便秘怎样选择通便剂？
不知道你有没有听过这个问题：你觉得人生 3 大快事是什么？听过不少逗逼回答，其中有一个答是：吃饭、睡觉、上厕所。
看到这个，你可别笑。“民以食为天”向来是名言。睡觉这个事儿也真是件幸福事儿，你看现在，多少人睡眠严重不足啊！
而上厕所这个事儿，往往不太好说出口，但是存在问题也是蛮多的。内分泌君今天就和大家唠一唠这个事儿。为什么？因为身边很多人便秘！
便秘是啥你我都知道
便秘是由于各种病因所导致的一种临床常见症状, 治疗最常使用的是通便剂。
吃香蕉、吃大蒜、喝蜂蜜... 每个人都变成了专家，靠不靠谱就难说了，有的真靠谱，有的效果一般。那来系统看看有啥通便剂可以供选择的。
通便剂的种类
润滑性通便剂
可使粪便更容易通过肠道，最常用的是矿物油（如液体石蜡）。
粪便软化剂
使粪便潮湿松软，便于排出，特别适用于粪便干结的患者。粪便干结常见于使用止痛药后或长期久坐（如住院病人）。
最常用的粪便软化剂是多库酯钠。
纤维补充剂
天然的膳食纤维补充剂，能够吸收水分并保证正常的排便习惯，特别适用于平时饮食中缺乏膳食纤维的人群。
团块形成性通便剂
特殊的纤维衍生物产品，如欧车前制剂。该类通便剂不能被肠道吸收，从而使粪便膨胀，利于排出。
刺激性泻药
引起肠道平滑肌收缩，促进蠕动。常见的有便塞停和番泻叶。该类泻药有时会引起腹部绞痛，且长期使用是否会对肠壁造成永久性损伤还有待研究。
渗透性泻药
可使肠腔内的渗透压升高，增加肠腔中的水量，便于粪便排出。
常见的有聚乙二醇、山梨醇、乳果糖和盐类通便剂（包括磷酸钠和镁制剂）。渗透性泻药十分有效，但是过量使用可能导致水电解质紊乱。
非处方通便剂的安全问题
非处方通便剂大多使用安全，副作用较少。但须强调的是，认真阅读使用说明非常重要。务必按照说明书的推荐剂量服用，切勿超过最大剂量。
过量使用通便剂可能导致严重的副作用。另外，不能将通便剂用作减肥用途。
2014 年，美国食品药品监督管理局（FDA）下发了一条关于渗透性泻药磷酸钠的安全警告。在罕见情况下，24 小时内使用磷酸钠超过单次剂量可能会对心、肾造成严重损害，甚至导致死亡。
非处方通便剂的选择
没有哪一种通便剂是最好的，不同人群对不同的药物反应不同。如果不清楚适用何种通便剂，最好的办法就是根据具体病情妥善选择。
对于治疗便秘，改变生活习惯（如高纤维素饮食和锻炼身体）的疗效并不逊于服用通便剂。
来源：丁香园
作者：WangZ
杏林港湾是一家分享生活、健康、购物的门户网站，好价信息来自热心杏友爆料和商家自荐，经小编人工审核或小杏机器人智能判断后发布。促销折扣可能随时变化，请值友们购买前注意核实。
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