Ngabe ugwayi unomphumela we-laxative?

-Delile

• Umphumela we-laxative
• Ucwaningo
• Ukubhema kanye nomgudu wokugaya ukudla
• Siza ngokuyeka
• Okubalulekile

Ungase uzibuze ukuthi ukubhema ugwayi kunomthelela yini ezibilinini zakho, njengoba kwenza ikhofi. Ngemuva kwakho konke, i-nicotine akuyona into evuselelayo, nayo?

Kepha ucwaningo empambanweni yomgwaqo phakathi kokubhema nohudo luxubekile.

Funda kabanzi ukuze ufunde kabanzi, kanye neminye imiphumela emibi eyingozi kagwayi.

Umphumela we-laxative

Ama-laxatives yizinto ezingakhulula indle ebambekile noma ethintekayo emathunjini akho amakhulu (colon), ayivumele idlule kalula kukholoni yakho.

Ama-laxatives angasetshenziswa futhi ukudala ukusabela kwemisipha emathunjini akho okuhambisa indle, okubizwa ngokuthi ukunyakaza kwamathumbu. Lolu hlobo lwe-laxative lwaziwa njenge-laxative evuselelayo ngoba "ivuselela" ukusikwa okususa indle ngaphandle.

Abantu abaningi bazizwa i-nicotine nezinye izikhuthazi ezivamile ezifana ne-caffeine zinomphumela ofanayo emathunjini, okubangela ukushesha kokuhamba kwamathumbu. Kepha ucwaningo lusitshela indaba eyinkimbinkimbi.

Ucwaningo

Ngakho-ke, ucwaningo luthini empeleni ngokubhema nokunyakaza kwamathumbu? Ingabe kubangela isifo sohudo?

Impendulo emfushane: Asazi ngokuqinisekile.

Zimbalwa izixhumanisi eziqondile ezitholakele phakathi kokubhema ugwayi nokuba nokunyakaza kwamathumbu. Kodwa kwenziwa ucwaningo oluningi ngemiphumela yokubhema kwizifo zamathumbu ezivuthayo (IBD), okukhona ukuthi isifo sohudo siyisibonakaliso esikhulu.

Into yokuqala okufanele uyazi ukuthi ukubhema kungenza izimpawu zohudo ze-IBD - njengesifo sikaCrohn, uhlobo lwe-IBD - olunzima kakhulu.Ukubhema kanye nohlelo lokugaya ukudla. (2013). https://www.niddk.nih.gov/health-information/digestive-diseases/smoking-digestive-system

Ukubuyekezwa kocwaningo ngo-2018 mayelana nokubhema, isifo sikaCrohn, ne-ulcerative colitis (olunye uhlobo lwe-IBD) kuphethe ngokuthi ukwelashwa kwe-nicotine kungasiza ekulawuleni izimpawu ze-ulcerative colitis kulabo ababebhema - kodwa kungokwesikhashana. Ayikho inzuzo yesikhathi eside. Kuke futhi kwaba nemibiko yokuthi ukubhema kungakhuphula empeleni umsebenzi wokulimala kwezilonda.UBerkowitz L, et al. (2018). Umthelela wokubhema kukagwayi emathunjini okuvuvukala kwamathambo: Imiphumela ephikisayo kwisifo sikaCrohn kanye nesilonda esilimaza ulcerative. INGXENYE: 3389 / fimmu.2018.00074

Ngaphezu kwalokho, abacwaningi baphawula ukuthi ukubhema kungakhuphula ubungozi bokuhlaselwa yisifo sikaCrohn. Kungenza futhi izimpawu zibe zimbi kakhulu ngenxa yokuvuvukala emathunjini.

Ngaphezu kwalokho, ukubhema kungaphakamisa ingozi yokutheleleka ngamagciwane okuthinta amathumbu futhi kubangele nohudo.

Ucwaningo lwango-2015 olufaka ababambiqhaza abangaphezulu kuka-20 000 olushicilelwe kwiBMC Public Health luthole ukuthi labo ababhemayo banezinga eliphezulu lokutheleleka Shigella amagciwane. Shigella yibhaktheriya emathunjini evame ukubhekana nobuthi ekudleni, okuholela kuhudo.UDas SK, et al. (2015). Uhudo nokubhema: Ukuhlaziywa kwamashumi eminyaka wedatha yokubuka evela eBangladesh. INGXENYE: 1186 / s12889-015-1906-z

Ngakolunye uhlangothi, ucwaningo olufanayo lwathola ukuthi ukubhema kubangela ukuthi isisu sikhiqize i-asidi eningi, ngakho-ke ababhemayo mancane amathuba okuthi bakhule Ikholera ye-Vibrio izifo. Leli elinye ibhaktheriya elivame ukudala izifo kanye nohudo.

Futhi kukhona olunye ucwaningo olukhombisa ukuthi ukuhlobana kuphakathi kokungaqiniseki kangakanani phakathi kokubhema nokunyakaza kwamathumbu.

Ucwaningo lwango-2005 lubheke imiphumela yezikhuthazi eziningana, kufaka phakathi ikhofi ne-nicotine, kuthoni eqondile. Leli yigama lokuqina kwengxenyeni, okunomthelela ekuhambeni kwamathumbu.AmaSloots CEJ, et al. (2005). Ukukhuthazeka kokuzikhipha: Imiphumela yokusetshenziswa kwekhofi kanye ne-nicotine kuzwi le-rectal nokuzwela kwe-visceral. INGXENYE: 1080/00365520510015872U-Orkin BA, et al. (2010). Uhlelo lokufaka amagoli wedijithali (DRESS). INGABE:

Ucwaningo luthole ukuthi ikhofi lenyusa ithoni yoxha ngamaphesenti angama-45. Kutholakale ukwanda okuncane kakhulu (amaphesenti ayi-7) kwethoni engunxande kusuka ku-nicotine - ebicishe icishe ifane nomphumela wepilisi lamanzi le-placebo ngamaphesenti ayi-10. Lokhu kusikisela ukuthi i-nicotine kungenzeka ingahlangene nakancane nokuthungathwa kwezilwane.

Ukubhema kanye nomgudu wokugaya ukudla

Ukubhema kuthinta umzimba wonke, kufaka phakathi zonke izingxenye zomgudu wokugaya ukudla. Nakhu okungenzeka okungadala noma kubhebhethekise isifo sohudo nezinye izimo ezinkulu ze-GI:

• IGERD. Ukubhema kunganciphisa imisipha yomphimbo futhi kwenze i-asidi yesisu ivuzele emqaleni. Isifo se-reflux se-Gastroesophageal (GERD) senzeka lapho i-asidi iphela emzimbeni, ikhiqiza isilungulela sesikhathi eside.UKahrilas PJ, et al. (1990). Izindlela ze-acid reflux ezihambisana nokubhema ugwayi.
• Isifo sikaCrohn. ICrohn’s ukuvuvukala kwesikhathi eside kwamathumbu okungadala izimpawu ezifana nohudo, ukukhathala, kanye nokwehla kwesisindo okungavamile. Ukubhema kungenza izimpawu zakho zibe nzima kakhulu ngokuhamba kwesikhathi. UCosnes J, et al. (2012).Izici ezithinta imiphumela kwisifo sikaCrohn eminyakeni engaphezu kwengu-15. INGXENYE: 1136 / gutjnl-2011-301971
• Izilonda ze-Peptic. Lezi yizilonda ezakha ulwelwesi esiswini nasemathunjini. Ukubhema kunemithelela eminingi ohlelweni lokugaya ukudla okungenza izilonda zibe zimbi kakhulu, kepha ukuyeka ukuyeka kusheshe kuguqule eminye yemiphumela. I-Eastwood GL, et al. (1988). Indima yokubhema ku-peptic ulcer disease.
• Ama-polyp polyps. Lokhu ukukhula okungajwayelekile kwezicubu okwenzeka emathunjini. Ukubhema kungaphindaphinda ingozi yokuba nomdlavuza wamakholoni onomdlavuza.UBotteri E, et al. (2008). Ukubhema ugwayi nama-polyp adenomatous: Ukuhlaziywa kwe-meta. INGXENYE: 1053 / j.gastro.2007.11.007
• Amatshe amatshe amade. Lawa angama-buildups anzima we-cholesterol ne-calcium angakha ku-gallbladder futhi abangele ukuvinjelwa okungadinga ukwelashwa ngokuhlinzwa. Ukubhema kungakubeka engcupheni yokuthola isifo senyongo nokwakheka kwenyongo.U-Aune D, et al. (2016). Ukubhema ugwayi kanye nengozi yesifo se-gallbladder. INGABE:
• Isifo sesibindi. Ukubhema kwandisa ingozi yakho yokuthuthukisa isifo sesibindi esinamafutha angenalo utshwala. Ukuyeka kunganciphisa inkambo yesimo noma kunciphise ubungozi bezinkinga ngokushesha.UJung H, et al. (2018). Ukubhema kanye nengozi yesifo sesibindi esinamafutha esingewona utshwala: Isifundo seqembu. INGXENYE: 1038 / s41395-018-0283-5
• I-Pancreatitis. Lokhu ukuvuvukala kwamanyikwe okuhlala isikhathi eside, okusiza ukugaya ukudla nokulawula ushukela wegazi. Ukubhema kungadala ukuqhuma futhi kubhebhethekise izimpawu ezikhona. Ukuyeka kungakusiza welaphe ngokushesha futhi ugweme izimpawu zesikhathi eside.IBarreto SG. (2016). Ukubhema ugwayi kubangela kanjani ukuqaqamba kwamaphaphu okunamandla? INGXENYE: 1016 / j.pan.2015.09.002
• Umdlavuza. Ukubhema kuhlotshaniswa nezinhlobo eziningi zomdlavuza, kodwa ukuyeka ukunciphisa kunciphisa ubungozi bakho kakhulu. Umdlavuza obangelwa ukubhema ungenzeka ku:
  • ikholoni
  • unxande
  • isisu
  • umlomo
  • umphimbo

Siza ngokuyeka

Ukuyeka kunzima, kodwa akunakwenzeka. Futhi ukuyeka ngokushesha kungakusiza wehlise izimpawu ezingabangelwa yi-nicotine emgudwini wokugaya ukudla futhi welaphe umzimba wakho emiphumeleni yawo.

Zama okunye kokulandelayo ukukusiza uyeke:

• Yenza izinguquko ezithile empilweni. Zivocavoce njalo noma uzindle ukukusiza ukuthi weqe eminye imikhuba noma imikhuba oyakhele ngokubhema.
• Khuthaza abangane bakho nomndeni wakho ukuthi bakusekele. Tshela labo osondelene nabo ukuthi uhlela ukuyeka. Buza ukuthi bangangena yini kuwe noma baqonde izimpawu zokuhoxa.
• Joyina iqembu lokusekela nabanye abayekile ukubhema ukuze bezwe ukuqonda kwabo futhi bathole usizo. Kunamaqembu amaningi okusekela online, futhi.
• Cabanga ngemithi ngezifiso ze-nicotine nokuzihoxisa, njenge-bupropion (i-Zyban) noma i-varenicline (i-Chantix), uma kudingeka.
• Cabanga ngokufakwa esikhundleni se-nicotine, njenge-patch noma i-gum, ukusiza ukuzikhulula kulo mkhuba. Lokhu kwaziwa ngokuthi i-nicotine replacement therapy (NRT).

Okubalulekile

Ngakho-ke, ukubhema mhlawumbe akukwenzi ube yindle, okungenani hhayi ngqo. Kunenqwaba yezinye izinto ezingaba nesandla kulokhu kuzwa kokuphuthuma ukuvakashela indlu yangasese ngemuva kokubhema.

Kepha ukubhema kunomthelela omkhulu empilweni yakho yamathumbu. Kwandisa ubungozi bokuphazamiseka kwamathumbu okungadala isifo sohudo nezinye izimpawu ze-GI.

Ukuyeka kunganciphisa futhi kuguqule eminye yale miphumela. Unganqikazi ukuzama amasu athile okuyeka noma ukufinyelela usizo ukuze unqamule lo mkhuba.