Chii chinonzi kuvimbiwa?
Zvichitaurwa zviri nyore, kana uchinzwa kuda kuenda kuchimbuzi kasingasviki katatu pasvondo, kunozivikanwa sekuzvimbirwa. Zvisinei, kuwanda kwekuenda kuchimbuzi kunogona kusiyana kubva kumunhu kusvika kumunhu. Vamwe vanhu vanoenda kakawanda pazuva, vamwe vanoenda kamwe chete kana kaviri pasvondo. Chero maitiro ako akajairika, akasiyana newe, uye akajairika. Dambudziko rinomuka kana ukatsauka kubva pamaitiro iwayo akajairika. Chero maitiro ako ekugeza chimbuzi, chimwe chinhu chakajeka: kana ukamirira kwenguva refu kuenda kuchimbuzi, zvinova zvakaoma kubvisa tsvina. Pane zviratidzo zvakakosha zvinogona kukubatsira kuona kuzvimbirwa:- Chitsiko chako chakaoma uye chakaoma sedombo.
- Ndinonzwa kurwadziwa pandinoenda kuchimbuzi, uye zvakaoma kuita tsvina.
- Kunyangwe ndaenda kuchimbuzi, ndinonzwa sekunge mudumbu mangu hamuna kubuda ropa zvachose.
Kuzvimba uku kunoitika sei?
Zviri nyore kwazvo. Kuzvimba kunoitika kana ura hwako (kana ura hukuru) hukatora mvura yakawandisa kubva mutsvina yako. Izvi zvinoita kuti tsvina yako iome, iome, uye iome kupfuudza. Kuti titsanangure zvishoma, sezvo chikafu chatinodya chinopfuura nemudumbu medu, dumbu redu rinotora zvinovaka muviri zvishoma nezvishoma. Marara anosara kubva muchikafu chakagayiwa ndiwo anoumba tsvina. Tsvina iyi inopfuura kubva mudumbu diki ichienda mudumbu guru. Ura hukuru hunotora mvura kubva mutsvina iyi uye inoita kuti ive yakasimba. Kana uine tsinga, chikafu chako chinotora nguva yakareba kuti chifambe nemudumbu medu kupfuura zvachinofanira kuita. Izvi zvinopa ura hwako hukuru nguva yakawanda yekunwa mvura. Mugumisiro wacho? Tsvina yako inooma, yakaoma, uye inonetsa kupfuudza.Ndezvipi zvinokonzera kuvimbiwa?
Kuzvimba kunogona kuva nezvikonzero zvakawanda. Zvimwe zvinhu mumararamiro edu, mishonga yatinotora, uye mamwe matambudziko ehutano zvinogona kukanganiswa nazvo.Zvinhu zvinoumba mararamiro
Mamwe maitiro edu ezuva nezuva anogona kukonzera kuvimbiwa. Ona kana izvi zvichishandawo kwauri:- Kudya chikafu chine fiber shoma : Kana chikafu chatinodya chisina fiber yakakwana, tsvina haizoumbike zvakanaka uye haizopfuuri nyore.
- Kusanwa mvura yakakwana (kushaya mvura yakakwana): Kana muviri usingawani mvura yakakwana, tsvina inooma.
- Kusaita maekisesaizi: Kana kurovedza muviri kwaderera, mashandiro emudumbu anodererawo.
- Kuchinja kwemaitiro ezuva nezuva: Dambudziko iri rinogona kuitika kana nguva dzekufamba, dzekudya, dzekunwa, kana dzekurara dzichichinja.
- Kudya zvinhu zvakawandisa zvakaita semukaka nechizi: Vamwe vanhu vanowana kuzvimba kana vakadya zvinhu izvi zvakawandisa.
- Kushushikana : Usashamisika, kushushikana kunokanganisawo izvi.
- Kusaita hanya kana uchida kuenda kuchimbuzi: Ichi chikanganiso chinoitwa nevanhu vazhinji. Zvakakosha kuzviita kana paine chikonzero.
Mishonga
Mimwe mishonga yaunotora inogona kukonzerawo kuvimbiwa.- Mimwe mishonga inonyaradza marwadzo yakasimba, semuenzaniso ine `(Codeine)`, `( Oxycodone - senge Oxycontin®)` uye `( Hydromorphone - senge Dilaudid®)`.
- Mishonga inorwisa kuzvimba isiri yesteroidal (NSAIDs) , yakaita seIbuprofen (Advil®, Motrin®) uye Naproxen (Aleve®).
- Mishonga yekuderedza kushushikana , yakaita se `(Fluoxetine - yakafanana neProzac®)` kana `(Amitriptyline - yakafanana neElavil®)`.
- Mimwe mishonga inorwisa asidhi, kunyanya iyo ine calcium kana aluminium (yakadai se'Tums®'), inonyorerwa vanhu vane gastritis .
- Mapiritsi esimbi.
- Mishonga yeAllergy (Antihistamines) , semuenzaniso `(yakadai seDiphenhydramine - Benadryl®)`.
- Mimwe mishonga yeBP yakakwira , semuenzaniso `(Calcium channel blockers)` uye `(Beta-blockers)`.
- Mishonga yezvirwere zvepfungwa , zvakaita se `(Clozapine - Clozaril®)` uye `(Olanzapine - Zyprexa®)`.
- Mishonga yekudzivirira pfari , semuenzaniso `(Phenytoin)` uye `(Gabapentin)`.
- Mimwe mishonga yekurutsa , yakaita seOndansetron - Zofran®.
Zvimwe zvirwere
Kuzvimba kunogonawo kukonzerwa nezvimwe zvirwere.- Mamiriro e endocrinesemuenzaniso, hypothyroidism, chirwere cheshuga, uremia (kuunganidzwa kwetsvina muropa nekuda kwekutadza kushanda kweitsvo), uye hypercalcemia (kuwedzera kwecalcium muropa).
- Kenza yemudumbu.
- Chirwere cheMatumbu Chinotsamwisa (IBS).
- Diverticulitis (utachiona hwemabhegi madiki muura hukuru).
- Kushaya simba kwetsandanyama dzepasi pechiuno (kusashanda zvakanaka kwekubvisa tsvina). Tsandanyama idzi dzinobatsira kuburitsa tsvina.
- Obstructed defecation syndrome (chirwere chinokonzera kuvharika kwetsvina).
- Kuvharirwa kwemudumbu (kumira kwechinguvana kushanda kwemudumbu).
- Zvirwere zvetsinga , zvakaita sekukuvara kwemusana, multiple sclerosis, chirwere cheParkinson, uye sitiroko.
- Lazy bowel syndrome (kuneta kwekusungana kweura hukuru).
- Kuvharika kwedumbu.
- Zvikanganiso zvemudumbu (semuenzaniso, `(Fistula)`, `(Colonic atresia)`).
- Zvirwere zvakawanda zvenhengo dzemuviri , semuenzaniso `(Amyloidosis)`, `(Lupus)` uye `(Scleroderma)`.
- Kubata pamuviri.
Ndezvipi zviratidzo zvekuvimbiwa?
Munhu ane kuvimbiwa anogona kuona zviratidzo zvakaita se:- Kuenda kuchimbuzi kasingasviki katatu pasvondo.
- Tsvina yacho yakaoma, yakaoma, uye ine mapundu.
- Zvakaoma kuita tsvina uye zvinorwadza.
- Zvinonzwa sekunge mudumbu munorwadza uye kurema.
- Ndiri kunzwa kuda kurutsa, sekunge mudumbu mangu mazara.
- Kunyangwe ndaenda kuchimbuzi, ndinonzwa sekunge mudumbu mangu hamuna kubuda ropa zvachose.
Ndiani ane mukana mukuru wekuva nedambudziko rekuzvimba? (Zvinhu Zvinokonzera Njodzi)
Munhu wese wezera ripi zvaro anogona kusangana nedambudziko rekuzvimba nguva nenguva. Zvisinei, vamwe vanhu vane mukana wekuva nedambudziko iri nguva dzose ('kuvimba kwenguva refu'). Zvinhu zvinokonzeresa izvi zvinosanganisira:- Zera: Vanhu vane makore anopfuura 65 vanowanzova vasina simba rakawanda pane vechidiki, kugaya kwavo muviri kunononokawo, uye simba rekusunga tsandanyama dziri mudumbu rinogonawo kuderedzwa.
- Kuva mukadzi, kunyanya panguva yekuzvitakura uye mushure mekusununguka: Kuchinja kwemahormone kunogona kukonzera kuvimbiwa. Munguva yekuzvitakura, mwana ari mudumbu anogona kusunda ura uye kunonoka kubuda kwetsvina.
- Kudya chikafu chine fiber shoma.
- Kushandisa mimwe mishonga.
- Kuvapo kwezvirwere zvetsinga (zvirwere zveuropi nemusana) uye zvirwere zvemudumbu.
Kuzvimbirwa kunogona kukonzera mamwe matambudziko ehutano here?
Ehe, kana tsvina ikasapfuudzwa zvakanaka uye nenguva, mamwe matambudziko anogona kuitika.- Kuzvimba nekuzvimba kwetsinga dziri mu rectum (mahemorrhoids).
- Kutsemuka kweganda remusana (kutsemuka kweganda) kana uchiedza kubvisa tsvina yakaoma.
- Kutapukirwa kwetsvina mukati memabhegi madiki (diverticula) anoumbwa mumadziro eura hukuru (diverticulitis).
- Tsvina yakawanda inoungana mudumbu nemudumbu (Fecal impaction).
- Kuzvimanikidza paunenge uchienda kuchimbuzi kunogona kukuvadza tsandanyama dzepasi pechiuno. Tsandanyama idzi dzinobatsirawo kudzora mashandiro edundira. Kuzvimanikidza kwenguva yakareba kunogonawo kukonzera kuti weti ibude kubva mudundira (stress urinary incontinence).
Zvakakosha: Kuzvimba kazhinji hakukonzere kuti chepfu iungane mumuviri wako yoita kuti urware. Dumbu rako inhengo inogona kuchengeta tsvina uye kukura. Zvisinei, kunze kwekunge uine chirwere chakakomba chedumbu (senge "Toxic Megacolon"), chepfu hadzibudi nepamadziro aro.
Chii chinoitika kana ukataura nachiremba nezveizvi?
Kutaura nachiremba kana mumwe munhu nezvemaitiro ako ekugezera (kana kusashanda kwawo!) kunogona kuva basa rakaoma. Asi yeuka, chiremba wako aripo kuti akubatsire. Ivo inyanzvi dzezvekurapa dzakadzidziswa, uye vakataura nevarwere nezvenyaya dzese dzehutano dzaungafunga nezvadzo. Chiremba achatanga akubvunza mibvunzo nezvenhoroondo yako yezvekurapa, maitiro ako ekugezera, mararamiro ako, uye maitiro ako ezuva nezuva .Mibvunzo nezvenhoroondo yezvekurapa:
- Ndezvipi zvirwere zvaunazvo parizvino uye zvawakamborwara nazvo kare?
- Wakarasikirwa kana kuwedzera uremu munguva pfupi yapfuura here?
- Wakambovhiyiwa here nezvekudya kwemuviri?
- Ndeipi mishonga nezvimwe zvinovaka muviri zvamunotora kuti muderedze kuvimbiwa kana zvimwe zvirwere?
- Pane mumwe munhu mumhuri yako ane nhoroondo yekuvimbiwa, zvirwere zvemudumbu, kana kenza yemuura here?
- Wakamboitwa ``(Colonoscopy)'' here?
Mibvunzo nezvetsika dzekugezera:
- Unoenda kuchimbuzi kangani?
- Tsvina yako yakaita sei? (ruvara, kuenzana)
- Wakaona mitsetse yeropa kana mitsvuku mutsvina yako here?
- Wakamboona ropa pachigaro chechimbuzi here kana papepa rechimbuzi mushure mekupukuta?
Mibvunzo nezvemararamiro netsika:
- Unodyei pazuva rakajairika?
- Unodya michero nemiriwo mingani?
- Unonwa mvura yakawanda sei?
- Maitiro ako ekurovedza muviri akadini?
Rangarirai kuti chiremba wenyu anogonawo kuita bvunzo yehuro. Iyi bvunzo inokurumidza inogona kunzwikwa nemunwe kuti muone kana paine mapundu kana mamwe matambudziko.
Ndezvipi zviedzo zvinoitwa kuti paonekwe chikonzero chekuvimbiwa?
Chiremba wako anogona kusaita bvunzo, kana kuti anogona kuraira bvunzo dzakasiyana-siyana uye nzira dzekurapa. Izvi zvinoenderana nezviratidzo zvako, nhoroondo yezvekurapa, hutano hwako hwese, uye kuti chiremba anofunga kuti ndicho chikonzero. Kazhinji, hapana mimwe miedzo inodiwa kuti uongorore chirwere. Zvisinei, chiremba wako anogona kusarudza kuita mimwe miedzo zvichienderana nezviratidzo zvako.- Kuongororwa kwerabhoritari: Kuongororwa kweropa neweti kunogona kuona zvirwere zvakaita sehypothyroidism, anemia, uye chirwere cheshuga. Muenzaniso wetsvina unogona kuongororwa kuti uone zviratidzo zvehutachiona, kuzvimba, uye kenza.
- Kuongororwa kwemifananidzo: Chiremba wako anogona kuraira kuongororwa kweCT, MRI, kana kutorwa kwezvikamu zvemudumbu kuti aone mamwe matambudziko anogona kukonzera kuvimbiwa kwako. Zvisinei, izvi hazviwanzo kurairwa.
- Colonoscopy: Chiremba anogona kuita ``Colonoscopy`` kana ``Sigmoidoscopy`` - izvi zvinosanganisira kuisa chubhu ine kamera (``scope```) mu rectum kuti atarise mukati meura hukuru. Munguva iyi, sampuro yenyama (``Biopsy``) inogona kutorwa kuti iongororwe kana paine kenza kana mamwe matambudziko, uye chero ma polyps, kana aripo, anogona kubviswa.
- Zvidzidzo zvekufamba kwemasero eropa: Muongororo idzi, unotora dose diki rechinhu chine radioactive, kungave sepiritsi kana nechikafu, uye nguva nemafambiro echinhu ichi mudumbu mako zvinoongororwa.
- Mimwe miedzo yekushanda kwemudumbu: Chiremba wako anogona kuraira bvunzo dzekuona kuti anus yako nerectum zvinobata sei uye zvinoburitsa tsvina. Izvi zvinosanganisira bvunzo yeX-ray inonzi defecography (inoshandiswa kutsvaga kusashanda zvakanaka kwemudumbu uye kuvimbiwa), uye bvunzo dzinosanganisira kuisa bharumu diki muanus yako (bvunzo yekubuda kwebharumu uye anorectal manometry).
Nzira yekuwana zororo kubva pakuvimbiwa?
Zviitiko zvakawanda zvekuzvimba kwemuviri zvishoma kusvika pakati nepakati zvinogona kugadziriswa kumba. Kuzvitarisira kunotanga nekufunga nezvekudya nekunwa kwaunoita uye kuita shanduko dzinodiwa. Zvinhu zvaunogona kuita kumba kuti unzwe zviri nani nekukurumidza:- Inwa magirazi maviri kusvika mana emvura pazuva. Dzivisa zvinwiwa zvine caffeine nedoro, izvo zvinogona kushaisa mvura mumuviri. Zvakare, deredza zvinwiwa zvemichero nezvinwiwa zvine shuga yakawanda.
- Dzivisa nyama dzakagadzirwa nemafuta, chikafu chine mafuta, uye makabhohaidhiretsi akacheneswa akadai sechingwa chichena, pasta, nembatatisi. Idya nyama dzisina mafuta akawanda dzakadai sehuku nezvigadzirwa zvemukaka zvisina mafuta akawanda.
- Isa michero, miriwo, nyemba, zviyo, nezvimwe zvekudya zvine fiber mukudya kwako kwezuva nezuva. Deredza kudya zvine mafuta akawanda senyama, mazai, nechizi.
- Idya mapuruni, zviyo zvebran, uye michero ine faibha yakawanda senge maranjisi, chinanazi, mastrawberry, mango, avocado, uye papaya.
- Chengeta dhayari rezvekudya uye tarisa kuti ndezvipi zvekudya zvinokonzera kuvimbiwa.
- Kurovedza muviri. Kunyangwe chimwe chinhu chiri nyore sekufamba netsoka chinogona kubatsira.
- Chenjerera kuti unogara sei muchimbuzi. Kusimudza makumbo ako zvishoma, kurerekera shure, kana kugara wakapfugama makumbo zvinogona kuita kuti zvive nyore kubvisa tsvina.
- Edza kutora mishonga yekuwedzera fiber (yakadai seMetamucil®, MiraLAX®, Citrucel®, kana Benefiber®) kubva ku pharmacy. Zvakanaka kutanga zvishoma nezvishoma paunotanga mishonga iyi.
- Kana zvichidikanwa, tora mushonga wekupfavisa tsvina kana mushonga wekusvina (wakaita seDocusate) kubva ku pharmacy. Mineral oil enemas uye mishonga yekusvina inosimudzira tsinga zvakare sarudzo. Kune mhando dzakawanda dzemishonga yekusvina. Bvunza chiremba wako kana wemishonga kuti akubatsire kusarudza yakakunakira. Usashandise mishonga yekusvina kwemavhiki anopfuura maviri usina kubvunza chiremba. Kushandisa mishonga yekusvina zvakanyanya kunogona kuwedzera zviratidzo zvako.
- Usashandise zvinhu zvakaita semapepanhau kana mafoni paunenge uchiedza kuenda kuchimbuzi.
- Usanyara kana uchinzwa kuda kuenda kuchimbuzi. Kuita izvi kunogona kuvharira chiratidzo kubva muura hwako kuenda kuuropi hwako (chichikuudza kuti ubvise tsvina).
Chenjerera nemishonga nezvimwe zvinovaka muviri.
Pamusoro pematanho ekuzvitarisira, chiremba wako achatarisawo mishonga nezvimwe zvinovaka muviri zvaunotora (kana ukatora chero chipi zvacho). Zvimwe zvacho zvinogona kukonzera kuvimbiwa. Kana zvakadaro, chiremba wako anogona kukurudzira kuti uchinje dosi, uchinje kune mumwe mushonga, kana kurega kushandisa. Usamborega kutora mishonga yako kana zvimwe zvinovaka muviri usina kutaura nachiremba wako kutanga.Mushonga wekuvhiyiwa nechiremba
Kune mhando dzakasiyana dzemishonga dzinopihwa navanachiremba kurapa kuvimbiwa:- `(Lubiprostone (Amitiza®))`
- `(Prucalopride (Prudac®, Motegrity®))`
- `(Plecanatide (Trulance®))`
- `(Lactulose (Cephulac®, Kristalose®))`
- `(Linaclotide (Linzess®))`
Kuvhiya
Kuvhiyiwa hakudiwi kakawanda kurapa kuvimbiwa. Zvisinei, kana kuvimbiwa kwako kuchikonzerwa nedambudziko remudumbu mako, chiremba wako anogona kukurudzira kuvhiyiwa. Semuenzaniso:- Kuvharika kwedumbu.
- Kuoma kwedumbu.
- Kutsemuka kwemusana.
- Kubuda kwemudumbu (rectal prolapse) zvinoreva kubuda kwechikamu chemudumbu (rectum) chichipinda munhengo yemukadzi.
Ungadzivirira sei kuvimbiwa?
Mishonga imwecheteyo inoshandiswa kumba kurapa kuvimbiwa inogona kushandiswawo kudzivirira kuti isave dambudziko risingaperi:- Idya chikafu chakakwana chakapfuma mufayibha. Michero, miriwo, nyemba, nzungu, uye chingwa chezviyo nemaseya zvakanaka. Fayibha nemvura zvinobatsira kufamba netsvina muura hwako. Michero mizhinji ine fayibha muganda rayo. Michero inogona kudyiwa nembeu (senge mastrawberry) ine fayibha yakawanda. Bran inzvimbo yakanakawo yefayibha. Idya bran cereal, kana kuwedzera bran muzvikafu zvakaita semasobho neyogati. Vanhu vane kuvimbiwa vanofanira kudya pakati pe18 ne30 magiramu efayibha pazuva. (Kana uine diverticulitis, chiremba wako anogona kukukurudzira kuti usashandise michero ine mbeu.)
- Inwa magirazi masere emvura ane maounces masere pazuva. (Cherechedza: Vamwe vanhu vanogona kuvimbiwa kana vachinwa mukaka.) Zvinwiwa zvine caffeine zvakaita sekofi, tii, nezvinwiwa zvinonwiwa zvinogona kukushaisa mvura mumuviri. Ungangoda kurega kunwa izvi kusvika tsika yako yekugezera yadzoka payakajairika.
- Rovedza muviri nguva dzose. Hazvifanirwe kunge zvakawanda, kunyangwe kungofamba-famba chete kunobatsira zvikuru.
- Chimwe chinhu chakadai semagnesium chinogona kushandiswa pakurapa kuvimbiwa. (Havasi vese vanofanira kutora magnesium. Bvunza chiremba wako usati waitora.)
- Kana uchida kuenda kuchimbuzi, ita izvozvo. Usanonoka.
Ndinofanira kuona chiremba rini?
Muchiitiko chakadaro, unofanira kuona chiremba:- Kana kuvimbiwa kuri dambudziko idzva kwauri.
- Kana ukaona ropa mutsvina yako.
- Kana ukaderedza uremu usingazvifungiri.
- Kana uchirwadziwa zvakanyanya paunenge uchienda kuchimbuzi.
- Kana kuvimbiwa kwako kukagara kwemavhiki anopfuura matatu.
- Kana uine zviratidzo zve "kusashanda zvakanaka kwekubvisa tsvina" (outlet dysfunction).
Mibvunzo ipi yaunofanira kubvunza chiremba?
Kana ukaenda kuna chiremba, unogona kubvunza mibvunzo yakaita seiyi:- Sei ndichizvimbirwa?
- Chii chandingaite/ndingaite kuti ndiwane zororo kubva pakuvimbiwa nekukasika?
- Ndeapi marapirwo aunogona kushandisa kumba?
- Chii chandinofanira kudya nekunwa kuti ndisanyanya kuvimbiwa?
- Ndingadzivirira sei kuvimbiwa?
Yeuka, taura pachena uye wakavimbika kuna chiremba wako nezvemaitiro ako echimbuzi uye chero zvinokunetsa kana mibvunzo yaungave nayo. Kuenda kuchimbuzi chinhu chatinofanira kuita tese. Kuzvimba kunogona kuva chirwere chenguva pfupi, dambudziko renguva refu, kana chiratidzo chechirwere chakakomba. Saka chenjera. Enda kuna chiremba, kunyanya kana ukaona shanduko mumaitiro ako echimbuzi, kana kana uchinzwa sekunge ura hwako huri kutonga hupenyu hwako.
Yeuka chinhu chinonyanya kukosha (Mharidzo Yekuenda Kumba)
Saka, kuvimbiwa chirwere chinokanganisa vanhu vazhinji, asi chinogona kugadziriswa kumba. Zvinhu zvikuru kunwa mvura yakawanda, kudya chikafu chine fiber yakawanda, kurovedza muviri, uye kusanonoka kuenda kuchimbuzi. Dzimwe nguva, zvinogona kukonzerwa nemishonga yatinotora kana zvimwe zvirwere. Saka, kana uine dambudziko iri rinoramba riripo, kana uine zviratidzo zvine njodzi sekubuda ropa, edza kuona chiremba wowana mazano. Hapana chekunyara nacho kana kutya, nekuti hutano hwako ndicho chinhu chakakosha!Kuzvimba, kuzvimba, tsvina yakaoma, kuoma kuenda kuchimbuzi, fiber, kugaya chikafu , hutano











💬 Comments (0)
Hapana zvakataurwa parizvino. Isa mhinduro yako pano kekutanga.
Wedzera zvaunofunga