Ballast laxatives

 Psyllium (cov noob los yog noob tsho loj). Tau ntau pua xyoo, psyllium tau siv los ua laxative los ntawm ntau haiv neeg. Nws yog soluble natural fiber (mucilage) coj los ntawm cov noob ntawm plantain. Cov kws kho mob lees paub nws cov txiaj ntsig hauv kev txo qis cem quav. Psyllium muaj nyob rau hauv flakes thiab hmoov hauv khw muag khoom noj khoom haus thiab tshuaj ntsuab. Nws yog cov khoom tseem ceeb hauv kev npaj ua lag luam xws li Metamucil®, Regulan® thiab Prodiem®. Psyllium muaj qhov tsw qab.

ntau npaum

- Soak 10 g ntawm psyllium hauv 100 ml ntawm dej sov rau ob peb feeb. Haus tam sim ntawd kom tsis txhob sib tov los ntawm thickening thiab gelling. Tom qab ntawd haus qhov sib npaug ntawm tsawg kawg 200 ml dej kom tsis txhob muaj kev cuam tshuam ntawm lub plab zom mov. Rov ua 1 mus rau 3 zaug hauv ib hnub, raws li xav tau. Ntxiv cov koob tshuaj maj mam kom txog thaum cov nyhuv xav tau.

- Tej zaum nws yuav tsim nyog los kho ntxiv yam tsawg kawg 2 mus rau 3 hnub ua ntej tau txais cov nyhuv laxative zoo.

 Linseed. Nws cov mucilage (pectin) piav qhia nws cov nyhuv laxative. Commission E thiab ESCOP lees paub nws cov txiaj ntsig hauv kev kho mob cem quav.

ntau npaum

- Ntxiv 1 tsp. tablespoon (10 g) tag nrho cov noob, crushed los yog coarsely av rau ib khob dej (150 ml yam tsawg kawg nkaus) thiab haus nws tag nrho.

- Noj 2 mus rau 3 zaug hauv ib hnub. Qee qhov chaw pom zoo kom ntub lawv thaum lawv tso lawv cov mucilage, lwm tus xav tias lawv yuav tsum tau o hauv cov hnyuv kom zoo.

- Flaxseed yog qhov zoo tshaj plaws yog tias nws yog thawj coarsely hauv av (tab sis tsis yog hmoov). Cov nplua nuj nyob hauv polyunsaturated fatty acids, nws yuav tsum tau crushed tshiab kom tsis txhob muaj cov rog tsis ruaj tsis khov los ntawm kev mus rancid (cov noob crushed tsuas yog khaws cia rau 1 lub lis piam hauv lub tub yees).

- Koj tuaj yeem nqa cov noob ib leeg lossis ntxiv rau applesauce, mis nyuj, muesli, oatmeal, thiab lwm yam.

 Agar thiab guar gum. Cov tshuaj no tau siv ib txwm siv los kho cem quav. Agar-agar yog ib yam khoom uas nplua nuj nyob rau hauv mucilage rho tawm los ntawm ntau hom liab algae (gelidium ou Hlub). Guar gum yog ib qho polysaccharide muab tau los ntawm Indian cog, guar (Cyamopsis tetragonolobus). Lawv o ntawm kev sib cuag nrog dej.

ntau npaum

- Guar cov pos hniav : noj 4 g, 3 zaug hauv ib hnub (12 g tag nrho) ua ntej lossis thaum noj mov, nrog tsawg kawg 250 ml ntawm cov kua. Pib nrog koob tshuaj 4 g ib hnub twg thiab nce ntxiv kom tsis txhob muaj kev tsis xis nyob hauv plab⁶.

- jelly : Noj 5 g mus rau 10 g ib hnub twg⁷. Nws yog muag nyob rau hauv "loaves" los yog nyob rau hauv cov hmoov dawb uas yaj nyob rau hauv dej los ua ib tug jelly uas yuav flavored nrog txiv hmab txiv ntoo kua txiv thiab uas yuav hloov tau gelatin khoom qab zib.

 Glucomannane los ntawm konjac. Kev noj haus ib txwm nyob hauv Asia, konjac glucomannan tau pom tias muaj txiaj ntsig zoo hauv kev txo qis cem quav nyob rau hauv ntau yam kev tshawb fawb uas tsis tswj. Hauv xyoo 2008, kev tshawb fawb me me tau ua rau 7 tus neeg mob cem quav los ntsuas qhov ua tau zoo ntawm cov tshuaj konjac glucomannan (1,5 g, 3 zaug hauv ib hnub rau 3 lub lis piam) piv rau cov placebo hauv kev txo cov cem quav. Glucomannan ua rau nws muaj peev xwm ua kom cov quav ntau dhau los ntawm 30% thiab txhim kho cov hnyuv zoo.²⁰. Hauv cov menyuam yaus, ib txoj kev tshawb fawb luam tawm xyoo 2004 (31 cov menyuam yaus) tau qhia tias glucomannan txo qhov mob plab thiab cov tsos mob ntawm cem quav (45% ntawm cov menyuam yaus xav zoo dua piv rau 13% ntawm cov neeg kho nrog cov placebo). Cov koob tshuaj ntau tshaj plaws yog 5 g / hnub (100 mg / kg ib hnub)²¹.

Emollient laxative

 Liab elm (red liab). Sab hauv ntawm cov tawv ntoo, bast, ntawm tsob ntoo no nyob rau hauv North America yog siv los ntawm Native Americans los kho cov kab mob ntawm lub plab zom mov. Liber tseem siv niaj hnub no los kho cem quav los yog muab cov zaub mov emollient thiab yooj yim digestible rau convalescents.

ntau npaum

Saib daim ntawv qhia nplua elm porridge hauv daim ntawv Elm hauv Medicinal Herbarium seem.

Stimulating laxatives

Hom laxative no feem ntau yog tsim los ntawm cov nroj tsuag uas muaj anthranoids (los yog anthracenes). Kev noj tshuaj yog nyob ntawm cov ntsiab lus anthranoid, tsis yog qhov hnyav ntawm cov nroj tsuag qhuav⁷. Cov tshuaj tuaj yeem hloov kho kom siv qhov tsawg tshaj plaws uas xav tau kom ua tiav cov quav mos. Tsis txhob ntau tshaj 20 mg mus rau 30 mg ntawm anthranoids ib hnub twg.

 Cov roj taum Castor (Ricinus kev sib txuas lus). Castor roj yog nyob rau hauv ib chav kawm ntawm nws tus kheej nyob rau hauv lub ntiaj teb no ntawm stimulant laxatives vim nws tsis muaj anthranoids. Nws tshuav nws cov haujlwm purgative rau fatty acid, ricinoleic acid, uas tsim sodium ntsev. Cov kws kho mob lees paub nws cov txiaj ntsig zoo hauv kev kho cem quav raws li ad hoc.

ntau npaum

Nws yog noj ntawm tus nqi ntawm li 1 mus rau 2 tbsp. tsp (5 g mus rau 10 g), rau cov neeg laus⁷. Nws yuav siv sijhawm li 8 teev ua haujlwm. Txhawm rau kom muaj txiaj ntsig sai, noj ntau tshaj 6 tbsp. (30 g). Noj rau ntawm lub plab khoob, nws zoo dua.

Cons-qhia

Cov neeg muaj kab mob gallstone los yog lwm yam teeb meem gallbladder.

 Senna (Cassia angustifolia ou Cassia Senna). Kev ua tau zoo ntawm senna hauv kev kho cem quav, hauv lub sijhawm luv, tau lees paub los ntawm cov kws kho mob. Ntau cov khoom siv laxative tau los ntawm lub txee muaj senna extracts (Ex-Lax®, Senokot®, Riva-Senna®, thiab lwm yam). Lub husk ntawm senna noob muaj 2% mus rau 5,5% anthranoids, thaum nplooj muaj txog 3%.⁷.

ntau npaum

- Ua raws li cov neeg tsim khoom pom zoo.

- Koj tuaj yeem infuse 0,5 g mus rau 2 g ntawm senna nplooj hauv dej sov rau 10 feeb. Noj ib khob thaum sawv ntxov thiab, yog tias xav tau, ib khob thaum sawv ntxov.

- Clove: infuse rau 10 feeb, ½ tsp. theem teaspoon ntawm hmoov pods nyob rau hauv 150 ml ntawm dej sov. Noj ib khob thaum sawv ntxov thiab, yog tias tsim nyog, ib khob thaum yav tsaus ntuj.

 Lub plhaub dawb huv (Rhamnus purshiana). Cov tawv ntoo ntawm tsob ntoo no nyob rau ntawm ntug dej hiav txwv Pacific ntawm North America muaj txog 8% anthranoids. Commission E pom zoo nws siv los daws cem quav. Ntau cov khoom laxative muaj nws, tshwj xeeb tshaj yog nyob rau hauv Tebchaws Meskas.

ntau npaum

Noj 2 ml mus rau 5 ml ntawm cov kua dej txheem extract, 3 zaug ib hnub twg.

Nws tseem tuaj yeem raug coj los ua ib qho infusion: infuse 5 g ntawm tawv tawv qhuav hauv 10 ml ntawm boiling dej rau 2 mus rau 150 feeb thiab lim. Noj ib khob ib hnub. Nws tsw, txawm li cas los xij, tsis kaj siab.

 Aloe latex (aloe vera). Kev siv dav hauv Tebchaws Europe, aloe latex (daj kua txiv tam sim no hauv cov kwj dej me me ntawm cov tawv ntoo) yog siv tsawg dua hauv North America. Muaj zog purgative, nws muaj 20% mus rau 40% anthranoids. Commission E, ESCOP thiab Lub Koom Haum Ntiaj Teb Kev Noj Qab Haus Huv lees paub nws cov txiaj ntsig zoo hauv kev kho mob cem quav.

ntau npaum

Noj 50 mg rau 200 mg ntawm aloe latex thaum yav tsaus ntuj, thaum mus pw. Pib nrog koob tshuaj me me thiab nce ntxiv raws li qhov xav tau, vim tias cov nyhuv laxative tuaj yeem tshwm sim ntawm ntau qhov sib txawv, nyob ntawm tus neeg.

 Pob Tsuas (Rhamnus los yog buckthorn). Cov tawv ntoo qhuav ntawm lub cev thiab cov ceg ntawm buckthorn, tsob ntoo pom nyob hauv Europe thiab Asia, muaj 6% mus rau 9% anthranoids. Nws cov berries kuj muaj nws, tab sis tsawg me ntsis (los ntawm 3% mus rau 4%). Nws cov nyhuv yog me ntsis sib dua li ntawm lwm cov nroj tsuag. Commission E lees paub nws cov txiaj ntsig hauv kev kho cem quav.

ntau npaum

- Infuse 5 g ntawm qhuav bark nyob rau hauv 10 ml ntawm boiling dej rau 2 mus rau 150 feeb thiab lim. Noj ib khob ib hnub.

- 2 g mus rau 4 g ntawm buckthorn berries nyob rau hauv 150 ml ntawm boiling dej rau 10 mus rau 15 feeb, ces lim. Haus ib khob thaum yav tsaus ntuj thiab, raws li xav tau, thaum sawv ntxov thiab yav tav su.

 Rhubarb paus (Rheum sp.). Rhubarb cov hauv paus hniav muaj txog 2,5% anthranoids⁷. Nws cov nyhuv laxative yog me me, tab sis qee cov neeg muaj kev nkag siab rau nws ntau dua li lwm tus.

ntau npaum

Noj 1 g mus rau 4 g ntawm qhuav rhizome ib hnub twg. Grind finely thiab noj nrog me ntsis dej. Kuj tseem muaj cov ntsiav tshuaj uas muaj cawv thiab muab rho tawm.

 Tub Npis. Commission E thiab ESCOP tau pom zoo siv boldo nplooj los kho ntau yam kab mob hauv plab, suav nrog cem quav.

ntau npaum

Commission E pom zoo 3 g ntawm nplooj qhuav ib hnub rau kev zom zaub mov¹². Thov nco ntsoov tias boldo yuav tsum tsis txhob siv rau cov neeg laus, raws li nws tuaj yeem ua tau tshuaj lom rau lub siab²².

lwm yam

 probiotics

Muaj ob peb qhov kev sim tshuaj uas qhia txog qhov muaj txiaj ntsig zoo ntawm probiotics ntawm cem quav.^23-25 . Qhov zaus ntawm plab hnyuv nce los ntawm 20% mus rau 25% nrog kev noj cov tshuaj probiotics txhua hnub. Hauv cov neeg laus, probiotics uas ua rau muaj qhov ua rau lub plab zom mov thiab txhim kho lawv qhov sib xws Bifidobacterium tsiaj (DN-173 010), tus Lactobacillus case Shirota, Thiab covEscherichia coli Nissle 1917. Hauv cov menyuam yaus, L. rhamnosus casei Lcr35 tau pom muaj txiaj ntsig zoo²⁵.

 dandelion. Qee qhov tsis tshua muaj qhov kev sim tshuaj ntsuam xyuas ua ntej qhia tau hais tias kev npaj dandelion yuav txo tau cem quav. Cov nplooj tshiab los yog qhuav dandelion, zoo li cov hauv paus hniav, yog ib txwm siv los ua infusion rau lawv cov khoom me me laxative.¹².

kev kho mob

 Biofeedback. Perineal rehabilitation siv biofeedback (tseem hu ua biofeedback) muaj txiaj ntsig zoo hauv kev kho mob nyuaj rau defecation rau cov neeg laus (terminal cem quav). Rehabilitation los ntawm biofeedback yuav tsum tau nqa tawm nyob rau hauv ib tug tshwj xeeb chaw, thiab muaj ib ce muaj zog so ntawm cov leeg ntawm lub plab mog (siv lub zais pa catheter). Biofeedback tso cai rau koj kom "rov qab" los ua kom cov kev so ntawm qhov quav sphincter thiab txhawb zog. Feem ntau 3 mus rau 10 ntu yog xav tau kom tau txais txiaj ntsig²⁶.

 Colon irrigation. Qee tus neeg nrog cem quav mob ntev¹⁰ tau txais txiaj ntsig zoo nrog kev tso dej ntawm txoj hnyuv. Tham nrog tus kws kho mob lossis tus naturopath. Saib peb daim ntawv Colon Hydrotherapy.

 Kev zaws kho. Tus kws kho mob plab plab tuaj yeem pab txhawb plab hnyuv thiab txhawb nqa cov kua dej¹¹. Nws tseem ua tau kom zaws koj lub plab koj tus kheej los ntawm kev ua clockwise rotational txav ib ncig ntawm lub dab teg. Qhov no yuav pab rov qab plab hnyuv, tshwj xeeb tshaj yog nyob rau hauv cov me nyuam cem quav los yog me nyuam mos. Saib peb cov ntaub ntawv Massotherapy.

 Tsoos suav tshuaj. Acupuncture tej zaum yuav pab tau thaum lub plab zom mov tsis zoo li cov tshuaj laxative tsis zoo.¹¹. Cov tshuaj suav tshuaj ntsuab tseem yuav pab tau. Tham nrog tus kws kho mob.

 Kev Kho Mob Lub Siab. Yog hais tias koj muaj ib tug cem quav, kev puas siab puas ntsws yam yuav tsum tsis txhob raug neglected¹². Raws li nrog kev pw tsaug zog, tshem tawm cov haujlwm tuaj yeem cuam tshuam thaum xav ntau dhau. Saib peb daim ntawv Psychotherapy thiab cov nplooj ntawv cuam tshuam nyob rau hauv Cov Txheej Txheem Ntxiv tab kom paub txog ntau hom kev kho mob hlwb.

 Reflexology. Kev kho reflexology tuaj yeem pab so lub cev thiab lub siab. Lawv yuav qhib txoj hnyuv los ntawm stimulating reflex zones thiab rhuav tshem lub zog blockages¹⁰.