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Pagtitibi at pangangalaga sa bituka pagkatapos ng operasyon

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Bakit madalas bumabagal ang iyong pagdumi pagkatapos ng operasyon — at ang mga simple, at karamihan ay maiiwasang mga hakbang upang mapanatili ang paggalaw nito, lalo na habang ikaw ay gumagamit ng malalakas na painkiller.

Isang nakasarang pinto ng banyo na may sign ng restroom.
Ang constipation ay napakakaraniwan pagkatapos ng operasyon — lalo na kapag gumagamit ng malalakas na painkiller — ngunit ito ay malaking bahagi na maiiwasan. Kieran Hirpara 4.0

Ang pahinang ito ay isinalin ng makina at hindi pa nasusuri ng isang doktor. Ang bersyong Ingles ang siyang opisyal.

Ang constipation ay isa sa mga pinakakaraniwang nararanasan ng mga tao pagkatapos ng isang operasyon, at marami sa mga pasyente ang nagugulat dito. Ang mabuting balita ay maaari itong mapredikta, na nangangahulugang malaki rin ang posibilidad na maiwasan ito. Ang kaunting pagpaplano sa unang ilang araw, lalo na tungkol sa iyong mga painkiller, ay karaniwang nagpapanatili sa maayos na pagdaloy ng lahat.

Bakit bumabagal ang iyong bituka pagkatapos ng operasyon

Maraming bagay ang sabay-sabay na nakaaapekto sa iyong bituka pagkatapos ng isang operasyon:

  • Ang malalakas na (opioid) painkiller ang pangunahing sanhi. Ang mga gamot tulad ng codeine, oxycodone, tramadol, tapentadol at morphine ay epektibong nag-aalis ng sakit, ngunit direkta rin silang kumikilos sa bituka at kapansin-pansing pinababagal ito. Ito ang pinakaimportanteng sanhi. Hindi tulad ng pagkaantok at pagduduwal na maaaring idulot ng mga tabletang ito (na karaniwang nawawala pagkatapos ng ilang araw), ang bituka ay hindi nasasanay sa mga opioid. Ang pagbagal ay tumatagal hangga't patuloy kang umiinom ng mga ito, kaya kailangan itong pamahalaan nang sadyang paraan sa halip na hintayin lamang na lumipas.
  • Nababawasan ang iyong paggalaw. Ang paglalakad at pangkalahatang aktibidad ay tumutulong sa pagtulak ng natural na muscular wave na nagpapagalaw ng mga bagay sa iyong bituka. Ang pagpapahinga pagkatapos ng operasyon ay nagpapahina rito.
  • Nababawasan ang iyong pagkain at pag-inom. Ang nabawasang gana sa pagkain, mas kaunting fiber, at hindi pag-inom ng kasingdami ng dati ay lahat nagiging sanhi upang tumigas ang dumi at bumagal ang paglabas nito.
  • Ang mismong anaesthetic. Ang general anaesthetic ay pansamantalang ginagawang matamlay ang bituka, at maaaring tumagal ng isang araw o dalawa bago ito muling gumana nang maayos.

Kapag pinagsama-sama ang mga ito, ang pakiramdam na mabagal at barado sa loob ng ilang araw ay napakakaraniwan. Ito ay hindi komportable, ngunit sa karamihan ng mga kaso, hindi ito mapanganib.

Ang pinakamahalagang hakbang: laxative kasabay ng iyong malalakas na painkiller

Kung ikaw ay pinauwi na may opioids o codeine, ito ang pangunahing mensahe: magsimula ng laxative sa parehong oras ng mga painkiller, mula sa unang araw. Huwag maghintay hanggang sa ikaw ay constipated na at hindi komportable bago magsimula. Dahil ang mga painkiller na ito ay siguradong nagpapabagal sa bituka, ang tamang diskarte ay maunahan ang problema sa halip na habulin ito.

Ang iyong pharmacist ay maaaring magrekomenda ng angkop na over-the-counter na laxative; isang karaniwang pagpipilian ay isang gentle stimulant gaya ng senna, na kung minsan ay pinagsasama sa isang stool softener (docusate). Inumin ito nang regular habang ikaw ay gumagamit ng malalakas na painkiller, hindi lamang bilang isang beses na pag-inom. Kung kami ay nagreseta o nagmungkahi ng isang partikular na laxative para sa iyo, sundin iyon.

Ang kabilang bahagi ng mensahe ay kasinghalaga rin: bawasan ang paggamit ng malalakas na painkiller sa sandaling payagan na ito ng iyong sakit. Habang humuhupa ang sakit sa unang mga araw, lumipat mula sa opioids patungo sa mas simpleng mga opsyon gaya ng paracetamol (at isang anti-inflammatory kung sinabihan kang angkop ito para sa iyo). Habang mas kaunting opioid ang iyong iniinom, mas hindi babagal ang iyong bituka, at ang pagtigil sa paggamit ng mga ito ay isa sa mga pinakamabuting bagay na maaari mong gawin para sa iyong bituka, gayundin para sa iyong pangkalahatang paggaling. May higit pang impormasyon tungkol dito sa aming pahina tungkol sa .

Panatilihing gumagalaw ang lahat — ang mga pang-araw-araw na pangunahing hakbang

Kasabay ng laxative, ang ilang simpleng gawi ay nagbibigay ng tunay na pagkakaiba:

  • Uminom ng maraming likido. Ang tubig sa buong araw ay nagpapanatiling malambot sa dumi at tumutulong sa paggana ng mga laxative. Mas mahalaga ito lalo na kung ikaw ay umiinom ng mga painkiller.
  • Kumain ng fibre habang bumabalik ang iyong gana sa pagkain. Ang mga prutas at gulay, whole-grain na tinapay at cereals, beans at pulses, at lalo na ang prunes o prune juice, ay nakatutulong lahat. Ang isang mainit na inumin sa umaga ay maaari ring makatulong sa pagpapadaloy ng pagdumi.
  • Manatiling gumagalaw hangga't pinapayagan. Kahit ang banayad at regular na paglalakad sa loob ng bahay ay nakatutulong upang gisingin ang bituka. Sumunod sa anumang limitasyong ibinigay namin para sa iyong operasyon, ngunit huwag gugugulin ang buong araw sa pag-upo lamang.
  • Huwag pigilin ang pagdumi. Kapag naramdaman ang pangangailangan, huwag itong pigilin, at bigyan ang iyong sarili ng sapat na oras nang hindi nagmamadali. Ang isang footstool na bahagyang nagtataas ng iyong mga tuhod ay maaaring makatulong upang mas madaling mailabas ang dumi.

Isang maliit na babala: ang mga bulk-forming fibre supplement (tulad ng psyllium / Metamucil) ay hindi ang pinakamagandang pagpipilian sa mga unang araw pagkatapos ng operasyon, lalo na kung hindi ka umiinom ng maraming tubig, dahil kailangan nila ng maraming likido upang gumana at kung hindi ay maaari nilang palalain ang sitwasyon. Ang fibre mula sa pagkain at ang paraan ng paggamit ng laxative sa itaas ay mas maaasahan sa yugtong ito.

Ano ang normal, at kailan dapat maging pasensyoso

Normal lamang na hindi dumumi sa loob ng ilang araw pagkatapos ng operasyon, lalo na kung ikaw ay binigyan ng anaesthetic at ilang malalakas na painkiller. Ang pakiramdam na bloated at mabagal ang panunaw na unti-unting gumiginhawa habang ikaw ay gumagalaw, umiinom ng mas maraming tubig, binabawasan ang mga opioid, at hinahayaang tumalab ang mga laxative ay inaasahan at hindi dapat ikabahala. Karamihan sa mga tao ay bumabalik sa kanilang dating pattern sa loob ng isang linggo o higit pa.

Kailan dapat humingi ng tulong — huwag nang maghintay

Ang constipation ay karaniwang isang abala lamang kaysa isang panganib, ngunit paminsan-minsan ang bituka ay maaaring tunay na mabara o mabigong gumana muli pagkatapos ng operasyon (isang kondisyon na tinatawag na ileus). Ang mga babalang senyales sa ibaba ay hudyat upang magpasuri sa halip na patuloy na maghintay.

Makipag-ugnayan sa amin, sa iyong GP, o sa pinakamalapit na emergency department kung mapansin ang mga sumusunod:

  • Walang pagdumi sa loob ng ilang araw kasabay ng namamagâ, bloated, at masakit na tiyan, lalo na kung ito ay lumalala.
  • Pagduduwal o pagsusuka kasabay ng hindi pagdumi o hindi pag-utot: maaari itong maging senyales na ang bituka ay barado o huminto sa paggalaw.
  • Malala o lumalalang sakit sa tiyan o cramping.
  • Anumang pagdurugo mula sa puwit, o dugo sa dumi.
  • Lagnat o pangkalahatang pakiramdam na may sakit kasabay ng alinman sa mga nabanggit sa itaas.

Kung nararanasan mo ang ilan sa mga ito nang sabay-sabay, lalo na ang namamagâ at masakit na tiyan na may kasamang pagsusuka, ituring itong urgent at humingi agad ng tulong. Para sa ordinaryong mabagal na pagdumi sa unang ilang araw, ang planong fluids-fibre-movement-laxative sa itaas ay halos laging nakakalutas nito. Kung nag-aalinlangan, tumawag sa mga rooms. Mas gusto naming makabalita mula sa iyo.


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