Kodi inunso mukuvutika kupita kuchimbudzi masiku ano? Tiyeni tikambirane za kudzimbidwa!

Kodi nthawi zina mumakhala nthawi yayitali kuchimbudzi? Kodi mumamva ngati m'mimba mwanu mwauma? Kapena mumamva ngati chinachake chatsekeredwa m'mimba mwanu ngakhale mutapita kuchimbudzi? Ili ndi vuto lomwe anthu ambiri ali nalo ndipo limayambitsa kusasangalala. Koma palibe chifukwa chochitira manyazi kapena kuopa kulankhula za ilo. Lero, tikambirana mwatsatanetsatane za vuto ili lotchedwa kudzimbidwa, kapena `(kudzimbidwa)`.

Kodi kudzimbidwa ndi chiyani?

Mwachidule, ngati mukuona kuti mukufunika kupita kuchimbudzi nthawi zosakwana katatu pa sabata, madokotala amachitcha kudzimbidwa. Komabe, nthawi zambiri kupita kuchimbudzi kumatha kusiyana malinga ndi munthu. Anthu ena amapita kangapo patsiku, pomwe ena amapita kamodzi kapena kawiri pa sabata. Kaya kachitidwe kanu kabwinobwino ndi kotani, ndi kapadera kwa inu, ndipo ndi kabwinobwino. Vuto limabwera mukasiya kachitidwe kanu kabwinobwino. Kaya kachitidwe kanu ka kuchimbudzi ndi kotani, chinthu chimodzi chimamveka bwino: mukadikira nthawi yayitali kuti mupite kuchimbudzi, zimakhala zovuta kwambiri kutuluka ndowe. Pali zizindikiro zingapo zazikulu zomwe zingakuthandizeni kuzindikira kudzimbidwa:

• Chimbudzi chanu chili chouma komanso cholimba ngati mwala.
• Ndimamva kupweteka ndikapita kuchimbudzi, ndipo zimakhala zovuta kuchita chimbudzi.
• Ngakhale nditapita kuchimbudzi, ndimamva ngati m'mimba mwanga simunatulukemo konse.

Ndipotu, vuto limeneli lotchedwa kudzimbidwa ndi lofala kwambiri. Si inu nokha, anthu mamiliyoni ambiri padziko lonse lapansi amavutika ndi vutoli. Chifukwa chake, ndikofunikira kuganizira izi ngati zachilendo ndikuchitapo kanthu kofunikira.

Kodi kudzimbidwa kumeneku kumachitika bwanji?

Ndi zophweka kwambiri. Kudzimbidwa kumachitika pamene m'mimba mwanu (kapena m'matumbo akulu) mutenga madzi ambiri kuchokera ku ndowe yanu. Izi zimapangitsa kuti ndowe yanu ikhale youma, yolimba, komanso yovuta kutuluka. Kuti tifotokoze zambiri, pamene chakudya chomwe timadya chimadutsa m'thupi lathu, matumbo athu pang'onopang'ono amamwa michere. Zinyalala zomwe zatsala kuchokera ku chakudya chogayidwa ndizomwe zimapanga ndowe. Zinyalala izi zimadutsa kuchokera m'matumbo ang'onoang'ono kupita kumatumbo akuluakulu. Matumbo akuluakulu amamwa madzi kuchokera ku zinyalala izi ndikuzipangitsa kukhala zolimba. Ngati mukudzimbidwa, chakudya chanu chimatenga nthawi yayitali kuti chiziyenda m'thupi mwanu kuposa momwe chiyenera kukhalira. Izi zimapatsa matumbo anu akuluakulu nthawi yochulukirapo kuti azitha kuyamwa madzi. Zotsatira zake? Ndowe yanu imakhala youma, yolimba, komanso yovuta kutuluka.

Kodi zifukwa za kudzimbidwa ndi ziti?

Kudzimbidwa kumatha kukhala ndi zifukwa zambiri. Zinthu zina m'moyo wathu, mankhwala omwe timamwa, ndi matenda ena zimatha kukhudza kudzimbidwa.

Zinthu zokhudzana ndi moyo

Zina mwa zizolowezi zathu za tsiku ndi tsiku zitha kukhala chifukwa chachikulu cha kudzimbidwa. Onani ngati izi zikukukhudzaninso:

• Kudya zakudya zokhala ndi ulusi wochepa : Ngati zakudya zomwe timadya zilibe ulusi wokwanira, ndowe sizingapangidwe bwino ndipo sizingadutse mosavuta.
• Kuchepa kwa madzi m'thupi (kusowa madzi m'thupi): Thupi likapanda kupeza madzi okwanira, ndowe zimauma.
• Kusachita masewera olimbitsa thupi: Pamene kuchita masewera olimbitsa thupi kumachepa, ntchito ya m'mimba imachepanso.
• Kusintha kwa zizolowezi za tsiku ndi tsiku: Vutoli lingachitike pamene nthawi yoyenda, kudya, kumwa, kapena kugona isintha.
• Kudya zinthu zambiri monga mkaka ndi tchizi: Anthu ena amavutika kudzimbidwa akadya kwambiri zinthu izi.
• Kupsinjika Maganizo : Musadabwe, kupsinjika maganizo kumakhudzanso izi.
• Kudziletsa mukafuna kupita kuchimbudzi: Ichi ndi cholakwika chomwe anthu ambiri amachita. Ndikofunikira kuchita izi pakafunika kutero.

Mankhwala

Mankhwala ena omwe mumamwa angayambitsenso kudzimbidwa.

• Mankhwala ena amphamvu ochepetsa ululu , mwachitsanzo omwe ali ndi `(Codeine)`, `( Oxycodone - ngati Oxycontin®)` ndi `( Hydromorphone - ngati Dilaudid®)`.
• Mankhwala oletsa kutupa omwe si a steroidal (NSAIDs) , monga Ibuprofen (Advil®, Motrin®) ndi Naproxen (Aleve®).
• Mankhwala oletsa kuvutika maganizo , monga `(Fluoxetine - monga Prozac®)` kapena `(Amitriptyline - monga Elavil®)`.
• Mankhwala ena oletsa asidi, makamaka omwe ali ndi calcium kapena aluminiyamu (monga `Tums®`), amaperekedwa kwa gastritis .
• Mapiritsi achitsulo.
• Mankhwala a ziwengo (Antihistamines) , mwachitsanzo `(monga Diphenhydramine - Benadryl®)`.
• Mankhwala ena othamanga magazi , mwachitsanzo `(Calcium channel blockers)` ndi `(Beta-blockers)`.
• Mankhwala a matenda ena amisala , monga `(Clozapine - Clozaril®)` ndi `(Olanzapine - Zyprexa®)`.
• Mankhwala oletsa kugunda kwa mtima , mwachitsanzo `(Phenytoin)` ndi `(Gabapentin)`.
• Mankhwala ena ochizira kusanza , monga Ondansetron - Zofran®.

Mankhwala ambiri ngati awa angayambitse kudzimbidwa. Ngati muli ndi mafunso okhudza mankhwala omwe mukumwa kapena za vutoli, funsani dokotala wanu kapena wamankhwala.

Matenda ena

Kudzimbidwa kungayambitsidwenso ndi matenda ena.

• Matenda a EndocrineMwachitsanzo, hypothyroidism, matenda a shuga, uremia (kuchuluka kwa zinyalala m'magazi chifukwa cha kulephera kwa impso), ndi hypercalcemia (kuchuluka kwa calcium m'magazi).
• Khansa ya m'matumbo.
• Matenda a m'mimba okwiya (IBS).
• Diverticulitis (matenda a matumba ang'onoang'ono m'matumbo akulu).
• Kufooka kwa minofu ya pansi pa chiuno (kusagwira bwino ntchito kwa chotulutsira madzi m'mimba). Minofu imeneyi imathandiza kutulutsa ndowe.
• Matenda otsekeka m'mimba (omwe amachititsa kuti munthu asatuluke m'mimba).
• Kutsekeka kwa matumbo (kusiya kugwira ntchito kwakanthawi kwa matumbo).
• Matenda a mitsempha , monga kuvulala kwa msana, multiple sclerosis, matenda a Parkinson, ndi sitiroko.
• Matenda a m'mimba ofooka (kufooka kwa matumbo akulu).
• Kutsekeka kwa matumbo.
• Zolakwika za kapangidwe ka chakudya (monga, `(Fistula)`, `(Colonic atresia)`).
• Matenda ambiri a ziwalo , monga `(Amyloidosis)`, `(Lupus)` ndi `(Scleroderma)`.
• Mimba.

Kodi zizindikiro za kudzimbidwa ndi ziti?

Munthu amene ali ndi vuto la kudzimbidwa akhoza kukhala ndi zizindikiro monga:

• Kupita kuchimbudzi kosakwana katatu pa sabata.
• Chimbudzicho ndi chouma, cholimba, komanso chotupa.
• N'kovuta kuchita chimbudzi ndipo kumapweteka.
• Zikumveka ngati m'mimba mukupweteka komanso kufooka.
• Ndikumva nseru, ngati kuti m'mimba mwanga mwadzaza.
• Ngakhale nditapita kuchimbudzi, ndimamva ngati m'mimba mwanga simunatulukemo konse.

Ndani amene ali ndi mwayi waukulu wopeza matenda a kudzimbidwa? (Zinthu Zoopsa)

Aliyense wa msinkhu uliwonse akhoza kukhala ndi vuto la kudzimbidwa nthawi zina. Komabe, anthu ena amakhala ndi vuto limeneli nthawi zonse ('kudzimbidwa kosatha'). Zinthu zomwe zimakhudza izi ndi izi:

• Zaka: Anthu opitirira zaka 65 nthawi zambiri sachita zinthu zambiri poyerekeza ndi achinyamata, kagayidwe kawo ka thupi kamakhala kochedwa pang'ono, ndipo mphamvu ya minofu m'mimba ingachepenso.
• Kukhala mkazi, makamaka panthawi ya mimba komanso atabereka: Kusintha kwa mahomoni kungayambitse kudzimbidwa. Panthawi ya mimba, mwana m'mimba amatha kukankhira matumbo ndikuchepetsa kuyenda kwa ndowe.
• Kudya zakudya zopanda ulusi wambiri.
• Kugwiritsa ntchito mankhwala enaake.
• Kupezeka kwa matenda ena a mitsempha (matenda a ubongo ndi msana) ndi matenda a m'mimba.

Kodi kudzimbidwa kungayambitse mavuto ena azaumoyo?

Inde, ngati ndowe siziperekedwa bwino komanso pa nthawi yake, mavuto ena angachitike.

• Kutupa ndi kutupa kwa mitsempha ya m'mimba (ma hemorrhoids).
• Ming'alu ya pakhungu la m'matako (kung'ambika kwa khungu la m'matako) poyesa kutulutsa ndowe zolimba.
• Matenda a ndowe mkati mwa matumba ang'onoang'ono (diverticula) omwe amapangika pakhoma la matumbo akulu (diverticulitis).
• Kuchuluka kwa ndowe m'matumbo ndi m'matako (Fecal impaction).
• Kudzikakamiza popita ku bafa kungawononge minofu ya pansi pa chiuno. Minofu imeneyi imathandizanso kulamulira momwe chikhodzodzo chimagwirira ntchito. Kudzikakamiza kwa nthawi yayitali kungayambitsenso kutuluka kwa mkodzo kuchokera m'chikhodzodzo (stress urinary incontinence).

Chofunika: Kudzimbidwa nthawi zambiri sikupangitsa kuti poizoni azisonkhana m'thupi lanu ndikukudwalitsani. M'mimba mwanu ndi kapangidwe kamene kamatha kusunga zinyalala ndikukulirakulira. Komabe, pokhapokha ngati muli ndi vuto lalikulu la m'mimba (monga "Toxic Megacolon"), poizoni satuluka m'makoma ake.

Kodi chimachitika ndi chiyani mukalankhula ndi dokotala za izi?

Kulankhula ndi dokotala kapena wina aliyense za zizolowezi zanu za chimbudzi (kapena kusowa kwake!) kungakhale ntchito yovuta. Koma kumbukirani, dokotala wanu alipo kuti akuthandizeni. Ndi akatswiri azachipatala ophunzitsidwa bwino, ndipo alankhula ndi odwala za nkhani iliyonse yazaumoyo yomwe mungaganizire. Dokotalayo adzakufunsani kaye mafunso okhudza mbiri yanu yazaumoyo, zizolowezi zanu za chimbudzi, moyo wanu, ndi zochita zanu zatsiku ndi tsiku .

Mafunso okhudza mbiri yachipatala:

• Ndi matenda ati omwe muli nawo panopa komanso omwe mudadwalapo kale?
• Kodi mwachepetsa kapena mwawonjezera kulemera posachedwapa?
• Kodi mudachitidwapo opaleshoni iliyonse ya m'mimba?
• Ndi mankhwala ndi zowonjezera ziti zomwe mumamwa kuti muchepetse kudzimbidwa kapena matenda ena?
• Kodi pali aliyense m'banja mwanu amene ali ndi mbiri ya kudzimbidwa, matenda a m'mimba, kapena khansa ya m'matumbo?
• Kodi munachitapo ``(Colonoscopy)''?

Mafunso okhudza zizolowezi zogwiritsa ntchito chimbudzi:

• Kodi mumapita kuchimbudzi kangati?
• Kodi ndowe zanu zimawoneka bwanji? (mtundu, mawonekedwe ake)
• Kodi mwawona mikwingwirima ya magazi kapena yofiira mu ndowe zanu?
• Kodi munayamba mwawonapo magazi pa mpando wa chimbudzi kapena pa pepala la chimbudzi mutapukuta?

Mafunso okhudza moyo ndi zizolowezi:

• Kodi mumadya chiyani tsiku lililonse?
• Kodi mumadya zipatso ndi ndiwo zamasamba zingati?
• Kodi mumamwa madzi angati?
• Kodi zizolowezi zanu zolimbitsa thupi zili bwanji?

Kuphatikiza apo, dokotala adzakupimani thupi. Izi zikuphatikizapo kuyeza kutentha kwa thupi lanu, kugunda kwa mtima wanu, ndi kuthamanga kwa magazi. Adzamvetsera mawu a m'mimba mwanu pogwiritsa ntchito stethoscope. Adzakhudzanso m'mimba mwanu kuti aone ngati pali ululu, kutupa, kapena ziphuphu zilizonse.

Kumbukirani, dokotala wanu angachitenso mayeso a m'matumbo. Iyi ndi mayeso achangu omwe angamvedwe ndi chala kuti awone ngati pali zotupa kapena mavuto ena.

Ndi mayeso ati omwe amachitidwa kuti apeze chomwe chimayambitsa kudzimbidwa?

Dokotala wanu sangayesedwe, kapena angakupatseni mayeso ndi njira zosiyanasiyana. Izi zimadalira zizindikiro zanu, mbiri yanu yachipatala, thanzi lanu lonse, komanso zomwe dokotala akuganiza kuti ndi zomwe zimayambitsa. Nthawi zambiri, palibe mayeso ena ofunikira kuti mupeze matenda. Komabe, dokotala wanu angasankhe kuchita mayeso ena kutengera zizindikiro zanu.

• Mayeso a labu: Mayeso a magazi ndi mkodzo amatha kuzindikira matenda monga hypothyroidism, kuchepa kwa magazi m'thupi, ndi matenda a shuga. Chitsanzo cha ndowe chikhoza kuyesedwa ngati pali zizindikiro za matenda, kutupa, ndi khansa.
• Mayeso ojambulira: Dokotala wanu angakupatseni CT scan, MRI scan, kapena matumbo kuti aone mavuto ena omwe angayambitse kudzimbidwa. Komabe, nthawi zambiri izi sizimalamulidwa.
• Colonoscopy: Dokotala angachite ``Colonoscopy`` kapena ``Sigmoidoscopy`` - izi zimaphatikizapo kulowetsa chubu chokhala ndi kamera (``scope```) mu rectum kuti ayang'ane mkati mwa matumbo akulu. Panthawiyi, chitsanzo cha minofu (``Biopsy``) chingatengedwe kuti chione ngati pali khansa kapena mavuto ena, ndipo ma polyps aliwonse, ngati alipo, angachotsedwe.
• Maphunziro okhudza kufalikira kwa magazi m'matumbo: Mu mayesowa, mumamwa mankhwala ochepetsa mphamvu ya ma radiation, kaya ngati piritsi kapena chakudya, kenako nthawi ndi momwe mankhwalawa amayendera m'matumbo mwanu zimawunikidwa.
• Mayeso ena okhudza ntchito ya m'mimba: Dokotala wanu angakupatseni mayeso kuti awone momwe anus ndi rectum yanu zimagwirira ndikutulutsa ndowe. Izi zikuphatikizapo mayeso apadera a X-ray otchedwa defecography (omwe amagwiritsidwa ntchito pofufuza momwe chotulutsira madzi chimagwirira ntchito komanso kudzimbidwa), ndi mayeso omwe amaphatikizapo kuyika baluni yaying'ono mu anus yanu (mayeso otulutsa baluni ndi manometry ya anorectal).

Kodi mungapeze bwanji mpumulo ku kudzimbidwa?

Matenda ambiri a kudzimbidwa pang'ono mpaka pang'ono amatha kuthetsedwa kunyumba. Kudzisamalira kumayamba ndi kusamala zomwe mumadya ndi kumwa ndikusintha zomwe mukufuna. Zinthu zomwe mungachite kunyumba kuti mupeze mpumulo mwachangu:

• Imwani magalasi awiri kapena anayi owonjezera a madzi patsiku. Pewani zakumwa zokhala ndi caffeine ndi mowa, zomwe zingawononge thupi. Komanso, chepetsani zakumwa za zipatso ndi zakumwa zotsekemera kwambiri.
• Pewani nyama zokonzedwa, zakudya zamafuta, ndi chakudya chokonzedwa bwino monga buledi woyera, pasitala, ndi mbatata. Idyani nyama zopanda mafuta ambiri monga nkhuku ndi mkaka wopanda mafuta ambiri.
• Pazakudya zanu za tsiku ndi tsiku, pangani zipatso, ndiwo zamasamba, nyemba, tirigu wathunthu, ndi zakudya zina zokhala ndi ulusi wambiri. Chepetsani zakudya zokhala ndi mafuta ambiri monga nyama, mazira, ndi tchizi.
• Idyani ma prunes, chimanga cha bran, ndi zipatso zokhala ndi ulusi wambiri monga malalanje, chinanazi, sitiroberi, mango, avocado, ndi papaya.
• Sungani diary ya chakudya ndipo dziwani zakudya zomwe zimayambitsa kudzimbidwa.
• Kuchita masewera olimbitsa thupi. Ngakhale chinthu chosavuta monga kuyenda chingathandize.
• Samalani ndi momwe mumakhala pachimbudzi. Kukweza miyendo yanu pang'ono, kuwerama, kapena kukhala pansi mopingasa miyendo kungathandize kuti zikhale zosavuta kutuluka chopondapo.
• Yesani kumwa mankhwala owonjezera ulusi (monga Metamucil®, MiraLAX®, Citrucel®, kapena Benefiber®) kuchokera ku pharmacy. Ndi bwino kuyamba pang'ono poyambira izi.
• Ngati kuli kofunikira, tengani chofewetsa chopondapo kapena chotsegula m'mimba (monga Docusate) kuchokera ku pharmacy. Mankhwala ophera mineral oil ndi mankhwala otsitsimula ndi njira zina. Pali mitundu yambiri ya mankhwala otsegula m'mimba. Funsani wamankhwala wanu kapena dokotala kuti akuthandizeni kusankha yoyenera kwa inu. Musagwiritse ntchito mankhwala otsegula m'mimba kwa milungu yoposa iwiri popanda kufunsa dokotala. Kugwiritsa ntchito mankhwala otsegula m'mimba mopitirira muyeso kungapangitse kuti zizindikiro zanu zikhale zoipitsitsa.
• Musagwiritse ntchito zinthu monga manyuzipepala kapena mafoni mukamapita kuchimbudzi.
• Musamachite mantha mukaona kuti mukufuna kupita kuchimbudzi. Kuchita zimenezi kungalepheretse chizindikiro chochokera m'matumbo kupita ku ubongo wanu (kukuuzani kuti mudzichotsere chimbudzi).

Samalani ndi mankhwala ndi zowonjezera.

Kuwonjezera pa njira zodzisamalira, dokotala wanu adzayang'ananso mankhwala ndi zowonjezera zomwe mumamwa (ngati mumwa zina). Zina mwa izi zingayambitse kudzimbidwa. Ngati ndi choncho, dokotala wanu angakulangizeni kusintha mlingo, kusintha mankhwala ena, kapena kusiya kuwonjezera. Musasiye kumwa mankhwala kapena zowonjezera popanda kulankhula ndi dokotala wanu kaye.

Mankhwala olembedwa ndi dokotala okhudza kudzimbidwa

Pali mitundu ingapo ya mankhwala omwe madokotala amapereka pochiza kudzimbidwa:

• `(Lubiprostone (Amitiza®))`
• `(Prucalopride (Prudac®, Motegrity®))`
• `(Plecanatide (Trulance®))`
• `(Lactulose (Cephulac®, Kristalose®))`
• `(Linaclotide (Linzess®))`

Kutengera ndi zotsatira za mayeso anu, dokotala wanu adzasankha mankhwala oyenera kwambiri kwa inu.

Opaleshoni

Opaleshoni siifunikira kawirikawiri pochiza kudzimbidwa. Komabe, ngati kudzimbidwa kwanu kwayamba chifukwa cha vuto la kapangidwe ka m'matumbo anu, dokotala wanu angakulangizeni opaleshoni. Mwachitsanzo:

• Kutsekeka kwa matumbo.
• Kutsekeka kwa matumbo.
• Kusweka kwa msana.
• Kutuluka kwa rectal ndi kutuluka kwa gawo la rectum kulowa mu nyini.

Mavuto ena omwe amayambitsa vuto la kudzimbidwa m'mimba amatha kuchiritsidwa ndi opaleshoni. Izi zitha kufotokozedwa pokhapokha mutayesedwa. Komanso, ngati colonoscopy ikuwonetsa kuti muli ndi khansa m'matumbo anu, m'matumbo, kapena m'matako, mungafunike opaleshoni.

Kodi mungapewe bwanji kudzimbidwa?

Mankhwala omwewo omwe amagwiritsidwa ntchito kunyumba pochiza kudzimbidwa angagwiritsidwenso ntchito kuti asamakhale vuto lalikulu:

• Idyani zakudya zopatsa thanzi zokhala ndi ulusi wambiri. Zipatso, ndiwo zamasamba, nyemba, mtedza, ndi buledi wa tirigu wonse ndi chimanga ndi magwero abwino a ulusi. Ulusi ndi madzi zimathandiza kusuntha ndowe m'matumbo mwanu. Zipatso zambiri zimakhala ndi ulusi m'khungu lawo. Zipatso zomwe zingadyedwe ndi mbewu (monga sitiroberi) zimakhala ndi ulusi wambiri. Ulusi ndi gwero labwino la ulusi. Idyani chimanga cha bran, kapena onjezerani ufa ku zakudya monga supu ndi yogurt. Anthu omwe ali ndi kudzimbidwa ayenera kudya pakati pa magalamu 18 ndi 30 a ulusi patsiku. (Ngati muli ndi diverticulitis, dokotala wanu angakulangizeni kuti mupewe zipatso zokhala ndi mbewu.)
• Imwani magalasi 8 a madzi okwana ma ounces 8 patsiku. (Dziwani: Anthu ena amatha kudzimbidwa akamamwa mkaka.) Zakumwa zokhala ndi caffeine monga khofi, tiyi, ndi zakumwa zoziziritsa kukhosi zingakupangitseni kutaya madzi m'thupi. Mungafune kusiya kumwa izi mpaka chimbudzi chanu chibwerere mwakale.
• Kuchita masewera olimbitsa thupi nthawi zonse. Sikuyenera kukhala kochuluka, ngakhale kuyenda kokha kumathandiza kwambiri.
• Mankhwala owonjezera monga magnesium angagwiritsidwe ntchito pa kudzimbidwa. (Si aliyense amene ayenera kumwa magnesium. Funsani dokotala musanamwe.)
• Mukafuna kupita kuchimbudzi, chitani zimenezo. Musachedwe.

Kodi ndiyenera kupita kwa dokotala liti?

Pankhaniyi, muyenera kuwona dokotala:

• Ngati kudzimbidwa ndi vuto latsopano kwa inu.
• Ngati muwona magazi mu ndowe zanu.
• Ngati mwataya thupi mosadziwa.
• Ngati mukumva kupweteka kwambiri mukupita kuchimbudzi.
• Ngati kudzimbidwa kwanu kumatenga milungu yoposa itatu.
• Ngati muli ndi zizindikiro za `kutsekeka kwa mkodzo`.

Ndi mafunso ati omwe muyenera kufunsa dokotala?

Mukapita kwa dokotala, mungafunse mafunso monga awa:

• N’chifukwa chiyani ndimadzimbidwa?
• Kodi ndingachite chiyani kuti ndipeze mpumulo wa nthawi yomweyo ku kudzimbidwa?
• Kodi ndi mankhwala ati a kunyumba omwe mumalimbikitsa?
• Kodi ndiyenera kudya ndi kumwa chiyani kuti ndipewe kudzimbidwa?
• Kodi ndingapewe bwanji kudzimbidwa?

Kumbukirani, khalani omasuka komanso oona mtima ndi dokotala wanu za zizolowezi zanu zakuchimbudzi komanso nkhawa kapena mafunso aliwonse omwe mungakhale nawo. Kupita kuchimbudzi ndi chinthu chomwe tonsefe tiyenera kuchita. Kudzimbidwa kungakhale vuto la kanthawi kochepa, vuto la nthawi yayitali, kapena chizindikiro cha vuto lalikulu. Choncho khalani otetezeka. Pitani kwa dokotala, makamaka ngati muwona kusintha kwa kachitidwe kanu ka chimbudzi, kapena ngati mukumva kuti matumbo anu akulamulira moyo wanu.

Kumbukirani chinthu chofunika kwambiri (Uthenga Wopita Nawo Kunyumba)

Choncho, kudzimbidwa ndi vuto lomwe limakhudza anthu ambiri, koma nthawi zambiri limatha kuthetsedwa kunyumba. Zinthu zazikulu ndikumwa madzi ambiri, kudya zakudya zokhala ndi ulusi wambiri, kuchita masewera olimbitsa thupi, komanso osachedwa kupita kuchimbudzi. Nthawi zina, izi zimatha kuchitika chifukwa cha mankhwala omwe timamwa kapena matenda ena. Chifukwa chake, ngati muli ndi vutoli lomwe likupitirira, kapena ngati muli ndi zizindikiro zoopsa monga kutuluka magazi, pitani kwa dokotala ndikupeza upangiri. Palibe chochita manyazi kapena mantha nacho, chifukwa thanzi lanu ndiye chinthu chofunikira kwambiri!

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Kudzimbidwa , kudzimbidwa, ndowe zouma, kuvutika kupita kuchimbudzi, ulusi, kugaya chakudya, thanzi