Ngaba nawe ufumana ubunzima nentlungu xa usiya kwindlu yangasese? Ngaba uziva ngathi isisu sakho asikapheli kwaphela nokuba sele uphumile? Ngaba indle yakho yomile kwaye iqinile njengamatye? Ezi zezona mpawu ziphambili zokuqhinwa esizaziyo sonke. Esi sisifo esingathandekiyo ngokwenene.
Amaxesha amaninzi, utshintsho oluncinci kwindlela esiphila ngayo lunokusombulula ingxaki yokuqunjelwa. Umzekelo, ukutya ukutya okuninzi okunefayibha eninzi (iimbotyi, imifuno, iziqhamo, irayisi emdaka), ukusela amanzi aneleyo ngosuku, kunye nokuzilolonga kunokwenza umahluko omkhulu. Nangona kunjalo, ukuba usenale ngxaki emva kokwenza konke oku, kuyinto eqhelekileyo ukuziva ufuna ukusebenzisa i-laxative njengenyathelo elilandelayo.
Zithini ezi pilisi zokuhambisa isisu? Ngubani ozifunayo?
Ngamafutshane, amayeza okuhambisa isisu ngamayeza anceda ekwenzeni kube lula ukuphuma kwendle xa uqunjelwe. Ahlala efumaneka ngaphandle kwekhawuntara nakweyiphi na ikhemesti. Angabizwa ngamagama ahlukeneyo, njengemithi yokuhambisa isisu , izinto ezithambisa isisu, okanye izongezo zefayibha.
Ngokubanzi kukho iimeko ezininzi apho umntu angadinga khona i-laxative:
- Ukuqunjelwa ngamanye amaxesha: Ukuqunjelwa ngamanye amaxesha okungaphucukiyo nokuba sele wenze utshintsho kwindlela ophila ngayo.
- Iimeko zonyango ezingapheliyo: Abanye abantu banokuba nokuqhinwa ngenxa yeemeko zempilo ezihlala ixesha elide, ezifana nesifo sikaCrohn okanye i-ulcerative colitis.
- Ukulungiselela uvavanyo lwezonyango: Ngamanye amaxesha, ngaphambi kovavanyo olubandakanya amathumbu, olufana ne-endoscopy okanye i-colonoscopy, kunikwa amayeza okuhlamba amathumbu ukuze kuhlanjululwe amathumbu ngokupheleleyo (ukucoca amathumbu).
Kodwa khumbula, amayeza okulahla isisu awafanelekanga kubo bonke abantu abanesifo sokuqhinwa. Ukuba ungumama okhulelweyo, ungaze uwasebenzise ngaphandle kokubonisana nogqirha wakho. Kwakhona, musa ukunika abantwana abancinci amayeza okulahla isisu ngaphandle kwengcebiso kagqirha wabantwana. Ukuba usela amayeza esifo esithile, qiniseka ukuba uthetha nogqirha wakho ngaphambi kokuba uwasebenzise, kuba amanye amayeza okulahla isisu anokuchaphazela loo mayeza.
Iintlobo zemithi yokulahla isisu kunye nendlela ezisebenza ngayo
Iilaxatives zichaphazela inkqubo yethu yokugaya ukutya ngeendlela ezahlukeneyo kwaye zenza kube lula ukukhupha indle. Ezinye iintlobo zifunxa amanzi kwindle, ziyenze ithambe. Ezinye zivuselela izihlunu zamathumbu kwaye zincede ekutyhaleni indle ezantsi. Makhe sijonge iintlobo eziphambili ze-laxatives.
| Uhlobo lwe-laxative | Ingaba isebenza kanjani | Imizekelo |
|---|---|---|
| IiLaxatives ezenza ubuninzi (izongezo zefayibha) (Uhlobo olukhulisa ubungakanani beentyatyambo) | Ezi zongeza i-fiber enyibilikayo kwi-stool, zitsala amanzi emzimbeni, ziyenza ibe nkulu kwaye ithambile. Njengoko i-stool iba nkulu, amathumbu ayavuseleleka kwaye ancede ekudluleni kwe-stool. Ezi zezona zithambileyo. | I-Psyllium (Metamucil®), iMethylcellulose (Citrucel®), iFybogel, iPolycarbophil (FiberCon®) |
| Ii-Osmotic Laxatives (Uhlobo olutsala amanzi emathunjini) | Amanzi atsalwa kwezinye iindawo zomzimba aze aqondiswe kumathumbu amakhulu. La manzi aqokelelweyo athambisa isitulo aze enze kube lula ukudlula. | I-Polyethylene glycol (MiraLAX®), iMagnesium hydroxide (Phillips'® Milk of Magnesia), iGlycerin |
| Izithambisi-mafutha zeSitulo (Uhlobo lwesithambisi sendle) | Ezi zinto zonyusa ubuninzi bamanzi namafutha afunxwa sisitulo, zisenza sithambe. | I-Docusate (iColace®) |
| Izinto zokuthambisa ezithambisayo (Uhlobo lwesithambisi) | Ezi zisebenza njengengubo engaphakathi kwamathumbu amakhulu, zibangela ukuziva utyibilika. Ngenxa yoko, umzimba ufunxa amanzi amancinci kwi-tunnel, nto leyo eyenza i-tunnel ithambe. | Ioyile yeminerali |
| IiLaxatives ezivuselelayo (Uhlobo oluvuselela amathumbu) | Zivuselela imithambo-luvo elawula izihlunu zamathumbu amakhulu, zibangele iintshukumo zamathumbu (i-peristalsis) kwaye zityhale isitulo phantsi. Ezi ziyacetyiswa xa ezinye iintlobo zingasebenzi. | IBisacodyl (Dulcolax®), iSenna |
Iilaxatives ezicetyiswa ngugqirha
Ukuba amayeza okuhlamba athengiswa ngaphandle kwemvume kagqirha awakuncedi ekuqhineni kwakho okungapheliyo, ugqirha wakho unokukunika amayeza akhethekileyo. Oku kubaluleke kakhulu kubantu abaneengxaki ezifana ne-IBS (Irritable Bowel Syndrome) okanye abo baqhinile ngenxa yokusebenzisa amayeza okudambisa iintlungu (ii-opioid). Amayeza afana neLactulose (Duphalac®), iLinaclotide (Linzess®), kunye neLubiprostone (Amitiza®) awela kolu didi.
Indlela yokusebenzisa i-laxative ngokuchanekileyo?
Ukuze ufumane okuninzi kwi-laxative kunye nokunciphisa iziphumo ebezingalindelekanga, kubalulekile ukufunda iphakheji ngononophelo kwaye uyisebenzise njengoko kuyalelwe. Ungaze uthathe ngaphezu kwedosi ecetyiswayo kuba nje ufuna ukuziva ungcono ngokukhawuleza. Ukwenza njalo kunokuba nemiphumo eyingozi.
Iilaxatives ziza ngeendlela ezahlukeneyo:
- Iipilisi: Iipilisi okanye iikhaphu eziginywa ngomlomo.
- Iipowders: Iipowders ezinyibilikiswa emanzini okanye kolunye ulwelo kwaye zisele.
- Ulwelo/Iisiraphu: Amayeza olulwelo anokulinganiswa aze asele.
- Iisuppositories: Iikhaphu ezincinci, ezinyibilikayo zamayeza ezifakwa kwi-rectum.
- I-Enemas: Iityhubhu ezincinci ezifaka ulwelo kwi-rectum.
Iisuppositories kunye nee-enemas, ezihlala zifakwa kwi-rectum, zibonelela ngoncedo olukhawulezileyo kwimizuzu okanye iiyure. Nangona kunjalo, zikwanomngcipheko ophezulu weziphumo ebezingalindelekanga ezifana nokuphazamiseka kwesisu kunye norhudo. Iintlobo ezithambileyo ezifana nezo zenza ubuninzi zingathatha iintsuku ezimbalwa ukusebenza, kodwa zineziphumo ebezingalindelekanga ezimbalwa.
Masiqaphele nemiphumo emibi kunye neengozi.
Ukusebenzisa amayeza okuhambisa isisu ngendlela engafanelekanga okanye ixesha elide kunokubangela iingxaki ezahlukeneyo.
- Ukuphelelwa ngamanzi emzimbeni: Xa usebenzisa iimveliso ezitsala amanzi emzimbeni, ukuba awuseli manzi aneleyo ngaxeshanye, umzimba wakho usenokuphelelwa ngamanzi emzimbeni.
- Ukungalingani kwe-electrolyte: Ukulinganisela kwetyuwa namanzi emzimbeni kunokuphazamiseka.
- Ukuqhinwa okungapheliyo: Okumangalisayo kukuba, ukuqhubeka nokusebenzisa amayeza okuhambisa isisu avuselelayo kunokwenza buthathaka izihlunu zamathumbu, nto leyo eyenza kube nzima ukuhamba ngamathumbu ngaphandle kwamayeza.
- Ukuphepha isifo esifihlakeleyo:Iilaxatives zinika isiqabu sexeshana kwiimpawu zokuqhina. Azinyangi unobangela oyintloko. Ukuqhina kwakho kusenokubangelwa yimeko embi yempilo. Ukusebenzisa amayeza okukhupha isisu kunokulibazisa ukuxilongwa kwaloo meko.
Ngoko ke, ukuba uhlala uqunjelwa kwaye amayeza owathengayo kwikhemesti akancedi, ngokuqinisekileyo kuya kufuneka ubone ugqirha ngokukhawuleza ukuze ufumane unobangela. Ukuba ufumana iintlungu eziqatha zesisu okanye urhudo oluqatha, yiya kwicandelo likaxakeka lesibhedlele esikufutshane (ETU) ngokukhawuleza.
Umyalezo Wokuya Ekhaya
- Inyathelo lokuqala lokuzama ukuqhina kwesisu asikokuzama amayeza okuhlamba isisu, kodwa kukutshintsha indlela yokuphila njengokutya ukutya okunefayibha eninzi, ukusela amanzi amaninzi, kunye nokuzilolonga.
- Iilaxatives zezokusetyenziswa ixesha elifutshane. Ukusetyenziswa ixesha elide kunokuyenza ingxaki ibe mandundu.
- Ngaphambi kokusebenzisa nayiphi na i-laxative, funda imiyalelo eza nayo ngononophelo kwaye uyilandele. Musa ukudlula idosi ecetyiswayo.
- Ungaze unike abantwana amayeza okuhambisa isisu ngaphandle kwengcebiso kagqirha wabantwana. Oomama abakhulelweyo nabancancisayo nabo kufuneka bafune iingcebiso zonyango.
- Ukuba ukuqhina kwakho kuyaqhubeka okanye kwenzeka rhoqo, musa ukuba neentloni ngaloo nto, kwaye bonana nogqirha ngokukhawuleza ukuze ufumane unobangela ochanekileyo kunye nonyango.
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