Yini i-Senna: Ukusetshenziswa, Umthamo, Imiphumela Eceleni Nokunye

I-Senna iyilaxative yemvelo evela emaqabungeni nasezintweni ze-senna plant. Ingenye yezindlela ezivame ukusetshenziswa kakhulu zokwelapha ukuqunjelwa, isiza ukuthi ukuhamba kwamathumbu akho kubuyele kokujwayelekile uma uzizwa uvalekile. Le herb emnene kodwa esebenzayo isetshenziswe amakhulu eminyaka ukunikeza usizo ekuqunjelweni okwesikhashana.

Yini i-Senna?

I-Senna ngumuthi osuselwe ezitshalweni osebenza njenge-laxative ekhuthazayo. Izinhlanganisela ezisebenzayo ku-senna, ezibizwa ngokuthi ama-sennosides, zisiza ukukhuthaza imisipha emathunjini akho ukuthi ihambise udoti ngohlelo lwakho lokugaya ukudla ngempumelelo.

Ungathola i-senna ngezindlela eziningi ezihlanganisa amaphilisi, amaphilisi, uketshezi, netiye. Amakhemisi amaningi nezitolo zezempilo zithwala imikhiqizo ye-senna ngaphandle kokudinga incwadi kadokotela. Umuthi ngokuvamile uvela ezinhlotsheni ezimbili eziyinhloko ze-senna plant: Cassia angustifolia kanye ne-Cassia acutifolia.

I-Senna ithathwa njenge-laxative eqinile uma iqhathaniswa nezinketho ezakha ubuningi njenge-psyllium, kodwa ithambile kunezithile zemithi kadokotela. Iwa ngaphansi kwesigaba se-laxatives ekhuthazayo, okusho ukuthi ikhuthaza ngokuqondile amathumbu akho ukuthi anciphise futhi aphushe udoti.

Isetshenziselwani i-Senna?

I-Senna ngokuyinhloko iphatha ukuqunjelwa okwesikhashana lapho ungabi nokuhamba kwamathumbu izinsuku eziningana. Yenzelwe ukusetshenziswa kwesikhashana lapho umkhuba wakho ojwayelekile wokugezela uphazamiseka uhambo, izinguquko zokudla, noma ukucindezeleka.

Odokotela ngezinye izikhathi batusa i-senna ngaphambi kwezinqubo ezithile zezokwelapha njenge-colonoscopies ukusiza ukususa amathumbu akho ngokuphelele. Kulezi zimo, umhlinzeki wakho wezempilo uzokunikeza imiyalelo ethile mayelana nesikhathi kanye nomthamo.

Abanye abantu basebenzisa i-senna ekuqunjelweni okungapheli, kodwa lokhu kufanele kwenziwe ngaphansi kokuqondiswa kwezokwelapha. Ukusetshenziswa kwesikhathi eside kungaholela ekuthembekeni, lapho imisipha yamathumbu akho iba ngaphansi kokukwazi ukuzisebenzela yona.

Noma abanye abantu basebenzise i-senna ukunciphisa umzimba, lokhu akuyona indlela ephephile noma esebenzayo. Ukuncipha kwesisindo okwesikhashana kuvela ekuqedeni amanzi kanye nemfucuza, hhayi ukuncipha kwamafutha, futhi kungaba yingozi empilweni yakho.

Isebenza Kanjani I-Senna?

I-Senna isebenza ngokucasula umugqa wamathumbu akho amakhulu ngendlela elawulwayo. Ama-sennosides aku-senna aqedwa ngamabhaktheriya e-colon yakho, okuthi ngemva kwalokho kuqale ukuncipha kwemisipha okubizwa ngokuthi i-peristalsis.

Lokhu kuncipha kusiza ukusunduza indle emathunjini akho ngokushesha kunokujwayelekile. Cabanga ngakho njengokunika uhlelo lwakho lokugaya ukudla ukukhuthaza okumnene kodwa okuqinile ukuze izinto ziqale ukuhamba futhi.

Le nqubo ivame ukuthatha amahora angu-6 kuya kwangu-12 ukusebenza, yingakho abantu abaningi bethatha i-senna ngaphambi kokulala. Lesi sikhathi sichaza ukuthi cishe uzoba nokuhamba kwamathumbu ekuseni lapho kulula khona.

I-Senna futhi isiza ukuthambisa indle ngokuvimbela i-colon yakho ukuthi ingamunci amanzi amaningi emfucweni njengoba idlula. Lesi senzo esiphindwe kabili senza ukuhamba kwamathumbu kube lula futhi kube nokunethezeka.

Kufanele Ngiyithathe Kanjani I-Senna?

Thatha i-senna ngqo njengoba kuqondiswe ephasheni noma njengoba udokotela wakho encoma. Umthamo ovamile wabantu abadala usukela ku-15 kuya ku-30 mg yama-sennosides kanye ngosuku, ngokuvamile ethathwa ngesikhathi sokulala.

Ungathatha i-senna ngaphandle kokudla, kodwa ukuphuza ingilazi egcwele amanzi ngomthamo ngamunye kusiza umuthi ukuthi usebenze ngempumelelo. Abanye abantu bathola ukuthi ukuyithatha ngesidlo esilula kunciphisa noma yikuphi ukuphathwa yisisu.

Uma usebenzisa itiye le-senna, cwilisa isikhwama setiye esisodwa emanzini ashisayo imizuzu engu-10 kuya kwengu-15, bese uphuza inkomishi yonke. Ungaphuzi izinkomishi ezingaphezu kweyodwa ngosuku ngaphandle uma udokotela wakho ekutshela ngqo ukuthi wenze kanjalo.

Ngezinhlobo eziwuketshezi, linganisa umthamo wakho ngokucophelela ngedivayisi yokulinganisa eza nomkhiqizo. Ungasebenzisi izipuni zasendlini, njengoba zingahlinzeki ngezilinganiso ezinembile.

Zama ukuthatha i-senna ngesikhathi esifanayo nsuku zonke ukuze umise umkhuba. Abantu abaningi bathola ukuthi isikhathi sokulala sisebenza kangcono ngoba imithi ngokuvamile ikhiqiza imiphumela ngemva kwamahora angu-6 kuya kwangu-12.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Senna?

I-Senna yenzelwe ukusetshenziswa ngesikhathi esifushane kuphela, ngokuvamile kungabi ngaphezu kwesonto elilodwa. Ukuyisebenzisa isikhathi eside kungabangela ukuthi imisipha yamathumbu akho incike emithini ukuze isebenze kahle.

Abantu abaningi bathola ukukhululeka phakathi kwezinsuku eziyi-1 kuya kwezi-3 ngemva kokuqala ukuthatha i-senna. Uma ungenayo indle phakathi kwezinsuku ezi-3 ngemva kokuthatha i-senna, yeka ukuyisebenzisa bese uthintana nomhlinzeki wakho wezempilo.

Uma uzithola udinga izithambisi njalo, lokhu kusikisela inkinga engaphansi okudingeka ukunakwa kwezokwelapha. Ukuqunjelwa okungapheli kungaba nezimbangela eziningi, kusukela ekudleni nasezintweni zokuphila kuya ezimeni zezokwelapha ezidinga izindlela zokwelapha ezihlukene.

Udokotela wakho angakusiza ukuthi uthole ukuthi kungani uhlangabezana nokuqunjelwa okuqhubekayo futhi athuthukise uhlelo lokuphatha isikhathi eside. Lokhu kungabandakanya izinguquko ekudleni, ukwanda komsebenzi womzimba, noma eminye imithi ephephezelayo ukusetshenziswa isikhathi eside.

Yiziphi Imiphumela Eceleni Ye-Senna?

Abantu abaningi bayayibekezelela i-senna kahle uma isetshenziswa njengoba kuqondisiwe, kodwa eminye imiphumela engase ibe khona. Ezivamile ngokuvamile zithambile futhi zesikhashana.

Nansi imiphumela engase ube nayo, uqala ngalezo ezivamile kakhulu:

• Ukuqaqamba kwesisu noma ukungakhululeki
• Ukuqunjelwa uma uthatha okuningi kakhulu
• Ukucasuka noma ukuzwa ukugula
• Igesi noma ukuqunjelwa
• Ushintsho emibaleni yomchamo (umbala ophuzi-nsundu ongenangozi)

Le miphumela evamile ngokuvamile iyathuthuka njengoba umzimba wakho ujwayela imithi futhi ngokuvamile ixazululwa uma uyeka ukuthatha i-senna.

Imiphumela emibi kakhulu ayivamile kodwa ingenzeka, ikakhulukazi ekusetshenzisweni kwesikhathi eside noma imithamo ephezulu. Lokhu kudinga ukunakwa kwezokwelapha ngokushesha:

• Ukomiswa okukhulu okunezinhlungu zokuzwa noma ukuquleka
• Ukungalingani kwama-electrolyte okubangela ubuthakathaka bemisipha
• Ukuqunjelwa okuqhubekayo okuthatha izinsuku ezingaphezu kwezi-2
• Ubuhlungu obukhulu besisu noma ukuqaqamba
• Ukuphuma igazi ngendlela engavamile noma igazi esitulweni
• Izimpawu zezinkinga zesibindi (ezingavamile kakhulu)

Uma uhlangabezana nanoma yiziphi zalezi zimpawu ezinzima, yeka ukuthatha i-senna ngokushesha futhi ufune ukwelashwa. Le miphumela ayivamile uma i-senna isetshenziswa ngendlela efanele isikhathi esifushane.

Ubani Ongafanele Athatha I-Senna?

Abantu abathile kufanele bagweme i-senna ngokuphelele ngenxa yokukhathazeka ngokuphepha. Uma unezimo zokuvuvukala kwamathumbu njengesifo sikaCrohn noma i-ulcerative colitis, i-senna ingenza izimpawu zakho zibe zimbi futhi ibangele izinkinga eziyingozi.

Abantu abanezithiyo emathunjini, ukomiswa okukhulu, noma ubuhlungu besisu obungaziwa imbangela akufanele neze bathathe i-senna. Umuthi ungafihla izinkinga ezinkulu zezokwelapha noma uzenze zibe zimbi.

Nawa amaqembu amakhulu okufanele agweme i-senna:

• Izingane ezingaphansi kweminyaka eyi-12 (ngaphandle uma zibhalwe ngqo ngudokotela)
• Abantu abanezifo zamathumbu ezivuvukalayo
• Labo abanezithiyo emathunjini noma ukuqunjelwa okukhulu
• Abantu abanokomisa okukhulu noma ukungalingani kwama-electrolyte
• Abantu abanezimo zenhliziyo ezithinteka ngamazinga e-potassium
• Labo abanezifo zesibindi noma izinso ezinzima

Abesifazane abakhulelwe nabancelisayo kufanele baxhumane nomhlinzeki wabo bezempilo ngaphambi kokusebenzisa i-senna, njengoba amanani amancane angadluliselwa enganeni.

Uma uthatha imithi yenhliziyo, ama-blood thinners, noma ama-diuretics, khuluma nomuthi wakho noma udokotela ngaphambi kokusebenzisa i-senna. Umuthi ungathinta indlela le mithi esebenza ngayo emzimbeni wakho.

Amagama Omkhiqizo we-Senna

I-Senna iyatholakala ngaphansi kwamagama amaningi omkhiqizo, nakuba izinhlobo eziningi ezivamile zisebenza ngempumelelo. Amanye amagama omkhiqizo avamile afaka i-Senokot, i-Ex-Lax, ne-Fletcher's Castoria.

Uzothola futhi i-senna emikhiqizweni ehlanganisiwe ehlanganisa ezinye izinto ezithambisa isisu noma ezithambisa indle. Le mikhiqizo ehlanganisiwe, njenge-Peri-Colace, ingase ibe mnene kwabanye abantu kodwa ingakhuphula nengozi yemiphumela emibi.

Imikhiqizo ye-senna ejwayelekile ivamise ukuba ishibhile kakhulu kunezinhlobo ezinamagama omkhiqizo futhi iqukethe izithako ezifanayo ezisebenzayo. Hlola njalo ilebula ukuze uqinisekise ukuthi uthola amandla afanele nohlobo lwe-senna oludingayo.

Ezinye izindlela ze-Senna

Ezinye izinto eziningi ezithambisa isisu zingasiza ngokuqunjelwa uma i-senna ingasebenzi kahle kuwe noma idala imiphumela emibi engakhululeki. Izinto ezithambisa isisu ezakha ubuningi njenge-psyllium (Metamucil) noma i-methylcellulose (Citrucel) zisebenza ngobumnene ngokwengeza i-fiber endleni yakho.

Izinto ezithambisa isisu ze-Osmotic ezifana ne-polyethylene glycol (Miralax) zikhipha amanzi emathunjini akho ukuze zithambise indle. Lezi zivame ukubangela amaja ambalwa kunezinto ezithambisa isisu ezikhuthazayo njenge-senna.

Izithambisi zendle njenge-docusate (Colace) zisiza ukwenza ukuhamba kwamathumbu kube lula ngokuvumela amanzi amaningi ukuthi axutshwe nendle. Zisebenza kancane kune-senna kodwa zingase zibe ngcono kubantu abanezifo zamathumbu noma ama-anal fissures.

Ukuze uqunjelwa okungapheli, udokotela wakho angase ancome imithi kadokotela efana ne-lubiprostone noma i-linaclotide, esebenza ngendlela ehlukile kunezinketho ezingaphandle kwe-counter futhi ziphephe kakhulu ekusetshenzisweni kwesikhathi eside.

Ingabe i-Senna ingcono kune-Bisacodyl?

I-Senna ne-bisacodyl (Dulcolax) zombili ziyizinto ezithambisa isisu ezikhuthazayo ezisebenza ngezindlela ezifanayo, kodwa zomehluko omkhulu. I-Senna isuselwa ezitshalweni futhi ivame ukusebenza ngobumnene ngamaja ambalwa, kuyilapho i-bisacodyl iyinhlanganisela yokwenziwa futhi ivame ukusebenza ngokushesha.

I-Bisacodyl ngokuvamile ikhiqiza imiphumela emahoreni angu-6 kuya kwangu-10, kuyilapho i-senna ivame ukuthatha amahora angu-6 kuya kwangu-12. Abanye abantu bathola i-bisacodyl iqagela kakhulu ngesikhathi sayo, kodwa abanye bakhetha indlela ye-senna enobumnene.

Zombili lezi zithako zemithi zithwala izingozi ezifanayo uma zisetshenziswa isikhathi eside, okuhlanganisa ukuncika kanye nokungalingani kwama-electrolyte. Ukukhetha phakathi kwazo kuvame ukuncika ekuthandeni komuntu siqu nokuthi umzimba wakho usabela kanjani komunye nomunye.

Uma uzamile enye ngaphandle kwempumelelo noma uhlangabezane nemiphumela engathandeki, udokotela wakho angase ancome ukushintshela kwenye. Akukho ngokuqinisekile okuthi "kungcono" - kuncike ezidingweni zakho zomuntu ngamunye kanye nokubekezelela.

Imibuzo Evame Ukubuzwa Mayelana ne-Senna

Q1. Ingabe i-Senna iphephile kubantu abanesifo sikashukela?

I-Senna ngokuvamile iphephile kubantu abanesifo sikashukela uma isetshenziswa njengoba kuqondiswe isikhathi esifushane. Umuthi awuthinti ngokuphawulekayo amazinga kashukela egazini, futhi imikhiqizo eminingi ye-senna iqukethe ushukela omncane noma awukho.

Kodwa-ke, uma unesifo sikashukela futhi uhlangabezana nokuqunjelwa okungapheli, kubalulekile ukusebenza nomhlinzeki wakho wezempilo ukuze ubhekane nezimbangela eziyisisekelo. Eminye imithi yesifo sikashukela inganciphisa ukugaya ukudla, futhi ukulawulwa okungcono kashukela egazini kungase kusize ngokuqina.

Q2. Kufanele ngenzeni uma ngiphuzile i-Senna eningi ngengozi?

Uma uthathe i-senna eningi kunokunconywayo, cishe uzobhekana nohudo olukhulu, ukuqaqamba, futhi mhlawumbe nokuphelelwa amanzi emzimbeni. Yeka ukuthatha i-senna ngokushesha futhi uphuze uketshezi oluningi olucacile ukuze uthathele indawo okulahlayo.

Qaphela izimpawu zokuphelelwa amanzi emzimbeni njengokugajuka, umlomo owomile, noma ukuncipha komchamo. Uma uhlangabezana nezimpawu ezinzima noma ungakwazi ukugcina uketshezi phansi, funa ukwelashwa ngokushesha. Izimo eziningi ze-senna overdose zixazululwa kungakapheli amahora angama-24 ngokuhambisana nokuhambisa amanzi emzimbeni okufanele.

Q3. Kufanele ngenzeni uma ngiphuthelwa umthamo we-Senna?

Uma uphuthelwa umthamo wakho we-senna ebusuku, ungawuthatha ngokushesha lapho ukhumbula, kodwa kuphela uma kungakapheli amahora angama-2 kusukela ngesikhathi sakho esivamile. Ungathathi umthamo ophindwe kabili ukuze ulungise lowo ophuthelwe.

Uma sekudlule amahora angaphezu kwama-2 noma sekusekuseni, weqa umthamo owuphuthelwe bese ubuyela esimisweni sakho esivamile ngalobo busuku. Ukuthatha i-senna emini kungase kubangele ukuhamba kwamathumbu okungahleliwe ngezikhathi ezingalindelekile.

Q4. Ngingayeka nini ukuthatha i-Senna?

Ungayeka ukuthatha i-senna uma usuvele wahamba ngendlela evamile yamathumbu futhi uzizwa sengathi uhlelo lwakho lokugaya ukudla selubuyele esimweni esijwayelekile. Abantu abaningi badinga kuphela i-senna izinsuku eziyi-1 kuya kwezi-3 ukuze baxazulule ukuqunjelwa okwenzeka ngezikhathi ezithile.

Ungaqhubeki nokuthatha i-senna ngenxa yokuthi usenayo. Umzimba wakho udinga isikhathi sokubuyela esigcawini sawo semvelo ngaphandle kosizo lwemithi. Uma ukuqunjelwa kubuya ngemva kokuyeka i-senna, gxila ezingxenyeni zokuphila ezifana nokwanda kwe-fiber, amanzi, nomsebenzi womzimba.

Q5. Ngingayithatha i-Senna neminye imithi?

I-Senna ingasebenzisana neminye imithi ethile, ikakhulukazi imithi yenhliziyo kanye ne-diuretics. Kungase kuthinte indlela umzimba wakho oyamunca ngayo eminye imithi ngokusheshisa isikhathi sokuhamba emathunjini akho.

Njalo tshela usokhemisi wakho noma udokotela mayelana nayo yonke imithi oyithathayo, okuhlanganisa nemithi etholakala ngaphandle kwe-oda kanye nezithasiselo. Bangakunikeza iseluleko ngesikhathi esifanele nokuthi ngabe i-senna iphephile yini ukuyisebenzisa nemithi yakho yamanje.