{"id":1678,"date":"2023-06-01T15:21:35","date_gmt":"2023-06-01T13:21:35","guid":{"rendered":"https:\/\/doctorchat.md\/?p=1678"},"modified":"2023-06-01T15:43:36","modified_gmt":"2023-06-01T13:43:36","slug":"constipatia-cauze-si-recomandari","status":"publish","type":"post","link":"https:\/\/doctorchat.md\/constipatia-cauze-si-recomandari\/","title":{"rendered":"Constipa\u0163ia – cauze \u015fi recomand\u0103ri!"},"content":{"rendered":"
Constipa\u021bia este un simptom frecvent \u00eent\u00e2lnit, mai ales la persoanele dup\u0103 60 de ani.<\/p>\n
\u2705\ufe0f Se manifest\u0103 prin sc\u0103derea frecven\u021bei de eliminare a maselor fecale, mai pu\u021bin de 3 ori\/s\u0103pt\u0103m\u00e2n\u0103, sau eliminarea cu efort a acestora.<\/p>\n
\u2705\ufe0f Cele mai frecvente cauze ale constipa\u021biei sunt:
\n\ud83d\udd38\ufe0f regim alimentar dezechilibrat, bogat \u00een gr\u0103simi animale, zah\u0103r procesat sau cantitate mic\u0103 de fibre;
\n\ud83d\udd38\ufe0f mastica\u021bie necorespunz\u0103toare;
\n\ud83d\udd38\ufe0f schimb de mediu (vacan\u021be, program \u00eenc\u0103rcat) care predispun la am\u00e2narea defeca\u021biei \u00een mod con\u0219tient;
\n\ud83d\udd38\ufe0f unele medicamente;
\n\ud83d\udd38\ufe0f abuz de laxative;
\n\ud83d\udd38\ufe0f sarcina;
\n\ud83d\udd38\ufe0f compresia mecanic\u0103 asupra colonului exercitat\u0103 de c\u0103tre: tumori intestinale, hernie abdominal\u0103, boli ale \u021besuturilor conjunctive, amiloidoza etc.<\/p>\n
\ud83e\ude7a Pentru a depista cauza constipa\u021biei este nevoie de un consult al medicului. Dac\u0103 nu exist\u0103 o cauz\u0103 organic\u0103 atunci este necesar s\u0103 \u00eencepem prin schimbarea regimului alimentar.<\/p>\n
\ud83d\udc8a Tratamentul:
\n\u2714\ufe0f diet\u0103 bogat\u0103 \u00een fibre vegetale (20-35g\/zi), fructe, legume, cereale.
\n\u2714\ufe0fAp\u0103, minim 1,5 – 2 l\/zi
\n\u2714\ufe0fExerci\u021bii fizice regulate
\n\u2714\ufe0fOrar zilnic al scaunului prin stimularea lui( dar nu for\u021bat)
\n\u2714\ufe0f Laxative:
\n1\ufe0f\u20e3 Laxative osmotice – con\u021bin polietilglicol \u0219i polizaharide neabsorbabile (lactuloz\u0103, lactilol)
\n2\ufe0f\u20e3 Laxative de volum – includ fibre vegetale nedigerabile care ac\u021bioneaz\u0103 prin cre\u0219terea con\u021binutului colonic \u0219i stimularea peristaltismului (Metilceluloza, Psyllium)
\n3\ufe0f\u20e3 Emoliente – ulei de parafin\u0103
\n4\ufe0f\u20e3 Stimulante – ulei de ricin, senna
\n5\ufe0f\u20e3 Saline – sulfat de Mg, hidroxid de Mg.<\/p>\n
\u2714\ufe0f Metoclopramida, Domperidona pot fi utilizate \u00een cazurile cu un r\u0103spuns inadecvat la administrarea de laxative.<\/p>\n
\u2714\ufe0f Terapia de biofeedback, const\u0103 \u00een realizarea de c\u0103tre pacient a unor exerci\u021bii de reeducare a musculaturii plan\u0219eului pelvis cu scopul ob\u021binerii relax\u0103rii \u00een timpul defeca\u021biei. Are o rat\u0103 de succes \u00eentre 40-90%.<\/p>\n
Psyllium este un remediu foarte bun dar important s\u0103 fie administrat\u0103 \u0219i ap\u0103 suficient\u0103.<\/p>\n
\u274c\ufe0f Administrarea \u00eendelungat\u0103 a laxativelor poate duce la „lenevirea colonului”.
\n\u274c\ufe0f Efectuarea clismelor repetate pot duce la complica\u021bii.<\/p>\n
autor\u00a0@dr.aurelia_avram<\/a><\/p>\n \ud83d\udcf2 Dac\u0103 ve\u021bi avea nevoie de sfaturi medicale, accesa\u021bi DoctorChat.md \u0219i beneficia\u021bi de ele online.<\/p>\n","protected":false},"excerpt":{"rendered":" Constipa\u021bia este un simptom frecvent \u00eent\u00e2lnit, mai ales la persoanele dup\u0103 60 de ani. \u2705\ufe0f Se manifest\u0103 prin sc\u0103derea frecven\u021bei de eliminare a maselor fecale, mai pu\u021bin de 3 ori\/s\u0103pt\u0103m\u00e2n\u0103, sau eliminarea cu efort a acestora. \u2705\ufe0f Cele mai frecvente cauze ale constipa\u021biei sunt: \ud83d\udd38\ufe0f regim alimentar dezechilibrat, bogat \u00een gr\u0103simi animale, zah\u0103r procesat sau … Continued<\/a><\/p>\n","protected":false},"author":82,"featured_media":1679,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[236],"tags":[],"class_list":["post-1678","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medicina-de-familie"],"acf":[],"yoast_head":"\n