Yuav Ua Dab Tsi Txog Kev cem quav tom qab kws khomob?
Nov 01, 2023
Gastrointestinal reactions yog ib qho kev phiv tshwm sim ntawm qog chemotherapy. Clinically, lawv feem ntau tshwm sim raws li xeev siab, ntuav, raws plab, thiab lwm yam " cem quav" kuj yog ib qho tshuaj tiv thaiv tab sis feem ntau tsis mob hnyav. Qhov tshwm sim ntawm cem quav tom qab kws khomob yog 16% txog 48%. Yog tias siv tshuaj tua kab mob thaum siv tshuaj tua kab mob, qhov tshwm sim ntawm cem quav yog siab li 90%.
Dab tsi yog chemotherapy-txog cem quav?
Chemotherapy-related constipation yog hais txog ib hom cem quav uas tshwm sim vim tau txais cov tshuaj kws khomob thiab cov kws khomob pabcuam tshuaj thiab yog tus cwj pwm los ntawm lub sijhawm ntev defecation, ua rau cov quav tawv, thiab kev hloov hauv cov duab. Qhov tshwm sim ntawm cem quav yog siab dua ntawm cov neeg mob uas tau txais tshuaj khomob.
Ua rau cov kws khomob ntsig txog cem quav
1. Psychological yam
Tus neeg mob lub paj hlwb parasympathetic yog suppressed vim muaj kev phiv thaum lub sij hawm kho mob, nyiaj txiag ntau dhau, siab puas siab puas ntsws siab, thiab lwm yam;
2. Tshuaj phiv
Thaum siv tshuaj kho mob, cov neeg mob qog noj ntshav kuj tseem yuav siv cov tshuaj tiv thaiv kab mob, tshuaj tua kab mob, tshuaj sedatives, thiab lwm yam ntxiv rau cov tshuaj kho mob. Kev siv ntev ntev ntawm cov tshuaj saum toj no yuav ua rau cov plab hnyuv peristalsis qeeb thiab ua rau cem quav. Txhawm rau kho cem quav, laxatives, thiab purgatives yog siv los txhawb kev defecation, tab sis cov tshuaj laxative ntau dhau tuaj yeem ua rau tsis zoo thiab ua rau mob raws plab. Kev nqhis dej ntau dhau kuj tuaj yeem ua rau lub plab zom mov tsis zoo, uas nyob rau lub sijhawm ntev ua rau muaj teeb meem quav quav;
3. Khoom noj khoom haus
Txhawm rau ntxiv cov khoom noj khoom haus, cov neeg mob qog noj ntshav feem ntau noj cov zaub mov muaj protein ntau thiab cov rog ntau dhau, thaum tsis quav ntsej txog kev noj zaub mov fiber ntau, vitamins, dej, thiab lwm yam khoom noj uas txhawb nqa kev tso quav, ua rau kev noj zaub mov tsis zoo thiab nyuaj rau plab hnyuv peristalsis. , ua rau cov neeg mob cem quav;
4. Cov yam ntxwv ntawm lub cev
Txhua tus cwj pwm defecation txawv. Kev mus pw hauv tsev kho mob rau cov kws khomob thiab kev hloov pauv ntawm ib puag ncig ib puag ncig kuj tuaj yeem ua rau lub cev cem quav;
5. Cov yam ntxwv ua haujlwm
Vim muaj kev cuam tshuam ntawm tus kab mob thiab kws khomob, cov neeg mob qog noj ntshav feem ntau raug kev txom nyem los ntawm kev qaug zog, ua rau txo qis kev tawm dag zog. Kev txo qis hauv kev ua si ua ke nrog kev txo qis hauv kev noj zaub mov thiab tsis muaj kev ua haujlwm ntawm cov hnyuv ua rau cem quav.
Hais txog cem quav, ntau tus phooj ywg yuav muaj lus nug: "Tus kws kho mob, kuv tau siv plab hnyuv txhua hnub. Tom qab kws khomob, kuv tau tso quav tso tseg txhua hnub rau ib lub lis piam. Qhov no puas yog cem quav?"
Hais txog qhov teeb meem no, txij li txhua tus cwj pwm defecation txawv, feem ntau zaus ntawm kev tso zis tsawg dua 3 zaug hauv ib lub lis piam, qhov quav tsis yooj yim, thiab cov quav qhuav thiab tawv tuaj yeem txiav txim siab ua ntej raws li cem quav. Txog seb nws puas yog tshuaj kho mob cem quav, tus kws kho mob tseem yuav tsum tau ua. Kev kuaj mob ntxiv.
Qhov cuam tshuam ntawm cem quav rau cov neeg mob chemotherapy
Rau cov neeg mob kws khomob, cem quav tuaj yeem muaj cov teebmeem hauv qab no:
1. Ua rau cov tsos mob plab hnyuv loj: ua rau mob plab thiab ua rau mob plab zom mov xws li xeev siab thiab ntuav.
2. Cov kab mob plawv: Thaum cem quav, straining kom defecate yuav ua rau kom lub plab siab ntev, txo cov ntshav rov qab mus rau lub plawv, thiab txuas ntxiv mus ntxiv intracranial siab, uas yuav ua rau malignant arrhythmias thiab cerebrovascular xwm txheej.
3. Khoom noj khoom haus tsis haum: mob plab, mob plab, thiab xeev siab ua rau txo kev noj zaub mov thiab plab hnyuv tsis haum.
4. Perianal lesions: ua ke nrog qhov quav fissure, qhov quav fistula, perianal kab mob, qhov quav prolapse, poj niam qhov chaw mos uterine prolapse, thiab lwm yam.
5. Caij nplooj zeeg: loog ntawm ob txhais ceg thiab ko taw, qaug zog, kiv taub hau, thiab lwm yam. tom qab squatting rau ib lub sij hawm ntev thaum lub sij hawm defecation.
Yog li ntawd, thaum cov neeg mob chemotherapy pom tias lawv tuaj yeem cem quav, nws raug nquahu kom soj ntsuam thiab khaws cov ntaub ntawv ntawm qhov quav. Yog tias lub sijhawm defecation tsawg dua 3 zaug hauv ib lub lis piam, nws nyuaj rau defecate, thiab cov quav yuav qhuav thiab tawv, ces nws raug nquahu kom mus rau tsev kho mob kom kho. Nyob rau tib lub sijhawm, nyob ntawm tus kws kho mob qhov kev txiav txim siab, qee qhov kev kuaj mob yuav tsum tau txiav txim siab txog cov kab mob organic xws li plab hnyuv.
Cov txheej txheem los tiv thaiv thiab txo cov tshuaj tua kab mob ntsig txog cem quav
1. Ua kev cob qhia plab hnyuv
▪ Thov xaiv qhov chaw nyab xeeb, xis nyob, ntiag tug, thiab yooj yim thaum defecation.
▪ Yog tias siv chav dej, nws raug nquahu kom tso koj ob txhais taw rau ntawm lub qhov rooj me me kom lub plab zom mov.
▪ Ua kev cob qhia plob tsis tu ncua, nyiam dua 30 feeb tom qab noj mov, ob zaug hauv ib hnub, nrog rau txhua qhov kev sib tham tsis pub dhau 10 feeb.
2. Kev ceev faj thaum lub sij hawm thiab tom qab kws khomob:
① Nyob rau hauv chemotherapy
▪ Npaj koj cov zaub mov kom tsim nyog: ua raws li kev noj zaub mov kom zoo, hloov pauv noj cov txiv hmab txiv ntoo thiab zaub uas muaj fiber ntau (xws li celery, loofah, dib, qos yaj ywm qab zib, txiv tsawb, txiv lws suav, thiab lwm yam), thiab noj txiv laum huab xeeb, sesame noob, walnuts, thiab lwm yam khoom noj txiv ntoo raws li qhov tsim nyog. Noj ib pluag mov 2-3 teev ua ntej kws khomob.
▪ Xyuas kom cov dej haus txaus: haus dej 2000-3000 ml txhua hnub.
▪ Ua kom cov dej num tsim nyog: Txhawb cov dej num ua ntej kom tsim nyog los pab kom qab los noj mov.
② Tom qab siv tshuaj kho mob
▪ Tsis txhob haus cawv thiab xaiv cov khoom noj muaj txiaj ntsig zoo thiab yooj yim zom, xws li porridge, kua zaub ntses, zaub, thiab lwm yam.
3. Kev tawm dag zog thiab zaws pab tshem tawm
▪ Kev ua pa hauv plab: Thaum nqus tau, lub plab maj mam bulges; Thaum exhaling, lub plab bulging lawm retracts. Qhov ratio ntawm inhalation mus rau exhalation lub sij hawm yog 1: 3.
▪ Kev zaws plab: pw ntawm koj lub nraub qaum lossis sawv ntsug, tso koj txhais tes rau ntawm thaj chaw ileocecal (sab hauv qab ntawm lub plab), zaws hauv ib ncig nrog lub zog maj mam ua raws li kev coj ntawm plab hnyuv peristalsis, thiab nias lub plab 2 cm, ob zaug ib hnub. , 10 feeb txhua lub sijhawm.
▪ Kev kho mob ce: caij tsheb kauj vab ntawm lub txaj rau 1-2 feeb; ceg bending ce, rov ua dua 15 zaug.
▪ Ncua qhov chaw ntawm ko taw: So koj ob txhais taw hauv dej sov li 10 feeb ua ntej siv tshuaj kho mob kom so cov leeg ko taw. Siv cov nplaum nplaum nrog koj cov pob qij txha, xaub rov qab mus rau pem hauv ntej, thiab lub voj voog rau zaws ib leeg, sab hauv ntawm ko taw, sab nraud ntawm ko taw, thiab hauv caug. Massage koj ob txhais taw ib hnub, rau 5 mus rau 10 feeb txhua zaus.
4. Kev kho mob suav tshuaj
Raws li kev qhia ntawm tus kws kho mob, koj tuaj yeem noj cov tshuaj suav tshuaj rau kev kho mob laxative, lossis muab cov tshuaj suav nrog tshuaj acupoint patching, suav tshuaj umbilical patching, acupuncture, thiab lwm yam kev pabcuam laxative.
5. Thaum fecal impaction cem quav tshwm sim
Kev kuaj mob thiab kev kho mob yuav tsum ua raws li tus kws kho mob cov lus qhia: ua ntej, noj cov tshuaj laxative raws li tus kws kho mob qhia; yog tias tsis muaj txiaj ntsig, kev kho enema tuaj yeem ua tau; los yog siv dag zog pab defecation.
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:Cistanchetau 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 lub tebchaw nyob hauv Cistanche, 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.
