Kuletsa kupuma kumachiritsa matenda osokoneza bongo popanda mankhwala: ndemanga za akatswiri ndi odwala

Ambiri a ife odwala matenda ashuga nthawi zonse timangoyang'ana njira zothetsera matenda a shuga komanso kupewa matenda oyanjana. Tikudziwa kuti kuthana ndi matendawa njira zonse zili bwino ngati zili zothandiza, zothandiza komanso zotetezeka.

Ofufuzawo komanso onyamula zidziwitso m'magulu osiyanasiyana azithandizo amadziwanso izi. Njira imodzi yatsopano yothanirana ndi matenda a shuga ndi kupuma movutikira, komwe kunapangidwa ndi J. Vilunas.

Pakadali pano, mankhwala ovomerezeka sazindikira kukhalapo kwa ndalama zomwe zimatsimikizira kuti 100% ichiritsa matenda a shuga. Mankhwala ochepetsa shuga, insulin imagwiritsidwa ntchito, pali njira zambiri zothandizira zomwe zakhala zikugwiritsidwa ntchito bwino.

Koma momwe zimakhudzira thupi la odwala matenda ashuga ndizakanthawi - ndizotheka kuchepetsa shuga wamagazi kwakanthawi, koma osati kwamuyaya. Chifukwa chake, mankhwalawa amayenera kugwiritsidwa ntchito pafupipafupi.

Njira yowunikira yopangidwa ndi J. Vilunasamadziwika ndi ambiri ngati osintha. Chowonadi ndi chakuti wolemba "wopumira pang'onopang'ono" mwiniwake adadwala matenda a shuga. Posagwirizana ndi zomwe madokotala amati matenda ashuga ndi osachiritsika, adayamba kupeza njira. chotsani matenda ashuga.

Pa mtima wa antideabitic njira zopumira zopumira pamakhala lingaliro loti chifukwa chophwanya kapangidwe kake ndi kubisirana kwa insulin m'magazi ndiko kupumira kosayenera. Izi zimayambitsanso kuti ma cell a kapamba amawonongeka ndi mpweya ndipo sangathe kugwira ntchito moyenera - kupanga mahomoni omwe amayang'anira shuga.

Chifukwa chake, matenda a shuga amawonekera m'magawo oyamba a chitukuko, pamene ambiri samvera chidwi ndi zomwe zimawonetsedwa pang'ono.
Matenda oopsa a matenda ashuga, malinga ndi mtundu womwe wafotokozedwawu, ndi omwe amayamba chifukwa chamankhwala osayenera kapena kusowa kwake.

Kuchita masewera olimbitsa thupi kupuma molingana ndi njira ya J. Vilunas sikutanthauza zochitika zapadera. Zochita zolimbitsa thupi kupuma kwambiri motsutsana ndi matenda a shuga zitha kuchitika mu malo aliwonse komanso, kulikonse, malo aliwonse oyenera kugwira ntchitoyi.

Ndi pakamwa pokhapokha kamene kamagwiritsidwa ntchito kupuma.

Kutulutsa. Imayenera kukhala yosasalala komanso yosalala, ngati kuti mukuyesa kuziziritsa tiyi wotentha wothiriridwa pamwamba mu sosayo osakhetsa. Kutalika kwa mpweya wokhala m'mimba kumayenera kukhala chimodzimodzi pakanthawi.
M'mabuku ake, a J. Vilunas adalangiza kulingalira za "galimoto imodzi, galimoto ziwiri, galimoto zitatu" m'maganizo poyambira maphunziro. Izi zimachitika pofuna kupitiliza kupumira. Pambuyo pake, thupi lidzazolowera ndipo kufunika kwa sewerolo kudzazilala zokha.

Inhale. Amatha kukhala osiyana. Mutha kugwiritsa ntchito mitundu yambiri ya mpweya. Kuyamba kumveka bwino ndikamatsanzira.
Tsegulani pakamwa panu pang'ono ndikupumira pang'ono, ngati kuti mukumeza mpweya ndi mawu "k".
Kudzoza kopitilira muyeso ndimphindi chachiwiri ndipo kudzoza kwachiwiri ndi kudzoza.
Mpweya wolimbitsa thupi, wokhazikika 1 sekondi - wachitatu.

Mitundu yonse ya mpweya wa kulira modutsa matenda ashuga Ndikulimbikitsidwa kudziwa bwino. Kuchita bwino kwamakalasi kumadalira kuphedwa koyenera.

Kutalika kokwanira kwamakalasi ndi mphindi 2-3 6 mg tsiku. Wolemba akuwonetsa kuti nthawi yake imatha kusankhidwa, kuganizira mawonekedwe amunthu. Ngati zovuta zamitundu mitundu zikuwoneka, nthawi yamakalasi iyenera kuchepetsedwa kapena kuyimitsidwa kwathunthu.

Zotsatira zamakalasi pamayendedwe kupuma kwambiri motsutsana ndi matenda a shuga limachitika kwa miyezi 2-3 ndipo akufotokozedwa munjira yofanana ndi kuchuluka kwa glycemia, kutha kwa dziko lokhumudwitsa ndi kusintha kwazonse bwino.

Kuphatikiza pa chithandizo komanso kupewa matenda ashuga, pamwambapa ntchito zolimbitsa thupi Ndikulimbikitsidwa kuti kunenepa kwambiri, kunenepa kwambiri komanso kusinthanso thupi.

Chinsinsi cha njira yopumira

Popanga njira yake, wolemba adagwiritsa ntchito ma algorithm otsatirawa:

1. Chifukwa chakuyika molondola kwa kudzoza ndi kupumira, maselo amthupi kwathunthu ndipo kapamba makamaka samalandira mpweya wokwanira pantchito yabwinobwino ndikugwira ntchito zonse zomwe apatsidwa.
2. Kuperewera kwa oxygen m'thupi komanso kufa ndi mpweya wa okosijeni kumayambitsa kupezeka kwa zolephera mthupi pogwira ntchito ziwalo ndi machitidwe awo. Mu kapamba, chifukwa chosowa mpweya, kapangidwe ka maselo a beta amasokonezedwa.
3. Zotsatira zakuphwanya kwa insulin kaphatikizidwe kathupi ndikupanga shuga.

Mukazindikira njira zopangira kufalitsa koyenera kwa mpweya mu thupi, ndibwino kugwiritsa ntchito kanema wopangidwa mwaluso ngati chida chophunzitsira.

Malinga ndi Yuri Vilunas, wowonda amachiza matenda osokoneza bongo popanda mankhwala, chifukwa cha kusintha kwa zinthu zonse zomwe zimachitika mthupi. Mpaka pano, sayansi sinalandire deta yodalirika kuti zonena za wolemba njirayi ndizowona.

Popanga njirayi, wolemba adalemba ana aang'ono. Mwanayo, akulira, amayamba kupuma ndi kunena mawu oti "oooh" akamapuma. Pakupita mphindi zochepa kulira, monga lamulo, mwana wamng'ono amatsitsa.

Maziko a zomwe wolemba amaphunzitsa anali kupindula pakugwiritsa ntchito njira iyi pakuwunika kwa mpweya pakati pa kaboni ndi mpweya mu 3: 1. Chiwerengerochi cha mpweya mthupi ndi chothandiza kuti masanjidwe onse a maselo a thupi apangidwe.

Momwe mungapangire kupumira movutikira pamaso pa shuga m'thupi?

Zochita zolimbitsa thupi molingana ndi njirayi zitha kuchitidwa m'malo aliwonse a thupi komanso malo aliwonse. Kupuma panthawi yochita masewera olimbitsa thupi kuyenera kuchitidwa kudzera pakamwa pokha.

Chinsinsi cha njira

Zambiri zama metabolic zomwe zimachitika mthupi zimadalira kusinthana kwa mafuta.

Mavuto aliwonse opuma amayambitsa kutuluka kwa matenda atsopano, komanso kuchuluka kwa matenda a pathologies. Anthu ambiri akudziwa izi atalira kwambiri.

Pali kusintha kwamthupi komanso mwamakhalidwe, kupweteka kumachepetsedwa.

Malinga ndi akatswiri, chifukwa chomwe amapezera mpumulowu ndi njira yapadera yopumira yomwe imakhudza dongosolo lamanjenje lamkati. Mpweya wovuta wa Yuri Vilunas mu shuga ndi njira yabwino yopumulira ndikulira kwambiri.

Mwanjira iyi, kupuma ndi mpweya zimapangidwa ndi mkamwa, ndipo nthawi ya kutulutsa mpweya ndi yayitali kwambiri kuposa kuphipha. Chifukwa cha izi, mpweya wabwino kwambiri umaperekedwa kwa ziwalo, kuphatikiza zikondamoyo, zomwe zimayambitsa "insulin" yopanga insulin.

Chifukwa chake, gulu la anthu odwala matenda ashuga ndi:

• kupuma kolakwika kumatsogolera ku chakuti thupi ndi kapamba makamaka amamva njala,
• kuchepa kwa oksijeni kumayambitsa ntchito yopanda pancreas. B-cell insulin katemera amachepetsa,
• Zotsatira zake - thupi limakhudzidwa ndi matenda a shuga.

Ndi mpweya wambiri, mpweya woipa umachotsedwa m'thupi, ndipo mpweya umapatsidwa "metered" panthawi yopumira. Chifukwa chake, kupuma bwino kumabwezeretseka ndipo kuperekanso kwa maselo okhala ndi mpweya kumakhala bwino.

Kusasinthika kwa mawuwa kungaone mu moyo watsiku ndi tsiku. Chifukwa chake, khanda, ngati silimva bwino, limayamba kulira kwambiri. Mphindi kapena awiri, ndipo mwana wakhanda pansi. Nachi chitsanzo china. Munthu wathanzi, monga lamulo, amakhala wokhutira ndi kupuma kwakanthawi. Koma, akangodwala, kamwa yake imayamba kutenga nawo mbali pakumapuma. Njira zina "zadzidzidzi" zimaphatikizidwira. Buku losangalatsika kuti liwerengedwe ndi J. Vilunas "Wofemera m'mweya amachiritsa matenda osokoneza bongo popanda mankhwala."

Gulu la njira

Kutengera mphamvu yake, pali njira zitatu zolimbitsa thupi kupumira:

Kupumira mwamphamvu kumaphatikizapo kupumira pang'ono (hafu ya sekondi) komanso kutulutsa kosalala, nthawi yayitali kuyambira masekondi atatu mpaka 12. Pakatikati pa masewera olimbitsa thupi kupuma ndi masekondi 2-3.

Ndi luso lochita masewera olimbitsa thupi, mpweya umakhala wofewa (1 gawo.). Nthawi yotha ntchito imakhala yofanana ndi luso lotukuka. Ndi mtundu wofooka, inhalation imatha gawo limodzi, ndikutulutsa nthawi yayitali ya 1-2 sec. Imani pakati pakumwa ndi mpweya wokhala ndi masekondi 2-3. Komanso kupulumutsidwa.

Achire achire kwambiri amakhala opumira komanso opumira (monga njira - kuphatikiza kwawo). Kupuma kofooka kumagwiritsidwa ntchito ngati prophylaxis.

Njira ndi zodziwikiratu zolimbitsa thupi zopumira

Ma olimbitsa olimbitsa thupi a matenda a shuga malinga ndi Vilunas ali ndi mawonekedwe ake:

• masewera olimbitsa thupi amatha kuchitidwa kukhala pansi kapena kuyimirira, komanso poyenda,
• pitilizani kuchita masewera olimbitsa thupi pokhapokha ngati muli ndi mpweya waulere. Ngati machitidwe olimbitsa thupi aphatikizidwa ndi kusasangalala kapena kumva kupuma movutikira, muyenera kusintha kuti mukhale ndi mpweya wabwino,
• Ngati mukufuna kutuluka, musapondereze thukuta. Kugwa nthawi zambiri kumayendera limodzi ndi masewera olimbitsa thupi.

Kutalika ndi kuchuluka kwa masewera olimbitsa thupi sikuwongoleredwa. Ndikulimbikitsidwa kuti masiku awiri oyambilira azichita kwa mphindi 2-3, pang'onopang'ono kuchuluka kwa nthawi yophunzira mpaka theka la ola. Musanayambe maphunziro, onetsetsani kuti mwadziwitsa dokotala.

Mutha kuyeseza masewera olimbitsa thupi kwa ana ndi akulu omwe. Kuphatikiza pa njira zochizira, zimathandiza kuthana ndi kugona, kutopa, kupweteka mutu, matenda am'mimba, mphumu ya bronchial, kuzizira pafupipafupi.

Kodi pali zotsutsana?

Matenda a shuga amawopa mankhwalawa, ngati moto!

Muyenera kungolemba ...

"Kuthira" ntchito zolimbitsa thupi sizikulimbikitsidwa pamatenda ndi mikhalidwe yotere: kuvulala pamutu, matenda amisala, zovuta zamankhwala, matenda omwe ali pachimake, kutentha thupi.

Mapindu ake

Zabwino zomwe zili mu njira ya "kupumira povutirapo ndi matenda a shuga" ndi:

• kupezeka. M'malo mwake, mankhwalawa ndi osavuta,
• kusowa "zovuta". Ngakhale mutakhala kuti mulibe zotsatira zabwino, kulibe vuto lililonse pakulimbitsa thupi,
• bwino kagayidwe.

Ndikofunika kukumbukira kuti ndizosatheka kuchiritsa matenda ashuga amtundu wa 2 popanda kudya moyenera komanso mankhwala.

Nthawi yomweyo, ngati mukufuna kuyesa njira nokha - palibe cholakwika ndi zimenezo. Mulimonsemo, akuti a Vilunas akuti matenda ashuga amachiritsidwa apatsa chiyembekezo anthu ambiri.

Kodi pali zovuta zina panjira imeneyi?

Nawa maumboni ochepa opangidwa ndi omwe amatsutsa njira ya Yuri Vilunas:

• mwachidziwikire, anthu onse omwe sachita masewera olimbitsa thupi osokoneza bongo ayenera kukhala ndi vuto la shuga. Koma kodi sichoncho? Mwachilungamo, ziyenera kunenedwa kuti anthu ambiri amaphunzira zamatenda awo mwamwayi, kapena pamene matenda ashuga adziwonetsa kale ngati zovuta zowopsa (kuwona koperewera, kupweteka kwapakati, phazi la matenda ashuga),
• kutsutsana kwachiwiri ndikofunikira kwambiri. Chithandizo cha matenda a shuga amtundu woyamba mothandizidwa ndi njira ya Vilunas ndizosatheka. Ndikosatheka kuyambiranso kupuma kwa B-cell.

Mankhwala alibe chilichonse chotsutsana ndi kupuma koyenera. Chachikulu ndichakuti musakhale maziko azithandizo.

Kuphatikiza kokha ndi njira zochiritsira zamankhwala achikhalidwe ndizomwe zingapereke zotsatira zabwino. Kudzinenera kuti kuchiritsa matenda osokoneza bongo popanda mankhwala ndikulakwitsa.

Elena, wazaka 42, Samara: “Kwa zaka zambiri ndimadwala matenda a shuga 2, kuyesera kulandira mankhwala azitsamba, sizinathandize. Mankhwala othandizira kupuma, mankhwala osankhidwa ndi adotolo komanso kudya mokwanira kunathandiza kuthana ndi vutoli kwathunthu. Panopa theka la shuga ali pamlingo woyenera. ”

Ekaterina, wazaka 50, Pskov: "Ndakhala ndikuchita masewera opumira ku Vilunas kwa chaka chimodzi tsopano. Kusowa tulo, kupweteka mutu kwatsika, shuga yatha "kulumpha". Ndasangalala. "

Zadziwika kuti nettle imathandiza ndi matenda a shuga. Izi ndichifukwa choti zili ndi mavitamini ambiri, ang'ono ndi akulu omwe amasintha magwiridwe antchito a kapamba.

Odwala nawonso amathandizanso pochiza matenda a shuga a mkaka. Zodzikongoletsera ndi ma infusions zochokera pachomera zimakhala ndi phindu pa metabolism ndi chiwindi ntchito.

Kodi ntchito iyi ndi yotani?

Choyambirira kunena ndikuti wolemba, posapima matendawa, anapitiliza kufufuza njira zabwino zotsutsana ndi matendawa. Zaka zambiri zofufuzira izi zapangitsa kuti matendawa amayamba kwambiri chifukwa cha kupuma kolakwika kwa odwala. Mwa chitsanzo chake, a J. Vilunas akutsimikiza kuti matenda ashuga amatha kuchiritsidwa pogwiritsa ntchito njira yake.

Ndikofunikiranso kunena kuti mpaka pano, mankhwala sadziwa mankhwala omwe angachiritse matenda. Mazana a odwala tsiku lililonse amayenera kupereka china chake chodzikongoletsera ndi mapiri a mankhwala kuti akhale ndi thanzi labwino.

Olimbitsa masewera olimbitsa thupi a Yuri Vilunas akulira zimadalira chiphunzitso chakuti matenda ashuga amakula chifukwa chakuchita bwino kwa kaphatikizidwe ndi kupangika kwa mahomoni mokwanira. Kukula kwakukulu izi chifukwa cha kupuma kolakwika. Zotsatira zake, minofu ya pancreatic imavutika ndi njala ya oxygen ndipo sangathe kugwira bwino ntchito mtsogolomo.

Kukula kwina kwa matendawa ndi chifukwa cha njira yolakwika yolangira mankhwalawa.

• imabwezeretsa kugwira ntchito koyenera kwa kapamba ndi maselo a beta,
• kusintha kusinthana kwa gasi,
• amadyetsa ziwalo zonse ndi machitidwe ndi mpweya wabwino,
• zimayambitsa njira zachilengedwe za metabolic.

Njira zatsopano za wolemba zidakhazikitsidwa pamfundo yolirira ana, yomwe Vilunas idawonapo kangapo pamsewu. Wopanga mapulogalamuwo adaganiza zoyesera, ngati tiana, kupuma ndi kutulutsa mpweya kuti utulutse mawu. Mphindi zochepa za kubwereza kotere komanso modekha. Ingokumbukirani mawu a agogo anga aakazi: "Lirani, zikhala zosavuta."

Zinali izi zomwe zinakhala njira ya wolemba, chifukwa kupuma koteroko kumadzaza thupi ndi mpweya komanso mpweya m'modzi mwa 3: 1, yomwe ndi yokwanira kutulutsa magazi mthupi lathunthu.

Ndani ayenera kupumira pansi

Zimatsimikiziridwa kuti kupuma koyenera kumathandizira kuchiza matenda ambiri, kuphatikizira momwe akuwonetsera mtundu wa 1 komanso matenda a shuga a 2. Itha kugwiritsidwa ntchito kupewa matenda. Zochita kupuma koyenera sizikulimbikitsidwa osati kwa akulu okha, komanso kwa ana omwe ali m'magawo oyamba a matenda ambiri. Posachedwa, kupuma movutikira kumagwiritsidwa ntchito motsutsana ndi matenda ashuga koyambirira, osagwiritsa ntchito mankhwala. Wolemba adawunikira pawokha ngati ali ndi vuto, komanso akudwala.

Potsatira chitsanzo cha a J. Vilunas, ambiri adayamba kuyesa njira zamatenda ena. Mphamvu ya njirayi imadziwikanso ngati mankhwala a zovuta zotere:

• mphumu ya bronchial, mavuto ena ndi mapapu ndi thirakiti la kupumira kwapamwamba,
• chimfine
• matenda a mtima
• matenda oopsa (gawo la chikhululukiro), hypotension,
• kutopa kwambiri
• pafupipafupi mutu womwe umakhala wokhazikika
• kusowa tulo
• mavuto amisala
• kuchepa magazi
• mavuto ndi m'mimba;
• kunenepa.

Kuchita bwino kwa njirayi pamavuto opsinjika komanso munthawi ya zovuta kumadziwika. Chovomerezeka kugwiritsa ntchito masewera olimbitsa thupi ndikuwoneka ngati ndi ululu wowonda.

Njira yopumira imathandizira kuti mpweya wabwino ukhale bwino m'thupi lonse. Zochita zoterezi zimathandizira kumva kupumula, chifukwa chobwezeretsanso mphamvu ya mtima, kusintha kwa mitsempha, impso komanso chiwindi.

Ubwino ndi kuipa

Chithandizo chamankhwala chimakana kuzindikira kuyenera kwa njira zosakhudzana popanda zotsatira.Nthawi yomweyo, madokotala amatsutsa kuthekera kwa kuchira kotheratu kwa matenda ashuga, makamaka popanda kugwiritsa ntchito mankhwala. Akatswiri amaganiza njira zopumira monga njira zolimbikitsira thupi, koma osatinso.

Komanso, malingaliro a madokotala pakuwunika komwe odwala amawasiya panjira yatsopano sikosangalatsa. Komabe, samaletsa kuyang'ana odwala awo, chifukwa masewera olimbitsa thupi sadzivulaza.

Kutengera ndi zomwe tafotokozazi, titha kusiyanitsa njira zabwino komanso zoyipa zomwe wolemba adalemba. Ma pluses, malinga ndi odwala, akuphatikizapo:

• palibe chidziwitso chapadera ndi maluso ofunikira,
• Otetezeka moyo wa wodwala,
• itha kugwiritsidwa ntchito kupititsa patsogolo thanzi,
• kupezeka kuti agwiritsidwe ntchito ndi magulu aliwonse a odwala.

Zotsatira zotsatirazi ndizodziwikiratu:

• machulukidwe a maselo okhala ndi mpweya sangathe kutsitsimutsa minofu yomwe yafa m'matenda a shuga, zomwe sizingathandize kugwiritsa ntchito njirayo monga njira yayikulu yothandizira,
• kunyalanyaza mankhwalawa, kuyembekeza kupuma movutikira, kumabweretsa zovuta ndi mavuto akuchepa kwaumoyo,
• Palibe maphunziro a labotale omwe amatsimikizira kuyendetsa bwino kwa njira pochizira matenda ashuga.

Tsatane-tsatane malangizo

Zochitikazo zimachitika ndi pakamwa, pamalo alionse abwino kwa wodwala. Njira yake imakhazikitsidwa ndi dongosolo la kudzoza koyenera komanso kutulutsa mpweya. Muyenera kutulutsa bwino, ndendende, ngati kuti mukupukuta tiyi. Pa maphunziro a mpweya wokhala ndi mpweya, mutha kunena kuti oooh. Kutalika kwake ndi masekondi atatu. Chovuta kwambiri ndikupumula.

Pali njira zitatu zochitira masewera olimbitsa thupi:

• Kutsatira. Nthawi zambiri amagwiritsidwa ntchito ndi oyamba kumene. Muyenera kutsegula pakamwa panu pang'ono, nenani "k" kapena "ha". Potere, mpweya suyenera kulowa pakhosi. Amapumira pang'ono, kenako nkutsitsidwa. Mukayamba kumva chizungulire, mutha kupuma, kenako ndikuyambiranso.
• Mwachidule, theka chachiwiri. Kubwezeretsedwanso ndikugwira gawo laling'ono la mpweya. Chotsatira - kutulutsa monga mwa chiwembu.
• Zabwino pang'ono, osapitiliza 1 sekondi.

Wolemba njirayi amalankhula za momwe angapangire bwino kupumula kotsutsana ndi masewera olimbitsa thupi mu video. Kusintha konseko kumachitika, kuyang'ana luso la wodwalayo.

Kuphatikiza pakupuma movutikira, mutha kugwiritsa ntchito mtundu uliwonse wa masewera olimbitsa thupi, masewera olimbitsa thupi ndi njira zina zomwe zimakhudza kagayidwe kazinthu.

Kuti mupeze chithandizo choyenera, bwerezani zolimbitsa thupi kangapo pa tsiku kwa mphindi 5 kapena kupitirira. Kutalika kwa maphunzirawa kumatengera mkhalidwe wa wodwala.

Contraindication

Njira yakutsutsira ndiyosavomerezeka kugwiritsa ntchito pamaso pa:

• kuvulala kumutu
• matenda oopsa,
• kuthamangitsidwa kwamkati kapena kwamkati,
• kutentha thupi, kutentha kwambiri,
• magazi amkati
• pachimake mitundu yamavuto amisala.

Saloledwa kugwiritsa ntchito njirayi pamaso pa mitundu yovuta yamatenda aliwonse.

Mbiri Momwe ndidatha kuthana ndi matenda a shuga

Zaka khumi ndi ziwiri zapitazo, buku langa, la Weaching Breath Against Diabetes, linafalitsidwa ndi mutu waung'ono wakuti “Full Normalization Bila Mankhwala ndi Zakudya” (St. Petersburg, 1999). Mmenemo, kwa nthawi yoyamba ndidalankhula za momwe ndidapezekera ndikuchira matenda ashuga ndekha, popanda thandizo la madokotala.

M'malo omwe mankhwala achikhalidwe amalengeza kuti matenda ashuga ndi matenda osachiritsika, mawonekedwe owonekeranso, omwe amati mwayi wochiritsa matenda oopsawa pogwiritsa ntchito njira zachilengedwe zodziyesera zokha zomwe ndidazindikira (kupumira mopepuka, kudzipangitsa kudzilimbitsa thupi, kupumula kwa chilengedwe chachilengedwe, ndi zina zambiri), zidapangitsa kudabwitsa. . Komabe, a boma adagwiritsa ntchito "chete chete" ndikudziyerekeza kuti palibe chomwe chidachitika. Wina (kupatula ngakhale dokotala) akukamba za zinthu zosatheka, chifukwa chake nkoyenera kuyang'anira kwambiri izi. Zowonadi, mdziko lonse lapansi palibe munthu m'modzi yemwe akanachiritsidwa matenda a shuga, ngakhale m'maiko otukuka kwambiri.

Koma zomwe zikwi za odwala, kuphatikiza madokotala odwala, omwe ndi chidwi chachikulu ndi chiyembekezo adavomereza lingaliro la kuthekera kuchira kwathunthu, zidali zosiyana kotheratu. Osati anthu a ku Russia okha, komanso nzika za onse a CIS komanso omwe si a CIS (Germany, USA, Israel, ndi zina) amatembenukira ku njira zakuchiritsira zamankhwala achilengedwe mokulira. Ndipo onsewa, pakudziwona kwawo, atsimikiza za kulondola kwa malingaliro atsopano, njira yatsopano pakuwonekera kwaumunthu - mankhwala achilengedwe achilengedwe.Kwazaka 33 tsopano, mwamaganizidwe wodwala wodwala matenda ashuga, ndimakhala wopanda insulin ndi mankhwala ena, komanso zakudya. Khalidwe langa silikuwoneka losiyana kwambiri ndi moyo waanthu wathanzi: osadziwa kuti madokotala andilamula kale kuti ndidwale matenda ashuga, ochepa adzakhulupirira. Zowonadi, chifukwa sindimayamwa insulin ndipo sindimamwa mapiritsi ochepetsa shuga a mannyl kapena matenda ashuga, sindimadya kangapo pa tsiku ndi zisanu ndi limodzi komanso sindikutsatira chakudya, ndimadya shuga monga momwe ndimafunira, ndimakhala ndi moyo wathanzi, sindimadwala matenda ena aliwonse omwe ndi osagwirizana ndi matenda a shuga.

Kodi ndimachita bwanji izi?

Choyamba, mothandizidwa ndi mpweya wopumira womwe ndidapeza mu Marichi 1978.

Mapeto apa ndi osatsimikizika. Ngati kupuma kosayenera ndikomwe kumayambitsa shuga m'magazi, ndiye njira yokhayo yothetsera vuto la kusokonekera kwa kagayidwe kabwino ndikuyamba kupuma molondola. Ndidatero - ndipo kwa zoposa kotala la zaka sindinakhalepo ndi vuto la matenda ashuga.

Nthawi yomweyo, mavuto anga ena onse azaumoyo anazimiririka - ischemia, matenda oopsa, matenda a periodontal, mtima. Kupuma koyenera kunasinthitsa shuga osati mafuta okha, komanso mafuta, mapuloteni, kagayidwe kamadzi, michere inalowa m'malo oyenerera ndikuwachiritsa. Mwa kuyankhula kwina, kupuma koyenera kunapangitsa kuti zizikhala zofanana, pamapeto pake, zosokoneza zonse za metabolic, komanso mavuto onse pawokha anasowa popanda kugwiritsa ntchito mankhwala aliwonse.

Koma si zokhazo. Zidadziwika kuti chilengedwe chinapatsa munthu njira ina yowongolera njira zonse za kagayidwe kazinthu - zomwe zimapangitsa kudzilimbitsa, zomwe ndinazindikira mu 1981, kugwiritsa ntchito komwe ndikofunikira kuti thanzi likhale kulira. Pakadali pano, madokotala sadziwa amodzi kapena enawo. Chifukwa chake, zotsatira zake polimbana ndi matenda ashuga sizothandiza kwenikweni.

Zachidziwikire, kuti athe kuyendetsa bwino chakudya chamafuta, mafuta, mapuloteni komanso njira zina za metabolic mthupi, ndikofunikira kudziwa ndikugwiritsa ntchito, kuphatikiza pakupuma movutikira ndikukoka kudzilimbitsa nokha, njira zina zonse zachilengedwe zodzipangira nokha. Izi zimaphatikizapo, makamaka: kupumula kwa usiku wachilengedwe, kudya kwachilengedwe, kusala kwachilengedwe, kuyenda kwachilengedwe. Kugwiritsa ntchito kwawo kovuta komwe kumakupatsani mwayi wokhazikika wodwala wamagazi. Mwatsatanetsatane wazomwe izi zimayenera kuchitikira, ndimayankhula m'buku langa.

Kupezeka kwa njira zachilengedwe zachilengedwe kwa nthawi yoyamba kunaloleza kulumikizidwa kwakuya mozama komanso mozama molondola pazomwe zimachitika mu thupi la wodwalayo. Zambiri zomwe sizidziwika bwino komanso zosamveka kwa madokotala ndizomveka ngati titaganizira zomwe zimapangitsa odwala kuperewera kwa oxygen. Mwachitsanzo, kupezeka kwa chodabwitsa cha "kukana" kwamaselo kupita ku insulin, pomwe maselo "amakana" kutenga shuga m'magazi, chifukwa cha kusowa kwa mpweya. Ichi ndichifukwa chake ndimakhazikitsa lingaliro lokhudza kuthekera kwa kuchira kwenikweni kwa matenda osokoneza bongo komanso zifukwa zakulephera kwa madotolo munjira yosavuta komanso yosavuta kuti aliyense amvetse. Poyamba, posonyeza kuti pokhapokha podziwa komanso kugwiritsa ntchito kupuma movutikira, tidzipumitseni tokha komanso njira zina zochiritsira zachilengedwe, zomwe mankhwala amakono samadziwa, angathe kuchita bwino.

Kachiwiri, ndikutsatira madotolo, ndimatsatira njira zonse zowunikira zomwe zimapangitsa kulephera kwa chakudya chamafuta omwe amapereka, ndikuwonetsa pamalingaliro atsopano, kuwonetsa komwe kulakwitsa kapena ngakhale cholakwika chimapangidwa chomwe sichimalola kuti anthu adziwe zoyenera.

Ndipo ndikufuna kupatsa owerenga onse upangiri wotere. Kumbukirani, mankhwala samathandizidwa. Thupi lokha limachiritsa matenda onse komanso m'njira imodzi yokha - popereka chakudya chofunikira kwa ziwalo zonse, minofu, thupi. Chifukwa chake chifukwa chake insulin, kapena mankhwala ena, kapena kudya sikungathe kuchiza matenda ashuga. Mutha kuchita izi nokha, pogwiritsa ntchito njira zachilengedwe zomwe timatipatsa ndi chilengedwe.

Inenso sindine dokotala, ndakhala ndikuchita zanyumba moyo wanga wonse. Chifukwa chake, chidwi chachikulu cha owerenga ndikufunsa momwe ndidakwanitsira kupeza njira zochizira matenda ashuga. Ndiyesera tsopano mwatsatanetsatane kuti mulankhule zodabwitsa izi.

Tsopano ndili ndi zaka 74. Kwa zaka 33 zapitazi ndakhala sindikugwiritsa ntchito mankhwala. Ndikufuna kutsindika: zochokera ku zitsamba, kapena ku chemistry. Kuphatikiza apo, sindimamwa mankhwala ena alionse okhudzana ndi zakudya komanso mankhwalawa odabwitsa.

Zotsatira za moyo wopanda mankhwala ngati izi zimadzilankhulira zokha.

Ndili ndi zaka 40, madokotala anapeza "maluwa" enieni a matenda osiyanasiyana: matenda ashuga, ischemia, matenda oopsa, matenda oopsa, a mtima. Nthawi yomweyo, ndizosangalatsa kudziwa kuti "maluwa" awa adawonekera patatha zaka makumi atatu ndidatsata mosamalitsa malangizo onse azachipatala a moyo wathanzi (masewera olimbitsa thupi, kudya mokwanira, kupuma tsiku lililonse). Atadwala, adamwa mankhwala onse ofunikira.

Poyamba, zinkawoneka kuti, ndikatsatira malangizo onse a akatswiri, ndikakhala wathanzi kwa nthawi yayitali. Ndinadabwa kuti, zonse zidatengera njira ina mozungulira: malangizo a madotolo mosamala kwambiri, momwe ndimamwa mankhwalawo, umakulirakulira mpaka ndidadziwitsidwa kuti ndili ndi matenda ashuga ndipo palibenso chiyembekezo chodzapulumutsidwa popeza matendawa sanadwalike.

Panthawi yovuta kwambiri ino, ndiyenera kuganizira zoyenera kuchita. Zoyembekezerazi zinali zowopsa. Kupitilira apo, monga momwe madotolo adafotokozera mosapita m'mbali, kuwonongeka kokha ndi kotheka, ndipo momwe mungasankhire - kutaya kwamaso, kudula kwamiyendo, matenda a ziwalo zamkati, etc.

Kwa ine izi zinali mtundu wazopezedwa - kwa nthawi yoyamba ndinazindikira kuti madotolo anali opanda mphamvu, thandizo lawo komanso kulephera kwawo kuthandiza odwala. Zinaonekeratu kuti ngati zinthu zili choncho, kukhalabe m'manja mwa ogwira ntchito zamankhwala monga kale - zidzakupweteketsani mtsogolo mwa kulumala mosalephera. Panali njira imodzi yotulukirapo – yesani kupeza njira yakuchira nokha.

Zinali zomaliza komaliza, zomwe zikutanthauza kuti moyo wanga usintha, pomwe ndidachiritsidwa ku mtima wa sanatorium ku Repino (Januware 1978). Chithandizo mu sanatorium, pomwe ndidatsirizika ndikumunyengerera, ndidawonetseranso momwe operewera komanso osakwanira omwe madokotala amafunira kuti athetse mavuto aliwonse azaumoyo anali kudzera mwa mankhwala. Anandipatsa mapiritsi ambiri osiyanasiyana, omwe ndimayenera kuwamwa ndikuwonongeka kwina m'thupi. Inde, panali zotheka, koma kwakanthawi. Mankhwalawa atangomaliza, mavuto onse adayambanso - komanso mwamawonekedwe owopsa kwambiri.

Nditawona izi tsiku ndi tsiku, ndidazindikira kuti: mankhwala samachiza chilichonse, amangoyendetsa matenda athu mkati. Chifukwa chake thupi limachiritsa matenda onse. Koma kodi amachita bwanji?

Pang'onopang'ono lingaliro langa linayamba kugwira ntchito mbali iyi: mwina chilengedwe chomwe, pakubadwa kwa munthu, chimagona mthupi lake njira zina zaumoyo. Tikaphunzira njirazi ndi kuphunzira momwe tingazigwiritsire ntchito, pamenepo tidzathetsa mavuto awiri omwe amayanjana:

1) tikana mankhwala - chifukwa chosagwira ntchito ndi kuvulaza (choyambirira, umagwirira),

2) Ifenso tidzaonetsetsa kuti thanzi lathu lili ndi zofunikira zonse zopezeka mthupi lathu.

Ntchito yomwe idakhazikika m'mutu mwanga idawoneka ngati yondiyesa, ndidatcha "Kupulumutsa munthu ku mankhwala osokoneza bongo omwe amawononga thanzi lake ndi moyo wake." Chifukwa chake, nthawi yomweyo ndidayamba kutsatira.

Pofunafuna njira zachilengedwe zathanzi, ndaganiza zoyamba ndi "abale athu ochepera" ochokera kuzinyama. Kupatula apo, onse amakhala kunyumba, ndipo makamaka kuthengo, kwazaka zambiri iwo eni amakhalanso athanzi popanda mankhwala. Mwachilengedwe, ndinali ndi chiyembekezo chodzazunguza china kuchokera kwa iwo, kenako ndikuyesera kuzigwiritsa ntchito ndekha.

Komabe, ngakhale nditayang'ana motani, sindinapeze chilichonse. Kuyang'ana mtsogolo, ndikufuna kunena kuti machitidwe onse achilengedwe aumoyo wa anthu ndi nyama ndi ofanana. Koma zinaonekeratu kuti nditadzipeza ndekha maukadaulo awa.

Nthawi inadutsa, ndipo ntchito yomwe ndimayikiratu mokulira inkawoneka ngati yosatheka komanso yosangalatsa. Mafunso adadzuka: bwanji ngati kulibe njira zachilengedwe zachilengedwe zonse ndipo kusaka kwanga kulibe ntchito? Kodi izi, zomwe ndi nthano zambiri, zopeka zaumoyo zimawoneka bwanji ndipo zikufanana ndi chiyani? Kodi sichikuwoneka ngati nthano kuti: "pita kumeneko, sindikudziwa kuti, ndikabweretsa, sindikudziwa chiyani"?

Komabe, ine ndinali ndi mwayi. Patatha mwezi ndi theka nditabwerako ku sanatorium, potsiriza ndidakwanitsa kutsegula koyamba ndipo, monga momwe zidakhalira pambuyo pake, njira yofunika kwambiri yaumoyo yomwe timapatsidwa mwachilengedwe - kupuma. Popeza owerenga amakonda kudziwa momwe izi zapezekera, ndikukuwuzani zambiri za izi.

Ngati thanzi langa likuwoneka kuti likhala bwino mu sanatorium ndikumamwa pafupipafupi mankhwala ndi njira zambiri, ndiye kuti ndibwerera kunyumba mwachangu kunayambanso kuwonongeka. Kufooka kwamphamvu kwambiri komwe kumawonekera kunali kovulaza kwambiri (ndizofala kwa odwala matenda ashuga). M'mawa, kumvako kunali ngati kuti sindikugona konse, ndikugwira ntchito usiku wonse: kupuntha, ndanyamula ngolo. Mthupi lonse panali kutopa "kopitilira zaka", kunali kovuta osati kungotuluka, komanso ngakhale kuyenda mozungulira chipindacho, ndimatha kukhala kwa maola angapo osadzuka.

Ndidadandaula zofanana ndi zomwe adotolo anga adachita, poyankha ndidamva: imwani mankhwala onse omwe mumalandira, ndikuwonjezeranso aspirin ("piritsi limodzi usiku, komanso moyo wanga wonse"). Ndipo ngakhale abale anga anakana nthawi yomweyo ("uli ndi zaka 40 zokha, wadzipha wekha ndi chemistry"), ndidaganiza zokhulupirira dotolo komaliza ndipo moona mtima ndidatenga aspirin kwa mwezi umodzi.

Koma popeza matendawo adakulirakulira, ndidapitanso kwa adotolo kuti ndikawafotokozere nthawi yomwe amamwa mankhwalawo, kuti ndidziwe ngati ndamva bwino. Ndipo pamene adotolo adatsimikizira zomwe adanenapo kale ("tengani aspirin moyo wanga wonse"), ndikutsindika kuti iyi ndi njira yofatsa kwambiri ("Amereka amamwa mapiritsi awiri patsiku, m'mawa ndi madzulo"), ndinabwera kunyumba ndipo anaponya mapiritsi onse mu urn.

Koma chochita kenako? Kupatula apo, sindinapeze njira zina zachilengedwe zothandizira, thanzi langa likuipiraipira. Ndipo kenako ndidasankha kuyambiranso masewera olimbitsa thupi.

Ndiyenera kunena kuti mu salatorium madotolo adandiletsa kuti ndisamachite masewera olimbitsa thupi m'mawa ("mtima wofooka kwambiri, sindingathe kupirira"), komanso ngakhale kuyenda mwachangu. Malinga ndi lingaliro la adotolo wopita, ndimatha kuyenda pang'onopang'ono panjira yomwe yandisonyeza paki ya sanatorium. Pobwerera kunyumba, sindinayerekeze kuphwanya lamulo ili.

Chifukwa chake, Marichi 18, 1978 ndilo tsiku lotsegulira mpweya wopumula. Ndiye kwa nthawi yoyamba m'miyezi yambiri, ndidasankhanso kuyesera kuchita masewera olimbitsa thupi komanso. sakanakhoza! Nditagona, thupi linali lofooka kwambiri kwakuti sindinathe ngakhale kukweza manja anga ndikamachita masewera olimbitsa thupi (manja adadzazidwa ndi zolemetsa zabwino, amakhala ngati ma pood).Izi sizinachitikepo kwa ine kale.

Pokhala okhumudwa komanso kutaya mtima kwathunthu, ndidakakamizidwa kuti ndikhale pampando wapafupi ndipo ndidatsala pang'ono kulira. Koma chodabwitsa: kunalibe misozi nthawi yomweyo, koma kutulutsa mpweya pakamwa kotalikirapo ndi pakamwa kumapita, monga kulira. Kupuma kumeneku kunatenga mphindi ziwiri ziwiri, kenako kuyimilira, koma nthawi yomweyo ndinamva kuti ndikhala bwino.

Kusintha kumeneku ndidakumana nako ndi kupuma komwe kumakumbutsidwa, ndikumakumbukira kulira. Mafunso ambiri adadutsa m'maganizo mwanga: Kodi ndimtundu wanji wa kupulumutsa uwu? Kodi zinatheka bwanji? Kodi zidasowa bwanji mwadzidzidzi? Ndipo nchiyani chomwe chikufunika kuchitidwa kuti chiziwonekeranso?

Kenako ndinadzuka ndikuyesanso kuchita masewera ena olimbitsa thupi, kwinaku ndikuyang'anira momwe ndimapumira. Nditasuntha kangapo, ndinamva ngati kupuma kofanananso. Ichi chidakhala chizindikiro kuti ndikhala pansi ndikapumira "ndikutulutsa mpweya pakamwa panga. Moyo wanga wayambanso kuyenda bwino. Ndipo nditamaliza kuchita masewera olimbitsa thupi kwathunthu, thupi langa lidasinthidwa mozizwitsa, limawoneka wokondwa, mphamvu, kusangalala komanso ndinkafuna kuthamanga. Ndipo ndidatenga mwayi: ngakhale zidali zoletsedwa ndi madotolo komanso chenjezo loteteza mtima wanga wofooka ku zovuta zilizonse, ndidapita panja ndipo mosangalala kwambiri ndidathamanga pafupifupi mita zana njira imodzi, kenako ndidathamanga mtunda womwewo kubwerera kwawo. Mtima wanga unagwira ntchito bwino, ndinamva bwino, ndinali kumwamba ndikukhala ndi chisangalalo.

Tsopano tsiku lililonse m'mawa ndinayamba kuchita zambiri kuposa kungolimbitsa thupi - ndimachita masewera olimbitsa thupi limodzi ndi kupuma komwe kumawoneka nthawi yomweyo (madokotala pambuyo pake adadzitcha kuti "kupumula"). Ndipo tsiku lililonse thupi limayenda bwino. Patatha mwezi umodzi, matenda anga onse komanso mavuto onse azaumoyo anatha popanda chododometsa, zonse zinayamba kuyenda bwino, ndipo ndinakhalanso munthu wathanzi. Ndipo kuyambira pamenepo sindinatenge mankhwala aliwonse kwa zaka 30.

Anapumira modabwitsa kwa madotolo angapo. Amati awona mpweya wotere kwa nthawi yoyamba. Kudziwana ndi mabuku apadera kunatsimikizira kuti mpweya uwu sukudziwika padziko lapansi. Chifukwa chake, zopezedwa zidapangidwadi. Kwazaka makumi atatu zapitazi, anthu masauzande ambiri achira mothandizidwa ndi kupuma movutikira, kuphatikizapo kuthandizidwa ndi madotolo ambiri pomwe mankhwalawo adalibe mphamvu.

Kutsatira kupuma kosaneneka, njira zina zachilengedwe zachilengedwe zinapezeka pang'onopang'ono - kudzipangitsa kudzilimbitsa, kupumula usiku wachilengedwe. Zachilengedwe sizinatero mwachangu, koma pang'onopang'ono, pang'onopang'ono, ndikutsegulira zitseko mosungiramo zinsinsi zake, zomwe kwa nthawi yayitali zinali zobisika kwa anthu.

Koma kamodzi, kale kwambiri, kumayambiriro kwa kukhalapo kwake, anthu oyamba, pokhala gawo losawoneka bwino la dziko lozungulira iwo, okhala bwino ndi dziko lapansi machitidwe onse achilengedwe abwinobwino. Komabe, ndi chitukuko cha chitukuko, adasunthira kutali ndikuyenda kutali ndi chilengedwe mpaka atataya kulumikizana kumeneku, sanataye luso lawo ndi chidziwitso, chomwe chinasanduka chinsinsi chobisika ndi chilengedwe.

Ndipo tsopano mphamvu zamphamvu izi, zobisika kwa zaka zambiri komanso zaka zikwizikwi kuchokera kwa munthu, zikubwereranso kwa anthu onse, kuwabweretsa chisangalalo cha thanzi komanso moyo wautali wachimwemwe.

Ili ndi phunzilo labwino kwa tonsefe, okhala Padziko Lapansi: simungathe kusamalidwa ndikunyalanyazidwa ndi chilengedwe chomwe chatizungulira. Kupatula apo, pali zinsinsi zazikuluzikulu zosazindikirika zomwe zabisika mmenemo. Chifukwa chake, chilengedwe sichiyenera kungokondedwa ndi kutetezedwa, choyamba ziyenera kuphunzitsidwa nthawi zonse. Pokhapokha ndi pomwe adzatsegule mokwanira pamaso pa anthu omwe ali osawerengeka komanso zinsinsi zake zomwe sizikudziwika, kuphatikiza - izi siziphatikizidwa konse - chinsinsi cha unyamata ndi moyo wamuyaya.

Amadziwika kuti lembalo limakamba za anthu omwe akhala, malinga ndi chikhalidwe, zaka 500-600. Palibe chovuta kunena kuti ngati panali a zaka zana limodzi, ndiye iwo akudziwa malamulo a chilengedwe ndikumawatsatira. Pankhaniyi, zikuwonekeratu kuti kusaka kwanjira iyi, komwe kumachitika akatswiri kuchokera ku zamankhwala (ndikutanthauza kupanga kwa mankhwala ozizwitsa, komanso kusintha kwa ziwalo zamunthu zomwe zimapangitsa munthu kukhala loboti), ndizopanda tanthauzo komanso zopanda chitetezo. Mankhwalawo pawokha amatsutsana kwathunthu ndi malamulo achilengedwe. Kupatula apo, chilengedwe, polenga munthu, chidampatsa chilichonse chofunikira kwa moyo wautali komanso wathanzi ndipo sanadalire mankhwala, makamaka pa chemistry yamakono.

Njira yokhayo yoona ndikudziwa malamulo a chilengedwe omwe sitikudziwa. Pokhapokha, zinsinsi zonse zaumoyo, unyamata komanso moyo wautali popanda mankhwala zidzaululidwa kwa ife.

Woganiza wamkulu wa Old World Hippocrates adati: "Nzeru ndikudziwa zonse zomwe zidapangidwa ndi chilengedwe." Mawu awa a asayansi otchuka akadali othandizabe mpaka pano.

Mutu 1. Chinsinsi choulula chinsinsi cha matenda osakhudzana ndi shuga omwe amadalira insulin - pakupuma

Kuyesa kwa madokotala pochiza matenda ashuga nthawi zonse kumalephera. Chifukwa chake, matendawa amayesedwa osachiritsika. Chomwe chimapangitsa kulephera kwa mankhwala achikhalidwe ndikusazindikira kuti gwero lalikulu la matendawa ndi kupuma kosayenera.

Kwa nthawi yoyamba, mwayi womvetsetsa izi udadziwonetsa pakubwera kwa mankhwala achilengedwe, ndipo koposa zonse, ndikutseguka kwa kupuma kopumira. Zinadziwika kuti anthu ena amapuma molondola, pomwe ena - olakwika. Kukhalapo kwa mitundu yosiyanasiyana ya kupumira kumatsimikiziridwa ndi mphamvu ya minofu yam'mapapu: minofu yofowoka imazindikira kupezeka kwa kupuma kosayenera (pomwe kupumira kumakhala kufupikirako kuposa kudzoza), ndipo olimba ndi omwe amafufuza kupuma kolondola (pomwe kupumira kumakhala kutalitali kuposa kudzoza). Ngakhale kusiyana kwa kutalika kwa nthawi yolondola komanso yolakwika ya mpweya kumakhala kochepa kwambiri (mpaka masekondi 0,1-0.2) komanso pafupifupi kuwoneka kwathunthu pakaonerereka, koma ndizokwanira kuti pakukonzedwa kwakukulu kwa chiyerekezo cha kaboni dayokisaidi ndi oxygen m'dongosolo. Kuchuluka kwa mpweya kwa nthawi yayitali kumapangitsa kuti mpweya wabwino usinthane ndi nthawi yayitali kwambiri kuposa mpweya.

Ndilo kusinthana kwa mpweya kwamtunduwu kumene kumapangitsa kuti ma molekyulu athane ndi okosijeni omwe amakhala ndi hemoglobin, yomwe imanyamula oxygen ku ziwalo zonse ndi minofu. Kulikonse komwe hemoglobin imabweretsa okosijeni, ziwalo zonse ndi minofu popanda zovuta zimalandira molingana ndi zosowa zawo, zomwe zimapangitsa kuti pakhale kuchuluka kwa shuga, mafuta, mapuloteni komanso michere ina. Poterepa, mulingo woyenera wa njira zonse za metabolic mthupi, thanzi la membala aliyense, ndi ziwalo zonse kwathunthu zimatsimikizika.

Komabe, njira ina imatha kupezeka mwa kupuma kosayenera ndi kusinthana kwa mpweya kosayenera m'madongosolo oyenda. Mwanjira imeneyi, mamolekyulu a okosijeni amalumikizidwa kwambiri ndi hemoglobin ndipo, ngakhale pali mpweya wambiri m'magazi, ziwalo zonse ndi minofu zimakumana ndi vuto la mpweya. Popanda kulandira mpweya, sangatenge shuga ndi mafuta omwe amafunikira m'magazi awo. Izi zimachitika pawiri: mbali imodzi, osalandira zakudya, ziwalo zimadwala, ndipo minyewa imachepetsa thupi, mbali inayi, shuga ndi mafuta zimayima m'magazi, kuphatikiza kwawo kumadzuka kwambiri pamwamba pazovomerezeka.