ʻAʻole manaʻo ka lāʻau lapaʻau kahiko he pono ke haʻalele i ke olakino pahu noho i kēlā me kēia lā. ʻO ka pinepine o kou hele ʻana i ka ʻōpū e pili ana i kēlā me kēia kanaka, akā ʻo ia ka mea maʻamau i kapa ʻia ʻo ia Ka hoʻomau inā he emi iho ma mua o 3 mau ʻōpū i kēlā me kēia pule a paʻakikī a paʻakikī paha ke hele.

E hoʻoholo mua ke kauka inā he lua ia (ma muli o kekahi maʻi ʻē aʻe) a i ʻole ka constipation mua. I ka hihia mua, e mālama ʻo ia i ke kumu a i ʻole e kuhikuhi ʻo ia i nā hoʻokolohua hou, e like me a colonoscopy. E mālama i kāu hemorrhoids Ina ua hanaia. ʻO lākou ke kumu pinepine o ka constipation. Inā he mea hou kou constipation a ke lawe nei ʻoe i kahi hou ke lāʻau lapaʻau, e kamaʻilio me kāu kauka. ʻO kāu lāʻau paha ke kumu o kou pilikia.

A laila e hoʻoholo ke kauka inā he transitory a i ʻole constipation terminal.

kōmi paʻa paʻa

Na ke kauka e paipai mua hoololi i ka ai i mea e hoonui ai i ka lawe ana o nā lālā : nā huaʻai maka, nā mea kanu i hoʻomoʻa ʻia, nā legumes, nā huaʻai momona i ka pectin (apple, pear, peach, berries), akā ma luna o nā kīʻaha holoʻokoʻa.

Hiki iā mākou ke hoʻohui lālā, kiʻekiʻe loa i ka fiber, a i ʻole nā ​​cereals ʻē aʻe i loko o nā meaʻai muffin, etc. No ka mālama ʻana i ka Ka hoʻomau, ua ʻōlelo ʻia e ʻai ma kahi o 1/4 kīʻaha o ka palaoa palaoa i kēlā me kēia lā. He mea maikaʻi loa ka paʻakai holoʻokoʻa a me ka wai prune i ka hoʻopau ʻana i ka constipation no ka mea aia lākou i ka sorbitol, a laxative kūlohelohe. ʻO ka nui o kēlā me kēia lā he 8 auneke ka lawa⁴. Eia nō naʻe, hiki i kekahi manawa ke lawe i kekahi mau pule e ʻike i nā pōmaikaʻi o ka meaʻai i hoʻonui ʻia i ka fiber ma ka transit¹⁹.

I ka manawa like, e paipai pū ke kauka inu lawa, ʻoiai e pale ana i ka waiʻona a me nā mea inu caffeinated, e hoʻoheheʻe ʻia a hiki ke hoʻonāukiuki i ke kolo. Eia naʻe, inā lōʻihi ka constipation a hele pū ʻia me ka huhū o ka ʻōpū, pono ʻoe e pale i ka hoʻololi koke ʻana i kāu meaʻai.

Inā mau ka constipation, e paipai ʻo ia a laxative. Aia he 6 mau ʻāpana:

• ka mea laxatives ballast a i ʻole ka nuipaʻa he mucilages a i ʻole nā ​​meaʻai meaʻai i hoʻomākaukau ʻia: hydrophilic psyllium muciloid a i ʻole methylcellulose. ʻO kēia ʻano laxative ka mea maʻalahi loa i ka ʻōpū. Ma ka hoʻopaʻa ʻana me ka wai, pehu nā fibers, e kōkua ana i ka hana ʻana i nā ʻōpū ʻākea a nui. Hoʻoulu ko lākou leo ​​i ka peristalsis o ka ʻōpū, kahi e hoʻoneʻe ai i nā ʻōpū i ka rectum. He mau lā paha e ʻike ʻia ai ka hopena laxative. Manaʻo ʻia e inu i ka like o 5 a 10 mau manawa i ka nui o ka nui o ka ballast laxative i ʻai ʻia. ʻO nā laʻana ʻo Metamucil®, Prodiem® a me Kellogs Bran Buds®.

  Nā hopena ʻē aʻe i hiki: ka peʻa, ke kinoea a me ka ʻōpū. ʻO ka hoʻohui ʻana iā lākou i loko o ka meaʻai e kaupalena ʻia kēia mau pilikia.

• ka emollient laxatives, ka mea e hoopalupalu i ka pehu. No ka laʻana, docusate sodium (Colace®, Ex-Lax®, Soflax®).

  Nā hopena ʻē aʻe i hiki: ʻO ka maʻi ʻaʻai a me ka ʻāʻī o ka ʻōpū.

• ka osmotic laxatives kōkua i ka hoʻopaʻa ʻana i ka wai hou i loko o ka ʻōpū, no laila e hoʻomaʻamaʻa i ka ʻōpala. Loaʻa iā lākou nā paʻakai (sodium sulfate, magnesium sulfate a i ʻole Epsom salt), magnesium hydroxide (milk of magnesia), sugars ʻaʻole hiki ke hoʻohui ʻia e ka ʻōpū (lactulose, mannose, mannitol, sorbitol, etc. ) a i ʻole glycerin (ma ke ʻano he suppository). ʻO nā laxatives-based polyethylene glycol (Miralax®, Lax-A-Day®) he laxatives osmotic i loaʻa no ka poʻe mākua e hoʻopiʻi nei i ka paʻa ʻana i kekahi manawa.

  He hopena ʻaoʻao paha: ʻO ka maʻi maʻi, ke kinoea, ka ʻūhā, a me ka nui o ka dehydration.

• ka lubricant laxatives, ka mea e lubricate i ka stool a maʻalahi i ko lākou haʻalele ʻana. ʻO ka ʻaila mineral pinepine ia (ʻaila paraffin a i ʻole petrolatum). Hiki ke hoʻohana ʻia ma ka waha a i ʻole ka pololei.

  Nā hopena ʻē aʻe i hiki: ʻO ka maʻi ʻaʻai a me ka ʻāʻī o ka ʻōpū. E akahele, hiki mai ka mumū o ke akemāmā ke omo i ka ʻaila i loko o ka māmā.

• ka laxatives hooikaika kino hana pololei i ka mucosa intestinal a me nā neʻe peristaltic āpau (bisacodyl, anthracene, emulsified castor oil). Hoʻemi lākou i ka reabsorption o ka wai a me nā electrolytes i loko o ke kolamu. Hoʻohana ʻia nā laxatives stimulant, kahi mea hoʻonāukiuki loa i ka uhi o ke kolonā, ma ke ʻano he hopena hope loa. ʻAʻole paipai ʻia lākou i ka hihia o paʻa paʻa. ʻAʻole pono e lawe ʻia ma mua o 1 a i ʻole 2 mau pule me ka nānā ʻole ʻana o ke kauka.

  Nā hopena ʻē aʻe i hiki: ʻo ka ʻōpū o ka ʻōpū, ka maʻi ʻaʻa a me ke ʻano wela o ka ʻāʻī.

  Akahele Hiki i ka overdose ke hoʻoulu i ka maʻi palaualelo, a me ke alakaʻi ʻana i nā pae haʻahaʻa o ka sodium a me ka potassium i loko o ke koko, dehydration a me nā pilikia koʻikoʻi paha.

  ʻLelo aʻoaʻo. Ua contraindicated no nā wahine hāpai a me nā wahine hānai.

Hoʻokumu ʻia kekahi mau hoʻomākaukau i nā lāʻau mai 2 a i ʻole 3 o kēia mau pūʻulu laxatives.

• Lubiprostone (Amitiza®). Hōʻike ʻia kēia lāʻau lapaʻau hou no ka mālama ʻana i ka constipation maʻi i nā pākeke, inā ʻaʻole i hana ʻia nā lāʻau ʻē aʻe.¹⁹. Hana ia ma ka hoʻonui ʻana i ka huna ʻana o ka wai mai ka ʻōpū.

  Nā hopena ʻē aʻe i hiki: nausea, nahu, eha opu a me ke kinoea.

maʻi constipation

I ka hopena o ka constipation, hiki i ke kauka ke ʻōlelo microlavements i nā waihona no ka hoʻihoʻi ʻana i ka reflex evacuation. Eia hou, ma ka biofeedback, hiki iā mākou ke aʻo hou i nā mākau kaʻa anorectal ma hope o kahi hanana o ka constipation mau, inā pono.^{5, 13}.