Ingabe nawe uzwa ubunzima nobuhlungu uma uya endlini yangasese? Ingabe uzizwa sengathi isisu sakho asikapheli ngisho nangemva kokuphuma kwendle? Ingabe indle yakho yomile futhi iqinile njengamatshe? Lezi yizimpawu eziyinhloko zokuqunjelwa esizaziyo sonke. Empeleni lesi yisimo esingajabulisi neze.
Ngokuvamile, izinguquko ezincane endleleni yethu yokuphila zingaxazulula inkinga yokuqunjelwa. Isibonelo, ukudla ukudla okune-fiber eningi (imifino, imifino, izithelo, ilayisi elinsundu), ukuphuza amanzi anele ngosuku, kanye nokuzivocavoca kungenza umehluko omkhulu. Kodwa-ke, uma usenale nkinga ngemva kokwenza konke lokhu, kuvamile ukuzizwa sengathi usebenzisa umuthi wokuxubha njengesinyathelo esilandelayo.
Ziyini lezi zidakamizwa zokuhlanza isisu? Ngubani ozidingayo?
Kalula nje, imithi yokuhlanza isisu iyimithi esiza ukwenza kube lula ukukhipha indle uma uqunjelwe. Ngokuvamile itholakala ngaphandle kwekhawunta kunoma yiliphi ikhemisi. Ingabizwa ngamagama ahlukene, njengemithi yokuhlanza isisu , izithambisi zendle, noma izithasiselo zefayibha.
Ngokuvamile kunezimo eziningana lapho umuntu angadinga khona umuthi wokuhlanza isisu:
- Ukuqunjelwa ngezikhathi ezithile: Kokuqunjelwa ngezikhathi ezithile okungathuthuki ngisho nangemva kokwenza izinguquko endleleni yakho yokuphila.
- Izimo zezokwelapha ezingamahlalakhona: Abanye abantu bangase babe nokuqunjelwa ngenxa yezimo zezokwelapha zesikhathi eside, njengesifo sikaCrohn noma i-ulcerative colitis.
- Ukulungiselela ukuhlolwa kwezokwelapha: Ngezinye izikhathi, ngaphambi kokuhlolwa okubandakanya amathumbu, njenge-endoscopy noma i-colonoscopy, kunikezwa imithi yokuhlanza amathumbu ukuze kuhlanzwe amathumbu ngokuphelele (ukuhlanza amathumbu).
Kodwa khumbula, imithi yokulahla isisu ayifanele wonke umuntu onesifo sokuqunjelwa. Uma ungumama okhulelwe, ungalokothi uyisebenzise ngaphandle kokubonisana nodokotela wakho. Futhi, unganiki izingane ezincane imithi yokulahla isisu ngaphandle kokunconywa udokotela wezingane. Uma uthatha imithi yesinye isimo, qiniseka ukuthi ukhuluma nodokotela wakho ngaphambi kokuyisebenzisa, njengoba eminye imithi yokulahla isisu ingathintana naleyo mithi.
Izinhlobo zemithi yokuhlanza isisu nendlela ezisebenza ngayo
Ama-laxative athinta uhlelo lwethu lokugaya ukudla ngezindlela ezahlukene futhi enza kube lula ukukhipha indle. Ezinye izinhlobo zimunca amanzi avela endle, ziwuthambise. Ezinye zivuselela imisipha emathunjini futhi zisize ekucindezeleni indle phansi. Ake sibheke izinhlobo eziyinhloko zemithi yokulahla indle.
| Uhlobo lwe-laxative | Indlela esebenza ngayo | Izibonelo |
|---|---|---|
| Ama-Laxatives akha ubuningi (izithasiselo ze-fiber) (Uhlobo olukhulisa usayizi wezimbali) | Lokhu kwenezela i-fibre encibilikayo esitulweni, kudonse amanzi emzimbeni, okwenza sibe sikhulu futhi sithambe. Njengoba isitulo siba sikhulu, amathumbu ayashukunyiswa futhi asiza ukudlula esitulweni. Lezi yizinhlobo ezithambile kakhulu. | I-Psyllium (Metamucil®), i-Methylcellulose (Citrucel®), i-Fybogel, i-Polycarbophil (FiberCon®) |
| Ama-laxative e-Osmotic (Uhlobo oludonsa amanzi emathunjini) | Amanzi adonswa kwezinye izingxenye zomzimba bese eqondiswa emathunjini. Lawa manzi aqongelelekile athambisa indle futhi enze kube lula ukudlula. | I-Polyethylene glycol (MiraLAX®), i-Magnesium hydroxide (i-Phillips'® Milk of Magnesia), i-Glycerin |
| Izithambisi Zokuhlanza Indle (Uhlobo lwesithambisi sendle) | Lokhu kwandisa inani lamanzi namafutha amuncwa yindle, kuyenze ithambise. | I-Docusate (i-Colace®) |
| Ama-laxative okugcoba (Uhlobo lwesithambisi) | Lokhu kusebenza njengesimbozo ngaphakathi kwamathumbu amakhulu, kudala umuzwa oshelelayo. Ngenxa yalokho, umzimba umunca amanzi amancane esitulweni, okwenza isitulo sibe mnene. | Uwoyela wamaminerali |
| Ama-laxative avuselelayo (Uhlobo oluvuselela amathumbu) | Zivuselela imizwa elawula imisipha yamathumbu amakhulu, okubangela ukunyakaza kwamathumbu (i-peristalsis) kanye nokusunduza indle phansi. Lokhu kuyanconywa uma ezinye izinhlobo zingasebenzi. | I-Bisacodyl (Dulcolax®), i-Senna |
Ama-laxative anconywe udokotela
Uma imithi yokuhlanza etholakala ngaphandle kwemithi kadokotela ingakusizi ukuqunjelwa kwakho okungapheli, udokotela wakho angase akunike umuthi okhethekile. Lokhu kubaluleke kakhulu kubantu abanezimo ezifana ne-IBS (Irritable Bowel Syndrome) noma labo abaqunjelwa ngenxa yokusebenzisa imithi yobuhlungu (ama-opioid). Imithi efana ne-Lactulose (Duphalac®), i-Linaclotide (Linzess®), ne-Lubiprostone (Amitiza®) iwela kulesi sigaba.
Ungayisebenzisa kanjani i-laxative ngendlela efanele?
Ukuze uthole okuningi ngomuthi wokudambisa isisu nokunciphisa imiphumela emibi, kubalulekile ukufunda okufakiwe kwephakheji ngokucophelela bese uyisebenzisa njengoba kuyalelwe. Ungalokothi uthathe okungaphezu komthamo onconyiwe ngoba nje ufuna ukuzizwa ungcono ngokushesha. Ukwenza kanjalo kungaba nemiphumela eyingozi.
Ama-laxatives afika ngezindlela ezahlukene:
- Amaphilisi: Amaphilisi noma ama-capsule agwinywa ngomlomo.
- Izimpushana: Izimpushana ezincibilikiswa emanzini noma kolunye uketshezi bese ziphuzwa.
- Uketshezi/Amasiphu: Imithi yoketshezi engalinganiswa futhi iphuzwe.
- Ama-suppositories: Ama-capsule amancane, ancibilikayo omuthi afakwa e-rectum.
- Ama-enema: Amapayipi amancane afaka uketshezi e-rectum.
Ama-suppositories nama-enemas, avame ukufakwa e-rectum, anikeza impumuzo esheshayo kungakapheli imizuzu noma amahora. Kodwa-ke, aphinde abe nengozi ephezulu yemiphumela emibi njengokuphazamiseka kwesisu kanye nesifo sohudo. Izinhlobo ezithambile njengezokwakha ubuningi zingathatha izinsuku ezimbalwa ukusebenza, kodwa zinemiphumela emibi embalwa.
Masiqaphele nemiphumela emibi kanye nezingozi.
Ukusebenzisa imithi yokuhlambulula isisu ngendlela engafanele noma isikhathi eside kungabangela izinkinga ezahlukene.
- Ukuphelelwa amanzi emzimbeni: Uma usebenzisa imikhiqizo ekhipha amanzi emzimbeni, uma ungaphuzi amanzi anele ngesikhathi esisodwa, umzimba wakho ungase uphelelwe amanzi emzimbeni.
- Ukungalingani kwama-electrolyte: Ibhalansi yomzimba kasawoti namanzi ingaphazamiseka.
- Ukuqunjelwa okungapheli: Okumangazayo ukuthi ukuqhubeka nokusebenzisa imithi yokuhlanza evuselelayo kungenza buthaka imisipha yamathumbu futhi kwenze kube nzima ukunyakaza kwamathumbu ngaphandle kwemithi.
- Ukugwema isifo esiyisisekelo:Ama-laxative anikeza impumuzo yesikhashana kuphela ezimpawu zokuqunjelwa. Awalaphi imbangela eyinhloko. Ukuqunjelwa kwakho kungase kubangelwe yisimo esibucayi sezokwelapha. Ukusebenzisa ama-laxative kungase kubambezele ukuxilongwa kwaleso simo.
Ngakho-ke, uma uhlala uqunjelwa futhi imithi oyithenga ekhemisi ingasizi, kufanele nakanjani ubone udokotela ngokushesha ukuze uthole imbangela. Uma uzwa ubuhlungu obukhulu esiswini noma uhudo olubi, hamba ngokushesha emnyangweni wezimo eziphuthumayo wesibhedlela esiseduze (ETU).
Umlayezo Wokuya Nawe Ekhaya
- Isinyathelo sokuqala sokuzama ukuqunjelwa akusikho ukuzama imithi yokuhlanza isisu, kodwa ukwenza izinguquko endleleni yokuphila njengokudla ukudla okune-fiber eningi, ukuphuza amanzi amaningi, nokuzivocavoca umzimba.
- Ama-laxatives asetshenziswa isikhathi esifushane. Ukusetshenziswa isikhathi eside kungenza inkinga ibe yimbi kakhulu.
- Ngaphambi kokusebenzisa noma yimuphi umuthi wokuxubha, funda imiyalelo ehambisana nawo ngokucophelela bese uyilandela. Ungadluli umthamo onconywayo.
- Ungalokothi unike izingane imithi yokuhlanza isisu ngaphandle kweseluleko sikadokotela wezingane. Omama abakhulelwe nabancelisayo kufanele nabo bafune iseluleko sikadokotela.
- Uma ukuqunjelwa kwakho kuqhubeka noma kwenzeka njalo, ungabi namahloni ngakho, futhi thintana nodokotela ngokushesha ukuze uthole imbangela efanele kanye nokwelashwa.
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