Kodi nthawi zambiri mumakhala ndi kupweteka m'mimba? Kodi nthawi zambiri mumamva kupweteka m'mimba, kumva kukhuta m'mimba? Kapena mwatopa ndi ululu waukulu womwe umabwera ndi msambo? Mukapita kukaonana ndi dokotala mu mkhalidwe wotere, pali mtundu wa mankhwala omwe angakupatseni kuti muchepetse ululu wamtunduwu. Mtundu wa mankhwala amenewo, omwe ndi antispasmodics, ndi omwe tikambirana m'nkhaniyi lero.
Mwachidule, kodi mankhwala oletsa kupanikizika awa ndi chiyani?
Chabwino, tiyeni tinene motere. Ziwalo zomwe zili mkati mwa matupi athu, mwachitsanzo, matumbo, m'mimba, chikhodzodzo, chiberekero, zimapangidwa ndi minofu yapadera. Timatcha minofu yosalala iyi. Iyi si minofu yomwe ili m'manja ndi miyendo yathu yomwe timayilamulira ndi malingaliro athu, iyi ndi yomwe imachita yokha.
Nthawi zina, pazifukwa zosiyanasiyana, minofu yosalala iyi imayamba kugwedezeka mosafunikira kapena mwamphamvu kuposa momwe zimafunikira (kugwedezeka kapena kupweteka m'mimba). Pamenepo ndi pamene timamva izi ngati kupweteka m'mimba kapena kupweteka m'mimba.
Mankhwala oletsa kupweteka kwa minofu amagwira ntchito pomasula minofu yosalala yolimba komanso yopapatiza. Minofu ikamasuka, ululu ndi kusasangalala komwe imayambitsa kumachepa.
Kodi madokotala amagwiritsa ntchito mankhwalawa pazochitika ziti?
Mankhwala oletsa kupweteka m'mimba amagwiritsidwa ntchito makamaka pochiza ululu womwe umabwera chifukwa cha kupweteka kwa minofu m'mimba ndi mkodzo. Tiyeni tiwone momwe mankhwalawa amagwiritsidwira ntchito kwambiri.
| Mkhalidwe/Nthawi | Kufotokozera kosavuta |
|---|---|
| Matenda a m'mimba okwiya (IBS) | Matenda omwe amadziwika ndi zizindikiro zosiyanasiyana monga kupweteka m'mimba, kudzimbidwa, kudzimbidwa, ndi kudzimbidwa. Mankhwalawa amaperekedwa kuti achepetse ululu womwe umabwera chifukwa cha minofu ya m'matumbo kugwira ntchito mopitirira muyeso. |
| Kupweteka kwa m'matumbo | Ululu wobwera chifukwa cha kupsinjika kwa minofu ya m'matumbo chifukwa cha zifukwa zosiyanasiyana. |
| Kupweteka kwa msambo | Kuchepetsa ululu waukulu womwe umabwera chifukwa cha minofu ya chiberekero yomwe imakokana kwambiri panthawi ya msambo. |
| Kupweteka kwa ndulu / biliary colic | Ululu waukulu womwe umabwera chifukwa cha kupsinjika kwa minofu mu ndulu chifukwa cha miyala ya ndulu kapena zifukwa zina. |
| Chikhodzodzo chogwira ntchito mopitirira muyeso | Zinthu monga kukodza pafupipafupi komanso kuvutika kulamulira mkodzo chifukwa cha kukokana pafupipafupi kwa minofu ya chikhodzodzo. |
Kuphatikiza apo, nthawi zina mankhwalawa amaperekedwa ngati jakisoni kuti athetse minofu ya m'mimba musanayesedwe mayeso ena azachipatala, monga endoscopy.
Chabwino, kodi mankhwalawa amagwira ntchito bwanji mkati mwa thupi?
Pali njira zingapo zomwe mankhwala oletsa kupweteka kwa minofu amagwirira ntchito. Tiyeni tiwone njira zazikulu.
1. Mankhwala oletsa kupweteka kwa minofu ya m'mimba
Uwu ndi mtundu wa mankhwala oletsa kutsekeka kwa mitsempha omwe amagwiritsidwa ntchito kwambiri m'dziko lathu komanso padziko lonse lapansi. Mankhwalawa amatchedwanso anticholinergics .
Mwachidule, ubongo wathu ndi dongosolo lathu la mitsempha zimatumiza uthenga wa mankhwala (neurotransmitter) ku minofu yathu kuti "zichepetse." Zimene mankhwalawa amachita ndikuletsa chizindikiro kuchokera ku dongosolo la mitsempha la parasympathetic lomwe limanyamula uthengawo. Zili ngati kudula chizindikiro foni ikalowa. Kenako minofu yosafunikira imasiya kugwira ntchito, ndipo ululu umachepa.
2. Mankhwala omwe amakhudza minofu mwachindunji (Direct smooth muscle relaxants)
Mankhwala amtunduwu amakhudza mwachindunji maselo a minofu m'matumbo athu. Calcium ndi yofunika kwambiri kuti minofu ichepetse. Chomwe mankhwalawa amachita ndikuletsa calcium kulowa m'maselo a minofu. Popanda calcium, minofu singathe kufupika mwamphamvu, kotero imapumula. Makapisozi a mafuta a peppermint ndi chitsanzo chabwino cha chinthu chachilengedwe chomwe chimagwira ntchito motere.
3. Zoletsa njira za calcium
Mankhwala amtundu uwu amaletsanso kulowa kwa calcium, yomwe imafunika kuti minofu ichepetse. Komabe, chifukwa izi zimakhudzanso minofu m'mitsempha yathu yamagazi, ku Sri Lanka amagwiritsidwa ntchito kwambiri pa matenda amtima monga kuthamanga kwa magazi.Izi sizimaperekedwa kawirikawiri chifukwa cha kupweteka m'mimba.
Kodi ndi mankhwala ati a antispasmodic omwe amaperekedwa nthawi zambiri?
Nazi zina mwa mankhwala oletsa spasmodic omwe dokotala angakupatseni:
- Dicyclomine
- Hyoscyamine
- Atropine
- Scopolamine
- Tolterodine
- Oxybutynin
Chofunika kwambiri: Mankhwala awa ndi omwe ayenera kumwedwa pokhapokha ngati dokotala wakuuzani. Musagwiritse ntchito mankhwalawa popanda upangiri wa dokotala, kaya ndi chifukwa choti mnzanu wakuuzani, kapena chifukwa choti munayesapo kale. Chifukwa chake ndi chakuti dokotala wanu ayenera kusankha mankhwala abwino komanso mlingo woyenera wa zizindikiro zanu.
Kodi pali zotsatirapo zilizonse pa mankhwalawa?
Monga mankhwala ena aliwonse, mankhwalawa angayambitse zotsatirapo zazing'ono mwa anthu ena, koma si aliyense amene amalandira.
| Mtundu wa mankhwala | Zotsatirapo zomwe zingatheke |
|---|---|
| Mankhwala oletsa kupweteka kwa minofu | Pakamwa ndi maso ouma, chizungulire, mutu, kusawona bwino, kusagwira bwino ntchito kwa mkodzo, kugunda kwa mtima mofulumira. Ngati muli ndi kudzimbidwa, muyenera kuuza dokotala wanu musanamwe mankhwalawa. |
| Mafuta a peppermint | Zotsatirapo zake sizimachitika kawirikawiri. Anthu ena amatha kutentha pamtima kapena nseru. |
Zotsatirapozi sizimachitika kwa aliyense. Ndipo nthawi zambiri sizimakhala zoopsa. Koma ngati mukumana ndi vuto linalake lachilendo kapena losasangalatsa mutamwa mankhwalawa, uzani dokotala wanu nthawi yomweyo.
Kodi mankhwala a Antispasmodic ndi Antispastics ndi ofanana?
Inde, apa ndi pomwe anthu ambiri amasokonezeka. Ngakhale kuti mankhwala onsewa ndi opumulitsa minofu, amakhudza mitundu iwiri ya minofu m'thupi lathu.
- Mankhwala oletsa kupweteka kwa minofu: Monga tafotokozera m'nkhaniyi, izi zimakhudza minofu yosalala yomwe imagwira ntchito mwachibadwa m'thupi, monga matumbo ndi chiberekero.
- Mankhwala oletsa kupweteka m'mimba: Mankhwalawa amakhudza minofu ya mafupa yomwe imatithandiza kusuntha manja, miyendo, ndi thupi lathu, komanso kuti timalamulira maganizo athu. Mwachitsanzo, awa ndi mankhwala operekedwa chifukwa cha ululu wa msana, kupweteka kwa minofu, komanso kuuma kwa minofu pambuyo pa ngozi.
Chifukwa chake, mitundu iwiri iyi ya mankhwala ndi yosiyana kwambiri.
Ngati mukumva kupweteka m'mimba pafupipafupi, kudzimbidwa, kapena zizindikiro zilizonse zomwe takambiranazi, musamangomwa mankhwala momwe mukufunira, koma onani dokotala woyenerera kuti akupatseni upangiri. Iye adzakuyesani ndikukupatsani chithandizo chomwe mukufuna.
Uthenga Wopita Nawo Kunyumba
- Mankhwala oletsa kupweteka m'mimba ndi mtundu wa mankhwala omwe amamasula minofu yosalala m'ziwalo zomwe zili m'thupi lathu.
- Izi zimagwiritsidwa ntchito makamaka pa matenda monga kupweteka m'mimba, IBS, kupweteka kwa msambo, ndi mavuto a chikhodzodzo.
- Pali mitundu ingapo ya mankhwala awa, koma omwe amagwiritsidwa ntchito kwambiri ndi antimuscarinics.
- Musagwiritse ntchito mankhwalawa popanda upangiri wa dokotala. Dokotala wanu yekha ndiye amadziwa mankhwala abwino kwambiri pa vuto lanu.
- Ngati mukumwa mankhwala a matenda ena (makamaka kudzimbidwa, matenda a mtima), onetsetsani kuti mwadziwitsa dokotala wanu.
- Ngati mukukumana ndi zotsatirapo zoyipa kapena zachilendo mutamwa mankhwalawo, funsani dokotala nthawi yomweyo.
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