Ingaba umntwana wakho uke wakha izingozi (ukuhluma kwe-fecal)?
Abazali bavame ukucinga ukuba ezi ntlobo zengozi zenziwa ngenjongo, kodwa kaninzi zibangelwa yi-encopresis.
Ezi ntloba zengozi zenzeka xa abantwana bevuza imvama, ngokuqhelekileyo bengenazo zangaphantsi zabo, emva kokuba beqeqeshiwe ngamanzi. Nangona ukusila kunokuba yinto yesibini kwiingxaki ze-anatomiki, ezinjenge-malform anal, i-meningomyelocele, izifo ze-muscle, okanye emva kokuhlinzwa okwenziwa ngumntwana, ngokuqhelekileyo ngenxa ye-encopresis.
Encopresis
I-Encopresis iyinkxalabo yokuqhaqhazeka okungapheliyo, kwaye iyancipha ngokugqithiseleyo ngokulahlekelwa kwimihlaba emiselweyo okanye ngokuqhelekileyo izitenxo zamanzi, ezinokuthi zinyantse, zibe zingubo zangaphantsi zomntwana. Xa umntwana ehlambulukile kwaye enamaqabunga anzima kunye nezibuhlungu, unokuqala ukumbamba ukunyakaza kwakhe ukukhusela kwakhona ukulimaza kwakhona. Oku kudala umjikelezo owenza ukugqithwa kuqhubeke kwaye kube nzima, ekugqibeleni kuholele ekubambeni kwe-fecal kunye ne-rectal distention (oku kungenza ukuba i-rectum ingabonakali kwaye ayikwazi ukubamba ixabiso elincinci le-stool). Ukuzimela emva kokuqalisa ukuqala ukuhlahlela kuyo, kwaye ekugqibeleni kuvuza umklamo, ngaphandle komntwana ukuphawula okanye ukukwazi ukubamba.
Umntwana wakho unokuba nomkhulu kakhulu, ongenakuqhelana, ukunyuka kwezilonda ezinzima ezinokubuhlungu okanye mhlawumbi ukucoca indlu yangasese. Emva kwentshukumo enkulu kakhulu yebilini, ukuhlalisa kungaphucula, de kube ixesha elaneleyo kwaye ukuphinda kwakha kwakhona.
Abantwana abane-encopresis banokuba neenkqubela ezincinci, ezinzima, ezinjengebhola, ezinokubangela abazali ukuba bangazicabangi malunga nokuqhawuka xa zenzeka yonke imihla.
Nangona i-encopresis ibonakala ngokufana namakhwenkwe namantombazana kubantwana abancinci, ngokwexesha lobudala, kuyafana kakhulu kubafana.
Unyango
Unyango lwe-encopresis kufuneka lubandakanye unyango lwengxowankulu.
Oku kuya kubandakanya i-regimen ecocekileyo ye-enemas, i-suppositories okanye i-dose ephezulu iMilalax okanye i-oyile yeraminerali ukususa i-backed up or impact stool.
Ezinye iindlela zonyango zijoliswe ekuphuculeni ukutya komntwana wakho.
Ukutya okuqhelekileyo okunokubambisa umntwana kunokubandakanya ukutya okungafunekiyo kwaye kunokuthi kube ne-fiber ephantsi, i-fat-fat, kunye namanzi amaninzi. Ukugcina engqondweni, amanye amanyathelo okuphucula ukutya komntwana wakho aquka:
- Ukwanda kwamanzi: Khulisa inani lamanzi aphuzwa ngumntwana wakho ngalunye usuku.
- Ukwandisa i-fiber: Ukwandisa inani lemveliso ephezulu yefayibhile engumntwana wakho, njengesiqhamo nemifuno. Imifuno, izithelo ezingenasiphelo kunye nemifuno (iimbotyi, iifotata, iifetra, imifuno ye-turnip, utamatisi oluhlaza, kunye nommbila) inobuninzi befiber. I-Popcorn nayo inefayili eninzi kuyo. Abantwana kufuneka badle malunga ne-14g ye-fiber kuwo onke amawaka e-korikhi abayidlayo. Funda ukujonga itytile yondlo ngokutya okuphezulu kwe-fiber kunye nokutya okuninzi kunye ne-3-4g ye-fiber nganye. Iisobho zamehlo ziphezulu kakhulu kwi-fiber kwaye zongeza uketshezi olungakumbi kumntwana wakho.
- Ukwandisa urshoni ekudleni komntwana wakho ngokunikezela ukutya okusanhlamvu, ama-muffins e-bran, i-ngqolowa egciniwe, i-grared crackers, okanye isonka sangqolowa esipheleleyo.
- Ukunciphisa ukutya okugcobayo: Oku kubandakanya ubisi obupheleleyo, i-yogurt, ushizi, i-carrots ephekiweyo kunye neebhanana. Kwabanye abantwana, ukutshintshela kwesoyi okanye ubisi lwelayisi kuboniswe ukuthobisa izitishi. Ukuba umntwana wakho akakwazi ukusela ubisi, ke unike i-multivitamin okanye enye imithombo ye-calcium.
Kuze kube yinto yokuphuculwa komntanakho ukuphucula kunye nokutya okungagcini, umntwana wakho uya kubakho kwi-stool softeners. Uninzi lwa mayeza lufumaneka kwikhemistri ngaphaya kwekharityhulam kwaye aludingi umyalelo. Ziquka uMilalax, Umlambo waseMagnesia kunye neoli ye-mineral. Ngokungafani nama-laxatives kubantu abadala, ngokuqhelekileyo ayithathwa njengokwenza umkhwa. Kufuneka uwasebenzise imihla ngemihla, ngenjongo yomntwana wakho ophethe i-BM ethe tye imihla ngemihla. Ukuba umntwana wakho uqala ukuba ne-diarrhea, ke unika kakhulu kwaye kufuneka unqande umthamo.
Iishedyuli zeShedyuli
Olunye unyango olubalulekileyo lwe-encopresis kunye nokuqhaqhawula ukulawula ukuziphatha ukuze umntwana wakho afunde ukunyakaza intsuku ngalunye.
Kufanele ukhuthaze umntwana wakho ukuba abe neendlela eziqhelekileyo zobumbele. Yenza umntwana wakho ahlale endlwini yangasese malunga nemizuzu emihlanu ukuya kweyishumi emva kokutya 2-3 amaxesha nganye ngosuku.
Ukusetyenziswa kwemivuzo elula okanye ikhalenda yansuku zonke kunye neenkwenkwezi okanye izithintelo iintsuku apho umntwana wakho athatha amayeza akhe kwaye unentshukumo yokubilisa ingasiza. Umntwana wakho akudingeki ukuba abe neentshukumo zokuhamba nganye kwezi zihlandlo, kwaye akufanele ujezise xa engenalo. Kubaluleke kakhulu ukuba ufumana umkhuba oqhelekileyo wokuzama ukunyakaza.
Yaye ukhumbule ukuba ukuvuza kwe-stool akubandakanyi. Umntwana wakho akenzanga ngenjongo kwaye akafanele ajeziswe okanye ahlazeke xa kwenzeka. Ukugqithwa kunye nokwelula kwirexamu yakhe kwi-stool echaphazelekayo kunokuthatha ixesha elide ukubuyela kwisiganeko, kwaye kude kube yinto eyenzekayo, akanakho ukuqonda okanye ukuzimela ngokuzithandela kuyo yonke into yokuhamba kwayo, kwaye ukuvuza kuqhubeke nangona unyango olufanelekileyo.
I-Encopresis ngamanye amaxesha kunokuba nzima ukunyanga, kwaye isifo sezingane sakho sinokucinga ukuba sikubhekiselele kwi-Gastroenterologist yezilwanyana ukuze uqhubeke nokulawula ukuba akaphuculanga kwirejimeni yakhe yangoku.