ʻO ka Constipation Induced-Opioid: Pehea e ʻike ai i ke kōkua

Anter

• ʻO nā lāʻau lapaʻau paʻa paʻa opioid
• Over-the-counter (OTC)
• Kauoha
• Nā lāʻau kūlohelohe no ka paʻa paʻa opioid
• Pākuʻi puluniu
• Aloe vera
• Senna
• Nā lāʻau lapaʻau home no ka paʻa paʻa opioid-induced
• ʻO ka lawe lawe ʻana

ʻO ka constipation i hoʻokomo ʻia e Opioid

ʻO Opioids, kahi ʻano o ka lāʻau ʻeha e kuhikuhi ʻia, hiki ke hoʻoulu i kahi ʻano kikoʻī o ka constipation i kapa ʻia ʻo opioid-induced constipation (OIC). Hoʻopili nā lāʻau opioid i nā lāʻau ʻeha e like me:

• ʻoxycodone (OxyContin)
• hydrocodone (Zohydro ER)
• codeine
• morphine

Kūpono kēia mau lāʻau lapaʻau no ka mea keʻakeʻa lākou i nā hōʻailona ʻeha ma ka hoʻopili ʻana i nā mea loaʻa ma kāu ʻōnaehana hopohopo. ʻIke ʻia kēia mau mea loaʻa i loko o kou ʻōpū.

Ke hoʻopili nā opioids i nā mea loaʻa i kou ʻōpū, hoʻolōʻihi ia i ka manawa o ka pahu e hele i loko o kāu ʻōnaehana gastrointestinal.

Hoʻomaopopo ʻia ka paʻa paʻa ʻana ma lalo o ʻekolu mau neʻe o ka ʻōpū i ka pule. Ma hea mai 41 a i ka 81 pākēneka o ka poʻe e lawe i nā opioids no ka maʻi mau, noncancer pain constipation. Aia nā lāʻau a me nā lāʻau kūlohelohe a me nā home e hiki ke kōkua iā ʻoe e loaʻa i ke kōkua.

ʻO nā lāʻau lapaʻau paʻa paʻa opioid

Over-the-counter (OTC)

• Hoʻomoʻolahi noho: Hoʻopili kēia i ka palapala palapala (Colace) a me ka calcium palapala (Surfak). Hoʻonui lākou i ka nui o ka wai i loko o kou kolone a kōkua i nā pahu i ka maʻalahi.
• Nā mea hoʻonāukiuki: Hoʻopili kēia me biscacodyl (Ducodyl, Dulcolax) a me senna-sennosides (Senokot). Hoʻokomo kēia mau mea i ka hana o ka ʻōpū ma o ka hoʻonui ʻana i nā ʻōpū o nā ʻōpū.
• Osmotics: Kōkua ʻo Osmotics i ka neʻe e neʻe ma waena o ke kolona. Hoʻopili kēia me ka magnesium hydroxide waha (Phillips Milk o Magnesia) a me ka polyethylene glycol (MiraLAX).

ʻO kaʻaila Mineral kahi laxative lubricant e kōkua pū i ka stool e neʻe ma waena o ke kolona. Loaʻa iā ia ma ke ʻano he koho OTC ma ka waha a me ka pepa pono.

Hoʻokomo ʻia kahi enema a i ʻole supository i loko o ka rectum i nā palapū a hoʻoulu i ka hana o ka ʻōpū. Aia kahi makaʻu o ka hōʻino ʻana i ka poli inā hoʻokomo pono ʻole ʻia ia.

Kauoha

Pono nā lāʻau lapaʻau e kuhikuhi pono ʻia no ka OIC e mālama i ka pilikia ma kona aʻa. Paʻa kēia mau lāʻau i nā hopena o nā opioids i loko o ka ʻōpū a kōkua i nā pahu i ka maʻalahi. Ua ʻae ʻia nā kau kuhikuhi no ka mālama ʻana iā OIC:

• naloxegol (Movantik)
• methylnaltrexone (Relistor)
• lubiprostone (Amitiza)
• naldemedine (Symproic)

Hoʻokumu paha kēia mau lāʻau lapaʻau i nā hopena ʻaoʻao, e like me:

• nausea
• ka luaʻi
• ʻeha poʻo
• pāhoehoe
• ʻōpū (gas)

E kamaʻilio me kāu kauka inā ʻike ʻoe i nā hopena ʻaoʻao. Hiki ke kōkua i ka hoʻololi ʻana i kāu mea hana a i ʻole hoʻololi i kahi lāʻau ʻokoʻa.

Nā lāʻau kūlohelohe no ka paʻa paʻa opioid

Hiki i kekahi mau mea hoʻopihapiha a me nā mea kanu ke hoʻomaha i ka OIC ma ka hoʻoulu ʻana i ka naʻau. Pākuʻi ʻia kēia mau mea:

Pākuʻi puluniu

Loaʻa ka laxative hopena i ka fiber no ka mea hoʻonui ia i ka wai i ka kolone. Hana kēia i nā ʻalalā nui a kōkua i nā pahu i ka maʻalahi. ʻO nā mea hoʻohui puluniu nunui e komo pū me psyllium (Metamucil) a me methylcellulose (Citrucel).

ʻOiai he lāʻau lapaʻau maikaʻi ka pulupulu fiber no ka paʻa paʻa, pono hou ʻia kahi mau noiʻi a me ka noiʻi e hōʻoia i ka pono o nā mea hoʻoliʻiliʻi fiber no OIC.

Hiki i ka pulupulu ke lilo i lāʻau lapaʻau no kēia ʻano kikoʻī o ka paʻa paʻa, akā he mea nui e inu i ka nui o nā wai i ka wā e lawe ana i ka pulupulu hoʻohui. Inā ʻaʻole ʻoe e inu i nā wai i lawa, hiki i ka make wai ke hana i ka OIC maikaʻi aʻe a hoʻonāukiuki i ka fecal impaction.

Pono ʻoe e ʻai ma waena o 25 a 30 mau lita o ka fiber i kēlā me kēia lā. Lawe i hoʻokahi a i ʻekolu punetēpu i kēlā me kēia lā o Citrucel a i ʻole hoʻohana iā Metamucil a i ʻekolu mau manawa i ka lā. E mālama pono i nā kuhikuhi ma ka huahana Citrucel a i ʻole Metamucil āu e hoʻohana ai.

Hiki i nā pulupulu pulupulu ke hoʻemi i ka omo o kekahi mau lāʻau e like me ka aspirin. E kamaʻilio me kāu kauka ma mua o ka hoʻohui ʻana i kahi supplement pulupulu me nā lāʻau i kuhikuhi ʻia.

Aloe vera

Hiki i ka Aloe vera ke hoʻokuʻu iā OIC. I hoʻokahi o nā noi ʻana, ua hāʻawi ʻia nā ʻiole i ka lawelawe waha o loperamide e hoʻohuli ai i ka paʻa paʻa. A laila mālama ʻia lākou me ka aloe vera i nā kau ma hope aʻe no nā lā ʻehiku: 50, 100, a me 200 milligram (mg) no kēlā me kēia kilokilo o ke kaumaha o ke kino.

Ua ʻike ʻia ua hoʻopaʻa ʻia nā ʻiole i ka loaʻa ʻana o ka lālani i ka miki o ka ʻōpū a me ka nui o ka fecal. Ma muli o ke aʻo ʻana, hiki i ka hopena laxative o ke aloe vera ke hoʻomaikaʻi i ka paʻa ʻana o ka lāʻau.

E nīnau i ke kauka a kauka paha ma mua o ka lawe ʻana i ka aloe vera. Hiki i ka mea kanu ke hoʻemi i ka hopena o kekahi mau lāʻau, e like me:

• nā lāʻau hoʻohaʻahaʻa kolesterol
• anti-inflammatories
• lāʻau lapaʻau hormonal

Senna

He kanu pua melemele ʻo Senna. Loaʻa ka hopena laxative i kāna mau lau i hiki ke kōkua i ka hoʻomaha maʻamau iā OIC. Ua ʻike ʻia kahi liʻiliʻi i hoʻomaikaʻi ʻo senna ma hope o ke kaha ʻana ʻo OIC ke lawe ʻia i kēlā me kēia lā no ʻeono mau lā.

Loaʻa nā pānaʻi Senna ma ke ʻano:

• capsule
• papa
• tī

Hiki iā ʻoe ke kūʻai i nā lau senna maloʻo mai kahi hale kūʻai meaʻai olakino a hoʻomoʻa iā lākou i ka wai wela. A i ʻole, hiki iā ʻoe ke kūʻai i nā papa sennosides (Senokot) mai kahi hale kūʻai a mea kūʻai lāʻau paha.

ʻO ka mahele hoʻomaka maʻamau no nā mākua he 10 mg a 60 mg i kēlā me kēia lā. Pono nā kamaliʻi e lawe i ka liʻiliʻi o ka senna, no laila e ʻike pono e heluhelu i ka lepili o ka huahana no nā ʻōkuhi i ʻōlelo ʻia.

Lawe ʻia ʻo Senna ma kahi manawa pōkole. Hiki i ka hoʻohana wā lōʻihi ke hana i ka maʻi diarrhea a hoʻomaka i kahi kaulike electrolyte. Hiki i kēia mea kanu ke hoʻonui i ka makaʻu o ke kahe ʻana ke lawe ʻia me warfarin (Coumadin), kahi wīwī o ke koko.

Nā lāʻau lapaʻau home no ka paʻa paʻa opioid-induced

Hiki paha i kekahi mau hoʻoponopono home ke hoʻomaikaʻi i ka OIC a kōkua iā ʻoe e hoʻokele i ka pilikia. E hoʻāʻo i kēia me nā lāʻau a i ʻole nā ​​lāʻau kūlohelohe:

1. Hoʻonui i ka hoʻoikaika kino. Hoʻoikaika ka hana hoʻoikaika kino a me ka hoʻoikaika kino i ka contraction i loko o ka ʻōpū o ka ʻōpū a hāpai i ka hana ʻōpū. Pahuhopu no 30 mau minuke hoʻoikaika kino i nā lā he nui o ka pule. E kamaʻilio me kāu kauka ma mua o ka hoʻomaka ʻana i kahi papa hana hoʻoikaika kino hou.

2. E inu nui i ka wai. Hana paʻakikī ka make wai i ka neʻe ʻana o ka ʻōpū. Inu 8-10 mau aniani o ka wai i kēlā me kēia lā. Pili i:

• wai
• tī
• wai momona
• kope decaf

3. ʻAi hou i ka fiber. Hoʻonui kūlohelohe i ka lawe fiber e normalize ai i ka hana ʻōpū. Hoʻohui i nā huaʻai, nā lauʻai, a me nā hua ma kāu papaʻai. ʻO nā kumuwaiwai maikaʻi o ka fiber e komo pū me:

• prunes
• huawaina
• ʻapelika
• asparagus
• pīni

Hiki i ka nui o ke fiber ke kumu i ka maʻi diarrhea a me ka ʻōpū o ka ʻōpū. E hoʻonui mālie i kāu lawe ʻana.

4. Hoʻohana i ka hau a i ʻole ka hoʻomehana wela. Hiki i ka paʻa paʻa ʻana ke hoʻonā i ka ʻōpū a me ka ʻeha o ka ʻōpū. E noi i kahi kōmahana mahana a anuanu paha i kāu wahi pelvic e hōʻoluʻolu i ka discomfort.

5. E hoʻopau i nā meaʻai kīnā mai kāu papaʻai. Kūpilikiʻi nā meaʻai momona a hoʻoponopono ʻia i ka ʻai a hoʻonui paha i ka OIC. E kaupalena i kāu lawe ʻana i nā meaʻai hoʻoulu, e like me nā meaʻai wikiwiki a me nā meaʻai maikaʻi ʻole.

ʻO ka lawe lawe ʻana

ʻOiai hiki i nā opioids ke hōʻemi i kou ʻeha, aia ka makaʻu o ka paʻa paʻa i ka lawe ʻana i kēia mau lāʻau. Inā loli ka nohona, nā home remedies, a me nā lāʻau OTC ʻaʻole hāʻawi i nā hopena i makemake ʻia, e kamaʻilio me kāu kauka e pili ana i nā kauka e kōkua ai i ka hoʻoponopono ʻana i kāu hana ʻōpū.