Okudingayo ukwazi ngokuqunjelwa ngemuva kokuhlinzwa

Imfundo Yezempilo

Ukululama ekuhlinzweni kungaba inqubo engathandeki, noma ngabe udlula ekuvuseleleni okuhambisana nokushintshwa kwedolo noma umane ulinde umzimba wakho uzizwe ujwayelekile ngokulandela inqubo yokugula. Ngesikhathi sokululama, into yokugcina oyifunayo ukungaphatheki kahle okwengeziwe. Kodwa-ke, noma ngabe udokotela wakho ohlinzayo exoxa nawe noma cha, abantu abaningi baba nokuqunjelwa ngemuva kokuhlinzwa. Ukwazi ukuthi yini ongayilindela nokwenza uhlelo kunganciphisa imiphumela yalokhu kumangala okungathandeki. Qhubeka ufunde ukuthola ukuthi kanjani.

Ingabe kuyinto ejwayelekile ukuqunjelwa ngemuva kokuhlinzwa?

Kujwayelekile impela, noma kulindelekile, ukuthi iziguli ziqunjelwe ngokushesha ngemuva kokuhlinzwa, kusho UJemiel Nejim , MD, udokotela obulala izinzwa eSibhedlela Sokuhlinzwa Okukhethekile eNew York. Kunezici ezahlukahlukene ezinomthelela ekuqunjelweni ngemuva kokuhlinzwa, ngakunye okuvame ukuba nomthelela omkhulu ezingeni lokuqunjelwa kunohlobo lokuhlinzwa uqobo, ngaphandle kokuhlinzwa kwesisu nasesiswini.

Ngenkathi zombili ezinye izinhlobo zokuhlinzwa kanye nalezi zinhlobo ezithile zokuhlinza zibangela ukungabi khona kokuhamba kwamathumbu, lezi zimo zombili zihluke kakhulu: Ukuhlinzwa kwamathumbu nokunye kwesisu kungadala i-ileus lapho ukushaywa okuvamile kwamathumbu kuyeke ukusebenza, kusho UMichael Philbin , MD, udokotela ohlinzayo e-Edina Plastic Surgery e-Edina, eMinnesota. Ngezinye izinqubo, kunezici eziningana ezingaphansi ezingadala ukuqunjelwa kwangemva kokuhlinzwa.

Ukubulawa izinzwa

Umuthi wokubulala izinzwa ophethwe ngesikhathi sokuhlinzwa kungenzeka ube nomthelela ekuqunjelweni ngesikhathi sokululama. I-Anesthesia igama elibanzi elichaza imishanguzo ehlukahlukene, kusho uDkt. Jemiel Nejim. Kokubili uhlobo lwe-anesthesia nesikhathi sokuhlinzwa kuthinta amathuba okuqunjelwa ngemuva kokuhlinzwa. Ukuhlinzwa okuhlala isikhathi eside isikhathi eside kuhlotshaniswa nokuthambekela okuphezulu kokuqunjelwa.

Eminye imikhuba igxila ekusebenziseni i-anesthesia yesifunda ngaphezu kwe-anesthesia ejwayelekile, esiza ukunciphisa inani lemithi esetshenzisiwe futhi ngaleyo ndlela yehlise amathuba okuqunjelwa ngemuva kokuhlinzwa.

Imithi yezinhlungu zangemva kokuhlinzwa

Ukuqunjelwa ngemuva kokuhlinzwa kuvame ukuba yimiphumela yemithi yezinhlungu ze-opioid, enikezwa njengengxenye ye-anesthesia noma yokuphumula kobuhlungu ngemuva kokuhlinzwa, ngokusho kukaDkt. Philbin.

Ngokusho kuka-Inara Nejim, u-Pharm.D., Usokhemisi wasemtholampilo esibhedlela i-Hospital for Special Surgery, Imithi kusuka esigabeni sezidakamizwa ze-opioid, njenge I-Percocet , i-oxycodone noma bhabha , ziyisisekelo segumbi ekuphathweni kobuhlungu bangemva kokuhlinzwa, futhi omunye wemiphumela yabo emibi eyaziwa kakhulu ukuqunjelwa.

Izici zokuziphatha

Ngisho nasempilweni yansuku zonke, ukoma emzimbeni kungenye yezimbangela ezivame kakhulu zokuqunjelwa. Ngemuva kokuhlinzwa, umzimba udinga uketshezi oluningi ukusiza ekululameni. Ngaphandle kwabo, ukuqunjelwa kungenzeka kwenzeke, ngakho-ke qiniseka ukuthi uphuza amanzi amaningi.

Okufanayo kuya ekudleni okunomsoco: Akuwona wonke umuntu angaba nesifiso sokudla ngemuva kokuhlinzwa, kepha esebenzisa ukudla okunothe nge-fiber noma lokho okuqukethe uvithamini B-12 kuyisihluthulelo ekusizeni izinto zihambisane.

Ekugcineni, ukuntuleka kokuvivinya umzimba, enye imbangela eyaziwayo yokuqunjelwa, kuvamile ngemuva kokuhlinzwa. UDkt. Philbin uncoma ukusebenzisana nodokotela wakho ukuze uqonde ukuthi nini, futhi isikhathi esingakanani, ukwazi ukuqala ngokuphepha ukuhamba phakathi nesikhathi sokululama ukusiza ukunciphisa ukuqunjelwa okuhlobene nokungasebenzi.

Kufanele ngikhathazeke nini ngokuqunjelwa ngemuva kokuhlinzwa?

Ngenkathi ukuqunjelwa ngokushesha ngemuva kokuhlinzwa kuyinto ejwayelekile, ikakhulukazi uma ubhekene nezinye zezici ezingenhla, kunezimpawu ezithile zokuxwayisa okufanele uzibheke ezingakhombisa inkinga enkulu kakhulu.

NgokukaDkt. Philbin, ungalindela ukuthi ukuqunjelwa kungahlala izinsuku ezimbalwa, kuya ngokuthi uvunyelwe ukusebenza kanjani kanye nenani lemithi yezinhlungu zangemva kokuhlinzwa. Ubuhlungu besisu ngenxa yokuqunjelwa ngemuva kokuhlinzwa nakho bujwayelekile futhi bungaba ngumphumela wegesi ebhajwe noma uketshezi oluningi, ngokusho kukaDkt. Jemiel Nejim. Lezi ziketshezi zivame ukukhishwa ngokwemvelo ezinsukwini ezimbalwa. Ukuqunjelwa kwesisu okuncane kungasizwa ngokudla ukudla okuncane, ukwandisa umsebenzi futhi mhlawumbe uthathe imishanguzo ye-simethicone, esebenza ngokugqashula amabhamuza amakhulu egesi esiswini abe amabhamuza amancane, okwenza kube lula ukudlula.

Uma uzwa ubuhlungu obukhulu noma wopha, noma uma ukuqunjelwa kuthatha isikhathi esingaphezu kwezinsuku ezintathu, funa ukwelashwa. Ukuqunjelwa isikhathi eside kungaholela kuma-hemorrhoids, i-anal fissures, futhi ezimweni ezingavamile kakhulu izimo zezokwelapha ezifana ne-ileus noma ukuvinjelwa kwamathumbu, okudinga ukungenelela okwengeziwe kwezokwelapha.

Yini okusizayo ngokuqunjelwa ngemuva kokuhlinzwa?

Izindaba ezinhle ukuthi kunezindlela eziningi zokunciphisa ukuqunjelwa okubangelwa ukuhlinzwa, ikakhulukazi uma wenza uhlelo nodokotela wakho ngaphambi kwesikhathi. Noma ngabe ngezinguquko ezenziwa ngaphambi kokuhlinzwa noma ngemuva kokuhlinzwa noma ngokwazi izinketho zokwelashwa ezithengiswayo, ukulungiselelwa kuzokwenza ukuthi inqubo ibe lula kancane.

Ngaphambi kokuhlinzwa

Uma umuntu enokukhathazeka ngaphambi kokuhlinzwa maqondana nokuqunjelwa, into engcono kakhulu ongayenza ukukhuluma ngokukhululekile ngalezo zinto ngaphambi kokuhlinzwa, kusho uDkt Jemiel Nejim. Lokhu kunjalo ikakhulukazi kulabo asebevele benenkinga yokuqunjelwa okungapheli. Uma kunemithi ejwayele ukukusebenzela kahle, yikhombe neqembu lakho lezokwelapha ngaphambi kokuhlinzwa. Uma uvunyelwe udokotela wakho, khulisa ukudla kwakho i-fiber noma uqale uhlobo lwezithambisi zendle ngaphambi kokuhlinzwa uma ukuqunjelwa kuyinkinga.

Ngemuva kokuhlinzwa

Ngokusho kukaDkt. Inara Nejim, enye yezindlela ezingcono kakhulu zokuvimbela izinkinga zokuqunjelwa okungalashwa ekhaya ukuba nengxoxo ethembekile ngemithi ngesikhathi sokukhishwa — kanye nezingcingo ezilandelwayo. Umhlengikazi udlula yonke imiyalo yakho futhi angachaza ukuthi ungakuphatha kanjani kahle ukuqunjelwa ekhaya usebenzisa imishanguzo yokudla nemithi yokuthenga.

Ukudla

Uma izimpawu zakho zokuqunjelwa zincane noma zingakahlali isikhathi eside, kungenzeka ukuthi usinciphise leso simo amakhambi asekhaya , njengokungeza ukudla okuyisihluthulelo okwaziwayo ukusiza ngokuqunjelwa:

• Ukudla oketshezi: Lapho umzimba wakho ufakwa amanzi anele ukudonsa amanzi kukholoni, ukuhamba kwamathumbu kuba lula.
• Imbewu ye-Chia: Njengoba imbewu ye-chia ihamba emzimbeni, ithatha ukungaguquguquki okufana ne-gel, okungasiza ukuvimbela indle eqinile.
• Ama-lentile, ubhontshisi nama-chickpeas: Lokhu kudla okune-fiber ephezulu kukhuthaza ukugaya okunempilo futhi kusiza ukukhuthaza ukunyakaza kwamathumbu njalo.
• Izinhlamvu eziphelele: Izinhlamvu eziphelele ziqukethe i-fiber eningi kunezinkwa ezimhlophe noma i-pastas futhi zingasiza kakhulu ekuhambiseni izinto.
• Izithelo ze-Citrus: Amawolintshi novundululu kunovithamini C omningi, owaziwa ngokudonsela amanzi kukholoni, kugcina izitulo zithambile futhi kulula ukuzidlulisa.
• Amapulangwe noma ijusi lomuthi: Lesi sithelo siqukethe inani eliphakeme le-sorbitol, elinemiphumela ye-laxative.
• Imifino enamaqabunga: Lolu hlobo lweveggie luphakeme nge-magnesium, esiza ukudonsela amanzi emathunjini.
• I-Psyllium khumbula: I-laxative eyakha ngobuningi, etholakala embewini yesitshalo se-Plantago ovata. Itholakala kakhulu ekhawunteni futhi iyasebenza kakhulu ekuqunjelweni. Uhlobo olucwengileko lwe-psyllium husk lubekwe njengeMetamucil.

Imithi

Uma lezi zixazululo ezingenhla zisakushiya uzizwa usekelisiwe, umugqa olandelayo wokuzivikela ungukuthambisa izitulo noma ama-laxatives amnene.

• Izithambisi zesitulo: Le mithi (njenge Isinkwa ) basebenze ngokudonsa amanzi esitokisini nokwenza kube lula ukudlula, kusho uDkt. Philbin. Izithambisi zendle zingathatha amahora angama-24 kuye kwangama-48 ukusebenza.
• Ama-fiber laxatives: Lezi zithasiselo (njenge I-Metamucil , I-Fibercon , futhi ICitrucel ) futhi kwandisa okuqukethwe kwamanzi esitokisini, kuyisiza ukuthi idlule kukholoni. Ama-fiber laxatives athatha amahora ayi-12 kuye kwangama-24 ukunikeza ukukhululeka.
• I-polyethylene glycol laxatives: Lezi laxatives ze-osmotic (njenge I-Miralax noma ubisi lwe-magnesia ) sebenza ngokuletha amanzi enkanyeni yamathumbu, okwenza kube lula ukudlula indle. Ama-laxatives e-Osmotic athatha amahora ayi-12 kuye kwangama-72 ukukhiqiza imiphumela.

Uma le mithi yehluleka ukunikeza usizo, umugqa olandelayo uvuselela ngobumnene ama-laxatives, ama-suppository bese, uma kunesidingo, ama-enemas.

• Ama-laxatives ashukumisayo: Le mithi (njenge I-Dulcolax futhi USenokot ) kubangele ukuthi amathumbu angene futhi aqale ukunyakaza kwamathumbu. Ama-laxatives ashukumisayo athatha amahora ayisithupha kuya kwayi-12 ukusebenza.
• Amakhandlela: Le mithi idonsa amanzi emathunjini ayise ezindaweni ezinzima kakhulu zesitulo ngenkathi ibangela imisipha yamathumbu ukuthi isebenze, isebenze ngokubambisana ukudala ukunyakaza kwamathumbu. Ama-suppositories ngokuvamile athatha imizuzu eyi-15 kuye kwengama-60 ukuhlinzeka usizo.
• Izitha: Lesi sigaba sokwelapha sisebenza ngokwethula uketshezi ngqo emathunjini, ukuthambisa nokuxegisa indle. Izitha imvamisa kuthatha imizuzu embalwa ukukhiqiza imiphumela.

OKUSHIWO: Ukwehla kwezidakamizwa

Ukuqunjelwa akukaze kujabulise, ikakhulukazi uma kuhlangene nokululama ekuhlinzweni. Kodwa-ke, ngokwenza uhlelo nodokotela wakho ngaphambi kokuhlinzwa, wazi izimbangela, ukwenza ngcono indlela odla ngayo, futhi ube nohlelo lokulondoloza okungaphezu kwamakhompiyutha, ungathola izinto ezihamba futhi futhi unciphise izimpawu ezingakhululekile ngokushesha okukhulu.