Kodi mumakumananso ndi mayendedwe achilendo komanso osalamulirika m'thupi lanu? Tiyeni tikambirane za Matenda Okhudzana ndi Kusuntha!

Kodi nthawi zina mumamva ngati ziwalo za thupi lanu zikugwedezeka, kugwedezeka, kapena kusuntha mosalamulirika? Mwina mumavutika kulamulira mawonekedwe a mkono, mwendo, kapena nkhope. Palibe vuto ngati izi zimachitika kamodzi kapena kawiri, koma ngati mumakhala ndi mayendedwe osazolowereka nthawi zonse, kungakhale vuto la mayendedwe. Tiyeni tikambirane izi mwatsatanetsatane lero, sichoncho?

Kodi mavuto oyendayenda awa ndi ati? Tiyeni timvetse mosavuta!

Mwachidule, matenda oyendayenda ndi matenda omwe thupi limayenda molakwika chifukwa cha mavuto m'mitsempha yathu. Pali zinthu ziwiri zomwe zingatheke. Choyamba ndi chakuti mayendedwe a thupi amawonjezeka mosafunikira (monga kugwedezeka, kugwedezeka, kupotoza). China ndi chakuti mayendedwe a thupi amakhala ochepa kuposa momwe amafunikira, kapena amachitika pang'onopang'ono kwambiri.

Tangoganizirani, kayendedwe kalikonse kamene timachita, kaya ndi kukweza dzanja, kuyika mwendo patsogolo, kapena kutsegula pakamwa pathu kuti tilankhule, kumachitika m'njira yovuta kwambiri. Dongosolo Lapakati Lamitsempha, lomwe limaphatikizapo ubongo wathu ndi msana , komanso Mitsempha Yoyendetsa ndi Minofu Yathu Yachigoba, zonsezi zimalumikizidwa pamodzi. Chifukwa chake, ngati pali kuwonongeka kulikonse kwa ziwalo za ubongo zomwe zimalamulira kayendedwe kameneka, kapena ngati pali vuto lililonse pakugwira ntchito kwawo, ndiye kuti zovuta izi zimachitika.

Chofunika kwambiri ndichakuti mavuto oyendayenda awa ndi osiyana. Ena angakhudze gawo limodzi lokha la thupi, pomwe ena angakhudze thupi lonse. Nthawi zina angasokoneze ntchito zosavuta monga kulemba, koma nthawi zina, amatha kukhudza kwambiri zinthu monga kuyenda ndi kuyenda.

Nthawi zina matenda omwe amathetsa kwathunthu kuyenda, monga kufooka kwa minofu, kapena matenda omwe amafooketsa minofu, monga kufooka kwa minofu, sagwera m'gulu la matenda oyendayenda awa, chifukwa matenda oyendayenda makamaka amakhudza kuchitika kwa kuyenda kosafunikira komanso kosazolowereka.

Pali mitundu iwiri ya mayendedwe osazolowereka!

Mayendedwe achilendo awa omwe tikukambawa akhoza kugawidwa m'magawo awiri akuluakulu.

1. Kusuntha kwa Hyperkinetic: Izi zikutanthauza kuti pali mayendedwe ambiri.

2. Kusuntha kwa Hypokinetic: Izi zikutanthauza kuti mayendedwe ndi ochepa komanso ochedwa.

Mu matenda ena oyenda, mitundu yonse iwiri ingaoneke, kapena imodzi yokha ingakhalepo.

1. Kodi Kuyenda kwa Hyperkinetic ndi chiyani?

"Hyper" amatanthauza "kupitirira muyeso" ndipo "kinetic" amatanthauza "kuyenda". Izi zikutanthauza kuwonjezeka kwa kuyenda kosafunikira. Izi zitha kukhala kuyenda mwaufulu kapena kuyenda kosafunikira.

Nazi mitundu ina ya mayendedwe othamanga kwambiri:

• Akathisia: Uku ndi kusakhazikika komwe kumapangitsa kuti zikhale zovuta kwambiri kukhala chete kapena kukhala chete. Vutoli lingayambitsidwe ndi mankhwala ena a matenda amisala, makamaka mankhwala a ``Antipsychotic'' kapena ``Neuroleptic''.
• Ataxia: Iyi ndi vuto lomwe thupi limataya mgwirizano, zomwe zimapangitsa kuti munthu asamayende bwino komanso movutikira. Nthawi zina, zimatha kuoneka ngati munthuyo akuyenda ngati waledzera. "Ataxia" ikhoza kukhala matenda ena, kapena ikhoza kukhala chizindikiro cha matenda ena.
• Chorea, Athetosis ndi Ballism:
• Chorea: Uku ndi kuyenda kwa minofu kosalamulirika, kosayembekezereka. Kungawoneke ngati mukuvina kapena kuyenda mosasamala. Izi nthawi zambiri zimapezeka m'matenda monga matenda a Huntington.
• (Athetosis): Izi zimadziwika ndi kuyenda pang'onopang'ono, kogwedezeka, kofanana ndi mphutsi m'manja ndi miyendo.
• (Ballism): Izi zimaphatikizapo mayendedwe adzidzidzi komanso amphamvu, monga kuponya dzanja kapena mwendo mwachangu.
• Dystonia: Iyi ndi matenda omwe minofu imakoka mosalekeza kapena mosalekeza, zomwe zimayambitsa mayendedwe osazolowereka, nthawi zambiri obwerezabwereza kapena machitidwe. Izi zitha kuwoneka mu cerebral palsy ndi matenda ena a neurodegenerative. Taganizirani za khosi lomwe limakokedwa mbali imodzi, kapena mkono womwe wapindika mwanjira yosasangalatsa.
• Myoclonus: Uku ndi kugwedezeka kwadzidzidzi, kosalamulirika kwa minofu kapena kugwedezeka. Nthawi zina timadzuka mwadzidzidzi tili m'tulo, ndi momwe zimakhalira. Koma pankhani ya matenda, zimatha kuchitika kawirikawiri.
• Kusayenda bwino kwa minofu: Imeneyi ndi vuto lomwe minofu imasokonezeka, zomwe zimapangitsa kuti minofu ina imangidwe mwadzidzidzi tikamayesa kusuntha kapena tikangoyima. Izi zingasokoneze kuyenda ndipo zingakhudze kulankhula ndi kuyenda.
• Ma stereotypies: Izi ndi mayendedwe ovuta komanso okhala ndi mawonekedwe omwe nthawi zambiri amakhudza mbali zonse ziwiri za thupi. Nthawi zonse zimachitika mwanjira yomweyo kapena mofanana kwambiri. Mwachitsanzo, kugwedezeka, kuwomba m'manja, kugwedezeka, ndi kuuma. Izi zitha kuwoneka m'mikhalidwe monga autism spectrum disorder ndi Rett syndrome.
• Ma tic: Awa ndi mayendedwe obwerezabwereza, osinthasintha omwe amachitika mwanjira inayake. `(ma tic)` osavuta ndi ang'onoang'ono, omwe amangogwira minofu yochepa, monga kuphethira, kukwinya nkhope, kupindika khosi, kapena kutsuka pakhosi. `(ma tic)` ovuta amatha kukhala a kanthawi kochepa ndipo amakhudza minofu yambiri. Mwachitsanzo, kulumpha, kunena mawu ena kapena mawu ena. `(ma tic)` awa ndi chizindikiro chofunikira cha matenda otchedwa `(Tourette's syndrome)`.
• Kugwedezeka:Imeneyi ndi vuto limene ziwalo zina za thupi zimagwedezeka mosalamulirika. Kugwedezeka kumeneku kumachitika chifukwa cha minofu yomwe imakhazikika komanso kupumula mobwerezabwereza. Izi zitha kuchitika m'malo monga manja, miyendo, mutu, ndi mawu.

2. Kodi Hypokinetic Movement ndi chiyani?

"Hypo" amatanthauza "zochepa." Izi zikutanthauza kuti mayendedwe sachitika kawirikawiri, pang'onopang'ono kwambiri. Izi nthawi zambiri zimakhudza mayendedwe omwe timachita mwadala.

• Parkinsonism: Iyi ndi mtundu waukulu wa vuto la kayendedwe ka hypoactive. Imatanthauza matenda angapo a muubongo omwe amayambitsa kuyenda pang'onopang'ono, kuuma, kunjenjemera, kapena mavuto okhazikika.

Parkinsonism, matenda a neurodegenerative, amapezeka kwambiri ndi matenda a Parkinson . Komabe, amathanso kuchitika ndi matenda ena monga multiple system atrophy, corticobasal degeneration, progressive supranuclear palsy, ndi Lewy body dementia.

Kuphatikiza apo, Parkinsonism ingayambitsidwenso ndi zinthu monga kuvulala mutu pafupipafupi, poizoni, mankhwala a matenda ena amisala, komanso kuchepa kwa magazi kupita kumadera ena a ubongo.

• Bradykinesia: Iyi ndi kayendedwe ka pang'onopang'ono. Kayendedwe kakayamba, kamachepetsa kapena kuima pakati. Ichi ndi chizindikiro chachikulu cha matenda a Parkinson .

Mitundu ingapo ikuluikulu ya matenda oyenda

Pali mitundu yambiri ya matenda oyenda. Tiyeni tiwone zingapo mwa izo:

• Kugwedezeka kwakukulu: Apa ndi pamene ziwalo za thupi, makamaka manja ndi manja, zimagwedezeka mosalamulirika. Zingakhudzenso madera monga mutu ndi mawu.
• Matenda a Huntington: Uwu ndi matenda obadwa nawo m'majini. Umakhudza ubongo ndipo umayambitsa mayendedwe osalamulirika (chorea) m'manja, m'mapazi, ndi pankhope. Zizindikiro zimawonjezeka pakapita nthawi.
• Kufooka kwa dongosolo la mitsempha (MSA): Imeneyi ndi matenda osowa kwambiri. Ziwalo zina za ubongo zimawonongeka pang'onopang'ono. Izi zingayambitse matenda monga ``Ataxia`` ndi ``Parkinsonism``.
• Matenda a Parkinson: Uwu ndi matenda a muubongo omwe amayambitsa mayendedwe osalamulirika, mavuto okhudzana ndi kulinganiza bwino zinthu komanso kugwirizana kwa zinthu. Angayambitsenso kuchepa kwa chidziwitso.
• Matenda oyenda pang'onopang'ono a miyendo (PLMD): Imeneyi ndi vuto lomwe miyendo, makamaka miyendo, imasuntha mobwerezabwereza pamene ikugona. Izi zingasokoneze tulo.
• Matenda a Progressive supranuclear palsy (PSP): Uwu ndi matenda osowa kwambiri omwe amawononga ziwalo zina za ubongo. Umawononga mbali zina za ubongo. Umakhudza kuyenda, kuganiza, kumeza, ndi kuyenda kwa maso.
• Matenda a mwendo wosakhazikika (RLS):Imeneyi ndi vuto la kugona. Limadziwika ndi chilakolako chosagonjetseka chofuna kusuntha miyendo (kapena nthawi zina manja kapena thupi lonse). Limayendera limodzi ndi zinthu zachilendo monga kukoka, kumva ngati chinthu chikuyenda, dzanzi, kapena kutentha.
• Matenda a Rett: Uwu ndi matenda osowa kwambiri omwe amakhudza kulankhula, luso la manja, komanso kugwirizana kwa ziwalo.
• Tardive dyskinesia: Izi zitha kuchitika chifukwa chogwiritsa ntchito mankhwala enaake oletsa matenda amisala kwa nthawi yayitali. Zingayambitse kusuntha kosafunikira monga kugwedeza nkhope ndi milomo.
• Matenda a Tourette: Uwu ndi matenda a mitsempha. Umayambitsa mayendedwe kapena mawu odzidzimutsa komanso osazolowereka (tic). Ungathenso kugwirizanitsidwa ndi matenda monga nkhawa, vuto la kusagwira ntchito bwino kwa chidwi (ADHD), komanso nthawi zina vuto la kulephera kuchita zinthu mopitirira muyeso (OCD).
• Matenda a Wilson: Ichi ndi matenda osowa kwambiri omwe amapezeka m'majini. Amayamba chifukwa cha kuchuluka kwa mkuwa m'thupi, makamaka m'chiwindi ndi muubongo. Kuuma kwa minofu, kunjenjemera, komanso kuyenda kosalamulirika kumatha kuchitika.

Kodi matenda ofala kwambiri oyenda ndi ati?

Matenda awiri ofala kwambiri a mayendedwe ndi matenda a Parkinson ndi essential terror .

Kodi zizindikiro za vuto la kuyenda ndi ziti?

Zizindikiro za matenda oyenda zimasiyana kwambiri. Matenda onse oyenda amakhudza mayendedwe osazolowereka. Matenda ena oyenda amathanso kutsagana ndi zizindikiro zina, monga kusintha kwa kaganizidwe ndi momwe munthu akumvera. Zizindikirozi zimatha kuyambira pang'ono mpaka zazikulu ndipo zimatha kusokoneza zochita za tsiku ndi tsiku.

Zina mwa zizindikiro zomwe zimawoneka bwino ndi izi:

• Kusuntha kosalamulirika - monga kugwedezeka, kugwedezeka, kugwedezeka, ndi kupotoza.
• Mavuto okhudzana ndi kulinganiza bwino zinthu komanso kugwirizana.
• Kuvuta ndi ntchito zina za thupi, monga kulemba, kumeza, ndi kulankhula.
• Kuvuta kuyenda kapena kusintha kalembedwe ka kuyenda.
• Kulimba kwa miyendo ndi thunthu.

Kusuntha kosazolowereka kumeneku kungakhudze gawo limodzi kapena angapo a thupi. Mwachitsanzo:

• Miyendo
• Manja ndi zala
• Mapazi ndi zala
• Minofu ya nkhope
• Mutu ndi khosi
• Thumba ndi kaimidwe kake
• Mawu

Ndingadziwe bwanji ngati ndili ndi vuto la kuyenda?

Tonsefe timamva kugwedezeka kwa minofu, kugwedezeka mwadzidzidzi tikagona (hypnic jerks), ndi mayendedwe osafunikira monga hiccups. Komabe, ngati zizindikirozi zikupitirira, zitha kukhala chizindikiro cha vuto la mayendedwe. Ngati muwona kusintha kosalekeza m'mayendedwe anu kapena a mwana wanu, ndikofunikira kuwona dokotala nthawi yomweyo kuti akupezeni matenda ndi chithandizo.

Kodi zimayambitsa matenda oyenda ndi chiyani?

Matenda oyendayenda nthawi zambiri amayamba chifukwa cha kuwonongeka kapena kusagwira bwino ntchito kwa ziwalo zina za ubongo zomwe zimalamulira mayendedwe athu. Zigawo izi ndi izi:

• Kotekisi yoyambira ya motor:Iyi ndi gawo longa riboni la mbali yakutsogolo ya ubongo wathu. Limathandiza kuyambitsa mayendedwe omwe timapanga ndi maganizo athu. Ngati lawonongeka, lingayambitse spasticity, myoclonus, komanso mavuto ndi mayendedwe oyenda bwino.
• Basal ganglia: Izi ndi ziwalo za ubongo wathu zomwe zili mkati mwa ubongo wathu. Zimatithandiza kuyambitsa ndikuwongolera mayendedwe a minofu mwaufulu, kuwongolera mayendedwe osadzifunira, komanso kuwongolera kusintha kwa kaimidwe. Kuwonongeka kwa izi kungayambitse matenda monga `(Chorea)`, `(Athetosis)`, `(Dystonia)`, ndi `(Parkinsonism)`.
• Cerebellum: Iyi ndi gawo la ubongo wathu kumbuyo, pansi. Limayendetsa mayendedwe athu, limasunga miyendo yathu ikuyenda bwino komanso molondola, ndipo limatithandiza kukhalabe olimba. Ngati lawonongeka, kugwirizana kwa ziwalo kumatayika.
• Thalamus: Ichi ndi kapangidwe konga dzira. Kali mkati mwa ubongo, mbali zonse ziwiri. Kali ngati pakati pomwe mayendedwe onse ndi chidziwitso cha kumva chomwe chimabwera m'thupi lathu chimadutsa. Ngati chawonongeka, kunjenjemera ndi mavuto a mayendedwe amatha kuchitika.

Nazi zina mwa zochitika zomwe ziwalo izi za ubongo zingawonongeke:

• Matenda a majini ndi kusintha kwa majini.
• Kuvulala kwa ubongo koopsa.
• Matenda.
• Poizoni.
• Matenda a kagayidwe kachakudya omwe amapezeka pobadwa kapena omwe amayamba pambuyo pake.
• Matenda a sitiroko ndi mitsempha yamagazi.
• Zotsatirapo zoyipa za mankhwala ena.

Matenda ena oyendayenda amatha kutsatiridwa ndi chifukwa chimodzi chokha. Komabe, nthawi zambiri, matendawa amayamba chifukwa cha zinthu zosiyanasiyana. Chifukwa chenicheni cha matenda ena oyendayenda sichikudziwikabe.

Kodi mungazindikire bwanji matenda oyenda?

Popeza mavuto oyenda ndi ovuta ndipo nthawi zambiri amatha kutsanzira matenda ena, gulu lanu lachipatala nthawi zambiri limachita mayeso angapo kuti lipeze matenda. Gawo loyamba ndikukufunsani funso latsatanetsatane, kuchita mayeso akuthupi, ndikuyesa mitsempha.

Kutengera ndi zizindikiro zanu, mayeso awa akhoza kuchitidwa:

• Kuyezetsa magazi: Kuzindikira matenda ena oyenda, kapena kufufuza zifukwa zina.
• Electromyography (EMG): Yesani thanzi la minofu ndi mitsempha yomwe imailamulira.
• Electroencephalogram (EEG): Onani momwe ubongo umagwirira ntchito.
• Kuboola m'chiuno: Kuyang'ana madzi a m'mitsempha ya ubongo.
• Kufufuza minofu: Kusiyanitsa pakati pa mavuto a mitsempha ndi minofu.
• Kuphunzira za kayendedwe ka mitsempha: Kumayesa liwiro limene mphamvu yamagetsi imadutsa mu mitsempha isanafike pamnofu.

Madokotala amagwiritsanso ntchito mayeso ojambulira zithunzi kuti adziwe matenda oyenda. Izi zitha kuyang'ana ubongo, msana, kapena mitsempha. Zitsanzo:

• Kujambula kwa CT (CT scan - Computed tomography)
• Kujambula kwa MRI (MRI scan - Magnetic resonance imaging)

Kodi mankhwala a matenda oyenda ndi ati?

Chithandizo cha matenda oyendayenda chimasiyana malinga ndi matendawa. Matenda ambiri oyendayenda sangachiritsidwe kwathunthu. Chifukwa chake, cholinga chachikulu cha chithandizo ndikuwongolera zizindikiro. Komabe, matenda ena oyendayenda, monga omwe amayamba chifukwa cha mankhwala (Parkinsonism), amatha kuchiritsidwa.

Nazi njira zina zochiritsira:

• Mankhwala: Pali mitundu ingapo ya mankhwala omwe angathandize kuwongolera zizindikiro za matenda oyenda. Mwachitsanzo, mankhwala opumulira minofu angathandize ndi spasticity. Mankhwala a dopaminergic angathandize ndi matenda a Parkinson ndi restless leg syndrome. Mankhwala oletsa nkhawa angathandize ndi dystonia. Palinso mankhwala omwe ali enieni pa vuto lililonse.
• Kuchiza thupi: Izi zimathandiza kukonza momwe thupi limayendera. Akatswiri ochiritsa thupi amathandiza kuthana ndi zizindikiro zomwe zimapangitsa kuti kuyenda kukhale kovuta, monga kupweteka, kuuma, komanso kusasangalala.
• Chithandizo cha ntchito: Izi zimathandiza kukonza luso logwira ntchito za tsiku ndi tsiku. Katswiri wa ntchito amakuthandizani kuyimirira, kukhala pansi, kuyenda motetezeka, komanso kugwiritsa ntchito zida zosiyanasiyana pogwira ntchito yanu.
• Zothandizira kuyenda: Mungagwiritse ntchito zinthu monga ndodo, zoyendera, ndi mipando ya olumala kuti muziyenda motetezeka komanso kuti muzidziyimira pawokha.
• Chithandizo cha kulankhula: Izi zimathandiza kukonza luso lolankhula, luso lolankhula, komanso kumeza.
• Chithandizo cha maganizo: Izi zimaphatikizapo kuzindikira ndikuthandizira kusintha malingaliro, malingaliro, ndi machitidwe osafunikira. Matenda oyendayenda nthawi zambiri angayambitse mavuto amisala monga kupsinjika maganizo ndi nkhawa. Chithandizo cha maganizo chingathandize pa izi.
• Jakisoni wa Botulinum toxin (Botox®): Ngati muli ndi jakisoni wa `(Dystonia)` kapena `(Spasticity),` jakisoniyu angathandize kumasula minofu.
• Kulimbikitsa ubongo mozama: Iyi ndi opaleshoni ya ubongo yomwe imachitidwa kwa anthu omwe ali ndi matenda oopsa a Parkinson, dystonia, ndi kunjenjemera kwina. Imatha kuchepetsa kuyenda kosafunikira.
• Mayeso azachipatala: Uwu ndi mtundu wa kafukufuku womwe umafufuza mayeso atsopano ndi mankhwala a matenda enaake. Pakhoza kukhala mayeso azachipatala omwe mungatenge nawo mbali.

Kodi munthu amene ali ndi vuto la kuyenda amakumana ndi zokumana nazo zotani?

Si aliyense amene ali ndi vuto la kuyenda amakhudzidwa mofanana. Chinthu chabwino kwambiri choti muchite ndikulankhula ndi akatswiri omwe amafufuza ndikuchiza vuto lanu.

Mungafunike thandizo la gulu la madokotala. Izi zingaphatikizepo:

• Akatswiri a za ubongo
• Madokotala a opaleshoni ya ubongo
• Akatswiri a za thupi
• Akatswiri a zamaganizo pantchito
• Akatswiri olankhula
• Akatswiri a zamaganizo

Anthu ngati amenewo akhoza kuphatikizidwa.

Kodi ndingadzisamalire bwanji ine ndi mwana wanga?

Ngati inu kapena mwana wanu muli ndi vuto la kuyenda, ndikofunikira kufunafuna chithandizo chamankhwala chabwino kwambiri kuti mukhale ndi moyo wabwino.

Zingakhalenso zothandiza kwa inu ndi banja lanu kulowa nawo gulu lothandizira komwe mungakumane ndi anthu omwe adakumanapo ndi zomwezo.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati muwona kusintha kulikonse pa momwe mumayendera nthawi zonse, kapena ngati muli ndi vuto lomwe limakhudza zochita zanu za tsiku ndi tsiku, pitani kwa dokotala nthawi yomweyo. Dokotala wanu akazindikira msanga vuto la kuyenda, ndiye kuti mutha kuyamba chithandizo mwachangu.

Ngati muli kale ndi vuto la kuyenda, funsani upangiri wa dokotala ngakhale pazochitika izi:

• Pamene gulu lanu la zachipatala lakonza nthawi yokumana nanu: Kupita ku misonkhano imeneyi kumathandiza gulu lanu lachipatala kuyang'anira matenda anu ndikupanga kusintha kulikonse kofunikira pa chithandizo chanu.
• Ngati muwona kusintha kwa zizindikiro zanu: Kusintha kumeneku kungakhale chidziwitso chofunikira kwambiri kwa gulu lachipatala lomwe likuyang'anirani matenda anu ndikukuchizani.
• Ngati muwona zotsatirapo zoyipa kuchokera ku chithandizo chanu kapena kusintha kwa momwe chithandizo chanu chimagwirira ntchito: Zingatenge nthawi kuti mupeze chithandizo choyenera kwa inu, kapena mphamvu ya mankhwala anu ingachepe pakapita nthawi. Ngati chithandizo chanu sichikugwira ntchito, kapena muli ndi zotsatirapo zoyipa, uzani gulu lanu lazachipatala.

Gulu lanu lachipatala lingakuuzeni za zizindikiro zomwe muyenera kuzidziwa bwino, komanso nthawi yomwe muyenera kufunsa upangiri wa dokotala nthawi yomweyo.

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Kupezeka ndi vuto la kuyenda kungakhale kovuta kwambiri. Zimenezo n'zachibadwa. Koma kumbukirani, simuli nokha. Gulu lanu la zaumoyo lingakuthandizeni kupeza njira yochiritsira yoyenera kwa inu. Ndikofunikira kuonetsetsa kuti mwalandira chithandizo chomwe mukufuna, komanso kuti musamaganizire kwambiri za thanzi lanu. Ndipo musaiwale kuti gulu lanu la zaumoyo limakhalapo nthawi zonse kuti likuthandizeni. Ndi chithandizo choyenera komanso kuyang'aniridwa bwino, mutha kukhala ndi moyo wabwino ndi matenda awa. Musachite mantha, khalani olimba mtima!

Matenda a mayendedwe, matenda a Parkinson, kunjenjemera kwapadera, matenda amitsempha, matenda a ubongo, mayendedwe osazolowereka, mavuto a minofu