Sonke siyazi ukuthi kubuhlungu kangakanani ukuqunjelwa usuku olulodwa noma ezimbili. Kodwa cabanga ukuthi kuzokwenzekani uma lesi simo siqhubeka izinyanga? Yilokho esikubiza ngokuthi "Ukuqunjelwa Okungapheli". Lokhu kuyacasula ngempela futhi kungaphazamisa imisebenzi yansuku zonke. Ngakho-ke namuhla, ake sixoxe ngalokho okungenziwa ngalokhu kuqunjelwa okuqhubekayo.
Ngaphambi kokuthatha imithi, ingabe kufanele sizame lezi zinto kuqala?
Uma uya kudokotela, ngeke akunike imithi ngokushesha kodwa uzokutshela kuqala ukuthi wenze izinguquko ezithile emikhubeni yakho yansuku zonke. Ngoba ngokuvamile lezi zinguquko ezilula zingaxazulula le nkinga.
- Yidla ukudla okune- fiber eningi: Kalula nje, engeza imifino eminingi, izithelo , ubhontshisi, kanye nokusanhlamvu okuphelele ekudleni kwakho. Imifino eluhlaza enamaqabunga njengespinashi, i-kale, kanye nemifino eluhlaza ye-collard, izithelo ezifana ne-papaya, ubhanana, kanye ne-mango, i-oats, kanye nobhontshisi konke kuyizinketho ezinhle. Kubalulekile futhi ukunciphisa ukudla okune-fiber ephansi, njengobisi nenyama.
- Phuza amanzi amaningi: Amanzi abalulekile ukuze uhlelo lwethu lokugaya ukudla lusebenze kahle. Ukuze kube lula ukuhamba kwamathumbu, umzimba udinga ukuba namanzi anele. Zijwayeze ukuphuza okungenani amalitha angu-2-3 amanzi ngosuku.
- Ukuzivocavoca: Uma uzivocavoca, imisipha yakho yamathumbu iyaba matasa, okusiza indle yakho ukuthi ihambe kalula emathunjini akho. Uma udokotela wakho ekuvumela, zama ukwenza izivivinyo ezilula njengokuhamba izinsuku ezimbalwa ngesonto.
- Ungakuhlehlisi ukuya endlini yangasese: Abanye abantu, kungaba semsebenzini noma ngaphandle, bayanqikaza ukuya endlini yangasese, kungaba ngenxa yokudinwa noma ngesizathu esithile. Lona umkhuba omubi kakhulu. Yiya endlini yangasese ngokushesha nje lapho uzizwa unesidingo. Futhi, ungasheshi, zinike isikhathi sakho bese usenza.
Ngokuvamile, lezi zinguquko zodwa zingaba yisisombululo esihle senkinga yakho. Kodwa uma kungenjalo, ungadinga ukwelashwa okwengeziwe. Uhlobo lokwelashwa luzoncika embangweni wokungazali kwakho.
Kuyini Ukuqeqeshwa Kwemisipha Ye-Pelvic?
Ngezinye izikhathi ukuqunjelwa kubangelwa imisipha ye-pelvic ekusiza ukuthi uphume indle. Empeleni, le misipha kufanele iphumule uma uphuma indle. Kodwa kwabanye abantu, le misipha iyaqina. Lokhu kungaqeqeshwa kabusha ngosizo lochwepheshe bezokwelapha ngokomzimba. Lokhu kuqeqeshwa kubizwa ngokuthi "i-biofeedback." Lapha, udokotela wezokwelapha ngokomzimba ufaka ithubhu elincane elibizwa ngokuthi i-catheter e-rectum yakho. Lilinganisa ukuqina kwemisipha yakho. Njengoba uzivocavoca, umshini ukukhombisa ukuthi imisipha yakho iqinile noma ikhululekile. Lokhu kungakusiza ufunde ukuthi ungayiphumuza kanjani imisipha yakho uma uphuma indle.
Izixazululo ezivela emithini
Uma izinguquko zendlela yokuphila zingasizi, udokotela wakho angase akunike imithi. Kunezinhlobo eziningana zemithi. Uma ukuqunjelwa kwakho kubangelwa yi-irritable bowel syndrome (IBS) noma ukuqunjelwa okungamahlalakhona, udokotela wakho angase akunike imithi efana ne-lubiprostone (Amitiza). Lokhu kusebenza ngokwenza amathumbu akho akhiqize uketshezi olwengeziwe. Bese:
- Ubuhlungu besisu buyancipha.
- Abafileyo baba mnene.
- Ukucindezela ngesikhathi sokuhamba kwamathumbu kuyancipha
- Inani lezikhathi oya ngazo endlini yokugezela liyakhula.
Imithi efana ne-`linaclotide (Linzess)` kanye ne-`plecanatide (Trulance)` nayo isetshenziswa ezimweni ezinjalo. Ngaphezu kwalokho, kuye ngokuthi imbangela ikuphi, udokotela angase asikisele eminye imithi. Isibonelo:
- `Misoprostol (Cytotec)`: Lokhu kuvuselela amathumbu. Lo muthi awufanele abesifazane abakhulelwe.
- `I-Colchicine/i-probenecid (i-Col-Probenecid): Yandisa ukuvama kokuhamba kwamathumbu. Lokhu akukhuthazwa kubantu abanesifo sezinso.
- `I-OnabotulinumtoxinA ( Botox )`: Lokhu kuthambisa isikhumba futhi kunciphisa ubuhlungu.
Izinhlobo ze-Laxatives
Ungazama futhi imithi yokulahla udoti (
imithi yokulahla udoti ). Kodwa lokhu kufanele kusetshenziswe
isikhathi esifushane kuphela futhi kuphela ngaphansi kweseluleko sikadokotela. Izinhlobo ezahlukene zemithi yokulahla udoti zisebenza ngezindlela ezahlukene. Ake sibheke ukuthi ziyini.
| Uhlobo lwe-laxative | Indlela esebenza ngayo kanye nezibonelo |
|---|
| Izithasiselo ze-Fiber | Lokhu kuyanezela esitulweni futhi kwandise ubukhulu baso, okwenza kube lula ukudlula. Isibonelo: i-Psyllium (Metamucil), i-Methylcellulose (Citrucel), i-Calcium polycarbophil (FiberCon). |
| Izithambisi Zendle | Zikhipha amanzi emathunjini bese ziwafaka esitofini ukuze ziwuthambise. Lokhu kuzovimbela indle ukuthi ingabi lukhuni njengetshe. Isibonelo: i-Docusate sodium (Colace), i-Docusate calcium (Surfak). |
| Izinto zokugcoba | Lokhu kwakha ungqimba oluvikelayo oluzungeze ubomvu, oluvimbela ukuthi lungalahlekelwa ukugeleza kwalo futhi lusize ukuthi luphume kalula. Uwoyela wamaminerali ungomunye walowo mkhiqizo. |
| Ama-Osmotics | Lokhu kusiza ukugcina amanzi esitulweni. Lokhu kugcina isitulo sithambile. Kodwa-ke, abantu abanesifo senhliziyo noma sezinso kufanele baqaphele kakhulu lapho besebenzisa lokhu. Isibonelo: i-Magnesium hydroxide (Ubisi lwe-Magnesia), i-Lactulose (Kristalose), i-Polyethylene glycol (Miralax). |
| Izikhuthazi | Lokhu kusiza ekufinyezeni amathumbu nokusunduza indle phambili. Odokotela bavame ukuncoma lokhu uma ezinye izindlela zokwelapha zehlulekile. Isibonelo: iBisacodyl (Dulcolax), iSenna (Senokot). |
Khumbula, lezi zinhlobo zemithi yokuhlanza umzimba azinconywa ukusetshenziswa isikhathi eside ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungabangela ukuthi umzimba wakho ulahlekelwe amandla awo okukhipha indle ngendlela evamile.
Kunini lapho kudingeka khona ukuhlinzwa?
Uma zonke ezinye izindlela zokwelapha zingakusizi ukuqunjelwa kwakho, ukuhlinzwa kungaba yindlela yokugcina. Kodwa lokhu akuyona into wonke umuntu angayenza. Kuye ngokuthi yini ebangela inkinga yakho. Isibonelo, uma unesivalo esiswini sakho, ukuqunjelwa kwe-rectal, noma ukuqhekeka kwe-anal, ukuhlinzwa kungayilungisa. Futhi, uma ingxenye yekholoni yakho ingasebenzi kahle futhi ibangela ukuqunjelwa kwakho, ukuhlinzwa kungasusa leyo ngxenye. Lokhu kuvame ukwenziwa kaningi. Ngakho udokotela wakho kuphela ozokwazi ngokuqinisekile.
Umlayezo Wokuya Nawe Ekhaya
- Ukuqunjelwa okungapheli akuyona into okufanele inganakwa. Kubaluleke kakhulu ukuthola imbangela ethile.
- Ngaphambi kokuqala imithi, zama izinto ezilula njengokufaka i-fiber ekudleni kwakho, ukuphuza amanzi amaningi, nokuzivocavoca umzimba.
- Uma usebenzisa imithi yokuhlanza isisu, yenza lokho kuphela ngaphansi kweseluleko sikadokotela futhi isikhathi esifushane. Ukusebenzisa okuqhubekayo kungabangela ezinye izinkinga.
- Uma kungekho kulezi zinto ezisebenzayo, ungesabi noma ube namahloni okukhuluma nodokotela wakho ngakho. Uzosikisela ukwelashwa okufanele kakhulu kuwe.
Ukuqunjelwa, ukuqunjelwa okungapheli, ukwelashwa kokuqunjelwa isinhala, umuthi wokuqunjelwa, ukuqunjelwa,
ukuqunjelwa ( i-laxative ) isinhala, izimbangela zokuqunjelwa
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