Diarrhea

Chirwere cheDhararhea

Dhairrhea chinhu chisingafadzi chekusununguka uye mvura. Muchidimbu ichi, uchadzidza zvaunoda kuziva kuti utarise zviratidzo zvekurara, zvingave zvatanga kuitika, kana kuti zvave zvichienderera mberi kwemavhiki uye zvichange zvisingaoneki zvichienda.

Chii Chinonzi Dhiraira?

Mukuwedzera kune zvigaro zvisingasunungurwi uye mvura, dzimwe tsanangudzo dzoropa dzinosanganisira kuwedzerwa kwemaitiro ekufamba kwemafupa kusvika kanopfuura katatu pazuva.

Dhairrhea inogona kuratidzika seyakasimba, iyo inotanga kusvika pakarepo uye inogara isingapfuuri vhiki mbiri; kuramba, izvo zvinotora mazuva 14 kusvika ku28; kana chisingaperi, mairi zviratidzo zvave zviripo kwemavhiki masere.

Dhairrhea yakawanda inowanzoitika uye inogona kukonzerwa nezvinhu zvakasiyana-siyana, asi inowanzokonzerwa nemhando yehutachiona. Paavhareji, vanhu vakuru vanowanzobata chirwere chimwe chete gore rimwe nerimwe, nevana vaduku, paavhareji, vanoona maitiro maviri ehutachiwana hwegore negore.

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Kuramba kwekurara, kune rumwe rutivi, kunogona kukonzerwa nehutachiona kana kunogona kuva chiratidzo chinobva kune mamwe marudzi ekurwara.

Kazhinji yenguva, vanhu vanorwara nehutachiona hwemahara vanowedzera zviri nani ivo pachavo. Kunyange zvakadaro, chirwere chekurambana chinogona kuve mamiriro ezvinhu anotyisidzira vana, vachembera, uye vanhu vakagadzirisa zvirwere zvemuviri kubva kune chirwere chakadai sekenza kana HIV .

Zviratidzo Zvinowanzoonekwa uye Zviratidzo zveDhairrhea

Sezvakataurwa pamusoro apa, chiratidzo chekutanga chekurambana kwemahara ndiko kuvapo kwekusununguka uye mvura. Dzimwe zviratidzo zvinogona kusanganisira:

• kuwedzera kwemafudzi ekufamba
• mimba makumbo

• pfungwa yehutano kukurumidza
• ngozi dzinopisa

Kana chikonzero chiri shure kwehurwere chiri chirwere, zviratidzo zvinotevera zvinogonawo kuitika:

• nausea
• kurutsa
• fever
• chills
• ropa ropa

Vanhu vane chirwere chinogara kwenguva refu vachawana zvikamu zvekusununguka uye mvura. Mune zvimwe zviitiko, zvikamu izvi zvichaitika mukati-kati. Vangangodaro vanowanikwa zvimwe zviratidzo zvinokonzerwa nedambudziko rehutano hwehutano. Semuenzaniso, vanhu vane chirwere chechiliac vanogonawo kuora kurasikirwa nekushaya zvokudya zvinovaka muviri.

Kuora Mvura Zviratidzo uye Zviratidzo

Chimwe chezvipingamupinyi zvinosangana nehurwere ndechokuti munhu anogona kuve asina mvura. Kuderedza mvura kune imwe nzvimbo umo muviri usina mvura yakakwana yemvura uye electrolytes. Kana kusatorwa, kupera mvura kunogona kuguma nezvinetso zvakakomba zveutano uye kunyange rufu. Vana vaduku, vanhu vakwegura, uye vanhu vane zvimwe, zvirwere zvinokonzerwa nemavara (sepfungwa yemwoyo, chirwere chechiropa) vose vari pangozi yakakura yekuwana zvinetso zvakakomba zvine chokuita nokudzikisa mvura.

Muvanhu vakuru, zviratidzo zvekupera mvura zvinosanganisira:

• dry mouth
• nyota
• kuderedza urine yakabuda
• Mukoti izuva rima nerima
• ganda rakaoma
• kuneta
• chizungu kana kuchena-musoro

Kusununguka kwemvura mucheche nevana vaduku kunozviratidza nezvimwe kana zvimwe zvose zvinotevera:

• rurimi rwakamhina nemuromo
• kana uchichema, hapana kana kana mashoma misodzi
• Kuderera kunonoka - Mucheche, izvi zvinoreva kuti hapana mazai ane mvura kwemaawa matatu kana kupfuura
• nyota
• maziso, matama, uye nzvimbo inonyorera muhenya (mucheche) inononoka
• ganda rakaoma
• fever
• kurara kana kushaya simba
• kutsamwa
• kuvimbiswa
• chizungu kana kuchena-musoro

Njodzi zviratidzo zvekushaya mvura, izvo zvinoda kurapwa kwenguva pfupi, zvinosanganisira:

• kunyangadza zvakanyanya, kurara, kukakavara (vana), uye / kana kuvhiringidzika (vanhu vakuru)
• muromo, ganda, uye mucous membrane zvose zvakaoma
• maziso anozununguka, mucheche "nzvimbo yakanyoro" inogona kuvharwa zvakare
• kuchema hakuiti misi
• zvishoma kudonha; chii chinopfuura chiri chakajeka muvara
• ganda haritauri kana rakapetwa
• kukufema nokukurumidza uye mwoyo
• low blood pressure

• fever
• delirium kana kusaziva

Zvinokonzera Diarrhea

Chiratidzo chekurara chinogona kuva nezvikonzero zvakawanda. Dhairrhea inogona kuuya kubva pakudya michero yakawanda kana fiber.

Kurwisa kwemahara kunowanzokonzerwa nehutachiona, chirwere chinonzi viral gastroenteritis. Mienzaniso yehutachiona hwehutachiona hunosanganisira rotavirus, fomu yakakurumbira inobata vana, uye norovirus, dzimwe nguva inonzi "chirwere chengarava."

Dhairrhea yakawanda inogona kukonzerwa nebhakitiriya (bacterial gastroenteritis) kana chirwere chechirwere. Mabhakitiriya anorwara anowanzobva pakudya zvokudya zvakasvibiswa kana mvura, uye anosanganisira C. difficile , E. coli , salmonella , shigella uye campylobacter . Zvirwere zvinogonawo kugadziriswa kuburikidza nekudya zvakasvibiswa nemvura.

Dhairrhea inogonawo kuva nemigumisiro yechirwere yemamwe marudzi emishonga, kusanganisira maantibiotics, antacids, chemotherapy, mishonga yemwoyo, antidepressants, kukwira ropa kwemishonga, uye diuretics.

Dhairrhea inogona kuitika mushure mekuvhiyiwa kwebriatric kana kuti kubvisa gorosi .

Matambudziko ehutano angave ane chirwere chisingaperi chisingaoneki chinosanganisira chirwere chechiliac, zvirwere zvinoputika zvechirwere zveCrohn's disease uye ulcerative colitis, inokanganisa bowel syndrome (IBS), uye kusawirirana kwezvokudya (zvakadai sefructose kana lactose malabsorption).

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Zvishoma zvinokonzera zvinokonzerwa nekurara kwemaswere zvinosanganisira kenza yekoloni, zvirwere zvinoramba zvichirwereka, uye remishonga inonzi radiation.

Kuzvichengeta Kwemajoini Akaoma

Nguva yakawanda yenguva, zvirwere zvakanyanya zvinenge zvichinyatsobuda. Zvisinei, kune zvimwe zvaunogona kuita kubatsira mwana wako kana muviri wako kuporesa:

Chinhu chinonyanya kukosha kuita ndechekuti uone kuti munhu ane chirwere chemahara anonyatsokonzerwa nemvura. Izvi zvinoreva kuti ivo vari kutora mune zvimwe mvura kupfuura zvinowanzoitika. Izvi zvinosanganisira zvinosanganisira:

• Edza zvakajeka soups uye mabheti
• inonwisa jisi
• electrolyte soro yakadai sePedialyte kana zvinwiwa zvemitambo

Pane zvokudya uye zvinwiwa zvaunoda kuzvidzivirira kwemazuva mashomanana mushure mekutanga kwekurambana kwako sezvo zvichiita kuti zviratidzo zvako zviwedzere. Izvi zvinosanganisira:

• mukaka nemimwe michina yemiti
• zvinorema, mafuta, zvinokonzera zvokudya
• zvinwiwa zvine caffeine, zvakadai sefivha, tei, uye colas

Iwe unoda kudya zviya zvinotapira uye zvinoputika kusvikira zviratidzo zvako zvichivandudza. Zvisarudzo zvakanaka zvekudya mabhanana, kateti yakabikwa, mbatatisi, mbiriso, mupunga, uye mbanje chicken.

Iva nechokwadi chekuzorora kuzhinji kubatsira muviri wako kurwisana nehutachiona hwepasi.

Pamusoro pemishonga, sezvakaita Imodium , Pepto-Bismol, uye Kaopectate, inofanira kushandiswa chete nevarume vakuru vasina zviratidzo zvefivhiri kana chirwere cheropa. Mishonga yakadaro haigoni kukurudzirwa vana uye saka inofanira kungoshandiswa pasi pekutungamirirwa nachiremba.

Nguva Yokuona Chiremba Wako

Kunyange zvazvo zviitiko zvakawanda zvekurara zvinogadzirisa pachavo, pane dzimwe nguva apo kurapwa kunonyanya kukosha kuitira kudzivirira zvirwere zvakakomba kana kunyange rufu. Kana iwe ukaona zviratidzo zvehutachiwana mucheche kana mucheche, dana chiremba wako pakarepo. Iwe unofanirwawo kudana chiremba wako kana iwe kana mwana wako ane chimwe chezviratidzo zvinotevera:

• chirwere chinopedza maawa makumi maviri nemaviri mumwana kana maawa 48 munhu mukuru
• chero ipi zvayo pamusoro apa zviratidzo zvekupera mvura
• zvigaro zviri ropa, pus-yakavharwa, madema, kana kuti tarry

Zvinotevera zviratidzo zvinoda kurapwa nokukurumidza:

• chero yezviratidzo zvengozi zvakabatana nekudzikisa mvura kunoratidzwa pamusoro apa
• dumbu rakaoma kana rectal kurwadziwa
• fever ye 102 degrees kana kupfuura
• zviratidzo zvekushaya simba kwakanyanya kana kupesana

Miedzo Yokutarisira

Chiremba wako haafaniri kutarisa miedzo kusvikira chirwere chako chave chiripo kwenguva refu kupfuura maawa 48, kunyange izvi zvingave zvisina kudaro zvichienderana nehutano hwehutano hwako nezvimwe mamiriro ezvinhu, akadai sekufambisa kwemazuva ano.

Kana chiremba wako achifunga kuti zvinoratidzirwa, vanogona kuedza kugadzirisa zvirwere zvebhakitiriya kana zvipembenene, kunyanya kana wakafamba munguva pfupi uye / kana uri kutarisana nefivha uye / kana chirwere cheropa. Vanogonawo kusarudza kushandisa ropa kuongorora zvirwere.

Kana uri kuwana chirwere chinoramba chichirwere, chiremba wako anogona kuita zvakanyanya kuongororwa zvakadzama kuti aedze kuongorora kuti chii chingave chiri pasi pezviratidzo zvako. Iyi kuedza kunogona kusanganisira endoscopy kumusoro , sigmoidoscopy , uye / kana colonoscopy .

Kurapwa kweDhararhea

Kana munhu ari kuratidza zviratidzo zvekushaya simba kwakanyanya, zvipatara zvicharatidzwa. Pachipatara, an IV inotanga kushandiswa kuitira kutsiva mvura yakarasika uye electrolytes.

Kune mamwe marudzi ehutachiona hwehutachiona, mushonga unorwisa mabhakitiriya unogona kurongerwa.

Kurapa kwekugara kwenguva refu kuchave nechinangwa chekurapa mamiriro ezvinhu epasi. Kushandiswa kwemishonga ye-over-the-counter yakadai seImodium inogona kukurudzirwa kutarisa zvakananga zviratidzo zvehurwere.

Kudzivirira kweDhairrhea

Zvechokwadi, nzira yakanakisisa yekugadzirisa chirwere ichi ndechokuti urege kuitora pakutanga! Kushambidza maoko nemaoko nesipo kunogona kuva nekubudirira kwazvo pakudzivirira utachiona. Izvi zvinonyanya kukosha kana uchibika, mushure mekushandisa chimbuzi, kana kuti kana uri kunze.

Vanhu vari pangozi yakanyanya yekuwana zvirwere zvakakomba kana vakazarurirwa nechirwere chinokonzera zvirwere vanofanira kuve vakanyatsochenjerera kuti varege kurwara. Sezvataurwa pamusoro apa, izvi zvinosanganisira vacheche, vakuru, uye vanhu vakashandisa zvirongwa zvekudzivirira zvirwere. Vakadzi vane pamuviri vanofanira kutora matanho akawanda. Zvokudya kune ani zvake ari mumapoka aya okudzivisa zvinosanganisira:

• pasi-yakagadzirwa nyama uye unheated kudya nyama
• midziyo yakasvibirira isina kuiswa (yakasvibiswa), pamwe chete nechesees
• mbichi shellfish

Munhu wose anofanira kuchengetedza zvokudya zvakachengeteka uye kunwa maitiro paanenge achibuda kunze kwenyika yavo kuitira kuti varwere vawane chirwere . Izvi zvinoreva kudzivisa kushandiswa chero kupi zvako, kana kunwa, kuisa mvura yepombi nekudzivirira zvose nyama yakasvibirira, hove, michero, miriwo, uye mishonga yemisi. Zvokudya zvakabikwa zvinongodyiwa chete kana zvikashumirwa. Iwe unogona kudya michero yakasvibiswa chete kana ine chivara chawakabvisa iwe pachako. Iwe unogona kunwa mvura yakabhoderedzwa, zvinwiwa zvinopisa, uye zvinwiwa zvinonwiwa. Usati wafamba, iwe unogona kutaura nechiremba wako pamusoro pezvinodikanwa zvinoda kutora mishonga inorwisa mabhakitiriya usati waenda kana kuti uite navo kana iwe uchirwara.

_Sources:

> Diarrhea. National Institute of Diabetes & Digestive & Kidney Diseases website. Yakasvika musi waJuly 5, 2016.

_{Diarrheal Diseases - Acute uye Chronic. American College of Gastroenterology website. Yakasvika musi waJuly 5, 2016.}

_{Guerrant RL, Van Gilder T, Steiner TS, et al. Dzidzira Mirayiridzo yekutungamirirwa kwehutachiona hwehutachiona. Clinical Infectious Diseases 2001; 32 (3): 331-351.}

_{Minocha A. & Adamec C. The Encyclopedia of the Digestive System uye Digestive Disorders (2nd Ed.) New York: Zvinyorwa paFaira. 2011.}