Cov tshuaj Classical tsis xav tias nws tsim nyog rau kev noj qab haus huv kom khiav tawm quav ntawm ib hnub. Ntau npaum li cas koj hla lub plab zom mov nyob ntawm txhua tus neeg, tab sis feem ntau nws yog hu ua cem quav yog tias muaj tsawg dua 3 lub plab zom mov hauv ib lub lis piam thiab lawv nyuaj lossis nyuaj dhau.

Tus kws kho mob yuav ua ntej txiav txim seb nws puas yog tus mob thib ob (vim lwm yam kab mob) los yog cem quav thawj zaug. Hauv thawj kis, nws yuav kho qhov laj thawj lossis nws yuav muab tshuaj ntsuam xyuas ntxiv, xws li a txoj hnyuv. Kho koj hemorrhoids Yog tau tshwm sim. Lawv feem ntau ua rau cem quav. Yog tias koj cem quav tsis ntev los no thiab koj tab tom noj ib qho tshiab tshuaj, nrog koj tus kws kho mob tham. Koj cov tshuaj yuav ua rau koj qhov teeb meem.

Tom qab ntawd tus kws kho mob yuav txiav txim seb nws puas yog ntuav lossis ntuav ntuav.

hla kev cem quav

Tus kws kho mob yuav xub pom zoo hloov kev noj haus thiaj li yuav ua rau kom tau txais ntawm fibers : zaub nyoos, zaub siav, legumes, txiv hmab txiv ntoo uas muaj pectin (apple, pear, peach, berries), tab sis saum toj no tag nrho cov nplej.

Peb tuaj yeem ntxiv ceg, siab heev nyob rau hauv fiber, los yog lwm yam cereals nyob rau hauv muffin zaub mov txawv, thiab lwm yam. Los kho cov cem quav, nws raug pom zoo kom haus txog 1/4 khob ntawm cov nplej bran ib hnub twg. Tag nrho cov prunes thiab kua txiv hmab txiv ntoo kuj muaj txiaj ntsig zoo hauv kev tshem tawm cem quav vim tias lawv muaj sorbitol, ntuj tso quav. Ib hnub koob tshuaj 8 ooj feem ntau yog txaus⁴. Txawm li cas los xij, qee zaum nws tuaj yeem siv ob peb lub lis piam kom hnov ​​​​cov txiaj ntsig ntawm kev noj zaub mov uas muaj fiber ntau hauv kev thauj mus los¹⁹.

Tib lub sijhawm, tus kws kho mob kuj yuav pom zoo haus kom txaus, thaum tsis txhob haus dej cawv thiab caffeinated, uas ua rau lub cev qhuav dej thiab tuaj yeem ua rau mob plab. Txawm li cas los xij, yog tias cem quav yog mob ntev thiab nrog rau plab hnyuv, koj yuav tsum tsis txhob hloov koj cov zaub mov dheev.

Yog hais tias cem quav tsis tu ncua, nws yuav pom zoo rau a mob plab. Muaj 6 pawg:

• cov ballast laxatives los yog loj yog feem ntau mucilages los yog npaj noj fibers: hydrophilic psyllium muciloid los yog methylcellulose. Hom laxative no yog qhov maj mam tshaj plaws ntawm txoj hnyuv. Los ntawm kev khi nrog dej, cov fibers swell, uas pab tsim cov quav xoob, loj heev. Lawv qhov ntim ua rau peristalsis ntawm txoj hnyuv, uas txav cov quav mus rau qhov quav. Tej zaum nws yuav siv li ob peb hnub kom cov nyhuv laxative tshwm sim. Nws raug nquahu kom haus qhov sib npaug ntawm 5 mus rau 10 npaug ntawm qhov ntim ntawm tus nqi ntawm ballast laxative noj. Piv txwv li Metamucil®, Prodiem® thiab Kellogs Bran Buds®.

  Cov tshuaj phiv: plab hnyuv, gas thiab cramps. Kev sib xyaw ua ke maj mam rau hauv cov zaub mov txwv cov kev tsis yooj yim no.

• cov emollient laxatives, uas soften cov quav. Piv txwv li, docusate sodium (Colace®, Ex-Lax®, Soflax®).

  Cov tshuaj phiv: raws plab thiab mob plab me ntsis.

• cov osmotic laxatives pab khaws dej ntau hauv txoj hnyuv, yog li softening cov quav. Lawv suav nrog cov ntsev (sodium sulfate, magnesium sulfate lossis Epsom ntsev), magnesium hydroxide (cov mis nyuj ntawm magnesia), cov suab thaj uas tsis tuaj yeem sib xyaw los ntawm txoj hnyuv (lactulose, mannose, mannitol, sorbitol, thiab lwm yam) lossis glycerin (raws li suppository). Polyethylene glycol-based laxatives (Miralax®, Lax-A-Day®) yog osmotic laxatives muaj rau cov neeg laus yws yws ntawm cem quav qee zaus.

  Muaj feem cuam tshuam: raws plab, gas, cramps, thiab ntau npaum li cas ntawm lub cev qhuav dej.

• cov lubricants laxative, uas lubricate cov quav thiab pab kom lawv khiav tawm. Nws feem ntau yog cov roj ntxhia (cov roj paraffin lossis petrolatum). Lawv tuaj yeem siv qhov ncauj los yog rectally.

  Cov tshuaj phiv: raws plab thiab mob plab me ntsis. Ua tib zoo saib, qhov mob ntawm lub ntsws tuaj yeem tshwm sim yog tias cov roj raug nqus mus rau hauv lub ntsws.

• cov stimulant laxatives ua ncaj qha rau ntawm txoj hnyuv mucosa thiab tag nrho cov peristaltic txav (bisacodyl, anthracene, emulsified castor roj). Lawv txo cov reabsorption ntawm dej thiab electrolytes nyob rau hauv txoj hnyuv. Stimulant laxatives, uas ua rau khaus heev rau hauv ob sab phlu ntawm txoj hnyuv, yog siv los ua qhov chaw kawg. Lawv tsis pom zoo nyob rau hauv cov ntaub ntawv ntawm cem quav. Lawv yuav tsum tsis txhob noj ntau tshaj 1 lossis 2 lub lis piam yam tsis muaj kev saib xyuas kho mob.

  Cov tshuaj phiv: mob plab, raws plab thiab kub hnyiab hauv qhov quav.

  Ceev Faj. Kev noj tshuaj ntau dhau tuaj yeem ua rau muaj kev quav yeeb quav tshuaj quav quav, nrog rau ua rau qis qis ntawm sodium thiab potassium hauv cov ntshav, lub cev qhuav dej thiab tej zaum yuav muaj teeb meem loj dua.

  Rooj Siv Ceeb Toom. Lawv yog contraindicated rau cov poj niam cev xeeb tub thiab pub niam mis.

Qee qhov kev npaj yog tsim los ntawm cov tshuaj los ntawm 2 lossis 3 ntawm cov pab pawg ntawm cov tshuaj laxative.

• lubiprostone (Amitiza®). Cov tshuaj tshiab no yog qhia rau kev kho mob cem quav hauv cov neeg laus, yog tias tsis ua haujlwm ntawm lwm cov kev kho mob.¹⁹. Nws ua haujlwm los ntawm kev ua kom cov dej tso tawm ntawm txoj hnyuv.

  Cov tshuaj phiv: xeev siab, raws plab, mob plab thiab roj.

Cem quav tawv

Nyob rau hauv rooj plaub ntawm cem quav, tus kws kho mob yuav pom zoo micro enemas rau Kev cia siab nyob rau hauv thiaj li yuav restore lub evacuation reflex. Tsis tas li ntawd, los ntawm biofeedback, peb tuaj yeem rov qhia qhov kev txawj ntse ntawm lub cev tom qab ib qho kev cem quav, yog tias tsim nyog.^{5, 13}.