Tun hnaiah Constipation i tawk em? Kan sawiho ang u! | Nirogi Lanka chuan a rawn ti a

Tun hnaiah restroom-ah hun i hmang tam lutuk tih i hmu em? I pum chu a hring chhuak tih i hria em, a nih loh leh i kal hnuah pawh i rilru i chhuah kim lo tih hriatna rei tak, nuam lo tak chu i nei em? Nangmah chauh i ni lo tih a chiang—hei hi thil awmze nei tak leh lungchhiatthlak tak a ni a, mahse chu chu mualpho emaw, lungkham emaw a ngai lo tak zet a ni. Nirogi Lanka-ah hian i chaw ei hriselna i thunun theih nan constipation chipchiar taka hriatthiam theih nan kan pui duh che a ni.

Constipation hi eng nge ni?

Damdawi lam hawi chuan constipation hi kar khatah vawi thum aia tlem lo chhuak tihna a ni tlangpui. Mahse, "normal" chu mi hrang hrangah a inang lo hle tih hre reng ang che. Mi thenkhat chu ni khatah vawi eng emaw zat an kal a, thenkhat erawh chu kar khatah vawi khat emaw vawi hnih emaw an kal thei thung. I mimal rhythm chu eng pawh ni se, i tan chuan thil pangngai a ni . Buaina chu i tih dan pangngai atanga nasa taka i inthlak danglam hian a lo awm thin.

I tih dan phung chu eng pawh ni se, thil pakhat chiang tak chu: i nghah rei poh leh zun chhuah chu a harsa zual sauh sauh a ni. A hnuaia thilte hi i hriat chuan constipation i nei mai thei:

• I bawlhhlawh chu a khauh a, a vawt a, a lum bawk.
• Bowel movement laiin natna emaw, straining nasa tak emaw i nei thin.
• I chhuah chhuah kim lo tih hriatna i nei a, chu chu i ril chu a hring lo tih i hre lo tihna a ni.

Constipation hi a tam hle a; khawvel puma mi maktaduai tam takin an tuar a ni. Manageable condition a ni a, step dik tak lak hi rilru hahdamna tur kawng pawimawh tak a ni.

Engtin Nge Constipation Hi A Lo awm?

A awlsam zawngin, constipation hi i colon (large intestine) hian i bawlhhlawh atanga tui tam lutuk a lakluh hian a thleng thin. Hei hian ek chu a vawt a, a khauh a, kal a harsa hle bawk.

A tihchhiat belh zel tur chuan: ei tur chu i chaw ei dan kaltlanga a kal zel chuan i chhungril hian ei tur tha tak takte chu a hip lut thin. Bawlhhlawh la awm chu intestine lian takah a kal a, chu chuan tui a hip lut a, bawlhhlawh chu solid stool-ah a chantir a ni. I constipated a nih chuan bawlhhlawh chu digestive tract kaltlangin a kal zawi lutuk. Hei hian colon hian tui tam zawk a hip theih nan hun a pe tam zawk a, chu chuan stool chu tui tlakchhamna leh hnawhchhuah harsa tak a siam thin.

Engin Nge Constipation A Tih?

Constipation hi thil chi hrang hrang a\angin a lo chhuak thei a, chung zingah chuan nunphung duhthlanna te, damdawi \henkhat te, leh damdawi lam dinhmun bulpui te pawh a tel a ni.

Nunphung Factors te

I nitin nunphung hian i chaw ei hriselnaah hmun pawimawh tak a chang a ni. Chung zinga pakhat tal chu i tan a hman theih em tih enfiah rawh:

• Fiber intake tlem: Fiber tlakchhamna eitur hian bawlhhlawh a siam tha a, a kal tha thei lo.
• Dehydration: Tui tling lo chuan i taksain bawlhhlawh a nem theih nan a bei nasa hle.
• Taksa tihchak loh: Thut reng hian i ril hnathawh a tikhawtlai thei a ni.
• Routine inthlak danglamna: Khualzin, mut dan inthlak danglam emaw, ei hun inthlak danglam emaw hian i system a tibuai thei a ni.
• Dairy ei tam lutuk: Mi thenkhat tan chuan cheese emaw bawnghnute emaw ei tam lutuk hian constipation a thlen thei .
• Stress : I rilru hriselna hian i gut a nghawng dan hi ngaihthah ngai suh.
• Chu duhna ngaihthah: Restroom hman a ngaihna tihkhawtlai hi thil tihsual tlanglawn tak a ni. I taksa thu ngaithla la, duhna a lo chhuah hunah kal rawh.

Damdawi chi hrang hrang

Damdawi hman tlanglawn engemaw zat hian constipation a thlen thei a:

• Natna tidamtu chak tak , codeine, Oxycodone (eg, Oxycontin®), lehHydromorphone (entir nan, Dilaudid®) hmanga siam a ni.
• Nonsteroidal anti-inflammatory drugs (NSAIDs) Ibuprofen (eg, Advil®, Motrin®) leh Naproxen (eg, Aleve®) te hi a ni.
• Antidepressant , Fluoxetine (eg, Prozac®) emaw Amitriptyline (eg, Elavil®) emaw ang chi te.
• Gastritis natna atana hman tur antacid thenkhat , a bik takin calcium emaw aluminum emaw awmna (eg, Tums®).
• Iron tihpunna tur a ni.
• Antihistamine , Diphenhydramine (eg, Benadryl®) ang chi te hi a ni.
• Thisen sang damdawi thenkhat , calcium channel blocker leh beta-blocker te pawh a tel.
• Antipsychotic damdawi thenkhat , Clozapine (eg, Clozaril®) leh Olanzapine (eg, Zyprexa®) ang chi te.
• Antiseizure damdawi , Phenytoin leh Gabapentin te ang chi te.
• Anti-nausea damdawi , Ondansetron ang chi (eg, Zofran®).

I damdawi ei hian heng thilte hi a thlen thei tih i ngaihtuah a nih chuan, i tihdanglam hmain i doctor emaw, damdawi lam thiam emaw zawt hmasa phawt ang che.

Damdawi lam thil dang

A châng chuan, constipation hi medical issue hnuaia awm chhinchhiahna a ni ṭhin:

• Endocrine natna: Hypothyroidism, zunthlum, uremia, emaw hypercalcemia emaw a awm thei.
• Colorectal cancer a ni.
• Irritable Bowel Syndrome (IBS) a ni a, a rilru a hah lutuk a, a rilru a buai em em bawk.
• Diverticulitis natna a ni.
• Pelvic floor dysfunction (Outlet hnathawh that lohna constipation) a awm bawk.
• Obstructed defecation syndrome tih hi a ni.
• Intestinal pseudo-obstruction tih a ni.
• Neurologic disorders: Spinal cord hliam, Multiple Sclerosis, Parkinson natna, emaw stroke emaw a awm thei.
• Lazy bowel syndrome tih hi a ni.
• Intestinal tihkhawtlai a ni.
• Structural dik lo (eg, fistulas, colonic atresia) te a awm thei.
• Organ hrang hrang natna , amyloidosis, lupus, emaw scleroderma ang chi te.
• Naupai lai.

Constipation Symptoms te chu engte nge ni?

A chhinchhiahna tlangpui chu:

• Kar khatah vawi thum aia tlem lo.
• Stools vawt, khauh emaw, lumpy emaw.
• Bowel movement laiin straining emaw natna emaw.
• Pum natna emaw, nuam lo emaw.
• Bloating emaw mild nausea emaw hriatna.
• Bowel movement hnua evacuation kim lo anga hriatna.

Tute nge Higher Risk-a awm? (Risk Factor hrang hrang) 1.1.

Tum khata constipation hi kum eng pawhah a thleng thei. Mahse, mi ṭhenkhat chuan hun rei tak chhûnga harsatna awm reng, chronic constipation tia hriat chu an tawk duh zâwk a ni. Hei hi thil pawimawh engemaw zatin a pui a ni:

• Kum: Mimal kum 65 chunglamte hian puitling naupang zawkte nena khaikhin chuan nunphung active lo zawk an nei fo a, an metabolism pawh a tlahniam duh hle. Tin, chaw ei kawng (muscle contractions) te pawh hun kal zelah a chak lo thei bawk.
• Hmeichhia nih, a bik takin naupai lai leh nau neih hnua: Hormone inthlak danglamna hian constipation a thlen thei. Naupai lai hian nausen lo thang lianin intestines a pressure hian bowel transit a ti slow thei bawk.
• Low-fiber intake: Diet-a fiber tling lo ei tur.
• Damdawi hman dan: Damdawi thenkhat prescription leh over-the-counter.
• Hriselna dinhmun hnuaia awm: Neurological disorder bik (thluak emaw ruhro emaw nghawng thei) leh chaw ei kawng natna.

Constipation hian hriselna lama harsatna dang a thlen thei em?

Ni e, nuam tak leh mumal taka bawlhhlawh i pass theih loh chuan harsatna engemaw zat a awm thei a:

• Rectum chhunga veins te a hring leh inflammation (Hemorrhoids).
• Anus lining-a mittui tlak chhan chu bawlhhlawh khauh tak tak kal tlang (Anal fissures) vang a ni.
• Colon wall-a pouch ang chi protrusions te tak te chhunga infection, chutah chuan stool a awm thei (Diverticulitis).
• A rilru a buai em em a, a rilru a hah em em bawk a, a rilru a buai em em bawk a , a rilru a hah em em bawk a.
• Pelvic floor muscles te chu a chhiat fo thin a, a straining nasa hle thin. Heng muscle te hian bladder function control nan a pui a; chronic straining hian a tawpah chuan stress urinary incontinence a thlen thei a ni.

Thu pawimawh: Constipation hian bawlhhlawh khawlkhawm atanga i taksa chu "toxic" a siam lo tlangpui. I colon hi bawlhhlawh paih theihna tura vawn leh zau thei tura siam a ni. Toxic Megacolon ang chi damdawi lam natna khirh tak i neih loh chuan i colon wall hian i system-ah toxins a leak lo.

He thu hi i doctor nen in sawiho hian eng nge thleng?

Doctor nen i bowel habits (a nih loh leh a awm lohna!) chungchang sawiho chu a harsa thei hle a, mahse khawngaihin hre reng ang che: i Nirogi Lanka doctor chu i thlawp turin a awm a ni. Anni hi trained professional an ni a, damlote chu health topic i ngaihtuah theih zawng zawngah an ngaithla a, an pui bawk.

I doctor chuan i damdawi lam chanchin, i rilru natna, i nunphung leh nitin nunphung te enfiahin a tan ang.

I damdawi lam chanchin chungchanga zawhnate:

• Tuna i hriselna dinhmun leh tun hmaa i hriselna dinhmun chu eng nge ni?
• Tun hnaiah sawifiah theih loh khawpa taksa rihna tlahniam emaw, tihpun emaw i tawng tawh em?
• Tun hmain digestive system surgery i nei tawh em?
• Tunah hian eng damdawi, supplement, emaw laxatives nge i ei mek?
• Chhungkaw history-a constipation, chaw ei kawng natna, emaw, colon cancer emaw i nei em?
• Colonoscopy i nei tawh em ?

I bowel habits chungchanga zawhna awmte chu:

• Engzat nge i rilru a buai thin?
• I stool hi eng ang consistency leh appearance nge ni?
• Thisen emaw, sen hring emaw i hmu tawh em?
• Toilet bowl-ah emaw, toilet paper-ah emaw i silfai hnuah thisen i hmu tawh em?

I nunphung leh i tih dan chungchanga zawhnate:

• Chaw ei ni pangngai chu i tan eng ang nge ni?
• Nitin thei leh thlai engzat nge i ei thin?
• Tui engzat nge i in thin?
• Exercise i tih dante chu engte nge ni?

Tin, i doctor chuan taksa a enfiah bawk ang. Hei hian i temperature, pulse, leh thisen sang enfiah te a huam a ni. Stethoscope hmangin i pum chu an ngaithla thei a, i pum chu an palpate (press) thei a, i pum chu a tenderness, swelling, masses a awm leh awm loh an enfiah thei bawk.

Khawngaihin i doctor hian rectal exam a tih a ngai mai thei tih hre reng ang che . Hei hi thil tih awlsam tak a ni a, gloved finger hmangin anal area-a lumps emaw physical abnormalities emaw an awm leh awm loh an enfiah thin.

Constipation awm chhan hriat nan eng test nge hman thin?

I doctor chuan test engmah a mamawh lo mai thei a, i natna lan chhuah dan, i history leh i hriselna zawng zawng a zirin tih dan tur bik an order thei bawk. Vawi tam tak chu test dang neih belh a ngai lo va, mahse i symptoms-in a phut chuan a hnuaia mi hi tih theih a ni:

• Lab tests: Thisen leh zun test hian hypothyroidism , anemia , emaw diabetes ang chi dinhmun hriat theihna a pui thei a ni. Stool sample chu infection, inflammation, malignancy chhinchhiahna awm leh awm loh enfiah nan an enfiah thei bawk.
• Imaging test: I doctor chuan CT scan , MRI scan , emaw, lower gastrointestinal tract series emaw a dil thei a, chu chuan structural issue dang a neih loh nan. Chungte chu routine taka order a ni ngai lo.
• Colonoscopy: I doctor chuan colonoscopy emaw sigmoidoscopy emaw hmangin camera nei tube te tak te, flexible tak hmangin colon chhung lam a en thei ang. Hemi chhung hian biopsy (tissue sample) an la thei a, polyp an la chhuak thei bawka tul chuan.
• Colorectal transit study: Chûngte chu radioactive tracer dose tlemte, him tak awmna pill emaw ei tur emaw ei a ni a, chu chuan doctor-in i chaw ei kawngah thil a kal chak dan leh a ṭhat dan a enfiah thei a ni.
• Bowel function test dang: I doctor chuan i rectum leh anus hian engtiang chiahin nge stool an chelh tha tih leh engtiang chiahin nge a chhuah tih hriat nan test a ti thei ang. Hei hian defecography (outlet dysfunction constipation hriat theihna atana hman specialized X-ray) leh rectum chhunga balloon te tak te dah luh hmanga test ( balloon expulsion test leh anorectal manometry ) te a huam a ni.

Engtin nge constipation lakah hian hahdamna i hmuh theih ang?

Mild to moderate case tam zawk hi chu in lamah pawh tha takin enkawl theih a ni. Mahni invenna hi i ei leh in ngaihtuah a, a tul anga siamthatna atanga tan a ni.

In lama i tih theihte chu a rang thei ang bera i hmuh theih nan:

• Nitin tui glass hnih atanga glass li vel in tur a ni. Caffeine awmna in tur leh zu in loh tur a ni a, tui tlakchhamna a thlen thei a ni. Chutiang bawkin thei tui leh sugar tamna in tur te pawh khap tlat ang che.
• Sa processed, thau tamna ei tur, leh carbohydrates refined, chhang var, pasta, leh potato te ei loh tur. Sa thau lo, vawk leh thau tlem nei dairy products te hi duhthlan tur tha zawk a ni.
• Nitin chaw eiah thei, thlai, greens, whole grains leh fiber tamna ei tur dangte telh la. Sa sen, artui, leh cheese ang chi ei tur thau tamna ei tlem rawh.
• Fiber tamna thei leh ei tur chi hrang hrang prunes, bran cereal, orange, pineapple, strawberry, mango, avocado, leh papaya te ei thin ang che.
• Food diary siam la, eng ei tur bik nge i constipation tichhuak tih hriat theih a ni.
• Exercise neih fo thin ang che. Kea kal ang chi thil awlsam tak takte hi a puih theih nan a tawk fo thin.
• Toilet-a i dinhmun (posture) kha ngaihtuah reng ang che. I ke tlem han chawi sang emaw, hnunglam hawia innghah emaw, squatting position hman emaw hian bowel movement a ti awlsam thei a ni.
• Over-the-counter fiber supplement (Metamucil®, MiraLAX®, Citrucel®, emaw Benefiber® ang chi) hman hi ngaihtuah rawh. Dose tlemte atanga tan a, zawi zawiin tihpun a tha ber.
• A tul chuan over-the-counter stool softener emaw laxative emaw (eg, Docusate) hmang thin ang che. Mineral oil enemas leh stimulant laxatives te pawh hi duhthlan tur dang a ni. Laxative chi hrang hrang a awm a; i tana tha ber tur thlang turin i pharmacist emaw doctor emaw zawt rawh. Doctor rawn hmasa lovin kar hnih aia rei laxatives hmang suh. A hman tam lutuk hian a chang chuan i symptoms a ti na zual thei.
• Toilet hman tum hian i phone hman emaw, chanchinbu chhiar emaw kha pumpelh rawh.
• Bowel movement neih duhna chu tihtawp suh. Chu duhna ngaihthah fo chuan, hun kal zelah, i colon atanga i thluak thlenga signal chu a tichak lo thei a, chu chuan engtikah nge kal hun a nih tih hriat a ti harsa thei hle.

Damdawi leh supplement lam ngaihtuah reng ang che

Mahni in enkawl dan bakah hian i doctor chuan damdawi leh supplement i ei apiang a enfiah ang a, thenkhat chuan constipation a thlen thei a ni. Chutiang a nih chuan i doctor chuan i dose chu a siamrem thei a, i damdawi a thlak thei a, supplement ei kha chawlhsan turin a fuih thei bawk che. I doctor nen inbiakna hmasa lovin i damdawi emaw supplement emaw kha titawp ngai suh, thlak ngai suh.

Constipation damdawi prescription hmanga pek theih a ni

Doctor-te’n constipation enkawlna atana an rawt damdawi engemaw zat a awm a:

• Lubiprostone (Amitiza®) hmanga siam a ni.
• A rilru a buai em em a, a rilru a hah em em bawk a.
• Plecanatide (Trulance®) hmanga siam a ni.
• Lactulose (Cephulac®, Kristalose®) hmanga siam a ni.
• Linaclotide (Linzess®) hmanga siam a ni.

I test result a zirin i doctor chuan i mamawh bik atana damdawi tha ber a pe ang che.

Inzai

Constipation avanga operation neih a ngai lo. Mahse, i constipation hi i colon structural problem avanga lo awm a nih chuan i doctor chuan a rawt mai thei. Entirnan:

• Intestinal tihkhawtlai a ni.
• Intestinal stricture (rilru a ti tawi).
• Anal fissure a awm.
• Rectal prolapse a awm.

Outlet dysfunction constipation thlentu condition thenkhat chu surgery hmanga siamthat theih a ni. Heng option te hi diagnostic testing hnuah sawiho thin a ni tlangpui. Tin, colonoscopy-a i colon emaw, i rectum emaw-ah cancer a awm tih hmuhchhuah a nih chuan operation neih a ngai thei bawk.

Engtin nge constipation hi kan ven theih ang?

Constipation enkawlna atana self-care method hman te hi harsatna rei tak a nih loh nan hman thin ang chiah kha a ni:

• Ei leh in inthlau tak, fiber tamna ei tur. Thei, thlai, green, nut, whole-grain chhang, leh cereal te hi fiber awmna tha tak an ni. Fiber leh tui hian i colon kaltlangin bawlhhlawh a kal tir thin. Thei tam takah chuan an vunah fiber a awm a; thei chi hrang hrang (strawberry ang chi) ei hian fiber intake a tipung bawk. Bran hi fiber tamna hmun dang a ni—bran cereal hi ei ve la, a nih loh leh soup leh yogurt-ah dah la. Mimal constipation nei te chuan nitin fiber gram 18 atanga 30 vel ei tum tur a ni. (Diverticulitis i vei chuan i doctor chuan chi thenkhat ei loh turin a fuih thei che a ni).
• Ni khatah tui 8-ounce glass pariat ei tum ang che. (Hriat tur: Mi thenkhat tan chuan bawnghnute ei hian chaw ei khamna a thlen thei a ni.) Coffee, tea leh soda-a caffeine hian tui a tichhe thei a ni. I bowel habits a normal hma loh chuan hengte hi i tihtlem a ngai mai thei.
• Exercise neih fo thin ang che. Workout nasa tak i mamawh lo; kea kal reng pawh hian nasa takin a pui a ni.
• Magnesium supplement hi ngaihtuah teh. (Mi zawng zawngin magnesium ei tur a ni lo; doctor rawn hmasa phawt ang che).
• Kal nghal duhna chu chhang rawh. Tikhawtlai suh.

Engtikah nge doctor i hmuh ang?

A hnuaia thil awm danah hian doctor rawn hmasa phawt ang che:

• Constipation hi i tan harsatna thar a nih chuan.
• I bawlhhlawh chhunga thisen i hmuh chuan.
• Sawifiah loh taka i taksa rihna tlahniam i tawk a nih chuan.
• Stool pass tum laiin natna nasa tak i neih chuan.
• I constipation hi kar thum aia rei a awm chuan.
• Outlet dysfunction constipation symptom i neih chuan.

I doctor zawh tur zawhna

Doctor i tlawh hunah a hnuaia mite hi i zawt mai thei:

• Engvangin nge constipation ka neih?
• Chhawmdawlna nghâl tûrin eng nge ka tih theih ang emaw, ka lak theih ang?
• Eng in lama damdawi nge i rawt?
• Hei hi enkawl tur chuan eng nge ka ei tur leh ka in tur?
• Engtin nge nakin lawkah constipation hi ka ven theih ang?

I inbual dan leh i ngaihtuahna i neih apiang chu i doctor hnenah inhawng tak leh rinawm takin sawi rawh. Bowel movement hi nunna atana thil awm, thil tul tak a ni. Constipation hi hun eng emaw chen atan emaw, rei tak chhung emaw, a hnuaia natna khirh zawk chhinchhiahna emaw pawh a ni thei. I hriselna humhim rawh—i riltam inthlak danglamna i hmuh emaw, i riltamnain i nun a thunun nia i hriat emaw chuan doctor pan rawh.

Take-Home Thuchah a ni

Constipation hi thil awmze nei tak a ni a, mahse mahni invenna hmanga enkawl theih a ni tlangpui. Hydrated reng te, fiber tamna diet ei te, exercise lak te, kal duhna ngaihthah loh te hi a pawimawh ber a ni. A châng chuan, damdawi emaw, hrisêlna lam thil dang emaw hi a chhan a ni thei. I harsatna a la awm reng emaw, thisen chhuah ang chi natna hlauhawm tak i hmuh chuan Nirogi Lanka-a professional hnenah zawhfiah rawh. Mualphona leh hlauhna chhan a awm lo; i hriselna hi i ngaih pawimawh ber a ni.

Constipation, chaw ei hriselna, fiber, ril leh ril, hriselna