Kudzimbidwa Ndi Opioid: Momwe Mungapezere Mpumulo

Zamkati

• Mankhwala opatsirana opioid
• Zowonjezera (OTC)
• Mankhwala
• Zithandizo zachilengedwe za kudzimbidwa komwe kumayambitsa opioid
• CHIKWANGWANI chowonjezera
• Aloe vera
• Senna
• Zithandizo zapakhomo zodzimbidwa ndi opioid
• Kutenga

Kudzimbidwa komwe kumayambitsa opioid

Opioids, mtundu wa mankhwala opweteka opatsirana, angayambitse mtundu wina wa kudzimbidwa wotchedwa opioid-induced constipation (OIC). Mankhwala opioid amaphatikizapo mankhwala opweteka monga:

• oxycodone (OxyContin)
• hydrocodone (Zohydro ER)
• codeine
• morphine

Mankhwalawa ndi othandiza chifukwa amaletsa zizindikiro zowawa mwakulumikiza zolandirira m'dongosolo lanu lonse lamanjenje. Ma receptors awa amapezekanso m'matumbo mwanu.

Ma opioid akamagwirizana ndi zolandilira m'matumbo mwanu, zimachulukitsa nthawi yomwe zimatengera chopondapo kuti mudutse m'mimba mwanu.

Kudzimbidwa kumatanthauzidwa kuti kumakhala ndi matumbo osachepera atatu pamlungu. Kulikonse kuchokera pa 41 mpaka 81 peresenti ya anthu omwe amatenga ma opioid chifukwa chakumva kupweteka kosatha khansa. Pali mankhwala ndi zachilengedwe komanso zithandizo zapakhomo zomwe zingakuthandizeni kupeza mpumulo.

Mankhwala opatsirana opioid

Zowonjezera (OTC)

• Chopondapo chopondapo: Izi zikuphatikiza docusate (Colace) ndi docusate calcium (Surfak). Amakulitsa kuchuluka kwa madzi mu colon yanu ndikuthandizira zotchinga kudutsa mosavuta.
• Zolimbikitsa: Izi zikuphatikiza biscacodyl (Ducodyl, Dulcolax) ndi senna-sennosides (Senokot). Izi zimapangitsa kuti matumbo azigwira ntchito powonjezera matumbo.
• Osmotic: Osmotics amathandiza madzi kuyenda m'matumbo. Izi zikuphatikizapo oral magnesium hydroxide (Phillips Mkaka wa Magnesia) ndi polyethylene glycol (MiraLAX).

Mafuta amchere ndi mankhwala otsekemera omwe amathandizanso chopondapo kupyola m'matumbo. Ipezeka ngati njira ya OTC mu mawonekedwe amkamwa ndi thumbo.

Enema kapena suppository yomwe imayikidwa mu rectum imatha kufewetsa ndowe ndikulimbikitsa matumbo. Pali chiopsezo chowononga rectum ngati yayikidwa molakwika.

Mankhwala

Mankhwala ochokera kwa OIC ayenera kuthana ndi vutoli pamizu yake. Mankhwalawa amaletsa zovuta za ma opioid m'matumbo ndikuthandizira chimbudzi kupitilira mosavuta. Mankhwala ovomerezeka kuchiza OIC ndi awa:

• Nthambi (Movantik)
• methylnaltrexone (Wotsalira)
• lubiprostone (Amitiza)
• naldemedine (Symproic)

Mankhwalawa amatha kuyambitsa mavuto, monga:

• nseru
• kusanza
• mutu
• kutsegula m'mimba
• flatulence (mpweya)

Lankhulani ndi dokotala ngati mukukumana ndi zovuta. Zitha kuthandizira kusintha mlingo wanu kapena kusintha mankhwala ena.

Zithandizo zachilengedwe za kudzimbidwa komwe kumayambitsa opioid

Zowonjezera zina ndi zitsamba zitha kuthetsa OIC polimbikitsa matumbo. Izi zikuphatikiza:

CHIKWANGWANI chowonjezera

CHIKWANGWANI chimakhala ndi mankhwala ofewetsa tuvi tolimba chifukwa chimawonjezera kuyamwa kwamadzi m'matumbo. Izi zimapanga chimbudzi chachikulu ndipo zimathandizira chimbudzi kudutsa mosavuta. Zipangizo zowonjezera zowonjezera zowonjezera zimaphatikizapo psyllium (Metamucil) ndi methylcellulose (Citrucel).

Ngakhale ma fiber supplements ndi mankhwala othandiza kudzimbidwa, maphunziro ndi kafukufuku wambiri amafunikira kuti atsimikizire kuyenera kwa zowonjezera zowonjezera kwa OIC.

CHIKWANGWANI chitha kukhala chithandizo cha mtundu wadzimbidwawu, koma ndikofunikira kumwa zakumwa zambiri mukamamwa chowonjezera cha fiber. Ngati simumamwa madzi okwanira, kuchepa kwa madzi m'thupi kumatha kupangitsa OIC kukulirakulira ndikupangitsa kukhudzidwa kwazinyalala.

Muyenera kudya pakati pa 25 mpaka 30 magalamu a fiber tsiku lililonse. Tengani supuni imodzi kapena zitatu tsiku lililonse la Citrucel kapena gwiritsani ntchito Metamucil katatu patsiku. Onetsetsani kuti mwatsatira malangizo pa Citrucel kapena Metamucil zomwe mumagwiritsa ntchito.

Zowonjezera zamagetsi zimatha kuchepetsa kuyamwa kwa mankhwala ena monga aspirin. Lankhulani ndi dokotala musanaphatikizepo chowonjezera cha fiber ndi mankhwala aliwonse omwe mumalandira.

Aloe vera

Aloe vera amathanso kuthandizira OIC. Pakafukufuku wina, makoswe amapatsidwa loperamide pakamwa kuti ayambe kudzimbidwa. Kenako amathandizidwa ndi aloe vera pamlingo wotsatira masiku asanu ndi awiri: 50, 100, ndi 200 milligram (mg) pa kilogalamu iliyonse yolemera thupi.

Kafukufukuyu adapeza kuti makoswe omwe amalandila chovalacho adakulitsa matumbo komanso kutulutsa kwazinyalala. Kutengera ndi kafukufukuyu, mphamvu ya laxative ya aloe vera imatha kupangitsa kudzimbidwa komwe kumayambitsa chifukwa cha mankhwala osokoneza bongo.

Funsani dokotala kapena wazamankhwala musanatenge aloe vera. Zitsamba zingachepetse mphamvu ya mankhwala ena, monga:

• mankhwala ochepetsa mafuta m'thupi
• anti-zotupa
• mankhwala osokoneza bongo

Senna

Senna ndi chomera chachikasu. Masamba ake amakhala ndi mphamvu yotulutsa laxative yomwe ingathandize kutulutsa mwachilengedwe OIC. Zing'onozing'ono zidapeza kuti senna idachita bwino pambuyo poti OIC itamutenga tsiku lililonse kwa masiku asanu ndi limodzi.

Zowonjezera za Senna zimapezeka ngati:

• makapisozi
• mapiritsi
• tiyi

Mutha kugula masamba owuma a senna kuchokera m'sitolo yazakudya zathanzi ndikuwamwetsa m'madzi otentha. Kapena, mutha kugula mapiritsi a sennosides (Senokot) kuchokera kugolosale kapena malo ogulitsa mankhwala.

Mlingo woyambira wachikulire ndi 10 mg mpaka 60 mg tsiku lililonse. Ana ayenera kutenga senna wocheperako, chifukwa chake onetsetsani kuti mwawerenga zolemba za mankhwalawa pamlingo woyenera.

Senna iyenera kutengedwa kwakanthawi kochepa. Kugwiritsa ntchito nthawi yayitali kumatha kuyambitsa kutsekula m'mimba ndikuyambitsa kusamvana kwa ma electrolyte. Zitsambazi zitha kuonjezeranso mwayi wotuluka magazi mukamamwa ndi warfarin (Coumadin), wochepetsetsa magazi.

Zithandizo zapakhomo zodzimbidwa ndi opioid

Njira zochizira kunyumba zingathandizenso OIC kapena kukuthandizani kuthana ndi mavuto. Yesani izi limodzi ndi mankhwala kapena mankhwala achilengedwe:

1. Onjezani zolimbitsa thupi. Kuchita masewera olimbitsa thupi komanso kuchita masewera olimbitsa thupi kumathandizira kutsutsana m'matumbo ndikulimbikitsa matumbo. Ganizirani zolimbitsa thupi kwa mphindi 30 masiku ambiri sabata. Lankhulani ndi dokotala musanayambe kuchita masewera olimbitsa thupi.

2. Imwani madzi ambiri. Kutaya madzi m'thupi kumapangitsa kukhala kovuta kukhala ndi matumbo. Imwani magalasi 8-10 amadzimadzi patsiku. Gwiritsitsani ku:

• madzi
• tiyi
• timadziti
• khofi wopanda pake

3. Idyani fiber yambiri. Lonjezerani kudya kwa fiber mwachilengedwe kuti muchepetse matumbo. Onjezerani zipatso, ndiwo zamasamba, ndi mbewu zonse pazakudya zanu. Zipangizo zabwino kwambiri zimaphatikizapo:

• prunes
• zoumba
• apilikoti
• katsitsumzukwa
• nyemba

Matenda ochulukirapo amatha kuyambitsa kutsekula m'mimba komanso kupweteka m'mimba. Pepani pang'onopang'ono kudya kwanu.

4. Gwiritsani ntchito mankhwala oundana kapena kutentha. Kudzimbidwa kumatha kuyambitsa kupweteka kwam'mimba komanso m'mimba. Ikani compress yotentha kapena yozizira mdera lanu m'chiuno kuti muchepetse kusapeza bwino.

5. Chotsani zakudya zopatsa thanzi m'zakudya zanu. Zakudya zamafuta komanso zopangidwa ndizovuta kukumba ndipo zitha kupangitsa OIC kuipiraipira. Chepetsani kudya zakudya zopatsa thanzi, monga zakudya zosafulumira komanso zosapatsa thanzi.

Kutenga

Ngakhale ma opioid amatha kuchepetsa ululu wanu, pali chiopsezo chodzimbidwa mukamamwa mankhwalawa. Ngati moyo umasintha, mankhwala apakhomo, ndi mankhwala a OTC samapereka zotsatira zomwe mukufuna, lankhulani ndi dokotala wanu za mankhwala omwe angakuthandizeni kuwongolera matumbo anu.