Momwe mungayeretsere mitsempha yamagazi kuchokera ku cholesterol amana ndi magazi

Cholesterol ikulowa pazinthu zanyama imatha kuyikika pamakoma amkati mwa ma membala am'mimba ndikupanga cholesterol malo.

Zidole za cholesterol zimalepheretsa kuwala kumapangitsa kuti magazi asamagwire bwino ntchito ndikusokoneza kayendedwe ka magazi motsatira mitsempha yayikulu ya m'magazi.

Zizindikiro za mapangidwe a cholesterol m'mitsempha ya ubongo

Kuphwanya magazi kuchulukana kwamitsempha yaubongo chifukwa cha kupangika kwa cholesterol plaque, kumabweretsa kuchepetsedwa kwa minyewa yam'mimba. Narrow arterial lumen imapangitsa kuchepa kwa oxygen m'maselo aubongo, komanso michere.

Zizindikiro zakuchepa kwa magazi m'mitsempha muubongo ndi awa:

• Wowawa ndi wazungu,
• Tinnitus ndi kusamva kwa makutu,
• Kugwira ntchito kwa chiwalo chowoneka kumachepa
• Memory amapita pansi
• Pali kuchepa kwa luntha la luntha,
• Pamaso pa cholesterol plaques, matenda a atherosulinosis amakula, omwe amachititsa stroko (ischemic ndi hemorrhagic).

Ndi chitukuko cha atherosulinosis mthupi la munthu chifukwa cha cholesterol plaques, osati ubongo wokha, komanso mbali zotumphukira zam'munsi, ziwalo zamkati ndi mitsempha yayikulu ya m'magazi.

Tinnitus ndi kusamva kwa makutu

Zolemba za cholesterol m'mitsempha yamagazi

Ma neoplasms onenepa omwe amawonekera pazimba zamkati m'matumbo, pamapeto pake amamangiriza kuphatikiza mapuloteni, ndikusintha kukhala cholesterol plaques. Nembanemba wamadzimadzi wodzaza ndi ma neoplasms amatha kuphulika, kapena kung'ambika, ndipo thrombus ikuwonekera pamalowa.

Pambuyo pakuwoneka ngati magazi amkati, pali kuthekera kwakukulu kwakuti magaziwo amatchinga magazi m'mitsempha, zomwe zimabweretsa zotsatirapo zowopsa komanso kukulira kwa ma pathologies akulu.

Kuti mupewe ma pathologies oterowo, ndikofunikira kupititsa patsogolo kupewa (kutsuka kwamitsempha), komwe sikofunikira kokha pakuyenda kwa magazi, komanso kwa mtima, chifukwa ziwerengero zimapereka chidziwitso chosasangalatsa 80.0% yaimfa yonse imachokera ku mawonekedwe ovuta a mtima ndi mtima dongosolo. .

Bwanji kuyeretsa ziwiya za cholesterol malo?

Kuti tipewe zovuta za chitukuko cha atherosulinosis ndi zina zofunika kuzitsatira, ndikofunikira kuyeretsa mitsempha kuti ichotse kuchuluka kwa atherosulinotic mwa iwo.

Kutsuka kwamkati mwa mitsempha sikungangotulutsa ma cholesterol okha, komanso kumalimbitsa ma membala a arterial ndikubwezeretsanso kwawo kakale.

Kuyeretsa zamitsempha tating'onoting'ono ta malo a atherosulinotic ndi njira yabwino yolepheretsa matenda a atherosulinosis, komanso kulowetsedwa kwa myocardial ndi stroke stroke.

Wodwala akangotsuka ulusi wamitsempha yake, thanzi lake limasintha kwambiri:

• Mutu ukupota
• Munthu amachotsa zowawa m'malo osiyanasiyana ammutu,
• Mndandanda wa ma cholesterol am'magazi amachepa,
• Matenda ndi momwe wodwalayo akumvera.
• Kutha kwa munthu kugwira ntchito kumawonjezeka
• Mphamvu zolimbitsa thupi zimabwezeretseka,
• Mwa amuna, potency imachuluka.

Mwa amuna, kuchuluka kwamphamvu

Kodi kuyeretsa nembanemba?

Kuyeretsa zamitsempha yamagazi kumathandizira kukhala ndi mtima wathanzi komanso magazi, komwe kumachepetsa chiopsezo chotulutsa ma pathologies aliwonse komanso kumathandizira kukhala ndi thanzi labwino kwazaka zambiri. Anthu ngakhale atakalamba kwambiri amakhala ndi moyo wabwino.

Kuyeretsa kwachikhalidwe sikuyenera kuchitika mopitilira nthawi 1 pachaka.

Kuti ayeretse ziwiya za cholesterol owonjezera, madokotala amatipatsa mankhwala, koma magulu onse azamankhwala omwe amachepetsa cholesterol yamagazi ndikuthandizira mapangidwe a atherosulinotic plaquitication ali ndi zotsutsana zingapo kuti agwiritse ntchito, komanso mndandanda wautali wazotsatira zam'mapiritsi a thupi la munthu.

Mutha kuthana ndi cholesterol plaque ndi mankhwala azitsamba kuchokera ku maphikidwe azitsamba azikhalidwe.

Zithandizo za anthu zimatha kuphatikizidwa ndi mankhwala othandizira ndi ma statins, koma ndikofunikira kuti muonane ndi dokotala.

Dokotala adzalembanso dongosolo la mankhwalawa pogwiritsa ntchito mankhwala ndi wowerengeka, komanso akuwonetsa kuti kukonzekera kwazitsamba kungaphatikizidwe ndi mankhwalawa, omwe amawapatsa ngati mankhwala a atherosulinosis.

Musanalimbane ndi cholesterol plaque ndimankhwala kapena wowerengeka, muyenera kuyeretsa ziwindi ndi impso, komanso kuyeretsa matumbo, chifukwa zakumwa zonse zomwe zimapezeka m'matimuwa sizingalole kuti mankhwalawo athe kuyambitsa cholesterol.

Ndipo poizoni woopsa amatha kulowa m'magazi.

Zithandizo za anthu zimatha kuphatikizidwa ndi mankhwala othandizira ndi ma statins

Zakudya za cholesterol plaques

Pofuna kuthana ndi cholesterol plaque mu ma membala am'mimba, ndikofunikira kuyamba chithandizo ndi chakudya chamafuta.

Mfundo zachakudya ichi sikuti ndizololedwa kudya zakudya zomwe zimachepetsa mafuta m'thupi mukamadya, komanso kupatula zinthu zomwe zaletsedwa muzakudya.

Malamulo a zakudya zopatsa thanzi amaphatikizaponso njira zophikira, kusungitsa madzi mthupi komanso kudya mokwanira.

Ndikofunikira kupanga lamulo kuti m'mawa uliwonse mutagona, muyenera kumwa mamililita 200.0 amadzi oyera oyeretsedwa, omwe amakupatsani mwayi woyambira njira zonse za thupi ndikupangitsa ntchito ya lipid metabolism.

Pazakudya zamafuta a cholesterol, muyenera kuphatikizapo zakudya zomwe zimathandizira kuti muchepetse cholesterol neoplasms:

• Mitundu yamafuta ochepa am'madzi am'madzi ndi mitundu yamafuta ochepa (nkhuku, nkhuku, kalulu),
• Kapolo ndi nyama zizikhala zophika m'madzi, kapena mumadzi osamba, ophika mu uvuni,
• Lenten yoyamba maphunziro (msuzi ndi borscht pa msuzi wa masamba, kapena msuzi wankhuku yachiwiri),
• Masamba atsopano ndi kusakaniza masaladi kwa iwo,
• Timadziti tosenda kumene: masamba, zipatso, zipatso ndi zipatso,
• Zakudya zamasamba,
• Mbewu za chimanga
• Mitundu yonse ya mtedza ndi mafuta a masamba omwe ali ndi Omega-3,
• Zipatso za citrus
• Ziphuphu
• Zipatso zatsopano ndi zipatso.

Zakudya izi zimathandizira kuchotsa malo amodzi komanso kuwonjezera kuwonekera kwa magazi mthupi.

Malalanje amathandizira kuchotsa mapepala ndikuwonjezera chilolezo cha kumayiko ena

Pofuna kuthana ndi cholesterol plaque bwino, ndikofunikira kusiya zinthu zotere:

• Zakudya zamafuta ndi zokazinga,
• Nyama zosemedwa ndi zipatso
• Mkaka, batala la ng'ombe ndi margarine okhala ndi mafuta opatsirana,
• Nyama ndi nsomba zaamphaka,
• Tchizi zokonzedwa komanso zamafuta,
• Zakudya zachangu
• Kuphika kotsekemera kwamafuta.

Kofi iyenera kulowedwa ndi tiyi wobiriwira ndi zitsamba. Ndipo m'malo mwa shuga, ndikulimbikitsidwa kuti mugone ndi supuni ya uchi.

Zombo zoyeretsedwa bwino kuchokera ku misuzi ya atherosulinotic plaices:

• Madzi a phwetekere
• Madzi a karoti
• Makangaza ndi zipatso za mphesa.

Madzi a makangaza

Chithandizo chamankhwala

Pofuna kuthana ndi cholesterol plaque m'matumbo, dokotala wothandizirayo amakupatsani mankhwala omwe amachokera ku mankhwala omwe amatsuka ziwiya zamafuta ambiri.

Kugwiritsa ntchito mankhwala ochizira atherosulinosis ndi kutaya kwamitsempha yamagazi kuchokera ku cholesterol neoplasms, okhawo omwe akutsogoleredwa ndi adokotala.

Mankhwalawa saloledwa kugwiritsidwa ntchito ngati mankhwala omwe mumadzipatsa nokha, chifukwa cha chiwopsezo chachikulu chotenga zovuta komanso zovuta za matenda.

Lero, mutha kuthana ndi cholesterol plaque m'mitsempha mothandizidwa ndi mankhwalawa:

• Gwiritsani ntchito gulu mankhwalawa cholinga chake ndikuwonjezera kuchuluka kwa cholesterol (HDL) m'magazi ndikuchepetsa magawo a mamolekyulu a cholesterol (LDL ndi LDL),
• Madera Mapiritsi amayeretsa bwino mitsempha ya m'mimba, komanso mitsempha yayikulu ikuluikulu yochokera ku malo opangira maherosepticotic ndikuchepetsa cholesterol yochepa kwambiri m'magazi,
• Olemba zotsalira sinthani cholesterol index mwa kuyambitsa kupanga bile.

Kukonzekera kwa gulu la fibrate (Fenofibrate) ndi mankhwala:

• Zochizira atherosclerosis,
• Kwa kunenepa kwambiri
• Kuphwanya njira za metabolic,
• Ndi triglyceridemia.

Mankhwala osokoneza bongo a gulu la statin (Rosuvastatin, Atorvastatin) amatchulidwa:

• Ndi hypercholesterolemia,
• Zochizira atherosclerosis,
• Pofuna kupewa kulowerera m'mitsempha komanso matenda amisempha,
• Ndi chiwopsezo chachikulu chotengera mtima ndi ma pathologies am'mitsempha yama coronary.

Sequestrants of bile acid (Colestipol, Colesteramin) ndi mankhwala:

• Ndi hypercholesterolemia,
• Kuchepetsa tizigawo ting'onoting'ono ta cholesterol,
• Ndi triglyceridemia.

Ma Statist amayeretsa bwino mitsempha ya m'mimba

Chithandizo cha hepatocorrection

Njira ya hemocorrection yapangidwa kwa nthawi yayitali. Odwala ambiri adatha kale kuchotsa ma cholesterol m'magazi. Chinsinsi cha njirayi ndikuti magazi a wodwala amagawidwa m'madzi a m'magazi, komanso m'magazi.

Mchitidwewu umachitika mu centrifuge yapadera, pomwe mphamvu yokoka imagwira ntchito pakubwera kwa magazi. M'magazi a m'magazi muli zinthu zina zofunika, komanso zinthu zoyipa, zomwe muyenera kutaya.

Ma molekyulu ocheperako a lipoprotein, komanso mamolekyule a cholesterol aulere, ndimagwiranso ntchito zina zoyipa, zomwe zimapanga maziko a atherosulinotic plaques.

Pogwiritsa ntchito hemocorrection, zinthu zonse zoyipa zimachotsedwa m'madzi a m'magazi, ndipo zinthu zopindulitsa zimatsalira m'madzi a m'magazi. Pambuyo pakuyeretsa, plasma imayambitsidwanso m'magazi a wodwala.

Kuti muchotsere cholesterol plaque, njira ya hemocorrection, ndikofunikira kuchita kangapo.

Pambuyo pama gawo angapo a hemocorrection, zambiri zomwe zimapukusidwa zimatuluka m'mafuta a cholesterol, ndipo zolembazo zimayamba kuchepa kapena kuzimiririka, kuchuluka kwa zomwe zimasungidwa pamalo opangira zolembera kumawonjezereka, ndipo kulumikizana kwamkati mwamkatikati kumalimbikiranso.

Contraindication mu hemocorrection ndondomeko ndi izi:

• Ndi matenda a he hetatic system (osakwanira pakupanga magazi a m'magazi),
• Ndi matenda, kuchepa magazi,
• Ndi matenda, hypoproteinemia,
• Pambuyo pa kulowetsedwa kwa mtima ndi matenda am'mimba,
• Ndi ochepa ochepa hypotension, pamene magazi am'munsi amatsika kuposa 90/50 mm Hg,
• Ndi arrhythmias a mtima chiwalo.

Machitidwe a hemocorrection

Chithandizo cha cholesterol zolembera ndi wowerengeka azitsamba

Kuthana ndi cholesterol malo omwe anthu amachita kuli ndi zabwino zake:

• Zinthu zachilengedwe zachilengedwe zochizira,
• Njirayi ndi yosavuta kugwiritsa ntchito,
• Palibenso chifukwa choyendera zipatala zodula,
• Zida zonse zamankhwala ndizotsika mtengo ndipo zimagulitsidwa pa pharmacy iliyonse.
• Mutha kukonzekera potion machiritso kunyumba ndipo osagwira ntchito zambiri ndi luso.

Nthawi zambiri, kuti muchotse cholesterol zolembedwa pakhosi komanso m'mitsempha yayikulu yam'munsi, gwiritsani ntchito mankhwala awa:

• Ma Walnuts (chipolopolo, magawo, masamba),
• Ndimu
• Garlic
• Mankhwala azitsamba chamomile, calendula inflorescence,
• Komanso pochotsa cholesterol, gwiritsani ntchito periwinkle, dandelion (maluwa, masamba ndi mizu), masamba a clover, nthula wamkaka.

Ma Walnuts ali ndi mafuta ochulukirapo a polyunsaturated acids (Omega-3), omwe amathandizira kuchotsa lipoprotein yoyipa m'magazi.

Mankhwala a cholesterol omwe amapangidwa ndi adyo samangothandiza kuchotsa ma lipid amana, komanso ndi antiseptic yabwino kwambiri yachilengedwe yomwe imateteza thupi kuti lisatenge matenda ndi ma virus mkati.

Kuphatikizika kwa ndimu ndi adyo, komanso mankhwala omwe akuphatikizira uchi wapamwamba kwambiri kwa adyo ndi mandimu, kumathandizira kuchotsa ma cholesterol m'mitsempha.

Zithandizo zonse zachikhalidwe zimayenera kutengedwa ndi chilolezo chadokotala. Dokotala adzalembanso njira zoyenera zochiritsira zonse zachilengedwe.

Komanso, musaiwale kuti ngati pali cholesterol plaque m'magazi ndi matenda a systemic atherosulinosis atakula, ndiye kuti wowerengeka azitsamba angokhala ngati chithandizo chowonjezera chamankhwala oyambira komanso zakudya zopatsa thanzi.

Garlic samangothandiza kuchotsera kwa ma lipid amana, komanso ndi antiseptic yabwino mwachilengedwe

Kugwiritsa ntchito mandimu ndi adyo

Pali maphikidwe ambiri oyeretsa m'mitsempha ndi adyo ndi mandimu, chifukwa mbewu izi zimatha kuchiritsa bwino.

Zomwe zimapangidwa ndi izi zimaphatikizapo:

• Zida za Monosaccharide,
• Zinthu zosavuta kufufuza ndi mchere,
• Mavitamini B,
• Ascorbic acid
• Mafuta azofunikira zamasamba,
• Mafuta a polyunsaturated acids (linoleic acid).

Izi zimathandizira magwiridwe antchito a ziwalo zamtima komanso kayendedwe ka magazi.

Kuphatikiza pakuchepetsa kuchuluka kwa mafuta m'thupi m'magazi am'magazi, mphamvu ya chomera cha adyo ndi chomera cha ndimu, ikagwiritsidwa ntchito limodzi, zimathandizira kuti magazi azikhala ndi madzi ambiri, komwe ndi njira yabwino yopeweretsera magazi m'magazi.

Maphikidwe oletsa kuthana ndi magazi a cholesterol plaque, komanso kusintha kwamphamvu kwa thupi:

• Pogaya mandimu 4 ndi mitu itatu ya adyo. Onjezerani osakaniza mamililita 200 amafuta a maolivi ndi lita imodzi ya uchi wosapanda uchi. Lolani kuyimitsa kusakaniza kwa tsiku limodzi ndi kutenga supuni imodzi. Njira ya mankhwala ndi osakaniza mpaka kumapeto kwa buku lokonzekera la mankhwala,
• 1 kilogalamu ya udzu winawake, mandimu 4 ndi mitu 4 ya adyo. Sakanizani zosakaniza zonse muzosakaniza mosakaniza. Onjezani magalamu 200 a uchi. Pambuyo pa tsiku, mankhwalawa amatha kumwa supuni imodzi m'mawa pamimba yopanda. Phindu labwino ndikuchotsa mapaundi owonjezera ndi cholesterol yoyipa,
• Pogaya mutu waukulu wa adyo ndikuthira Cahors kwa masabata awiri. Pambuyo poti kulowetsedwa kumasungidwa m'malo abwinoko ndi ozizira kwa masiku 14, kuyenera kusefedwa ndi kutengedwa mamiligalamu 20.0 katatu patsiku,
• Mwofanana, imwani madzi a adyo ndi uchi wachilengedwe. Tengani supuni 30 40 mphindi musanadye. Kuthandizidwa osachepera mwezi umodzi,
• Pogaya adyo ndi mtedza mofananirana ndikuwonjezera mamililita 200.0 a mafuta a masamba. Tiyeni tiime masiku angapo ndikutenga mafuta awa povala masaladi a masamba.

Garlic ndi Ndimu ya Ndimu

Ndi walnuts ndi mbewu

Walnuts amathandizira kuchotsetsa cholesterol malo mu mitsempha. Mtedza uli ndi linoleic acid, yomwe ndi gawo la Omega-3, omwe amathandiza kuchepetsa kuchepa kwa maselo a lipoprotein m'magazi.

Maphikidwe a Walnut:

• Pogaya mafuta mu gruel ndi kumwa 20,0 magalamu 30 mphindi musanadye. Mtedza uyenera kutsukidwa ndi madzi ofunda. Njira zochizira walnuts mpaka miyezi iwiri,
• Tengani mtedza 5 ndikuchotsa maso awo. Pogaya mtedza ndi kuwonjezera 1 uzitsine wa ginger wodula wowuma. Onjezani kwa osakaniza 20,0 magalamu a uchi wachilengedwe wachilengedwe.Patsani izi kusakaniza tsiku limodzi ndikudya musanadye. Konzani zosakaniza zatsopano m'mawa uliwonse tsiku lotsatira. Mankhwalawa amalola osati kungochotsa cholesterol plaque, komanso munthu amalandila ndalama yayikulu m'mawa tsiku lonse.

Kuphatikiza pa mtedza, mutha kuthandizidwa ndi mbewu ya fulakesi ndi maungu. Mbewu za Flaxseed ndi maungu ndizopezeka mu Omega-3s, ndipo nthangala za flaxseed ndi dzungu ndizochepa mwa mafuta atatu ogwira ntchito, komanso mafuta a azitona mu chakudya cha hypocholesterol.

Maphikidwe a mankhwala wowerengeka:

Mbewu ndi njira yosavuta kwambiri komanso yothandiza kwambiri poyeretsera ziwiya:

• Thirani magalamu 80.0 a flaxseed ndi mamililita 1000.0 a madzi otentha ndikuwotha osamba kwa maola awiri. Kenako muyenera kukulunga msuzi ndikuumirira kwa maola 12. Muyenera kumwa magalamu 70.0 musanadye chakudya kawiri pa tsiku. Njira yochizira ndi masiku 14. Komanso mu mbewu ya fulakesi, mutha kuwonjezera inflorescence a chamomile, kapena calendula. Mbewu ya fulakesi yowirikiza imawonjezeredwa m'zakudya zonse zakonzedwa, zomwe zimachotsa cholesterol plaque ndikuletsa kukula kwa atherossteosis,
• Pogaya 100.0 magalamu a nthanga yatsopano yopanda ma thata kumkati ndi kutsanulira mamililita 500.0 a vodika wapamwamba kwambiri. Khazikani m'malo amdima kwa masiku 21. Pambuyo pake, sulani tincture ndikuwutenga katatu patsiku kwa 20,0 magalamu a tincture mu 50.0 magalamu a madzi. Kuchiza kuyenera kupitilizidwa kwa miyezi iwiri.

Walnut

Mothandizidwa ndi juzi mankhwala

Mankhwala a Madzi amagwiritsidwa ntchito bwino poletsa mapangidwe a lipid. Iyi ndi njira yokoma komanso yothandiza yolepheretsa kudziphatika kwa mamolekyulu a cholesterol kupita ku membrane wa arter.

Atherossteosis amathanso kuthandizidwa ndimadzi othandizira ngati njira yothanirana ndi mankhwala ndi zakudya:

• Sakanizani zamasamba zamasamba msuzi wa karoti (300.0 milligrams), msuzi wa mbatata (300.0 milligrams) ndi madzi a beetroot (500.0 milligrams). Tengani mamilimita 50.0 katatu patsiku musanadye,
• Imwani mamililita 200.0 a madzi a makangaza tsiku lililonse iyi ndi njira yabwino yochotsera ma lipid malo, komanso kuwonjezera kuchuluka kwa hemoglobin m'magazi,
• Mwatsopano Finya wa maungu 100.0 mamililita ndi kuchuluka komweko kwa Whey. Sakanizani ndi kumwa kamodzi patsiku.

Contraindication

Kunyumba, kugwiritsa ntchito mankhwala wowerengeka, sikuletsedwa kuyeretsa mipata yochokera ku cholesterol plaque yokhala ndi ma pathologies:

• Ndi zotupa m'mimba
• Zilonda zam'mimba
• Ndi matenda a impso,
• Ndi khunyu,
• Amayi pa nthawi yoyembekezera komanso yoyamwitsa.

Zambiri

Atherosulinosis ndi njira yodziwika bwino yopanga mapangidwe amkati mwa mitsempha ya magazi ndi kupendekera kwa lumen yawo. Kuwonongeka kwa magazi kumayenda limodzi ndi chitukuko cha zizindikiro zakunja za matendawa. Ndizachilendo kuti mitsempha yokha ya ma calign akuluakulu ndi apakati omwe angakhudzidwe ndi njirayi. Nthawi zambiri ziwiya za khosi, mtima, ubongo, impso komanso mitsempha yayikulu yomwe ili m'miyendo imavutika.

Chowopsa kwambiri ndikuwonekera kwa mapepala pamitsempha yama carotid - chifukwa cha kuthamanga kwa magazi, nthawi zambiri zimawonongeka. Izi zimapangitsa kuti pakhale kuwunduka kwa magazi ndi kupatukana kwawo pambuyo pake komanso kukula kwa mikwingwirima. Ndikovuta kwambiri kuthana ndi zoterezi za atherosulinosis.

Zizindikiro ndi matenda a atherosulinosis

Wowonongeka pamitsempha ya carotid yomwe ili pakhosi, wodwalayo amadandaula zam'mutu pafupipafupi, tinnitus, chizungulire, kusokonezeka kwa luntha. Kusintha kwamphamvu pakhungu, kulekerera kuzizira, kumawonetsa kuwonongeka kwamiyendo m'miyendo. Chizindikiro china cha m'mitsempha yotsekeka m'miyendo ndikulankhula kwapadera. Ngati mitsempha ya mtima ikokedwa ndikuchitika, wodwalayo amakhala ndi nkhawa chifukwa cha ziwopsezo za angina. Zizindikiro zonsezi ndizotsatira zamagazi osayenda bwino m'matumbo.

Pozindikira matenda a atherosclerosis, kuwunika kwa ultrasound kwamatumbo a khosi ndi mitsempha yomwe ili pamiyendo imagwiritsidwa ntchito. Nthawi yomweyo, kuchuluka kwa kufinya kwa mitsempha, kuthamanga kwa magazi mkati mwake, komanso kukhalapo kwa magazi kumawunikiridwa. Kuti muwone m'matumbo a ubongo, MRI imagwiritsidwa ntchito. Musaweruze molingana ndi zotsatira za kusanthula ziwiya za khosi, makamaka chotupa cha carotid.

Mfundo zachikhalidwe zamankhwala

Kuyeretsa ziwiya kuchokera ku kusintha kwa atherosulinotic ndi njira yayitali komanso yovuta. Pamafunika kulangidwa modekha ndi kupirira. Inde, ndizosatheka kuchotsa kwathunthu ma cholesterol omwe ali mu carotid artery, zotengera za khosi ndi mitsempha yomwe ili pamiyendo. Koma ngakhale kusungunuka pang'ono kwamagazi kumathandizira wodwalayo. Cholinga chachikulu cha chithandizo ndi kuphatikiza kwa magawo a lipid komanso kuchuluka kwa magazi.

Mbali zazikuluzikulu za chithandizo chamankhwala zimaphatikizapo izi:

• Kuchotsa kwa ziwopsezo zomwe zimapangitsa kuti chiwopsezo cha matenda a matenda a m'mimba,
• chakudya
• kumwa mankhwala
• mankhwalawa wowerengeka azitsamba.

Zonsezi zimathandizana, motero zimayenera kugwiritsidwa ntchito palimodzi. Popanda chakudya choyenera, ngakhale zinthu zodula kwambiri sizingapangitse njira yoyeretsera magazi kukhala yothandiza. Zofananazi zitha kunenedwa pazoopsa. Chinthu chinanso chothandizira pa mankhwalawa ndi chosadziwika. Ndiye kuti, njira zomwe zimagwiritsidwa ntchito pochiza matenda a atherosulinosis a carotid artery ndi othandiza m'matumbo okhala pamiyendo. Mosiyanasiyana, chithandizo cha ziwiya zam'miyendo chimakhudza bwino momwe maselo a pakhosi amathandizira.

Kuthetsa zinthu zoyipa

Zowopsa zomwe zimapangitsa kuti pakhale hypercholesterolemia ndi izi:

• kusowa zolimbitsa thupi
• kusadya bwino,
• onenepa kwambiri
• kulolerana kwa shuga kapena matenda ashuga,
• kupsinjika kwakasinthasintha m'maganizo,
• kusuta fodya komanso kumwa mowa mwauchidakwa,
• kuthamanga kwa magazi.

Popeza onse ndi otheka kuwongolera, dzina lawo lachiwiri limasinthidwa. Asayansi amatchula zinthu zosakhudzana ndi zaka, jenda komanso cholowa. Ndikosatheka kuzikopa, chifukwa chake, anthu omwe amapezeka ayenera kusamala makamaka zaumoyo wawo.

Zochita zolimbitsa thupi za wodwala zimafunikira chisamaliro chapadera. Ngati lumen ya ziwiya zamiyendo itachepetsedwa, kuyenda kwa chizolowezi kumakhala kovuta. Chifukwa cha kuwonongeka kwa ziwalo za khosi, carotid mtsempha wamagazi, wodwalayo sangathe kuyesa kulipira mutu, kutembenuka mutu, ndi zina zotero. Zikatero, ndi bwino kuchita masewera olimbitsa thupi moyang'aniridwa ndi katswiri.

Momwe mungayeretse mitsempha yamagazi kuchokera ku cholesterol pogwiritsa ntchito chakudya? Ndi chakudya, zosaposa 30% ya cholesterol yomwe imalowa m'thupi, chakudya ndi malangizo ofunikira pakuyeretsa mitsempha yamagazi komanso kupewa ma magazi.

Asayansi atsimikizira kuti zakudya zopangidwa bwino zitha kuchepetsa ma lipids atherogenic ndi 10%.

Choyamba, ndikofunikira kuti muchepetse, ndipo ngati kuli kotheka muchepetse kugwiritsa ntchito mafuta ochokera ku nyama: mafuta anyama kuphatikizapo ghee, batala, kirimu, kirimu wowawasa. Ndiosafunanso kudya zakudya zokhala ndi mafuta obisika: nkhumba, mwanawankhosa, dzira yolk, caviar, tchizi chofufumitsa chopangira tokha.

Kuperewera kwamafuta kuyenera kubwezeretsedwanso ndi mafuta a masamba. Itha kukhala yosiyana kwambiri: maolivi, mpendadzuwa, chimanga, mtedza. Ndikofunika kudya nsomba zam'madzi zambiri momwe mungathere m'mitundu yamafuta. Muli mafuta achilengedwe a polyunsaturated acid, omwe amachotsa lipids atherogenic kuchokera ku endothelium.

Kugwiritsa ntchito masamba ambiri ambiri ndi zipatso, mkaka wopanda mkaka umalimbikitsidwa. Tsiku lililonse tikulimbikitsidwa kudya pang'ono mtedza.

Mwa zakumwa, muyenera kusankha tiyi wobiriwira, timadziti tothira kumene, madzi. Mowa suyenera kuperekedwa. Okonda khofi amaloledwa kumwa zosaposa chikho chimodzi chomwera patsiku. Ndizofunikira kuti zimakonzedwa mu wopanga khofi pogwiritsa ntchito zosefera mapepala, chifukwa khofi wopangidwa nthawi yophika imatha kuyambitsa kuyamwa kwa cholesterol m'matumbo.

Mankhwala

Ngati chithandizo cha zakudya sichithandiza kuphatikiza cholesterol, kapena wodwala ali ndi zowonjezera, madokotala amalimbikitsa kugwiritsa ntchito mankhwalawa. Ma lipids am'magazi amatha kuchepetsedwa mothandizidwa ndi magulu awa:

• ma statins
• mafupa
• kusinthana kwa ma ion
• njira zina.

Kuunika momwe mankhwalawo amathandizira, kuwunika kwa ultrasound kwamatumbo a khosi, makamaka, chotupa cha carotid. Kuwongolera kuyenda kwa magazi mwa iwo kumawonetsa njira zoyenera zochizira.

Zothandiza kwambiri komanso zotetezeka kwambiri masiku ano ndi ma statins. Limagwirira a zochita za mankhwala mgululi lili ndi mfundo zingapo. Choyamba, amalepheretsa enzyme, yomwe ndi yofunika kwambiri pakupanga kolesterol. Kachiwiri, amachulukitsa kuchuluka kwa zotupa za lipoprotein otsika m'chiwindi. Izi zimathandizira kukweza kwa LDL ndi kuchotsedwa kwawo. Chachitatu, zimalepheretsa kuyamwa kwa cholesterol yakunja kwa chakudya.

Atorvastatin ndi rosuvastatin amatengedwa ngati oimira kwambiri ma statins. Mlingo wa mankhwalawa amasankhidwa payekha, mankhwalawa amachitika kwa nthawi yayitali motsogozedwa ndi zizindikiro za chiwindi ndi lipid bwino.

Kuphatikiza pa chachikulu, ma statin ali ndi zotsatira zingapo zosangalatsa:

• yafupika ntchito yotupa njira mu atherosulinotic masanjidwe,
• kuchepetsa zolengeza
• antioxidant ntchito
• anti-ischemic kwenikweni
• kupha kwa vuto la endothelial
• kukondoweza kwa kuchuluka kwa mitsempha yatsopano yamagazi m'magawo a mtima ischemia,
• zabwino pa myocardial hypertrophy,
• kukhudzana kwa coagulation dongosolo la magazi.

Mankhwala omwe ali mgululi amagwiritsidwa ntchito pochiza odwala omwe ali ndi triglycerides yayikulu. Ndi chithandizo chawo, ndizotheka kuthandiza odwala omwe ali ndi kunenepa kwambiri komanso metabolic syndrome. Popeza michere imachepetsa kuchuluka kwa uric acid, amawonetsedwa pakulimbana ndi atherosulinosis odwala omwe ali ndi gout, matenda omwe amafunika mayunidwe a uric acid chifukwa cha kuchuluka kwake m'magazi. Amayang'aniridwa makamaka pamiyendo, manja, auricles.

Njira yogwiritsira ntchito mankhwala ndikuyambitsa lipoprotein lipase, puloteni yomwe imakhudzidwa ndi kagayidwe ka mafuta. Monga ma statins, ma fibrate amachepetsa ntchito ya zotupa, khazikitsani ma atherosulinotic amana kukhoma lamkati la mtsempha. Mankhwala amasintha kagayidwe kazakudya, motero amatha kugwiritsidwa ntchito mwa odwala omwe ali ndi matenda ashuga.

Kusinthana kwa Ion

Dzinalo lachiwiri la mankhwala omwe ali mgululi ndi olemba ma bile acids. Izi zimaphatikizapo cholestyramine ndi colestipol. Iwo bile bile acid m'matumbo. Poyankha izi, chiwindi chimagwira kwambiri ma lipids kuchokera m'magazi, ndikupanga kuchokera kwa iwo chinthu chosowa. Chifukwa chake, mankhwala othandizira amathandizira kuchotsa kuchuluka kwa LDL m'magazi.

Mankhwala ena

Mankhwalawa amaphatikiza ma pracolol, ezetemib, omega-3 acid acid. Mankhwala oyamba amawonjezera kuchuluka kwa mapuloteni omwe amasamutsa cholesterol m'maselo a chiwindi kuti athetse pambuyo pake. Ezetimibe imalepheretsa kuyamwa kwa mafuta m'matumbo. Kupanga kwa omega-3 mafuta acids sikudziwika kwenikweni, koma kumatha kuchepetsa milingo ya lipid, kuchepetsa ntchito ya kutupa, komanso kupangitsa kukula kwa endothelium. Mankhwala onse ochokera pagululi amagwiritsidwa ntchito ngati chithandizo cha adjunctive.

Zithandizo za anthu

Mutha kumenyana ndi ma cholesterol amana mu ziwiya za khosi, ubongo, mtima, impso ndi miyendo ndi mankhwala wowerengeka. Zitsamba: chamomile, wort wa St. John, wosafa, komanso masamba a birch amathandizira kuchotsa madipoziti ndi mitsempha yoyera. Osakaniza amakonzedwa kuchokera kumagawo ofanana amitundu iliyonse. Supuni ya chopereka imathiridwa ndi 500 ml ya madzi otentha, atalimbikira kwa theka la ola. Kulowetsedwa amatengedwa Mlingo wachiwiri, kuwonjezera supuni ya uchi. Kutalika kwa chithandizo ndi mwezi umodzi.

Njira inanso yothandiza yomwe mungathe kuchitira atherosulinosis ndi adyo ndi mandimu. Kuti mukonze malita atatu a tincture, tengani mandimu anayi apakati ndi mitu inayi ya adyo. Garlic ndi pre-peeled. Zonse zili pansi mu blender kapena chopukusira nyama. Ikani mumtsuko, kuthira madzi ofunda. Kuumirira masiku atatu firiji. Kenako zosefera, imwani 100 ml katatu patsiku. Mankhwalawa amatha masiku 40. Mankhwala atsopano amakonzedwa ngati pakufunika.

Kusakaniza kwa uchi, adyo ndi mandimu kumayeretsanso mitsempha bwino. Pokonzekera, tengani 1 lita imodzi ya uchi, mitu 10 ya adyo ndi mandimu 10. Kuwaza adyo ndi mandimu, sakanizani ndi uchi. Kuumirira sabata, pambuyo pake amatenga supuni imodzi patsiku. Chithandizo chimapitirira mpaka wodwala atalandira zonse zomwe zingachitike.

Chida china chomwe mungayesere kuchotsa kapena kuchepetsa cholesterol plaque ndi mowa wotseketsa wa adyo.

Masamba amathiridwa ndi wamphamvu kapena mowa wamphamvu mu 2: 1. Pakatha sabata, chinthucho chimasefedwa ndikuumirizidwa kwa masiku ena atatu, mankhwala atayamba. Tengani kulowetsedwa katatu patsiku, ndikuchulukitsa kuchuluka kwa madontho kuchokera 1 mpaka 15 - dontho limodzi nthawi. Pambuyo pake, kuchuluka kwa madontho kumachepetsedwa chimodzimodzi. Kuti muchepetse njira yoyeretsa, chithandizo ndi tincture wa adyo umayendera limodzi ndi chakudya komanso kugwiritsa ntchito madzi ambiri.

Malangizo

Chithandizo cha mankhwala a cholesterol posachedwa ayambitsidwa, ndizothandiza kwambiri. Izi ziyenera kukumbukiridwa kwa odwala omwe ali ndi zizindikiro zapamwamba za matendawa. Kuphatikiza apo, zotsatira zabwino ziyenera kuyembekezedwa pokhapokha njira zonse zodziwika zikagwiritsidwa ntchito kuyeretsa ziwiya: zakudya, mankhwala, zitsamba, njira zina.

Mitsempha yayikulu ya khosi, mtima kapena miyendo itatsekedwa, chithandizo cha opereshoni chimaperekedwa. Chifukwa chake, ngati wodwalayo akufuna kuchotsa madigiri a cholesterol, ayenera kufunsa dokotala. Katswiri adzakuuzani momwe mungachotsere cholesterol mthupi, komanso njira zoyeretsera zomwe zingakhale zabwino nthawi zonse.

Zolinga zamaphunziro

Atherosulinosis imayamba ndikuphwanya kuchuluka kwa mafuta m'magazi, pomwe cholesterol "choyipa" chikukwera, ndipo kuchuluka kwa "zabwino" kumatsika kwambiri (onani mfundo zogawa cholesterol kukhala "yoyipa" ndi "chabwino"). Kusagwirizana nthawi yomweyo kumapangitsa kuti mafuta azikhala pamakoma a mitsempha yamagazi.

Kupatuka kumachitika pazifukwa zotsatirazi:

• kunenepa
• zakudya zamafuta ndi zokazinga
• Kulephera kwa kagayidwe kachakudya
• kusokonezeka kwa mahomoni
• hypothyroidism (kuchepa kwa magwiridwe antchito a chithokomiro, m'mene kagayidwe kamachepetsedwa mpaka minyewa imakhala ndi nthawi yoti kudya mafuta a cholesterol m'magazi),
• kuwonongeka kwathunthu m'makoma a chotengera (ziwalo zamagazi zomwe zimapanga mabala zimakopa molekyulu yomweyo ya cholesterol),
• Matenda a chiwindi ogwirizana ndi vuto la lipoproteins,
• zolakwika zam'kati zamtima,
• matenda oopsa
• cholowa chamagulu a mafuta kagayidwe (mabanja hypercholesterolemia),
• matenda ashuga.

Mothandizidwa ndi izi, cholesterol "yoipa" - lowensens lipoproteins (mawonekedwe amtundu wamafuta m'magazi) imakhazikika pamakoma a ziwiya zowonongeka.

Mapangidwe a cholesterol malo.

Popita nthawi, ma depositi amatenga calcium kuchokera m'magazi ndikukhala olimba. Izi zimapanga zolembera. Imadzaza pang'onopang'ono thovu, ndipo pamene limachepetsa minofu yake, imawononga. Amakhalanso ndi cholesterol. Chikwangwani chitha kutsekereza magazi.

Kodi pali zizindikiro ndi zozizwitsa?

Pakumayambiriro (ngati ichi sichabadwa mwachilendo), palibe mawonekedwe owoneka. Monga atherosulinosis imayamba (pomwe lumen ya chotengera imatchinga kwambiri 50%), khungu limayamba kuoneka, kuthamanga kwa magazi, miyendo imalephera ndikukutidwa thukuta lomata. Zizindikiro zake zimayamba chifukwa cha kusayenda bwino kwa magazi.

Pambuyo - kulephera kwa mtima kumakula, mtima umayesa kulipilira kuthamanga kwa magazi chifukwa cha kuthamanga kwa magazi. Simalimbana ndi nkhawa zowonjezereka, zizindikiro zoyambirira za angina pectoris zimawonekera:

• kulira pang'ono mu chifuwa chakumanzere kupsinjika, chisangalalo,
• pakuchita masewera olimbitsa thupi, kusangalatsa kwamphamvu kumakhala kolimba, kumanjenjemera kumapereka tsamba lakumanzere ndi nkono, kupumira movutikira komanso kudumphadumpha koopsa kwa magazi kumachitika, kumapangitsa khungu kuyaka,
• ndi kukula kwa matendawa, kuuma kosatha kumawonekera mumtima.

Ngati pali ziwalo za cholesterol m'matumbo a khosi, ndiye kuti wodwalayo amamva kupsinjika kwamutu, kupweteka, migraine komanso kukumbukira. The mwayi wa kumachitika madera a ischemia - stroke akuwonjezeka. Izi zimachitika chifukwa chophwanya magazi muubongo.

Ngati cholesterol plaques amapezeka m'munsi m'munsi, ndiye kuti odwala amamva kupweteka pambuyo poyenda mtunda, kulemera m'miyendo, mitsempha ya varicose.

Woopsa mitundu ya atherosulinosis ndi cholowa matenda a kagayidwe, mafuta mawonekedwe kuwonekera pakhungu: xanthomas ndi xanthelasms.

Maphunziro pakhosi, m'zikope ndimaso pathunthu

Mawonetsero akunja a atherosulinosis:

• xanthomas - mawonekedwe mu mawonekedwe a vesicles pakhungu (makamaka nkhope ndi khosi), odzazidwa ndi mamolekyulu amafuta,
• kapangidwe ka masamba achikasu kuzungulira cornea,
• xanthelasma - zisindikizo zokhala ndi mawonekedwe amafuta pazakumwa.

Kodi mungachotse bwanji cholesterol plaque m'mitsempha yamagazi?

Mu magawo oyamba a atherosulinosis, zolembera zimatha kuchotsedwa popanda kumwa mankhwala. Zakudya zokwanira, zochita zolimbitsa thupi ndi kugwiritsa ntchito mankhwala azikhalidwe za anthu Kukhala ndi moyo wathanzi limasintha mtundu wa lipid ndipo zolembera zimathetsa mwachilengedwe, atherosulinosis ndi zotsatira zake zimatha.

Woopsa matenda, mankhwala sangachitike nawo. Dokotala wanu akupatsirani mankhwala otetezeka komanso oyenera kwambiri. Pakupita milungu ingapo, cholesterol yamagazi iyamba kutsika, ndipo thupi lidzachira.

Moyo ndi Zopatsa Thanzi

Tsatirani malangizowa:

1. Yendani zochulukirapo. Kuyenda kumayenera kutenga pafupifupi maola awiri patsiku. Ndikofunika kuti muwapange m'mapaki, m'masamba am'mizinda ndi m'nkhalango. Mphepo yatsopano yodzala ndi mpweya imapangitsa kuti mayendedwe a cholesterol afalikire. Ndikwabwino kuyenda m'mawa, nthawi yino mpweya ndi waukhondo.
2. Pitani kumakalasi olimbitsa thupi kapena lankhulani ndi dokotala wanu za masewera omwe ali abwino kwa inu. Zochita zolimbitsa thupi ziyenera kuperekedwa osachepera mphindi 40 patsiku.
3. Gona mokwanira. Nthawi yogona yogonera kwa munthu wamkulu ndi maola 8-9, koma makamaka makamaka thanzi lanu. Ndikofunika kuti mumve kupumula komanso kukhala watcheru.
4. Siyani zizolowezi zoyipa: Kusuta kumapangitsa kuti mitsempha ipangitsenso. Kumwa kuyenera kukhala kochepa.

Mafuta athanzi komanso osapatsa thanzi.

Zosintha zotsatirazi zimapangidwira ku menyu: mafuta a nyama ayenera kuchotsedwa kwathunthu. Ali m'gulu la:

• nyama yankhumba, soseji yosuta,
• nyama zamafuta,
• chakudya zamzitini
• zopangidwa mkaka
• Margarine (imakhala ndi analogue yamafuta a nyama - acid yokhala ndi mafuta achilengedwe, imakhala yovulaza thupi ndipo kwenikweni siyikutulutsidwa),
• batala ndi ghee, tchizi,
• mazira (yolk).

Zakudya zonsezi zimatha kusinthidwa ndi mapuloteni azamasamba ndi mafuta. Mafuta ophikira amapezeka muzakudya zotsatirazi:

• mafuta amadzimadzi amadzimadzi: maolivi, maelesi, sesame, nati, etc.
• mapeyala
• mtedza
• zipatso (zazing'ono).

Zopangira mkaka zimatha kudya, koma samalani kwambiri ndi zomwe zili ndi mafuta. Sankhani tchizi wonenepa kwambiri, kefir, mkaka, kapena mudye zakudya zofanana ndi zomwe zimachokera ku soya: mkaka wa almond, mkaka wa almond, Tofu soya tchizi, mayonesi a soya. Pazinthu izi, lipids palibe.

Mafuta a chomera ayeneranso kuphatikizidwa muzakudya chifukwa zimakhala ndi mafuta achilengedwe a polyunsaturated acids (omega-3,6,9). Awa ndi mamolekyulu amafuta ofanana mu kapangidwe kake, osiyana m'mitsempha yama intramole. Amakhala ndi katundu wotsutsana - amathandizira pakuwonongeka kwa cholesterol "yoyipa" pakupanga zolembedwa za atherosrance.

Ma acid a Omega amapezekanso m'mitundu yamitundu yamafuta: trout, nsomba, capelin, hering, ndi mackerel. Ndikofunika kuti muzitha kugwiritsa ntchito mankhwala osachepera 3-4 pa sabata mu mawonekedwe owiritsa kapena othandizira. Mafuta ambiri okhala ndi ma broth.

Kukonzekera ndi kuchuluka kwakukulu kwa Omega-3 kuchotsedwa kwa cholesterol plaques osowa PUFA pachakudya.

Kodi ndizotheka kuyeretsa zotengera zamafuta a cholesterol plaque?

Malinga ndi ndemanga ya odwala omwe ali ndi atherosulinosis, mbewu za fulakesi ndi uchi wokhala ndi mandimu ndizothandiza kwambiri. Zotsuka zonse za mtima zimagwiritsidwa ntchito kwa nthawi yayitali, zotulukazo zimachedwa, koma ndizokhazikika ndipo sizimatha pakapita nthawi.

1. Mbewu za fulakesi zimagwiritsidwa ntchito ngati ufa. Kuti muchite izi, pogaya mankhwala onse mu chopukutira khofi. Tsiku lililonse, mphindi 30 musanadye chakudya, muyenera kumwa 1 tbsp. mbewu. Kuti mukhale mosavuta, mutha kudzaza mankhwalawo ndi madzi otentha. Zomwe zimapezekazo zidzatupa, ndipo zonunkhira zomwe zimathandizidwanso ndizothandiza m'mimba.
2. Kusakaniza kwa mandimu kumakonzedwa kuchokera mandimu, adyo ndi uchi wopindika mu chopukusira nyama. Garlic imakhala ndi machiritso, imakhala ndi asidi ambiri a omega-3. Kuphatikizika kwa osakaniza: 1 makilogalamu a mandimu, 200 g uchi ndi 2 mitu ya adyo. Zonsezi zimaphwanyidwa ndikuyika mabanki. Amasungidwa mosamala mufiriji. Kwa miyezi ingapo, gwiritsani ntchito 1-2 tbsp. mankhwala musanadye. Chipangizocho ndi choyenera kwa anthu omwe akufuna kuyeretsa ziwiya kuti asapewe.

Payokha, msuzi wamasamba watsopano watsopano womwe uyenera kufalikira uyenera kusiyanitsidwa. Mankhwala wowerengeka, amadziwika kuti ndi mankhwala a cholesterol yapamwamba. Zomwe zili mu Chinsinsi zimaphatikizapo: maapulo, kabichi, udzu winawake, beets. Zosakaniza zonse zimasakanizidwa ndikudutsira mu juicer. Ndikofunika kugwiritsa ntchito mankhwalawo mphindi 30 mpaka 40 mutatha kudya, chifukwa zimatha kukhumudwitsa m'mimba. Zinthu zothandiza kuchokera kumasamba zimakhutitsa thupi ndi mavitamini ndi michere, zimayambitsa njira zachilengedwe za ziwiya zochiritsira.

Kodi opaleshoni ndiyofunikira liti?

Opaleshoni imachitidwa ndi kufalikira konsekonse kapena pafupifupi kwathunthu kwa mitsempha yamagazi. Pakakhala chiopsezo cha ischemia cha dera linalake la minofu kapena gawo la thupi. Shunting imagwiritsidwa ntchito (kupanga njira yowonjezera yopanga magazi, kutuluka kwa malo owonongeka sikumachitika) ndi angioplasty (kulowetsedwa kwa catheter kukulitsa malowo ndi zolengeza mu chotengera).

Opaleshoni ya Bypass - kuyika mu chotengera chiwiya chomwe chimapangira njira yowonjezereka ya magazi.

Pomaliza

Matenda a atherosulinosis omwe sanatchulidwe amapanga zovuta zoyipa. Koma ngati matendawa adapezeka m'mayambiriro, ndizotheka kuti athetse ziwiya zama cholesterol ndikutchingira kuti pakhale zovuta pamtima. Zakudya ndi cholumikizira chamankhwala. Popanda iwo, mankhwalawa aliwonse sangakhale othandiza.