Pneumonia - Zvinokonzera, Zviratidzo uye Kurapwa

Pneumonia chirwere chemapapu chinoita kuti masaga emhepo ari mune rimwe kana mapapu ese ari maviri azvimbe. Chikosoro chine phlegm kana urwa, fivha, kupindwa nechando, uye kunetseka kufema kunogona kuitika kana masaga emhepo azara nemvura kana urwa (purulent material). Pneumonia inogona kukonzerwa nemarudzi akasiyana-siyana, kusanganisira mabhakitiriya, mavhairasi, uye fungus.
Pneumonia, zvese nemavhairasi uye mabhakitiriya, inotapurirana. Izvi zvinoreva kuti anogona kupfuudzwa kubva kumunhu kuenda kumunhu kuburikidza nekufema madonhwe emhepo kubva mukuhotsira kana kukosora. Aya marudzi emabayo anogona zvakare kubatwa nekusangana nepamusoro kana zvinhu zvine utachiona hunokonzera mabayo kana mavhairasi. Fungal pneumonia inogona kubatwa kubva kune zvakatipoteredza. Hazvipfuuri kubva kune mumwe munhu kuenda kune mumwe.
Pneumonia inopatsanurwazve muzvikamu zvichienderana nekuti yakawanikwa sei kana kupi:

1. Mabayo anowanikwa muchipatara (HAP) -Rudzi urwu rwemabayo ebhakitiriya anobatwa ari muchipatara. Nemhaka yokuti utachiona hunenge hwabatanidzwa hunogona kusakurira mishonga kupfuura mamwe marudzi, hunogona kuva nengozi zvikuru.
2. Mabayo anowanikwa munharaunda (CAP) - Pneumonia inowanikwa kunze kwenzvimbo yekurapa kana yemasangano inonzi iyi.
3. Ventilator-yakabatana pneumonia (VAP) – VAP imhando yemabayo inobata varwere vanoshandisa muchina wekufema.
4. Aspiration pneumonia -Aspiration pneumonia inokonzerwa nekufema tupukanana kubva muchikafu, chinwiwa, kana mate mumapapu ako. Kana uine dambudziko rekumedza kana kuti wakanyanyisa kuderedzwa kubva pakushandisa mishonga, doro, kana zvimwe zvinodhaka, zvinowanzoitika.

Kufamba mabayo

Kufamba mabayo imhando yemabayo isinganyanyi kurwadza. Vanofamba nemabayo varwere vanogona kunge vasingazive kuti vane chirwere. Zvinogoneka kuti zviratidzo zvavo zvakafanana nechirwere chidiki chekufema pane pneumonia. Kufamba mabayo, kune rumwe rutivi, kungada nguva yakareba yekupora.
Izvi zvinotevera zvimwe zvezviratidzo zvekufamba pneumonia:

• yakaderera-giredhi fever
• chikosoro chakaoma chinotora nguva inopfuura vhiki 
• chills
• Zvinetso zvinopisa
• chipfuva kusagadzikana
• kuderedza kudya mwoyo

Pneumonia inowanzokonzerwa nemavhairasi uye mabhakitiriya akadai seStreptococcus pneumoniae uye Haemophilus influenzae. Kufamba mabayo, kune rumwe rutivi, kazhinji kazhinji kunokonzerwa nebhakitiriya Mycoplasma pneumoniae.

Matanho emabayo

Pneumonia inogona kuratidzwa zvichienderana nechikamu chemapapu chaanobata:

• Bronchopneumonia - Bronchopneumonia inogona kukuvadza zvikamu zvemapapu ako kumativi ese. Inowanzoonekwa pane kana kumativi ebronchi yako. Machubhu anobatanidza mhepo yako kumapapu ako anozivikanwa sebronchioles.

• Lobar pneumonia -Imwe kana anopfuura lobes emapapu ako anokanganiswa nelobar pneumonia. Mapapu akakamurwa kuita lobes, ayo ari matunhu akasiyana emapapu. Zvichienderana nekuti hurwere hwafamba sei, lobar pneumonia inogona kuiswa mumatanho mana:

• • Kusungwa – Mapapu anoita seakakora uye akavharika. Zvisikwa zvinotapukira zvaungana mumvura inenge yaungana mumasaga emhepo.
  • Red Hepatization - Mvura yacho yakasvibiswa nemasero matsvuku eropa uye masero ekudzivirira muviri. Mapapu anoita seakatsvuka uye akasimba nekuda kweizvi.
  • Grey hepatization –Izwi rinoshandiswa kutsanangura mafambisirwo ari kuitwa munhu masero matsvuku eropa ari kutanga kuparara, asi masoja emuviri anodzivirira zvirwere achiripo. Hue hwemasero matsvuku eropa hunochinja kubva kutsvuku kuenda kugrey paanenge achiparara.
  • Resolution - Utachiona huri kucheneswa nemasero ekudzivirira. Chikosoro chinobatsira pakuburitsa chero mvura yasara kubva mumapapu.

Pneumonia inoitika apo mabhakitiriya anopinda mumapapu ounza chirwere. Kupindura kwemasoja emuviri kuhutachiona kunokonzera kuzvimba kwemasaga emhepo mumapapu (alveoli). Iwo masaga emhepo anogona kupedzisira azara nehurwa uye zvinwiwa nekuda kwekuzvimba, zvichikonzera zviratidzo zvemabayo. Pneumonia inogona kukonzerwa nemhando dzakasiyana dzezvipembenene zvinotapukira, kusanganisira mabhakitiriya, mavhairasi, uye fungus.

Bacterial pneumonia

Streptococcus pneumoniae ndiyo inonyanya kukonzera bhakitiriya pneumonia. Zvimwe zvinhu zvekufunga nezvazvo ndezvi:

• Mycoplasma pneumoniae ibhakitiriya inokonzera mabayo.
• Hemophilus influenza chirwere chinotapukira chinokonzerwa nebhakitiriya Haemophilus influenza.
• Legionella pneumophila imhando yeLegionella bacteria.

Viral pneumonia

Pneumonia inowanzokonzerwa nemavhairasi ekufema. Pneumonia inogona kukonzerwa nemhando dzakasiyana dzehutachiona hwehutachiona, kusanganisira:

• Influenza denda rechidzihwa)
• RSV (respiratory syncytial virus) utachiona hunokonzera kufema (RSV)
• Utachiona hunokonzera rhinorrhea (common cold)
• Kutapukira neHuman Parainfluenza virus (HPIV).
• Kutapukirwa neHuman Metapneumovirus (HMPV)
• Measles
• Chickenpox chirwere chinokonzerwa nehuku (varicella-zoster virus)
• Kutapukira neadenovirus kana coronavirus

Pasinei nekufanana kwezviratidzo pakati pehutachiwana uye bhakitiriya pneumonia, viral pneumonia inowanzova yakapfava. Pasina kurapwa, inogona kuvandudza mumavhiki e1 kusvika ku3. Vanhu vane viral pneumonia vari panjodzi yekuwana bhakitiriya pneumonia, maererano neNational Heart, Lung, uye Blood Institute.

Fungal mabayo

Pneumonia inogona kukonzerwa nefungus inowanikwa muvhu kana mudoro reshiri. Vanhu vane masoja ekudzivirira emuviri ane mikana yakawanda yekubatwa nemabayo nekuda kwavo. Fungi dzinogona kukonzera pneumonia dzinosanganisira zvinotevera:

• Pneumocystis jirovecii 
• Mhando dze Cryptococcus
• Mhando dze histoplasmosis

Zvikonzero zvishoma zvinokonzeresa bhakitiriya pneumonia ndezvi:

• Haemophilus influenza type B (Hib) inokonzera mabayo muvana vari pasi pemakore mashanu. Zvinogona kukonzera zvimwe zvirwere zvakaita semeningitis, uye nzeve dzekunzwa. Nekudaro, nekuda kweHib vaccinations, hutachiona uhu hahuna kunyanya kuwanda.
• Moraxella catarrhalis inoonekwa sechikamu chemabhakitiriya asingakuvadzi emuromo wedu nehuro. Asi zvinogona kukonzera pneumonia muvana nevakuru vane zvimwe zvirwere zvemapapu senge Asthma uye COPD. Kazhinji, inokonzera zvirwere nzeve uye sinusitis muvana.
• Staphylococcus aureus pneumonia inowanzoitika muvarwere vari muchipatara kana kutevera furuwenza. Zvirwere izvi zvinogona kuoma uye zvakaoma kurapa sezvo zvichiramba kune maantibiotic akawanda.
• Klebsiella mabayo inogona kukonzera pneumonia muvarwere vari muchipatara pamhepo inofefetera. Inogonawo kukonzera mabayo muzvidhakwa.
• Streptococcus agalactiae (Group B strep) ibhakitiriya inoonekwa mumukadzi. Inogona kutapurirwa kubva kumukadzi ane pamuviri kuenda kumwana wake panguva yekusununguka uye kukonzera zvirwere zvakakomba muvana vachangoberekwa. Vanogonawo kukonzera zvirwere kune vakwegura vane chirwere cheshuga or chirwere chetsinga.
• Pseudomonas aeruginosa inogona kukonzera pneumonia muvanhu vane kuderera kwemapapu kuita senge cystic fibrosis, vanhu vane zvirwere zvakaderera uye vanhu vari muchipatara.

Zvichienderana nenzvimbo yemunhu, mhando yebhakitiriya inokonzera hutachiona inogona kusiyana. Mumamiriro ezvinhu akadaro, vafambi nevashanyi vanotama kubva kune dzimwe nyika vanogona kusangana nemhando dzebhakitiriya dzisinganyanyi kuwanda munzvimbo yavo. Mune zvimwe zviitiko, munhu anogona kufumurwa uye kuve panjodzi yerudzi rusingawanzo hutachiona hwemabayo nekuda kwekusasimba kwake kwekudzivirira kwemuviri kana mamiriro ehutano.
Zviratidzo zvepneumonia zvinosiyana zvichienderana nezera remunhu akabatwa, mamiriro ake ehutano uye rudzi rwe microorganism iri kukonzera utachiona.
Muvacheche vachangoberekwa, zviratidzo zvinowanzoitika ndezvekuhwihwidza, kugunun’una, kufema nokukurumidza, kushatirwa uye hunhu hwekuneta. Zviratidzo zvakapfava zvepneumonia zvakafanana nedzihwa kana furuu asi zvinogara kwenguva refu.

Zviratidzo zvinowanzoonekwa zvepneumonia zvinosanganisira:

• Fivha, kutonhora, uye iratidzike seiri kubuda
• Chikosoro, chine kana pasina phlegm
• Chipfuva chepfu
• Kuoma mukufema
• Nausea uye kurutsa
• Bronchitis mabatiro
• Uturu hunorwadza
• kurwadziwa nemusoro
• Kuneta
• Kusanganiswa

Pneumonia inogona kufambira mberi uye inogona kuisa upenyu munjodzi mune vamwe vanhu. Uye saka, nerubatsiro rwekurapa kunofanirwa kutangwa nekukurumidza sezvinobvira.
Pneumonia inogona kuitika mumunhu wese asi vanhu vanotevera vari panjodzi huru.

• Vana vari pasi pemakore maviri
• Vakuru vanopfuura makore 65 okuberekwa
• Vanhu vari muchipatara: Kuiswa muchipatara kunowedzera njodzi yekusangana netupukanana, kunyanya kune avo vanoda mhepo inofefetera.
• Kuvapo kwezvirwere zvisingaperi: Kuve nezvirwere zvisingaperi seasthma, chisingaperi chinodzivirira chirwere chemapapu (COPD), kana kuti zvirwere zvemwoyo zvinogona kuita kuti munhu ave panjodzi yekubatwa nemabayo.
• Kusvuta: kusvuta kazhinji zvinoguma nekukuvadzwa kwezvidziviriro zvemuviri zvemuviri kurwisa mabhakitiriya nemavhairasi, zvichiita kuti vanhu vanyanye kubatwa nezvirwere zvakaita semabayo.
• Weak immune system: Vanhu vane hutano hwakakomba mamiriro akaita HIV / AIDS, vaya vakaisirwa organ, vaya varipo chemotherapy regimen kana kushandiswa kwenguva refu kwesteroids vari panjodzi huru yepneumonia.

Kuongororwa kwepneumonia kunoona kuvepo kwepneumonia, iyo microorganism inokonzera hutachiona uye huwandu hwekukuvara kwemapapu. Kuongororwa kwakakosha zvakare kudzikamisa kupararira kwehutachiona, kunzwisisa kuoma kwayo uye zvakare segwara rekurapa kunofanirwa kupihwa.
Zvirwere zvinotapukira zvakajairika zvinowanzonetsa kuzivikanwa, uye nekudaro nhoroondo yekurapa kana murwere, kuzivikanwa kwevamiririri vanozivikanwa munharaunda uye kiriniki yemurwere zvinotariswa. Mumamiriro ezvinhu apo zviratidzo zvikasagadziriswa mushure mekurapa kwekutanga, kumwe kuedzwa kunogona kuitwa kuongorora uye kuona zvikonzero zvishoma zvepneumonia.
Zvichienderana nezviratidzo zvinoratidzwa nemunhu uye mamiriro ake ehutano, bvunzo dzakasiyana siyana dzemurabhoritari dzinogona kuitwa kuti dzinyatsoongororwa. Zvinowanzo kunyorerwa bvunzo dzekuongorora dzinogona kuitwa murabhoritari dzinosanganisira:

• Yakazara Ropa Kuverenga (CBC): Kuvapo kwechirwere kunogona kuonekwa nehuwandu hwemasero machena eropa kana WBC aripo muropa.
• Basic Metabolic Panel (BMP): Bvunzo dze sodium, potasium uye zvimwe zvinhu kuitira kuona kuoma kwehutachiona.
• Arterial Blood Gases kana ABG: Muedzo uyu unoyera pH uye huwandu hweoxygen necarbon dioxide muropa. Ichi chiratidzo chekushanda kwemapapu.

Kuti uone kuvepo kwebhakitiriya, bvunzo dzakajairika dzakatarwa ndeidzi:

1. Tsika dzeSputum/Gram Stain: Yekutanga bvunzo yekuona iyo bhakitiriya chikonzero chepneumonia. Tsika dzinokwanisawo kuona mishonga inorwisa mabhakitiriya inobata nayo utachiona.
2. AFB Smear uye Tsika: Tuberculosis inogonawo kuratidza sepneumonia. Muedzo uyu unodiwa kuti uzive tuberculosis mabhakitiriya mumapapu.
3. Tsika dzeRopa: Kuongororwa uku kunoitwa kana paine fungidziro yekuti utachiona hwapararira kubva mumapapu kuenda muropa kana kubva muropa kuenda kumapapu.
4. Pleural Fluid Analysis: Dzimwe nguva mvura inoungana ichitenderedza mapapu pakati pemavharo ayo. Mvura iyi inoongororwa kuti ione kuti chii chinokonzera mabayo.
5. Special Test: Miedzo yakakosha inogona kuona zvakakonzera pneumonia. Izvi zvinosanganisira izvo zvisingagone kuve netsika Mienzaniso ndeye
   1. Mycoplasma
   2. legionella
   3. Influenza Tests
   4. RSV Testing
   5. Fungal Miedzo

X-ray yechifuva: Chest X-ray inoona uye inoongorora kuoma kwechirwere chemapapu. Kana murwere aine mabayo, bapu rinenge rabatwa rinogona kuoneka pachipfuva X-ray sezvigamba.
Computed Tomography Scan (CT Scan) inoshandiswa kuona uye kuongorora chimiro chemapapu uye shanduko nekuda kwemabayo.
Kurapa kwepneumonia kunosiyana zvichienderana nerudzi uye kuoma kwechirwere. Mishonga yakasiyana-siyana yepneumonia inosanganisira:

• Antibiotics: Mishonga iyi inoshanda pautachiona. Mishonga inorwisa mabhakitiriya inorayirwa nachiremba zvichienderana nemhando yebhakitiriya inokonzera pneumonia. Kana zviratidzo zvikatadza kupfava, kutsiva kwemishonga inorwisa mabhakitiriya kunoitwa.
• Mushonga wechikosoro: Kukosora kwakanyanya kunogona kunetsa varwere. Mushonga wechikosoro unoderedza chikosoro uye unobatsira murwere kuzorora. Chikosoro pane dzimwe nguva chinodikanwa kubvisa mvura mumapapu. mumamiriro ezvinhu akadaro, mushonga wakaderera wemushonga wechikosoro unogona kudzikiswa.
• Antipyeretics: Kana munhu ari kusangana nekusagadzikana nekuda kwefivha uye kurwadziwa panguva yehutachiona, mishonga yekuderedza kupisa uye kurwadziwa, separacetamol, inorayirwa.
• Kupinda muchipatara kunogona kudiwa muzvirwere zvakakomba, munhu anopfuura makore 65 ezera, kana kana vane mutsauko blood pressure, kukanganisa kushanda kwetsvo, kukurumidza kufema, kuvhiringidzika, kuderera / kukwira kwemwoyo uye kunetseka kufema.
• Vana vanogona kudiwa kuchipatara kana vari vadiki pane 2 mwedzi yezera kana kana vakaneta, vaine fivha yakanyanya uye vachinetsekana nekufema. Kana mwana achiita seapererwa nemvura, chiratidzo zvakare chekuti apinzwe muchipatara.
• Kune avo vakatapukirwa nepneumonia, kuwana kuzorora kwakawanda, kugara usina hydrate uye kutora mishonga sezvakarairwa kunogona kubatsira kuderedza njodzi yekunetseka uye kubatsira mukupora nekukurumidza.

Mamwe maitiro anogona kubatsira kudzivirira mabayo uye chirwere chakakomba.

• Vaccination: Mhando dzepneumonia dzinonyanya kudzivirirwa nejekiseni. Mushonga uripo unosanganisira
• Pneumococcal Vaccine: Mushonga uyu unodzivirira munhu kubva kuzvirwere zvakakomba zveStreptococcus pneumonia. Mhando mbiri dzekudzivirira kwepneumococcal dziripo. Iyi ndiyo pneumococcal polysaccharide vaccine (PPSV23) uye pneumococcal conjugate vaccine (PCV 13).
• Hemophilus influenza vaccine kana Hib vaccine inodzivirira mabayo nekuda kweHemophilus fluenza.
• Mamwe majekiseni akakodzera zvinosanganisira vaccine yefuruwenza, chicken pox vaccine, MMR

Mamwe matanho ekudzivirira anosanganisira:

• Kunyatsogeza maoko nguva nenguva
•  Kuvhara mhino uchihetsura
• Kuchenesa uye kuuraya utachiona nzvimbo dzakaita semabundu egonhi, zvibatiso, kiyibhodhi, maremote, nharembozha nezvimwe zvinhu zvinogarobatwa nemaoko.
• Kudzivisa kubata kumeso, maziso, mhino nemuromo pasina kugeza maoko
• Kudzivisa kuswedera pedyo neavo vane zvirwere zvekufema uye chikosoro
• Rega kuputa

Matambudziko

Pakati pezvingango netsa ndezvi:

• Mamiriro asingaperi - Kana uine mamwe matambudziko ekurapa aripo, pneumonia inogona kuwedzera iwo. Congestive mwoyo kukanganisa uye emphysema maviri ezvirwere izvi. Pneumonia inowedzera njodzi yekuva ne kumira kurova kwemoyo mune vamwe vanhu.
• Utachiona - Utachiona hunobva kuhutachiona hwepneumonia hunogona kupinda muropa rako uye hunokonzera chirwere. Izvi zvinogona kuguma nengozi low blood pressure, septic shock, uye kutadza kwenhengo mune mamwe mamiriro ezvinhu.
• Mapupu emumapapu - Aya maburi akazadzwa nemaputi mumapapu. Vanogona kurapwa nemishonga inorwisa mabhakitiriya. Kubvisa pus, varwere vangada mvura kana kuvhiyiwa.
• Matambudziko ekufema - Paunofema, unogona kunetseka kugamuchira oxygen yakakwana. Zvinogoneka kuti uchada kushandisa mhepo inofefetera.
• Acute Respiratory Distress Syndrome (ARDS) is a condition in the body's Iri ndiro rudzi rwakanyanya rwekutadza kufema zvakanaka. Imamiriro ekurapa anoda kutariswa nekukurumidza.
• Pleural effusion - Imhando ye pleural effusion inoitika kana ukasarapa mabayo ako, unogona kuita pleural effusion, iyo iri fluid yakatenderedza mapapu ako mupleura yako. Pleurae inhengo dzakatetepa dzinotevedza mukati membabvu yako uye kunze kwemapapu ako. Kana mvura yacho ikaita utachiona, inofanira kubviswa.
• Kukuvadzwa kuitsvo, moyo, uye chiropa - Nhengo idzi dzinogona kukuvara kana dzikasawana oxygen yakakwana kana masoja emumuviri akamira zvakanyanya kuhutachiona.

Mabayo anorapika here?

Mishonga inorwisa mabhakitiriya haifanirwe kumiswa nekukurumidza kana uine hutachiona hwehutachiona; kana zvisina kudaro, utachiona hunogona kusagadzirisa zvachose. Izvi zvinoratidza kuti pneumonia yako inogona kudzoka zvakare. Mishonga inorwisa mabhakitiriya inogona kuwedzerwa nekukasira kumisa mishonga inorwisa mabhakitiriya. Utachiona husingaurayiwi nemishonga inorwisa mabhakitiriya hunonetsa kurapa. Nekurapwa kumba, viral pneumonia inowanzopera mumavhiki 1 kusvika matatu. Mishonga inorwisa utachiona inogona kudiwa mune mamwe mamiriro ezvinhu. Fungal pneumonia inorapwa nemishonga inorwisa fungal. Zvingada nguva yakareba yekurapa.

Pneumonia pamuviri

Pneumonia yaamai ipneumonia inokura panguva yekuzvitakura. Vakadzi vane pamuviri vanobatwa zvakanyanya nezvirwere zvakaita semabayo. Izvi zvine hukama nekunyorova kwemasoja ekudzivirira kunoitika panguva yekuzvitakura.
Pneumonia zviratidzo hazvishanduki ne trimester. Nekudaro, nekuda kwekumwe kusagadzikana kwaungave uchiona, unogona kuona zvimwe zvacho gare gare pakubata kwako. Kana uri kutarisira mwana, fonera chiremba wako paunongoona zviratidzo zvepneumonia. Kutanga kuberekwa uye huremu hwekusununguka inyaya mbiri dzinogona kumuka kubva kumabayo aamai.

mhedziso

Pneumonia chirwere chebhakitiriya, hutachiona, kana fungal lung. Nekuda kwekuita kwemasoja edziviriro kuutachiona, masaga emhepo ari mumapapu anozvimba neurwa nemvura. Zviratidzo zvinosanganisira kutadza kufema zvakanaka, kukosora kuine kana kusava nemakonzo, fivha, uye kutonhorwa. Chiremba wako achaita ongororo yemuviri uye oongorora nhoroondo yako yekurapa kuitira kuti aone pneumonia. Vanogona kupa mazano akawanda ekuongororwa, akadai se X-ray yepachipfuva.
Kurapa kunotariswa nechikonzero chehutachiona. Mishonga inorwisa mabhakitiriya, mishonga inorwisa utachiona, uye mishonga inorwisa fungal zvose zvingashandiswa. Pneumonia inowanzopera mumavhiki mashoma. Kana zviratidzo zvako zvikawedzera, ona chiremba kure kwazvo, sezvo ungangoda kuendeswa kuchipatara kudzivirira kana kurapa zvimwe zvakakomba.

tsananguro

Chinokonzera Pneumonia

zviratidzo

Risk Factors

kuongorora chirwere

Kurapa Pneumonia

Pneumonia Prevention

FAQ

Ndingadzivirira sei mwana wangu kubva kumabayo?

Majekiseni ndiyo nzira dzakachengeteka dzekudzivirira kubva kumabayo nezvimwe zvirwere zvinouraya muvacheche.

Mabayo anoguma nerufu here?

Mabayo asina kurapwa anogona kuuraya vacheche vari pasi pemwedzi miviri yezera uyewo kune vanhu vakuru vane mamiriro ezvinhu ehutano akaderera.

Zvinotora nguva yakareba sei kuti apore kubva kupneumonia?

Pneumonia inogona kutorwa sechirwere chakapfava muvanhu vane hutano uye inogona, saka, kucheneswa mumavhiki maviri kusvika matatu enguva. Mune avo vane dzimwe nyaya dzehutano uye muvakuru vakuru, zvinogona kutora kusvika kumwedzi miviri kana kupfuura.

Ndezvipi zviratidzo zvekutanga zvemabayo?

Chikosoro uye fivha chiratidzo chekutanga chepneumonia. Kazhinji, chikosoro chinosanganiswa nephlegm kana sputum inobva mumapapu panguva yehutachiona. Apollo Hospitals ine Yakanakisa Pulmonologist muIndia. Kuti uwane vanachiremba vepamusoro muguta rako riri pedyo, shanyira zvinongedzo pazasi: