Izimpawu zokuLawula kunye nezinye iziNyango
I-diarrhea ayikho into eninzi abantu abaziva bekhululekile ukuthetha ngayo, kodwa uxinzelelo olubangelwa uhudo olunamandla lunokuba luncedo olukhulu kwisigqibo sokuyeka iziyobisi kubasebenzisi abaninzi beziyobisi. I-diarrhea kunye neentlungu zesisu ezisuka kwihudo ziyakhupha iimpawu phakathi kwabantu abaye banamalathisi ngamachiza, ngakumbi i-opiates, okanye nangemva kwexesha lokusetyenziswa kweziyobisi ezinzulu.
Iimpawu zingaphuma kwi-mild to severe.
Iingcebiso zeDirarhea kunye nesisu seSisu
Ezi zicwangciso ezilandelayo zinganceda ukulawula isifo sohudo, izifo zesisu, isisu, nokuhlanza:
- Enye yemingcipheko ephambili yokurhuda ididrha yonakalisa amanzi, ngoko-ke yenza amanzi amaninzi.
- Ukulahleka kwamanzi akuyona yodwa ingxaki yokuphelelwa ngumzimba. Unobungozi bokulahlekelwa kwe-electrolytes, ingakumbi ukuba uhlamba kakhulu. Ukuphuza amanzi okuphucula amanzi, okufumaneka kwiivenkile zezilwanyana, kunokukunceda ukuphepha oku.
- I-yogurt kunye neenkcubeko eziphilayo / ezisebenzayo ziqulethe iibhaktheriya ezithi, ngezinye iimeko, zinokunceda ukunciphisa ubunzima kunye nobude bexesha lohudo oludlulayo.
- Gwema iziphuzo ezifudumeleyo, izithelo eziqiniweyo kunye nokutya okunesonka, ezinokubangela ukuba i-sparms idale isifo sohudo kunye nobuhlungu besisu.
- Ukutya kwe-Bland, njenge-toast white, ilayisi emhlophe kunye neebhanana kunokunceda. Ukuba ukhathazeka ngokukrazula isisulu kunye nokuhlanza, unokukhetha ukunqanda ukutya kuze kube yilapho isigaba sokuqala sokugxotha esikhatywayo siphelile.
- Amachiza amaninzi, njenge-Kaopectate, i-Pepto-Bismol (i-bismuth) okanye i-imodium (i-loperamide) inokunceda ukulawula isifo sohudo kunye nokunciphisa intlungu.
Kutheni i-Diarrhea kunye nesisu seMpawu zokuLawula iimpawu zenzeke?
Xa iziyobisi okanye utywala zisetyenziselwa rhoqo, ingqondo kufuneka ilungelelanise neenguqu ekusebenziseni i-neurotransmitters, iikhemikhali kwingqondo echaphazela inkqubo ye-nervous.
Xa ezi zinto zivaliwe, iyanceda ukuba ingqondo nomzimba kuguqulwe kwakhona, kudala iimpawu zokukhutshwa ngokomzimba nangokwengqondo.
I-diarrhea, intlungu yesisu, nokuhlanza zivame ukufumana abantu abadlulayo kwi-opioids kunye nezinye iziyobisi. Nangona oku kungasabela ngokuqhelekileyo ngomzimba, ubunzima kunye nokuphazamiseka kwamava kunancitshiswa ngonyango oluchanekileyo. Ngako oko, yinto efanelekileyo ukuthetha kunye nekhemistiki okanye ugqirha ukuba ucebise malunga neyeza-anti-counter.
Nangona kunjalo, kubalulekile ukuba uqaphele ukuba kukho ezinye izizathu zokudwelisa, kwaye kubalulekile ukuba ufumane ukuxilongwa nokuchaneka ngokuchanekileyo. Ngokomzekelo, uluhlu lweentsholongwane zentsholongwane kunye neentsholongwane zingabangela uhudo, kwaye lunokuba ngumphumo wokungcola ukutya okungcolileyo, amanzi, okanye iziyobisi, okanye ngemisebenzi ethile yesondo. I-diarrhea ingaba nomphumo wesinye sezilwanyana.
Ukunyanga ukutyhila amanzi
Ukuxhatshazwa kwamanzi kuyenzeka xa umzimba wakho ulahlekelwa ngumbane omkhulu kunye ne-electrolytes ngokucoca, ukujuluka, ukuhlanza, kunye / okanye urhudo. Nangona kunjalo, ukusela kuphela amanzi, ngokukodwa ngokukhulu kakhulu, kunokulimaza kwaye kunokukhokelela ekuxhatshaxisweni kwamanzi , okunokubangela ukongamela ubomi. Ngesi sizathu, ukuba unesifo sohudo esinamandla, kufuneka uphuze umthamo wokungena emzimbeni-okhoyo kwiindawo zokuthengisa izidakamizwa - kunokuba amanzi ahlaziye athathe indawo yamanzi alahlekileyo.
Ungongeza kwakhona i-teaspoon yeshukela kunye neyipuni yepuni yetyuwa ezimbini ukuya kweekitha ezimbini zamanzi ukuze wenze umbane wakho ongezantsi. Ijusi yezithelo nayo inokukunceda ukutshintsha i-electrolytes elahlekileyo, kodwa inokukhuphula ihudo. Thetha ugqirha okanye wezemistri ukuze ucebise ngendlela efanelekileyo yokutshintsha amanzi alahlekileyo. Ngxakeko, ungaya kwigumbi elingxamisekileyo apho i-IV drip ingasetyenziselwa ukukhawuleza ukubeka amanzi kunye ne-electrolytes.
Ezinye iiNyango zeMpawu zokuLawula
Ukurhoxiswa kwezinto kungenziwa ekhaya okanye kwindawo yokunakekelwa kwezempilo. Ukuyeka ukusetyenziswa kweziyobisi kubonakala kulula kuba phantsi kolawulo lwezonyango kuba amayeza angasetyenziselwa ukwenza utshintsho lube lukhulu kwaye lungancinci.
Iinkatho ezahlukeneyo ziyafumaneka kwizinto ezahlukeneyo.
- Ama-ophiates: Unyango lunokuquka ukusetyenziswa kwe-clonidine, ekunceda ukuxhalaba, ukujuluka, ukukhubeka, ukupumbaza imisipha kunye nokuphalaza kunye neempumlo eziphalazayo, kunye / okanye i-buprenorphine okanye i-methadone, ezo zombini zinganciphisa inani elithathayo ukukhupha kunye nokukunceda ukurhoxa iimpawu. I-Gabapentin inokukunceda ngeempawu ezininzi, kuquka uhudo. I-Antispasmodics efana ne-bentyl inokukunceda kunye neempawu zesisu.
- Utywala: Ukuba iimpawu zokurhoxiswa kotywala zixhomekeke kwiimeko ezinzima, ungadinga ukuba ubekwe kwisimo seklinikhi esasetyenziswayo. Enoba ufuna unyango njengomntu osisigulana okanye isiguli, unokwakheka ukuba uncedise ukuguqulwa kwendlela yokuphepha.
- Iibhajethi: Ngenxa yeengxaki ezinokubakho ukuyeka ukusetyenziswa kwe-barbiturate, ukuhoxiswa kufuneka kuhlale kwenzeka phantsi kolawulo lwezonyango. Unokunikezwa nge phenobarbital ukukunceda wenze utshintsho.
- Izikhuthazo : Ukwelashwa kokukhutshwa ngokukhawuleza kuya kubandakanya i- psychotherapy , kodwa ingabandakanya izidandlululo okanye ezinye iimpawu zonyango.
Unyango lwe-Diarrhea, ubuhlungu besisu, kunye nokuvuthwa
Ukuba isifo sohudo, intlungu yesisu, okanye ukuhlanza kunzima, okanye kugcine ixesha elide, kufuneka udibane nodokotela ngokukhawuleza. Nangona bangabonwa njengeempawu zokuyeka ukuphazamiseka kwabasebenzisi beziyobisi, banokukhathazeka ngokwaneleyo ukuba banciphise iinzame zokuyeka, okukhokelela kwengozi yokugqithisa. Ziyakwazi ukubonakalisa i-underlying, isifo esinokunyangwa, kwaye kunokukhokelela ekungcoliseni amanzi.
Imithombo:
> Lin S, Pan C, Chen C. Iilingo ezilawulwa yi-doublebo blind, i-placebo elawulwa ngu-dextromethorphan kunye ne-clonidine ekunyangeni kwe-heroin ukuhoxiswa. Umbhalo we-Clinical Psychopharmacology 34 (4): 508-512. 2014. Ithenda: 10.1097 / JCP.0000000000000144
> Manatsatihit S, iDupont H, Farthing M, et al. Isikhokelo solawulo lwe-diarrhea ephezulu kubantu abadala. Umbhalo weGastroenterology kunye neHepatology . 7:71. 2002. Ithenda: 10.1046 / j.1440-1746.17.s1.11.x.
> Salehi M, Kheirabadi GR, Maracy MR, Ranjkesh M. Kubaluleka kwe-gabapentin dose ekwenzeni unyango lwe-opioid. Journal of Clinical Psychopharmacology . 31 (5): 593-596. 2011. Ithenda: 10.1097 / JCP.0b013e31822bb378.