Ukuqokwa kujwayelekile kakhulu, ikakhulukazi kubantu asebekhulile
Ukuzizwa unqanyelwe isikhathi esifushane kungumuntu. Bonke abantu baye bazizwa beqotshwe ngesikhathi esithile. Ukuqokwa kunamandla okwehlisa abantu kubantu-kilter. Ukwenza izinto zibe zimbi nakakhulu, odokotela abaningi abahluleki ukuqonda noma ukuzwelana nokukhathazeka kwesimo sengqondo. Ngenxa yalokho, abantu abaningi abanokuziqhenya baziphatha ngokweqile, futhi ukusetshenziswa okungapheli kwama-laxatives kungahle kube yingozi kakhulu.
Ngaphambi kokuba siqale, ake sicindezele amaphuzu amabili. Okokuqala, ayikho inombolo efanele noma evamile yokunyakaza kwamathumbu . Abanye abantu bangase babe nezinyathelo ezimbili zezinyosi ngosuku, kanti abanye abantu bangase babe nezinyathelo ezintathu zokuhamba ngeviki. Kuye kumuntu, noma yikuphi kwezimo kungaba okuvamile. Okwesibili, ukuqothulwa ngokuyisimpawu kuyisibonakaliso futhi akusona isifo kuye. Ngamanye amazwi, ukwelashwa kokuqokwa kuyindlela yokwelapha ephawulekayo engaphululi lesi simo.
Kuyini Ukuqokwa?
Uma othile engase athi ukugqunywa, bambalwa abantu abangazibuza ukuthi ukumbotshwa kuyini. Sonke siyazi ukuthi ukumbotshwa kuyini. Noma kunjalo, izincazelo zokuqokwa ezincwadini zokwelapha nezokuhlengikaza ziye zahlukahluka futhi azihambisani.
Nazi ezinye izindlela lapho ukuqothulwa kuchazwa khona:
- Kuncane kokunyakaza kokubili kwesonto ngesonto
- Ukuhlanza ngesikhathi sokuhamba kwamathumbu
- Izitembu ezinzima
- Ukuzwa sengathi izibilini zakho azikhiphi ngokuphelele
- Ukuzwa kuvinjelwe
Sicela uqonde ukuthi awudingi ukuthi zonke izimpawu ezingenhla ziqinisekiswe. Eqinisweni, uma unezimpawu ezimbili noma ngaphezulu ziveza ingxenye yesine yesikhathi-okungenani amasonto angu-12 ngonyaka-uhlangabezana nezimiso zeRoma II zokuqothulwa.
Ukuqhathaniswa Okuvamile Kanjani?
Ukuqokwa kujwayelekile ngempela.
Kulinganiselwa ukuthi amaphesenti angu-26 kubo bonke abesifazane kanye namaphesenti angu-16 kubo bonke abantu abika ukuthi banokuqokwa okuphindaphindiwe. Ngaphezu kwalokho, phakathi kwabantu abadala abadala abangaphezu kuka-65, amaphesenti angu-34 abesifazane nabesifazane abangamaphesenti angu-30 babika ukuthi banesidumbu.
Kungani Abantu (Abadala) Bathola Ukuqothulwa?
Abantu babhekana nokuzivikelwa ngezizathu eziningi. Eziningi zezizathu ezenza abantu bazibonele ukuqotshwa zihlobene nobudala.
Okokuqala njengoba sisebudala, i-collagen engaphezulu ifakwa kukholoni. Lokhu kukhishwa kwe-collagen kunciphisa ukuqina kwesibindi futhi kunciphise ukukhwabanisa kwamathumbu. Ngendlela yokufanisa, kulula ukukhipha ipudding ngaphandle kwesikhwama seplastiki kunokuba ucindezele i-pudding ngaphandle kwendlu yensimu.
Okwesibili njengoba sinyakala, inani lezinzwa ezise-plexus ye-myenteric liyancipha, okungahle kuphazamise ukungena komzimba. I-plexus ye-myenteric ingafaniswa nobuchopho bakho bomzimba. Ngokuqondile, i-plexus ye-myenteric iyinkimbinkimbi eyinkimbinkimbi yezimoto, izinzwa nezinzwa ezizimele ezilawula ukungena kwamanzi noma ukunyakaza.
Okwesithathu njengoba sinyakala, ithoni ye-sphincter yangaphakathi iyancipha, okwenza kube nzima ukuphuma kwamanzi.
Izinto Ezenza Ukuqashwa Kubi kakhulu
Ngaphezu kokuguqulwa komzimba, ukuqothulwa kungaqhutshwa ezinye izinto kubandakanya okulandelayo:
- Imithi e-anticholinergic (isb., I-tricyclic antidepressants kanye nama-antipsychotics)
- Ukuthatha imithi engaphezu kwemihlanu ngesikhathi esisodwa
- Ama-opiates (ama-painkillers afana no-Norco noma i-Vicodin)
- Izithako ze-Iron
- Abaphikisi be-calcium-isiteshi (isb., I-verapamil)
- Izithako ze-calcium
- Ukudla kuntuleka ku-fibre noma ngaphansi kwama-khalori
- Ama-NSAID (isib. Aspirin noma ibuprofen)
- I-Dementia
- Isifo sikashukela
- Ukwehla kwamanzi
- Hypothryoidism
- I-Dialysis
- I-Tumor
- Ukuntula ubumfihlo noma ukufinyelela okungalungile ezindlini zangasese
Ngokusobala, ezinye zezici eziyingozi zingalawulwa. Isibonelo, uma ucabanga ukuthi eminye imithi yakho ifaka isandla ekuqokeni kwakho, ulethe lokhu kudinga ukunakekelwa udokotela wakho.
Ukwelashwa kwe-Constipation
I-FDA ilinganisela ukuthi izidakamizwa ezingaphezu kwe-counter-counter-anti-drug are the second drug abusive drug behind analgesics noma counter relievers. Ukusetshenziswa ngokweqile kwama- laxatives kungabangela umjikelezo ononya wokuthembela kanye nokuntuleka kokudla okunomsoco, i-electrolyte (usawoti womzimba) ukungalingani ne-osteomalacia, noma ukuthambisa amathambo.
Ngokuqinisekile, odokotela nabanye abahlinzeka ngempilo bathembela kakhulu emthethweni wezinhlayiya njengokulungiswa okusheshayo, ikakhulukazi kubantu abahlala ezilungiselelweni zezikhungo njengamakhaya asebekhulile.
Sicela ugcine engqondweni, noma kunjalo, ukuthi laxatives iyasiza ekwelapheni ukuqothulwa. Kodwa esikhundleni sokugula nokusetshenziswa okungenangqondo, ama-laxatives, njenge-psyllium, i-sorbitol, ne-senna, athathwa kahle ngendlela efanele futhi njengengxenye yomthetho wokuhlanganisa ohlose ukwelashwa kokuqotshwa. Le ndlela yokwelashwa kufanele iqondiswe udokotela owaziyo nozwela ohlonipha umthelela wokuqotshwa okukuyo empilweni yakho.
Ngaphandle kwama-laxatives, nanka ezinye izindlela ukuthi ukuqotshwa kungaphathwa:
- Ukwandisa ukufakela kwefayibha yakho okungenani amagremu angu-10 ngosuku
- Ukwandisa ukusetshenziswa kwakho kweziketshezi phakathi kwama-1.5 no-2 amalitha ngosuku
- Ukuhlanganyela emisebenzini evamile yomzimba (ukuhamba okungenani imizuzu engu-30 ngosuku)
- Ukuqinisekisa induduzo yangasese kanye nobumfihlo
- Ukuthola massage esiswini noma inemas
Ngombhalo wokugcina, ukunyakaza okuhamba njalo nokwanelisayo kwesibilini kubalulekile. Gwema ngokungenangqondo ukuthatha izixube ukuze "uphathe" ukuqotshwa. Ukwelashwa ngokuphawulekayo kokuqothulwa yingxenye ebalulekile yokunakekelwa kwezempilo futhi kudinga ububele nokukhathalela udokotela wakho. Uma unomuzwa wokuthi udokotela wakho akazweli ukukhathazeka kwakho mayelana nokuqothulwa, kungumqondo omuhle ukuthola udokotela okhathalelayo ngokusiza ekunciphiseni ukuqotshwa kwakho.
Imithombo:
I-Babb RR. Ukuqokwa nokuhlukunyezwa kwe-Laxative. I-Western Journal of Medicine. 1975; 122 (1): 93-96.
Ukuqokwa. I-MedlinePlus.
UHarari D. Isahluko 93. Ukuqokwa. Ku: Halter JB, Ouslander JG, Tinetti ME, Studenski S, High KP, Asthana S. eds. I-Geriatric Medicine and Gerontology, 6e . ENew York, NY: McGraw-Hill; 2009.
> Xin HW, et al. Ukuxilongwa kokuqokwa okusebenzayo: Isivumelwano phakathi kweRoma III neRoma II criteria kanye nokuhlola okwenzayo. I-Journal of Digestive Disease. 2014; 15 (6): 314-320.