Chitani masewera olimbitsa thupi kapamba

Kuchita masewera olimbitsa thupi ndi gawo lofunika kwambiri kuti mukhale ndi moyo wathanzi kwa munthu. Ngakhale odwala omwe adakumana ndi sitiroko ndikutsatira kupumula kwa kama, amachita masewera olimbitsa thupi omwe amapangidwira chifukwa cha masewera olimbitsa thupi patatha masiku 2-3 atatha kuchuluka kwa kutupa. Kutengera malangizowo, mutha kunena motsimikiza kuti zolimbitsa thupi ndi kapamba ndizovomerezeka komanso zosatheka. Komabe, lamulo lofunikira pakupulumutsira thanzi ndikusankha moyenera kuchuluka ndi kupsinjika kwa kapamba, chifukwa thupi lofooka chifukwa cha kupangika kwa matenda limatha kugwiranso ntchito mosiyanasiyana pamagulu ophunzitsira.

Pancreatitis ndi zolimbitsa thupi, zomwe muyenera kuziganizira

Kulipiritsa ndi kapamba kumapangitsanso kufulumizitsa kuchira kwa wodwala pambuyo pakupweteka.

  1. Kukonzanso minyewa yomwe yakhudzidwa.
  2. Kwezerani ntchito zake za exocrine ndi endocrine.

Kuti mukwaniritse izi, dokotala aliyense payekha amasankha masewera apadera a kapamba, omwe amaphatikizapo njira zochizira.

Mlingo wogwira ntchito zolimbitsa thupi movomerezeka umalumikizidwa ndi zifukwa izi:

  • magawo a matenda kapamba,
  • kuopsa kwa kutupa m'matumbo,
  • kukhalapo kwa zovuta
  • gulu, zaka zina za zochitika zololedwa ndi kapamba, zitha kukhala zosavomerezeka ndi ma pathologies ena,
  • misa
  • Chizindikiro cha kulimbitsa thupi.

Izi zikamvekedwa, ndizotheka kudziwa bwino katundu wolola, kusankha njira zochizira.

Kutengera ndi gawo la kapamba, makulidwe azovomerezeka azikhala osiyana. Kuti adziwe molondola gawo la matenda, dokotala amawunika wodwalayo, amamuyesa mayeso.

Pankhani ya matenda oopsa a matendawa kapena ngati gawo lakufalikira la matenda a kapamba, sikuletsedwa kuchita masewera olimbitsa thupi. Nthawi imeneyi imapereka kukana kwathunthu kulipira. Kuti muthane ndi zizindikiro, zinthu zitatu ndizofunikira pochiza chiwalo chofooka - kusala, kuzizira, ndikupuma, mankhwala.

Zizindikiro zopweteka zikaimitsidwa, zolimbitsa thupi zimawonjezeredwa. Pa gawo la chikhululukiro chodwala chotupa, masewera olimbitsa thupi osankhidwa bwino a thanzi la pancreatic amabweretsa zabwino zambiri.

Maphunziro amakonzedwa kotero kuti popanga pulogalamuyo, mawonekedwe ndi kuthekera kwa thupi kumalingaliridwa. Omwe adachitako masewera olimbitsa thupi amatha kulolera zolimbitsa thupi. Ndikokwanira kumaliza masewera asanu olimbitsa thupi kuchokera ku kapamba kuti mubwezeretse thupi ku chizolowezi chokwanira.

Ndimasewera ati omwe ali oyenera kupweteka kwa kapamba?

Kodi masewera omwe ali ndi kapamba amavomerezeka? Madokotala ambiri amalimbikitsa mitundu ina yamasewera ndi pancreatic pathology, pamaziko omwe amakhala ndi mndandanda wazolimbitsa thupi zovomerezeka.

Mndandanda wamitundu yamaphunziro akuthupi omwe ndi othandiza pamatenda a chiwalo.

  1. Kusambira - masewerawa amaphatikizapo kukhazikika kwa kayendedwe kosasunthika, komwe kumakupatsani mwayi wopuma minofu ya thupi, kusintha zochitika za ziwalo zamkati. Mukasambira pa liwiro lotsika, kupuma kudzakhala ngakhale, kupsinjika ndi kugunda kwa mtima kumawonjezeka pang'ono. Izi zitha kukhala ndi phindu m'thupi lonse.
  2. Kuyenda pang'onopang'ono - kuyenda ndi ndodo ndikothandiza kwambiri. Kuchita nawo masewerawa mumsewu, izi zidzasintha mamvekedwe amitsempha yamagazi, ndikwaniritsa minofu ndi mpweya. Kenako chimbudzi chizichira ndipo kugaya chakudya kudzasintha.
  3. Kuyimba pang'onopang'ono, mtunda ndiwopyapyala. Osakwerera m'mwamba ndikukwera pansi chifukwa chodzaza chifukwa chakuwopsezedwa.
  4. Masewera olimbitsa thupi - masewera olimbitsa thupi, kupuma kwa diaphragmatic, yoga, masewera olimbitsa thupi a qigong.
  5. Callanetics, Pilates - masewerawa ndi otheka pokhapokha ndi wophunzitsa.

Zochita kupumira kwa pancreatitis ndizothandiza kwambiri.

Izi machitidwe kapamba amapangidwa Strelnikova. Mutha kuchita njirayi nthawi iliyonse, ndikofunikira kuti matumbo ndi m'mimba sizadzaza. Ndi njira zingati komanso zolimbitsa thupi zomwe adokotala angadziwe payekhapayekha.

Ndi pancreatitis, kupuma kolimbitsa thupi kumachitika kawiri pa tsiku tsiku lililonse, ngati mlanduwo umalekeredwa bwino. Nthawi zambiri amachitidwa pamalo apamwamba, kugwada miyendo ndikugwada.

  1. Choyamba, mpweya wozama umatengedwa ndipo umatulutsa, kenako ndikukoka m'mimba ndikugwira kwakanthawi.
  2. Bwerezani zolimbitsa thupi zoyambirira, m'mimba mokha mumakhala madzi ambiri.
  3. Theka la kupuma limatengedwa, kupuma kumachitikanso kwa masekondi atatu, njira ya inhalation imatha. Mimba imakhuthulidwa kwa masekondi atatu, kusinthidwa masekondi 6. Kenako njirayi imabwerezedwa, pamapeto pake minofu yam'mimba imapumula.
  4. Pambuyo pakupuma, thanitsani mwamphamvu chotsacho, kusiya kupuma komanso kupuma. Tulutsani m'mimba, ikulowetsani, kutulutsa, ndikukoka kukanikiza kwa msana.

Pambuyo pochita masewera olimbitsa thupi, muyenera kupuma. Chilichonse chimabwerezedwa kanayi.

M'matenda a matenda a m'matumbo kapena matenda a gland, wogwidwa ndi matenda a kapamba sangawone mwachangu mphamvu ya kupuma.

Zomwe anthu sayenera kuchita ndi kapamba

Ozunzidwa omwe kale adagwirira ntchito zamagetsi akufuna kudziwa ngati ndizotheka kusewera masewera ndi kapamba? Mukamasankha masewera olimbitsa thupi, muyenera kuyang'ana zoletsa zina.

Mwachitsanzo, maphunziro olimbitsa thupi, omwe amaphatikiza kukweza miyeso, kusenda atolankhani, kumabweretsa chiwopsezo chowonjezera. Panthawi yotupa mthupi, masewera olimbitsa thupi amenewa ndi owopsa kuchita, chifukwa kutupira kwa m'matumbo kumayamba.

Kuphatikiza apo, pali kuwonjezeka kwa kusintha kwa zinyalala za bile, kusayenda kumawonekera. Izi zimakwiyitsa kukula kwa kuchulukitsa kwa phenological phenomenon. Kukhalapo kwa calculi mu ducts kumawonedwanso. Chifukwa chake, makalasi m'masewera oterewa angayambitse opaleshoni.

Pa mndandanda wa contraindication pali nthawi yochulukitsa, mitundu yovuta ya kutupa mu chiwalo. Masewera amaletsedwa pakakhala matenda oyandikana omwe amayambitsa kuchuluka ndikuwatsogolera kusintha kwa ziwalo zamkati.

Sikulimbikitsidwa kuti pancreatic pancreatitis ikuyenda. Madokotala agogomezera kuti masewera amtunduwu amagwirizanitsidwa ndi kusuntha kwadzidzidzi, ndipo zimakhudza gawo parenchyma. Izi zikuphatikiza:

  • kudumpha
  • mtunda wautali othamanga
  • mphamvu za mphamvu.

Ndikofunikira kuyenda, kuyenda mwachangu.

Ndikosatheka kuchititsa maphunziro apamwamba kwambiri, chifukwa amatsogolera pakupanga shuga. Maphunziro a Cardio ndi afupiafupi komanso odekha kuti wodwalayo asamawonjezeke.

Kuphunzitsanso kumaphwanyidwa ngati pali kuvulala kwamakina kwa kapamba, kapena kuchitidwa opaleshoni pachitho. Muzochitika izi, ndizotheka kuchita nawo masewera atangochira komanso pokhapokha ndi chilolezo chodwala.

Komanso, zolimbitsa thupi siziyenera kuchitika ngati:

  • pali cholelithiasis yokhala ndi calculi yayikulu mu chikhodzodzo, njira,
  • Matenda a mtima, mitsempha ya mtima - kusintha kwa mtima.
  • matenda omwe amalumikizidwa ndi kapangidwe ka magazi,
  • wodwala amakhala ndi vuto lalikulu kwambiri la magazi, kuchepa kwa magazi,
  • pali mawonekedwe a chikhalidwe choyipa.

Kulimbitsa thupi pamaso pa pancreatitis nthawi zambiri imatsutsana, chifukwa masewera amtunduwu amawerengedwa ngati oletsedwa kuphedwa, omwe angawononge chithunzi cha chipatala komanso mapangidwe amtsogolo.

Kuphatikiza apo, ndikofunikira kuganizira kuti matenda amtundu uliwonse ndi amodzi, chifukwa thupi la wodwala aliyense limakumana mosiyanasiyana, ngakhale pochita masewera olimbitsa thupi omwewo. Zotsatira zake, ndi adokotala okha omwe amasankha kuti ndi njira yanji yomwe iloleredwe komanso yoyenera.

Pancreatitis ndi Kulimbitsa Thupi

Kulimbitsa thupi, kulimbitsa thupi kumaphatikiza masewera olimbitsa thupi omwe amakhudzidwa ndi katundu wolemera pogwiritsa ntchito mphamvu mukakwezedwa. Ngati munthu achita izi ndi kapamba, izi zimachitika:

  • Kuchulukitsa kwa m'mimba,
  • kusintha kosintha kwamitsekedwe yamagazi mpaka ziwalo zonse zamkati mwa peritoneum, kuphatikizapo England
  • bile flow change,
  • pali kukhota kwa ndulu.

Zomwezi zimapangitsa kuti matendawa achulukane ndipo pakhale kupweteka kosaneneka mu peritoneum, chifukwa chake simungathe kupukuta atolankhani matendawa atakula.

Katundu wa masewera omwe ali ndi kapamba ndi nkhawa ya thupi. Pobwereza zomwe zinthu zikuchitika, kuopseza kukulira mavuto ndi zida za islet kumakula. Kuphatikiza apo, pali matenda a shuga. Wodwala akakhala ndi vuto la shuga ndi kapamba, kuchita masewera olimbitsa thupi kumadzetsa kusokonezeka kwa chikumbumtima, chikomokere, ndi zotsatira zina.

Pankhani yonyamula katundu mwamphamvu, pamakhala kuchuluka kwa njira zama metabolic. Pali kuwonjezeka kwa zinthu za metabolic m'madongosolo oyendetsera magazi. Akalowa mkatikati mwa njirayo, imakwiyitsa chiwalocho, zomwe zimapangitsa kuti zioneke ngati zayamba kufooka.

Zoyenera kuchita ndi chakudya

Chofunika kwambiri mukayambiranso matenda a pancreatic ndikudya ndi zakudya. Ngati wodwala wokhala ndi matenda osachiritsika adaganiza zopita kumasewera, zizindikirazo zimawaganiziridwa kuti alandire chithandizo, ndipo zakudya zoyenera zimasankhidwa.

Kupitilira kuwonjezera matendawa, muyenera kudya zakudya zomwe zimaphatikizanso mapuloteni, osavuta kudya, chakudya. Zakudya zamkati zimalimbikitsidwa, mpaka kasanu ndi kamodzi pamene matumbo ake ali ndi zilonda, chakudya chiyenera kukonzedwa mosamala, kutentha kwa mbale ndi zilonda zam'mimba kumakhala bwino.
Chakudyacho chimaphatikizapo chakudya chotentha komanso chophika, chimanga, mbale zamasamba, mkaka wopanda mafuta.

Zakudya zoyenera ndi zakudya zimapangidwa ndi adokotala.

Pancreatitis ndi masewera amawonedwa kuti ndi othandizira, pomwe olimbitsa thupi oyenera amasankhidwa. Izi matenda amafunika kwambiri thanzi. Chifukwa chake, muyenera kufunsa dokotala, kenako ndikuchita masewera olimbitsa thupi. Khalidwe la kapamba limasiyana kwambiri.

Contraindication

Kuchita masewera olimbitsa thupi ndizoletsedwa kwa odwala omwe ali ndi kutupa kwa pancreatic ngati:

  • analimbikitsa kugona pa nthawi yovuta
  • pamodzi ndi kapamba, zidziwitso zina zovuta zinapangidwa,
  • mbiri ya matenda amtima,
  • pakhala kuvulala kwapachiwopsezo chaposachedwa kapena njira zopangira opaleshoni,
  • Pali zoletsa zaka.

M'malemba omwe ali pamwambawa, ndi dokotala wokhayo amene amapatsa chilolezo kuti ayambirenso kuchita masewera atatha kukonza ndikuchira. Izi zimaganizira zaka, kukonzekera komanso kupirira kwa wodwalayo.

Ngati chilolezo chochita zolimbitsa thupi chikupezeka, ziyenera kudziwidwa kuti masewera otsatirawa ali ndi pancreatitis:

  1. Zochita zonse zomwe zimagwirizanitsidwa ndi kusuntha kwadzidzidzi komanso kusintha kwa malo m'thupi pamlengalenga: kuthamanga kuthamanga kwakanthawi komanso kwakanthawi, kudumpha kulikonse, kuphatikiza chingwe cholumpha, kutalika ndi kutalika.
  2. Kuyika zolimbitsa ndi kukweza zolemera zazingwe zazikulu, katundu wotere amatsogolera pakuwonjezeka kwa kuthamanga kwazowawa ndi kwam'mimba: mphamvu ya aerobics, masewera olimbitsa thupi pamakina olimbitsa thupi zolimbitsa thupi, masewera olimbitsa thupi ambiri.
  3. Masewera ovuta komanso achangu, kuphatikiza masewera a nkhonya ndi mitundu yonse ya masewera andewu, masewera ambiri amtimu.

Kuchita zolimbitsa thupi ndi kunyamula zolemera zazingwezo ndizoletsedwa, popeza katundu wotere amatsogolera kuwonjezeka kwapanthawi ndi mkati mwa m'mimba.

Muyeneranso kupewa mtundu wina uliwonse wotopa zolimbitsa thupi kufikira thupi litalimbikitsidwa.

Masewera olimbitsa thupi samachotsedwa chifukwa cha kuopsa kwa matendawa.

Ndingatani

Kuchita zolimbitsa thupi kosavuta ndikofunikira kwa anthu omwe ali ndi pancreatitis kuti akhazikitse mkhalidwe wamanjenje, kukhalabe ndi kamvekedwe ka minofu, kuthamangitsa kagayidwe kazinthu, kusintha kayendedwe ka magazi m'mimba, kusintha mtima, ndi kusintha bwino.

Ndikofunikira kuti muphunzitse poyendetsa pang'onopang'ono kapena sing'anga poyerekeza ndi katundu amene amakhala wachilendo kwa munthu wopatsidwa.

Ndikofunika kusewera masewera tsiku lililonse m'mphindi zazifupi kwa mphindi 20, zomwe siziyenera kuyamba kuyambira 1.5 1.5 maola mutatha kudya.

Ndikofunika kusewera masewera tsiku lililonse m'mphindi zazifupi kwa mphindi 20, zomwe siziyenera kuyamba kuyambira 1.5 1.5 maola mutatha kudya.

Ndikofunika kupatsirana komanso kupukuta chipinda chochezeramo pasadakhale.

Malizitsani zochitikazo muyenera kukhala kupumula kwathunthu kwa mphindi zisanu ndi ziwiri (kugona kumbuyo kwanu ndi maso otsekeka, manja atakulungidwa pamodzi ndi thupi).

Nthawi yayitali

Kuchulukitsa kwambiri kumatha kuyambitsa kuchulukana kwa ndulu, kuchulukitsa m'mimba ndipo potero zimapangitsa kufalikira.

Chimodzi mwazinthu zolimbitsa thupi zovomerezeka pamasewera olimbitsa thupi ndizopumira. Kupumira koyenera kumathandizira kukulitsa mpweya wabwino kulowa mthupi, kumachepetsa nkhawa, kupumula, kutikita minofu, kusintha matumbo, kumathandizira kutuluka kwa ndulu.

Chimodzi mwazinthu zolimbitsa thupi zovomerezeka pamasewera olimbitsa thupi ndizopumira.

Cholinga chachikulu cha kupuma mokwanira ndikuwonjezera kuchuluka kwa chifuwa chifukwa cha kupweteka komanso kutulutsa kwam'mimba pamimba. Amagawidwa m'magawo omwe amapereka mawonekedwe amanjenje komanso mawonekedwe a khoma lam'mimba.

Muzichita masewera olimbitsa thupi amalimbikitsidwa m'mawa mopanda kanthu.

Mu mawonekedwe

Panthawi yovulaza kwambiri kapamba, mitundu yonse ya katundu munyumba siyenera kuyikidwa pambali kuti zitsimikizire kupumula kwathunthu ndikupereka nthawi yobwezeretsa kapamba.

Kupumula kwa kugona ndi kusala kwachithandizo kwa masiku atatu kumakhala zinthu zofunikira kwambiri pakuthana ndi gawo loyipa la matenda.

Kupumula kwa kugona ndi kusala kwachithandizo kwa masiku atatu kumakhala zinthu zofunikira kwambiri pakuthana ndi gawo loyipa la matenda.

Cholecystopancreatitis

Kukhala ndi matenda am'mimba, monga cholecystitis yayitali, muyenera kutsatira malamulo omwewo pakuchita bwino kwa kuchita zolimbitsa thupi.

Zabwino pochotsa zomwe zili mkati mwa ndulu ndikuwongolera kuyenda kwa magazi, kusinthasintha ndi kukweza kwa miyendo, zopindika za thupi. Maphunziro aliwonse ayenera kuphatikiza olimbitsa olimbitsa onse a minofu.

Zochita zolimbitsa thupi za kapamba

Kuchepetsa komanso kusalala ndizo mfundo zoyambira zamasewera ammitundu mu kapamba.

Physiotherapy ya pancreatitis imapangidwa ndi katswiri payokha kwa wodwala aliyense.

Pakakhala zotsutsana kwa odwala omwe ali ndi kapamba wodwala, mutha kuchita:

  • kusambira pa liwiro losavuta kuti mawu amveke,
  • yogwiritsa ntchito yoga
  • Kuyenda kwa Nordic, komwe sikufuna kuchita masewera othamanga, koma masewera olimbitsa thupi a magulu onse a minofu.

Kuchokera pakukonzekera kwathupi kwakanthawi, amaloledwa kuchita masewera olimbitsa thupi kumbuyo, atolankhani, komanso okwera komanso otsika, kupewa omwe amayenera kukweza zolemera.

Kupititsa patsogolo masewera olimbitsa thupi, kuwonjezera pa masewera olimbitsa thupi, kumaphatikizanso kuyenda mlengalenga mwamagetsi mtunda wamtunda wa makilomita awiri.

Kupititsa patsogolo masewera olimbitsa thupi, kuwonjezera pa masewera olimbitsa thupi, kumaphatikizanso kuyenda mlengalenga mwamagetsi mtunda wamtunda wa makilomita awiri.

Komabe, musataye zochitika zolimbitsa thupi pancreatitis yayitali, ngakhale kutsimikizika kulibe zotsatira zoyipa. Masewera osankhidwa bwino komanso kuchita masewera olimbitsa thupi mosiyanasiyana adzalimbitsa thupi lanu ndikupangitsa kuti likhale lolimba komanso lopanda kupsinjika.

Kugonana ndi chifuwa chachikulu

Tsoka ilo, odwala saloledwa kuti nthawi zambiri agonane. Chifukwa chiyani? Mukagonana, adrenaline amatuluka m'magazi, ndipo kuchuluka kwama glucose kumalowa m'magazi. Maselo amatopa msanga ndipo alibe nthawi yochira. Kusakhazikika kwa ma cell a carbohydrate kumasokonekera, ndipo izi zimabweretsa kugunda kwa mtima ndi sitiroko. Kuchuluka kwa mahomoni ndi glucose amaponyedwa m'magazi a munthu nthawi yamasamba, ndipo izi zimakhudza kapamba. Kuphatikiza pa kapamba, chithokomiro chimaswananso pogonana.

Ndipo pakuwonetsetsa kuti thupi likukonzekera nthawi yomwe imayambitsa matenda, timalimbikitsidwa kuchita masewera olimbitsa thupi kwambiri komanso kupewa kuchita masewera olimbitsa thupi.

Kupanga Pancreatitis

Tsoka ilo, kwa odwala omwe apezeka ndi matenda osasangalatsa ngati amenewa, madokotala amalimbikitsa kudya komanso kukhala ndi moyo wathanzi. Masewera olimbitsa thupi ndi masewera ayenera kukhala ochepa komanso ochepa.

Odwala omwe ali ndi pancreatitis yosasunthika ayenera kuyang'anira chidwi chomanga thupi, chifukwa makalasi olimbitsa samangothandiza kusintha chiwonetserocho, komanso kupereka bwino, komanso kuthandizira kuti apange chindapusa. Malamulo ochepa osavuta angakuthandizeni kuyamba kuchita masewerawa popanda kuvulaza thanzi lanu komanso popanda chiopsezo chodzetsa matendawa:

  • Idyani zakudya kangapo patsiku m'magawo ang'onoang'ono. Zakudya zanu zizikhala ndi mapuloteni komanso chakudya, musaziphatikiza ndi zakudya zokazinga ndi zonunkhira.
  • Chifukwa cha matenda a pancreatic, kuchepa thupi pambuyo pochita masewera olimbitsa thupi komanso kuchita masewera olimbitsa thupi kudzakula pang'onopang'ono, koma musataye mtima, chifukwa chinthu chachikulu ndikumamvetsera thupi lanu nthawi zonse.
  • Pamodzi ndi dokotala ndi mphunzitsi wanu, onetsetsani kuti katundu wanu akhale wotani.
  • Tengani zakumwa zambiri kuposa masiku onse.
  • Maphunziro amayenera kuchitidwa musanadye nkhomaliro.
  • Pewani kumanga thupi ndi zinthu zina zolimbitsa thupi ngati gawo lanu la glucose ndilokwera kwambiri.

Kupanga masewera ndi kapamba ayenera aliyense. Kuchita masewera olimbitsa thupi moyenera kumawonedwa ngati chinthu chofunikira kwambiri pakukhalira wathanzi.

Wodwalayo amangofunika kuganizira kuchuluka kwa zochitika ndi kusankha mitundu yamasewera yomwe ili yovomerezeka pakuchita masewera olimbitsa thupi chifukwa cha kupweteka kwapakhosi.

Pancreatitis ndi masewera olimbitsa thupi

Nthawi zambiri, funso la odwala limabuka ngati nkotheka kusewera masewera osiyanasiyana owonetsa pancreatitis.

Mukamasankha katundu, muyenera kuyang'ana zinthu izi:

  • Mawonekedwe ndi gawo la matenda. Mawonekedwe owopsa a matendawa komanso kuchulukitsa kwa nthawi yayitali kudzasokoneza ntchito zina zilizonse. Maziko azithandizo pamkhalidwe uno adzakhala mwamtendere, ndipo masewera ayenera kuyimitsidwa kwakanthawi.
  • Zizindikiro zokhudzana ndi zaka za wodwalayo komanso kupezeka kwa ma pathologies okhudzana. Mitundu ina ya zochitika zomwe zimaloledwa mu matenda ndizoletsedwa mu ma pathologies ena.
  • Ntchito zamasewera olimbitsa thupi zomwe zimafuna kukwaniritsa zotsatira zazikulu sizabwino kwa anthu omwe ali ndi vuto la m'mimba.
  • Mukamasankha katundu, ndikofunikira kuyang'ana kwambiri za zomwe wodwalayo amadwala.
  • Maphunziro, mtundu wamasewera ndi mulingo wazinthu zomwe zimasankhidwa payekhapayekha kwa wodwala aliyense.

Kutengera ndi zomwe tafotokozazi, titha kunena kuti kapamba ndi zochitika zolimbitsa thupi zitha kukhala zogwirizana. Komabe, ndikofunikira kuti mupeze malingaliro a katswiri.

Kuchita masewera ndi matenda

Popeza gawo la kutupa, kuchuluka kwa kupsinjika kotheka kudzasiyana. Kuti akhazikitse bwino gawo la matendawa, katswiri amawunika wodwalayo, amamufotokozera za matenda ake.

Pambuyo pa izi, dokotala adzanena kuti ndizololeka kusewera masewera ndi kapamba kapena ayi.

Ndi zochulukitsa

Kuukira kwa kapamba kumatha kuphatikizidwa ndi zizindikiro zazikulu. Wodwalayo amadandaula za kupweteka kwambiri pamimba, kutentha kwa mtima, nseru.

Nthawi zambiri pamakhala kusanza, komwe sikuyendetsa bwino thanzi la wodwalayo, kutulutsa magazi chifukwa cha kuphwanya thupi, kutsegula m'mimba.

Pakadali pano, wodwalayo ayenera kuonetsetsa kuti kuli mtendere. Amayenera kutsatira mpumulo wogona kwambiri, wowonjezera mankhwala.

Zochita zilizonse zolimbitsa thupi pakadali pano zamatenda ndizoletsedwa.

Mu matenda osachiritsika

Zizindikiro zopweteka zikaimitsidwa, tikulimbikitsidwa kuti tiwonjezere zochiritsa pamakonzedwe ovuta a mankhwala.

Pa gawo lokhala ndi chikhululukiro cha matenda a kapamba, osankhidwa moyenera olimbitsa thupi amatha kubweretsa zabwino zambiri ku kapamba ndi thupi lonse:

  • Zimathandizira kusintha kwa magazi mu ziwalo, minofu chifukwa chotulutsa tinthu tambiri, kumawonjezera mtima komanso kamvekedwe ka mtima, kukulitsa kutulutsa kwa mtima ndi kuthamanga kwa magazi.
  • Pali njira yolimbikitsira kutulutsa kwa venous lymph kuchokera ku chiwopsezo chotupa, edema yomwe ikukhudzidwa imachotsedwa. Komanso, kukula kwa kusasinthika pamimba, pelvis imayimitsidwa. Izi zimathandizira kuchotsa poizoni m'mimba.
  • Njira zamagayidwe am'mimba, matumbo a m'matumbo, ntchito ya pawiri komanso pancreatic. Izi zimapangitsa kuthetsa kudzimbidwa, kuletsa mapangidwe a cholecystitis, mapangidwe a miyala mu ndulu.
  • Zomwe zimachitika nthawi zonse, momwe wodwalayo amakhalira.
  • Kusatetezeka kumachuluka.

Ochita masewera olimbitsa thupi olimbitsa thupi ndi yoga

Munthawi yodwala komanso matenda osokoneza bongo a pancreatitis, masewera olimbitsa thupi ndi njira yoyenera yothandizira kuti thupi likhale labwino.

Ngakhale kuti masewera olimbitsa thupi ndi osavuta, masewera olimbitsa thupi amapangira minofu komanso amathandizira kupukusa ziwalo zamkati, zomwe zimakhudza ziwalo zam'mimba.

Kupumira koyenera kumathandizira kutuluka kwa okosijeni kulowa mthupi, kusintha matenda a psychoemotional, kupumula minofu, kusintha matumbo, ndikuwonjezera kutuluka kwa ndulu.

Ndikulimbikitsidwa kuchititsa maphunziro m'mawa. Ndizoletsedwa kuchita masewera olimbitsa pamimba yonse. Izi zikugwiranso ntchito pamitundu yonse yamphamvu.

Chofunika cha masewera olimbitsa thupi chotere ndi kuwonjezeka kwa kuchuluka kwa chifuwa chifukwa cha mitundu yosiyanasiyana ya kupumira ndi kutulutsa kwam'mimbamo pamatumbo.

Amasinthika, limodzi ndi kugwedezeka komanso mawonekedwe a khoma lam'mimba.

Pakupuma, kapamba imayendetsedwa, zomwe zimapangitsa kuti zitheke zotsatira zabwino zochizira:

  • Kusunthika kumathetsedwa.
  • Kuphatikizika kwa enzyme kumakhala bwino.
  • Njira zobwezeretsera zomwe zimakhudzidwa ndi minofu zimayambika.

Kupumira koyenera kumathandizira kuthamanga kwa kagayidwe kazakudya mkati mwa thupi, kamene kamayambitsa maphunziro a minofu, kumapangitsa kuti muchepetse kunenepa, makamaka chifukwa chogawa minofu yamafuta "owopsa".

Yoga imaphatikizapo kuchita masewera olimbitsa thupi chifukwa cha kusasinthasintha kwa minofu ndikusinthasintha, komanso kupuma koyenera.

Kuchita zolingalira kudzakuthandizani kukwaniritsa kuyanjana kwa m'maganizo. Pankhani ya kapamba, amayenera kuchita “hatha yoga” zovuta, zomwe zikutanthauza kugwira ntchito kwa asanas wamba kwa wodwala aliyense.

Asanas othandiza amagwiritsa ntchito kuphunzitsira - phiri, ma holide, makona atatu, wankhondo komanso mtengo.

Mitundu yamaphunziro akuthupi

Mndandanda wamitundu yothandiza kwambiri yochita masewera olimbitsa thupi yomwe imatha kuchitidwa ndi odwala omwe ali ndi matenda omwe akuwunikira:

  • Kusambira Masewera amtunduwu amaphatikiza kukhazikitsidwa kosasunthika, chifukwa chomwe kupumula minofu kumachitika, kugwira ntchito kwamakina amkati kumabwezeretsedwanso. Mukamasambira motsika kwambiri, kupuma kumakhalabe, kugunda kwa mtima komanso kuthamanga kwa magazi kumawonjezeka, zomwe zimakhudza thanzi lathunthu.
  • Kuyenda pang'onopang'ono Makamaka, kuyenda kwa Nordic pogwiritsa ntchito ndodo zapadera kumakhala kothandiza. Pakulimbitsa thupi ndi mtundu wamtunduwu wamaphunziro olimbitsa thupi, kamvekedwe ka mtima kamadzuka, kuchuluka kwa mpweya wa minofu kumawonjezereka, komwe kumathandizira kubwezeretsanso kwa kapamba komanso kupukusa njira.
  • Kuyenda panyanja kumaloledwa pang'onopang'ono pamtunda wokhotakhota: kukwera m'mwamba kapena kutsika sikumavomerezedwa chifukwa cha kupsinjika kwakukuru komanso kutheka kwa kuvulala pakugwa.
  • Ma callanetics, Pilates. Masewera amtunduwu amayeneranso kuyang'aniridwa ndi katswiri, chifukwa chake ndikoyenera kupita nawo pazosankha zingapo kapena zingapo pakasankha masewerawa.

Pokonzekera kuchita masewera olimbitsa thupi kunyumba kapena malo ochitira masewera olimbitsa thupi, wodwalayo ayenera kudziletsa kuti akhale athanzi.

Pakakhala kusamvetseka, kupweteka kwa peritoneum, nseru kapena kusanza, ndikofunikira kuyimitsa katunduyo ndikupeza malingaliro a katswiri wokhudzana ndi kuchepa kwamakalasi.

Mutha kuyambiranso pokhapokha mutasintha. Masewera ndi gawo lofunikira la chithandizo chokwanira cha matenda omwe amafunsidwa.

Kuchita masewera olimbitsa thupi kumapereka mwayi wolimbikitsa njira zomwe wodwalayo akuchira.

Kuti musankhe mtundu wamasewera, muyenera kuganizira magawo, kuopsa kwa matendawa ndi kupezeka kwa matenda okhudzana, komanso phunzirani ndi katswiri.

Kodi kapamba ndi chiyani?

Kuzindikira kwa pancreatitis kumachitika mwa odwala omwe ali ndi kutupa kwa pancreatic. Zomwe zimayambitsa matenda awa zimatha kukhala zosiyana, koma zofala kwambiri ndizambiri:

  • matenda a ndulu
  • chibadwa
  • kumwa mankhwala ena
  • kuwonongeka kwamakina ndi kuvulala
  • uchidakwa
  • kuvutitsidwa kwa mafuta, kusuta ndi zakudya zina zopanda pake.

Ziwerengero: zaka zapakati pazachulukidwe ka chifuwa chachikulu chatsika kuchokera pa 50 mpaka 39. Pafupipafupi kuzindikirika kwa matendawa mu ana aku Russia ndi 9-12 milandu pa 100,000.

Mosasamala kanthu za zoyambira zachitukuko, matendawa amapitilira malingana ndi chiwembu chimodzi. Zikondazo zimayamba kutulutsa michere yochulukirapo, koma sizilowa m'matumbo chifukwa chobisala. Zotsatira zake, mavuto am'mimba, kupweteka kwambiri m'mimba (dera lam'mimba), wodwalayo akuvutika ndi matenda otsekula m'mimba, woyamba amataya mafuta kenako minofu yam'mimba.

Thanzi la Pancreatitis

Kuchepetsa thupi kumaonekanso chifukwa chakufunika kutsatira zakudya mosasamala. Masiku awiri oyamba wodwala omwe ali ndi matenda owopsa sayenera kudya chakudya. Kenako - amaloledwa kudya sopo msuzi kapena mbatata yosenda. Ndikofunikira kutsatira zakudya kwa nthawi yayitali ndipo, izi, zingayambitse kuchepa kwa minofu.

Komabe, ndikofunikira kukumbukira kuti matenda akamadutsa kuchokera pachimake kupita ku mawonekedwe osachiritsika, kuchuluka kwa zakudya zomwe zimaloledwa kwa wodwala kumawonjezeka. Makamaka, imaloledwa kudya nyama yopendekera ndi nsomba, mazira (ngakhale kamodzi pa sabata), zakudya zamafuta ochepa mkaka wowawasa, masamba owiritsa kapena otentha, pasitala, zipatso zophika. Mwanjira ina, thupi lidzalandira zinthu zofunikira pomanga ulusi wa minofu. Chachikulu ndikubwezeretsa kagayidwe, komanso kupatsa thupi lanu mapuloteni komanso mphamvu zokwanira. Zabwino, ngati pa nthawi ino katswiri woyenera wa gastroenterologist amagwira nanu ntchito.

Pancreatitis Sports Chakudya

Matendawa amakhudza anthu omwe ali ndi maudindo osiyanasiyana, kuphatikizapo osewera. Ndi omwe nthawi zambiri amakhala ndi mafunso okhudzana ndi zotheka kuti atenge mapuloteni kapena masewera ena othandizira ndi kapamba. Dziwani kuti mawonekedwe owopsa a matendawa salola izi.

Ziwerengero: Kuchulukitsa mwa akuluakulu ndi milandu 27,5-50 pa anthu 100,000. Tsoka ilo, chiwerengerochi chachulukanso pazaka 30 zapitazi. Pafupifupi gawo limodzi mwa magawo atatu a odwala onse amakhala olumala (kwakanthawi kapena kwa nthawi yayitali). Izi makamaka ndi gawo laling'ono, logwira ntchito mwachidwi.

M'masiku oyambirira, mankhwala abwino kwambiri kwa wodwala ndi njala. Koma wodwalayo akangoyamba kusintha, amatha kuyamba kutenga ma cookie a ufa okhala ndi ma amino acid ambiri. Chachikulu: kupeza chilolezo kuchokera kwa dokotala.

Mukamasankha puloteni yogwedeza, samalani ndi kapangidwe kake. Ndikofunikira kuti mankhwalawo alibe mankhwala osungirako, zonunkhira kapena zinthu zina zokayikitsa. Kuphatikiza apo, proteinin, Whey, ndi mapuloteni a soya omwe amagwiritsidwa ntchito ndi odwala omwe ali ndi kapamba ayenera kupangidwa ndi opanga odalirika. Mutha kuwatenga pokhapokha ngati dokotala mwamulola. Ndipo pakuwonjezera matendawa, muyenera kusiya osati masewera okha, komanso, nthawi zambiri, chakudya chonse.

Zolimbitsa Thupi Ndi Malangizo Ophunzitsira

Matenda atadwala kwambiri, anthu omwe ali ndi moyo wathanzi amayamba kuganiza zongoyambiranso maphunziro. Koma kusamala kwakukulu ndikofunikira pano. Kumbukirani kuti kuthamanga, kuchita masewera olimbitsa thupi, komanso kuchita masewera olimbitsa thupi, zomwe zimayambitsa kuchepa kwa kupuma (akufa, chosindikizira benchi, squats, etc.) ndi kapamba amaletsedwa. Ndipo mitundu yololeza yolimbitsa thupi ndi monga:

Mutha kukonda njira zonsezi, koma osayiwala kuyamba kaye kuvomerezedwa ndi dokotala.

Kodi chiwopsezo cha maphunziro a kapamba ndi chiani?

Kugwira ntchito ndi miyeso ikuluikulu kwa anthu omwe ali ndi vuto la kutupa kapamba ndizoletsedwa. Zomwezi zitha kunenedwa za maphunziro apamwamba (mwachitsanzo, pamtanda). Mitundu yamtunduwu imabweretsa kupweteka kwa mtima, kumawonjezera kuthamanga kwa magazi ndi kupsinjika kwa kapamba. Ndipo koposa zonse, mukamachita masewera olimbitsa thupi omwe mumakhala ndi masewera, dumbbells ndi zida zina zamasewera, kupanikizika kwapakati pamimba kumawonjezeka.

Izi ndizowopsa kwa munthu yemwe akudwala kapamba.

Kupanikizika kwa kapamba ndi milomo yake kumayambitsa kusayenda, komanso kutsekeka kwa magazi. Chinsinsi chopangidwa ndi thupi chimasiya kulowa mu duodenum, chomwe chimayambitsa kutupa ndi kutupa. Enzymes amawononga pancreatic minofu, nthendayo imakulirakulira, ndipo izi zimabweretsa zotsatirapo zomvetsa chisoni kwambiri.

Zachidziwikire zasayansi: tryssin enzyme yotulutsidwa ndi kapamba siyotsika mkamwa mokwiyitsa wa cobra!

Zochitika zamasewera ndi kapamba

Kodi ndingathe kusewera ndi kapamba? Madokotala amati kupsinjika pang'ono pathupi lathupi ndiubwino wopindulitsa. Komabe, ndi kutupa kwa kapamba, kuchuluka kwakukulu kwa malingaliro kuyenera kukumbukiridwa posankha maphunziro.

Poyamba, muyenera kuganizira za kuuma ndi kuopsa kwa matendawa. Mu mtundu wa pathology komanso panthawi yowonjezera matenda osachiritsika, zolimbitsa thupi ndizoletsedwa.

Nthawi imeneyi, masewera ndi zochitika zilizonse ziyenera kutayidwa. Pancreas yofooka imangofunika zochitika zitatu zokha - kuzizira, njala, ndi mtendere.Pambuyo pa mankhwala, gulu la odwala limaganiziridwanso, pamaziko a pulogalamu yochitira masewera olimbitsa thupi imapangidwa kapena chilolezo chimaperekedwa m'makalasi ochita masewera olimbitsa thupi.

Zina zolimbitsa thupi zitha kuloledwa pancreatitis yayitali, komabe, wodwalayo atha kukhala ndi mbiri yokhudzana ndi matenda omwe amachepetsa. Zomwe zimafunikanso kukumbukiridwa.

Ndikofunikira kukonza maphunziro kuti popanga pulogalamuyo, mawonekedwe ndi luso la thupi zimaganiziridwanso. Anthu omwe kale ankachita nawo masewera olimbitsa thupi amatha kupirira katundu wambiri, zomwe sizinganenedwe za odwala omwe sanachite nawo masewera aliwonse.

Chofunikira chofunikira posankha masewera otetezeka komanso othandiza kwa wodwala ndi njira ya munthu payekha. Pulogalamu yadziko lonse lapansi ilibe.

Pancreatitis ndi mitundu yochita masewera olimbitsa thupi

Mukamasankha masewera a odwala, pali zina zomwe sangathe kuchita. Mwachitsanzo, kuphunzitsidwa mwamphamvu - kunyamula zolemera, kupukutira atolankhani, ndi zina zambiri, kumabweretsa kukakamizidwa pamimba yamatumbo. Ndi zotupa za m'mapapo, izi ndizowopsa, chifukwa chida cha m'mimba chimatupa.

Kuphwanya kutuluka kwa bile kumakulitsidwa, kukokomeza kumachitika, komwe kumabweretsa kufalikira kwa matenda. Ngati nthawi yomweyo pali calculi m'matumbo a ma pancreatic, ndiye kuti masewera amatha kubweretsa kufunika kofunikira kuchitapo kanthu.

Kuthamanga ndi kapamba sikulimbikitsidwa. Madokotala amati kuthamanga kumalumikizidwa ndi kusuntha kwadzidzidzi komwe kumakhudza minofu yofewa ya kapamba. Chifukwa chake, ndibwino kukonda kuyenda, mwachangu.

Mutha kusambira mu dziwe. Zochita zolimbitsa thupi zoterezi ndi kapamba zimachiritsa thupi lonse. Kuchita bwino pazojambula zambiri kumatanthauza zamasewera zoletsedwa, popeza kulimba kwa maphunziro kumatsogolera pakukula kwa matendawo.

Simungathe kuchita nawo masewera olimbitsa thupi kwambiri, chifukwa amatsogolera pakupanga kwa insulin ya thupi m'thupi. Maphunziro a Cardio ayenera kukhala aafupi komanso ochita bwino kuti asawononge thanzi la wodwalayo.

Mitundu yabwino kwambiri ya kupsinjika ndi kapamba:

  • Kusambira
  • Kuyenda pang'onopang'ono
  • Yoga, Qigong maofesi.
  • Maphunziro apadera azachipatala.
  • Ma pilate.
  • Zoyamay.

Kugonana ndi kapamba kumatanthauzanso zochitika zingapo zolimbitsa thupi. Amuna omwe ali ndi kutupa kwa kapamba amalangizidwa kuti asamachite zogonana kawirikawiri, makamaka omwe ali ndi mbiri yopanga insulin.

Izi ndichifukwa choti kuchuluka kwakukulu kwa adrenaline kulowa mthupi, chifukwa, kuchuluka kwa shuga m'magazi kumachuluka. Kutalika kwambiri kwa izi kumapangitsa kuti ma enzymes ena apangidwe ndi gland, omwe angayambitse matenda.

Ndi kapamba, zochitika zonse zolimbitsa thupi ziyenera kulamulidwa mosamalitsa, zakudya zoyenera ziyenera kutsatiridwa, zomwe zimaloleza kuti chikhululukiro chadwala chithe.

Zopanda malire kwathunthu pamasewera

Nthawi zina, masewera olimbitsa thupi ndi maphunziro ena amatha kubweretsa zovuta, kupangitsa kuti matendawo asinthe kwambiri. Ichi ndichifukwa chake pali zithunzi ngati zolimbitsa thupi zilizonse sizikulimbikitsidwa konse.

Mndandanda woletsa umaphatikizapo nthawi yowonjezera, komanso mitundu yovuta ya zotupa mu kapamba. Simungathe kusewera masewera ngati mu mbiri yamatenda apambuyo omwe zinayambitsa kuphwanya magwiridwe antchito amkati.

Kuphunzitsidwa kumapangidwa pakakhala kuvulala kwamakina kwa chiwalo, kapena opaleshoni ya pancreatic. Muzochitika izi, masewera amatha kuchitidwa mutakonzanso komanso pokhapokha ngati dokotala wakhalapo.

Ndi kapamba, simungathe kuthamanga, kudumpha, kudumpha ndikukweza zolemera. Chifukwa chake, kudumpha kwakutali kapena kothamanga, kuthamanga mtunda wautali, mphamvu zamagetsi, zolimbitsa thupi zolimbitsa thupi ziyenera kusiyidwa kufikira munthu atamva bwino.

Mulingo uliwonse wamatendawa umakhala ndi machitidwe ena, chifukwa momwe thupi la odwala osiyanasiyana, ngakhale mikhalidwe imodzimodzi, imatha kusiyana.

Chifukwa chake, lingaliro pa kuyenera kwa maphunziro ena limakhalabe ndi adokotala.

Kuchita masewera olimbitsa thupi ndi yoga chifukwa cha kutupa kwapancreatic

Pancreatitis yayikulu komanso mowa, kupumula kwa masewera olimbitsa thupi ndi njira yabwino kwambiri yomwe imathandizira kuti thupi likhale labwino. Ngakhale kuphweka kwa zovuta, kulimbitsa thupi kwapadera kumathandizira kuti musangogwira minofu yokha, komanso kuchita masewera olimbitsa thupi, omwe ndi othandiza kwambiri pamimba.

Kupumira koyenera kumathandizira kukulitsa mpweya wabwino kulowa mthupi, kumachepetsa nkhawa, kupumula, kutikita minofu, kusintha matumbo, kumathandizira kutuluka kwa ndulu.

Ndikulimbikitsidwa kuyeserera m'mawa. Simungathe kuchita makalasi pamimba yonse. Mawu omaliza amagwira ntchito zamitundu yonse. Chomwe chimapangitsa kupumula kwa masewera olimbitsa thupi ndikuwonjezeranso kuchuluka kwa chifuwa chifukwa cha mitundu yosiyanasiyana ya kuphipha komanso kutulutsa kwam'mimba pamimba. Inhalation ndi mpweya wotuluka umagawika m'malo, omwe amathandizika ndi kunjenjemera komanso mawonekedwe a khoma lam'mimba.

Mukapumira, kapamba amakhudzidwa kwambiri, zomwe zimathandiza kukwaniritsa zotsatirazi zochizira:

  1. Kuthetsa kusokonekera.
  2. Kupititsa patsogolo mphamvu ya enzyme.
  3. Kuyambitsa njira zobwezeretsa minyewa yowonongeka.

Kupuma koyenera kumathandizira kuthamanga kwa kagayidwe kazakudya mthupi, kamene kamatsogolera pakuphunzitsidwa kwa minofu yayikulu, kumakupatsani mwayi wochepetsa thupi, kuphatikizapo chifukwa chogawa minofu yamafuta "owopsa".

Yoga imaphatikizapo zolimbitsa thupi, zomwe zimachitika chifukwa cha kusasinthasintha kwa minofu ndikusinthasintha, komanso kupuma koyenera. Zochita zolingalira zimathandizira kukwaniritsa malingaliro abwino. Poyerekeza ndi pancreatitis, ndikofunikira kuchita zovuta za "hatha yoga", zomwe zikutanthauza kugwira ntchito kwa asanas, omwe wodwala aliyense angachite. Asanas othandiza amagwiritsa ntchito kuphunzitsira - phiri, ma holide, makona atatu, wankhondo komanso mtengo.

M'mawa, ndizovomerezeka kuchita masewera olimbitsa thupi okhudzana ndi njira ya Surya Namaskar. Uku ndiye "moni wa tsiku latsopano", lomwe limaphatikizapo maudindo omwe amachitika motsatana. Makalasi "ozungulira". Mwanjira ina, munthu akafika pamalo apakati, amayenera kuchita masewera olimbitsa thupi moyenera.

Chithandizo cha pancreatitis chimakhala ndi zochitika zambiri. Muyenera kudya moyenera, osagwirizana ndi zakudya, muyenera kukonzekera (Pancreatin), kupanga zolimbitsa thupi m'moyo wanu. Zinthu izi zimathandizira kukhala ndi moyo wathunthu chifukwa chokhululuka kosalekeza.

Ndi masewera ati omwe angakhale othandiza pancreatitis omwe akufotokozedwa mu kanema munkhaniyi.

Zimayambitsa kukhumudwa

Kudya moyenera, kuchita mitundu yololeza yolimbitsa thupi ndikupuma mokwanira, mumatsimikiziridwa kuti muyambe kulemera. Komabe, khalani okonzekera kuti gawo la minofu ikhoza kuima. Ili ndi vuto lofunikira lomwe limakumana osati ndi anthu omwe ali ndi kapamba, komanso othamanga athanzi. Zifukwa zake zimachitika:

  • kugwiritsa ntchito mphamvu zambiri (mumagwiritsa ntchito zopatsa mphamvu zambiri kuposa zomwe mumapeza),
  • kusowa tulo
  • kusokonezeka kwa mahomoni
  • masewera olimbitsa thupi osayenera
  • kusowa kwa mapuloteni muzakudya,
  • kusintha kwa kagayidwe kachakudya,
  • kutopa ndi kuponderezana.

Ngati kukula kwa minofu kuyimitsidwa, lankhulanani ndi dokotala yemwe amayeza kapamba wanu, ndikuwonana ndi wazachipatala ndipo ngati kuli kotheka, akhale mphunzitsi waluso. Mudzafunika musinthe pulogalamu yanu yazakudya ndi pulogalamu yophunzitsira, mutenge protein yambiri kapena mavitamini, ndikusintha zomwe mumachita tsiku ndi tsiku. Chithandizo cha akatswiri ndizofunikira kwambiri pamlingo uliwonse wa chithandizo ndikuchira.

Tikulakalaka musakufuna nkhaniyi! Khalani athanzi!

Kusiya Ndemanga Yanu