Wort wa St. John wa matenda ashuga
Kwa zaka zambiri osalimbana ndi ma DIABETES?
Mutu wa Bungwe: “Mudzadabwitsidwa kuti kumakhala kovuta motani kuchiritsa matenda a shuga tsiku lililonse.
Kupewa kwa zovuta zomwe zimakhudzana ndi matenda osokoneza bongo, monga, mwachitsanzo, kuchepetsa mawonekedwe amawonedwe ndi masisitimu amanjenje, kusokonezeka kwa dongosolo loyipa ndi zolakwika zamtima wamtima ndi ntchito yayikulu yothandizira mankhwalawa.
Kumwera kapu imodzi ya tiyi wa chamomile patsiku panthawi ya chakudya kumatha kusintha magwiridwe antchito ndi ziwalo zawo.
Chamomile ndi chomera chachipatala ndipo kugwiritsa ntchito kwake pothandizira matenda a shuga kuyenera kuvomerezana ndi dokotala.
Zitsamba zochiritsira zomwe zimagwiritsidwa ntchito pa matenda ashuga sizinthu zobwezeretseka kapena njira zina zochiritsira ndi mankhwala omwe adokotala adawalimbikitsa.
Kugwiritsa ntchito zitsamba pochiza matenda kumatha kusintha mkhalidwe wa munthu yemwe ali ndi matenda a shuga a 2. Kugwiritsidwa ntchito kwa chamomile pochita mankhwalawa kumathandiza kwambiri m'magulu a shuga a plasma.
Kugwiritsidwa ntchito kwa chamomile sikungoyang'anira bwino thanzi, komanso kungakhale njira yabwino yopeweretsera matenda ngati munthu ali ndi vuto la matenda ashuga.
Kugwiritsa ntchito tiyi wazitsamba pochiza matenda a shuga kwachitika kwazaka zambiri. Matendawa omwe amagwiritsidwa ntchito mu shuga mellitus samachiritsa matendawa, koma amakhala ndi phindu pa machitidwe onse amthupi. Kugwiritsa ntchito mankhwala azitsamba kumawongolera njira za metabolic, ndipo matenda a shuga ndi matenda omwe amayamba chifukwa cha zovuta za metabolic.
Kuphatikiza pa tiyi wa chamomile, mutha kugwiritsanso ntchito wort wa St. Wort wa St. John ndi mtundu wa herbaceous womwe umagwiritsidwa ntchito pokonza mankhwala ambiri.
Zomwe zimakonzedwa pamaziko a wort wa St. John, zimathandizira kuchiritsa mabala ndi zilonda zam'mimba, kuthetsa zipsera zam'mitsempha yamtima. Wort wa St. John ali ndi zinthu zotsutsa-kutupa ndi he hentaticatic katundu.
Wort wa St. John mu kapangidwe kake kamakhala ndi mitundu yambiri yazinthu zopanga. Musanagwiritse ntchito wort wa St. John pothandiza matenda ashuga, muyenera kufunsa dokotala.
Zothandiza zimatha tiyi wa chamomile
Chamomile mu kapangidwe kake kamakhala ndi mitundu yambiri yamankhwala othandiza omwe angathandize kuthana ndi mavuto azaumoyo omwe awonekera mthupi la wodwala yemwe ali ndi matenda ashuga.
Zothandiza zopindulitsa za chamomile ndizotsutsa-kutupa komanso antimicrobial.
Makhalidwewa amatsimikiziridwa ndi kupezeka kwa ascorbic ndi salicylic acid ku chamomile.
Kuphatikiza pa mawonekedwe omwe ali ndi chamomile, mawonekedwe awa ndi achilengedwe:
Kuphatikizika kwa chamomile kumaphatikizapo flavonoids, yaying'ono ndi macrocell. Mu chamomile zochuluka zimakhala ndi:
- potaziyamu
- zinc
- calcium
- chitsulo
- magnesium
- mkuwa ndi manganese.
Tiyi ya Chamomile imalimbikitsa anthu omwe ali ndi matenda ashuga a 2. Chamomile wa shuga amatha kugwiritsidwa ntchito ngati othandizira mkati ndi kunja.
Makhalidwe odana ndi kutupa komanso antibacterial a tiyi a chamomile amathandizira kuchiritsa kwa mabala ndi zilonda zam'mimba mukamagwiritsa ntchito tiyi wa chamomile ngati compress.
Tiyi yopangidwa kuchokera ku chamomile imathandizira kusintha kwa magazi ndipo imachepetsa magazi.
Tiyi wa Chamomile amatha kuchepetsa nseru komanso amachepetsa ululu wam'mimba womwe umachitika ngati njira yothandizira kumwa mankhwala omwe amagwiritsidwa ntchito pochiza matenda ashuga.
Tiyi wa Chamomile amathandizira kukonza chimbudzi ndikutsitsimutsa minofu yamatumbo, amachepetsa mapangidwe a gasi ndi flatulence.
Chamomile ndi gawo limodzi la kukonzekera kwazitsamba komwe kumapangidwira kusintha kwa thupi ndikutchingira matenda ashuga pamaso pa zinthu zomwe zimayambitsa matenda mwa anthu.
Chodziwika kwambiri komanso chotchuka ndicho gulu lazitsamba za arfazetin.
Zomwe zimapangidwira pamsonkhanowu monga chimodzi mwazinthuzi zimaphatikizapo maluwa a chamomile ndi udzu wa St. Kuchuluka kwa zinthuzi ndi 5-10% ya kuchuluka kwa zosakaniza.
Kulowetsedwa koonekera glycemic zotsatira zakonzedwa kuchokera pagululo.
Zopeza zomwe zimatchedwa Arfazetin ndi mankhwala olembetsedwa; kukhazikitsidwa kwake kumachitika kudzera pa intaneti.
Kupanga tiyi wa chamomile
Kupanga maluwa a chamomile mu mawonekedwe a tiyi, muyenera kutenga supuni imodzi yamaluwa ndi kutsanulira kapu yamadzi otentha. Tiyi yotere imathandiza kubwezeretsa chitetezo chamthupi, chomwe chimafooketsedwa ndi zochitika zovuta. Tiyi ya Chamomile imatha kupangidwa ndi caraway ndi timbewu, kapena zojambula ndi calendula.
Mukamakonzekera tiyi wa chamomile ndi nthangala za caraway ndi timbewu, mulingo pakati pazigawo zikhale 0.5: 0,5: 1, motsatana. Pankhani yokonza tiyi wokhala ndi maluwa a chamomile, caraway ndi calendula, mulingo pakati pazigawo ziyenera kukhala motere: 0.5: 1: 1, motsatana.
Pokonzekera ndi tiyi wa chamomile, mutha kugwiritsa ntchito shuga, uchi ndi zonona.
Kulandila tiyi wa chamomile musanagone kumathandizira kuti munthu akhale ndi matenda abwinobwino, wodekha komanso wodekha.
Contraindication pa ntchito chamomile tiyi
Kugwiritsa ntchito mankhwala azomera sikuyenera kuonedwa ngati cholowa m'malo mwa mankhwalawa. Ndi chisamaliro chapadera, chamomile iyenera kugwiritsidwa ntchito ngati munthu sagwirizana ndi matenda ashuga pazinthu zomwe zimapanga tiyi wa chamomile.
Simuyenera kumwa nthawi yomweyo kuchuluka kwathunthu kwa mankhwala omwe amakonzedwa pamaziko a chamomile. Pa gawo loyambirira la mankhwalawa, mankhwalawa amayenera kugwiritsidwa ntchito pamiyeso yaying'ono komanso kwa masiku 24 kuti muwone zomwe wodwalayo akuchita.
Popanda kuyanjana, mlingo wa mankhwalawa ungachulukane pang'onopang'ono, ndikupangitsa kuti pakhale zofunikira. Mukasintha mlingo wa mankhwalawa womwe umachokera ku chamomile mpaka kuchuluka kofunikira, mankhwalawa amayenera kutengedwa mwadongosolo.
Tiyenera kukumbukira kuti kugwiritsa ntchito njira zamtundu uliwonse wa mbewu sikungathandize kuchiritsa matenda a shuga 1, chifukwa mtundu uwu wamatenda umalumikizidwa ndikuwonongeka kwa maselo a beta. Chithandizo cha matenda amtunduwu a shuga ndizotheka ndi insulin.
Tiyi wa Chamomile ali ndi katundu wambiri wa anticoagulant, motero sikulimbikitsidwa kugwiritsa ntchito mankhwalawa kwa odwala omwe ali ndi mtundu wa 2 matenda a shuga komanso kukhala ndi magazi oopsa.
Musanagwiritse ntchito mankhwala azitsamba, muyenera kufunsa kaye dokotala.
Chimodzi mwamaubwino akuluakulu ogwiritsira ntchito chamomile kuwonjezera pakuwoneka bwino ndikupezeka kwake. Chamomile, chifukwa cha mankhwala ake ambiri, ndi gawo limodzi lokonzekera zambiri zazitsamba, kuchokera pomwe tiyi ndi kulowetsedwa zakonzedwa. Ngati ndi kotheka, chamomile chotsuka ndichosavuta kugula ku pharmacy iliyonse.
Ponseponse, mankhwala azitsamba a matenda a shuga a 2 ndiwothandiza m'njira yoyenera yomwe ingathandize wodwalayo kuchepetsa shuga la magazi popanda kumwa mankhwala.
Mu kanema mu nkhaniyi, Elena Malysheva amalankhula za zabwino za tiyi wa chamomile.
Kodi kuopsa kwa kuyabwa ndi matenda ashuga ndi chiyani komanso momwe mungachitire
Matenda a shuga amatanthauza matenda omwe amayamba chifukwa cha zotupa za endocrine. Awa ndi matenda opatsika kwambiri, omwe nthawi zambiri amadziwika mwangozi, pamayeso azachipatala. Zotsatira za matenda ashuga okalamba ndizovuta kwambiri: kuchokera pakuwonongeka kwathunthu kwamaso ndikudulidwa kwamiyendo chifukwa cha gangren.
Amayi amadwala matenda a shuga nthawi zambiri kuposa abambo. Nthawi zambiri, anthu odwala matenda ashuga amakumana ndi kuyabwa kwakanthawi kwa khungu. Tiphunzira mwatsatanetsatane zomwe pruritus mwa amayi omwe ali ndi matenda ashuga ikugwirizana komanso momwe angathanirane nayo.
Choyambitsa kuyabwa mu shuga
Chifukwa chiyani thupi limayimba ndi matenda ashuga? Nthawi zambiri, kuyeretsa kwamunthu kumachitika kudzera mu ziwalo zamkati: impso, chiwindi. Chiwindi sichimangoletsa poizoni chilichonse, komanso chiwongolero cha shuga m'magazi.
Ngati shuga amapangidwa mopitirira muyeso, ndiye kuti shuga wowonjezera amalira m'chiwindi. Mwanjira imeneyi mphamvu zamagetsi zimasungidwa. Ngati mulibe shuga wokwanira m'magazi, ndiye kuti shuga amapezeka m'chiwindi ndikupatsidwa magazi. Popeza glucose m'thupi amapangidwa mopitirira muyeso chifukwa cha matenda ashuga, zosefera za thupi zimakhudzidwa, zomwe zimayambitsa kusalinganika mthupi lonse.
Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.
Mwazi wamagazi osagwiritsika ntchito umaperekanso khungu pakhungu. Nthawi zambiri, bowa amakhala pansi pakhungu mwa odwala, zomwe zimayambitsa candidiasis. Nthawi zina, khungu limakhudza kuwonjezeka kwa shuga ndi neurodermatitis, eczema, kapena mawonekedwe ena a pakhungu.
Ichi ndichifukwa chake kuyabwa ndi matenda ashuga mwa amuna ndi akazi kumatanthauza chimodzi mwa mawonekedwe, limodzi ndi kumva kufooka, ludzu, kuchepa thupi mwadzidzidzi, kupweteka mutu komanso zina mwazizindikiro.
Zina za kuyabwa mwa azimayi omwe ali ndi matenda ashuga
Nthawi zambiri, kuyabwa pakhungu ndi matenda ashuga mwa akazi kumawonekera m'malo ovuta kufikako. Nthawi zambiri izi zimachitika m'deralo:
- Maondo oyendayenda (kuyambira ndi kupindika m'mimba ndi fungo losasangalatsa, ndikupanga kuyabwa ndi ululu),
- Crotch (makamaka ndi shuga mkodzo)
- Pakati pazala (zofanana ndi zipsera).
Sizokayikitsa kuti wina wa mtundu wachiwiri wa shuga sangathe kuwonetsa pakhungu. Mawonetsedwe awa amatha kuchitika kale mu boma la prediabetes. Kufunika kosalekeza kwa kuphatikiza kuyimitsidwa kwa khungu kumawonongeratu khungu, lomwe limagwira ngati chishango cha khungu, chomwe chimakhala chisonkhezero pakuwoneka kwa dermatitis yambiri kapena fungi. Izi zimachitika chifukwa cha kuwoneka kwa mabala ndi ming'alu mu khungu chifukwa cha kuphatikiza kwake. Kuwonjezeka kwa shuga kumachepetsa kuchiritsidwa kwa zotupa za khungu katatu, poyerekeza ndi kubwezeretsa kwa khungu mwa munthu wathanzi.
Mu matenda a shuga, mitundu ingapo ya kuyabwa kwa khungu imasiyanitsidwa:
- Matenda a shuga Xanthoma. Izi matenda amayamba chifukwa cha kuchuluka kwa triglycerides m'magazi. Nthawi yomweyo, zipilala zachikasu zoyenda zimawoneka pamphepete mwa m'munsi kapena m'munsi, kumaso kapena pachifuwa.
- Magulu a shuga Chizindikiro chofananacho chikuwonetsedwa ndi kutupa paminwe kapena zala zakumaso, zodzaza ndimadzi a pinki.
- Matenda a diabetes. Nthawi yomweyo, maonekedwe ofiira, ofotokozedwa momveka bwino komanso otuwa kwambiri amawonekera m'malo otseguka a thupi. Nthawi zambiri zimakhala pamaso, pakhosi kapena m'manja. Masamba samangoyatsa, komanso amathanso kuwotcha kapena kufinya. Nthawi zina mawanga amatha kuzimiririka okha patatha masiku 2-3.
- Black acanthosis. Chizindikirochi chimaphatikizidwa ndi kuwotcha kapena kuwotcha m'miyendo kapena pakhosi. Poterepa, mapepala ang'onoang'ono amapangidwa m'masamba a lesion.
- Matendawa Mwanjira iyi, ma vesicetical a utoto wofiirira kapena wa bulauni pafupifupi masentimita saizi amawonekera pa thupi. Popita nthawi, thovu ndizosinthidwa kukhala mawanga amibadwo.
- Scleroderma. Mawonekedwe awa amadziwika ndi bulges pakhungu, kumbuyo ndi khosi.
- Vitiligo. Zimachitika nthawi ya kuwonongeka kwa maselo omwe amachititsa kuti khungu lizipanga khungu. Pankhaniyi, mawanga oyera amawoneka pachifuwa, pamimba, ndipo nthawi zina - nkhope.
Kufalikira kwa kuyabwa mu shuga
Mankhwala azimayi omwe ali ndi matenda ashuga ndiwofala kwambiri. Pogwiritsa ntchito mafuta osokoneza bongo osokoneza bongo, khungu limayamba kuvutika. Zikatero, khungu limawuma ndipo limayamba kucheperachepera, limayamba kulocha. Ndipo pamphumi ndi zidendene za pakhungu zimakulitsidwa, zomwe zimatsogolera ku chimanga.
Mu matenda a shuga, khungu loyenda limatha kukhala paliponse pa thupi. Koma malo odziwika kwambiri a kuyaluka kwa shuga ndi awa ndi malo awa:
Ganizirani mawonekedwe a kuyimitsidwa m'malo osiyanasiyana mwatsatanetsatane.
Miyendo ndi amodzi mwa oyamba kuyankha kusintha kwa matenda ashuga. Nthawi yomweyo, nthaka yawo imakungika, kusungunuka komanso kuyabwa. Popita nthawi, madera oyandikira pakhungu amayamba kuyamwa: zala, mawondo, madera pafupi ndi ziwalo. Pambuyo kuphatikiza, khungu limasanduka lofiira.
Nthawi zambiri, odwala amawona kumverera kwa tizilombo touluka pansi pa khungu. Mawonetsedwe awa ali kale chizindikiro cha kufunikira kwa dokotala.
Kubala
Kuyabwa kumeneku nthawi zambiri kumafotokozedwa mwa akazi. Kuwonetsera kumeneku kumakulitsidwa makamaka chifukwa cholumikizana ndi khungu la mkodzo ndi shuga wambiri, chomwe ndichinthu chofunikira kwambiri pakuchulukitsa kwa ma virus. Pankhaniyi, kuwoneka kwa ma microcracks ndi kudziphatika kwa matenda ndizowopsa. Kuyabwa mu anus nthawi zambiri kumalumikizana ndi mtundu uwu wa kuyabwa.
Nthawi zambiri mwa amayi omwe ali ndi matenda ashuga, amadziwika a vaginitis kapena cystitis. Kuthamanga ndi kufupika kwa nyini mu shuga kumakhala cholepheretsa pakugonana. Kuyenda mu perineum ndi matenda a shuga kumayendera limodzi ndi redness. Nthawi zambiri mtundu uwu wa kuyimitsidwa umasokoneza kwambiri usiku, m'maloto. Chifukwa chake, ndikofunikira kugwiritsa ntchito mankhwala omwe amapewetsa kuyabwa kwamtundu wamkaka, ndikutsata ukhondo nthawi zonse mukapita kuchimbudzi.
Kulowa m'diso
Kuyamwa kwamtunduwu m'matenda a shuga kumayenderana ndi kuperewera kwa chinyezi. Izi zimachitika chifukwa cha kusokonekera kwa kagayidwe kachakudya ndi kayendedwe ka madzi ka diso. Kuphatikiza pa kuyabwa, kumva kuwotcha kumawonekeranso m'maso. Njira izi zimatha kukhudza bwino mawonekedwe.
Ubwino wa hypericum mu shuga
Mwayi wochiritsa wa wort wa St. John ndi wapadziko lonse lapansi. Mankhwala achikhalidwe, chomera chamtunduwu chakhala chikuti ndi njira zachilengedwe zothandizira matenda 99, ndipo matenda osokoneza bongo amaphatikizidwa pamndandanda wazovuta zambiri. Udzuwu umakhala ndi zinthu zofunikira kuti zithandizire kuphatikiza kwa insulin ya mahomoni ndi kapamba. Chifukwa cha thandizo ili, shuga amapezeka bwino ndi thupi ndipo samadziunjikira m'magazi.
Zithandizo zochizira za wort wa St. John zopangidwa chifukwa cha odwala omwe ali ndi matenda amtundu wa 2 amakhalanso chifukwa chakutha kukhudza bwino ma kagayidwe kazakudya. Mtengowo umasinthasintha chakudya, mafuta ndi mapuloteni, motero kuonetsetsa kuti mapuloteni azikhala okwanira - omwe amatenga nawo gawo lalikulu pokonza shuga ku glycogen. Wort ya St. Peter's wort imasintha shuga m'magazi a St. John liziwongolera magayidwe ena, zomwe ndikofunikira kuti magawo azikhala ndi michere yayikulu kwambiri, yomwe imathandiza kwambiri kuti minofu ndi ziwalo. Kukonzekera kwazitsamba ndi wort wa St. John kumayeretsa matendawa ndi poizoni, kulimbitsa makhoma amitsempha yamagazi, kusintha magazi.
Kukula kwa shuga m'magazi nthawi zambiri kumayambitsa kupsinjika, malingaliro ndi thupi. Wodwala matenda a St. Kuphatikiza apo, kupezeka kwa flavonoids, ascorbic acid ndi mavitamini mu chomeracho kumapangitsa chida chabwino kwambiri kukulitsa chitetezo chokwanira komanso kukonza bwino thanzi.
Momwe mungatengere wort wa St. John ndi matenda ashuga
Pharmacy yokhazikika yochokera ndi mapiritsi a hypericum amatenga mogwirizana ndi malangizo omwe aphatikizidwa ndi mankhwalawa. Ngati mukadakhala mwayi kuti mukhale mwini wa maluwa omwe adera, ayikeni mwamphamvu momwe angathere mumtsuko ndikuthira vodka pamwamba.Sungunulani zakumwa zoziziritsa kukhosi padzuwa kwa milungu iwiri, pomwe nthawi imeneyi imakhala ndi mtundu wabwino wa ruby ndikuthandizidwa ndi zinthu zonse zofunikira za wort wa St. Mlingo wa zakumwa zozizilitsidwa bwino ndi 20-30 kutsika katatu patsiku kwa theka la ola musanadye kapena mutatha kudya. Sungani tincture mufiriji mu chidebe chamdima chakuda.
Maluwa owuma ndi masamba amatha kugwiritsidwa ntchito kuti apange decoction. Mtundu wa mankhwalawa siothandiza, koma ndi otetezeka pagulu la anthu omwe ayenera kupewa zinthu zomwe zili ndi zakumwa zoledzeretsa.
Zosakaniza:
Momwe mungaphikireThirani gawo losemphana ndi chomera ndi madzi ndikukhala mumdima wamadzi kwa mphindi 10. Pambuyo yozizira, kupsyinjika.
Momwe mungagwiritsire ntchito: Imwani kapu ya ⅓ katatu tsiku lililonse musanadye. Kumbukirani kuti chakumwa chatsopano chokhacho chomwe chili ndi zothandiza, kuyembekezera dzulo kumawonjezera mwayi wamavuto.
Zotsatira: Msuzi wa Hypericum wokhala ndi matenda ashuga amakhala ndi hypoglycemic komanso wofatsa sedative.
Kutalika kwa maphunziro anu sayenera kupitirira masabata 6, pachaka amaloledwa kuchita ma regimens omwewo a 2-3.
Contraindication ndi zotheka kuvulaza
Chithandizo cha matenda ashuga omwe ali ndi mankhwala okhala ndi wort wa St. Udzuwo umasunthika ndikuthira mitsempha yamphamvu kwambiri, zomwe zimapangitsa kuti pakhale vuto lalikulu kwambiri. Zizindikiro zoyimitsidwa pakugwiritsidwa ntchito kwa wort kwa St. John ndi izi:
- mimba ndi mkaka wa m`mawere
- ana osakwana zaka 12,
- tsankho limodzi pakubzala,
- kuchuluka kwa khungu pakulowerera dzuwa,
- kwambiri, mawonekedwe otetemera a kukhumudwa.
Onetsetsani kuti mukumana ndi dokotala ngati mukumwa mankhwala oletsa kubereka, mankhwala opha tizilombo, mankhwala opha tizilombo, mankhwala osokoneza bongo, kapena mankhwala ena a pharmacological. Kunyalanyaza malangizo ndi kuchuluka kwa mankhwalawa kumadzaza ndi chifuwa, mavuto a chiwindi ndi chimbudzi, kuchepa kwamunthu wamwamuna ndi zam'mimba, kusokonezeka kwa mahomoni, kusokonezeka kwa m'maganizo, kuledzera kwa thupi.
Hypericum yokhala ndi matenda ashuga - ndemanga
Hypericum mu wowerengeka ndi mankhwala azikhalidwe amadziwika bwino ngati mankhwala achilengedwe othana ndi antidepressant. Zotsatira zake zabwino Zizindikiro za shuga, monga lamulo, zimawonedwa pamagawo oyamba a matendawa komanso ngati zovuta zamaganizidwe zimakhala provocateurs yapamwamba ya glycemia.
Zomwe zimachitika kuti St. John wa wort amachepetsa shuga m'magazi sizinachitike mwangozi. Adaganiza zothetsa udzuwo kusowa tulo komwe kumandidetsa nkhawa komanso misempha yosakhazikika, pomwe shuga adayambanso. Patatha sabata limodzi, ndinamva bwino pamakhalidwe komanso mthupi, zizindikiritso zomwe zinali pa mita nthawi zonse zikufanana ndi zomwe zinkachitika.
Valentina, wazaka 62
Ndadwala matenda ashuga a 2 kwa zaka 10. Wort wa St. John mu tincture ndimamwa kawiri pachaka, ndibwino kuwonjezera tirigu wa oat wosasamba, masamba a kiranberi ndi sitiroberi. Ndikumvetsetsa kuti ndizosatheka kuchiritsa zilonda izi, koma kumva bwino, ndipo mawonekedwe a wort a St.
Zofunika kukumbukira
- Wort wa St. John angagwiritsidwe ntchito pochiza matenda amtundu wa 2 shuga. Zomera zimathandizira kupanga insulin yachilengedwe komanso kusintha kwa glucose kukhala mphamvu yothandiza thupi.
- Wort ya St. John ikadzakhala mtundu wa thanzi lanu ndipo sizingakuvulazeni pokhapokha ngati zili zochepa, zimagwiritsidwa ntchito moyenera komanso zotsutsana zimayang'aniridwa.
- Polimbana ndi matendawa, kugwiritsa ntchito wort wa St. John sikugwiranso ntchito limodzi ndi mbewu zina zamankhwala othandizira.
Chonde thandizirani ntchitoyi - tiuzeni za ife
Matenda a shuga Itch
Ngakhale kuyabwa kosavuta pakhungu kumakhala kovuta kwambiri kwa wodwala. Nthawi zambiri, ogwira ntchito kuntchito kapena antchito amafotokozera kuti mantha awonjezeka komanso kusakwiya kwa munthu. Ndipo izi ndizosavuta kufotokoza, makamaka ngati kuyambitsa kumayenderana ndi kugona tulo kapena kumangokhala kuvutitsa. Ndikosatheka kunyalanyaza kuyimitsidwa khungu. Kuphatikiza pa moyo wotsika pang'ono, azimayi amatha kukumana ndi zovuta izi:
- Matenda apakati Kufooka pakhungu kusalimbikitsa mapangidwe a zilonda, zilonda kapena zilonda pakhungu lomwe lakhudzidwa.
- Kujowina candidiasis. Nthawi zambiri matenda oyamba ndi fungus amalowa limodzi ndi akazi okalamba. Zimakhala zofala kwambiri pamiluzi ya mucous kapena mu groin. Ndi candidiasis m'makola, kukokoloka ndi ming'alu kumaonekera kumbuyo kwa corneum yoyera. Khungu limatupa ndikusanduka red. Popita nthawi, kukokoloka kumafalikira ndikuphatikizana.
- Matenda a matenda ashuga. Kuzindikira koteroko kumachitika chifukwa cha kusayenda bwino kwamagazi kwathunthu ndi kuchepa kwamphamvu kwa khungu, zilonda zam'mimba zosachiritsika ndi eczema kumadera akumunsi. Koma munthu sangaseke ndi matenda oterewa, chifukwa kufalikira kwamatenda a anaerobic ndi phazi la matenda ashuga nthawi zambiri kumayambitsa kuzunza, kudula miyendo, ndipo nthawi zina ngakhale kufa.
Chithandizo cha Pruritus
Matenda a shuga ndi matenda oopsa omwe amayambanso kuyambiranso. Chifukwa chake, ndikofunikira kuchitira mawonekedwe ake alionse mogwirizana ndi adotolo. Ndipo kudzichiritsa kulikonse kungangoipitsa zinthu.
Kuti muchepetse kuyamwa mu shuga, ndikofunikira kusankha zinthu zomwe zimachepetsa shuga. Njira zazikulu zochizira pruritus mu shuga ndi:
- Zakudya
- Mankhwala othandizira kuchepetsa shuga,
- Kukonzekera kuchotsedwa kwa kuyabwa kwa khungu.
Zakudya za shuga
Mosasamala mtundu kapena mtundu wa shuga, chiletso chokhazikika pa maswiti, makeke, zipatso ndi masamba abwino ndizofunikira. Ndizovomerezeka kugwiritsa ntchito pang'ono marshmallows, marshmallows, uchi. Sipuni yoyera ya nzimbe ilowa m'malo mwa fructose woyenera wina. Chithandizo cha zakudya chimatha kuchepetsa shuga, zomwe zimachepetsa kuyimitsidwa kwa odwala matenda ashuga.
Mankhwala ochepetsa magazi
- Kukonzekera kutengera sulfonylurea mibadwo 1-2: Diabetes, Orabet, Gliclazide, Tolbutamide, etc.
- Insulin nthawi zambiri imalembedwa mtundu wa shuga 1. Pafupipafupi, amagwiritsidwa ntchito ngati matenda a shuga a 2. Dokotalayo amawerengera kuchuluka kwa insulin ndipo amalimbikitsa njira yoyendetsera.
Antipruritic mankhwala
Chithandizo chamtunduwu chimangopeza chithandizo chachikulu chofuna kutsitsa shuga. Chizindikiro chofanizira chotere chimaphatikizapo mahomoni (Dexamethasone, Betamethasone, Prednisolone) kapena antihistamines (Kestin, Erius, Suprastin), mafuta odzola, mafuta. Amasankhidwa payekhapayekha, poganizira kufalikira kwa kuyambitsa.
- Ndi kuyabwa kwambiri kwanuko kwa ma perineum kapena kumaliseche, mafuta odzola ndi mafuta omwe amachokera pa prednisolone amagwiritsidwa ntchito (Laticort, Lokoid),
- Mukamayala matenda oyamba ndi fungus, mafuta onunkhira monga Mikoseptin, Clotrimazole, Lamisil, Pimafucin (kuyabwa kwa perineum) ndi ena amagwiritsidwa ntchito,
- Mukalumikizana ndi neurodermatitis kapena matenda a pustular, mafuta opaka omwe amagwiritsidwa ntchito ngati antibayotiki amagwiritsidwa ntchito: Epidel, Skin-cap, Gistan (kwa malo apafupi), Triderm.
Chithandizo cha anthu
Njira zina za kuyimitsidwa kwa matenda ashuga zimaloledwa kokha ngati zovuta.
- Nthawi zambiri anthu amagwiritsa ntchito bafa kusamba kuyimitsidwanso ndi mitundu ingapo ya zitsamba. Nthawi zambiri, chifukwa chaichi, kulowetsedwa kwa mndandanda kumagwiritsidwa ntchito (kapu ya udzu kwa theka la lita imodzi ya madzi otentha imapanikizidwa kwa theka la ola ndikusefa). Kusamba tsiku lililonse ndi njira 10.
- Njira ina yothandizira yotsukira ma antipruritic osakaniza ndi zitsamba kuchokera ku calendula, chamomile, ndi sage. Galasi losonkhanitsa limathiridwa ndi theka la lita imodzi ya madzi otentha, ndikuthira ndi kusefedwa.
- Pakulumikizidwa kwanuko, ntchito yotsika chimanga imagwiritsidwa ntchito. Kuti izi zitheke, supuni yotsekemera imasakanizidwa ndi theka kapu ya madzi owiritsa. Ndi mankhwalawa, chopukutira chimanyowa, chomwe chimayikidwa pakhungu ndikutsala mpaka chopukutira chiuma.
- Zodzikongoletsera zazitsamba zothandizira pakamwa zimagwiritsidwanso ntchito. Izi zimaphatikizira kulowetsedwa kwa zipatso ndi masamba a mabulosi abulu, mandimu a mandimu kapena linden maluwa (supuni ziwiri za amodzi azitsamba zimathiridwa kwa ola limodzi mu thermos yodzaza ndi kapu yamadzi otentha). Amamwa mankhwalawa katatu patsiku kwa theka lagalasi kwa masabata awiri.
Kusamalira Thupi Lamatenda a shuga
Matenda a shuga ndi matenda osachiritsika ndipo sangathe kuchiritsidwa kwathunthu. Komabe, pali njira zomwe zingathandize kuti khungu lanu likhale ndi matenda ashuga mwatsatanetsatane, kupewa kupewa kuyabwa ndi zovuta zina. Malamulo oyambira awa ndi awa:
- Kugwiritsa ntchito masokosi apadera a matenda ashuga, nsapato zamadzimadzi ndi nsalu zopangidwa ndi zinthu zachilengedwe,
- Sopo ndi bwino kutenga zachilengedwe komanso zofewa:
- Kusamalira khungu kathanzi koyenera ndikofunikira: malo osamba ofunda kwa mphindi 15-20, kugwiritsa ntchito khunguli (mutha kumwa khofi woledzera), ndiye kirimu wopatsa thanzi (mutha kuwonjezera aloe, chamomile kapena calendula),
- Pambuyo pakusamba, ndikofunikira kunyowetsa khungu pakati pa zala, m'manja, m'makulidwe a inguinal, kukwaniritsa kuuma kwathunthu kwa khungu,
- Kugwiritsa ntchito lothira mafuta osamba mutatha kusamba ndikofunika kuteteza ku ming'alu ndi maceration,
- Zilonda zilizonse pakhungu la munthu wodwala matenda ashuga ziyenera kupendedwa ndikuthandizidwa mwachangu ndi njira zophera tizilombo.
Kuyamwa matenda ashuga mwa akazi kuli ponseponse. Mtundu uliwonse wamtunduwu uyenera kumuchenjeza wodwala ndikupanga iye kuti afunsane kwa endocrinologist kuti ichotse kuyamwa koyenera.
Matenda a shuga - zimayambitsa ndi kuchiza ndi wowerengeka azitsamba
Matenda a shuga ndi matenda osasangalatsa osapweteka omwe ali ndi zifukwa ziwiri. Matenda a shuga a Type 1, omwe amatchedwa kuti insulin, amadwala masiku ano. Mtundu wamatendawa, ma cell a beta omwe amapanga insulin sapezeka kwathunthu mthupi. Matenda a 2 a mtundu wa shuga amachitika chifukwa chakufooka kwa maselo a beta. Insulin imapangidwa, koma mosakwanira. Zakudya zamagulu komanso chithandizo chakanthawi Chithandizo cha matenda ashuga okhala ndi wowerengeka azitsamba zimatha kuchepetsa kuchuluka kwa shuga m'magazi, kuthana ndi zovuta zomwe zimayambitsa matendawa. Ganizirani njira zamtundu wa mankhwala zomwe zimagwiritsidwa ntchito pochiza matenda amtundu wa 2.
Mtundu wachiwiri wa matenda ashuga: zomwe zimayambitsa matendawa
Kukula kwa matenda a shuga a 2 amagwirizana ndi matenda amkati (chiwindi, kapamba). Matenda ambiri am'mimba amalumikizidwa ndi zizolowezi zoperewera:
- kugwiritsa ntchito zinthu zomwe zili ndi mankhwala ena owonjezera,
- menyu opatsa mphamvu kwambiri.
- kusowa kwamasamba ndi zipatso posankha tsiku ndi tsiku zinthu.
Pambuyo pakuwonongeka kwa chakudya cham'mimba m'matumbo kupita ku zosavuta zosavuta, amalowa m'magazi. Kuchokera pagazi, glucose amatengedwa kupita ku maselo a ziwalo zina. Chinsinsi cha kusunthira kudzera m'makoma amitsempha yamagazi kupita ku maselo ena ndi insulin. Kuchulukana kwa maselo okhala ndi shuga kumabweretsa kuchepa kwa kukana kwawo (kumva) kwa insulin. Maselo amasiya kuyankha ku insulin ndikudutsa shuga mkati. Chiwindi chimatembenuza gawo la shuga losasinthika kukhala glycogen, kutsitsa kuchuluka kwa glucose m'magazi ndikuchepetsa kuchuluka kwa insulin yomwe ikufunika. Mashuga ena amakonzedwa ndi chiwindi kukhala mamolekyulu amafuta.
Zakudya zopatsa thanzi zochulukirapo zimapanga shuga wambiri. Munthu akulemera kwambiri, ludzu, kufooka kwathunthu. Kutupa kwamkati kumachitika m'mitsempha ndi ziwalo zamkati, mitsempha ya magazi imawonongeka, vuto la mtima kapena stroke.
Mankhwala achikhalidwe motsutsana ndi matenda a shuga
Kodi kuchiritsa matenda ashuga? Funso ili lafunsidwa kopitilira kamodzi ndi aliyense yemwe walandila matenda otere komanso zoletsa zomwe zingachitike pambuyo pake pakudya. Mutamvetsetsa zomwe zimayambitsa matendawa, mutha kupanga njira yoyenera yochizira matenda a shuga a 2. Njira zina zochizira matenda ashuga zimachokera pakutsuka m'mimba ndi m'mitsempha yamagazi ndikulimbikitsa mapangidwe a hemoglobin.
Njira zachikhalidwe zochizira matenda ashuga ndi izi:
- kuyeretsa chiwindi ndi kapamba,
- kuyeretsa ziwiya
- cholesterol yotsika
- Vitamini ndi michere yothandizira popanga hemoglobin yatsopano,
- mankhwala anthelmintic.
Poyerekeza ndi zakusintha zomwe zikupitilira, shuga m'magazi amayamba kuchepa. Chifukwa chake, mankhwalawa pogwiritsa ntchito wowerengeka amapereka njira yolimbikitsira mkhalidwe, malinga ndi malamulo azakudya: kuchepetsa kudya zamafuta ndi michere, kuwonjezera menyu wazamasamba ndi zipatso. Zochitika zamagalimoto.
Kodi njira zachilengedwe zothandizira odwala matenda ashuga ndi njira yochizira matendawa ndi ziti?
Zomera za kubwezeretsa ndi kuyeretsa
Zomera zomwe zimabwezeretsa maselo a pancreatic: Amur velvet, licorice, mbewu ya fulakesi, mbuzi (galega).
Zomera za diuretic zimachepetsa shuga m'magazi, ndikuchotsa zowonjezera ndi mkodzo: dogrose, akavalo, lingonberry.
Oyeretsa wowerengeka azitsamba a shuga amawayimiridwa ndi zowawa zowuma: dandelion amadyera, maluwa a yarrow, aloe, chowawa, chicory, adyo. Gulu lokonzekera zitsamba limalimbikitsa kukonzanso kwa maselo a beta ndikutulutsa majeremusi omwe alipo kale. Kuyeretsa koyenera kumachitika ndi mbeu zokhala ndi ma tannins. Uku ndi laurel, khungwa la aspen, radiol, buluzi, nkhuni. Amachotsa poizoni, poizoni, amathetsa zopitilira muyeso komanso kutupa kotsutsana.
Pakati pazitsamba zachikhalidwe za anthu odwala matenda ashuga, malo ofunika amatengedwa ndi mbewu zotsutsa. Awa ndi chamomile, calendula, quinoa, aloe, wort wa St. John, arnica, walnut, sinamoni ndi mabulosi.
Mankhwala azikhalidwe a anthu odwala matenda ashuga, mbewu zomwe zimayang'anira metabolism zimagwiritsidwa ntchito. Uyu ndiye muzu wa burdock ndi dandelion, plantain.
Zomera zomwe zimathandizira chitetezo chokwanira komanso kusintha insulini
Pakati pa mankhwala wowerengeka ochizira matenda a shuga, pali mbewu zomwe zili ndi zinthu monga insulin:
- Masamba a buluu ndi mabulosi abulu (ali ndi martillin, amene amachepetsa shuga),
- periwinkle (ili ndi vincamine, yomwe imathandizira kagayidwe kazakudya kagayidwe kachakudya ndi shuga),
- nyemba, nyemba, nyemba zake ndi nandolo ndizofala kwambiri pochiza matenda ashuga (ma nyemba amakhala ndi arginines ndi potaziyamu, omwe amachepetsa shuga, lectins, omwe amalimbikitsa kapangidwe ka mapuloteni, ma enzyme ndi ma acid mkati mwa thupi, kumasula insulin, zinki, zofunika popanga insulini),
- ginseng, eleutherococcus, aralia (ali ndi glycosides, omwe ndi chida champhamvu pothana ndi zotupa zilizonse, khazikitsani kagayidwe kazachilengedwe),
- dzungu (lili ndi glycokinin, ndi mankhwala a bile ndi anthelmintic, amachotsa poizoni ndi cholesterol, amachepetsa kutupa),
- Muzu wa dandelion, burdock, Yerusalemu artichoke, stachis, chicory (muli inulin).
Zomera zofunikira zimakhala ndi zinthu zofunika pakupanga insulin ndi hemoglobin. Chromium imawonjezera ntchito ya insulin. Chrome ili ndi arnica, ginger, sesa, alder. Zinc ndiye maziko opanga insulin, imakhala ndi ma stigmas a chimanga, malo okwera mbalame ndi tchire. Magnesium ndi kukonza chitsulo chinavulaza hemoglobin. Otsatsa a magnesium ndi chitsulo ndi ginseng, mankhwala a mandimu, arnica.
Zomera za Vitamini zomwe zimakhala ndi biologic yogwira zinthu:
- rosehip: imapereka mavitamini, okhalanso okodzetsa, amachotsa mafuta m'thupi, amayendetsa bile, amalimbana ndi kutupa,
- nettle
- zipatso za lingonberry, buluu, mabulosi abulu, chokeberry,
- masamba kabichi.
Kuphatikiza pa mankhwala azitsamba, njira zina zochiritsira zimagwiritsidwa ntchito popanga zipatso (Yerusalemu artichoke, beets, kabichi) ndi chimanga (buckwheat, oats), omwe ali ndi tanthauzo la antidiabetes.
Kugwiritsa Ntchito Hypericum kwa Matenda A shuga
Pali mitundu yoposa 450 ya mbewuyi. Madotolo amawona chidwi chachikulu cha zinthu zazamoyo zogwiritsira ntchito popanga zinthu zopangidwa ndi biochemical process m'thupi. Chomera chimasinthasintha zochitika za endocrine system. Kuphatikizikako kumakhala ndi zinthu zomwe zimasinthasintha magwiridwe antchito amanjenje ndikuwongolera njira zofunika.
Chodziwika kwambiri ndi Hypericum perforatum. Amagwiritsidwa ntchito kukonza makina am'mimba, kupuma komanso kuzungulira. Kupanga kwa insulin ndi kapamba kumapangitsanso kuti lipid ndi mapuloteni agwiritsidwe ntchito. Zabwino zopangira mbewu zimachokera pazinthu zofunikira zomwe zikuphatikizidwa, monga:
- hypericin
- flavonoids
- mafuta ofunikira
- zinthu zotsalira
- carotene
- ascorbic acid
- zoteteza
- chakudya
- mowa wa cetyl
- esters of isovaleric acid,
- terpenes
- Mavitamini E ndi P
- ma alkaloids
- mankhwala achilengedwe.
Wort wa St. John amathandizira ndi matenda ashuga komanso zotsatira zake. Zotsatira zake, kuyamwa kwa glucose ndi minofu kumapangidwira, ndipo kuchuluka kwa shuga m'magazi kumachepa. Chakumwa chochokera ku zinthu zopanda pake chimathetsa ludzu, kuthetsa kugona, komanso kulimbikitsa kuchiritsidwa kwa mabala ndi mabala. Chidachi chimalepheretsa kuwoneka kwa hyperglycemia ndi hypoglycemia.
Ndi kugwiritsa ntchito pafupipafupi komanso kwa nthawi yayitali Mlingo wa tsiku ndi tsiku, ngozi ya kuchepa thupi imachepa.
Maonekedwe a kutenga chomera
Mu mankhwalawa mutha kugula mankhwalawa ngati mawonekedwe a mapiritsi kapena mapiritsi. Ndikofunikira kuvomereza malinga ndi malangizo omwe aphatikizidwa. Mphamvu zakuchiritsa za mmera zimasungidwa pakukonzekera zakumwa zoledzeretsa. Mudzafunika maluwa atsopano azomera, omwe amaikidwa m'botolo lamagalasi ndikudzaza mowa. Amasungidwa m'malo otentha kwa masiku 14. Tengani 15-30 akutsikira katatu patsiku musanadye.
Mutha kugulanso maluwa owuma pachomera. Ndizofunikira pokonzekera msuzi wochiritsa, kulowetsedwa kapena tiyi.
Ndi matenda a shuga a 2
Mtundu wachiwiri wa shuga, mankhwala azitsamba amagwiritsidwa ntchito. Idzatenga 10 g ya mizu ya burdock, masamba a bulosi, St. wort wa St. Thirani magalasi awiri amadzi ndikuyika moto pang'ono. Bweretsani chithupsa. Chotsani ndikulola kuyime kwa mphindi 15. Kanizani ndi kumwa theka kapu katatu patsiku. Mutha kupanga ma decoctions azitsamba monga chicory, masamba a birch, plantain, mizu ya elecampane, cinquefoil, peppermint, duwa la m'chiuno ndi m'busa.
Ndi matenda a shuga 1
Ndi matenda a shuga a mtundu woyamba, kulowetsedwa kochita bwino kwambiri. Ndikofunikira kutenga 2 tbsp. l zitsamba ndi kutsanulira 1 chikho cha madzi otentha. Sungani chophimba kwa maola 1.5. Imwani kapu 1/3 kawiri pa tsiku. Kuti mupange tiyi muyenera kumwa 1 tsp. Zomera zamasamba ndikutsanulira kapu yamadzi otentha. Osaphimba. Lolani brew kwa mphindi 2-3. Mutha kuwonjezera uchi pang'ono ndipo mumatha kumwa chikho chimodzi patsiku.
Contraindication ndi zotheka zovuta
Kumwa mankhwala opangidwa ndi mbewu kumapangidwira amayi apakati, kuyamwa azimayi, ana osakwana zaka 15, odwala omwe ali ndi kutentha kwambiri komanso matenda oopsa. Ndizoletsedwa kutenga ndi chidwi chamunthu payekha. Pazovuta za m'maganizo, pitani kuchipatala.
Chisamaliro chikuyenera kuthandizidwa kuti mumwa mankhwala osokoneza bongo omwe ali ndi mankhwala. Nthawi yomweyo, mphamvu yotenga ma anticoagulants, ma estrogens ndi ma progestin, ma antidepressants opanga, mankhwala a khunyu, maantibayotiki amachepetsedwa.
Simuyenera kutenga kulowetsedwa, decoction kapena tiyi kuchokera ku wort ya St. John kwa nthawi yayitali chifukwa chakufooka m'thupi. Zizindikiro zake zimatha kuphatikizira kupweteka m'mimba, kuchuluka kwa mkwiyo m'maganizo, mkamwa, kuzimiririka, kapena kuchepa kwa libido. Pazizindikiro zoyambirira, ndikofunikira kusiya kumwa, ndipo matendawo abwereranso kwawonso.
Ndemanga za odwala ndi madokotala
Anna, wazaka 37, Moscow
Malinga ndi kusanthula, kuchuluka kwa shuga m'magazi ndi mkodzo kunatsimikizika. Anayamba pawokha kutenga kulowetsedwa kuchokera kumera. Kuchuluka kwa theka ndi kapu kawiri patsiku musanadye. Mutha kuwonjezera uchi. Pambuyo pa miyezi 1.5 yakuvomerezedwa, adawona kusintha. Ndidakwanitsa kuthana ndi chiwopsezo chowopsa cha milingo ya shuga. Kugona tsiku ndi tsiku, ludzu ndi kusakwiya sizizunza.
Konstantin, wazaka 25, Kursk
Adatenga decoction a matenda ashuga a 2. Pambuyo pa milungu iwiri yolamulira, kunjenjemera m'manja ndi miyendo kunatha, ndipo kulemera kunayamba kuchepa. Malinga ndi zotsatira za mayeso, boma la kapamba linayenda bwino. Mankhwala ozikidwa pamtengo wochiritsa amathandizira mtundu wa endocrine. Zotsatira zake, ndikosavuta kuyendetsa kuchuluka kwa shuga m'magazi.
Evelina, wazaka 30, Magnitogorsk
Ndigawana chinsinsi cha decoction wa St. John wa wort, omwe ndi othandiza pa matenda amtundu wa 2 komanso matenda ashuga. Tengani udzu wofanana wa elecampane, wort wa St. John, chingwe, chamomile, timbewu tonunkhira, mahatchi, duwa lakuthengo. Onjezani masamba a mabulosi. Thirani madzi otentha m'chiyerekezo cha 1: 2 ndipo mulekeretse mphindi 40. Tengani wort wa St. John wa shuga 1/3 chikho katatu patsiku kwa theka la ola musanadye. Ndi bwino kugwiritsa ntchito pokhapokha mukaonana ndi dokotala.
Maxim, othandizira, Krasnodar
Kugwiritsa ntchito kwazomera chifukwa cha kukhalapo kwa mankhwala achilengedwe omwe amapanga zomwe zimathandizira kupanga insulin. Izi ndizofunikira kwambiri kwa mtundu 1 ndi mitundu yachiwiri ya odwala matenda ashuga. Chomera chili ndi zinthu zofunikira monga mkuwa, chromium, manganese, zinc, chitsulo ndi faifi tambala. Zakumwa zozimira shuga zomwe zimapangidwa ndi mbewu zimalepheretsa kuchepa kwa vitamini ndi mchere. Ndikofunika kuti mutenge decoctions ndi infusions motengera chomera 2 milungu yopuma 1.5-2 miyezi.
Antonina, endocrinologist, Voronezh
Kuthandiza odwala matenda a shuga ndi wort wa St. Ngati patatha sabata limodzi chichitikireni chithandizo, wodwalayo alibe zotsatira zoyipa ngati mphuno, kutsekeka kwa maso, chifuwa, kupuma movutikira kapena kuzungulira, ndiye kuti mankhwalawa akhoza kupitilizidwa. Ndikofunikira kuyamba ndi mlingo wochepa 1 nthawi patsiku. Ndikofunika kuonedwa ndi dokotala ndikuyesa mayeso a glucose kangapo pamwezi kuwunikira njira yamankhwala.