Kodi muli ndi ululu wosamvetsetseka m'thupi lanu? Tiyeni tiphunzire za izi ((Visceral Hypersensitivity)!

Kodi nthawi zina mumamva ululu wachilendo kapena kusasangalala m'mimba mwanu, pachifuwa, kapena kwina kulikonse m'thupi lanu? Kodi ululuwu umapitirira kukuvutitsani ngakhale kuti simungapeze chifukwa chomveka bwino, komanso ngakhale madokotala atanena kuti si vuto lalikulu? Ngati ndi choncho, lero tikambirana za chinthu chomwe chingakhale chofunikira kwambiri kwa inu. Izi zimatchedwa visceral hypersensitivity, kapena `(Visceral Hypersensitivity)`.

Kodi kukhudzidwa kwa visceral hypersensitivity ndi chiyani?

Mwachidule, ``Visceral Hypersensitivity`` ndi pamene mukumva kupweteka kapena kusasangalala m'ziwalo zofewa zamkati mwa thupi lanu, monga pachifuwa, m'mimba, ndi m'munsi mwa mimba , mosavuta kuposa munthu wamba. Kunena zoona, malire anu oti mumve kupweteka m'ziwalo izi ndi otsika kuposa munthu wamba.

Tangoganizirani, madokotala amatha kuyeza ululu uwu pogwiritsa ntchito mayeso ena. Mu mayeso amenewo, kupanikizika pang'ono kumayikidwa ku ziwalo. Anthu ambiri samva kupweteka kulikonse chifukwa cha izi. Komabe, kwa munthu amene ali ndi ``Visceral Hypersensitivity'', ngakhale kupanikizika kochepako kungamveke ngati kupweteka kwambiri. Sikuti kokha, komanso mungamve kusasangalala chifukwa cha kumva komwe ena sakumva ndipo kumachitika chifukwa cha kugwira ntchito bwino kwa ziwalozo.

Kodi izi zimakhudza bwanji thupi?

Tikamalankhula za ziwalo zathu zamkati, timatanthauza zinthu zambiri, monga mtima, mapapo, chikhodzodzo, ziwalo zoberekera, ndi matumbo m'thupi lathu. Mukakhala ndi ``Visceral Hypersensitivity`` (VH), mungamve kusasangalala ngakhale chimodzi mwa ziwalozi zikugwira ntchito bwino. Nthawi zambiri, anthu omwe ali ndi vutoli amagweranso m'gulu la ``Matenda Ogwira Ntchito``` , makamaka omwe akukhudzana ndi dongosolo logaya chakudya .

Kulephera kugwira ntchito bwino kwa thupi ndi pamene chinthu monga mpweya, madzi, kapena chakudya chimayenda m'chiwalo, zomwe zimayambitsa ululu ndi kusasangalala. Nthawi zambiri palibe chifukwa chodziwikiratu, monga kuvulala kapena matenda. Madokotala amakhulupirira kuti vuto lotchedwa ``Visceral Hypersensitivity'' lingakhalenso lomwe limayambitsa vutoli.

Kodi izi ndi `(IBS)` ndi zinthu zosiyana?

Ayi, izi sizili zofanana ndi IBS (Irritable Bowel Syndrome). Koma pali mgwirizano wamphamvu pakati pa ziwirizi. Anthu omwe ali ndi IBS nthawi zambiri amayesedwa kuti adziwe ngati ali ndi Visceral Hypersensitivity. Zapezeka kuti pafupifupi 40% ya anthu omwe ali ndi IBS ali ndi Visceral Hypersensitivity. Madokotala amakhulupirira kuti Visceral Hypersensitivity ingayambitsidwe ndi zizindikiro za IBS za nthawi yayitali ndipo ingapangitsenso kuti zizindikiro za IBS zikhale zovuta kwambiri. Zimagwirizanitsidwanso ndi matenda ena ogwirira ntchito, koma kafukufuku wambiri wachitika pa kugwirizana kwake ndi IBS.

Kodi vutoli ndi lofala bwanji?

Kuchuluka kwa Visceral Hypersensitivity kwenikweni ndi vuto lomwe langodziwika kumene. Chifukwa chake sitikudziwa bwino momwe lilili lofala. Koma vutoli ndi lofala kwambiri. IBS yokha imakhudza osachepera 20% ya anthu. Ndipo poganizira kuti 40% ya anthu omwe ali ndi IBS alinso ndi Kuchuluka kwa Visceral Hypersensitivity, titha kunena kuti vutoli limakhudza osachepera 10% ya anthu.

Ndani amene ali ndi mwayi waukulu wopeza izi?

Kuchuluka kwa visceral nthawi zambiri kumawoneka ndi matenda ena ogwirira ntchito. Komabe, si aliyense amene ali ndi vuto la functional disorder amene ali ndi vuto la visceral hypersensitivity. Limakhudzananso ndi matenda a maganizo okhudzana ndi kupsinjika maganizo . Palinso umboni wakuti limapezeka m'mabanja, zomwe zikutanthauza kuti likhoza kukhala ndi mphamvu ya majini . Chodabwitsa n'chakuti vutoli ndi lofala kawiri mwa akazi kuposa amuna .

Mungakhale ndi mwayi waukulu wopeza vutoli ngati muli ndi:

• Matenda a m'mimba okwiya (IBS)
• Dyspepsia Yogwira Ntchito
• Ululu Wopanda Mtima wa Pachifuwa
• Vuto la minofu ya m'chibwano (Anismus)
• Matenda a Interstitial Cystitis
• Fibromyalgia
• Kusamba kowawa (Dysmenorrhea)
• Mavuto amisala monga matenda a nkhawa
• Kuvutika maganizo
• Kukhala ndi ululu m'thupi mwa munthu wina m'banjamo.
• Ngati munali ndi ululu waukulu m'mimba (Colic) muli mwana.
• Kukhala ndi njira yoberekera ya akazi.

Kodi ululu uwu umamveka bwanji ?

Tikamalankhula za izi, mawu oti "visceral" amatanthauza chinthu chomwe chimachokera mkati, chinthu chakuya, chinthu chachibadwa. Zili ngati kunena kuti "kuyankha kwa visceral." Ndipo zimakhudzanso matumbo athu, monga "kumva m'mimba." Umu ndi momwe ululu wa visceral ulili.

Kawirikawiri imafalikira , zomwe zikutanthauza kuti zimakhala zovuta kudziwa komwe imapweteka, ngakhale ululuwo utakhala waukulu. Nthawi zambiri, umakhudza matumbo anu. Zizindikiro monga kupweteka m'mimba, nseru, ndi kusagaya chakudya zingachitike, ngakhale ululuwo utakhala kwinakwake.

Komanso, ululu uwu ukhoza kumveka ngati wogwirizana kwambiri ndi momwe mukumvera mumtima mwanu. Ululu m'ziwalo zamkati ungayambitse kupsinjika, ndipo kupsinjika maganizo kungapangitsenso ululuwu kukhala woipitsitsa.

Kodi zizindikiro za izi ndi ziti?

Anthu omwe ali ndi vuto la Visceral Hypersensitivity nthawi zambiri amakhala ndi vuto losatha pachifuwa, m'mimba, kapena pansi pa mimba kwa miyezi yoposa itatu .Ululu wosatha ndi ululu womwe umakhalapo kwa nthawi yayitali. Ululuwu ukhoza kubwera ndi kutha, kapena ungayambitsidwe ndi ntchito zina za thupi, monga pamene chikhodzodzo chikudzaza kapena pamene chikumeza. Zina mwa ziwalo zomwe zingakhudzidwe ndi izi:

• Mitsempha ya m'mimba
• Mtima
• Mapapu
• Mimba
• Pancreas
• Matumbo Ang'onoang'ono
• Matumbo Akuluakulu
• Chikhodzodzo
• Mkodzo wa mkodzo
• Chiberekero
• Rectum

Ululu wamkati ukhoza kufalikira, kukhala wovuta kuuzindikira, ndipo nthawi zina umafalikira kumadera ena. Izi zimapangitsa kuti zikhale zovuta kuzizindikira. Chinthu chimodzi chapadera cha ululu wamtunduwu ndikuti ungayambitse mayankho amphamvu kuchokera ku dongosolo la mitsempha la thupi lanu. Mwachitsanzo:

• Khungu lotumbululuka (lotumbululuka)
• Kutuluka thukuta
• Mayankho a thupi lonse
• Kusintha kwa kutentha kwa thupi
• Kusintha kwa kuthamanga kwa magazi
• Kusintha kwa kugunda kwa mtima

Anthu omwe ali ndi vuto la Visceral Hypersensitivity angakhalenso ndi zizindikiro zina za Functional Gastrointestinal Disorders. Zizindikiro za matendawa zimafanana ndi za matenda otupa monga GERD (Gastroesophageal Reflux Disease), Peptic Ulcer Disease, ndi Inflammatory Bowel Disease. Kusiyana kokha ndiko kuti m'matenda otupa, madokotala sangapeze chifukwa cha organic, monga zilonda, acid reflux, kapena kutupa kosatha.

Zizindikiro zodziwika bwino za matenda a matumbo ogwirira ntchito ndi izi:

• kutentha pamtima
• Kupweteka pachifuwa
• Kusagaya bwino chakudya
• Mimba Yotupa
• Ululu wa m'mimba
• Kusanza ndi Kusanza
• Kutsegula m'mimba
• Kudzimbidwa

Palinso zizindikiro zina zomwe madokotala amaona mwa anthu omwe ali ndi IBS zomwe amaganiza kuti zingakhale zokhudzana ndi Visceral Hypersensitivity. Mwachitsanzo:

• Kumva kupweteka ngakhale m'mimba mutakhudzidwa pang'ono.
• Kumva kutentha m'mbali zosiyanasiyana za thupi.
• Kusamva kutentha kwambiri ku chimfine.
• Ululu ukufalikira mpaka miyendo.

Zizindikiro zimenezi zimasonyeza kuti sizimangokhudza zinthu zakuthupi zokha, komanso dongosolo la mitsempha .

N’chifukwa chiyani izi zimachitika?

Ofufuza akuyesetsabe kumvetsetsa momwe Visceral Hypersensitivity imachitikira. Amaganiza kuti izi zitha kuchitika chifukwa cha kupsinjika kwakuthupi, kwamaganizo, kapena kwamalingaliro.Amakhulupirira kuti kumva ululu, kaya woopsa kapena wobwerezabwereza, kungayambitse kuti mitsempha ikhale yofooka kwambiri. Ofufuza apeza zinthu zingapo zomwe zingayambitse ululuwu. Zina mwa izo ndi izi:

• Majini: Anthu ena akhoza kukhala ndi chibadwa chokhala ndi zochita zolimbitsa thupi, zomwe zimawapangitsa kukhala omasuka kwambiri ndi ululu.
• Kuvulala kwa ubongo: Ubwana ndi nthawi yofunika kwambiri pakukula kwa ma circuits a ubongo omwe amalamulira kupsinjika ndi kupweteka. Kuvulala panthawiyi, makamaka ngati pali chibadwa, kungasinthe momwe ma circuits awa amakulira. Izi zitha kuphatikizapo kuvulala kwa maganizo/maganizo, kapena matenda aakulu, matenda, kapena kuvulala ali mwana.
• Matenda a maganizo: Njira zina zomwe zimayambitsa ululu zimathanso kuyambitsa matenda a maganizo, monga nkhawa ndi kupsinjika maganizo. Komanso, chifukwa anthu omwe ali ndi matenda a maganizo nthawi zonse amayendetsa ululu ndi kupsinjika maganizo, amakhala ndi mwayi wokhala ndi vuto la hypersensitivity.
• Zinthu Zokhudza Kupsinjika Maganizo: Pali zinthu zambiri zomwe zimapangitsa munthu kukhala ndi nkhawa akakula. Komabe, anthu ambiri amatha kuzipirira ngati ali ndi chithandizo chokwanira cha anthu komanso kulimba mtima. Komabe, akuluakulu ena amakhala pachiwopsezo chachikulu cha zinthu zomwe zatchulidwa pamwambapa. Ngati izi sizikuthetsedwa mokwanira, ena amakhala ndi matenda opweteka nthawi yayitali.
• Matenda a M'mimba Otuluka M'thupi: Monga zinthu zina zachilengedwe, kupsinjika maganizo kosatha kungayambitsenso kutupa kwa nthawi yayitali m'matumbo. Izi zitha kuwononga matumbo oteteza. Lingaliro limodzi ndilakuti izi zimalola zinthu zotupa kudutsa chotchinga cha m'mimba ndikulimbikitsa dongosolo la mitsempha.
• Tizilombo toyambitsa matenda m'matumbo: Kuchuluka kwa mabakiteriya omwe amakhala m'matumbo anu kungakhudze momwe thupi lanu limamvera ululu wa m'mimba. Mabakiteriya a m'matumbo amadziwitsa dongosolo la mitsempha yapakati za momwe m'matumbo mwanu mulili. Ngakhale kuti chifukwa chake sichikudziwika bwino, kukula kwa mabakiteriya olakwika, kapena kuwonongedwa kwa mabakiteriya abwino ndi maantibayotiki, kwagwirizanitsidwa ndi Visceral Hypersensitivity.

Pamene mitsempha yanu yayamba kale kuchira ku ululu woopsa, ululu wa m'mimba ukhoza kuyamba m'chiwalo chokha, kapena ungayambe mu ubongo ngati yankho losazolowereka la thupi ku nkhawa. Madokotala apeza kuti "Visceral Hypersensitivity" nthawi zambiri imachitika pambuyo pa chochitika china. Mwachitsanzo, kuvulala, matenda, kapena kupsinjika kwakukulu kungayambitse ululu waukulu ndi kutupa m'chiwalo chimodzi. Komabe, ngakhale pambuyo poti ngozi yatha, mitsempha yanu imapitirizabe kutanthauzira zomwe zimachitika mwachibadwa ngati ululu ndikutumiza zizindikiro za ululu ku ubongo.

Mitsempha iyi imatumiza zizindikiro za ululu ku gawo la ubongo wanu lomwe limalemba ululu. Gawo limenelo, limatumiza zizindikiro ku madera a ubongo wanu omwe amakonza mbali za ululu. Kuyankha kwamaganizo ndi njira ya thupi lanu yophunzitsira kupewa chinthu chomwe chakupwetekani. Komabe, njira iyi ya mitsempha imagwiranso ntchito mwanjira ina. Izi zikutanthauza kuti, kupsinjika maganizo ndi malingaliro zimatha kuwonjezera kuwona kupweteka kwakuthupi kapena kusasangalala m'ziwalo zanu zamkati . Mukakhala ndi Visceral Hypersensitivity, kupweteka kwakuthupi ndi kupsinjika maganizo kumapitilizabe kulimbitsana. Ubongo wanu umayankha zonse ziwiri ndi mahomoni opsinjika. Izi zimapangitsa kuti zizindikiro zanu zikhale zovuta kwambiri.

Kodi izi zikugwirizana bwanji ndi matenda a m'mimba monga IBS?

Dongosolo lanu logaya chakudya lili ndi dongosolo lake la mitsempha. Limatchedwa dongosolo la mitsempha la enteric. Limafalikira m'njira yanu yonse yogaya chakudya. Nthawi zina limatchedwa "ubongo wachiwiri" kapena "ubongo m'matumbo." Malekezero a mitsempha a dongosolo la mitsempha la enteric ili amapezeka mu gawo lililonse la njira yanu yogaya chakudya. Malekezero a mitsempha awa amalimbikitsidwa ndi zinthu zambiri, kuphatikizapo zomwe zili m'mimba, mabakiteriya ndi zinthu zomwe zimapangidwa ndi mabakiteriya, kutambasula ndi kutambasula, kutupa, ndi zizindikiro za kupsinjika kwa mankhwala.

Mitsempha iyi sikuti imangodziwitsa ubongo wanu za kusasangalala, komanso imasonyeza thupi lanu kuti lichitepo kanthu m'njira zosiyanasiyana ku zomwe likuwona ngati zoopsa: kuchepetsa kugaya chakudya, kufulumizitsa kugaya chakudya, ndikutulutsa poizoni. Ngati mitsempha iyi ikulimbikitsidwa nthawi zonse, ingayambitse mayankho awa mobwerezabwereza. Ndicho chimene chimayambitsa zizindikiro. Kapena, mungakumane ndi vuto lotchedwa ``Visceral Hypersensitivity'', komwe mumaona ngakhale kugaya chakudya mwachizolowezi ngati kowawa.

Kodi madokotala amazindikira bwanji izi?

Ngakhale kuti mayeso osiyanasiyana amagwiritsidwa ntchito m'maphunziro azachipatala kuti adziwe `(Visceral Hypersensitivity)`, mayesowa nthawi zambiri samachitika kwa odwala omwe amabwera kudzalandira chithandizo chamankhwala. `(Visceral Hypersensitivity)` nthawi zambiri amapezeka mofanana ndi matenda ena ogwira ntchito: mwa kuwona zizindikiro zanu ndikuchotsa zifukwa zina (matenda) . Mukakufunsani mbiri yonse yachipatala ndikuchita kafukufuku wathunthu, mayeso achizolowezi amalamulidwa. Ngati mayeso amenewo sakupeza chilichonse chofunikira, mutha kupezeka ndi `(Visceral Hypersensitivity)`.

Kodi chithandizo cha izi ndi chiyani?

Ofufuza akufufuzabe njira zatsopano zothanirana ndi vuto la Visceral Hypersensitivity. Mankhwala omwe alipo pano nthawi zambiri amaphatikizapo kuphatikiza mankhwala ndi mankhwala a maganizo/thupi . Popeza vutoli limakhudza ziwalo zanu zakuthupi ndi ubongo wanu, njira yokhala ndi mbali ziwiri ndiyo yothandiza kwambiri komanso yomwe ingakhale yopambana kwa nthawi yayitali.

Mankhwala

Mankhwala a "Visceral Hypersensitivity" cholinga chake ndi kutonthoza dongosolo lanu la mitsempha.Mankhwala oletsa ululu wamba sagwira ntchito pa ululu wamtunduwu . Mankhwala amphamvu oletsa ululu monga mankhwala osokoneza bongo ndi opioid sakuvomerezeka chifukwa zotsatira zake zingapangitse vutoli kukhala loipa kwambiri. M'malo mwake, madokotala nthawi zambiri amapereka mankhwala omwewo omwe amagwiritsidwa ntchito pochiza matenda amisala monga nkhawa ndi kuvutika maganizo, koma pamlingo wochepa kwambiri .

Izi sizikutanthauza kuti madokotala amaganiza kuti muli ndi matenda amisala. Anthu ena omwe ali ndi Visceral Hypersensitivity ali ndi matenda amisala, koma ena alibe. Ngati zizindikiro zanu zamisala zikuchepetsa ululu wanu, mankhwalawa angathandize kukweza ululuwo. Komabe, amaletsanso zizindikiro za ululu zomwe zimachokera ku mitsempha yanu. Kuchiza ululuwo kungathandize kuchepetsa mahomoni opsinjika maganizo ndikukonzekeretsa thupi lanu ndi ubongo wanu kuti mupindule kwambiri ndi mankhwala amisala/thupi.

Mitundu ya mankhwala oletsa kupanikizika ndi awa:

• Mankhwala oletsa kuvutika maganizo a tricyclic
• Zoletsa Kubwerezabwereza kwa Serotonin (SSRIs) Zosankha
• Zoletsa za Noradrenaline ndi Serotonin (SNRIs) Zosankha

Mankhwala ena omwe angathandize ndi ululu wa mitsempha:

• Otsutsana ndi histamine H1 receptor
• Mankhwala oletsa khunyu

Mankhwala a maganizo/thupi

Mankhwala amatha kuchiza zizindikiro zanu, koma sachiza vuto lomwe limayambitsa vutoli. Ndicho chimene mankhwala a maganizo/thupi amayesa kuchita. Kugwiritsa ntchito mwayi wa neuroplasticity - kuthekera kwa dongosolo lanu la mitsempha ndi ubongo kuphunzira njira zatsopano - mankhwala awa amayesa kuletsa ululu wa mitsempha kuti usayambe. Mankhwala olimbikitsidwa ndi awa:

• Chithandizo cha Maganizo (CBT): Iyi ndi njira yokhazikika komanso yothandiza yophunzitsiranso momwe mitsempha yanu imayankhira ku zomwe zimamveka "kuchokera pamwamba kupita pansi" - kutanthauza, pamlingo wa malingaliro.
• Hypnotherapy: Mphamvu ya malingaliro mu mkhalidwe wa hypnotic ingathandize kuchepetsa ululu wamanjenje.
• Biofeedback: Chithandizochi chimagwiritsa ntchito zipangizo zoyezera momwe thupi lanu limayankhira ululu ndikuwongolera chidwi chanu ku mayankho amenewo. Kenako mutha kugwira ntchito kuti muwasinthe.

Mankhwala owonjezera

Ngakhale kuti malangizowa sanayesedwe mokwanira, akulonjeza kuti athandiza kuchiza Visceral Hypersensitivity.

• Ma Probiotics:Popeza kuti kuchuluka kwa tizilombo toyambitsa matenda m'matumbo (Visceral Hypersensitivity) kungakhale chifukwa chake, ma probiotics ndi prebiotics angathandize ndi zizindikiro.
• Kuchiza ndi Acupuncture: Kuchiza ndi acupuncture kwawonetsedwa kuti ndi kothandiza pochiza ululu wosatha mwa anthu ena.
• Chithandizo cha maganizo: Ngati kuli kofunikira, chithandizo cha maganizo cha nkhawa ndi kuvutika maganizo chingathandize kuchepetsa kupsinjika maganizo/maganizo ndikukhudza momwe mumamvera ululu.

Kodi izi zingathe kuchiritsidwa kwathunthu?

Sitikudziwa. Pali malipoti olimbikitsa akuti anthu ena asintha kwambiri ndi mankhwala enaake. Komabe, izi nthawi zambiri zimadalira zinthu zambiri , monga chomwe chimayambitsa zizindikiro zawo komanso zinthu zina zomwe zimapangitsa kuti asamavutike kwambiri ndi matendawa. Nkhani yabwino ndi yakuti kafukufuku akupitirira, ndipo njira zambiri zodalirika zothanirana ndi "Visceral Hypersensitivity" zikufufuzidwa.

Kodi izi zingatheke mwa kudya ndi kumwa?

Kusintha zakudya nthawi zambiri kumalimbikitsidwa kuti kuthandizeni ndi zizindikiro za IBS. Ngati muli ndi vuto la mkati mwa m'mimba mwanu, kusintha zakudya kungathandize kuchepetsa kusasangalala komwe kumachitika chifukwa cha kusagwira bwino ntchito kwa m'mimba.

Kugaya chakudya si chinthu chofunikira kwambiri pa Visceral Hypersensitivity. Komabe, ngati simukulekerera chakudya, zingayambitse kutupa kosatha, kuwononga chotchinga choteteza m'mimba mwanu, komanso kukula kwa mabakiteriya oipa m'matumbo omwe amadya chakudya chomwe simungathe kuchigaya. Zonsezi zanenedwa kuti ndi zinthu zomwe zimayambitsa Visceral Hypersensitivity. Ngati ndi choncho, zakudya izi zingathandize:

• Zakudya Zochotsa Matenda: Izi ndi zakudya zakanthawi zomwe zimakuthandizani kuzindikira zakudya zomwe zikukubweretserani mavuto. Izi zimaphatikizapo kuchotsa zakudya zomwe nthawi zambiri zimayambitsa mavuto kenako nkuziwonjezera pang'onopang'ono kutengera zizindikiro zanu.
• Zakudya Zochepa za FODMAP: Izi ndi zakudya zapadera zochotsera chakudya m'thupi. Zimalimbana ndi mitundu ya chakudya chomwe nthawi zambiri chimayambitsa mavuto m'mimba. Ngati muli ndi mabakiteriya ambiri, zakudya zochepa za FODMAP zingathandize kuchepetsa chakudyacho posawapatsa chakudya chomwe amafunikira.
• Zakudya Zopatsa Mabakiteriya: Ngati mavuto anu ayambitsidwa ndi microbiome yoipa m'mimba, ma probiotic angathandize. Njira imodzi yabwino kwambiri yopezera ma probiotic tsiku lililonse ndikudya zakudya zopatsa mabakiteriya. Zitsanzo zake ndi yogurt, yogurt, tchizi cha kanyumba, sauerkraut (mtundu wa kabichi woviikidwa), ndi supu ya miso (mtundu wa supu yaku Japan).

Pomaliza, zinthu zoti muzikumbukira

Vuto la Visceral Hypersensitivity ndi lovuta kwambiri. Limafuna njira yonse yothandizira. Madokotala akuchulukirachulukiraKufunika kwa kulumikizana kwa m'mimba ndi ubongo kukudziwika. Ofufuza akuyesera kumvetsetsa bwino momwe ubongo wathu, ziwalo zathu, ndi machitidwe athu amalumikizirana, komanso momwe izi zingasokonezere.

Chinthu chimodzi ndi chotsimikizika: Ululu wamkati si "wonse m'mutu mwanu." Komabe, umakhudza ubongo, pamlingo winawake. Chifukwa chake ndi wovuta pang'ono kuposa kuchiza vuto la makina. Koma umakupatsirani mphamvu. Mwa kugwiritsa ntchito mphamvu ya ubongo wanu, mutha kuyesetsa kusintha njira zanu za mitsempha kuti muchepetse ululu. Chifukwa chake pali chiyembekezo!

Kusamva bwino kwa ziwalo za m'mimba , IBS, Matenda a m'mimba, Kupweteka m'mimba, Kupsinjika maganizo, Thupi la mitsempha, Chithandizo