Kawirikawiri anthu okalamba sagwila ntchito yambiri chifukwa minofu yawo imakhala yakhwefuka komanso mafupa awo aguga. Izi zimapangitsa kuti azidwaladwala matenda okhudzana ndi mafupa. Kuwonjezera apo, zofuna za matupi a anthu okalamba zimasintha.
Thanzi la anthu okalamba limatha kukhala losalongosoka pa zifukwa monga izi: mavuto a amano, mankhwala omwe iwo okumwa Kamba ka matenda osiyanasiyana, umphawi, kuiwalaiwala, nkhawa komanso kulumala. Pa chifukwa ichi, nkoyenera kuonetsetsa kuti anthu okalamba ali ndi zakudya zopatsa thanzi nthawi zonse. Anthu osamalira okalamba ayenera: