Kune avo vane kurwadziwa kusingaperi, kuvimbiswa kunogona kuva dambudziko guru
Opioid-induced constipation (OIC) inowanzoitika iyo inowanzova nengozi inoshandiswa yekushandiswa kwepainkillers (analgesics). Opioids ndiyo painkillers ine zvinhu zvinokonzerwa nemakemikari akafanana nea alkaloids anowanika mu opium poppy.
Mishonga yemishonga inowanikwa maopioid inosanganisira methadone , percocet , vicodin , demerol , dilaudid , uye fentanyl .
Vanorayirwa kuti vasunungure kurwadziwa, kazhinji kunorwadza kwakanyanya sekunge mushure mekukuvadzwa kana kuvhiyiwa, asiwo nokuda kwekutambudzika kwenguva refu kwakadai kunokonzerwa nekenza. Mune zvimwe zviitiko, opioid inoshandiswa kurapa manyoka, kazhinji mune zviduku zvishoma kuti urege kuve nemigumisiro.
Zvidzidzo zvakaratidza kuti vanachiremba vazhinji havazivi varwere vavo vari kukurumidza kuvhiringidzika pavanogamuchira opioid. Zvisinei, inenge vose varwere vanowana opioids vanorondedzera kuva nemigumisiro yechipfuva uye kusvika kusvika ku40 muzana vanogona kunge vakavharwa.
Kuvharwa kunogona kuderedza hupenyu hwehupenyu zvakanyanya uye saka, zvakakosha kutaura pamusoro nechiremba kuitira kuti uwane kurapwa uye kuwana zororo.
OIC vs. Functional Constipation
Kuvharwa kunoitika apo zvigaro zvisingatauriki, zvakaoma, uye zvakaoma kudarika. Zvisinei, haisi chaiyo chaiyo yesayenzi nokuti zvigadziro zvevanhu uye kuti vanozviita kakawanda sei zvakasiyana.
Muzvizhinji, kuva nehutano hutano hwakanaka kunogona kureva kuenda kune dzimwe nguva kubva katatu pazuva kusvika katatu pavhiki.
Zvisinei, kuchinja mumakumbo ekurara kunogona kuratidzira kuvhiringidzika. Kana zvakangoerekana zvakanyanya kuoma kuenda kuimba yekugezera-izvi zvinogona kureva kusungirira pane chimbuzi chekuzvimirira kana kufamba kwemuviri zvisinganyanyi kudarika-kudzivirirwa kungave kuripo.
Zviratidzo zvekuvharwa kunogona kusanganisira:
- Zvigaro zvakasimba
- Kunzwa sechisimba chemuviri hachina kupera
- Kunyura muimba yekumbuzi
Kuvharwa kweipioid-induced inopesana yakasiyana nekuvhara muviri kunoshanda . Kuita basa kunogona kubva kune zvakasiyana-siyana zvinokonzera kubva kune fibha isina kukwana muzvokudya kune chirwere kana mamiriro mumutsetse wekudya. Kuvharwa kweipioid-induced, asi iyo, iyo inoguma yakananga yenzira iyo mishonga yemaopioid inobata utumbo muduku uye hutoni , nekudzikisa kuderedza kudya.
Sei Opioids Ichiita Kuvharwa?
Opioids ine zvakasiyana-siyana zvinokonzera kuderedza kuchema. Mumudumbu, opioid inogona kukonzera gastroparesis , zvinoreva kuti dumbu rinotora nguva refu kuti risina chinhu kunze kwezvazvinofanira nokuti musimba hairi kushanda zvakanaka.
Zvokudya zvinodarika mumukati muduku nekuda kwemisungo inopesana inozivikanwa se peristalsis . Opioids inobata pakati pegumbo duku (jejunum) nekuwedzera kuvhara kwemaviri musimba, izvo zvisiri izvo zvinokonzera zvinopesana, uye izvi zvinoderedza kumira kunowanzofambisa kudya pamwe. Izvi zvinogonawo kusimbisa zvigaro zvakasimba, zvichiita kuti zvive zvakaoma kudarika.
Opioids inoshandurawo maitiro ayo anal sphincter anopindura kune mishonga. Apo gorosi iri mune rectum kune chido chekuzvarwa chekuenda kuchivanze uye kuchipfuura.
Opioids inogona kuderedza uku kunzwa kuitira kuti kana pane chigaro ichipfuura, munhu haanzwi. Izvozvo zvinogona kutungamirira kugadzire zvigaro kwenguva refu.
Pasi pose, izvi zvinokonzerwa negumbo rekudya zvinoreva kuti vamwe vanhu vachaona kuvhiringidzika pavanoshandisa maopioid. Kune vanhu vanodikanwa nekurwadziwa kwenguva refu nemishonga iyi, izvi zvinogona kuva dambudziko guru.
Mishonga yeOpioid-Inobviswa Constipation
Kurapa kwekudzivirira kweopioid-induced induced may include both lifestyle changes and medication. Nzira yekurapa ichazonyanya kuenderana nehutano hwehutano hwako pamwe nezvimwe zvinhu zvakadai semishonga.
Muzviitiko zvakawanda, mararamiro anochinja uye pamusoro peaikirati yemakwenzi haashandi zvakakwana kupa rubatsiro rwakakwana uye mishonga.
Lifestyle Changes
Kuita dzimwe shanduko kune chiitiko chezuva nezuva, pamwe chete nedzimwe mishonga, zvinogona kubatsira nekudzivirira.
Chikafu chinhu chinokonzerwa nekudzivirira nokuti kudya zvakakwana zvemarudzi akakodzera e-fiber uye kunwa mvura yakakwana kunogona kubatsira kubvisa chifukidzo ichi uye kuchengeta zvigadziri zvinyoro uye zviri nyore kupfuura. Izvo zvisina kufanira fiber, iyo inonyanya kuwanikwa mumichero nemiriwo, inogadzira zvigaro zvishoma uye inovhura. Soluble fiber ichaputsa muzvinhu zvakadai sejeri uye zvichabatsirawo mukudzivirira kubatwa.
Fibha inogona kuwedzerwa mukati mokudya asi inogonawo kutorwa sekuwedzera . Vamwe vanhu vachatoda kuedza zvakasiyana-siyana uye kuongorora kuti ndeupi rudzi rwe fiber huchashanda zvakanakisisa kugadzirisa kuvimbiswa. Munhu anodya zvekudya anogonawo kukwanisa kuderedza fiber kusarudza pasi uye kurudzira kudya kwekuchinja uye kuwedzera, kusanganisira kudya izvo zvakasikwa zvinokonzerwa nemasikirwo (zvakadai semichenga).
Kunwa mvura yakawanda uye zvimwe zvinodhaka zuva roga roga kunogonawo kubatsira mukubata nekuvhara. Zvigadziro zviri nyore kupfuura kana pane mvura yakawanda yakakonzerwa muhomwe kuti iite kuti iwedzere. Kune avo vanototanga kunwa zvakakwana, kuwedzerwa mamwe mvura kana zvimwe zvinodhaka kuzvidya hazvingaiti zvakakonzera kugadzirisa chirongwa chinoshandiswa nemaopioid. Zvisinei, kunyatsokonzerwa nemvura yakakosha kunokosha kuhutano hwehutano, saka zvakakosha kubhadhara kuti mvura yakawanda inotorwa sei zuva rimwe nerimwe.
Kudzidzira muviri chimwe chinhu chinogona kubatsira kubvisa kuvimbiswa. Zvakare, kukwanisa kurovedza muviri kunobva kune hutano huripo. Zvisinei, kunyange kutamba kunogona kuita musiyano kana zvichiuya nekuendesa matumbo nguva dzose. Vanachiremba vanogona kubatsira mukurudzira nzira yakanakisisa yekurovedza muviri uye kana zvichidikanwa, kutumira kune chiremba wepanyama kunogona kubatsira pakugadzira hurongwa huse hunotora chero humwe humwe hutano huri kufunga.
Laxatives
Mazayikidzi anopikisana nemigumisiro yekuvhiringidza yeipioid inogona kudiwa munyaya dzakawanda uye inogona kurongerwa panguva imwechete seopioid. Kakawanda, kuvekesa kunogona kuva ndiyo nzira yekutanga yekudzivirira uye / kana kurapa kuvimbiswa.
Osmotic laxatives ndiyo iyo inodha mvura yakawanda mumatumbo, iyo inobatsira pakugadzira zvigaro zvishoma uye zviri nyore kupfuura. Zvimwe zvinodhaka zveasmotic zvinowanikwa pamusoro pekambani asi vamwe vari pamutemo, uye mamwe emhando dzakasiyana dzinosanganisira Miralax, lactulose, uye mukaka wemagnesia (iyo isingarongedzwi kakawanda). Izvozvo hazviwanzo huwandu huwandu hwemigumisiro nemhando idzi dzemarara-dzinowanzoonekwa dzakachengeteka uye dzinobudirira, asi vamwe vanhu vanogona kunge vachichera kana chirwere.
Zvimwe zvinokonzera mishonga zvinowanikawo pamusoro pekambani uye zvinosanganisira bisacodyl, sodium bicarbonate ne potassium bitartrate, senna, uye mafuta epamba. Iko rudzi rwemarara anoshanda nekuwedzera kufambisa kwemisungo muzvigadzirwa zvekudya (peristalsis). Hazviwanzokurudzirwa kushandiswa kwenguva refu nekuda kwemigumisiro, uye kushivirira kunogona kusiyana (zvinoreva kuti inogona kurega kushanda mushure mechinguva).
Rectal Interventions
Mune zvimwe zviitiko, kubvisa zvigaro zvingave zvakakosha. Izvi zvinogona kuitwa neanemaa kana kuti colonic irrigation (mvura kana imwe mvura inoshandiswa kuburikidza ne anus uye mukati re rectum), suppositories, kana kuti kubuda kwekubuda .
Glycerin suppositories inogona kuva danho rokutanga rokutamira chigaro, rinoteverwa ne enema, kudiridza, kana kubuda mubhuku (kuisa munwe wakavhara mukati mutsvuku kuti uputse chigaro uye woibvisa).
Prescription Medication
Kune mishonga yemishonga inowanikwa pakurapa kwekudzivirira-opioid-induced constipation. Relistor naMovantik mapiritsi maviri akadaro. Iyi mishonga inoshanda nekuvhara migumisiro iyo opioid ine kuedza kuderedza chikwata.
Iyi mishonga inogona kubatsira mukuunza pfupa remuviri kwenguva pfupi mushure mekutora kana kuigamuchira. Mimwe yemigumisiro yemigumisiro yemishonga iyi inogona kusanganisira kunyorera, chirwere, maronda emimba, uye gesi.
Shoko Rinobva
Kuvhiringidzika kweipioid-induced is a common disorder for people who are receiving opioids for the treatment of pain, and especially, for painlessness. Iri dambudziko rinogona kunyadzisa vanhu vakawanda kuti vataure, asi kuvimbiswa kunogona kuderedza zvakanyanya hutano hwehupenyu, saka zvakakosha kuti uzviise pamwe nechiremba.
Mukuwedzera, pane marapirwo anowanikwa ayo akachengeteka uye anoshanda uye anogona kuderedza zviratidzo zvekudzivirira uye nokudaro kudzivisa zvinetso zvingangodaro. Kunyange kuvhiringidzika nyaya inonetsa kukura pakurushanwa kwechiremba, ndeye isingatarisirwi paunenge uchitarisana nekurwadziwa kusingaperi.
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