Yini i-Sodium Sulfate, i-Magnesium Sulfate, ne-Potassium Chloride? Izimpawu, Izimbangela, & Nokwelashwa Ekhaya

I-Sodium sulfate, i-magnesium sulfate, ne-potassium chloride kuyinhlanganisela yemithi esetshenziselwa ukuhlanza amathumbu akho ngaphambi kwezinqubo ezithile zezokwelapha. Lezi zixazululo zomlomo zisebenza ngokudonsa amanzi emathunjini akho, okusiza ukukhipha imfucuza futhi kulungiselele ikholoni yakho ukuhlolwa noma ukuhlinzwa.

Ungase wazi lo muthi ngamagama emikhiqizo afana ne-Suprep noma ezinye izixazululo zokulungiselela amathumbu. Yenzelwe ngqo ukukunika isifo sohudo - futhi yikho kanye okufanele ikwenze. Ngenkathi inqubo ingemnandi, kuyisinyathelo esibalulekile esisiza udokotela wakho ukuthi athole umbono ocacile ngangokunokwenzeka ngesikhathi sezinqubo ezinjenge-colonoscopies.

Yini i-Sodium Sulfate, i-Magnesium Sulfate, ne-Potassium Chloride?

Lo muthi uyisihlanzi esinamandla samathumbu esihlanganisa usawoti abathathu abahlukene ukuze ukhiphe amathumbu akho ngokuphelele. Isithako ngasinye sinendima ethile enqubweni yokuhlanza, sisebenza ndawonye ukuze sisuse yonke imfucuza eqinile ekhoneni lakho.

I-Sodium sulfate isebenza njenge-laxative eyinhloko, idonsa amanzi emathunjini akho. I-Magnesium sulfate isiza ukusheshisa inqubo ngokukhuthaza ukuncipha kwemisipha emathunjini akho. I-Potassium chloride isiza ukugcina ibhalansi yama-electrolyte omzimba wakho ngenkathi ulahlekelwa uketshezi.

Udokotela wakho unquma le nhlanganisela lapho bedinga ukuthi ikholoni yakho ibe yize futhi ihlanzekile ngokuphelele. Lokhu kuvamile ukwenzeka ngaphambi kwe-colonoscopies, ukuhlinzwa okuthile, noma ezinye izinqubo zezokwelapha lapho umbono ocacile womugqa wakho wamathumbu ubalulekile ekuxilongweni noma ekwelashweni okunembile.

Kuzizwa Kanjani Ukuthatha Lo Muthi?

Ukuthatha leli xazululo lokulungiselela amathumbu kuzobangela ukunyakaza kwamathumbu amaningi, amanzi phakathi kwamahora angu-1-3. Cishe uzozwa ukuqaqamba nokuzizwa uphuthuma, okufana nokuba nesinambuzane sesisu, kodwa lokhu yimithi esebenza njengoba ihloswe.

Abantu abaningi bachaza ukunambitheka njengokunoshukela futhi okungathandeki, nakuba abanye bekuthola kulungele uma kuxutshwe noketshezi olucacile njengoba kuqondisiwe. Ungase uzizwe unesiyezi ngemva kokuphuza, okuyinto ejwayelekile futhi ngokuvamile idlula uma ukuhamba kwamathumbu kuqala.

Ukugcwala kwesisu okuzwayo ngokuvamile kuzizwa njengamagagasi okucindezela esiswini sakho esingezansi. Lawa ma-cramps abonisa ukuthi imisipha yakho yamathumbu iyazwana ukuze idonse udoti ngohlelo lwakho. Nakuba kungakhululeki, le nqubo ngokuvamile iba ngaphansi kwamandla ngemva kwamahora ambalwa okuqala.

Kuzodingeka uhlale eduze nendlu yangasese amahora amaningana ngemva kokuthatha umthamo ngamunye. Ukuphuthuma kungaba namandla kakhulu, ngakho kubalulekile ukuhlela usuku lwakho ngokuzungeza ukuba usekhaya nokufinyelela kalula endlini yangasese.

Yini Ebanga Isidingo Saleli Khambi?

Udokotela wakho unquma le bowel prep ngoba izinqubo zezokwelapha ezidinga ukubuka okucacile kwamathumbu akho ngeke zenziwe ngempumelelo uma kukhona udoti. Ngisho namanani amancane e-stool angase afihle imininingwane ebalulekile edokotela wakho okudingeka ayibone.

Ama-colonoscopies yizona zizathu ezivame kakhulu ze-bowel prep. Ngesikhathi sale nqubo, ipayipi elincanyana, eliguquguqukayo elinekhamera lihlolwa lonke ithumbu lakho ukuze kutholakale ama-polyps, ukuvuvukala, noma izimpawu zomdlavuza. Noma yimuphi udoti osele ungafihla lezi zinto ezibalulekile.

Okunye ukuhlinzwa futhi kudinga ukuhlanza amathumbu okuphelele. Uma uhlinzwa emathunjini akho, i-rectum, noma izitho eziseduze, udokotela ohlinzayo udinga ukuthi le ndawo ihlanzeke ngangokunokwenzeka ukuze kuncishiswe ingozi yokutheleleka futhi kuthuthukiswe imiphumela yokuhlinzwa.

Ezinye izivivinyo zokuxilonga njenge-CT colonography (i-virtual colonoscopy) nazo zidinga ukulungiswa kwamathumbu. Lezi zifundo zokucabanga zidinga ukuthi ithumbu lakho libe lilize ukuze izithombe zibonise imininingwane ecacile yezindonga zakho zamathumbu.

Yiziphi Izimo Ezingase Zidinge Le Bowel Prep?

Ukuhlolwa kwe-colonoscopies ukuvimbela umdlavuza wamathumbu yisizathu esivamile sokuthi uzohlangana nalo muthi. Iziqondiso zincoma ukuhlolwa njalo kuqala eneminyaka engama-45-50, kuye ngobungozi bakho nomlando womndeni wakho.

Uma unezimpawu ezinjengobuhlungu obuqhubekayo besisu, izinguquko emikhubeni yamathumbu, noma igazi esitulweni sakho, udokotela wakho angase ayale i-colonoscopy yokuxilonga. Ukulungiswa kwamathumbu kuqinisekisa ukuthi bangahlola ngokucophelela amathumbu akho ukuze bathole imbangela yezimpawu zakho.

Izifo zamathumbu ezivuvukalayo njengesifo sikaCrohn noma i-ulcerative colitis zivame ukudinga ama-colonoscopies ngezikhathi ezithile ukuqapha ukuqhubeka kwesifo. Udokotela wakho we-gastroenterologist udinga ukubona okucacile ukuze ahlulele amazinga okuvuvukala futhi alungise uhlelo lwakho lokwelapha ngokufanele.

Ngaphambi kokuhlinzwa okuthile kwesisu, ikakhulukazi okuhilela amathumbu amakhulu noma i-rectum, odokotela bahlinza badinga ukulungiswa kwamathumbu. Lokhu kunciphisa ingozi yezinkinga ezivela kumagciwane avamile emathunjini akho.

Ingabe Imiphumela Inyamalala Yodwa?

Yebo, imiphumela yalo muthi wokulungisa amathumbu izoxazululwa ngokwemvelo uma isixazululo sesidlule ohlelweni lwakho lokugaya ukudla. Abantu abaningi bayeka ukuba nokunyakaza kwamathumbu kungakapheli amahora angu-6-8 ngemva komthamo wabo wokugcina.

Umsebenzi wakho wamathumbu ovamile uvame ukubuyela phakathi kwama-24-48 amahora ngemva kokuqeda ukulungiswa. Nokho, kungase kuthathe izinsuku ezimbalwa ukuthi iphethini yakho evamile yokunyakaza kwamathumbu ibuyele ngokugcwele esimweni esijwayelekile, ikakhulukazi uma ulandela imikhawulo yokudla ngemva kwenqubo.

Ukuqina nokugijima okuzwayo ngesikhathi sokulungiswa kuzoncipha njengoba amathumbu akho echitheka. Uma umuthi usuwenzile umsebenzi wawo, le mizwa engakhululekile kufanele inyamalale ngokuphelele.

Abanye abantu bazizwa bekhathazekile kancane noma bekhathele ngemva kokulungiswa kwamathumbu, kodwa le miphumela ivame ukuxazululwa phakathi nosuku olulodwa noma ezimbili ngokuthatha uketshezi olufanele nokuphumula.

Zingalawulwa Kanjani Izimpawu Ezingezinhle Ekhaya?

Ukunatha amanzi ngokwanele yisu elibaluleke kakhulu lokuzinakekela ekhaya ngesikhathi sokulungiselela amathumbu. Phuza uketshezi olucacile njengamanzi, isobho elicacile, noma izixazululo ze-electrolyte phakathi kwemithamo ukuze ubuyisele lokho okulahlekelwayo ngohudo.

Uma uzizwa unesiyezi ngemva kokuphuza isixazululo sokulungiselela, zama ukusiphuza kancane kancane ngesikhathi esinconyiwe kunokuphuza ngokushesha. Abanye abantu bathola ukuthi ukupholisa isixazululo noma ukusiphuza ngotshani kwenza kube lula ukusibekezelela.

Sebenzisa i-petroleum jelly noma ukhilimu wokuvikela endaweni yakho ye-anal ngaphambi kokuqala ukulungiselela. Lokhu kusiza ukuvimbela ukucasuka okuvela ekusuleni njalo nokuhamba kwamathumbu. Sebenzisa ithishu ethambile, engenawo amakha noma amaswipi amanzi ukuze unciphise ukungakhululeki.

Phumula uma kungenzeka phakathi kokuhamba kwamathumbu. Le nqubo ingakhathaza, ngakho-ke ungahleli noma yimiphi imisebenzi enzima ngosuku lokulungiselela. Ukufunda okulula, ukubuka i-TV, noma ukwelula kancane kungasiza ukudlulisa isikhathi ngokunethezeka.

Uma ukuqaqamba kwesisu kuba kubi kakhulu, zama ukusebenzisa ukushisa okuncane ngokuqeda okufudumele esiswini sakho. Nokho, gwema imithi yokwelapha ubuhlungu ngaphandle uma igunyazwe ngokuqondile udokotela wakho, njengoba eminye ingaphazamisa inqubo yakho.

Yini Ukwelashwa Kwezokwelapha Kwezimo Ezinzima?

Abantu abaningi bayakubekezelela ukulungiselela amathumbu kahle, kodwa odokotela bangahlinzeka ngosizo olwengeziwe uma uhlangabezana nemiphumela emibi kakhulu. Uma ukushoda kwamanzi kuba okukhathazayo, ithimba lakho lezempilo lingase lincomende izixazululo ezithile ze-electrolyte noma, ezimweni ezingavamile, uketshezi lwe-intravenous.

Ukuze uqhubeke nokuba nesiyezi noma ukuhlanza okukuvimbela ekuqedeleni ukulungiselela, udokotela wakho angase akunikeze imithi yokulwa nesiyezi. Kubalulekile ukubathinta uma ungakwazi ukugcina isixazululo phansi, njengoba ukulungiselela okungaphelele kungase kudingeke ukuthi uhlehlise inqubo yakho.

Uma uba nobuhlungu obukhulu besisu, ukuqunjelwa okukhulu, noma izimpawu zokungalingani kwe-electrolyte njengobuthakathaka bemisipha noma ukushaya kwenhliziyo okungajwayelekile, funa ukunakekelwa kwezempilo ngokushesha. Lezi zimpawu, nakuba zingavamile, zidinga ukuhlolwa ngokushesha.

Udktela wakho angalungisa uhlelo lokulungiselela uma unomlando wokuphendula okukhulu noma izimo ezithile zezokwelapha. Ezinye izixazululo zokulungiselela amathumbu noma amashejuli okulinganisa angase afaneleke kakhulu esimweni sakho esithile.

Kufanele ngithintane nini nodokotela wami?

Xhumana nodokotela wakho ngokushesha uma uhlangabezana nobuhlungu obukhulu besisu obungathuthuki ngokuhamba kwesikhathi noma ukuma. Ngenkathi ezinye izinhlungu zivamile, ubuhlungu obunamandla, obuqhubekayo bungabonisa inkinga enkulu.

Shayela umhlinzeki wakho wezempilo uma uhlanza ngokuphindaphindiwe futhi ungakwazi ukugcina isixazululo sokulungiselela phansi. Lokhu kuvimbela ukuhlanza amathumbu okufanele futhi kungase kudingeke ukuthi ulungise ukulungiselela kwakho noma ukuhlehlisa inqubo yakho.

Funa ukwelashwa uma uqala izimpawu zokuphelelwa amanzi emzimbeni okukhulu, okuhlanganisa isiyezi lapho umile, ukushaya kwenhliziyo okusheshayo, noma ukuncipha komchamo. Lezi zimpawu zikhomba ukuthi umzimba wakho ulahlekelwa uketshezi ngokushesha kunokuba ungazithatha.

Xhumana nodokotela wakho uma uqaphela izimpawu ezingavamile njengokuvuvukala okukhulu, akukho ukunyakaza kwamathumbu ngemva kwamahora amaningana, noma yiziphi izimpawu zokuphendula komzimba ngendlela engavamile njengokuqubuka, ubunzima bokuphefumula, noma ukuvuvukala kobuso bakho noma umphimbo wakho.

Uma unokukhathazeka ngokuthi ukulungiselela kuyasebenza yini ngempumelelo, kungcono ukushayela futhi ubuze kunokukhathazeka. Ithimba lakho lezempilo linganikeza isiqondiso nokuqinisekiswa mayelana nokuthi yini ongayilindela.

Ziyini Izici Zengozi Yezinkinga?

Ubudala obungaphezu kweminyaka engama-65 bunyusa ingozi yakho yokuphelelwa amanzi emzimbeni nokungalingani kwe-electrolyte ngesikhathi sokulungiselela amathumbu. Abantu abadala bangase badinge ukuqapha okuseduze nokuthatha uketshezi njalo ukuze bavimbele izinkinga.

Isifo sezinso esingamahlalakhona singathinta indlela umzimba wakho oqhubula ngayo ama-electrolyte ezixazululweni zokulungiselela amathumbu. Uma unezinkinga zezinso, udokotela wakho uzoqapha ngokucophelela ukuthi lokhu kulungiselela kuphephile yini kuwe futhi angase ancome ezinye izinketho.

Izimo zenhliziyo, ikakhulukazi lezo ezihilela ukushaya okungajwayelekile, zingathinteka yizinguquko ze-electrolyte ngesikhathi sokulungiselela amathumbu. Udokotela wakho wenhliziyo kanye nodokotela wamathumbu bazoxhumana ukuqinisekisa ukuthi ukulungiselela kwakho kuphephile esimweni sakho senhliziyo esithile.

Isifo sikashukela sidinga ukunakekelwa okukhethekile ngesikhathi sokulungiselela amathumbu ngoba ukudla oketshezi olucacile kungathinta amazinga kashukela egazini. Udokotela wakho uzonikeza imiyalelo ethile mayelana nokuphatha imithi yakho yesifo sikashukela ngesikhathi sokulungiselela.

Ukuncoma imithi ethile efana ne-diuretics, i-ACE inhibitors, noma i-NSAIDs kungakhuphula ingozi yakho yokungalingani kwe-electrolyte. Ithimba lakho lezempilo lizobuyekeza yonke imithi yakho futhi lenze izinguquko zesikhashana uma kudingeka.

Yiziphi Izinkinga Ezingenzeka?

Ukomisa amanzi emzimbeni yinkinga evame kakhulu evela ezixazululweni zokulungiselela amathumbu. Umzimba wakho ulahlekelwa amanzi amaningi nama-electrolyte ngohudo, okungaholela ebuthakathakeni, isiyezi, nokukhathala.

Ukungalingani kwe-Electrolyte, ikakhulukazi okubandakanya i-sodium, i-potassium, ne-magnesium, kungenzeka kwabanye abantu. Ngenkathi ngokuvamile kulula, ukungalingani okukhulu kungathinta ukushaya kwenhliziyo nomsebenzi wemisipha, okudinga ukunakekelwa kwezokwelapha.

Izinkinga ezingavamile kodwa ezinzima zihlanganisa izinkinga zezinso kubantu abanezifo zezinso ezikhona ngaphambili. Ukugxila okuphezulu kosawoti ezixazululweni zokulungiselela amathumbu kungasebenzisa izinso ebezivele zikhathazekile.

I-aspiration pneumonia ingenzeka uma uhlanza futhi ngengozi uhogela umoya ovela emaphapheni akho. Le ngozi iphezulu ezigulini ezindala noma lezo ezinobunzima bokugwinya.

Ukuphendula okukhulu komzimba, ngenkathi kungavamile kakhulu, kungabandakanya ubunzima bokuphefumula, ukuvuvukala, nokwehla okuyingozi kwengcindezi yegazi. Lokhu kudinga ukunakekelwa kwezokwelapha eziphuthumayo ngokushesha.

Ingabe Le Mithi Isebenza Ekulungiseleleni Amathumbu?

Yebo, lezi zithako zokwelapha ezihlanganisiwe zisebenza kahle kakhulu ekuhlanzeni amathumbu uma zisetshenziswa njengoba kuyalelwe. Ucwaningo lubonisa ukuthi luyalungisa ngempumelelo ikholoni ukuze ihlolwe ngaphezu kuka-90% weziguli eziqeda yonke imithi.

Ukuphumelela kuncike kakhulu ekulandeleni imiyalelo ngqo, okuhlanganisa imikhawulo yokudla nesikhathi sokuthatha imithamo. Abantu abagxuma izingxenye zokulungiselela noma abangalandeli ukudla okucacile okuwuketshezi bavame ukungahlanzi ngokwanele.

Udokotela wakho uzohlola izinga lokulungiselela kwamathumbu akho ngesikhathi senqubo yakho. Uma ukulungiselela kunganele, bangase badinge ukuhlela kabusha inqubo yakho, okusho ukuphinda inqubo yokulungiselela.

Uma kuqhathaniswa nezindlela ezindala zokulungiselela amathumbu, lezi zixazululo ezihlanganisiwe ngokuvamile zinikeza ukuhlanza okungcono nemiphumela emincane. Abantu abaningi bakuthola kulula ukukubekezelela kunezindlela zokulungiselela ezinomthamo omkhulu ezazisetshenziswa esikhathini esidlule.

Yini Le Mithi Engase Ididaniswe Nayo?

Abanye abantu badida izixazululo zokulungiselela amathumbu ngamayeza ajwayelekile okuqeda ukuqunjelwa noma izithambisi zendle. Kodwa-ke, le mithi inamandla kakhulu futhi yenzelwe ngqo ukukhipha amathumbu ngokuphelele, hhayi nje ukwelapha ukuqunjelwa.

Izimpawu ozihlangabezana nazo ngesikhathi sokulungiselela zingase zibonakale zifana nokudliswa ukudla noma i-gastroenteritis. Umehluko omkhulu ukuthi izimpawu zokulungiselela amathumbu zizalelwe futhi zilawulwa, kuyilapho izimpawu ezihlobene nokugula zingalindelekile futhi zivame ukuhambisana nomkhuhlane.

Iziphuzo zemidlalo noma izixazululo ze-electrolyte zingase zibonakale zifana, kodwa ziqukethe ukugxila okuncane kakhulu kwamasawoti. Iziphuzo ezijwayelekile ze-electrolyte ngeke zinikeze ukuhlanza amathumbu okukhulu okudingekayo ezinqubweni zezokwelapha.

Abanye abantu badida ukuqaqamba nokushesha ngezimpawu zesifo samathumbu esivuvukalayo. Kodwa-ke, le miphumela yesikhashana futhi ihlobene ngqo nemithi, ngokungafani nezimo ezingapheli ezibangela izinkinga eziqhubekayo zokugaya ukudla.

Imibuzo Evame Ukubuzwa

Ngingadla yini noma yini ngenkathi ngithatha lokhu kulungiselela amathumbu?

Cha, kufanele ulandele ukudla okungamanzi okucacile kusukela ngosuku olwandulela inqubo yakho. Lokhu kufaka isobho elicacile, i-gelatin elula, nejusi elicacile ngaphandle kwe-pulp. Ukudla okuqinile kungaphazamisa inqubo yokuhlanza futhi kuthinte ikhwalithi yenqubo yakho.

Ngizoba nesifo sohudo isikhathi esingakanani ngemva kokuthatha lo muthi?

Abantu abaningi bayeka ukuba nokunyakaza kwamathumbu phakathi kwamahora angu-6-8 ngemva komthamo wabo wokugcina. Nokho, ungase ube nezihlalo ezixekile kuze kube amahora angu-24. Ukusebenza kwamathumbu okuvamile kuvame ukubuyela phakathi kwezinsuku ezingu-1-2 ngemva kwenqubo yakho.

Kuthiwani uma ngingakwazi ukuqeda ukuphuza yonke le ngxube?

Xhumana nodokotela wakho ngokushesha uma ungakwazi ukuqeda ukulungiselela ngenxa yesicanucanu esibi noma ukuhlanza. Bangase bakunikeze imithi elwa nesicanucanu noma balungise isimiso sokulungiselela. Ukulungiselela okungaphelele ngokuvamile kusho ukuhlela kabusha inqubo yakho.

Ingabe kuyinto evamile ukungabi nokunyakaza kwamathumbu ngaphambi kwenqubo yami?

Yebo, kuyinto evamile ukuthi ukunyakaza kwamathumbu kuyeke amahora amaningana ngaphambi kwenqubo yakho. Lokhu ngokuvamile kusho ukuthi ukulungiselela kusebenze ngempumelelo. Nokho, uma ungalokothi ube nokunyakaza kwamathumbu ngemva kokuthatha isixazululo, xhumana nodokotela wakho.

Ngingakwazi yini ukuthatha imithi yami ejwayelekile ngesikhathi sokulungiselela amathumbu?

Landela imiyalelo ethile kadokotela wakho mayelana nemithi ngesikhathi sokulungiselela. Eminye imithi idinga ukumiswa okwesikhashana noma ukulungiswa, kuyilapho eminye kufanele iqhubeke. Ungalokothi uyeke imithi ebalulekile ngaphandle kwesiqondiso sezokwelapha, ikakhulukazi imithi yenhliziyo noma yegazi.