He aha ʻo Tenapanor: Nā hoʻohana, ka nui o ka lāʻau, nā hopena ʻaoʻao a me nā mea hou aku

He lāʻau lapaʻau ʻo Tenapanor e kōkua ana i ka mālama ʻana i ka maʻi ʻōpū huhū me ka paʻa ʻana (IBS-C) i nā pākeke. He lāʻau lapaʻau hou kēia e hana ʻokoʻa ana mai nā lāʻau lapaʻau IBS ʻē aʻe ma ka manaʻo ʻana i nā hana kikoʻī i loko o kou ʻōpū e kōkua i ka hōʻemi ʻana i ka ʻeha o ka ʻōpū a hoʻomaikaʻi i nā neʻe ʻana o ka ʻōpū.

Inā ʻoe e hana nei me ka hōʻoluʻolu ʻole ʻana o ka ʻai ʻana a me ka paʻa ʻana, ua ʻōlelo paha kāu kauka iā tenapanor ma ke ʻano he koho lapaʻau. E hele kākou i nā mea a pau e pono ai ʻoe e ʻike e pili ana i kēia lāʻau lapaʻau ma nā huaʻōlelo maʻalahi a maopopo.

He aha ʻo Tenapanor?

He lāʻau liʻiliʻi ʻo Tenapanor e ālai ana i kekahi mau kahawai i loko o kou ʻōpū. E noʻonoʻo iā ia ma ke ʻano he ala i manaʻo ʻia e hana pono ana i loko o kou ʻōpū ma mua o ka hoʻopilikia ʻana i kou kino holoʻokoʻa.

Hele mai ka lāʻau lapaʻau ma ke ʻano papa a lawe ʻia e ka waha. Ua hoʻolālā ʻia e noho nui i loko o kou ʻōpū, ʻo ia hoʻi, ʻaʻole nui ka mea i komo i loko o kou kahe koko. Kōkua kēia hana kūloko i ka hōʻemi ʻana i nā hopena ʻaoʻao e pili ana i nā ʻāpana ʻē aʻe o kou kino.

Ua loaʻa iā Tenapanor ka ʻae ʻana o ka FDA i ka makahiki 2019 ma hope o ka hōʻike ʻana o nā haʻawina lapaʻau e hiki ke kōkua i ka poʻe me IBS-C e ʻike i ka liʻiliʻi o ka ʻeha o ka ʻōpū a me nā neʻe ʻana o ka ʻōpū maʻamau. Hōʻike ka lāʻau lapaʻau i kahi ala hou e mālama ai i kēia maʻi ʻai maʻamau.

No ke aha e hoʻohana ʻia ai ʻo Tenapanor?

Ua ʻae ʻia ʻo Tenapanor e mālama i ka maʻi ʻōpū huhū me ka paʻa ʻana (IBS-C) i nā pākeke. Hoʻopilikia kēia maʻi i nā miliona o nā kānaka a hoʻoulu i ka hui pū ʻana o ka ʻeha o ka ʻōpū, ka pehu ʻana, a me ka pilikia o ka loaʻa ʻana o nā neʻe ʻana o ka ʻōpū maʻamau.

Hiki i kāu kauka ke ʻōlelo iā tenapanor inā ʻoe e ʻike i ka ʻeha o ka ʻōpū mau me ka paʻa ʻana e pili nui ana i kou ola i kēlā me kēia lā. He mea kōkua nui ka lāʻau lapaʻau no ka poʻe i loaʻa ʻole ka hōʻoluʻolu kūpono me nā loli meaʻai, nā mea hoʻohui fiber, a i ʻole nā ​​lāʻau lapaʻau laina mua.

I kēia manawa, ʻaʻole i ʻae ʻia ʻo tenapanor no nā ʻano ʻē aʻe o ka paʻa ʻana a i ʻole nā maʻi digestive. Ua hoʻolālā ʻia ia no ka hui pū ʻana o nā hōʻailona e hōʻike ana i ka IBS-C, kahi e loaʻa ai ka ʻeha o ka ʻōpū a me ka paʻa pū.

Pehea e hana ai ʻo Tenapanor?

Hana ʻo Tenapanor ma ka pale ʻana i nā kahawai sodium-hydrogen exchanger 3 (NHE3) i loko o kou ʻōpū. Kōkua maʻamau kēia mau kahawai i kou ʻōpū e komo i ka sodium a me ka wai mai ka meaʻai āu e ʻai ai.

Ke pale ʻo tenapanor i kēia mau kahawai, ʻaʻole i komo hou ka sodium a me ka wai i loko o kou kino. ʻO ia hoʻi, ʻoi aku ka wai e noho ana i loko o kou ʻōpū, e kōkua ana i ka palupalu ʻana i ka ʻōpū a maʻalahi a ʻoluʻolu hoʻi nā neʻe ʻana o ka ʻōpū.

Me he mea lā e hōʻemi ana ka lāʻau lapaʻau i ka naʻau o nā aʻalolo i loko o kou paia ʻōpū. Hiki i kēia ke kōkua i ka hoʻemi ʻana i ka ʻeha o ka ʻōpū a me ka ʻoluʻolu ʻole e hele pinepine mai me IBS-C. Hoʻoponopono ka hopena hui i nā mea paʻa a me ka ʻeha o ke kūlana.

Ua manaʻo ʻia ʻo Tenapanor he lāʻau lapaʻau maikaʻi no IBS-C. ʻOiai ʻaʻole paha e hana no nā mea a pau, hōʻike nā haʻawina lapaʻau e ʻike ka nui o nā kānaka i ka hoʻomaikaʻi nui ʻana i kā lākou mau hōʻailona i loko o kekahi mau pule o ka hoʻomaka ʻana i ka lāʻau.

Pehea e lawe ai au iā Tenapanor?

E lawe iā tenapanor e like me ke kauoha a kāu kauka, ʻelua manawa i ka lā ma mua o ka ʻai ʻana. ʻO ka maʻamau ka 50 mg i lawe ʻia ma kahi o 30 mau minuke ma mua o ka ʻaina kakahiaka a me 30 mau minuke ma mua o ka ʻaina ahiahi.

ʻO ka lawe ʻana iā tenapanor ma mua o ka ʻai ʻana e kōkua i ka hoʻomaikaʻi ʻana i ka hana ʻana o ka lāʻau lapaʻau i loko o kāu ʻōnaehana digestive. Hiki iā ʻoe ke lawe me ka wai liʻiliʻi, akā ʻaʻole pono ʻoe e lawe me ka waiū a i ʻole kekahi ʻano meaʻai.

E hoʻāʻo e lawe i kāu mau lāʻau i nā manawa like i kēlā me kēia lā e mālama i nā pae kūlike o ka lāʻau lapaʻau i kāu ʻōnaehana. Hiki i ka hoʻonohonoho ʻana i nā mea hoʻomanaʻo kelepona ke kōkua iā ʻoe e hoʻokumu i kēia hana maʻamau, ʻoiai ke hoʻomaka mua ʻoe i ka lāʻau.

Inā pilikia ʻoe i ka ʻai ʻana i nā papa, e kamaʻilio me kāu kauka e pili ana i nā ʻenehana e kōkua ai. Mai ʻoki a wāwahi paha i nā papa, no ka mea, hiki i kēia ke hoʻopilikia i ke ʻano o ka hana ʻana o ka lāʻau i loko o kou kino.

Pehea ka lōʻihi e lawe ai au i ka Tenapanor?

Hoʻomaka ka hapa nui o nā kānaka e ʻike i ka hoʻomaikaʻi ʻana i kā lākou mau hōʻailona IBS-C i loko o 2 a 4 mau pule o ka lawe ʻana i ka tenapanor maʻamau. Eia naʻe, pono paha kekahi poʻe i 8 mau pule e ʻike i nā pōmaikaʻi piha o ka lāʻau.

Makemake maʻamau kāu kauka e loiloi i ka maikaʻi o ka hana ʻana o ka tenapanor iā ʻoe ma hope o ka lawe ʻana iā ia no kahi o 4 a 6 mau pule. Hāʻawi kēia i ka manawa kūpono e ʻike ai inā e hāʻawi ana ka lāʻau i ke kōkua nui mai kāu mau hōʻailona.

Inā kōkua ka tenapanor i kāu mau hōʻailona, ​​hiki i kāu kauka ke ʻōlelo e hoʻomau iā ia no ka lōʻihi e like me ka maikaʻi a me ka ʻae ʻia. Lawe kekahi poʻe iā ia no nā mahina a i ʻole nā ​​makahiki ma ke ʻano he ʻāpana o kā lākou hoʻolālā hoʻokele IBS-C lōʻihi.

ʻO ka hoʻoholo e pili ana i ka lōʻihi o ka hoʻomau ʻana i ka tenapanor e pili ana i kāu pane pilikino, nā hopena ʻaoʻao āu e ʻike ai, a me kāu mau pahuhopu lapaʻau holoʻokoʻa. E kōkua nā loiloi maʻamau me kāu kauka e hoʻoholo i ke ala maikaʻi loa no kou kūlana.

He aha nā hopena ʻaoʻao o Tenapanor?

E like me nā lāʻau lapaʻau a pau, hiki i ka tenapanor ke hana i nā hopena ʻaoʻao, ʻoiai ʻaʻole ʻike nā kānaka a pau iā lākou. ʻO nā hopena ʻaoʻao maʻamau he maʻalahi a maʻamau e hoʻomaikaʻi i ka wā e hoʻoponopono ai kou kino i ka lāʻau.

Eia nā hopena ʻaoʻao e ʻike nui ai ʻoe, me ka noʻonoʻo ʻana e ʻae maikaʻi ka poʻe he nui i ka tenapanor:

• Pāpaʻa (ʻo kēia ka hopena ʻaoʻao maʻamau)
• ʻO ka ʻōpū a i ʻole ke kinoea
• Nausea
• ʻO ka ʻeha o ka ʻōpū a i ʻole ka ʻū
• ʻO ka wili
• Flatulence

ʻO kēia mau hopena ʻaoʻao maʻamau e lilo pinepine i mea liʻiliʻi ma hope o nā pule mua o ka mālama ʻana. Inā lilo ka pāpaʻa i mea koʻikoʻi a mau loa, e hoʻokaʻaʻike i kāu kauka, no ka mea, pono paha lākou e hoʻoponopono i kāu mahele a i ʻole e hōʻike i nā ala e mālama ai i kēia hopena ʻaoʻao.

ʻAʻole i maʻamau akā hiki ke loaʻa nā hopena ʻaoʻao koʻikoʻi, ʻoiai he mea maʻamau ʻole. Hiki i kēia mau mea ke komo i ka maloʻo nui mai ka maʻi maʻi mau, nā pilikia electrolyte, a i ʻole nā hopena maʻi. Inā ʻike ʻoe i ka ʻeha nui o ka ʻōpū, nā hōʻailona o ka maloʻo e like me ka make wai nui a i ʻole ka noʻonoʻo ʻole, a i ʻole nā hōʻailona o ka hopena maʻi, e ʻimi koke i ka lāʻau lapaʻau.

Hiki i kekahi poʻe ke ʻike i nā loli o ka naʻau a i ʻole ka hopohopo, ʻoiai he mea maʻamau ʻole kēia. Inā ʻike ʻoe i nā loli ʻokoʻa i ke ʻano o kou manaʻo, e kūkākūkā me kāu mea mālama ola.

ʻO wai ka mea pono ʻole e lawe iā Tenapanor?

ʻAʻole kūpono ʻo Tenapanor no nā mea a pau, a e noʻonoʻo pono kāu kauka i kāu mōʻaukala olakino ma mua o ke kau ʻana. ʻO kekahi mau maʻi olakino a me nā kūlana e hana i kēia lāʻau lapaʻau kūpono ʻole a i ʻole ka pilikia.

ʻAʻole pono ʻoe e lawe iā tenapanor inā ʻoe ma lalo o 18 mau makahiki, no ka mea, ʻaʻole i hoʻokumu ʻia kona palekana a me ka pono i nā keiki a me nā ʻōpio. ʻAʻole hoʻi i ʻōlelo ʻia ka lāʻau lapaʻau i ka wā hāpai a i ʻole ka wā e hānai ai ma muli o ka palena o ka ʻikepili palekana.

Pono nā kānaka me kekahi mau maʻi digestive e pale i ka tenapanor. Aia kēia i ka poʻe me ka maʻi ʻōpū inflammatory (e like me ka maʻi o Crohn a i ʻole ulcerative colitis), ka maʻi ate koʻikoʻi, a i ʻole ka mōʻaukala o ka ʻōpū.

Inā he pilikia kou puʻupaʻa, nā maʻi puʻuwai, a i ʻole e lawe i nā lāʻau lapaʻau e pili ana i kāu kaulike electrolyte, pono kāu kauka e loiloi inā palekana ʻo tenapanor iā ʻoe. Hiki i ka lāʻau lapaʻau ke hoʻopilikia i nā pae sodium, hiki ke pilikia no ka poʻe me kēia mau maʻi.

E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau a pau āu e lawe nei, me nā lāʻau lapaʻau a me nā mea hoʻohui. Hiki i kekahi mau lāʻau lapaʻau ke launa pū me tenapanor a i ʻole e hoʻonui i kou pilikia o nā hopena ʻaoʻao.

Nā inoa inoa Tenapanor

Loaʻa ʻo Tenapanor ma lalo o ka inoa inoa Ibsrela ma ʻAmelika Hui Pū ʻIa. ʻO kēia wale nō ka inoa inoa i kūʻai ʻia ai ʻo tenapanor no ka mālama ʻana i ka IBS-C.

Hana ʻia ʻo Ibsrela e Ardelyx, ka hui nāna i hoʻomohala i ka tenapanor. Hiki ke loaʻa ka lāʻau lapaʻau ma lalo o nā inoa inoa like ʻole ma nā ʻāina ʻē aʻe, akā ʻo Ibsrela ka inoa āu e hālāwai ai ma nā hale kūʻai lāʻau lapaʻau o ʻAmelika Hui Pū ʻIa.

ʻAʻole i loaʻa nā ʻano generic o tenapanor, no ka mea, aia nō ka lāʻau lapaʻau ma lalo o ka pale palapala. ʻO ia hoʻi, ʻo Ibsrela wale nō ke koho i kēia manawa no ka loaʻa ʻana o tenapanor, hiki ke hoʻopilikia i ke kumukūʻai o ka mālama ʻana.

Nā Koho ʻē aʻe o Tenapanor

Nui nā lāʻau lapaʻau ʻē aʻe e hiki ke mālama i ka IBS-C inā ʻaʻole kūpono ʻo tenapanor iā ʻoe a i ʻole ʻaʻole e hāʻawi i ka hōʻoluʻolu kūpono. Hana ʻokoʻa kēlā me kēia a hiki ke kūpono i kāu mau hōʻailona kikoʻī a me ke olakino.

ʻO Linaclotide (Linzess) kekahi lāʻau lapaʻau i kauoha ʻia i ʻae ʻia no ka IBS-C. Hana ia ma ka hoʻāla ʻana i kekahi mau mea hoʻokipa i loko o kou ʻōpū e hoʻonui i ka huna wai a hoʻemi i nā hōʻailona ʻeha. Nui ka poʻe i ʻike he pono, akā hiki nō hoʻi ke hoʻoulu i ka maʻi maʻi ma ke ʻano he hopena ʻaoʻao.

ʻO Lubiprostone (Amitiza) kekahi koho e hana ana ma ka hoʻonui ʻana i ka wai i loko o kou ʻōpū. Ua loaʻa ia no ka lōʻihi ma mua o tenapanor a he palekana maikaʻi, akā ʻike kekahi poʻe i ka nausea i ka wā e lawe ai.

ʻO Plecanatide (Trulance) kahi lāʻau lapaʻau hou e hana like me linaclotide. Hiki iā ia ke hoʻoulu i nā hopena ʻaoʻao liʻiliʻi i kekahi poʻe, e lilo ana ia i koho maikaʻi inā hoʻoulu nā lāʻau lapaʻau ʻē aʻe i nā hōʻailona hōʻoluʻolu ʻole.

Hiki i kāu kauka ke ʻōlelo aku e hoʻomaka me nā koho ma luna o ka pāʻani e like me ka polyethylene glycol (MiraLAX) a i ʻole nā lāʻau lapaʻau i kauoha ʻia e like me rifaximin (Xifaxan) no kekahi mau ʻano hōʻailona IBS.

ʻOi aku ka maikaʻi o Tenapanor ma mua o Linaclotide?

He mau lāʻau lapaʻau pono ʻo Tenapanor a me linaclotide no ka IBS-C, akā hana lākou ma nā ʻano like ʻole a hiki ke kūpono i nā poʻe like ʻole. ʻAʻole ʻoi aku ka maikaʻi o kekahi ma mua o kekahi.

Hiki paha i ka Tenapanor ke hana i ka maʻi palahī ʻaʻole i koʻikoʻi e like me ka linaclotide i kekahi poʻe, he mea nui paha kēia inā hopohopo ʻoe no kēia hopena ʻaoʻao. Eia naʻe, ua loaʻa ka linaclotide no ka manawa lōʻihi a he nui aku nā ʻike lapaʻau ma hope ona.

Pane maikaʻi kekahi poʻe i kekahi lāʻau lapaʻau ma mua o kekahi, a ʻaʻohe ala hilinaʻi e wānana ai i ka mea e hana maikaʻi loa ai iā ʻoe me ka hoʻāʻo ʻole ʻana iā lākou. Hiki i kāu kauka ke hoʻomaka me kekahi a hoʻololi i kekahi inā ʻaʻole ʻoe e loaʻa ka hōʻoluʻolu kūpono a i ʻole e ʻike i nā hopena ʻaoʻao hoʻonāukiuki.

ʻO ka koho ma waena o tenapanor a me linaclotide e pili pinepine ana i kāu ʻano hōʻailona pilikino, nā kūlana olakino ʻē aʻe, a me ke ʻano o kou pane ʻana i kēlā me kēia lāʻau lapaʻau. Ua manaʻo ʻia lāua ʻelua he mau lāʻau lapaʻau laina mua kūpono no IBS-C.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana i ka Tenapanor

He Palekana anei ka Tenapanor no ka poʻe me ka maʻi diabetes?

Ua manaʻo ʻia ka Tenapanor he palekana no ka poʻe me ka maʻi diabetes, no ka mea, ʻaʻole ia e hoʻopilikia nui i nā pae kōpaʻa koko. Hana ka lāʻau lapaʻau ma kahi o kou ʻōpū a ʻaʻole ia e keakea i nā lāʻau lapaʻau diabetes a i ʻole ka mālama ʻana i ka glucose.

Eia naʻe, inā he maʻi diabetes ʻoe a ʻike i ka maʻi palahī koʻikoʻi i ka wā e lawe ana i ka tenapanor, hiki i kēia ke hoʻopilikia i kāu mālama ʻana i ke kōpaʻa koko. E hōʻoia e nānā pono i kāu kōpaʻa koko a noho maikaʻi i ka wai inā ʻike ʻoe i kēia hopena ʻaoʻao.

E hōʻike mau i kāu kauka he maʻi diabetes kāu ma mua o ka hoʻomaka ʻana i ka tenapanor, no ka mea, makemake paha lākou e nānā pono iā ʻoe a i ʻole e hoʻoponopono i kāu hoʻolālā mālama diabetes inā pono.

He aha kaʻu e hana ai inā lawe hewa au i ka nui o ka Tenapanor?

Inā lawe hewa ʻoe i ka nui o ka tenapanor ma mua o ka mea i kauoha ʻia, e hoʻokaʻaʻike koke i kāu kauka a i ʻole ka mea kūʻai lāʻau no ke alakaʻi. ʻO ka lawe ʻana i ka nui hiki ke hoʻonui i kou pilikia o nā hopena ʻaoʻao, ʻo ka maʻi palahī koʻikoʻi a me ka dehydration.

E nānā iā ʻoe iho no nā hōʻailona e like me ka maʻi palahē mau, ka ʻeha nui o ka ʻōpū, ka wili, a i ʻole nā hōʻailona o ka maloʻo ʻana o ke kino e like me ka make wai nui, ka waha maloʻo, a i ʻole ka mimi liʻiliʻi. Inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi, e ʻimi koke i ka lāʻau lapaʻau.

Mai hoʻāʻo e

Pono kāu kauka e loiloi i nā lāʻau lapaʻau IBS ʻē aʻe āu e lawe nei e hōʻoia i ka palekana o ka hoʻohana ʻana me tenapanor. Hiki i kekahi mau hui ke hoʻonui i kou pilikia o nā hopena ʻaoʻao a i ʻole e hōʻemi i ka pono o kekahi lāʻau.

Ma keʻano maʻamau, hiki ke lawe ʻia ʻo tenapanor me nā lāʻau lapaʻau ʻē aʻe, me nā mea hoʻemi waikawa, nā antispasmodics, a me ka hapa nui o nā mea kōkua digestive ma luna o ka counter. Eia naʻe, ʻo ka lawe ʻana i nā lāʻau lapaʻau he nui e pili ana i nā neʻe ʻana o ka ʻōpū hiki ke hoʻonui i kou pilikia o ka maʻi maʻi.

Hāʻawi mau i kāu kauka i kahi papa inoa piha o nā lāʻau lapaʻau a pau, nā mea hoʻohui, a me nā huahana ma luna o ka counter āu e hoʻohana nei. Kōkua kēia iā lākou e hana i nā ʻōlelo aʻoaʻo lapaʻau palekana a maikaʻi loa no kāu kūlana kikoʻī.