Ukungakwazi ukuya endlini yangasese kahle, ukuba nendle eqinile neyomile, ukuzwa umuzwa osindayo esiswini... Lezi yizinto ezicasulayo kakhulu, akunjalo? Iningi lethu lihlushwa yilesi simo esibizwa ngokuthi ukuqunjelwa ngezikhathi ezithile. Esikhathini esiningi, sicabanga ngemithi yokuhlanza engathengwa ekhemisi njengesixazululo. Sibiza lokhu ngokuthi 'imithi yokuhlanza'. Kodwa kubaluleke kakhulu ukuqaphela lokhu ngaphambi kokusebenzisa lokhu.
Ake siqale sibone, ziyini lezi zidakamizwa zokudambisa ukuvuvukala?
Kalula nje, imithi yokuhlanza isisu iwuhlobo lomuthi olusiza ekwenzeni kube lula ukukhipha indle uma uqunjelwe. Ngokuvamile, lesi simo singagwenywa ngokwenza izinguquko ezincane endleleni yethu yokuphila.
- Ukudla ukudla okuningi okune-fiber ephezulu (isibonelo, ubhontshisi, imifino, izithelo, kanye nelayisi elinsundu).
- Ukuphuza amanzi anele nsuku zonke.
- Ukuzivocavoca umzimba .
- Ngezinye izikhathi ukudla izinto ezifana neyogathi equkethe ama-probiotic .
Kodwa-ke, uma uke wazama lezi zinto futhi ukuqunjelwa kwakho kungakapheli, kuyinto evamile ukuzizwa sengathi usebenzisa umuthi wokuhlanza isisu. Lezi zitholakala ngaphandle kwemithi ekhemisi, ezitolo ezinkulu kanye naku-inthanethi. Zingabizwa ngamagama ahlukene, njenge- 'laxatives ', 'softeners stool' noma 'fiber supplements'.
Ubani Odinga Ngempela Ama-Laxative?
Ama-laxative akuyona into wonke umuntu okudingeka ayithathe ngaso sonke isikhathi. Kunezimo ezithile ezikhethekile lapho angadingeka khona.
- Uma uqunjelwa ngezinye izikhathi lokho akuthuthuki naphezu kwezinguquko zendlela yokuphila ezishiwo ngenhla.
- Uma unesifo esingamahlalakhona esibangela ukuqunjelwa, njengesifo sikaCrohn noma i-ulcerative colitis .
- Uma kudingeka ukuhlanza ngokuphelele ikholoni ngaphambi kokuhlolwa okuthile kwezokwelapha (isibonelo , ikholoni) .
Kodwa khumbula, imithi yokulahla isisu ayiphephile kuwo wonke umuntu. Uma ukhulelwe, ungayithathi ngaphandle kokubonisana nodokotela wakho kuqala . Futhi, ungalokothi unike ingane encane imithi yokulahla isisu ngaphandle kwesincomo sikadokotela . Uma uthatha imithi yesinye isimo, eminye imithi yokulahla isisu ingase ihlangane nalowo muthi. Ngakho-ke, kungcono ukukhuluma nodokotela wakho ngaphambi kokuthatha imithi yokulahla isisu.
Lezi zilaxative zisebenza kanjani?
Kunezinhlobo eziningana zemithi yokuhlanza isisu, ngayinye esebenza ngendlela ehlukile, kodwa ngokuyisisekelo yenza kube lula ukukhipha indle ngokwenza izinguquko ohlelweni lwethu lokugaya ukudla.
- Ezinye izinhlobo zidonsa amanzi ezindlini zethu, ziwathambise ukuze adluliseke kalula.
- Ezinye izinhlobo zivuselela imisipha emathunjini ethu, zisize ekukhipheni indle.
- Ezinye izinhlobo zisebenzisa zombili izindlela.
Izinhlobo ze-Laxatives kanye nezibonelo zazo
Kunezinhlobo eziningana zemithi yokuhlanza umzimba ongazithenga ngaphandle kwemithi kadokotela. Kodwa-ke, ukusetshenziswa kwalokhu isikhathi eside kungabangela imiphumela emibi futhi kungenza ukuqunjelwa kube kubi kakhulu. Ngakho-ke, lokhu kufanele kusetshenziswe kuphela ekuqunjweni ngezikhathi ezithile.
| Uhlobo lwe-laxative | Indlela esebenza ngayo | Izibonelo emakethe |
|---|---|---|
| Izithambisi-mzimba ezakha ubuningi ( izithasiselo zefayibha) | Lokhu kwengeza i-fibre encibilikayo esitulweni, kwandisa ubukhulu baso. Lokhu kudonsela amanzi futhi kuthambise isitulo. Lolu uhlobo oluthambile kakhulu. | I-Fybogel, i-Psyllium (Metamucil®), i-Methylcellulose (Citrucel®) |
| Imithi yokuhlanza i- osmotic | Idonsa amanzi kwezinye izingxenye zomzimba bese iwaqondisa emathunjini amakhulu, okuthambisa indle futhi kwenze kube lula ukudlula. | I-Magnesium hydroxide (Ubisi lwe-Magnesia), i-Polyethylene glycol (MiraLAX®), ama-suppository e-Glycerin |
| Isithambisi sendle ( i-laxative ) | Kwandisa inani lamanzi namafutha angena esitulweni, okwenza sithambe. | I-Docusate (i-Colace®) |
| Isithambisi ( Isithambisi ) | Lokhu kusebenza njengesimbozo ngaphakathi kwamathumbu amakhulu, okuvimbela umzimba ekumunceni amanzi esitulweni futhi kudaleke indlela eshelelayo. | Uwoyela wamaminerali |
| Isikhuthazi ( isiqeda ukuvuvukala) | Zivuselela imizwa elawula imisipha yamathumbu amakhulu, okubangela ukuthi isunduze indle. Lezi zinongwe kancane. | I-Bisacodyl (Dulcolax®), i-Senna |
Ama-laxative atholakala kuphela ngomuthi kadokotela
Uma unesifo sokuqunjelwa okungapheli, njenge- irritable bowel syndrome (IBS) , noma ukuqunjelwa okubangelwa yimithi ethile yokudambisa izinhlungu (ama-opioid) , udokotela wakho angase akunike uhlobo olukhethekile lwemithi yokudambisa izinhlungu. Izibonelo zifaka phakathi (i-Lactulose), (i-Linaclotide), kanye (i-Lubiprostone) . Ungalokothi usebenzise lokhu ngaphandle kweseluleko sikadokotela.
Ungayisebenzisa kanjani imithi yokuhlanza ngendlela efanele?
Ukuze uthole okuningi ngomuthi wokuhlambulula isisu nokunciphisa imiphumela emibi, kubalulekile ukuwusebenzisa ngendlela efanele .
Into ebaluleke kakhulu ukufunda imiyalelo esephaketheni lemithi ngokucophelela. Noma uyisebenzise njengoba nje udokotela wakho ekutshelile. Ungalokothi uthathe umthamo ongaphezu konconywayo ngethemba lokuthola imiphumela esheshayo. Ukwenza kanjalo kungaholela ekweqiseni ngokweqile okuyingozi.
Ama-laxatives afika ngezindlela ezahlukene:
- Amaphilisi: Amaphilisi noma ama-capsule agwinywa ngomlomo.
- Izimpushana: Izimpushana ezincibilikiswa emanzini noma kolunye uketshezi bese ziphuzwa.
- Uketshezi noma amasiraphu: Uketshezi olungalinganiswa futhi luphuzwe.
- Ama-suppositories: Ama-capsule amancane, ancibilikayo afakwa e-rectum.
- Ama-enema: Amabhodlela amancane acindezelayo afaka uketshezi e-rectum.
Kuthatha isikhathi esingakanani ukuthi umuthi wokuhlanza isisu usebenze?
Kuyahlukahluka kuye ngohlobo olusebenzisayo. Isibonelo, ama-enemas nama-suppositories kungathatha imizuzu embalwa noma amahora ambalwa.Kunikeza imiphumela, kodwa kungenzeka kakhulu ukuthi kubangele imiphumela emibi njengobuhlungu besisu kanye nesifo sohudo.
Izinhlobo ezithambile njengokwakheka kwenqwaba zingathatha usuku noma ezimbili ukusebenza, kodwa zinemiphumela emibi embalwa kakhulu.
Ake sazi futhi ngemiphumela emibi kanye nezingozi.
Imiphumela eminingi emibi ingagwenywa ngokulandela imiyalelo ngqo.
Imiphumela emibi evamile:
- Ukugcwalisa isisu nokukhipha umoya.
- Isisu esibuhlungu.
- Ukuzizwa sengathi uhlanza.
- Ukuphelelwa amanzi emzimbeni: Lokhu kuyingozi uma usebenzisa imithi yokuhlanza (eyakha ubuningi, i-osmotic) ekhipha amanzi emzimbeni. Yingakho imiyalelo ikhuluma ngokuqondile ngokuthi "phuza amanzi amaningi."
Izimo ezimbi kakhulu ezingase zenzeke ngenxa yokusetshenziswa okungalungile:
Ama-laxative angabangela izinkinga ezinkulu uma esetshenziswa isikhathi eside noma ngemithamo ephezulu. Ezimweni ezinjalo, kufanele ufune iseluleko sezokwelapha, futhi kungadingeka ukuthi uye e -ETU (Emergency Treatment Unit) .
- Ukungalingani kwama-electrolyte: Ukungalingani kwenani likasawoti namanzi emzimbeni.
- Ukuqunjelwa okungapheli: Uma kusetshenziswa imithi yokuhlanza evuselelayo isikhathi eside, imisipha yamathumbu iba buthakathaka, okwenza kube nzima ukunyakaza kwamathumbu ngaphandle kwemithi.
- Ukuvaleka kwamathumbu.
- Uhudo olubi kakhulu.
Enye yezingqinamba ezinkulu zemithi yokuhlanza isisu ukuthi ifihla isimo esiyisisekelo esibangela ukuqunjelwa kwakho. Imithi yokuhlanza isisu yelapha izimpawu okwesikhashana kuphela, hhayi imbangela. Ngakho-ke uma uqunjelwa njalo, kubalulekile ukubona udokotela ukuze uthole imbangela yangempela kunokuthembela emithini yokuhlanza isisu.
Kunini lapho udinga ukubonana nodokotela?
Qiniseka ukuthi ufuna iseluleko sezokwelapha ezimweni ezilandelayo:
- Uma ukuqunjelwa kungathuthuki naphezu kokushintsha kwendlela yokuphila.
- Uma usebenzisa umuthi wokuxubha ovela ekhemisi kodwa awusizi.
- Uma uqunjelwa njalo.
- Uma uhlangabezana nemiphumela emibi njengobuhlungu obukhulu besisu kanye nesifo sohudo.
Uma kungekho okungahambi kahle, ungahlupheki wedwa , khuluma nodokotela wakho bese uthola usizo nesiqondiso osidingayo.
Umlayezo Wokuya Nawe Ekhaya
- Ama-laxatives awayona ikhambi lokuqala lokuqunjelwa. Okokuqala, zama izinto ezifana nokudla ukudla okune-fiber eningi, ukuphuza amanzi amaningi, nokuzivocavoca umzimba.
- Uma usebenzisa umuthi wokuxubha isisu, landela njalo imiyalelo esephaketheni. Ungalokothi uthathe okungaphezu kwenani elinconywayo.
- Uma ukhulelwe, uncelisa ingane, noma uthatha eminye imithi, qiniseka ukuthi uthintana nodokotela wakho ngaphambi kokuthatha umuthi wokuhlanza isisu.
- Uma ukuqunjelwa kuyinkinga evamile kuwe, bona udokotela ukuze athole imbangela eyinhloko kunokuthembela kuphela emithini yokuhlanza isisu.
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