Kutsika kwa mankhwala ofewetsa tuvi tolimba

Maphunziro a Zaumoyo

Pakapangidwe kazinthu, kudzimbidwa kumawoneka ngati vuto laling'ono - koma kuthana nako kwakanthawi kokwanira, ndikusintha kukhala lalikulu kwambiri. Kupanikizika, kumverera kumbuyo, ndi kutupa kumakhudza momwe mumamverera, njala, komanso mphamvu, makamaka pamene kudzimbidwa kumatha masiku ochepa.

Lowetsani mankhwala otsekemera (OTC), omwe amalonjeza mpumulo posinthana ndi kuyesetsa pang'ono: pangani piritsi, dikirani maola 6 mpaka 48, ndi nayi , wabwerera mwakale. Vuto lokhalo? Mankhwala otsekemera samakhala opanda nzeru monga momwe amawonekera. Pali mitundu yambiri yosiyanasiyana, zomwe zimapangitsa kuti zikhale zovuta kudziwa kuti ndi iti yomwe muyenera kutenga, nthawi yomwe mukufuna, komanso nthawi yayitali kuti mugwiritse ntchito.

Pofuna kukuthandizani ndi vuto lanu lakudzimbidwa, gwiritsani ntchito ndondomekoyi kuti mugwiritse ntchito mankhwala ofewetsa zakumwa kuti mubweretse gawo limodzi pafupi ndi mpumulo.

Kodi mankhwala ofewetsa tuvi tolimba amagwira ntchito motani?

Laxatives imakulimbikitsani kuti muziyenda m'mimba polimbikitsa m'matumbo kuti mupange chopondapo kapena kungopangitsa kuti kudutse kulikonse komwe kulipo kale. Amaganiziridwa kuti ndi zowonjezera komanso mankhwala, koma zakudya zina zitha kukhala zodzoladzola zachilengedwe.

Anthu ambiri akakhala kuti akudzimbidwa nthawi zina, amafikira mankhwala apanyumba monga kumwa zakumwa zambiri ndikuwonjezera chakudya, atero a Rudolph Bedford, MD, a gastroenterologist ku Providence Saint John's Health Center ku California. Zakudya ndi kusintha kwa moyo nthawi zambiri kumatha kuthana ndi vutoli popanda kugwiritsa ntchito mankhwala.

Ngati sichoncho, nthawi zambiri pamakhala pamene mtundu wina wa laxative wa OTC umayambitsidwa. Ogula ambiri amasankha mtundu wa mankhwala ofewetsa tuvi tolimba kutengera kutalika kwa nthawi yomwe akhala ndi zizindikilo, momwe kudzimbidwa kulili kovuta, komanso kuti akufuna kuwona zotsatira mwachangu bwanji.

Mankhwala otsegulitsa m'mimba ambiri amatha maola 6 mpaka 72 kuti agwire ntchito. Matumbo akangotuluka, kuchuluka kwa mankhwala ofewetsa tuvi tolimba m'thupi mwachilengedwe kumachepa, ngakhale mankhwala ofewetsa tuvi tolimba atha kukhala masiku angapo pambuyo pa mlingo woyamba.

Mitundu ya mankhwala ofewetsa tuvi tolimba

Kutenga laxative ndikosavuta monga kumvekera ngati mumvetsetsa mitundu yonse ya mankhwala otsegulitsa m'mimba komanso momwe aliyense amagwirira ntchito. Nayi kuwonongeka.

Mankhwala otsekemera achilengedwe

Amapezeka mu zakudya ndi zakumwa, mankhwala otsekemera achilengedwe amakhala ndi zinthu zina monga ma enzyme kapena shuga zomwe zimatha kuyambitsa matumbo anu kutulutsa matumbo. Mapapaya, mapeyala, kiwis, khofi, zitsamba ngati senna, mafuta monga mafuta a castor, ndi mbewu zolemera ngati fiber ndi barele nthawi zambiri zimatha kuyendetsa zinthu kapena kukuthandizani kuti muzidya bwino nthawi zonse.

O, ndipo musaiwale za prunes (inde, Agogo anali olondola!).

Ma prunes owuma amakhala ndi sorbitol ambiri kuposa atsopano ndipo amatha kukhala ndi zotulukapo, atero a Ashkan Farhadi, MD, gastroenterologist ku MemorialCare Orange Coast Medical Center ku California. Amalangiza kuthira madzi okwanira asanu osadulidwa m'madzi usiku wonse ndikuwadya m'mawa ngati njira yachilengedwe yolimbana ndi kudzimbidwa kosalekeza.

Mankhwala otsegulitsa m'mimba opangira kuchuluka

Ngati simukupeza zakudya ndi zakumwa zokwanira zotsekemera mwachilengedwe mu zakudya zanu, mutha kutembenukira ku chowonjezera cha fiber ngati Wopindulitsa kapena Metamucil . Osewera mphamvu awa ali ndi mitundu ya CHIKWANGWANI - monga mankhusu a psyllium kapena methylcellulose — omwe amatenga madzi, kusintha kapangidwe ka chopondapo chanu ndikupangitsa kuti matumbo anu azing'ung'udza kuti atuluke. Amawoneka ngati otetezeka kugwiritsa ntchito tsiku ndi tsiku.

Mankhwala otsekemera amadzimadzi

Amadziwikanso kuti zofewa chopondapo , mankhwala otsekemera otsekemera amanyowetsa ndi kufewetsa chopondera mkati mwanu m'matumbo kuti musamapanikizike kwambiri. Samakakamiza koloni yanu kuti ipange matumbo, zimangopangitsa kuti chopondapo chisadutse.

Ngakhale kulibe umboni weniweni woti kumwa chopondapo tsiku lililonse kungakupwetekeni, sikungathetse vuto lanu ndipo mlingowu ukhoza kukhala wopanda ntchito pakapita nthawi.

Mankhwala otsekemera a Osmotic

Izi zimagwira ntchito yotunga madzi m'matumbo, atero Dr. Bedford, akufewetsa chopondapo ndikukulolani kuti muziyenda mosavutikira. Mankhwalawa, monga Miralax, samayambitsa kudalira kulikonse ndipo ngakhale sagwira ntchito kwa aliyense, atha kugwiritsidwa ntchito tsiku lililonse ngati kuli kofunikira.

Pali mitundu ingapo ya mankhwala otsegulitsa m'mimba osmotic ogwiritsa ntchito zosakaniza zosiyanasiyana; Mankhwala otsekemera a lactulose amakhala opangidwa ndi shuga, amchere amchere amchere, ndipo mankhwala opangira polima amakhala ndi polyethylene glycol.

Mankhwala olimbikitsa

Monga momwe dzina lawo likusonyezera, mankhwalawa amathandizira matumbo anu kukulitsa peristalsis, mwachitsanzo, mayendedwe ogwirira ntchito omwe amachititsa kuti chopondapo chikhale chodutsa. Muli zosakaniza monga bisacodyl kapena sennosides, nthawi zambiri amatengedwa ngati mapiritsi (monga Ex-Lax), ngakhale anthu ena amawamwa ngati tiyi wazitsamba.

Mankhwala otsekemera

Zida zopaka mafuta monga mafuta amchere zimavala chopondapo chanu, kuletsa kuti koloni isataye madzi kuti mutha kudutsa chopondapo mosavuta. Anthu nthawi zambiri amamwa mafuta amchere, kapena amatha kuyikidwanso mozungulira kuti mupeze zotsatira mwachangu. Onetsetsani kuti mwawerenga malangizo omwe ali m'botolo.

Kodi muyenera kumwa mankhwala otsegulitsa m'mimba nthawi yanji?

Pali zambiri zochitika zazifupi zomwe zingayambitse kudzimbidwa : kuyenda, kupsinjika, matenda, kutentha, kutentha pang'ono, kutenga pakati, kusintha kwa zakudya, komanso masewera olimbitsa thupi kapena zochitika zochepa zimatha kuyambitsa vuto la kudzimbidwa. Mlingo umodzi wokha wa mankhwala otsegulitsa m'mimba a OTC amatha kuchotsa kudzimbidwa, kuwongolera matumbo anu, kuchepetsa kuphulika, ndikubwezeretsanso panjira.

Palinso zifukwa zomwe zimayambitsa kudzimbidwa kwa nthawi yayitali, pomwe odwala amakhala m'magulu atatu: okalamba, anthu pamankhwala ena (monga mankhwala osokoneza bongo ndi mankhwala ena opatsirana pogonana), ndi anthu omwe ali ndi matenda ena (monga matumbo opweteka kapena matenda ashuga).

Ndibwino kugwiritsa ntchito laxative nthawi zina kuthana ndi chifukwa chakanthawi kochepa chodzimbira, koma kugwiritsa ntchito mankhwala otsegulitsa kwa nthawi yayitali (kapena kuthana ndi vuto lanthawi yayitali ngati mankhwala amtundu wina) si lingaliro labwino kwambiri. Ngakhale amagulitsidwa ngati mankhwala a OTC, mankhwala ofewetsa tuvi tambiri amatha kubweretsa mavuto komanso kudalira. Samayankhanso kudzimbidwa kwanu komwe kumachokera-kwenikweni ndi gulu loyendetsa matumbo.

Anthu amatha kudalira iwo kapena kuwagwiritsa ntchito molakwika, ndipo akafika kwa asing'anga, amakhala ataphonya etymology yoyambirira, atero a Dr. Bedford, omwe amafotokoza kuti kudzimbidwa kumatha kukhala chizindikiritso choyambirira cha vuto lalikulu nthawi zina .

Kugwiritsa ntchito nthawi yayitali sikukuwonetsedwa pamankhwala amadzimadzi amtundu uliwonse kupatula Miralax ndi zowonjezera ma fiber monga Benefiber, malinga ndi Dr. Bedford. Tsoka ilo, anthu ambiri amatsata njira inayake: amayesa kuchiza kudzimbidwa kwawo ndi mankhwala apanyumba, ndiye pamene izo sizigwira ntchito, zimasunthira pazofewetsa zitoliro kenako, makamaka, mankhwala osakanizika osakanikirana kapena osangalatsa.

Pofika pano, kudzimbidwa kuyenera kuti kunanenedwa ndi dokotala.

Ngati wogulitsa bulking sakugwira ntchito ndipo inu musunthira pa softener ndipo kuti sikugwira ntchito, muyenera kuyimbira dokotala wanu, atero a Bedford, omwe amalangiza kuti asamalize kumwa mankhwala otsegulitsa m'mimba mankhwalawa akangolephera.

Zotsatira zoyipa zakugwiritsa ntchito kwakanthawi

Kuchepetsa madzi kuchokera kwa mankhwala otsegulitsa m'mimba kumatha kubweretsa kuchepa kwakanthawi, koma kodi mankhwala ofewetsa tuvi tolimba amakuthandizani kuti muchepetse kunenepa? Mankhwala otsegulitsa m'mimba si njira yabwino yotenthetsera thupi kapena njira yabwino yochepetsera thupi. Anthu omwe ali ndi kudya kwambiri nthawi zambiri amatembenukira ku nkhanza kuti muchepetse thupi, koma kugwiritsa ntchito molakwika mtunduwu kumatha kubweretsa zovuta zoyipa komanso zovuta paumoyo wanu wam'mimba.

Kwa kanthawi kochepa, kumwa mopitirira muyeso laxatives kumatha kuyambitsa kusowa kwa madzi m'thupi ndipo Kusamvana kwa electrolyte , akutero Dr. Bedford, akusokoneza michere yanu yachilengedwe monga calcium, potaziyamu, ndi magnesium. Ngati kumwa kwa laxative kukupitilira, kumatha kubweretsa matenda a impso ndi matenda amtima.

Chotsatira china chofala chomwe chimadziwika kuti cathartic colon kapena matenda achilengedwe . Anthu omwe ali ndi vuto lodzimbidwa kosalekeza ndipo amagwiritsa ntchito mankhwala otsegulitsa m'mimba tsiku lililonse atha kukhala ndi vuto lomwe khosi limachepa komanso laulesi, atero Dr. Farhadi.

Izi zikachitika, minofu yanu yamatenda satha kutulutsa zowonekera kapena kusunthira zinyalala m'matumbo mwawo, popeza mumazolowera mankhwala ofewetsa thukuta omwe akuwagwirira ntchito. Dr. Farhadi akuti izi zimachitika chifukwa chogwiritsa ntchito mopitilira muyeso mankhwala olimbikitsa kumwa mankhwala otsekemera.

Mwamwayi, vutoli limatha kuchiritsidwa; zovuta pamatumbo sizikhala zachikhalire bola ngati kugwiritsa ntchito mankhwala olimbikitsa kumwa mankhwala otsekemera kumatha.

Odwala akavomereza ndikumvetsetsa [ubale womwe ulipo pakati pa mankhwala olimbikitsa kumwa mankhwala opatsirana pogonana ndi cathartic colon], ndikusinthana ndi mankhwala otsegulira osmotic monga Miralax, mavuto amatha kusintha chaka chimodzi, Dr. Farhadi akufotokoza.

Mankhwala otsekemera abwino kwambiri

Mankhwala otsegulitsa m'mimba omwe ndi abwino kwa inu zimatengera vuto lanu. Koma, ngati mwayesa kuchitira kudzimbidwa kwanu ndi mankhwala otsekemera achilengedwe osaphula kanthu, mungafune kuganizira chimodzi mwazomwe zatsalira za OTC.

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Mfundo yofunika

Ngati mwangoyenda kumene, kusintha zakudya zanu, kupirira zovuta, kapena kungosokonezedwa ndi chizolowezi, kugwiritsa ntchito mankhwala ofewetsa tuvi tolimba monga Miralax kapena Colace kungakuthandizeni kuyambiranso dongosolo lanu logaya chakudya.

Koma ngati mukuwona chizolowezi chodzimbidwa kapena kufunafuna mankhwala ofewetsa zakumwa zoziziritsa kukhosi (monga mitundu yolimbikitsa kapena mafuta) nthawi zonse, ndi nthawi yoti mupite kwa omwe amakuthandizani kuti mukapimidwe. Kumbukirani, mankhwala otsegulitsa m'mimba samathetsa chomwe chimayambitsa kudzimbidwa kwanu-kupeza chomwe chimapangitsa kudzimbidwa kwanu kosalekeza nthawi zambiri kumakhala chinthu chofunikira chotsatira.