تأثیر مسواک زدن با چوب مسواک مکه در بهبودی یبوست بیماران قطع نخاعی

نوع مقاله : نامه به سردبیر

نویسنده

استاد، گروه علوم تشریحی و بیولوژی مولکولی، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

چکیده

یبوست یکی از شایع‌ترین مشکلات سلامت در هر جامعه می‌باشد (1)؛ به طوری که شیوع آن در امریکا بین 4 تا 28 درصد (3-2)، و در ایران بین 4/1 تا 37 درصد می‌باشد (4). حدود 42 تا 81 درصد بیماران قطع نخاعی نیز از این عارضه رنج می‌برند (5). در مطالعه‌ی حاضر، فرض بر آن بود که تحریک لثه‌ها توسط چوب مسواک، می‌تواند رفلکس گاستروکولیک را برانگیزاند و در نهایت، مسواک زدن با این چوب می‌تواند به عنوان یک روش درمانی ساده و ارزان قیمت مورد استفاده‌ی بیماران مبتلا به یبوست قرار گیرد....

عنوان مقاله [English]

The Effects of Traditional Wooden Toothbrush on Improvement of Constipation in Patients with Spinal Cord Injury

نویسنده [English]

  • Ebrahim Esfandiary
Professor, Department of Anatomical Sciences and Molecular Biology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
چکیده [English]

Constipation is one of the most common complains in each society, especially, in children and old populations. In this study, we hypothesized that the stimulation of gum epithelium by traditional wooden toothbrush would have a trigger effect on gastro-colic reflex, and thus, the aim of this study was to investigate the effect of traditional wooden toothbrush usage on improvement of constipation symptoms in patients with spinal cord injury (SCI). Traditional wooden toothbrush is a special toothbrush taken from a plant called Salvadora Persica with antimicrobial and anti-germ effects. It is commonly known as “the brush of Mecca”. In a clinical trial work, 61 patients with spinal cord injury were selected who had injuries in different spinal levels (cervical, thoracic and lumbar). They were recommended to use traditional wooden toothbrush for 5 minutes twice a day, after breakfast and dinner, over a 6-week period. Regarding to changes in their gastrointestinal habits during the period of using the wooden toothbrush, they were advised to complete a questionnaire. All symptoms of bowel problems improved significantly after the 6-weeks intervention. For example, after this intervention, a patient who had one defection every 3 weeks, obtained 3 defecations every week.Keywords: Traditional wooden toothbrush, Constipation, Spinal cord injury

  1. Noiesen E, Trosborg I, Bager L, Herning M, Lyngby C, Konradsen H. Constipation - prevalence and incidence among medical patients acutely admitted to hospital with a medical condition. J Clin Nurs 2013. [Epub ahead of print].
  2. Stewart WF, Liberman JN, Sandler RS, Woods MS, Stemhagen A, Chee E, et al. Epidemiology of constipation (EPOC) study in the United States: relation of clinical subtypes to sociodemographic features. Am J Gastroenterol 1999; 94(12): 3530-40.
  3. Higgins PD, Johanson JF. Epidemiology of constipation in North America: a systematic review. Am J Gastroenterol 2004; 99(4): 750-9.
  4. Iraji N, Keshteli AH, Sadeghpour S, Daneshpajouhnejad P, Fazel M, Adibi P. Constipation in Iran: SEPAHAN Systematic Review No. 5. Int J Prev Med 2012; 3(Suppl 1): S34-S41.
  5. Ebert E. Gastrointestinal involvement in spinal cord injury: a clinical perspective. J Gastrointestin Liver Dis 2012; 21(1): 75-82.
  6. al-Otaibi M. The miswak (chewing stick) and oral health. Studies on oral hygiene practices of urban Saudi Arabians. Swed Dent J Suppl 2004; (167): 2-75.