Magungunan gargajiya ba ya la'akari da wajibi don kiwon lafiya don fitarwa sel a kullum. Sau nawa ka wuce hanji ya dogara da kowane mutum, amma yawanci ana kiransa maƙarƙashiya idan akwai kasa da hanji 3 a mako kuma suna da wuya ko wuyar wucewa.

Likitan zai fara tantance ko na biyu ne (saboda wata cuta) ko maƙarƙashiya na farko. A cikin shari'ar farko, zai yi maganin sanadin ko kuma ya ba da ƙarin gwaje-gwaje, kamar a colonoscopy. Magance naku basur Idan abin ya faru. Yawancin lokaci su ne sanadin ciwon ciki. Idan maƙarƙashiya ta kwanan nan kuma kuna ɗaukar sabo magani, magana da likitan ku. Maganin ku na iya zama sanadin matsalar ku.

Sa'an nan likita zai ƙayyade idan yana da wucin gadi ko maƙarƙashiya.

wucewa maƙarƙashiya

Likita zai fara ba da shawarar canza abinci domin a kara yawan sha fayiloli : raw kayan lambu, dafaffen kayan lambu, legumes, 'ya'yan itatuwa masu arziki a pectin (apple, pear, peach, berries), amma sama da dukan hatsi.

Za mu iya ƙara Bran, sosai high a fiber, ko wasu hatsi a cikin muffin girke-girke, da dai sauransu Don bi da maƙarƙashiya, ana ba da shawarar cinye kusan 1/4 kofin ruwan alkama kowace rana. Cikakkun 'ya'yan itacen ɓaure da ruwan 'ya'yan itacen ɓaure suma suna da matuƙar tasiri wajen kawar da maƙarƙashiya saboda suna ɗauke da sorbitol. na halitta laxative. Adadin yau da kullun na oza 8 yawanci ya isa⁴. Koyaya, wani lokaci yana iya ɗaukar makonni da yawa don jin fa'idodin abincin da aka wadatar da fiber akan hanyar wucewa¹⁹.

A lokaci guda, likita kuma zai ba da shawarar sha isa, yayin da ake guje wa barasa da abubuwan shan caffeinated, wanda ke zubar da ruwa kuma yana iya fusatar da hanji. Duk da haka, idan maƙarƙashiya ya kasance na yau da kullum kuma yana tare da haushi na hanji, ya kamata ku guje wa canza abincin ku ba zato ba tsammani.

Idan maƙarƙashiya ta ci gaba, zai ba da shawarar a mai laxative. Akwai nau'ikan guda 6:

• The ballast laxatives ko taro gabaɗaya mucilages ne ko shirye-shiryen zaruruwan abinci: hydrophilic psyllium muciloid ko methylcellulose. Irin wannan laxative shine mafi laushi akan hanji. Ta hanyar ɗaure da ruwa, zaruruwan suna kumbura, wanda ke taimakawa wajen samar da sako-sako da stools. Girman su yana haifar da peristalsis na hanji, wanda ke motsa stools zuwa dubura. Yana iya ɗaukar ƴan kwanaki kafin tasirin laxative ya bayyana. Ana ba da shawarar shan daidai da sau 5 zuwa 10 na adadin adadin ballast laxative ingested. Misalai sune Metamucil®, Prodiem® da Kellogs Bran Buds®.

  Matsaloli masu yuwuwa: kumburi, gas da cramps. Haɗa su a hankali a cikin abinci yana iyakance waɗannan rashin jin daɗi.

• The emollient laxatives, wanda ke sassauta stool. Misali, docusate sodium (Colace®, Ex-Lax®, Soflax®).

  Matsaloli masu yuwuwa: zawo da ciwon ciki.

• The osmotic laxatives taimaka wajen riƙe ruwa mai yawa a cikin hanji, don haka tausasa stool. Sun haɗa da gishiri (sodium sulfate, magnesium sulfate ko gishiri Epsom), magnesium hydroxide (madara na magnesia), sugars waɗanda ba za a iya haɗa su da hanji ba (lactulose, mannose, mannitol, sorbitol, da dai sauransu) ko glycerin (a matsayin suppository). Polyethylene glycol na tushen laxatives (Miralax®, Lax-A-Day®) maganin laxatives ne na osmotic don manya suna gunaguni na maƙarƙashiya lokaci-lokaci.

  Tasirin sakamako mai yiwuwa: gudawa, iskar gas, maƙarƙashiya, da yawan rashin ruwa.

• The laxatives mai shafawa, wanda ke sanya man stool da sauƙaƙa fitar da su. Yawancin man ma'adinai ne (man paraffin ko petrolatum). Ana iya amfani da su ta baki ko a kai tsaye.

  Matsaloli masu yuwuwa: zawo da ciwon ciki. A yi hattara, kumburin huhu na iya faruwa idan an tsotse mai cikin huhu da gangan.

• The stimulant laxatives yin aiki kai tsaye a kan mucosa na hanji da duk motsin motsi (bisacodyl, anthracene, emulsified castor oil). Suna rage reabsorption na ruwa da electrolytes a cikin hanji. Ana amfani da laxatives masu motsa jiki, waɗanda ke da zafi sosai ga rufin hanji, a matsayin makoma ta ƙarshe. Ba a ba da shawarar su ba idan akwai maƙarƙashiya na kullum. Kada a sha fiye da makonni 1 ko 2 ba tare da kulawar likita ba.

  Matsaloli masu yuwuwa: ciwon ciki, gudawa da zafi mai zafi a cikin dubura.

  Tsanaki. Yawan wuce gona da iri na iya haifar da ciwon hanji mai raɗaɗi, da kuma haifar da ƙarancin matakan sodium da potassium a cikin jini, rashin ruwa da yiwuwar ƙarin matsaloli masu tsanani.

  Gargadi. An hana su ga mata masu ciki da masu shayarwa.

Wasu shirye-shirye sun hada da kwayoyi daga 2 ko 3 daga cikin wadannan kungiyoyi na laxatives.

• Lubiprostone (Amitiza®). Wannan sabon nau'in magani ana nuna shi don maganin maƙarƙashiya na yau da kullun a cikin manya, idan an gaza sauran jiyya.¹⁹. Yana aiki ta hanyar ƙara fitar da ruwa daga hanji.

  Matsaloli masu yuwuwa: tashin zuciya, gudawa, ciwon ciki da iskar gas.

Constaramar maƙarƙashiya

Idan akwai maƙarƙashiya ta ƙarshe, likita na iya ba da shawarar micro enema to zato domin mayar da reflex na ƙaura. Bugu da ƙari, ta hanyar biofeedback, za mu iya sake ilmantar da fasahar motsa jiki na anorectal bayan wani abin da ya faru na maƙarƙashiya na yau da kullum, idan ya cancanta.^{5, 13}.