ʻO ka paʻa paʻa manawa a kau ʻole paha

La Ka hoʻomau he lohi a paʻakikī paha i ka hele ʻana i ka pahu. Hiki ke lilo i kekahi manawa i ka manawa (ka huakaʻi, hāpai keiki, a me nā mea ʻē aʻe) a i ʻole mau. Ke kamaʻilio nei mākou paʻa paʻa ke mau ka pilikia ma kahi o 6 a 12 mau mahina, me nā hōʻailona ʻoi aku a ʻoi iki paha.

O ka mc nui ohoʻoneʻe kūpale ʻokoʻa mai kahi kanaka i kekahi kanaka, mai 3 manawa i ka lā a i 3 mau manawa i ka pule. Hiki iā mākou ke kamaʻilio e pili ana i ka paʻa paʻa ke paʻakikī nā ʻōpala, maloʻo a paʻakikī hoʻi e hele. Hana maʻamau kēia inā aia ma lalo o 3 neʻe ʻōpū i kēlā me kēia pule.

Hiki i ka Constipation kekahi ke hele (a i ʻole holomua), ʻo ia hoʻi nā stools stagnate no ka lōʻihi loa i ke kolona maʻi (a i ʻole heʻe ʻana), ʻo ia, hōʻiliʻili lākou i ka pololei. Hiki i nā pilikia 2 ke noho pū i ke kanaka like.

Ma ʻAmelike ʻĀkau, ua manaʻo ʻia he 12% a 19% o ka heluna kanaka, nā keiki a me nā mākua, ʻehaʻeha Ka hoʻomau maʻi⁹.

Nā kumu

Hoʻopili i ka ʻaelike

I ka wā o ka digestion, ʻaelike ka ʻōpū e hoʻoneʻe i ka meaʻai ma o ka digestive tract. Kapa ʻia kēia hanana kuʻikahi he peristalsis. Ina o Ka hoʻomau, hoʻolōʻihi ʻia nā peristalsis a noho mau nā noho ma ke kolon no ka lōʻihi. I ka hapa nui o nā hihia, ʻaʻole loaʻa kahi kumu kūlohelohe a ʻōlelo ʻia ka constipation he "hana".

Nā ʻano ʻai maikaʻi ʻole

ʻO ka hapa nui o ka manawa, hoʻokumu ʻia ka paʻa paʻa hana e ʻano ʻai maikaʻi ʻole, hana ʻole i ke kino, hoʻoluhi, hopohopo, a i ʻole ke kū ʻana o ka hemorrhoids a i ʻole nā ​​ʻāpana anal e hoʻonāukiuki ai ke kanaka i ka neʻe ʻana o ka ʻōpū.

ʻO ka hopena Constipation ka hopena o nā meaʻai āpau a i ʻole intolerances, keu hoʻi i ka lactose i ka waiū pipi, kahi kūlana i liʻiliʻi loa ma mua o ka manaʻo o kekahi i nā keiki ʻōpio me ka constipated kronically1,2.

Ke hōʻole nei i ka hele ʻana i ka lua

Hoopanee i ka hoʻokuʻu ʻia ʻana o ka pahu ke ʻike ʻia ka ʻiʻini kekahi kumu maʻamau o ka constipation. ʻO ka lōʻihi o ko lākou noho ʻana i ke kolona, ​​ʻo ka paʻakikī ka lilo ʻana o nā noho i mea e like me nā pōhaku a paʻakikī hoʻi e hele. ʻO kēia no ka lawe hou ʻana o ke kino i ka wai he nui mai ka pahu mai ma o ke kolona. ʻO ka paʻa ʻana i kā lākou neʻe ʻana hiki ke hōʻeha i ka ʻeha a me nā ʻāpana anal.

Ka hana a ka sphincter

I kekahi poʻe, i ka wā o ka ʻōpū, ʻo ka mākala ma ka anus (ka anal sphincter) e ʻaelike ma kahi o ka hoʻomaha ʻana, ka mea e ālai ai i ka hele o ka noho.^{14, 15}. E wehewehe i kēia maikaʻi ʻole ka hoʻopili ʻana o nā reflexes, kuhi pinepine ke kuhiakau i nā kumu psychological¹⁶. I nā manawa he nui, eia nō naʻe, ʻaʻohe kumu a me ka hoʻoheheʻe ʻana.

ʻO kahi hopena

La Ka hoʻomau hiki ke hopena mai maʻi ʻoi aku ka paʻakikī aiʻole e hele pū me ia (irritable bowel syndrome, keu). Hiki iā ia ke diverticulitis, kahi leona ʻona o ke kolona (cancer cancer (colorectal cancer, no ka laʻana), kahi mea maʻamau o ka metabolism (hypercalcemia, hypokalaemia), a i ʻole kahi pilikia endocrine (hypothyroidism) a i ʻole neurological (neuropathy diabetic). , Maʻi ʻo Parkinson, maʻi ʻōiwi).

Kūlaha pila

I nā hihia maʻamau, hoʻokumu ʻia ka constipation e mele iki (a i ʻole ālai ʻia) ʻōpū, i kūlike i ka blockage holoʻokoʻa o ka lawe ʻōpū. Kū koke ka Constipation a hele pū me luaʻi. Pono ia i ke kūkākūkā kūkā.

Many nā lāʻauʻona hiki i ke kumu Ka hoʻomau, me, paradoxically, kekahi mau laxatives ke lawe ʻia no nā wā lōʻihi, ke kūpikipiki, nā antidepressants, morphine, codeine a me nā opiates ʻē aʻe, kekahi mau antispasmodics (anticholinergics), anti-inflammatories, nā mea hōʻoluʻolu o nāʻiʻo, kekahi mau antihypertensives (ʻo ia hoʻi nā blockers o ka puna calcium e like me diltiazem), diuretics, ʻO nā antacids i loko o ka aluminika, a me kekahi mau mea. Hiki i kekahi mea hoʻohui hao ke kumu i ka paʻa paʻa ʻana, akā ʻaʻole ka hopena āpau kēia.

ʻO ka hope loa, i nā hihia kakaʻikahi, i ka keiki a Ka hoʻomau he hōʻailona paha ia o ko Hirschsprung maʻi, he maʻi i loaʻa mai ka wā hānau e pili ana i ka loaʻa ʻole o kekahi mau aʻa nerve i loko o ka ʻōpū.

Āhea e kūkākūkā ai?

La Ka hoʻomau, keu hoʻi ke hiki koke mai, hiki i hōʻailona o kahi maʻi koʻikoʻi, e like me ka maʻi ʻaʻai kolona. No laila ʻaʻole pono e nānā ʻia kēia ʻōuli. He ʻōlelo aʻoaʻo e nīnau i ke kauka i nā hihia aʻe.

• ʻO ka constipation hou a i ukali ʻia paha e ke koko i ka pahu holo.
• ʻO ke koko, eha, a i ʻole ka constipation e kūlia me ka diarrhea.
• Kaumaha emi.
• Nā ʻōpū e hoʻēmi mau nei i ka nui, he hōʻailona paha ia o kahi pilikia ʻōpū ʻoi aku ka hewa.
• ʻO ka paʻa paʻa i ʻoi aku ma mua o 3 mau pule.
• ʻO ka paʻa paʻa e mau ana i nā keiki hānau a i ʻole nā ​​keiki ʻōpio loa (no ka mea e hoʻokau ʻia ka maʻi ʻo Hirschsprung).

Nā pilikia i hiki

I mau, me ka Ka hoʻomau maikaʻi a hele aku i kāna iho i loko o kekahi mau lā, mahalo i ka ʻai Hoʻololi. Eia naʻe, inā mau ia, hiki i kekahi mau pilikia i kekahi manawa:

• hemorrhoids a i ʻole fissures anal;
• ālai ʻōpū;
• hiki ʻole i ka fecal;
• ka fecal impaction, ʻo ia ka hōʻiliʻili a me ka hoʻopili ʻana o nā noho maloʻo i ka poli, i ka hapanui o nā ʻelemākule a moe paha;
• hoʻomāinoino i nā laxatives.