Kuvharwa kwakanyanya, kunyanya pakati pevanhu vakwegura
Kuzvinzwa kudzivirirwa kwenguva pfupi ndekuve munhu. Vanhu vose vakanzwa vakazvidzivirira pane imwe nguva. Kunyanya kune simba rakasiyana rekukandira vanhu kure-kilter. Kuita kuti zvinhu zviwedzere kuipa, vanachiremba vakawanda vanokundikana kuziva kana kuti kunzwira tsitsi nekutambudzika kwakadini kwekurwa kwekunzwa. Somugumisiro, vanhu vazhinji vane kuvimbiswa vanozvibata nepamusoro pe-the-counter-laxatives, uye kushandiswa kusingaperi kwemarara kunogona kuve kwakaipisisa.
Tisati tatanga, regai tiise pfungwa mbiri. Kutanga, hapana nhamba yakarurama kana yakasvibirira yezvinyuchi . Vamwe vanhu vangave vane mafudzi maviri ekufamba kwemasikati pazuva, uye vamwe vanhu vanogona kunge vaine maitiro matatu ehomwe pavhiki. Zvichienderana nemunhu, zvimwe zvezviitiko izvi zvinogona kuva zvakasikwa. Chechipiri, kuzvidzora ndeyechokwadi chiratidzo uye kwete chirwere mukati uye chairo. Mune mamwe mazwi, kurapwa kwekuvhara muviri chiratidzo chechiratidzo chisingaregi chirwere ichi.
Chii Chinonzi Constipation?
Kana mumwe munhu aizotaura kuzorwa, vashomanana vangashamisika kuti kuvimbiswa chii. Isu tose tinoziva kuti kuvimbiswa chii. Kunyange zvakadaro, tsanangudzo dzekudzivirirwa muzvinyorwa zvekurapa uye zvekuyamwisa zvange zvichishandurwa uye zvisingaenderani.
Heano dzimwe nzira umo kuvimbiswa kunotsanangurwa:
- Zvishomanana kupfuura zvigaro zvekufamba kwevhiki pavhiki
- Kurwisana panguva yemafudzi
- Zvigaro zvakasimba
- Kunzwa sokunge matumbo ako asina kubviswa zvachose
- Manzwiro akavharwa
Ndapota zivai kuti haufaniri kuva nezvose zvinoratidzwa pamusoro apa. Zvechokwadi, kana iwe une zviviri kana zvimwe zvezviratidzo izvi zvinopa chikamu chenguva-inenge kusvika masvondo gumi nemaviri-iwe unosangana neRoma II mitemo yekudzivirira.
Iko Kunowanzobatanidzwa Sei?
Kunyanya kunowanzoitika.
Inofungidzirwa 26 muzana yevakadzi vose uye 16 muzana yevarume vose vanoratidzira kuva nekudzokorora zvakare. Uyezve, pakati pevakuru vakakura kudarika 65, 34 muzana yevakadzi ne30 muzana yevarume vanotaura kuti vane kuvimbiswa.
Sei (Vakura) Vanhu Vanowanikwa?
Vanhu vanoona kuvimbiswa kwezvikonzero zvakawanda. Zvizhinji zvezvikonzero izvo vanhu vanoona kuvhiringidzika zvinoenderana nezera.
Chokutanga patinenge takura, mamwe collagen anoiswa mucoloni. Izvo zvakanyanya kuiswa kwegorojeni kunoderedza kuwedzera kwemuviri uye kunoderedza kushandiswa kwemuviri. Nekufananidza, zviri nyore kuvhara pudding kunze kwepurasitiki pane kufambisa pudding kunze kweimba yebindu.
Chechipiri apo isu takura, nhamba yemitsipa iri mu myenteric plexus inoderera, iyo inogona kukanganisa kutengesa kwemhepo. Iyo myenteric plexus inogona kufananidzwa nehutano hwako hwemukati. Kunyanya kunyanya, iyo myenteric plexus inongororwa yakaoma yemotokari, manzwiro uye magonho emagetsi anodzora chirwere chemaitiro kana kufamba.
Chechitatu apo patinenge takura, inzwi remukati sphincter rinoderera, izvo zvinoita kuti kubuda kwemasese kuve kwakaoma.
Zvinhu Zvinogadzira Kunyanya Kuipisisa
Mukuwedzera kune kuchinja kwehupenyu, kuvimbiswa kunogona kuwedzera nezvimwe zvinhu kusanganisira zvinotevera:
- Anticholinergic zvinodhaka (semuenzaniso, tricyclic vanodzvinyirira uye antipsychotics)
- Kutora mishonga inopfuura mitanhatu panguva imwe chete
- Opiates (painkillers saNorco kana Vicodin)
- Iron inowedzera
- Calcium-channel antagonists (p., Verapamil)
- Calcium supplements
- Zvokudya zvinoshaikwa mune fiber kana zvishoma mumakori
- NSAIDs (semuenzaniso, aspirin kana ibuprofen)
- Dementia
- Chirwere cheshuga
- Kuderedza mvura
- Hypothryoidism
- Dialysis
- Tumor
- Kushaikwa kwehupachena kana kusapinda mashoma kudzimba dzemakamuri
Zviri pachena kuti zvimwe zvezviitiko izvi zvinogona kutarisirwa. Somuenzaniso, kana iwe uchifunga kuti mimwe yemishonga yako iri kuita kuti iwe uzvigadzikane, ita izvi zvinetseka kune chiremba wako.
Mushonga weContipation
I-FDA inofungidzira kuti kupfuura-the-counter-laxatives ndiyo yechipiri inoshandiswa zvinodhaka zvinodhaka shure kwe-analgesics counter kana kuti kurwadziwa kunorwadza. Kushandiswa kwemalasiki kunogona kutungamirira kumhepo yakaipa yekuzvidzivirira pamwe nekushaya simba kwekudya, electrolyte (mutumbi wemunyu) kusaenzana uye osteomalacia, kana kuderedza mapfupa.
Kutaura chokwadi, vanachiremba nevamwe vashandi vezvehutano vanovimbawo zvakanyanya pamutemo wezvinyorwa zvinokonzerwa nekukanganisika sekugadzirisa nokukurumidza, zvikurukuru pakati pevanhu vanogara mumagariro edzimba semisha inochengeterwa vakwegura.
Ndapota fungai mupfungwa, zvisinei, kuti mishonga yakakosha inobatsira mukurapa kuvhiringidzwa. Asi panzvimbo yekurapa kusina musoro uye kushandiswa, zvinodhaka, zvakadai sepilllium, sorbitol, uye senna, zvinotorwa zvakanakisisa uye sechikamu chemuitiro wekubatanidza unotarisira kurapwa kwekudzivirira. Iyi mitemo yekurapa inofanira kutarisirwa nechiremba ane ruzivo uye anonzwira tsitsi anokoshesa kukosha kwokuti kuvimbiswa kune hupenyu hwako.
Kunze kwezvipfeko, pano dzimwe nzira dzokuti kubatwa kunogona kurapwa:
- Kuwedzera fiber yako kudya kusvika 10 gramu pazuva
- Kuwedzerwa kushandiswa kwemvura kunenge pakati pe 1.5 ne2 malita pazuva
- Kuita basa rekuita nguva dzose (kufamba nemaminitsi makumi matatu pazuva)
- Kuvimbisa kushambidzika kwewaini nekuchengetedza
- Kugamuchira masimba ekudzivirira pamuviri kana kumira
Pamashoko ekupedzisira, nguva dzose uye kugutsikana mafambiro ezvakakosha zvakakosha. Dzivisa kusafungisisa kutora mishonga yeku "kurapa" kuvhiringidzwa. Chiratidzo chokurapa kwekuvhara muviri chikamu chinokosha chekutarisira utano hwako uye zvinoda tsitsi nehanya kwechiremba wako. Kana iwe uchinzwa kuti chiremba wako haasati anzwira tsitsi zvinetso zvako nezvekuvhara muviri, pfungwa yakanaka yekuwana chiremba uyo ane hanya nekubatsira kubvisa kuvimbiswa kwako.
Sources:
Babb RR. Kuvhiringidzika uye kushungurudzwa kwechisimba. The Western Journal of Medicine. 1975; 122 (1): 93-96.
Constipation. MedlinePlus.
Harari D. Chitsauko 93. Kunyanya. Mu: Halter JB, Ouslander JG, Tinetti ME, Studenski S, High KP, Asthana S. eds. Hazzard's Geriatric Medicine uye Gerontology, 6e . New York, NY: McGraw-Hill; 2009.
> Xin HW, et al. Kuongororwa kwekushanda kwekushanda: Chibvumirano pakati peRoma III neRoma II maonero uye kuongororwa kwezvakanaka. Zvinyorwa zveMagestive Disease. 2014; 15 (6): 314-320.