Ke pilikia nei hoʻi ʻoe i ka hele ʻana i ka lua i kēia mau lā? E kamaʻilio kākou e pili ana i ka paʻa ʻana o ka ʻōpū!

I kekahi manawa, pono ʻoe e hoʻolilo i ka manawa nui ma ka lua? Manaʻo ʻoe ua maloʻo kou ʻōpū? A i ʻole manaʻo ʻoe ua paʻa kekahi mea i loko o kou ʻōpū ma hope o ka hele ʻana i ka lua? He pilikia kēia i loaʻa i nā poʻe he nui a he mea ia e hōʻoluʻolu ʻole ai. Akā, ʻaʻohe kumu e hilahila ai a makaʻu paha e kamaʻilio e pili ana i ia mea. I kēia lā, e kamaʻilio kikoʻī mākou e pili ana i kēia ʻano i kapa ʻia ʻo ka constipation, a i ʻole `(Constipation)`.

He aha ka paʻa ʻana o ka ʻōpū?

I ka ʻōlelo maʻalahi, inā manaʻo ʻoe e pono e hele i ka lua ma lalo o ʻekolu manawa i ka pule, ua ʻike ʻia ia ma ke ʻano lapaʻau he constipation. Eia nō naʻe, hiki ke ʻokoʻa ka pinepine o ka hele ʻana i ka lua mai kēlā kanaka a i kēia kanaka. Hele kekahi poʻe i nā manawa he nui i ka lā, a ʻo kekahi e hele hoʻokahi a ʻelua paha i ka pule. ʻOiai kāu ʻano maʻamau, he mea kū hoʻokahi ia iā ʻoe, a he mea maʻamau ia. Kū mai ka pilikia ke haʻalele ʻoe mai kēlā ʻano maʻamau. ʻOiai kāu ʻano hoʻomaʻemaʻe, hoʻokahi mea e maopopo: ʻo ka lōʻihi o kou kali ʻana e hele i ka lua, ʻoi aku ka paʻakikī o ka hele ʻana i ka ʻōpala. Aia kekahi mau hōʻailona koʻikoʻi e hiki ke kōkua iā ʻoe e ʻike i ka constipation:

• Ua maloʻo a paʻakikī kou noho e like me ka pōhaku.
• Ke ʻeha nei au i ka wā e hele ai i ka lua, a he paʻakikī hoʻi ke kahe.
• ʻOiai ma hope o koʻu hele ʻana i ka lua, manaʻo wau ʻaʻole i piha loa koʻu ʻōpū.

ʻO ka ʻoiaʻiʻo, he mea maʻamau loa kēia ʻano i kapa ʻia ʻo ka paʻa ʻana o ka ʻōpū. ʻAʻole ʻo ʻoe wale nō, he miliona o ka poʻe a puni ka honua e ʻeha nei i kēia pilikia. No laila, he mea nui e noʻonoʻo i kēia he mea maʻamau a hana i nā hana e pono ai.

Pehea e hiki mai ai kēia paʻa ʻana o ka ʻōpū?

He mea maʻalahi loa ia. Hiki mai ka paʻa ʻana o ka ʻōpū ke omo nui kou kolona (a i ʻole ka ʻōpū nui) i ka wai mai kou ʻōpala. ʻO kēia ke kumu o kou ʻōpala e maloʻo ai, paʻakikī, a paʻakikī ke hele. No ka wehewehe hou aku, i ka wā e hele ai ka meaʻai a mākou e ʻai ai ma o kā mākou ʻōnaehana hoʻoheheʻe, omo mālie ko mākou mau ʻōpū i nā meaʻai. ʻO nā huahana ʻōpala i koe mai ka meaʻai i ʻeli ʻia ka mea e hana ai i ka ʻōpala. Hele kēia ʻōpala mai ka ʻōpū liʻiliʻi a i ka ʻōpū nui. Omo ka ʻōpū nui i ka wai mai kēia ʻōpala a hoʻopaʻa iā ia. Inā paʻa ʻoe, lōʻihi ka neʻe ʻana o kāu meaʻai ma o kāu ʻōnaehana hoʻoheheʻe ma mua o ka mea e pono ai. Hāʻawi kēia i kou ʻōpū nui i ka manawa hou aʻe e omo ai i ka wai. ʻO ka hopena? Lilo kou ʻōpala i maloʻo, paʻakikī, a paʻakikī ke hele.

He aha nā kumu o ka paʻa ʻana o ka ʻōpū?

He nui nā kumu o ka paʻa ʻana o ka ʻōpū. Hiki i kekahi mau mea i ko kākou nohona, nā lāʻau lapaʻau a kākou e lawe ai, a me kekahi mau kūlana olakino ke hoʻopilikia iā ia.

Nā kumu o ke ola

Hiki i kekahi o kā mākou mau hana maʻamau i kēlā me kēia lā ke lilo i kumu nui o ka paʻa ʻana o ka ʻōpū. E nānā inā pili kēia mau mea iā ʻoe pū kekahi:

• ʻAi ʻana i kahi meaʻai haʻahaʻa i ka fiber : Inā ʻaʻole lawa ka fiber i nā meaʻai a mākou e ʻai ai, ʻaʻole e hana pono ʻia ka ʻōpala a ʻaʻole e hele maʻalahi.
• Ka emi ʻana o ka wai i loko o ke kino (dehydration): Ke loaʻa ʻole ka wai lawa i ke kino, maloʻo ka ʻōpala.
• Ka nele i ka hoʻoikaika kino: Ke emi iho ka hana kino, emi iho nō hoʻi ka hana o ka ʻōpū.
• Nā loli i nā hana maʻamau o kēlā me kēia lā: Hiki ke hana ʻia kēia ʻano i ka wā e loli ai ka manawa huakaʻi, ʻai ʻana, inu ʻana, a hiamoe paha.
• ʻAi nui ʻana i nā mea e like me ka waiū a me ka tīhi: Loaʻa i kekahi poʻe ka paʻa ʻōpū ke ʻai nui lākou i kēia mau mea.
• Kaumaha : Mai kahaha, pili pū ke kaumaha i kēia.
• Ke kāohi nei i ka wā e pono ai ʻoe e hele i ka lua: He hewa kēia a ka poʻe he nui e hana ai. He mea nui e hana ia i ka wā e kū mai ai ka pono.

Nā lāʻau lapaʻau

Hiki i kekahi mau lāʻau lapaʻau āu e lawe ai ke hana i ka constipation.

• ʻO kekahi mau lāʻau ʻeha ikaika, no ka laʻana, nā mea i loaʻa ka `(Codeine)`, `( Oxycodone - e like me Oxycontin®)` a me `( Hydromorphone - e like me Dilaudid®)`.
• Nā lāʻau anti- inflammatory nonsteroidal (NSAID) , e like me Ibuprofen (Advil®, Motrin®) a me Naproxen (Aleve®).
• Nā lāʻau hoʻohaʻahaʻa kaumaha , e like me `(Fluoxetine - e like me Prozac®)` a i ʻole `(Amitriptyline - e like me Elavil®)`.
• Ua kuhikuhi ʻia kekahi mau antacids, ʻoiai nā mea i loaʻa ka calcium a i ʻole ka alumini (e like me `Tums®`), no ka gastritis .
• Nā pila hao.
• Nā lāʻau lapaʻau allergies (Antihistamine) , no ka laʻana (e like me Diphenhydramine - Benadryl®)`.
• ʻO kekahi mau lāʻau lapaʻau koko kiʻekiʻe , no ka laʻana `(Calcium channel blockers)` a me `(Beta-blockers)`.
• Nā lāʻau lapaʻau no kekahi mau maʻi noʻonoʻo , e like me `(Clozapine - Clozaril®)` a me `(Olanzapine - Zyprexa®)`.
• Nā lāʻau lapaʻau antiseizure , no ka laʻana ʻo `(Phenytoin)` a me `(Gabapentin)`.
• ʻO kekahi mau lāʻau lapaʻau no ka luaʻi ʻana , e like me Ondansetron - Zofran®.

Hiki i nā lāʻau lapaʻau he nui e like me kēia ke hoʻoulu i ka paʻa ʻana o ka ʻōpū. Inā he mau nīnau kāu e pili ana i ka lāʻau lapaʻau āu e lawe nei a i ʻole e pili ana i kēia maʻi, e nīnau i kāu kauka a mea kūʻai lāʻau paha.

Nā kūlana olakino ʻē aʻe

Hiki ke hana ʻia ka paʻa ʻana o ka ʻōpū e kekahi mau kūlana olakino.

• Nā kūlana endocrine, no ka laʻana, hypothyroidism, diabetes, uremia (hōʻiliʻili ʻana o nā huahana ʻōpala i loko o ke koko ma muli o ka hāʻule ʻana o nā puʻupaʻa), a me hypercalcemia (hoʻonui ʻia nā pae calcium i loko o ke koko).
• Ka maʻi ʻaʻai colorectal.
• ʻO ka maʻi ʻōpū huhū (IBS).
• ʻO ka diverticulitis (ka maʻi o nā ʻeke liʻiliʻi i loko o ka ʻōpū nui).
• Ka nāwaliwali o nā ʻiʻo papahele pelvic (outlet dysfunction constipation). Kōkua kēia mau ʻiʻo i ka hoʻokuke ʻana i ka ʻōpala.
• ʻO ka maʻi defecation obstructed (kahi kūlana e hoʻopilikia ai i ka defecation).
• Ka pseudo-obstruction ʻōpū (ka pau ʻana o ka hana ʻōpū no kekahi manawa).
• Nā maʻi neurologic , e like me ka ʻeha o ke kaula spinal, ka sclerosis maha, ka maʻi o Parkinson, a me ka hahau.
• ʻO ka maʻi palaualelo (nāwaliwali o ka ʻōpū nui).
• Ka pale ʻana o ka ʻōpū.
• Nā kīnā kūkulu o ka ʻōnaehana hoʻoheheʻe (e.g., `(Fistula)`, `(Colonic atresia)`).
• Nā maʻi o nā ʻōpū he nui , no ka laʻana ʻo '(Amyloidosis)', '(Lupus)' a me '(Scleroderma)'.
• Ka hāpai ʻana.

He aha nā hōʻailona o ka paʻa ʻana o ka ʻōpū?

Hiki i kekahi kanaka me ka constipation ke loaʻa nā hōʻailona e like me:

• ʻO ka hele ʻana i ka lua ma lalo o ʻekolu manawa o ka pule.
• Ua maloʻo ka ʻōpala, paʻakikī, a puʻupuʻu.
• He paʻakikī ke kahe koko a he ʻeha ke ʻano.
• Me he ʻeha ʻōpū lā a me ka ʻōʻō.
• Ua luuluu au, me he mea lā ua piha koʻu ʻōpū.
• ʻOiai ma hope o koʻu hele ʻana i ka lua, manaʻo wau ʻaʻole i piha loa koʻu ʻōpū.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o ka paʻa ʻana o ka ʻōpū? (Nā kumu pilikia)

Hiki i kekahi o kēlā me kēia makahiki ke loaʻa i ka paʻa ʻana o ka ʻōpū i kekahi manawa. Eia nō naʻe, ʻoi aku ka nui o ka loaʻa ʻana o kēia maʻi i kekahi poʻe ('constipation mau loa'). ʻO nā mea e hoʻopilikia ai i kēia:

• Makahiki: ʻOi aku ka ikaika o ka poʻe ma luna o 65 mau makahiki ma mua o ka poʻe ʻōpio, lohi iki hoʻi ko lākou metabolism, a hiki ke hoʻemi ʻia ka ikaika o ka ʻūlū ʻana o nā ʻiʻo i loko o ka ʻōnaehana hoʻoheheʻe.
• ʻOiai he wahine, ʻoiai i ka wā hāpai a ma hope o ka hānau keiki ʻana: Hiki i nā loli hormonal ke kumu o ka paʻa ʻana o ka ʻōpū. I ka wā hāpai, hiki i ka pēpē i loko o ka ʻōpū ke paʻi i nā ʻōpū a hoʻolohi i ke kaʻe ʻana o ka ʻōpala.
• Ka ʻai ʻana i nā meaʻai waiwai ʻole i ka fiber.
• Ka hoʻohana ʻana i kekahi mau lāʻau lapaʻau.
• ʻO ke alo o kekahi mau maʻi neurological (nā maʻi o ka lolo a me ke kaula spinal) a me nā maʻi o ka ʻōnaehana digestive.

Hiki i ka constipation ke hoʻoulu i nā pilikia olakino ʻē aʻe?

ʻAe, inā ʻaʻole i hoʻokahe pono ʻia ka noho a i ka manawa kūpono, hiki ke loaʻa kekahi mau pilikia.

• Ka pehu ʻana a me ka mumū ʻana o nā aʻa koko i loko o ka rectum (hemorrhoids).
• Nā māwae anal (nā māwae i ka ʻili o ka anus) i ka wā e hoʻāʻo ai e hele i loko o ka ʻōpala paʻakikī.
• ʻO ka maʻi o ka ʻōpala i loko o nā ʻeke liʻiliʻi (diverticula) e hana ana ma ka paia o ka ʻōpū nui (diverticulitis).
• Ka hōʻiliʻili nui ʻana o nā feces i loko o ka rectum a me ka anus (Fecal impaction).
• ʻO ka hoʻoluhi ʻana i ka wā e hele ana i ka lua hiki ke hōʻino i nā ʻiʻo papahele pelvic. Kōkua pū kēia mau ʻiʻo i ka hoʻomalu ʻana i ka hana o ka ʻōpū mimi. ʻO ka hoʻoluhi ʻana no ka manawa lōʻihi hiki ke hoʻoulu i ka mimi e kahe mai ka ʻōpū mimi (stress urinary incontinence).

He mea nui: ʻO ka paʻa ʻole o ka ʻōpū ka mea maʻamau ʻaʻole ia e hoʻoulu i nā mea ʻawahia i loko o kou kino a hoʻomaʻi iā ʻoe. ʻO kou kolona kahi ʻano hana e hiki ke hoʻopaʻa i nā ʻōpala a hoʻonui. Eia nō naʻe, ke ʻole ʻoe he maʻi koʻikoʻi o ka kolona (e like me "Toxic Megacolon"), ʻaʻole e kahe nā mea ʻawahia ma o kona mau paia.

He aha ka mea e hana ai ke kamaʻilio ʻoe me ke kauka e pili ana i kēia?

ʻO ke kamaʻilio ʻana me ke kauka a i ʻole kekahi mea ʻē aʻe e pili ana i kāu mau hana no ka lua (a i ʻole ka nele!) Hiki ke lilo i hana paʻakikī. Akā e hoʻomanaʻo, aia kāu kauka ma laila e kōkua iā ʻoe. He poʻe loea lapaʻau i aʻo ʻia lākou, a ua kamaʻilio lākou me nā maʻi e pili ana i kēlā me kēia kumuhana olakino āu e noʻonoʻo ai. E nīnau mua ke kauka iā ʻoe i nā nīnau e pili ana i kāu mōʻaukala lapaʻau, nā hana no ka lua, ke ʻano o ka nohona, a me nā hana maʻamau o kēlā me kēia lā .

Nā nīnau e pili ana i ka mōʻaukala lapaʻau:

• He aha nā maʻi āu i loaʻa ai i kēia manawa a he aha nā maʻi i loaʻa iā ʻoe ma mua?
• Ua emi a piʻi paha kou kaumaha i kēia mau lā iho nei?
• Ua hana mua ʻia kekahi ʻoki ʻana i ka ʻōnaehana hoʻoheheʻe?
• He aha nā lāʻau lapaʻau a me nā mea hoʻohui āu e lawe ai e hōʻoluʻolu i ka paʻa ʻana o ka ʻōpū a i ʻole nā ​​maʻi ʻē aʻe?
• Aia kekahi o kou ʻohana i ka moʻolelo o ka paʻa ʻana o ka ʻōpū, nā maʻi o ka ʻōnaehana hoʻoheheʻe, a i ʻole ke kanesa colon?
• Ua loaʻa anei iā ʻoe kahi "(Colonoscopy)"?

Nā nīnau e pili ana i nā hana hoʻomaʻemaʻe halepaku:

• ʻEhia pinepine ʻoe e hele ai i ka lua?
• Pehea ke ʻano o kou ʻōpala? (kala, kūlike)
• Ua ʻike anei ʻoe i ke koko a i ʻole nā ​​kaha ʻulaʻula i loko o kou noho?
• Ua ʻike anei ʻoe i ke koko ma luna o ka noho lua a i ʻole ma ka pepa lua ma hope o ka holoi ʻana?

Nā nīnau e pili ana i ke ʻano o ka nohona a me nā hana:

• He aha kāu e ʻai ai i ka lā maʻamau?
• ʻEhia mau huaʻai a me nā mea kanu āu e ʻai ai?
• ʻEhia ka nui o ka wai āu e inu ai?
• Pehea kāu mau hana hoʻoikaika kino?

Eia kekahi, e hana ke kauka i kahi hoʻokolokolo kino. E komo pū kēia me ka lawe ʻana i kou mahana, ka pulse, a me ke koko. E hoʻolohe ʻo ia i nā kani o kou ʻōpū me kahi stethoscope. E pāpaʻi pū ʻo ia i kou ʻōpū e nānā i kekahi ʻeha, pehu, a i ʻole nā ​​puʻupuʻu.

E hoʻomanaʻo, hiki i kāu kauka ke hana i kahi hoʻokolokolo rectal. He hoʻāʻo wikiwiki kēia e hiki ke hoʻopā ʻia me ka manamana lima e nānā i nā puʻupuʻu a i ʻole nā ​​​​pilikia ʻē aʻe.

He aha nā hoʻokolohua e hana ʻia e ʻike ai i ke kumu o ka constipation?

ʻAʻole paha kāu kauka e hana i kekahi mau hoʻokolohua, a i ʻole e kauoha paha lākou i nā hoʻokolohua a me nā kaʻina hana like ʻole. E hilinaʻi kēia i kāu mau hōʻailona, ​​​​ka mōʻaukala olakino, ke olakino holoʻokoʻa, a me ka mea a ke kauka e manaʻo ai he kumu. I ka hapa nui o nā hihia, ʻaʻohe pono o nā hoʻokolohua hou aʻe e hana i kahi hōʻailona. Eia nō naʻe, hiki i kāu kauka ke hoʻoholo e hana i nā hoʻokolohua hou aʻe ma muli o kāu mau hōʻailona.

• Nā hoʻāʻo lab: Hiki i nā hoʻāʻo koko a me ka mimi ke ʻike i nā kūlana e like me ka hypothyroidism, anemia, a me ka maʻi diabetes. Hiki ke hoʻāʻo ʻia kahi hāpana ʻōpala no nā hōʻailona o ka maʻi, ka mumū, a me ke kanesa.
• Nā hoʻāʻo kiʻi: Hiki i kāu kauka ke kauoha i kahi CT scan, MRI scan, a i ʻole kahi moʻo o ke ala gastrointestinal haʻahaʻa e nānā i nā pilikia ʻē aʻe e hiki ke hoʻoulu i kou paʻa ʻana. Eia naʻe, ʻaʻole i kauoha pinepine ʻia kēia mau mea.
• Colonoscopy: Hiki i ke kauka ke hana i kahi "Colonoscopy" a i ʻole "Sigmoidoscopy" - pili kēia i ke komo ʻana i kahi ʻōmole me kahi kāmela ("scope") i loko o ka rectum e nānā i loko o ka ʻōpū nui. I loko o kēia manawa, hiki ke lawe ʻia kahi hāpana ʻiʻo ("Biopsy") e nānā i ka maʻi ʻaʻai a i ʻole nā ​​​​pilikia ʻē aʻe, a hiki ke wehe ʻia nā polyps, inā he.
• Nā haʻawina transit Colorectal: Ma kēia mau hoʻokolohua, lawe ʻoe i kahi liʻiliʻi o kahi mea radioactive, ma ke ʻano he pila a i ʻole me ka meaʻai, a laila e nānā ʻia ka manawa a me ke ʻano o ka neʻe ʻana o ka mea ma o kou ʻōpū.
• Nā hoʻāʻo hana ʻōpū ʻē aʻe: Hiki i kāu kauka ke kauoha i nā hoʻokolohua e ʻike ai pehea e paʻa ai a hoʻokuke aku ai kou anus a me ka rectum i ka ʻōpala. ʻO kēia mau mea he hoʻāʻo X-ray kūikawā i kapa ʻia he defecography (hoʻohana ʻia e nānā i ka hana ʻole o ka puka a me ka constipation), a me nā hoʻokolohua e pili ana i ka hoʻokomo ʻana i kahi balloon liʻiliʻi i loko o kou anus (kahi hoʻāʻo kipaku balloon a me ka manometry anorectal).

Pehea e hoʻomaha ai mai ka constipation?

Hiki ke mālama ʻia ka hapa nui o nā hihia o ka paʻa ʻana o ka ʻōpū maʻalahi a me ke kaulike ma ka home. Hoʻomaka ka mālama ponoʻī me ka noʻonoʻo ʻana i kāu mea e ʻai ai a inu ai a me ka hana ʻana i nā hoʻololi e pono ai. Nā mea hiki iā ʻoe ke hana ma ka home no ka hōʻoluʻolu koke:

• E inu i ʻelua a ʻehā mau kīʻaha wai keu i ka lā. E pale i nā mea inu caffeine a me ka waiʻona, hiki ke hoʻomaloʻo i ke kino. Eia kekahi, e hōʻemi i nā mea inu huaʻai a me nā mea inu ʻono loa.
• E hōʻalo i nā ʻiʻo i hana ʻia, nā meaʻai momona, a me nā kalapona i hoʻomaʻemaʻe ʻia e like me ka berena keʻokeʻo, pasta, a me nā ʻuala. E ʻai i nā ʻiʻo momona e like me ka moa a me nā huahana waiū momona haʻahaʻa.
• E hoʻokomo i nā huaʻai, nā mea kanu, nā legumes, nā palaoa piha, a me nā meaʻai ʻē aʻe i waiwai i ka fiber i kāu papaʻai o kēlā me kēia lā. E hōʻemi i nā meaʻai momona e like me ka ʻiʻo, nā hua manu, a me ka tīhi.
• E ʻai i nā prunes, nā cereal bran, a me nā huaʻai waiwai i ka fiber e like me nā ʻalani, paina, ʻōpena, mango, avocado, a me ka papaya.
• E mālama i kahi puke moʻolelo meaʻai a e ʻike i nā meaʻai e hoʻoulu ai i ka paʻa ʻana o ka ʻōpū.
• Hoʻoikaika kino. Hiki i kahi mea maʻalahi e like me ka hele wāwae ke kōkua.
• E makaʻala i ke ʻano o kou noho ʻana ma ka lua. ʻO ka hāpai iki ʻana i kou mau wāwae, ke hilinaʻi ʻana i hope, a i ʻole ke noho ʻana me nā wāwae keʻa e maʻalahi ai ka hele ʻana o ka noho.
• E hoʻāʻo e lawe i kahi mea hoʻohui fiber (e like me Metamucil®, MiraLAX®, Citrucel®, a i ʻole Benefiber®) mai kahi hale kūʻai lāʻau lapaʻau. ʻOi aku ka maikaʻi o ka hoʻomaka liʻiliʻi i ka hoʻomaka ʻana i kēia mau mea.
• Inā pono, e lawe i kahi mea palupalu ʻōpala a i ʻole ka laxative (e like me Docusate) mai kahi hale kūʻai lāʻau lapaʻau. ʻO nā enemas ʻaila mineral a me nā laxatives hoʻoulu kekahi mau koho. Nui nā ʻano laxatives. E noi i kāu kauka lāʻau a kauka paha no ke kōkua i ke koho ʻana i ka mea kūpono iā ʻoe. Mai hoʻohana i nā laxatives no nā pule ʻelua a ʻoi me ka ʻole o ke kūkākūkā ʻana me ke kauka. ʻO ka hoʻohana nui ʻana i nā laxatives hiki ke hoʻonui i kou mau hōʻailona.
• Mai hoʻohana i nā mea e like me nā nūpepa a i ʻole nā ​​kelepona i ka wā e hoʻāʻo ai e hele i ka lua.
• Mai kāohi i ka wā e manaʻo ai ʻoe e pono e hele i ka lua. ʻO ka hana ʻana pēlā hiki ke ālai i ka hōʻailona mai kou kolona a i kou lolo (e haʻi ana iā ʻoe e kiola).

E makaʻala i nā lāʻau lapaʻau a me nā mea hoʻohui.

Ma waho aʻe o nā hana mālama ponoʻī, e nānā pū kāu kauka i nā lāʻau lapaʻau a me nā mea hoʻohui āu e lawe ai (inā ʻoe e lawe i kekahi). Hiki i kekahi o kēia mau mea ke hana i ka paʻa ʻana o ka ʻōpū. Inā pēlā, hiki i kāu kauka ke ʻōlelo aku i ka hoʻololi ʻana i ka nui o ka lāʻau, ke hoʻololi ʻana i kahi lāʻau lapaʻau ʻē aʻe, a i ʻole ke hoʻōki ʻana i ka mea hoʻohui. Mai hoʻōki i ka lawe ʻana i kāu mau lāʻau lapaʻau a i ʻole nā ​​mea hoʻohui me ka ʻole o ke kamaʻilio mua ʻana me kāu kauka.

Lāʻau lapaʻau paʻa paʻa i kuhikuhi ʻia

Aia kekahi mau ʻano lāʻau lapaʻau a nā kauka e kuhikuhi ai no ka mālama ʻana i ka constipation:

• `(Lubiprostone (Amitiza®))`
• `(Prucalopride (Prudac®, Motegrity®))`
• `(Plecanatide (Trulance®))`
• `(Lactulose (Cephulac®, Kristalose®))`
• ʻO ka lāʻau lapaʻau ʻo Linaclotide (Linzess®)

Ma muli o nā hopena o kāu mau hoʻokolohua, e koho kāu kauka i ka lāʻau lapaʻau kūpono loa iā ʻoe.

ʻoki kino

ʻAʻole pono pinepine ke ʻoki kino no ka mālama ʻana i ka paʻa ʻana o ka ʻōpū. Eia nō naʻe, inā pilikia ke ʻano o kou paʻa ʻana i ka ʻōpū, hiki i kāu kauka ke ʻōlelo i ke ʻoki kino. Eia kekahi laʻana:

• Ka pale ʻana o ka ʻōpū.
• ʻO ke koʻikoʻi o ka ʻōpū.
• Māwae anal.
• ʻO ka rectal prolapse ka puka ʻana o kahi ʻāpana o ka rectum i loko o ka vagina.

Hiki ke mālama ʻia kekahi mau kūlana e hoʻoulu ai i ka outlet dysfunction constipation me ke ʻoki kino. Hiki ke kūkākūkā ʻia kēia ma hope o nā hoʻokolohua. Eia kekahi, inā hōʻike ka colonoscopy he maʻi kanesa kou i loko o kou colon, rectum, a i ʻole anus, pono paha ʻoe i ke ʻoki kino.

Pehea e hiki ai iā ʻoe ke pale aku i ka paʻa ʻana o ka ʻōpū?

Hiki ke hoʻohana ʻia nā lāʻau lapaʻau home like i hoʻohana ʻia no ka mālama ʻana i ka constipation e pale aku iā ia mai ka lilo ʻana i pilikia mau loa:

• E ʻai i ka ʻai kaulike i waiwai i ka fiber. ʻO nā huaʻai, nā mea kanu, nā legumes, nā nati, a me nā berena palaoa piha a me nā cereals he mau kumu maikaʻi o ka fiber. Kōkua ka fiber a me ka wai i ka hoʻoneʻe ʻana i ka ʻōpala ma o kou colon. Loaʻa ka fiber i ka hapa nui o nā huaʻai i ko lākou ʻili. ʻO nā huaʻai hiki ke ʻai ʻia me nā hua (e like me nā strawberries) he kiʻekiʻe i ka fiber. He kumu maikaʻi nō hoʻi ka Bran o ka fiber. E ʻai i ka cereal bran, a i ʻole e hoʻohui i ka bran i nā meaʻai e like me nā sopa a me ka yogurt. Pono ka poʻe me ka constipation e ʻai ma waena o 18 a me 30 grams o ka fiber i ka lā. (Inā loaʻa iā ʻoe ka diverticulitis, hiki i kāu kauka ke aʻo iā ʻoe e pale i nā hua me nā hua.)
• E inu i 8 mau kīʻaha wai 8-auneke i ka lā. (Nānā: Hiki i kekahi poʻe ke loaʻa i ka paʻa ʻana o ka ʻōpū ke inu waiū.) Hiki i nā mea inu caffeine e like me ke kofe, ke kī, a me nā mea inu palupalu ke hoʻomaloʻo iā ʻoe. Makemake paha ʻoe e hoʻōki i ka inu ʻana i kēia mau mea a hiki i ka hoʻi ʻana o kāu mau hana lua i ka maʻamau.
• E hoʻoikaika kino i nā manawa a pau. ʻAʻole pono e nui, ʻoiai ʻo ka hele wāwae wale nō he mea kōkua nui ia.
• Hiki ke hoʻohana ʻia kahi mea hoʻohui e like me ka magnesium no ka paʻa ʻana o ka ʻōpū. (ʻAʻole pono nā kānaka a pau e lawe i ka magnesium. E nīnau i kāu kauka ma mua o ka lawe ʻana.)
• Ke pono ʻoe e hele i ka lua, e hana. Mai hoʻokaʻulua.

Āhea wau e ʻike ai i ke kauka?

I kēlā hihia, pono ʻoe e ʻike i ke kauka:

• Inā he pilikia hou ka paʻa ʻana o ka ʻōpū nou.
• Inā ʻike ʻoe i ke koko i loko o kou ʻeke.
• Inā ʻoe e lilo i ke kaumaha me ka manaʻo ʻole.
• Inā loaʻa iā ʻoe ka ʻeha nui i ka wā e hele ai i ka lua.
• Inā ʻoi aku kou paʻa ʻana ma mua o ʻekolu pule.
• Inā loaʻa iā ʻoe nā hōʻailona o ke ʻano o ka constipation.

He aha nā nīnau āu e nīnau ai i ke kauka?

Ke ʻike ʻoe i ke kauka, hiki iā ʻoe ke nīnau i nā nīnau e like me kēia:

• No ke aha lā wau i paʻa ai i ka ʻōpū?
• He aha kaʻu e hana ai/lawe ai e hoʻomaha koke ai i ka paʻa ʻana o ka ʻōpū?
• He aha nā lāʻau lapaʻau home āu e ʻōlelo nei?
• He aha kaʻu e ʻai ai a inu ai e pale aku i ka paʻa ʻana o ka ʻōpū?
• Pehea ʻē aʻe e hiki ai iaʻu ke pale aku i ka constipation?

E hoʻomanaʻo, e wehe a ʻoiaʻiʻo me kāu kauka e pili ana i kāu mau hana halepaku a me nā hopohopo a nīnau paha āu e loaʻa ai. ʻO ka hele ʻana i ka halepaku kahi mea a kākou e hana ai. Hiki i ka paʻa ʻana ke lilo i maʻi manawa pōkole, he pilikia lōʻihi, a i ʻole he hōʻailona o kahi maʻi koʻikoʻi. No laila e palekana. E ʻike i ke kauka, ʻoiai inā ʻike ʻoe i kahi loli i kāu ʻano halepaku, a inā manaʻo ʻoe e hoʻomalu ana kou ʻōpū i kou ola.

E hoʻomanaʻo i ka mea nui loa (Leka Lawe-Home)

No laila, he maʻi ka paʻa ʻana o ka ʻōpū e hoʻopilikia ana i nā kānaka he nui, akā hiki ke mālama ʻia ma ka home. ʻO nā mea nui e inu i ka wai he nui, ʻai i ka meaʻai fiber kiʻekiʻe, hoʻoikaika kino, a mai hoʻokaʻulua i ka hele ʻana i ka lua. I kekahi manawa, hiki ke hana ʻia e nā lāʻau lapaʻau a mākou e lawe ai a i ʻole nā ​​​​maʻi olakino ʻē aʻe. No laila, inā loaʻa iā ʻoe kēia pilikia e hoʻomau nei, a inā loaʻa iā ʻoe kekahi mau hōʻailona weliweli e like me ke kahe ʻana o ke koko, e ʻike pono i ke kauka a loaʻa ka ʻōlelo aʻo. ʻAʻohe mea e hilahila ai a makaʻu paha, no ka mea, ʻo kou olakino ka mea nui loa!

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ʻO ka paʻa ʻana o ka ʻōpū, ka paʻa ʻana o ka ʻōpū, ka ʻōpala maloʻo, ka paʻakikī e hele i ka lua, ka fiber, ka ʻai ʻana, ke olakino