Iyi myanda itwika ikoreshwa mu guhangana n’imyanda yo kwa muganga, nk'urushinge na syringe munsi yubushyuhe bwinshi.Gutwika kandi birashobora gutwika imyanda yinyamaswa.

Gutwika imyanda yo kwa muganga bifite ibyiza byinshi:

1. Gutwika imyanda yo kwa muganga irashobora guhangana n’imyanda yo kwa muganga vuba mu bitaro kandi ikubiyemo ahantu hato.

2. Kwiyubaka byoroshye, imikorere yoroshye, kubungabunga byoroshye.

3. Igiciro cyiza hamwe no kuramba.

4. Kurinda ibidukikije, imyuka isohoka nta mwotsi wirabura ugaragara, nta mpumuro, nta mukungugu munini.

5. Ubushyuhe bwo hejuru burashobora kugera kuri dogere zirenga 1600.