Unonzwawo kuoma uye kurwadziwa here paunoenda kuchimbuzi? Unonzwa sekuti mudumbu mako hamuna chinhu kunyangwe mushure mekubuda tsvina here? Tsvina yako yakaoma uye yakaoma sematombo here? Izvi ndizvo zviratidzo zvikuru zvekusagadzikana zvatinoziva tese. Ichi chirwere chisingafadzi.
Kazhinji, shanduko diki mumararamiro edu dzinogona kugadzirisa dambudziko rekuvharwa kwetsinga. Semuenzaniso, kudya chikafu chine fiber yakawanda (nyemba, miriwo, michero, mupunga webrown), kunwa mvura yakakwana pazuva, uye kurovedza muviri zvinogona kuita mutsauko mukuru. Zvisinei, kana uchiri nedambudziko iri mushure mekuita zvese izvi, zvakajairika kunzwa kuda kushandisa mushonga wekusvuura sedanho rinotevera.
Ndezvipi zvinodhaka izvi zvinobvisa dumbu? Ndiani anozvida?
Zvichitaurwa zviri nyore, mishonga yekubvisa tsvina inobatsira kuti zvive nyore kubvisa tsvina kana uine kuzvimba. Inowanzo kuwanikwa pasina muripo wekutenga pa pharmacy chero ipi zvayo. Inogona kutumidzwa mazita akasiyana, akadai semishonga yekubvisa tsvina , mishonga inonyorovesa tsvina, kana mishonga yekuwedzera fiber.
Kazhinji pane mamiriro ezvinhu akati wandei apo munhu angada mushonga wekusvira:
- Kuzvimbirwa dzimwe nguva: Kune dzimwe nguva kuvimbirwa kusingavandudzike kunyangwe mushure mekuchinja mararamiro ako.
- Zvirwere zvenguva refu: Vamwe vanhu vanogona kubatwa nekuzvimba nekuda kwezvirwere zvenguva refu, zvakaita sechirwere cheCrohn kana ulcerative colitis.
- Kugadzirira bvunzo dzekurapa: Dzimwe nguva, bvunzo dzemudumbu dzisati dzaitwa, dzakadai se endoscopy kana colonoscopy, mishonga yekurara inopiwa kuti ichenese ura zvachose (kubvisa ura).
Asi yeuka, mishonga yekurara haikodzeri munhu wese ane kuvimbiwa. Kana uri amai vane pamuviri, usamboishandisa usina kubvunza chiremba wako. Zvakare, usape vana vadiki mishonga yekurara isina kukurudzirwa nachiremba wevana. Kana uri kutora mushonga wechimwe chirwere, iva nechokwadi chekutaura nachiremba wako usati waishandisa, sezvo mimwe mishonga yekurara inogona kukanganisa mishonga iyoyo.
Mhando dzemishonga yekurara uye mashandiro ayo
Mishonga inokweva inokanganisa kugaya kwedu nenzira dzakasiyana uye inoita kuti zvive nyore kubvisa tsvina. Dzimwe mhando dzinotora mvura kubva mutsvina, dzichiipfavisa. Dzimwe dzinokurudzira tsandanyama dziri muura uye dzinobatsira kusundira tsvina pasi. Ngatitarisei mhando huru dzemishonga inokweva.
| Rudzi rwekukwesha | Mashandiro azvinoita | Mienzaniso |
|---|---|---|
| Mishonga yeLaxatives (yekuwedzera fiber) (Rudzi runowedzera saizi yemaruva) | Izvi zvinowedzera fiber inonyunguduka patsvina, zvichiburitsa mvura mumuviri, zvichiita kuti ive yakakura uye yakapfava. Tsvina painokura, ura hunotanga kukurudzirwa uye hunobatsira kubuda tsvina. Idzi ndidzo mhando dzakapfava zvikuru. | Psyllium (Metamucil®), Methylcellulose (Citrucel®), Fybogel, Polycarbophil (FiberCon®) |
| Mishonga yeOsmotic Laxatives (Rudzi runodhonza mvura muura) | Mvura inotorwa kubva kune dzimwe nhengo dzemuviri yoendeswa kuura. Mvura iyi inoungana inonyorovesa tsvina uye inoita kuti zvive nyore kupfuura. | Polyethylene glycol (MiraLAX®), Magnesium hydroxide (Phillips'® Mukaka weMagnesia), Glycerin |
| Zvinonyorovesa Chitsiko (Rudzi rwechinhu chinopfavisa chitsiko) | Izvi zvinowedzera huwandu hwemvura nemafuta zvinonyudzwa netsvina, zvichiita kuti zvipfave. | Docusate (Colace®) |
| Mafuta eLaxative (Rudzi rwemafuta anozorwa) | Izvi zvinoshanda sejira riri mukati meura hukuru, zvichiita kuti pave nekutsvedza. Nekuda kweizvozvo, muviri unotora mvura shoma mutsvina, zvichiita kuti tsvina ive nyoro. | Mafuta emineral |
| Mishonga Inosimudzira Kugwinya (Rudzi runomutsa ura) | Zvinokurudzira tsinga dzinodzora tsandanyama dzemuura, zvichikonzera kufamba-famba kwemudumbu (peristalsis) uye zvinosundira tsvina pasi. Izvi zvinokurudzirwa kana dzimwe mhando dzisingashande. | Bisacodyl (Dulcolax®), Senna |
Mishonga yekukwesha inokurudzirwa nachiremba
Kana mishonga yekurara inotengeswa kunze kwemutero isingabatsire kuvimbiwa kwenguva refu, chiremba wako anogona kukupa mushonga wakakosha. Izvi zvinonyanya kukosha kune vanhu vane zvirwere zvakaita seIBS (Irritable Bowel Syndrome) kana avo vane kuvimbiwa nekuda kwekushandisa mishonga inoderedza marwadzo (opioids). Mishonga yakaita seLactulose (Duphalac®), Linaclotide (Linzess®), uye Lubiprostone (Amitiza®) inowira muchikamu ichi.
Nzira yekushandisa sei mushonga wekurara zvakanaka?
Kuti uwane zvakawanda kubva pamushonga wekusvukisa dumbu uye kuderedza migumisiro yakaipa, zvakakosha kuverenga zviri mupakeji yacho nokungwarira woishandisa sezvakarairwa. Usambofa wakatora zvinopfuura mwero unokurudzirwa nekuti unoda kunzwa zviri nani nekukurumidza. Kuita izvi kunogona kuva nemigumisiro ine njodzi.
Mishonga yekurara inouya nenzira dzakasiyana:
- Mapiritsi: Mapiritsi kana makapisi anomedzwa nemuromo.
- Upfu: Upfu hunonyungudutswa mumvura kana chimwe chinhu chinonwiwa uye hunonwiwa.
- Zvinwiwa/Masipure: Mishonga yemvura inogona kuyerwa uye kunwiwa.
- Masuppositories: Makapisi madiki, anonyungudika emushonga anoiswa mudunzva.
- Enemas: Machubhu madiki anopinza mvura murectum.
Mishonga inoiswa mudumbu, inowanzoiswa mudumbu, inopa zororo nekukurumidza mukati memaminitsi kana maawa. Zvisinei, inewo njodzi huru yemigumisiro yakadai sekurwadziwa mudumbu uye manyoka. Mhando dzisina kusimba dzakadai sedzinoumba bulky dzinogona kutora mazuva mashoma kuti dzishande, asi dzine migumisiro mishoma.
Ngatiziveiwo nezvemigumisiro nenjodzi.
Kushandisa mishonga yekuyamwisa zvisizvo kana kwenguva yakareba kunogona kukonzera matambudziko akasiyana-siyana.
- Kushaya mvura mumuviri: Kana uchishandisa zvinhu zvinotora mvura mumuviri, kana ukasanwa mvura yakakwana panguva imwe chete, muviri wako unogona kushaya mvura mumuviri.
- Kusawirirana kwema electrolyte: Kuenzana kwemunyu nemvura mumuviri kunogona kukanganiswa.
- Kuzvimba kwenguva refu: Zvinoshamisa kuti kuramba uchishandisa mishonga inomutsa kurara kunogona kunetesa tsandanyama dzemudumbu, zvichiita kuti zvisaita kuti munhu abude mudumbu asina mushonga.
- Kudzivirira chirwere chiri pachena:Mishonga yekukwesha inongopa zororo kwenguva pfupi kubva pachiratidzo chekukwesha. Hairapi chikonzero chacho. Kukwesha kwako kunogona kunge kwakakonzerwa nechirwere chakakomba. Kushandisa mishonga yekukwesha kunogona kunonotsa kuongororwa kwechirwere ichocho.
Saka, kana uchigara uchizvimba uye mushonga waunotenga ku pharmacy usingakubatsiri, unofanira kuona chiremba nekukurumidza kuti uzive chikonzero chacho. Kana uchinzwa kurwadziwa kwakanyanya mudumbu kana manyoka akanyanya, enda kuchipatara chiri pedyo (EMEU) nekukurumidza.
Mharidzo Yekuenda Nayo Kumba
- Danho rekutanga rekuedza kubvisa kuvimbiwa harisi rekuyedza mishonga yekurara, asi kuchinja mararamiro akadai sekudya chikafu chine fiber yakawanda, kunwa mvura yakawanda, uye kurovedza muviri.
- Mishonga yekukwesha ndeyekushandisa kwenguva pfupi. Kuishandisa kwenguva refu kunogona kuwedzera dambudziko racho.
- Usati washandisa mushonga wekusunungura bvudzi, verenga mirairo iri mairi nokungwarira woitevedzera. Usapfuure mwero unokurudzirwa.
- Usambofa wakapa vana mishonga yekugezesa pamuviri usina kupiwa zano nachiremba wevana. Madzimai ane pamuviri neanoyamwisa vanofanirawo kutsvaga mazano kuna chiremba.
- Kana kuvimbiwa kwako kukaramba kuripo kana kuchiitika kakawanda, usanyara nazvo, uye enda kuna chiremba nekukurumidza kuti uwane chikonzero chaicho uye kurapwa.
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