Yiyiphi i-laxative efanelekileyo kuwe?
Amathambo amaninzi afumaneka njengamachiza angaphezulu kwe-counter (i-OTC), kwaye abantu bahlala bewasebenzisa kakubi. Uninzi lwabantu abasebenzisa i-laxatives abayidingi, kwaye ukusetyenziswa kwexesha elide kwelaxatives kunokuba neziphumo ezinzulu zempilo ezinjenge-derabolites (izilwanyana zomzimba), ukungcolisa amanzi, ukulimala kweentso kunye nokufa.
Esikhundleni sokuthenga i-laxative ngaphezulu-counter-constipation, kufuneka uqale uzame ukutya okuphezulu-fiber, ukutya okunesisindo, ukuvuthwa rhoqo, kunye nokuhlambulula ucoceko olufanelekileyo lokuhlamba.
Ngokukhethekileyo, kufuneka usebenzise indlu yokuhlambela xa uziva unqwenela kwaye ubaleke "ukubamba." Ukuba le miqathango ihluleka ukusebenza, kufuneka udibane nodokotela ukuze uxoxe ngokusetyenziswa kwe-laxative ngakumbi ukuba uceba ukuthatha i-laxatives ngaphezu kweentsuku okanye ezimbini.
I-over-counter-counter-laxatives ihlelwa ngokweendlela ezine eziphambili zenkqubo:
- ekwenzeni ngobuninzi
- abancinci
- iziphumo ze-osmotic
- iziphumo ezivuselelayo
Ingqalelo, ezinye zala macala zisebenza ngokuhlanganiswa kwezi ndlela.
Laxatives zokuBumba
Njengoko igama labo libonisa, i-laxatives eyenza i-bulk isebenza ngokugubungela isitulo sakho. Ezi ziqhekeza zenziwe ngeenxalenye ze-indigestible (colloid) ezithatha amanzi. Xa i-laxatives eninzi igalela amanzi, ibangela ukujikeleza kweembilini kunye nokunyakaza kwentsholongwane ngemivalo ye-muscular contractions (peristalsis).
Izixube ezinobuninzi zivame ukuba zenziwe ngeefayili zityalo ezifana ne-methylcellulose. Xa iibhaktheriya ezihlala emathunjini akho zigawula ezi zintambo zezityalo, i-flatus eyongezelelekileyo kunye nokuqhaqha isiphumo.
Nazi ezinye i-laxatives ezininzi ezingaphezulu kwee-counter:
- I-FiberCon (i-polycarbophil)
- Iprogram (i-methylcellulose)
- I-Metamucil (psyllium)
- IKonsyl (psyllium)
Stool Softeners
I-softol okanye i-stool i-agents ebenzileyo isebenza ngokuvumela amanzi kunye neenqatha ukuba zihluthe i-stool yakho kwaye zenzeke lula. I-Stool softeners ingathathwa ngomlomo okanye ngokusemthethweni (cinga i-Fleet suppositories okanye i-Fleet enemas).
Nazi ezinye ze-soft-counter softol:
- Colace (docusate)
- Surfak (docusate)
- I-Phillips 'Stool Softener Liquid Gels (docusate)
- ioli
- I-Pedia-lax (i-glycerin suppository)
Ingqalelo, ioli ye-mineral isetyenziselwa ukugcoba isitulo kubantwana nakubantu abanokukhubazeka. Ukuze kulungiswe, ioli yomgubo kufuneka idibaniswe nejusi. Ukongezelela, i-docusate kunye ne-glycerin suppositories ziqhelekelelwe kwisigulana okanye esibhedlele ukukhusela ukuxotshwa.
Nceda ugcine ukhumbule ukuba ukusetyenziswa kwexesha elide lokunciphisa izitofu kungabangela ukuba (i-fat-soluble) i-vitamin A, D, E ne-K.
Laxatives ezikhuthazayo
Inyaniso iyatshelwa, asiyiqondi kakuhle indlela i-laxative okanye i-cathartics evuselelayo ngayo. Siyazi ukuba ngokukhawuleza ivuselela inkqubo yeentlungu zesisu kunye ne-electrolyte kunye nokugcinwa kwamanzi ngamanzi.
Kwexesha elithile, oogqirha banenkxalabo yokuba ukusetyenziswa kwexesha elide lamathambo avuselelekileyo kunokukhokelela ekuxhomekeke kwizigulane kula mayeza. Ngaphezu koko, oogqirha banenkxalabo yokuba la maqhinga angonakalisa inkqubo yeentlungu zamathumbu (i-myenteric plexus).
Uphando olutshanje, nangona kunjalo, lubonisa ukuba ukusetyenziswa kwexesha elide laxic ekhuselekileyo mhlawumbi likhuselekile.
Nangona kunjalo, abantu abodwa abamele bathathe la maqhinga amade kwixesha elide kwizigulane okanye izigulane kwiindawo zokunyamekela kwexesha elide ezinokukhubazeka kwamagciwane kunye nokungakwazi ukuhamba ebhedeni.
Nazi ezinye zeempawu ze-OTC ezixubileyo:
- Dulcolax (bisacodyl)
- Fleet bisacodyl
- Senokot (senna)
- cascara
- I-Ex-Lax (i-sennosides)
- icastor oyile
- aloe
I-Osmotic Laxatives
I-laxatives ye-Osmotic yimixube engabonakaliyo kunye ne-soluble compounds ezenza amanzi angama-fecal kwi-colon nge-osmosis. Ngaloo ndlela, i-osmotic laxatives iphosa isitulo sakho.
Nayi imimiselo ye-laxatives engaphezulu kwe-counter-omotic:
- ubisi lwe-magnesia (i-magnesium hydroxide)
- sorbitol
- MiraLax (i-polyethylene glycol)
Nceda ugcine engqondweni ukuba i-laxatives iyasetyenziswa ngokugqithiseleyo njengoncedo lwexeshana, kwaye kufuneka uqhagamshelane nodokotela wakho ngaphambi kokuba uwasebenzise. Ungalokothi unike umntwana unxilongo ngaphandle kokuthetha nodokotela wezilwanyana kuqala.
ILizwi
Enye yezinto ezimbi kakhulu ongayenza kunye ne-laxatives ukuzisebenzisa njengonyango lwangexesha elide ngenxa yonyango olongezelelekileyo lwezempilo kwaye ngaloo ndlela udibanise ingxaki efuna ukuqwalaselwa ngokukhawuleza. Ngokomzekelo, umdlavuza wekoloni unokubangela ukumbathiswa ngendlela yokukhusela.
Nceda ugcine engqondweni ukuba-njengawo onke amayeza-kungcono ukunqanda ingxaki kwindawo yokuqala kunokuthatha amachiza ukuyiphatha. Ukuba ufumana ukumbathiswa, yinto efanelekileyo ukudibana nodokotela wakho kwaye uxubushe ngokutya, ukusetyenziswa kwamanzi, ukusetyenziswa, kunye nezindlela zangasese. Iinguqulelo zendlela yokuphila zihlala zikunceda ukunqanda ukuzitywa kunye nokunciphisa imfuno yelaxatives.
> Imithombo:
> Acosta A, Tangalos EG, uHarari D. Ukubambisana. Ku: I-Halter JB, i-Ouslander JG, i-Studenski S, i-KP ephezulu, i-Asthana S, i-Supiano MA, i- Ritchie C. eds. I-Gazethi yeGeriatric Medicine neGerontology, i-7e eNew York, i-NY: McGraw-Hil
> McQuaid KR. Iziyobisi ezisetyenziselwa unyango lwezifo zesisu. Ku: Katzung BG, Trevor AJ. eds. I-Basic & Clinical Pharmacology, 13e . New York, NY: McGraw-Hill; 2015.
> FDA. Sebenzisa ii-Laxatives ezithile ngeCaution. NgoJanuwari 1, 2014. www.fda.gov.