Icebiso kubazali
Enye yezinto ezinzima kakhulu kubazali kukubona umntwana wabo ebuhlungu. Ukuba umntwana wakho ufumene ukuba unesifo esilumkileyo esiswini (IBS) okanye isisu esiswini esisemsebenzini (FAP), unokufumana iimvakalelo zokungenamandla, ukuphazamiseka nokudideka.
Ukuba uhamba phambili, uyazi ukuba i-IBS kubantwana ayiyona into encinci. Uphando lubonisile ukuba abantwana abane-IBS banomgangatho ophantsi wobomi, balahlekelwa zikolo ezininzi kwaye kufuneka baye kwiindawo ezinyuliweyo zonyango.
Impembelelo ye-IBS kumntwana omnye inokuchaphazela lonke intsapho. Ngenhlanhla, kubantwana abaninzi, ingxaki iya kuphucula ngexesha kunye nokungenelela kwamancinci. Ngelishwa, kwabanye, ubunzima bokugaya bunokuqhubeka bebadala.
Kusoloko kuthe kwathiwa ukuba abantwana abafikanga neencwadi zokufundisa. Oku kuyinyani ngakumbi xa kuziwa kwiincwadi zokuncedisa abazali ukuba bajongane nemingeni yesifo somzimba esisemsebenzini njenge-IBS. Apha uya kunikwa izikhokelo eziza kulandelwa njengoko usebenza nomntwana wakho kunye nodokotela wengane yakho ukuze uncede ukunciphisa intlungu yomntwana wakho.
1. Zifundise
Ukuze ufumane uncedo olungakumbi kumntwana wakho, kufuneka ube nokuqonda kakuhle oko kubangela ingxaki. I-IBS ayifani nezinye iingxaki zempilo kuba akukho mvavanyo yokuxilongwa ngokucacileyo okanye iziphumo zebhubhoratri ezichazela oko kuhambayo. Nangona isizathu esicacileyo singabonakali, abantu abane-IBS bafumana i- visceral hypersensitivity , nto leyo ithetha ukuba bayabakhathalela kakhulu iintlungu ezisuka kwizitho zangaphakathi, kwaye kuthetha ukuba kukho ingxaki ngesantya sokusebenza kwamathumbu abo .
Kukho iingcamango ezininzi malunga nokuba yiyiphi na ingasemva kwezi ngxaki:
- Kukho nokuba yingxaki ngendlela inambuzane idlulisa ngayo ingqondo.
- Kukho ukulinganisela okungalunganga kweebhaktheriya ngaphakathi kwamathumbu .
- Kukho nobuncinane, ukuvutha kwamancinci .
2. Sungula ubudlelwane obuhle bokusebenza kunye neQela lezeMpilo yabantwana bakho
Izigulane zabantu abadala ze-IBS abazivakalelwa ngokuphathelele ubudlelwane babo kunye nogqirha babo baneziphumo zonyango olungcono.
Kungenzeka ukuba uya kuziva uzive ukhululekile malunga nendlela yokuphatha i-IBS yengane yakho xa usebenza noogqirha ukuba uyamthemba kwaye uyamhlonela. Qiniseka ukuba oogqirha bakho bathatha ixesha lokuphulaphula iinkxalabo zakho kwaye, ngokubaluleke kakhulu, bazithabathe ngokungqongqo. Ukuba uvakalelwa kukuba ugqirha uyayichitha okanye unciphisa ubunzima bomntwana wakho, akusilo ugqirha olungileyo kumntwana wakho. Ukuba isiluleko sogqirha asihlali kakuhle nawe, xubusha iingxaki zakho kunye nogqirha okanye ufumane umbono wesibini. Akukho mntu uyaziyo umntanakho njengawe.
Qinisekisa ukubeka ilindelekileyo: I-IBS ayiyona ingxaki yempilo ugqirha wakho angakola ngokukhawuleza. Endaweni yoko, khangela ukuphuculwa kweempawu zephondo kunye nokwandisa ukwandisa umntwana wakho ukuba enze imisebenzi yakhe rhoqo.
3. Fundisa Umntwana Wakho NgokuGaya
Inokukunceda umntwana wakho ukuba ahlangabezane kangcono nento eyenzeka kumzimba wakhe ukuba unokuqonda kangcono inkqubo yokugaya. Kubantwana abancinci, imifanekiso elula ibhetele, ngelixa abantwana abadala kunye nabaselula banokuzuza kwingcaciso epheleleyo . Ukunceda umntwana wakho ukuba azi ukuba umzimba wabo ufanele usebenze njani uya kubanceda ukuba basebenzisane nabo, kwaye bazuze kuyo, unyango olujoliswe ekunciphiseni iimpawu zabo.
4. Ncedisa Umntwana Wakho Ukuseka Iimpawu Zokuziphatha Ezilungileyo
Abantwana abancinci kubonakala bebathanda ukuphepha izinto, nokuba bahlamba, bahlamba amazinyo okanye bathathe ixesha lokuhamba. Abantwana abakhulileyo banganqwenela ukusebenzisa iindawo zokuphumla zikarhulumente, okanye bangavuki ekuseni ngokwaneleyo ukuze benze ixesha lokuhamba ngasese. Ngoku ukuba uye wawachazela inkqubo yokugaya, bandakanyeka ekuncedeni imizimba yabo ukuba izame ukufumana indlela yazo yokubuyela kwisimo.
Abantwana abanesifo esiqakathekileyo sokuqhawulwa kufuneka bafundiswe ukuba "badibanise" kubonisa ukuba umzimba wabo ulungele ukunyakaza kwebilini.
Bangazuza kwakhona kwi- retard retraining , yindlela yokuzama ukuthelela kwiimpawu zesimo somzimba ukuze zihlale zihleli.
Abantwana abajongene neengxaki zokurhuda ngokukhawuleza banokufundiswa izakhono zokuphucula ukunceda ukunciphisa uxhalaba olunokuthi luqinise ukuchasana kwekoloni kwaye ngoko ukunciphisa ingqiqo yokuphuthuma .
5. Qinisekisa Ubuhlungu Babo
Kungenxa yokuba akukho nto ibonisa kwi-scan ye-CAT ayithethi ukuba intlungu ebantwini bakho ejongene nayo ayinjalo. Naliphi na umzamo wokunciphisa intlungu yakhe mhlawumbi iya kubuhlungu kuwe, njengoko iya kukwandisa uxhalaba lomntwana ongenakuyinyamekela ukuba into engalunganga. Xa ukhathazeka ngakumbi ngumntu, ngakumbi ukuvakalelwa kwentlungu kuphuculwe.
Xa umntwana wakho ebuhlungu, nikela ngenkxaso kunye nentuthuzelo. Bakhuthaze ukuba basebenzise izicwangciso zokuzihlaziya. Kubantwana abancinci, kusenokuthetha ukuxubusha ngesilwanyana esithandwayo okanye i-blanket. Abantwana abakhulileyo banokufumana ukuba ukuphulaphula umculo ococekileyo okanye ukuphazamiseka kokusebenzisana nabahlobo babo kwiidibano zentlalo kubancedisa ukuba bafumane ubuhlungu besisu.
Unokuphucula umvakalelo womntwana wakho wokuzibhokoxa, kwaye mhlawumbi unciphisa uxhalaba olwenzela intlungu, ngokubacela ukuba bacinge iingcamango ezizithobileyo . Kubantwana abancinci, ubuchule obuhle kukuthetha ngqo nesilwanyana esithandayo. Umzekelo, buza "Ngaba i-Teddy ingaba naziphi na izimvo malunga nento eya kukunceda uzive ungcono?" Abantwana abakhulileyo banokucelwa ngokucacileyo iingcamango zabo malunga noko bacinga ukuba banokunceda.
6. Funda ngobudlelwane be-IBS Symptoms Diet
Nangona kubonakala ngathi ayiyiyo ingqiqo, uphando alubonakali lukhulu lweempembelelo zokutya kwiimpawu ze-IBS kubantwana. Oku kubonakala kukunyanisekileyo xa kuziwa kwiimpawu zesisu esiswini. Ngaloo nto ingqondweni, kukho izikhokelo eziqhelekileyo zokugcina engqondweni:
Sebenzisa idayari yokutya ukujonga ukunyamezela kwe- lactose okanye i- fructose malabsorption ingxaki.
Ingaba umntwana wakho ugweme oku kulandelayo:
- I-sweeteners yokufakelwa ekugqibeleni ephela "-ol"
- Caffeine
- Ukutya okutya
- Ukutya kweGassy
Ukuba umfanekiso wesibonakaliso somntwana uquka izibilini zesifo sohudo, mkhuthaze ukuba adle ukutya okuncinci yonke imini ukuze angaphephe ukuqiniswa kwamathumbu emathumbu. Ukuba umntwana wakho unako ukujongana nokuqhawulwa, mkhuthaze ukuba adle isidlo esikhulu-ngokukhethekileyo kusasa - ukukunceda ukuqala intshukumo.
Ukuba kuyimfuneko, ukwandisa intlawulo yefayibhile yomntwana wakho, kodwa yenza ngokukhawuleza. Ukufumana ukuba mangaphi amagremu e-fiber ngosuku umntwana wakho ayenokuwusebenzisa, wongeza nje ezintlanu ubudala. I-Fiber isinceda zombini i-stool (inzuzo yokurhuda) kunye nokunciphisa isitulo (ukulungele ukutyunjwa). Nangona kunjalo, imithombo emininzi yefiber ingabangela igesi kunye nokuqhaqha, okungabangela ukonakalisa iimpawu zomntwana wakho. Ukunyuka ngokukhawuleza umxholo wefayibhile yokutya komntwana wakho kunokunceda umzimba wakhe uhlengahlengise ngaphandle kokugqithisa.
Ungaphinda ufune ukuthetha nodokotela wakho ngokubeka umntwana wakho kwisondlo se-FODMAP esezantsi. Oku kutya kukuquka ukukhawulela ezinye i-carbohydrates, ezaziwa ngokubanzi njenge-FODMAP, kwiiveki ezimbalwa ngaphambi kokuzifaka kwakhona ekudleni komntwana ukuvavanya ukunyamezela. Ukutya oku kulunge xa kwenziwa phantsi kolawulo lwe-dietitian.
Ngaphambi kokuba wenze nayiphi na inguqu enkulu ekudleni komntwana wakho, qiniseka ukuba uxoxe ngezicwangciso zakho kunye nodokotela wengane yakho, osesikweni ukuba wazi kakuhle ukuba nayiphi na inguqu iyakuchukumisa impilo yengane yakho.
7. Khangela Ingqondo-Unyango Lonyango
Uphando luye lwabonisa ukuba ezinye iintlobo zengqondo ye-psychotherapy zingaba nefuthe elihle kwiimpawu ze-IBS. Ukuba umntwana wakho ufumana iintlobo zeentlungu zesisu, unokufumana inzuzo kwi- hypnotherapy . Ukuba umntwana wakho ufumana uxhalaba oluninzi, kwaye ucinga ukuba olu xhalaba lenza iimpawu zakhe zibe zibi nakakhulu, unokufumana inzuzo kwi- ctnitive treatment (CBT).
8. Sebenzisana nabaPhathi beZikolo
Enye yezona zinto ziphazamisayo kwaye ziphazamisayo ze-IBS kubantwana xa ziphazamisa ukwazi kwabo ukuya esikolweni . Kuqhelekile ukuba ukhathazeke kukuba umntwana uyagxininisa iimpawu zakhe zokuphepha esikolweni. Kwakhona kunokuba nzima ukuba ucinge ngempembelelo elahlekileyo yesikolo enokuthi ibe nayo kwimfundo jikelele yabantwana bakho. Mamela umntwana wakho nabazali bakho ukuba baqinisekise ukuba ngaba bayakwazi yini ukuya esikolweni. Kwabaninzi abantwana, iimpawu zibi kakhulu ekuseni, ngoko ngamanye amaxesha isiqalo sokugqibela sinokuba yinto efunekayo. Kwimeko enzima, umntwana wakho unokufuna imfundo yasekhaya.
Kubalulekile ukuzama ukusebenza kunye nesikolo ukuqinisekisa ukuba iimfuno zomfundi wakho zidibeneyo. Umntwana wakho unamalungelo athile ngokuphathelele ukufumana imfundo naphezu kokuba imeko yezokwelapha ezifana ne-IBS. Xoxa namagosa akho esikolweni malunga nokubhala isicwangciso se- 504 , esichaza ukuba yeyiphi indawo yokuhlala umntwana wakho ayimfuneko ukuba aphumelele esikolweni ngenxa yeengxaki zesisu.
9. Musa ukujongela abanye abantwana bakho
Ingxaki yempilo ayithinti nje umntu ohlaziyo. Ubomi babantakwabo babenempembelelo: umntwana o "gulayo" ubonwa njengoluqwalaselo olungakumbi, izicwangciso zeentsapho ziyacinywa, ukutya okuthethiweyo akunakunikwa, njl njl. Kwezinye iimeko, umntakwabo onempilo unokuqala "ukukhangela" kumzamo wokutshintsha isikhungo soqwalaselo.
Nangona sonke siyazi ukuba ubomi obunzima kangakanani, kubalulekile ukuzama ukufumana "ixesha elilodwa" kunye nabanye abantwana bakho. Xa uhlala wedwa, bakhuthaze ukuba bathethe ngeengxaki zabo ngeengxaki zabo ze-IBS okanye umzalwana wabo. Baxelele ukuba nayiphi na imvakalelo engafanelekanga eqhelekileyo kwaye iyaqondakala. Kuyamangalisa ukuba abantu bangcono njani xa bevakalelwa iimvakalelo zabo.
Abantwana abaninzi banzima ukubeka iimvakalelo zabo ngamazwi. Kubantwana abancinci, unokucela uncedo lwezilwanyana ezithandayo. Ngokuqhelekileyo umntwana unokukuxelela ukuba, "UTeddy uyamthiya umntakwethu," kodwa uyazi ukuba mhlawumbi akufanele bathethe ngokwabo! Kubantwana abadala, iimvakalelo zabo zingaqinisekiswa ngokuzibeka emagama, umzekelo, "Unokucaphukisa malunga nento eyenzekayo nodade wakho. Ungacatshulwa ingqalelo ekufumaneni okanye ekuxakini xa sifanele sikhuphe zethu izicwangciso zeentsapho.
Abantwana beminyaka yonke banokuzuza xa bebuzwa ngeengcinga zabo ngezicombululo, umz: "Ziziphi iingcamango onayo zokuzonwabisa kwintsapho esinokuyenza kufuphi nekhaya?" okanye "Ngaba unayo nayiphi na ingcamango malunga nokuba yintoni eyenza umzalwana / udade wakho azive engcono?" Kwakhona, kubantwana abancinci, kubandakanywa nokhuseleko lwabo kwincoko inokukunceda ukuvelisa iingcamango. Nawuphi na umsebenzi. Ingongoma kukukwenza ukuba abantakwabo abanobubele babe nomuvo wokuba bayingxenye ebalulekileyo yentsapho. Yaye khumbula, sonke siphucule kangcono ekusebenzisaneni nesicwangciso xa sincedile ukuza nalo!
10. Fumana i-Balance for Yourself, Umntwana Wakho Nentsapho Yakho
Ukuba nomntwana ogula kakhulu, kunzima gqitha. Qinisekisa ukuba awuyikunyamekela iimfuno zakho njengoko uzama ukunceda umntwana wakho asebenze naye kwi-IBS. Fumana iindlela "zokuhlawula iibhetri zakho" xa kunokwenzeka. Khumbula ukuba unonophelo olungcono ozithathela lona, ngakumbi uya kufuneka unike abanye.
Ngelifu elimnyama, kukho idilesi yesilivere. Mhlawumbi isilivere yesiliva somnyama omnyama ongumntwana wakho we-IBS kukuba kukunyanzelise intsapho yakho kwaye ichithe ixesha kunye kunye-i-luxury inqabileyo kwisikolo sethu esitasa kakhulu. Fumana imisebenzi engaphantsi koxinzelelo enoba intsapho yakho yonwabileyo, njengokufunda iincwadi kunye, ukubukela iifilimu, okanye ukusebenza kwi-puzzle ye-jigsaw puzzle. Itheknoloji yamanje inika itoni yeendlela zokugcina abantwana bevakashele ekhaya. Khangela imidlalo yemidlalo okanye iifowuni ukuba yonke intsapho inokuzonwabisa kunye. Vumela i-IBS inike ithuba lokuba onke amalungu entsapho azi ukuba ayathandwa, kwaye ukuqinisekisa ukuba iimfuno zabantu bonke ziyakhuliswa.
Umthombo:
I-Chiou E & Nurko S. "Ulawulo lweentlungu zesisu kunye nesifo sengqondo esisisiswini esilumkileyo kubantwana nakwishumi elivisayo." Ukuphononongwa kobuchule be-Gastroenterology & Hepatology 2010 4: 293-304.