Mankhwala 8 omwe amachititsa kudzimbidwa

Maphunziro a Zaumoyo

Zizindikiro za kudzimbidwa ndi zomwe zimayambitsa | Mankhwala omwe amachititsa kudzimbidwa | Momwe mungapewere kudzimbidwa | Chithandizo cha kudzimbidwa

Kudzimbidwa ndi vuto lofala m'mimba. Kuzungulira 16% ya anthu ku United States ndipo gawo limodzi mwa magawo atatu a iwo omwe ali ndi zaka zopitilira 60 amadandaula za kudzimbidwa kosalekeza. Pakati pa 2006 ndi 2011, kudzimbidwa kunaposa zoposa 700,000 amapita kuchipinda chadzidzidzi.

Zizindikiro za kudzimbidwa ndizo:

• Ochepera kuposa katatu omwe amatuluka sabata
• Zing'onozing'ono, zolimba, zowuma zomwe zimakhala zovuta kapena zopweteka kudutsa
• Kufunika kovutikira kwambiri kuti mukhale ndi matumbo

Anthu ena amamva kupweteka m'mimba akamadzimbidwa, makamaka akatha kudya. Ena amatha kuchita nseru, kusanza, kupweteka mutu, kapena kumva kuti samakhala bwino.

Pali zambiri zimayambitsa kudzimbidwa , kuphatikiza:

• Chakudya chochepa kwambiri (makamaka chakudya chambiri, nyama, mkaka, kapena tchizi)
• Kutaya madzi m'thupi
• Kukhala chete
• Kunyalanyaza kapena kuchedwetsa chidwi chofuna kudzichitira chimbudzi
• Maulendo ndikusintha kwamachitidwe
• Kugwiritsa ntchito mankhwala osokoneza bongo
• Kupweteka kapena kusapeza pafupi ndi anus
• Khansa yoyipa
• Mimba
• Matenda monga matumbo opweteka, diverticulosis, hypothyroidism, magazi ambiri a calcium, multiple sclerosis, matenda a Parkinson, ndi kuvulala kwa msana

Kudzimbidwa kungakhalenso zotsatira zoyipa za mankhwala omwe mukumwa. Kudzimbidwa komwe kumayambitsa mankhwala ndikofala masiku ano, malinga ndi Wolemba Bryan Curtin, MD , director of neurogastroenterology and motility, ku Mercy Medical Center. Anthu amamwa mankhwala ochulukirapo kuposa kale, ndipo chifukwa mankhwala ambiri ali ndi mbiri yayikulu, kuwonetsa kuti madotolo samanyalanyaza kudzimbidwa ngati chinthu chofunikira poyerekeza ndi zovuta kwambiri. Si zachilendo kuti anthu azikhala ndi mankhwala ochuluka ngati anayi kapena asanu omwe atha kukulitsa kudzimbidwa, ndipo izi sizikuphatikizapo ma opioid, omwe atha kukhala owononga kwambiri thirakiti la GI.

Kudzimbidwa kumatha kukhala kosavuta, koma kungayambitsenso zovuta monga:

• Minyewa
• Kutuluka magazi
• Ziphuphu
• Kupitilira kwadzidzidzi
• Zochita zachimbudzi

Ngati njira zowonongera, monga kusintha kwa zakudya, kuchuluka kwa madzi, ndi mankhwala ogulitsira mankhwala amalephera, odwala ayenera kuwonedwa ndi dokotala woyang'anira kapena gastroenterologist, atero Dr. Curtin. Izi ndizowona, makamaka ngati kudzimbidwa kumayendera limodzi ndi zizindikilo zina zazikulu, monga nseru, kupweteka m'mimba, kapena kuwonda kosayembekezereka.

Mankhwala 8 omwe amachititsa kudzimbidwa

1. Kupweteka kwa opioid kumachepetsa
2. Mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs)
3. Antihistamines
4. Tricyclic antidepressants
5. Mankhwala osakaniza mkodzo
6. Iron zowonjezera
7. Mankhwala a magazi
8. Mankhwala oletsa kunyansidwa

1. Kupweteka kwa opioid kumachepetsa

Amatchedwanso mankhwala osokoneza bongo, ma opioid amathetsa ululu wowawa womwe sunasinthe ndi mankhwala ena opweteka kwambiri. Amathandiza kuthetsa ululu, koma amatha kukhala chizolowezi komanso amakhala ndi nkhanza zambiri. Komabe, muyenera kugwiritsa ntchito ma opioid moyang'aniridwa ndi akatswiri azaumoyo. Mankhwala opatsirana opioid omwe amaperekedwa monga:

• Tylenol yokhala ndi codeine (acetaminophen-codeine)
• Duragesic (fentanyl transdermal)
• Lorcet, Vicodin, Norco (hydrocodone)
• Dilaudid (hydromorphone)
• Demerol (meperidine)
• Morphine
• Mpweya (oxycodone)
• Percocet (oxycodone-acetaminophen)
• Ultram (tramadol)

Odwala ambiri omwe ali ndi ma opioid omwe amamva kupweteka kosalekeza kudzimbidwa komwe kumayambitsa opioid (OIC.) Amaonedwa kuti ndi vuto lotchuka kwambiri m'mimba ndipo chimodzi mwazovuta zoyipa za ma opioid. Zitha kulepheretsa ndipo ndichifukwa chodziwika kuti anthu asiye kumwa mankhwalawa, malinga ndi a lipoti lofalitsidwa mu 2019 . Ganizirani kufunsa dokotala ngati mungayambe laxative nthawi yomweyo ndi opioid.

2. NSAIDs

NSAIDs ndi mankhwala omwe amaperekedwa kwambiri pochiza matenda monga nyamakazi, malinga ndi American Academy of Opaleshoni ya Opaleshoni . Amagwiritsidwanso ntchito kuchepetsa kutentha thupi, kutupa, komanso kupweteka pang'ono. Gulu la mankhwalawa limaphatikizapo:

• Asipilini
• Kutulutsa Motrin, Advil (ibuprofen)
• Aleve, Naprosyn (naproxen)
• Alireza (alirezakhademi)

3. Antihistamines

Antihistamines amachepetsa zizindikiro za chifuwa. Mukakhala kuti simukugwirizana ndi china chake, thupi lanu limatulutsa ma histamines omwe amachititsa kusokonezeka, mphuno yothamanga, kuyetsemula, kuyabwa, kutupa kwa mphuno, ming'oma, zotupa pakhungu, kapena kuyabwa ndi maso. Ma antihistamines wamba (OTC) ndi awa:

• Chlor-Trimeton (chlorpheniramine)
• Unisom (diphenhydramine kapena doxylamine)
• Vick QlearQuil Nightout Zozizira (diphenhydramine)
• Claritin (loratadine)
• Benadryl (diphenhydramine)
• Allegra (fexofenadine)
• Zyrtec (cetirizine)
• Xyzal (levocetirizine)

4. Tricyclic antidepressants

Tricyclic antidepressants ndi gulu la mankhwala omwe amagwiritsidwa ntchito kuthana ndi kukhumudwa. Amagwira ntchito powonjezera kuchuluka kwa norepinephrine ndi serotonin ndikuletsa zochita za acetylcholine. Poyerekeza ma neurotransmitter atatuwa, ma tricyclic antidepressants amachepetsa kukhumudwa. Pali mankhwala atsopano okhumudwa omwe amakhala ndi zovuta zochepa; komabe, ma tricyclic antidepressants amagwira ntchito bwino kwa anthu ena. Zina mwazinthu zodziwika bwino ndi izi:

• Tofranil (imipramine)
• Vivactil (protriptyline)
• Elavil (amitriptyline)
• Pamelor (kumpoto chakumadzulo)

5. Mankhwala osagwiritsa ntchito mkodzo

Mankhwala osokoneza bongo amachiza chikhodzodzo mopitirira muyeso ndi zina zomwe zingayambitse chikhodzodzo kapena kukodza pafupipafupi. Vutoli ndilofala kwambiri mwa akazi kuposa amuna; komabe, zimatha kuchitika mwa amuna. Ichi ndi chimodzi mwazofala kwambiri zomwe zimawonedwa pachipatala, malinga ndi American Academy of Madokotala Amabanja .

Mankhwalawa amagwira ntchito pochepetsa kutuluka kwa chikhodzodzo kapena kupumula minofu ya chikhodzodzo, kuwapangitsa kuti ukhale ndi mkodzo wambiri ndikutuluka mokwanira. Zina mwa mankhwala omwe amalembedwa kawirikawiri mumtsinje ndi awa:

• Ditropan, Ditropan XL (oxybutynin)
• Fufuzani, Detrol LA (tolterodine)
• Enablex (darifenacin)
• Myrbetriq (mirabegron)
• Flomax (tamsulosin)

6. Zowonjezera zachitsulo

Iron imathandizira kuthana ndi kuchepa kwa magazi m'thupi komanso kusowa kwachitsulo. Zilipo pa kauntala. Mitundu yachitsulo yomwe imagwiritsidwa ntchito pafupipafupi ndi monga:

• FeroSul (akakhala sulphate)
• Okhwima (akakhala gluconate)
• Mafuta otentha
• Ferric sulphate

7. Mankhwala a kuthamanga kwa magazi

Pali mitundu iwiri yamankhwala am'magazi omwe amachititsa kudzimbidwa: calcium blockers ndi beta blockers. Ma calcium channel blockers amagwira ntchito pochepetsa mitsempha, yomwe imachepetsa khama lomwe mtima wanu uyenera kuchita kuti mupope magazi. Beta blockers amagwira ntchito pochepetsa kugunda kwa mtima wanu, kutsitsa kuthamanga kwa magazi.

Oletsa ma calcium ndi awa:

• Norvasc (amlodipine)
• Plendil (felodipine)
• Cardene (nicardipine)
• Adalat CC, Procardia XL (nifedipine)
• Cardizem, Tiazac, Dilt-XR (chotsalira)

Ma beta blockers omwe amapezeka ndi awa:

• Lopressor, Toprol XL (metoprolol)
• Tenormin (atenolol)
• Corgard (nadolol)
• Zovuta (propranolol)

8. Mankhwala oletsa kunyansidwa

Amatchedwanso anti-emetics, mankhwala oletsa kunyansidwa amatseka njira zosiyanasiyana mthupi lanu zomwe zimayambitsa nseru ndi kusanza. Izi zikuphatikiza:

• Otsutsa a Serotonin (5-HT3)
• Otsutsa a NK-1
• Otsutsa a Dopamine
• Mankhwala osokoneza bongo

Mankhwala omwe amagwiritsidwa ntchito pochiza nseru ndi awa:

• Zofran (ondansetron)
• Reglan (metoclopramide)
• Sinthani (aprepitant, fosaprepitant)
• Tigan (trimethobenzamide)
• Marinol (dronabinol)
• Syndros (dronabinol)

Pezani khadi yotsitsa ya SingleCare

Momwe mungapewere kudzimbidwa ndi mankhwala

Sikuti aliyense adzadzimbidwa mukamamwa mankhwalawa. Komabe, muyenera kudziwa zovuta zomwe zingachitike komanso zomwe mungachite kuti musamadzimbidwe.

Mwambiri, mukufuna kuwonetsetsa kuti mwathiriridwa ndi madzi, osati khofi kapena zakumwa za kaboni, akutero Dr. Curtin. Mufunanso kukhala ndi michere yambiri pazakudya zanu ndikuyesera kuchepetsa zakudya zomwe zasinthidwa. Ndikofunika kufunsa dokotala ngati pali othandizira ena. Ma calcium channel blockers, omwe amagwiritsidwa ntchito kuthamanga kwa magazi, monga diltiazem, mwachitsanzo, amadziwika kuti amadzimbidwa. Ngati pali gulu lina la mankhwala lomwe lingathe kuthana ndi vutoli, muyenera kupatsidwa mwayi wosankha.

Mwamwayi, pali njira zina zosavuta kupewera kudzimbidwa.

Idyani zakudya zamtundu wapamwamba

Phatikizani zakudya zamtundu wapamwamba pazakudya zanu, monga:

• Masamba : Mphodza, nyemba za impso, nandolo zogawanika, nandolo, nyemba zakuda, nyemba za lima
• Masamba : Kaloti, beets, broccoli, artichokes, Zipatso za Brussels, kale, sipinachi, tomato, mbatata
• Zipatso : Maapulo, prunes, mapeyala, strawberries, avocado, raspberries, nthochi
• Mbewu : Quinoa, oats, popcorn, mbewu zina zilizonse
• Mtedza ndi mbewu : Maamondi, mbewu za chia, coconut, pistachios, walnuts, mbewu za mpendadzuwa, mbewu za dzungu
• D chokoleti chachingwe : Zocoko zili 70% mpaka 95% kapena kupitilira apo

Ngati zakudya zanu zilibe fiber, mutha kulankhulanso ndi dokotala wanu za kuwonjezera chowonjezera cha fiber.

Imwani madzi ambiri

Madzi amatenga gawo lalikulu kuti thupi lanu likhale lathanzi. Ndikofunikira kuti chimbudzi chiziyenda m'matumbo. Ngakhale anthu ambiri adamva kuti mumamwa magalasi asanu ndi limodzi kapena asanu ndi atatu amadzi tsiku lililonse, mwina simuyenera kumwa zochuluka motero. Makapu anayi kapena asanu ndi limodzi amadzi patsiku amakhala okwanira anthu athanzi, malinga ndi Thanzi la Harvard .

Mankhwala ena amakupangitsani kusunga madzi, ndipo thanzi lanu limafunikira kuti muchepetse kumwa kwanu. Ngati mukumwa mankhwala omwe amadzimbidwa, muyenera kukambirana ndi dokotala za kuchuluka kwa madzi omwe muyenera kumwa.

Chitani masewera olimbitsa thupi nthawi zonse

Kuchita masewera olimbitsa thupi kumatha kuchepetsa nthawi yomwe zimatengera chakudya kuti mudutse m'matumbo akulu. Mwachitsanzo, masewera olimbitsa thupi othamangitsa thupi amathamangitsa kupuma komanso kugunda kwa mtima, komwe kumapangitsa kuti matumbo a m'mimba azing'amba, kutulutsa chimbudzi mwachangu.

Mverani thupi lanu

Thupi lanu limakuwuzani mwachibadwa kuti ndi nthawi iti yoyenda matumbo. Anthu ena amayesetsa kuigwira mpaka atakhala okha kunyumba kapena kubafa. Kunyalanyaza zomwe zingalimbikitse kungayambitse kudzimbidwa, malinga ndi National Institute of Kukalamba .

Khazikitsani zizolowezi za matumbo nthawi zonse

Kuphunzitsanso matumbo ndi njira imodzi yokhazikitsira chizolowezi. Nthawi yabwino yoyenda matumbo ndi mphindi 20 mpaka 40 mutadya. Yesetsani kukhala ndi matumbo tsiku lililonse nthawi yomweyo. Kukondoweza kwa digito kumatha kuthandiza. Gwiritsani ntchito njirayi tsiku lililonse mpaka mutakhazikitsa chizolowezi.

Kodi ndingatenge chiyani kudzimbidwa?

Kuphatikiza pa kusintha kwa moyo, palinso mankhwala otsegulira mankhwala otsegulitsa m'mimba ndi mankhwala ochepetsa kudzimbidwa. Monga momwe zilili ndi mankhwala aliwonse, ndikofunikira kufunafuna upangiri kwa akatswiri azachipatala musanamwe mankhwala amadzimadzi. Nthawi zonse werengani chitsogozo cha mankhwala musanagwiritse ntchito izi. Ngakhale pali mankhwala omwe amadzimbidwa, ena amatha kuyambitsa mavuto ena am'mimba, monga kukhumudwa m'mimba, kusanza, ndi kutsekula m'mimba. Lumikizanani ndi dokotala wanu ngati mukudwala matenda otsekula m'mimba, chifukwa amatha kukhala chizindikiro chazinyalala.

Mankhwala otsegulitsa m'mimba

Mankhwala otsekemera opangidwa ndi fiber , omwe amatchedwanso opanga ambiri, onjezerani madzi m'manyumba anu kuti apange ofewa. Mankhwala ochiritsira omwe amapezeka ndi fiber ndi awa:

• FiberCon (calcium polycarbophil)
• Citrucel (methylcellulose CHIKWANGWANI)
• Metamucil, Konsyl (psyllium)
• Wopindulitsa (tirigu dextrin)

Zofewetsa chopondapo , amatchedwanso emollient laxatives, onjezerani chinyezi m'makina anu kuti musavutike kudutsa. Omwe amagwiritsira ntchito chopondapo amagwiritsidwa ntchito monga:

• Colace, Dulcolax chopondapo Softener (docusate sodium)

Mankhwala olimbikitsa Gwiritsani ntchito polimbikitsa mitsempha m'mimba mwanu, kuyambitsa minofu m'matumbo anu akulu kuti igwirizane, ndikukankhira chopondapo chanu. Mankhwalawa amagwiritsidwa ntchito monga:

• Correctol, Ducodyl, Dulcolax (bisacodyl) Chithandizo
• Ex-Lax, Senokot (sennosides)

Mankhwala otsekemera a Osmotic kokerani madzi kuchokera munthawi yoyandikira kuti mugwere bwino kuti chimbudzi chizitha kudutsa m'matumbo. Mankhwala ogwiritsira ntchito osmotic amagwiritsidwa ntchito monga:

• Mkaka wa Magnesia (magnesium hydroxide)
• Miralax (polyethylene glycol 3350)

Mankhwala akuchipatala a kudzimbidwa

Kwa anthu ambiri, kusintha moyo wawo komanso kugwiritsa ntchito mankhwala otsegulira mankhwala otsegulira m'mimba zithandizira kudzimbidwa. Zizolowezi za matumbo a aliyense ndizosiyana ngakhale. Mwachitsanzo, wodwala wina amatha kugwiritsidwa ntchito kukhala ndi matumbo amodzi-kapena kupitilira apo patsiku pomwe wodwala wina amatha kumugwiritsa ntchito matumbo m'masiku ochepa. Madokotala ambiri kufotokozera kudzimbidwa monga mayendedwe atatu kapena ochepa pamlungu. Pakudzimbidwa kapena kudzimbidwa kosalekeza, othandizira azaumoyo atha kukupatsirani mankhwala awa:

• Cephulac, Kristalose (lactulose)
• Linzess (linaclotide)
• Kuthamanga (plecanatide)
• Kulimbitsa thupi (prucalopride)

Mankhwala omwe munthu amapatsidwa chifukwa chodzimbidwa ndi opioid ndi awa:

• Movantik (naloxegol)
• Cholumikizira (methylnaltrexone)
• Amitiza (lubiprostone)
• Symproic (naldemedine)