Wetin yu go du if yu pikin rili sabi fɔ yuz tɔylɛt ɛn i de du am fayn fayn wan, ɛn wantɛm wantɛm i bigin fɔ wet in klos bak? Sɔntɛm yu go vɛks. Yu kin fil bad bad wan ɛn yu kin fil bad. "Wetin mek mi pikin de du dis?" Sɔntɛm yu go de tink. Bɔt wet fɔ smɔl tɛm. Dis nɔ kin bi sɔntin we yu pikin de du bay wilful. We wi de tɔk bɔt mɛrɛsin, wi kin kɔl dis kɔndishɔn ɛnkɔprɛsis. Lɛ wi tɔk bɔt ɔltin insay simpul wɔd dɛn tide.
Wetin rili na ɛnkɔprɛsis?
Fɔ tɔk am simpul wan, if pikin we dɔn pas 4 ia, we dɔn yus fɔ go tɔylɛt, de go na tɔylɛt, dat na, insay in ɔndawea ɔ ɔdasay, wi kin kɔl da kɔndishɔn de Encopresis. Sɔntɛnde, dis na sɔntin we kin apin we pɔsin nɔ no. Sɔm pikin dɛn kin ivin tray fɔ ayd am bay we dɛn kin put poop na dɛn klos.
Mɛmba se dis nɔto di pikin in fɔlt ɛn nɔto yu yon. Dis na wan sik we pɔsin kin gɛt we i de mɛn. So bifo yu kɔs ɔ pɔnish yu pikin, yu nid fɔ gi am yu lɔv ɛn sɔpɔt pas ɛni ɔda tɛm dis tɛm.
Wetin na di sayn dɛm fɔ dis sik? Aw yu no am?
Fɔs, yu kin notis dis bay di smel. Dɔn yu go notis se di pikin in ɔndawea dɔn dɔti smɔl wit di stɔl we lɔs, we tan lɛk dayarɛa. Dis na di men sayn we de sho se yu gɛt dis sik. Apat frɔm dat, sɔm ɔda sayn dɛn de we de sho se yu gɛt dis sik.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Fɔ ayd klos ɛn dɔti | Di pikin de tray fɔ ayd di klos dɛn we dɔn dɔti. Sɔntɛm na wan kɔna na di rum, ɔnda di bed, ɛn ɔda tin dɛn. |
| Fɔ avɔyd fɔ go na tɔylɛt | Di pikin nɔ kin go na tɔylɛt fɔ sɔm dez. We dɛn aks am bɔt am, i kin avɔyd am. |
| Bɛlɛ de pen ɛn blo | "Bɔku tɛm a kin se, 'Mi bɛlɛ de at.'" We yu tɔch yu bɛlɛ, i kin fil lɛk se i at smɔl ɛn i kin blo. |
| Fil fɔ it | Pikin we bin de it fayn, kin it smɔl wantɛm wantɛm. I se i de fil "ful." |
| Wan rash we de rawnd di anus | If yu tɔch di fes bɔku tɛm, i kin mek di skin we de rawnd di ans rɛd ɛn tan lɛk blista. |
If yu notis dɛn sik ya na yu pikin, i go fayn fɔ mek yu kip smɔl dayari. Rayt tin dɛn lɛk aw ɔltɛm yu pikin de pop, us kayn poop i gɛt, ɛn ustɛm i de poop. Dis infɔmeshɔn go rili impɔtant we yu go si dɔktɔ.
Wetin mek dis kin apin to smɔl pikin dɛn? Wetin na di men rizin dɛn?
Tri men rizin dɛn de we kin mek dis apin. Lɛ wi luk dɛn wan bay wan.
1. Kɔnstipɛshɔn - di men pɔsin we du am!
di kכz fכ 95% pan di pikin dεm we de gεt dis kכndyushכn na krεse kכnstipכshכn, we min se dεn stכl dεm dray. Tink bɔt am dis we.
di stכl dεm we de na di pikin in big intestinal (kכlon) de kכmכt εn i de at lεk ston. Dɔn we i go na tɔylɛt, i kin rili at ɛn i kin fil pen. Afta i dɔn at lɛk dis wan ɔ tu tɛm, di pikin kin fred fɔ go di nɛks tɛm we i gɛt bɔdi. So i de ol am insay ɛn nɔ de poop.
We yu strɛch lɛk dis, wan had lump fɔ poop kin stɔp na yu intestin. Bɔt bikɔs nɔsay nɔ de fɔ di nyu likwid stɔl we dɛn dɔn mek fɔ go, di stik we dɔn stɔp kin lik kɔmɔt ɛn dɔn insay yu ɔndawea we yu nɔ ivin no. Na dat de mek yu fil lɛk se yu gɛt dayarɛa. Wi kɔl dis Ɔvaflɔ Inkɔntinɛns .
if enkopresis apin bikoz fכ kכnstipashכn dis we, dεn kכl am rεtεntiv enkopresis .
2. Ɔda mɛrɛsin rizin dɛn (Underlying Medical Conditions) .
Dɛn nɔ kin si dis bɔku tɛm. Bɔt, na smɔl tɛm nɔmɔ, dis sik kin apin bak as sayn fɔ ɔda sik. Insay dɛn kayn tin ya, apat frɔm di dayapɛt rɔsh, di pikin kin sho ɔda sayn dɛn bak lɛk we i de lɔs in wet, we i nɔ de gro fayn, blɔd na in stɔl, ɛn we i de vɔmit .
Bɔku rizin dɛn de we kin mek dis apin:
- sכm kכndishכn dεm na we dεn kin bכn - lεk `(Hirschsprung disease)`, `(Tethered spinal cord)`.
- sכm nyurolכjik sik dεm - Sεribra palsi, injuri na di spεnal kכd.
- Dijestiv sistεm sik dεm - `(Celiac disease)`, `(Inflammatory Bowel Disease)`.
- Prɔblɛm dɛn we gɛt fɔ du wit di rɛktum.
If dis sik apin we yu nɔ gɛt kɔnstipɛshɔn, dɛn kin kɔl am Nɔn-rɛtentiv Ɛnkɔprɛsis .
3. Saikɔlɔjik ɛn bihayvya kɔz (Saykolojik Trigrɛs) .
Sɔmtɛm dis kin apin bikɔs ɔf strɛs, frayd, ɔr prɔblɛm wit aw i de biev na di pikin in maynd.
- Fɔ fred di tɔylɛt: Sɔm pikin dɛn kin fred di tɔylɛt, mɔ di pɔblik tɔylɛt dɛn. Dis kin bi bikɔs dɛn nɔ klin, ɔ fɔ ɔda rizin dɛn.
- Layf kin chenj: Dis kin kam bikɔs ɔf di strɛs we pikin kin gɛt, lɛk fɔ bigin nyu skul, fɔ gɛt nyu brɔda ɛn sista, ɔ fɔ muf go na os.
- Lɔv fɔ ple: Sɔm pikin dɛn tu les fɔ stɔp fɔ ple ɛn go na tɔylɛt, so dɛn kin ol dɛn briz.
- Prɔblɛm fɔ biev: Sɔm pikin dɛn kin gɛt tin dɛn lɛk Oppositional Defiant Disorder ɔ ADHD, we kin gɛt fɔ du wit we dɛn nɔ obe dɛn mama ɛn papa in instrɔkshɔn ɛn pwɛl di lɔ dɛn.
Dis nɔto mental sik. Bɔt dis sik kin rili afɛkt di pikin in maynd. Di pikin kin fil lɛk se i de shem, i kin fred, ɛn i kin fil se i nɔ de nia ɔda pipul dɛn.
Dɔktɔ, aw ɛksaktɔli yu kin fɛn dis?
We yu kɛr yu pikin go to dɔktɔ, i go aks yu ɛn yu pikin bɔku kwɛstyɔn dɛn.
- Ustɛm dis bigin?
- I kin apin mɔ na de ɔ na nɛt?
- Wetin na di kɔlɔ ɛn di we aw di stɔl de? Ɛni blɔd de?
- Di pikin de fred fɔ go na tɔylɛt? Na im/i de hol bak?
- Aw yu de it ɛn drink?
- Yu tink se big chenj dɔn apin na yu layf dis biɛn tɛm?
Dɔn di dɔktɔ de chɛk di pikin.
- Egzamin fɔ di bɛlɛ: Dɛn kin palpat di bɛlɛ ɛn chɛk fɔ si if i gɛt ɛni stɔl.
- rεktal egzamεn: Dɛn de chεk fכ anal lεsin εn fis.
- Dijital Rɛktal Ɛgzam: If di pikin rɛdi, di dɔktɔ kin put finga we gɛt glɔv insay di rɛktɔm fɔ chɛk fɔ ɛni stɔl we stɔp insay.
- Ɔda tɛst dɛn: Sɔntɛnde, dɛn kin advays fɔ du tin dɛn lɛk fɔ du ɛkstrem rayt na yu bɛlɛ ɔ fɔ tɛst yu urine (urinalysis).
Wetin na di tritmɛnt dɛm fɔ dis?
Dis na sik we pɔsin kin mɛn. Bɔku tɛm, di tritmɛnt kin gɛt tu tin dɛn.
Step 1: Klin di bɔdi
Di tritmɛnt kin bigin wit fɔ klin di bɔdi kɔmplit wan, we involv fɔ pul ɔl di ol, had stɔl we dɔn stɔp na di kɔlon. Di dɔktɔ go gi yu mɛrɛsin fɔ dis.
- Laksativ: Dɛn kin gi paoda laxativ (Propylene glycol) ɔ likwid laxativ (Magnesium hydroxide solution).
- Suppository ɔ Enema: Na mɛrɛsin dɛn we dɛn kin put insay di rεktum. Dɛn tin ya kin ɛp fɔ mek di stɔl we dɔn stɔp kwik kwik wan ɛn pul am kɔmɔt.
If di stɔl rili ambɔg, i kin nid fɔ put di pikin na ɔspitul fɔ dis klin.
Step 2: Mentɛnans Program
Afta yu dɔn klin di kɔlon, yu nid fɔ stɔp di kɔnstipɛshɔn fɔ mek i nɔ kam bak. Dis nid fɔ gɛt program fɔ mentenɛns fɔ lɔng tɛm.
| Du | Wetin fɔ du |
|---|---|
| Fɔ kɔntinyu fɔ yuz mɛrɛsin | Dɛn fɔ kɔntinyu fɔ yuz di tin dɛn we de mek di stɔl sof ɔ di mɛrɛsin we di dɔktɔ gi yu fɔ mek yu nɔ gɛt stɔl fɔ sɔm mɔnt. |
| Fɔ sɛn di tɔylɛt pan wan schedule | Afta di men it, mek yu pikin sidɔm na tɔylɛt fɔ 5 to 10 minit. I nɔ mata if i nɔ poop, jɔs insay da abit de. |
| Di chenj dɛn we de apin na di it we dɛn de it | Gi mɔ frut, vɛjitebul, grɛn, ɛn ɔl gren dɛn we gɛt fayv. Ridyus milk ɛn tin dɛn we dɛn mek wit milk. Ridyus tin dɛn lɛk drink we gɛt shuga, biskit, ɛn kek. |
| Gi wata fɔ drink fayn fayn wan | Mek yu pikin drink bɔku wata ɔl di de. |
| Ɛksasayz | Mek yu pikin rɔn, jomp, ple, ɛn bi aktif. |
Sɔntɛnde, di dɔktɔ kin sɛn di pikin bak to spɛshal tritmɛnt dɛn, lɛk bayɔfidbak trenin , we kin ɛp di pikin fɔ kɔntrol di mɔsul dɛn we de rawnd di an ɛn tren am fɔ pas stɔl fayn fayn wan.
Aw yu as mama ɔ papa go ɛp yu pikin?
Di wok we yu de du na dis waka rili impɔtant.
- Peshɛnt: Dɛn tritmɛnt ya kin tek sɔm mɔnt. Yu kin gɛt sɔm diskɔmfɔt we yu de du di prɔses. Insay dis tɛm, peshɛnt ɛn nɔ vɛks ɔ vɛks.
- Nɔ blem yu pikin: Nɔ ɛva tɔk tin lɛk, "Yu na so bad pikin," ɔ "Yu nɔ de shem?" Dis go jɔs mek di pikin fil bad mɔ ɛn mɔ.
- Ɛnkɔrej: Ilɛksɛf yu pikin sidɔm na tɔylɛt ɔ de poop, prez di tray we dɛn de tray, ilɛksɛf i smɔl. Se tins laik, "Dat na big tin," "Yu so smat." Yu kin du tin dɛn lɛk fɔ mek stika chɔt, put stika di de we yu pikin go na tɔylɛt, ɛn gi dɛn smɔl gift we di wik dɔn.
- Tɔk opin wan: Tɛl yu pikin wit lɔv se, "Dis nɔ jɔs de apin to yu, i de apin to ɔda pikin dɛn bak. Lɛ wi wok fɔ dis togɛda."
If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis sik, ɔr if yu notis ɛni chenj na yu pikin in bihayvya, nɔr shem fɔ tɔk to yu dɔktɔ. If nid de, dɛn kin sɛn yu to dɔktɔ we de mɛn pikin dɛn ɔ dɔktɔ we de mɛn pikin dɛn we de mɛn dɛn bɛlɛ.
Mɛsej we dɛn kin kɛr go na os
- Encopresis nɔto fɔ du bad tin we pikin kin du bay wilful, na wan mɛrɛsin we dɛn kin trit.
- Di men tin we kin mek dis apin na we pɔsin kin gɛt kɔnstipɛshɔn fɔ lɔng tɛm (dray bɔdi we kin muv). So tek tɛm wit di tin dɛn we yu pikin de it ɛn di we aw i de tɔylɛt.
- If yu pɔnish yu pikin ɔ blem am, dat kin jɔs mek tin wɔs. Bifo dat, gi dɛn lɔv, peshɛnt, ɛn sɔpɔt dɛn.
- Di tritmɛnt kin tek tɛm, so nɔ ɛkspɛkt fɔ gɛt kwik rizɔlt, ɛn fala di dɔktɔ in instrɔkshɔn dɛn gud gud wan.
- If yu nɔ ebul fɔ fɛn ɛnitin bɔt dis, nɔ wɔri bɔt am yu wan, go to dɔktɔ kwik kwik wan.
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt