Machira, zinyalala, kapena pram ndi zida zomwe zimagwiritsidwa ntchito posuntha odwala omwe amafunikira chithandizo chamankhwala.Mtundu wofunikira (machira kapena zinyalala) uyenera kunyamulidwa ndi anthu awiri kapena kuposerapo.Choyala chamawiro (chotchedwa gurney, trolley, bedi kapena ngolo) nthawi zambiri chimakhala ndi mafelemu akutali, mawilo, njanji, kapena skids.Mu American English, machira amawilo amatchedwa gurney.
Otambasula amagwiritsidwa ntchito makamaka pazithandizo zachipatala kunja kwa chipatala ndi chithandizo chadzidzidzi (EMS), asilikali, ndi kufufuza ndi kupulumutsa anthu.M'zachipatala dzanja lamanja la mtembo limasiyidwa likulendewera pa machira kuti azachipatala adziwe kuti si wodwala wovulala.Amagwiritsidwanso ntchito kusunga akaidi pa nthawi yobaya jekeseni wakupha ku United States.