Tiyeni tikambirane za kudzimbidwa. Kodi inunso muli ndi vuto ili?

Kupita kuchimbudzi m'mawa uliwonse kuti muchepetse matumbo anu ndi chinthu chofala kwambiri kwa anthu ambiri. Koma nthawi zina, kapena nthawi zambiri, zimakhala zovuta kwambiri kupita kuchimbudzi, sichoncho? Matumbo ndi ouma, ndipo zimakhala zovuta kwambiri kutulutsa ndowe . Kodi vuto limeneli limatchedwa `(Constipation)`, kapena monga momwe timalitchulira, "matumbo ouma" ndi chiyani kwenikweni? Tiyeni tikambirane za izi mwatsatanetsatane lero. Palibe chodetsa nkhawa nacho, ili ndi vuto lomwe anthu ambiri ali nalo.

Kodi kudzimbidwa ndi chiyani kwenikweni?

Mwachidule, kudzimbidwa ndi vuto lomwe chimbudzi chanu (chomwe chimadziwikanso kuti "chimbudzi") chimakhala chouma kwambiri, cholimba , komanso chovuta kudutsa m'matumbo anu. Anthu ena amaganiza kuti ngati simunapite kuchimbudzi tsiku lonse, mumadzimbidwa. Koma sizili choncho. Anthu ena amatha kupita kuchimbudzi kawiri kapena katatu patsiku, pomwe ena amatha kupita kamodzi pa masiku awiri aliwonse. Zimasiyana malinga ndi munthu aliyense.

Komabe, ngati muli ndi zinthu izi, zitha kukhala kudzimbidwa :

• Kuchotsa chimbudzi kosakwana katatu pa sabata.
• Kudzikakamiza komanso kukankha mwamphamvu pamene mukuchita chimbudzi.
• Chimbudzicho ndi chouma kwambiri, cholimba, komanso chokhala ndi ziphuphu (monga ndowe za mbuzi).
• Kumva ngati m'mimba mwanu simunatulutsemo chilichonse ngakhale mutapita kuchimbudzi.
• Nthawi zina vutoli likhoza kutsagana ndi kupweteka m'mimba komanso kutupa m'mimba.

Taganizirani ngati chitoliro cha madzi. Ngati china chake chalowamo, zimakhala zovuta kuti madzi adutsemo. Ndicho chimene chimachitika pamene ndowe zauma.

Kodi zizindikiro zazikulu za kudzimbidwa ndi ziti?

Monga tafotokozera kale, kudzimbidwa kungayambitse zizindikiro zosiyanasiyana. Si aliyense amene angakumane nazo mwanjira yofanana. Komabe, zizindikiro zodziwika bwino ndi izi:

• Kuchepa kwa matumbo: Monga tanenera kale, ngati mukupita kuchimbudzi kangapo kuposa masiku onse, makamaka katatu pa sabata, izi ziyenera kuganiziridwa.
• Kudzikakamiza: Kukhala pa chimbudzi kwa nthawi yayitali ndikudzikakamiza kwambiri ndiyo njira yokhayo yochotsera ndowe.
• Chimbudzi cholimba komanso chouma: Chimbudzi chimakhala ndi ziphuphu, ziphuphu, kapena zolimba kwambiri. Nthawi zina izi zingayambitse kuyabwa kwa m'makowa .
• Kutulutsa m'mimba mokwanira: Kumva ngati pali chinthu chomwe chakhala m'mimba ngakhale mutapita kuchimbudzi ndipo mukumva ngati pali china choti chichitike.
• Kupweteka m'mimba kapena kusasangalala: Mungamve chinthu chachilendo, nthawi zina chopweteka, m'mimba pansi.
• Kutupa ndi kutsekeka kwa mimba: Anthu ena amamva kukhuta m'mimba komanso kutsekeka kwa mimba pafupipafupi.
• Kwa ana:Nthawi zina ana mosadziwa amatha kutulutsa ndowe pang'ono m'kati mwa zovala zawo zamkati atagwira matumbo awo (encopresis). Izi zimachitika chifukwa cha kutuluka kwa ndowe yamadzimadzi mozungulira ndowe yolimba.

Chofunika kwambiri ndichakuti nthawi zina zimakhala zachilendo kukhala ndi chimodzi kapena ziwiri mwa zizindikirozi. Koma ngati zikupitirira kapena zikuwonjezeka, muyenera kuda nkhawa.

N’chifukwa chiyani timadzimbidwa? Kodi zifukwa zake n’zotani?

Palibe chifukwa chimodzi chokha chomwe chimayambitsa kudzimbidwa. Pali zinthu zambiri zomwe zimayambitsa kudzimbidwa. Tiyeni tiwone zomwe zimayambitsa kudzimbidwa.

1. Mavuto azakudya

• Zakudya zopanda ulusi wambiri: Izi nthawi zambiri zimakhala chifukwa chachikulu. Ulusi ndiye gawo losagayidwa bwino la chakudya chathu. Zimathandiza kudzaza ndowe zathu, kuzifewetsa, ndikuzipangitsa kuti zikhale zosavuta kuzichotsa. Zipatso , ndiwo zamasamba, nyemba, tirigu wonse (monga mpunga wofiirira, oats, ndi mpunga wofiirira) zonse ndi magwero abwino a ulusi. Ngati simuphatikiza izi muzakudya zanu, mumakhala ndi mwayi waukulu wodzimbidwa.
• Kusowa madzi: Ngati simumwa madzi okwanira patsiku, ndowe zanu zidzakhala zouma komanso zolimba. Madzi akumwa adzafewetsa ndowe zanu ndikuzipangitsa kuti zikhale zosavuta kudutsa m'matumbo anu.
• Kudya zakudya zambiri zokonzedwa: Zinthu monga Zakudya zophikidwa nthawi yomweyo, mabisiketi, makeke, ndi zakumwa zotsekemera zimakhala ndi ulusi wochepa komanso shuga ndi mafuta ambiri. Kudya izi mobwerezabwereza sikwabwino.

2. Zinthu zomwe zimakhudza moyo wa munthu

• Kusachita masewera olimbitsa thupi: Tikakhala pansi, matumbo athu amachepa. Kuchita masewera olimbitsa thupi tsiku lonse kungathandize kuti matumbo anu akhale olimba.
• Kunyalanyaza kufunika kopita kuchimbudzi: N'kulakwa kwambiri kuchedwa kupita kuchimbudzi mukafuna kutero, poganiza kuti, "Ndipita nthawi yochepa." Kuchita zimenezi kudzatulutsa madzi ambiri kuchokera ku ndowe m'matumbo mwanu, zomwe zimapangitsa kuti zikhale zovuta.
• Kusintha kwa zochita za tsiku ndi tsiku: Tikamayenda, kupita kutchuthi, kapena kupita kumalo atsopano, zizolowezi zathu zodyera komanso zimbudzi zimasintha. Izi zingayambitsenso kudzimbidwa kwa anthu ena.

3. Mankhwala ena

• Mankhwala ena amphamvu ochepetsa ululu (monga ma opioid)
• Zowonjezera zachitsulo
• Mankhwala ena oletsa asidi pamtima ( mankhwala oletsa asidi okhala ndi aluminiyamu kapena calcium)
• Mankhwala ena ochizira kuthamanga kwa magazi ndi kuvutika maganizo.

Ngati mukumwa mankhwala aliwonse ndipo mukuganiza kuti mwina akukuyambitsani kudzimbidwa, lankhulani ndi dokotala wanu. Musasiye kumwa mankhwalawo musanafunse dokotala wanu kaye.

4. Matenda ena

• Matenda omwe amakhudza ntchito ya matumbo, mwachitsanzo `(Irritable Bowel Syndrome - IBS)`.
• Kuchepa kwa ntchito ya chithokomiro (Hypothyroidism).
• Matenda a shuga (Diabetes Mellitus)`.
• Matenda okhudzana ndi dongosolo la mitsempha (monga matenda a Parkinson, Multiple Sclerosis).
• Matenda monga khansa ya m'matumbo (izi sizichitika kawirikawiri, koma siziyenera kunyalanyazidwa).

5. Zochitika zina zapadera

• Mimba: Amayi oyembekezera amatha kudzimbidwa chifukwa cha kusintha kwa mahomoni komanso mwana akukula akukankhira matumbo awo.
• Ukalamba: Kudzimbidwa kumatha kuchitika mukakalamba chifukwa kagayidwe ka thupi ka thupi lanu kamachepa, mwina chifukwa cha mankhwala omwe mumamwa, komanso kuchepa kwa masewera olimbitsa thupi.
• Kupsinjika maganizo ndi nkhawa: Musadabwe, mavuto omwe ali m'maganizo mwathu amakhudzanso momwe m'mimba mumagwira ntchito.

6. Zifukwa zenizeni za ana

• Mantha chifukwa cha ululu womwe unabwera chifukwa choyenda m'mimba kale: Ngati mwana anali ndi vuto lopita kuchimbudzi ndipo zikamupweteka, ana angaope kupita kuchimbudzi nthawi ina ndikusiya kuchita chimbudzi.
• Mavuto ophunzirira chimbudzi: Ngati mukakamiza mwana wanu panthawi yophunzira chimbudzi, angayambe kukana ndikusunga matumbo ake.
• Kusowa kwa ulusi mu chakudya ndi zakumwa: Ana nthawi zambiri safuna kudya ndiwo zamasamba ndi zipatso, kotero akhozanso kusowa ulusi.

Kodi pakamwa pouma pangakhale koopsa? Kodi muyenera kupita kwa dokotala liti?

Kudzimbidwa nthawi zambiri kumatha kuchiritsidwa ndi mankhwala opangidwa kunyumba. Komabe, nthawi zina kungakhale chizindikiro cha matenda aakulu. Chifukwa chake, ndikofunikira kuwona dokotala ngati muli ndi chimodzi mwa izi:

• Ngati mwadzidzidzi mukukumana ndi kusintha kwakukulu m'matumbo anu (ngati kale munali bwino ndipo mwadzidzidzi munayamba kudzimbidwa).
• Ngati muli ndi magazi m'chimbudzi chanu (chingakhale chofiira kapena chakuda), musachitenge mopepuka.
• Ngati mukuchepetsa thupi popanda chifukwa.
• Ngati muli ndi ululu waukulu m'mimba pamodzi ndi kudzimbidwa.
• Ngati mukusanza.
• Ngati kudzimbidwa sikutha patatha milungu iwiri kapena itatu mutalandira mankhwala kunyumba.
• Ngati wina m'banja mwanu wakhala ndi matenda monga khansa ya m'matumbo.
• Ngati pali kudzimbidwa pamodzi ndi malungo.

Ngati muli ndi zizindikiro ngati izi, ndi bwino kupita kwa dokotala mwamsanga m'malo modikira kuti muwone "tiyeni tidikire pang'ono."

Kodi dokotala angatsimikizire bwanji izi?

Mukapita kwa dokotala, chinthu choyamba chomwe angakufunseni ndi ichi:

• Kodi zizindikiro zanu ndi ziti? Kodi mwakhala nazo kwa nthawi yayitali bwanji?
• Kodi zakudya zanu zili bwanji? Mumamwa madzi ochulukirapo bwanji?
• Kodi mumachita masewera olimbitsa thupi?
• Kodi mukumwa mankhwala aliwonse?
• Kodi pali aliyense m'banja mwanu amene wakhala ndi mavuto amenewa kapena mavuto a m'mimba?

Kenako, dokotala adzakuyesani. Akhoza kumva mimba yanu. Nthawi zina, mungafunikenso kuyika chala mu rectum yanu (Digital Rectal Exam). Musachite mantha, izi ndi zofufuza ngati pali zotupa kapena mavuto ena.

Nthawi zambiri, mfundo izi zokha zingakuthandizeni kudziwa chomwe chimayambitsa kudzimbidwa kwanu. Komabe, nthawi zina kuyezetsa kwina kungafunike:

• Kuyezetsa magazi: Kufufuza ngati muli ndi vuto la chithokomiro kapena china chake.
• Mayeso a X-ray: Kuti aone momwe ndowe zimakhalira m'matumbo.
• `(Sigmoidoscopy)` kapena `(Colonoscopy)`: Izi zimaphatikizapo kulowetsa chubu chaching'ono chokhala ndi kamera kudzera mu anus kuti muone mkati mwa m'matumbo. Komabe, si aliyense amene amafunikira izi. Dokotala adzakutumizirani izi pokhapokha ngati ali ndi kukayikira kulikonse.

Kodi njira zina zochiritsira kudzimbidwa kunyumba ndi ziti?

Nkhani yabwino ndi yakuti kudzimbidwa nthawi zambiri kumatha kuthetsedwa mwa kusintha pang'ono moyo wanu komanso zakudya zomwe mumadya.

1. Idyani ndi kumwa moyenera!

• Idyani zakudya zambiri zokhala ndi ulusi wambiri: Matupi athu amafunikira ulusi wokwana magalamu 25-30 patsiku. Kodi ulusi uwu umachokera kuti?
• Zipatso: Nthochi, papaya, mango, chinanazi, lalanje, tangerine, laimu, tamarind.
• Ndiwo zamasamba: nyemba, kaloti, dzungu, okra, kabichi, beetroot, mbatata.
• Masamba: sipinachi, gotukola, mukunuwenna, kathurumurunga, tampala.
• Mtedza wosweka: nandolo, nyemba zobiriwira, nyemba zobiriwira, lentils.
• Mbewu zonse: mpunga wofiirira, buckwheat, oats, barele. Ngati mudya buledi, sankhani buledi wonse wa tirigu.
• Imwani madzi ambiri: Imwani magalasi osachepera 8-10 a madzi patsiku. Kumwa galasi la madzi mukangodzuka m'mawa ndikwabwino kwambiri. Kumwa lalanje, mphesa, ndi madzi a zipatso (okhala ndi shuga wochepa) nakonso ndikwabwino. Koma zakumwa zotsekemera (monga cola) sizokoma kwenikweni.
• Chepetsani zakudya zina: Kudya zinthu zambiri monga tchizi, nyama zokonzedwa (monga soseji), ayisikilimu, ndi chokoleti kungapangitse kuti munthu asamamve bwino.

2. Kuchita masewera olimbitsa thupi tsiku lonse.

Ndikofunikira kwambiri kuchita masewera olimbitsa thupi kwa mphindi zosachepera 30 patsiku. Kuyenda, kuthamanga, kukwera njinga, kuvina, kapena kugwira ntchito zapakhomo zonse ndi zabwino. Kuchita masewera olimbitsa thupi kumathandizanso kuti matumbo azigwira ntchito bwino.

3. Khalani ndi zizolowezi zoyendera chimbudzi

• Musazengereze kupita kuchimbudzi: Pitani kuchimbudzi mukangomva kufunikira . Musazengereze kunena kuti "mukangopita kanthawi."
• Khalani ndi chizolowezi chopita kuchimbudzi nthawi yomweyo tsiku lililonse: Yesani kupita kuchimbudzi mkati mwa mphindi 15-20, makamaka mukatha kudya kadzutsa. Matumbo athu amakhala akugwira ntchito kwambiri panthawiyo.
• Malo oyenera okhala pachimbudzi: Mukakhala pa chimbudzi, n'kosavuta kuchita chimbudzi poika chinthu ngati mpando waung'ono pansi pa miyendo yanu ndikusunga mawondo anu m'mwamba pang'ono kuposa chiuno chanu, m'malo mopumitsa mapazi anu pansi. Monga momwe zinalili ndi zimbudzi zakale.

4. Mankhwala otsegula m'mimba

Mungagwiritse ntchito izi, koma pokhapokha ngati dokotala wakupatsani upangiri. Si bwino kuzigula ku pharmacy ndikumwa momwe mukufunira. Chifukwa, ngati mupitiliza kuzolowera izi, matumbo anu angaiwale kugwira ntchito okha ndipo simungathe kupita kuchimbudzi popanda mankhwalawa.

Pali mitundu yosiyanasiyana ya mankhwala oletsa ululu:

• ( Mankhwala otseretsa mimba omwe amapanga zambiri): Izi zimagwira ntchito ngati ulusi, zimawonjezera kuchuluka kwa ndowe ndikuzifewetsa.
• `( Mafuta oletsa ululu a Osmotic):` Izi zimakoka madzi m'matumbo ndikuchepetsa ndowe.
• `( Mankhwala oletsa kutupa oyambitsa matenda):` Izi zimalimbitsa minofu m'matumbo ndikukankhira chopondapo patsogolo.

Dokotala wanu adzasankha mtundu woyenera kwa inu komanso nthawi yomwe muyenera kumwa.

Nanga bwanji ngati ana athu ayamba kudzimbidwa?

Kudzimbidwa ndi vuto lovuta kwambiri kwa ana. Amatha kuchita mantha komanso kupweteka.

• Musachite mantha, lankhulani mwachikondi: Choyamba, musachite mantha. Lankhulani mwachikondi ndi mwanayo ndipo mulimbikitseni mwa kumuuza kuti, "Palibe chodetsa nkhawa, mwana wanga, tidzakonza izi."
• Samalani zakudya zawo: Onjezani zipatso (monga nthochi, mapapaya, mango), ndiwo zamasamba, ndi masamba obiriwira muzakudya zawo. Imwani madzi ambiri. Chepetsani kumwa zakumwa zotsekemera, chokoleti, ndi mabisiketi.
• Limbikitsani mwana wanu kusewera, kuthamanga, ndi kulumpha: Mwana akamachita zinthu zambiri, matumbo ake amakula bwino.
• Yesetsani kusamba nthawi zonse: Apatseni chimbudzi kwa mphindi 5-10, kawiri kapena katatu patsiku, atangomaliza kudya. Musawakakamize. Aloleni awerenge buku, kapena alankhule nawo.
• Chepetsani ululu: Ngati rectum yanu ikumva kupweteka, mutha kufunsa dokotala wanu za kugwiritsa ntchito kirimu wochepetsa ululu.
• Ngati sizikuchira patatha masiku angapo, kapena ngati mwana wanu akuwoneka kuti akumva ululu, pitani kwa dokotala wa ana. Dokotala akhoza kupeza chomwe chimayambitsa vutoli ndikulemba mankhwala ngati pakufunika kutero.

Pomaliza, zinthu zingapo zoti mukumbukire:

Chabwino, tsopano takambirana zambiri zokhudza kudzimbidwa. Pomaliza, nazi zina mwa zinthu zofunika kwambiri zomwe muyenera kukumbukira:

• Kudzimbidwa ndi vuto lofala lomwe limakhudza anthu ambiri ndipo nthawi zambiri si loopsa. Komabe, ngati likupitirira, limakubweretserani mavuto ambiri, kapena ngati muli ndi zizindikiro zochenjeza zomwe takambirana kale (monga kutuluka magazi, kuchepa thupi), muyenera kufunsa upangiri wa dokotala m'malo movutika nokha.
• Zakudya zabwino (zokhala ndi ulusi wambiri, madzi ambiri), kuchita masewera olimbitsa thupi tsiku ndi tsiku, komanso kuchita chimbudzi moyenera ndi njira zabwino komanso zotsimikizika zopewera kudzimbidwa.
• Ngati mukugwiritsa ntchito mankhwala, chitani izi pokhapokha ngati dokotala wavomereza.
• Ngati ana anu ali ndi vutoli, athandizeni moleza mtima komanso mwachikondi. Ngati pakufunika kutero, funani thandizo kwa dokotala wa ana.

Kumbukirani, matumbo abwino ndi ofunikira kuti munthu akhale ndi moyo wathanzi. Choncho samalirani thanzi la matumbo anu. Ngati muli ndi nkhawa zina, musaope kulankhula ndi dokotala.

Kudzimbidwa , m'mimba mouma, kudzimbidwa, ulusi wazakudya, kuvutika kutsuka m'mimba, upangiri wa dokotala, thanzi