Ingabe ubhekene nobunzima bokuhamba kwamathumbu okubuhlungu noma okunzima? Ingabe uvame ukuzizwa sengathi amathumbu akho awasenalutho ngokuphelele, ngisho noma usuhambile? Ingabe indle yakho iqinile, yomile, noma inamaqhubu? Lezi yizimpawu eziphawulekayo zokuqunjelwa—isimo esisaziyo sonke, futhi ngokweqiniso, esingakhululekile ukusibekezelela.
Ezimweni eziningi, izinguquko ezincane zendlela yokuphila zingaxazulula ngempumelelo ukuqunjelwa. Isibonelo, ukwandisa ukudla kwakho okucebile nge-fiber (imifino enamaqabunga, imifino, izithelo, nelayisi elinsundu), ukuqinisekisa ukuthi uphuza amanzi anele nsuku zonke, nokuhlala umatasa ngokomzimba kungenza umehluko omkhulu. Kodwa-ke, uma uke wazama lezi zinguquko futhi usalwa, kungokwemvelo ukucabanga ngokuthatha umuthi wokuhlanza isisu ukuze unciphise izimpawu zakho.
Ziyini izidakamizwa zokuhlanza futhi ubani ozidingayo?
Kalula nje, imithi yokuhlanza isisu iyimithi eyenzelwe ukusiza ekunciphiseni noma ekuvuseleleni ukuhamba kwamathumbu uma uqunjelwe. Ngokuvamile, le mithi itholakala ngaphandle kwemithi kadokotela emakhemisi amaningi. Iza ngezindlela ezahlukene, okuhlanganisa izinto zokuthambisa indle, izithasiselo zefayibha, kanye nemithi yokuhlanza isisu evuselelayo.
Kunezimo eziningana lapho ungadinga khona umuthi wokuhlanza:
- Ukuqunjelwa Ngezikhathi Ezithile: Ngezimo ezingavamile zokuqunjelwa ezingaphenduki naphezu kokushintsha kwendlela yokuphila.
- Izimo Zezokwelapha Ezingamahlalakhona:Abanye abantu babhekana nokuqunjelwa okuqhubekayo ngenxa yezimo zempilo zesikhathi eside njengesifo sikaCrohn noma i-Ulcerative Colitis.
- Ukulungiselela Ukwelashwa: Ama-laxative avame ukusetshenziswa ukuhlanza amathumbu ngokuphelele ngaphambi kwezinqubo zokwelapha, njenge-endoscopy noma i-colonoscopy.
Kodwa-ke, sicela ukhumbule ukuthi imithi yokulahla isisu ayifanele wonke umuntu. Uma ukhulelwe, ungalokothi usebenzise le mithi ngaphandle kokubonisana nodokotela wakho kuqala. Ngokufanayo, unganikezi izingane imithi yokulahla isisu ngaphandle kokuthi uqondiswe ngqo udokotela wezingane. Uma usuvele uthatha eminye imithi, xhumana nomhlinzeki wakho wezempilo ukuqinisekisa ukuthi imithi yokulahla isisu ayiphazamisi ukwelashwa kwakho kwamanje.
Izinhlobo zemithi yokuhlanza isisu nendlela ezisebenza ngayo
Ama-laxative asebenza ohlelweni lwakho lokugaya ukudla ngezindlela ezahlukene ukuze anciphise ukungakhululeki kwakho. Ezinye izinhlobo zimunca amanzi ukuze zithambise indle, okwenza kube lula ukudlula, kanti ezinye zivuselela imisipha emathunjini ukuthi ihambise ukungcola ngendlela ephumelelayo. Ake sibheke izinhlobo eziyinhloko zama-laxative atholakalayo.
| Uhlobo lwe-laxative | Indlela Ezisebenza Ngayo | Izibonelo |
|---|---|---|
| Ama-Laxatives akha ubuningi (izithasiselo ze-fiber) | Lokhu kwengeza i-fibre encibilikayo esitulweni sakho, esimunca amanzi ukuze sandise ubukhulu futhi sithambise ukuthungwa. Njengoba isitulo sikhula, sivuselela amathumbu ukuba anyakaze, okusiza ukudlula. Lokhu kubhekwa njengendlela elula kakhulu yokukhululeka. | I-Psyllium (Metamucil®), i-Methylcellulose (Citrucel®), i-Fybogel, i-Polycarbophil (FiberCon®) |
| Ama-laxative e-Osmotic | Lokhu kudonsela amanzi ezicutshini ezizungezile angene emathunjini akho. Ukwanda kwamanzi kuthambisa indle, okwenza kube lula kakhulu ukudlula. | I-Polyethylene glycol (MiraLAX®), i-Magnesium hydroxide (i-Phillips'® Milk of Magnesia), i-Glycerin |
| Izithambisi Zokuhlanza Indle | Lokhu kusebenza ngokwandisa amanzi namafutha angena esitulweni, okusisiza ukuthi sihlale sithambile ukuze kube lula ukudlula. | I-Docusate (i-Colace®) |
| Ama-laxative okugcoba | Lokhu kudala uqweqwe olushelelayo ngaphakathi kwekholoni. Lokhu kunciphisa ukumuncwa kwamanzi ngumzimba, kugcina indle ithambile futhi kulula ukuyidlula. | Uwoyela wamaminerali |
| Ama-laxative avuselelayo | Lokhu kuvuselela imizwa elawula imisipha yamathumbu akho, okubangela ukufinyela (i-peristalsis) ukuze kusunduze indle. Lokhu kuvame ukunconywa uma ezinye izinketho zingasebenzi. | I-Bisacodyl (Dulcolax®), i-Senna |
Ama-laxative kadokotela
Uma izinketho ezitholakala ngaphandle kwemithi zihluleka ukukusiza ekuqunjweni kwakho okungapheli, udokotela wakho angase ancome imithi ethile kadokotela. Lokhu kuvame ukudingeka ezimweni ezifana ne-Irritable Bowel Syndrome (IBS) noma ezigulini ezibhekene nokuqunjelwa okubangelwa yi-opioid. Izinketho zifaka phakathi imithi efana ne-Lactulose (Duphalac®), i-Linaclotide (Linzess®), kanye ne-Lubiprostone (Amitiza®).
Ungayisebenzisa kanjani imithi yokuhlanza isisu ngokuphephile?
Ukuze uthole imiphumela emihle kakhulu futhi unciphise imiphumela emibi, funda njalo incwajana yemiyalelo ngokucophelela bese ulandela umthamo ngqo. Ungalokothi weqe umthamo onconywayo ngethemba lomphumela osheshayo; ukwenza kanjalo kungaholela ezinkingeni ezinkulu zempilo.
Ama-laxative ayatholakala ngezindlela eziningana:
- Amaphilisi: Amaphilisi noma ama-capsule aphuzwa ngomlomo.
- Izimpushana: Zizoncibilikiswa emanzini noma kwezinye izinto eziwuketshezi.
- Uketshezi/Amasiphu: Izilinganiso zoketshezi ezilinganisiwe.
- Ama-suppositories: Imithi emincane, encibilikayo efakwa e-rectum.
- Ama-enema: Amapayipi amancane asetshenziselwa ukuhlanza uketshezi ngqo e-rectum.
Ama-suppositories nama-enemas ngokuvamile anikeza impumuzo kungakapheli imizuzu noma amahora ambalwa, yize enengozi ephezulu yemiphumela emibi efana nokuqaqamba kwemisipha noma isifo sohudo. Ama-laxative akha ubuningi athatha isikhathi eside—ngezinye izikhathi izinsuku ezimbalwa—ukusebenza, kodwa ngokuvamile athambile kakhulu emzimbeni wakho.
Qaphela imiphumela emibi kanye nezingozi
Ukusebenzisa kabi noma ukuthembela isikhathi eside emithini yokuhlanza kungabangela izinkinga eziningana:
- Ukuphelelwa amanzi emzimbeni: Ama-laxative adonsa amanzi emathunjini angabangela ukulahlekelwa uketshezi uma ungawandisi amanzi owaphuzayo.
- Ukungalingani Kwe-Electrolyte: Ungase ube nokungalingani kusawoti namaminerali abalulekile emzimbeni.
- Ukuqunjelwa Okungapheli: Ngokumangalisayo, ukusetshenziswa isikhathi eside kwemithi yokuhlanza evuselelayo kungenza imisipha yamathumbu ibe buthaka, okwenza kube nzima ukunyakaza kwamathumbu ngaphandle kwayo.
- Ukufihla izimo ezingaphansi: Ama-laxative elapha kuphela uphawu lokuqunjelwa, hhayi imbangela eyinhloko. Ukuqunjelwa kwakho kungaba uphawu lwesimo esibucayi kakhulu esidinga ukunakekelwa kwezokwelapha. Ukusebenzisa ama-laxative kungalibazisa ukuxilongwa kwezinkinga ezinjalo.
Uma uhlangabezana nokuqunjelwa okuqhubekayo futhi imithi etholakala ngaphandle kwemithi kadokotela ingasebenzi,ungalibali—thintana nodokotela ukuze uthole imbangela eyinhloko. Uma uba nobuhlungu obukhulu besisu noma uhudo oluqhubekayo nolunzima, funa usizo lwezokwelapha ngokushesha emnyangweni wezimo eziphuthumayo oseduze nawe.
Izinto Ezibalulekile Okufanele Uzithathe (eNirogi Lanka)
- Ngokuqunjelwa, imithi yokuhlanza akufanele ibe yindlela yakho yokuqala yokuzivikela. Beka phambili izinguquko zendlela yokuphila enempilo kuqala, njengokwandisa ukudla i-fiber, ukuhlala unamanzi amaningi, kanye nokuzivocavoca umzimba njalo.
- Ama-laxative enzelwe ukuqeda isikhashana kuphela. Ukuthembela kuwo isikhathi eside kungase kube kubi kakhulu ekusebenzeni kwamathumbu akho.
- Ngaphambi kokusebenzisa noma yimuphi umuthi wokuxubha, funda imiyalelo ehambisana nawo ngokucophelela. Ungalokothi weqe umthamo onconywayo onikezwe umenzi noma uchwepheshe wakho wezempilo.
- Ungalokothi unikeze izingane imithi yokuhlanza isisu ngaphandle kwesiqondiso esivela kudokotela wezingane. Uma ukhulelwe noma uncelisa, sicela uxhumane nodokotela wakho ngaphambi kokuqala noma yimuphi umuthi.
- Uma ukuqunjelwa kwakho kuqhubeka noma kuphinda njalo, sicela ungabi namahloni noma ulibale ukufuna usizo. Hlela i-aphoyintimenti nodokotela wakho ukuze uthole imbangela bese uthola ukwelashwa okufanele.
ukuqunjelwa, imithi yokuhlanza isisu, ukujwayela amathumbu, impilo yokugaya ukudla, isithambisi sendle
