Maƙarƙashiya ko lokaci -lokaci

La maƙarƙashiya jinkiri ne ko wahala wajen wucewar kujera. Yana iya zama lokaci -lokaci (tafiya, ciki, da sauransu) ko na kullum. Muna magana ne maƙarƙashiya na kullum lokacin da matsalar ta kasance aƙalla watanni 6 zuwa 12, tare da alamomi da yawa ko kaɗan.

Mitarfitarwa akan kujera ya bambanta daga mutum zuwa mutum, yana kama daga sau 3 a rana zuwa sau 3 a mako. Zamu iya magana game da maƙarƙashiya lokacin da kujerun ke da wuya, bushewa da wahalar wucewa. Yawancin lokaci wannan yana faruwa idan akwai kasa da hanji 3 a mako.

Maƙarƙashiya na iya zama ko dai wucewa (ko ci gaba), wato, kujeru na tsayawa tsawon lokaci a cikin hanji, ko dai m (ko kwashewa), wato suna tarawa a dubura. Matsalolin 2 na iya zama tare a cikin mutum ɗaya.

A Arewacin Amurka, an kiyasta cewa 12% zuwa 19% na yawan jama'a, yara da manya, suna fama da cutar maƙarƙashiya na kullum⁹.

Sanadin

Hanyoyin hanji da ke kwangila

Lokacin narkewa, hanji na yin kwangilar motsa abinci ta hanyar narkar da abinci. Wannan sabon abu na ƙanƙara ana kiransa peristalsis. Idan akwai maƙarƙashiya, peristalsis yana raguwa kuma kujeru suna zama a cikin hanji na dogon lokaci. A cikin mafi yawan lokuta, ba a samo asalin kwayoyin halitta ba kuma an ce maƙarƙashiya “tana aiki”.

Halin cin abinci mara kyau

Yawancin lokaci, maƙarƙashiyar aiki yana haifar da munanan halaye na ci, rashin motsa jiki, damuwa, damuwa, ko kasancewar ciwon basur ko tsutsa ta dubura wanda ke sa mutum ya daina samun ciwon hanji.

Maƙarƙashiya na iya haifar da rashin lafiyar abinci ko rashin haƙuri, musamman ga lactose a cikin madara saniya, yanayin da ba kasafai ake iya tunaninsa ba a cikin yara ƙanana da ke ɗauke da kumburin ciki1,2.

Dena zuwa bandaki

Jinkirta fitowar stool lokacin da sha’awa ta kasance wani dalili na yau da kullun. Tsawon lokacin da suka zauna a cikin hanji, da wuya kujerun su zama kamar duwatsu da wahalar wucewa. Wannan saboda jikin yana sake ɗebo ruwa da yawa daga kan kujera ta hanji. Tsayar da fitarsu na iya haifar da ciwo da tsagewar tsutsa.

Kwance -kwane na sphincter

A cikin wasu mutane, yayin motsawar hanji, tsokar da ke cikin dubura (sphincter anal) ta yi kwangila maimakon annashuwa, wanda ke toshe hanyar saɓo.^{14, 15}. Don bayyana wannan rashin aiki tare mai daidaitawa, hasashe sau da yawa suna nuni ne ga abubuwan tunani¹⁶. A lokuta da yawa, duk da haka, babu wani dalili ko abin da ke haifar da hakan.

Sakamakon

La maƙarƙashiya kuma yana iya fitowa daga mafi hadaddun cuta ko bi da shi (ciwon hanji mai haushi, musamman). Hakanan yana iya zama diverticulitis, raunin kwayoyin halittar hanji (ciwon daji, alal misali), ɓarna na metabolism (hypercalcemia, hypokalaemia), ko matsalar endocrine (hypothyroidism) ko neurological (ciwon sukari neuropathy). , Cutar Parkinson, ciwon kashin baya).

Matsewar hanji

A mafi yawan lokuta, maƙarƙashiya yana haifar da occlusion (ko toshewa) na hanji, wanda yayi daidai da toshewar hanyar wucewar hanji. Maƙarƙashiya yana faruwa kwatsam kuma yana tare da vomiting. Yana buƙatar tuntubar gaggawa.

Mutane da yawa magunguna kuma iya haifar maƙarƙashiya, gami da, a saɓani, wasu laxatives lokacin da aka ɗauka na dogon lokaci, damuwa, damuwa, antidepressants, morphine, codeine da sauran opiates, wasu antispasmodics (anticholinergics), anti-inflammatories, relaxants tsoka, wasu antihypertensives (musamman masu hana tashar alli kamar diltiazem), diuretics, antacids masu ɗauke da aluminium, da sauransu Wasu kari na ƙarfe na iya haifar da maƙarƙashiya, amma ba duka ke da wannan tasirin ba.

A ƙarshe, a cikin ƙananan lokuta, a cikin yara da maƙarƙashiya na iya zama alamar cutar Hirschsprung, cutar da ake samu daga haihuwa wanda ya danganci rashin wasu ƙwayoyin jijiya a cikin hanji.

Yaushe za a yi shawara?

La maƙarƙashiya, musamman idan ta zo ba zato ba tsammani, na iya zama alamar babbar cuta, kamar ciwon daji na hanji. Don haka bai kamata a manta da wannan alamar ba. Yana da kyau a tuntubi likita a cikin waɗannan lamuran.

• Maƙarƙashiya na kwanan nan ko tare da jini cikin stool.
• Bloating, zafi, ko maƙarƙashiya da ke canzawa da zawo.
• Nauyi nauyi.
• Stools da ke ci gaba da raguwa a girma, wanda na iya zama alamar matsalar ciwon hanji mafi tsanani.
• Maƙarƙashiya da ta wuce fiye da makonni 3.
• Maƙarƙashiyar da ke ci gaba da kasancewa a cikin jarirai ko ƙanana ƙanana (saboda dole ne a kawar da cutar Hirschsprung).

Matsaloli da ka iya faruwa

Gaba ɗaya, da maƙarƙashiya yana da kyau kuma yana tafiya da kansa a cikin 'yan kwanaki, godiya ga a abinci saba. Koyaya, idan ya ci gaba, wasu rikitarwa na iya faruwa a wasu lokuta:

• basur ko tsutsa ta dubura;
• toshe hanji;
• rashin daidaiton fecal;
• fecal impaction, wanda shine tarawa da haɗewar busassun kujeru a dubura, wanda ke faruwa galibi a cikin tsofaffi ko kan gado;
• cin zarafin magunguna.