Kutenga kumakhala kofala, makamaka pakati pa anthu okalamba
Kudzimva kuti wadzikakamiza kwa nthawi yochepa ndikukhala munthu. Anthu onse adzidzimva panthawi ina. Kugonana kuli ndi luso lapadera loponyera anthu kutali-kilter. Kuti zinthu ziipireipire, madokotala ambiri samalephera kuzindikira kapena kumvetsa chisoni momwe kudzimva kumverera kuli koopsa. Chifukwa chake, anthu ambiri omwe ali ndi chidziwitso amadzichitira okha mankhwala osokoneza bongo, ndipo kugwiritsa ntchito mankhwala osokoneza bongo kosatha kumakhala koopsa kwambiri.
Tisanayambe, tiyeni tiike mfundo ziwiri. Choyamba, palibe chiwerengero chabwino kapena choyenera cha kayendedwe ka ubweya . Anthu ena akhoza kukhala ndi maulendo awiri tsiku ndi tsiku, ndipo anthu ena akhoza kukhala ndi kayendedwe katatu pa sabata. Malingana ndi munthuyo, mwina zochitika izi zingakhale zachilendo. Chachiwiri, kudzimbidwa ndi chizindikiro chenicheni osati matenda. Mwa kuyankhula kwina, chithandizo cha kudzimbidwa ndi chithandizo chopweteka chimene sichichiza chikhalidwe ichi.
Kodi Kumangidwa N'kutani?
Ngati wina angatchule kudzimbidwa, anthu ochepa amangodabwa kuti kudzimbidwa ndi chiyani. Tonsefe timadziwa kudzimbidwa. Komabe, matanthauzo a kudzimbidwa m'mabuku ndi azamwino akhala osiyana komanso osagwirizana.
Nazi njira zina zomwe kuvomerezedwa kumatanthauzidwa:
- Zochepa kuposa zowawa ziwiri za mlungu pa sabata
- Kuwongolera pa nthawi ya matumbo
- Malo ovuta
- Kumverera ngati matumbo anu sanachotsedwe kwathunthu
- Kumverera kwatsekedwa
Chonde dziwani kuti simukusowa kuti zizindikiro zonsezi zitheke. Ndipotu, ngati muli ndi zizindikiro ziwiri kapena zingapo zomwe zimapereka gawo limodzi la magawo khumi (12) pa nthawiyi, mumakhala masabata 12 pachaka.
Kodi Zimakhala Zofanana Bwanji ndi Kunyumba?
Chikumbumtima chafala.
Azimayi oposa 26 peresenti ya amayi onse ndi 16 peresenti ya amuna onse amavomerezedwa kuti akumbidwa mobwerezabwereza. Komanso, pakati pa akuluakulu oposa 65, 34 peresenti ya amayi ndi amuna 30 peresenti amavomereza kukhala ndi chitetezo.
Nchifukwa chiyani (Achikulire) Anthu Amaloledwa?
Anthu amakhala ndi chidziwitso pa zifukwa zambiri. Zambiri mwazifukwa zomwe anthu amamva kuvomereza ndizogwirizana ndi zaka.
Poyamba tikamakalamba, collagen zambiri zimayikidwa mu colon. Kuwonjezeka kwa collagen kumachepetsa kuchepa kwa matumbo ndi kuchepetsa ubongo wa matumbo. Pogwiritsa ntchito fanizo, n'kosavuta kufinya pudding mu thumba la pulasitiki kusiyana ndi kufinya pudding kunja kwa nyumba ya munda.
Chachiwiri pamene ife tikukalamba, chiwerengero cha mitsempha mu plexus ya myenteric imachepa, zomwe zingawononge mchitidwe wonyansa. Plexus ya myenteric ingafanizidwe ndi ubongo wanu. Kwenikweni, plexus ya myenteric ndi njira yovuta ya magalimoto, zowonongeka komanso zowonongeka zomwe zimayendetsa matumbo motility kapena kuyenda.
Chachitatu pamene tili ndi zaka, thambo la mkati limatha kuchepa, zomwe zimapangitsa kuti kusuta kwazimbudzi kukhale kovuta kwambiri.
Zinthu Zomwe Zimapangitsa Kuti Kunyalanyaza Kukhale Kovuta Kwambiri
Kuwonjezera pa kusintha kwa thupi, kudzimbidwa kungawonjezeredwe ndi zinthu zina kuphatikizapo zotsatirazi:
- Mankhwala oletsa anticholinergic (mwachitsanzo, tricyclic antidepressants ndi antipsychotics)
- Kutenga mankhwala oposa asanu mwakamodzi
- Opiates (ophera phungu monga Norco kapena Vicodin)
- Iron imathandizira
- Otsutsa a calcium (mwachitsanzo, verapamil)
- Calcium zowonjezera
- Zakudya zimasowa mu fiber kapena calories low
- NSAIDs (monga aspirin kapena ibuprofen)
- Dementia
- Matenda a shuga
- Kutaya madzi m'thupi
- Hypothryoidism
- Dialysis
- Kutupa
- Kusasowa kwachinsinsi kapena kupeza zovuta kumbudzi
Mwachiwonekere, zina mwazifukwazi zingathe kulamuliridwa. Mwachitsanzo, ngati mukuganiza kuti mankhwala ena akuthandizani kuti mukhale ndi chidziwitso, chitani chidwi cha dokotala wanu.
Kuchiza kwa kudzimbidwa
A FDA amaganiza kuti mankhwala osokoneza bongo ndi achiwiri omwe amachitiridwa mankhwala osokoneza bongo m'mbuyo mwa mankhwala omwe amachititsa kuti asokonezeke. Kugwiritsira ntchito mankhwala osokoneza bongo kungachititse kuti munthu asamadalire komanso kuti akhale ndi vuto la zakudya, electrolyte (mchere wa thupi) kusalinganizana ndi osteomalacia, kapena kuchepetsa mafupa.
Kunena zoona, madokotala ndi ena othandizira zaumoyo amadaliranso kwambiri pa mankhwala a laxatives monga kukonzekera mwamsanga, makamaka pakati pa anthu omwe akukhala m'mayendedwe monga maofesi okalamba.
Chonde khalanibe mu malingaliro anu, komabe kuti mankhwala ofewetsa mankhwalawa ndi othandiza pochiritsa. Koma mmalo mwa mankhwala osamvetsetsa ndi kumwa, mankhwala osokoneza bongo, monga psyllium, sorbitol, ndi senna, ndi abwino kwambiri kuthandizidwa mosamala komanso monga gawo lachiyanjano cholandira chithandizo cha kudzimbidwa. Dipatimenti ya mankhwalayi iyenera kuyang'aniridwa ndi dokotala wodziwa bwino ndi wachifundo amene amayamikira momwe kukhudzidwa kumakhudzira moyo wanu.
Kuwonjezera pa mankhwala osokoneza bongo, palinso njira zina zomwe kudzimbidwa kumatha kuchiritsidwa:
- Kuchulukitsa kudya kwanu kwa mavitamini 10 magalamu pa tsiku
- Kuchulukitsa madzi anu pakati pa 1.5 ndi 2 malita patsiku
- Kuchita masewero olimbitsa thupi (kuyenda osachepera mphindi 30 patsiku)
- Kuonetsetsa chitonthozo cha bafa ndi chinsinsi
- Kulandira minofu ya m'mimba kapena kupuma
Pamapeto omaliza, zofunikira zowonjezera ndi zokhutira ndizofunikira. Pewani mopanda nzeru kuti mutenge mankhwala osokoneza bongo kuti "chitani" kudzimbidwa. Kuchiza kwachidziwitso kwa kudzimbidwa ndi mbali yofunika ya chisamaliro chanu komanso kumafuna chifundo ndi chisamaliro cha dokotala wanu. Ngati mukuganiza kuti dokotala wanu sakukumverani nkhawa zanu zokhudzana ndi kudzimbidwa, ndibwino kupeza dokotala yemwe amasamala kuthandizira kuthetsa kuvomereza kwanu.
Zotsatira:
Tsambali RR. Kusamalidwa ndi Kugwiritsa Ntchito Mankhwala Osokoneza Bongo. The Western Journal of Medicine. 1975; 122 (1): 93-96.
Kutsekedwa. MedlinePlus.
Harari D. Chaputala 93. Kudzimbidwa. Mu: Halter JB, Ouslander JG, Tinetti ME, Studenski S, High KP, Asthana S. eds. Hazzard's Geriatric Medicine ndi Gerontology, 6e . New York, NY: Hill ya McGraw; 2009.
> Xin HW, et al. Kuzindikiritsa za kuvomereza ntchito: Chigwirizano pakati pa Roma III ndi Roma II chiyeso ndi kuunika kwa zomwe zimachitika. Journal of Digestive Disease. 2014; 15 (6): 314-320.