Opioid-Inokonzereswa Kuzvimbirwa: Maitiro Ekuwana Rubatsiro

Zvemukati

• Opioid-inokonzera kupatira mishonga
• Over-the-counter (OTC)
• Chiremba
• Natural mishonga yekurapa opioid-inosungirirwa
• Fiber yekuwedzera
• Aloe vera
• Senna
• Mishonga yekumba yeopioid-inosungirirwa kubatira
• Kutora

Opioid-inosimudzira kupatira

Opioid, mhando yemishonga inorapwa yekurapwa, inogona kukonzeresa imwe mhando yekuzvimbirwa inozivikanwa seopioid-indip constipation (OIC). Mishonga yeOpioid inosanganisira mishonga yekurwadziwa yakadai se:

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

Iyi mishonga inoshanda nekuti inovhara maratidzo ekurwadziswa nekusungira kune zvinogamuchirwa mukati meyese system yako. Izvi zvinogamuchirwa zvinowanikwawo muura hwako.

Kana maopioid akanamira kune anogamuchira mumatumbu ako, inowedzera iyo nguva yenguva inotora chigaro kuti ipfuure nepakati pematumbo ako masisitimu.

Kuzvimbirwa kunotsanangurwa sekuva nemanyoro mashoma pane matatu pavhiki. Kwese kupi kubva pa41 kusvika ku81 muzana yevanhu vanotora maopioid echirwere chisingaperi, chisina gomarara chinorwadza. Kune mishonga uye zvakasikwa uye zvekumba mishonga inogona kukubatsira iwe kuwana zororo.

Opioid-inokonzera kupatira mishonga

Over-the-counter (OTC)

• Chitsigiso softener: Izvi zvinosanganisira docusate (Colace) uye docusate calcium (Surfak). Ivo vanowedzera huwandu hwemvura mukoloni yako uye vanobatsira zvituru kupfuura nyore.
• Zvinokurudzira: Izvi zvinosanganisira biscacodyl (Ducodyl, Dulcolax) uye senna-sennosides (Senokot). Izvi zvinokonzeresa ura nekuwedzera ura hwemukati.
• Osmotics: Osmotics anobatsira mvura inofamba kuburikidza nekoloni. Izvi zvinosanganisira zvemumuromo magnesium hydroxide (Phillips Mukaka weMagnesia) uye polyethylene glycol (MiraLAX).

Mineral oiri inogadzira laxative iyo inobatsirawo chigaro kufamba kuburikidza nekoloni. Inowanikwa sechisarudzo cheOTC mumuromo uye rectal fomu.

Enema kana suppository yakaiswa mukati meye rectum inogona kupodza zvituru uye kukurudzira chiitiko chemuviri. Pane njodzi yekukuvadza rectum kana ikaiswa zvisizvo.

Chiremba

Mishonga yekunyorerwa yakanangana neOIC inofanira kubata dambudziko pamudzi wayo. Iyi mishonga inovhara mhedzisiro yeopioid mudumbu uye kubatsira zvituru kupfuura nyore. Zvinyorwa zvinotenderwa kurapwa kweOIC zvinosanganisira:

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

Iyi mishonga yemishonga inogona kukonzera mhedzisiro, senge:

• kusvotwa
• kurutsa
• musoro
• manyoka
• kugadzikana (gasi)

Taura nachiremba wako kana iwe ukava nemhedzisiro. Zvinogona kubatsira kugadzirisa yako dosi kana kuchinjira kune mumwe mushonga.

Natural mishonga yekurapa opioid-inosungirirwa

Zvimwe zvinowedzera uye miriwo zvinogona kusunungura OIC nekusimudzira ura. Izvi zvinosanganisira:

Fiber yekuwedzera

Fiber ine laxative mhedzisiro nekuti inowedzera kunwa kwemvura mukoloni. Izvi zvinogadzira zvituru zvine simba uye zvinobatsira zvituru kupfuura nyore. Yakawanda-inogadzira fiber zvinowedzera zvinosanganisira psyllium (Metamucil) uye methylcellulose (Citrucel).

Kunyangwe faibha zvinowedzeredza iri mushonga unoshanda wekuzvimbirwa, zvimwe zvidzidzo nekutsvagisa zvinodiwa kuti zvioneke kushanda kweye fiber zvinowedzeredza zveOIC.

Fibha inogona kurapwa iyi yakasarudzika mhando yekuzvimbirwa, asi zvakakosha kuti unwe mvura zhinji uchitora fiber yekuwedzera. Kana iwe ukasanwa zvinwiwa zvakakwana, kupera mvura mumuviri kunogona kuita kuti OIC iwedzere uye kukonzera kusagadzikana kwemufecal.

Iwe unofanirwa kudya pakati pe25 kusvika makumi matatu magiramu e fiber pazuva. Tora imwe kana matatu mashupuni ezuva nezuva eCitrucel kana kushandisa Metamucil kusvika katatu pazuva. Ive neshuwa yekutevera madhairekitori eCitrucel kana Metamucil chigadzirwa chaunoshandisa.

Fiber zvinowedzera zvinogona kudzikisa kunwa kwemimwe mishonga yakadai saasipurini. Taura nachiremba wako usati wasanganisa iyo fiber yekuwedzera nechero mishonga yemishonga.

Aloe vera

Aloe vera inogona zvakare kusunungura OIC. Mune kumwe kuongorora, makonzo akapihwa mukanwa kutungamirwa kwe loperamide kukurudzira kupatira. Ivo vakabva varapwa nealoe vera mune anotevera madhizaini kwemazuva manomwe: 50, 100, uye 200 milligram (mg) yekirogiramu imwe yehuremu hwemuviri.

Chidzidzo chacho chakawana kuti makonzo aigamuchira dhizaini aive avandudza hutumbo motility uye huwandu hwetsvina. Kubva pane chidzidzo, laxative mhedzisiro yekoe vera inogona kusimudzira kuzvimbirwa nezvinodhaka.

Bvunza chiremba kana wemishonga usati watora aloe vera. Miriwo inogona kudzora kushanda kwemimwe mishonga, yakadai se:

• cholesterol-kudzikisa zvinodhaka
• anti-kuzvimba
• mahormone zvinodhaka

Senna

Senna chirimwa chine maruva yeyero. Mashizha awo ane laxative athari iyo inogona kubatsira zvakasununguka kubvisa OIC. Chinhu chidiki chakawana kuti senna yakavandudzwa mushure mekuvhiya OIC painotorwa zuva nezuva kwemazuva matanhatu.

Senna zvinowedzera zviripo se:

• capsules
• mahwendefa
• tii

Unogona kutenga yakaoma masenna mashizha kubva kune chikafu chikafu chitoro uye kuabika iwo mumvura inopisa. Kana, iwe unogona kutenga mapiritsi e-sennosides (Senokot) kubva kugirosari kana kuchitoro chemishonga.

Iyo yakajairwa yekutanga dosi yevakuru ndeye 10 mg kusvika 60 mg zuva nezuva. Vana vanofanirwa kutora shoma shoma yesenna, saka ive shuwa kuti uverenge chigadzirwa chigadzirwa chematanho akakurudzirwa.

Senna inofanirwa kutorwa kwenguva pfupi. Kushandiswa kwenguva refu kunogona kukonzera manyoka uye kukonzeresa kusaenzana kwe electrolyte. Iyi miriwo inogona zvakare kuwedzera njodzi yekubuda ropa painotorwa newarfarin (Coumadin), ropa rakaonda.

Mishonga yekumba yeopioid-inosungirirwa kubatira

Mishonga mishoma yekumba inogona zvakare kuvandudza OIC kana kukubatsira iwe kugadzirisa kusagadzikana. Edza izvi pamwe chete nemishonga kana mishonga yechisikigo:

1. Wedzera chiitiko chemuviri. Kuita maekisesaizi uye kuita kwomuviri kunomutsa kupokana mudumbu remukati uye kukurudzira chiitiko chemuviri. Chinangwa kwemaminitsi makumi matatu ekurovedza muviri mazuva mazhinji evhiki. Taura nachiremba wako usati watanga maitiro matsva ekurovedza muviri.

2. Inwa mvura yakawanda. Kupererwa nemvura mumuviri kunoita kuti zviome kuve nekufamba kwematumbu. Inwa 8-10 magirazi emvura pazuva. Namatira ku:

• mvura
• tii
• zvinwiwa
• kofi yakasviba

3. Idya fiber yakawanda. Wedzera fiber yaunodya zvakasikwa kuti uratidze ura chiitiko. Wedzera michero, miriwo, uye zviyo zvakakwana kuchikafu chako. Kwakanaka masosi e fiber anosanganisira:

• michero
• mazambiringa akaomeswa
• apurikoti
• asparagasi
• bhinzi

Fibha yakawandisa inogona kukonzera manyoka uye kupwanya mudumbu. Zvishoma nezvishoma wedzera kudya kwako.

4. Shandisa chando kana kupisa kupisa. Kuzvimbirwa kunogona kukonzera kuzvimba uye kurwadziwa nemudumbu. Nyorera inodziya kana inotonhora compress kunzvimbo yako yepelvic kuti usunungure kusagadzikana.

5. Bvisa chikafu chinokonzera kubva pane zvaunodya. Zvikafu zvine mafuta uye zvakagadzirwa zvakaoma kugaya uye zvinogona kuita kuti OIC iwedzere. Deredza kudya kwako kwekudya kwekutanga, senge zvekukurumidza kudya uye zvisingavaki chikafu.

Kutora

Kunyangwe maopioid anogona kudzikisa marwadzo ako, pane njodzi yekuzvimbirwa panguva yekutora iyi mishonga. Kana mararamiro achichinja, mishonga yekumba, uye mishonga yeOTC haipe zvaunoda, taura nachiremba wako nezvezvakanyorwa kuti ubatsire kutonga ura hwako.