Kodi ndi laxative iti yomwe ili yoyenera kwa inu?
Mavitamini ambiri amapezeka ngati mankhwala opitirira-the-counter (OTC), ndipo anthu amawagwiritsa ntchito molakwa. Anthu ambiri omwe amagwiritsa ntchito mankhwala osokoneza bongo safuna iwo, ndipo kugwiritsa ntchito mankhwala osokoneza bongo kwa nthawi yaitali kungakhale ndi zotsatira za thanzi labwino monga kuchepa kwa metabolite (ma salt body), kutaya thupi, kupweteka kwa impso komanso imfa.
M'malo mogula mankhwala osokoneza bongo kuti athandizidwe moyenera, muyenera kuyesayesa kudya zakudya zamadzimadzi, kuyamwa madzi, kuchita masewera olimbitsa thupi nthawi zonse, ndikuyeretsani bwino.
Kwenikweni, muyenera kugwiritsa ntchito chipinda choyambira mukamva zofuna zanu ndikupewa "kusunga." Ngati izi zikulephera kugwira ntchito, muyenera kukambirana ndi dokotala kuti mukambirane za mankhwala ofewetsa mankhwala ofewetsa mankhwala ofewetsa ofewa makamaka ngati mukukonzekera kumwa mankhwala osokoneza bongo kwa nthawi yoposa tsiku limodzi kapena awiri.
Zolemba zapamwamba zotsalirazi zimagawidwa motsatira njira zinayi zofunika kwambiri:
- kupanga zambiri
- ochepetsera
- osmotic zotsatira
- zotsatira zolimbikitsa
Zindikirani, ena mwa mankhwalawa amagwiritsidwa ntchito mwa kuphatikiza njirazi.
Ma laxatives opanga makina
Monga momwe dzina lawo limasonyezera, mankhwala ofewetsa ambiri amagwira ntchito pogwedeza mpando wanu. Mafutawa amapangidwa ndi tizilombo toyambitsa matenda (colloid) omwe amamwa madzi. Kamodzi kambirimbiri kamadzimadzi kamatulutsa madzi, amachititsa kuti phokoso likhale loyendayenda ndi mitsempha yotsitsimula (peristalsis).
Mankhwala obiriwira amapezeka kawirikawiri ndi timitengo ta zomera monga methylcellulose. Pamene mabakiteriya omwe amakhala mumatumbo anu amapukusira matayala awa, chomera chochulukiracho ndi kuphulika kumatha.
Nazi zina zowonjezera zowonjezera:
- FiberCon (polycarbophil)
- Citrucel (methylcellulose)
- Metamucil (psyllium)
- Konsyl (psyllium)
Stool Softeners
Zosakaniza zitsulo kapena antchito ogwiritsira ntchito mankhwalawa amalola kuti madzi ndi mafuta asokoneze malo anu ndipo potero zimachepetsa. Zosungira zidole zimatha kutengedwa pakamwa kapena pakamwa (kuganiza Fleet suppositories kapena Fleet enemas).
Pano pali ena ochepetsera:
- Colace (docusate)
- Surfak (docusate)
- Zojambula za Phillips 'Softener Liquid Gels (docusate)
- mafuta amchere
- Pedia-lax (glycerin suppository)
Zindikirani, mafuta amchere amagwiritsidwa ntchito kuti aziwotcherera ana ndi akulu omwe ali ndi chilema chofooketsa. Kuti mukhale wokondweretsa, mafuta a mchere ayenera kusakanizidwa ndi madzi. Kuonjezera apo, docusate ndi glycerin suppository kawirikawiri amalembedwa ku chipatala kapena kuchipatala kuti athetse kudzimbidwa.
Chonde kumbukirani kuti kugwiritsira ntchito mankhwala osungira nthawi yaitali kungachititse kuti (mafuta osungunula mafuta) azikhala ndi vitamini A, D, E ndi K.
Zotsitsimula Zotsutsa
Choonadi chimauzidwa, ife sitikumvetsa bwino momwe momwe mankhwala osokoneza bongo kapena cathartics amagwirira ntchito. Tikudziwa kuti amachititsa kuti thupi likhale ndi mantha kwambiri komanso limayambitsa electrolyte komanso kutsekemera kwa madzi.
Kwa kanthawi, madokotala akuda nkhaŵa kuti kugwiritsa ntchito mankhwala osokoneza bongo kwa nthawi yayitali kungapangitse kukhala wodalira pa mankhwalawa. Komanso, madokotala akuda nkhaŵa kuti mankhwalawa akhoza kuwononga dongosolo la mitsempha la m'mimba (myenteric plexus).
Kafukufuku waposachedwapa, akusonyeza kuti kugwiritsa ntchito mankhwala osokoneza bongo kwa nthawi yayitali kumakhala kotetezeka.
Komabe, anthu okhawo amene ayenera kumwa mankhwalawa kwa nthawi yaitali ali kuchipatala odwala kapena odwala omwe akukhala ndi nthawi yaitali osamalidwa ndi matenda a ubongo ndipo sangathe kuchoka pabedi.
Nazi zitsanzo za mavitamini otupitsa oTC:
- Dulcolax (bisacodyl)
- Fleet bisacodyl
- Senokot (senna)
- cascara
- Kuthamanga Kwambiri (sennosides)
- mafuta opangira mafuta
- aloe
Osmotic Laxatives
Mavitamini a Osmotic ndi mankhwala osakanikirana ndi makina osungunuka omwe amachititsa madzi a fecal mu khola kudzera mu osmosis. Mwa njira iyi, osmotic laxatives amatsitsa chitsime chanu.
Nazi zitsanzo za mankhwala osokoneza bongo osati:
- mkaka wa magnesia (magnesium hydroxide)
- sorbitol
- MiraLax (polyethylene glycol)
Chonde pitirizani kukumbukira kuti mankhwala odzola amagwiritsidwa ntchito bwino ngati mpumulo wa nthawi yayitali, ndipo muyenera kukaonana ndi dokotala musanagwiritse ntchito. Musamapatse mwana mankhwala osokoneza bongo popanda kulankhula ndi ana anu choyamba.
Mawu Ochokera
Chimodzi mwa zinthu zovuta kwambiri zomwe mungachite ndi mankhwala osokoneza bongo ndi kuzigwiritsa ntchito ngati chithandizo chokhalitsa kwa nthawi yaitali kuti mukhale ndi matenda aakulu kwambiri. Mwachitsanzo, khansara ya colon ingayambitse kudzimbidwa mwa njira yothetsera.
Chonde kumbukirani kuti monga mankhwala onse-ndibwino kuti tipewe vuto pa malo oyamba kusiyana ndi kumwa mankhwala. Ngati mukumva kuvomereza, ndibwino kukomana ndi dokotala wanu ndikukambilana za zakudya, madzi, masewera olimbitsa thupi, ndi chikhomo. Kusintha kwa moyo nthawi zambiri kumathandiza kuthetsa kudzimbidwa ndi kuchepetsa kufunika kwa mankhwala osokoneza bongo.
> Zotsatira:
> Acosta A, Tangalos EG, Harari D. Constipation. Mu: Halter JB, Ouslander JG, Studenski S, High KP, Asthana S, Supiano MA, Ritchie C. eds. Hazzard's Geriatric Medicine and Gerontology, 7e New York, NY: McGraw-Hil
> McQuaid KR. Mankhwala Ogwiritsidwa Ntchito pa Chithandizo cha Matenda a Mimba. Mu: Katzung BG, Trevor AJ. eds. Basic & Clinical Pharmacology, 13e . New York, NY: Hill ya McGraw; 2015.
> FDA. Gwiritsani Ntchito Mankhwala Omwe Modziletsa. January 1, 2014. www.fda.gov.