresha. Bagenewe cyane cyane gukoreshwa mu bitaro, ibyumba byihutirwa, ambilansi, hamwe nizindi nzego zituje. Impamvu ni ebyiri: the Kwibanda cyane bya ogisijeni Batanga kandi bakeneye abakozi bahuguwe kugirango bakurikirane imikoreshereze yabo.

Ubwa mbere, the kwibanda kuri ogisijeni yatanzwe na a mask itari isubikwa ni hejuru cyane. Mugihe iki aringirakamaro mubihe byihutirwa, mubisanzwe ntabwo ari ngombwa cyangwa umutekano mugihe kirekire Murugo Kuvura ogisijeni. Abarwayi bakeneye ogisijeni murugo mubisanzwe bisaba hepfo, kugenzurwa byinshi ogisijeni ibiciro, byatanzwe neza nibikoresho nka Umuyoboro wa Nasals cyangwa masike yoroshye ya ogisijeni. Ibi byemerera buhoro buhoro kandi birashobora guhinduka Gutanga ogisijeni.

Icya kabiri, ukoresheje a mask itari isubikwa neza bisaba gukurikirana. Inzobere mu buvuzi zikeneye kwemeza mask bikwiranye neza, the Umufuka wibigega ikomeza kwishongora, na ogisijeni irahinduwe neza. Bakeneye kandi gukurikirana igisubizo cyumurwayi kuri Ubuvuzi bwa Oxyjen kandi witegure guhindura imiti nkuko bikenewe. Murugo Kuvura ogisijeni Ubusanzwe gucungwa na simpler, ibindi bikoresho byabakoresha urugwiro abarwayi n'abarezi bashobora gukora hamwe no gukurikirana neza. Kubwibyo, mugihe a mask itari isubikwa nigikoresho cyingenzi mubuvuzi bwihutirwa, ni mubisanzwe mubitaro cyangwa ibidukikije bidukikije, ntabwo ari gahunda mask murugo Koresha. Kuri Murugo Kuvura ogisijeni, ibikoresho nka Umuyoboro wa Nasal cyangwa masike yoroshye ya ogisijeni birakwiye kandi birangwa. Urashobora gushakisha intera yacu nasal ogisijeni Kuri Gukoresha Ibisubizo.

9. Hariho ubwoko butandukanye bwa sisitemu yo gutanga ogisijeni usibye masike?

Yego, Ubwoko bwa ogisijeni Sisitemu yaguye birenze gusa masks. Mugihe masike ya ogisijeni nka masike yoroshye ya ogisijeni na masike yo kuvugurura ni byiza gutanga ogisijeni, Hariho ubundi buryo bujyanye nubuzima butandukanye bwibasirwa.

Hano hari ubundi buryo busanzwe:

• Umuyoboro wa Nasal: Iyi ni imwe mubantu bakunze kugaragara kandi byoroshye Sisitemu yo gutanga ogisijeni. Igizwe nintoki ebyiri nto zishyirwa mumazuru. A Umuyoboro wa Nasal itanga bike kuringaniza igipimo ya ogisijeni kandi birakwiriye abarwayi bakeneye kugabanuka ingano ya ogisijeni kandi birahamye bihagije Uhumeka Binyuze kuri izuru n'umunwa. Nibyiza kandi yemerera umurwayi kurya, kunywa, no kuvuga byoroshye kuruta hamwe na a isura ya mask. Urashobora kureba ibyacu Byashobokaga NASAL OXYGEEN TANNULUL Kubindi bisobanuro.
• Amask yoroshye: Nkuko byaganiriweho mbere, a isura yoroshye igifuniko the izuru n'umunwa kandi utanga uburinganire kwibanda kuri ogisijeni. Byakoreshejwe mugihe umurwayi akeneye byinshi ogisijeni kuruta a Umuyoboro wa Nasal irashobora gutanga ariko ntibisaba Uwiteka Kwibanda cyane bya ogisijeni ya mask itari isubikwa.
• Venturi Mask: Ubu bwoko bwa mask bwagenewe gutanga neza agace ka ogisijeni wahumetswe (Fio2). Ikoresha impfabusa zitandukanye kugenzura kuvanga umwuka kandi ogisijeni, kwemeza ko bihamye kandi byukuri kwibanda kuri ogisijeni yatanzwe. Masike ya vetri ikunze gukoreshwa kubarwayi hamwe Kopi cyangwa ibindi bintu aho bisobanutse neza Gutanga ogisijeni ni ngombwa.
• Ventilation idateye (NIV): Tekinike nka CPAP (ikomeza inzira nziza yinzira) na bipap (bilevel nziza yindege) gukoresha masks ibyo bikwiranye cyane kuruta masike yoroshye ya ogisijeni cyangwa masike yo kuvugurura. NIV itanga umwuka wo gukatirwa (hamwe cyangwa nta rezo ogisijeni) gushyigikira guhumeka. Ibi bikoreshwa kubarwayi bafite ikibazo gikomeye cyubuhumekero cyangwa ibihe nkibisinzira.
• Umuyoboro mwinshi wa Nasal (Hfnc): Iyi sisitemu itanga hejuru igipimo yo gushyuha kandi yashukwa ogisijeni binyuze kuri a Umuyoboro wa Nasal. Hfnc irashobora gutanga inkunga ikomeye yubuhumekero kandi ikunze gukoreshwa nkubundi buryo busanzwe masike ya ogisijeni cyangwa ndetse no kudatera ubwoba mubihe bimwe na bimwe.

Guhitamo Sisitemu yo gutanga ogisijeni biterwa nubwiza bwumurwayi, uburemere bwimibabaro yabo yubuhumekero, nukwifuzwa kwibanda kuri ogisijeni. Masike ikoreshwa mugutanga kwibanda cyane mugihe bikenewe, mugihe Umuyoboro wa Nasals nubundi buryo bukwiye kuri bike bikabije cyangwa igihe kirekire Ubuvuzi bwa Oxyjen.

10. Ni izihe nyungu zingenzi zo gukoresha masike itari isubirwamo muri therapy ogisijeni?

Inyungu y'ibanze ya masike yo kuvugurura nubushobozi bwabo bwo gutanga a Kwibanda cyane bya ogisijeni vuba kandi neza. Ibi bituma babigira ntagereranywa mubihe bikomeye aho byihuse ogisijeni ni ngombwa.

Dore incamake yibyiza byingenzi:

• Kwibanda kuri ogisijeni ndende: Masike yo kuvugurura irashobora gutanga hejuru kwibanda kuri ogisijeni muri isura yoroshye sisitemu, mubisanzwe kuva kuri 60% kugeza kuri 90%. Iki ningirakamaro kubarwayi bafite hypoxemia ikabije cyangwa ibintu bisaba guhita kandi bifatika ogisijeni.
• Ingaruka yihutirwa: Mubihe byihutirwa nka guhumeka umwotsi, Uburozi bwa karubone, cyangwa akababaro ka buke, kwihuta Gutanga ogisijeni yatanzwe na a mask itari isubikwa irashobora kuzigama ubuzima. Ifasha kuzamura Amaraso ogisijeni urwego, guhungabanya umurwayi.
• Igabanya serting: The inzira imwe Sisitemu irinda neza Rerotrethting Air yuzuye, kureba niba umurwayi ari mbere na mbere Guhumeka ogisijeni biturutse ku kigega, menya neza imikorere ya Ubuvuzi bwa Oxyjen.
• Ugereranije byoroshye gukoresha: Mugihe bakeneye gushiraho no gukurikirana, masike yo kuvugurura ni ugaragara neza kugirango usabe kandi ukoreshe mubihe byihutirwa ugereranije nibigoye Sisitemu yo gutanga ogisijeni nk'abapfumu.
• Kudatera: Nka a isura ya mask, ni uburyo budatera Gutanga ogisijeni, kwirinda gukenera inkuba cyangwa ubundi buryo butera abantu benshi, cyane cyane mubuyobozi bwambere bwo guhubuka.

Mugihe masike yo kuvugurura ntabwo ari imbogamizi (zirashobora kutoroha gukoresha igihe kirekire, kandi imikorere yabo iterwa no kuba nziza kandi ogisijeni), inyungu zabo mugihe gikomeye, gikomeye ntahakana. Nibisigisi byubuvuzi bwihutirwa hamwe nigikoresho cyingenzi kubatanga ubuzima bwiza gucunga abarwayi bafite ubuhumekero bukabije. Kubwiza Ubuvuzi bwo kubaga muri mask Amahitamo, tekereza gushakisha ibicuruzwa byacu.

11. Gufata urufunguzo: kumenya masike yo kutavuguruza kugirango utange ogisijeni

Kumenyesha byose, dore ingingo zingenzi zo kwibuka kubyerekeye masike yo kuvugurura:

• Kwibanda Byinshi Kwibanda kuri Oxygen: Masike ya resiveatre yagenewe gutanga cyane Kwibanda cyane bya ogisijeni (60-90%), bishimishije kuruta masks yoroshye.
• Umufuka wibigega hamwe ninzira imwe ni urufunguzo: The Umufuka wibigega Kubika ububiko bwera ogisijeni, na inzira imwes irinda Rerotrethting Air yuzuye n'umwuka wo guhumeka kwinjiza, kwemeza byinshi Gutanga ogisijeni.
• Gukoresha ibyihutirwa kandi bikabije: Nibyingenzi mubihe byihutirwa hamwe nibibazo byumvikana ariko ntibisanzwe mugihe kirekire Murugo Kuvura ogisijeni.
• Ibisabwa bisaba masike itavuguruza: Ikoreshwa kuri hypoxemia ikomeye, Uburozi bwa karubone, guhumeka umwotsi, nibindi bisabwa bisaba vuba ogisijeni.
• Itandukaniro riva muri masike yoroshye: Masike yoroshye itanga uburinganire Ubuvuzi bwa Oxyjen, mugihe masike yo kuvugurura ni ibikenewe byinshi. Masike ya recreater itanga amahitamo yo hagati.
• Gukoresha neza no gukurikirana: Gukoresha neza bisaba mask ikwiye, yazamutse Umufuka wibigega, bihagije ogisijeni, no gukurikirana ishyaka nabakozi bahuguwe.
• Ubundi buryo burahari: Ikindi Ubwoko bwa ogisijeni shyiramo Umuyoboro wa Nasals, isura yoroshyeS, masike ya venturi, hamwe nu guhumeka kudatera, buri kimwe gikwiranye nibindi bikenewe.

Gusobanukirwa uko Amasos Norvery Akazi kandi igihe cyo kubikoresha ni ngombwa kubantu bose babigizemo uruhare imfashanyo yambere cyangwa ubuvuzi. Nibikoresho bikomeye muri Arsenal kurwanya umubabaro w'ubuhumekero, ushoboye gutanga ubuzima-kuzigama ubuzima ogisijeni vuba Iyo buri kabiri. Kubikenewe byose byangiza ubuvuzi, kuva Ipamba Yubuvuzi Swabs Kuri Ubuvuzi Gauze Bande, na Ibyifuzo Byifashe muri Masks, twe kuri Zhongxing biyemeje gutanga ibicuruzwa byisumbuye, byizewe.