Kulabo abanezinhlungu ezingapheli, ukuqothulwa kungaba inkinga ebalulekile
Ukuqothulwa kwe-opioid (OIC) yinto evamile eyenzeka njengethonya elibi lokusetshenziswa kwamaphilisi (analgesics). I-opioids yi-painkillers equkethe into efana ne-alkaloids etholakala e-opium poppy.
Imithi yokwelashwa equkethe ama-opioid ihlanganisa i- methadone , i- percocet , i- vicodin , i- demerol , i- dilaudid , ne- fentanyl .
Amiselwe ukuphumula ubuhlungu, ngokuvamile ngenxa yobuhlungu obunzima njengokungathi ngemuva kokulimala noma ukuhlinzwa, kodwa futhi nobuhlungu besikhathi eside obubangelwa umdlavuza. Kwezinye izimo, ama-opioid asetshenziselwa ukwelapha isifo sohudo, ngokuvamile esilinganisweni esincane sokugwema imiphumela emibi.
Ucwaningo luye lwabonisa ukuthi odokotela abaningi abazi iziguli zabo zithola ukuqotshwa lapho zithola ama-opioids. Kodwa-ke, cishe zonke iziguli ezithola i-opioids zibika ukuthi kunezimo ezimbi zokugaya ukudla futhi ezingamaphesenti angama-40 zingase zibe nokuqothulwa.
Ukubambisana kunganciphisa izinga lempilo kakhulu futhi ngakho-ke, kufanelekile ukukhuluma nodokotela ukuze uthole ukwelashwa futhi uthole ukukhululeka.
I-OIC vs. Ukuqashwa komsebenzi
Ukuqothulwa kwenzeka uma izitshalo zingapheli, kunzima, futhi kunzima ukudlula. Kodwa-ke, akusiyo isayensi eqondile ngoba isitoreji somuntu nokuthi bawudlula kaningi kangakanani umuntu ngamunye.
Ngokuvamile, ukunyakaza kokuhamba kwamathumbu kungase kusho ukuhamba kuphi izikhathi ezintathu ngosuku ukuya kathathu ngesonto.
Kodwa-ke, ushintsho ekuhambeni kwamathumbu kungase kubonise ukumbumbuluzwa. Uma kungazelelwe kunzima ukuya endlini yokugezela-lokhu kungase kusho ukugxila esitokisini sezindlu zangasese noma ukunyakaza okuhamba kancane okuncane-ukuqothulwa kungase kwenzeke.
Izimpawu zokuqanjwa zingabandakanya:
- Izitembu ezinzima
- Ukuzwa sengathi ukunyakaza kwamathumbu akuphelelanga
- Ukuhamba ngesitsha sezindlu zangasese
Ukuqotshwa okwenziwe i-opioid kuhlukile kunokuqothulwa okusebenzayo . Ukuqotshwa okusebenzayo kungabuka ezimbangela ezihlukahlukene ezivela fiber okwanele ekudleni kwesifo noma isimo esimweni sokugaya. Ukuqotshwa okwenziwe i-opioid, Nokho, kuwumphumela oqondile wendlela imithi ye-opioid ithinta ngayo intombazane encane kanye nekoloni , ngokunciphisa ukugaya.
Kungani I-Opioids Yenza Ukuqothulwa?
I-opioids inezimo eziningana ezehlukene ezinciphisa ukugaya. Esesiswini, i-opioids ingabangela i- gastroparesis , okusho ukuthi isisu sithatha isikhathi eside singenalutho kunokuba kufanele ngoba imisipha ayisebenzi kahle.
Ukudla kudlula emathunjini amancane ngenxa yezinsipho zomzimba ezibizwa ngokuthi i- peristalsis . I-opioids ithinta phakathi komathumbu omncane (i-jejunum) ngokukhuphula izimpande zomzimba eziyindilinga, okuyizinto zokuvimbela okungezona ezenzekelayo, futhi lokhu kunciphisa i-peristalsis evame ukuhambisa ukudla kanye. Lokhu kungenza futhi izitebe ezinzima, okwenze kube nzima ukudlula.
I-opioids nayo ithinta kanjani indlela i-sphincter esandulelayo ephendula ngayo izidakamizwa. Lapho isitokisi sisemgodleni kunesifiso semvelo sokuya endlini yokugezela bese uyidlulisa.
Ama-opioids anganciphisa le nzwa ukuze kuthi lapho kukhona isitoreji sidluliselwe, umuntu akakuzwa. Lokho kungaholela ekubambe izitokisi isikhathi eside kakhulu.
Ngokuvamile, le miphumela kwisistimu yokugaya isho ukuthi abanye abantu bayothola ukuqotshwa uma usebenzisa ama-opioids. Kubantu abadinga ukuphathwa ubuhlungu besikhathi eside ngale mithi, lokhu kungaba inkinga enkulu.
Ukwelashwa kwe-Opioid-Induced Constipation
Ukwelashwa kokuqothulwa kwe-opioid kungabandakanya kokubili izinguquko zokuphila kanye nemithi. Indlela yokwelapha iyoxhomeke kakhulu esimweni samanje sempilo yakho kanye nezinye izinto ezifana nemithi.
Ezimweni eziningi, indlela yokuphila iyashintsha futhi ngaphezu kwama-counter-laxatives ayisebenzi ngokwanele ukuhlinzeka ngokukhululeka okuphelele kanye nemithi.
Izinguquko zokuphila
Ukwenza izinguquko ezithile emisebenzini yansuku zonke, kanye nezinye izifo, kungasiza ngokuqothulwa.
Ukudla kuyisici ekuqanjeni ngoba ukudla okwanele kwezinhlobo ze-fibre nokuphuza amanzi anele kungasiza ukuthi isithumba sithuthe futhi sigcine izithambile zilula futhi zidlula kalula. I-fibre engenayo i-fibrous, etholakala ngokuyinhloko ezitshalweni nezitshalo, yenza izitshalo zibe mncane futhi zikhuphuke. I-fibre e-soluble izoqedwa ibe into efana ne-gel futhi izosiza ekunciphiseni ukuqothulwa.
I-fibre ingangeniswa ekudleni kepha ingathathwa njengengezelelo. Abanye abantu kuzodingeka bazame izithako ezahlukene futhi banqume ukuthi yiluhlobo luni lwefayibha oluzokwenza konke okusemandleni ukuze kunqunywe ukuqashwa. I-dietitian ingase futhi ikwazi ukunciphisa izinketho ze-fibre phansi futhi iphakamise izinguquko zokudla kanye nezithako, okufaka nokudla okungokwemvelo okungokwemvelo (njenge-prune).
Ukuphuza amanzi anele kanye nezinye iziphuzo nsuku zonke kungasiza ekusebenzelaneni nokuqothulwa. Izitshalo zilula ukudlula uma kunoketshezi olwanele olwenziwe emathunjini ukuze lwenze kube lula. Kulabo asebephuzile okwanele, ukungeza amanzi amaningi noma ezinye iziphuzo ekudleni ngeke kube nomthelela omkhulu ohlelweni lokugaya oluthinteka ngama-opioids. Kodwa-ke, ukugcoba kahle kubalulekile empilweni yonke, ngakho-ke kufaneleka ukunaka ukuthi amanzi athathwa kangakanani nsuku zonke.
Ukuzivocavoca kungenye into engasiza ekunciphiseni ukuqotshwa. Futhi, ikhono lokuzivocavoca lithembele empilweni yonke. Kodwa-ke, ngisho nokuhamba kungenza umehluko uma kuziwa ekuhambiseni izibilini njalo. Odokotela bangasiza ekunconyeni indlela engcono kakhulu yokuzivocavoca futhi uma kunesidingo, ukuhanjiswa kumthandi wezinto ezingokwenyama kungasiza ekwakheni uhlelo oluphelele oluthatha noma yiziphi ezinye izimo zezempilo ezibhekwayo.
Ama-laxatives
Ama-laxatives aphikisana nemiphumela yokuqeda ama-opioids angadingeka ezimweni eziningi futhi angase abekwe ngesikhathi esifanayo ne-opioid. Ngokuvamile, i-laxative ingase ibe yindlela yokuqala yokuvimbela kanye / noma yokwelapha ukuqotshwa.
Ama-laxatives ase- Osmotic yiwo athela amanzi amaningi emathunjini, anomphumela wokwenza izithambile zisheshe futhi kube lula ukudlula. Amanye ama-laxatives e-osmotic ayatholakala phezu kwe-counter kanti amanye asebenza ngemithi kadokotela, kanti ezinye izinhlobo ezahlukene zihlanganisa i-miralax, lactulose, nobisi lwe-magnesia (okungenqunywanga njengokuvamile). Akuvamile ukuthi kube nemiphumela eminingi emibi kakhulu ngalezi zinhlobo zama-laxatives-ngokuvamile zibhekwa ziphephile futhi ziphumelela, kodwa abanye abantu bangase babe nokuvimbela noma ukuhuda.
Ama-laxative ashukumisayo atholakalayo phezu kwe-counter futhi afaka i-bisacodyl, i-bicarbonate ye-sodium ne-bitartrate ye-potassium, i-senna, namafutha we-castor. Lolu hlobo lwe-laxative lusebenza ngokukhulisa ukuhamba kwemisipha ohlelweni lokugaya (peristalsis). Ngokuvamile akukhuthazwa ukusetshenziswa kwesikhathi eside ngenxa yemiphumela emibi, futhi ukubekezelelana kungahluka (okusho ukuthi kungase kume ukusebenza ngemuva kwesikhathi).
Ukungenelela okulinganayo
Kwezinye izimo, ukususa isikhombisi esithintekayo kungadingeka. Lokhu kungenziwa nge- enema noma ukunisela kwamakholoni (amanzi noma elinye uketshezi olufakwe ngaphakathi kwe-anus nase-rectum), i-suppositories, noma ukuphuma kwamandla .
I-Glycerin suppositories ingase ibe yisinyathelo sokuqala sokuhamba ngesitokisi, ilandelwe i-enema, ukuchelela, noma ukuphuma kwamandla (ukufaka umunwe ogovuwe emgodini ukuze uqede isitoreji bese uyisusa).
Imithi yokwelashwa
Kukhona imithi yokwelashwa etholakalayo yokwelashwa kokuqotshwa kwe-opioid. U-Relistor noMovantik yimithi emibili enjalo. Le mithi isebenza ngokuvimbela imiphumela i-opioids enayo ekunciphiseni isilonda.
Le mithi ingasiza ekuletheni ukunyakaza kwamathumbu isikhathi esifushane ngemuva kokuthatha noma ukuwamukela. Eminye imiphumela emibi yalezi zidakamizwa ingafaka isicuphoso, isifo sohudo, ubuhlungu besisu, negesi.
Izwi elivela
Ukuqotshwa okwenziwe i-opioid kuyinkinga evamile kubantu abathola ama-opioid ekwelapheni ubuhlungu, ikakhulukazi, ubuhlungu obungapheli. Kuyinkinga engaba namahloni abantu abaningi ukuba baxoxe, kodwa ukuqothulwa kunganciphisa kakhulu izinga lempilo, ngakho-ke kufanelekile ukuyiveza nodokotela.
Ngaphezu kwalokho, kunezindlela zokwelashwa ezitholakalayo eziphephile futhi eziphumelelayo futhi zinganciphisa izimpawu zokuqothulwa futhi ngaleyo ndlela zigweme izinkinga ezingenzeka. Ngesikhathi ukuqotshwa kuyisihloko esinzima sokukhuphula ekuvakashelweni kukadokotela, yinto engalindelekile uma ubhekana nobuhlungu obungapheli.
> Imithombo:
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