Kusatha kupita kuchimbudzi bwino, kukhala ndi ndowe zolimba komanso zouma, kumva kupweteka m'mimba... Izi ndi zokhumudwitsa kwambiri, sichoncho? Ambiri aife timavutika ndi vutoli lotchedwa kudzimbidwa nthawi ndi nthawi. Nthawi zambiri, timaganiza za mankhwala otsekereza omwe angagulidwe ku pharmacy ngati yankho. Timatcha awa 'mankhwala otsekereza'. Koma ndikofunikira kwambiri kudziwa pang'ono izi musanagwiritse ntchito.
Choyamba tiyeni tiwone, kodi mankhwala otsekula m'mimba awa ndi chiyani?
Mwachidule, mankhwala otsekereza mimba ndi mtundu wa mankhwala omwe amathandiza kuti zikhale zosavuta kutuluka chimbudzi mukamadzimbidwa. Nthawi zambiri, vutoli lingapewedwe mwa kusintha pang'ono moyo wathu.
- Kudya zakudya zambiri zokhala ndi ulusi wambiri (monga nyemba, ndiwo zamasamba, zipatso, ndi mpunga wofiirira).
- Kumwa madzi okwanira tsiku lililonse.
- Kuchita masewera olimbitsa thupi .
- Nthawi zina kudya zinthu monga yogati zomwe zili ndi ma probiotics .
Komabe, ngati mwayesapo zinthu izi ndipo kudzimbidwa kwanu sikunathe, ndikwachibadwa kumva ngati mukufuna kugwiritsa ntchito mankhwala otsekula m'mimba. Izi zimapezeka ku pharmacy, masitolo akuluakulu komanso pa intaneti. Mayina awo akhoza kukhala osiyanasiyana monga ' laxatives ', 'softeners' kapena 'fiber supplements'.
Ndani Amafunikiradi Mankhwala Oletsa Kutupa?
Mankhwala otsekula m'mimba si chinthu chomwe aliyense amafunika kumwa nthawi zonse. Pali zochitika zina zapadera zomwe zingakhale zofunikira.
- Ngati nthawi zina mumakhala ndi kudzimbidwa , sizimakula ngakhale mutasintha moyo wanu zomwe zatchulidwa pamwambapa.
- Ngati muli ndi vuto la matenda osatha lomwe limayambitsa kudzimbidwa, monga matenda a Crohn kapena ulcerative colitis .
- Ngati pakufunika kuyeretsa m'matumbo onse musanayese mayeso ena azachipatala (monga colonoscopy) .
Koma kumbukirani kuti mankhwala otsekereza mimba si abwino kwa aliyense. Ngati muli ndi pakati, musamwe mankhwalawa musanafunse dokotala wanu kaye . Komanso, musapatse mwana wamng'ono mankhwala otsekereza mimba popanda kulangizidwa ndi dokotala . Ngati mukumwa mankhwala a matenda ena, mankhwala ena otsekereza mimba angagwirizane ndi mankhwalawo. Chifukwa chake, ndi bwino kulankhula ndi dokotala wanu musanamwe mankhwala otsekereza mimba.
Kodi mankhwala otseretsa ululu awa amagwira ntchito bwanji?
Pali mitundu ingapo ya mankhwala otseretsa ululu, omwe amagwira ntchito mosiyana, koma kwenikweni amapangitsa kuti zikhale zosavuta kutulutsa ndowe mwa kusintha kugaya chakudya.
- Mitundu ina imakoka madzi mu ndowe zathu, n’kuzifewetsa kuti zizitha kufalikira mosavuta.
- Mitundu ina imalimbikitsa minofu ya m'matumbo mwathu, zomwe zimathandiza kukankhira ndowe kunja.
- Mitundu ina imagwiritsa ntchito njira zonse ziwiri.
Mitundu ya Laxatives ndi Zitsanzo Zake
Pali mitundu ingapo ya mankhwala otsekereza mimba omwe mungagule popanda mankhwala a dokotala. Komabe, kugwiritsa ntchito mankhwalawa kwa nthawi yayitali kungayambitse zotsatirapo zoyipa ndipo kungapangitse kudzimbidwa kukhala koipa kwambiri. Chifukwa chake, awa ayenera kugwiritsidwa ntchito pokhapokha ngati kudzimbidwa nthawi zina kulipo.
| Mtundu wa mankhwala otsekereza | Momwe imagwirira ntchito | Zitsanzo zomwe zili pamsika |
|---|---|---|
| Mankhwala otseretsa thupi omwe amapanga zambiri ( zowonjezera ulusi) | Izi zimawonjezera ulusi wosungunuka ku ndowe, zomwe zimawonjezera kuchuluka kwake. Izi zimakoka madzi ndikufewetsa ndowe. Uwu ndi mtundu wofewa kwambiri. | Fybogel, Psyllium (Metamucil®), Methylcellulose (Citrucel®) |
| Mankhwala oletsa ululu a Osmotic | Imakoka madzi kuchokera ku ziwalo zina za thupi ndikuwatsogolera ku matumbo akulu, zomwe zimapangitsa kuti ndowe ikhale yofewa komanso yosavuta kudutsa. | Magnesium hydroxide (Mkaka wa Magnesia), Polyethylene glycol (MiraLAX®), Glycerin suppositories |
| Chofewetsa chopondapo ( chotulutsa ululu ) | Zimawonjezera kuchuluka kwa madzi ndi mafuta omwe amalowa mu ndowe, zomwe zimapangitsa kuti zikhale zofewa. | Docusate (Colace®) |
| Mafuta Odzola ( Mafuta Odzola ) | Izi zimagwira ntchito ngati chophimba mkati mwa matumbo akuluakulu, zomwe zimalepheretsa thupi kuyamwa madzi omwe ali mu ndowe ndikupanga njira yoterera. | Mafuta a mchere |
| Cholimbikitsa ( chotsitsa ululu) | Zimathandiza mitsempha yomwe imalamulira minofu ya m'matumbo, zomwe zimapangitsa kuti ikankhire ndowe. Izi zimakhala zokometsera pang'ono. | Bisacodyl (Dulcolax®), Senna |
Mankhwala otsekula m'mimba omwe amapezeka kokha ndi dokotala
Ngati muli ndi vuto la kudzimbidwa kosatha, monga irritable bowel syndrome (IBS) , kapena kudzimbidwa komwe kumachitika chifukwa cha mankhwala ena ochepetsa ululu (opioids) , dokotala wanu angakupatseni mtundu wapadera wa mankhwala otsekula m'mimba. Zitsanzo zake ndi monga (Lactulose), (Linaclotide), ndi (Lubiprostone) . Musagwiritse ntchito izi popanda upangiri wa dokotala.
Kodi mungagwiritse ntchito bwanji mankhwala otsekula m'mimba moyenera?
Kuti mugwiritse ntchito bwino mankhwala otsekula m'mimba komanso kuchepetsa zotsatirapo zake, ndikofunikira kugwiritsa ntchito bwino .
Chofunika kwambiri ndi kuwerenga malangizo omwe ali pa phukusi la mankhwala mosamala. Kapena gwiritsani ntchito monga momwe dokotala wanu wanenera. Musamwe mankhwala opitirira mlingo woyenera poyembekezera zotsatira zake mwachangu. Kuchita zimenezi kungayambitse kumwa mankhwala mopitirira muyeso.
Mankhwala oletsa ululu amapezeka m'njira zosiyanasiyana:
- Mapiritsi: Mapiritsi kapena makapisozi omwe amamezedwa ndi pakamwa.
- Ufa: Ufa womwe umasungunuka m'madzi kapena madzi ena n'kumwa.
- Zakumwa kapena manyuchi: Zakumwa zomwe zingathe kuyezedwa ndi kumwedwa.
- Ma Suppositories: Makapisozi ang'onoang'ono, osungunuka omwe amalowetsedwa mu rectum.
- Ma Enema: Mabotolo ang'onoang'ono ofinyira omwe amathira madzi m'matumbo.
Kodi mankhwala otsekula m'mimba amatenga nthawi yayitali bwanji kuti agwire ntchito?
Zimasiyana malinga ndi mtundu womwe mumagwiritsa ntchito. Mwachitsanzo, enemas ndi suppositories zimatha kutenga mphindi zochepa kapena maola angapo.Zimapereka zotsatira, koma nthawi zambiri zimayambitsa zotsatirapo zina monga kupweteka m'mimba ndi kutsegula m'mimba.
Mitundu yofatsa monga kupanga ma bulk-forming ingatenge tsiku limodzi kapena awiri kuti igwire ntchito, koma ili ndi zotsatirapo zochepa kwambiri.
Tiuzeninso za zotsatirapo zake ndi zoopsa zake.
Zotsatirapo zambiri zingapewedwe potsatira malangizo molondola.
Zotsatira zoyipa zofala:
- Kudzaza m'mimba ndi kutulutsa mpweya.
- Kuwawa kwam'mimba.
- Kumva ngati kusanza.
- Kusowa madzi m'thupi: Izi ndi zoopsa mukamagwiritsa ntchito mankhwala otsekula m'mimba (opanga zinthu zambiri, osmotic) omwe amachotsa madzi m'thupi. Ichi ndichifukwa chake malangizowa amatchula mwachindunji kuti "imwani madzi ambiri."
Mavuto aakulu omwe angachitike chifukwa chogwiritsa ntchito molakwika:
Mankhwala otsekula m'mimba angayambitse mavuto aakulu ngati agwiritsidwa ntchito kwa nthawi yayitali kapena pa mlingo waukulu. Pazochitika zotere, muyenera kufunafuna upangiri wa dokotala, ndipo mungafunike kupita ku ETU (Emergency Treatment Unit) .
- Kusalingana kwa ma electrolyte: Kusalingana kwa kuchuluka kwa mchere ndi madzi m'thupi.
- Kudzimbidwa kosatha: Mankhwala oletsa kutsekula m'mimba akagwiritsidwa ntchito kwa nthawi yayitali, minofu ya m'matumbo imafooka, zomwe zimapangitsa kuti matumbo asayende popanda mankhwala.
- Kutsekeka kwa matumbo.
- Kutsegula m'mimba kwambiri.
Chimodzi mwa zovuta zazikulu za mankhwala otseketsa mimba ndichakuti amabisa vuto lomwe limayambitsa kudzimbidwa kwanu. Mankhwala otseketsa mimba amangochiza zizindikiro kwakanthawi, osati chifukwa chake. Chifukwa chake ngati mukumva kudzimbidwa pafupipafupi, ndikofunikira kuonana ndi dokotala kuti mupeze chomwe chimayambitsa m'malo modalira mankhwala otseketsa mimba.
Kodi muyenera kupita kwa dokotala liti?
Onetsetsani kuti mwapeza upangiri wa dokotala pazochitika izi:
- Ngati kudzimbidwa sikukuchira ngakhale kusintha kwa moyo.
- Ngati mugwiritsa ntchito mankhwala otsekula m'mimba ochokera ku pharmacy koma sakuthandiza.
- Ngati muli ndi kudzimbidwa pafupipafupi.
- Ngati mukukumana ndi mavuto monga kupweteka kwambiri m'mimba ndi kutsegula m'mimba.
Ngati palibe chomwe chikuyenda bwino, musavutike nokha , lankhulani ndi dokotala wanu ndipo pezani thandizo ndi chitsogozo chomwe mukufuna.
Uthenga Wopita Nawo Kunyumba
- Mankhwala otsekula m'mimba si njira yoyamba yothetsera kudzimbidwa. Choyamba, yesani zinthu monga kudya zakudya zokhala ndi ulusi wambiri, kumwa madzi ambiri, komanso kuchita masewera olimbitsa thupi.
- Ngati mugwiritsa ntchito mankhwala otsekula m'mimba, nthawi zonse tsatirani malangizo omwe ali pa phukusi. Musamwe mankhwala opitirira muyeso womwe walangizidwa.
- Ngati muli ndi pakati, mukuyamwitsa mwana, kapena mukumwa mankhwala ena, onetsetsani kuti mwaonana ndi dokotala musanamwe mankhwala otsekula m'mimba.
- Ngati vuto la kudzimbidwa ndi lofala kwa inu, pitani kwa dokotala kuti akapeze chomwe chimayambitsa vutoli m'malo mongodalira mankhwala otsekula m'mimba okha.
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