Isifo sikashukela: ukwelashwa kokuqunjelwa kwabanesifo sikashukela

Ukwephulwa kokuhamba kwamathumbu okuhambisana noshukela onezici zokudla okunempilo, ukusetshenziswa njalo kwemithi, kanye nokwephulwa kwemali esele.

Umzimba obuthakathaka wamathumbu odala ukuqunjelwa ku-mellitus yesifo sikashukela kungaba ukubonakaliswa kwe-autonomic diabetesic neuropathy. Ngale nkinga, indawo yokuhlala kanye nokuhlinzekwa kwegazi kuyaphazamiseka. Uma inqubo ifinyelela ezithweni zokugaya ukudla, khona-ke ukusebenza kwabo kwezimoto kuyancipha.

Ukunquma imishanguzo yesifo sikashukela kufanele kunake zonke izinto ezaholela isiguli ezihlalweni ezingekho emthethweni. Ku-mellitus yesifo sikashukela, izidakamizwa ezinjalo zisetshenziswa kucatshangelwa ukulinganiselwa okuhambisana nesifo esikhona.

Izimbangela Zokuqunjelwa Kwejwayelekile Esikhathini Sikashukela

Ngokwezibalo, cishe i-30% yabantu abadala iba nesifo sokuqunjelwa, futhi inikezwe ukuthi umuntu onenkinga enjalo akafuni ukubona udokotela, lesi sibalo singaba sikhulu kakhulu. Ukuqunjelwa kushukela kungadalwa yizimbangela ezijwayelekile ezihambisana nokudla, impilo yokuhlala, noma kube yinkinga yesifo sikashukela.

Imvamisa, ekudleni lapho kunokudla okuncane okufakwe khona i-fiber, i-fiber, kanye nenani lemikhiqizo elivimbela umsebenzi we-motor system wokugaya ukudla kuholela ekwephulekeni kokuhamba kwamathumbu: itiye, isinkwa sikakolweni, ilayisi, ihalananda, i-Persimmon, cocoa, amazambane.

Kubantu asebekhulile, ukuqunjelwa kuyinkinga ejwayelekile, ngoba banezinkinga ngokudla kokuhlafunwayo, ukudla okubunjiwe okukhona ekudleni, ngaphezu kwalokho, bahola isithombe sokuhlala phansi, iningi lokuhlala phansi. Lezi zinto zinciphisa umsebenzi wokuhamba ngesisu nokukhishwa kwesisu, okwenza ukuqunjelwa okuqhubeka isikhathi eside nokuqhubekayo.

Futhi, ukuthuthukiswa kokuqunjelwa kukashukela kungaholela ku:

• Ukuhambisana nokuphumula kombhede kwezifo ezithathelwanayo noma ezinye ezihlangene.
• Yehlise umsebenzi wokuzivocavoca ohambisana nomsebenzi wokuhlala noma impilo ejwayelekile.
• Izifo ezingamahlalakhona zohlelo lokugaya - i-gastritis, ulcer peptic, colitis, cholecystitis.
• I-Pyelonephritis.
• Ama-hemorrhoid noma ama-anal fissures.
• Ukubhema.
• Ukukhulelwa
• Umvuthwandaba
• Ukuthatha umuthi obangela imiphumela emibi ngendlela yokuqunjelwa.

Ukuxhumana phakathi kwesifo sikashukela nokuqunjelwa kubonakala kakhulu kwi-diabetesic autonomic neuropathy, lapho ukuphazamiseka kwegazi kuthikamezeke futhi kuncishiswe ukuhanjiswa okuhambisana nemicu yezinzwa kuholela ekubuthakathaka kodonga lwamathumbu nokuqina okuvilaphayo.

Kunezinhlungu nosizi esiswini, umsebenzi wesisu esiswini, amathumbu amancanyana namakhulu kuvinjelwe, ukuqhakaza, ukuthokomala kuyaphazamisa iziguli, isihlalo somzimba siyindlala futhi ukusizakala okuvamile akusizi.

Inkinga yabanesifo sikashukela ngokunyakaza kwamathumbu esifike ngesikhathi iyanda ngokukhipha amanzi emzimbeni, kuhambisana noshukela ophakeme wegazi. Lapho esekhululiwe, ushukela udonsa amanzi kusuka ezicutshini, kufaka phakathi okuqukethwe kwamathumbu, okuba mnene futhi kube nzima kakhulu ukuhambisa.

Imvamisa ngesifo sikashukela sohlobo 2, iziguli ezinqunywe iMetformin yokulungiswa koshukela wegazi zikhononda ngokuthi ukunyakaza kwamathumbu kwaba nzima.

Lapho kusetshenziswa iMetformin, ukuqunjelwa okukhona ngaphambili kunesikhathi eside futhi kumelana kakhulu nemithi yokuqunjelwa.

Imithi Yokuqunjelwa Ushukela

Ukuqunjelwa kwisifo sikashukela kuphathwa ngokuyinhloko ngokuqina kwegazi glycemia ezingeni lelitshe. Ngaphandle kokubheka ushukela wegazi, akunakwenzeka ukugwema izinkinga zesifo sikashukela, kubandakanya ne-bowel neuropathy. Udinga futhi ukuqapha izinga elanele le-hydration, ugweme ukuthatha ama-diuretics.

Uma ukuqunjelwa kubangelwa ukuthatha iMetformin, kepha udinga ukubona udokotela ukuthi utuse omunye umuthi. Ukuqokwa kokuqunjelwa kunguphawu futhi kungabekwa isikhashana. Izikhalazo ngokuhamba kwesikhathi ziba umlutha futhi zandisa ukubonakaliswa kokuqunjelwa.

Ngokwendlela yokusebenza, izidakamizwa zihlukaniswe ngokuxhumana, zisebenza ngokuqinile, zisebenza ngokuzikhandla, ziba yiziqubu zemali kanye nezimali ezitolo zokuthenga zasendaweni. Izithako zokuxhumana zisebenza kuma-receptors odongeni lwamathumbu, zidale i-peristalsis esebenzayo futhi idedele ngemuva kokuphathwa ngemuva kwamahora we-6- 10. Lokhu kufaka izidakamizwa uSenade, iBisacodyl, i-Castor oil, i-Guttalax.

Izidakamizwa ezinjalo zingasetshenziswa kuphela kwizifundo ezimfushane zokuqunjelwa kwe-atonic nokulungiselela ukuhlinzwa. Ukusetshenziswa kwabo kungadala ukomisa (ngesifo sohudo ngokweqile), ngenkambo ende iba umlutha, futhi ukwanda komthamo kuholela kulimaza imicu yezinzwa yesisu.

Ama-laxatives asebenzayo we-Osmotically afaka:

1. Ukulungiselela okuqukethe i-lactulose: Dufalac, Normase.
2. Amalungiselelo asuselwa kuMacrogol: I-Forlax, i-Fortrans.

Le mishanguzo inyusa umthamo wokuqukethwe kwamathumbu, ivimbela ukumunwa kwamanzi emathunjini. Lokhu kuholela ekukhuthazeni kwemishini futhi kukhishwe ngemuva kwesikhathi esithile kusuka emahoreni amathathu kuya kwayisithupha.

I-Lactulose isho izidakamizwa zesimanje ngokufakazelwa kokuphepha nokufakazelwe, ukusetshenziswa kwayo kukhonjisiwe kushukela futhi maqondana nesici sesibili - esivusa ukukhula kwe-lactobacilli kanye ne-bifidobacteria, okunciphisa inqubo yokugaya kwamathumbu nezinqubo ze-metabolic.

I-Forlax neFortrans zinezici ezihlukile:

• Khulisa okuqukethwe kwamathumbu.
• Gcoba indle.
• Kulula ukuthwala.
• Musa ukudala ukomisa kanye nobuhlungu besisu.
• Awukho umphumela wokulutha.

Ukwelashwa kokuqunjelwa isikhathi eside, ungathatha ama-Fortrans kanye, bese ushintshela kuForlax uma kunesidingo.

Ama-volumetric laxatives akhulisa okuqukethwe kwamathumbu ngenxa yokuthi amunca amanzi futhi avuselele i-peristalsis. Lokhu kufaka i-bran, ulwandle i-kale, ukhula. Umphumela wenzeka ngemuva kwamahora ayi-10. Imvamisa zenza ngobumnene, kepha ukuthokomala nobuhlungu besisu kuyenzeka uma kusetshenziswa.

Ama-emollients afaka i-paraffin ewuketshezi, engagxilwanga emathunjini, kepha idala ifilimu ukwenza lula ukuhamba kwezindlanzana. Umphumela uba khona ngemuva kwamahora angama-2-3, kufanelekile njengokusebenzisa okukodwa ukukhipha amathumbu. Kubangela isicanucanu.

Ukwelashwa kokuqunjelwa ngama-suppositories a-laxative nama-microclysters asetshenziselwa ukukhipha ngokushesha, kunconywa kwiziguli lapho ukucasuka kwamathumbu kungathandeki - ukuvuvukala, ukuguguleka kwenhlabathi. Ihlanganisiwe kuma-hemorrhoids. Izidakamizwa ezidume kakhulu yilezi:

• Amakhandlela nge-bisacodyl.
• Ama-microclysters ama-Normacol.
• Amakhandlela nge-glycerin.
• INorgalax kumashubhu.
• Ama-Microlax microclysters.

Ukuvimbela ukuqunjelwa isifo sikashukela

Ekuqunjelweni okungapheli, ukutusa nge-laxatives akunconywa, ikakhulukazi kwiziguli ezinesifo sikashukela. Lokhu akuphulukisi imbangela yokuvela kwabo, kepha kunciphisa umsebenzi wamathumbu wamathumbu nangaphezulu. Ngakho-ke, ukuze ubuyisele i-stool ejwayelekile, udinga ukuqala ngombuso wokudla namanzi.

Nge-contractility encishisiwe, kunconywa ukufaka i-bran, ithanga, utamatisi, isinkwa se-rye isinkwa, inhlanzi nemikhiqizo yobisi ekudleni. I-Whey iwusizo kakhulu kusifo sikashukela sohlobo 2 kanye nohlobo 1 sikashukela. Kuthuthukisa ukuhamba kwamathumbu, nokuthambisa indle.

Ekuseni ngesisu esingenalutho, kunconywa ukuthatha isipuni samafutha zemifino bese usiphuza ngengilazi yamanzi apholile. Ilayisi, amazambane, inyama enamafutha, ikofi, itiye elinamandla kufanele kungafakwa ngokuphelele ekudleni.

Njengoba i-laxative futhi ngasikhathi sinye sinciphise ushukela wegazi kwiziguli ezinesifo sikashukela (ikakhulukazi ngohlobo lwesibili), kunconyelwa ukudla amajikijolo kamalibhele futhi senze itiye ngamaqabunga alo. Futhi, ukuvimbela ukuqunjelwa kwisifo sikashukela, kusetshenziselwa ukumiselwa kwembewu yefilakisi, amagxolo esihlahla sivame ukwenziwa kanye nezithelo ezibomvu ze-rollan.

Ukuze uqede ukunyakaza okungahambi kahle kwamathumbu, kusetshenziswa izindlela ezilandelayo:

1. Izindlela zokuzivocavoca zokwelapha.
2. Ukwemukelwa kwamanzi amaminerali.
3. Ukuzivocavoca, kufaka phakathi nokuzilolonga.
4. Ukudla ngasikhathi sinye.
5. Isingeniso ekudleni kwemifino eluhlaza, uwoyela wemifino kanye no-bran.
6. Amanzi okuphuza anele
7. Izindlela zokwelapha umzimba - i-electrophoresis, i-SMT.
8. Ukuthuthukiswa kwe-Reflex (ukuvakasha ekuseni endlini encane).

Ividiyo ekulesi sihloko inikela ngamathiphu wendlela yokwelapha ukuqunjelwa kwisifo sikashukela.