Kuzvimbirwa kwenguva refu kana kuti pano neapo

La Constipation Kunonoka kana kuomerwa netsvina. Inogona kuva nguva nenguva (kufamba, pamuviri, nezvimwewo) kana kusingaperi. Tiri kutaura nezvazvo chisingaperi kupatira apo dambudziko racho rinogara kweinenge mwedzi 6 kusvika ku12, nezviratidzo zvakawanda kana zvishoma.

The frequency ofstool evacuation zvinosiyana pamunhu nemunhu, kubva pa3 kanomwe pazuva kusvika katatu pasvondo. Tinogona kutaura nezve kuvimbiswa kana zvituru zvakaoma, zvakaoma uye zvakaoma kupfuudza. Kazhinji izvi zvinoitika kana zviripo kusakwana katatu pasvondo.

Constipation inogona kuva chero transit (kana kufambira mberi), kureva kuti, zvigaro zvinomira kwenguva yakareba mukoloni, kana terminal (kana kubuda), kureva kuti, vanounganidza murectum. Matambudziko maviri anogona kugara mumunhu mumwe chete.

MuNorth America, zvinofungidzirwa kuti 12% kusvika 19% yehuwandu, vese vana nevakuru, vanotambura Constipation tora nguva refu⁹.

Zvinokonzera

Matumbu anobatana

Panguva yekugaya, ura hunoita kuti chikafu chifambe nemudumbu. Ichi chiitiko chezvisungo chinonzi peristalsis. In case of Constipation, peristalsis inononoka uye zvigaro zvinogara mukoloni kwenguva yakareba. Muzviitiko zvakawanda, hapana organic chikonzero chinowanikwa uye kuvimbiswa kunonzi "kunoshanda".

Miitiro yakaipa yekudya

Kazhinji yenguva, kushanda kwekuvhara kunokonzerwa ne tsika dzakaipa dzekudya, kusaita muviri, kushushikana, kufunganya, kana kuvapo kwehemorrhoids kana kuputika kwetsvina kunoita kuti munhu arambe achibuda ura.

Kuzvimba kunogona kukonzerwa nekudya kwekudya kana kusashivirira, kunyanya kune lactose muropa mukaka wemombe, mamiriro ezvinhu asingawanzoitiki kupfuura zvingafungwa nomunhu muvana vaduku vane dumbu risingaperi1,2.

Kuramba kuenda kuchimbuzi

Kunonotsa kubviswa kwetsvina apo kuda kunonzwa ndechimwe chikonzero chinowanzokonzera kuvimbiswa. Kana ikaramba iri muura, chituru chacho chinowedzera kuoma sematombo uye chinonetsa kupfuura. Izvi zvinodaro nekuti muviri unotorazve mvura yakawanda kubva pachituru kuburikidza nekoloni. Kudzivisa kubuda kwavo kunogona kukonzera kurwadziwa uye fissures.

Kubatana kwe sphincter

Mune vamwe vanhu, panguva yekufamba kwe bowel, tsandanyama iri mu anus (anal sphincter) inobata panzvimbo yekuzorora, iyo inovhara kufamba kwechigaro.^{14, 15}. Kutsanangura izvi kusapindirana kwakashata kwereflexes, fungidziro dzinowanzonongedzera kuzvinhu zvepfungwa¹⁶. Muzviitiko zvakawanda, zvisinei, hapana chikonzero kana chikonzero.

Mhedzisiro

La Constipation zvinogonawo kubva kubva chirwere chakaoma kana kuiperekedza (irritable bowel syndrome, kunyanya). Inogona zvakare kuve diverticulitis, organic lesion yecolon (colorectal cancer, semuenzaniso), kusagadzikana kwemasabolism (hypercalcemia, hypokalemia), kana endocrine dambudziko (hypothyroidism) kana neurological (diabetic neuropathy). , chirwere chePasinson, chirwere chemusana).

Bowel kuvhara

Muzviitiko zvisingawanzoitiki, kuvimbiswa kunokonzerwa ne occlusion (kana kuvharidzira) mudumbu, izvo zvinoenderana nekuvharika kwese kwekufamba kwematumbo. Constipation inoitika kamwe kamwe uye inoperekedzwa ne kurutsa. Zvinoda kubvunzurudzwa kwechimbichimbi.

zhinji Pharmaceuticals zvinogona kukonzera Constipation, kusanganisira, zvinokatyamadza, mamwe marashi kana akatorwa kwenguva yakareba, anxiolytics, antidepressants, morphine, codeine uye mamwe maopiates, mamwe antispasmodics (anticholinergics), anti-inflammatories, mhasuru yekuzorodza, mamwe antihypertensives (kunyanya calcium channel blockers se diltiazem), diuretics, antacids ane aruminiyamu, nezvimwewo. Zvimwe zvesimbi zvinowedzera zvinogona kukonzera kuvimbiswa, asi havasi vose vane izvi.

Pakupedzisira, muzviitiko zvisingawanzoitiki, in vana uye Constipation inogona kuva chiratidzo chechirwere cheHirschsprung, chirwere chinowanikwa kubva pakuberekwa chine chokuita nekusavapo kwemamwe masero etsinga muura.

Nguva yekubvunza?

La Constipation, kunyanya kana ikauya kamwe kamwe, inogona kuva chiratidzo chechirwere chakakomba, chakadai sekenza yekoloni. Naizvozvo chiratidzo ichi hachifanire kufuratirwa. Zvinokurudzirwa kubvunza chiremba mumatambudziko anotevera.

• Recent constipation kana kuperekedzwa ne ropa muchituru.
• Bloating, marwadzo, kana kuzvimba kunochinjana nemanyoka.
• Kuonda.
• Zvituru zvinoramba zvichidzikira muhukuru, izvo zvinogona kunge zviri chiratidzo chedambudziko rakakura rematumbu.
• Constipation inogara kweanopfuura mavhiki matatu.
• Kuvharwa kunopfuurira muvana vachangoberekwa kana vana vaduku zvikuru (nokuti chirwere cheHirschsprung chinofanira kubviswa).

Zvinogona kuitika

Kazhinji, vanhu Constipation haina kunaka uye inoenda yega mukati memazuva mashoma, nekuda kwe kudya adapted. Zvisinei, kana zvikaramba zvakadaro, mamwe matambudziko anogona dzimwe nguva kuitika:

• hemorrhoids kana anal fissures;
• bowel obstruction;
• kusagadzikana kwefecal incontinence;
• fecal impaction, inova kuunganidza uye kusungirirwa kwezvituru zvakaoma murectum, izvo zvinonyanya kuitika kune vakwegura kana pamubhedha;
• kushandiswa zvisina kunaka kwelaxatives.