I-ballast laxatives

 I-Psyllium (imbewu noma amajazi embewu). Sekungamakhulu eminyaka i-psyllium isetshenziswa njenge-laxative ngabantu abaningana. Kuyintambo yemvelo encibilikayo (mucilage) ethathwe enzalweni ye-plantain. Iziphathimandla zezokwelapha ziyakubona ukusebenza kwazo ekukhululekeni ukuqunjelwa. I-Psyllium itholakala kuma-flakes ne-powder ezitolo zokudla zezempilo nakubelaphi bemithi. Yisithako esiyinhloko kumalungiselelo wezohwebo njengeMetamucil®, iRegulan® neProdiem®. I-Psyllium inambitheka we-bland.

Isikali

– Cwilisa u-10 g we-psyllium ku-100 ml wamanzi afudumele imizuzu embalwa. Phuza ngokushesha ukuvimbela ingxube ukuqina nokugcwala. Bese uphuza okulingana okungenani no-200 ml wamanzi ukugwema ukuphazamiseka kwendlela yokugaya ukudla. Phinda izikhathi ezi-1 ukuya kwezi-3 ngosuku, njengoba kudingeka. Khulisa umthamo kancane kancane kuze kutholakale umphumela oyifunayo.

- Kungadingeka ukuqhubeka nokwelashwa okungenani izinsuku ezimbili kuya kwezingu-2 ngaphambi kokuthola umphumela omuhle we-laxative.

 Kunqunyelwe. I-mucilage yayo (i-pectin) ichaza umphumela wayo we-laxative. IKhomishini E ne-ESCOP bayakubona ukusebenza kwayo ekwelapheni ukuqunjelwa okungamahlalakhona.

Isikali

- Faka 1 tsp. isipuni (10 g) imbewu ephelele, umhlabathi ochotshoziwe noma onamakhara ingilazi yamanzi (ubuncane obungama-150 ml) bese uyiphuza yonke.

- Thatha izikhathi ezi-2 ukuya kwezi-3 ngosuku. Eminye imithombo incoma ukuyifaka ngenkathi ikhipha ama-mucilage, eminye ibheka ukuthi kufanele ivuvukele emathunjini ukuze isebenze.

– Imbewu yefilakisi iphumelela kakhulu uma igayiwe kuqala (kodwa hhayi impuphu). Ecebile ngama-acids e-polyunsaturated fatty, kufanele ichithwe okusha ukuvimbela lawa mafutha angazinzile ukuba angabi rancid (imbewu echotshoziwe ingagcinwa isonto elilodwa kuphela esiqandisini).

- Ungathatha imbewu wedwa noma uyingeze kwi-appleauce, ubisi, i-muesli, i-oatmeal, njll.

 I-agar ne-guar gum. Lezi zinto zisetshenziswe ngokwesiko ukwelapha ukuqunjelwa. I-Agar-agar yinto ecebile ku-mucilage ekhishwe ezinhlotsheni ezahlukahlukene ze-algae ebomvu (I-Gelidium ou Grace). I-guar gum iyi-polysaccharide etholakala esitshalweni saseNdiya, i-guar (ICyamopsis tetragonolobus). Zivuvukela lapho zixhumana namanzi.

Isikali

- Ushingamu : thatha u-4 g, kathathu ngosuku (3 g esewonke) ngaphambi nje noma ngesikhathi sokudla, okungenani ngama-12 ml ketshezi. Qala ngomthamo ka-250 g ngosuku futhi wandise kancane kancane ukugwema ukungaphatheki kahle kwamathumbu⁶.

- jelly : Thatha u-5 g kuye ku-10 g ngosuku⁷. Kuthengiswa “ngezinkwa” noma ngofulawa omhlophe oncibilikiswa emanzini ukwenza ijeli elinganambitheka ngejusi yezithelo futhi elingathatha indawo yama-dessert e-gelatin.

 Glucomannane by konjac. Okudliwe ngokwesiko e-Asia, i-konjac glucomannan ikhonjisiwe ukuthi iyasebenza ekusizeni ukuqunjelwa ezifundweni eziningi ezingalawulwa. Ku-2008, kwenziwa ucwaningo oluncane kwiziguli ezi-7 eziqothuliwe ukuhlola ukusebenza kwe-konjac glucomannan supplements (1,5 g, 3 times a day for 3 weeks) kuqhathaniswa ne-placebo ekwehliseni ukuqunjelwa. I-Glucomannan yenze kwaba nokwenzeka ukwandisa imvamisa yezihlalo ngama-30% futhi ithuthukise ikhwalithi yezitshalo zamathumbu.²⁰. Ezinganeni, ucwaningo olushicilelwe ngo-2004 (izingane ezingama-31) lukhombise ukuthi i-glucomannan yehlisa ubuhlungu besisu nezimpawu zokuqunjelwa (i-45% yezingane izizwa ingcono uma iqhathaniswa ne-13% yalabo abaphathwa nge-placebo). Umthamo omkhulu osetshenzisiwe wawuyi-5 g / ngosuku (100 mg / kg ngosuku)²¹.

I-laxative emollient

 I-red elm (isilonda esibomvu). Ingxenye engaphakathi yegxolo, isigaxa, salesi sihlahla esidabuka eNyakatho Melika sisetshenziswa ngabomdabu baseMelika ukuphatha ukucasuka kohlelo lokugaya ukudla. I-Liber isasetshenziswa nanamuhla ukwelapha ukuqunjelwa noma uhlinzeke ngokudla okunezikhwehlela futhi okungagayeki kalula kuma-convalescents.

Isikali

Bheka iresiphi yephalishi ye-elm eshelelayo eshidini le-Elm esigabeni se-Medicinal Herbarium.

Ama-laxatives ashukumisayo

Lolu hlobo lwe-laxative luvame ukwenziwa ngezitshalo eziqukethe ama-anthranoids (noma ama-anthracenes). Isilinganiso sincike kokuqukethwe kwe-anthranoid, hhayi isisindo sesitshalo esomile⁷. Umthamo ungalungiswa ukuze usebenzise inani elincane kakhulu elidingekayo ukufeza indle ethambile. Ungeqi ku-20 mg kuye ku-30 ​​mg we-anthranoids ngosuku.

 u-Castor oil (URicinus communis). Amafutha eCastor asesigabeni sawo emhlabeni wama-laxatives avuselelayo ngoba awanawo ama-anthranoid. Ikweleta umsebenzi wayo wokuhlanza ngenxa ye-fatty acid, i-ricinoleic acid, eyenza usawoti we-sodium. Iziphathimandla zezokwelapha ziyakubona ukusebenza kwazo ekwelapheni ukuqunjelwa ngezikhathi ezithile.

Isikali

Ithathwa ngesilinganiso esingaba ngu-1 kuya ku-2 tbsp. tsp (5 g kuye ku-10 g), kubantu abadala⁷. Kuthatha cishe amahora ayi-8 ukusebenza. Ngomphumela osheshayo, thatha umkhawulo ongu-6 tbsp. (30 g). Kuthathwe esiswini esingenalutho, kuyasebenza kakhulu.

Izinkomba ze-Cons

Abantu abanezinyongo noma ezinye izinkinga ze-gallbladder.

 USenna (ICassia angustifolia ou UCassia Senna). Ukusebenza kwe-senna ekwelapheni ukuqunjelwa, esikhathini esifushane, kuqashelwa iziphathimandla zezokwelapha. Imikhiqizo eminingana ye-laxative etholwe phezu kwekhawunta iqukethe okukhishwe kwe-senna (Ex-Lax®, Senokot®, Riva-Senna®, njll.). Ikhoba lembewu ye-senna liqukethe u-2% kuya ku-5,5% wama-anthranoid, kanti amaqabunga aqukethe cishe u-3%.⁷.

Isikali

- Landela izincomo zomkhiqizi.

- Ungafaka futhi u-0,5 g kuye ku-2 g wamaqabunga e-senna emanzini afudumele imizuzu eyi-10. Thatha inkomishi ekuseni futhi, uma kudingeka, uthathe inkomishi ngesikhathi sokulala.

- Isigaxa: gxilisa, imizuzu eyi-10, ½ tsp. ithisipuni lezinga lempuphu ngo-150 ml wamanzi asivivi. Thatha inkomishi ekuseni futhi, uma kunesidingo, inkomishi kusihlwa.

 Igobolondo elingcwele (URhamnus purshiana). Amagxolo alesi sihlahla avela ogwini lwasePacific eNyakatho Melika aqukethe ama-anthranoid angama-8%. IKhomishini E ivuma ukusetshenziswa kwayo ukubhekana nayo ukuqunjelwa. Imikhiqizo eminingana ye-laxative iqukethe, ikakhulukazi e-United States.

Isikali

Thatha u-2 ml uye ku-5 ml wokukhishwa okulinganiselwe kuketshezi, kathathu ngosuku.

Kungabuye kuthathwe njengokumnika: faka u-5 g wamagxolo omisiwe ku-10 ml wamanzi abilayo imizuzu engu-2 kuya kwengu-150 kanye nesihlungi. Thatha inkomishi eyodwa ngosuku. Nokho, iphunga layo alimnandi.

 I-Aloe latex (Aloe vera). Isetshenziswa kabanzi eYurophu, i-aloe latex (ubisi oluphuzi olukhona emiseleni emincane yegxolo) ayisetshenziswa kakhulu eNyakatho Melika. I-purgative enamandla, iqukethe ama-anthranoid angama-20% kuya kuma-40%. IKhomishini E, i-ESCOP kanye ne-World Health Organisation bayakubona ukusebenza kwayo ekwelapheni ukuqunjelwa ngezikhathi ezithile.

Isikali

Thatha ama-50 mg kuya ku-200 mg we-aloe latex kusihlwa, ngesikhathi sokulala. Qala ngemithamo emincane bese ukhuphuka njengoba kudingeka, njengoba umphumela we-laxative ungenzeka ngamanani ahlukahlukene kakhulu, kuya ngomuntu.

 IBuckthorn (URhamnus noma i-buckthorn). Amagxolo omisiwe esiqu kanye namagatsha e-buckthorn, i-shrub etholakala eYurophu nase-Asia, iqukethe ama-anthranoid ayi-6% kuya ku-9%. Amajikijolo ayo nawo aqukethe, kepha kancane kancane (kusuka ku-3% kuye ku-4%). Umphumela walo ulula kancane ukwedlula owezinye izitshalo. IKhomishini E ibona ukusebenza kwayo ekwelapheni ukuqunjelwa.

Isikali

- Faka u-5 g wamagxolo omisiwe ku-10 ml wamanzi abilayo imizuzu emibili kuya kwengu-2 bese uhlunga. Thatha inkomishi eyodwa ngosuku.

- Faka u-2 g kuye ku-4 g wamajikijolo e-buckthorn kuma-150 ml wamanzi abilayo imizuzu eyi-10 kuye kwengu-15, bese uhlunga. Yiba nenkomishi kusihlwa futhi, njengoba kudingeka, ekuseni nantambama.

 Izimpande zeRhubarb (I-Rheum sp.). Izimpande ze-Rhubarb ziqukethe cishe u-2,5% wama-anthranoid⁷. Umphumela wayo we-laxative mncane, kepha abanye abantu bayazwela kuwo kunabanye.

Isikali

Sebenzisa i-1 g kuye ku-4 g we-rhizome eyomile ngosuku. Gaya kahle uthathe namanzi amancane. Kukhona futhi amaphilisi asekelwe etshwaleni kanye nezinto ezikhishwe.

 UBoldo. IKhomishini E ne-ESCOP ikugunyazile ukusetshenziswa kwamaqabunga e-boldo ukwelapha izifo ezahlukahlukene zamathumbu, kufaka phakathi ukuqunjelwa.

Isikali

IKhomishini E incoma ama-3 g amaqabunga omisiwe ngosuku ngezifo zokugaya ukudla¹². Sicela uqaphele ukuthi i-boldo akufanele isetshenziswe kubantu asebekhulile, njengoba kungase kube njalo anobuthi yesibindi²².

Izincwajana zemininingwane

 probiotics

Kukhona izivivinyo ezimbalwa zomtholampilo ezibonisa umthelela ongaba nenzuzo wama-probiotics ekuqunjelweni.^23-25 . Imvamisa yokuhamba kwamathumbu inyuka ngama-20% kuye kuma-25% ngokudla kwansuku zonke kwama-probiotic. Kubantu abadala, ama-probiotic akhulisa imvamisa yokuhamba kwamathumbu futhi athuthukise ukungaguquguquki kwawo yiwo I-Bifidobacterium Animalis (DN-173 010), i Lactobacillus icala Shirota, KanyeEscherichia coli Nissle 1917. Ezinganeni, L. rhamnosus ILcr35 ikhombisile imiphumela ezuzisayo²⁵.

 Dandelion. Ukuhlolwa kokutholwa kwemitholampilo okungajwayelekile kubonisa ukuthi amalungiselelo edandelion angancipha ukuqunjelwa. Amaqabunga e-dandelion amasha noma omisiwe, njengempande, asetshenziswa ngokwesiko njengomuthi wezakhiwo zawo ezilula zokuthambisa.¹².

ukwelapha

 i-biofeedback. Ukuvuselela i-Perineal usebenzisa i-biofeedback (ebizwa nangokuthi i-biofeedback) kuphumelela ekwelapheni ubunzima bokuzikhulula kubantu abadala (ukuqunjelwa ukuphela). Ukuvuselelwa nge-biofeedback kufanele kwenziwe esikhungweni esikhethekile, futhi kuqukethe izivivinyo zokuphumula ngokuzithandela kwemisipha yaphansi ye-pelvic (usebenzisa i-balloon catheter). I-Biofeedback ikuvumela ukuthi "uphinde ufunde" ukuvumelanisa ukuphumula kwe-anal sphincter nokuzikhandla. Imvamisa kudingeka izikhathi ezi-3 kuye kwezi-10 ukuthola imiphumela²⁶.

 Ukunisela ngamakholoni. Abanye abantu abane ukuqunjelwa okungapheliyo¹⁰ bathole imiphumela emihle ngokunisela ngamakholoni. Xhumana ne-hygienist noma i-naturopath. Bheka futhi ishidi lethu leColon Hydrotherapy.

 Ukwelashwa komzimba. Isazi sokuhlikihla esiswini singasiza ukukhuthaza ukuphambana kwamathumbu nokuhlanganisa uketshezi¹¹. Kungenzeka futhi ukuzibhucunga isisu sakho ngokwenza ukunyakaza okujikelezayo okulandela iwashi enkabeni. Lokhu kusiza ukuqala kabusha ukunyakaza kwamathumbu, ikakhulukazi ezinganeni eziqediwe noma ezinganeni. Bona ifayela lethu leMassotherapy.

 Imithi Yesiko YesiShayina. Ukulungiswa kwesikhumba kungasiza ezimweni lapho ukunyakaza kwamathumbu kungavamile ngakho ama-laxatives awasebenzi.¹¹. Imithi yendabuko yamaShayina nayo ingasiza. Xhumana nodokotela.

 Ukwelashwa kwengqondo. Uma une ukuqunjelwa okungapheli, izici ezingokwengqondo akufanele zinganakwa¹². Njengokulala, imisebenzi yokuqeda ingavinjelwa lapho icabanga ngokweqile. Bona ishidi lethu le-Psychotherapy kanye namashidi ahambisanayo ngaphansi kwethebhu yezindlela ezihambisanayo ukuthola ngezinhlobo ezahlukahlukene ze-psychotherapy.

 Reflexology. Ukwelashwa kwe-Reflexology kungasiza ukukhulula umzimba nengqondo. Bangenza kusebenze ukuhamba kwamathumbu ngokushukumisa izindawo ezinengqondo nokuqaqa ukuvinjelwa kwamandla¹⁰.