I fa pawh hian a underwear-ah a poop ve em? Encopresis chungchang hi i zir dawn teh ang!

A châng chuan i fa tê tê underwear chu poop-in a hrual tih i hmuh khan i lungngai a, i lungawi lo ngei ang, a dik em? A bik takin i fain toilet a kal a thiam tawh chuan a harsa hle. Hei hi a takah chuan naupang thenkhat chunga thil thleng a ni a, damdawi lamah chuan Encopresis kan ti a, a nih loh leh mi thenkhat chuan ``functional fecal incontinence'' an ti bawk. A awlsam zawngin, naupangin tum loh taka an underwear-a a bawlhhlawh a chhuah hian a ni. Lungngai suh, vawiin hian he thu hi chipchiar takin kan sawi dawn a ni.

Chuti a nih chuan encopresis chu eng nge ni? Eng nge a lan chhuah dan?

A awlsam zawngin, encopresis chu naupangte chu toilet trained an nih hnua, a tlangpuiin kum 4 emaw a aia upa emaw an tlin hnua a duh loh zawnga bawlhhlawh luhtirna a ni A tam zawkah chuan hei hi accident-a thleng a ni. Hmeichhia aiin mipaah ​​a tam zawk. Kum 4 mi 1% leh 4% inkar vel a nghawng a, mahse kum upat danah a tlahniam zel thung.

I fain encopresis a neih chuan heng ang symptoms hi i hmu thei ang:

• Toilet i kal hma loh chuan stool-a chelh harsa.
• Underwear chhunga bawlhhlawh luang chhuak.
• Midang laka inthiarna thiltih thup, thup tum.
• Thawmhnaw bawlhhlawh thup.
• Nitin a hun laia bowel movement neih loh (bowel movement pattern hloh).
• Chaw hah, pum na nei.
• Chaw chu a thlum lo.

Engvangin nge hetiang hi kan fate chungah a lo thlen?

Encopresis hi a chhan lian ber ber engemaw zat a awm. Eng nge an nih i han thlir teh ang.

1. Constipation vangin encopresis a awm

Hetiang natna thlentu ber leh awm tam ber chu constipation a ni . Naupang chu a constipated chuan a ek chu lung ang maiin a vawt a, a khauh a , chu chuan colon chhungah a tang a, kal a ti harsa a, a na bawk.

Hetiang natna avang hian naupangte chuan bathroom kal an ngaih hunah insum an tum thin. Chuti a nih chuan eng nge thleng? Chu bawlhhlawh chu zawi zawiin intestine lianah a pung khawm a. Hei hian naupang intestine lian tak chu a ti lian zauh zauh a, balloon a infuh ang maiin a ti lian a ni. Chutiang a nih chuan naupang chuan kal a ngai tih hriatna a nei tawh lo. Ngaihtuah teh, intestine a khat em em lai hian liquid stool lo piang thar chu stool chhehvel atang hian lung a lo chhuak ang maiin a chhuak thei a ni. A châng chuan nu leh pate chuan hei hi ril\am (diarrhea) tiin an ngai sual thei bawk. He constipation nena lo awm encopresis condition hi "retentive encopresis" kan ti a.

2. Natna hnuaia awm dangte vang pawh a ni thei ang em?

Ni e, a châng chuan encopresis hi damdawi lam dinhmun dang hnuaia awm chhinchhiahna a ni thei bawk. Condition awm thei thenkhat chu hetiang hi a ni:

• Colonic inertia: Hei hi intestine lian tak kal tlanga bawlhhlawh a kal tha loh vang a ni.
• Digestive tract nerve tihchhiatna: 1.1.Hei hi digestive system tawp lama (anus vel) muscle te kha a inkhar tha lo a nih chuan a thleng thei.
• Hirschsprung disease: Hei hi intestine chhunga nerve endings thenkhat a awm loh avangin intestinal obstruction leh stool pass theih lohna a awm thin.
• Rectum chhunga natna hrik emaw tear emaw .
• Dehydration: Naupangin tui a in tlem chuan.
• Malnutrition emaw diet consisting too much fat and sugar: Chaw thau leh sugar tamna ei tam lutuk.

3. Psychological factors pawhin chanvo a nei em?

Aw ni e. Encopresis hi naupang rilru hahna vang te, nungchang lama harsatna vang te, hlauh vang te pawh a ni thei. Hêng thilte hi han ngaihtuah teh:

• Naupang infiam lai chuan ding a, toilet-a kal chu a tlai tawh hle.
• Toilet hlauhna (naupang thenkhat phei chuan toilet chhunga tlu an hlau).
• Naupang nunah inthlak danglamna, thil lungchhiatthlak tak tak. Entirnan, sikul tan, chhungkaw harsatna.
• Inthiarna thianghlim, mimal inthiarna awm lohna emaw, vantlang inthiarna hman duh lohna emaw.
• Oppositional defiant disorder: Hetah hian naupang chuan puitling leh thuneitute thu awih lohna pattern a lantir a.
• Nungchang lama harsatna: Naupang hian dan zawm leh khawtlang pawmtlak taka awm harsa a ti.

Engtin nge doctor hian hei hi a hriat chhuah?

I fa chu doctor hnena i hruai hunah encopresis a awm leh awm loh hriat nan a hnuaia mi ang hian an ti ang:

• Zawhna a zawt: Naupang natna hmasa te, tuna a natna lan chhuah dan te, naupang rilru dinhmun (stress ang chi), toilet training, leh ei leh in tur te a zawt thin.
• Taksa enfiahna neih a ni: Naupang taksa chu enfiah a ni.
• Rectal examination: Hetah hian doctor chuan naupang rectum chhungah kutkawr vuah, lubricated finger a dah lut a, a tibuaitu a awm leh awm loh leh a taksa ruhte dinhmun a enfiah thin. Hei hi naupang tan chuan a nuam lo deuh mai thei a, mahse diagnosis atan chuan a pawimawh hle.
• Abdominal X-ray: Abdominal X-ray hmangin ek engzat nge a tang tih hriat theih a ni.
• Psychological evaluation: Naupang dinhmun hi stress, hlauhna emaw, nungchang lama harsatna emaw avanga lo awm nia i ngaih chuan, chhui chian lehzual turin rilru lam doctor hnenah i refer thei ang.

A châng chuan, zun test ang chi thil hi tih theih a ni a, chutiang chi natna dang a awm loh nan.

Hei hi enkawl turin eng nge tih theih ang?

Encopresis enkawlna hi naupang hrang hrangah a inang lo thei a, mahse a tlangpuiin a hnuaia mite hi a tel a ni:

• Stool ball nghet tak takte lakchhuah dan:Hei hi a hmasa ber a ni.
• Stool softeners, laxatives , emaw enemas hman: Chûngte chuan naupang chu ekna a chhuah fo , natna nei lovin, zawi zawiin a ṭanpui a ni.
• Scheduled toilet sitting: I fa chu ni khatah vawi tam tak toilet-ah thut tir tum la, a bik takin chaw ei kham hnuah.
• Fiber tamna ei tur pe rawh: I fate eitur ah thei, thlai leh buh chi (whole-grain bread, brown rice) te dah la.
• Tui in tur tling pek.

Engtin nge nu leh pa kan nih angin kan ṭanpui theih?

I fa hian he hun lai hian i hmangaihna, i thlawpna leh i fuihna a mamawh a ni. "Potty routine" hi i fate'n toileting habit tha tak an neih theih nan a pui thei a ni.

• Chaw ei zawhah i fa chu toilet-ah hruai rawh: Ni khatah vawi hnih emaw vawi thum emaw tal i fa chu chaw ei zawh minute 5-10 chhung toilet-ah thut tir rawh.
• I fa chu toilet a kal dik hunah fak la, chawhmeh tlemte pe bawk ang che: I fa chu toilet-ah a poop a nih chuan, "A tha hle mai, fapa/fanu," tiin fak rawh. Toilet an kal ni chhinchhiahna atan sticker chart ang chi pawh i hmang thei a, kar khatah vawi khat chawhmeh tlemte i pe thei bawk.
• I fain a tihsual chuan hau emaw, au emaw suh: Hei hi a pawimawh ber a ni. I fain a underwear-a a zun huna i thinrim chuan i fa chu a hlau lehzual ang a, a lo thlen leh hunah i lakah thup a tum ang. Chuvângin , dawhthei tak leh hmangaihna nên thu sawi rawh.

"Naupangin tihsual a neih chuan i chhanna hi a pawimawh hle. Thinrim ai chuan, 'A pawi lo, fapa, i tum leh ang' tih hmangin naupang chu thlamuan rawh."

Specialist i hmuh a ngai em?

I fa dinhmun nasat dan azirin i doctor chuan specialist te hnenah a refer thei che a, chungte chu:

• Psychiatrist emaw counselor (psychologist): naupang chu toilet kal hlauhna, mualphona, sualna emaw, rilru hahna dang emaw hneh turin a pui thei a ni.
• Gastroenterologist: I chaw ei leh in lama harsatna khirh tak tak i neih chuan he doctor hian a pui thei che a, a bik takin large intestine-ah harsatna i neih chuan a pui thei che a ni.

Eng eitur nge naupang tan a tha lo? Eng ei tur nge pek tur?

I fate ei leh in atanga thau tamna leh sugar tamna ei tur te chu a theih ang anga tihtlem a pawimawh hle.

Chu ai chuan i fate ei leh inah fiber tamna ei tur telh la. Fiber tamna ei tur zingah hian:

• Legumes te hi bean leh lentils ang chi te an ni.
• Thlai chi hrang hrang (e.g. broccoli, asparagus) te.
• Thei (e.g. berry, apple) te pawh a awm.
• Thlai chi hrang hrang (e.g. bran chhang, pasta, brown rice).

Engtiang chiahin nge enkawl hnuah ka dam leh thuai ang?

Hei hi hun a duh rei deuh hlek a ni.Enkawlna tum ber chu i fain ek chhuah fo leh natna nei lo tura a zir theih nan tanpui hi a ni. He thiltum hi tihhlawhtlin nan hian thla engemaw zat a ngai thei a ni. I fain zawi zawiin toilet hman a thiam chhoh zel avangin i dawhtheih hle a ngai dawn a ni.

Naupang, constipation vanga bowel movement nei tawhte chuan toilet kal leh ngai ang maia an hriat tan theih nan hun a duh a ni. Hei hian dawhtheihna a mamawh bawk.

I fa chu toilet an kal hnuah fuih fo la, fak fo bawk ang che. Nu leh pa thenkhat chuan sticker chart ang chi thil an hmang thin. An fate chu toilet-a an thut lai te, an zun chhuah dawnin sticker an vuah a, kar tawp lamah chuan treat tlemte an pe bawk. Hetiang thil tenau te hian i fa chu mahni chauha toilet kal turin a fuih thei a ni.

Hetiang dinhmun hi a lo thleng thei lo em ni?

Ni e, i ti thei. Encopresis hi i veng thei a, constipation i veng thei a, i fate chu toilet kal danah experience tha tak i pe thei bawk. Chutiang ti tur chuan a hnuaia mite hi ti rawh:

• Fiber tamna diet pe rawh.
• Tui tam tak in la, i taksa chu tui tlakchham tir suh.
• I fa chu exercise (tlan, zuang, khelh) tam tak pe rawh.
• Chaw ei zawha toilet kal hun tur ruahman rawh.
• I fate toilet training i tih hian an tan thil tha takah siam rawh. Fuihna leh thlawpna hi a pawimawh hle.

Nu leh pa angin eng nge i beisei ang?

Enkawlna hmasa berah hmasawnna engemaw zat hmuh theih ni mah se, naupangin encopresis a hneh vek theih nan thla tam tak a ngai thei a ni. Hemi hun chhung hian tihsual a awm thei. Nu leh pa i nih angin i fate i thlawp chhunzawm zel a pawimawh a, hlauthawng lo ila. Naupang enkawlna dawng tam tak chu chaw ei kham leh heng tihsual avang hian an lo thang lian thin.

Engtikah nge Doctor ka hmuh ang?

I faah encopresis chhinchhiahna i hmuh chuan doctor pan nghal rawh. He natna leh constipation hi i hriat hma chuan enkawl a awlsam zawk. I fain ni eng emaw zat a poop lo a, a pum na a complain emaw, a nuam lo vanga ei a duh loh emaw chuan doctor pan nghal rawh.

Doctor hnenah eng zawhna nge i zawh tur?

Doctor i hmuh hian hetiang zawhna hi i zawt thei ang:

• "Doctor, ka fa ei leh in ah hian fiber hi ka dah belh tur em ni?"
• "Ka fa hi laxative emaw damdawi chi dang emaw ka pe tur em ni?"
• "He encopresis condition hian naupang sikul hnathawh a nghawng dawn em?"

Engtin nge naupang chu toilet a kal hma chu nghah turin i zirtir?

Toilet training-naah i fain tihsual a neih hi thil pangngai tak a ni. A chang chuan chutiang tihsual chu i fain a hun taka toilet a thlen loh vang a ni. I fain toilet a kal a ngai tih an taksa signal a hriatthiam theih nan i tih theih thenkhat chu hetiang hi a ni:

• Nilengin toilet-a kal hun tur ruahman la, a bik takin chaw ei kham hnuah.
• I fa chu toilet kal chu eng ang nge a nih tih zirtir rawh.
• Environment thara i kal dawnin i fa chu toilet awmna hmun kha entir thin ang che.
• I fa chu eng game pawh khel mah se, toilet a kal a ngaih hunah titawp la, toilet-a kal turin fuih rawh.

A chang chuan encopresis vei naupangte hian an taksain toilet pan a ngai tih signal a pek chu an hre lo. Constipation hian intestine lian tak a tizau a nih chuan bawlhhlawh tam tak an neih hma loh chuan an duhna chu an hre lo. I fain an ek ti nem turin enkawlna a tan tirh chuan an taksa signal hriat lehna a zir leh a ngai dawn a ni. Hetiang hian thla engemaw zat a daih thei a, chuvangin i fain an taksa chungchang a hriat hunah dawhthei takin awm rawh.

Enkawltu angin encopresis hmachhawn leh thawmhnaw bawlhhlawh sil reng chu thil harsa tak a ni thei. Dawhthei takin awm reng rawh. I fain thil a tihsual huna i thinrim chuan i fa chuan a hre chiang ang a, a lo thlen leh hunah i lakah thup a tum mai thei. I fate chu positive reinforcement pe fo la, toilet training-naah dawhthei takin awm rawh. I fa hian toilet chungchangah experience tha tak a neih chuan toilet a hlau lo ang a, tihsual a nei tlem zawk ang.

I hriat reng tur pawimawh ber berte

Okay, chuti a nih chuan, kan sawi tawh atang hian hengte hi kan ngaihtuah reng tur pawimawh ber berte chu an ni:

• Encopresis hi enkawl theih a ni a, naupang thenkhatin an vei thin. Naupang sualna a ni lo.
• Dawhtheihna leh thlawpna hi he zinkawngah hian nang leh i fain chakna lian ber i neih tur a ni.
• I fate chu hmangaihna nen thu sawi rawh , hau leh dem lovin .
• Ei leh in tha (a bik takin fiber tamna) leh tui tam tak ei hi a pawimawh hle.
• A hun taka toilet kal hi tih dan tha tak nei rawh.
• Harsatna i neih chuan zak lo la, Doctor nen inbia ang che. Enkawl hmasak hian rah tha zawk a chhuah thei.

Nang leh i fa hian he dinhmun atanga insiamthatna chakna in hmu thuai rawh se!

` Encopresis, riltam, chaw ei kham, naupang hriselna, toilet training, nu leh pa thurawn, chaw ei dan