Tsis quav ntsej cem quav yuav ua rau mob hnyav
Nov 27, 2023
Kev cem quav yog hais txog kev txo qis hauv plab, nyuaj rau kev tso quav, thiab cov quav qhuav thiab tawv. Cov neeg ib txwm muaj 1 mus rau 2 zaug hauv ib hnub lossis ib zaug txhua 2 mus rau 3 hnub. Cov neeg mob cem quav muaj tsawg dua 2 lub plab zom mov ib
Kev cem quav yog hais txog kev txo qis hauv plab, nyuaj rau kev tso quav, thiab cov quav qhuav thiab tawv. Cov neeg ib txwm muaj 1 mus rau 2 zaug hauv ib hnub lossis ib zaug txhua 2 mus rau 3 hnub. Cov neeg mob cem quav muaj tsawg dua 2 lub plab zom mov hauv ib lub lis piam, thiab lawv muaj teeb meem defecation, nrog cov quav tawv thiab me me. Kev cem quav tuaj yeem tshwm sim hauv cov tub ntxhais hluas, tab sis nws muaj ntau dua rau cov neeg laus. Kwv yees li 1/3 ntawm cov neeg laus yuav raug cem quav, uas cuam tshuam rau lub neej zoo ntawm cov neeg laus.
koj puas paub? Tso quav tso rau hauv lub cev ntau tshaj ib hnub yuav tsim ntau yam co toxins, thiab lub sij hawm mus sij hawm ntev defecation yuav ua rau ntau yam kab mob. Ib txoj kev tshawb fawb tshiab hauv Tebchaws Meskas tau qhia tias cov neeg uas muaj cem quav yuav ua rau mob raum thiab txawm tias lub raum tsis ua haujlwm, hu rau tib neeg kom xyuam xim rau txoj hnyuv.
Kev cem quav zoo ib yam li kev tsheb khiav hauv txoj hnyuv
Kev cem quav zoo ib yam li kev tsheb khiav hauv txoj hnyuv. Nws yog qhov tshwj xeeb tshaj plaws los ntawm kev defecation tsawg dua 3 zaug hauv ib lub lis piam, cov quav qhuav thiab tawv tawv, thiab nyuaj rau kev tso quav. Qhov nyuaj ntawm kev tso zis muaj xws li cov tsos mob xws li qhov tsis yooj yim ntawm kev tso tseg, kev xav ntawm kev tso quav tsis tiav, xav tau kev pab nrog kev tso tseg, kev xav tias muaj kev cuam tshuam thaum tshem tawm, qhov mob los yog kub hnyiab hauv qhov quav thaum lub qhov quav, thiab lub sijhawm defecation ntev. Yog tias cem quav ntev tshaj 6 lub hlis, nws tuaj yeem kuaj tau tias cem quav ntev.
Clinically, cem quav tau muab faib ua peb pawg:
1. Organic cem quav, feem ntau tshwm sim los ntawm cov kab mob hauv plab hnyuv thiab qhov quav xws li hemorrhoids, qhov quav fissures, thiab qhov quav prolapse;
2. Kev cem quav los ntawm cov kab mob uas tsis yog lub plab zom mov, xws li hypothyroidism thiab ntshav qab zib, uas tuaj yeem cuam tshuam rau kev ua haujlwm ntawm lub plab zom mov thiab ua rau cem quav;
3. Kev ua haujlwm cem quav yog hais txog cem quav tsis suav nrog cov kab mob organic thiab lwm yam kab mob hauv lub cev.
Ntawm peb hom cem quav, kev ua haujlwm cem quav tso nyiaj rau ntau tshaj plaws.
Hauv lub neej, ntau tus neeg raug kev txom nyem los ntawm cem quav. Yao Shukun tau muab cov ntaub ntawv zoo li no: Feem ntau ntawm cem quav nyob rau hauv cov neeg laus hauv kuv lub teb chaws yog 4% mus rau 6% thiab nce nrog hnub nyoog. Nws tuaj yeem siab li 22% rau cov neeg muaj hnub nyoog tshaj 60 xyoo; Feem ntau ntawm cov poj niam yog siab dua li cov txiv neej, thiab feem ntau ntawm cem quav nyob rau hauv cov neeg laus yog siab dua li cov txiv neej. Qhov sib piv yog 1: 1.22 ~ 1: 4.56. "Los ntawm kev soj ntsuam soj ntsuam, kuv faib cov neeg mob cem quav ua ob hom: hom qhuav thiab tawv thiab hom nplaum." Yao Shukun tau piav ntxiv tias yav dhau los yog qhov tseem ceeb ntawm cov quav qhuav, nyob rau hauv cov duab ntawm cov pob tawv tawv lossis cov pob me me, zoo li yaj quav thiab qe, thiab kev ua haujlwm ntawm lub cev; Cov tsos mob tseem ceeb muaj xws li tsis muaj qhov xav kom defecate los yog tsis muaj peev xwm mus defecate thaum muaj kev yaum kom defecate, thiab feem ntau muaj kev xav tias defecate tsis tiav. Ntxiv mus, cov quav yog nplaum thiab tsis zoo thiab feem ntau lo rau ntawm lub tais tso quav.
Mob cem quav ua rau ntau yam kab mob
Tib neeg lub cev yog tag nrho, thiab cem quav ntev tuaj yeem ua rau muaj ntau yam teeb meem.
1. cuam tshuam rau lub neej zoo. Cov neeg uas cem quav feem ntau muaj mob plab plab, nquag roj, thiab plab tsis xis nyob. Lawv zaum hauv chav dej ntev ntev tab sis tsis tuaj yeem txo lawv tus kheej. Nyob rau hauv cov xwm txheej hnyav, manipulation los yog enema tej zaum yuav tsum tau los pab defecation. Yog tias muaj tej yam zoo li no, tsis yog koj yuav tsum ua siab ntev rau kev mob lub cev, tab sis lawv kuj ua rau muaj kev puas siab puas ntsws ntawm kev ntxhov siab thiab kev ntxhov siab.
2. Kev mob plab hnyuv. Cov hnyuv feem ntau yog lub luag haujlwm rau kev ua haujlwm qias neeg hauv lub cev. Thaum thaiv tau tshwm sim thiab cov quav nyob hauv cov hnyuv tau ntev, cov co toxins hauv nws yuav ua rau lub plab hnyuv mucosa thiab yooj yim ua rau ntau yam kab mob anorectal.
3. Ua rau lwm yam tsis xis nyob lossis kab mob. Txij li thaum metabolic pov tseg thiab co toxins nyob rau hauv lub cev yuav reabsorbed, constipation mus sij hawm ntev kuj yuav ua rau daim tawv nqaij pob txuv, ua tsis taus pa, rog rog, kev nyuaj siab, thiab lwm yam teeb meem. Hauv cov xwm txheej hnyav, nws tuaj yeem ua rau mob qog noj ntshav thiab mob qog noj ntshav. Nws yuav tsum nco ntsoov tias muaj coob tus neeg cem quav muaj tus cwj pwm ntawm straining mus rau defecate, tab sis qhov no tej zaum yuav ua rau tuag taus rau cov neeg uas muaj ntshav siab thiab kab mob plawv, vim hais tias straining thaum lub sij hawm defecation yuav ua rau kom ntshav siab dua li niaj zaus thiab ua rau kom lub cev noj cov pa oxygen. Kev nce ntxiv tuaj yeem ua rau muaj xwm txheej xws li angina pectoris, myocardial infarction, mob stroke, thiab tuag tam sim ntawd.
4. Kev noj tshuaj tsis saib tsis taus ua rau tej yam tsis zoo. Rau cov neeg mob cem quav, teeb meem, thiab mob zoo li cov khoom qab zib xim av daig rau ntawm lawv txhais tes, thiab lawv tsis tuaj yeem tshem tawm txawm tias lawv nyuaj npaum li cas. Kom tau txais kev kho sai, lawv pib tsim txom cov tshuaj laxative; Qee tus neeg feem ntau noj tshuaj suav tshuaj, tshuaj suav tshuaj patent, thiab cov hnyuv moisturizing tshuaj yej nrog laxative nyhuv. Feem ntau ntawm cov "laxatives" no muaj cov tshuaj laxatives, xws li rhubarb, senna, aloe, thiab lwm yam, uas muaj anthraquinones. Cheebtsam ntawm quasi-substance. Kev tsim txom ntawm cov tshuaj laxatives thiab "laxatives" tsis tsuas yog ua tsis tau rau cem quav xwb, tab sis kuj ua rau qhov teeb meem loj zuj zus tuaj thiab ua rau tawv ncauj thiab cem quav, uas ua rau cov hnyuv melanosis, plab hnyuv, thiab lwm yam, thiab ua rau muaj kev pheej hmoo ntawm qog noj ntshav.
kho
1. Kev kho tsis yog tshuaj
1) Muab kev kawm txog kev noj qab haus huv los pab cov neeg mob tsim kom muaj tus cwj pwm defecation.
Tiv thaiv lossis zam kev siv cov tshuaj uas ua rau cem quav, tsis txhob siv cov tshuaj laxatives, thiab haus dej tsawg kawg 1500 ml txhua hnub. Cov zaub mov tseem ceeb yuav tsum tsis txhob ua kom zoo dhau los yog zoo heev. Ua tib zoo saib kom noj ntau cov nplej thiab lwm yam nplej. Vim tias muaj ntau cov khoom seem tom qab zom tag nrho cov nplej thiab cov nplej, lawv tuaj yeem ua rau kom cov hnyuv thiab ua kom yooj yim defecation.
2) Noj zaub ntau uas muaj fiber ntau.
Xws li leeks, celery, thiab lwm yam. Cov tib neeg ib txwm xav tau 90 mus rau 100 mg ntawm fiber ntau ib kilogram ntawm lub cev qhov hnyav kom tswj tau qhov quav. Tsuas yog ib qho txaus tuaj yeem ua rau lub plab hnyuv peristalsis thiab ua kom txoj hauv kev ib txwm muaj thiab tso zis tawm ntawm lub cev. Tshwj xeeb, koj yuav tsum noj tshais tag nrho, vim tias nws tuaj yeem ua rau gastrocolic reflex thiab pab kom defecation.
3) Kev tshem tawm yuav tsum tsis tu ncua thiab tsis txhob ncua sijhawm.
Yog tias koj feem ntau ncua sij hawm defecation thiab rhuav tshem cov cai defecation zoo, koj qhov defecation reflex tuaj yeem ua rau tsis muaj zog thiab ua rau cem quav. Cov neeg uas ua rau cem quav yuav tsum tau npaj lawv lub plab zom mov thaum lub sijhawm tsim nyog, mus rau chav dej txhua lub sijhawm, thiab tsim kom muaj tus cwj pwm defecation zoo.
4) Tsim kom muaj lub plab zom mov zoo.
Rau cov neeg uas tsis muaj tus cwj pwm defecation zoo, nws raug nquahu kom mus rau hauv chav dej thiab squat li 5 feeb txhua tag kis sawv ntxov thiab tsim kom muaj tus cwj pwm defecation nyob rau qee lub sijhawm. Vim tias txoj hnyuv loj muaj qee yam tsis tu ncua, thaum tus neeg hloov ntawm kev pw tsaug zog los sawv ntsug tom qab sawv ntxov, txoj hnyuv loj yuav muaj lub siab ncaj, thawb cov quav mus rau hauv qhov quav, ua rau lub plab zom mov.
5) Hais txog kev ua siab ntev.
Taug kev mus rau tsawg kawg 2 qhov chaw nres tsheb pej xeem txhua hnub. Taug kev, khiav, ua pa sib sib zog nqus, Qigong xyaum, Tai Chi, tig duav thiab tsa ceg, thiab lub cev ua haujlwm tuaj yeem txhim kho plab hnyuv, ua kom qab los noj mov, ua kom lub plab zom mov, cov leeg plab, thiab cov leeg pob txha, txhim kho kev mob plab, thiab tiv thaiv cem quav.
6) Kev zaws plab tuaj yeem tiv thaiv cem quav.
Pib los ntawm sab xis hauv plab, zaws sab laug sab laug, thiab tom qab ntawd nqes mus rau hauv lub voj voog, 2 mus rau 3 zaug hauv ib hnub, 10 mus rau 20 lub voj voog txhua zaus.
2. Tshuaj
Lub hom phiaj yog ua kom cov quav mos, txhawb txoj hnyuv motility, thiab txhawb nqa defecation. Cov tshuaj laxative tsim nyog tuaj yeem xaiv tau raws li qib, hom, thiab qhov tshwm sim ntawm cem quav, hais txog kev siv lub tswv yim thiab cov tshuaj ib leeg.
1) ntsev laxatives
Piv txwv li, magnesium sulfate thiab sodium phosphate yuav sai sai ua rau cov dej hauv cov quav vim yog lub siab osmotic, thiab cov dej ntws sai sai tuaj yeem tshwm sim tom qab ib nrab teev. Hom laxative no tuaj yeem ua rau dej thiab electrolyte tsis zoo thiab tsis haum rau kev siv mus ntev. Rau cov neeg uas muaj fecal impaction, ib qho enema tuaj yeem siv los tshem tawm cov quav. Cov neeg muaj lub raum tsis txaus yuav tsum tsis txhob siv cov tshuaj uas muaj magnesium.
2) Lubricant
Cov kua roj paraffin (cov roj paraffin) tuaj yeem ua rau cov quav mos thiab tuaj yeem noj hauv qhov ncauj lossis los ntawm enema. Nws yog qhov tsim nyog rau cov neeg laus tom qab myocardial infarction lossis kev phais mob perianal kom tsis txhob mob plab hnyuv. Nws yog ineffective rau yeeb-induced cem quav. Kev siv mus ntev yuav cuam tshuam rau kev nqus cov roj-soluble vitamins A, D, E, thiab K. Nws yog qhov tsim nyog kom noj nws ntawm cov pluas noj thiab tsis txhob noj ua ntej mus pw kom tsis txhob nqus tau rau hauv lub ntsws thiab ua rau lipopneumonia.
3) Stimulant laxatives
Cov tshuaj xws li txiv hmab txiv ntoo qhia, senna nplooj, plantain ovale noob / Plantain ovale shelled / senna txiv hmab txiv ntoo (Sritone), thiab rhubarb sodium bicarbonate (rhubarb soda). Lawv ua rau lub plab peristalsis thiab muaj cov nyhuv defecation hauv 6 mus rau 12 teev, tab sis yuav ua rau muaj kev phiv xws li mob plab thiab dej thiab electrolyte tsis zoo. Kev siv mus ntev yuav ua rau cov protein poob thiab tsis muaj zog, ua rau muaj cov kab mob cathartic vim kev puas tsuaj rau lub qhov quav myenteric plexus. Xws li kev npaj muaj anthraquinone. Tom qab noj cov tshuaj mus ntev, melanin tau tso rau hauv cov hnyuv mucosa, tsim lub npe hu ua colonic melanosis, uas yog qhov mob zoo thiab kho tau zoo. Hom tshuaj no tsis haum rau kev siv mus ntev.
4) Hypertonic laxatives
Piv txwv li, sorbitol, lactulose tov, polyethylene glycol 4000, thiab lwm yam yog cov khoom siv electrolyte uas muaj cov suab thaj tsis nqus. Lactulose yog ib tug hluavtaws disaccharide, muaj ib tug molecule ntawm fructose thiab ib tug molecule ntawm galactose. Tib neeg lub cev tsis muaj cov enzymes uas tuaj yeem hydrolyze rau hauv monosaccharides. Yog li, tom qab kev tswj hwm qhov ncauj, lactulose tuaj yeem dhau los ntawm txoj hnyuv. txoj hnyuv, thiab decompose rau hauv cov suab thaj yooj yim, thiab tom qab ntawd mus rau hauv qis molecular hnyav organic acids, nce osmotic siab thiab acidity ntawm txoj hnyuv lumen, ua kom defecation yooj yim dua. Lactulose (Dumic) tau noj ntawm qhov ncauj ntawm 15-30ml / d, thiab lub plab zom mov yuav ua tau zoo li ntawm 24-48 teev. Nws muaj ob peb yam kev mob tshwm sim thiab tau siv dav hauv kev kho mob.
5) Volumetric laxatives
Piv txwv li, Feibifu, Jingu Fiber King, thiab Metera muaj cov cellulose siab molecular thiab cellulose derivatives. Lawv yog hydrophilic dej-absorbing thiab expandable, tab sis lawv tsis absorbed los ntawm tib neeg lub cev, uas yuav txo tau cov noo noo thiab ntim ntawm quav. Nce thiab txhawb txoj hnyuv peristalsis. Hom laxative no zoo dua rau cov neeg laus uas noj cov zaub mov uas tsis tshua muaj. Nws tsis tsuas yog txo cov cem quav, tab sis kuj tswj cov ntshav lipids thiab cov ntshav qab zib, thiab tiv thaiv qhov tshwm sim ntawm mob qog noj ntshav. Nws yuav pab tau yog tias koj haus 240ml dej los yog kua txiv hmab txiv ntoo thaum noj nws kom tsis txhob plab hnyuv los ntawm cov khoom siv gel nthuav thaiv cov hnyuv.
6) Prokinetic tshuaj
Nws yog feem ntau tsis pom zoo kom siv raws li niaj hnub tshuaj cem quav. Txawm li cas los xij, hom tshuaj no tuaj yeem txhawb txoj hnyuv txav, ua kom lub qhov quav tso siab, thiab ua kom txoj hnyuv loj nrawm rau cov neeg mob cem quav. Nws tuaj yeem siv los kho cov cem quav qeeb qeeb yam tsis muaj lub hom phiaj kom defecate.
3. Kev kho mob ua ntu zus
Rau ib txwm cem quav, ua ntej kev cob qhia kom tso quav tsis tu ncua, nws raug nquahu kom ntxuav cov hnyuv ua ntej, uas yog, siv saline enema los ntxuav cov hnyuv, ob zaug ib hnub rau tag nrho 3 hnub. Tom qab ntxuav lub plab, xyuas lub plab thiab nqa ib lub plab khoob khoob kom paub meej tias tsis muaj qhov cuam tshuam fecal hauv txoj hnyuv. Tom qab ntxuav lub plab, kua paraffin (paraffin oil), 5 mus rau 15 ml / (kg·d), los yog lactulose 15 mus rau 30 ml / d tuaj yeem muab los txo qhov zaus ntawm lub plab zom mov kom tsawg kawg ib zaug. Tib lub sijhawm, cov neeg mob raug txhawb kom defecate tom qab noj tshais. Yog tias lawv tseem tsis quav ntsej, lawv tuaj yeem raug txhawb kom rov qab los tom qab noj hmo, kom tus neeg mob tuaj yeem maj mam rov qab mus rau qhov qub defecation.
Ib zaug tom qab tso quav tso zis tshwm sim tsis tu ncua rau ntau tshaj 2 mus rau 3 lub hlis, kua paraffin (paraffin roj) los yog lactulose tuaj yeem maj mam txiav. Thaum cov txheej txheem saum toj no, yog tias cov quav tseem tsis tau daws rau 2 mus rau 3 hnub, cov hnyuv yuav tsum tau muab tshem tawm kom tsis txhob muaj kev cuam tshuam fecal los ntawm kev tshwm sim dua. Raws li cov lus ceeb toom nyob rau hauv cov ntaub ntawv, txoj kev no ntawm kev kho ib txwm cem quav los ntawm kev tshem cov hnyuv, noj cov tshuaj laxatives, thiab kev cob qhia defecation tus cwj pwm muaj kev vam meej ntawm 70% mus rau 80%, tab sis ntau yuav rov qab.
4. Biofeedback ua
Rau cov neeg mob cem quav nrog lub qhov quav sphincter thiab pelvic pem teb cov leeg tsis ua haujlwm, ntau yam ntaub ntawv tau tshaj tawm nyob rau xyoo tas los no kev siv biofeedback ntsuas, thiab qhov ua tiav ntawm kev tso quav tuaj yeem ncav cuag 75% mus rau 90%.
Kev kho cov lus teb, suav nrog balloon biofeedback thiab electromechanical biofeedback, suav nrog kev ntxig ib qho tshwj xeeb tsim anorectal manometer rau hauv qhov quav. Cov cuab yeej tseem muaj lub tsev saib xyuas uas tuaj yeem tau txais ntau cov ntaub ntawv, suav nrog qhov quav sphincter siab thiab kev ua raws li qhov quav. , qhov kev hnov mob hauv qhov anorectum tso cai rau tus neeg mob hnov thaum nws yuav muaj cov tshuaj tiv thaiv defecation, thiab tom qab ntawd sim cov tshuaj tiv thaiv no dua los txhawb qhov kev xav ntawm qhov quav thiab ua tiav lub hom phiaj ntawm kev tshem tawm cov quav.
Ntuj Herbal Tshuaj Rau Relieving cem quav-Cistanche
Cistanche yog ib tug genus ntawm parasitic nroj tsuag uas belongs rau tsev neeg Orobanchaceae. Cov nroj tsuag no paub txog lawv cov khoom siv tshuaj thiab tau siv hauv Cov Tshuaj Suav Tshuaj (TCM) rau ntau pua xyoo. Cov hom Cistanche feem ntau pom muaj nyob hauv thaj av qhuav thiab suab puam ntawm Tuam Tshoj, Mongolia, thiab lwm qhov chaw ntawm Central Asia. Cistanche nroj tsuag yog tus cwj pwm los ntawm lawv cov nqaij tawv, yellowish stems thiab muaj nuj nqis heev rau lawv cov txiaj ntsig kev noj qab haus huv. Hauv TCM, Cistanche ntseeg tau tias muaj cov khoom siv tonic thiab feem ntau yog siv los kho lub raum, txhim kho qhov tseem ceeb, thiab txhawb kev ua haujlwm ntawm kev sib deev. Nws kuj yog siv los daws cov teeb meem ntsig txog kev laus, qaug zog, thiab kev noj qab haus huv tag nrho. Thaum Cistanche muaj keeb kwm ntev ntawm kev siv tshuaj ib txwm siv, kev tshawb fawb tshawb fawb txog nws txoj kev ua tau zoo thiab kev nyab xeeb tsis tu ncua thiab txwv. Txawm li cas los xij, nws paub tias muaj ntau yam bioactive tebchaw xws li phenylethanoid glycosides, iridoids, lignans, thiab polysaccharides, uas tuaj yeem ua rau nws cov teebmeem tshuaj.
Wecistanche covcistanche hmoov, cistanche ntsiav tshuaj, cistanche capsules, thiab lwm yam khoom tsim los sivsuab puamcistancheraws li cov khoom siv raw, txhua yam muaj txiaj ntsig zoo rau kev tshem tawm cem quav. Cov txheej txheem tshwj xeeb yog raws li hauv qab no: Cistanche ntseeg tau tias muaj cov txiaj ntsig zoo rau kev tshem tawm cem quav raws li nws cov kev siv ib txwm siv thiab qee cov tshuaj uas nws muaj. Txawm hais tias kev tshawb fawb tshawb fawb tshwj xeeb ntawm Cistanche qhov cuam tshuam rau cem quav yog txwv, nws tau xav tias muaj ntau lub tswv yim uas yuav ua rau nws muaj peev xwm txo tau cem quav. Laxative nyhuv: Cistanche tau ntev tau siv nyob rau hauv Tsoos Suav Tshuaj raws li ib tug tshuaj rau cem quav. Nws ntseeg tau tias muaj cov nyhuv laxative me me, uas tuaj yeem pab txhawb kev zom zaub mov thiab ua rau cem quav. Cov nyhuv no tuaj yeem raug ntaus nqi rau ntau cov tebchaw uas pom hauvCistanche, xws li phenylethanoid glycosides thiab polysaccharides. Moistening cov hnyuv: Raws li kev siv ib txwm siv, Cistanche suav hais tias muaj cov khoom siv moisturizing, tshwj xeeb yog tsom rau cov hnyuv. Txhawb nqa dej thiab lubrication ntawm cov hnyuv yuav pab tau cov cuab yeej soften thiab yooj yim dua, yog li no relieving cem quav. Anti-inflammatory Effect: cem quav tej zaum yuav txuam nrog o nyob rau hauv lub plab zom mov. Cistanche muaj qee qhov sib txuas, suav nrog phenylethanoid glycosides thiab lignans, uas ntseeg tau tias muaj cov tshuaj tiv thaiv kab mob. Los ntawm kev txo cov kab mob hauv cov hnyuv, nws tuaj yeem pab txhim kho kev zom zaub mov tsis tu ncua thiab txo qhov cem quav.