I fa chu toilet hman thiam hle a, a ti tha hle a, rang takin a thawmhnaw a hnim leh ta a nih chuan engtin nge ni ang? I thinrim mai thei. I lungngai hle mai thei a, i lungngai hle mai thei. "Engvangin nge ka fa hian hetiang hian a tih?" I ngaihtuah mai thei. Mahse minute khat chu nghak rawh. Hei hi i fain tumruh taka a tih a ni lo mai thei. Damdawi lam hawi chuan he dinhmun hi encopresis kan ti a. Vawiin hian thumal awlsam takin i sawi vek ang u.
Encopresis chu eng nge ni tak tak?
A awlsam zawngin, naupang kum 4 chunglam, toilet kal thiam tak chuan toilet pawnah, chu chu a underwear-ah emaw, hmun dangah emaw a bawlhhlawh a chhuah chuan, chu dinhmun chu Encopresis kan ti a ni. Hei hi a chang chuan hriat loha thil thleng a ni. Naupang thenkhat phei chuan an thawmhnaw chhungah poop dahin thup an tum thin.
Hei hi naupang sualna a ni lo va, nangmah pawh a ni lo tih hre reng ang che. Hei hi damdawi lam dinhmun enkawl theih a ni. Chuvângin, i fa chu hau emaw, hrem emaw ai chuan, he hun lai hian a hma aia nasain i hmangaihna leh i thlawpna i pêk a ngai a ni.
Hetiang natna lan chhuah dan hi engte nge ni? Engtin nge i hriat chian?
A tirah chuan hei hi a rim atang hian i hre mai thei. Tichuan naupang kawr hnuai lam chu a bawlhhlawh deuh tih i hmu mai thei a, chu chu zun (loose stools) a ni a, chu chu ril\am ang mai a ni. Hei hi a symptom ber a ni. Hei bakah hian symptom dang engemaw zat a awm bawk.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Thawmhnaw leh bawlhhlawh thup | Naupang chuan thawmhnaw bawlhhlawh tawh chu thup a tum a. Pindan kil khatah, khum hnuaiah, etc. ah pawh a ni mai thei. |
| Toilet kal loh tur | Naupang chu ni eng emaw zat chu toilet-ah a kal lo. Chumi chungchang an zawh chuan a pumpelh thin. |
| Pum na leh pum na | "Ka pum a na' ka ti fo thin. " I pum i khawih hian a khauh deuh a, a puar deuh thei bawk. |
| Chaw chakna | Naupang chaw ei \ha \hin chuan rang takin a ei tlem \hin. "Fll" tiin a inhriat thu a sawi. |
| Anus vel a rash a awm | Feces nena inhnaih fo hian hnute vel vun chu a sen a, blister ang maiin a siam thei. |
I fate zingah heng symptoms te hi i hmuchhuak a nih chuan diary tlem tal i dah a tha. I fa hian engzat nge a poop tih te, eng poop nge a neih tih te, engtikah nge a poop tih te hi ziak rawh. He information hi doctor hmu tura i kal hunah a pawimawh hle ang.
Engvangin nge naupang tête chungah hetiang hian a thlen? A chhan berte chu engte nge ni?
Hei hi chhan lian tak tak pathum a awm a. Pakhat hnu pakhatin han thlir ila.
1. Constipation - a mawhphurtu ber!
Naupang 95% velin he natna hi an vei chhan chu chronic constipation a ni a, chu chu dry stool tihna a ni. Hetiang hian han ngaihtuah teh.
Naupang intestine lian (colon)-a bawlhhlawh awmte chu a pungkhawm a, lung ang maiin a khauh ta a ni. Tichuan, toilet-a a kal chuan a harsain a hrehawm hle a ni. Hetianga vawi khat emaw vawi hnih emaw a na hnu hian naupang chuan a ril a chhuah leh hunah kal a hlau thin. Chuvangin a hold in a, a poop lo.
Hetianga i strain hian i intestines-ah poop lump khauh tak a awm a. Mahse, liquid stool siam thar chu kalna tur hmun a awm loh avangin, a zung (stuck lump) chu a leak chhuak a, i hriat loh pawhin i underwear-ah a tawp ta a ni. Chu chu i riltam ang maiin a awm tir a ni. Hei hi Overflow Incontinence kan ti a ni.
Hetianga constipation avanga encopresis a lo awm chuan retentive encopresis an ti a ni.
2. Damdawi lam thil dang (Underlying Medical Conditions) .
Hei hi hmuh tur a awm vak lo. Mahse, a tlem hle a, he natna hi natna dang chhinchhiahna angin a lo awm thei bawk. Chutiang hunah chuan diaper rash bâkah, naupang chuan natna dang a lantîr thei bawk a, chu chu a rihna tlahniam, a ṭhan ṭhat loh, ek chhunga thisen chhuak, leh rilṭâm te hi a ni
Hei hi a chhan awm thei engemaw zat a awm a:
- Thil awm dan thenkhat chu pianpui a ni - `(Hirschsprung natna)`, `(Tethered spinal cord)` ang chi.
- Neurological disease thenkhat - Cerebral palsy, ruhro hliam.
- Digestive system natna - `(Celiac disease)`, `(Inflammatory Bowel Disease)` tih te hi a ni.
- Rectum nena inzawm harsatna.
Hetiang dinhmun hi constipation awm lovin a lo awm a nih chuan Non-retentive Encopresis an ti a ni.
3. Rilru leh nungchang lam thil (Psychological Triggers) .
A châng chuan naupang rilruah rilru hahna, hlauhna emaw, nungchang lama harsatna emaw avânga lo thleng thei a ni.
- Toilet hlauhna: Naupang thenkhat chuan toilet an hlau hle a, a bik takin vantlang inthiarna hi an hlau hle. Hei hi an thianghlim tawk loh vang emaw, thil dang vang emaw pawh a ni thei.
- Nun a inthlak danglam: Hei hi naupangin a tawrh lungkhamna, sikul thar tan emaw, unau thar neih emaw, in sawn emaw ang chite avanga lo awm thei a ni.
- Infiamna hmangaihna: Naupang thenkhat chu an chau lutuk a, inkhelh bansanin toilet-ah an kal a, chuvang chuan an thaw an vawn tlat thin.
- Nungchang lama harsatna: Naupang thenkhat chuan Oppositional Defiant Disorder emaw ADHD ang chi natna an nei thei a, chu chu nu leh pate thupek zawm loh leh dan bawhchhiatna nen a inzawm thei a ni.
Hei hi rilru natna a ni lo. Mahse, he dinhmun hian naupang rilruah nghawng lian tak a nei thei a ni. Naupang chuan mualphona te, hlauhna te, leh khawtlâng zînga inthiarfihlimna te a nei thei a ni.
Doctor, engtin chiah nge hei hi i hmuh?
Doctor hnena i fa i hruai hunah chuan nang leh i fa chu zawhna tam tak a zawt ang.
- Hei hi engtikah nge a lo intan?
- Chhun lamah nge zan lamah a thleng tam zawk?
- Stool rawng leh texture chu eng nge ni? Thisen a awm em?
- Naupang hian toilet kal a hlau em? A insum reng em?
- Engtin nge i ei leh in dan?
- Tun hnaiah i nunah danglamna lian tak a awm em?
Tichuan Doctor chuan naupang chu a enfiah leh a.
- Abdominal examination: Pum hi palpate a, bawlhhlawh lumps awm leh awm loh enfiah a ni.
- Rectal examination: Anal sores leh fissures awm leh awm loh enfiah thin.
- Digital Rectal Exam: Naupangin a duh chuan doctor chuan gloved finger chu rectum chhungah dahin a chhunga bawlhhlawh awm leh awm loh a enfiah thei a ni.
- Test dang: A châng chuan, pum X-ray emaw, zun test (urinalysis) emaw ang chi thil tih a ṭha thei.
Hei hi eng enkawlna nge ni?
Hei hi enkawl theih a ni. Enkawlna hi a tlangpuiin step hnih a awm thin.
Step 1: Bowel tihfai dan tur
Enkawlna chu ril tifai vek atanga tan a ni a, chu chu colon chhunga bawlhhlawh hlui leh khauh tak tak awm zawng zawng chu paih chhuah vek a ni. Chumi atan chuan doctor chuan damdawi a pe ang.
- Laxatives: Powder tui (Propylene glycol) emaw tui (Magnesium hydroxide solution) emawa hmin te chu pek theih a ni.
- Suppository emaw Enema: Damdawi chu rectum chhunga dah luh a ni. Hengte hian stool tang chu rang taka tihzauh leh hnawhchhuahna kawngah a pui thin.
Stool chu nasa taka tihkhawtlai a nih chuan he tihfai nan hian naupang chu damdawi inah dah a ngai mai thei.
Step 2: Enkawlna Programme
Colon i tihfai hnuah constipation lo awm leh tur chu i tihtawp a ngai a ni. Hei hian hun rei tak chhunga enkawlna program a mamawh a ni.
| Thiltih | Eng nge tih tur |
|---|---|
| Damdawi hman chhunzawm zel | Doctor-in a pek stool softeners emaw laxatives emaw chu thla engemaw zat chhung ei chhunzawm tur a ni. |
| Schedule neia toilet thawn chhuah | Chaw ei tlangpui zawhah i fa chu toilet-ah minute 5 atanga minute 10 chhung thut tir thin ang che. A poop lo pawh a pawi lo, chu tih dan chu tuh mai rawh. |
| Ei leh in lama inthlak danglamna | Fiber tamna thei, thlai, green leh whole grains tam zawk pe rawh. Bawnghnute leh bawnghnute atanga siam te tihtlem. Sugary drinks, biscuit, leh cake ang chi thilte chu tihtlem rawh. |
| Tui in tur tha pek | I fa chu nilengin tui tam tak in tir rawh. |
| Insawizawi | I fa chu tlan la, zuang la, khel la, active takin awm rawh. |
A châng chuan doctor chuan naupang chu enkawlna bîk, biofeedback training -ah pawh a hruai thei a, chu chuan naupang chu a hnute vêla ruhte chu a thunun a, ekna dik taka kal tûra a zirtîr a ni.
Nu leh pa angin engtin nge i fate i ṭanpui theih?
He zinkawngah hian i chanvo a pawimawh hle.
- Dawhthei rawh: Heng enkawlnate hian thla tam tak a daih thei. Chutiang a nih lai chuan harsatna engemaw zat i nei thei bawk. Hemi hun chhung hian dawhthei takin awm la, thinrim leh thinrim suh.
- Naupang chu dem suh: "Chutiang naupang sual tak chu i ni," tih emaw, "I zak lo em ni?" Hei hian naupang chu a ti lungngai lehzual dawn chauh a ni.
- Fuih rawh: I fa chu toilet-ah a thu emaw, a poop emaw pawh ni se, eng ang pawhin tlem pawh ni se, an thawhrimna chu fak rawh. "A ropui khawp mai," "I fing lutuk," tih ang chi te sawi rawh. Sticker chart siam te, i fa toilet a kal ni-a sticker dah te, kar tawp lamah thilpek tlemte pek te ang chi thil i ti thei bawk.
- Zalen takin thu sawi rawh: I fa hnenah hmangaihna nen, "Hei hi nangmah chauhah a thleng lo va, naupang dangte chungah pawh a thleng ve tho. He thil hi i thawk ho ang u," tiin hrilh rawh.
He natna chungchangah hian zawhna dang i neih chuan, emaw, i fate nungchangah inthlak danglamna i hmuh chuan i doctor nen inbiakna neih hreh suh. A tul chuan naupang doctor emaw, pediatric gastroenterologist emaw hnenah i kal thei bawk.
Take-Home Thuchah a ni
- Encopresis hi naupangin tumruh taka nungchang tha lo a tih a ni lo va, damdawi lam natna enkawl theih a ni.
- Hei hi a chhan ber chu hun rei tak chhunga chaw ei (dry bowel movements) a ni. Chuvangin i fate ei leh in leh toilet hman danah fimkhur rawh.
- I fa hrem emaw, mawhpuh emaw hian dinhmun a tichhe zual thei chauh a ni. Chu ai chuan hmangaihna te, dawhtheihna te, leh thlawpna te pe rawh.
- Enkawlna hian hun a duh a, chuvangin result rang tak beisei suh, doctor thupek dik takin zawm rawh.
- Hemi chungchangah hian engmah i chhui chhuak thei lo a nih chuan nangmah chauhin lungngai suh, Doctor rawn pan vat rawh.
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