Tunlai hian toilet kal pawh i harsat em? Constipation chungchang hi han sawi ila!

A chang chuan toilet-ah hian hun tam tak i hmang a ngai em? I pum a vawt ang maiin i hria em? A nih loh leh toilet-a i kal hnuah pawh i pum chhungah thil eng emaw a tang ang maiin i inhria em? Hei hi mi tam takin harsatna an neih a, chu chuan harsatna engemaw zat a thlen thin. Mahse, sawi chhuah zak leh hlauhna tur a awm lo. Vawiin hian he constipation, emaw `(Constipation)` an tih hi chipchiar takin kan sawi dawn a ni.

Constipation hi eng nge ni?

A awlsam zawngin, kar khatah vawi thum aia tlem bathroom kal a ngai nia i hriat chuan damdawi lamah chuan constipation tia hriat a ni. Mahse, bathroom-a kal tam dan hi mi hrang hrangah a inang lo thei. Mi thenkhat chu ni khatah vawi eng emaw zat an kal a, thenkhat erawh chu kar khatah vawi khat emaw vawi hnih emaw chauh an kal thung. I pattern pangngai chu eng pawh ni se, i tan chuan a danglam bik a, thil pangngai a ni bawk. Chu pattern pangngai atanga i inthlak danglam chuan buaina chu a lo chhuak thin. I toileting pattern chu eng pawh ni se, thil pakhat a chiang a, bathroom kal i nghah rei poh leh stool pass a harsa zawk. Constipation hriat theihna tur key sign engemaw zat a awm a:

• I bawlhhlawh chu lungpui ang maiin a vawt a, a khauh bawk.
• Toilet-a ka kal hian natna ka nei a, ek chhuah pawh a har hle.
• Bathroom-a ka luh hnu pawh hian ka pum chu a ruak kim lo ang maiin ka hria.

Dik tak chuan he constipation an tih hi a awm fo thin. Nangmah chauh i ni lo, khawvel hmun hrang hranga mi maktaduai tam takin he harsatna hi an tuar a ni. Hei hi thil pangngai anga ngaih a, a tul anga hma lak a pawimawh.

Engtin nge he constipation hi a lo awm?

A awlsam khawp mai. Constipation hi i colon (or large intestine) hian i bawlhhlawh atanga tui a lakluh tam lutuk hian a awm thin. Hei hian i bawlhhlawh chu a vawt a, a khauh a, a kal harsa bawk. Tlemte sawifiah tur chuan kan chaw ei hian kan digestive system a paltlang rualin kan intestines hian nutrients a hip zauh zauh thin. Chaw ei chhuah atanga bawlhhlawh awmte hi stool siamtu a ni. He bawlhhlawh hi small intestine atanga large intestine ah a kal thin. He bawlhhlawh atang hian intestine lian hian tui a hip lut a, a solid ta a ni. I constipated a nih chuan i ei tur chu i digestive system kaltlangin a kal tur aiin a rei zawk. Hei hian i intestine lian tak chu tui hip turin hun tam zawk a pe a ni. A rah chhuah chu? I ek chu a vawt a, a khauh a, kal pawh a harsa bawk.

Constipation awm chhante chu engte nge ni?

Constipation hian chhan tam tak a nei thei. Kan khawsak danah thil \henkhat, damdawi kan ei te, leh damdawi lam thil \henkhatin a nghawng thei a ni.

Nunphung lam thilte

Nitin kan tih dan thenkhat hi chaw ei khamna thlentu lian tak a ni thei. Chûngte chu i tân pawh a hman theih em tih en rawh:

• Fiber tlakchhamna diet ei : Kan eiturte hian fiber a pai tawk lo a nih chuan ek a siam tha lo ang a, awlsam takin a kal lo ang.
• Tui in tlem (dehydration): Taksain tui a hmuh tlem chuan ek a vawt thin.
• Exercise neih loh: Taksa chakna a tlahniam chuan intestinal function pawh a tlahniam bawk.
• Nitin nunphung inthlak danglamna: Hetiang dinhmun hi zin hun te, ei leh in te, zu in te, mut hun te a inthlak hian a awm thei a ni.
• Bawnghnute leh cheese ang chi thil ei tam lutuk: Mi thenkhat chuan hengte hi an ei tam lutuk hian an constipated thin.
• Stress : Mak ti suh, stress hian hei hi a nghawng bawk.
• Bathroom kal a ngaih huna insum: Hei hi mi tam takin an tihsual a ni. A tul huna tih a pawimawh.

Damdawi chi hrang hrang

Damdawi thenkhat i ei hian chaw ei khamna a thlen thei bawk.

• Painkiller chak tak tak thenkhat , entirnan `(Codeine)`, `( Oxycodone - like Oxycontin®)` leh `( Hydromorphone - like Dilaudid®)` te.
• Nonsteroidal anti- inflammatory drugs (NSAIDs) , Ibuprofen (Advil®, Motrin®) leh Naproxen (Aleve®) te hi a ni.
• Antidepressant , `(Fluoxetine - Prozac® ang chi)` emaw `(Amitriptyline - Elavil® ang chi)` tih ang chi te.
• Anticid thenkhat, a bik takin calcium emaw aluminum emaw awmna (`Tums®` ang chi) te hi gastritis tan an pe thin .
• Iron pills a ni.
• Allergy damdawi (Antihistamines) , entirnan `(Diphenhydramine - Benadryl® ang chi)`.
• Thisen sang damdawi thenkhat , entirnan `(Calcium channel blockers)` leh `(Beta-blockers)` te.
• Rilru natna thenkhat damdawi , `(Clozapine - Clozaril®)` leh `(Olanzapine - Zyprexa®)` te.
• Antiseizure damdawi , entirnan `(Phenytoin)` leh `(Gabapentin)` te.
• Luak chhuak damdawi thenkhat , Ondansetron - Zofran® ang chi.

Hetiang damdawi tam tak hian constipation a thlen thei a ni. I damdawi ei chungchangah emaw, he natna chungchangah emaw zawhna i neih chuan i doctor emaw pharmacist emaw zawt rawh.

Damdawi lam thil dang

Constipation hi damdawi lam thil engemaw vang pawh a ni thei.

• Endocrine dinhmun (Endocrine) a awm, entirnan, hypothyroidism, zunthlum, uremia (kidney failure avanga thisena bawlhhlawh awmkhawm), leh hypercalcemia (thisen chhunga calcium level sang) te.
• 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 (intestine lian chhunga pouch te te infection).
• Pelvic floor muscle chak lohna (outlet dysfunction constipation) a awm bawk. Heng thau te hian bawlhhlawh paih chhuah nan a pui thin.
• Obstructed defecation syndrome (thil chhuah tikhawtlai thei dinhmun).
• Intestinal pseudo-obstruction (hun eng emaw chen chhunga bowel hnathawh tihtawp).
• Neurologic disorders , chu chu ruhro hliam, multiple sclerosis, Parkinson natna, leh stroke te hi a ni.
• Lazy bowel syndrome (intestine lian tak tak a chak lo hle).
• Intestinal tihkhawtlai a ni.
• Digestive system-a structure lama chhiatna (e.g., `(Fistula)`, `(Colonic atresia)`).
• Organ hrang hrang natna , entirnan `(Amyloidosis)`, `(Lupus)` leh `(Scleroderma)` te.
• Naupai lai.

Constipation symptoms te chu engte nge ni?

Constipation nei chuan a natna lan chhuahna a nei thei a, chungte chu:

• Kar khatah vawi thum aia tlem lo bathroom kal.
• A bawlhhlawh chu a vawt a, a khauh a, a lum bawk.
• Ek chhuah a har a, a na hle bawk.
• Pum na leh limp ang maiin a awm.
• Ka rilru a buai hle a, ka pum a khat ang mai hian.
• Bathroom-a ka luh hnu pawh hian ka pum chu a ruak kim lo ang maiin ka hria.

Tute nge constipation nei tam zawk? (Risk Factor hrang hrang) 1.1.

Kum eng pawh nise, a chang chuan constipation an nei thei. Mahse, mi thenkhat chuan he natna hi an nei chhunzawm zel (`chronic constipation`) an nei tam zawk. Chutianga nghawng nei thilte chu:

• Kum: Kum 65 chunglam hi a tlangpuiin naupang zawkte aiin an thawkrim lo zawk a, an metabolism pawh a slow deuh a, digestive system-a muscle-te contraction strength pawh a tlahniam thei bawk.
• Hmeichhia nih, a bik takin naupai lai leh nau neih hnuah: Hormone inthlak danglamna hian chaw ei kham a thlen thei. Naupai lai hian nausen pum chhunga naute hian intestines a nawr thei a, ek kalna pawh a ti slow thei bawk.
• Fiber tamna ei tlem.
• Damdawi thenkhat hman dan.
• Thluak lam natna thenkhat (thluak leh ruhro natna) leh chaw ei kawng natna te awmna.

Constipation hian hriselna lama harsatna dang a thlen thei em?

Ni e, bawlhhlawh chu a hun taka kal loh chuan harsatna engemaw zat a awm thei.

• Rectum chhunga veins te a hring leh a inflammation (hemorrhoids).
• Hard stool pass tum hian anal fissures (anus vunah crack) a awm thin.
• Intestine lian bang chhunga lo awm pouch te tak te (diverticula) chhunga bawlhhlawh infection (diverticulitis).
• Rectum leh anus-ah bawlhhlawh tam tak a awm khawm (Fecal impaction).
• Bathroom kal laiin straining hian pelvic floor muscles a tichhe thei a ni. Heng muscle te hian bladder function control nan a pui bawk. Hun rei tak straining hian bladder atanga zun a chhuah tir thei bawk (stress urinary incontinence).

Pawimawh: Constipation hian a tlangpuiin i taksaah toxins a siam khawm a, a ti na lo. I colon hi bawlhhlawh a vawng thei a, a zau thei bawk. Mahse, colon natna khirh tak (``Toxic Megacolon'' ang chi) i neih loh chuan a bang atang hian toxins a leak lo.

Hemi chungchang hi doctor i biak hian eng nge thleng thin?

Doctor emaw, mi dang emaw nena i toilet hman dan (a nih loh leh i neih loh!) chungchang sawi chu thil harsa tak a ni thei. Mahse, i doctor chu pui turin a awm reng tih hre reng ang che. Medical professional trained an ni a, damlote nen pawh health topic i ngaihtuah theih apiang an sawipui tawh bawk. Doctor chuan i damdawi lam chanchin, toilet i hman dan, i nunphung, leh nitin nunphung chungchâng zawhna a zawt hmasa ang che .

Medical history chungchanga zawhna awmte chu:

• Tunah hian eng natna nge i neih leh tun hmaa i lo neih tawh?
• Tun hnaiah i thau lo emaw i tipung emaw em?
• Tun hmain digestive system surgery i nei tawh em?
• Constipation emaw natna dang emaw tihdam nan eng damdawi leh supplement nge i ei thin?
• I chhungkuaah hian chaw ei kham, chaw ei kawng natna, emaw, colon cancer emaw nei tawh an awm em?
• ``(Colonoscopy)'' i nei tawh em?

Toilet hman dan chungchanga zawhna:

• Toilet ah engzat nge i kal thin?
• I poop chu eng ang nge a nih? (a rawng, a inmil) .
• I bawlhhlawh chhungah thisen emaw, sen hring emaw i hmu tawh em?
• Toilet seat-ah emaw, toilet paper-ah emaw i silfai hnuah thisen i hmu ngai em?

Nunphung leh tih dan chungchanga zawhnate:

• Ni pangngaiah eng nge i ei thin?
• Thlai leh thlai engzat nge i ei?
• Tui engzat nge i in thin?
• Engtin nge i exercise tih dan?

Hei bakah hian doctor hian taksa enfiahna a nei ang. Hei hian i temperature, pulse leh blood pressure te lak a huam ang. Stethoscope hmangin i pum thawm chu a ngaithla ang. I pum pawh a palpate ang a, i natna, a hring emaw, a hring emaw a awm leh awm loh a enfiah ang.

I doctor hian rectal exam pawh a ti thei tih hre reng ang che. Hei hi test rang tak a ni a, kut zungtang hmanga hriat theih a ni a, lumps emaw harsatna dang emaw a awm leh awm loh enfiah theih a ni.

Constipation awm chhan hriat nan eng test nge tih thin?

I doctor chuan test engmah a ti lo mai thei a, test leh procedure hrang hrang a order thei bawk. Hei hi i natna lan chhuah dan, i damdawi lam chanchin, hriselna zawng zawng leh doctor-in a chhan nia a hriat danah a innghat ang. A tam zawkah chuan diagnosis siam nan test dang tih belh a ngai lo. Mahse, i doctor chuan i natna lan chhuah dan azirin test tam zawk tih a tum mai thei.

• Lab test: Thisen leh zun test hian hypothyroidism, thisen tlakchhamna, leh zunthlum ang chi natna a hriat theih. Stool sample chu natna hrik, inflammation, leh cancer chhinchhiahna te enfiah theih a ni.
• Imaging test: I doctor chuan CT scan, MRI scan, emaw lower gastrointestinal tract series emaw a order thei a, chu chuan i constipation thlentu harsatna dang a zawng thei ang. Mahse, hengte hi order a ni tlangpui lo.
• Colonoscopy: Doctor chuan ``Colonoscopy`` emaw ``Sigmoidoscopy`` emaw a ti thei - hei hian camera (``scope``) hmanga tube chu rectum chhungah dahin intestine lian chhung a en a ni. Hemi chhung hian cancer emaw harsatna dang emaw enfiah nan tissue sample (``Biopsy``) lak theih a ni a, polyp eng pawh, a awm chuan lakchhuah theih a ni bawk.
• Colorectal transit studies: Heng test-ah hian radioactive substance tlemte, pill angin emaw, ei tur nen emaw i ei a, chutah chuan i intestines kal tlanga a kal hun leh a kal dan chu enfiah a ni.
• Bowel function test dang: I doctor chuan i hnute leh i rectum hian engtin nge stool an chelh dan leh an hnawhchhuah dan tur test a ti thei ang. Chung zingah chuan X-ray test bik defecography (outlet dysfunction leh constipation zawngna atana hman), leh i hnute chhunga balloon te tak te dah luh (balloon expulsion test leh anorectal manometry) te a tel.

Engtin nge constipation atanga relief kan hmuh theih ang?

Mild to moderate constipation tam zawk hi chu in lamah enkawl theih a ni. Mahni invenna hi i ei leh in tur ngaihtuah a, a tul anga inthlak danglamna siam atanga tan a ni. Chhawmdawlna nghal tur chuan in lama i tih theih thilte:

• Ni khatah tui glass hnih atanga pali vel in tur a ni. Caffeinated drinks leh zu in loh tur a ni a, chu chuan taksa a tichhe thei a ni. Tin, thei in tur leh in tur thlum tak tak te pawh tihtlem bawk ang che.
• Sa processed, eitur thau tak tak, leh carbohydrates refined, chhang var, pasta, leh potato te ei loh tur. Sa thau lo, vawk leh thau tlem nei dairy products te ei thin ang che.
• Nitin eitur ah thei, thlai, legumes, whole grains leh fiber tamna ei tur dangte telh bawk ang che. Sa, artui, leh cheese ang chi ei tur thau tamna tihtlem.
• Prunes, bran cereal, leh fiber tamna thei chi hrang hrang, orange, pineapple, strawberry, mango, avocado, leh papaya te ei rawh.
• Food diary ziak la, eng ei tur nge constipation thlentu tih hriat chian rawh.
• Insawizawi. Kea kal ang chi thil awlsam tak pawh hian a pui thei a ni.
• Toilet-a i thut dan tur ngaihtuah rawh. I ke tlem han chawi sang emaw, hnunglam hawi emaw, ke cross-a thut emaw hian stool pass a awlsam phah thei.
• Damdawi dawr atanga fiber supplement (Metamucil®, MiraLAX®, Citrucel®, emaw Benefiber® ang chi) ei tum ang che. Hengte hi tan tirh hian a te atanga tan a tha ber.
• A tul chuan damdawi dawr atangin stool softener emaw laxative (Docusate ang chi) emaw ei tur a ni. Mineral oil enemas leh stimulant laxatives te pawh hi duhthlan tur a ni. Laxative chi hrang hrang a awm a. I pharmacist emaw doctor emaw hnenah i tana tha tur thlang turin tanpuina dil rawh. Doctor rawn hmasa lovin kar hnih aia rei laxatives hmang suh. Laxatives hman tam lutuk hian i symptoms a ti na zual thei.
• Toilet kal tum hian chanchinbu emaw phone emaw ang chi thil hmang suh.
• Bathroom pan a ngai nia i hriat hunah insum suh. Chutianga i tih chuan i colon atanga i thluak thlenga signal lo lut chu a block thei a (defecate turin a hrilh che a ni).

Damdawi leh supplement-ah fimkhur rawh.

Mahni invenna bakah hian i doctor chuan i damdawi leh supplement i ei (i ei a nih chuan) te pawh a en bawk ang. Chung zinga ṭhenkhat chuan constipation a thlen thei. Chutiang a nih chuan, i doctor chuan a dose thlak danglam emaw, damdawi dang hman emaw, supplement chu tihtawp emaw a rawt thei ang. I doctor nen inbiakna hmasa lovin i damdawi emaw supplement emaw ei kha titawp ngai suh.

Prescription constipation damdawi

Doctor-te’n constipation enkawlna atana an pek damdawi chi hrang hrang a awm a:

• `(Lubiprostone (Amitiza®))) tih a ni
• `(Prucalopride (Prudac®, Motegrity®)) hmanga siam chhuah a ni
• `(Plecanatide (Trulance®)) hmanga siam a ni
• `(Lactulose (Cephulac®, Kristalose®)) tih a ni
• `(Linaclotide (Linzess®)) tih a ni

I test result a zirin i doctor chuan i tana tha ber damdawi a thlang ang.

Inzai

Constipation enkawlna atan hian surgery a ngai tlem hle. Mahse, i constipation hi i colon structural problem avanga lo awm a nih chuan i doctor chuan operation neih a rawt thei ang. Entir nan:

• Intestinal tihkhawtlai a ni.
• Intestine hmun thenkhat a tawi (Intestinal stricture).
• Anal fissure a awm.
• Rectal prolapse chu rectum thenkhat chu vagina chhunga rawn chhuak a ni.

Outlet dysfunction constipation thlentu condition thenkhat chu operation hmanga enkawl theih a ni. Hei hi test zawhah chauh sawi theih a ni. Tin, colonoscopy hmanga i colon, rectum, emaw anus-ah cancer i nei tih a hriat chuan operation i mamawh mai thei bawk.

Engtin nge constipation i ven theih ang?

Constipation enkawlna atana hman thin in lama damdawi ang chiah hi harsatna rei tak a nih loh nan hman theih a ni bawk:

• Fiber tamna ei leh in inthlau tak ei rawh. Thei, thlai, legumes, nut, leh whole-grain chhang leh cereal te hi fiber awmna tha tak a ni. Fiber leh tui hian i colon kaltlangin bawlhhlawh a kal tir thin. Thei tam zawk hian an vunah fiber an nei a. Thlai chi nena ei theih (strawberry ang chi) hian fiber a pai tam hle. Bran pawh hi fiber tha tak a ni. Bran cereal ei la, a nih loh leh soup leh yogurt ang chi ei tur ah bran telh bawk ang che. Constipation nei te chuan ni khatah fiber gram 18 atanga 30 inkar ei tur a ni. (Diverticulitis i vei chuan i doctor chuan thei chi hrang hrang ei loh turin a fuih thei che a ni.)
• Ni khatah tui 8-ounce glass 8 in thin ang che. (Hriat tur: Mi thenkhat chuan bawnghnute an in hian constipation an nei thei.) Caffeine awmna in tur coffee, tea leh soft drink te hian tui a tichhe thei che a ni. I toilet hman dan pangngai a lo awm leh hma loh chuan hengte hi i in tawh lo mai thei.
• Exercise neih fo thin ang che. A tam a ngai lo, kea kal ringawt pawhin a pui nasa hle.
• Magnesium ang chi supplement hi constipation atan hman theih a ni. (Mi zawng zawng hian magnesium hi ei tur a ni lo. I ei hmain doctor zawt hmasa phawt ang che.)
• Bathroom-a kal i mamawh hunah chuan ti rawh. Tikhawtlai suh.

Engtikah nge Doctor ka hmuh ang?

Chutiang hunah chuan doctor i pan ngei tur a ni:

• Constipation hi i tan harsatna thar a nih chuan.
• I ek chhungah thisen i hmuh chuan.
• Tum loh vanga i taksa rihna i tihtlem chuan.
• Toilet kal dawna natna nasa tak i neih chuan.
• I constipation hi kar thum aia rei a nih chuan.
• `Outlet dysfunction constipation` tih lanchhuahna i neih chuan.

Doctor hnenah eng zawhna nge i zawh tur?

Doctor i hmuh hian hetiang zawhna hi i zawt thei ang:

• Engvangin nge ka constipated?
• Constipation atanga instant relief ka hmuh theih nan eng nge ka tih theih/ka lak theih ang?
• Eng in lama enkawlna nge i rawt?
• Constipation ven nan eng nge ka ei leh in tur?
• Engtin nge constipation hi ka ven theih ang?

I toilet hman dan leh i ngaihtuahna emaw zawhna emaw i neih apiang chu i doctor hnenah inhawng tak leh rinawm takin sawi rawh. Toilet kal hi kan zavaia tih tur a ni. Constipation hi hun rei lote chhunga awm, hun rei tak chhunga harsatna awm thei, a nih loh leh natna khirh zawk chhinchhiahna a ni thei. Chuvangin him takin awm rawh. Doctor pan rawh, a bik takin i toileting pattern a inthlak danglam tih i hriat chuan emaw, i rilruin i nun a thunun nia i hriat chuan.

Thil pawimawh ber (Take-Home Message) hre reng ang che .

Chuvangin, constipation hi mi tam tak natna a ni a, mahse a tlangpuiin in lamah enkawl theih a ni. A pawimawh ber chu tui in tam te, fiber tamna diet ei te, exercise lak te, bathroom kal hun sawn loh te hi a ni. A châng chuan, damdawi kan ei emaw, damdawi lam thil dang emaw avânga lo awm thei a ni. Chuvangin, he harsatna hi i neih chhunzawm zel a nih chuan, emaw, thisen chhuah ang chi natna hlauhawm tak i neih chuan doctor pan ngei ngei tur a ni a, thurawn la rawh. Zak tur leh hlauh tur a awm lo, a chhan chu i hriselna hi a pawimawh ber a ni!

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` Kawngkhar, riltam, ek a vawt, toilet kal harsa, fiber, chaw ei, hriselna