Kudzimbidwa kosatha kapena mwa apo ndi apo

La kudzimbidwa ndi kuchedwa kapena kuvutika kutuluka chimbudzi. Zitha kukhala za apo ndi apo (paulendo, mimba, ndi zina zotero) kapena zosatha. Tikukamba za kudzimbidwa kosalekeza pamene vuto limakhala kwa miyezi 6 mpaka 12, ndi zizindikiro zambiri kapena zochepa.

Nthawi zambirikuchotsa chimbudzi zimasiyanasiyana munthu ndi munthu, kuyambira katatu patsiku mpaka katatu pa sabata. Tikhoza kulankhula za kudzimbidwa pamene chimbudzi chiri cholimba, chouma komanso chovuta kutuluka. Kawirikawiri izi zimachitika ngati zilipo kusakwana 3 m'matumbo pa sabata.

Kudzimbidwa kungakhale kaya kutuluka (kapena kupita patsogolo), ndiko kuti, chimbudzi chimayima kwa nthawi yayitali m'matumbo, mwina Pokwerera (kapena kuthamangitsidwa), ndiko kuti, amaunjikana mu rectum. Mavuto awiriwa amatha kukhala mwa munthu yemweyo.

Ku North America, akuti 12% mpaka 19% ya anthu, ana ndi akulu, amadwala kudzimbidwa osatha⁹.

Zimayambitsa

Matumbo kuti mgwirizano

Pachigayidwe, matumbo amalumikizana kuti azisuntha chakudya kudzera m'matumbo. Chodabwitsa ichi cha contractions chimatchedwa peristalsis. Ngati kudzimbidwa, peristalsis imachepetsedwa ndipo chimbudzi chimakhala m'matumbo kwa nthawi yayitali. Nthawi zambiri, palibe chomwe chimayambitsa organic ndipo kudzimbidwa kumanenedwa kuti "kumagwira ntchito".

Madyedwe oipa

Nthawi zambiri, kudzimbidwa kwa ntchito kumayamba chifukwa zizolowezi zoipa kudya, kusachita zinthu zolimbitsa thupi, kupsinjika maganizo, nkhawa, kapena kukhala ndi zotupa kapena ziboda zamatako zomwe zimachititsa munthuyo kulephera kutuluka m’matumbo.

Kudzimbidwa kumatha chifukwa cha kusagwirizana ndi zakudya kapena kusalolera, makamaka kwa lactose m'thupi mkaka wa ng'ombe, mkhalidwe umene uli wosoŵa kwambiri monga mmene munthu angaganizire mwa ana aang’ono okhala ndi kudzimbidwa kosatha1,2.

Kupewa kupita kuchimbudzi

Chepetsani kutulutsa chimbudzi pamene chilakolako chimamveka ndi chifukwa china chofala cha kudzimbidwa. Zikakhala nthawi yaitali m'matumbo, chimbudzicho chimakhala cholimba ngati miyala komanso chovuta kudutsa. Izi zili choncho chifukwa thupi limatenganso madzi ambiri kuchokera ku chopondapo kudzera m'matumbo. Kuletsa kuthawa kwawo kungayambitsenso ululu ndi ming'alu kumatako.

Kutsika kwa sphincter

Kwa anthu ena, panthawi ya matumbo, minofu ya anus (anal sphincter) imagwira m'malo mopumula, zomwe zimalepheretsa kutuluka kwa chimbudzi.^{14, 15}. Kuti tifotokoze izi kusamvana bwino kwa ma reflexes, zongopeka kaŵirikaŵiri zimaloza ku zinthu zamaganizo¹⁶. Nthawi zambiri, komabe, palibe chifukwa kapena choyambitsa.

Zotsatira zake

La kudzimbidwa zithanso kuchokera ku matenda ovuta kwambiri kapena kutsagana nayo (makamaka matenda a m'mimba). Zitha kukhalanso diverticulitis, chotupa cha m'matumbo (khansa ya colorectal, mwachitsanzo), kusakhazikika kwa metabolism (hypercalcemia, hypokalemia), kapena vuto la endocrine (hypothyroidism) kapena minyewa (diabetesic neuropathy). , Matenda a Parkinson, matenda a msana).

Bowel zotchinga

Nthawi zina, kudzimbidwa kumachitika chifukwa kusokonezeka (kapena kutsekeka) m'matumbo, omwe amafanana ndi kutsekeka kwathunthu kwa matumbo. Kudzimbidwa kumachitika mwadzidzidzi ndipo kumatsagana ndi kusanza. Pamafunika kukambirana mwadzidzidzi.

ambiri Mankhwala itha kuyambitsanso kudzimbidwa, kuphatikizapo, chodabwitsa, mankhwala ena otsekemera akamwedwa kwa nthawi yayitali, anxiolytics, antidepressants, morphine, codeine ndi opiates ena, antispasmodics (anticholinergics), anti-inflammatories, otsitsimula minofu, antihypertensives (makamaka calcium channel blockers monga diltiazem), okodzetsa, Maantacid okhala ndi aluminiyamu, ndi zina zotero. Zowonjezera zina zachitsulo zingayambitsenso kudzimbidwa, koma si onse omwe ali ndi izi.

Pomaliza, nthawi zina, mu ana ndi kudzimbidwa chikhoza kukhala chizindikiro cha matenda a Hirschsprung, matenda omwe amapezeka kuchokera kubadwa okhudzana ndi kusowa kwa maselo ena a mitsempha m'matumbo.

Nthawi yofunsira?

La kudzimbidwa, makamaka ikafika mwadzidzidzi, ikhoza kukhala chizindikiro cha matenda aakulu, monga khansa ya m'matumbo. Choncho, chizindikirochi sichiyenera kunyalanyazidwa. Iwo m`pofunika kukaonana ndi dokotala milandu zotsatirazi.

• Posachedwa kudzimbidwa kapena kutsagana ndi magazi mu chopondapo.
• Kutupa, ululu, kapena kudzimbidwa komwe kumasinthasintha ndi kutsekula m'mimba.
• Kuchepa thupi.
• Zimbudzi zomwe zikucheperachepera kukula, zomwe zitha kukhala chizindikiro cha vuto lalikulu lamatumbo.
• Kudzimbidwa komwe kumatenga milungu itatu.
• Kudzimbidwa komwe kumapitilira kwa ana akhanda kapena ana aang'ono kwambiri (chifukwa matenda a Hirschsprung ayenera kuchotsedwa).

Zovuta zotheka

Nthawi zambiri, kudzimbidwa ndi yabwino ndipo imachoka yokha mkati mwa masiku ochepa, chifukwa cha a zakudya kusinthidwa. Komabe, ngati zipitilira, zovuta zina zimatha kuchitika:

• zotupa kapena zotupa kumatako;
• kutsekeka kwa matumbo;
• kusadziletsa kwa ndowe;
• fecal impaction, yomwe ndi kudzikundikira ndi compaction youma chimbudzi mu rectum, amene amapezeka makamaka okalamba kapena kugona;
• kugwiritsa ntchito mankhwala osokoneza bongo.