Enemas ingakhale yofunikira nthawi zina koma iyenera kugwiritsidwa ntchito mosamala
Anema ndi kuyambitsa madzi, kawirikawiri mafuta amchere, kudzera mu anus ndi m'mimba yaikulu . Anema angaperekedwe pofuna kuchiritsa, kupereka mankhwala kapena barium , kapena ngati mbali ya ndondomeko yotsekemera zomwe zili mkatikati mwa mayeso (monga colonoscopy ). Enemas imathandizanso nthawi zina asanachite opaleshoni pamimba kapena pa ntchito ya amayi apakati, koma izi sizinali zachilendo.
Kugwiritsira ntchito mankhwala osakanizidwa sikuvomerezedwa, komanso kugwiritsa ntchito maema omwe ali ndi zakumwa kapena zinthu zina osati zomwe adokotala akuzivomereza. Palibe umboni wakuti kugwiritsa ntchito liwu la "detoxing" kapena chifukwa cha zifukwa zina osati kuyeretsa matumbo musanayese mayesero kapena ndondomeko kapena kuchotsa choponderezedwa chiri ndi ubwino uliwonse wa thanzi. Pakhoza kukhala zovulaza pogwiritsa ntchito nthawi zambiri, kapena pogwiritsa ntchito zinthu zomwe zingasokoneze mabakiteriya opindulitsa omwe amapezeka m'matumbo akuluakulu.
Kodi Zimatheka Bwanji?
Anema ndilo liwu limodzi ndi dzina: likutanthauza chipangizo chenicheni ndi ntchito yogwiritsira ntchito. Anema omwe munthu amagula mu pharmacy ali ndi bubu pamapeto a thumba laling'ono. Thumba ladzaza ndi madzi omwe amayenera kulowa mu thupi. Mphuno imalowetsedwa mu anus ndipo thumba limakanizidwa, kutumiza madzi a bubu ndi gawo lomaliza la colon (rectum).
Madzi amapezeka kawirikawiri pa nthawi inayake. Icho chingakhoze kuchitidwa mpaka chilakolako chosuntha matumbo chikubwera. Nthawi zina, tinganene kuti enema imachitika mkati mwa thupi kwa mphindi zingapo kapena kupitirira. Nthawi ikafika, enema ndi zowonongeka zomwe ziri mu rectum zimatulutsidwa pokhala pa chimbuzi ndikusuntha matumbo monga mwachizolowezi.
Madzi Ogwiritsidwa Ntchito Enemas
Nthaŵi zina, madzi omwe amagwiritsidwa ntchito mu enema ndi madzi amchere basi, ndipo enawo ali ndi mankhwala ofewetsa tuvi tolimba. Yang'anirani ndi dokotala ngati simukudziwa kuti ndi mtundu wanji wa enema umene ukulimbikitsidwa.
- Bisacodyl. Bisacodyl ndi mtundu wa laxative umene umagwiritsidwa ntchito mobwerezabwereza mu enemas, makamaka mwa omwe amagwiritsidwa ntchito pokonzekera njira monga colonoscopy.
- Mafuta amchere. Mafuta amchere ndi onse odzola komanso odzola, omwe amathandiza makamaka pakhungu lomwe limagwiritsidwa ntchito pochizira, kapena kuti nthendayi imakhala yowawa kwambiri kapena ngati pali mimba.
- Saline njira. Panthawi ya kudzimbidwa, madzi a enema a mchere angapangidwe. Kusakaniza njira yanu ya enema pogwiritsa ntchito matepi sikunayamikiridwe.
- Mankhwala. Pochiza matenda ena, kuphatikizapo kutupa matenda a ubongo (IBD) , mankhwala akhoza kuperekedwa ndi enema. Mankhwala ogwiritsidwa ntchito pochizira ulcerative colitis omwe amaperekedwa mwanjira imeneyi ndi Rowasa (omwe ndi mankhwala a 5-aminosalicylic). Izi kawirikawiri zimapangitsa kutupa komwe kumapezeka mu gawo lotsiriza la koloni, komwe madzi a enema adzafike, koma izi sizikhala choncho muzogwiritsira ntchito. Kaŵirikaŵiri amalimbikitsidwa kuti izi zimagwiritsidwa ntchito usiku, ndipo m'malo momasula matumbo, kuti enema imachitika usiku wonse, kuti apereke nthawi ya mankhwala kuti agwire ntchito.
- Zina. Pali madokotala omwe amapereka mankhwala ndi zinthu zina mwa iwo (khofi, madzi a mandimu, mkaka), zomwe zimati zimapereka ubwino wathanzi. Kugwiritsidwa ntchito kwa mitundu iyi ya enemas popanda kuyang'aniridwa kwa dokotala sivomerezedwa kapena kulimbikitsidwa kuti azichiza vuto lililonse. Anthu omwe ali ndi IBD ayenera kusamala kwambiri ndi mitundu imeneyi. Pali zotheka kulumikiza zipangizo zovulaza mu thupi ndi kugwiritsa ntchito enema yosagwira ntchito. Kuwonjezera apo, coloni imakhala ndi mabakiteriya opindulitsa osiyanasiyana, ndipo kugwiritsa ntchito enema kungasokoneze zomera za bakiteriya ndikuvulaza.
Mawu Ochokera
Enemas sizopweteka ndipo ziyenera kugwiritsidwa ntchito pa malangizo a dokotala. Kugwiritsira ntchito nthawi zonse kungakhale ndi zotsatira pa minofu mu colon. Patapita nthawi, minofu imasiya kugwira ntchito bwino kuti isunthire chitseko, zomwe zimapweteka mavuto ndi kudzimbidwa.