Tonsefe tikudziwa momwe zimakhalira zosasangalatsa kudzimbidwa kwa tsiku limodzi kapena awiri. Koma taganizirani zomwe zingachitike ngati vutoli lipitirira kwa miyezi ingapo? Ndicho chimene timachitcha "Chronic Constipation". Izi n'zosasangalatsa kwambiri ndipo zingasokoneze zochita za tsiku ndi tsiku. Choncho lero, tiyeni tikambirane za zomwe zingachite ndi kudzimbidwa kosalekeza kumeneku.
Tisanayambe kumwa mankhwala, kodi tiyenera kuyesa kaye zinthu izi?
Mukapita kukaonana ndi dokotala, sadzakupatsani mankhwala nthawi yomweyo koma choyamba adzakuuzani kuti musinthe zina mwazochita zanu za tsiku ndi tsiku. Chifukwa nthawi zambiri kusintha kosavuta kumeneku kumatha kuthetsa vutoli.
- Idyani zakudya zambiri zokhala ndi ulusi wambiri: Mwachidule, onjezerani ndiwo zamasamba , zipatso , nyemba, ndi tirigu wambiri muzakudya zanu. Zobiriwira zamasamba monga sipinachi, kale, ndi masamba a collard, zipatso monga papaya, nthochi, ndi mango, oats, ndi nyemba zonse ndi zosankha zabwino. Ndikofunikanso kuchepetsa zakudya zomwe zili ndi ulusi wochepa, monga mkaka ndi nyama.
- Imwani madzi ambiri: Madzi ndi ofunikira kuti kugaya chakudya kugwire bwino ntchito. Kuti matumbo athu aziyenda bwino, thupi liyenera kukhala ndi madzi okwanira. Khalani ndi chizolowezi chomwa madzi osachepera malita 2-3 patsiku.
- Kuchita Maseŵera Olimbitsa Thupi: Mukachita maseŵera olimbitsa thupi, minofu ya m'mimba mwanu imayamba kugwira ntchito, zomwe zimathandiza kuti ndowe yanu iyende m'matumbo mosavuta. Ngati dokotala wanu alola, yesani kuchita maseŵero osavuta monga kuyenda masiku angapo pa sabata.
- Musazengereze kupita kuchimbudzi: Anthu ena, kaya kuntchito kapena panja, amazengereza kupita kuchimbudzi, mwina chifukwa chosowa chochita kapena pazifukwa zina. Ichi ndi chizolowezi choipa kwambiri. Pitani kuchimbudzi mukangomva kufunikira. Komanso, musafulumire, tengani nthawi yanu ndikuchita.
Kawirikawiri, kusintha kumeneku kokha kungakhale yankho labwino pa vuto lanu. Koma ngati sichoncho, mungafunike chithandizo china. Mtundu wa chithandizo udzadalira chifukwa cha kusabereka kwanu.
Kodi Kuphunzitsa Minofu ya Pelvic ndi Chiyani?
Nthawi zina kudzimbidwa kumachitika chifukwa cha minofu ya m'chiuno yomwe imakuthandizani kutuluka chopondapo. Kunena zoona, minofu imeneyi iyenera kumasuka mukamachita chimbudzi. Koma kwa anthu ena, minofu imeneyi imalimba. Izi zitha kuphunzitsidwanso mothandizidwa ndi katswiri wa zamaganizo. Maphunziro awa amatchedwa "biofeedback." Pano, katswiri wa zamaganizo amaika chubu chaching'ono chotchedwa catheter mu rectum yanu. Chimayesa kulimba kwa minofu yanu. Mukamachita masewera olimbitsa thupi, makina amakuwonetsani ngati minofu yanu ndi yolimba kapena yomasuka. Izi zingakuthandizeni kuphunzira momwe mungamasulire minofu yanu mukamachita chimbudzi.
Mayankho ochokera ku mankhwala
Ngati kusintha kwa moyo wanu sikuthandiza, dokotala wanu angakupatseni mankhwala. Pali mitundu ingapo ya mankhwala. Ngati kudzimbidwa kwanu kumachitika chifukwa cha irritable bowel syndrome (IBS) kapena chronic idiopathic constipation, dokotala wanu angakupatseni mankhwala monga lubiprostone (Amitiza). Izi zimagwira ntchito popangitsa matumbo anu kupanga madzi ambiri. Kenako:
- Kupweteka m'mimba kumachepa.
- Akufa amakhala ofewa.
- Kupanikizika panthawi yoyenda m'mimba kumachepa
- Kuchuluka kwa nthawi zomwe mumapita kuchimbudzi kumawonjezeka.
Mankhwala monga `linaclotide (Linzess)` ndi `plecanatide (Trulance)` amagwiritsidwanso ntchito pazochitika zotere. Kuphatikiza apo, kutengera chifukwa chake, dokotala angakupatseni mankhwala ena. Mwachitsanzo:
- `Misoprostol (Cytotec)`: Izi zimalimbitsa matumbo. Mankhwalawa si oyenera amayi apakati.
- `Colchicine/probenecid (Col-Probenecid): Imawonjezera kuchuluka kwa matumbo. Izi sizikulimbikitsidwa kwa anthu omwe ali ndi matenda a impso.
- `OnabotulinumtoxinA ( Botox )`: Izi zimafewetsa khungu ndikuchepetsa ululu.
Mitundu ya Mankhwala Oletsa Kutupa
Mungayesenso mankhwala otseketsa (
mankhwala otseketsa ). Koma awa ayenera kugwiritsidwa ntchito
kwa kanthawi kochepa kokha komanso motsogozedwa ndi dokotala. Mitundu yosiyanasiyana ya mankhwala otseketsa imagwira ntchito m'njira zosiyanasiyana. Tiyeni tiwone zomwe zili.
| Mtundu wa mankhwala otsekereza | Momwe imagwirira ntchito ndi zitsanzo |
|---|
| Zowonjezera za Ulusi | Izi zimawonjezera ndowe ndikuwonjezera kukula kwake, zomwe zimapangitsa kuti zikhale zosavuta kutuluka. Mwachitsanzo: Psyllium (Metamucil), Methylcellulose (Citrucel), Calcium polycarbophil (FiberCon). |
| Zofewetsa Chidendene | Amakoka madzi m'matumbo ndikuwawonjezera ku ndowe kuti afewetse. Izi zimathandiza kuti ndoweyo isaume ngati mwala. Mwachitsanzo: Docusate sodium (Colace), Docusate calcium (Surfak). |
| Mafuta odzola | Izi zimapanga gawo loteteza mafinya, zomwe zimathandiza kuti asataye madzi ake ndikuthandiza kuti atuluke mosavuta. Mafuta a mchere ndi chimodzi mwa zinthu zimenezi. |
| Osmotics | Izi zimathandiza kusunga madzi mu ndowe. Izi zimathandiza kuti ndowe ikhale yofewa. Komabe, anthu omwe ali ndi matenda a mtima kapena impso ayenera kusamala kwambiri akamagwiritsa ntchito izi. Mwachitsanzo: Magnesium hydroxide (Mkaka wa Magnesia), Lactulose (Kristalose), Polyethylene glycol (Miralax). |
| Zolimbikitsa | Izi zimathandiza kuti matumbo azigwira ntchito komanso kukankhira ndowe patsogolo. Madokotala nthawi zambiri amalimbikitsa izi ngati njira zina zochiritsira zalephera. Mwachitsanzo: Bisacodyl (Dulcolax), Senna (Senokot). |
Kumbukirani, mitundu iyi ya mankhwala otsekereza mimba siilimbikitsidwa kugwiritsidwa ntchito kwa nthawi yayitali popanda upangiri wa dokotala. Kuchita izi kungapangitse thupi lanu kutaya mphamvu zake zotulutsa ndowe mwachizolowezi.
Kodi opaleshoni imafunika liti?
Ngati njira zina zonse zothandizira sizikuthandizani kudzimbidwa kwanu, opaleshoni ikhoza kukhala njira yomaliza. Koma izi si zomwe aliyense angachite. Zimatengera chomwe chikuyambitsa vuto lanu. Mwachitsanzo, ngati muli ndi vuto m'matumbo anu, kutuluka kwa rectal, kapena kusweka kwa anal, opaleshoni ikhoza kukonza vutoli. Komanso, ngati gawo la m'matumbo anu silikugwira ntchito bwino ndipo likuyambitsa kudzimbidwa kwanu, opaleshoni ikhoza kuchotsa gawolo. Izi nthawi zambiri zimachitika kawirikawiri. Chifukwa chake dokotala wanu yekha ndiye adzadziwa bwino.
Uthenga Wopita Nawo Kunyumba
- Kudzimbidwa kosatha si chinthu choyenera kunyalanyazidwa. Ndikofunikira kwambiri kupeza chomwe chimayambitsa vuto lenileni.
- Musanayambe kumwa mankhwala, yesani zinthu zosavuta monga kuwonjezera ulusi muzakudya zanu, kumwa madzi ambiri, komanso kuchita masewera olimbitsa thupi.
- Ngati mugwiritsa ntchito mankhwala otsekereza mimba, chitani izi pokhapokha ngati dokotala wakupatsani upangiri ndipo kwa nthawi yochepa. Kugwiritsa ntchito nthawi zonse kungayambitse mavuto ena.
- Ngati palibe chilichonse mwa izi chomwe chikugwira ntchito, musachite mantha kapena kuchita manyazi kulankhula ndi dokotala wanu za vutoli. Iye adzakupatsani chithandizo choyenera kwambiri.
Kudzimbidwa, kudzimbidwa kosatha, chithandizo cha kudzimbidwa sinhala, mankhwala ochizira kudzimbidwa, mankhwala oletsa kutupa,
mankhwala oletsa kutupa ( mankhwala oletsa kutupa ) sinhala, zomwe zimayambitsa kudzimbidwa
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