Ndinapezeka ndi Matenda a Khunyu Osadziwa N'komwe Kuti Ndikudwala Khunyu
Zamkati
- Kulimbana ndi Thanzi Langa
- Pozindikira Panali Vuto
- Kudziwa Kuti Ndinali Ndili Ndi Khunyu
- Kupezeka ndi Khunyu
- Momwe Ndinapiririra ndi Kuzindikira
- Zomwe Ndaphunzira
- Onaninso za
Pa October 29, 2019, anandipeza ndi khunyu. Ndinakhala moyang'anizana ndi katswiri wanga wamaubongo ku Brigham and Women Hospital ku Boston, maso anga akupuma komanso kuwawa mtima, pomwe amandiuza kuti ndili ndi matenda osachiritsika omwe ndiyenera kukhala nawo moyo wanga wonse.
Ndidachoka muofesi yake ndimulembera kalata, timabuku totsatsira angapo, ndi mafunso miliyoni: "Kodi moyo wanga usintha motani?" "Anthu aganiza chiyani?" "Kodi ndidzamvanso wabwinobwino?" - mndandanda ukupitilira.
Ndikudziwa kuti anthu ambiri amene amapezeka ndi matenda aakulu sakhala okonzekera, koma mwina chimene chinandidabwitsa kwambiri chinali chakuti sindinkadziwa n’komwe kuti ndinali ndi khunyu mpaka miyezi iwiri yapitayo.
Kulimbana ndi Thanzi Langa
Ambiri azaka 26 azimva kukhala osagonjetseka. Ndikudziwa ndinatero. M’maganizo mwanga, ndinali munthu wathanzi: Ndinkachita masewera anayi mpaka kasanu pa sabata, ndinkadya zakudya zopatsa thanzi, ndinkachita kudzisamalira komanso kusamala maganizo anga popita kuchipatala.
Kenako, mu Marichi 2019, zonse zidasintha.
Kwa miyezi iŵiri, ndinadwala—choyamba ndi matenda a m’khutu kenaka chimfine chiŵiri (inde, chiŵiri). Pokhala kuti iyi sinali fuluwenza yanga yoyamba nkhope yanga pansi (#tbt kwa nkhumba chimfine mu '09), ndimadziwa - kapena ine ganiza Ndinadziwa - zomwe ndikuyembekezere ndikachira. Komabe, ngakhale malungo ndi kuzizira zitatha, thanzi langa silinkawoneka ngati likubwerera. M'malo mopezanso nyonga yanga monga momwe ndimayembekezera, ndimangotopa nthawi zonse ndikukhala ndimiyendo yachilendo m'miyendo mwanga. Kuyesedwa kwa magazi kunavumbula kuti ndinali ndi vuto lalikulu la B-12 — lomwe silinadziwike kwa nthawi yayitali kotero kuti linakhudza kwambiri mphamvu zanga ndikufika mpaka kuwononga mitsempha ya miyendo yanga. Ngakhale zofooka za B-12 ndizofala kwambiri, magazi ambiri osawerengeka sakanatha kuthandizira madotolo kudziwa chifukwa chake ndinalibe vuto poyambirira. (Zogwirizana: Chifukwa Mavitamini B Ndi Chinsinsi Cha Mphamvu Zambiri)
Mwamwayi, yankho lake linali losavuta: kuwombera B-12 sabata iliyonse kuti ndikweze milingo yanga. Pambuyo poyeza pang'ono, chithandizocho chimawoneka kuti chikugwira ntchito ndipo, patatha miyezi ingapo, chinawoneka bwino.Pofika kumapeto kwa Meyi, ndimaganiziranso bwino, ndikumva mphamvu, komanso kumva kupweteka m'miyendo mwanga. Ngakhale kuwonongeka kwa mitsempha sikunakonzeke, zinthu zinali kuyamba kuyang'ana ndipo, kwa milungu ingapo, moyo unabwerera mwakale-ndiye kuti, mpaka tsiku lina ndikulemba nkhani, dziko lapansi linada.
Zinachitika mofulumira kwambiri. Nthawi ina ndimangoyang'ana mawu akudzaza pakompyuta pamaso panga monga momwe ndidachitira nthawi zambiri m'mbuyomu, ndipo kenako, ndidamva kugunda kwamphamvu kochokera m'mimba mwanga. Zinali ngati kuti munthu wina wandipatsa nkhani yoopsa kwambiri padziko lonse, motero ndinasiya kumenya kiyibodi mosadziwa. Maso anga adatuluka, ndipo ndinali wotsimikiza kuti ndiyambanso kubwebweta. Koma, ndidayamba kuwona masanjidwe ndipo pamapeto pake sindimatha kuwona zonse, ngakhale maso anga anali otseguka.
Pomwe pamapeto pake ndinafika-kaya panali masekondi kapena mphindi pambuyo pake, sindikudziwa-ndinali nditakhala pa desiki yanga ndipo nthawi yomweyo ndinayamba kulira. Chifukwa chiyani? Ayi. a. chidziwitso. Sindinadziwe kuti WTF idangochitika, koma ndidadziuza kuti mwina ndi zotsatira chabe za chilichonse chomwe thupi langa lidachita miyezi ingapo yapitayi. Chifukwa chake, ndidatenga mphindi kuti ndisonkhanitse, ndikuzikweza mpaka kutaya madzi, ndikupitiliza kulemba. (Zogwirizana: Chifukwa Chiyani Ndikulira Mopanda Chifukwa? Zinthu 5 Zomwe Zingayambitse Kulira)
Koma kenako zinachitikanso tsiku lotsatira—ndipo tsiku lotsatira ndi tsiku lotsatira ndipo, posakhalitsa, “zigawo” zimenezi monga ndinazitcha izo, zinakula. Nditazimiririka, ndimamva nyimbo zomwe sizimasewerera IRL komanso ziwonetsero zowoneka bwino zikulankhulana wina ndi mnzake, koma sindimatha kudziwa zomwe akunena. Zikumveka ngati maloto owopsa, ndikudziwa. Koma sichinamve ngati chimodzi. Ngati zinali choncho, ndinkangokhalira kusangalala nthawi iliyonse imene ndinkakhala ngati maloto. Zovuta kwambiri - ndinamva kotero wokondwa kuti, ngakhale mwachinyengo, ndimaganiza kuti ndikumwetulira. Nditangotuluka, komabe, ndimakhala wachisoni komanso wamantha, zomwe nthawi zambiri zimatsatiridwa ndi nseru.
Nthawi zonse zinkachitika, ndinali ndekha. Zomwe zidamuchitikirazo zinali zodabwitsa komanso zodabwitsa kotero kuti ndinazengereza kuuza aliyense za izi. Kunena zowona, ndimamva ngati ndayamba misala.
Pozindikira Panali Vuto
Bwerani Julayi, ndidayamba kuyiwala zinthu. Ngati ine ndi mwamuna wanga tinkacheza m'mawa, sindinkatha kukumbukira zokambirana zathu usiku. Anzanga ndi achibale adandiuza kuti ndimangobwerezabwereza, ndikubweretsa mitu ndi zochitika zomwe tidazifotokoza kale mphindi zochepa kapena maola angapo m'mbuyomu. Kufotokozera kokhako kotheka kwa zovuta zonse zomwe ndidapeza kumene? “Zigawo” zobwerezabwereza—zimene, mosasamala kanthu za kuchitika mokhazikika, zinali zidakali chinsinsi kwa ine. Sindinathe kudziwa chomwe chinawabweretsa kapena kukhazikitsa mtundu winawake wamatchulidwe. Pakadali pano, zimachitika nthawi zonse masana, tsiku lililonse, mosasamala komwe ndinali kapena zomwe ndimachita.
Choncho, patangotha mwezi umodzi kuchokera pamene ndinazimitsa magetsi koyamba, ndinauza mwamuna wanga. Koma mpaka adadziwonera yekha pomwe iye ndi ine tidamvetsetsa zovuta zake. Nayi malingaliro amwamuna wanga pankhaniyi, popeza sindikumbukirabe za mwambowu: Izi zidachitika nditaimirira pafupi ndi sinki yanga yosambiramo. Atandiyitana kangapo osayankha, mamuna wanga adapita kuchimbudzi kuti akayang'ane, koma adandipeza, mapewa atagwa, ndikuyang'ana pansi, ndikumenyetsa milomo yanga ndikamagwa. Anabwera kumbuyo kwanga ndikundigwira mapewa kufuna kundigwedeza. Koma ndidangobwerera m'manja mwake, osayankha, maso anga tsopano akuphethira mosaletseka.
Mphindi zinadutsa ndisanadzuke. Koma kwa ine, nthawi idadutsa ndikumva ngati kusowa kolowera.
Kudziwa Kuti Ndinali Ndili Ndi Khunyu
Mu August (pafupifupi milungu iwiri pambuyo pake), ndinapita kukaonana ndi dokotala wanga wamkulu. Atamuuza zamatenda angawa, nthawi yomweyo adanditumiza kwa katswiri wamaubongo, pomwe amaganiza kuti "zoopsa" izi mwina zimakomoka.
"Kugwidwa? Palibe," ndinayankha nthawi yomweyo. Kukomoka kumachitika mukamagwera pansi ndikudzimenya ndikutuluka thobvu kukamwa. Ndinali ndisanakumanepo ndi zimenezi m’moyo wanga! Kuzimitsidwa kwamaloto uku anali kukhala china chake. (Chenjezo la Spoiler: sanali, koma sindikadakhala ndi chidziwitso chotsimikizika kwa miyezi ina iwiri nditapeza nthawi yokumana ndi dokotala wamanjenje.)
Pakadali pano, a GP adakonza kamvedwe kanga, ndikulongosola kuti zomwe ndangofotokozazi ndikumenyedwa koopsa kapena kwakukulu. Ngakhale zochitika zakugwa kenako zopweteka ndizomwe zimabwera m'maganizo mwa anthu ambiri akaganiza zakugwidwa, kwenikweni ndi mtundu umodzi wokha wa kulanda.
Mwa kutanthauzira, kugwidwa ndi kusokonezeka kwamagetsi kosalamulirika muubongo, adalongosola. Mitundu ya kugwidwa (komwe kulipo yambiri) imagawika m'magulu awiri akulu: Kugwidwa kwanthawi yayitali, komwe kumayambira mbali zonse ziwiri zaubongo, ndi kugwidwa kwapadera, komwe kumayambira mdera lina laubongo. Pali mitundu ingapo yakugwa kwa kugwa - komwe kali kosiyana ndi inzake - mgulu lililonse. Kumbukirani kugwidwa kwamatoni komwe ndangonena kumene? Inde, iwo amagwa pansi pa ambulera ya "khunyu" ndipo amayambitsanso kuzindikira, malinga ndi Epilepsy Foundation. Panthawi zina, mumatha kukhala ogalamuka ndikudziwa. Zina zimayambitsa mayendedwe opweteka, obwerezabwereza, ogwedezeka, pomwe zina zimakhudza zachilendo zomwe zingakhudze mphamvu zanu, kaya ndi kumva, kuwona, kulawa, kugwira kapena kununkhiza. Ndipo sindiwo masewera a ichi kapena icho-zowonadi, anthu ena amalandira khunyu kamodzi kokha, koma anthu ena amatha kugwidwa kosiyanasiyana komwe kumawonekera m'njira zosiyanasiyana, malinga ndi Centers for Disease Control and Prevention (CDC) .
Kutengera ndi zomwe ndidagawana nazo zazizindikiro zanga, GP wanga adati mwina ndikugwidwa ndi vuto linalake, koma tifunika kuyezetsa ndikufunsana ndi dokotala wa minyewa kuti titsimikizire. Anandikonzera kuti ndikapezeke ndi electroencephalogram (EEG), yomwe imagwira ntchito zamagetsi muubongo, komanso kujambula kwa maginito (MRI), yomwe imasonyeza kusintha kulikonse muubongo komwe kungakhaleko chifukwa cha kukomoka kumeneku.
EEG ya mphindi 30 idabwereranso mwakale, zomwe zimayenera kuyembekezeredwa popeza sindinagwidwe poyesa. MRI, kumbali ina, inasonyeza kuti hippocampus yanga, mbali ya lobe temporal yomwe imayang'anira kuphunzira ndi kukumbukira, inawonongeka. Vutoli, lomwe limadziwikanso kuti hippocampal sclerosis, limatha kuyambitsa khunyu, ngakhale sizili choncho kwa aliyense.
Kupezeka ndi Khunyu
Kwa miyezi iwiri yotsatira, ndinakhala ndikudziwitsa kuti panali china chake cholakwika ndi ubongo wanga. Pakadali pano, zomwe ndimadziwa ndikuti EEG yanga inali yachibadwa, MRI yanga idawonetsa kusakhazikika, ndipo sindimamvetsetsa tanthauzo la izi mpaka nditawona katswiri. Panthawiyi, kukomoka kwanga kunakulirakulira. Ndinayamba kukhala ndi tsiku limodzi ndikukhala ndi kangapo, nthawi zina kubwerera kumbuyo ndikumakhala kulikonse pakati pa masekondi 30 mpaka 2 mphindi.
Malingaliro anga adachita ulesi, ndikumbukira kwanga kudapitilizabe kundilephera, ndipo pofika Ogasiti, zolankhula zanga zidayamba kugwira ntchito. Kupanga ziganizo zoyambira kumafunikira mphamvu zanga zonse ndipo ngakhale zitakhala, sizingatuluke monga momwe amafunira. Ndinachita mantha polankhula kotero kuti ndisakhale wosayankhula.
Kuphatikiza pa kutopetsa m'malingaliro ndi m'maganizo, matenda angawa adakhudzanso thanzi langa. Andigwetsa pansi, kugunda mutu wanga, kugwera muzinthu, ndikuwotcha nditakomoka panthawi yolakwika. Ndinasiya kuyendetsa galimoto kuwopa kuti nditha kuvulaza wina kapena ine ndekha ndipo lero, chaka chotsatira, sindinabwerere pampando woyendetsa.
Pomalizira pake, mu October, ndinaonana ndi dokotala wa minyewa. Anandiyendetsa pa MRI yanga, ndikundiwonetsa momwe hippocampus yomwe ili kumanja kwa ubongo wanga idafota komanso yaying'ono kwambiri kuposa yomwe ili kumanzere. Anati mtundu uwu wosokonekera ungayambitse kugwidwa-Kuzindikira Kuzindikira Kowonongeka, kukhala kolondola.Chidziwitso chonse? Temporal Lobe Epilepsy (TLE), yomwe ingayambike kunja kapena mkati mwa lobe temporal, malinga ndi Epilepsy Foundation. Popeza hippocampus ili pakatikati (mkati) la lobe wakanthawi, ndinali kukumana ndi zovuta zomwe zimakhudza kapangidwe ka kukumbukira, kuzindikira kwamtendere, komanso mayankho am'maganizo.
Ndiyenera kuti ndidabadwa ndi vuto la hippocampus yanga, koma kukomoka kudayamba chifukwa cha kutentha thupi komanso thanzi lomwe ndidali nalo m'chakachi, malinga ndi dotolo wanga. Malungo adayambitsa khunyu pomwe adatentha gawo limenelo laubongo wanga, koma kuyambika kwa khunyu kukadakhala kuti kudachitika nthawi ina iliyonse, popanda chifukwa kapena chenjezo. Anati njira yabwino kwambiri ndikumwa mankhwala kuti athane ndi matendawa. Panali zingapo zoti asankhe, koma chilichonse chimabwera ndi mndandanda wazovuta, kuphatikiza zilema zobereka ngati ndingakhale ndi pakati. Popeza kuti ine ndi mwamuna wanga tinkafuna kuyamba banja, ndinaganiza zopita ndi Lamotrigine, yemwe akuti ndiotetezeka kwambiri. (Yogwirizana: FDA Imavomereza Mankhwala Omwe Amachokera Ku CBD Kuti Azigwetsa)
Kenaka, dokotala wanga anandiuza kuti anthu ena omwe ali ndi khunyu akhoza kufa popanda chifukwa-kumwalira mwadzidzidzi mwadzidzidzi mu khunyu (SUDEP). Zimachitika pafupifupi 1 mwa akulu 1,000 aliwonse omwe ali ndi khunyu ndipo amakhala pachiwopsezo chachikulu kwa odwala omwe ali ndi khunyu omwe amapitilira pakukula. Ngakhale kuti sindigwera m'gulu la anthu omwe ali pachiwopsezo chachikulu, SUDEP ndiye omwe amayambitsa kufa kwa anthu omwe ali ndi khunyu kosalamulirika, malinga ndi Epilepsy Foundation. Tanthauzo: zinali (ndipo zikadali) zofunika kwambiri kuti ndikhazikitse njira zotetezeka komanso zogwira mtima zowongolera kukomoka kwanga - kukaonana ndi katswiri, kumwa mankhwala, kupewa zoyambitsa, ndi zina zambiri.
Tsiku limenelo, dokotala wanga wa minyewa anandilandanso laisensi, ponena kuti sindingathe kuyendetsa galimoto mpaka nditasiya kukomoka kwa miyezi isanu ndi umodzi. Anandiuzanso kuti ndisamachite chilichonse chimene chingandichititse kukomoka, chomwe chingaphatikizepo kumwa pang’ono kapena kumwa moŵa, kuchepetsa nkhawa, kugona kwambiri, ndiponso kusadumpha kumwa mankhwala. Kupatula apo, chinthu chabwino kwambiri chomwe ndikadatha kuchita ndikukhala moyo wathanzi ndikuyembekeza zabwino. Ponena za kuchita masewera olimbitsa thupi? Sizinawonekere kukhala chifukwa chilichonse chomwe ndiyenera kuzipewa, makamaka popeza zingathandize kuthana ndi vuto langa, adalongosola. (Zokhudzana: Ndine Wolimbitsa Mtima Wodwala Wosaoneka Yemwe Amandipangitsa Kulemera)
Momwe Ndinapiririra ndi Kuzindikira
Zinanditengera miyezi itatu kuti ndizolowere njira zanga zolanda. Anandipangitsa kukhala olema kwambiri, oseketsa, komanso opanda pake, komanso amandipatsa kusinthasintha kwamaganizidwe-zonse zomwe ndimavuto obwera nazo koma ndizovuta. Komabe, patangotha milungu ingapo kuchokera pomwe ayamba mankhwalawa, adayamba kugwira ntchito. Ndinasiya kugwidwa kangapo, mwina kangapo pa sabata, ndipo nditatero, sanali olimba kwambiri. Ngakhale lero, ndili ndi masiku omwe ndimayamba kugwedezeka pa desiki langa, ndikuvutika kulimbikitsa ndi kumverera ngati sindiri m'thupi langa-aka an aura (omwe, inde, mungathenso kumva ngati mukudwala migraines ya ocular). Ngakhale ma aurawa sanakhudzidwepo kuyambira mwezi wa February (🤞🏽), kwenikweni ndi “chizindikiro chochenjeza” cha khunyu, motero, zimandipangitsa kukhala ndi nkhawa kuti wina akubwera—ndipo izi zitha kukhala zotopetsa ngati ndi liti. Ndili ndi 10-15 auras patsiku.
Mwina gawo lovuta kwambiri loti ndidziwike ndikusintha kuti ndigwirizane ndi zomwe ndakhala ndikuzidziwa, ndikuuza anthu za izi. Dokotala wanga adalongosola kuti kulankhula za matenda angawa kungakhale kumasula, osanenapo zofunikira kwa iwo omwe ali pafupi nane ngati nditha kugwidwa ndikufuna thandizo. Ndinazindikira msanga kuti palibe amene amadziwa chilichonse chokhudzana ndi khunyu — ndipo kuyesera kufotokoza zinali zokhumudwitsa, kungonena zochepa.
"Koma iwe sukuwoneka ngati ukudwala," anzanga ena anandiuza. Ena adandifunsa ngati ndingayesere "kulingalira" khunyu. Komanso, ndinauzidwa kuti ndipeze chitonthozo podziwa kuti "mwina ndinalibe khunyu loipa," ngati kuti pali mtundu wina uliwonse wabwino.
Ndinawona kuti nthawi iliyonse ndikadwala khunyu chifukwa cha ndemanga zopanda nzeru komanso malingaliro, ndimadzimva wopanda mphamvu - ndipo ndimayesetsa kudzipatula ku matenda anga.
Zinanditengera kugwira ntchito ndi othandizira komanso chikondi ndi misala yamisala kuti ndizindikire kuti matenda anga sanandifotokozere. Koma izi sizinachitike mwadzidzidzi. Chifukwa chake, nthawi zonse ndikasowa mphamvu zam'maganizo, ndimayesetsa kulipirira.
Ndi zovuta zanga zonse zathanzi chaka chatha, kupita kumalo ochitira masewera olimbitsa thupi adanditengera mpando wakumbuyo. Pofika Januware 2020, chifunga chobwera chifukwa cha khunyu chidayamba kutha, ndidaganiza zoyambiranso. Chinali chinachake chimene chinanditonthoza kwambiri pamene anandipeza ndi kuvutika maganizo ndili wachinyamata, ndipo ndinayembekezera kuti zidzachitanso chimodzimodzi tsopano. Ndipo mukuganiza chiyani? Zinatero, ndiponso, kuthamanga kuli ndi malingaliro ndi matupi a thupi. Ngati panali tsiku limene ndinalimbana ndi mawu anga ndikuchita manyazi, ndinamanga nsapato zanga ndikuthamanga. Ndikakhala ndimantha usiku chifukwa chamankhwala anga, ndimalowa mamawa tsiku lotsatira. Kuthamanga kumangondipangitsa kumva bwino: kuchepa khunyu komanso zochulukirapo, munthu wolamulira, wokhoza, komanso wamphamvu.
M'mwezi wa February pozungulira, ndinapanganso cholinga cholimbitsa mphamvu ndikuyamba kugwira ntchito ndi mphunzitsi ku GRIT Training. Ndinayamba ndi pulogalamu yamasabata asanu ndi limodzi yomwe inkapereka zolimbitsa thupi katatu pamlungu. Cholingacho chinali kupitirira patsogolo, zomwe zikutanthauza kukulitsa zovuta zolimbitsa thupi powonjezera kuchuluka, kulimba, ndi kukana. (Zokhudzana: 11 Ubwino Waukulu Wathanzi ndi Wolimbitsa Thupi Wokweza Zolemera)
Mlungu uliwonse ndinalimba mphamvu ndipo ndinkatha kunyamula katundu. Nditayamba, ndinali ndisanagwiritsepo ntchito chinthu chomenyera moto m'moyo wanga. Ndimatha kuchita squats asanu ndi atatu pa mapaundi 95 komanso makina osindikizira mabenchi asanu mapaundi 55. Pambuyo pakuphunzitsidwa milungu isanu ndi umodzi, ndidawonjezeranso kawiri obwereza ndikutha kuchita makina osindikizira a 13 benchi chimodzimodzi. Ndinkaona kuti ndili ndi mphamvu ndipo zimenezi zinandipatsa mphamvu zoti ndipirire zovuta za tsiku ndi tsiku.
Zomwe Ndaphunzira
Lero, ndatsala pang'ono kulanda kulanda miyezi inayi, ndikupanga m'modzi mwa omwe ali ndi mwayi. Pali anthu mamiliyoni 3.4 omwe ali ndi khunyu ku U.S. Nthawi zina, mankhwala sagwira ntchito, motero opaleshoni yaubongo ndi njira zina zowononga zingafunike. Kwa ena, kuphatikiza kwa mitundu yosiyanasiyana ya mankhwala ndi mankhwala amafunika, omwe atha kutenga nthawi yayitali kuti adziwe.
Ndicho chimene chiri ndi khunyu — chimakhudza aliyense. wosakwatiwa. munthu. mosiyana-ndipo zotsatira zake zimapitilira kugwidwa komweko. Poyerekeza ndi achikulire omwe alibe matendawa, anthu omwe ali ndi khunyu amakhala ndi vuto lalikulu la chidwi (ADHD) komanso kuvutika maganizo. Ndiye, pamakhala manyazi omwe amapezeka nawo.
Kuthamanga kumangondipangitsa kumva bwino: kuchepa khunyu komanso zochulukirapo, munthu wolamulira, wokhoza, komanso wamphamvu.
Ndakali kusyoma kuti nditazyibikkila maano kumuntu umwi. Kukhala ndi matenda osawoneka kumapangitsa kotero zovuta kusatero. Zinanditengera ntchito yambiri kuti ndisalole kuti umbuli wa anthu ufotokozere momwe ndimadzionera. Koma tsopano ndine wonyadira ndekha komanso kuthekera kwanga kuchita zinthu, kuyambira paulendo wopita kukayenda padziko lonse lapansi (chisawawa cha pre-coronavirus, kumene) chifukwa ndikudziwa mphamvu zomwe zimafunika kuti ndichite.
Kwa ankhondo anga onse a khunyu, ndikunyadira kukhala m'gulu la anthu amphamvu komanso ochirikiza. Ndikudziwa kuti kuyankhula za matenda anu ndizovuta kwambiri, koma muzochitika zanga, kungathenso kumasula. Osati zokhazo, koma zimatibweretsera gawo limodzi pakufafaniza khunyu ndikudziwitsa anthu za matendawa. Chifukwa chake, nena zowona zanu ngati mungathe, ndipo ngati sichoncho, dziwani kuti simuli nokha m'mavuto anu.