Uri Kutambura neKuzvimbirwa Munguva Pfupi Yapfuura Here? Ngatitaurei Nezvazvo! | Nirogi Lanka

Unozviwana uchipedza nguva yakawanda uri muchimbuzi here mazuva ano? Dumbu rako rinonzwa kuzvimba here, kana kuti une kunzwa kwakasimba, kusingafadzi kwekuti hauna kubvisa tsvina yose mudumbu rako kunyangwe waenda? Hausi wega—iyi inyaya yakajairika uye inoshungurudza, asi hapana chikonzero chekunyara kana kunetseka nezvayo. KuNirogi Lanka, tinoda kukubatsira kunzwisisa kuvimbiwa zvakadzama kuti ugone kudzora hutano hwako hwekugaya chikafu.

Chii chinonzi Kuzvimba?

Mukurapa, kuvimbiwa kunowanzotsanangurwa sekunge munhu ane mafambiro edumbu asingapfuure katatu pasvondo. Zvisinei, yeuka kuti "zvakajairika" zvinosiyana zvakanyanya kubva pamunhu nemunhu. Vamwe vanhu vanoenda kakawanda pazuva, nepo vamwe vanogona kuenda kamwe chete kana kaviri pasvondo. Chero mafambiro ako emuviri, zvakajairika kwauri . Dambudziko rinomuka kana ukasiyana zvakanyanya nemaitiro ako emazuva ese.

Pasinei nemaitiro ako ezuva nezuva, chinhu chimwe chete chine chokwadi: kana ukamirira kwenguva yakareba, ndipo pazvinozonyanya kuoma kubuda tsvina. Ungave uine dambudziko rekuvimbiwa kana ukaona zvinotevera:

• Tsvina yako yakaoma, yakaoma, kana kuti ine mapundu.
• Unonzwa kurwadziwa kana kumanikidzwa zvakanyanya panguva yekufamba kwedumbu.
• Unonzwa sekunge wabuda usina kukwana, zvichireva kuti ura hwako haunzwi usina chinhu.

Kuzvimba kwakajairika; mamiriyoni evanhu pasi rose vanotambura nako. Idambudziko rinogoneka, uye kutora matanho akakodzera ndiko kunokosha kuti munhu anzwe zviri nani.

Kuzvimba Kunoitika Sei?

Zvichitaurwa zviri nyore, kuzvimba kunoitika kana ura hwako (ura hukuru) hukatora mvura yakawandisa kubva mutsvina yako. Izvi zvinoita kuti tsvina iome, iome, uye iome kubuda.

Kuti zvinyatsojeka: chikafu chichifamba nemudumbu mako, ura hwako hunotora zvinovaka muviri. Tsvina yasara inopinda mudumbu guru, iro rinotora mvura, richichinja tsvina kuita tsvina yakasimba. Kana uine kuzvimba, tsvina inofamba zvishoma nezvishoma nemudumbu. Izvi zvinopa dumbu nguva yakawanda yekunwa mvura yakawanda, zvichikonzera tsvina inoshaya mvura uye inonetsa kuburitsa.

Chii Chinokonzera Kuzvimba?

Kuzvimba kunogona kukonzerwa nezvinhu zvakasiyana-siyana, kusanganisira mararamiro akasarudzwa, mimwe mishonga, uye zvirwere zvirimo.

Zvinhu Zvinokonzera Mararamiro

Maitiro ako ezuva nezuva ane basa guru muhutano hwako hwekugaya chikafu. Tarisa kana paine chimwe chezvizvi chinoshanda kwauri:

• Kudya zvinhu zvisina fiber yakawanda: Kudya kusina fiber kunoita kuti zviomere tsvina kuti iumbe zvakanaka uye ifambe zvakanaka.
• Kushaya mvura yakakwana mumuviri: Kana usina mvura yakakwana, muviri wako unonetseka kuchengetedza tsvina yakapfava.
• Kusaita maekisesaizi emuviri: Kugara pasi kunogona kuderedza mashandiro emudumbu.
• Kuchinja kwemaitiro ehupenyu: Kufamba, kuchinja kwemaitiro ekurara, kana kuchinja kwenguva yekudya zvinogona kukanganisa muviri wako.
• Kudya mukaka zvakanyanya: Kune vamwe vanhu, kudya chizi kana mukaka wakawanda kunogona kukonzera kuvimbiwa .
• Kushushikana : Usambofa wakatarisira pasi kukanganiswa kunokonzerwa nekugara zvakanaka kwepfungwa dzako mudumbu rako.
• Kuregeredza chido: Kunonoka kushandisa chimbuzi chikanganiso chinowanzoitika. Teerera muviri wako wobva waenda kana chido chacho chamuka.

Mishonga

Mishonga yakawanda inowanzo shandiswa inogona kukonzera kuvimbiwa:

• Mishonga inonyaradza marwadzo yakasimba, yakaita seine codeine, Oxycodone (semuenzaniso, Oxycontin®), uyeHydromorphone (semuenzaniso, Dilaudid®).
• Mishonga inorwisa kuzvimba isiri yesteroidal (NSAIDs) yakaita seIbuprofen (semuenzaniso, Advil®, Motrin®) uye Naproxen (semuenzaniso, Aleve®).
• Mishonga inorwisa kushushikana , yakaita seFluoxetine (semuenzaniso, Prozac®) kana Amitriptyline (semuenzaniso, Elavil®).
• Mimwe mishonga inorwisa asidhi inoshandiswa pakurapa gastritis, kunyanya iyo ine calcium kana aluminium (semuenzaniso, Tums®).
• Mishonga yesimbi.
• Mishonga inorwisa histamine , yakadai seDiphenhydramine (semuenzaniso, Benadryl®).
• Mimwe mishonga yeBP , kusanganisira calcium channel blockers uye beta-blockers.
• Mimwe mishonga yekurapa psychotic , yakaita seClozapine (semuenzaniso, Clozaril®) uye Olanzapine (semuenzaniso, Zyprexa®).
• Mishonga yekudzivirira pfari , yakadai sePhenytoin neGabapentin.
• Mishonga yekudzivirira kuda kurutsa , senge Ondansetron (semuenzaniso, Zofran®).

Kana uchinetseka kuti mushonga wako ungave uri kukonzera matambudziko aya, ndapota bvunza chiremba wako kana wemishonga usati waita chero shanduko.

Mamwe Matambudziko Ehutano

Dzimwe nguva, kuvimbiwa chiratidzo chedambudziko rehutano riripo:

• Zvirwere zve endocrine: Hypothyroidism, chirwere cheshuga, uremia, kana hypercalcemia.
• Kenza yemudumbu.
• Chirwere cheMatumbu Chinotsamwisa (IBS).
• Kutapukira kwemudumbu.
• Kusashanda zvakanaka kwepasi pechiuno (kusashanda zvakanaka kwekubvisa tsvina).
• Chirwere chekubvisa tsvina chakavharirwa.
• Kuvharirwa kwemudumbu.
• Zvirwere zvetsinga: Kukuvara kwemusana, Multiple Sclerosis, chirwere cheParkinson, kana sitiroko.
• Chirwere chehuremu hwehusimbe.
• Kuvharika kwedumbu.
• Kusagadzikana kwechimiro (semuenzaniso, fistulas, colonic atresia).
• Zvirwere zvakawanda zvenhengo dzemuviri , zvakaita seamyloidosis, lupus, kana scleroderma.
• Kubata pamuviri.

Ndezvipi Zviratidzo zveKuzvimbirwa?

Zviratidzo zvakajairika zvinosanganisira:

• Kubuda kwetsvina kushoma katatu pasvondo.
• Tsvina yakaoma, yakaoma, kana kuti ine mapundu.
• Kuzvimanikidza kana kurwadziwa panguva yekufamba kwedumbu.
• Kurwadziwa kwemudumbu kana kusagadzikana.
• Kunzwa kuzvimba kana kuda kurutsa zvishoma.
• Kunzwa kwekubuda pasina kukwana mushure mekubvisa ura.

Ndiani Ari Panjodzi Yakanyanya? (Zvinhu Zvinokonzera Njodzi)

Dzimwe nguva kuvimbiwa kunogona kuitika kune chero munhu pazera ripi zvaro. Zvisinei, vamwe vanhu vanowanzosangana nematambudziko anogara kwenguva refu, anozivikanwa se chronic constipation . Zvinhu zvakawanda zvakakosha zvinokonzera izvi:

• Zera: Vanhu vane makore anopfuura 65 vanowanzorarama hupenyu husina kunyanya kushanda zvakanyanya kana tichienzanisa nevechidiki, uye kugaya kwavo muviri kunowanzo derera. Uyezve, marwadzo emhasuru mudumbu anogona kupera simba nekufamba kwenguva.
• Kuva Mukadzi, kunyanya panguva yekuzvitakura nepamuviri: Kuchinja-chinja kwemahormone kunogona kukonzera kuvimbiwa. Munguva yekuzvitakura, kumanikidzwa kwemwana ari kukura mudumbu kunogonawo kunonotsa kubuda kwedumbu.
• Kudya zvine fiber shoma: Kudya kusina fiber yakakwana.
• Kushandisa mishonga: Mimwe mishonga inonyorerwa nachiremba uye inotengeswa pasina kunyoreswa nachiremba.
• Zvirwere zvepfungwa (zvinokanganisa uropi kana musana) uye zvirwere zvekugaya chikafu.

Kuvimbiwa kunogona kukonzera mamwe matambudziko ehutano here?

Ehe, kana usingakwanise kubuda tsvina zvakanaka uye nguva dzose, matambudziko akawanda anogona kumuka:

• Kuzvimba nekuzvimba kwetsinga dziri mu rectum (Hemorrhoids).
• Misodzi iri muchikamu chemusana wetsvina inokonzerwa nekubuda kwetsvina yakaoma (Anal fissures).
• Utachiona huri mukati memaburi madiki, akafanana nehomwe mumadziro emudumbu, uko tsvina inogona kuvharirwa (Diverticulitis).
• Tsvina yakakura, yakaoma yakanamirwa mudunzva (Fecal impaction).
• Kukuvadzwa kwetsandanyama dzepasi pechiuno nekuda kwekumanikidzwa kwakanyanya uye kwakawanda. Tsandanyama idzi dzinobatsira kudzora mashandiro edundira; kumanikidzwa kwenguva refu kunogona kupedzisira kwakonzera kusagadzikana kwekusagona kudzora weti.

Zvakakosha: Kuzvimba muviri hakuwanzoiti kuti muviri wako uve "muchetura" kubva kumarara akaunganidzwa. Dumbu rako rakagadzirwa kuti rigare uye rikure kuti rikwanise kugamuchira marara. Kunze kwekunge uine chirwere chakakomba seToxic Megacolon , dumbu rako remudumbu hariburitse chepfu mumuviri wako.

Chii chinoitika kana ukakurukura izvi nachiremba wako?

Kukurukura nezvemaitiro ako ekubvisa ura (kana kusavapo kwahwo!) nachiremba kunogona kuomera, asi ndapota yeuka: chiremba wako weNirogi Lanka aripo kuti akutsigire. Inyanzvi dzakadzidziswa dzakanzwa nekubatsira varwere panyaya dzese dzehutano dzaungafungidzira.

Chiremba wako achatanga nekuongorora nhoroondo yako yezvekurapa, maitiro ekubvisa ura, mararamiro, uye maitiro ako ezuva nezuva.

Mibvunzo nezvenhoroondo yako yezvekurapa:

• Ndezvipi zvirwere zvako zvemazuva ano nezvekare?
• Wakamborasikirwa kana kuwedzera uremu zvisina tsarukano here munguva pfupi yapfuura?
• Wakambovhiyiwa here nezvekudya kwemuviri?
• Ndeipi mishonga, mishonga yekuwedzera, kana mishonga yekurara yauri kutora parizvino?
• Une nhoroondo yemhuri yako yekubatwa nechirwere chepfungwa, zvirwere zvekugaya chikafu, kana kenza yemuura here?
• Wakamboitwa colonoscopy here?

Mibvunzo nezvemaitiro ako ekubvisa ura:

• Kangani kaunobuda uchibuda tsvina?
• Chitsiko chako chakafanana sei uye chitarisiko chakaita sei?
• Wakaona here mitsetse yeropa kana mitsetse mitsvuku?
• Wakaona ropa muchimbuzi kana papepa rechimbuzi mushure mekupukuta here?

Mibvunzo nezvemararamiro ako netsika dzako:

• Zuva rekudya rinotaridzika sei kwauri?
• Unodya michero nemiriwo yakawanda sei zuva nezuva?
• Unonwa mvura yakawanda sei?
• Ndezvipi zvaunoita pakurovedza muviri?

Pamusoro pezvo, chiremba wako achaita ongororo yemuviri. Izvi zvinosanganisira kutarisa tembiricha yako, kurova kwemoyo, uye BP. Vanogona kuteerera dumbu rako ne stethoscope uye kudzvanya dumbu rako kuti vaone kana rakapfava, rakazvimba, kana kuti rakakora.

Ndapota yeukai kuti chiremba wenyu angangoda kuongororwa netsvina . Iyi inzira yekukurumidza iyo vanoshandisa chigunwe chine magirovhosi kutarisa mapundu kana zvimwe zvinhu zvisina kumira zvakanaka munzvimbo yekumashure.

Ndezvipi zviedzo zvinoshandiswa kuwana chikonzero chekuvimbiwa?

Chiremba wako angasada bvunzo zvachose, kana kuti angaraira nzira dzakatarwa zvichienderana nezviratidzo zvako, nhoroondo yako, uye hutano hwako hwese. Kazhinji, hapana imwe bvunzo inodiwa, asi kana zviratidzo zvako zvichida, zvinotevera zvinogona kuitwa:

• Kuongororwa kwerabhoritari: Kuongororwa kweropa neweti kunogona kubatsira kuona zvirwere zvakaita sehypothyroidism , anemia , kana chirwere cheshuga . Muenzaniso wetsvina unogona kuongororwa kuti uone kana paine zviratidzo zvehutachiona, kuzvimba, kana bundu.
• Kuongororwa kwemifananidzo: Chiremba wako angakumbira kuongororwa kweCT scan , MRI scan , kana kuti kuongororwa kwenzira dzemudumbu kuti aone kana paine zvimwe zvinetso zvemuviri. Izvi hazviwanzo kurairwa nguva dzose.
• Colonoscopy: Chiremba wako anogona kuita colonoscopy kana sigmoidoscopy achishandisa chubhu yakatetepa, inochinjika ine kamera kuti aone mukati meura. Panguva iyi, vanogona kutora biopsy (sampuli yenyama) kana kubvisa mapolyps.kana zvichidikanwa.
• Zvidzidzo zvekufamba kwemasero emudumbu: Izvi zvinosanganisira kutora piritsi kana chikafu chine mushonga weradioactive tracer, zvichibvumira chiremba kuona kuti zvinhu zvinofamba nekukurumidza uye zvinobudirira sei mudumbu mako.
• Mimwe miedzo yekushanda kwedumbu: Chiremba wako anogona kuraira bvunzo kuti aone kuti rectum neanus yako zvinobata uye zvinoburitsa tsvina zvakanaka sei. Izvi zvinosanganisira defecography (X-ray inoshandiswa kuona kusagadzikana kwekubuda kwedumbu) uye bvunzo dzinosanganisira bharumu diki rakaiswa murectum ( bvunzo yekubuda kwebharumu uye anorectal manometry ).

Ungawana sei zororo kubva pakuvimbiwa?

Zviitiko zvakawanda zvekuzvimba kwepamuviri zviri nyore kusvika zvine mwero zvinogona kurapwa zvakanaka kumba. Kuzvitarisira kunotanga nekucherechedza kudya kwako uye kugadzirisa zvinodiwa.

Matanho aunogona kutora kumba kuti uwane rubatsiro rwekukurumidza:

• Inwa magirazi maviri kusvika mana emvura zuva nezuva. Dzivisa zvinwiwa zvine caffeine nedoro, sezvo zvinogona kukonzera kupera mvura mumuviri. Saizvozvowo, deredza majusi emichero nezvinwiwa zvine shuga yakawanda.
• Dzivisa nyama dzakagadzirwa nemafuta akawanda, uye makabhohaidhiretsi akacheneswa akadai sechingwa chichena, pasta, nembatatisi. Nyama dzisina mafuta akawanda dzakadai sehuku nemukaka usina mafuta akawanda ndidzo sarudzo dziri nani.
• Isa michero, miriwo, miriwo, zviyo, nezvimwe zvekudya zvine fiber mukudya kwako kwezuva nezuva. Deredza kudya zvekudya zvine mafuta akawanda zvakaita senyama tsvuku, mazai, nechizi.
• Idya michero ine faibha yakawanda uye zvekudya zvakaita semapuruni, bran cereal, maranjisi, chinanazi, mastrawberry, mango, avocado, uye mapapaya.
• Chengeta dhayari rezvekudya kuti uone kuti ndezvipi zvekudya zvinokonzera kuvimbiwa kwako.
• Maekisesaizi nguva dzose. Mabasa akareruka akadai sekufamba netsoka anowanzo batsira.
• Chenjerera mamiriro ako emuviri uri muchimbuzi. Kusimudza tsoka dzako zvishoma, kurerekera shure, kana kushandisa nzira yekukotama kunogona kuita kuti kufamba kwedumbu kuve nyore.
• Funga nezvekushandisa mishonga yekuwedzera fiber inotengeswa pasina muripo wekutengesa (yakadai seMetamucil®, MiraLAX®, Citrucel®, kana Benefiber®). Zvakanaka kutanga nedosi diki wozowedzera zvishoma nezvishoma.
• Kana zvichidikanwa, shandisa chinopfavisa chetsvina chinotengeswa kunze kwechitoro kana chinorapwa (semuenzaniso, Docusate). Mineral oil enemas uye zvinorapwa zvinokurudzira dzimwe nzira. Kune mhando dzakawanda dzemishonga yekurapwa dziripo; bvunza chiremba wako kana wemishonga kuti asarudze yakakunakira. Usashandise mishonga yekurapwa kwemavhiki anopfuura maviri usina kubvunza chiremba wako. Kuishandisa zvakanyanya kunogona kuwedzera zviratidzo zvako.
• Dzivisa kushandisa foni yako kana kuverenga mapepanhau paunenge uchiedza kushandisa chimbuzi.
• Usadzivise kuda kuita zvechikafu. Kusateerera chikafu nguva dzose kunogona, nekufamba kwenguva, kuderedza simba rechiratidzo kubva muura hwako kuenda kuuropi, zvichiita kuti zviome kuziva kuti nguva yekuenda yasvika rini.

Ngwarira mishonga nezvimwe zvinovaka muviri

Pamusoro penzira dzekuzvitarisira, chiremba wako achaongorora chero mishonga nezvimwe zvinovaka muviri zvauri kutora, sezvo zvimwe zvacho zvichigona kukonzera kuvimbiwa. Kana zvakadaro, chiremba wako anogona kugadzirisa mwero wako, kuchinja mushonga wako, kana kukukurudzira kuti urege kushandisa mushonga wacho. Usambofa wakarega kana kuchinja mushonga wako kana zvimwe zvinovaka muviri usati watanga wataura nachiremba wako.

Mishonga yekuvhiyiwa nechiremba

Kune mishonga yakawanda inonyorerwa nachiremba iyo vanachiremba vanogona kukurudzira kurapa kuvimbiwa:

• Lubiprostone (Amitiza®)
• Prucalopride (Prudac®, Motegrity®)
• Plecanatide (Trulance®)
• Lactulose (Cephulac®, Kristalose®)
• Linaclotide (Linzess®)

Zvichienderana nemigumisiro yebvunzo dzenyu, chiremba wenyu achakupai mushonga unonyatsokodzera zvamunoda.

Kuvhiya

Kuvhiyiwa kwekuvhiyiwa kwekudzimbirwa hakudiwi zvakanyanya. Zvisinei, kana kuvhiyiwa kwako kuchikonzerwa nedambudziko remudumbu mako, chiremba wako anogona kukukurudzira. Mienzaniso inosanganisira:

• Kuvharika kwedumbu.
• Kuoma kweura (kutetepa kweura).
• Kutsemuka kwemusana.
• Kudonha kwemusana.

Zvimwe zvirwere zvinokonzera kusagadzikana kwekubvisa dumbu zvinogona kugadziriswa nekuvhiyiwa. Sarudzo idzi dzinowanzo kurukurwa mushure mekuongororwa kwechirwere. Uyezve, kana colonoscopy ikaona kenza muura hwako kana rectum, kuvhiyiwa kunogona kudiwa.

Nzira yekudzivirira kuvimbiwa?

Nzira dzekuchengetedza muviri dzinoshandiswa kurapa kuvimbiwa ndidzo dzinoshandiswa kudzivirira kuti dambudziko rirambe riripo:

• Ramba uchidya zvine mwero uye zvine fiber yakawanda. Michero, miriwo, miriwo, nzungu, chingwa chezviyo, uye zviyo zvakanaka kwazvo. Fiber nemvura zvinobatsira kufamba netsvina muura hwako. Michero yakawanda ine fiber muganda rayo; kudya michero ine mhodzi (senge mastrawberry) kunowedzerawo kudya fiber. Bran imwe sarudzo ine fiber yakawanda—edza bran cereal kana kuiisa mumasobho neyogati. Vanhu vane kuvimbiwa vanofanira kuvavarira kudya 18 kusvika 30 magiramu efiber pazuva. (Kana uine Diverticulitis, chiremba wako anogona kukukurudzira kuti usadye dzimwe mbeu).
• Edza kuwana magirazi masere emvura anorema maounces masere pazuva. (Cherechedza: Kune vamwe, mukaka unogona kukonzera kuvimbiwa.) Caffeine iri mukofi, tii, uye soda inogona kukushaisa mvura mumuviri. Ungangoda kuderedza izvi kusvika maitiro ako ekubvisa ura achinja.
• Maekisesaizi nguva dzose. Haudi kurovedza muviri kwakasimba; kunyangwe kufamba-famba nguva dzose kunobatsira zvikuru.
• Funga nezvekuwedzera magnesium. (Haasi munhu wese anofanira kutora magnesium; ndapota bvunza chiremba wako kutanga).
• Pindura kana uchida kuenda nekukasika. Usanonoka.

Unofanira kuona chiremba rini?

Ndapota bvunza chiremba kana zvinotevera:

• Kana kuvimbiwa kuri dambudziko idzva kwauri.
• Kana ukaona ropa mutsvina yako.
• Kana uri kurasikirwa uremu zvisingatsananguriki.
• Kana uchirwadziwa zvakanyanya paunenge uchiedza kubvisa tsvina.
• Kana kuvimbiwa kwako kukaramba kuripo kwemavhiki anopfuura matatu.
• Kana uine zviratidzo zvekusashanda zvakanaka kwekubvisa tsvina.

Mibvunzo yekubvunza chiremba wako

Paunoshanyira chiremba wako, ungada kubvunza zvinotevera:

• Sei ndiri kunzwa kuvimbiwa?
• Chii chandingaite kana kutora kuti ndiwane rubatsiro nekukasika?
• Ndeapi mishonga yekumba yamunoda kushandisa?
• Chii chandinofanira kudya kana kunwa kuti ndigadzirise izvi?
• Ndingadzivirira sei kuvimbiwa mune ramangwana?

Yeuka, taura pachena uye wakavimbika kuna chiremba wako nezvemaitiro ako ekugezera uye chero zvinokunetsa. Kufamba-famba kwedumbu chinhu chinodiwa muhupenyu. Kuzvimba kunogona kuva kwenguva pfupi, kwenguva refu, kana chiratidzo chechirwere chakakomba. Dzivirira hutano hwako—kana ukaona shanduko mumagadzirirwo edumbu rako kana kunzwa sekunge hupenyu hwako huri kudzorwa nekufamba-famba kwedumbu rako, ndapota ona chiremba.

Mharidzo Yekuenda Nayo Kumba

Kuzvimba idambudziko rinowanzoitika, asi rinogona kugadziriswa nekuzvitarisira. Kugara uine mvura yakakwana mumuviri, kudya chikafu chine fiber yakawanda, kurovedza muviri, uye kusaregeredza chishuwo chekuenda ndizvo zvinonyanya kukosha. Dzimwe nguva, mishonga kana zvimwe zvirwere zvinogona kunge zviri izvo zvinokonzera. Kana dambudziko rako rikaramba riripo kana ukaona zviratidzo zvinotyisa zvakaita sekubuda ropa, ndapota bvunza nyanzvi kuNirogi Lanka. Hapana chikonzero chekunyara kana kutya; hutano hwako ndihwo hunonyanya kukosha.

Kuzvimba, hutano hwekugaya chikafu, fiber, maitiro emudumbu, hutano hwakanaka