Kodi mumakumananso ndi mavuto ndi ululu mukapita kuchimbudzi? Kodi mumamva ngati m'mimba mwanu mulibe kanthu ngakhale mutachotsa chopondapo? Kodi chopondapo chanu ndi chouma komanso cholimba ngati miyala? Izi ndi zizindikiro zazikulu za kudzimbidwa zomwe tonse timadziwa. Izi ndi vuto losasangalatsa kwenikweni.
Kawirikawiri, kusintha pang'ono m'moyo wathu kumatha kuthetsa vuto la kudzimbidwa. Mwachitsanzo, kudya zakudya zambiri zokhala ndi ulusi wambiri (nyemba, ndiwo zamasamba, zipatso, mpunga wofiirira), kumwa madzi okwanira patsiku, komanso kuchita masewera olimbitsa thupi kungapangitse kusiyana kwakukulu. Komabe, ngati muli ndi vutoli mukatha kuchita zonsezi, ndi bwino kuganiza zogwiritsa ntchito mankhwala otsekula m'mimba ngati gawo lotsatira.
Kodi mankhwala otseretsa ululu awa ndi ati? Ndani akufunikira?
Mwachidule, mankhwala otsekereza mimba ndi mankhwala omwe amathandiza kuti zikhale zosavuta kutulutsa ndowe mukakhala ndi kudzimbidwa. Nthawi zambiri amapezeka pa sitolo iliyonse ya mankhwala. Angatchulidwe mayina osiyanasiyana, monga mankhwala otsekereza mimba , ofewetsa ndowe, kapena zowonjezera ulusi.
Kawirikawiri pali zochitika zingapo zomwe munthu angafunikire mankhwala otsekula m'mimba:
- Kudzimbidwa nthawi zina: Kudzimbidwa nthawi zina komwe sikungasinthe ngakhale mutasintha moyo wanu.
- Matenda osatha: Anthu ena amatha kudzimbidwa chifukwa cha matenda a nthawi yayitali, monga matenda a Crohn kapena zilonda zam'mimba.
- Kukonzekera mayeso azachipatala: Nthawi zina, mayeso okhudza matumbo asanachitike, monga endoscopy kapena colonoscopy, mankhwala otsekereza matumbo amaperekedwa kuti ayeretse matumbo kwathunthu (kutsuka matumbo).
Koma kumbukirani kuti mankhwala otsekereza mimba si oyenera aliyense amene ali ndi vuto la kudzimbidwa. Ngati ndinu mayi woyembekezera, musawagwiritse ntchito popanda kufunsa dokotala wanu. Komanso, musapatse ana aang'ono mankhwala otsekereza mimba popanda kulangizidwa ndi dokotala wa ana. Ngati mukumwa mankhwala a matenda ena, onetsetsani kuti mwalankhula ndi dokotala wanu musanagwiritse ntchito, chifukwa mankhwala ena otsekereza mimba amatha kusokonezana ndi mankhwalawo.
Mitundu ya mankhwala otseketsa thupi ndi momwe amagwirira ntchito
Mankhwala otsekula m'mimba amakhudza dongosolo lathu logaya chakudya m'njira zosiyanasiyana ndipo amapangitsa kuti chopondacho chikhale chosavuta kutuluka. Mitundu ina imayamwa madzi kuchokera mu chopondacho, n’kufewetsa. Ina imalimbikitsa minofu ya m'matumbo ndikuthandizira kukankhira chopondacho pansi. Tiyeni tiwone mitundu ikuluikulu ya mankhwala otsekula m'mimba.
| Mtundu wa mankhwala otsekereza | Momwe imagwirira ntchito | Zitsanzo |
|---|---|---|
| Mankhwala Opangira Ma Laxative (Zowonjezera za Ulusi) (Mtundu womwe umakulitsa kukula kwa maluwa) | Izi zimawonjezera ulusi wosungunuka ku ndowe, zomwe zimakoka madzi m'thupi, zomwe zimapangitsa kuti zikhale zazikulu komanso zofewa. Pamene ndowe ikukula, matumbo amalimbikitsidwa ndipo zimathandiza kuti ndowe ituluke. Izi ndi zofewa kwambiri. | Psyllium (Metamucil®), Methylcellulose (Citrucel®), Fybogel, Polycarbophil (FiberCon®) |
| Mankhwala Oletsa Kutupa a Osmotic (Mtundu womwe umakoka madzi m'matumbo) | Madzi amatengedwa kuchokera ku ziwalo zina za thupi n’kupita ku m’matumbo. Madzi osonkhanitsidwawa amafewetsa ndowe ndipo zimapangitsa kuti zikhale zosavuta kutuluka. | Polyethylene glycol (MiraLAX®), Magnesium hydroxide (Phillips'® Milk of Magnesia), Glycerin |
| Mankhwala Ofewetsa Chimbudzi (Mtundu wa chofewetsera chopondera) | Izi zimawonjezera kuchuluka kwa madzi ndi mafuta omwe amatengedwa ndi ndowe, zomwe zimapangitsa kuti zikhale zofewa. | Docusate (Colace®) |
| Mafuta Opaka Mafuta (Mtundu wa mafuta odzola) | Izi zimagwira ntchito ngati chophimba mkati mwa matumbo akuluakulu, zomwe zimapangitsa kuti pakhale kutsetsereka. Chifukwa cha zimenezi, thupi limayamwa madzi ochepa mu ndowe, zomwe zimapangitsa kuti ndoweyo ikhale yofewa. | Mafuta a mchere |
| Mankhwala Oletsa Kutupa Olimbikitsa (Mtundu womwe umalimbitsa matumbo) | Zimathandizira mitsempha yomwe imalamulira minofu ya m'matumbo, zomwe zimayambitsa kuyenda kwa matumbo (peristalsis) ndikukankhira ndowe pansi. Izi zimalimbikitsidwa ngati mitundu ina sigwira ntchito. | Bisacodyl (Dulcolax®), Senna |
Mankhwala otsekula m'mimba omwe dokotala akulangiza
Ngati mankhwala otseketsa omwe amaperekedwa kwa dokotala sakuthandiza kudzimbidwa kosatha, dokotala wanu angakulembereni mankhwala apadera. Izi ndizofunikira kwambiri kwa anthu omwe ali ndi matenda monga IBS (Irritable Bowel Syndrome) kapena omwe ali ndi kudzimbidwa chifukwa chogwiritsa ntchito mankhwala ochepetsa ululu (opioids). Mankhwala monga Lactulose (Duphalac®), Linaclotide (Linzess®), ndi Lubiprostone (Amitiza®) ali m'gululi.
Kodi mungagwiritse ntchito bwanji mankhwala oletsa ululu moyenera?
Kuti mugwiritse ntchito bwino mankhwala otsekula m'mimba komanso kuchepetsa zotsatirapo zake, ndikofunikira kuwerenga mosamala zomwe zili mu phukusili ndikugwiritsa ntchito monga momwe zalangizidwira. Musamwe mankhwala ochulukirapo kuposa mlingo woyenera chifukwa choti mukufuna kumva bwino mwachangu. Kuchita zimenezi kungakhale ndi zotsatirapo zoopsa.
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/Madzimadzi: Mankhwala amadzimadzi omwe angathe kuyezedwa ndi kumwedwa.
- Ma Suppositories: Makapisozi ang'onoang'ono osungunuka a mankhwala omwe amaikidwa mu rectum.
- Enemas: Machubu ang'onoang'ono omwe amalowetsa madzi mu rectum.
Mankhwala opaka ndi opaka, omwe nthawi zambiri amaikidwa mu rectum, amapereka mpumulo mwachangu mkati mwa mphindi kapena maola ochepa. Komabe, alinso ndi chiopsezo chachikulu cha zotsatirapo zoyipa monga kuvutika m'mimba ndi kutsegula m'mimba. Mitundu yofatsa monga yopanga bulk-forming ingatenge masiku angapo kuti igwire ntchito, koma imakhala ndi zotsatirapo zochepa.
Tidziwenso za zotsatirapo zake ndi zoopsa zake.
Kugwiritsa ntchito mankhwala otsekula m'mimba molakwika kapena kwa nthawi yayitali kungayambitse mavuto osiyanasiyana.
- Kusowa madzi m'thupi: Mukamagwiritsa ntchito zinthu zomwe zimachotsa madzi m'thupi, ngati simumwa madzi okwanira nthawi imodzi, thupi lanu likhoza kusowa madzi m'thupi.
- Kusalinganika kwa ma electrolyte: Kulinganika kwa mchere ndi madzi m'thupi kungasokonezeke.
- Kudzimbidwa kosatha: Chodabwitsa n'chakuti, kugwiritsa ntchito mankhwala oletsa ululu nthawi zonse kungafooketse minofu ya m'mimba ndipo kungapangitse kuti matumbo asamayende bwino popanda mankhwala.
- Kupewa matenda oyambitsa:Mankhwala otsekula m'mimba amangothandiza kwakanthawi kokha ku zizindikiro za kudzimbidwa. Sachiza chomwe chimayambitsa kudzimbidwa kwanu. Kudzimbidwa kwanu kungayambitsidwe ndi matenda aakulu. Kugwiritsa ntchito mankhwala otsekula m'mimba kungachedwetse kuzindikira vutoli.
Choncho, ngati nthawi zonse mumadzimbidwa ndipo mankhwala omwe mumagula ku pharmacy sakuthandizani, muyenera kuonana ndi dokotala mwamsanga kuti mudziwe chomwe chikuyambitsa. Ngati mukumva kupweteka kwambiri m'mimba kapena kutsegula m'mimba kwambiri, pitani ku dipatimenti yadzidzidzi ya chipatala chapafupi (ETU) nthawi yomweyo.
Uthenga Wopita Nawo Kunyumba
- Gawo loyamba loyesa kudzimbidwa si kuyesa mankhwala otsekula m'mimba, koma kusintha moyo monga kudya zakudya zokhala ndi ulusi wambiri, kumwa madzi ambiri, komanso kuchita masewera olimbitsa thupi.
- Mankhwala otsekula m'mimba ndi ogwiritsidwa ntchito kwa kanthawi kochepa. Kugwiritsa ntchito kwa nthawi yayitali kungapangitse vutoli kukhala lalikulu.
- Musanagwiritse ntchito mankhwala aliwonse otsekula m'mimba, werengani malangizo omwe amabwera nawo mosamala ndipo muwatsatire. Musapitirire mlingo woyenera.
- Musapatse ana mankhwala otsekula m'mimba popanda uphungu wa dokotala wa ana. Amayi oyembekezera ndi oyamwitsa ayeneranso kufunsa uphungu kwa dokotala.
- Ngati kudzimbidwa kwanu kukupitirira kapena kumachitika pafupipafupi, musachite manyazi, ndipo pitani kwa dokotala mwamsanga kuti mupeze chifukwa cholondola komanso chithandizo.
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