8 mishonga inokonzera kupatira

Dzidzo yehutano

Kuzvimbirwa zviratidzo uye zvikonzero | Mishonga inokonzera kupatira | Maitiro ekudzivirira kupatirwa | Kuzvimbirwa kurapwa

Kuzvimbirwa inyaya yakajairika yekugaya. Around 16% yevanhu muUnited States uye chetatu chevaya vanopfuura makore makumi matanhatu vanonyunyuta nezvekudzvinyirirwa kusingaperi. Pakati pa2006 na2011, kuzvimbirwa kwaiita zvinopfuura 700,000 anoenda kuimba yekukurumidzira.

Zviratidzo zvekudzivirira zvinosanganisira:

• Zvishoma kupfuura matatu ura kufamba pavhiki
• Diki, yakaoma, yakaoma zvituru izvo zvakaoma kana zvinorwadza kupfuura
• Iko kudiwa kwekushushikana zvakanyanya kuve nekufamba kwematumbu

Vamwe vanhu vanorwadziwa nemudumbu kana vachizvimbirwa, kunyanya mushure mekudya. Vamwe vanogona kunge vachirutsa, kurutsa, kutemwa nemusoro, kana kunzwa kazhinji kusagadzikana.

Kune akawanda zvinokonzera kupatira , kusanganisira:

• Chikafu chakaderera-fiber (kunyanya chikafu chakanyanya munyama, mukaka, kana chizi)
• Kupera mvura mumuviri
• Sedentary mararamiro
• Kuregeredza kana kunonoka kuda kwekuita tsvina
• Kufamba uye kuronga shanduko
• Laxative kunyanyisa
• Marwadzo kana kusagadzikana kutenderedza anus
• Kenza yakajeka
• Kubata
• Mamiriro ekurapa akadai seanoshungurudza bowel syndrome, diverticulosis, hypothyroidism, yakakwira ropa calcium calcium, multiple sclerosis, chirwere cheParkinson, uye kukuvara kwemuzongoza.

Kuzvimbirwa kunogona zvakare kuve divi mhedzisiro yemishonga iwe yauri kutora. Mishonga-inokonzera kupatira inowanzoitika mazuva ano, sekureva Bryan Curtin, MD , director weNeurogastroenterology uye motility, paMercy Medical Center. Vanhu vanotora mishonga yakawanda kupfuura nakare kose, uye nekuti mishonga mizhinji ine huwandu hwakawanda, kurayira vanachiremba vanowanzo kufuratira kuvharirwa sechinhu chakakosha kana ichienzaniswa nezvakanyanya kukura. Hazvisi zvisingazivikanwi kuti vanhu vave pamishonga yakawanda kana mina kana mishanu inogona kuwedzera kuvhiringidzika, uye izvi hazvisi kunyange kusanganisira maopioid, ayo anogona kunge achinyanya kukuvadza kune iyo GI turakiti.

Kuzvimbirwa kunogona kusagadzikana, asi kunogona zvakare kutungamira ku matambudziko zvakaita se:

• Mamota
• Kubuda ropa chaiko
• Anal fissures
• Rectal kuwanda
• Fecal Impaction

Kana matanho ekuchengetedza, akadai sekuchinja kune chikafu, kuwedzerwa hydration, uye pamusoro-pe-laxatives atadza, varwere vanofanirwa kuonekwa nachiremba wekutanga kana gastroenterologist, anodaro Dr. Curtin. Izvi ichokwadi, kunyanya kana kuvharirwa kuchiperekedzwa nezvimwe zviratidzo zvakakosha, senge kusvotwa, kurwadziwa mudumbu, kana kurasikirwa uremu kusingatarisirwi.

8 mishonga inokonzera kupatira

1. Kurwadziwa kweopioid kunodzora
2. Nonsteroidal anti-anogumbura zvinodhaka (NSAIDs)
3. Antihistamines
4. Tricyclic antidepressants
5. Urinary incontinence mishonga
6. Iron inowedzera
7. Ropa rekumanikidza mishonga
8. Anti-kusvotwa mishonga

1. Kurwadziwa kweopioid kunodzora

Iyo inonziwo zvinodhaka, maopioid anorapa marwadzo akaomarara uye asina kuvandudzwa nemamwe, anorwadza zvakanyanya mishonga. Ivo vanoshanda pakubvisa marwadzo, asi vanogona kuve tsika-yekuumba uye vane mwero wepamusoro wekushungurudzwa. Nekudaro, iwe unofanirwa kushandisa chete maopioid pasi pechengetedzo yakanangana neane hutano hutano. Kazhinji-yakatemwa opioid pain relievers inosanganisira:

• Tylenol ine codeine (acetaminophen-codeine)
• Duragesic (fentanyl transdermal)
• Lorcet, Vicodin, Norco (hydrocodone)
• Dilaudid (hydromorphone)
• Demerol (meperidine)
• Morphine
• Oxycontin (oxycodone)
• Percocet (oxycodone-acetaminophen)
• Yekupedzisira (tramadol)

Varwere vazhinji pamaopioid ehupenyu husingaperi hwehurombo opioid-inosimudzira kupatira (OIC.) Inoonekwa sedambudziko rakakurumbira rekugaya uye imwe yemhedzisiro yemipioid. Zvinogona kuremadza uye chiri chikonzero chakajairika chekuti vanhu varege kutora mishonga, sekureva kwa chirevo chakaburitswa mu2019 . Funga kubvunza chiremba wako kana iwe uchikwanisa kutanga laxative panguva imwechete seopioid.

2. NSAIDs

NSAIDs ndiyo yakanyanya-yakatemwa mishonga yekurapa mamiriro akadai seArthritis, maererano ne American Academy yeOrthopedic Vanachiremba . Iyo inoshandiswawo kudzikisa fivha, kuzvimba, uye hunyoro kusvika pakati nepakati marwadzo. Iyi kirasi yemishonga inosanganisira:

• Aspirin
• Motrin, Advil (ibuprofen)
• Aleve, Naprosyn (naproxen)
• Celebrex (celecoxib)

3. Antihistamines

Antihistamines inoderedza zviratidzo zvekusagadzikana. Paunenge uchirwara nechimwe chinhu, muviri wako unoburitsa ma histamines anokonzera kuzara, mhino inomhanya, kuhotsira, kuruma, kuzvimba kwenzara dzemumhuno, mikoko, kuputika kweganda, kana maziso anonzwika uye anomhanya. Kazhinji pane-the-counter (OTC) antihistamines anosanganisira:

• Chlor-Trimeton (chlorpheniramine)
• Unisom (diphenhydramine kana doxylamine)
• Vicks QlearQuil Nighttime Allergy Ruregerero (diphenhydramine)
• Claritin (loratadine)
• Benadryl (diphenhydramine)
• Allegra (fexofenadine)
• Zyrtec (cetirizine)
• Xyzal (levocetirizine)

4. Tricyclic antidepressants

Tricyclic antidepressants ikirasi yemushonga inoshandiswa kurapa kuora mwoyo. Ivo vanoshanda nekuwedzera mazinga e norepinephrine uye serotonin uye ichivharira chiitiko cheacetylcholine. Nekuenzanisa aya matatu maurotransmitter, tricyclic antidepressants inoderedza kushushikana. Kune mishonga mitsva yekuora mwoyo ine mashoma mhedzisiro; zvisinei, izvi tricyclic antidepressants zvinoshanda zvirinani kune vamwe vanhu. Zvimwe zvinowanzozivikanwa zvinosanganisira:

• Tofranil (imipramine)
• Vivactil (protriptyline)
• Elavil (amitriptyline)
• Pamelor (nortriptyline)

5. Urinary incontinence mishonga

Urinary incontinence mishonga inorapa yakanyanyisa kuita dundira uye mamwe mamiriro anogona kukonzeresa kubvaruka kwedundira kana kuita weti kakawanda. Izvi zvinowanzoitika kune vakadzi kupfuura varume; zvisinei, zvinogona kuitika nevarume zvakare. Iyo ndeimwe yemamiriro akajairika anoonekwa mune yekutanga tsika tsika, maererano ne American Academy yeMhuri Varapi .

Iyi mishonga inoshanda nekudzora spasms spasms kana kuzorodza dundira rusvingo mhasuru, ichibvumira iyo kubata yakawanda weti uye isina chinhu zvizere. Mimwe yemishonga inowanzo rongedzwa yekuchidzira kusagadzikana inosanganisira:

• Ditropan, Ditropan XL (oxybutynin)
• Detrol, Detrol LA (tolterodine)
• Enablex (darifenacin)
• Myrbetriq (mirabegron)
• Flomax (tamsulosin)

6. Iron inowedzera

Iron inowedzera kurapa kushomeka uye kushomeka kwesimbi. Ivo vanowanikwa pamusoro pekambani. Kazhinji anoshandiswa mafomu esimbi mune zvekuwedzera anosanganisira:

• FeroSul (ferrous sulfate)
• Yakakura (ferrous gluconate)
• Ferric citrate
• Ferric sulphate

7. Ropa rekumanikidza mishonga

Kune maviri marudzi eropa BP mishonga inokonzera kupatira: calcium chiteshi blockers uye beta blockers. Calcium chiteshi blockers inoshanda nekuwedzera arteri, izvo zvinoderedza iko kuedza moyo wako kwaunofanirwa kushanda kupomba ropa. Beta blockers inoshanda nekudzikisira pasi moyo wako kurovera pasi, kudzikisa yako BP.

Calcium chiteshi blockers inosanganisira:

• Norvasc (amlodipine)
• Plendil (felodipine)
• Cardene (nicardipine)
• Adalat CC, Procardia XL (nifedipine)
• Cardizem, Tiazac, Dilt-XR (tsvina)

Kazhinji beta blockers anosanganisira:

• Lopressor, Toprol XL (metoprolol)
• Tenormin (atenolol)
• Corgard (nadolol)
• Inderal (propranolol)

8. Mishonga yekudzivirira kusvotwa

Iyo inonziwo anti-emetics, anti-nausea mishonga inovhara nzira dzakasiyana mumuviri wako dzinokonzeresa kusvotwa uye kurutsa. Izvi zvinosanganisira:

• Serotonin (5-HT3) vanopikisa
• NK-1 vanopikisa
• Dopamine vanopikisa
• Cannabinoids

Mishonga yakajairika inoshandiswa kurapa kusvotwa inosanganisira:

• Zofran (ondansetron)
• Reglan (metoclopramide)
• Simbisa (aprepitant, fosaprepitant)
• Tigan (trimethobenzamide)
• Marinol (dronabinol)
• Syndros (dronabinol)

Wana kadhi reSpecialCare rekutora kadhi

Maitiro ekudzivirira mishonga-inokonzera kupatira

Haasi munhu wese anozozvimbirwa kana achishandisa mishonga iyi. Nekudaro, iwe unofanirwa kuziva izvo zvinogona kuitika mhedzisiro uye zvaunogona kuita kudzivirira kupatira.

Pakati pese, iwe unoda kuve nechokwadi kuti wakanyoroveswa nemvura, kwete kofi kana zvinwiwa zvine kabhoni, anodaro Dr. Curtin. Iwe zvakare unoda kuve nehutano huwandu hwefibre mukudya kwako uye edza kudzora zvakagadziriswa chikafu. Izvo zvakakodzera kuti ubvunze chiremba wako kana paine mamwe maimiriri. Calcium chiteshi ichivharira, inoshandiswa pakukwira kweropa, senge diltiazem, semuenzaniso, vanozivikanwa nekukonzeresa kupatira. Kana paine rimwe kirasi remushonga rinogona kubata dambudziko rehutano, iwe unofanirwa kupihwa sarudzo.

Neraki, pane dzimwe nzira dzakareruka dzisiri dzemishonga yekudzivirira kupatira.

Idya chikafu chepamusoro-fiber

Sanganisira yakakwira-fiber chikafu mune chako chikafu, senge:

• Muriwo : Lentili, bhinzi yeitsvo, mapizi akatsemurwa, nhokwe, nyemba nhema, bhinzi yemarima
• Muriwo : Karoti, beet, broccoli, artichokes, Brussels inomera, kare, sipinashi, madomasi, mbatatisi
• Zvibereko : Maapuro, michero yemichindwe, mapeya, mahabhurosi, avocado, raspberries, mabhanana
• Zviyo : Quinoa, oats, popcorn, chero imwe zviyo zvizere
• Nuts uye mbeu : Maarumondi, mbeu dzechia, coconut, pistachios, walnuts, mbeu yezuva, mbeu yemanhanga
• D chokoreti yeareka : Cocoa zvirimo makumi manomwe kubva muzana kusvika 95% kana kupfuura

Kana kudya kwako kuri kushoma mu fiber, unogona zvakare kutaura nachiremba wako nezvekuwedzera iyo fiber yekuwedzera.

Inwa zvinwiwa zvakawanda

Mvura inoita chikamu chikuru mukuchengetedza muviri wako uine hutano. Izvo zvakakosha kuti uchengetedze fecal nyaya ichiyerera kuburikidza nematumbu. Kunyangwe vanhu vazhinji vakanzwa kuti iwe unofanirwa kunwa magirazi matanhatu kusvika masere emvura pazuva, ungangodaro usingade kudya yakawanda kudaro. Makapu mana kusvika matanhatu emvura pazuva pazuva anowanzo kwana vanhu vane hutano, sekureva Harvard Hutano .

Mimwe mishonga inokonzeresa kuti uchengetedze mvura, uye mamwe mamiriro ehutano anoda kuti iwe uderedze kudya kwako kwemvura. Kana iwe uri kutora mishonga inokonzera kupatira, iwe unofanirwa kutaura nachiremba wako nezvekuti yakawanda sei mvura iwe yaunofanirwa kunwa.

Rovedza muviri nguva dzose

Kurovedza muviri kunogona kudzikisira iyo nguva inotora chikafu kufamba nemukati meura hukuru. Semuenzaniso, kurovedza muviri kweaerobic kunowedzera kufema uye kurova kwemoyo, izvo zvinokonzeresa kudzvanywa kwepanyama kwematumbo ematumbo, kuburitsa zvituru kubva mudumbu nekukurumidza.

Teerera kumutumbi wako

Muviri wako unongokuudza iwe kana yave nguva yekufamba ura. Vamwe vanhu vanoedza kuibata kusvikira vasvika pamba kana mumba yekugezera vari vega. Kuregeredza kukurudzira kunogona kukonzera kupatira, zvinoenderana ne National Institute nezve Kukwegura .

Gadzira tsika yenguva dzose ura

Kudzidzisa ura ndiyo imwe nzira yekutanga tsika. Nguva yakanakisa yekubuda ura maminetsi makumi maviri kusvika makumi mana mushure mekudya. Kuedza kuita ura kufamba zuva nezuva panguva imwe chete. Kukurudzira kwedhijitari kunogona kubatsira. Shandisa nzira iyi mazuva ese kusvikira wagadzira maitiro.

Chii chandinga torere kuumbirwa?

Pamusoro pekushandurwa kwemararamiro, kune akawanda-e-mapikisheni laxatives uye mishonga yemishonga yekudzivirira kuzvimbirwa. Sezvakaita chero mushonga, zvakakosha kutsvaga zano rehunyanzvi kubva kuna chiremba kana wemishonga usati washandisa laxatives. Gara uchiverenga gwara remishonga usati washandisa chero chinotevera zvigadzirwa. Nepo paine mishonga inokonzera kupatira, mamwe anogona kukonzera mamwe matambudziko ekugaya, sekugumbuka kwedumbu, kurutsa, uye manyoka. Bata chiremba wako kana iwe uchirwara nemanyoka, sezvo ichi chingave chiratidzo chekukanganisa fecal.

Over-the-pakaunda laxatives

Fiber-yakavakirwa laxatives , inonzi zvakare yakawanda mafomati, wedzera mvura muzvituru zvako kuti zviite nyoro. Kazhinji fiber-based laxatives inosanganisira:

• FiberCon (calcium polycarbophil)
• Citrucel (methylcellulose fiber)
• Metamucil, Konsyl (psyllium)
• Mubatsiri (gorosi dextrin)

Stool softeners , inonziwo emollient laxatives, wedzera hunyoro kumaturu ako kuti zvive nyore kuapfuura. Kazhinji anoshandiswa stool softeners anosanganisira:

• Colace, Dulcolax Chitsiko Softener (docusate sodium)

Mishonga inokurudzira shanda nekumutsidzira tsinga munzira yako yekugaya, zvichikonzera mhasuru mumatumbo ako makuru kuti utengeke, uchimanikidza chigaro chako kupfuura. Kazhinji anoshandiswa laxatives anokurudzira anosanganisira:

• Correctol, Ducodyl, Dulcolax (bisacodyl)
• Ex-Lax, Senokot (sennosides)

Osmotic laxatives dhonza mvura kubva kumaturu akakomberedza mukati memudumbu wako kuitira kuti zvive nyore kuti chigaro chipfuure ura. Kazhinji anoshandiswa osmotic laxatives anosanganisira:

• Mukaka weMagnesia (magnesium hydroxide)
• Miralax (polyethilini glycol 3350)

Mishonga yekunyorera yekudzivirira

Kune vanhu vazhinji, kuita shanduko yemararamiro uye kushandisa pamusoro-pe-counter laxatives kunobatsira kubvisa kuzvimbirwa. Hunhu hwemunhu wese ura hwakasiyana hazvo. Semuenzaniso, mumwe murwere anogona kunge akashandiswa kuve nemumwe-kana kupfuura-ura-zuva pazuva nepo mumwe murwere achizoshandiswa kumwe kubuda ura mazuva mashoma mashoma. Vanachiremba kazhinji tsanangura kuvharirwa sematumbu matatu kana mashoma pavhiki. Panyaya yekuzvimbirwa kana kupombwa kusingaperi, vanopa hutano vanogona kupa imwe yeanotevera mishonga yemishonga:

• Cephulac, Kristalose (lactulose)
• Linzess (linaclotide)
• Trulance (plecanatide)
• Kuchengetedza (prucalopride)

Mishonga yemishonga yekurapa yeopioid-inosanganisa inosanganisira:

• Movantik (naloxegol)
• Relistor (methylnaltrexone)
• Amitiza (lubiprostone)
• Symproic (naldemedine)