He aha inā akamai loa kāu keiki i ka hoʻohana ʻana i ka lua a ke hana maikaʻi nei ʻo ia, a hoʻomaka koke e pulu hou i kona mau lole? Huhū paha ʻoe. Manaʻo paha ʻoe i ka huhū a me ke kaumaha. "No ke aha e hana nei kaʻu keiki i kēia?" Ke noʻonoʻo nei paha ʻoe. Akā e kali iki. ʻAʻole paha kēia he mea a kāu keiki e hana nei me ka manaʻo. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia ʻano he encopresis. E kamaʻilio kākou e pili ana i nā mea āpau i kēia lā.
He aha maoli ka encopresis?
I ka ʻōlelo maʻalahi, inā he keiki ma luna o 4 mau makahiki, ka mea i maʻa mau i ka hele ʻana i ka lua, e ʻōpala ma waho o ka lua, ʻo ia hoʻi, i loko o kona lole komo a i ʻole ma kahi ʻē aʻe, kapa mākou i kēlā ʻano maʻi ʻo Encopresis. I kekahi manawa he mea kēia e hana ʻia me ka ʻike ʻole. Hoʻāʻo kekahi mau keiki e hūnā iā ia ma ke kau ʻana i ka ʻōpala i loko o ko lākou lole.
E hoʻomanaʻo, ʻaʻole kēia he hewa na ke keiki a ʻaʻole hoʻi na ʻoe. He maʻi lapaʻau hiki ke mālama ʻia kēia. No laila, ma kahi o ka hoʻohewa ʻana a hoʻopaʻi ʻana paha i kāu keiki, pono ʻoe e hāʻawi iā lākou i kou aloha a me ke kākoʻo ma mua o ka wā ma mua i kēia manawa.
He aha nā hōʻailona o kēia maʻi? Pehea ʻoe e ʻike ai?
I ka wā mua, e ʻike paha ʻoe i kēia ma ke ʻala. A laila, e ʻike paha ʻoe ua lepo iki nā lole komo o ke keiki me nā ʻōpala palupalu, e like me ka maʻi pākī. ʻO kēia ka hōʻailona nui. Eia kekahi, aia kekahi mau hōʻailona ʻē aʻe.
| Hōʻailona | Wehewehena |
|---|---|
| Ka hūnā ʻana i nā lole a me nā ʻōpala | Hoʻāʻo ke keiki e hūnā i nā lole i lepo. Malia paha ma ke kihi o ka lumi, ma lalo o kahi moe, a pēlā aku. |
| Ke pale nei i ka hele ʻana i ka lua | ʻAʻole hele ke keiki i ka lua no kekahi mau lā. Ke nīnau ʻia e pili ana i ia mea, hōʻalo ʻo ia. |
| ʻEha ʻōpū a me ka pehu ʻana | "ʻŌlelo pinepine wau, 'ʻEha koʻu ʻōpū.'" Ke hoʻopā ʻoe i kou ʻōpū, paʻakikī iki paha ia a pehu. |
| Makemake nui | ʻO ke keiki i ʻai maikaʻi ma mua, ua emi koke kāna ʻai ʻana. Ua ʻōlelo ʻo ia ua "māʻona" ʻo ia. |
| He ʻulaʻula a puni ka anus | ʻO ka hoʻopili pinepine ʻana me nā ʻōpala hiki ke hana i ka ʻili a puni ka anus e lilo i ʻulaʻula a like me ka pehu. |
Inā ʻike ʻoe i kēia mau hōʻailona i kāu keiki, he manaʻo maikaʻi e mālama i kahi puke moʻolelo liʻiliʻi. E kākau i nā mea e like me ka pinepine o ka poop a kāu keiki, ke ʻano o ka poop a lākou, a me ka manawa hea lākou e poop ai. He mea nui loa kēia ʻike ke hele ʻoe e ʻike i ke kauka.
No ke aha e hana ai kēia i nā kamaliʻi liʻiliʻi? He aha nā kumu nui?
ʻEkolu mau ʻano kumu nui e kōkua ana i kēia. E nānā kākou iā lākou pākahi.
1. ʻO ka paʻa ʻana o ka ʻōpū - ke kumu nui!
ʻO ke kumu o 95% o nā keiki e loaʻa ana i kēia maʻi, ʻo ia ka paʻa mau ʻana o ka ʻōpū, ʻo ia hoʻi ka maloʻo o nā ʻōpala. E noʻonoʻo e pili ana i kēia ʻano.
Hōʻiliʻili nā ʻōpala i loko o ka ʻōpū nui (colon) o ke keiki a lilo i paʻakikī e like me nā pōhaku. A laila, i kona hele ʻana i ka lua, manaʻo ʻo ia he paʻakikī loa a ʻeha hoʻi. Ma hope o ka ʻeha ʻana e like me kēia i hoʻokahi a ʻelua paha manawa, makaʻu ke keiki e hele i ka manawa aʻe e neʻe ai ʻo ia i ka ʻōpū. No laila, hoʻopaʻa ʻo ia iā ia a ʻaʻole e poop.
Ke hoʻoikaika ʻoe e like me kēia, paʻa kahi puʻu ʻōpala paʻakikī i loko o kou ʻōpū. Akā no ka mea ʻaʻohe wahi e hele ai ka ʻōpala wai i hana hou ʻia, kahe ka puʻu i paʻa a hiki i loko o kou lole komo me ka ʻike ʻole ʻoe. ʻO ia ka mea e manaʻo ai ʻoe e like me ka maʻi diarrhea. Kāhea mākou i kēia Overflow Incontinence .
Inā kū mai ka encopresis ma muli o ka paʻa ʻana o ka ʻōpū ma kēia ʻano, ua kapa ʻia ʻo ia he retentive encopresis .
2. Nā kumu lapaʻau ʻē aʻe (Nā Kūlana Lapaʻau Kumu)
ʻAʻole ʻike pinepine ʻia kēia. Eia nō naʻe, he mea kākaʻikahi loa, hiki ke ʻike ʻia kēia ʻano ma ke ʻano he hōʻailona o kahi maʻi ʻē aʻe. I ia mau hihia, ma waho aʻe o ka diaper rash, hiki i ke keiki ke hōʻike i nā hōʻailona ʻē aʻe e like me ka pohō kaumaha, ka ulu maikaʻi ʻole, ke koko i loko o ka ʻōpala, a me ka luaʻi ʻana .
Aia kekahi mau kumu kūpono no kēia:
- He hānau ʻia kekahi mau maʻi - e like me ka `(Hirschsprung disease)`, `(Tethered spinal cord)`.
- ʻO kekahi mau maʻi neurological - Cerebral palsy, nā ʻeha i ke kaula spinal.
- Nā maʻi o ka ʻōnaehana hoʻoheheʻe - `(Maʻi Celiac)`, `(Maʻi ʻōpū mumū)`.
- Nā pilikia e pili ana i ka rectum.
Inā hiki mai kēia ʻano me ka ʻole o ka paʻa ʻana o ka ʻōpū, ua kapa ʻia ʻo ia ʻo Non-retentive Encopresis .
3. Nā kumu noʻonoʻo a me nā ʻano hana (Nā mea hoʻonāukiuki noʻonoʻo)
I kekahi manawa hiki ke hana ʻia kēia ma muli o ke kaumaha, ka makaʻu, a i ʻole kahi pilikia pili i ka noʻonoʻo o ke keiki.
- Makaʻu i ka lua: Makaʻu kekahi mau keiki i ka lua, ʻoiai nā lua lehulehu. Malia paha no ka mea ʻaʻole lawa ko lākou maʻemaʻe, a i ʻole no nā kumu ʻē aʻe.
- Nā loli o ke ola: Hiki ke hana ʻia kēia e ke kaumaha a ke keiki e ʻike nei, e like me ka hoʻomaka ʻana i kahi kula hou, ka loaʻa ʻana o kahi kaikaina hou, a i ʻole ka neʻe ʻana i hale.
- Aloha i ka pāʻani: Palaualelo kekahi mau keiki e hoʻōki i ka pāʻani a hele i ka lua, no laila e paʻa lākou i ko lākou hanu.
- Nā pilikia pili i ka hana: Loaʻa paha i kekahi mau keiki nā kūlana e like me ka Oppositional Defiant Disorder a i ʻole ADHD, hiki ke pili me ka hoʻolohe ʻole i nā ʻōlelo a nā mākua a me ka uhaki ʻana i nā lula.
ʻAʻole kēia he maʻi noʻonoʻo. Eia nō naʻe, hiki i kēia kūlana ke loaʻa ka hopena koʻikoʻi i ka noʻonoʻo o ke keiki. Hiki i ke keiki ke ʻike i nā manaʻo hilahila, makaʻu, a me ka noho kaʻawale ʻana ma ka nohona.
E ke kauka, pehea lā ʻoe e ʻike ai i kēia?
Ke lawe ʻoe i kāu keiki i ke kauka, e nīnau nui ʻo ia iā ʻoe a me kāu keiki.
- I ka manawa hea i hoʻomaka ai kēia?
- Hana pinepine ʻia i ke ao a i ʻole i ka pō?
- He aha ke kala a me ke ʻano o ka ʻōpala? Aia kekahi koko?
- Ke makaʻu nei ke keiki e hele i ka lua? Ke kāohi nei ʻo ia?
- Pehea kou ʻano ʻai a me kou ʻano inu?
- Ua nui anei ka loli i kou ola i kēia mau lā iho nei?
A laila nānā ke kauka i ke keiki.
- Ka hoʻokolokolo ʻana i ka ʻōpū: Hoʻopā ʻia ka ʻōpū a nānā ʻia no kekahi mau puʻupuʻu o ka lepo.
- Hoʻokolokolo ʻana i ka rectal: Nānā i nā ʻeha a me nā māwae i loko o ka anal.
- Hoʻokolohua Rectal Digital: Inā makemake ke keiki, hiki i ke kauka ke hoʻokomo i kahi manamana lima me ka mīkina lima i loko o ka rectum e nānā ai i kekahi noho i paʻa i loko.
- Nā hoʻokolohua ʻē aʻe: I kekahi manawa, hiki ke ʻōlelo ʻia nā mea e like me ka X-ray o ka ʻōpū a i ʻole kahi hoʻāʻo mimi (urinalysis).
He aha nā lāʻau lapaʻau no kēia?
He maʻi hiki ke mālama ʻia kēia. ʻElua mau ʻanuʻu ka maʻamau o ka mālama ʻana.
KaʻAnuʻu Hana 1: Hoʻomaʻemaʻe ʻōpū
Hoʻomaka ka lāʻau lapaʻau me ka hoʻomaʻemaʻe piha ʻana i ka ʻōpū, ʻo ia hoʻi ka hoʻokuke ʻana i nā ʻōpala kahiko a paʻakikī i paʻa i loko o ka kolona. E kuhikuhi ke kauka i nā lāʻau lapaʻau no kēia.
- Nā lāʻau hoʻomāmā: Hiki ke hāʻawi ʻia nā lāʻau hoʻomāmā pauka (Propylene glycol) a i ʻole nā lāʻau hoʻomāmā wai (Magnesium hydroxide solution).
- Suppository a i ʻole Enema: Nā lāʻau lapaʻau i hoʻokomo ʻia i loko o ka rectum. Kōkua kēia i ka wehe koke ʻana a me ka hoʻokuke ʻana i ka ʻōpala i paʻa.
Inā ua ālai nui ʻia ka noho, pono paha e hoʻokomo i ke keiki i ka haukapila no kēia hoʻomaʻemaʻe ʻana.
KaʻAnuʻu Hana 2: Polokalamu Mālama
Ma hope o ka hoʻomaʻemaʻe ʻana i ka ʻōpū nui, pono ʻoe e hoʻōki i ka paʻa ʻana mai ka hoʻi hou ʻana mai. Pono kēia i kahi papahana mālama lōʻihi.
| Hana | He aha e hana ai |
|---|---|
| Ke hoʻomau nei i ka hoʻohana ʻana i ka lāʻau lapaʻau | Pono e hoʻomau ʻia nā mea hoʻomālielie ʻōpala a i ʻole nā lāʻau laxative i kauoha ʻia e ke kauka no kekahi mau mahina. |
| Ke hoʻouna ʻana i ka lua ma kahi papa manawa | Ma hope o nā ʻai nui, e hoʻonoho i kāu keiki ma ka lua no 5 a 10 mau minuke. ʻAʻole ia he mea nui inā ʻaʻole ia e ʻōpala, e hoʻokomo wale i ka maʻa. |
| Nā loli i ka ʻai | E hāʻawi i nā huaʻai, nā mea kanu, nā greens, a me nā palaoa piha i ka fiber. E hōʻemi i ka waiū a me nā huahana waiū. E hōʻemi i nā mea e like me nā mea inu kō, nā biscuits, a me nā keke. |
| Ka hāʻawi ʻana i ka wai e inu maikaʻi ai | E ʻae i kāu keiki e inu i ka wai he nui i ka lā a pau. |
| Hoʻoikaika kino | E ʻae i kāu keiki e holo, lele, pāʻani, a e hana ʻeleu. |
I kekahi manawa e kuhikuhi paha ke kauka i ke keiki i nā lāʻau lapaʻau kūikawā, e like me ke aʻo ʻana i ka biofeedback , kahi mea e kōkua ai i ke keiki e kaohi i nā ʻiʻo a puni ka anus a hoʻomaʻamaʻa iā lākou e hele pololei i ka ʻōpala.
Pehea ʻoe e hiki ai i ka makua ke kōkua i kāu keiki?
He mea nui loa kāu kuleana ma kēia huakaʻi.
- E hoʻomanawanui: Hiki i kēia mau lāʻau lapaʻau ke hala i nā mahina. Hiki iā ʻoe ke loaʻa i kahi ʻoluʻolu ʻole i ka wā o ke kaʻina hana. I loko o kēia manawa, e hoʻomanawanui a mai huhū a huhū paha.
- Mai hoʻāhewa i kāu keiki: Mai ʻōlelo i nā mea e like me, "He keiki ʻino loa ʻoe," a i ʻole "ʻAʻole anei ʻoe hilahila?" ʻO kēia wale nō ka mea e hoʻonui ai i ke kaumaha o ke keiki.
- Paipai: ʻOiai inā e noho ana kāu keiki ma ka lua a i ʻole e ʻō ana, e hoʻomaikaʻi i kā lākou hana, ʻaʻohe mea liʻiliʻi. E ʻōlelo i nā mea e like me, "He mea maikaʻi kēlā," "Akamai loa ʻoe." Hiki iā ʻoe ke hana i nā mea e like me ka hana ʻana i kahi pakuhi sticker, kau i kahi sticker i ka lā e hele ai kāu keiki i ka lua, a hāʻawi iā lākou i kahi makana liʻiliʻi i ka hopena o ka pule.
- E ʻōlelo ākea: E haʻi aku i kāu keiki me ke aloha, "ʻAʻole kēia e hana nei iā ʻoe wale nō, akā, e hana pū ana hoʻi i nā keiki ʻē aʻe. E hana pū kākou ma o kēia."
Inā he mau nīnau hou aku kāu e pili ana i kēia maʻi, a inā ʻike ʻoe i kekahi mau loli i ke ʻano o kāu keiki, mai kānalua e kamaʻilio me kāu kauka. Inā pono, hiki ke kuhikuhi ʻia ʻoe i kahi pediatrician a i ʻole kahi gastroenterologist pediatric.
Leka Lawe-Home
- ʻAʻole ka hana ʻino a ke keiki ʻo Encopresis, he maʻi ia e hiki ke mālama ʻia.
- ʻO ke kumu nui o kēia, ʻo ia ka lōʻihi o ka paʻa ʻana o ka ʻōpū (ka neʻe ʻana o ka ʻōpū maloʻo). No laila e makaʻala i ka ʻai a kāu keiki a me nā ʻano hana lua.
- ʻO ka hoʻopaʻi ʻana a i ʻole ka hoʻāhewa ʻana i kāu keiki hiki ke hoʻonui wale i ka pilikia. Akā, e hāʻawi iā lākou i ke aloha, ke ahonui, a me ke kākoʻo.
- He lōʻihi ka manawa e mālama ai, no laila, mai manaʻo i nā hopena wikiwiki, a e hahai pono i nā ʻōlelo a ke kauka.
- Inā ʻaʻole hiki iā ʻoe ke noʻonoʻo i kekahi mea e pili ana i kēia, mai hopohopo wale nō, e ʻike koke i ke kauka.
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