Ukuqunjelwa ezinganeni nasezinganeni

Ukuqunjelwa ezinganeni nasezinganeni kwenzeka lapho zinezitokisi ezinzima noma zinenkinga yokudlula indle. Ingane ingahle ibe nezinhlungu ngenkathi idlula indle noma ingakwazi ukunyakaza kwamathumbu ngemuva kokuxinwa noma ukuqhutshwa.

Ukuqunjelwa kuvamile ezinganeni. Kodwa-ke, ukuhamba kwamathumbu okujwayelekile kwehlukile enganeni ngayinye.

Ngenyanga yokuqala, izinsana zivame ukuba nokuhamba kwamathumbu cishe kanye ngosuku. Ngemuva kwalokho, izingane zingahamba izinsuku ezimbalwa noma ngisho isonto phakathi kokuhamba kwamathumbu. Kunzima futhi ukwedlula indle ngoba imisipha yabo yesisu ibuthakathaka. Ngakho-ke izingane zivame ukucindezela, zikhale, futhi zibomvu ebusweni lapho zihamba ngamathumbu. Lokhu akusho ukuthi baqunjelwe. Uma ukunyakaza kwamathumbu kuthambile, lapho-ke kungenzeka ukuthi akunankinga.

Izimpawu zokuqunjelwa ezinganeni nasezinganeni zingafaka:

• Ukuxokozela kakhulu nokukhafula kaningi (izinsana)
• Kunzima ukudlula indle noma ubonakale ungakhululekile
• Izitulo eziqinile nezomile
• Ubuhlungu lapho unyakaza amathumbu
• Ubuhlungu besisu nokuqunjelwa
• Izitulo ezinkulu, ezibanzi
• Igazi esitokisini noma ephepheni lasendlini yangasese
• Iminonjana yoketshezi noma indle ezingutsheni zangaphansi zengane (uphawu lokuthinteka kwendle)
• Ukuba nokunyakaza kwamathumbu ngaphansi kuka-3 ngesonto (izingane)
• Ukuhambisa imizimba yabo ezindaweni ezahlukahlukene noma ukugoqa izinqe zabo

Qiniseka ukuthi usana lwakho noma ingane yakho inenkinga ngaphambi kokwelapha ukuqunjelwa:

• Ezinye izingane azinawo amathumbu nsuku zonke.
• Futhi, ezinye izingane ezinempilo zihlala zinezitulo ezithambile kakhulu.
• Ezinye izingane zinezitulo eziqinile, kodwa ziyakwazi ukuzidlulisa ngaphandle kwezinkinga.

Ukuqunjelwa kwenzeka lapho indle ihlala kukholoni isikhathi eside kakhulu. Amanzi amaningi amuncwa ikholoni, ashiye izitulo ezinzima nezomile.

Ukuqunjelwa kungabangelwa:

• Ukuziba isifiso sokusebenzisa indlu yangasese
• Ukungadli i-fiber eyanele
• Ukungaphuzi uketshezi olwanele
• Ukushintshela ekudleni okuqinile noma kusuka ebisini lwebele kuya kwifomula (izinsana)
• Izinguquko ezimeni, njengokuhamba, ukuqala isikole, noma imicimbi ecindezelayo

Izimbangela zezokwelapha zokuqunjelwa zingabandakanya:

• Izifo zamathumbu, njengalezo ezithinta imisipha yamathumbu noma izinzwa
• Ezinye izimo zezokwelapha ezithinta isisu
• Ukusetshenziswa kwemithi ethile

Izingane zingase zingasinaki isifiso sokunyakaza kwamathumbu ngoba:

• Abakulungele ukuqeqeshelwa izindlu zangasese
• Bafunda ukulawula ukuhamba kwabo kwamathumbu
• Bake baba nokuhamba kwesisu okubuhlungu ngaphambilini futhi bafuna ukukugwema
• Abafuni ukusebenzisa isikole noma indlu yangasese yomphakathi

Izinguquko zokuphila zingasiza ingane yakho ukuthi igweme ukuqunjelwa. Lezi zinguquko zingasetshenziswa ukwelapha.

Okwezinsana:

• Nikeza ingane yakho amanzi athe xaxa noma ijusi emini phakathi kokuphakelwa. Ijusi lingasiza ukuletha amanzi kukholoni.
• Ngaphezulu kwezinyanga ezimbili ubudala: Zama ama-ounces amabili kuya kwangu-4 (59 kuya ku-118 mL) wejusi yezithelo (amagilebhisi, ipheya, i-apula, i-cherry, noma i-prune) kabili ngosuku.
• Ngaphezulu kwezinyanga ezi-4 ubudala: Uma ingane isiqalile ukudla ukudla okuqinile, zama ukudla kwengane okune-fiber ephezulu njengophizi, ubhontshisi, amabhilikosi, umlimi, amapentshisi, amapheya, ama-plums nesipinashi kabili ngosuku.

Okwezingane:

• Phuza uketshezi oluningi usuku ngalunye. Umhlinzeki wezokunakekelwa kwempilo yengane yakho angakutshela ukuthi kungakanani.
• Yidla izithelo nemifino kanye nokudla okuningi okune-fiber eningi, okusanhlamvu.
• Gwema ukudla okuthile okufana noshizi, ukudla okusheshayo, ukudla okulungiselelwe nokwenziwe, inyama no-ayisikhilimu.
• Yeka ukuqeqeshwa endlini yangasese uma ingane yakho iqunjelwa. Qalisa kabusha ngemuva kokuthi ingane yakho ingasakwazi ukuqunjelwa.
• Fundisa izingane ezindala ukusebenzisa indlu yangasese ngemuva nje kokudla.

Izithambisi zesitulo (njengalezo eziqukethe i-docusate sodium) zingasiza ezinganeni ezindala. Ama-laxatives amaningi njenge-psyllium angasiza ukwengeza uketshezi nobuningi esitokisini. Ama-suppositories noma ama-laxatives amnene angasiza ingane yakho ukuba nokunyakaza kwamathumbu njalo. Izixazululo ze-Electrolyte njengeMiralax nazo zingasebenza.

Ezinye izingane zingadinga ama-enemas noma ama-laxatives kadokotela. Lezi zindlela kufanele zisetshenziswe kuphela uma i-fiber, uketshezi, kanye nezithambisi zendle kunganikeli ukukhululeka okwanele.

UNGAZINIKI izingane laxatives noma ama-enemas ngaphandle kokucela umhlinzeki wakho kuqala.

Shayela umhlinzeki wengane yakho ngokushesha uma:

• Usana (ngaphandle kwalabo abanceliswa ibele kuphela) luhamba izinsuku ezintathu ngaphandle kwendle futhi luyahlanza noma lucasuke

Phinda ushayele umhlinzeki wengane yakho uma:

• Usana olungaphansi kwezinyanga ezimbili luyaqunjelwa
• Izinsana ezingancelisi zihamba izinsuku ezintathu ngaphandle kokunyakaza kwamathumbu (shayela ngokushesha uma kukhona ukuhlanza noma ukucasuka)
• Ingane ibambe ukuhamba kwamathumbu ukumelana nokuqeqeshwa kwendlu yangasese
• Kunegazi kulindle

Umhlinzeki wengane yakho uzokwenza ukuhlolwa komzimba. Lokhu kungabandakanya ukuhlolwa kwamakholomu.

Umhlinzeki angakubuza imibuzo ngokudla kwengane yakho, izimpawu zayo, nemikhuba yamathumbu akho.

Ukuhlolwa okulandelayo kungasiza ekutholeni imbangela yokuqunjelwa:

• Ukuhlolwa kwegazi okufana nokubalwa kwegazi okuphelele (CBC)
• I-X-ray yesisu

Umhlinzeki angancoma ukusetshenziswa kwezithambisi zendle noma ama-laxatives. Uma kuthinteka indle, kunganconywa futhi i-glycerin suppositories noma i-saline enemas.

Ukungalingani kwamathumbu; Ukuntuleka kokuhamba kwamathumbu njalo

• Ukuqunjelwa - yini okufanele uyibuze udokotela wakho
• Ukudla okune-fiber ephezulu

• Imithombo ye-fiber
• Izitho zohlelo lokugaya ukudla

Kwan KY. Ubuhlungu besisu. Ku: Olympia RP, O'Neill RM, Silvis ML, ama-eds. Imfihlo Yezokwelapha Ngokuphuthumayos. IPhiladelphia, PA: Elsevier; 2018: isahluko 19.

I-Maqbool A, i-Liacouras CA. Izimpawu ezinkulu nezimpawu zokuphazamiseka kwendlela yokugaya ukudla. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 332.

National Institute of Diabetes and Digestive and Kidney Diseases. Ukuqunjelwa ezinganeni. www.niddk.nih.gov/health-information/digestive-diseases/constipation- izingane. Kubuyekezwe uMeyi 2018. Kufinyelelwe ngo-Okthoba 14, 2020.