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Kuwongolera kwathunthu kwamankhwala kwa okalamba

Kuwongolera kwathunthu kwamankhwala kwa okalambaMaphunziro a Zaumoyo

Popeza chiopsezo cha matenda osatha chikuwonjezeka tonsefe tikamakalamba, sizosadabwitsa kuti awiri mwa atatu achikulire aku America ali ndi angapo matenda aakulu . Izi nthawi zambiri zimaphatikizapo mankhwala ovuta, monga kutengera mitundu ingapo ya mankhwala osiyanasiyana. Ichi ndichifukwa chake timayika pamodzi bukuli. Izi kasamalidwe ka mankhwala Kuwongolera kumalimbikitsa okalamba, osamalira, komanso abale awo ndi zidziwitso zothandiza pakugwiritsa ntchito mankhwala, kusunga, kulinganiza, ndi zina zambiri.





Mu bukhuli, muphunzira momwe zaka zimasinthira kuyankha kwathu kumankhwala, komanso momwe mungasungire mankhwala omwe mukumwa. Muthanso kudziwa momwe mungachepetsere zolakwa zanu zamankhwala komanso zoopsa zakulumikizana ndi mankhwala.



Mu bukhuli, mupeza maupangiri oti mukhale gawo logwira ntchito yazaumoyo wanu. Timakhulupirira kuti maphunziro amakupatsani mphamvu. Zachidziwikire, ndikofunikira kuti nthawi zonse muzifunsa dokotala kapena wamankhwala musanamwe mankhwala atsopano kapena musinthe kusintha kwa mankhwala anu, choncho onetsetsani kuti mwafunsa wothandizira zaumoyo wanu momwe zidziwitso zomwe zili m'bukuli zingagwiritsire ntchito thanzi lanu.

Kusamalira bwino mankhwala kumafuna mgwirizano

Ndinu gawo lofunikira laumoyo wanu-ndichifukwa chake muyenera kudziphunzitsa nokha kukhala ogula. Kuti muchite bwino, muyenera kuthandizana ndi gulu lanu lazachipatala kuti muwadziwitse ndikugwira ntchito limodzi kuti musinthe mankhwala oyenera. M'malo mongokulemberani mankhwala kamodzi ndikudzaza moyo wanu wonse, adotolo akuyenera kudziwa kusintha kwamatenda omwe angakhudze kapena kuthetseratu kusowa kwanu kwamankhwala ena.

Ndikulimbikitsanso kufunsa ngati pali mankhwala omwe safunikiranso, atero a Erin Pitkethly, wazamankhwala ku Chipatala cha Robinsong Health Carb . Ndizofala kwambiri kuti ma meds awonjezeredwe, koma sizachilendo kuti ayimitsidwe ngakhale sakufunikiranso.



Kuphatikiza pa chisokonezo chomwe chingakhalepo, okalamba ambiri ali ndi mankhwala osakanikirana osiyanasiyana, ena mwa mankhwala ndi ena omwe sali. Ngakhale mutakhala mankhwala omwe mumamwa kwakanthawi, ndikofunikira kuwerenga zolemba ndikumvetsetsa chifukwa chomwe mumamwa mankhwala aliwonse.

Mosasamala mtundu wa mankhwala, iyenera kukhala ndi chizindikiritso chazomwe zitha kukhala chitsogozo ndi poyambira.

Kuwerenga zolemba zamankhwala

Mukamayang'ana mankhwala anu atsopanowa, onetsetsani kuti mukuwerenga mosamala chizindikirocho kuti mumve zambiri, kuchuluka kwa nthawi, kulumikizana kwanu, ndi zina zofunika pakusamalira mankhwala.
Zigawo 8 za Chizindikiro Chamankhwala
Nthawi zambiri, chizindikiro chamankhwala ili ndi magawo asanu ndi atatu ndi mitundu yazidziwitso. Kumbukirani kuti zolemba zanu zomwe mukulembedwazo zingawoneke mosiyana, koma nthawi zambiri zimakhala ndizofanana ndi zomwe mungatchule. Phunzirani kuzindikira magawo awa pamankhwala anu:



  1. Zambiri zamankhwala: Dzinalo ndi adilesi, nambala yafoni, ndi zina zambiri zofunika za mankhwala omwe amadzaza mankhwala anu.
  2. Chidziwitso chanu: Dzina ndi adilesi ya munthu amene wamupatsa mankhwalawo.
  3. Kulemba zidziwitso za adotolo: Maina a asing'anga kapena othandizira azaumoyo komanso zamalumikizidwe zimaphatikizidwanso.
  4. Dzina la mankhwala osokoneza bongo ndi mphamvu: Chizindikiro cha mankhwala, mankhwala, kapena dzina lachibadwa pamodzi ndi mphamvu ya gawo limodzi la mankhwala muyeso monga mamiligalamu (mg).
  5. Malangizo: Malangizo amatha kuwerengera piritsi limodzi kawiri patsiku, m'mawa ndi usiku, pakamwa ndikufotokozera momwe angamwe mankhwalawo ndi nthawi yanji. Nthawi zonse werengani gawo la malangizo mosamala mankhwala aliwonse atsopano, ndipo funsani dokotala wanu kapena wamankhwala ngati muli ndi mafunso.
  6. Zambiri zamankhwala: Tsiku lomwe munalandira mankhwala, tsiku lomwe mankhwala anu adadzazidwa ndi wamankhwala, kuchuluka kwa mapiritsi kapena Mlingo womwe munapatsidwa, kangati komwe mankhwala anu angadzazidwenso, mankhwala anu akatha, ndi nambala yomwe mankhwala anu adakupatsani.
  7. Chidziwitso cha opanga mankhwala: Dzina la kampani yomwe imakupangirani mankhwala ndi malongosoledwe amthupi. Ngati ndi mtundu wabwinobwino wa mankhwala omwe ali ndi dzina, dzina la mnzake wotsalanso amathanso kulembedwa pano.
  8. Chenjezo ku Federal: Machenjezo azamankhwala monga Chenjezo: Malamulo a feduro amaletsa kusamutsa mankhwalawa kwa munthu wina aliyense kupatula wodwala yemwe wamupatsa. Kumbukirani, simuyenera kumwa mankhwala a wina aliyense ngakhale mutamwa kale. Ndizowopsa kumwa mankhwala omwe sanakulamulireni ndipo kutero kumatha kuyika thanzi lanu pachiwopsezo chachikulu.

An mankhwala owonjezera Mutha kugula popanda mankhwala ali ndi dzina lina, lotchedwa chizindikiro cha mankhwala osokoneza bongo. Izi ndizomwe nthawi zambiri zimaphatikizapo malinga ndi malamulo a U.S. Food and Drug Administration (FDA).
Zowonjezera-za-Counter Zamankhwala Chitsanzo

  • Zosakaniza (s): Zosakaniza zochiritsira mkati mwa mankhwala anu ndi kuchuluka kwa mlingo uliwonse.
  • Ntchito: Zizindikiro zilizonse zomwe mankhwala amapangidwira kuti azithandizira kapena kupewa.
  • Machenjezo: Gawoli limakuwuzani nthawi yomwe simuyenera kugwiritsa ntchito mankhwalawa, limatchula zovuta zomwe zingachitike komanso momwe mungagwiritsire ntchito mankhwalawa, limatchulapo zinthu zomwe zingafune upangiri wa dokotala musanamwe mankhwalawo, kukuwuzani nthawi yomwe muyenera kusiya kumwa mankhwala ndi kukaonana ndi dokotala, ndi imapereka zina zofunika kwambiri pakumwa mankhwalawa. Werengani gawo ili mosamala. Ngati muli ndi nkhawa ndi chilichonse chomwe mukuwona, lankhulani ndi katswiri wazachipatala.
  • Zosakaniza zopanda ntchito: Zinthu zina zowonjezera zomwe sizikhala ndi zotsatira zochiritsira, monga mitundu kapena zonunkhira.
  • Cholinga: Gulu kapena zochita zamankhwala zimaphatikizidwa (mwachitsanzo, maantacid kapena ochepetsa ululu).
  • Mayendedwe: Zambiri zamiyeso imatha kukupatsani mankhwala osiyanasiyana pazaka zosiyanasiyana kapena zizindikiro. Ikhozanso kukutsogolerani kuti mufunse dokotala.
  • Zina: China chilichonse chomwe wopanga amafuna kuti mudziwe za mankhwalawa. Zitha kuphatikizaponso zambiri za momwe mungasungire mankhwalawa. Itha kulembanso kuchuluka kwa zosakaniza (monga calcium) zomwe mankhwala ali nazo.

Mukalandira mankhwala atsopano, yang'anani chizindikirocho ndikulemba mafunso aliwonse omwe mungakhale nawo kwa omwe amakuthandizani. Ngati mukugwiritsa ntchito zikumbutso za mankhwala , onjezerani mankhwalawa kotero zonse zakonzeka tsiku loyamba la chithandizo. Ngati mukumana ndi china chilichonse chachilendo kapena chosokoneza pazolemba zanu, funsani wamankhwala wanu.

Kumbukirani kuti mankhwala anu ndi ogwirizana ndi thanzi lanu. Ngakhale mnzanu kapena wachibale akumwa mankhwala omwewo, mankhwala anu atha kukuchitirani mosiyana. Ichi ndi chifukwa chimodzi chofunikira kwambiri kutengera gulu lanu la zamankhwala kwa upangiri wa zamankhwala ndi chidziwitso m'malo mwazinthu zina (monga intaneti) zomwe zimafunikira omvera ambiri. Ndiwe wothandizira zaumoyo yekhayo amene angakupatseni malangizo oyenera amomwe mungamwere mankhwala mosavutikira.



Kukalamba kumasintha mayankho athu pakumwa mankhwala

Tikamakalamba, matupi athu amasintha momwe amagwirira ntchito ndi mankhwala. Ngakhale anthu athanzi labwino angayankhe mosiyana ndi mankhwala kuposa kale. Kupindula kwambiri ndi mankhwala anu ndizotheka mothandizana kwambiri ndi gulu lanu lazachipatala.

Kodi ukalamba umasintha motani zomwe thupi limachita ndi mankhwala? Nazi kusintha kochepa kotheka.



  1. Kagayidwe: Thupi lanu limapanga mankhwala aliwonse pamlingo wosiyana. Popita nthawi, kagayidwe kanu ka mankhwala kamatha kuthamanga kapena kutsika pang'ono. Izi zitha kuwonjezera ngozi zoyipa kapena kuchepetsa mphamvu ya mankhwala.
  2. Ubongo ndi dongosolo lamanjenje: Mankhwala ambiri amakhudza dongosolo lamanjenje lamkati (CNS) mwachindunji ndipo ukalamba ungasinthe njirayi. Mwachitsanzo, achikulire ali pachiwopsezo cha zotsatira za CNS za mankhwala monga benzodiazepines ndi antidepressants. Izi zimatha kuphatikiza chizungulire kapena kugona kwa anthu ena.
  3. Impso ndi chiwindi zimagwira ntchito: Popeza ziwalozi zimayang'anira kusefa ndi kuyeretsa, kusintha kulikonse kwa magwiridwe antchito a impso ndi chiwindi kumatha kusintha momwe thupi lanu limatha kuchotsa mankhwala ndi poizoni.
  4. Kusintha kwa kunenepa: Anthu ambiri amalemera kapena amachepetsa thupi akakhala ndi chilakolako chofuna kudya. Mankhwala ena amasinthidwa ndikugawidwa mosiyanasiyana mthupi lonse kutengera thupi lanu.

Akuluakulu salekerera mankhwala kuposa achikulire, atero a Elizabeth Landsverk, MD, yemwe ndi dokotala wodziwika bwino komanso woyambitsa Mankhwala a ElderConsult Geriatric . Dr. Landsverk akuwona kuti kusintha uku momwe matupi athu amagwiritsira ntchito mankhwala kumatha kubweretsa zovuta zina. Nthawi yazotsatira zatsopano itha kukupatsirani chidziwitso kuzomwe zimayambitsa, komabe. Chizindikiro chikayamba mutalandira mankhwala atsopano, mwina ndizotsatira zoyipa za mankhwala atsopano, akutero. Funsani upangiri wa dokotala kapena wamankhwala, atha kusintha mankhwalawo. Osasintha miyezo kapena yesani mankhwala ena kutengera zomwe mumawerenga pa intaneti.

Kukalamba kungasinthenso mlingo womwe mukufuna musanagwire ntchito. Chifukwa chake opereka chithandizo chamankhwala ayenera kuunikanso pafupipafupi mankhwala omwe mukumwa kuti muwone ngati mankhwala atsopano ali ofunikira. Malinga ndi a Dr. Landsverk, okalamba ambiri pang'onopang'ono amataya njala yawo ndikuchepetsa thupi komwe kumakhudza kuchuluka kwa mankhwala.



Ngati muwona chilichonse chosiyana kapena chachilendo mukamalandira chithandizo, ndikofunikira kuti mubweretse izi mukamakambirana ndi dokotala kapena wamankhwala.

Malangizo okhudzana ndi chitetezo cha mankhwala

Kudziwa momwe mungagwiritsire ntchito mankhwala anu kumatha kukhala chinsinsi chopindulira kwambiri ndi mankhwala anu. Mankhwala atha kusintha zosintha pamoyo wanu. Nthawi yomweyo, mankhwala anu amangothandiza ngati mukudziwa kugwiritsa ntchito bwino.



Potsirizira pake, dokotala wanu kapena wothandizira zaumoyo wanu komanso wamankhwala wanu ayenera kukhala otsogolera anu momwe mungagwiritsire ntchito mankhwala anu. Mukakayikira, onetsetsani kuti mwafunsira kwa akatswiri azaumoyo. Ndiwe wothandizira zaumoyo wanu kapena wamankhwala yekha amene amadziwa momwe mbiri yanu, thanzi lanu, komanso mbiri yanu zimakhudzira zosowa zanu.

Chitetezo cha mankhwala chimatanthauzanso kudziwa komwe okalamba ambiri amalakwitsa pakusamalira mankhwala ndi momwe mungapewere zolakwazo kuti mudziteteze.

Zolakwitsa zamankhwala wamba komanso momwe mungapewere izi

Mavuto awiri omwe achikulire amakumana nawo ndi polypharmacy (kumwa mapiritsi ambiri) ndikukumbukira kuwamwa, atero a Ceppie Merry, omwe ali ndi Ph.D. mu mankhwala. Zingakhale zovuta kwambiri kukumbukira zomwe mungatenge ndi nthawi yomwe mungazitenge. Merry akuwonjezeranso kuti kuchepa kwazidziwitso zilizonse kapena zovuta zomwe okalamba ali nazo zitha kuchititsa kuti zikhale zosavuta kulakwitsa poyang'anira mankhwala anu.

Zolakwa zamankhwala zimatha kukhala ndi zovuta m'thupi lanu. Anthu ambiri mwangozi amatenga mlingo wolakwika, amphonya mlingo, kapena amamwa mankhwala molakwika. Musachite mantha ngati mugwiritsa ntchito mankhwala anu molakwika, koma itanani dokotala wanu ngati muli ndi nkhawa. (Ngati mukukumana ndi zoopsa zoopsa, itanani 911.) Mawuwa ndi otetezeka kuposa chisoni akugwiritsidwa ntchito pano. Ichi ndichifukwa chake nthawi zonse muyenera kusunga manambala ofunikira ngati ma adilesi azachipatala anu pafupi ngati mungafune kuyimba ku ofesi yawo.

Kuti mupitirizebe kutsatira mankhwala anu, zimathandiza kukhala ndi njira zamankhwala. Nazi zomwe mungachite kuti muchepetse vuto lanu la vuto lalikulu la mankhwala.

  • Tengani mankhwala mosalekeza: Nthawi zonse tengani mankhwala anu nthawi yofanana. Zimathandizanso mosasinthasintha ngati mutha kuphatikiza kumwa mankhwalawo ndi chochitika china ngati chakudya. Mwachitsanzo, ngati mumamwa mapiritsi ndi chakudya cham'mawa pa 8 m'mawa tsiku limodzi, yesetsani kumwa mankhwalawa nthawi ya 8 koloko m'mawa mukamadya.

Ndondomeko Yamankhwala Yatsiku ndi Tsiku

Tsitsani Dongosolo La Mankhwala Tsiku Lililonse

  • Gwiritsani ntchito zikumbutso: Oiwala zakumwa mankhwala anu? Ganizirani kugwiritsa ntchito chikumbutso app kapena kukhazikitsa alamu pamlingo uliwonse.
  • Pewani kuyanjana: Mankhwala ambiri sangatenge pamodzi kapena nawo zakudya zinazake kapena zowonjezera. Mankhwala ambiri amagwirizana ndi zipatso za citrus, mwachitsanzo. Wosunga mankhwala anu akhoza kukuthandizani kuzindikira mtundu uliwonse wamankhwala kapena mndandanda wamankhwala omwe muyenera kusintha.
  • Pezani ndemanga ya mankhwala: Ndi mankhwala aliwonse atsopano, funsani wamankhwala wanu kuti awunikenso mndandanda wamankhwala anu ndi mndandanda wazowonjezera. Wothandizira zaumoyo wanu akhoza kukulangizani malingaliro amomwe mungatengere nawo bwinobwino. Komanso, onani ngati mukuyenereradi pulogalamu ya mankhwala yanu (MTM). Wosunga mankhwala wanu amakhala nanu limodzi kuti muwunikenso zamankhwala popanda ndalama zina zowonjezera kwa inu.
  • Funsani dokotala wanu kapena wamankhwala: Ngati mumakonda kuiwala mankhwala kapena kumwa mapiritsi owonjezera nthawi ndi nthawi, funsani akatswiri azaumoyo zomwe muyenera kuchita izi zikachitika. Nthawi zina, sichinthu chachikulu. Mankhwala ena atha kubweretsa kulumikizana kwakukulu, zoyipa, kapena kuwonongeka kwakukuru m'thupi lanu.
  • Werengani zolemba ndi malangizo: Ngati mankhwala anu amabwera ndi chidziwitso cholembedwa kapena wothandizira zaumoyo wanu akuphatikiza malangizo, onetsetsani kuti mwawerenga mosamala. Ngati chilichonse sichikumveka, musazengereze kulemba. Itanani dokotala wanu kuti akufotokozereni musanamwe mankhwala. Ndichizolowezi chowerenga malangizowo musanachoke ku pharmacy, kuti muthe kufunsa wamankhwala.

Mukuvutika kukumbukira mankhwala anu? Nawa malingaliro angapo oti muyesere.

  • Gwiritsani ntchito chikumbutso cha mlingo kapena pulogalamu ya chikumbutso cha mapiritsi: Ganizirani kugwiritsa ntchito pulogalamu yokukumbutsani mapiritsi a smartphone kukukumbutsani kuti mumwe mankhwala.
  • Ikani alamu: Ikani alamu nthawi mkati mwa tsiku lomwe mumamwa mankhwala anu. Onetsetsani kuti mukusunga zomwe mukuyenera kutenga, inunso.
  • Lembani mndandanda: Lembani mndandanda wa mankhwala anu ndi nthawi yomwe mumamwa kuti muthe kuwabwezeretsanso mtsogolo.
  • Funsani thandizo kukumbukira: Ngati wachibale, mnzanu, kapena womusamalira angakuthandizeni kukumbukira, pemphani kuti akuthandizeni.
  • Onjezani ku kalendala yanu kapena pulani: Lembani zikumbutso kalendala yanu kapena pulani yanu.
  • Gwiritsani ntchito zolemba, kutumiza nokha maimelo, kapena kutumiza zikumbutso zina: Ganizirani momwe mumagwiritsira ntchito nthawi yanu komanso momwe mumagwiritsira ntchito zikumbutso. Sankhani njira yomwe ingakuthandizeni kwambiri.
  • Gwiritsani ntchito wopanga mapiritsi posungira mankhwala: Kumalo ambiri ogulitsa mankhwala, mutha kugula okonza mapiritsi otchipa okhala ndi zipinda zamagawo ndi masiku osiyanasiyana. Izi zimayenda bwino ngati mumamwa mankhwala ochepa tsiku lililonse.

Kusunga mankhwala anu mwadongosolo kungatetezenso zolakwika. Umu ndi momwe mungayambire ndi kutsatira ndi kukonza mankhwala.

Kupanga mankhwala anu ndi kosungira mankhwala

Kusamalira mankhwala anu ndikosavuta mukamatha kuwerengera zonse zomwe mukutenga. Mothandizidwa ndi katswiri wa zamankhwala (ngati pakufunika kutero), sonkhanitsani mankhwala ndi zowonjezera zonse zomwe mukuzitenga pano ndikuyamba kuzikonza.

Ganizirani malangizowa othandiza pakusamalira mankhwala.

  • Pangani mndandanda wamankhwala (ngati kuli kofunikira, gwiritsani ntchito mndandanda wazamankhwala): Lembani dzina la mankhwala omwe mukulemba pamndandandawo. Muthanso kuwonjezera zambiri zamomwe mumamwa mulingo uliwonse komanso momwe zilili, koma chofunikira ndikuyamba ndi mndandanda wathunthu wamaina azamankhwala ndi kuchuluka kwa mankhwala kuti wothandizira zaumoyo wanu adziwe komwe angayang'ane komanso mafunso oti afunse.
  • Yambani ndi zowonjezera: Popeza anthu ambiri samaganiza kuti zowonjezera ngati mankhwala, si zachilendo kuti okalamba ena amwe mankhwala owonjezera omwe amalumikizana ndi mankhwala omwe adalangizidwa ndi madotolo awo (kapena ali ndi zosakaniza zopanda thanzi). Mfundo yofunika kwambiri — dokotala wanu amafunika kudziwa. Onetsetsani kuti template yanu yamankhwala ikuphimba zowonjezera.
  • Lembani mankhwala onse a OTC (owonjezera) Okalamba ambiri amatenga mankhwala ogulitsa sitolo osagulitsidwa popanda mankhwala ngati acetaminophen (mtundu wa Tylenol) wothandizira kupweteka kapena calcium carbonate antacids yothana ndi kutentha pa chifuwa.
  • Sungani ma CD azakumwa: Gwiritsitsani mabokosi apachiyambi ndi zotengera zamankhwala anu kuti muthe kuloza phukusi kapena chizindikiro ngati pakufunika kutero. Kuyika phukusi kapena timapepala tazidziwitso za wodwala timaphatikizidwamo ndi mankhwala kotero onetsetsani kuti mukusunga ndizolongedzerazo. Bokosi lopangira pulasitiki laling'ono la bokosi lokhala ndi chivindikiro kapena thumba la pulasitiki lokula magaloni ndi njira zabwino kwambiri zosungira ma CD ndi chidziwitso cha mankhwala omwe mukugwiritsa ntchito pano. Nthawi zonse sungani mankhwala anu ndi kulongedza kutali ndi komwe ziweto ndi ana angafikireko, ngakhale mankhwala anu ali ndi zisoti zolembera ana.
  • Sankhani mankhwala amodzi: Mwachidziwikire, muyenera kugwiritsa ntchito mankhwala amodzi kuti pharmacist wanu athe kuwunika zomwe akupatsani ndikukupatsirani chidziwitso chotsutsana ndi izi. Ngati mukuyenera kugwiritsa ntchito mankhwala osaposera amodzi pazifukwa zilizonse, onetsetsani kuti mwapereka chidziwitso chokwanira cha mankhwala omwe mukumwa pakadali pano, ndipo onetsetsani kuti wamankhwala ali ndi mwayi wodziwa izi.

Mukamakonzekera mankhwala anu, musaiwale kuwona masiku otha ntchito ndipo chotsani mankhwala simutenganso. Funsani dokotala ngati zili bwino kutaya zolemba zakale za mankhwala.

Kuunikanso mankhwala ndi wamankhwala kapena dokotala

Nthawi ndi nthawi, muyenera kukhala ndi nthawi yobwereza mankhwala ndi dokotala wanu. Pa nthawi yoikidwiratuyi, muyenera kudziwitsa dokotala za momwe mankhwala anu akuyendera. Ino ndi nthawi yabwino kufunsa mafunso ndikufotokozera nkhawa zanu. Onetsani zotsatira zilizonse zomwe simunauze dokotala wanu, ndipo nenani zokhumudwitsa zilizonse zomwe muli nazo ndi mankhwala anu. Musaiwale kubweretsa mndandanda wa mafunso nanu. Popeza kuti madokotala ambiri amaika nthawi yochepa, gwiritsani ntchito bwino nthawi yanu limodzi polemba mndandanda wa mitu ndi mafunso musanachitike.

Fomu Yankho La Mankhwala

Tsitsani Fomu Yoyankhira Mankhwala

Mukadziphunzitsa nokha ndikuwongolera mankhwala anu moyenera, mutha kupeza zotsatira zabwino kuchokera kuchipatala chanu komanso mutha kupewa zovuta zomwe zimadza chifukwa chogwiritsa ntchito mankhwala. Gulu lanu lachipatala lilipo kuti likuthandizeni. Gwiritsani ntchito nawo limodzi ndikukhala othandizira anu azaumoyo.