Mumakore achangopfuura, mapoka akasiyana-siyana ekutsvagisa uye nyanzvi mune digestive system akatanga kunyatsoenderana zvidimbu zvepuzzle iyi: kubva pabasa metabolic syndrome, kufutisa uye kudya... kunyangwe kufurirwa kweimwe mishonga uye ye micronutrients yakadai se magnesium kana potasiumZvese zvinonongedza munzira imwechete: kugadzirisa chiropa chine mafuta kunosanganisira kushandura mararamiro uye kunzwisisa kuti ndezvipi zvinhu zviri kusunda chiropa kusvika pamuganho.
Chii chinonzi mafuta chiropa uye nei chiri kunetseka zvakadaro?
Chiropa inhengo yakakosha iyo, pamusoro pekutora chikamu mukugaya kuburikidza nekugadzirwa kwebile, ine basa rekuita. kuchenesa ropa, kugadzira zvinovaka muviri, kuchengetedza simba, uye kugadzirisa zvinodhaka nedoroKana triglycerides ikaungana mumasero ako pamusoro peyakajairika, tinoidaidza kuti hepatic steatosis kana chiropa chine mafuta.
Maererano nedatha kubva ku Spanish Association yeChidzidzo cheChiropaIchi chirwere chinokanganisa 20 kusvika 25% yevanhu muSpain. Inogona kuoneka muvanhu vanonwa doro pamwe neavo vasinganyanyi kunwa, kunyangwe mazuvano chimiro chakajairika munharaunda yedu chiri... chiropa chisiri-doro chine mafuta, yakanyatsobatanidzwa nehuremu hwakawandisa, insulin kuramba uye kuchinjwa kweropa lipids.
Kuunganidzwa kwemafuta hakusi chinhu chisina mhosva: iyo nhengo inova yakaoma pakukura kuzvimba, hepatitis, fibrosis, cirrhosis, uye kunyange kusashanda kwechiropa kana kenzaDambudziko guru nderekuti, apo shanduko idzi dziri kuitika, murwere anogona kunzwa zvakanaka.
Ndosaka nyanzvi dzakawanda dzichitaura nezve chiropa chakakora sea chirwere chinyararirePasina kuongororwa ropa kana kuongororwa kwekufungidzira, vanhu vazhinji havazivi kuti chiropa chavo chiri kutanga kutambura, uye kuongororwa kunowanzouya nenzira isina kunanga, kana kuongororwa kweropa kana ultrasound kunoitirwa chimwe chikonzero.
Kubva ku metabolic syndrome kuenda kuchirwere chechiropa: musanganiswa unowedzera
Mumakiriniki egastroenterology munyika yose, hepatologists vanocherechedza maitiro anodzokororwa: varwere vane kufutisa kana kufutisa, high blood pressure, type 2 chirwere cheshuga kana kuchinja kwecholesterol uye triglycerides, maari chiropa chakaremerwa chemafuta chinowanikwawo.
Iyi seti yezvinhu, inozivikanwa se metabolic chirwereYakawedzera mumakumi emakore achangopfuura. Nyanzvi dzakaita saDr. Juan Arenas, mukuru weDigestive System panzvimbo dzakazvimiririra muBasque Country, vanoyambira kuti kusanganiswa uku kwekuchinja hakungowedzere njodzi yemoyo, asiwo kunoshanda sesimba rinomhanyisa kumashure Metabolism-yakabatana nemafuta echiropa chirwere.
Zvinhu zvinotakura huremu hwakanyanya mukuita uku ndezvi kufutisa, mararamiro ekugara uye insulin kudzivisaMuzviitiko zvakawanda, izvi zvinotonyanya kukosha kupfuura genetics. Mafuta akawandisa, kunyanya munzvimbo yedumbu, anoita kuti chiropa chigamuchire mutoro mukuru wemafuta acids uye zviratidzo zvehomoni zvinokurudzira kuunganidza lipids.
Kana iwe ukawedzera kune izvo zvekudya zvakapfuma muzvinwiwa zvine shuga, ultra-processed Uye nemafuta asina kunaka, mamiriro acho akaibva kuti chiropa chiwedzere zvishoma nezvishoma. Muchirevo chechinyorwa chino, nyanzvi dzinosimbirira kuti kuderedza uremu, fambisa zvakanyanya uye gadzirisa kudya kwako Ndidzo mbiru dzekutanga dzekudzora kufambira mberi kwechirwere.
Mukufanana, sarudzo dzemishonga dziri kubuda kune vanhu vane advanced metabolic syndrome. Pakati peizvi, zvinotevera zvinonyanya kukosha: GLP-1 agonistsMishonga yakatanga kushandiswa muchirwere cheshuga inofambisa uremu uye yakaratidza mabhenefiti pakuunganidzwa kwemafuta echiropa uye kuzvimba, pamwe nemimwe mishonga iri kuferefetwa ine chinangwa chekudzikisa fibrosis.
Chiropa chinowedzera sei mafuta: kubva nyore steatosis kuenda ku cirrhosis
Nyanzvi dzinotsanangura kushanduka kwechirwere chechiropa chemafuta muzvikamu zvakasiyana. Mumatanho ekutanga, kana chiito chikatorwa nenguva, kukuvadza kwakawanda kunodzivirirwa. zvinogona kudzoserwa kumashure kuburikidza nekuchinja kwemararamiro.
In the danho rekutangaMumamiriro ezvinhu aya, anozivikanwa sekuti simple steatosis, mafuta anoungana mukati memasero, asi hapana kuzvimba kwakanyanya kana kukuvadzwa kwechimiro. Panguva ino, kurasikirwa nemafuta emuviri uye kuvandudza kudya kunogona kugadzirisa mamiriro acho ezvinhu.
Kana kuzvimba kwabata, tinotaura nezvazvo steatohepatitisIyo matishu inotanga kuratidza kukuvadza kunoonekwa, uye maronda emasero anooneka. Kana maitiro akaenderera mberi, nzvimbo [dzisina kujeka] dzinokura. fibrosisKureva kuti, mavanga mavanga anotora nzvimbo yenyama ine utano.
In the advanced phaseMavanga anova akawedzera uye maumbirwo enhengo anoremara: ichi chirwere che cirrhosis, nhanho isingachinjiki inogona kutungamira kupera-nhanho kukundikana kwechiropa kana kenza yechiropaPanguva ino, sarudzo chete yekurapa kune vamwe varwere inogona kuve yekuisirwa.
Chinhu chakanaka chekutevedzana uku ndechekuti, kana kuongororwa kukagadzwa mumatanho ekutanga, mazano pamusoro pehuremu, kurovedza muviri, uye kudya kunogona kuitwa zvakanyanya. kudzivirira fibrosis kuti isaenderere mberi uye kuderedza zvakanyanya njodzi yenguva refu yezvinetso.

Iyo inowanikwa sei: kubva pakuongororwa ropa kusvika ku elastography
Mukuita kwekiriniki, yambiro yekutanga inowanzouya kuburikidza nekuongororwa ropa umo zvinotevera zvinoonekwa: yakakwira chiropa enzymesseAlanine aminotransferase (ALT) kana aspartate aminotransferase (AST). Kuchinja uku kunoratidza kuti chiropa hachishande zvakanaka.
Nekudaro, aya ma paramita haawanzo kumiririra nenzira kwayo dhigirii rekuora. Vamwe vanhu vane akakosha mafuta echiropa chirwere varipo values ​​padyo nemazuva eseuye vamwe vane nhamba dzakachinjwa asi pasina kukuvadzwa kwechimiro chepamusoro. Naizvozvo, nyanzvi dzinoshandisa bvunzo dzekufungidzira dzinobatsira kunatsiridza kuongororwa.
La dumbu ultrasound Ndiyo inoshandiswa zvakanyanya kushandiswa: inobvumira vanachiremba kuti vaone kana chiropa chinopindirwa nemafuta uye kubvisa mamwe maronda. Mumamiriro ezvinhu apo panodiwa kunzwisiswa kuri nani kwekuoma kwenhengo, nzvimbo dzakaita seQuirónsalud Campo de Gibraltar Hospital dzinoshandisa nzira dze Chiropa elastography, yakafanana ne Ultrasound asi iyo inowedzera kuderera-kutenderera kune ganda redumbu.
Kumhanya uko masaisai aya anopararira kuburikidza nenyama kunoenderana nekuoma kwayo: kuoma kwechiropa, kukurumidza kufamba kunoita masaisai, zvichiratidza huwandu hukuru hwefibrosis. Iyi tekinoroji yakasimbiswa se isiri-invasive imwe nzira kune biopsy muvarwere vakawanda, sezvo isingabudisi marwadzo makuru kana migumisiro yakakodzera.
Chiropa biopsy, kunyangwe ichiwedzera invasive, ichiri kutorwa seyo nzira yereferensi Kana pane kusava nechokwadi kwekuongorora kana kuti zvakakosha kunyatsoona danho rechirwere, migumisiro yezviedzo izvi zvose zvinoratidza kutanga kwekusarudza pachirongwa chekurapa.
Basa rekudya uye mararamiro mukutonga kwechiropa chemafuta
Masangano epasi rose anobvumirana kuti mutsara wekutanga wekurapa kwechiropa chemafuta unofanirwa kuva isiri-pharmacologicalChinangwa chinowanzoiswa pakurasikirwa kweanenge 7-10% yehuremu hwemuviri muvanhu vakafuta kana vakafutisa, sezvo kuderera uku kunobatanidzwa nekuderera kwakajeka kwemafuta echiropa uye, kazhinji, nekuvandudzwa kwekuputika.
Nezvekudya, imwe nzira inokurudzirwa. yakaderera-calori Mediterranean kudyakugadzirisa macalorie kune zvinodiwa chaizvo. Kusimbisa kunoiswa pa muganhu wakawedzera fructose (iripo muzvinwiwa zvinyoro uye zvimwe zvigadzirwa zvemaindasitiri), dzivisa trans mafuta uye ultra-processed foods uye kuwedzera kudyiwa kwechikafu chitsva semiriwo, michero yose, nyemba, zviyo, mafuta omuorivhi, nzungu nehove dzine mafuta.
Nyanzvi dzekudya kwechiropa dzinokurudzira kudzikisa huwandu hwekoriori kudyiwa neinenge 25% kune vanhu vazhinji vane mafuta echiropa chirwere, vachivavarira kurasikirwa nehuremu hwe5-10% munguva yepakati. Uyezve, inorayirwa kubvisa kana kuderedza dorokunyanya kana paine kukuvara kwechiropa kwakatoonekwa kana zvimwe zvinhu zvine njodzi zviripo.
Kusimbisa muviri chikamu chinokosha chekurapa. Zvinokurudzirwa kudzidzira zvishoma 30-45 maminetsi ekuita zvine mwero zuva nezuva, zvakadai sokufamba-famba, kuchovha mabhasikoro kana kushambira, kusanganiswa nesimba rekudzidzira kuchengetedza kana kuwedzera mhasuru, chinhu chinokosha pakuvandudza insulin senitivity uye kushandiswa kwesimba.
Zvese izvi zvinofanirwa kuwedzeredzwa nekuzorora kwakakwana, kudzora kushushikana, uye kugara uchitevera kurapwa, sezvo chiropa chine mafuta chinowanzogara pamwe nemamwe ma pathologies akadai. Type 2 chirwere cheshuga, hypertension, kana dyslipidemia izvo zvinodawo kutonga kwakananga.
Magnesium: chicherwa chinogona kubatsira nechiropa chine mafuta
Padivi pemararamiro akajairwa kurudziro, tsvakiridzo yesainzi yakatarisa kune mamwe mamicronutrients ane mukana wekugadzirisa metabolism. Pakati pavo pane... magnesio Inomira kunze kwebasa rayo mune zvinopfuura mazana matatu enzymatic reactions mumuviri, mazhinji acho ane chekuita nekubata kweglucose uye lipids.
Magnesium inobatanidzwa mukugadzirisa kwe insulin sensitivitymukugadzirwa kwesimba remagetsi uye mukuzvimba uye oxidative maitiro. Kuchengeta mazinga akakwana kwakabatanidzwa kune yakaderera njodzi ye metabolic syndrome, zviri nani glycemic control, uye yakanyanya kunaka cholesterol uye triglyceride mbiri.
Ongororo dzinoverengeka dzekutarisa dzinoratidza kuti vanhu vane yakakwira magnesium intake vanowanzoratidza kuderera kwehuwandu hwehepatic steatosis uye hutano hwakanaka hwemetabolism parameters. Kunyange zvazvo zvidzidzo izvi zvisingaratidzi hukama hwechikonzero-uye-migumisiro ivo pachavo, ivo vanotaura kuti iyi mineral inogona kuita semubatsiri wekuwedzera mukati memaitiro akazara.
Tsvagiridzo yakaburitswa mu endocrinology uye metabolism majenari yakaona kuti kuwedzera kwe kudya kwekudya kwe magnesium Iyo inosanganiswa nekudzikira kwakanyanya mucholesterol yakazara uye kuvandudzwa mune mamwe mamakisi anokanganisa kuunganidzwa kwemafuta muchiropa. Kuderedzwa kunobvira mukuputika kwechiropa kwakatsanangurwawo mune mamwe mapoka evarwere.
Nekudaro, nyanzvi dzinotiyeuchidza kuti magnesium haisi yega mhinduro kana chishamiso chekurapa. Mhedzisiro yayo chaiyo inoenderana nekuisanganisa nekudya kwakaringana, kuita basa rekuita muviri nguva dzose, kudzora uremu, uye kutonga kwakaringana kwemamwe mamiriro ehutano akabatana.
Magnesium uye potassium: inonakidza musanganiswa wemetabolism
Zvimwe zvidzidzo zvenguva pfupi yapfuura zvakaongorora, kuwedzera kune magnesium zvakasiyana, iyo yakasanganiswa maitiro e magnesium uye potassium pazvimiro zvakadai sehuremu hwemuviri, kugoverwa kwemafuta kana mafuta eropa, kunyanya kune vanhu vane matambudziko ekushivirira kweglucose.
Uku kusanganiswa kwemaminerari kunoratidzika kunge kune hukama ne kuvandudzwa kwe lipid uye shuga metabolismpamwe chete nekuderera kwemafuta emuviri mune mamwe mapoka evarwere. Magnesium, kune rumwe rutivi, inobatsira mukushanda kwakakodzera kwe insulini uye oxidative balance; potasium, kune rumwe rutivi, inosanganiswa neiyo yakaderera body mass index uye inobatsira kuchengetedza tsandanyama.
Yenguva pfupi yemakiriniki miedzo yakaongorora mhedzisiro ye magnesium uye potassium yekuwedzera mune vanhu vane lipid kusagadzikana. Zvimwe zvezviedzo izvi zvakaonekwa a kuderera kukuru kwecholesterol yakazara mumapoka akagamuchira imwe kana imwe chicherwa, kana musanganiswa wavo, zvichinongedzera kune inogona kuwedzerwa metabolic pundutso.
Kubva pamaonero anoshanda, zvinofadza izvo zvakawanda zvokudya zvemazuva ose Vanopa huwandu hwakakosha hwemaminerari ese ari maviri panguva imwe chete. Semuenzaniso, kupihwa kwebhinzi yakabikwa yakabikwa kana mbatatisi yakazara ine magnesium uye potassium yakawanda, uye zvimwe chetezvo ndezvechokwadi nemupunga webrown, mimwe miriwo, miriwo, uye michero.
Mazano epamutemo anoisa magnesium zvinodiwa kutenderedza 300-320 mg zuva nezuva muvakadzi vakuru uye 400-420 mg muvarumeZvisinei, chikamu chikuru chevanhu hachisviki nhamba idzi nekuda kwekuderedza kushandiswa kwezvokudya zvezvirimwa zvitsva uye kuvapo kwepamusoro kwezvokudya zvakagadziriswa muzvokudya.
Magnesium-yakapfuma chikafu chinokwana muchirongwa chechiropa
Nzira yakachengeteka uye yakagadzikana yekuwedzera magnesium kudya ndeyekudya. Iyi nzira haingotsigire hutano hwechiropa chete asiwo inovandudza hutano hwese nekupa fiber, antioxidants, uye mamwe macronutrients anodzivirira.
Pakati pe main diet sources of magnesium tinowana:
- Miti yakasvibira yemashizha zvakadai sepinashi, chard kana kare, iyo inopa magnesium, folates uye antioxidant compounds.
- Nuts semaarumondi, walnuts kana pistachios, ayo akapfumawo mumafuta ane hutano uye mapuroteni emiriwo.
- Muriwo zvakadai senyemba, chickpeas kana bhinzi, iyo inosanganisa magnesium nefiber uye yakaoma makabhohaidhiretsi.
- Mbeu nhanga, flax kana sesame mbeu, iyo yakanyanya kunyura mumaminerari nemafuta akanaka.
- Mbeu dzese senge oats, mupunga webrown kana quinoa, iyo inochengeta bran uye germ, uko kune zvakawanda zvinovaka muviri.
Kubatanidza izvi zvinongedzo zuva rese-semuenzaniso, nekuwedzera nzungu nemhodzi pakudya kwemangwanani, nyemba kukudya kwemasikati, uye rutivi rwezviyo zvakakwana kudya kwemanheru. kuwedzera zvakanyanya kudya kwe magnesium pasina kudiwa kwezvekuwedzera muvanhu vazhinji.
Mimwe mienzaniso yemamenu ezuva nezuva anoenderana nekuchengetedza chiropa anosanganisira oat-based breakfasts ne michero uye mbeu; kudya nemashizha emashizha akasvibirira, nyemba uye mafuta omuorivhi; snacks of natural nuts; uye kudya kwemanheru apo chinhu chikuru chinosanganiswa nemiriwo, hove kana maruva uye mbeu yose.
Mvura yakakodzera inobatsirawo. Chokwadi mineral water Izvo zvine zvishoma zve magnesium, iyo, yakawedzerwa kune yakazara kudya, inogona kubatsira kusangana nezvinodiwa zvezuva nezuva.
Chero zvazvingava, nyanzvi dzinosimbirira kuti iyo chaiyo inobatsira ye magnesium pachiropa inocherechedzwa kana ichibatanidzwa mune a nzira yepasi rose yekudya zvine hutanouye kwete sechinhu chakasarudzika mukati mekudya chinochengetedza macalorie akawandisa kana kuwanda kwezvinhu zvakagadziriswa zvakanyanya.
Mishonga inogona kupinza mafuta chiropa: chikamu chitsva kubva kuValencia
Haasi ese zviitiko zvehepatic steatosis zvakabatana nekudya kana metabolic syndrome. Chikamu chinokura chinosanganiswa ne kushandisa mimwe mishonga iyo, nekukanganisa metabolism yehepatic lipids, inosimudzira kuunganidzwa kwemafuta munhengo.
Chikwata che Universitat de València uye La Fe Health Research Institute, yakabatanidzwa muCIBER yeLiver uye Digestive Diseases, ichangobva kugadzira yekutanga kliniki uye mechanistic classification yemishonga inokwanisa kukonzera mafuta echiropa muvarwere vanoadya.
Chikumbiro ichi, chakaburitswa mujenari Archives of Toxicology, inodonongodza nzira dzebiological uye mamorekuru ayo mishonga iyi inokonzeresa kukuvara kwechiropa uye mapoka emishonga mukati. zvikwata zvinomwe zvine maitiro akasiyana emhindumupinduIyo spectrum inosiyana kubva kune zvinyoro uye zvinodzorereka shanduko kuenda kunoramba iripo yekuzvimba mamiriro kana kwakakomba metabolic dysfunctions, senge lactic acidosis.
Vatsvakurudzi vanosimbisa kuti, mune dzimwe nguva, mishonga iyi inongokonzera matambudziko muvanhu vanotova nemamiriro ezvinhu ekare. mamiriro ekutanga steatosisNepo mune dzimwe nguva vanogona kukonzera kukuvadza kunyange mukusavapo kwechirwere chisati chavapo. Kunzwisisa kuri nani kwemaitiro avo ephysicochemical uye mhedzisiro yavo pachiropa inotibvumira kutarisira njodzi uye kugadzira nzira dzakachengeteka.
Basa iri rinovhura musuwo kune a mishonga yakasarudzika Muhepatology: nekuona kuti ndeapi maitiro emushonga anoita kuti zvive zvakanyanya kukonzera steatosis, pharmacovigilance masisitimu anogona kuvandudzwa, varwere vane njodzi vanogona kutariswa zvakanyanya, uye, nekufamba kwenguva, gadzira mamorekuru ane zvishoma hepatic impact.
Kurongeka kwakarongwa kunogona kubatanidzwa mumakiriniki ekutungamirira uye kushanda serutsigiro kune vanachiremba vehutano hwakasiyana pavanenge vachirayira marapirwo muvanhu vane kufuta, chirwere cheshuga kana doro rinodhaka, umo muganhu wekuchengetedzwa kwechiropa uri mudiki.
Nguva yekufunga nezvekuwedzera uye kana kudya kwega kwakakwana
Kunyangwe vanhu vazhinji vachigona kusangana neyakakurudzirwa magnesium yekudya kuburikidza nekudya kwakaringana, pane mamiriro ezvinhu umo nyanzvi yehutano inogona kufunga nezvekuwedzera. mumwe nomumwe kuwedzera, kunyanya mumamiriro ezvinhu echiropa chemafuta uye kusagadzikana kwemagetsi.
Pakati pezviitiko izvo kuwedzera kunogona kutariswa kune vanhu vane kuderera kwakanyanya kwemuriwo, nyemba kana nzunguVarwere vanotora mishonga inowedzera kurasikirwa kwemagnesium kuburikidza neweti, kusagadzikana kwekudya kunotadzisa kubatwa kwayo, kana kushomeka kunoratidzwa mukuongororwa kunoperekedzwa nezviratidzo zvinoenderana.
Sarudzo, zvisinei, haifanire kuitwa wega. Yakakwira magesium muchimiro chemapiritsi kana laxative gadziriro inogona kukonzera manyoka, kusagadzikana kwekugaya uye kunyange kuwanda kwe magnesium muropa muvanhu vane kukanganisa itsvo kushanda.
Uyezve, iyi mineral inogona kuvhiringidza kubatwa kweimwe mishonga Kana ikatorwa panguva imwe chete, senge nemimwe mishonga inorwisa mabhakitiriya kana mishonga yethyroid, zvakakosha kuti ugare uchizivisa chiremba wako kana wemishonga nezve chero chekuwedzera chauri kushandisa parizvino kana kuti wava kuda kutanga kutora.
Munguva yekubvunzurudza, nyanzvi ichakwanisa kuongorora chiyero chekukuvara kwechiropa, kuongorora mamwe emishonga, kufungidzira njodzi-kubatsirwa kwekuwedzera uye kukurudzira, kana zvakakodzera, chimiro chemakemikari ye magnesium, dosi uye nguva zvakanyanya kuenderana nenyaya imwe neimwe.
Kukosha kwekukurumidza kuongororwa uye kuongororwa kwechiremba
Kunyange zvazvo chirwere chemafuta chechiropa chisina zviratidzo muvarwere vakawanda, pane zviratidzo zvinofanira kutungamirira ita nguva nachiremba: kuneta kwakanyanya uye kunoramba kuripo, kusagadzikana kana kurwadziwa kurudyi kwedumbu, kutsvuka kweganda kana maziso, kuzvimba kwemakumbo kana dumbu, kana kudzokorora kusagadzikana kwechiropa mukuongororwa kweropa.
Nyanzvi yekutarisira yekutanga kazhinji ndiyo yekutanga yekusangana. Mushure me a kuongororwa kwekliniki uye kuongororwa kwezvinhu zvine njodzi (kurema, kutenderera kwedumbu, BP, glucose, lipid profile), inogona kukumbira mimwe miedzo uye, kana zvichidikanwa, tarisa kune yekugaya kana hepatology sevhisi.
Kubvunzurudzwa kwenyanzvi kuchatsanangura zvakanyanya dhigirii re steatosis uye fibrosisMishonga ichaongororwa kuti ione chero mishonga yeprosteatogenic, uye uremu chaihwo, kudya, uye zvinangwa zvekurovedza muviri zvichasimbiswa. Muvarwere vari panjodzi huru, kutarisisa kuchawedzerwa kuona kufambira mberi kune mamwe matanho ekutanga.
Zvinofanira kurangarirwa kuti yakawanda yenguva dzose biochemical bvunzo Vanogona kuramba vari mukati memiganhu yakajairwa kusvika padanho rekupedzisira rechirwere, saka kuvimba chete ne "bvunzo mhinduro kuve yakanaka" hazviwanzo kukwana. Nokudaro kukosha kwekuongorora kwakazara kunosanganisira nhoroondo yezvokurapa, kuongorora muviri, uye, kana zvichiratidzwa, maitiro ekufungidzira.
Kubatanidza zvese izvi zvinhu-maitiro emararamiro, zvinovaka muviri senge magnesium, huremu huremu, manejimendi ekurapa, uye kuongororwa kwekurapa - kunopa imwe nzira yechokwadi. chengetedza chiropa Nekufamba kwenguva, chirwere chemafuta chechiropa hachitsamiri pane chimwe chikonzero uye hachigadziriswi nechiyero chimwe chete, asi kana chikataurirwa kare uye kubva kumativi akawanda, chinogona kuderedzwa uye kunyange kuchinjwa muvanhu vakawanda, zvakanyanya kuderedza dambudziko rematambudziko makuru.