Kodi ndimatsegula bwanji khutu langa?

Kodi ndimatsegula bwanji khutu langa?

Mavuto akumva amakhala ovuta kwambiri ndipo angasokoneze moyo wathu. Zina mwazovuta zomwe zimachitika kwambiri ndikumva kukhala ndi khutu lotsekeka. Kutsekeka kwamakutu kumeneku kungayambitse kusapeza bwino komanso kupangitsa kuti kulankhulana kukhale kovuta. Komabe, pali njira zosiyanasiyana zomwe zingatithandize kumasula makutu athu ndi kuyambiranso kumva bwino. M’nkhaniyi tiona zina mwa njira zimenezi komanso mmene tingazigwiritsire ntchito motetezeka ndi ogwira. Ngati mukuyang'ana njira yothetsera khutu lanu, mwafika pamalo oyenera!

1. Mawu Oyamba: N’chifukwa chiyani khutu limatsekeka komanso mmene lingalikonzere?

Kutsekera m'makutu kapena kumva ngati khutu lotsekeka ndi vuto lomwe limakhudza anthu ambiri a mibadwo yonse. Ngakhale kuti nthawi zambiri zimakhala zosakhalitsa ndipo sizodetsa nkhawa kwambiri, zimakhala zovuta komanso zimasokoneza kumva bwino. M'nkhaniyi, tiwona zomwe zingayambitse khutu lanu kukhala lotsekeka komanso momwe mungalikonzere. kuthetsa vutoli moyenera.

Pali zifukwa zingapo zomwe khutu limatha kutsekeka, monga kuchuluka kwa sera, kusintha kwamphamvu kwamlengalenga, matenda a khutu, kapena sinusitis. Nkhani yabwino ndi yakuti nthawi zambiri, vutoli likhoza kuthetsedwa pogwiritsa ntchito njira zosavuta komanso popanda kufunikira kwa chithandizo chamankhwala.

Chimodzi mwa zosankha zodziwika kwambiri za kuthetsa vutoli Khutu lotsekeka ndi machitidwe a machitidwe a Valsalva, omwe amaphatikizapo kutseka pakamwa ndi mphuno, kufinya pang'onopang'ono ndi kutulutsa mpweya kudzera m'mphuno. Izi zimathandiza kulinganiza kuthamanga kwapakati pa khutu ndikutsegula ngalande ya khutu. Kuonjezera apo, madontho a saline amatha kugwiritsidwanso ntchito m'makutu omwe akhudzidwa kuti athandize kusungunula khutu ndikuthyola mapulagi. Ngati njirazi sizikugwira ntchito, ndi bwino kukaonana ndi dokotala kuti mupeze matenda olondola ndi kulandira chithandizo choyenera.

2. Anatomy ya Khutu: Kumvetsetsa Njira Yolepheretsa

Kuti timvetsetse momwe kutsekeka kwa makutu kumayendera, ndikofunikira kudziwa momwe thupi limakhalira. Khutu lapangidwa ndi zigawo zazikulu zitatu: khutu lakunja, khutu lapakati, ndi lamkati. Khutu lakunja limapangidwa ndi pinna ndi ngalande yomveka yakunja. Khutu lapakati limaphatikizapo nembanemba ya tympanic ndi ossicles (nyundo, incus, ndi stapes), pamene khutu lamkati limakhala ndi cochlea ndi vestibular system.

Pamene kumvetsera kumasokonekera chifukwa cha zolepheretsa, pangakhale zifukwa zosiyanasiyana. Chimodzi mwazofala kwambiri ndi kudzikundikira kwa earwax mu ngalande ya khutu, zomwe zingalepheretse kufalitsa koyenera kwa phokoso. Chifukwa china chofala chingakhale kukhalapo kwa madzimadzi pakati pa khutu, zomwe zingachitike chifukwa cha matenda kapena kusagwira ntchito mu chubu cha Eustachian.

Pofuna kuthetsa vuto la kutsekeka kwa khutu, pali zosankha zosiyanasiyana. Chimodzi mwa izo ndikuyeretsa ngalande ya makutu, pogwiritsa ntchito zida zapadera monga spoons za earwax. Komabe, m’pofunika kusamala pochita zimenezi, chifukwa kusagwira bwino ntchito kungawononge makutu. Pazochitika zolepheretsa kupitiriza, ndibwino kuti muwone dokotala waluso kuti awone momwe zinthu zilili ndikupeza chithandizo choyenera, chomwe chingaphatikizepo mankhwala kapena njira zinazake.

3. Mitundu yodziwika bwino ya kutsekeka kwa khutu ndi zomwe zimayambitsa

Pali mitundu ingapo yodziwika bwino yotsekereza makutu zomwe zingakhale ndi zifukwa zosiyanasiyana. Chimodzi mwazolepheretsa kwambiri ndi kudzikundikira kwa earwax mu ngalande ya khutu. Nkhutu ndi phula lomwe limapangidwa ndi tiziwalo timene timatulutsa m'khutu kuti litetezeke ku fumbi, tizilombo, ndi matenda omwe angakhalepo. Komabe, nthawi zina khutu la khutu limadziunjikira kwambiri ndipo limatha kutsekereza ngalande ya khutu, zomwe zimayambitsa vuto lakumva komanso kusapeza bwino.

Chinthu china chofala cha kutsekeka kwa khutu ndi kukhalapo kwa zinthu zachilendo mu ngalande ya khutu. Izi zikhoza kuchitika mwa ana aang’ono amene amaika zoseŵeretsa zing’onozing’ono kapena zinthu m’makutu mwawo, komanso kwa akuluakulu amene amagwiritsa ntchito zinthu monga thonje la thonje kuyeretsa makutu awo, zomwe zimatha kukankhira phula m’makutu n’kutsekereza.

Kuonjezera apo, matenda ena monga otitis externa kapena khutu la osambira angayambitse khutu. Otitis Externa ndi matenda a ngalande yakunja ya khutu yomwe imatha kuyatsa ngalandeyo ndikuyitsekereza. Kumbali ina, khutu la osambira ndi vuto lomwe limabwera chifukwa chokhala m'madzi kwa nthawi yayitali, zomwe zimatha kupangitsa kuti chinyontho chichuluke mu ngalande ya khutu ndi kukula kwa bakiteriya, zomwe zimapangitsa kutsekeka ndi kupweteka.

4. Kodi ndi liti pamene mukufuna kupeza chithandizo chamankhwala kuti mutsegule khutu?

*Mukapita kuchipatala kuti mutsegule khutu*

Pali zochitika zomwe zingakhale zofunikira kupita kuchipatala kuti mutsegule khutu. motetezeka ndi ogwira. Ngakhale kutsekeka kwa ngalande zamakutu kumatha kumveka kokha, nthawi zina kungakhale kwanzeru kuwonana ndi dokotala kuti mupeze chithandizo choyenera. Chisankho chofuna chithandizo chamankhwala chiyenera kutengera kuopsa kwa kutsekeka ndi zizindikiro zomwe zikugwirizana nazo.

1. Kusamva kumveka kosalekeza: Ngati mumasiya kumva kwa nthawi yaitali kapena pang’onopang’ono m’khutu limodzi kapena zonse ziwiri, m’pofunika kupita kuchipatala. Kutsekekako kungakhale chifukwa cha khwawa la m'khutu lophatikizika kwambiri kapena vuto lina lomwe limafuna kuunika koyenera ndi chithandizo ndi dokotala wapadera.

2. Kupweteka kwambiri kapena kusamva bwino: Ngati mukumva kupweteka kwambiri khutu lomwe lakhudzidwa kapena mukumva kusapeza bwino, ndikofunikira kuti muwone dokotala. Kupweteka kosalekeza m'makutu kungakhale chizindikiro cha matenda kapena kuwonongeka kwa ngalande ya khutu, zomwe zimafuna chithandizo chamankhwala mwamsanga.

3. Zizindikiro zina zodetsa nkhawa: Ngati mukumva kulira, chizungulire, kutuluka kwamadzi kuchokera m'khutu, kapena kumva kupanikizika kosalekeza, ndi bwino kupita kuchipatala. Zizindikirozi zikhoza kukhala zizindikiro za vuto lalikulu kwambiri ndipo ziyenera kuyesedwa ndi dokotala kuti apewe zovuta zina.

Kumbukirani kuti ngakhale pali njira zingapo kunyumba ndi mankhwala pamsika amene amati amatsegula makutu, ndikofunikira kukhala osamala komanso osayesa kuchiritsa kunyumba popanda chitsogozo choyenera chachipatala. Katswiri wodziwa bwino adzatha kuwunika bwino ndikugwiritsa ntchito njira zoyenera kuti mutsegule khutu lanu. njira yotetezeka ndi zothandiza, kupewa kuwonongeka zotheka mu ndondomekoyi. Musazengereze kuwonana ndi katswiri ngati muli ndi mafunso kapena ngati mukukumana ndi zovuta kapena zodetsa nkhawa.

5. Njira zodziyeretsera makutu: Ndi iti yomwe ili yoyenera kwambiri?

Kuyeretsa makutu nthawi zonse ndi njira yofunikira kuti mukhale ndi thanzi labwino lakumva. Pali njira zosiyanasiyana zodziyeretsera khutu, koma ndikofunikira kusankha yoyenera komanso yotetezeka kuti mupewe kuwonongeka kwa ngalande ya khutu. M'munsimu muli njira zina zomwe zimagwiritsidwa ntchito poyeretsa makutu:

Kusamba ndi madzi ofunda: Njira imeneyi imaphatikizapo kugwiritsa ntchito syringe yamadzi ofunda kuti mutsuke khutu mofatsa. Kuti muchite izi, lembani syringe ndi madzi ofunda ndikuwongolera pang'onopang'ono mtsinje wamadzi mu ngalande ya khutu. Ndikofunika kukumbukira kuti madzi otentha kapena ozizira sayenera kugwiritsidwa ntchito, chifukwa angayambitse chisokonezo kapena kuwonongeka. Komanso, samalani kuti musamapanikizike kwambiri komanso kuti madzi asakhudze khutu la khutu.

Kugwiritsa ntchito mafuta: Njira ina yomwe anthu ambiri amagwiritsa ntchito podzitsuka khutu ndi kugwiritsa ntchito mafuta. Mutha kugwiritsa ntchito mafuta amchere, mafuta a ana kapena maolivi. Kuti muchite izi, pendekerani mutu wanu kumbali imodzi ndikuyika madontho angapo a mafuta ku khutu lomwe lakhudzidwa. Khalani pamalo amenewo kwa mphindi zingapo kuti mafuta alowe m'khutu. Kenako, pendekerani mutu wanu mbali ina kuti mafuta ochulukirapo ndi zinyalala zituluke m'khutu. Ndikofunika kuzindikira kuti njirayi siyenera kugwiritsidwa ntchito ngati akukayikira kuti ali ndi matenda a khutu kapena ngati pali mbiri ya kuphulika kwa khutu.

6. Tsukani khutu: Njira zofunika ndi zodzitetezera kuziganizira

7. Kugwiritsa ntchito bwino njira zotsegula makutu

Kuti mutsegule khutu lanu mosamala, ndikofunikira kutsatira malangizo ndi njira zothandiza. Musanayese njira iliyonse yapakhomo, m'pofunika kukumbukira kuti khutu ndi chiwalo chomva bwino ndipo kusagwira bwino kungawononge kwambiri. Choncho, ndi bwino kukaonana ndi dokotala kapena katswiri wa makutu musanayambe ndondomeko iliyonse.

• Kuyeretsa ndi saline solution: Njira yotetezeka komanso yothandiza yotsegula khutu ndikugwiritsa ntchito mankhwala a saline. Mukhoza kukonzekera mwa kusakaniza supuni ya tiyi ya mchere mu kapu ya madzi ofunda. Kenako, gwiritsani ntchito syringe kapena syringe ya babu kuti mugwiritse ntchito yankho ku khutu lomwe lakhudzidwa. Pendekerani mutu wanu kumbali ina ndipo mulole kuti mchere ukhalepo kwa mphindi zingapo musanawukhetse.
• Kugwiritsa ntchito mafuta a mineral: Mafuta amchere amatha kuthandizira kumasula ndikuchotsa makutu ochuluka. Kutenthetsa mafuta ena amchere ndipo onetsetsani kuti sikutentha kwambiri kuti musapse. Mothandizidwa ndi dropper, ikani madontho angapo a mafuta amchere mu khutu lotsekedwa. Sungani mutu wanu wopendekeka kwa mphindi zingapo kuti mafuta alowe mkati, kenaka tsitsani khutu mosamala ndi minofu yoyera.
• Pewani kugwiritsa ntchito thonje swabs: Ngakhale kuti zingawoneke ngati zophweka, kuyika thonje swabs kapena zinthu zina zazing'ono m'khutu kungapangitse kutsekeka kwa khutu kapena kuwonongeka kwa eardrum. Ndikwabwino kupewa mchitidwewu ndikusankha njira zotetezeka monga zomwe tazitchula pamwambapa kuti mutsegule khutu.

Kumbukirani kuti njirazi ndizoyenera kutsekeka pang'ono kapena kutsekeka koyambitsidwa ndi makutu. Ngati vutoli likupitirirabe kapena limodzi ndi ululu, kumva kumva kapena chizungulire, m’pofunika kuti mupite kuchipatala mwamsanga. Musayesetse kukonza vuto la khutu nokha ngati pali zizindikiro zodetsa nkhawa kapena ngati simukudziwa momwe mungachitire bwino.

8. Zimango m'zigawo: Analimbikitsa Zida ndi Njira

M'zigawo zamakina, pali zida ndi njira zenizeni zomwe zimalimbikitsidwa kuti zitheke. moyenera ndi otetezeka. Pansipa pali zida zomwe zimagwiritsidwa ntchito kwambiri m'derali:

1. Martillo de percusión: Kugwiritsa ntchito nyundo yogoba kumatha kukhala kothandiza kwambiri kumasula zidutswa kapena zinthu zomwe zimalumikizidwa mwamphamvu. Nyundo yamtunduwu imakhala ndi mphamvu yoyendetsedwa, yomwe imalola kuti ziwalozo zitulutsidwe popanda kuwononga zina zonse.

2. Screw extractors: Ngati mumadzipeza kuti muli ndi zomangira zomwe zawonongeka kapena zowonjezedwa kwambiri, zopangira zomangira ndiye njira yabwino. Zidazi zimapangidwira kuti zigwire mwamphamvu ku screw ndipo, pogwiritsa ntchito wrench, mphamvu yozungulira imagwiritsidwa ntchito yomwe imalola kuti imasulidwe popanda mavuto.

3. mikwingwirima ya torque: Mawotchi a torque ndi ofunikira kuti agwiritse ntchito mphamvu yoyenera pakuchotsa. Zida izi zili ndi makina oyezera ma torque omwe amakulolani kuti musinthe malinga ndi zosowa. Mwanjira imeneyi mumapewa kugwiritsa ntchito mphamvu zambiri ndikuwononga mbali zozungulira.

Ndikofunika kuzindikira kuti, mukamagwiritsa ntchito zida zamakinazi, ndikofunikira kutsatira njira zomwe zikulimbikitsidwa kuti mupewe kuvulala kapena kuwonongeka kwa zinthu zomwe zikugwiritsidwa ntchito pochotsa. Musanayambe, onetsetsani kuti mwawerenga malangizo ogwiritsira ntchito ndikuchita zofunikira zotetezera. Nthawi zonse kumbukirani kugwiritsa ntchito zida zoyenera zodzitetezera!

9. Kupewa kutsekeka kwa khutu: malangizo ndi malangizo oti atsatire

10. Njira yachipatala yotsegula khutu: njira ndi mankhwala

Pali njira zingapo komanso mankhwala omwe madokotala angagwiritse ntchito kuti atsegule khutu moyenera. Imodzi mwa njira zodziwika bwino ndikutsuka makutu ndi madzi ofunda kapena saline. Kuti tichite izi, madzi pang'ono amayikidwa mu khutu lomwe lakhudzidwa ndikusiya kuchitapo kanthu kwa mphindi zingapo. Kenako mutu umapendekeka mbali ina kuti madzi amadzimadzi komanso kutsekeka kulikonse kutuluke m’khutu. Njirayi imatha kubwerezedwa kangapo mpaka khutu litatsekedwa kwathunthu.

Njira ina yachipatala yotsegula khutu ndiyo kugwiritsa ntchito mankhwala. Madokotala akhoza mankhwala madontho khutu munali odana ndi yotupa wothandizira kapena maantibayotiki, malingana ndi chifukwa cha blockage. Madonthowa amaikidwa mu khutu lomwe lakhudzidwa monga momwe adalangizira dokotala ndikuthandizira kuchepetsa kutupa kapena kulimbana ndi matenda omwe alipo. Ndikofunikira kutsatira mosamalitsa malangizo a dokotala okhudza mlingo ndi nthawi ya chithandizo.

Pazovuta kwambiri za kutsekeka kwa khutu, njira yotchedwa tympanoplasty ingakhale yofunikira. Kuchita zimenezi kumaphatikizapo kung’amba pang’ono m’khutu kuti mukhetse madzi ochuluka kapena kuchotsa chinthu chachilendo chimene chikuyambitsa vutolo. Tympanoplasty imachitidwa pansi pa anesthesia wamba ndipo nthawi zambiri imakhala yofulumira komanso yotetezeka. Komabe, ndikofunikira kukaonana ndi dokotala waluso kuti adziwe ngati njirayi ndi yofunikira komanso yoyenera pazochitika zilizonse.

11. Kuchiza kwa mpweya: njira yabwino yotsegula khutu

Air pressure therapy ndi njira yabwino yomwe imagwiritsidwa ntchito kumasula makutu otsekeka. Munthawi yomwe mumamva kupanikizika m'khutu, kupweteka, kapena kumva kutsekeka, mankhwalawa amatha kukhala njira yabwino yothetsera kusapeza bwino. M'munsimu muli njira zomwe mungatsatire pochita chithandizochi:

Gawo 1: Gwiritsani ntchito syringe ya babu kapena syringe ya babu kupanga kuthamanga kwa mpweya. Onetsetsani kuti syringe ndi yoyera komanso yabwino musanagwiritse ntchito. Ngati ndi kotheka, mutha kuyimitsa poiwiritsa m'madzi otentha kwa mphindi zingapo.

Gawo 2: Lembani syringe ya babu kapena babu ndi madzi ofunda. Yang'anani kutentha kwa madzi kuti muwonetsetse kuti sakutentha kwambiri, chifukwa akhoza kuwononga makutu anu. Madzi ofunda amathandizira kufewetsa sera iliyonse yolimba mkati mwa ngalande ya khutu.

Gawo 3: Pendekerani mutu wanu mbali imodzi ndikuyika nsonga ya syringe ya babu kapena syringe ya babu pakhomo la ngalande ya khutu lanu. Onetsetsani kuti nsongayo ndi yotsekedwa bwino kuti madzi asatayike. Kenako kanikizani babuyo pang'onopang'ono kapena finyani babu kuti mutulutse madzi ofunda mkati mwa khutu. Izi zidzapanga mpweya wothamanga womwe ungathandize kumasula khutu. Gwirani malowa kwa masekondi angapo kuti madzi ayambe kugwira ntchito.

12. Khutu lotsekeka pambuyo posambira: zimayambitsa ndi njira zodzitetezera

Khutu lotsekeka pambuyo posambira ndi vuto lofala lomwe limakhudza anthu ambiri, makamaka omwe amathera nthawi yambiri m'madzi. Vutoli likhoza kuyambitsidwa ndi zifukwa zingapo, monga kuchuluka kwa madzi kapena kukwiya kwa ngalande ya khutu chifukwa cha klorini kapena mabakiteriya m'madzi.

Pali njira zodzitetezera zomwe zingatengedwe kuti khutu lisatsekedwe mukatha kusambira. Njira imodzi yothandiza kwambiri ndiyo kugwiritsa ntchito zotsekera m’makutu zomwe zimapangidwira makamaka pamadzi. Mapulagi amenewa amathandiza kuti madzi asalowe m’makutu n’kuyambitsa kutsekeka. Kuonjezera apo, ndi bwino kuti muumitse makutu anu bwino mukatha kusambira, pogwiritsa ntchito thaulo loyera kapena chowumitsira tsitsi pamoto wochepa.

Ngati khutu lanu latsekeka kale mutatha kusambira, pali njira zina zomwe mungachite kuti muchepetse kutsekeka. Njira yothandiza ndiyo kupendekera mutu wanu kumbali yomwe yakhudzidwa ndi kukokera khutu pansi ndi kunja pang'onopang'ono, kwinaku mukusisita kumbuyo kwa khutu pang'onopang'ono. Izi zingathandize kukhetsa madzi ochuluka mu ngalande ya khutu ndi kutsegula khutu lotsekeka. Ngati vutoli likupitirirabe, ndi bwino kukaonana ndi katswiri wa makutu, mphuno ndi mmero, yemwe adzatha kufufuza momwe zinthu zilili ndikupangira chithandizo choyenera.

13. Chenjezo ndi kusamala pa njira kunyumba kuti unclog khutu

Ndizofala kwambiri kuti anthu ayang'ane njira zapakhomo kuti atsegule khutu asanapite kwa katswiri. Komabe, ndikofunikira kukumbukira machenjezo ndi njira zodzitetezera musanayese njira zilizonse zapakhomo. M'munsimu muli malangizo omwe muyenera kukumbukira:

• Osayika zinthu m'makutu: Ndikofunika kukumbukira kuti simuyenera kuyika zinthu zilizonse m'makutu, monga thonje, zokopa, zomangira kapena zinthu zina zosongoka. Zinthu izi zimatha kuwononga ngalande ya khutu ndikupangitsa kuti zinthu ziipireipire.
• Pewani kukhudzidwa ndi phokoso lalikulu: Ngati khutu lanu latsekedwa, ndi bwino kuti musamamve phokoso lalikulu, chifukwa izi zingapangitse vutolo. Ndibwino kuti mugwiritse ntchito zotsekera m'makutu mukakhala kuti kukhudzana ndi phokoso lalikulu sikungapeweke.
• Gwiritsani ntchito njira zoyeretsera mofatsa: M’malo molowetsa zinthu m’khutu, tikulimbikitsidwa kugwiritsa ntchito njira zoyeretsera mofatsa, monga kupendekera mutu m’mbali ndi kuthira madzi ofunda pang’onopang’ono ku khutu lomwe lakhudzidwa. Madzi angathandize kusungunula khutu lililonse kapena kutsekereza komwe kulipo.

Ngati, ngakhale mutatsatira malangizowa, mukupitirizabe kumva kusapeza bwino kapena vuto silikuthetsa, ndikofunika kuti mupite kwa katswiri wodziwa kumva. Katswiriyo adzatha kuwunika bwino momwe zinthu ziliri ndikukupatsirani chithandizo choyenera kuti musatseke khutu mosamala komanso moyenera.

14. Aftercare: Zoyenera kuchita mutatsegula khutu?

Pambuyo pakutsegula khutu, ndikofunikira kutsatira malingaliro ena kuti mutsimikizire chisamaliro choyenera. Nawa maupangiri ndi njira zomwe muyenera kukumbukira:

1. Pewani kukhudzana ndi phokoso lalikulu: Pambuyo potsegula khutu, ndibwino kuti musamamve phokoso lamphamvu kwambiri, chifukwa izi zikhoza kukhumudwitsa khutu kachiwiri ndikuyambitsa chisokonezo. Yesetsani kukhala pamalo abata ndi abata maola oyamba mutavundukula.

2. Limpieza adecuada: Onetsetsani kuti mumasunga ukhondo wamakutu mutamasula. Mungagwiritse ntchito mpira wofewa wa thonje kapena chopukutira kuti muyeretse bwino malo ozungulira khutu, kupewa kulowetsa zinthu zakunja mu ngalande ya khutu. Kumbukirani kuti musagwiritse ntchito thonje swabs, chifukwa amatha kukankhira phula m'makutu, kuchititsa blockages.

3. Tsatirani malangizo a akatswiri: Ngati mwatembenukira kwa katswiri kuti atseke khutu lanu, ndikofunikira kutsatira malangizo onse omwe akupatsani. Akhoza kulangiza chithandizo chamankhwala kapena nthawi yeniyeni yochitira zinthu zina. Musaiwale kutsatira malangizo awa mosamala kuti mutsimikizire kuchira bwino ndikupewa zovuta.

Pomaliza, kumasula khutu kumakhala kovutirapo ndipo, nthawi zambiri, kumatha kuthetsedwa mosavuta. kunyumba ndi miyeso yosavuta. Ndikofunika kukumbukira kuti, ngakhale kuti njirazi ndizothandiza, siziyenera kugwiritsidwa ntchito pazochitika za khutu kapena kuvulala. Ngati kutsekeka kukupitirira ndipo kumayendera limodzi ndi ululu, kufiira, kapena zizindikiro zina zosazolowereka, ndikofunika kupeza chithandizo chamankhwala kuti adziwe ndi kuchiza chomwe chimayambitsa vutoli. Khalani aukhondo ndi chisamaliro cha makutu, kupewa kuyambitsa zinthu zakunja, Ndi yabwino kwambiri njira yopewera zolepheretsa ndikutsimikizira kugwira ntchito bwino kwa malingaliro ofunikirawa.