Kutokwenda haja kubwa je? Ni ugonjwa

Kutokwenda haja kubwa je? Ni ugonjwa

kweli JF kuna machizi... bangi?? haya bwana, avutie ****** au wapi?
mkuu hujui kwamba bange ni dawa??inatibu kila kitu mkuu na ukiivuta sana lakima kitu kiteremke huko nyuma pia..inalainisha uchafu tumboni.
 
dawa ya haraka
Asubuhi ukiamka tu kunywa maji gilasi moja, kabla ya kufanya kitu chochote hata msuwaki usipige then kakae kkwenye kiti kama 20 mnts lazima utasikia vitu vinakuja,
 
Mtu akikaa siku tatu hadi saba bila kwenda kunya, je aweza pata madhara yoyote kiafya? Nini husababisha hari hii kutokea? Kama ni tatizo kiafya nini kifanyike?

How to Treat Constipation Instructions (1)Drink lots of liquid every day. Eight glasses of water is recommended. When the intestines lack proper hydration, stools can turn hard and dry and become much more difficult to pass.

Step
2
Add several servings of fibrous whole grains, fruits (such as prunes or prune juice) and vegetables to your diet every day or opt for a fiber supplement. Fiber adds bulk to the intestines and creates well-formed stools that are easier to pass.

Step
3
Drink hot water, tea or coffee. Hot beverages, especially ones containing caffeine, may help stimulate the bowels.

Step
4
Incorporate a regular exercise regimen into your lifestyle. Digestion is enhanced when the abdominal muscles are used. The contraction and relaxation of the muscles helps the intestines to more effectively move stools through the digestive tract. Aerobic exercise such as jogging, tennis and brisk walking are especially helpful.

Step
5
Check the medication you're taking. Antacids (particularly those containing calcium) and iron supplements can cause constipation, as can some other over-the-counter and prescription drugs, especially pain relievers that contain narcotics.

Step
6
Keep in mind that constipation can be caused by digestive disorders such as irritable bowel syndrome, colon cancer, colitis, Crohn's disease or diverticulitis. Stress, pregnancy and even a new routine can temporarily cause a slowdown in the bowels.

Step
7
Take a laxative if constipation continues, but avoid regular usage.

Step
8
If you have a fever, severe abdominal pain, continuous vomiting, pro-longed bloating, very thin stools, blood in your stools or frequent bouts of constipation, see a doctor.
 
Mtu akikaa siku tatu hadi saba bila kwenda kunya, je aweza pata madhara yoyote kiafya? Nini husababisha hari hii kutokea? Kama ni tatizo kiafya nini kifanyike?


Constipation



Constipation in a young child as seen by X-ray. Circles represent areas of fecal matter ( note stool is the opaque white surrounded by black bowel gas ). [ame="http://en.wikipedia.org/wiki/ICD"]ICD[/ame]-10 K59.0
[ame="http://en.wikipedia.org/wiki/ICD"]ICD[/ame]-9 564.0
[ame="http://en.wikipedia.org/wiki/Diseases_Database"]DiseasesDB[/ame] 3080
[ame="http://en.wikipedia.org/wiki/MedlinePlus"]MedlinePlus[/ame] 003125
[ame="http://en.wikipedia.org/wiki/EMedicine"]eMedicine[/ame] med/2833
[ame="http://en.wikipedia.org/wiki/Medical_Subject_Headings"]MeSH[/ame] D003248
Constipation, costiveness, or irregularity is a condition of the [ame="http://en.wikipedia.org/wiki/Digestive_system"]digestive system[/ame] in which a person (or animal) experiences hard [ame="http://en.wikipedia.org/wiki/Feces"]feces[/ame] that are difficult to expel. This usually happens because the colon absorbs too much water from the food. If the food moves through the gastro-intestinal tract too slowly, the colon may absorb too much water, resulting in feces that are dry and hard. [ame="http://en.wikipedia.org/wiki/Defecation"]Defecation[/ame] may be extremely painful, and in severe cases ([ame="http://en.wikipedia.org/wiki/Fecal_impaction"]fecal impaction[/ame]) lead to symptoms of [ame="http://en.wikipedia.org/wiki/Bowel_obstruction"]bowel obstruction[/ame]. The term obstipation is used for severe constipation that prevents passage of both stools and gas. Causes of constipation may be dietary, [ame="http://en.wikipedia.org/wiki/Hormone"]hormonal[/ame], anatomical, a side effect of medications (e.g., some [ame="http://en.wikipedia.org/wiki/Opiate"]opiates[/ame]), or an illness or disorder. Treatments consist of changes in dietary and [ame="http://en.wikipedia.org/wiki/Exercise"]exercise[/ame] habits, the use of [ame="http://en.wikipedia.org/wiki/Laxatives"]laxatives[/ame], and other medical interventions depending on the underlying cause.
Constipation Classification and external resources
Constipation in a young child as seen by X-ray. Circles represent areas of fecal matter ( note stool is the opaque white surrounded by black bowel gas )

Signs and symptoms


Types 1 and 2 on the [ame="http://en.wikipedia.org/wiki/Bristol_Stool_Scale"]Bristol Stool Chart[/ame] indicate constipation


In common constipation, the stool is hard, difficult, and painful to pass. Usually, there is an infrequent urge to void. Straining to pass stool may cause [ame="http://en.wikipedia.org/wiki/Hemorrhoid"]hemorrhoids[/ame]. In later stages of constipation, the abdomen may become distended and diffusely tender and [ame="http://en.wikipedia.org/wiki/Cramp"]cramp[/ame], occasionally with enhanced [ame="http://en.wikipedia.org/wiki/Borborygmus"]bowel sounds[/ame].
The definition of constipation includes the following:[1]

  • infrequent bowel movements (typically three times or fewer per week)
  • difficulty during defecation (straining during more than 25% of bowel movements or a subjective sensation of hard stools), or
  • the sensation of incomplete bowel evacuation.
Severe cases ("fecal impaction") may feature symptoms of bowel obstruction ([ame="http://en.wikipedia.org/wiki/Vomiting"]vomiting[/ame], very tender abdomen) and "paradoxical diarrhea", where soft stool from the small intestine bypasses the impacted matter in the colon.
[edit] Diagnosis

The diagnosis is essentially made from the patient's description of the symptoms. Bowel movements that are difficult to pass, very firm, or made up of small pellets (such as those excreted by rabbits) qualify as constipation, even if they occur every day. Other symptoms related to constipation can include bloating, distension, abdominal pain, or a sense of incomplete emptying.[2]
Inquiring about dietary habits may reveal a low intake of dietary fiber or inadequate amounts of fluids. Constipation as a result of poor ambulation or immobility should be considered in the elderly. Constipation may arise as a side effect of medications, including [ame="http://en.wikipedia.org/wiki/Antidepressants"]antidepressants[/ame], which can suppress [ame="http://en.wikipedia.org/wiki/Acetylcholine"]acetylcholine[/ame][3][4] and [ame="http://en.wikipedia.org/wiki/Opiates"]opiates[/ame], which can slow the movement of food through the intestines[5]. Rarely, other symptoms suggestive of [ame="http://en.wikipedia.org/wiki/Hypothyroidism"]hypothyroidism[/ame] may be elicited.[[ame="http://en.wikipedia.org/wiki/Wikipedia:Citation_needed"]citation needed[/ame]]
During [ame="http://en.wikipedia.org/wiki/Physical_examination"]physical examination[/ame], scybala (manually palpable lumps of stool) may be detected on palpation of the abdomen. [ame="http://en.wikipedia.org/wiki/Rectal_examination"]Rectal examination[/ame] gives an impression of the anal sphincter tone and whether the lower rectum contains any feces or not; if so, then suppositories or [ame="http://en.wikipedia.org/wiki/Enemas"]enemas[/ame] may be considered. Otherwise, oral medication may be required. Rectal examination also gives information on the consistency of the stool, presence of hemorrhoids, admixture of blood and whether any tumors or abnormalities are present.
X-rays of the abdomen, generally only performed on hospitalized patients or if bowel obstruction is suspected, may reveal impacted fecal matter in the colon, and confirm or rule out other causes of similar symptoms.
Chronic constipation (symptoms present for more than 3 months at least 3 days per month) associated with abdominal discomfort is often diagnosed as [ame="http://en.wikipedia.org/wiki/Irritable_bowel_syndrome"]irritable bowel syndrome[/ame] (IBS) when no obvious cause is found. Physicians caring for patients with chronic constipation are advised to rule out obvious causes through normal testing.[6]
Colonic propagating pressure wave sequences (PSs) are responsible for discrete movements of content and are vital for normal defecation. Deficiencies in PS frequency, amplitude and extent of propagation are all implicated in severe defecatory dysfunction. Mechanisms that can normalise these aberrant motor patterns may help rectify the problem. Recently the novel therapy of sacral nerve stimulation (SNS) has been utilized for the treatment of severe constipation.[7]
[edit] Causes

The main causes of constipation include:

  • Hardening of the feces
    • Insufficient intake of [ame="http://en.wikipedia.org/wiki/Dietary_fiber"]dietary fiber[/ame]
    • [ame="http://en.wikipedia.org/wiki/Dehydration"]Dehydration[/ame] from any cause or inadequate fluid intake
    • Medication, e.g., [ame="http://en.wikipedia.org/wiki/Diuretic"]diuretics[/ame] and those containing [ame="http://en.wikipedia.org/wiki/Iron"]iron[/ame], [ame="http://en.wikipedia.org/wiki/Calcium"]calcium[/ame], [ame="http://en.wikipedia.org/wiki/Aluminum"]aluminum[/ame]
  • Paralysis or slowed transit, where [ame="http://en.wikipedia.org/wiki/Peristaltic_action"]peristaltic action[/ame] is diminished or absent, so that feces are not moved along
    • [ame="http://en.wikipedia.org/wiki/Hypothyroidism"]Hypothyroidism[/ame] (underactive [ame="http://en.wikipedia.org/wiki/Thyroid_gland"]thyroid gland[/ame])
    • [ame="http://en.wikipedia.org/wiki/Hypokalemia"]Hypokalemia[/ame]
    • Injured [ame="http://en.wikipedia.org/wiki/Anal_sphincter"]anal sphincter[/ame] (patulous [ame="http://en.wikipedia.org/wiki/Anus"]anus[/ame])
    • Medications, such as [ame="http://en.wikipedia.org/wiki/Loperamide"]loperamide[/ame], [ame="http://en.wikipedia.org/wiki/Opioid"]opioids[/ame] (e.g., [ame="http://en.wikipedia.org/wiki/Codeine"]codeine[/ame] and [ame="http://en.wikipedia.org/wiki/Morphine"]morphine[/ame]) and certain [ame="http://en.wikipedia.org/wiki/Tricyclic_antidepressant"]tricyclic antidepressants[/ame]
    • Severe illness due to other causes
    • Acute [ame="http://en.wikipedia.org/wiki/Porphyria"]porphyria[/ame] (a rare inherited condition)
    • [ame="http://en.wikipedia.org/wiki/Lead_poisoning"]Lead poisoning[/ame]
    • Lactose Intolerance
    • Dyschezia (usually the result of suppressing defecation)
  • [ame="http://en.wikipedia.org/wiki/Diverticula"]Diverticula[/ame]
    • [ame="http://en.wikipedia.org/wiki/Tumor"]Tumors[/ame], either of the bowel or surrounding tissues
  • Obstructed defecation, due to:
    • Mechanical causes from morphological abnormalities of the anorectum including [ame="http://en.wikipedia.org/wiki/Megarectum"]megarectum[/ame], [ame="http://en.wikipedia.org/wiki/Rectal_prolapse"]rectal prolapse[/ame], [ame="http://en.wikipedia.org/wiki/Rectocele"]rectocele[/ame], and enterocele
    • Functional causes from neurological disorders and dysfunction of the pelvic floor muscles or anorectal muscles, including [ame="http://en.wikipedia.org/wiki/Anismus"]anismus[/ame], descending perineum syndrome, and Hirschsprung's disease
    • Retained [ame="http://en.wikipedia.org/wiki/Foreign_body"]foreign body[/ame] or a [ame="http://en.wikipedia.org/wiki/Bezoar"]bezoar[/ame]
  • [ame="http://en.wikipedia.org/wiki/Psychosomatic"]Psychosomatic[/ame] constipation, based on anxiety or unfamiliarity with surroundings.
    • [ame="http://en.wikipedia.org/wiki/Functional_constipation"]Functional constipation[/ame]
    • Constipation-predominant [ame="http://en.wikipedia.org/wiki/Irritable_bowel_syndrome"]irritable bowel syndrome[/ame], characterized by a combination of constipation and abdominal discomfort and/or pain[8]
  • [ame="http://en.wikipedia.org/wiki/Smoking_cessation"]Smoking cessation[/ame] ([ame="http://en.wikipedia.org/wiki/Nicotine"]nicotine[/ame] has a [ame="http://en.wikipedia.org/wiki/Laxative"]laxative[/ame] effect)[9]
  • Abdominal surgery, other types of surgery, childbirth
  • Severe dehydration
  • Some causes are with particular respect to infants:[10]
    • Switching from breast milk to bottle feeds, or to solid meals
    • Potty training anxiety
    • Hirschsprung’s disease - a condition from birth where the child has a nerve cell defect that affects communication between the brain and bowels
[edit] Treatment

In people without medical problems, the main intervention is to increase the intake of fluids (preferably [ame="http://en.wikipedia.org/wiki/Water"]water[/ame]) and [ame="http://en.wikipedia.org/wiki/Dietary_fiber"]dietary fiber[/ame]. The latter may be achieved by consuming more [ame="http://en.wikipedia.org/wiki/Vegetable"]vegetables[/ame] and [ame="http://en.wikipedia.org/wiki/Fruit"]fruit[/ame] and [ame="http://en.wikipedia.org/wiki/Whole_grain"]whole meal[/ame] [ame="http://en.wikipedia.org/wiki/Bread"]bread[/ame], and pulses such as baked beans and chick peas and by adding [ame="http://en.wikipedia.org/wiki/Linseed"]linseeds[/ame] to one's diet. The routine non-medical use of laxatives is to be discouraged as this may result in bowel action becoming dependent upon their use. [ame="http://en.wikipedia.org/wiki/Enemas"]Enemas[/ame] can be used to provide a form of mechanical stimulation. However, enemas are generally useful only for stool in the rectum, not in the intestinal tract.
[ame="http://en.wikipedia.org/wiki/Lactulose"]Lactulose[/ame], a nonabsorbable synthetic sugar that keeps sodium and water inside the intestinal lumen, relieves constipation. It can be used for months together. Among the other safe remedies, fiber supplements, lactitiol, sorbitol, milk of magnesia, lubricants, etc., may be of value. Electrolyte imbalance, e.g., [ame="http://en.wikipedia.org/wiki/Hyponatremia"]hyponatremia[/ame] may occur in some cases especially in diabetics.
In alternative and traditional medicine, [ame="http://en.wikipedia.org/wiki/Colonic_irrigation"]colonic irrigation[/ame], enemas, exercise, diet, and herbs are used to treat constipation. The mechanism of the herbal, enema, and colonic irrigation treatments often includes the breakdown of impacted and hardened fecal matter.
[edit] Laxatives

Main article: [ame="http://en.wikipedia.org/wiki/Laxative"]laxative[/ame]
[ame="http://en.wikipedia.org/wiki/Laxative"]Laxatives[/ame] may be necessary in people in whom dietary or other interventions are not effective or are inappropriate. Laxatives should be used with caution and only as necessary. The following sequence of laxative use is recommended: bulk forming, then stool softeners, then osmotic, then stimulants, then suppositories, and finally enemas (only as a last resort). The reason for this cautious use is because laxatives can lead to dependence, and like all medications they have side effects. Laxatives should not be used if there are signs and/or symptoms of a [ame="http://en.wikipedia.org/wiki/Bowel_obstruction"]bowel obstruction[/ame].[11]
[edit] Physical intervention

Constipation that resists all the above measures requires physical intervention. Manual dissimpaction (the physical removal of impacted stool) is done for those patients who have lost control of their bowels secondary to spinal injuries. Manual dissimpaction is also used by physicians and nurses to relieve rectal impactions. Finally, manual dissimpaction can occasionally be done under [ame="http://en.wikipedia.org/wiki/Sedation"]sedation[/ame] or a [ame="http://en.wikipedia.org/wiki/General_anesthetic"]general anesthetic[/ame]—this avoids pain and loosens the anal sphincter.
Many of the products are widely available over-the-counter. [ame="http://en.wikipedia.org/wiki/Enema"]Enemas[/ame] (clysters) are a remedy occasionally used for hospitalized patients in whom the constipation has proven to be severe, dangerous in other ways, or resistant to laxatives. [ame="http://en.wikipedia.org/wiki/Sorbitol"]Sorbitol[/ame], [ame="http://en.wikipedia.org/wiki/Glycerin"]glycerin[/ame] and [ame="http://en.wikipedia.org/wiki/Arachis_oil"]arachis oil[/ame] [ame="http://en.wikipedia.org/wiki/Suppository"]suppositories[/ame] can be used. Severe cases may require [ame="http://en.wikipedia.org/wiki/Phosphate"]phosphate[/ame] solutions introduced as enemas.
[edit] Paediatrics/Pediatrics

[ame="http://en.wikipedia.org/wiki/Lactulose"]Lactulose[/ame] and [ame="http://en.wikipedia.org/wiki/Milk_of_magnesia"]milk of magnesia[/ame] has been compared to PEG ([ame="http://en.wikipedia.org/wiki/Polyethylene_glycol"]polyethylene glycol[/ame]) in children. They had similar side effects but PEG was more effective at treating constipation.[12][13] Osmotic laxatives are recommended over stimulant laxatives.[14]
[edit] Prevention

Constipation is usually easier to prevent than to treat. The relief of constipation with osmotic agents, i.e., lactulose, [ame="http://en.wikipedia.org/wiki/Polyethylene_glycol"]polyethylene glycol[/ame] (PEG), or magnesium salts, should immediately be followed with prevention using increased fibre (fruits, vegetables, and grains) and a nightly decreasing dose of osmotic laxative. With continuing narcotic use, for instance, nightly doses of osmotic agents can be given indefinitely (without harm) to cause a daily bowel movement.
Recent controlled studies have questioned the role of physical exercise in the prevention and management of chronic constipation, while exercise is often recommended by published materials on the subject.[15]
In various conditions (such as the use of [ame="http://en.wikipedia.org/wiki/Codeine"]codeine[/ame] or [ame="http://en.wikipedia.org/wiki/Morphine"]morphine[/ame]), combinations of hydrating (e.g., [ame="http://en.wikipedia.org/wiki/Lactulose"]lactulose[/ame] or [ame="http://en.wikipedia.org/wiki/Glycols"]glycols[/ame]), bulk-forming (e.g., [ame="http://en.wikipedia.org/wiki/Psyllium"]psyllium[/ame]) and stimulant agents may be necessary to prevent constipation.
[edit] Epidemiology

Depending on the definition employed, constipation occurs in 2% of the population; it is more common in women, the elderly and children.[16]
[edit] In animals

[ame="http://en.wikipedia.org/wiki/Hibernation"]Hibernating[/ame] animals can experience tappens that are usually expelled in the spring. For example, bears eat many foods that create a "rectal plug" before hibernation.
[ame="http://en.wikipedia.org/wiki/Canidae"]Canines[/ame] may also experience constipation, which they usually attempt to rectify by ingesting grass and other plant materials.
 
Je,ukipata haja huwa unapata ya kawaida au?sababu hata vidonda vya tumbo husababisha hali hiyo,na ukipata haja huwa inatoka kama haja ya mbuzi,je una matatizo ya vidonda vya tumbo?
 
Je,ukipata haja huwa unapata ya kawaida au?sababu hata vidonda vya tumbo husababisha hali hiyo,na ukipata haja huwa inatoka kama haja ya mbuzi,je una matatizo ya vidonda vya tumbo?

Mh, fafanua kidogo mazee... ni size au colour? au vyote?
 
Hili pia hutegemea pia unapoishi...vile vyoo vya uswazi lazima ngoma igome...halafu ofisi kariakoo....sasa mkuu unaishi wapi na majob wapi?...maana ile ni starehe pia...kun watu huingia ****** na sigara magazeti...wengine huimba pia....
 
Mh, fafanua kidogo mazee... ni size au colour? au vyote?


Ni vyote mazee was the victim of that too, even the way vinavyodondoka ni kama mbuzi. Mbaya sana hili tatizo, ukiachilia discomfort pia unakua unapunguza uwezo wa kutunza kumbukumbu....yani kila saa unapoteza nyaraka za muhimu upstairs noma tupu mazee...

May god help us.
 
Kwani hii problem imeanza ghafla hivi karibuni au ni ya siku nyingi?
 
dawa ya haraka
Asubuhi ukiamka tu kunywa maji gilasi moja, kabla ya kufanya kitu chochote hata msuwaki usipige then kakae kkwenye kiti kama 20 mnts lazima utasikia vitu vinakuja,

nashukuru ndungu yangu kwa mchango wako
 
Ni vyote mazee was the victim of that too, even the way vinavyodondoka ni kama mbuzi. Mbaya sana hili tatizo, ukiachilia discomfort pia unakua unapunguza uwezo wa kutunza kumbukumbu....yani kila saa unapoteza nyaraka za muhimu upstairs noma tupu mazee...

May god help us.

kwaupande wa kutunza kumbukumbu uko sawa kabisa. Mara kibao nimesahau apointment mhimu. Kumbe ndo sababu...!
 
well, ipo sana mkuu! hata kuna mtu fulani analo hilo tatizo mpaka kesho! na hata sijui ni kwanini. msosi anakandamiza balaaaa lakini haendi haja! huh, ni vyema ukawaone madaktari!
 
Nitatizo la siku nyingi, ila niliona kama sio problem.

Well, inaonekana eating habit zako hazijatulia. Kama walivyoeleza wadau:

1. hakikisha chakula chako kina fiber za kutosha (nyuzinyuzi), kula mboga mboga na matunda kwa wingi.
2. Jitahidi kunywa maji mara kadhaa kwa siku. Maji ya asubuhi kabla hujala kitu yanasadia sana kulainisha tumbo.
3. Wakati huo huo tafuta dawa moja ya kunywa inatiwa Lactolose, itakusaidia sana (inapatikana tu kwa wingi kwenye pharmacy kubwa).
4. Jaribu kupima H-pylori, iko related na mambo ya madonda ya tumbo. Kama ipo inatibiwa na fresh na mambo yanarudi normal.

Kila la kheri
 
Mtu akikaa siku tatu hadi saba bila kwenda kunya, je aweza pata madhara yoyote kiafya? Nini husababisha hari hii kutokea? Kama ni tatizo kiafya nini kifanyike?


UKOSEFU wa choo ni tatizo sugu miongoni mwa watu wengi. Bila kujua kuwa ni tatizo ambalo linahitaji tiba ya haraka, watu wengi hupuuzia na kuona siyo tatizo kubwa na ni hali ya kawaida. Ukosefu wa choo wa muda mrefu, huwa ndiyo chanzo cha magonjwa mengine hatari.

Mtu anapokosa choo kikubwa kwa siku kadhaa, uchafu hujikusanya tumboni na unapokosa sehemu ya kutokea hukimbilia kwenye damu na kuingia kwenye mfumo mzima wa damu. Uchafu huo unapoingia kwenye mfumo wa damu huwa sumu na chanzo cha maradhi mengine ambayo hujitokeza baadae na kuanza kumuathiri mtu, bila kujua chanzo chake.

Kwa kawaida mtu unapaswa kupata choo cha uhakika japo mara moja kwa siku, kutegemeana na mlo wake wa kila siku, unapokosa choo kwa siku nzima ili hali una kula milo yote kwa siku, elewa una tatizo katika mfumo wako wa kusaga chakula hivyo unapaswa kuchukua hatua haraka.

MTU MWENYE TATIZO HILI ANA DALILI GANI?
Mtu mwenye tatizo la ukosefu wa choo huwa na dalili kadhaa, ikiwemo kutumia nguvu na muda mwingi wakati wa kujisadia haja kubwa. Pili ulimi wake huwa na utandu mweupe na hutoa harufu mbaya mdomoni. Mtu huyu pia hukosa hamu ya chakula na wakati wote tumbo huwa limejaa.

NINI HUSABABISHA TATIZO?
Tatizo la ukosefu wa choo husababishwa zaidi na ulaji mbaya wa vyakula, kuacha kula matunda na mboga na staili mbaya ya maisha ikiwa ni pamoja na kutokunywa maji ya kutosha kwa siku.

NINI KIFANYIKE?
Ili kuondoa tatizo kabla halijawa sugu, fanya moja miongoni mwa haya yafuatayo: Kunywa maji ya uvuguvugu asubuhi mapema, kisha tembea tembea, baada ya muda utasikia haja ya kwenda ******. Ili usifanye haraka na upate muda wa kutosha kujiandaa kwenda kazini, amka mapema zaidi. Kula kiasi cha kutosha cha salad ya mboga mboga na juisi ya matunda halisi asubuhi kabla ya kula chochote.

Kila siku kabla ya kwenda kulala, kunywa maji ya uvugu yaliyochanganywa na kijiko kimoja cha asali. Kunywa maji ya uvugu yaliyochanganywa na limau asubuhi na mapema kabla hujala kitu chochote. Kunywa ‘castor Oil’ muda mfupi kabla ya kwenda kulala. Ili kujiepusha kabisa na tatizo la ukosefu wa choo, jenga mazoea ya kunywa maji mengi, kula mboga na matunda kwa wingi kila siku na kuacha kabisa ulaji wa vyakula vilivyoondolewa virutubisho kama vile mikate myeupe, ugali wa unga mweupe, keki vyakula vyenye sukari nyingi na vyakula vingine vitamu.
 
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