Ukwehla kwezidakamizwa
Imfundo YezempiloOhlelweni olukhulu lwezinto, ukuqunjelwa kubukeka njengenkinga encane — kepha bhekana nakho isikhathi eside ngokwanele, bese kuphenduka kube kuhle kakhulu. Ukuminyanisa, ukuzwa ukusekelwa, nokuqunjelwa kuthinta imizwa yakho, isifiso, namandla, ikakhulukazi lapho ukuqunjelwa kuhlala isikhathi eside kunezinsuku ezimbalwa.
Faka ama-laxatives e-over-the-counter (OTC), athembisa ukukhululeka ngokushintshana ngomzamo omncane: pop iphilisi, linda amahora ayisithupha kuye kwangama-48, futhi nansi , ubuyele kokujwayelekile. Inkinga kuphela? Ama-laxatives awasona isiwula njengoba kubonakala. Kunezinhlobo eziningi ezahlukahlukene, okwenza kube nzima ukwazi ukuthi iyiphi okufanele uyithathe, uyidinga nini, nokuthi kuphephe isikhathi eside kangakanani ukuyisebenzisa.
Ukukusiza ngomaye wakho wokuqunjelwa, sebenzisa lo mhlahlandlela ekusetshenzisweni kwe-laxative ukukuletha isinyathelo esisodwa esiseduze nokukhululeka.
Isebenza kanjani laxatives?
Ama-laxatives akwenza ukuthi ube nokunyakaza kwamathumbu ngokushukumisa ikholoni yakho ukukhiqiza indle noma ukumane ukwenze kube lula ukudlulisa noma yini esivele ikhona lapho. Ngokuvamile kucatshangwa njengezithasiselo nemithi, kepha okunye ukudla kungasebenza njengama-laxatives emvelo.
Lapho iningi labantu lizwa ukuqunjelwa ngezikhathi ezithile, lifinyelela amakhambi asekhaya njengokuphuza uketshezi oluningi nokukhuphuka kokudla kwefayibha, kusho uRudolph Bedford, MD, ongudokotela wesisu e-Providence Saint John's Health Centre eCalifornia. Izinguquko zokudla nezindlela zokuphila zivame ukunakekela inkinga ngaphandle kokusebenzisa imithi.
Uma kungenjalo, lokhu kuvame ukuba yiphuzu lapho kwethulwa uhlobo oluthile lwe-OTC laxative. Abathengi abaningi bakhetha uhlobo lwe-laxative ngokususelwa ekutheni banezimpawu ezingakanani, ukuqunjelwa kuqine kangakanani, nokuthi bafuna ukubona imiphumela ngokushesha kangakanani.
Iningi laxatives lithatha noma yikuphi kusuka emahoreni ayisithupha kuya kwangu-72 ukusebenza. Lapho ukukhiqizwa kwamathumbu sekukhiqiziwe, inani le-laxative emzimbeni lizokwehla ngokwemvelo, yize imiphumela ye-laxative ingahlala izinsuku ezimbalwa ngemuva komthamo wokuqala.
Izinhlobo zama-laxatives
Ukuthatha i-laxative kulula nje njengoba kuzwakala uma uqonda zonke izinhlobo ezahlukahlukene zama-laxatives nokuthi ngamunye usebenza kanjani. Nakhu ukuwohloka.
Ama-laxatives emvelo
Kutholakala ekudleni naseziphuzweni, ama-laxatives emvelo aqukethe izinto ezithile — njengama-enzyme noma ushukela — ezingashukumisa ikholoni yakho ukuthi ikhiqize ukunyakaza kwamathumbu. Ama-papayas, amapheya, ama-kiwis, ikhofi, amakhambi afana ne-senna, uwoyela onjenge-castor oil, nezinhlamvu ezinothe nge-fiber njenge-bran nebhali zivame ukwenza izinto zihambe noma zikusize ugcine iphethini yokugaya ukudla ejwayelekile.
O, futhi ungakhohlwa ngama-prunes (yebo, umkhulu wayeqinisile!).
Ama-prune omisiwe ane-sorbitol eningi kunokusha futhi angaba nemiphumela ye-laxative, kusho u-Ashkan Farhadi, MD, ongudokotela wesisu e-MemorialCare Orange Coast Medical Center eCalifornia. Uncoma ukumunca amaprune ayisihlanu omisiwe emanzini ubusuku bonke bese uwadla ekuseni njengendlela yemvelo yokulwa nokuqunjelwa okungapheli.
Ama-laxatives akha inqwaba
Uma ungakutholi ukudla okwanele kwe-laxative neziphuzo ngokwemvelo ekudleni kwakho, ungahle uphendukele kwisengezo se-fiber njenge Umsizi noma iMetamucil . Laba badlali bamandla baqukethe izinhlobo ze- ifayibha —Njenge-psyllium husk noma i-methylcellulose — empeleni emunca amanzi, iguqule ukwakheka kwesitulo sakho futhi yenze ukusikwa kwemvelo kwekholoni lakho kulikhiphele ngaphandle. Ngokuvamile zibhekwa njengeziphephile ukusetshenziswa nsuku zonke.
Ama-laxatives ama-emollient
Obeye aziwe njengo izitulo ezithambisa indle , ama-laxatives emollient athambise futhi athambise indle ngaphakathi kwekholoni lakho ukuze ungadingi kakhulu. Abaphoqi ikholoni yakho ukuthi ikhiqize ukunyakaza kwamathumbu, yenza kuphela isitulo esivele sikhona kube lula ukudlula.
Yize bungekho ubufakazi bangempela bokuthi ukuthatha isithambisi samasondo nsuku zonke kuzokulimaza, futhi ngeke kuxazulule inkinga yakho eyisisekelo futhi umthamo ungahle ungasebenzi ngokuhamba kwesikhathi.
Ama-laxatives e-Osmotic
Lokhu kusebenza ngokudonsa amanzi angene emathunjini, kusho uDkt Bedford, ukuthambisa indle nokukuvumela ukuthi udlule ukunyakaza kalula. Laxatives, afana neMiralax, awabangeli noma yikuphi ukuncika futhi yize engasebenzeli wonke umuntu, angasetshenziswa nsuku zonke uma kudingeka.
Kunezinhlobo ezimbalwa zama-laxatives osmotic asebenzisa izithako ezahlukahlukene; I-lactulose laxatives isuselwa, i-saline laxatives isusawoti, kanti ama-polymer laxatives aqukethe i-polyethylene glycol.
Ama-laxatives ashukumisayo
Njengamagama abo asikisela, laxatives ashukumisa amathumbu akho ukuthi andise i-peristalsis, okungukuthi, ukunyakaza kwenkontileka okwenza ukuthi kudlule isitulo. Iqukethe izithako ezifana ne-bisacodyl noma i-sennosides, zivame ukuthathwa njengamaphilisi (njenge-Ex-Lax), yize abanye abantu bewaphuza njengama-herbal teas.
Ama-laxatives okugcoba
Imikhiqizo ethambisa uwoyela njengowoyela wamaminerali ifaka indle yakho, ivimbela ikholoni ekulahlekelweni ngamanzi ukuze ukwazi ukudlula indle kalula. Abantu bavame ukuphuza uwoyela wamaminerali, noma ungafakwa ngokweqile ukuze uthole imiphumela esheshayo. Qiniseka ukuthi ufunda izinkomba zebhodlela.
Kufanele uyithathe nini i-laxative?
Kuningi izimo zesikhashana esifushane ezingadala ukuqunjelwa : ukuhamba, ukucindezeleka, ukugula, ukushisa kokushisa, ukushisa okuphansi, ukukhulelwa, izinguquko zokudla, namazinga aphansi okuzivocavoca noma umsebenzi konke kungadala icala lokuqunjelwa. Umthamo wesikhathi esisodwa we-OTC laxative ungasusa ukuqunjelwa, ulawule amathumbu akho, unciphise ukuvuvukala, uphinde ukubuyisele emgqeni futhi.
Kukhona nezimbangela zesikhathi eside zokuqunjelwa, lapho abahlushwa ngokujwayelekile bewela ezigabeni ezintathu: asebekhulile, abantu emithini ethile (njengama-narcotic kanye nama-anti-depressants athile), nabantu abanezimo ezithile zezempilo (njenge-bowel syndrome noma isifo sikashukela).
Kulungile ukusebenzisa i-laxative ngezikhathi ezithile ukubhekana nesizathu sesikhashana sokuqunjelwa, kepha ukusebenzisa i-laxative yesikhathi eside (noma ukubhekana nenkinga engapheli njengomphumela wecala lomunye umuthi) akuwona umqondo omuhle kakhulu. Yize zidayiswa njengezidakamizwa ze-OTC, ama-laxatives amaningi angaholela emiphumeleni emibi nokuncika. Futhi azibheki ukuqunjelwa kwakho emthonjeni wazo-empeleni ziyisibambisi sosizo lokuhambisa amathumbu.
Abantu bangahle bathembele kubo noma babasebenzise kabi, futhi lapho befika kudokotela, sebephuthelwe i-etymology yasekuqaleni, kusho uDkt Bedford, ochaza ukuthi ukuqunjelwa kungaba uphawu oluyisixwayiso sokuqala lwenkinga enkulu kwezinye izimo .
Ukusetshenziswa kwesikhathi eside akuvamisile ukukhonjiswa kunoma imaphi ama-laxatives ngaphandle kweMiralax kanye nezithasiselo ze-fiber ezifana ne-Benefiber, ngokusho kukaDkt Bedford. Ngeshwa, iningi labantu lilandela isu elithile: bazama ukwelapha ukuqunjelwa kwabo ngamakhambi asekhaya, kuthi lapho lawo engasebenzi, adlulele ezithambisweni zendle bese, ngokujwayelekile, i-osmotic noma i-laxative evuselelayo.
Ngaleso sikhathi, noma kunjalo, ukuqunjelwa kwakumele kukhulunywe nodokotela.
Uma i-ejenti ye-bulking ingasebenzi futhi udlulela kusithambisi futhi ukuthi ayisebenzi, udinga ukubiza udokotela wakho, kusho uBedford, oweluleka ngokungaziphothuli izindlela ezinqala uma lezi ezinye izinyathelo zehluleka.
Imiphumela emibi yokusetshenziswa kwesikhathi eside
Ukulahleka kwamanzi kusuka kuma-laxatives kungadala ukwehla kwesisindo okwesikhashana, kepha ingabe ama-laxatives ayakusiza wehlise isisindo? Ama-laxatives akuyona indlela ephumelelayo yokushisa amafutha omzimba noma indlela ephephile yokwehlisa isisindo. Abantu abane ukuphazamiseka kokudla ngokweqile kuvame ukuphendukela ekuhlukumezeni kwe-laxative ukunciphisa isisindo, kepha lolu hlobo lokusebenzisa kabi lungadala imiphumela emibi kakhulu kanye nezinkinga empilweni yakho yokugaya ukudla.
Esikhathini esifushane, ukusebenzisa ngokweqile ama-laxatives kungadala ukoma komzimba futhi ukungalingani kwe-electrolyte , kusho uDkt. Bedford, ephazamisa amazinga akho emvelo wezakhamzimba njenge-calcium, i-potassium ne-magnesium. Uma ukusetshenziswa kwe-laxative kuqhubeka, kungaholela ku- isifo sezinso nesifo senhliziyo.
Omunye umphumela ohlangothini ovamile into eyaziwa ngokuthi i-cathartic colon noma i-inertia ye-colonic . Abantu abanokuqunjelwa okungapheli futhi abasebenzisa imishanguzo nsuku zonke bangaba nesimo lapho ikholoni ihlulwa futhi ivila, kusho uDkt Farhadi.
Uma lokhu kwenzeka, imisipha yakho ye-colonic ayisakwazi ukukhiqiza i-peristalsis noma ihambise kahle imfucuza emathunjini akho yodwa, njengoba ijwayele kakhulu ama-laxatives ebenzela wonke umsebenzi. UDkt. Farhadi uthi lokhu kuvame ukubangelwa ukusetshenziswa ngokweqile kwama-laxatives avuselelayo.
Ngokujabulisayo, lesi sifo singelashwa; imiphumela kukholoni ayijwayele ukuhlala unomphela uma nje ukusetshenziswa kwama-laxatives ashukumisayo kunqanyuliwe.
Lapho iziguli zamukela futhi ziqonda [ubudlelwano phakathi kwama-laxatives ashukumisayo ne-cathartic colon], bese ushintshela ku-laxative osmotic efana neMiralax, izinkinga zivame ukubuyiselwa emuva kungakapheli unyaka owodwa, kuchaza uDkt. Farhadi.
Ama-laxatives amahle kakhulu
I-laxative ekufanele kakhulu incike esimweni sakho esihlukile. Kepha, uma uke wazama ukwelapha ukuqunjelwa kwakho ngama-laxatives emvelo kungasizi ngalutho, ungahle uthande ukubheka okukodwa kokulahlwayo okulandelayo kwe-OTC.
| I gama le-brand | Uhlobo lwe-laxative | Isebenza ngokushesha okungakanani | Kuphephile ukusetshenziswa nsuku zonke? | Thola isigqebhezana |
| I-Metamucil | Ukwakhiwa kwenqwaba | Amahora 12-72 | Yebo | Thola isigqebhezana |
| ICitrucel | Ukwakhiwa kwenqwaba | Amahora 12-72 | Yebo | Thola isigqebhezana |
| Umhlomuli | Ukwakhiwa kwenqwaba | Amahora 12-72 | Yebo | Thola isigqebhezana |
| I-Fibercon | Ukwakhiwa kwenqwaba | Amahora 12-72 | Yebo | Thola isigqebhezana |
| Amakhoyili (docusate) | Emollient | Amahora 12-72 | Mhlawumbe, yize ngokuvamile kunganconyiwe | Thola isigqebhezana |
| I-Correctol (idokodo) | Emollient | Amahora 12-72 | Mhlawumbe, yize ngokuvamile kunganconyiwe | Thola isigqebhezana |
| I-Miralax | I-Osmotic | Izinsuku eziyi-1-3 | Yebo | Thola isigqebhezana |
| Ubisi lweMagnesia | I-Osmotic | Imizuzu engama-30 kuya emahoreni ayisithupha | Yebo | Thola isigqebhezana |
| I-Dulcolax | Okukhuthazayo | 6-12 amahora | Akunjalo | Thola isigqebhezana |
| USenokot | Okukhuthazayo | 6-12 amahora | Akunjalo | Thola isigqebhezana |
| ICascara Sagrada | Okukhuthazayo | 6-12 amahora | Akunjalo | Thola isigqebhezana |
| I-enema kawoyela wamaminerali | Okuthambisa | 2-15 imizuzu | Akunjalo | Thola isigqebhezana |
| Amaminerali amafutha omlomo oketshezi | Okuthambisa | Amahora we-6-8 | Akunjalo | Thola isigqebhezana |
Okubalulekile
Uma usanda kuhamba, ushintshe indlela odla ngayo, ubekezelele umcimbi ocindezelayo, noma umane ukuphazamiseka kwendlela yakho ejwayelekile, ukusebenzisa isikhashana i-laxative emnene efana neMiralax noma iColace kungasiza ekubuyiseleni uhlelo lwakho lokugaya ukudla.
Kepha uma uqaphela iphethini ephindaphindwayo yokuqunjelwa noma ukufinyelela kuma-laxatives abucayi (njengezinhlobonhlobo zokuvuselela noma zokuthambisa) njalo, sekuyisikhathi sokubhekisa kumhlinzeki wakho wezokunakekelwa kwempilo ukuze ahlolwe. Khumbula, ama-laxatives awayixazululi imbangela yokuqunjelwa kwakho-ukuthola ukuthi yini okubangela ukuqunjelwa kwakho okungapheli ngokuvamile kuyisinyathelo esilandelayo esidingekayo.
