Ukuqunjelwa okubangelwa yiOpioid: Ungakufumana njani ukuNikwa isiqabu

Umxholo

• Amayeza okuqunjelwa opioid
• Ngaphezulu kwekhawuntari (OTC)
• Ummiselo
• Unyango lwendalo lokuqunjelwa opioid
• Ifayibha isongezelelo
• ialoe vera
• ISenna
• Unyango lwasekhaya lokuqunjelwa opioid
• Ukuthatha

Ukuqunjelwa okubangelwa yiOpioid

I-opioids, uhlobo lonyango lweyeza, lunokubangela uhlobo oluthile lokuqunjelwa olubizwa ngokuba yi-opioid-induced constipation (OIC). Iziyobisi ze-Opioid zibandakanya amayeza entlungu anje ngala:

• Oxycodone (OxyContin)
• i-hydrocodone (iZohydro ER)
• ikhowudi
• Imofini

La mayeza ayasebenza kuba athintela imiqondiso yeentlungu ngokuncamathisela kwii-receptors kwinkqubo yakho yeemvakalelo. Ezi receptors nazo ziyafumaneka kwiimbilini zakho.

Xa ii-opioids zinamathela kwii-receptors emathunjini akho, yandisa inani lexesha elithathayo ukuhambisa inkqubo yakho yesisu.

Ukuqunjelwa kuchazwa njengokuhamba ngaphantsi kwamathumbu amathathu ngeveki. Naphi na ukusuka kuma-41 ukuya kuma-81 ekhulwini abantu abathatha i-opioids ngenxa yokuqhawulwa kweentlungu ezingapheliyo. Kukho amayeza kunye namayeza endalo anokukunceda ufumane isiqabu.

Amayeza okuqunjelwa opioid

Ngaphezulu kwekhawuntari (OTC)

• Ukuthambisa ilindle: Oku kubandakanya i-docusate (Colace) kunye ne-docusate calcium (Surfak). Bonyusa inani lamanzi kwikholoni yakho kwaye bancede izitulo zidlule ngokulula.
• Izinto ezikhuthazayo: Oku kubandakanya i-biscacodyl (iDucodyl, iDulcolax) kunye ne-senna-sennosides (Senokot). Oku kubangela ukuba isisu sisebenze ngokwandisa isisu esiswini.
• Osmotics: I-Osmotics inceda ukuhamba kwamanzi kwi-colon. Oku kubandakanya i-magnesium hydroxide yomlomo (i-Phillips Milk yeMagnesia) kunye ne-polyethylene glycol (MiraLAX).

I-oyile yamaminerali sisithambisi sokuthambisa esinceda ilindle ukuba lihambe kwikholoni. Iyafumaneka njengenketho ye-OTC kwifom yomlomo kunye neefonti.

I-enema okanye i-suppository efakwe kwi-rectum inokuthambisa izitulo kwaye ivuselele umsebenzi wamathumbu. Kukho umngcipheko wokonakalisa i-rectum ukuba ifakwe ngokungalunganga.

Ummiselo

Amayeza amiselweyo ngokukodwa kwi-OIC kufuneka anyange ingxaki kwingcambu yawo. La mayeza athintela iziphumo ze-opioid emathunjini kwaye ancede izitulo zidlule ngokulula. Imigqaliselo evunyiweyo kunyango lwe-OIC ibandakanya:

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

La mayeza amiselweyo anokubangela iziphumo ebezingalindelekanga, ezinje:

• isicaphucaphu
• ukugabha
• intloko ebuhlungu
• urhudo
• ingqumbo (irhasi)

Thetha nogqirha wakho xa uneziphumo ebezingalindelekanga. Inokukunceda ukuguqula idosi yakho okanye ukutshintshela kwelinye iyeza.

Unyango lwendalo lokuqunjelwa opioid

Ezinye izongezo kunye namayeza anokuyiphelisa i-OIC ngokuvuselela umsebenzi wamathumbu. Oku kubandakanya:

Ifayibha isongezelelo

Ifayibha inefuthe le-laxative kuba yonyusa ukufunxwa kwamanzi kwikholoni. Ezi fom zezitulo ezinobunzima kwaye zinceda ilindle ukuba lidlule ngokulula. Izihlanganisi ezenza ifayibha eninzi zibandakanya i-psyllium (Metamucil) kunye ne-methylcellulose (Citrucel).

Nangona izongezo zefayibha sisicombululo esisebenzayo sokuqhinwa, izifundo ezingakumbi kunye nophando ziyafuneka ukuze kuqinisekiswe ukusebenza kwezongezo zefayibha ze-OIC.

I-Fiber ingaba yonyango lolu hlobo oluthile lokuqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqha, kodwa kubalulekile ukuba uphuze amanzi amaninzi ngelixa uthatha isongezelelo se-fiber. Ukuba awuseli manzi aneleyo, ukungabikho kwamanzi emzimbeni kunokwenza i-OIC ibe mbi kwaye kubangele ukungqubana kwelindle.

Kuya kufuneka utye phakathi kwama-25 ukuya kuma-30 amagremu efayibha ngosuku. Thatha iipunipoyi enye ukuya kwezintathu zemihla ngemihla zeCitrucel okanye usebenzise iMetamucil ukuya kathathu ngemini. Qiniseka ukuba ulandela umkhombandlela kwiCitrucel okanye kwimveliso yeMetamucil oyisebenzisayo.

Izongezo zefayibha zinganciphisa ukufakwa kwamayeza athile njengeasprini. Thetha nogqirha wakho ngaphambi kokudibanisa isongezelelo sefayibha ngayo nayiphi na amayeza kagqirha.

ialoe vera

I-Aloe vera inokuyikhulula i-OIC. Kwisifundo esinye, iigundane zanikwa ulawulo lomlomo lwe-loperamide ukunyanzelisa ukuqhina. Baye baphathwa nge-aloe vera kwezi dosi zilandelayo iintsuku zasixhenxe: 50, 100, kunye ne-200 milligram (mg) yekilogram nganye yesisindo somzimba.

Uphononongo lufumanise ukuba iigundane ezifumana isicatshulwa ziphucule ukuhamba kwamathumbu kunye nomthamo we-fecal. Ngokusekwe kuphononongo, isiphumo se-laxative se-aloe vera sinokuphucula ukuqunjelwa okubangelwa sisiyobisi.

Nxibelelana nogqirha okanye usokhemesti ngaphambi kokuba uthathe i-aloe vera. I-herb inokunciphisa ukusebenza kwamayeza athile, anje ngala:

• iziyobisi ezinciphisa i-cholesterol
• anti-ukudumba
• iziyobisi zehomoni

ISenna

I-Senna sisityalo esityheli. Amagqabi ayo anefuthe lokuthambisa elinokunceda ngokwendalo ukuyikhulula i-OIC. Into encinci ifumanise ukuba i-senna iphucule i-OIC emva kotyando xa ithathwa yonke imihla kangangeentsuku ezintandathu.

Izibonelelo zeSenna ziyafumaneka njenge:

• njengezingxobo
• iipilisi
• iti

Ungathenga amagqabi e-senna owomileyo kwivenkile yokutya esempilweni kwaye uyipheke emanzini ashushu. Okanye, ungathenga iipilisi ze-sennosides (iSenokot) kwivenkile yokutya okanye kwivenkile ethengisa iziyobisi.

Idosi yokuqala yesiqhelo yabantu abadala yi-10 mg ukuya kwi-60 mg yonke imihla. Abantwana kufuneka bathathe inani elincinci le-senna, ke qiniseka ukuba ufunda ilebheli yemveliso yethamo elicetyiswayo.

I-Senna kufuneka ithathwe ixesha elifutshane. Ukusetyenziswa kwexesha elide kunokubangela urhudo kwaye kubangele ukungalingani kwe-electrolyte. Le mifuno inokunyusa umngcipheko wokuphuma kwegazi xa ithathwa nge-warfarin (Coumadin), igazi elincinci.

Unyango lwasekhaya lokuqunjelwa opioid

Unyango lwasekhaya oluncinci lunokuphucula i-OIC okanye likuncede ulawule ukungonwabi. Zama oku kunye namayeza okanye amayeza endalo:

1.Yandisa imisebenzi yomzimba. Ukuzilolonga kunye nokuzivocavoca umzimba kukhuthaza ukubetha kwendlela yamathumbu kunye nokukhuthaza umsebenzi wamathumbu. Cwangcisa imizuzu engama-30 yokuzivocavoca iintsuku ezininzi zeveki. Thetha nogqirha wakho ngaphambi kokuba uqale umkhuba omtsha wokuzilolonga.

2. Sela ulwelo oluninzi. Ukuphelelwa ngamanzi emzimbeni kwenza kube nzima ukuba nentshukumo yamathumbu. Sela iiglasi eziyi-8-10 zolwelo ngosuku. Ncamathela kwi:

• amanzi
• iti
• ijusi
• ikofu etyutyuziweyo

3. Yitya ifibre ngakumbi. Yongeza ukutya kwefayibha ngokwendalo ukuze ulungelelanise umsebenzi wamathumbu. Yongeza iziqhamo, imifuno, kunye neenkozo ezipheleleyo kukutya kwakho. Imithombo egqwesileyo yefayibha ibandakanya:

• iziqhamo
• Iirayisi
• Iibhilikosi
• i-asparagus
• iimbotyi

Ifayibha eninzi inokubangela ukurhuda kunye nokuxinana esiswini. Yandisa kancinci indlela otya ngayo.

4. Sebenzisa umkhenkce okanye unyango lobushushu. Ukuqunjelwa kunokubangela ukudumba kunye nentlungu esiswini. Faka isicelo sokucinezelwa okufudumeleyo okanye okubandayo kwindawo yakho ye-pelvic ukuze unciphise ukungonwabi.

5. Ukuphelisa ukutya okutyayo. Ukutya okunamafutha kunye nokusetyenzisiweyo kunzima ukwetyisa kwaye kunokwenza i-OIC ibe mandundu. Nciphisa ukutya okutyayo, njengokutya okukhawulezayo kunye nokutya okungenamsoco.

Ukuthatha

Nangona i-opioids inokunciphisa iintlungu zakho, kukho umngcipheko wokuqunjelwa ngelixa uthatha la mayeza. Ukuba utshintsho lwendlela yokuphila, amayeza asekhaya, kunye neyeza ze-OTC aziboneleli ngeziphumo ezinqwenelekayo, thetha nogqirha wakho malunga nemigqaliselo yokunceda ukulawula umsebenzi wamathumbu.