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Tom ndi Mary Jo York ndi banja losamala za thanzi, omwe amapita kukayezetsa zachipatala pafupipafupi ndikupimidwa pafupipafupi ngati ali ndi khansa yapakhungu. Mary Jo, amene amayi ake ndi azakhali ake awiri anali ndi khansa ya m’mawere, amapimidwanso mammogram.
York, yemwe amakhala ku New Berlin, Wisconsin, adalembetsa nawo mapulani azaumoyo ammudzi, omwe, monga mapulani ambiri azaumoyo mdziko muno, amafunikira pansi pa Affordable Care Act kuti alipire chithandizocho, ndi ena opitilira 100, osatolera. kuchotsera kapena zopereka.
Tom York, 57, adati amayamikira ntchitoyo chifukwa mpaka chaka chino kuchotsera pa ndondomeko yake kunali $ 5,000, kutanthauza kuti popanda makonzedwe a ACA, iye ndi mkazi wake anayenera kulipira mtengo wonse wa mautumikiwa mpaka kuchotserako kukwaniritsidwa. “Colonoscopy ikhoza kuwononga $ 4,000,” adatero. “Sindinganene kuti ndithana nazo, koma ndinayenera kuganizira mozama.”
Tsopano mapulani azaumoyo ndi olemba anzawo ntchito omwe ali ndi inshuwaransi – omwe amalipira okha ndalama zachipatala za ogwira ntchito ndi odalira – angaganize zolipiritsa mamembala awo ndi antchito awo kugawana ndalama za chithandizo chodzitetezera. Zili choncho chifukwa woweruza wa boma anagamula pa September 7 pamlandu wa ku Texas womwe unaperekedwa ndi magulu odziletsa omwe amati udindo wa ACA woti mapulani a zaumoyo azilipira ndalama zonse zothandizira zothandizira, zomwe nthawi zambiri zimatchedwa kufalitsa kwa dola yoyamba, ndizosagwirizana ndi malamulo.
Woweruza Reed O’Connor adavomereza. Anagamula kuti mamembala a gulu limodzi mwa magulu atatu omwe amapereka malingaliro pazofalitsa, US Preventive Services Task Force, sanasankhidwe mwalamulo pansi pa Constitution chifukwa sanasankhidwe ndi pulezidenti ndikutsimikiziridwa ndi Senate.
Ngati udindo wopereka chithandizo chodziletsa uchotsedwa pang’ono, zotsatira zake zitha kukhala zododometsa za mapulani azaumoyo omwe amaperekedwa m’mafakitale osiyanasiyana komanso m’malo osiyanasiyana mdziko muno. Odwala omwe ali ndi vuto lalikulu lazachipatala kapena omwe ali pachiwopsezo chachikulu pamikhalidwe yotere akhoza kukhala ndi vuto lopeza dongosolo lomwe limakwaniritsa ntchito zopewera komanso zowunikira.
O’Connor adanenanso kuti kufuna kuti oimba mlandu alipirire mankhwala oletsa kachilombo ka HIV kuphwanya lamulo la Religious Freedom Restoration Act la 1993. Akuganizanso kuchotseratu chilolezo cha ndalama zoyamba za kulera za kulera, zomwe odandaulawo adatsutsanso pansi pa lamuloli. O’Connor anachedwetsa chigamulo pa izi ndi malamulo othetsera vutoli mpaka atalandira zidule zowonjezera kuchokera kumagulu omwe adatsutsidwa pa September 16. Kaya woweruzayo achite zotani, n’kutheka kuti boma lichita apilo ndipo likhoza kukafika ku Khoti Lalikulu Kwambiri. khoti.
Ngati O’Connor akanalamula kuti kuthetsedwe mwamsanga kwa ntchito yopereka chithandizo popanda malipiro a ntchito zomwe zavomerezedwa ndi Preventive Services Task Force, pafupifupi theka la ntchito zodzitetezera zomwe zikulimbikitsidwa pansi pa ACA zingakhale pangozi. Mayesowa ndi monga kuyezetsa khansa, shuga, kuvutika maganizo, ndi matenda opatsirana pogonana.
Ndizotheka kuti mapulani ambiri azaumoyo ndi owalemba ntchito omwe ali ndi inshuwaransi adzalumikizana ndikulipiritsa ndalama zochotsedwa ndi ndalama zolipirira zina kapena zonse zomwe ogwira ntchito amalimbikitsa.
“Olemba ntchito akuluakulu aziwunika zomwe amapeza ndi dola yoyamba ndi zomwe sachita,” atero a Michael Thompson, CEO wa National Alliance of Healthcare Buyers Alliances, gulu lopanda phindu la olemba ntchito komanso mapulani azaumoyo omwe amagwira ntchito limodzi kuti achepetse mitengo. . . Amakhulupirira kuti olemba anzawo ntchito omwe ali ndi chiwongola dzanja chambiri komanso makampani a inshuwaransi yazaumoyo ndi omwe amawonjezera kugawana ndalama.
Izi zitha kusokoneza misika ya inshuwaransi yazaumoyo, atero a Catherine Hempstead, mlangizi wamkulu wa mfundo ku Robert Wood Johnson Foundation.
Ananeneratu kuti ma inshuwaransi apanga phindu lawo lachitetezo kuti akope anthu athanzi kuti athe kuchepetsa ndalama zomwe amalipira, zomwe zimapangitsa kuti pakhale matenda ambiri komanso okalamba omwe ali ndi ndalama zochepa komanso ndalama zotuluka m’thumba. “Ikubweretsanso chisokonezo chomwe ACA idapangidwira kukonza,” adatero. “Imakhala mpikisano wopita pansi.”
Ntchito zomwe zingatheke kuti zigwirizane ndi kugawana ndalama ndizo kupewa HIV ndi kulera, adatero Dr. Jeff Levine Shears, mkulu wa zaumoyo wa anthu ku WTW (omwe kale anali Willis Towers Watson), omwe amalangiza olemba ntchito pa mapulani a zaumoyo.
Kafukufuku wasonyeza kuti kuthetsa kugawana ndalama kumawonjezera kugwiritsa ntchito njira zodzitetezera ndikupulumutsa miyoyo. ACA itapempha Medicare kuti iwonetsere zowunika za khansa ya colorectal popanda kugawana mtengo, matenda a khansa ya colorectal adakali aang’ono amakula ndi 8% pachaka, kupititsa patsogolo moyo wa anthu masauzande ambiri, malinga ndi kafukufuku wa 2017 wofalitsidwa mu nyuzipepala ya Health Affairs.
Kuonjezera kugawana mtengo kungatanthauze mazana kapena masauzande a madola mu ndalama zomwe zimagwiritsidwa ntchito kunja kwa thumba kwa odwala chifukwa ambiri a ku America amalembedwa m’mapulani otsika kwambiri. Mu 2020, pafupifupi pachaka pamsika wa inshuwaransi pawokha anali $4,364 pazachitetezo chapayekha ndi $8,439 pakubweza mabanja, malinga ndi eHealth, broker wa inshuwaransi pa intaneti. Pamapulani a olemba anzawo ntchito, inali $1,945 kwa munthu payekha komanso $3,722 ya mabanja, malinga ndi KFF.
O’Connor wavomereza ulamuliro wamalamulo a mabungwe ena awiri aboma omwe amalimbikitsa njira zodzitetezera kwa amayi ndi ana komanso katemera, kotero zikuwoneka kuti kuperekedwa kwa dola yoyamba pazithandizozi sikuli pachiwopsezo.
Ngati mabwalo amilandu asintha zomwe bungwe la Preventive Services Task Force likufuna, oyang’anira mapulani azaumoyo adzakumana ndi chigamulo chovuta. Mark Rakowski, pulezidenti wa bungwe lopanda phindu la Chorus Community Health Plans, adanena kuti amakhulupirira kwambiri ubwino wa ntchito zodzitetezera ndipo amakonda kuwapangitsa kuti azitha kupezeka kwa olembetsa mwa kuchotsera ndalama zomwe amapeza komanso kulipira.
Koma ngati ntchitoyo yathetsedwa pang’ono, akuyembekeza kuti omwe akupikisana nawo akhazikitse kuchotsera ndikugula zinthu zodzitetezera kuti zithandizire kuchepetsa malipiro awo ndi pafupifupi 2%. Pambuyo pake, adati, adzachitanso zomwezo kuti mapulani ake azikhala opikisana pamsika wa ACA ku Wisconsin. “Ndimadana nazo kuvomereza kuti tiyenera kuganiza mozama kuti tigwiritse ntchito njirayi,” adatero Rakowski, ndikuwonjezera kuti atha kupereka mapulani ena opanda chitetezo chopanda mtengo komanso malipiro apamwamba.
Lamulo lachitetezo cha ACA Protective Services limagwira ntchito pazolinga zapadera m’misika yapayekha komanso yamagulu, yomwe imakhudza anthu aku America opitilira 150 miliyoni. Ndi lamulo wamba, lokondedwa ndi 62% ya aku America, malinga ndi kafukufuku wa 2019 KFF.
Ndalama zoyendetsera ntchito zodzitetezera zomwe ACA imalamula ndizochepa koma sizochepa. Zimayimira 2% mpaka 3.5% ya ndalama zonse zapachaka zoperekedwa ndi olemba anzawo ntchito pazaumoyo, kapena pafupifupi $100 mpaka $200 pa munthu aliyense, malinga ndi Institute for Healthcare Costs, gulu lofufuza lopanda phindu.
Ma inshuwaransi akuluakulu angapo azamalonda ndi magulu a inshuwaransi yazaumoyo sanayankhe pempho loti apereke ndemanga kapena anakana kuyankhapo pazomwe okhometsa msonkho angachite ngati makhothi athetsa ntchito zoteteza.
Akatswiri akuwopa kuti kugawana ndalama pazithandizo zodzitetezera kungawononge kuyesetsa kwakukulu kuti muchepetse kusiyana kwaumoyo.
“Ngati zisiyidwa kwa mapulani aumwini ndi olemba ntchito kuti apange zisankho izi zokhudzana ndi kugawana ndalama, anthu ovutika akuda ndi a bulauni omwe apindula chifukwa chochotsa kugawidwa kwa ndalama zidzakhudzidwa mopanda malire” adatero Dr. A. Mark Fendrick, University Director of Michigan Center for Value-Based Insurance Design, yemwe adathandizira kupanga ACA’s Preventive Services Coverage Division.
Ntchito imodzi yomwe ikudetsa nkhawa kwambiri ndi pre-exposure prophylaxis for HIV, kapena PrEP, mankhwala othandiza kwambiri omwe amalepheretsa anthu omwe ali pachiwopsezo chotenga kachilombo ka HIV. Otsutsa pamlandu waku Texas adati kulipira PrEP kumawakakamiza kuthandizira “khalidwe logonana amuna kapena akazi okhaokha” lomwe amatsutsa zachipembedzo.
Kuyambira 2020, mapulani azaumoyo akhala akufunika kuti apereke mankhwala a PrEP, mayeso okhudzana ndi labu, ndi maulendo a dokotala omwe angawononge ndalama zambiri pachaka. Mwa anthu 1.1 miliyoni omwe angapindule ndi PrEP, 44% ndi akuda ndipo 25% ndi Puerto Rico, malinga ndi Centers for Disease Control and Prevention. Komanso, ambiri a iwo ali ndi ndalama zochepa. Lamulo lopereka chithandizo cha PrEP lisanayambe kugwira ntchito, pafupifupi 10% yokha ya anthu oyenerera akuda ndi a Latino anayamba kulandira chithandizo cha PrEP chifukwa cha kukwera mtengo kwake.
O’Connor, ngakhale adatchula umboni wosonyeza kuti mankhwala a PrEP amachepetsa kufala kwa kachilombo ka HIV kudzera mu kugonana ndi 99% komanso pogwiritsa ntchito jakisoni ndi 74%, adanena kuti boma silinawonetse chidwi chokakamiza boma kuti lipereke chithandizo chopanda mtengo cha PrEP.
“Tikuyesera kuti tisavutike kupeza PrEP, ndipo pali zopinga zambiri kale,” adatero Carl Schmid, mkulu wa bungwe la HIV+ Hepatitis Policy Institute. “Ngati ndalama zogulira ndalama zoyambirira zitatha, anthu sakanatenga mankhwalawo. Zingakhale zowononga kwambiri kuyesetsa kwathu kuthetsa HIV ndi matenda a chiwindi.”
Robert York, wothandizira LGBT yemwe amakhala ku Arlington, Virginia, yemwe sakugwirizana ndi Tom York, watenga Discovy, mankhwala otchedwa PrEP, kwa zaka zisanu ndi chimodzi. Ananenanso kuti kugawana mtengo wa mankhwalawa ndi kuyezetsa kogwirizana ndi miyezi itatu iliyonse malinga ndi dongosolo lazaumoyo la abwana ake kungakakamize kusintha kwa ndalama zake. Mtengo wogulitsa mankhwala okha ndi pafupifupi $2,000 pamwezi.
Koma York, wazaka 54, adatsindika kuti kukhazikitsidwanso kwa kugawana ndalama kwa PrEP kungakhudze kwambiri anthu omwe ali m’magulu opeza ndalama zochepa komanso oponderezedwa.
“Tagwira ntchito molimbika ndi anthu ammudzi kuti tiyike PrEP m’manja mwa anthu amene akuifuna,” adatero iye. “N’chifukwa chiyani wina angayese izi?”
KHN (Kaiser Health News) ndi chipinda chankhani cha dziko chomwe chimatulutsa utolankhani wozama pazaumoyo. Pamodzi ndi kusanthula mfundo ndi kafukufuku, KHN ndi m’modzi mwa atatu oyendetsa KFF (Kaiser Family Foundation). KFF ndi bungwe lopanda phindu lomwe limapereka chidziwitso pazaumoyo kudziko lonse.
Gwiritsani ntchito zomwe tili nazo
Nkhaniyi itha kupangidwanso kwaulere (zambiri).


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Mutha kudziwa mbiri yamitengo yamasheya ya Health Care Inc. Kalata ya sabata iliyonse ya STAT yomwe imatsata kayendetsedwe ka ndalama kudzera mumayendedwe azachipatala. Lowani apa kuti mutenge mubokosi lanu.
Medicare Advantage Stocks Ikukwera
Ngati mudafunapo umboni wosonyeza kuti Wall Street ikugwera bwanji pa phindu la Medicare Advantage, musayang’anenso tsiku la Humana Investor la sabata yatha.
Akuluakulu a Humana apereka ndalama zonse zomwe akufuna: Kampaniyo idzalembetsa akuluakulu akuluakulu pazaka zitatu zotsatira; Ogulitsa kunja kwa MA amayeretsa zochita zawo kuti anthu ochepa asiye zolinga zawo; Idzawongolera mamembala ake ambiri kugawo lomwe likukula la zipatala ndi chithandizo chamankhwala kunyumba; Zonsezi zidzakulitsa zopindula, kugawana zoguliranso ndi zopindula zowonjezera.
Zotsatsa
Amenewo anali malonjezo aakulu kwambiri. Wall Street idzalanga magawo a Humana ndi chiwombankhanga chochepa kwambiri kuposa momwe amayembekezeredwa, chomwe chimayamba mkati mwa mwezi umodzi. Koma ndizoyenera kudziwa kuti Humana – kampani yomwe kwenikweni ndi MA pamasewera abwino – yaphulitsa msika wamsika pazaka khumi zapitazi. Sizikuyerekeza ndi S&P 500 yotakata ndi Dow Jones. Zonse zimathandizidwa ndi njira ina yokhoma msonkho yoperekedwa ndi Medicare yachikhalidwe. Ndipo zinthu zomwe akuluakulu a Humana sanalankhulepo, monga njira zokayikitsa zosintha zoopsa zomwe oyimba mbiri ndi owerengera akhala akulimbikitsa kwa zaka zambiri, zalipiranso chuma chake chochuluka.
Werengani nkhaniyi, yomwe ilinso ndi tsatanetsatane wa kuchuluka kwa zipatala zachipatala za Humana zomwe adzapeza ndikumanga chaka chilichonse – chodziwikiratu kuti Humana akukopera gulu lonse la UnitedHealth kuti akope asing’anga ambiri kuti athe kusunga zipatala zambiri zabwino komanso zodabwitsa za Master Dollar.
Zotsatsa
Pindulani ndi okhalamo komanso ogwira nawo ntchito
Kumayambiriro kwa mwezi uno, Brigham ndi Chipatala cha Akazi adasumira boma la federal. Chipatala chodziwika bwino cha Boston, chomwe ndi gawo la Mass General Brigham, adati amalipidwa ndalama zochepa pophunzitsa madotolo ake achichepere. Zikuoneka kuti zipatala zophunzitsa m’dziko lonselo zipeza ndalama zowongoleredwa kuti ziwerengere ndalama zochepazo.
Medicare ndiye omwe amapereka ndalama zambiri zamaphunziro azachipatala omaliza. Njira zolipirira zophunzitsira zipatala zophunzitsira madokotalawa ndizovuta, koma zimagwirizana ndi kuchuluka kwa anthu okhala ndi anzawo pachipatala chilichonse. Zaka zingapo zapitazo, zipatala zina zidasumira ndipo zinati Medicare ikuwafupikitsa ngati ali ndi anzawo ambiri. Khotilo lidavomereza, ndipo m’malamulo aposachedwa kwambiri a odwala, Medicare idasinthiratu fomula yake ndikuti igwiritsa ntchito njirayo mobwerezabwereza ku “zipatala zonse zophunzitsira.”
Mneneri wa chipatala adati Brigham ndi suti ya mayiyo inali njira yoti agoneke m’chipatala pamndandanda wodikirira komanso “kuwongolera kulipira munthawi yake.”
Ron Connelly, loya yemwe adatsogolera mlandu woyamba kuchokera ku Milton S. Hershey Medical Center ku Pennsylvania, yomwe idaphatikizidwa kuti ikhale ndi zipatala 63, adatero.
Medicare yatumiza kale zidziwitso kuti ikuwerengeranso malipiro, ndipo Connelly akuyembekeza kuti makasitomala ake azipatala azilipidwa kumapeto kwa chaka chino. Kutengera ndi zaka zingati zomwe chipatalachi chidayambanso kulipira pang’ono, malipirowo amatha kuyambira $30,000 mpaka $10 miliyoni. “Zikhala zosiyana kwambiri,” adatero Connelly.
Anamwino okwera mtengo: mwachizolowezi chatsopano?
Malipiro a anamwino oyenda atsika kuyambira koyambirira kwa chaka chino, koma zipatala zikulipirabe kuposa momwe zidalili mliriwu usanachitike. Mnzanga ku Health Care Inc. , Tara Banu, kuti zikhoza kukhalabe choncho mpaka kalekale.
AMN Healthcare, imodzi mwamakampani akuluakulu olembera anamwino mdziko muno, ikuyembekeza kuti mitengo yolipiritsa anamwino azitsika ndi 30% pakati pa gawo loyamba ndi lachinayi la 2022, Chief Financial Officer Jeff Knudson adati pamsonkhano wakubanki sabata yatha. Koma ngakhale kutsika kotsika komalizaku kukadali 35% kuposa gawo lachinayi la 2019.
Susan Salka, CEO wotuluka wa AMN, adati pamsonkhanowu kuti zambiri zomwe zikufunidwa lero ndi chifukwa cha kuchepa kwa namwino komwe kusanachitike mliriwu. Covid-19 yakulitsa vutoli chifukwa yapangitsa anamwino ambiri otopa kusiya ntchito, kusintha ntchito kapena kugwira ntchito za unamwino kunja kwa zipatala.
Congress ikufuna kuti afufuze ngati olemba ntchito ngati AMN agwiritsa ntchito mliriwu ngati chowiringula pazipatala zokweza mitengo. Salka adavomereza kuti “chiwongola dzanja chakwera,” koma adatsutsa kuti zina mwazokwera mtengo kwambiri m’zipatala ndi malipiro okwera komanso malipiro a anamwino ogwira ntchito. “Pali zofunikila kuti malipiro awa akwezedwe ndi ogwira ntchito ya unamwino,” adatero.
Medicare mayesero osasinthika a dialysis kukonza
Osakwanira anthu omwe ali ndi vuto la impso omwe amamuika kapena dialysis kunyumba, ndipo Medicare akufuna kusintha izi, mnzanga Isabella Quito akuti.
Njira yatsopano yochokera ku boma idzapereka ndalama zambiri kwa opereka dialysis ngati odwala amagwiritsa ntchito dialysis kunyumba m’malo mopita kuchipatala komanso ngati opereka chithandizo apeza odwala ambiri pamndandanda wodikirira kuti awaike. Gawo losangalatsa lachitsanzoli ndikuti limakakamiza 30% yamakampani opanga dialysis kutenga nawo gawo – ndipo ena 70% adzagwiritsidwa ntchito ngati gulu lowongolera.
Werengani nkhani yonse ya Issa, yomwe ili ndi nkhawa zomveka ngati dialysis duopoly ya DaVita ndi Fresenius “angayese kusokoneza dongosolo” polimbikitsa zoikamo, mindandanda yodikirira, ndi dialysis kunyumba kumalo omwe akuyenera kutenga nawo gawo, ndikulimbikitsa Zinthu izi ndizochepa. m’malo omwe satenga nawo mbali.
Mikangano yamakampani ndi malekezero ake
- BREAKING NEWS LACHISANU: Daniel Haller, dokotala wa opaleshoni waku New York yemwe adasumira boma la federal kuti likhazikitse lamulo latsopano lodabwitsa lolipira, wachotsa loya wake. Sizikudziwika ngati izi zikutanthauza kuti achita apilo mlandu wake, womwe woweruza adawukana mwezi watha.
- Kodi mwawona kuti masamba ena amankhwala ali ndi mawu oti “lankhulani ndi dokotala”? PanopaChabwino, mnzanga Katie Palmer anatero, pofotokoza momwe malangizo a telehealth ali “maloto” amakampani opanga mankhwala omwe akufunafuna kukulitsa kosavuta (komanso kokayikitsa) pakugulitsa.
- UnitedHealth idapambana mlandu wazaka zisanu ndi chimodzi kuchokera kwa madotolo omwe adatsutsa kuti kampani ya inshuwaransi idakulitsa chindapusa chawo, malinga ndi a Jacqueline Weil waku Bloomberg.
- Zolemba zatsopano zazachuma zomwe zafufuzidwa zikuwonetsa kuti gulu lachipatala cha Akatolika la Ascension lidayika -3.1% malire ogwirira ntchito mchaka cha 2022 chomwe chidatha mu June. Malire a Ascension anali -6.6%, pomwe kutsika kwa msika kukupitilizabe kuchepetsa ndalama zachipatala.
- Rep. Bill Pascrell akufunsa ma feds kuti afufuze ngati HCA Healthcare ikutenga anthu molakwika kuchokera kuchipinda chodzidzimutsa, mnzanga Rachel Kors adati. Envision Healthcare imawonekeranso mu kalata ya Pascrell.
- Ofesi ya Statistics inatulutsa lipoti lake lapachaka la inshuwaransi yazaumoyo. Chiwerengero cha 8.3% cha anthu osatetezedwa chinali chiwerengero chachikulu, koma zidutswa zina ziwiri za deta zimafotokoza nkhani yomveka bwino: Hispanics akadali owirikiza kawiri kuti akhale osatetezedwa (18.3%), ndi anthu omwe amakhala m’mayiko omwe sanafutukule Medicaid Iwo akupitirizabe. kusowa inshuwaransi pamitengo yokwera kwambiri (11.9%).
Mimi Ward
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M'mawu omaliza a Apple tidawona m'mavidiyo "otsatsira" kuposa momwe m'modzi mwa ife adayikitsira mitima yathu ndikuti zithunzi zenizeni za anthu zidawonekera. wotchi yanzeru ya anyamata a Cupertino inali itapulumutsa miyoyo yawo.
Apanso, nkhani zokhudzana kwambiri ndi ntchito zaumoyo pa Apple Watch zimalankhula za nkhani yomwe wachinyamata wazaka 30 anachitidwa opaleshoni yamtima chifukwa pakadapanda nthawi ikadatha bwino kwambiri, malinga ndi madokotala omwe adauza atolankhani odziwika bwino achingerezi, The Sun.
Chidziwitso kumapeto kwa ECG cha protagonist wa nkhani yatsopanoyi, Chris Mint, adamutengera kuchipatala kuti akasiyanitse zotsatirazo. Madokotala ataona zidziwitso pa chipangizochi Apple sanakhulupirire ndipo adapereka mayeso oyenera. Poterepa komanso pambuyo pake madotolo adatsimikizira kuti ngati sikunali koloko, Mint akanakhoza kukhala ndi stroke kapena matenda a mtima.
Akapezeka ndi akatswiri, adachitidwa opaleshoni mwadzidzidzi kuti athane ndi vuto la mtima wake, lomwe limakhudza opaleshoni ya mtima. Wothamanga, wachichepere komanso woyambirira wopanda mbiri yamtima yemwe, ngati si ECG yomwe idachitidwa ndi Apple Watch Series 4, atha kukhala ndi matenda akulu. Mwachidziwitso tKukhala ndi Apple Watch sikukutsimikizira kuti mavuto amtima awa sadzawoneka kapena kuti adzathetsedwa chimodzimodzi nthawi zonse, koma zimathandiza kuti muzindikire ndi njira yothetsera vuto nthawi zambiri, ndichifukwa chake ndichinthu chomwe Apple imatenga moyenera.


text:
Kuteteza mapaketi apulasitiki kuti asadzadze m'malo otayira zinyalala ndi magwero amadzi (nyanja, mitsinje, ndi nyanja), ndipo m'malo mwake tikuwapatsa mwayi wina woti agwiritse ntchito. Opitilira mapaundi 2 biliyoni azitsulo zogwiritsa ntchito PET zomwe zimapezeka ku Canada ndi US chaka chilichonse. Koma tingasindikize bwanji ndi ziwiya kapena zikho za PET zomwe zapezeka?
Chikho cha RPETs amapangidwa ndi pulasitiki wokonzedwanso womwe umachokera m'mabotolo ndi ma CD omwe amagula pambuyo pa ogula, malinga ndi miyezo ya FDA ndi maumboni a INVIMA okhudzana ndi chakudya. "R" pamaso pa PET amatanthauza kuti chidebecho chimapangidwa pogwiritsa ntchito pulasitiki wa PET pambuyo pa ogula muli / mabotolo.Mudzapeza izi RPET makapu olimba koma osinthika. Adzagonjera zofuna za zinthu zambiri monga zakumwa zoziziritsa kukhosi, zipatso zosalala, khofi wa iced, mowa, ndi zina zambiri.


text:
Buku 2: Amuna a Phanvu Za Mulungu
Esboço: Jacob, Joseph, Moses. 24 sections. It has a picture book to go along with the recording.
Número do roteiro: 419
Idioma: Sena: Mozambique
Tema: Law of God; Multiple themes
Público alvo: General
Estilo: Monolog
Tipo: Bible Stories & Teac
Sofisticação: General
Propósito: Teaching
Passagem bíblica: Paraphrase
Estado: Publishable
Texto do roteiro
Mafala a Kutoma Nawo
Kumwanykana axamwali. Kodi musandziwa Mulungu wa ndimomwene? Lekani ndilonge thangwi ya amuna akhandziwa. Mbuli kubva langana cipangizo mu buku ya kaindi wa laranja. Langanani cipangizo pa tsamba inatewera mungabva tenepa...
Cipangizo 1: Abale Awiri
Gen 25:21-34, 27:1-29
Abale awiri pa cipangizo ici alikuzengeza. Ule akhacemerwa Izau akhali nsodzi wa nyama za nsanga. Jakobo mbale wace wangono, akhadacita cakudya cadidi, mbwenye nepangono adapasa tayi Izau. Jakobo abvundza Izau, "Pakutoma ndigulisire ukulu wako." Iye akhafuna nfuma yakusala ikhapaswa mwana wa kutoma. Izau akhanyerezera tayi nfuma yace yakusala. Iye akhanyerezera mimba yace basi ikanadjara. Na thangwi yeneyo agulisa ukulu wace na cakudya. Dzina ya Jakobo isalongera 'kunyengeza'penu kunama . makhaliro ace akhali a kunyengeza anango. Jokobo mbodziene anyengeza baba wace.
Cipangizo 2: Ndoto Za Jakobo
Gen 28:10-22
Izau akhazonda Jakobo mbafuna kumupha, natenepa Jakobo adazathawa pa nyumba yawo. Langana pa cipangizo! Jakobo alota. Aona Mulungu kuzulu na maanjo za Mulungu mbizikaxitha padziko. Mulungu mbanbvundza Jakobo, "Ndinakupasa dziko ii kwa iwe na kwa ale anafuna kudzamburuka kwa iwe. Anthu onsene apadziko angumana nkhombo kubulukira mwa iwe. Ndinakhala na iwe konsene kunaenda iwe." Mulungu akhadziwa kuti Jakobo akhali wakunyengeza, mbwenye Mulungu akhanfuna Jakobo natenepa akhafuna kuncindja. Tenepa ampasa cidumbiro cadidi.
Cipangizo 3: Jakobo Na Labau
Gen 29:1 - 31:55
Jakobo akhapitiriza na kunyengeza anango, mbwenye mizizi inango anango akhanyengezambo iye. Jakobo aenda kaphatira basa mbale wa baba wace, Labau. Jakobo akhafuna kusemba mwana wakumalisira wa Labau, akhacemerwa Rakeli. Aphata basa kwa Labau pyaka pinomwe kuti alipe maluphato. Natepa Labau anyengeza Jakobo, mbwenye Jakobo, nakukonda dziwa, adzasembana pakutoma na mwana wace wa kutoma. Labau adzakambatisa pontho Jakobo pyaka pinomwe kuti akwate Rakeli. Mbwenye Jakobo anyengeza Labau mbadzakala na mabira adidi a Labau. Tenepo Mulungu anbvundza Jakobo, "Bwerera kudziko ya ababa ako".
Cipangizo 4: Jakobo Anaonana Na Mulungu
Gen 32:1-32
Jakobo akhafuna bwerera kunyumba mbwenye akhagopa Izau. Ale ananyengeza anango asagopa kuthabuswa. Masiku anango mamuna mbodzi aenda kaonana na Jakobo. Iye amenyana na Jakobo mwasiku onsene Pakubuluka dzuwa mamuna akumura ncafu ya Jakobo. Natenepo Jakobo adzazindikira kuti mamuna uyu akhali wa Mulungu. Jakobo akhakwanisabve tayi kumenyana naye mbwenye anbvundza,kuti "Ndinakusia tayi mbuenda mbudzati kundipasa nkhombo." Natenepa mamuna abvudza Jakobo, "Dzina yako nkhambeve cemerwa Jakobo, mbwenye Israeli." 'Israeli' pisalongera 'Mwana wa Nfumu asamenyana na Mulungu.' Mulungu acita kuti Jakobo, nyakunamiza, asowe mbanvu kuti amucindje Mwana wa Nfumu. Israeli adzabwerera kwa dzindza yace mwa ntendere. Iye adzakhala baba wa dzindza ikulu yakuphembera Mulungu. Axamwali, tonsene tisamenyana na njira ya Mulungu tingafuna kunyengeza anango, mbwenye Mulungu atumiza mamuna mbodzi anakwanisa kuticindja. Iye ndi Mbuya Yezu Khrixitu.
Cipangizo 5: Ndoto Za Zuze
Gen 37:1-11
Jakobo, ndiye Israeli, akhali na ana kumi na awiri. Mwana akhafunika pikulu akhali Zuze. Jakobo apasa Zuze nguwo yakubalika. Abale ace Zuze akhala na ntsanje naye. Ntsiku inango Zuze alota. Iye acemera abale ace mbabvudza, "Bveserani pidalota ine. Imwe mukhali munda, mbumumanga misumbo ya tirigu. Mbwenye misumbo yanu yazungulira nsumbu wanga mbinculumira pantsi kunculumira nsumbu wanga." Abale ace mbaipirwa pikulu napyo. Pyonsene ipi pikhalongera kuti iwo anadzangodamira mbale wawo wangono? Akhamuzonda Zuze mbasaka ndzidzi kuti amenye.
Cipangizo 6: Zuze Mbaguliswa
Gen 37:12-36
Abale a Zuze akhali akumbizi a mabira mbakakumbidza kutali na kunyumba kwao. Jakobo abvudza Zuze, "Ndoko kaone abale ako angakhala ali pyadidi, iwo na pinyama." Mbwenye pidaona iwo kuti mbale wawo akhabwera abverana kuti amuphe. Mbandula nguwo yace yakubalika mbamuikha muncera wakuuma wakusoweka madzi. Mbodzi wa abale wace mbati, "Tingapha mbale wathu tinawinanji? Mbatinguliseni ninga bicu." Ndzidzi weneo anyamalonda akhapitambo, tenepo abale a Zuze angulisa na kobiri makumawiri. Mbakwadza nguwo ya Zuze na ciropa ca mbuzi mbaenda kapangiza baba wawo. Na thangwi eneyo Jakobo anyerezera kuti Zuze aphiwa na cinyama ca nsanga. Iye alira pikulu na thangwi ya mwana wace.
Cipangizo 7: Zuze Na Nkazi Wa Kuipa
Gen 39:1-20
Anyamalonda agulisambo Zuze ku Egipito. Iye akhala bicu wa mamuna wa nfumu akhacemerwa Putifari. Mulungu akhali na Zuze pontho pyonsene pikhacita iye pikhabuluka mwadidi. Pandzidzi ungono atoma onera nyumba yonsene ya Potifari. Zuze akhali mamuna wakubalika. Nkazi wa Putifari akhamufuna kuti apite naiye mambonde . Iye ankakamiza Zuze kuti aende na iye pa talimba ibodziene. Zuze adziwa kuti penepi ndipyakuipa pikulu natenepa mbankonda. Iye mbatawa munyuba mbwenye nkazi wa Putifari akwatira nguwo zace. Iye apangiza nguwo ya Zuze kwa mamuna wace, mbapambizira Zuze kuti akafuna kupita naiye mambonde mbancita kuipa. Natenepa Putifari apitisa Zuze nkaidi.
Cipangizo 8: Zuze Mu Kaidi
Gen 39:20 - 40:23
Mulungu akhali na Zuze nkaidi. Pandzidzi ungono Zuze akhala nyakuonera wa anthu onsene akali nkaidi. Nyabasa wakulu wa nfumu (Farao) na padero kulongera ule anaphika mikate ya nfumu afungirwambo nkaidi. Masiku anango awa awiri alota, Zuze mbabvundza, "Mulungu asadziwa kuphindula ndoto. Ndibvudzeni ndoto zanu." Tenepa nyabasa alonga kuna Zuze, "Pa ndoto zanga pakali na muti wa uva nantawe zitatu. Ndakwata mauva mbindiakamula madzi yace mundiro ya nfumu mbindimpasa. Zuze abvundza kuti pisalongandji ndoto zace, tepo anculurira pikalonga ndoto, "Nkati mwa nsiku zitatu nfumu anakubulusa nkaidi mbakuika pambuto yako yakale. Mpadero kulongela wakuphika mikate mbalongambo ndoto zace kuna Zuze, Mbwenye ndoto zace zikhalongera kuti nkati mwa nsiku zitatu anadzaphiwa. Nyabasa adzasudzulwa mbwenye padero kulonga ule anaphika mikate adzaphiwa, ninga Mulungu akhadapangiza Zuze, Mbwenye Zuze akhala nkaidi kufikira pyaka piwiri.
Cipangizo 9: Ndoto Ya Nfumu
Gen 41:1-45
Nfumu (Farao) wa Egipito adalota. Mundoto mukhali ngombe zinomwe zakukhuma paduzi na nyandza. Ngombe zinomwe zakuonda zabuluka munyandza mbizidya zinomwe zakukhuma. Nkhambe adakwanisa kuphindula kuna nfumu ndoto zenezo. Mbwenye nyabasa wa nfumu ampanga thangwi ya Zuze. Nfumu acemeresa Zuze nkaidi, Zuze mbakwanisa kucurara kuli nfumu ndoto zace. Iye mbalonga, "Mulungu andibvundza khale pinafuna cita Iye. Kunati kuoneke pyaka pinomwe pyakusowa njala ku Egipito. Pinkapita penepyi kunaoneka pyaka pinomwe pya njala. Nfumu aona kuti Nzimu wa Mulungu ukhali na Zuze, na tangwi eneyo acita kuti Zuze akhale ntongi wa Egipto yonsene.
Cipangizo 10: Zuze Mbatonga Egipito
Gen 41:47 - 42:28
Pakati papyaka pinomwe Zuze akoya phoso izinji. Pakufika pyaka pinomwe pyanjala akagulisa phoso kuli anthu. Abale ace khumi akulu a Zuze abwerambo kangula phoso ku Egipito. Iwo akhadziwa tayi kuti ntongi akhali Zuze, mbwenye iye aazindikira. Iye aapambizira kuti akhali anyakubwera dzaona, mbapitisa nkaidi. Tenepa iwo mbapemba kuti asudzurwe, natenepa aabvundza, "Kuti mupangidze ndimwe amuna adidi, bweresani mbale wanu wangono kuno kwa ine." Iye mbakoya mbale wace mbodzi nkaidi, mbasiya kuti anango akwate phoso kwenda nayo kuna mbumba yawo.
Cipangizo 11: Zuze Apizindikirisa Kuli Abale Ace
Gen 43:1 - 45:27
Abale a Zuze akhagopa kubwerera ku Egipito, mbwenye akhafuna phoso inango. Natenepa akwata mbale wawo ngono, Benjami, mbaenda kaonana na Zuze. Zuze akhasati kupizindikirisa kuti iye ndi ani. Apasa phoso mbwenye abisa kopo ya parata mu thumba ya Benjami. Natepa atuma anyabasa ace kuti aapambizire kuti amba. Abale ace onsene ankotamira,mbamphemba kulekererwa, ninga pa nsumbo wa tirigu mu ndoto za Zuze. Mbwenye Zuze adziwi kwanisabve kupibisa tayi. Iye ankhumbatira Benjami mbalira mbakhalonga tenepa, "Ine ndine mbale wanu Zuze adagulisemwe." Abale ace aenda kunyumba mbabvundza baba wawo, "Zuze ali maso. Ndiye ntongi wa Egipito yonsene".
Cipangizo 12: Jakobo Na Zuze Mu Egipito
Gen 45:28 - 50:26
Jakobo wakukalamba akwata mbumba yace yonsene na pyonsene pikhali na iye baenda kakhala ku Egipito. Akhala wakukomerwa nakuona pontho Zuze! Iye aikha manja ace kuli ana a Zuze mbapasa nkhombo aphale. Kuti adzakhale atongi akulu dzindza ya Israeli. Jakobo afera ku Egipito na pyaka pizinji. Natenepa abale a Zuze akhagopa na thangwi ya pyakuipa pikhadancitira iwo Zuze. Mbwenye Zuze aabvundza, "Lekani gopa. Mwandicita kuipa, mbwenye Mulungu apiphinduza mbipikhala pyadidi, kuti apulumuse anthu azinji."
Axamwali, kuzulu alipo mbodzi wakulu kupita Zuze. Dzina yace ndi Mbuya Yezu Chrixitu. Amuna akuipa amupha, mbwenye Mulungu aphinduza kuidana mbakukhala udidi wathu. Yezu alamuka mwa anyakufa. Cincino Mulungu anakwanisa kutilekerera kudawa kwathu konsene, napyonsene pyakuipa pinacitira ife andzathu. Iye anakwanisa kutipulumusa mu nyatwa ya kufa kwa kukhonda mala.
Mafala Akutoma Nawo
Akhalio mamuna wa mphanvu akacemerwa Mose adapulumusa anthu pa ubicu Iye asatiendesa kwa Yezu anakwanisa kupulumusa anthu onsene pa ubicu wa sathana. Bvesera mbulangana pa mipangizo ii pa Buku ya kaindi ya laranja.
Cipangizo 13: Mwana Mose
Exodo 2:1-10
Mose akhali wa dzindza ya Israeli. Iye abaliwa pa kupita pyaka madzana matatu mbadafa kale Zuze. Nfumu wa Egipito akhathabusa ma Israelita. Iye akhaapatisa basa ninga mabicu pontho mbafuna kupha ana acimuna onsene. Pakubaliwa kwa Mose mai wace ambisa. Iye amuikha mu cesto mbambisa pakati pa mabande a nyandza. Mbale wace, Miriamu, akhala paduzi kuti aonerere. Mwana wa nfumu afika kunyandza kuti asambe. Iye agumana cesto na mwana Mose. Mose atoma kulira. Mwana wa nfumu abvera nsisi mwana, mbanyerezera kumkwata kuti akhale wace. Mose akula panyumba yakulu wa nfumu. Akhapfundziswa njira zonsene za mu Egipito mbadzakala mamuna wa kulu.
Cipangizo 14: Mose Na Tundudzi Yakugaka
Exodo 2:11
Ntsiku inango Mose aona mu egipito akhamenya bicu israelita. Iye akhafuna kuphedza dzindza yace, natenepa apha mu egipito. Tenepa Mose adzathawa kwa nfumu, mbamala pyaka makumanai mbakakhala nthando isacemerwa Sinai. Mbwenye ntsiku inango aona cindu cakunyanyasa. Iye aona tundudzi ikhapya mbikhonda mala (ikhadza dotha tayu). Mulungu alonga na Mose kubulukira patundudzi ya kugaka, mbati, "Ndaona kuti mbumba yanga irikuthabuswa. Ndirikukutuma kuna nfumu wa Egipito kuti usogolere mbumba yanga ibuluke kunja kwa dziko yace."
Cipangizo 15: Mose Mbabwerera Kwa Nfumu
Exodo 3:11 - 10:29
Mose akhagopa, mbwenye akhakulupirira Mulungu mbabwerera ku Egipito. Mbale wace Arao aenda naiye pambodzi. Iwo mbabvundza nfumu, "Mbuya, Mulungu wa Israeli, alonga, 'Siya anthu anga abuluke'." Mbwenye nfumu alonga, "Sinandziwa tayi Mbuya, pontho mkhambe siya Israeli ibuluke." Natenepa Mulungu abvudza Mose, "Bvundza Arao aponye ntsuimbo yace pasogolo pa nfumu, inati isanduke nyoka." Arao abvera, nfumu aona mphanvu ya Mulungu, mbwenye adasiya tayi mbumba ya Israeli kuti imuluke. Natepa Mulungo acita pirengo pizinji kuli ma egipito. Iye asanduza madzi mbadza ciropa kuti iwo asowe madzi a kumwa. Atumiza ku egipito miriri mizinji ya matesi, ntsentse, nthete penu nhazombe na nkunguni. Pinyama pyafa na maegipito aduala, mbwenye nfumu aleka tayi kuti a israeli abuluke.
Cipangizo 16: Nsembe Ya Bira
Exodo 12:1-36
Mulungu alonga na Mose kaciwiri, mbati, "Bvundza a israeli akwate bira pa nyumba ibodzi na ibodzi, aphe. Angamala akwaze ciropa ca bira pa nsuwo. Ndinapita na kuegipito bindipha ana onsene a kutoma. Mbwenye ndingaona ciropa ndinapita bindikhonda kukupha nyumba yeneyo." Mulungu acita pire pikhadalonga Iye. Onsene ana akutoma amaegipito amala kufa. Tenepa nfumu acemera Mose mbanbvudza, "Bulukani muende, iwe na mbumba yako yonsene, mbulukani mu dziko yanga, ndokoni kalambira Mulungu wanu."
Cipangizo 17: Pakati Pa Bhara
Exodo 13:17 - 14:31
Mose asogolera mbumba ya Israeli kunja kwa Egipito. Mulungu akhaenda kusogolo mumakole a moto. Mbwenye maegipito akhala akuipirwa thangwi akhadaluza mabicu awo. Natenepa nfumu na anyakondo ace atewera Israeli kuti aabwererese pontho. Maisraeli afika pa bhara ikulu yakuti akhakwanisa tayu kupandira. Maegipito akhali nduli mwawo. Akhakwanisa tayu kuthawa. Mose abvundza kuna anthu a israeli, "Lekani gopa! Munaona pinafuna kucita Mulungu kuti akupulumuseni." Tenepo Mulungu afungula njira pakati pa bhara. Maisraeli apita pakati pa bhara mbapakhala na mataka akuuma. Maegipito afuna kuatoera, mbwenye madzi aaphimbira mbamara kurondzweka onsene. Maegipito onsene afa madzi, mbwenye Israeli yapulumusiwa.
Cipangizo 18: Cyakudya Na Madzi Mu Thando
Exodo 16:1 - 17:7
Mose asogolera mbumba pa thando. Akhana cyakudya ca kukwana tayu, tenepo Mulungu aatumizira cyakudya. Na macibesi onsene pakaoneka pantsi mapindi ninga a nkate. Mbumba ikhacemera penepyi 'mana'. Na maulo Mulungu akhatumiza mbalame kuti mbumba idye. Pandzidzi udasoa iwo madzi Mulungu abvundza Mose, "Kwata ntsuimbo yako umenye nayo pacimwala, madzi anabuluka kuti mbumba imwe." Kupita pyaka makumanai Mulungu akadyesa mbumba ya Israeli mu thando.
Cipangizo 19: Moze Pa Phiri Ya Mulungu
Exodo 19:1 - 20:17
MaIsraeli afika ku phiri ya Sinai. Mulungu atxitha pa phiri, na piphaliwali, makole na moto. Mose akwira pa phiri Mulungu mbalonga naye, mbati, "Ine ndine Mbuya Mulungu wako. Leka kala na milungu inango. Leka kotamira mifano, pontho leka kupirambira. Leka longa dzina Yanga papezi. Koya pa ndzidzi onsene ntsiku ya cinomwe mbuikuza. Lemedza baba wako na mai wako. Leka kupha. Leka cita upombwe. Leka kuba. Leka phambizira nzako pyapezi. Leka sirira pinthu pya nzako." Mulungu alemba myambo ii pa mwala, Mose mbatxitha pa phiri mbapasa mwambo mbumba.
Cipangizo 20: Nyoka Na Muti
Numero 21:4-9
Anthu alonga kuipa kwa Mulungu mbakhonda kukoya mwambo wa Mulungu. Mulungu aathabusa anthu mbaatumira nyoka za kuluma. Anthu azinji afa pidalumwa iwo na nyoka. Anthu akuwa kuna Mose kuti aphedziwe tenepa Mose aphemberera. Natenepa Mulungu mbabvudza Mose, "Cita nyoka uiyke pa muti; onsene analumwa na nyoka, mbalagana nyoka pa muti anawangiswa." Tenepa Mose acita nyoka ya utale, onsene akalangana pa nyoka akapulumuswa. Mose akhali mprorofeta wankulu na npfunzisi wa Mulungu wakuonekera mu Israeli. Pakati pa pyaka makumanai asogolera mbumba mu thando. Mbasati kufa Mose Mulungu anbvundza mbati, "Ndinati nditume mporofita unango, ninga iwe, pakati pa maIsraelita. Iye analonga pyonsene pinanbvudza Ine."
Cipangizo 21: Yezu Mbadyesa Anthu
Juwau 6:1-58
Pakupita pyaka pizinji mbumba ya Israeli ikasaka mporofita unango ninga Mose. Tenepo abarwa Yezu Chrixitu kudziko ya Israeli. Iye akapfundzisa anthu tangwi Mulungu, ninga pikacita Mose. Anthu aenda pambuto inango nthando kuti akamubve. Akala na ndjala mbwenye akhali na cakudya tayi. Mphale mbodzi akhali na mikate micanu na nyama za madzi ziwiri. Yezu akwata mikate na nyama mbakuza napyo Mulungu. Natenepa, na cakudya ceneco, adyesa anthu. Akhali penepo, anthu akunjipa kupita pikwi pixanu! Anthu alonga, "ndimomwene Uyu ndi mporofita!" Yezu mbaabvundza, "Ine ndine nkate waupulumuki. Ule anabwera kwa ine khambe dzakhala na ndjala; pontho ule ananditawira nkhambe dzabva nyota."
Cipangizo 22: Yezu Mbalonga Na Mose
Luka 9:28-36
Mose na Elia akhali maporofita a Mulungu. Akhali pantsi pano pyaka pizinji mbadzati kubarwa Yezu. Mbwenye ntsiku inango abulukira kuna Yezu. Amuna atatu akhayetimira pikulu. Yezu akhadziwa kuti akufuna kufa, mbalonga na Mose na Elia thangwi ya kufa kwace. Axamwali atatu a Yezu abvambo makani anewa. Tenepo pacitha khole ikulu mbiphimbira onsene. Fala ya Mulungu yalonga pakati pa khole, tenepa, "Uyu ndi Mwana Wanga - nbvereni." Fala pidamaleyo kulonga axamwali, atatu aona Yezu basi.
Cipangizo 23: Yezu Afera Ife
Juwau 3:14-16
Anthu akhonda Yezu mbamupha. Anyakhondo ankhomera pa ntanda wa muti. Aphambo amuna awiri pabodzi na Iye. Akhali mambava pontho akhali maphanga. Mbwenye Yezu akhakhoya myambo ya Mulungu mbaleka kuitaya. Tonsene ife tisataya myambo ya Mulungu. Ife tisakwanira kuthabuswa na Mulungu mwa kufa kuenda na kuenda. Mbwenye Mulungu asafuna anthu onsene. Iye nkhambe funa kuti tife kuenda na kuenda tithambuswe. Na thangwi eneyo atuma Yezu, Mwana wace, kuti akwate kuthabuswa kwathu. Pa ndzidzi wa Mose ciropa ca bira caerera kuti cipulumuse maisraeli. Yezu asia ciropa cace mbicierera kuti atipulumuse. "Ninga Mose alamusa nyoka nthando, tenepa pinafunika kuti Mwana wa munthu alamuswembo; kuti onsene ule anantawira aleke kutaika, mbwenye akhale na upulumuki wakukhonda mala."
Cipangizo 24: Yezu Kuzulu
Mabasa 'Actos' 1:6-11
Manungo akufa a Yezu aikiwa mu ndumbi, mbwenye pa ntsiku yacitatu Yezu akhala pontho m'maso! Anthu azinji alonga naye. Kupita ntsiku makumanai aoneka na anthu mbakwira kuzulu, ninga pikuoneka pa cipangizo ici. Yezu na lero ali maso. Mose ali masombo kuzulu. Mose akhali nsogoleri wankulu na mporofita wa Mulungu, mbwenye Yezu ndi Mwana wa Mulungu. Iye ndi nkulu kakamwe kupita Mose. Mose asogolera Israeli pakati pa bara onsene mbapulumuswa. Mbwenye Yezu abwera kapulumusa onsene ale anamutewera. Ntsiku inango Yezu anadzabwera, ninga pidakwira Iye kuzulu. Iye anadzakwata onsene ale anamutawira kuti adzakhale naye kuzulu. Xamwali wakufunika, wasasanyra kuti uende na Yezu? Pinkacitike kuti Iye abwere lero." "Tawira kuna Mbuya Yezu Chrixitu tenepo unati upulumuke."


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Ife ndifebizinezi yoganizira R & D, kupanga ndi kugulitsa kwa zida zowonera zomvera. Tili ndi R & D, ukadaulo, kupanga, mtundu, kutsatsa, ntchito yogulitsa pambuyo pake ndi madipatimenti ena okhala ndi antchito mazana. Takhala opanga mwaluso pamakampani opanga zida zowonera pazaka zambiri zaka zambiri akugwira ntchito molimbika, ogwira ntchito bwino ndikuwononga zida zopangira zapamwamba, Kupereka mtengo wopikisana pogwiritsa ntchito njira zatsopano kwambiri komanso matekinoloje ophatikizika ndi chinthu chapamwamba kwambiri, takwanitsa kuwongolera unyolo wonse wamatekinoloje: kuyambira pakupanga mzere wathu wazogulitsa. Zogulitsa zathu zonse zimadutsa muyeso wokhwima komanso magawo azinthu zopangira, asanagulitsidwe. ndikukhala ndi miyezo yabwino kwambiri yopangira ndi malo antchito. Malingaliro amakasitomala pazogulitsa amapatsidwa mwachindunji kwa ife kuti zinthu zathu zizigulitsidwa mtsogolo.
WathuZogulitsa zazikulu ndi ma TV bulaketi, m'mabokosi oyeserera, m'mabokosi apakompyuta, pamsonkhano wamavidiyo ngolo zamagalimoto, mayankho a ergo office. ndi zida zina zokhudzana nazo. Mtundu wathu wakhala dzina lotchuka m'makampani. Kumbali ya malonda, mkati titha kugawidwa m'makampani ogulitsa ndi kugulitsa kunja.
Mwinikapangidwe ka gulu, kulongedza kwamakasitomala makonda, mwachangu komanso molondola kupeza zosowa za makasitomala, wakhala akupanga ndikugawa mayankho apamwamba a ma TV. Njirayi imachotsa ndalama zapakati kapena zogulitsa, zomwe zimatilola kuti tisungire ndalama kwa makasitomala athu. ndipo timagulitsanso kwa ogulitsa ogulitsa kwambiri ngati Amazon ndi Walmart.
Zogulitsa zapakhomo:
Tili ndi ambiri wothandizila zigawo ndi ogulitsa m'dziko lonse la China, kotero okhwima ndi khola kugawira zoweta njira wakhazikitsidwa.
Timazindikira kupezeka kwathunthu kwama intaneti komanso osadalira pa intaneti potengera zida zamphamvu zapaintaneti zomwe timagwirira ntchito limodzi ndi makampani odziwika azamalonda monga JD.com, Tmall, Taobao, Suning ndi Pinduodu


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Sakukolola chakudya chokwanira kaamba kakusintha kwa nyengo
Wolemba: Rose Chipumbula CHALIRA
Mvula ikatsala pang’ono kuyamba anthu a m’midzi ya Gulupu Tembo ndi Matola, kwa Mfumu yaying’ono Matola m’boma la Balaka amakhala ndi nkhawa pankhani ya chakudya. Mvula yomwe imabwera m’maderawa mwanjomba ndi yomwe imawapatsa nkhawa. Sadziwa kuti akolola zotani ndipo izi zimasokonekera kunja kukakhalanso ng’amba.
Anthu a m’midziyi, omwe kale amatha kulima ndi kukolola zochuluka, zokwanira banja lonse zina mkugulitsa, lero agwira fuwa lamoto. Mabanja ambiri akugona osadya. Galu wakuda anayanga m’makomo mwawo kaamba kamavuto omwe adza chifukwa cha kusintha kwa nyengo zomwe zachititsa anthu a derali kumakhala ndi njala zaka zonse.
Kusintha kwa nyengo kwabweretsa ululu pa nkhani ya ufulu okhala ndi chakudya chokwanira. Ufulu wawo wokhala ndi chakudya ukuphwanyidwa.
Malingana ndi a Gabriel Chimsuku, a m’mudzi mwa Matola, mfumu yaying’ono Matola, anthu ambiri mderali anasiya kukolola zochuluka ngati kale kaamba koti mvula sikumagwa bwino ngati kale. Iwo akuti chilengedwe chinaonongeka ndipo pena mvula imabwera yochuluka zomwe zimachititsa madzi omwe adikha minda mwawo kuwononga mbewu.
“M’madera ambiri omwe timachitira ulimi ndi alowe ndiye nyengo ino ya mvula tikadzala mbewu zathu monga chimanga mvula ikabwera yambiri chimanga sichimachita bwino. Ikabweranso yochepa kumakhala mavuto a njala kuno zomwe zikutiyika pa mavuto anjala adzaoneni chaka chili chonse,” anatero a Chimsuku.
A Chimsuku anati ngakhale izizi zili chomwechi anthu a mde-rali akhalanso akuvutika kwa zaka zitatu ndi mbozi zomwe zimaononga mbewu zawo ngati mvula siikubwera mokwanira.
“Kusintha kwa nyengo kwatibweretsera ululu wambiri maka pa nkhani ya chakudya. Mabanja ambiri sakukwanitsa kudya mokwanira chifukwa akukolola zochepa. Komanso tikulephera kupeza mankhwala a mbozi zomwe zimawononga mbewu,” anatero a Chimsuku.
A Chimsuku anati midzi yozu-ngulira mfumu yaying’ono Matola kuli galu wakuda osati chifukwa cha anthu ulesi koma mavuto omwe adza kaamba kakusintha kwa nyengo.
“Zonsezi zikuchitika chifukwa cha kusintha kwa nyengo. Chilengedwe kuno chinawonongeka kusiyana ndi kale kaamba koti mitsinje yambiri mulibe mitengo. Komanso mu madera omwe tikukhala mitengo nayo inadulidwa zomwe zabweretsa kuno mavuto adzaoneni,” anatero a Chimsuku.
Iwo anapitiriza kunena kuti anthu ena amapezerapo mwai wopha makwacha powagulitsa chakudya mokwera mtengo. Anthu ena amawagula mbewu zina zomwe amalima monga tomato pa mtengo wotsika. Mderali amalima tomato wochuluka.
“Tomato pano akudula koma mavenda amabwera kuno kumadzatigula motsika mtengo. Iwo akapititsa kutauni amakapindula zomwe zikuchititsa anthu kumangovutikirabe pa nkhani ya chakudya. Anthu amalephera kukagula thumba la chimalanga lama kilogalamu 50 lomwe lili pa mtengo wa K20,000,” anatero a Chimsiku.
Nawo a Madalitso Ngwenya, a m’mudziwu anati kubwera kwa mvula mwa njomba ndi kuguga kwa nthaka ndi ena mwa mavuto omwe achititsa anthu a mderali kumakhala ndi njala zaka zonse. Iwo akuti izi zimapangitsa anthuwa kudalira zolandira zomwe ngakhale alandire amadya masiku ochepa.
“Munda omwe ndakhala ndi kulima zaka zapitazo omwe ndimakokola matumba makumi atatu pano ndi mbiri yakale ndimatha kubwera ndi matumba asanu penanso osafika chifukwa nthaka pano inawonongeka. Ngakhale kuthira feteleza sizimayenda pomwe kale timalima osathira feteleza koma manyowa,” anatero a Ngwenya.
A Ngwenya anati mudziwu ukukumana ndi mavutowa kaamba ka kusintha kwa nyengo komwe kwakhudza dziko lonse osati iwo okha.
“Tinkangomva kuti kuwononga chilengedwe ndi zina kumabweretsa ululu kwa anthu komanso maufulu amaphwanyidwa monga ufulu okhala ndi chakudya chokwanira. Pano tikuchitira umboni zimenezi. Moyo ukulimba chifukwa zambiri sizikuyenda bwino chifukwa cha mavuto omwe adza kaamba kakusintha kwa nyengo. M’makomo ambiri galu wakuda sakuchoka chaka ndi chaka,” anatero a Ngwenya.
Mayi Liginesi Yasini, a m’mudzi mwa Tembo, gulupu Tembo, Mfumu yayikulu Msamala, nawo akutsimikiza m’mene njala yakhudzira delari. Iwo anati amayi ambiri mabanja akusokonekera chifukwa chopita kokagwira maganyu kuti apeze yogulira chakudya komanso azibambo akumawathawa kuka kwatira mkazi yemwe akuona kuti ali ndi zomuyenereza kuwasiya iwo ndi ana akuvutika.
“Njala kuno yafika pamwana wakana phala. Anthu amatha sabata nsima osayiwona kumangogonela madzi ena ndi chinangwa chomwe timapulumukira. Chinangwa chimene kuti tikagule timayenera kukhala ndi ndalama yogulira zomwe ambiri kuno amakakanika chifukwa cha umphawi wa ndalama yogulira chakudya,” anatero a Yasini.
A Yasini anati chaka chilichonse nyengo ya mvula anthu amakhala ndi nkhawa kuti akolola kapena ayi malingana ndi kabweredwe ka mvula komwe kawirikawiri kamakhala ka njomba.
“Chaka chino tsogolo likuwoneka kuti mwina sitigona nayo njala potengera upangiri omwe akutiphunzitsa kuno a Catholic Development Commission (Cadecom) kudzera ku bungwe la Eagles Relief za mmene tingathanirane ndi mavuto omwe adza kaamba kakusintha kwanyengo maka pa nkhani yokhala ndi chakudya chokwanira,” anatero a Yasini.
Anapitiriza kuti: “Anthu ambiri mdelari amalimbikira kuchita ulimi ngati bizinesi kuti adzipindula zomwe apeza akagulitsa ngakhale kusunga kumene koma kaamba kamavuto omwe abwera kaamba kakusuntha kwanyengo anthu akukanika kupeza zofuna zawo .
Akuthana bwanji ndi vutoli?
Kudzera mu upangiri omwe nthambi ya chitukuko mu Mpingo wa Katolika ya Cadecom kudzera ku Eagles Relief mu pulojekiti yolimbikitsa kuthana ndi mavuto omwe amadza kaamba kakusintha kwa nyengo, okhudzidwa akulimbikitsidwa kudzi-wa maufulu awo omwe akuphwa-nyidwa komanso mmene angathanirane ndi ululu womwe ulipo pakanali pano.
Anthuwa akulimbikitsidwa kudzala mitengo, kukhala ndi banki ya kumudzi, kutsata ulimi wa makono, kuthira manyowa m’munda kuti nthaka isakokoloke komanso kuti izisunga chinyotho ndi zina ngati njira imodzi yochepetsera ululuwu.
Malingana ndi a Darlingtone Benard, ati kudzera mu upangiri womwe akhala akulandira ndi mabungwewa ayamba kubwezeretsa chilengedwe chomwe chinaonongeka podzala mitengo m’mbali mwa mitsinje ndi kutsata ulimi wamakono.
“Kuno, chilengedwe ngati mitengo inawonongeka chifukwa choidula mwa chisawawa osadziwa kuti mawa libalanji. Lero ana athu akuvutika mayendedwe popita ku sukulu chifukwa mitsinje yambiri kuno ilibe milatho. Komanso mitengo yothandandizira kuti mitsinjeyi isama-gumukire kulibe zomwe zikuchititsanso madziwa azikaononga mbewu zathu kuminda,” anatero a Benard.
Cadecom idayambitsa polojekiti yolimbikitsa chilungamo pa nkhani yakusintha kwa nyengo m’deralo yotchedwa Climate Challenge Programme Malawi (CCPM).
Mmodzi mwa akuluakulu ku bungwe la Cadecom, a Mercy Chirambo anati kusintha kwa nyengo kwadzetsa ululu wowopsa kwa anthu akumidzi maka pa nkhani ya chakudya m’maboma omwe bungweli likugwirako ntchito.
“Kusakolola chakudya chokwa-nira komanso kubwera kwa mvula ya njomba ndi chitsimikizo choti chilengedwe chinawonongeka kaamba kodula mitengo zomwe zachititsa kuti nthaka ikokoloke mmadera ambiri.
Nthaka imakokoloka chifukwa chosowa mitengo yomwe imayenera kugwira nthaka kuti isakokoloke komanso kulima kosatsata ndondomeko,” anatero a Chirambo.
Bungwe la Cadecom ndi Eagles Relief, likulimbikitsa ntchito zolimbana ndi mavuto omwe adza kaamba kakusintha kwa nyengo mderali polimbikitsa kudzala mitengo, kukhazikitsa banki yakumudzi, ulimi wa mtayakhasu, kugwiritsa ntchito Chitetezo Mbaula, yomwe simaononga chilengedwe ndi zina, ngati njira imodzi yomwe anthuwa angathanirane ndi ululu omwe akukumana nawo.
Anthu a mderali akupempha boma, adindo ndi mabungwe omwe siaboma kuti atengepo mbali polimbana ndi mavuto omwe adza kaamba kakusintha kwa nyengo osati kuwasiyira okha anthuwa powapatsa upangiri ndi zina kuti njala ikhale mbiri yakale.
Boma la Balaka ndi limodzi mwa maboma omwe kuli njala ya dzaoneni yomwe anthu sanakolole zochuluka. Mchaka chapita mabanja oposa 77 sauzande ndi omwe akusowa thandizo lachakudya malingana ndi lipoti lomwe linatuluka posache-dwapa m’bomali lokhudza mmene njala yakhudzira anthu.
Bungwe la Cadecom likugwira ntchitoyi m’maboma a Balaka, Machinga, Zomba ndi Chikwawa ndi thandizo lochokera m’dziko la Scotland kudzera ku Trocaire ndi Scottish Catholic Aid Fund.


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Chilichonse chomwe Muyenera Kudziwa Zokhudza Tadalafil
1. Kodi ufa wa Tadalafil ndi chiyani?
Tadalafil powder (171596-29-5) ndi mankhwala akuchipatala omwe amapezeka m'njira zosiyanasiyana zamlomo monga piritsi ndi ufa. Mankhwalawa amapezeka pamsika pamitundu yosiyanasiyana monga Adcirca ndi Cialis. Komanso, tadalafil imapezeka mu mawonekedwe ake achibadwa. Komabe, simulangizidwa kuti mugwiritse ntchito generic tadalafil powder chifukwa mwina ilibe mphamvu zonse zoyambirira za mankhwala; Chifukwa chake, muyenera kukhala osamala kwambiri mukamagula mankhwalawa ngati tadalafil. Onetsetsani kuti mumagula tadalafil yoyenera kuti mupeze zotsatira zabwino. Dokotala wanu adzakutsogolerani momwe mungagulire ufa wa Tadalafil wabwino komanso komwe.
Tadalafil (171596-29-5) imagwiritsidwa ntchito pamitundu yosiyanasiyana pochiza matenda osiyanasiyana. Mwachitsanzo, Cialis imagwiritsidwa ntchito kwambiri pochiza kutha kwa erectile kapena kusowa mphamvu kwa amuna komanso benign prostatic hypertrophy, yomwe imadziwika kuti prostate wokulitsidwa. Kumbali inayi, Adcirca, yomwe ilinso mtundu wina wa tadalafil, imagwiritsidwa ntchito pochiza matenda oopsa am'mapapo mwanga. Adcirca imagwiritsidwanso ntchito kupititsa patsogolo kuthekera kochita masewera olimbitsa thupi mwa amuna ndi akazi omwe ali ndi vuto la kuthamanga kwa magazi m'mapapo.
Nthawi zonse pamafunika kumwa mankhwalawa motsogozedwa ndi dokotala kuti mupewe zovuta. Ziribe kanthu momwe mungapezere tadalafil powder osazitenga popanda kukayezetsa kuchipatala. Chifukwa chakuti mankhwalawa akhala akumugwirira ntchito mnzanuyo, sikuti zimangochitika zokha zomwe zingakupatseni zotsatira zabwino. Matupi aanthu ndi osiyana, ndichifukwa chake adotolo akuyenera kukusankhirani mulingo woyenera mutayang'ana zaumoyo wanu. Pogwiritsidwa ntchito molakwika kapena mopitirira muyeso, tadalafil imatha kubweretsa zovuta zoyipa zomwe zitha kukhala zowonongera kusintha ndipo nthawi zina sizingasinthe.
2.Kodi ufa wa Tadalafil umagwira bwanji?
Tadalafil ufa ndi imodzi mwa mankhwala omwe ali m'gulu la mankhwala omwe amadziwika kuti phosphodiesterase mtundu 5 inhibitors (PDE5). Mankhwala onse mkalasi imeneyi amagwiranso ntchito mofananamo ndipo amagwiritsidwa ntchito ndi azamankhwala pochiza zikhalidwe zina zofanana. Nthawi zambiri, mankhwala amakhala m'magulu osiyanasiyana omwe amatchedwa makalasi. Maguluwa amapanga mankhwala omwe ali ndi katundu wofanana ndipo amagwiranso ntchito chimodzimodzi. Tadalafil imathandizira kupumula kwa chikhodzodzo ndi minofu ya Prostate, yomwe imakulitsa zizindikiro zanu za benign prostatic hyperplasia (BPH) zomwe zimaphatikizapo; kupweteka mukakodza, kukodza pokoka ndipo pamafunika kukodza pafupipafupi.
Izi zimathandizanso kuti magazi aziyenda mthupi lanu kupita ku mbolo, zomwe zimathandizanso kuti mukhale ndi erection. Tadalafil imagwiritsidwa ntchito kwambiri pochiza kukanika kwa amuna mwa amuna, koma zimangokuthandizani mukadzuka chilakolako chogonana. Kukweza kwa chindodo kumachitika mbolo ikadzaza magazi. Kukhazikitsidwa kumachitika pambuyo poti mitsempha yamagazi yomwe imayang'anira magazi imachulukitsa ndikupititsa patsogolo magaziwo pomwe omwe ali ndi udindo wochotsa magazi mu mgwirizano wa mbolo. Magazi akasonkhana mu mbolo yanu, imayambitsa erection. Kafukufuku akuwonetsa kuti tadalafil imathandizira kuti athe kupeza zovuta zovuta komanso zosasunthika kwa amuna ambiri omwe ali ndi vuto la erectile.
Kwa PAH, mankhwalawa amabwezeretsa m'mitsempha yamagazi m'mapapu anu kuti magazi awonjezere, zomwe zimakuthandizani kuchita masewera olimbitsa thupi. Mukamamwa mankhwalawa, ndiye, mudzakhala ndi mphamvu zokwanira zolimbitsa thupi kwanthawi yayitali ndikukwaniritsa zolinga zanu munthawi yochepa kwambiri.
3.Momwe mungatenge Tadalafil ufa?
Upangiri wa azachipatala kuti muyenera kumwa tadalafil ufa osachepera mphindi 30 musanayambe kuchita zachiwerewere. Mankhwalawa amakhala othandiza mukamawadya kapena osadya. Muyenera kumwa tadalafil pokhapokha ngati mukufuna kugonana. Komabe, kwa abambo omwe angafune kugonana kamodzi kokha kapena kupitirira sabata imodzi, atha kupita kukamwa, zomwe zimabwera mu Mlingo wachiwiri, 2.5mg ndi 5mg. Mlingo wovomerezeka patsiku ndi 10mg, koma ngati sikakukwanira, ndiye kuti mankhwala anu amatha kuwonjezera mulingo wa 20mg. Komabe, funsani kwa dokotala musanasinthe mlingo kuti mupewe zovuta za tadalafil powder.
Tadalafil imangotengedwa kamodzi maola 24. Mukapanda kupeza zosankha zomwe mukuyembekezera, musawonjezere mlingo wina tsiku lomwelo. Ndizofala kwambiri kwa ogwiritsa ntchito tadalafil koyamba kuti achedwetse kupeza zomwe akufuna. Matupi aanthu ndi osiyana, monga tanena kale m'nkhaniyi. Anthu ena atha kupeza tadalafil powder zotsatira mkati mwa mphindi 30 pomwe ena amachedwa kuchedwa. Komabe, madokotala amalimbikitsa kuti mumwe mankhwalawo kwa masiku pafupifupi asanu ndi atatu musanaganize zopita kukalandira mankhwala apamwamba kapena njira ina.
Simuyenera kumwa ufa wa tadalafil ndi mankhwala ena aliwonse a erectile. Chifukwa chake, dziwitsani dokotala ngati mukumwa mankhwala ena aliwonse a ED musanayambe mlingo wanu wa tadalafil. Ngakhale pali njira zingapo za tadalafil pamsika, monga sildenafil, Viagra, Spedra, ndi Cialis, simukuyenera kutenga pachiwopsezo chotenga chilichonse cha iwo ndi tadalafil; zimatha kubweretsa zovuta zoyipa. Tengani kamodzi kokha koma motsogozedwa ndi dokotala. Kupatula apo, ngati mukumwa mankhwala aliwonse a nitrate kuti muthane ndi mavuto amtima kapena kupweteka pachifuwa monga isosorbide dinitrate, nitroglycerin, isosorbide mononitrate, komanso mankhwala osangalatsa monga poppers, mumalangizidwanso kuti musayandikire kutenga tadalafil ufa. Kuphatikiza tadalafil ndi mankhwala aliwonse a nitrate kungayambitse kuchepa kwakukulu kwa magazi.
Kuti mukhale kumbali yotetezeka, dziwitsani dokotala zamankhwala onse omwe mukumwa kapena ngati muli ndi chithandizo chilichonse musanayambe kumwa tadalafil. Mukakumana ndi ma ululu owawa, kapena ma erections amatenga nthawi yayitali kuposa maola a 4 amadziwitsanso mankhwala anu mwachangu. Kukula kwakanthawi kungawononge minofu yanu ya mbolo. Komanso, ngati mukusowa ndi tadalafil, musataye chiopsezo ndikutenga dokotala wanu kuti akupatseni njira ina yabwino. Tadalafil ndi mankhwala amphamvu kwambiri pakukanika kwa erectile, koma amayenera kutengedwa ndi chisamaliro chochuluka kuti apewe zotsatira zapamwamba. Gwiritsitsani ntchito Mlingo wokhazikika kuti mupeze zotsatira zabwino.
4.Ntchito za Tadalafil ufa
Nthawi zambiri, tadalafil ufa umagwiritsidwa ntchito pochiza mavuto abambo amisala monga kusabala komanso kusokonekera kwa erectile. Kupatula kuwonjezera kukulitsa chilimbikitso pakugonana, tadalafil imathandizanso kutuluka kwa magazi kulowa mbolo kuti imuthandize mwamunayo kupeza ndikukhalanso ndi zovuta zomangira nthawi yayitali. Mankhwalawa amadziwika chifukwa chothandiza abambo kuti azikhala ndi vuto la kugona kwa nthawi yayitali. Ogwiritsa ntchito a Tadalafil amasangalala ndi ma erections ovuta komanso aatali. Komabe, mankhwalawa amayenera kumwedwa kamodzi patsiku ndi mphindi za 30 musanayambe kugonana.
Kumbali inayi, tadalafil powder imagwiritsidwanso ntchito pochiza matenda a benign prostatic hyperplasia (BPH). Mankhwalawa amachepetsa zizindikiro za BPH monga mtsinje wofooka, zovuta kuyambitsa mkodzo, komanso kukodza pafupipafupi, makamaka pakati pausiku. Apa tadalafil imakuthandizani pochepetsa chikhodzodzo chosalala ndi minofu ya prostate. Komabe, musagule ndikuyamba kugwiritsa ntchito tadalafil powder ngakhale mutakhala ndi zizindikiro za BPH musanapite kukayezetsa kuchipatala. Kumbukirani kuti mankhwalawa ayenera kuperekedwa ndi akatswiri azachipatala nthawi zonse.
Dokotala amaperekanso ufa wa tadalafil kwa anthu omwe ali ndi vuto la kuthamanga kwa magazi (PAH). Umu ndi momwe pamakhala kuthamanga kwa magazi m'ziwiya zanu zomwe zimanyamula magazi kupita m'mapapu, ndipo zimadzetsa chizungulire, kupuma pang'ono, komanso kutopa. Anthu ambiri omwe ali ndi vutoli zimawavuta kuchita masewera olimbitsa thupi pafupipafupi. Komabe, nkhani yabwino ndiyakuti tadalafil powder imathandizira kwambiri odwala PAH kuti azigwira bwino ntchito pochepetsa zovuta zomwe zimachitika mthupi.
Komabe, tadalafil sikukutetezani ku matenda opatsirana pogonana, omwe amaphatikizapo hepatitis B, HIV, syphilis, ndi gonorrhea, mwa ena. Zonse, onetsetsani kuti mukugonana mosatetezeka nthawi zonse. Ngati simukudziwa momwe mungadzitetezere pogonana, mutha kugwiritsa ntchito kondomu ya latex. Kuti mumve zambiri, funsani katswiri wanu wamankhwala kapena dokotala.
5.Mlingo wa Tadalafil ufa
Mlingo wa Tadalafil umatha kusiyanasiyana kuchokera kwa wogwiritsa ntchito wina, kutengera chifukwa chogwiritsira ntchito. Thanzi lanu komanso momwe thupi lanu limayankhira mankhwalawa zingathandizenso kuchuluka kwanu. Komabe, nthawi zonse zimalangizidwa kuti muyambe ndi mlingo wochepa wovomerezeka, womwe ukhoza kuwonjezeredwa pambuyo pake ndi dokotala mutatha kuyesa momwe mankhwala akuyendera. Osasintha mlingowo osadziwitsa mankhwala anu chifukwa atha kubweretsa zovuta zoyipa kapena kulephera kupereka zotsatira zomwe zikuyembekezeredwa. Mlingo wa Tadalafil ufa ali motere;
Mlingo wa Kutaya kwa Akuluakulu
Mlingo wa tadalafil wa ufa umapangidwira wamwamuna yemwe ali ndi zovuta kupeza komanso kusamalira zovuta. Mlingo woyambirira ndi 10mg yomwe imayenera kutengedwa pakamwa kamodzi patsiku kapena mphindi 30 musanachite zachiwerewere. Ngati simukumana ndi zotsatirazi, muyenera kupitiliza kumwa mankhwala omwe mumalandira kwa masiku asanu ndi atatu, kenako pitani kuchipatala kuti akuthandizeni kusintha mlingo. Anthu ena amachedwa kupeza zotsatira, makamaka koyamba ogwiritsa ntchito tadalafil. Komabe, mlingowo ukhoza kukulitsidwa mpaka 20mg patsiku. Kusamalira tadalafil powder mlingo kuyambira 5 mpaka 20mgs zomwe ziyenera kutengedwa kamodzi patsiku momwe zingafunikire kapena musanachite zogonana. Tadalafil ya ED mlingo imadalira kulekerera komanso kuchita bwino. Mlingowo ungatsitsidwe mopitilira owerenga omwe akukumana ndi zovuta zina ngakhale atalandira mlingo wotsikitsitsa wa 10mgs patsiku.
Pogwiritsa ntchito tadalafil ufa wa tsiku ndi tsiku, mlingo woyambirira wa pakamwa kamodzi pa 2.5mg ndipo uyenera kutengedwa nthawi yomweyo tsiku lililonse, osaganizira nthawi yogonana. Mlingo uwu umapangidwira omwe amagwiritsa ntchito omwe angafune kugonana katatu kapena kangapo pa sabata. Apa, mulingo wokonza umachokera ku 2.5 mpaka 5mgs patsiku ndipo uyenera kutengedwa pakamwa kamodzi pa maola aliwonse a 24.
Mlingo wa Tadalafil ufa wa Benign Prostatic Hyperplasia (BPH) komanso kusowa kwa erectile (ED)
Muthanso kutenga tadalafil kuchitira zikhalidwe ziwiri nthawi imodzi, zomwe zitha kukhala zabwino kwa ogwiritsa ntchito. Kuti muthandizire bwino mankhwala a ED ndi BPH, mulingo woyenera ndi 5mg Mlingo watsiku ndi tsiku, womwe umayenera kutengedwa pakamwa pafupifupi nthawi imodzi. Pano, simukuyenera kuganizira za nthawi yomwe mumagonana koma kungomamatira ku malangizo kuti mupeze zotsatira zomwe mukufuna. Tengani mlingo wanu mpaka adokotala atakulangizani kuti musiye pambuyo powunikira momwe ntchito yanu ilili.
Mlingo wa Tadalafil ufa Pulmonary Hypertension
Kuti muthandizidwe bwino ndi Pulmonary Hypertension, muyenera kutenga tadalafil ufa 40mgs kamodzi patsiku. Simukuyenera kugawa mlingo wa 40mgs patsiku kapena ngakhale kuonjezera kapena kuchepetsa mlingo.
Mlingo wachikulire wa tadalafil wa Benign Prostatic Hyperplasia
Kwa chithandizo cha BPH, muyenera kumwa 5mgs Mlingo wa tadalafil kamodzi patsiku ndikuonetsetsa kuti mumamwa pafupifupi nthawi yomweyo tsiku lililonse pafupifupi masabata a 26. Dokotala wanu amathanso kukulitsa kapena kuchepetsa Mlingo wa tsiku ndi tsiku kutengera momwe thupi lanu limayankhira pa masabata angapo oyamba. Ngati muli ndi zotsatirapo zilizonse zotsogola pafupipafupi funsani dokotala wanu nthawi isanafike poipa.
6.Tadalafil ufa theka-moyo
Tadalafil powder theka lamoyo amakhala otakataka mthupi lanu kwa maola pafupifupi 36 mutatha kumwa mankhwala. Izi zimapangitsa tadalafil kukhala chisankho chabwino kwambiri kwa ogwiritsa ntchito ambiri omwe akufuna kuti akwaniritse zochitika zawo zogonana. Kumwa mlingo wa ufa wa tadalafil tsiku lililonse kumakuthandizani kuti mukhale ndi firmer komanso nthawi yayitali mutatha kumwa pafupifupi masiku atatu mpaka asanu musanayambe kugwiritsidwa ntchito. Kwa abambo omwe samalabadira pazomwe akufuna kumwa kwambiri, kumwa mankhwala a tadalafil tsiku lililonse kungakhale kothandiza kwambiri. Mlingo watsiku ndi tsiku ndiwothandiza kwambiri pakuwongolera zomwe mukuyendetsa pakugonana.
Nthawi zonse pamafunika kumwa tadalafil powder kamodzi patsiku ndipo ngati simupeza zotsatira musatenge mlingo wina mkati mwa maola 24. Zotsatira za ufa wa Tadalafil zitha kuchedwa kwa ogwiritsa ntchito ena, koma sizitanthauza kuti muyenera kumwa owonjezera tsiku lomwelo. Ogwiritsa ntchito tadalafil powder nthawi yoyamba amatha kuchedwa, koma pakapita nthawi amapeza zomwe akufuna.
7.Tadalafil ufa woyipa
Monga momwe tadalafil ufa ndi mankhwala enaake omwe amathandizira anthu ena kuchiza matenda osiyanasiyana, ngati atagwiritsidwa ntchito molakwika kapena mopitirira muyeso angakuwonetseni zovuta zina. Ambiri a tadalafil ufa woyipa chifukwa chogwiritsa ntchito molakwika komanso momwe thupi lanu limayankhira ndi mankhwalawa. Nthawi zambiri, anthu ena amalephera kusangalala ndi mankhwalawa ngakhale atalandira mlingo woyenera. Ogwiritsa ntchito ena atha kukhala ndi zovuta zochepa kuposa ena. Zotsatira zoyipa za tadalafil zimatha kutha pakapita nthawi, ndipo ndi izi;
Mutu umakhala wofala kwambiri pamene mukutenga ufa wanu wa tadalafil. Mukhozanso kumva kutentha kwa m'mtima, kudzimbidwa, mseru, kutulutsa, kutsegula m'mimba, ndi kutsokomola. Ululu wammbuyo mwanu, m'mimba, m'miyendo, kapena m'manja ndizofala kwambiri kwa ogwiritsa ntchito ambiri a tadalafil. Monga tafotokozera, zotsatirazi zimayenera kutha patapita kanthawi, koma zikakhala motalikirapo kuposa momwe zimayembekezeredwa kudziwitsa dokotala wanu kuti akuthandizeni kupeza yankho. Nkhani yabwino ndiyakuti pafupifupi zovuta zonse za tadalafil zimatha kuwongoleredwa.
Palinso zovuta zina zoyipa zomwe muyenera kufunsa kuchipatala mukangoyamba kuwapeza, ndikuphatikizaponso;
- Kutayika kwa masomphenya kapena kusawona bwino mukamatenga tadalafil. Ogwiritsa ntchito ena atha kuyamba kukumana ndi zovuta m'maso mwawo akangoyamba kumwa mankhwalawa, ndipo zikachitika, imbanani ndi dokotala munthawi yochepa kwambiri.
- Kusintha kulikonse kwa maonekedwe kwamtunduwu kuyeneranso kudziwitsidwa kuchipatala chapafupi kapena zamankhwala anu. Ogwiritsa ntchito ena atha kukhala zovuta kuzindikira mitundu ina, monga kunena kusiyana pakati pa zobiriwira ndi zobiriwira.
- Mavuto akumva, kulira makutu, kutayika, ndi kuchepa kwa khutu ndi vuto linanso lalikulu lomwe munthu angakhale nalo.
- Kukula kwakutali komwe kumakhala kwa maola ochulukirapo a 4.
- Kupweteka pachifuwa komanso chizungulire, kupindika pakhungu kapena kutulutsa matuza, kutupa, lilime, maso, milomo komanso nkhope.
- Zovuta pakukumeza kapena kupuma ziyeneranso kuthana nawo mwachangu.
Kulephera kudziwitsa dokotala za zoyipa zomwe zili pamwambapa kungayambitse zovuta zina ndipo nthawi zina kumatha kubweretsa imfa. Musazengereze kulumikizana ndi akatswiri azachipatala ngati mukukumana ndi zovuta zina. Momwemonso, musapitirire ndi mlingo osakudziwitsa zamankhwala anu chifukwa zingayambitse zovuta zambiri kapena kukulitsa vuto lanu. Zotsatira zonse za tadalafil ndizosinthika, ndipo dokotala adzakulangizani pambuyo pofufuza momwe muli.
8.Tadalafil powder yogulitsa
Tadalafil powder Zogulitsa imapezeka pamsika kaya m'misika yapaintaneti kapena malo ogulitsa mankhwala. Komabe, mutha kuzipeza m'mazina osiyanasiyana monga Cialis kapena Adcirca, kutengera malo omwe muli. Ichi ndi chilolezo chovomerezeka mwalamulo m'malamulo ambiri, ndipo simuyenera kukhala ndi mantha mukakhala, kugula, kapena kutumiza mankhwala kunja. Ku United States of America, Tadalafil idavomerezedwa koyamba mu 2003 pochiza matenda a erectile, ndipo pazaka zapitazi yakhala ikugwira ntchito. Ufa wa tadalafil umapezeka m'magalamu osiyanasiyana kutengera kuchuluka komwe mungafune kuthana ndi vuto lanu.
Ndinu mfulu kutero gulani tadalafil ufa wambiri kapena zokwanira kuti mugwiritse ntchito tsiku limodzi kapena masiku angapo kutengera malingaliro a dokotala wanu. Pali ma tadalafil ambiri ogulitsa pamsika lero, koma onetsetsani kuti mwalandira kuchokera kwa wopanga komanso wogulitsa wodziwika. Si ogulitsa onse omwe mumakumana nawo pamsika omwe ali ndi mankhwala abwino. Kumbukirani, zotsatira zabwino komanso zachangu; muyenera kugwiritsa ntchito ufa wa tadalafil wabwino nthawi zonse. Palinso mtundu wa tadalafil ufa, womwe ungakhale wopanda mikhalidwe ina ndipo mwina sungathe kuthana ndi vuto lanu.
Ngati mulibe chitsimikizo choti mupeza ufa wa tadalafil wabwino bwanji, musawope kuyankhula ndi dokotala. Ogwira ntchito zamankhwala ndi anthu abwino kwambiri kuti akuwonetseni komwe mungapeze mankhwala omwe amakupatsirani. Komabe, ndibwino nthawi zonse kuchita kafukufuku wanu kuti mudziwe opanga ndi opanga kwambiri a tadalafil ufa wokuzungulirani. Onetsetsani kuti mumagula ufa wambiri wa tadalafil womwe ungapangitse kuti zisungidwe mosavuta ngati mukupitiliza ndi mlingo wanu.
9.Kugula Tadalafil ufa?
Dziko likusintha, ndipo mosiyana ndi masiku ena kumbuyo, mutha kutero kugula tadalafil powder pa intaneti patsamba lathu ndikupeza malonda anu munthawi yochepa kwambiri. Mutha kulowa patsamba lathu kudzera pa smartphone, piritsi, kapena laputopu yanu ndikupanga oda yanu kunyumba kwanu kapena kuofesi. Kapenanso, mutha kupeza tadalafil powder ku pharmacy yakwanuko. Komabe, nthawi zonse timalangiza makasitomala athu kuti azisamala kwambiri akamayang'ana wogulitsa wabwino kwambiri wa tadalafil pa intaneti kapena mwakuthupi. Ena mwa ogulitsa mankhwalawa atha kukhala ndi zinthu zotsika mtengo zomwe sizingakupatseni zomwe mukufuna kapena kumapeto kwake kukuwonetsani zovuta zoyipa.
Chitani kafukufuku wanu pakampani yomwe mukufuna kugula tadalafil ufa kuchokera kuti mumvetse momwe imagwirira ntchito. Njira yabwino ndikuyang'ana mawunikidwe amakampani ndi kuwunika kwamakasitomala. Kampani yabwino ikakhala ndi mayankho abwino komanso zabwino zambiri. Werengani nkhani zosiyanasiyana zamakasitomala ndikusankha mwanzeru. Makasitomala achimwemwe nthawi zonse amalimbikitsa makasitomala ena kwa omwe amawagwiritsa ntchito, ndipo okhumudwitsidwayo sadzaopa kufotokoza zokhumudwitsa zawo. Osakhala mwachangu mukamagula tadalafil ufa, tengani nthawi yanu, ndipo phunzirani othandizira komanso opanga omwe akupezeka pamsika. Dokotala wanu amathanso kukuthandizani kuzindikira wogulitsa tadalafil wazungulira.
Ndife otitsogolera tadalafil powder wogulitsa m'derali, ndipo takhala patsogolo pa masewerawa zaka zambiri tsopano. Timapereka zida zamankhwala zabwino kwa makasitomala athu onse ndikupanga zoperekera panthawi yake padziko lonse lapansi. Webusayiti yathu yosavuta kugwiritsa ntchito imakupatsani mwayi wopanga dongosolo lanu mkati mwa masekondi ndi kuchokera kulikonse. Mutha kuyendetsa mosavuta kuchokera ku malonda amtundu wina kupita patsamba lathu. Zogulitsa zathu zachipatala, monga tadalafil ufa zili ndi zida zambiri kupewa zodetsa zilizonse mukamayendayenda komanso zimakupangitsani kuti musunge mankhwala. Komabe, nthawi zonse timalangiza makasitomala athu onse okhulupilika, kuti asayambe kumwa mankhwalawa osakayezetsa kuchipatala ndikupeza mankhwala oyenera kuchokera kwa akatswiri azachipatala.
Mwa mafunso onse kapena nkhawa za tadalafil ufa, ndinu omasuka kulumikizana nafe nthawi iliyonse. Tsamba lathu labwino la kasitomala limayang'ana mavuto anu onse ndikuthandizanso kupanga oda pa nsanja yathu. Sungani ufa kuchokera kwa ana ndikutenga mulingo woyenera kuti mukhale ndi zotsatira zabwino. Mukakumana ndi zovuta zilizonse, dziwitsani dokotala kuti akupatseni malangizo ambiri ndi malangizo.
10.Tadalafil ufa vs Sildenafil Citrate ufa
Mankhwala awiriwa ndi a phosphodiesterase-5 (PDE5), ndipo izi zikutanthauza kuti amagwira ntchito chimodzimodzi. Tadalafil powder ndi sildenafil citrate powder ali ndi zofanana zambiri, ndipo amagwiritsidwa ntchito pochiza kusowa mphamvu ndi kuwonongeka kwa erectile mwa amuna. Komabe, mankhwala awiriwa amatha kugwira ntchito pokhapokha wogwiritsa ntchito akadzuka. Mukamatsatira malangizo onse a mlingo, tadalafil ndi sildenafil citrate ufa zingakuthandizeni kupeza zovuta komanso zazitali.
Potengera magwiridwe antchito, tadalafil powder imagwira ntchito mkati mwa 16 mpaka 45 mphindi mutatenga mlingo wanu. Kumbali inayi, sildenafil imapereka zotsatira mkati mwa mphindi 30, ndipo mukamadya chakudya chambiri, zimatha kukhudza mphamvu ya mankhwala. Chifukwa chake, sildenafil citrate powder ayenera kumwedwa pamimba yopanda kanthu kuti mupeze zotsatira zabwino. Pafupifupi onse PDE5 inhibitors ogwira ntchito ndi ofanana. Komabe, ngakhale sildenafil ikuyimira 84% ndi tadalafil ku 81%, amuna ambiri amakonda kutenga tadalafil powder chifukwa imakhala ndi nthawi yayitali.
Tadalafil ufa amatha kutengedwa pakafunika kutero kapena tsiku lililonse. Nthawi zambiri, mankhwala a tadalafil tsiku lililonse amakhala ocheperako kuposa momwe amafunikira. Mwachitsanzo, 10mgs ndiye muyeso wa tadalafil musanachite zogonana. Mukatengedwa, zotsatirazi zimatha pafupifupi maola 36. Dokotala wanu amathanso kuwonjezera mlingo wa 20mg kapena kuchepetsa kwa 5mg pomwe zotsatirapo zake sizingatheke. Pa mlingo wa tsiku ndi tsiku, mlingo woyenera wa tadalafil powder ndi 2.5mg wa ED ndi 50mg pochiza BPH. Ogwiritsa ntchito amalangizidwanso kuti asakulitse mlingo wa tadalafil popanda malangizo a dokotala kuti achepetse zovuta.
Sildenafil citrate ufa ayenera kumwedwa kamodzi patsiku ndi ola limodzi musanachite zachiwerewere. Mankhwalawa ayenera kumwedwa pakufunika, ndipo mlingo woyenera ndi 50mgs, womwe mungathenso kutenga mphindi 30 kapena maola anayi musanagonane. Nthawi zina, mlingo wa sildenafil citrate wa ufa ungawonjezeke mpaka 100mgs ngati mulingo wa 50mg walephera kupereka zomwe mukufuna. Dokotala wanu amathanso kuchepetsa kuchuluka kwa 25mgs ngati mukumana ndi zovuta zina. Monga tadalafil, sildenafil citrate powder ayenera kutengedwa kamodzi patsiku ngakhale simupeza zotsatira mkati mwa maola 4.
Mankhwalawa atagwiritsidwa ntchito mopitirira muyeso kapena atagwiritsidwa ntchito molakwika, zimatha kubweretsa zotsatirapo zake monga kupukusa, kupweteka mutu, ndi kudzimbidwa. Komabe, kuzindikira kwa mitundu kumalumikizidwa kwambiri ndi sildenafil citrate ufa. Nkhani yabwino ndiyakuti zovuta zonse ziwiri za mankhwalawa zimatha kuthandizidwa mukafuna kuchipatala mwachangu. Khalani omasuka kufunsa dokotala kapena wamankhwala kuti mumve zambiri za tadalafil powder ndi sildenafil citrate ufa.
Zothandizira:
Kukreja, RC, Salloum, FN, Das, A., Koka, S., Ockaili, RA, & Xi, L. (2011). Kugwiritsa ntchito kwatsopano kwa phosphodiesterase-5 inhibitors mu matenda amtima. Zoyesera & Zachipatala, 16(4), e30.
Mostafa, ME, Senbel, AM, & Mostafa, T. (2013). Zotsatira za tadalafil wokhala ndi vuto lochepa kwambiri m'matumba a penile cavernous mu makoswe a matenda ashuga. Urology, 81(6), 1253-1260.
Kaya, B., Çerkez, C., Işılgan, SE, Göktürk, H., Yığman, Z., Serel, S.,… & Ergün, H. (2015). Kuyerekeza zotsatira za systemic sildenafil, tadalafil, ndi vardenafil mankhwala pakhungu lomwe limapulumuka m'makoswe. Zolemba za opaleshoni ya pulasitiki komanso opaleshoni yamanja, 49(6), 358-362.
Porst, H., Roehrborn, CG, Secrest, RJ, Esler, A., & Viktrup, L. (2013). Zotsatira za tadalafil pamatenda ochepera kwamkodzo kuchokera ku benign prostatic hyperplasia komanso pakukanika kwa erectile mwa amuna ogonana omwe ali ndi zikhalidwe zonsezi: Kusanthula deta yolumikizidwa kuchokera ku maphunziro anayi azachipatala, olamulidwa ndi placebo - tadalafil. Magazini yokhudza kugonana, 10(8), 2044-2052.


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Bwanji osankha kutentha kwakupangira pazitsulo zotseguka, convection, radiant kapena njira yowonjezera? Apa pali chidule cha ubwino waukulu womwe masiku ano kutentha kotentha kwapadera kumapangidwira kupanga mafakitale:
* Kutentha Kwambiri
Kutentha Kwambiri imakakamizidwa mkati mwa gawo lomwelo posinthitsa magetsi. Zotsatira zake, kugwedezeka pazogulitsa, kusokoneza ndi kukana mitengo kumachepetsedwa. Kuti mukhale ndi malonda abwino kwambiri, gawolo limatha kupatulidwa m'chipinda chotsekedwa ndi zingalowe, kulowa mkati kapena kuchepetsa mpweya kuti muchepetse zovuta za makutidwe ndi okosijeni. Mitengo yopanga itha kukulitsidwa chifukwa kupatsidwa ulemu kumagwira ntchito mwachangu kwambiri; kutentha kumapangidwa mwachindunji komanso nthawi yomweyo (> 2000º F. mu <1 sekondi) mkati mwa gawolo. Kuyamba kumakhala pafupifupi nthawi yomweyo; palibe kutentha kapena kutentha komwe kumafunika. Makina otenthetsera amatha kumalizidwa pansi, pafupi ndi makina ozizira kapena otentha, m'malo motumiza zigawo zingapo kumalo oyaka moto kapena subcontractor. Mwachitsanzo, njira yolimbitsira kapena kusungunula yomwe kale imafuna njira yowotchera nthawi yayitali, yotchinga ndi batch tsopano ikhoza kusinthidwa ndi njira yopitilira imodzi.
* Kutentha Mogwirizana
Kutentha kotentha kumathetsa kusagwirizana ndi nkhani zomwe zimakhudzana
ndi lotsegula, kutentha kwa ng'anjo ndi njira zina. Pokhapokha dongosololi litakonzedweratu ndi kukhazikitsidwa, palibe kulingalira ntchito kapena kusintha; njira yotentha imagwiritsidwa ntchito mobwerezabwereza. Ndi zowonongeka zamakono zamasiku ano, kuyendetsa bwino kutentha kumapereka zotsatira zowunifolomu; mphamvu ikhoza kutsegulidwa nthawi yomweyo kapena kutseka. Ndi kutseka kutsekedwa kwa kutentha kwa kutentha, kupita patsogolo kuyambitsa kutentha kayendedwe kachitidwe ali ndi luso loyesa kutentha kwa gawo lililonse. Mitundu yokhayo, yolembera ndi kutsika mitengo imatha kukhazikitsidwa & zambiri zitha kujambulidwa pagawo lililonse lomwe likuyendetsedwa.
* Kutentha Woyera
Kutsatsa njira zotentha musatenthe mafuta atsopano; Kupititsa patsogolo ndi njira yoyera, yopanda kuipitsa yomwe ingathandize kuteteza chilengedwe. Ndondomeko yochepetsedwera imathandiza kuti ogwira ntchito anu azikhala ndi kuthetsa utsi, kutentha kwazitayira, mpweya woipa komanso phokoso lalikulu. Kutentha kumakhala kosavuta komanso kosavuta popanda moto wowatseguka kuti uwononge wogwiritsira ntchito kapena kusokoneza njirayo. Zida zosagwira ntchito sizimakhudzidwa ndipo zimapezeka pafupi ndi malo otenthetsera popanda kuwonongeka.
* Sungani Mphamvu
Mukutopa ndi ndalama zowonjezera zowonjezera? Njira yokhayi yowonjezera mphamvuyi imatembenukira ku 90% ya mphamvu yowonjezera mphamvu kukhala yotentha; Nkhumba zotentha ndizochepa 45% yowonjezera mphamvu. Ndipo popeza kutengeka sikufuna kutenthetsa kapena kuzizira, kuyima kwa kutentha kumachepetsedwa kukhala kochepa. Kubwezeretsa ndi kusasinthasintha kwa pulojekitiyi kumapangitsa kuti zikhale zovomerezeka kwambiri ndi zogwiritsira ntchito zowonongeka.
Bukhu la HLQkudziwitsidwa_kukonda_machitidwe


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Kunyumba palibe amene angakane a chisokonezo cha chakudya. Timawawononga sabata iliyonse ndipo, pafupifupi nthawi zonse ngati mphodza, monga yomwe ndikuwonetsani lero. Nthawi ino tawapanga ndi ndiwo zamasamba, ndikupereka ulemu ku bowa.
Chifukwa chake alibe nyama kapena chorizo koma ndikukutsimikizirani kuti mwanjira iyi, ndi zosakaniza zomwe ndikuwonetsa pansipa, ndizokoma. Ndiochulukirapo kuwala ndi yabwino kwa iwo omwe akufuna kutsatira a zakudya zabwino.
- 400 g wa mphodza
- 3 zanahorias
- Mbatata 1
- Mapesi awiri a udzu winawake
- ¼ anyezi
- Bowa 10
- Tsamba la 1
- Mafuta owonjezera a maolivi
- 1 kagawo kakang'ono ka anyezi
- ½ supuni ya tiyi ya paprika
- Flour supuni ya tiyi (ya mchere)
- chi- lengedwe
- Kutatsala maola awiri kuti tiyambe kope tinayika mphodza kuti zilowerere, m'mbale ndikuthira madzi.
- Pambuyo pake timakhetsa ndikutsuka nyemba zathu ndikuziyika mu phula lalikulu. Timaphimba ndi madzi.
- Timakonza ndiwo zamasamba.
- Timasenda kaloti ndikuwadula. Timatsuka ndikudula udzu winawake. Timatsuka ndi kudula bowa. Peel ndikudula mbatata - mu zidutswa zazikulu-. Timadula anyezi.
- Timayika masamba onse mu poto, ndi mphodza.
- Timayika poto pamoto.
- Timalola chilichonse kuphika pamoto wapakati, ndipo timawonjezera madzi mukawona kuti ndikofunikira.
- Ndowe zikaphikidwa, timakonza msuzi.
- Timayika mafuta owonjezera a maolivi osakaniza mu poto. Tinayatsa. Kutentha onjezerani anyezi wodulidwa ndikusiya uwoneke. Kenaka timawonjezera paprika ndi ufa. Timazisiya pamoto kwa mphindi zosachepera 2.
- Timathira msuziwo mu mphika waukulu momwe timakhala ndi mphodza zathu. Timathira mchere ndikuwusiya uphike palimodzi kwa mphindi pafupifupi 20.
- Ndipo tili nawo, okonzeka kutumikiranso.
Zambiri - Agulu a mphodza!


text:
Anthu ali ndi mizere yongoganiza papulaneti lathu kuti akhazikitse mtunda ndi miyeso ya mayiko ndi makontinenti. Zigawozi zimagawidwa kumpoto, kumwera, kummawa ndi kumadzulo. Mzere womwe umalekanitsa kumpoto ndi kum'mwera umatchedwa Ecuador ndipo umasiya dziko lapansi logawidwa kukhala lotchedwa madera otentha a dziko lapansi. Tili ndi Tropic of Capricorn ndi Tropic of Cancer.
M'nkhaniyi tikuuzani za zomwe zili m'madera otentha a Dziko Lapansi komanso zomwe zili zofunika kwambiri zomwe ali nazo.
Malo otentha a Dziko Lapansi
Malo otentha ndi mizere yofanana ndi equator, 23º 27' kuchokera ku equator m'madera onse awiri. Tili ndi Tropic of Cancer kumpoto ndi Tropic of Cancer kumwera.
Equator ndiye mzere wokhala ndi mainchesi akulu kwambiri. Ndi perpendicular kwa axis ya Dziko lapansi pakatikati pake. Bwalo lalikulu kwambiri padziko lapansi, perpendicular kwa olamulira ake, amagawa dziko lapansi mu magawo awiri ofanana otchedwa hemispheres: kumpoto kapena kumpoto (kumpoto kwa dziko lapansi) ndi kum'mwera kapena kum'mwera (kum'mwera kwa dziko lapansi). Ma longitude a padziko lapansi amapanga mabwalo akuluakulu ozungulira ku equator yapadziko lapansi ndikudutsa mumitengo.
Perpendicular to equator, bwalo lopanda malire limatha kukopeka padziko lapansi, m'mimba mwake lomwe limagwirizana ndi polar axis. zozungulira izi Amapangidwa ndi ma semicircle awiri otchedwa meridians ndi antimeridians., motero. Makhalidwe a meridians ndi awa:
- Onse ali ndi mainchesi ofanana (mzere wa dziko lapansi).
- Iwo ali perpendicular kwa equator.
- Iwo ali pakati pa dziko lapansi.
- Iwo amasonkhana pa mitengo.
- Pamodzi ndi ma anti-meridians awo ofanana amagawa dziko lapansi kukhala ma hemispheres awiri.
Kutentha kwa Capricorn
Tropic of Cancer ndi mzere wongoyerekeza kapena wofanana womwe umazungulira padziko lapansi pa 23,5 °. kum'mwera kwa equator. Ndilo malo akummwera kwambiri padziko lapansi, kuyambira kumwera mpaka kumpoto kwa Tropic of Cancer, ndipo ali ndi udindo woyika chizindikiro chakumwera kwa madera otentha.
Malo otentha a Capricorn amatchulidwa choncho chifukwa Dzuwa limakhala ku Capricorn m'mwezi wa December. The Kusankhidwa kunachitika zaka 2000 zapitazo, pamene dzuwa silinalinso m'magulu a nyenyezi. Pa June solstice, Dzuwa lili ku Taurus, ndipo pa December solstice, Dzuwa limakhala ku Sagittarius. Limatchedwa Capricorn chifukwa chakuti m’nthaŵi zakale, nyengo yachilimwe ikafika kum’mwera kwa dziko lapansi, dzuŵa linali m’gulu la nyenyezi la Capricorn. Panopa ili m'gulu la nyenyezi la Sagittarius, koma miyambo imavomerezabe dzina lakuti Tropic of Capricorn mwamwambo.
Makhalidwewa ndi awa:
- Kusiyana kwa nyengo m'madera otentha kumakhala kochepa, chotero moyo nthaŵi zambiri umakhala wofunda ndi wadzuwa m’madera otentha a Capricorn.
- Mapiri ozizira a zipululu za Atacama ndi Kalahari, Rio de Janeiro ndi Andes ali ku Tropic of Capricorn.
- Apa ndipamene amalima khofi wambiri padziko lonse lapansi.
- Uwu ndi mzere wongoyerekezera umene umatsimikizira malo akutali kwambiri kum’mwera kumene dzuŵa lingafike masana.
- Ndilo udindo wofotokozera malire akummwera kwa madera otentha.
- Malo oyamba omwe amayambira ali pagombe lachipululu la Namibia, ku Sandwich Harbour.
- Malo otentha amawoloka Mtsinje wa Limpopo, ngalande yaikulu imene imadutsa ku South Africa, Botswana, ndi Mozambique ndi kukathira m’nyanja ya Indian Ocean.
- Malo otentha a Capricorn amangokhudza chigawo cha kumpoto kwenikweni kwa South Africa, koma akuphatikizapo Kruger National Park.
Tropic ya Cancer
The Tropic of Cancer ndi mzere wa latitude umene umazungulira dziko lapansi pafupifupi 23,5 ° kumpoto kwa equatorial latitude. Iyi ndiye malo akumpoto kwambiri padziko lapansi. Komanso, ndi imodzi mwa miyeso isanu ikuluikulu yotengedwa mu mayunitsi a latitude, kapena mabwalo a latitude, omwe amagawaniza Dziko Lapansi, kumbukirani kuti miyeso ina ndi Capricorn, Equator, Arctic Circle ndi Antarctic Circle.
The Tropic of Cancer ndi yofunika kwambiri ku nthambi ya geography yomwe imaphunzira za Dziko Lapansi, chifukwa kuwonjezera pa malo a kumpoto omwe amawonetsa mwachindunji kuwala kwa dzuwa, imakhalanso ndi ntchito yolemba kumapeto kwa kumpoto kwa madera otentha, kufalikira kumpoto kuchokera ku equator kupita ku Tropic of Cancer ndi kumwera mpaka kumpoto kwa mzere wobwerera. The Tropic of Cancer ndi mzere wa latitude umene umazungulira dziko lapansi pa 23,5 ° kumpoto kwa equatorial latitude, ndi kumpoto kwenikweni kwa Tropic of Cancer ndi imodzi mwa madigiri omwe amagwiritsidwa ntchito kugawanitsa dziko lapansi.
M’nyengo ya June kapena m’chilimwe, dzuŵa limaloza ku gulu la nyenyezi la Cancer, motero mzere watsopano wa latitude umatchedwa Tropic of Cancer. Koma ziyenera kutchulidwa kuti dzinali linaperekedwa zaka zoposa 2000 zapitazo, ndipo dzuwa sililinso mu Cancer. Panopa ili m'gulu la nyenyezi la Taurus. Komabe, kwa maumboni ambiri, malo akutali a Tropic of Cancer pa 23,5°N ndi osavuta kumva. Makhalidwe awo ndi awa:
- Ndi kumpoto kwenikweni komwe dzuwa limawonekera pamwamba, ndipo limapezeka m'nyengo yotchuka ya June solstice.
- Kumpoto kwa mzerewu, titha kupeza madera otentha komanso otentha kumpoto.
- Kumwera kwa Tropic of Cancer ndi kumpoto kwa Capricorn ndi kotentha.
- Nyengo zake sizidziwika ndi kutentha, koma ndi kuphatikiza kwa mphepo zamalonda zomwe zimakoka chinyontho kuchokera kunyanja ndikutulutsa mvula yamnyengo yotchedwa monsoons ku East Coast.
- Mitundu yosiyanasiyana ya nyengo imatha kuzindikirika m'madera otentha chifukwa latitude ndi imodzi mwazinthu zambiri zomwe zimatsimikizira nyengo yotentha.
- Lili ndi dera lalikulu kwambiri la nkhalango zotentha kwambiri padziko lonse lapansi.
- Ndiwo amene ali ndi udindo woika malire a kumpoto kwa mzere woyimirira pakati pa dzuŵa ndi dziko lapansi m’nyengo yachilimwe ya kumpoto kwa dziko lapansi.
Monga mukuonera, munthu wagwiritsa ntchito mizere yongoganizira kuti azitha kugawa dziko lapansi molingana ndi momwe nyengo ilili ndipo ndi yothandiza kwambiri pakujambula mapu ndi geography. Ndikukhulupirira kuti ndi chidziwitsochi mutha kuphunzira zambiri za madera otentha a Dziko Lapansi ndi mawonekedwe ake.