Kodi m'mimba mumamva bwanji?
Matenda a m'mimba amakhudzidwa ndi chibadwidwe. Kuwonetsetsa kwa matenda ambiri (zilonda zam'mimba, 12-coloni) zimafalitsidwa ndi majini. Chofunika kwambiri ndi njira ya moyo, zakudya, zakudya, madzi akumwa, kupezeka kapena kusakhala ndi zizoloŵezi zoipa. Matenda opatsirana angathenso kusokoneza. Mwachitsanzo, ngati munthu akudwala matenda opatsirana m'matumbo, kusinthanitsa kwa serotonin (hormone yofunika) m'matumbo a m'mimba kumasokonezeka, ndipo mavuto a ntchito a colon amayamba. Ndipo zambiri - kuchokera pa mtima wa munthu kwa iye mwini. Ngati amvetsetsa kuti ali ndi matenda a m'mimba ndipo amatenga zoyenera (amapita kwa dokotala, kukana zakudya za mafuta, amasiya mantha kuntchito), matenda sangayambe. Ngati munthu sasintha chilichonse pamoyo wake, matendawa adzapita patsogolo. Chikhalidwe cha mthupi chimadalira maganizo athu kwa ena. Ngati mutadzuka ndi lingaliro lodziwika kuti "wina ndi wabwino, koma ndikumva chisoni", izi zidzasokoneza mimba. Chilengedwe chimene amaleredwa chimakhudza kwambiri mwanayo. Kodi munthuyo amakulira m'malo amanjenjemera? Choyamba chikuwonekera enuresis, chibwibwi. Ndiye maonekedwe a gastroenterological matenda. Nthaŵi zambiri ndimakumana ndi milandu pamene ana amachiritsidwa kwa nthawi yaitali ndipo alibe zotsatira zochokera kumatenda a m'mimba. Pambuyo pake amanditengera ku phwando. Amati, Sungani zinthu kunja, musakhale ndi mapiritsi. Ndimayankhula ndi mwanayo ndikupeza kuti ali ndi mikangano yosagonjetsedwa - kunyumba kapena kusukulu.
Kodi ndi matenda otani omwe amasokoneza anthu nthawi zambiri?
Malingana ndi WHO, mawonetseredwe a gastritis amapezeka mwa 95% mwa anthu akuluakulu padziko lapansi. Koma Ukraine, malinga ndi magwero osiyanasiyana - osiyana kanjedza. Anthu omwe ali ndi vuto la bile, maimba ndi zilonda zam'madzi nthawi zambiri amabwera kudzandiwona. Matenda odalirika a madzi a m'mimba pamimba ndi m'mimba ndizofala (mwachitsanzo, m'mimba zilonda zam'mimba ndi zilonda zam'mimba, zosiyana siyana). Koma poyerekeza ndi zaka zapitazo, "chiwongoladzanja" cha mliri wa matendawa wadutsa. Osachepera chifukwa cha njira zabwino zowunikira ndi chithandizo. M'zaka chikwi chachitatu, matenda a gastroesophageal reflex (GERD) amayamba ngati mtsogoleri. M'mayiko osiyanasiyana zimakhudza anthu 20 mpaka 40%. Kudandaula kwakukulu kumakhala kukubvula. Chikhoza kugwirizanitsidwa ndi kuphwanya kadyedwe ka zinthu zina. Kotero, pafupifupi, theka la anthu akuluakulu lacitase silingakwanitse (kusagwirizana ndi mkaka ndi mankhwala opaka mkaka). Palinso kusagwirizana kwa shuga ena, fructose, sorbitol (ndi gawo la zakumwa zabwino zotentha kwambiri, kutafuna gums), tirigu. Zimanenedwa kuti chifukwa chofala cha zilonda zam'mimba ndi zilonda zam'mimba ndi kukhalapo kwa Helicobacter.
Kodi "wokhoza" wotereyu amadza bwanji kwa ife ndipo ali oopsa motani?
Helicobacter pylori amachokera ku malo akunja, nthawi zambiri ali mwana. Kwa ana, nembanemba imakhala ndi asidi otsika ndipo sichikulimbana ndi kuwonongeka kwa tizilombo toyambitsa matenda. Kuphatikiza apo, anawo amafunitsitsa kugwira chirichonse ndi manja awo ndikukaika pakamwa pawo. Gastritis yogwirizana ndi Helicobacter ndi vuto lalikulu komanso losavuta mu gastroenterology. Ndiponsotu, ikhoza kukhala ngati chiwopsezo cha mapangidwe a zotupa - zonse zowonongeka ndi zopweteka. Choncho Helicobacter imadziwika ngati khansa ya digiri yoyamba. Mwamwayi, ngati m'kupita kwa nthawi kuti awulule mu thupi, mukhoza kuthetsa kwathunthu gastritis ndi kuteteza maonekedwe a khansa.
Ndi SOS zomwe mungadziwe kuti ndi nthawi yowona gastroenterologist?
Ngati pali vuto lililonse: kuchokera ku mpweya woipa (musanayambe kudya kapena mutadya - zilibe kanthu) ndi chipika pa lilime mpaka chilakolako chitachepa kapena, mosiyana, kulakalaka zakudya, kukhumudwa, kupweteka, kupweteka kwa m'mimba, kupweteka m'mimba, kudzimbidwa kapena matenda a m'mimba, kufooka kwathunthu kwa thupi. Kuwonongeka kwa maonekedwe (chifuwa, chikasu, kapena imvi-chikasu) kumawoneka ngakhale ndi matenda osanyalanyaza a tsamba la m'mimba, pamene munthuyo sanapite kwa dokotala pa nthawi. Pamene akunena kuti: "Matenda onse ochokera m'mitsempha" - Choyamba, amatanthauza mimba ndi ziwalo zina zobisala. Kodi phindu la kupanikizika ndilokwanira? Mu gastroenterology pali lingaliro la zilonda zopanikizika - pamene matendawa akuwoneka pansi pa zovuta za maganizo. Pali kugwirizana pakati pa ntchito ya ubongo ndi ziwalo za m'mimba. Choncho, povutika ndi munthu wathanzi pali zolephera: wina ali ndi ululu m'mimba, wina ali ndi matenda a m'mimba. Chirichonse chimadalira mtundu wa munthu. Gastric ulcer nthawi zambiri amapezeka m'mawu oyamba - anthu omwe ali ndi ululu mwa iwo okha. Izi ndizo makamaka amuna. Ndipotu nthawi zambiri amasankha kukhala chete pa mavuto awo. Akazi ambiri amauza ena mavuto - komanso pokambirana kuti athetse nkhawa. Masiku ano, matenda a m'matumbo omwe amatha kufalikira amapezeka kwambiri - matenda omwe amapezeka, monga lamulo, motsutsana ndi vuto la mavuto ndi mavuto osagonjetsedwa. Choncho, ogwirizanitsa ndi gastroenterologists ayenera kugwira ntchito ndi akatswiri a maganizo, akatswiri a maganizo. Pali umboni wakuti m'dziko lathu kwambiri matenda opatsirana a m'mimba amapezeka pa stage III kapena ngakhale IV.
Kodi ndi zenizeni kuti "mutenge" khansara panthawi yoyamba?
Khansara imapezeka nthawi yoyambirira. Mayeso oyamba komanso ovuta kwambiri ndi kuyesa zinyansi zofunikira kuti pakhale magazi obisika. Ngati chizindikiro cha alarm chikupezeka, endoscopy ndilovomerezeka. Ku US, kumadzulo kwa Ulaya, anthu amawonedwa mobwerezabwereza ku matenda opatsirana. Choncho, chiwerengero cha matenda amenewa m'mayiko otukuka chinachepera ndi 50%. Ku Ukraine, zonse zanyalanyazidwa, palibe ndondomeko za boma za kufufuza kwa anthu. Kotero, tsoka, ife tiri patsogolo pa chiwerengero cha khansa m'mimba ndi matumbo akulu. Anthu a zaka zoposa 45 ayenera kudziwa: amafunika kukayezetsa mankhwala ndi gastroenterologist (ngakhale ngati sanafunse dokotala). Ndikofunikira kwambiri kukumbukira izi kwa nzika zomwe zakhala zikudwala matenda a khansa m'mimba kapena matumbo akuluakulu.
Kodi ndi njira ziti zamakono zogwiritsira ntchito matenda opatsirana m'mimba?
Njira zowonjezereka zogwiritsira ntchito gastritis ndi kusintha mu chapamimba mucosa. Poyamba, pogwiritsa ntchito kafukufuku, mutha kulowa m'mimba kwa mphindi ziwiri, onetsetsani kuti panalibe chilonda kapena chotupa - ndipo ichi chinali kutha kwa kafukufuku. Kumapeto kwa masiku ano kumakuthandizani kuti muzindikire kuti mucosa ndi chiyani: Kodi chiwerengero cha gastritis ndi chiyani? Mukhoza kuchita zakuthambo - katswiri amafufuza mimba ya mucosa. Angayang'anenso mu gulu laling'onoting'ono - ndipo muzindikire zochepetserako pang'ono kuchokera ku chizoloŵezi. Panali chromoendoscopy - pamene chimbudzi chamkati chimadetsedwa ndipo malo ake osinthidwa amavumbulutsidwa. Ndipo mayeso oterowo akhoza kuchitika ku Ukraine. Endoscopy ndi njira yowonongeka (ndi kulowerera mu thupi), motero osakondedwa ndi odwala. Modzipereka kwambiri kupita ku ultrasound (ultrasound). Koma matenda a gastritis ali ndi 1009th akhoza kutheka pokhapokha pofufuza minofu mucosa pansi pa microscope. Endoscopy ikuchitidwa paichi. Njira yomweyi imayambitsanso mavuto a mthempha, 12-humus. N'zotheka kuyesa matumbo akulu - "yang'anani" mmenemo mothandizidwa ndi colonoscope. Komabe, poyambitsa zoterezi, anthu ena amatsutsana. Amapatsidwa kolonoscopy - kafukufuku wa koloni yonse chifukwa cha kompyuta (colonoscope siinalowe mkati!). Pogwiritsa ntchito njirayi, PC imakhala ikugwiritsira ntchito mankhwala - malinga ndi kuikidwa kwa dokotala, munthu akhoza kuchita makompyuta a ziwalo za m'mimba. X-ray njira ikupangidwanso. Ndi chithandizo chawo, mutha kuyesa mkhalidwe wa bile duct, gallbladder, pancreas. Palinso mayeso a magazi oopsa. Kwa iwo n'zotheka kudziwa kuchuluka kwa ma enzyme omwe amapangidwa ku chiwindi, mphukira. Koma, mwatsoka, kuyezetsa mwazi sikungapangitse molondola kuti apange tizilombo toyambitsa matenda. Hatchi yakuda ya mankhwala ndi matumbo aang'ono. Thupi ili ndi mamita asanu m'litali, kukwaniritsa ntchito zambiri zofunika: ndi kupatsa (zonse zomwe thupi limafuna - micronutrients, mavitamini, mapuloteni, madzi), ndi kupititsa patsogolo chakudya cha m'mimba. Kufikira kumayambiriro kwa zaka za XXI kunali kovuta kwambiri kufufuza. Tsopano capsular enteroscopy yabwera - njira yokha yomwe imalola kuti ayang'ane limba lalitali kwambiri. Munthu amawombera capsule yapadera, yomwe imagwiritsira ntchito chizindikiro cha radio. Kapsule ndi yaing'ono, kukula kwa mapiritsi a mankhwala. Koma zimakulolani kutenga masauzande a zithunzi zamagetsi, kuphatikizapo matumbo aang'ono. Kotero mukhoza kuzindikira kuwonongeka kwake - ndikupatseni chithandizo choyenera. N'zotheka kudziwa ndi kuswa kwa zinthu zina - mothandizidwa ndi mayesero a hydrogen-kupuma. Mavitamini a haidrojeni amayesedwa mu mpweya wotuluka kunja. Mankhwalawa amayamba kutulutsa m'matumbo akuluakulu. Ngati malingana ndi momwe zinthuzi zilili m'matumbo ang'onoang'ono - zimakhala zopanda mphamvu. Mayesero a kupuma amatha kuzindikira zolephera pakupanga mapulaneti a pancreatic. Amachitidwa monga chonchi. Munthu amadya zakudya zina - kenako amatha kutulutsa mpweya mu thumba lapadera. Malinga ndi kafukufuku wokhudzana ndi zochitikazo, zimagwirizana ndi momwe wodwala amapangira mavitamini kuti azidya mafuta omwewo kapena zakudya. Ndondomekoyi inathandiza kwambiri ntchito ya gastroenterologists pozindikira kuti matendawa ndi oopsa kwambiri. Kuyezetsa magazi kumasonyeza kuti alipo Helicobacter pylori m'mimba. Izi ndizoyeso zotchedwa urease test. Munthu amamwa madzi okhala ndi urea. Ngati pali bacterium, imapangitsa urea kukhala ndi mazira. Komanso, mpweya wotulutsa mpweyawo umafufuzidwa - ndipo matherowo apangidwa ngati Helicobacter "ikukhazikika" m'mimba kapena ayi.
Ngati mumasiya malangizo a madokotala ndipo simukuchiritsidwa - kodi matenda opatsirana pogonana angakhudze motani ziwalo zina ndi zida zina?
Ngati munthu alibe mavitamini okwanira kuti athetse mapuloteni, ndipo samvera malangizo a dokotala ndipo amatha kudya zakudya zamapuloteni ambiri, gout akhoza kuyamba (matenda olowa pamodzi). Komanso, matenda onse a m'matumbo amasonyeza m'maganizo. Munthu amakwiya, sangathe kuika maganizo ake, mwamsanga amatopa. Izi zimakhudza ubale wake ndi ena, ntchito, kuphunzira. Pamene atrophy ya mucosa m'mimba imapezeka B12 folic anemia. Imeneyi ndiyo mtundu waukulu kwambiri wa kuchepa kwa magazi, komwe kumafuna chithandizo chachikulu. Ngati matendawa ali osasamalidwa, asungwana ali ndi vuto la kusamba. Mwezi uliwonse mubwere pambuyo pa zaka zoyenera kapena osachokapo. Pali mavuto okhudzidwa kapena kubala mwana. Cleyacia nthawi zambiri imakhala chifukwa cha kusabereka kwa amuna - amuna samabereka umuna wokwanira wa umuna wa dzira. Ngati pali kupunduka kwa calcium, matenda a osteoporosis (matenda a minofu ya mafupa, omwe amachititsa kuti mafupa akhutsidwe) atheke, ngakhale ana.
Kodi ndingathe kuchotsa kusagwirizana kwa zinthu zina?
Zimatengera zomwe chakudya chimayambitsa kukanidwa. Ngati izi sizikugwirizana ndi mbewu, ndiye kuti simungathe kuzichotsa. Pali chakudya chamoyo wonse kupatulapo tirigu omwe ali ndi zinthu zomwe zimakhudza kwambiri minofu ya m'mimba mwazing'ono. Pamene shuga sichimasamutsidwa, fructose, zinthu zimapindulitsa. Zakudya zimaperekedwa (kawirikawiri kwa miyezi isanu ndi umodzi). Kenaka, poyang'aniridwa ndi dokotala, munthu amalowetsa zakudya zopatulapo kuti azidya. Tsopano mu mawonekedwe a mafashoni: "Dokotala mwiniwake."
Chotsatira cha kudzipenda ndi kuyeretsa kwakukulu - khungu labodza, hydrocolonotherapy?
Anthu ambiri amapezeka kuti ali ndi dysbiosis, chifukwa amadziwona okha kuti ali ndi zizindikiro zake - mwachitsanzo, kuphulika, mavuto ndi ziwalo. Koma sikuti nthawi zonse matendawa amasonyeza bwino kupweteka kwa m'mimba. Dysbacteriosis sizimachitika nthawi zambiri pamene amadandaula za izo. Ndi bwino ngati munthu akufunsira kwa dokotala. Ambiri mwa iwo eni akuyesera kuchiza matenda awo oganiza. Mwamwayi, microflora yathu ili ndi chitetezo chokwanira, kuphatikizapo kuchokera tokha. Kuwonongeka kwakukulu kwa kumwa mankhwala osokoneza bongo ndi bifido kapena lactobacilli sikuchitika. Koma izi sizidzathandizanso. Pambuyo pake, popanda kuthandizidwa ndi dokotala, kuthetsa dysbiosis kuli ngati kuwombera mpheta ndi kanki. Mukhoza kudumpha kuyamba kwa matenda enieni. Choncho kudzipiritsa nthawi zonse kumakhala kovulaza nokha. Kwenikweni, khungu lofufuza silopweteka. Ngati munthu atulutsa chifuwa chake ndikumverera bwino pambuyo pake - chonde, musiye kuyeretsedwa kwa thanzi. Koma sizingatheke kukaonana ndi gastroenterologist ndikupeza matenda kuti adziwe ndikuchiza matendawa. Koma hydrocolonotherapy (kutsuka matumbo ndi mulingo waukulu wa madzi, enema) - njirayi ndi yamwano komanso yoopsa. Choyamba, kuyeretsedwa kwa matumbo kumachitika mosiyana. Ndasunga milandu yachisokonezo cha microflora ya m'mimba yaing'ono - chiwonongeko ndi mabakiteriya ake amtundu mwa anthu omwe adzigonjetsa. Kuwonjezera apo, m'matumbo akulu pangakhale zosiyana siyana (m'kati mwa makoma a kamtumbo kakang'ono), zomwe munthu samakayikira. Mukamadyetsa madzi ambiri, kupasuka kwa diverticulum ndi kutupa ndi kotheka. Mawu oti "Ndife zomwe timadya" sangagwiritsidwe ntchito bwino pamatope a m'mimba.
Kodi mungadye bwanji kuti mupewe kusokonezeka m'ntchito yake?
Chakudya chimagwirizanitsa mafuta owonjezera a hydrochloric m'mimba. Ngati munthu amadya nthawi zonse, hydrochloric acid sichikhala ndi chiwawa pamimba mucosa. Choncho, muyenera kudya kangapo patsiku - makamaka anthu omwe amawadwalitsa ndi zilonda zam'mimba. Posachedwapa anthu odwala matendawa akuyang'ana kudya mmawa. Onetsetsani kuti mudye chakudya cham'mawa, ndipo mwamphamvu kwambiri. Ndipotu, iwo amene amasowa chakudya cham'mawa, amakhala ndi chiopsezo chotenga matenda a zhelchekamennuyu, mavuto a m'matumbo. Ndipo chakudya chammawa chiyenera kukhala ndi mafuta zigawo zikuluzikulu - yemweyo masamba mafuta. Ngati mukulephera kugwira ntchito mu ndulu, mukhoza kudya uchi, kupanikizana. Chakudya ndi chofunikanso kuti ukhale wandiweyani. Koma musapitirire. Ngati oledzera, GERD ikhoza kukhala. Koma chakudya - chosavuta: kuchokera pa chakudya chomaliza kukagona chiyenera kutenga maola 2-3. Nkofunika kudya nthawi yomweyo. Ndiponsotu, ziwalo zonse zakuthupi zimakonzedwa kuti zigwirizane ntchito. Pa nthawi yomweyo tili ndi chapamimba madzi, bile, omwe amathyola mafuta, mavitamini a kapangidwe. Thupi liri wokonzeka kukumba chakudya. Choncho, chakudya chamadzulo, chakudya chamadzulo ndi chakudya chamadzulo ndi ndondomeko yowonjezera kumapereka chakudya choyenera, komanso kuyamwa kwa zakudya, komanso kusangalala. Mtundu wa chakudya ndi wofunikanso. Akatswiri amasiku ano amatsindika kuwonjezeka kwa chakudya cha tsiku ndi tsiku cha kuchuluka kwa zakudya zamagetsi. Tsoka ilo, anthu a ku Russia ndi Ukraine sazilandira zigawo zofunikazi - samadya masamba ndi zipatso. Ndipo zokondweretsa zam'nyumba zoweta zophika mbatata, kaloti zimakhala ndi zingwe zochepa. Ambiri mumbiri, yomwe sitimadya nthawi zambiri, makamaka m'nyengo yozizira. Komanso, zakudya zambiri zowonjezera zakudya zowonjezera. Makamaka ayenera kulipidwa pamabuku. Mzimayi yemwe sagwira ntchito mwakhama ndipo sakhala ndi moyo wathanzi, okwanira kudya 300 ml ya chakudya. Kupatula kuti khalidwe la chakudya - osati chakudya chabwino kwambiri. Amuna amafunikira magawo pang'ono, pafupifupi 500 ml.
Ndikofunika kotani kumwa madzi kuti mukhale ndi vuto labwino? Kodi khalidwe la H20 liyenera kukhala liti?
Ngati mumamwa madzi pang'ono, padzakhala kudzimbidwa. Pambuyo pake, matumbo sangathe kudula chakudya. Munthu wathanzi amafunika kumwa madzi okwanira imodzi ndi hafu patsiku. Koma ngati mankhwalawa akuphwanyidwa, madzi ambiri amatha kutsegula m'mimba. Pankhaniyi, mukufuna malangizo kuchokera kwa dokotala. Momwe mukufunikira kuti muphunzire lamuloli nthawi ziwiri ndi ziwiri: simungamwe madzi opopopera pampopi. Iyenera kudutsa mu fyuluta kuti ikamasule chlorini, zosafunika za zitsulo zolemera. Tili kupuma kale mpweya woipa - chifukwa chiyani tikumva thupi ndi zakumwa zoipa? Pa nthawi yomweyi, madzi sayenera kusungunuka. Ndikofunika kuti ili ndi zinthu zothandiza - potassium, magnesium, iononi. Chifukwa cha ichi, anthu amagula madzi otsekemera. Koma samverani chizindikiro. Pali machiritso. Zapangidwa kuti zithetse matenda pogwiritsa ntchito gastroenterologist. Ngati mumamwa tsiku ndi tsiku kuti mukhale ndi ludzu, zikhoza kusokoneza muyezo wa mchere wa ion mu thupi (ngakhale kuti zovulaza sizidzabweretsa). Kugwiritsa ntchito tsiku ndi tsiku, madzi ali ndi cholembera: "chipinda chodyera", "kasupe" - osati "mankhwala". Zakudya ndi chimodzi mwa njira zothandizira mu gastroenterology. Koma anthu ambiri sangathe kudzikakamiza kuti asiye izi kapena zinthu zina. Nchifukwa chiyani izi zikuchitika? Mu gastroenterology palibe zakudya zovuta. Zing'onozing'ono zokhazokha. Pamene chilonda cha chilonda sichiri chovomerezeka chakuthwa - tsabola, vinyo wosasa, mpiru, zobiriwira anyezi, radish, radish. Ndi cholelithiasis, musamamwe mwamphamvu msuzi, idyani zokazinga, zakudya zamchere, ayisikilimu. Ndi kuperewera, kumwa mowa ndi kochepa. Matenda a zakudya (kusonkhanitsa zinthu zina ndi kusasulidwa kwa ena pa matenda aliwonse) ndi kale njira yosakhalitsa. Silikugwiritsidwa ntchito paliponse padziko lapansi. Kutsimikiziridwa: kuchotsedwa kwa nthawi yaitali kwa mankhwala alionse kuchokera ku zakudya ndi owopsa kwa thanzi. Choncho, zakudya zamakono za gastroenterologists zimaperekedwa pa nthawi yovuta ya matendawa. Kenaka, poyang'aniridwa ndi dokotala, munthu pang'onopang'ono amalowetsa mu menu yake "zakudya zosaloledwa". Koma nthawi zambiri anthu amayamba kuchita zinthu mopitirira malire. Anthu omwe ali ndi zilonda zam'tsogolo amabwera kwa ine ndikudandaula kuti: "Sindinadyepo dokotala kwa zaka ziwiri!" Nthawi yonseyi amadyetsedwa ndi supu zowumidwa ndi cutlets, chifukwa nthawi ina adauzidwa ndi dokotala. Kotero simukusowa. Matendawa ayenera kuchiritsidwa, ndiyeno kudya chirichonse ndi kusangalala ndi moyo. Ndipo komabe timapereka malangizo pa njira yokonzekera. Choncho, yokazinga ndi yoipa. Mafuta oledzera amalowa mkati mwa mankhwalawo ndipo amawasamalira bwino. Izi zingayambitse matenda a ndulu, mitsempha ya mtima.
Zothandiza ndi chokoma - nyama, kuphika pa kabati?
Munthu amene amadya amadyetsedwa ndi achibale ake. Ziri zopanda phindu kuti sangathe - kapena osasangalala nazo mbale izi. Tangoganizirani: munthu sangakhale ndi tsabola kwambiri, ndipo mabanja onse amadya izi. Pali mikangano yosagwirizana. Si zophweka kumverera ngati nkhosa yakuda. Munthu akhoza kukhala ndi zovuta zovuta. Ndili ndi maganizo awa, aliyense, ngakhale chakudya chophika chokha sichidetsedwa. Koma kumvetsetsa ndi kugwirizana pakati pa banja, kuthandizira pa nthawi ya kukanidwa kwa zokoma zosiyana kumalandira. Masiku ano ndi otchuka kwambiri kugwiritsa ntchito nthawi yambiri yophunzitsa masewera olimbitsa thupi, kutsegula makina. Kodi kukonda kwambiri masewera kumakhudza bwanji thanzi labwino? Kukweza galasi, kuthamanga kwakukulu kwa makina osindikizira kungayankhe ndi matenda osokoneza bongo, nthendayi. Kusinthasintha kwambiri sikungatheke ndi cholelithiasis. Zilonda za m'mimba, kusambira ndizobwino. Wothamanga wophunzitsidwa akhoza kuchita maola limodzi ndi theka patsiku. Anthu otsala kuti asunge minofu mokwanira kuti achite kawiri pa sabata kwa ola limodzi. Njira yophunzitsira zonse ikuyenda mofulumira, osachepera 30 mphindi patsiku. Mwangwiro "amavutitsa" ziwalo zonse ndi kulimbikitsa makina osamalidwa.
Ndi ntchito ziti zomwe sizili mabwenzi ndi matumbo a m'mimba, ndipo ndizosiyana bwanji, zomwe zimagwirizanitsa?
Ntchito yokhudzana ndi kupanikizika ndi yovulaza, - maudindo apamwamba, ntchito ya azachipatala. Aphunzitsi ali ndi udindo waukulu kwa anthu ndipo ali ndi nkhawa nthawi zonse. Anthu omwe amagwira ntchito zovuta zowonongeka, opanga zosavuta amayamba kuchepa ndi matenda opweteka: gawoli linalandira, ntchitoyo inapangidwa ...
Chochita, kuti mimba sichidwala konse?
Dzikondeni nokha. Ndiye simungathe kudyetsa nokha ndi kuchita zinthu zomwe zingapweteke. Mukufuna kudzipatsa nokha zosangalatsa - ndi chakudya, ndi kugwira ntchito, ndi kupumula. Chinthu chachikulu ndi chakuti chisangalalo sichitha kupitirira. Lolani kuti liphatikizidwe ndi phindu. Chilankhulo cha nthawi yathu: "Moyo uyenera kukhala phindu." Osati zakuthupi zokha. Choyamba pa zaumoyo. Zimachitika mukakhala oganiza bwino komanso oyenera pa chakudya, madzi - zomwe mumazitumiza.