Mavuto ndi zinyumba zimasokonezedwa ndi amayi ambiri. Zifukwa za izi zingakhale zolemetsa , kugwiritsa ntchito chakudya chambiri choyeretsedwa, kumwa mankhwala ena, mimba ndi nthawi yobereka, matenda osiyanasiyana, ndi zina zotero. Ngati zovuta kuthetsa matumbo, monga lamulo, kumwa mankhwala ofewetsa mankhwalawa kumalimbikitsa.
Mankhwala osokoneza bongo ambiri ali osowa, mwachitsanzo, iwo sangathe kuthetsa chifukwa cha kudzimbidwa, koma kokha kamodzi kokha kumatsitsimula chitetezo. Kuwonjezera apo, ambiri a iwo amagwira ntchito pokhapokha poyamba, ndipo kugwiritsa ntchito kwa nthawi yaitali kumayambitsa kuledzera, kusowa mphamvu, komanso kutayika kwathunthu kwa zikhumbo zofuna kudziletsa. Pachifukwa ichi, odwala amene akukumana nawo nthawi zonse amafunika kusankha mankhwala osokoneza bongo, akukumana ndi funso la mankhwala omwe sagwiritsa ntchito mankhwalawa.
Bwanji ngati nditagwiritsa ntchito mankhwala osokoneza bongo?
Monga tatchulidwa kale, kugwiritsa ntchito mankhwala osokoneza bongo kwa nthawi yayitali, thupi limazoloŵera. Makamaka zimakhudza kukonzekera kuchitapo kanthu pazitsamba, zomwe chizoloŵezi chimakula mofulumira kwambiri, ndipo kuti chikwaniritsidwe, nkofunika kuwonjezera mlingo. Kuwonjezera pamenepo, mankhwala enaake amathandiza kuti chitukuko cha dysbacteriosis chikhale chonchi, kuwonongeka kwakukulu, impso ndi chiwindi, komanso kuchepa kwa madzi.
Choncho ngati palibe kuthekera kukana kulandila mankhwala osokoneza bongo, ndiye kuti amafunika kusintha nthawi zambiri. Ndikoyenera kuti tichite chithandizo poyang'aniridwa ndi dokotala yemwe ati adzapereke mankhwala othandizira, omwe amadziwika ndi njira yogwirira ntchito komanso osakakamizidwa.
Mankhwala osokoneza bongo omwe sali oledzera
Pali magulu angapo a mankhwala osokoneza bongo omwe amasiyanasiyana ndi njira. Zina mwa izo, titha kusiyanitsa magulu awiri a mankhwala ofewa ofewa kuti azitha kugwiritsa ntchito mankhwala osamveka popanda kugwiritsa ntchito nthawi yaitali.
Osmotic laxatives
Izi ndizo zothandizira kuthetsa kuvomereza mwa kuwonjezera kukula kwa m'mimba. Pachifukwachi, mankhwalawa akugawanika kukhala mitundu itatu:
- Mafuta a saline - samatengeka pamene amwedwa, amachitapo kanthu m'matumbo. Zotsatira za mankhwalawa zimagwirizana ndi kuthekera kwawo kuwonjezera mphamvu ya osmotic mu lumen wa m'matumbo. Chifukwa cha ichi, madzi a m'magazi a m'magazi ndi matenda a mafuta amakopeka ndi matumbo ndipo amasungidwa mmenemo, kuchititsa kuchepa kwa masamu. Mankhwalawa ndi awa: sodium ndi magnesium sulphate, magnesium hydroxide, mchere wa Carlsbad, ndi ena.
- Macrogol ndi zifanizidwe sizinatangidwenso m'matumbo a m'mimba, zimakhala m'mimba yonse. Mankhwalawa ali ndi mphamvu, kusunga madzi omwe ali m'matumbo, omwe amachititsa kuwonjezeka kwa chiwonongeko. Mankhwala oterewa akuphatikizapo Endofalk, Fortrans, Kutaya, ndi zina zotero.
- Maantibiotiki (omwe sagwidwa ndi chakudya), kuphatikizapo kukonzekera kwa lactulose (Dufalac, Normaise, Prelax, Lactusan, Normolact), fructo-oligosaccharides, inulin. Mankhwalawa amachititsa m'matumbo akuluakulu. Zotsatira zake zimagwirizana ndi osmotic zomwe zimagwiritsidwa ntchito mopangidwa ndi mankhwala opangidwa chifukwa cha kusokoneza kwa mankhwala ndi mabakiteriya m'matumbo akuluakulu. Zotsatira zake, madzi amakopeka ndi lumen ya m'matumbo, ndipo chifukwa cha kuchuluka kwa acidity, kukula kwa tizilombo kumatetezedwa ndi kukula kwa tizilombo toyambitsa matenda kumayambitsa.
Zamadzimadzi akuluakulu
Amadziwika kuti fillers (zakudya zamagetsi). Gulu la laxatives limaimiridwa mwa chilengedwe:
- agar-agar;
- nthata za mbewu za psyllium;
- nyanja ;
- mbewu za fulakesi;
- nthambi;
- kukonzekera Mukofalk ndi ena.
Kuphatikizanso pano ndi kupanga polymer methylcellulose. Mankhwalawa sakhala osakanizidwa komanso osakulungidwa, amasungira madzi m'matumbo, chifukwa chachithunzi chimachepetsa ndi kuwonjezeka.