Munguva yakapfuura, mishonga yemishonga yekurapa kusagadziriswa kwemazuva ano uye kuvimbiswa-kunyanya kunokanganisa bowel syndrome (IBS-C) yaiva shoma. Nenzira inofadza, izvi zviri kuchinja uye mishonga yakawanda yemishonga inowanikwa nekutarisa kusagadzikana kwemavara.
Amitiza (lubiprostone)
Amitiza inogamuchirwa neRDA yekurapa IBS-C, pamwe chete nekusagadzikana kwechidimbu ( idiopathic constipation) (CIC).
Amitiza inoshanda nekuwedzera huwandu hwemvura mumatumbu uye nekudaro kuderedza kubuda kwezvigaro.
Mishonga inoshanda pamasero emagetsi sezvo inoshandiswa (inobvumira) mapuroteni anobatanidzwa mukutakura chloride, saka Amitiza anozivikanwa sechloride channel activator. Vanhu vakawanda vanotora Amitiza vachawana zviratidzo zvekuregererwa mukati maawa makumi maviri nemaviri.
Iwe haufaniri kutora Amitiza kana uine chidziro chemuviri, uine chirwere chakanyanya, kana uine pamuviri kana kunwisa.
Lactulose
Lactulose inonzi osmotic laxative iyo inoshandiswa pakurapa kubatwa. Inotengeswa pasi pemhando dzakasiyana-siyana dzezita. Izvi zvinosanganisira Cephulac, Chronulac, Constilac, Cholac, Constulose, Duphalac, Enulose, Generlac, uye Kristalose.
Lactulose ishuga yakagadzirwa nemunhu inoputsika nemaabhakitiriya mumatumbo, chirongwa chinokwevera mvura yakawanda mumutumbi. Iko kukura mumvura kunochera, kuwedzera, uye kunowanzosimudzira chigaro.
Izwi rakakwirira remakumbo rinobatsira kukurudzira makoroni motility uye naizvozvo rinokurudzira kufamba kwechirwere.
Lactulose inowanzokurudzirwa kuti ishandiswe kwenguva pfupi. Izvi hazvirevi chisarudzo chechiremba chokutanga sezvo chisingaregi kutaridzirwa (zvichikonzera kuwedzera kubvisa uye gasi) uye hazviwanzobudirira kupfuura dzimwe nzira.
Usati wagamuchira lactulose, iva nechokwadi chokuti chiremba wako anoziva kana wakarongerwa chirwere, anotambura nechirwere cheshuga, kana ane pamuviri kana kuti anwisa.
Linzess (linaclotide)
Linzess yakagamuchirwa neRDA yekurapa IBS-C neCIC. MuEurope, mushonga unonzi Constella uye unogamuchirwa kurapwa kweBS-C.
Mishonga inozivikanwa se guanylate cyclase-C agonist. Inofungidzirwa kushanda nekuwedzera huwandu hwehutachiona mumatumbo makuru zvichiita kuti kuwedzerwa huwandu hwemafupa uye kuderedza marwadzo emimba.
Prucalopride
Prucalopride inorondedzerwa se 5-HT agonist sezvo inobatsira zvinogamuchirwa neurotransmitter serotonin (5-HT). Zvinosuruvarisa, prucalopride haisati yabvumirwa kuti ishandiswe neDAA uye haisi kuUnited States Inowanika muEurope neCanada, ine zvimwe zvisingakwanisi pamutemo wayo.
Miralax
Kusiyana nemimwe mishonga inowanikwa peji ino, Miralax hairevi chiremba . Zvisinei, vanachiremba vanowanzokurudzira Miralax nekuda kwekubudirira kwahwo pakuderedza kusungwa. Miralax inokwevera mvura muchigaro, ichiideredza uye inokonzera chido chekufamba.
Zelnorm (tegaserod)
Zelnorm imishonga yakagadzirirwa kubata BH-C neCIC.
Izvo inoshandawo nekuwedzera huwandu hweeurotransmitter serotonin mumasero emvura inotyisa .
Pamusana pekuona zvipingamupinyi zvakakomba zveutano, mushonga unongowanika pane imwe nguva. Murairo wayo unofanirwa kubvumidzwa zvakananga neCDA.
Tsananguro Pamusoro peAnode-depressants
Zvinodzvinyirira hazvibvumirwi semishonga yekudzivirira. Zvisinei, zvichienderana nehuwandu hwekuora mwoyo kune varwere vane IBS uye kuti kunyanya kudzvinyirira kunogona kuva nehutano hwekushungurudza zvinhu, chiremba angaraira munhu anodzvinyirira kune munhu anotarisana neBS-C .
Zvinodzvinyirira zvinosarudzwa kumunhu anoona kuvimbiswa kunobva kukirasi inonzi serotonin reuptake inhibitors (SSRIs).
Izvi hazvikwanisi kukonzera kuvimbiswa. Mienzaniso yeSSRIs inosanganisira Celexa, Lexapro, Prozac, Paxil, uye Zoloft.
> Kwakabva:
> Ford A, et.al. American College of Gastroenterology Monograph paKutonga kweIriritable Bowel Syndrome uye Chronic Idiopathic Constipation . American Journal of Gastroenterology. 2014; 109: S2-S26. doi: 10.1038 / ajg.2014.187
> US Food & Drug Administration. Zelnorm (tegaserod maleate) Mashoko. 2016. https://www.fda.gov/Drugs/DrugSafety/ucm103223.htm.