Kuwongolera nthawi zambiri kumachitika mwachizoloŵezi komanso mopitirira malire kwambiri pa masewera a masewera ndi magulu olimbitsa thupi kwa iwo omwe sanayambe kuchitapo kanthu mwakuthupi. Kwa anthu omwe sanasinthidwe kuti ayambe kuchita masewera olimbitsa thupi m'maseŵera, kuyambiranso kuphunzitsidwa kwakukulu sikungapereke mphamvu zowonjezera zowonjezera thupi lonse ndikupitiriza kugwira bwino ntchito ya minofu. Ndichikhalidwe cha thupi, ntchito ya thupi lonse imasokonezeka. Makamaka ndizovuta kuopsa kwa mantha ndi zamtima.
Pali mitundu yambiri yobweretsera. Pachiyambi choyamba cha thupi la thupili, zodandaula za chisokonezo cha kugona, kulephera kwachidziwitso ndi kugona zimatchulidwa, kuthekera kochita kufulumira maphunziro ndiko kuwonongeka kapena chikhumbo chopita ku masewero a masewera amatha. Ndichiwiri chachiwiri cha kugwiritsira ntchito mankhwalawa, zizindikirozi zimakhala ndi makhalidwe ena, zomwe zimathandiza kuti thupi likhale lopweteka ataphunzitsidwa komanso kusinthasintha zochitika zosiyanasiyana zolimbitsa thupi. Pachikhalidwe chachitatu chimawonjezereka chisokonezo, kusowa tulo, chilakolako chimaipiraipira, palikumverera kwa mantha musanachite zovuta zochitika thupi, ntchito yavala zotayika imasokonezeka. Pogwiritsa ntchito mphamvu zowonjezera pambuyo pochita mwakhama, pangakhale kupweteka mtima, kusokonezeka kwa mtima, dyspnea.
Kuwonongeka kwa chikhalidwe chonse cha thupi ndi kuchepetsa mphamvu zake zowonjezera, zomwe zimawonedwa chifukwa cha kusokonezeka kwa njira zowonongeka pambuyo pa kuphunzitsidwa kwakukulu, kumabweretsa chitukuko cha kuwonjezeka kwa kutopa, kuchepa kwa liwiro ndi mphamvu, zovuta kulamulira kayendetsedwe ka kayendedwe ka kayendetsedwe kake. Kuonjezera apo, kupititsa patsogolo kumachititsa kuti chitetezo cha thupi chichepetse ndipo, motero, chimathandiza kuti chitukuko chiwonjezeke ku matenda opatsirana, kuwonjezereka kwa matenda aakulu. Nthawi zina, amayi amatha kukhala ndi matenda m'nthawi yachisambo.
Kugonjetsa kumawonjezeka chifukwa cha zifukwa zingapo, pakati pathu tikhoza kusiyanitsa zotsatirazi: kuphwanya mthupi la matenda (matenda aakulu ndi ovuta); kuphunzitsidwa mkhalidwe wopweteka kapena atakhala ndi matenda aakulu komanso aakulu; kusadziŵa posankha njira zophunzitsira; kusiyana pakati pa kuchuluka kwa machitidwe, zochitika zaumoyo, msinkhu, kukula kwa thupi ndi makhalidwe ena. Kuonjezera apo, kuyambiranso bwino kwa thupi pambuyo poyambitsanso ntchito kungathetsedwe ndi kusagwirizana ndi ntchito ndi kupuma kwa boma - kulemetsa kwambiri patsiku la ntchito, kusowa tulo, kusowa chakudya chokwanira, kudya kochepa kwa mavitamini, nkhawa, kumwa mowa ndi kusuta fodya. Kugonjetsa kumachitanso ngati palibe kupuma kokwanira, pamene thupi lathu silinali ndi nthawi yokwanira yowonongeka.
Ngati mumakhalabe ndi zizindikiro zoyamba zowonjezereka pambuyo popita ku masewera a masewera, ndibwino kuti mwamsanga mupeze uphungu. Kuti munthu ayambe kuchira mofulumira pambuyo poti apitirira kuchipatala, m'pofunika kuchepetsa kuchuluka kwa zochitika zolimbitsa thupi ndi kuchepetsa kukula kwa maphunziro. Mukhozanso kuyesa kusiyanitsa ntchito. Mwachitsanzo, mu nyengo yotentha, zochitika zakuthupi zimapangidwa bwino kunja - paki, m'mphepete mwa nkhalango kapena m'mphepete mwa gombe. Ndi kukula kwa kutopa kwakukulu, kuyendetsa mothamanga kwambiri sikuyenera kuchitika, kudzakhala kokwanira kuyenda mumlengalenga kapena kuthamanga kochepa. Poyesa kugwiritsidwa ntchito mopitirira muyeso, kutsata njira zoterezi kumapangitsa kuti thupi likhale lofulumira mwamsanga pambuyo pochita zinthu mofulumira. Pa chiwerengero chachiwiri cha kupititsa patsogolo ntchito, kuphatikizapo kuyenda bwino panja, ndizotheka, ndi mgwirizano wa dokotala, kutenga mankhwala omwe amathandiza kubwezeretsa thupi ndi kuchepetsa kutopa. Pachifukwa chachitatu, ndibwino kukana kukakhala nawo masabata awiri kapena atatu, ndipo patatha nthawiyi, muyenera kusinthana ndi kugwiritsa ntchito njira zogwiritsira ntchito popuma mankhwala pobwezeretsa thupi. Mankhwalawa ayenera kugwiritsa ntchito mavitamini ndi mineral complexes. Maseŵera oyambirira ndi achiwiri oponderezedwa nthawi zambiri amatha kupitirira mkati mwa masiku 10-30 kuchokera pa nthawi yoyamba yophunzitsidwa, digiri yachitatu imapempha nthawi yochuluka yobwezeretsa mphamvu zamoyo.
Choncho, njira zothandizira kuti chitukuko chisawonongeke, chiyenera kuphatikizapo kusankha bwino ntchito ndi kupuma, bungwe la zakudya zomveka bwino, kugwiritsa ntchito njira zoyenera zophunzitsira zogwirizana ndi zizindikiro za thupi lanu.