Mankhwala achikale samawona kuti ndikofunikira kuti thanzi lichoke zishalo tsiku ndi tsiku. Nthawi zambiri mumatuluka matumbo zimatengera munthu aliyense, koma nthawi zambiri amatchedwa kudzimbidwa ngati pali matumbo osakwana katatu pa sabata ndipo ndizovuta kapena zovuta kutuluka.

Dokotala adzayamba kudziwa ngati ndi yachiwiri (chifukwa cha matenda ena) kapena kudzimbidwa koyambirira. Pachiyambi choyamba, adzachita zomwe zimayambitsa kapena adzalembera mayeso owonjezera, monga a colonoscopy. Chitani zanu zotupa Ngati izo zachitika. Nthawi zambiri amakhala chifukwa cha kudzimbidwa. Ngati kudzimbidwa kwanu kwachitika posachedwa ndipo mukutenga chatsopano mankhwala, lankhulani ndi dokotala wanu. Mankhwala anu angakhale omwe ayambitsa vuto lanu.

Ndiye dokotala adzaona ngati ndi transitory kapena osachiritsika kudzimbidwa.

mayendedwe odzimbidwa

Dokotala adzalangiza poyamba kusintha zakudya kuti awonjezere kudya zamagetsi : masamba obiriwira, masamba ophika, nyemba, zipatso zokhala ndi pectin (apulo, peyala, pichesi, zipatso), koma pamwamba pa mbewu zonse.

Tikhoza kuwonjezera chinangwa, kwambiri mu CHIKWANGWANI, kapena dzinthu zina mu maphikidwe muffin, etc. Kuchiza kudzimbidwa, tikulimbikitsidwa kudya pafupifupi 1/4 chikho cha chinangwa cha tirigu patsiku. Ma prunes ndi madzi a prune amathandizanso kwambiri pochotsa kudzimbidwa chifukwa ali ndi sorbitol, mankhwala ofewetsa tuvi tolimba achilengedwe. Mlingo watsiku ndi tsiku wa ma ola 8 nthawi zambiri ndiwokwanira⁴. Komabe, nthawi zina zimatha kutenga milungu ingapo kuti mumve phindu lazakudya zomwe zili ndi fiber poyenda¹⁹.

Pa nthawi yomweyi, dokotala adzalimbikitsanso kumwa mokwanira, popewa mowa ndi zakumwa za caffeine, zomwe zimachepetsa madzi m'thupi ndipo zimatha kukhumudwitsa m'matumbo. Komabe, ngati kudzimbidwa kumakhala kosalekeza ndipo kumayendera limodzi ndi kupsa mtima kwa m'mimba, muyenera kupewa kusintha zakudya zanu mwadzidzidzi.

Ngati kudzimbidwa kukupitilira, amalangiza a wodwala. Pali magulu 6:

• The mankhwala a ballast kapena unyinji nthawi zambiri amakhala ma mucilages kapena ulusi wokonzekera zakudya: hydrophilic psyllium muciloid kapena methylcellulose. Mtundu uwu wa laxative ndi wofatsa kwambiri m'matumbo. Pomanga ndi madzi, ulusiwo umatupa, zomwe zimathandiza kupanga chimbudzi chotayirira, chachikulu. Kuchuluka kwawo kumayambitsa ma peristalsis a matumbo, omwe amayendetsa chimbudzi kupita ku rectum. Zitha kutenga masiku angapo kuti mankhwalawa awonekere. Ndi bwino kumwa lofanana 5 mpaka 10 nthawi buku la kuchuluka kwa ballast mankhwala ofewetsa tuvi tolimba m`thupi ingested. Zitsanzo ndi Metamucil®, Prodiem® ndi Kellogs Bran Buds®.

  Zotsatira zoyipa: kutupa, gasi ndi kukokana. Kuwaphatikiza pang'onopang'ono muzakudya kumachepetsa zovuta izi.

• The emollient laxatives, zomwe zimafewetsa chopondapo. Mwachitsanzo, docusate sodium (Colace®, Ex-Lax®, Soflax®).

  Zotsatira zoyipa: kutsekula m'mimba ndi kupweteka pang'ono m'mimba.

• The osmotic mankhwala ofewetsa tuvi tolimba kumathandiza kusunga madzi ambiri m'matumbo, motero kufewetsa chopondapo. Zimaphatikizapo mchere (sodium sulfate, magnesium sulfate kapena mchere wa Epsom), magnesium hydroxide (mkaka wa magnesia), shuga zomwe sizingagwirizane ndi matumbo (lactulose, mannose, mannitol, sorbitol, etc. ) kapena glycerin (monga suppository). Polyethylene glycol-based laxatives (Miralax®, Lax-A-Day®) ndi osmotic laxatives omwe amapezeka kwa akuluakulu omwe akudandaula za kudzimbidwa kwa apo ndi apo.

  Zomwe zingachitike: kutsekula m'mimba, gasi, kukokana, ndi kuchuluka kwa madzi m'thupi.

• The mafuta otsekemera, zomwe zimapaka mafuta ndikupangitsa kuti asamuke. Nthawi zambiri ndi mafuta amchere (mafuta a parafini kapena petrolatum). Atha kugwiritsidwa ntchito pakamwa kapena pakamwa.

  Zotsatira zoyipa: kutsekula m'mimba ndi kupweteka pang'ono m'mimba. Chenjerani, kutupa kwa mapapu kumatha kuchitika ngati mafutawo adayamwa mwangozi m'mapapo.

• The stimulant mankhwala ofewetsa tuvi tolimba chitani mwachindunji pa matumbo mucosa ndi mayendedwe onse peristaltic (bisacodyl, anthracene, emulsified Kastor mafuta). Amachepetsa kuyamwanso kwamadzi ndi ma electrolyte m'matumbo. Mankhwala otsekemera otsekemera, omwe amakwiyitsa kwambiri m'matumbo a m'matumbo, amagwiritsidwa ntchito ngati njira yomaliza. Iwo ali osavomerezeka ngati kudzimbidwa kosalekeza. Asamamwedwe kwa masabata opitilira 1 kapena 2 popanda kuyang'aniridwa ndi achipatala.

  Zotsatira zoyipa: zilonda zam'mimba, kutsegula m'mimba ndi kutentha kwa rectum.

  Chenjezo. Kuchuluka kwa mankhwala osokoneza bongo kungayambitse matenda a ulesi wamatumbo, komanso kumayambitsa kutsika kwa sodium ndi potaziyamu m'magazi, kutaya madzi m'thupi komanso mavuto aakulu kwambiri.

  Chenjezo. Iwo ali contraindicated kwa amayi apakati ndi oyamwitsa.

Kukonzekera kwina kumapangidwa ndi mankhwala ochokera ku 2 kapena 3 mwa magulu awa a laxatives.

• Lubiprostone (Amitiza®). Mankhwala atsopanowa amasonyezedwa pochiza kudzimbidwa kwakukulu kwa akuluakulu, ngati akulephera mankhwala ena.¹⁹. Zimagwira ntchito poonjezera katulutsidwe ka madzi kuchokera m'matumbo.

  Zotsatira zoyipa: nseru, kutsegula m'mimba, kupweteka m'mimba ndi mpweya.

Kudzimbidwa kwakanthawi

Pankhani ya kudzimbidwa osatha, dokotala angalimbikitse ma microlavements ku makandulo kuti mubwezeretse reflex evacuation. Kuonjezera apo, ndi biofeedback, tikhoza kuphunzitsanso luso la magalimoto a anorectal pambuyo pa nthawi ya kudzimbidwa kosatha, ngati kuli kofunikira.^{5, 13}.