Ndezvipi zvinokuvadza zvakakunakira iwe?
Mishonga yakawanda inowanikwa semishonga ye-over-the-counter (OTC), uye vanhu vanowanzovashandisa zvisina kunaka. Vanhu vazhinji vanoshandisa mishonga isingadi, uye kushandiswa kwemazuva mazhinji kwenguva refu kunogona kuva nemigumisiro yakakomba yehutano yakadai sekudengenyeka kwemasabolites (muviri wemunyu), kuora mvura, kuora kwepvo uye kunyange rufu.
Panzvimbo yekutenga pane-the-counter-laxative kubatsira nekunyepedzera kuvimbiswa, unofanirwa kuedza kudya kwepamusoro-fibhi, kudya kwemanzi, kugara uchirovedza muviri, uye kuita zvakakodzera kushambidzika kwekushambidzika.
Kunyanya zvakanyanya, iwe unofanirwa kushandisa mudziyo wekugezera paunonzwa uchishuva uye urege "kubata mukati." Kana zviyero izvi zvisingakwanisi kushanda, iwe unofanira kusangana nechiremba kuti ukurukure kushandiswa kwemishonga yakanyanyisa kunyanya kana iwe uronga kutora laxatives kwemazuva mashoma kana maviri.
Pamusoro pe-the-counter-laxatives inorongedzwa maererano nemaitiro mana makuru makuru ekuita:
- bulk-forming
- stool softeners
- osmotic effects
- stimulant madhara
Nemaziso, mamwe emarara aya anoshanda nekubatanidzwa kwezvizvi.
Mazai ekugadzira mashizha
Sezvo zita ravo rinoratidzira, mishonga yakakura yakawanda inoshanda kuburikidza nekukomberedza chigaro chako. Izvi zvinokonzerwa nemiti inotengeswa (inonzi colloid) inotora mvura. Kana imwechete yakawanda inokonzera mvura, inokonzera kupararira kwechirwere uye kutengesa kufamba kwechirwere kuburikidza nemafungu-akafanana nemasikironi contractions (peristalsis).
Zvimedu zvinokonzerwa nehuwandu zvinowanzoitwa nemiti yakasvibirira semethylcellulose. Apo mabhakitiriya anogara mumatumbo ako anochera michina iyi yemiti, huwandu hwe flatus uye bloating hunogona kuguma.
Heano zvimwe zve-over-the-counter-bulk laxatives:
- FiberCon (polycarbophil)
- Citrucel (methylcellulose)
- Metamucil (psyllium)
- Konsyl (psyllium)
Stool Softeners
Sirafu vanonyorera kana zvigaro zvinogadzirisa zvinoshanda zvinobvumidza nekubvumira mvura nemafuta kutsvaira chigaro chako uye nokudaro kuideredza. Chifukidzo chekugadzirisa chinogona kutorwa nemuromo kana kuti rectally (funga Fleet suppositories kana Fleet enemas).
Pano pane vamwe ve-the-counter stool softeners:
- Colace (docusate)
- Surfak (docusate)
- Phillips 'Stool Softener Liquid Gels (docusate)
- mineral oil
- Pedia-lax (glycerin suppository)
Nhoroondo, mafuta emafuta anowanzoshandiswa kugadzira chigaro muvana uye vanhu vakuru vane hurema hwekuremara. Kuti zvive zvakanaka, mineral oil inofanira kusanganiswa nejisi. Uyezve, docusate uye glycerin suppositories inowanzonyatsorongedzerwa mune chirwere chepachirwere kana chipatara kuitira kudzivirira kubatwa.
Ndapota ramba uchifunga kuti kushandiswa kwemakore kwenguva refu kwezvinyoro zvishoma zvinogona kuguma (mafuta-kusunuka) vitamini A, D, E uye K kushaya simba.
Zvinokonzera Kurasira
Chokwadi chinotaurirwa, isu tichiri kunyatsonzwisisika kunyatsoshandiswa kwemalaxatives kana kuti cathartics. Tinoziva kuti vanonyatsomutsa musikana wehutachiona hwemubha uye pamwe nekukonzera electrolyte uye kuchengetedzwa kwemvura nemvura.
Kwenguva yakati, vanachiremba vane hanya kuti kushandiswa kwemazuva kwenguva refu kwezvinokonzera zvinokonzera zvinogona kutungamirira kune varwere kuvimba nemishonga iyi. Uyezve, vanachiremba vanonetseka kuti aya emarara anogona kukuvadza utsi hwematumbo (myenteric plexus).
Kutsvakurudzwa kwemazuva ano, zvisinei, zvinoratidza kuti kushandiswa kwemazuva kwenguva refu kwemavara anogadzirisa zvinogona kunge akachengeteka.
Kunyange zvakadaro, vanhu voga ndivo vanofanira kunge vari kutora marara aya kwenguva yakareba vari muchipatara varwere kana varwere vari munzvimbo dzenguva refu yekuchengetedza vane hutachiona hwehutano uye vasingakwanisi kusiya mubhedha.
Heano mimwe mienzaniso yeOTC stimulant laxatives:
- Dulcolax (bisacodyl)
- Fleet bisacodyl
- Senokot (senna)
- cascara
- Ex-Lax (sennosides)
- mafuta anosimudza
- Aloe
Osmotic Laxatives
Osmotic laxatives ndiyo michina isingabviri kushandiswa uye mishonga yakasanganiswa inoita kuti fecal mvura ive mumutoni via osmosis. Nenzira iyi, osmotic laxatives inosvibisa chigaro chako.
Heano mimwe mienzaniso ye-over-the-counter osmotic laxatives:
- mukaka wemagnesia (magnesium hydroxide)
- sorbitol
- MiraLax (polyethylene glycol)
Ndapota fungai mupfungwa kuti mavara anonyatsoshandiswa sekusunungurwa kwenguva pfupi, uye iwe unofanira kubvunza chiremba wako usati waishandisa. Usambofa kupa mwana chirwere chisina kumira pasina kutaura nechiremba wevana pakutanga.
Shoko Rinobva
Chimwe chezvinhu zvakaipisisa zvaunogona kuita nemarara ekushandisa ndezvekuti uzvishandise sekuzvidzivirira kwenguva refu kwehumwe hutano hwehutano hwakanyanya uye nokudaro kuvhara dambudziko rinoda kuonekwa nokukurumidza. Somuenzaniso, kenza yekoloni inogona kukonzera kuvhiringidza nenzira yekudzivirira.
Ndapota ramba uchifunga kuti-semishonga yose-zviri nani kudzivirira dambudziko panzvimbo yekutanga pane kutora mishonga yekurapa. Kana iwe uine kuvhiringidzika, pfungwa yakanaka yekuonana nachiremba wako uye kurukura nezvekudya, mvura, mvura yekuita muviri, uye nzira yekudzivirira. Upenyu hwekuchinja hungawanzobatsira kubvisa kuvhiringidzika uye kunokanganisa kudiwa kwemarara.
> Sources:
> Acosta A, Tangalos EG, Harari D. Constipation. Mu: Halter JB, Ouslander JG, Studenski S, High KP, Asthana S, Supiano MA, Ritchie C. eds. Hazzard's Geriatric Medicine uye Gerontology, 7e New York, NY: McGraw-Hil
> McQuaid KR. Zvinodhaka Zvinoshandiswa Mukurapa Kwezvirwere Zvepachiviri. Mu: Katzung BG, Trevor AJ. eds. Basic & Clinical Pharmacology, 13e . New York, NY: McGraw-Hill; 2015.
> FDA. Shandisai Mamwe Majekiseni Nokuchenjerera. January 1, 2014. www.fda.gov.