Mary Allen
Kunenepa kwambiri, matenda a shuga, kulephera kwa impso, kapena matenda a mtima amafunikira zakudya. Koma zosowa zachibadwa zimasinthanso ndi zaka.
Kukhala wathanzi mpaka ukalamba - sizomwe timafuna anthu, timazifuniranso nyama zathu. Amphaka amaonedwa kuti ndi okalamba pambuyo pa zaka khumi ndi ziwiri. Amphaka azaka zapakati kapena achikulire amasankhidwa kuyambira ali ndi zaka zisanu ndi ziwiri, pomwe zaka zakuthupi sizimayenderana ndi nthawi yanthawi. Mphaka wathanzi wazaka 12 akhoza kukhala wocheperapo kuposa mphaka wazaka 8 yemwe ali ndi matenda a impso.
Kukalamba
Kukalamba ndi njira yapang'onopang'ono ndipo amphaka akuluakulu amafunikira chisamaliro chochulukirapo kuchokera kwa eni ziweto. Ngakhale amphaka athanzi, kukalamba kumabweretsa kusintha kwa thupi. Pamlingo wa ma cell, kuthekera koteteza ndi kukonza kumasinthidwa, zomwe zimapangitsa kuti pakhale kuwonongeka kwa ma cell (chifukwa cha ma free radicals) komanso kuchuluka kwa zinyalala zapoizoni (lipofuscin granules). Izi zimachepetsa magwiridwe antchito. Mu minofu, pali kusintha kwa gawo ndi katundu wa zosiyanasiyana mucopolysaccharide tizigawo. Izi zimachepetsa elasticity ndi mphamvu yomangiriza madzi ndipo kutsekemera kwa nembanemba kumachepa. Zotsatira zake, pali kusintha kwa kagayidwe kachakudya, kuchepa kwa mayamwidwe ndi kutulutsa mphamvu kwa chamoyo, kuchepetsa chiwerengero ndi kukula kwa maselo ndipo motero kuchepa kwa magwiridwe antchito a ziwalo. Kuchepetsa mphamvu yosungiramo zakudya zopatsa thanzi komanso kuchepa kwa mphamvu yokonzanso kungawonekenso. Zinyama zina zachikulire zimasonyeza kuwonongeka kwa malaya, kufooka kwa mphamvu (kupenya ndi kununkhiza), kapena kusintha khalidwe. Kusintha kowonekera m'njira imeneyi ndiko kuchepa kwa madzi m'thupi, kuchepa kwamphamvu, kuchepa kwa minofu ndi mafupa, komanso kuchuluka kwamafuta. Kuchepetsa mphamvu yosungiramo zakudya zopatsa thanzi komanso kuchepa kwa mphamvu yokonzanso kungawonekenso. Zinyama zina zachikulire zimasonyeza kuwonongeka kwa malaya, kufooka kwa mphamvu (kupenya ndi kununkhiza), kapena kusintha khalidwe. Kusintha kowonekera m'njira imeneyi ndiko kuchepa kwa madzi m'thupi, kuchepa kwamphamvu, kuchepa kwa minofu ndi mafupa, komanso kuchuluka kwamafuta. Kuchepetsa mphamvu yosungiramo zakudya zopatsa thanzi komanso kuchepa kwa mphamvu yokonzanso kungawonekenso. Zinyama zina zachikulire zimasonyeza kuwonongeka kwa malaya, kufooka kwa mphamvu (kupenya ndi kununkhiza), kapena kusintha khalidwe. Kusintha kowonekera m'njira imeneyi ndiko kuchepa kwa madzi m'thupi, kuchepa kwamphamvu, kuchepa kwa minofu ndi mafupa, komanso kuchuluka kwamafuta.
Mphamvu ndi zakudya zofunikira paukalamba
Zofunikira zamagetsi zimatha kusintha pa moyo wa anthu akuluakulu. Zimadziwika kuti mphamvu zonse zomwe zimagwiritsidwa ntchito mwa anthu zimachepa ndi zaka zambiri. Zifukwa za izi ndi kuchepa kwa minyewa yowonda, yogwira ntchito ndi kagayidwe kachakudya komanso kuchepa kwa masewera olimbitsa thupi. Agalu okalamba amakhalanso ndi mphamvu zochepa zomwe zimafunikira mphamvu, chifukwa basal metabolic rate imachepa ndipo kufunitsitsa kusuntha kumachepa. Amphaka akale amakhala ndi mphamvu zochepa kuposa amphaka azaka zisanu ndi chimodzi. Koma kuyambira zaka khumi ndi ziwiri, mwachitsanzo, amphaka akale, mphamvu yofunikira ikuwoneka kuti ikuwonjezekanso. Choyambitsa chake chikuganiziridwa kukhala kuchepa kwamafuta m'gawo limodzi mwa magawo atatu a amphaka akale. Mwa amphaka azaka zopitilira 14, 20 peresenti amawonetsanso kuchepa kwa protein digestibility, ndichifukwa chake amphaka okalamba amathanso kukhala ndi mapuloteni ochulukirapo. Zofunikira zamapuloteni amphaka akale ziyenera kukwaniritsidwa kuti asunge minofu kwa nthawi yayitali.
Popeza amphaka akale amatha kutaya mavitamini osungunuka m'madzi kudzera mkodzo ndi ndowe, kudya kuyenera kuwonjezeka. Chifukwa cha kuchepa kwa mafuta m'thupi, pangakhalenso kufunikira kwakukulu kwa mavitamini A ndi E. Kupereka kwa phosphorous kuyenera kugwirizana ndi zosowa za amphaka akale ndi akale, chifukwa matenda a mkodzo ndi omwe amachititsa imfa kwa amphaka. .
Chakudya cha amphaka akuluakulu
Pamene chiwerengero cha amphaka achikulire ndi achikulire chikuwonjezeka, momwemonso makampani odyetsa chakudya; lero pali zakudya zingapo pamsika makamaka amphaka akale kapena akale. Komabe, zakudya zomwe zili muzakudya zosiyanasiyana zimatha kusiyana kwambiri. Komabe, tingaganize kuti mapuloteni ndi phosphorous zomwe zili m'zakudya za amphaka okalamba ndizochepa kusiyana ndi chakudya chokonzekera cha amphaka aang'ono. Ngati palibe matenda ndi magazi, ziwerengero zili m'magulu abwinobwino, zakudya zamalonda za amphaka akulu ndi akulu ndizoyenera kuposa za amphaka akulu.
Mphamvu zomwe zili m'zakudyazi za amphaka akuluakulu ndi achikulire ndizofunikanso. Ngakhale amphaka azaka zapakati amakonda kukhala onenepa kwambiri, amphaka okalamba nthawi zambiri amakhala ndi vuto losunga kulemera kwawo. Choncho, posankha chakudya cha amphaka okalamba, odyetsedwa bwino, chakudya chochepa mphamvu kapena - ngati n'koyenera - komanso chakudya chodyera kunenepa kwambiri ndi choyenera, pamene amphaka akale omwe amakhala ochepa thupi, okoma, olemera kwambiri komanso olemera kwambiri. chakudya chosavuta kupukutika chiyenera kugwiritsidwa ntchito. Inde, chakudya chamalonda sichiyenera kudyetsedwa, chakudya choyenera mungathenso kukonzekera nokha pogwiritsa ntchito njira yoyenera.
Kudyetsa ndi kasamalidwe ka ziweto
Amphaka pa se ndi amphaka akale makamaka amakonda moyo wamba. Izi zikuphatikizapo nthawi yokhazikika yodyetsera. Nthawi zambiri mphaka amapeza chakudya chochepa, moyo watsiku ndi tsiku umakhala wokhazikika komanso wosiyanasiyana. Izi ndizowona makamaka amphaka am'nyumba. Zakudya zamphaka zowuma zitha kugwiritsidwa ntchito kukulitsa luso komanso luso lamalingaliro mothandizidwa ndi zoseweretsa zamphaka.
Amphaka akale kapena amphaka omwe akudwala matenda a musculoskeletal system (arthrosis) nthawi zambiri amafunika zothandizira kukwera kuti akafike kumalo omwe amakonda. Malo odyetserako chakudya ndi madzi ayeneranso kupezeka mosavuta, momwemonso ndi mabokosi a zinyalala. Izi ziyeneranso kupezeka mosavuta komanso kupezeka kwa mphaka.
Mkhalidwe wa thanzi mu ukalamba
Matenda a mtima ndi impso, komanso matenda a chiwindi ndi arthrosis amapezeka kawirikawiri ndi zaka. Kafukufuku wopangidwa ndi Dowgray et al. (2022) adawunika thanzi la amphaka 176 azaka zapakati pa zisanu ndi ziwiri ndi khumi. Maperesenti makumi asanu ndi anayi mphambu zisanu ndi zinayi anali ndi matenda a mafupa, 54 peresenti anali ndi matenda a mano, 31 peresenti anapezeka ndi kung'ung'udza kwa mtima, 11 peresenti anapezeka ndi azotemia, 4 peresenti anali ndi matenda oopsa, ndipo 3 peresenti anapezeka ndi hyperthyroidism. Amphaka 12 okha pa XNUMX aliwonse sanapeze umboni wa matenda.
Matenda a mano kapena m'kamwa nthawi zambiri amapezeka m'zaka zapakati. Amphaka nthawi zambiri amadyanso bwino mano akatsukidwa ndipo palibenso ululu akamadya.
onenepa
Ngakhale amphaka azaka zapakati amatha kukhala onenepa kwambiri komanso onenepa kwambiri, chiwerengerocho chimachepanso kuyambira zaka khumi ndi ziwiri. Choncho, kunenepa kuyenera kupewedwa m'moyo wonse wa mphaka. Kunenepa kwambiri makamaka kunenepa kwambiri kumafupikitsa moyo ndipo matenda osiyanasiyana amapezeka pafupipafupi.
kutaya thupi
Kutayika kwa thupi ngakhale kuti kudya bwino kapena kuwonjezereka kwa chakudya kungakhale chizindikiro cha hyperthyroidism, shuga mellitus, IBD (matenda otupa a m'mimba), kapena ang'onoang'ono a m'mimba lymphoma. Kuchepetsa kagayidwe kachakudya kuyeneranso kuganiziridwa ngati chifukwa. Matenda ndi ululu m'mano kapena m'kamwa zimatha kuchepetsa kudya kwa chakudya, komanso kuchepa kwa fungo ndi kukoma kungayambitsenso kuchepetsa kudya.
Kuonda kwa amphaka akale kuyenera kufufuzidwa nthawi zonse ndikuwongolera chifukwa chake posachedwa. Perez-Camargo (2004) adawonetsa mu kafukufuku wam'mbuyo wa amphaka 258 kuti amphaka omwe adamwalira ndi khansa, kulephera kwaimpso, kapena hyperthyroidism adayamba kuchepa thupi pafupifupi zaka 2.25 asanamwalire.
Kusamalira zakudya ku matenda
Popeza kuti matenda osiyanasiyana amabweretsa zakudya zosiyanasiyana, zakudya za amphaka akuluakulu ziyenera kusinthidwa nthawi zonse kuti zigwirizane ndi kadyedwe kawo ndi zosowa za matendawa, ngati zilipo.
matenda a mtima
Popeza kusowa kwa taurine kunadziwika kuti ndiko kumayambitsa matenda a mtima, hypertrophic cardiomyopathy tsopano ndi matenda ofala kwambiri a mtima (pafupifupi 70 peresenti ya matenda onse a mtima) amphaka. Ngakhale ndi matenda a mtima, odwala onenepa ayenera kuchepetsedwa pang'onopang'ono. Mu kafukufuku wa Finn et al. (2010) kupulumuka kwa amphaka omwe ali ndi matenda a mtima kunali kogwirizana kwambiri ndi kulemera kwa thupi ndi chikhalidwe cha zakudya; amphaka ochepa kwambiri onenepa kwambiri komanso onenepa kwambiri amakhala ndi moyo wamfupi kwambiri.
Zakudya zamapuloteni ziyenera kusinthidwa kuti zigwirizane ndi zosowa, kuchulukitsa kuyenera kupewedwa kuti musalemeretse chiwindi ndi impso mosayenera. Chakudyacho chiyenera kugawidwa m'magulu angapo - osachepera asanu - kuti asakhale ndi diaphragm yokwezeka komanso kuti atsimikizire kuti odwala cachectic ali ndi mphamvu.
Kuletsa kwa sodium kumangolungamitsidwa ngati pali kusungirako madzi. Kuchuluka kwa sodium m'zakudya kuyenera kupewedwa. M'zakudya za amphaka akuluakulu, mchere wa sodium nthawi zambiri umakhala pafupifupi 1 peresenti pazowuma.
Mankhwala ena, monga ACE inhibitors ndi aldosterone antagonists, angayambitse hyperkalemia, koma chiopsezo chikhoza kukhala chochepa mwa amphaka. 0.6-0.8 peresenti ya potaziyamu mu chakudya cha DM ndikulimbikitsidwa.
Kafukufuku wa anthu ndi agalu wasonyeza kuti unyolo wautali n-3 fatty acids (eicosapentaenoic acid ndi docosahexaenoic acid) akhoza kuchepetsa mapangidwe a cytokines oyambitsa kutupa ndipo motero amachepetsa chiopsezo cha cachexia ya mtima. Mafutawa amakhalanso ndi antithrombotic effect, yomwe ingakhale yopindulitsa kwa amphaka omwe amatha kuphatikizira mapulateleti omwe amatha kuyambitsa msanga. Zingaganizidwe kuti kayendetsedwe ka L-carnitine kumathandizanso amphaka omwe ali ndi matenda a mtima. Ndikofunikira kuwonetsetsa kuti pali taurine yokwanira.
Aakulu aimpso kulephera
Kulephera kwa aimpso kosatha, kuwonongeka kosasinthika komwe kumachitika pang'onopang'ono ndi kuwonongeka kwa aimpso, nthawi zambiri kumakhudza nyama zokalamba kuyambira zaka zisanu ndi ziwiri kapena zisanu ndi zitatu. Matendawa nthawi zambiri amakhala osazindikirika kwa nthawi yayitali, chifukwa pafupifupi 30-40 peresenti ya amphaka amawonetsa zizindikiro za polyuria ndi polydipsia. Chifukwa chake, amphaka athanzi omwe ali ndi impso zapamwamba zapezeka ayenera kusinthidwa kukhala zakudya za impso nthawi yomweyo.
Mapuloteni ndi phosphorous ndizofunikira kwambiri pakuwongolera zakudya za kulephera kwaimpso kosatha. Kusagwira ntchito kwa impso kumapangitsa kuti zinthu za mkodzo zisungidwe, monga momwe zikuwonetsedwera ndi kuchuluka kwa urea m'magazi a nyama zomwe zakhudzidwa. Chakudyacho chikakhala ndi mapuloteni ambiri, m’pamenenso urea imachulukirachulukira, ndipo mphamvu ya impso ikapitirira, urea imachuluka m’magazi. Chifukwa chake, kuchepa kwa mapuloteni m'zakudya ndikofunikira kwambiri pakuwonjezeka kwa urea m'magazi, komanso chifukwa epithelia ya tubular imawonongeka chifukwa cha kukakamizidwa kwa mapuloteni kuchokera mumkodzo woyamba komanso kuwonongeka kwa tubular. impso zimalimbikitsidwa. Popeza zakudya zambiri zamphaka, makamaka chakudya chonyowa,
Kuphatikiza pa kuchepetsa kuchuluka kwa mapuloteni, kuchepa kwa phosphorous m'zakudya kapena kuchepa kwa mayamwidwe a phosphorous kudzera m'mafakitale a phosphate ndikofunikira kwambiri. Kuchepetsa mphamvu ya impso kumapangitsanso kuti phosphorous ikhalebe m'thupi, zomwe zimayambitsa hyperphosphatemia komanso kuwonongeka kwa impso. Chofunikira cha phosphorous cha mphaka ndi chochepa komanso kuchepa kwa P mu chakudya, zomwe zimapangitsa kuti zitsike pansi pa mtengo wofunikirawu, sizingatheke chifukwa nyama pa seti ili kale ndi P. Komabe, kafukufuku wasonyeza kuti ma inorganic P mankhwala makamaka amawononga impso kuposa phosphorous yomwe ilipo mu organic mankhwala. Ma inorganic P awa amagwiritsidwa ntchito ngati zowonjezera zaukadaulo popanga chakudya. Chifukwa chake, amphaka omwe ali ndi matenda a impso, mwina zakudya zapadera zochokera ku malonda a mankhwala okhala ndi P 0.1 peresenti muzakudya zonyowa kapena 0.4 peresenti muzakudya zouma kapena zowerengera moyenerera zomwe mumakonzekera zimalimbikitsidwa.
matenda ashuga
Amphaka azaka zopitilira zisanu ndi ziwiri ali pachiwopsezo chotenga matenda a shuga mellitus (DM). Kuwonjezera pa msinkhu, zinthu zowopsa zimaphatikizapo kunenepa kwambiri, kusagwira ntchito, mtundu, jenda, ndi mankhwala ena. Chifukwa kunenepa kwambiri kumachepetsa chidwi cha insulin komanso kumawonjezera kukana insulini, amphaka onenepa amakhala ndi mwayi wokhala ndi DM kuposa amphaka olemera mowirikiza kanayi. Amphaka ndi amuna aku Burma ali pachiwopsezo chachikulu, ndipo ma progesterone ndi glucocorticoids angayambitse kukana kwa insulin ndi DM wotsatira.
Type 2 DM ndiyomwe imapezeka kwambiri mwa amphaka. Malinga ndi kunena kwa Rand ndi Marshall, 80-95 peresenti ya amphaka odwala matenda a shuga ali ndi matenda a shuga a mtundu wachiwiri. Kulekerera kwa glucose kumachepa mwa amphaka kuposa anthu kapena agalu. Kuphatikiza apo, gluconeogenesis silingachepetse ngakhale kukhalapo kwamafuta ochulukirapo.
Popeza kunenepa kwambiri kumakhala pachiwopsezo chachikulu komanso kuchepa thupi kumawonjezera chidwi cha insulin, kuchepa thupi ndikofunikira kwambiri pazamankhwala komanso prophylaxis. Komabe, eni ziweto nthawi zambiri amangowona matendawa pamene amphaka akudya bwino ndipo ataya kale thupi.
Chifukwa hyperglycemia imayambitsa kuwonongeka kwa maselo a beta, hyperglycemia yosalekeza iyenera kuthandizidwa mwachangu momwe zingathere. Kusintha zakudya kuti muganizire za kadyedwe koyenera komanso chithandizo choyenera kungayambitse chikhululukiro, chofanana ndi chomwe chimawonedwa mwa anthu omwe ali ndi matenda amtundu wa 2. Mwa anthu, kuchepa thupi ndi 10 peresenti yokha kumabweretsa kuwonjezeka kwa chidwi cha insulin.
Amphaka onenepa ayenera kuonda pang'onopang'ono ndikungolandira 70-80 peresenti ya mphamvu zofunikira (zowerengeka poyerekezera kulemera kwa thupi) kuti achepetse kulemera kwa pafupifupi 1 peresenti / sabata. Amphaka omwe ataya thupi kale ayenera kupezanso zakudya zokwanira mwamsanga kuti achepetse kuwonongeka kwa chiwindi. Zakudya zopatsa mphamvu, zogayidwa bwino, komanso zokoma zokhala ndi mapuloteni ambiri (> 45 peresenti mu dry matter (DM), low carbohydrate (< 15 peresenti), ndi ulusi wamafuta ochepa (< 1 peresenti) wokhutira) akulimbikitsidwa (Laflamme ndi Gunn-Moore 2014). Amphaka onenepa nawonso ayenera kupatsidwa zakudya zokhala ndi mapuloteni ambiri kuti asataye minofu. Ulusi wamtundu wa crude ukhoza kukhala wapamwamba kwa amphaka onenepa kwambiri koma uyenera kukhala wosakwana 8 peresenti ya DM.
Pochiza amphaka omwe amadalira insulin, nthawi yodyetsera mwina ndiyosafunikira pakuwongolera. Postprandial hyperglycemia mu amphaka imakhala nthawi yayitali ndipo siikwera kwambiri ngati agalu, makamaka akamadyetsedwa zakudya zokhala ndi mapuloteni ambiri komanso zakudya zochepa kwambiri. Komabe, kudyetsa ad libitum sikutheka kwa amphaka onenepa kwambiri. Muzochitika izi, zakudya zing'onozing'ono ziyenera kuperekedwa pafupipafupi pazigawo zoikika tsiku lonse. Ngati njira yodyetsera iyi sikutheka, chakudyacho chiyenera kusinthidwa ndi insulini. Pazinyama zokangana, chakudyacho chimaperekedwa musanapereke insulini kuti mupewe hypoglycemia ngati mphaka wakana kudya chakudyacho.
Popeza polydipsia ilipo mu DM, ndikofunikira kuwonetsetsa kuti madzi okwanira aperekedwa. Amphaka akusowa madzi m'thupi ndi omwe akudwala ketoacidosis amafunikira madzi amadzimadzi. Kuchuluka kwa madzi omwe mphaka amamwa amagwirizana bwino ndi kuchuluka kwa shuga m'magazi ndipo amawonetsa ngati chiweto chili panjira yoyenera kapena ngati chiwongolero ndikusintha kwa insulin ndikofunikira.
Funso Lofunsidwa Kawirikawiri
Kodi mphaka wanga wakale ndingatani?
Yankhani zofuna za mphaka wanu wakale ndikupangitsa kuti zikhale zosavuta kuti abwerere. Malo abata, ofewa ogona omwe mphaka amatha kufika mosavuta ndi ofunikira. Ngati mphaka wanu salinso bwino, sayenera kudumpha kuti akafike kumalo ake ogona.
Mukudziwa bwanji kuti mphaka akuvutika?
Kaimidwe Kosintha: Mphaka akamamva ululu, amatha kuwonetsa kukhazikika, kukhala ndi mimba, kukhala wolumala, kapena kupachika mutu. Kusafuna kudya: Ululu ukhoza kusokoneza m’mimba mwa amphaka. Zotsatira zake, amphaka omwe ali ndi ululu nthawi zambiri amadya pang'ono kapena samadya konse.
Kodi chakudya chachikulire n'chothandiza amphaka?
Amphaka akuluakulu amafunikira mavitamini ndi michere yambiri, chifukwa ntchito ya enzyme ya ziwalo za m'mimba imachepa ndi zaka. Choncho, chosowachi chiyenera kuperekedwa ndi chakudya choyenera kwa okalamba. Ndikoyeneranso kudyetsa chakudya chokhala ndi phosphorous yochepa.
Kodi nthawi yabwino yodyetsera amphaka ndi iti?
Dyetsani nthawi yomweyo ngati nkotheka. Sinthani madyedwe kuti agwirizane ndi mphaka wanu: Amphaka achichepere amafunikira chakudya katatu kapena kanayi patsiku. Nyama zazikulu ziyenera kudyetsedwa kawiri pa tsiku: m'mawa ndi madzulo. Amphaka okalamba ayenera kuloledwa kudya katatu patsiku.
Kodi muyenera kudyetsanso amphaka usiku?
Madyedwe achilengedwe a mphaka amatanthauza kuti amadya zakudya ting'onoting'ono 20 tsiku lonse - ngakhale usiku. Choncho ndi bwino kupereka chakudya musanagone kuti mphaka azidyanso usiku ngati n'koyenera.
Kodi mungathe kusakaniza chakudya cha mphaka chouma ndi chonyowa?
Kuti mphaka wanu apeze mphamvu ndi chakudya chonyowa ndi chowuma, timalimbikitsa kugawa chakudya chonse ndi 3 ndikumudyetsa motere: Patsani mphaka wanu 2/3 ya kuchuluka kwa chakudya chomwe chili m'mawonekedwe a chakudya chonyowa ndipo mugawe izi m'magulu awiri. magawo awiri (monga chakudya cham'mawa ndi chamadzulo).
Kodi chakudya cha mphaka chopatsa thanzi kwambiri ndi chiyani?
Nyama yowonda kwambiri kuchokera ku nyama yamwana wang'ombe, ng'ombe, nkhosa, nyama yamphongo, kalulu, ndi nkhuku ndiyoyenera. Mwachitsanzo, nyama ya nkhuku monga mtima, mimba, ndi chiwindi (chenjezo: magawo ang'onoang'ono okha) ndi otchipa ndipo amphaka amalandiridwa.
N’chifukwa chiyani amphaka akale amaonda chonchi?
Woonda kapena woonda kwambiri? Kodi amphaka amatha kulemera bwanji? Titha kukudziwitsani momveka bwino: Ndi zachilendo kuti amphaka achepetse thupi akamakula. Minofu ndi minofu yolumikizana imachepa, zomwe zimapangitsa mphaka wanu kuwoneka wopepuka komanso wocheperako.
Kodi kukalamba kumawonekera bwanji mwa amphaka?
Zizindikiro zowoneka bwino za amphaka
Kawirikawiri, malayawo amakhala osasunthika ndi ukalamba ndipo amataya kuwala kwake. Chifukwa cha ukalamba, ubweya wa amphaka nthawi zambiri umawoneka ngati wopindika, popeza mphuno za ubweya zomwe zakhudzidwa sizingathenso kuchita ukhondo wokwanira paukalamba.