Kutarisirwa kweKuzvimbirwa Munguva yeKubata Pamuviri
Pendauluan
Kuzvimba chigumburo chinowanzoitika pakati pevakadzi vane pamuviri, kunyanya panguva yemwedzi mitatu yechipiri neyechitatu. Dambudziko iri rinoratidzwa nekudzikira kwekufamba kwedumbu (semuenzaniso, kasingasviki katatu pasvondo), tsvina yakaoma, kurwadziwa panguva yekubvisa tsvina, kana kunzwa kusaita zvakanaka kwekufamba kwedumbu. Kunyange zvazvo kazhinji kusingakuvadzi mwana ari mudumbu, kuzvimba kunogona kuderedza hupenyu hwaamai, kukanganisa mabasa ezuva nezuva, kukonzera mamota, uye kutokonzera kuzvidya mwoyo. Saka, kutarisira zvakanaka kwekusununguka kwakakosha kuti uve nechokwadi chekunyaradzwa, kuchengetedzeka, uye kudzivirira matambudziko.
Zvinokonzera Kuzvimba Mukuzvitakura
Panyaya yemuviri, pamuviri unokonzera shanduko dzinogona kunonoka kufamba kwemudumbu. Kuwedzera kweprogesterone kunokonzera kuzorora kwemhasuru dzakatsetseka, kusanganisira mudumbu, zvichiita kuti peristalsis yemudumbu irambe ichiderera. Uyezve, kukura kwechibereko kunomanikidza dumbu, kunyanya mumwedzi mitatu yekupedzisira, zvichikonzera kufamba kwetsvina kunonoka. Zvimwe zvinokonzera izvi zvinosanganisira:
1. Kuchinja kwekudya: vamwe vakadzi vane pamuviri vanoderedza kudya kwavo fiber nekuda kwekuda kurutsa, kudzikira kwechido chekudya, kana kurambidzwa kudya zvimwe zvekudya.
2. Kusaita maekisesaizi emuviri: kuneta uye kuchinja kwechimiro chemuviri zvinogona kuita kuti vanaamai vasanyanya kufamba-famba.
3. Mishonga yesimbi necalcium: inowanzopihwa panguva yekuzvitakura uye inogona kuomesa tsvina mune vamwe vanaamai.
4. Kushaya mvura mumuviri: zvinodiwa nemvura zvinowedzera, asi hazviwanzoenderana nekudya kwakakwana.
5. Tsika yekunonoka kuita tsvina: nekuda kwekubatikana, kusagadzikana, kana kushomeka kwekupinda muchimbuzi.
6. Kushushikana uye kuchinja kwemanzwiro: zvinogona kukanganisa kugaya chikafu.
Kunzwisisa zvinhu zvinokonzera chirwere kunobatsira vananyamukuta kuti vagadzire nzira dzekubatsira dzakagadzirwa nemunhu mumwe nemumwe uye dzinoshanda zvechokwadi.
Kuongororwa kweKubereka (Kuongororwa)
Kutarisirwa kwepamuviri kunotanga nekuongorora kwakazara kuti pave nechokwadi chekuti kuvimbiwa kunoshanda uye kwete chiratidzo chechirwere chakakomba.
1. Kuverenga nhoroondo
Nyamukuta anofanira kubvunza kuti:
- Kufamba-famba kwetsvina kakawanda, kugara kwetsvina, uye kubvira panguva iyo kunyunyuta kwacho kwakaonekwa.
– Pane kurwadziwa mudumbu here, kuzvimba, kana kunzwa kuguta?
– Pane kubuda ropa here panguva yekufamba kwemudumbu, mapundu ekumashure, kana nhoroondo yekuva nemamota?
– Kudya (faibha, michero, miriwo), tsika dzekunwa, uye kunwa caffeine.
– Kurovedza muviri zuva nezuva.
– Mishonga/zvinowedzera zvinonwiwa (simbi, calcium, mishonga inorwisa asidhi).
– Nhoroondo yekuvimbiwa usati wabata pamuviri uye nhoroondo yezvirwere zvemudumbu.
2. Kuongororwa Kwemuviri
Kuongorora kwakajairika kunosanganisira zviratidzo zvehupenyu, mvura, uye mamiriro emuviri wese. Kuongororwa kwedumbu kunoitwa kuti kuonekwe kana paine kuzvimba, kunyorova, kana kuti matumbu. Kana zvichidikanwa uye zvichiratidzwa, nyamukuta anogona kuongorora mamota ekunze. Kuongorora mukati kana mudumbu hakusi kwetsika mukutarisira vana uye kazhinji kunoda kushandira pamwe/kutumira kune mumwe munhu kana paine fungidziro yekuti tsvina yapinda kana zvimwe zvirwere.
3. Ziva Zviratidzo zveNjodzi
Vananyamukuta vanofanira kungwarira uye kufunga nezvekutumirwa kuchipatara nekukurumidza kana vakaona:
– Kurwadziwa kwakanyanya mudumbu, kurutsa kakawanda, fivha.
– Hapana kubuda kwetsvina zvachose pamwe nekukura kwedumbu uye hapana flatus.
– Ropa rakawanda idzva rinobva mutsvina kana tsvina nhema gobvu.
- Kudzikira kwehuremu kusiri kwechisikigo, kushaya simba kwakanyanya.
– Nhoroondo yezvirwere zvemudumbu zvinozvimba, kuvharika kwemudumbu, kana bundu.
Kuongorora Utachiona Hwepamuviri
Kuongorora chirwere chekusununguka kunogona kuonekwa seizvi: Kuzvimba mudumbu kunokonzerwa nekuchinja kwemahormone uye kudzikira kwekufamba kwemudumbu, kusakwana kwefiber/fluid, kushandisa mishonga yesimbi, uye kudzikira kwekuita muviri, izvo zvinoonekwa nekufamba-famba kwemudumbu nguva nenguva, tsvina yakaoma, uye kunzwa sekunge muviri wako wabuda ropa zvisina kukwana.
Nyamukuta anogonawo kuwedzera matambudziko akadai senjodzi yekubuda kwehemorrhoids kana kuputika kwetsvina yekumashure nekuda kwekuneta.
Kuronga Kutarisira Vananyamukuta
Zvinangwa zvikuru zvekutarisira ndeizvi:
1. Dzorerai kufamba kwetsvina kwakasununguka uye kwakajairika.
2. Inoderedza kunyunyuta (kuzvimba, kurwadziwa panguva yekufamba kwedumbu).
3. Dzivirirai matambudziko akadai semahemorrhoids, mitswe, uye tsvina.
4. Ipai dzidzo kuitira kuti vanaamai vakwanise kuita mabasa ekutarisira vana vega.
Hurongwa hwekutarisira hunofanira kuitwa nhanho nhanho: kutanga nezvirongwa zvisiri zvemishonga, kuongorora mhinduro, uye wozofunga nezvekurapa mishonga yakachengeteka kana zvichidikanwa kuburikidza nekushandira pamwe nevakuru vemunharaunda.
Kuitwa (Kupindira)
1. Dzidzo yeKudya Kwakakora Nefiber
Vananyamukuta vanogona kukurudzira magiramu 25–30 efaibha pazuva nenzira iri nyore kushandisa:
– Idya miriwo (spinachi, broccoli, makarotsi), michero (papaya, mapeya, maapuro ane ganda), uye nzungu.
– Sarudza makabhohaidhiretsi akaomarara: oatmeal, chingwa chegorosi rose, mupunga webrown.
– Tanga zvishoma nezvishoma kudzivirira kuzvimba kwakanyanya, uye isa mvura yakakwana.
2. Mvura yakakwana
Kurudzirai vanaamai kuti vanwe mvura nguva dzose mukati mezuva. Zvinodiwa pakuita mvura zvinosiyana, asi chinhu chikuru ndechekuona kuti weti yakatsvuka. Chinwiwa chinodziya mangwanani dzimwe nguva chinogona kubatsira kukurudzira gastrocolic reflex. Deredza zvinwiwa zvine shuga yakawanda uye caffeine yakawandisa.
3. Kurovedza Muviri Kwakachengeteka
Mabasa akareruka akadai sekufamba kwemaminitsi makumi maviri kusvika makumi matatu, kurovedza muviri panguva yekuzvitakura, kana kutambanudza muviri zvinogona kuwedzera peristalsis yemudumbu. Vananyamukuta vanofanira kugadzirisa mazano avo zvichienderana nenguva yekuzvitakura, mamiriro emwana, uye chero chipi zvacho chinopesana nekuzvitakura.
4. Maitiro akanaka ekubvisa ura
– Usanonotsa kuda kuita zvetsvina.
– Gadzira purogiramu yenguva dzose, semuenzaniso mushure mekudya kwemangwanani.
– Nzvimbo yekuzvibatsira pakubvisa tsvina inogona kubatsirwa nekuisa chituru chidiki pasi petsoka kuitira kuti mabvi akwire kupfuura chiuno, kuitira kuti nzira yemudumbu ive yakatwasuka.
- Dzivisa kushandisa simba rakawanda nekuti zvinogona kuwedzera mamota.
5. Ongorora Zvekuwedzera zveIron
Kana kuvimbiwa kuchikonzerwa nesimbi, nyamukuta anogona kupa mazano: kunwa mushure mekudya, kuwedzera fiber nemvura, kana kukurukura nachiremba nezvekuchinja rudzi kana muyero wemushonga. Zvisinei, kurega kushandisa mishonga yekuwedzera hakukurudzirwi pasina kufunga nezvechiremba, sezvo anemia panguva yekuzvitakura iriwo njodzi.
6. Rutsigiro rwepfungwa
Kushushikana uye kusagadzikana zvinogona kuwedzera zviratidzo. Vananyamukuta vanogona kuvimbisa vanaamai kuti kuvimbiwa kunowanzoitika panguva yekuzvitakura uye kuvabatsira kugadzira matanho anoshanda avanogona kutora kumba.
7. Kurapa Nemishonga (Kana Zvichidikanwa, Zvichienderana Nesimba/Kushandira Pamwe Chete)
Kana shanduko dzemararamiro dzisingashande, kazhinji nzira dzakachengeteka dzekubata pamuviri dzinogona kufungwa nezvadzo kuburikidza nekubatsirana, dzakadai se:
– Zvinhu zvinoumba huremu (semuenzaniso psyllium) zvinowedzera huremu hwetsvina.
– Zvinopfavisa tsvina (semuenzaniso docusate) mune mamwe mamiriro ezvinhu.
– Mishonga yekubvisa marwadzo yeOsmotic (semuenzaniso lactulose kana polyethylene glycol) inogona kutariswa kana zvichidikanwa.
Vananyamukuta vanofanira kuyeuchidza vanaamai kuti vasashandise mishonga inomutsa kurara zvisina hanya kana kuita enemas vasina kupiwa mazano nenyanzvi yehutano, nekuti inogona kukonzera kurwadziwa, kusawirirana kwema electrolyte, uye kuvimba nemurwere.
Kuongorora uye Kutevera
Ongororo iyi inoitwa kwemazuva akati wandei kusvika pavhiki, ichiongorora:
– Kufamba kwedumbu nguva nenguva uye kugara zvakanaka kwavandudzika here?
– Kunyunyuta kwekurwadziwa, kuzvimba, kana kuomesa muviri kwaderera here?
– Pane zviratidzo zvematambudziko akadai semahemorrhoids anobuda ropa kana kuti mitswe here?
Kana zvichemo zvikaramba zvichienderera mberi kana kuti zvikanyanya kuipa, nyamukuta anofanira kuongororazve, kuona kuti zvataurwa zviri kutevedzera, uye kutumira rubatsiro kana paine zviratidzo zvengozi kana fungidziro yemamwe matambudziko.
Magwaro Ekuchengetedza Vananyamukuta
Magwaro anogona kushandisa fomati yeSOAP:
– S (Chinhu): kunyunyuta kwekufamba-famba kwedumbu nguva nenguva, tsvina yakaoma, kunzwa kwekufamba-famba kwedumbu kusina kukwana.
– O (Chinangwa): zviratidzo zvehupenyu, mamiriro emvura mumuviri, kuzvimba kwedumbu, kana paine zviratidzo zvehemorrhoid.
– A (Kuongorora): kuzvimba panguva yekuzvitakura, njodzi yekubatwa nemamota.
– P (Chirongwa): dzidzo yekushanda kwe fiber-fluid, maitiro ekubvisa ura, kuongororwa kwevhiki imwe chete, kushanda pamwe chete nemishonga kana zvichidikanwa.
Penutup
Kuzvimba panguva yekuzvitakura chichemo chinowanzoitika chinogona kugadziriswa zvinobudirira kuburikidza nekurapwa kwakazara kwekuzvitakura. Chinangwa chikuru ndechekuongorora kwakakodzera, kuona zviratidzo zvengozi, uye nzira dzisiri dzemishonga dzakadai sekuwedzera fiber, kudya mvura, kurovedza muviri, uye kugadzira maitiro ekudya ane hutano. Kana zvichidikanwa, kurapwa kwakawedzerwa kunogona kupihwa pamwe chete nevashandi vezvehutano zvichienderana nechiremera uye kuchengetedzeka kwaamai nemwana ari mudumbu. Nenzira yakarongwa uye dzidzo yakakodzera, vakadzi vane pamuviri vanogona kuwana pamuviri wakasununguka uye kudzivirira matambudziko asingadiwe.
