Toilet i kal hian harsatna leh hrehawmna i tawk bawk em? I ek i pass hnuah pawh i pum chu a hring vek lo ang maiin i hria em? I bawlhhlawh chu lungpui ang maiin a vawt a, a khauh em ? Hengte hi kan hriat vek tawh, constipation symptom lian ber berte chu an ni. Hei hi a takah chuan dinhmun nuam lo tak a ni.
Vawi tam tak chu kan nunphung inthlak danglamna tenau te hian chaw ei kham buaina chu a chinfel sak thei a ni. Entirnan, fiber tamna ei tur (legumes, thlai, thei, brown rice) ei tam te, ni khata tui in tam te, exercise lak te hian danglamna nasa tak a thlen thei a ni. Mahse, heng zawng zawng i tih zawh hnu pawha he harsatna hi i la neih chuan, a dawt leh tur atan laxative hman duhna i neih chu thil pangngai a ni.
Heng laxatives te hi engte nge ni? Tuin nge mamawh?
A awlsam zawngin sawi ila, laxatives hi i constipated laiin stool pass awlsam zawkna atana puitu damdawi a ni. Damdawi dawr eng pawhah counter atanga lei theih a ni tlangpui. Hming hrang hrangin an kal thei a, chu chu laxatives , stool softeners, a nih loh leh fiber supplement te hi a ni.
A tlangpuiin mi pakhatin laxative a mamawh theihna tur dinhmun engemaw zat a awm a:
- Occasional constipation: I nunphung tihdanglam hnuah pawh a tha lo fo thin constipation tan.
- Damdawi lam harsatna rei tak: Mi thenkhat chuan hun rei tak damdawi lama harsatna an tawh avangin chaw ei khamna an nei thei a, chu chu Crohn’s disease emaw ulcerative colitis emaw a ni thei.
- Damdawi lam test atana inbuatsaih: A chang chuan, endoscopy emaw colonoscopy emaw ang chi, intestine inrawlhna test hma hian laxatives pek a ni a, chu chuan intestines chu a tifai vek a (bowel cleanse).
Mahse, laxatives hi constipation nei zawng zawng tan a tha lo tih hre reng ang che. Nu naupai i nih chuan doctor rawn hmasa lovin hmang ngai suh. Tin, naupang tê tête chu naupang enkawltu doctor rawtna tel lo chuan laxatives pe suh. Condition dang damdawi i ei a nih chuan i hman hmain i doctor nen inbiakna neih hmasa phawt ang che, laxative thenkhat chuan chu damdawi te nen chuan an inzawm thei a ni.
Laxative chi hrang hrang leh a hnathawh dan
Laxatives hian kan digestive system hi kawng hrang hrangin a nghawng a, stool pass a awlsam phah bawk. A chi thenkhat chuan bawlhhlawh atanga tui an hip lut a, a ti nem zawk thin. Mi dangte chuan intestine-a muscle te chu an tichak a, stool chu hnuai lam pan turin an pui bawk. Laxative chi hrang hrang hi han thlir ila.
| Laxative chi khat a ni | A hnathawh dan | Entirnan |
|---|---|---|
| Bulk-forming Laxatives (Fiber supplement) te hi a tha ber pawl a ni. (Pangpar lian tham tipungtu chi) . | Hengte hian stool-ah soluble fiber an dah belh a, taksa atangin tui a la chhuak a, a lianin a nem zawk a ni. Stool a lian deuh deuh chuan intestines a tichak a, stool pass turin a pui bawk. Hengte hi a soft ber type an ni. | A rilru a hah lutuk chuan a rilru a buai em em a, a rilru a hah lutuk chuan a rilru a buai em em bawk a. |
| Osmotic Laxatives hmanga tihdam theih a ni (Intestines chhunga tui luhtir chi) . | Tui hi taksa peng dang atanga lak chhuah a ni a, colon lam pan a ni. He tui khawlkhawm hian bawlhhlawh chu a ti nem a, kal pawh a awlsam phah hle. | A rilru a hah lutuk chuan a rilru a buai em em a, a rilru a hah lutuk chuan a rilru a buai em em bawk a |
| Stool Tithianghlimtu Laxatives te (Stool softener chi hrang hrang) . | Chungte chuan bawlhhlawh tui leh thau a hip lut tam a, a ti nem a ni. | Docusate (Colace®) tih a ni. |
| Lubricant laxatives te pawh a awm (Lubricant chi hrang hrang) . | Hengte hian intestine lian chhungah coating ang maiin hna an thawk a, slippery feeling an siam thin. Chuvang chuan taksain ek chhungah tui a hip tlem a, chu chuan ek a ti nem zawk a ni. | Mineral oil hmanga siam a ni |
| Stimulant Laxatives te pawh a awm bawk (Intestines tichaktu chi) . | Anni hian colon ruh control tu nerve te an tichak a, intestinal movement (peristalsis) a siam a, stool chu a hnuai lamah a nawr bawk. Hengte hi chi dangin hna a thawh loh hunah a tha hle. | Bisacodyl (Dulcolax®) a ni a, Senna a ni |
Doctor-in a rawt laxatives te
Over-the-counter laxatives hian i chronic constipation a puih loh chuan i doctor chuan damdawi bik a pe thei ang. Hei hi IBS (Irritable Bowel Syndrome) ang chi natna nei emaw, natna tidamtu (opioids) hman avanga constipated nei tan chuan a pawimawh hle. Damdawi Lactulose (Duphalac®), Linaclotide (Linzess®), leh Lubiprostone (Amitiza®) te hi he category-ah hian an tel a ni.
Engtin nge laxative hi dik taka hman theih ang?
Laxative atanga hlawkna tam ber hmuh tur leh side effects tih tlem nan package insert hi uluk taka chhiar a, a sawi angin hman a pawimawh hle. I rilru hahdam thuai duh vang mai maiin a recommended dose aia tam ei ngai suh. Chutianga tih chuan rah chhuah hlauhawm tak a nei thei a ni.
Laxatives hi chi hrang hrang a awm a:
- Pills: Tablet emaw capsule emaw, ka atanga ei theih.
- Powder: Tui emaw, tui dang emawa hmin a, in tur powder.
- Liquids/Syrups: Damdawi tui tak, teh theih leh in theih.
- Suppositories: Damdawi capsule te tak te, a hmin thei, rectum chhunga dah thin.
- Enemas: Tube te tak te, rectum chhunga tui dah luh.
Suppositories leh enemas, rectum chhunga dah thin te hian minute emaw darkar emaw chhungin a ti hahdam thuai thin. Mahse, side effects, pum na leh riltam te pawh an keng tel bawk. Bulk-forming ang chi milder type te hian ni engemaw zat an thawk thei a, mahse side effect an nei tlem zawk.
Side effect leh risk te pawh i hrechiang ang u.
Laxatives hman dik loh emaw, rei tak emaw hman hian harsatna chi hrang hrang a thlen thei a ni.
- Dehydration: Taksa atanga tui la chhuak thei thil i hman hian a ruala tui i in loh chuan i taksa chu a dehydrated thei a ni.
- Electrolyte imbalance: Taksa chi leh tui inthlauhna a tibuai thei.
- Chronic constipation: Mak tak maiin stimulant laxatives hman chhunzawm zel hian intestinal muscles a tichak lo thei a, damdawi tel lo chuan bowel movement neih theih a ni lo.
- Natna hnuaia awm laka invenna:Laxatives hian constipation symptom atanga rei lo te chhung chauh a tidam thei. A chhan bulpui ber chu an enkawl lo. I constipation hi damdawi lam natna khirh tak vang a ni thei. Laxatives hman hian chu natna hriatchhuahna chu a tikhawtlai thei a ni.
Chuvangin, i constipated reng reng a, damdawi dawr atanga i lei damdawi hian a puih loh chuan a chhan hriat tumin doctor pan hmasa phawt tur a ni. Pum natna nasa tak emaw, luak chhuak nasa tak emaw i neih chuan damdawi in hnai ber emergency department (ETU) pan nghal tur a ni.
Take-Home Thuchah a ni
- Constipation atana enchhin hmasak ber chu laxatives enchhin ni lovin, nunphung tihdanglamna, high-fiber diet ei te, tui tam tak in te, exercise lak te hi a ni.
- Laxatives hi hun rei lote chhunga hman tur a ni. Hun rei tak hman chuan buaina a tizual thei a ni.
- Laxative eng pawh i hman hmain a kaihhnawih thupekte chu ngun takin chhiar la, zawm rawh. Dose rawt aia tam lo tur.
- Naupangte chu naupang enkawltu thurawn tel lo chuan laxatives pe ngai suh. Nu naupai leh nau hnute pe mekte pawhin damdawi lam thurawn an la tur a ni.
- I constipation hi a la awm reng emaw, a lo awm fo emaw a nih chuan, chu chu zak suh la, a chhan dik tak leh a enkawl dan dik tak hmu turin doctor pan hmasa phawt ang che.
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