Mushonga weClassical haufungi kuti zvakakosha kuti hutano hubude zvituru zuva nezuva. Kangani paunobuda ura zvinoenderana nemunhu wega wega, asi inowanzonzi Constipation kana kune asingasviki katatu ura pasvondo uye zvakaoma kana kunetsa kupfuudza.

Chiremba achatanga kuona kana iri yechipiri (nekuda kwechimwe chirwere) kana kutanga kuvimbiswa. Muchiitiko chekutanga, achabata chikonzero kana kuti achanyora mimwe miedzo, yakadai se colonoscopy. Bata yako Mamota Kana zvakaitika. Ndivo vanowanzova chikonzero chekuvhara. Kana kuvimbiswa kwako kuchangobva kuitika uye uri kutora imwe itsva chiremba, taura nachiremba wako. Mushonga wako unogona kunge uri honzeri yedambudziko rako.

Ipapo chiremba anozoona kana iri transitory kana terminal constipation.

kufambisa kuzvimbirwa

Chiremba achatanga akurudzira shandura kudya kuti uwedzere kudyiwa kwe fiber : miriwo yakasvibirira, miriwo yakabikwa, maruva, michero yakawanda mu pectin (apuro, pear, peach, berries), asi pamusoro pezviyo zvose.

Tinogona kuwedzera chinangwa, yakakwira kwazvo mu faibha, kana zvimwe zviyo mu muffin mabikirwo, etc. Kurapa Constipation, inokurudzirwa kushandisa inenge 1/4 kapu yegorosi bran pazuva. Whole prunes uye prune muto zvakare anoshanda zvakanyanya mukubvisa kuvimbiswa nekuti ane sorbitol, a. laxative yakasikwa. Chiyero chezuva nezuva che8 ounces chinowanzokwana⁴. Nekudaro, dzimwe nguva zvinogona kutora mavhiki akati wandei kuti unzwe mabhenefiti echikafu chakafumiswa mufiber pakufamba¹⁹.

Panguva imwecheteyo, chiremba achakurudzirawo kunwa zvakakwana, uchidzivisa doro uye zvinwiwa zvine caffeine, izvo zvinopera mvura uye zvinogona kutsamwisa colon. Zvisinei, kana kuvimbiswa kusingagumi uye kunoperekedzwa nekutsamwa kwemukati, unofanira kudzivisa kuchinja kudya kwako zvakare kamwe kamwe.

Kana kuvimbiswa kukaramba kuripo, anozokurudzira a laxative. Pane 6 zvikamu:

• The ballast laxatives kana kuwanda kunowanzo kuve mucilages kana kugadzirira kudya fiber: hydrophilic psyllium muciloid kana methylcellulose. Mhando yelaxative iyi ndiyo yakanyanya kupfava pamatumbu. Nekusunga nemvura, mafiibhi anozvimba, ayo anobatsira kuumba zvituru zvakasununguka, zvakakura. Kuwanda kwavo kunokonzera peristalsis yeura, iyo inofambisa zvigaro ku rectum. Zvinogona kutora mazuva mashoma kuti laxative effect ioneke. Inokurudzirwa kunwa yakaenzana ne5 kusvika ku10 nguva yehuwandu hwehuwandu hwe ballast laxative inomedzwa. Mienzaniso ndeiyi Metamucil®, Prodiem® uye Kellogs Bran Buds®.

  Zvinogona kuitika mhedzisiro: bloating, gasi uye cramps. Kuzvibatanidza zvishoma nezvishoma mukudya kunodzikamisa izvi zvisingabatsiri.

• The emollient laxatives, izvo zvinopfavisa chituru. Somuenzaniso, docusate sodium (Colace®, Ex-Lax®, Soflax®).

  Zvinogona kuitika mhedzisiro: manyoka uye zvinyoro-nyoro zvemudumbu.

• The osmotic laxatives kubatsira kuchengetedza mvura yakawanda muura, nokudaro kupfavisa chituru. Zvinosanganisira munyu (sodium sulfate, magnesium sulfate kana Epsom munyu), magnesium hydroxide (mukaka we magnesia), shuga isingagoni kuiswa nemudumbu (lactulose, mannose, mannitol, sorbitol, etc.) kana glycerin (se suppository). Polyethylene glycol-based laxatives (Miralax®, Lax-A-Day®) iosmotic laxatives inowanikwa kune vanhu vakuru vanogunun'una pamusoro penguva nenguva.

  Zvinogoneka side effect: manyoka, gasi, chinyamunhari, uye kuwanda kwekushaya mvura mumuviri.

• The lubricant laxatives, iyo inozora chituru uye kufambisa kubuda kwavo. Kazhinji kazhinji mineral oil (parafini mafuta kana petrolatum). Inogona kushandiswa nemuromo kana rectally.

  Zvinogona kuitika mhedzisiro: manyoka uye zvinyoro-nyoro zvemudumbu. Ngwarira, kuzvimba kwemapapu kunogona kuitika kana mafuta akayamwa netsaona mumapapu.

• The stimulant laxatives ita zvakananga pane intestinal mucosa uye ese peristaltic mafambiro (bisacodyl, anthracene, emulsified castor mafuta). Vanoderedza kudzoreredzwa kwemvura uye electrolytes mukoloni. Stimulant laxatives, iyo inonyanya kutsamwisa kumucheka wekoloni, inoshandiswa senzira yekupedzisira. Hazvikurudzirwi kana zvakadaro chisingaperi kupatira. Haafanirwe kutorwa kweanopfuura 1 kana 2 vhiki pasina kutarisirwa nachiremba.

  Zvinogona kuitika mhedzisiro: dumbu remudumbu, manyoka uye kunzwa kupisa mukati rectum.

  Chenjedzo. Overdose inogona kukonzera kupindwa muropa neusimbe bowel syndrome, pamwe nekutungamira kune yakaderera mwero yesodium uye potasium muropa, kupera simba uye zvimwe zvakakomba matambudziko.

  Yambiro. Ivo contraindicated kuvakadzi vane pamuviri uye vanoyamwisa.

Mamwe magadzirirwo anoumbwa nemishonga kubva ku2 kana 3 yemapoka aya emalaxatives.

• Lubiprostone (Amitiza®). Mushonga wekirasi mutsva uyu unoratidzwa kurapwa kwechirwere chisingaperi muvanhu vakuru, kana kukundikana kwemamwe marapirwo.¹⁹. Inoshanda nekuwedzera kubuda kwemvura kubva muura.

  Zvinogona kuitika mhedzisiro: kuda kurutsa, manyoka, kurwadziwa nemudumbu uye gasi.

Terminal kupatirwa

Muchiitiko chekupedzisira kuvimbiswa, chiremba anogona kukurudzira microenemas to suppositories kuitira kudzorera evacuation reflex. Mukuwedzera, ne biofeedback, tinogona kudzidzisazve anorectal motokari unyanzvi mushure mechiitiko chekugara kwenguva refu, kana zvichidiwa.^{5, 13}.