Zingakhale vuto lalikulu komanso nkhawa kwa inu ngati mwana wanu akunyowetsa zovala zake zamkati ataphunzitsidwa kugwiritsa ntchito chimbudzi. Mwina mukuganiza kuti, "Mulungu wanga, kodi akuchita izi dala? Kapena ndi waulesi chabe?" Koma zoona zake n'zakuti, ana ambiri azaka zopitirira 4 omwe akuphunzira kugwiritsa ntchito chimbudzi akunyowetsa zovala zawo zamkati angakhale ndi chifukwa chomwe sangathe kuchiletsa. Ichi ndi chomwe timachitcha encopresis m'mawu azachipatala.
Kodi encopresis kwenikweni ndi chiyani?
Mwachidule, encopresis ndi njira yotulutsira ndowe kunja kwa chimbudzi, nthawi zambiri mu zovala zamkati, popanda mwana kuzindikira. Nthawi zambiri imakhudza ana atatha zaka 4, akamakula mokwanira kuti amvetse kuti ayenera kupita kuchimbudzi.
Chofunika kwambiri ndichakuti uwu si matenda. Izi zikutanthauza kuti, uwu si matenda enaake. Koma, ndi chizindikiro chomwe chimachitika chifukwa cha zifukwa zina. Monga malungo. Malungo si matenda, ndi chizindikiro cha matenda enaake. Ndicho chokha. Chifukwa cha vuto linalake m'thupi la mwana, chizindikiro chachibadwa chakuti ayenera kupita kuchimbudzi, kutanthauza kuti, kumverera kuti 'ndili ndi matumbo', sikumveka bwino. Kenako, chifukwa sangathe kulamulira, ndowe zimatuluka m'kati mwa zovala zawo zamkati motere. Chifukwa chake , kumudzudzula ndi kumudzudzula mwanayo sikungathandize. Chofunika kwambiri ndichakuti mumvetse kuti sakuchita izi dala.
Nchifukwa chiyani encopresis imachitika?
Nthawi zambiri, ndiko kuti, matenda opitirira 90 peresenti (90%+) a encopresis amayamba chifukwa cha kudzimbidwa . Inde, mwamva bwino, kudzimbidwa. Tsopano mwina mukuganiza kuti, "Mungavale bwanji zovala zamkati mukakhala ndi kudzimbidwa? Ndiye simungathe." Tiyeni tifotokoze pang'ono zimenezo.
Munthu amene ali ndi vuto la kudzimbidwa nthawi zambiri amakhala ndi ndowe zolimba komanso zouma zomwe zimakhala zovuta kutuluka. Ndiye amachita chiyani mwana wamng'ono akayamba kuchita ndowe movutikira komanso mopweteka chonchi? Amaopa ululu ndipo amayamba kusiya kuchita ndowe ndikuyamba 'kusunga'. Tangoganizirani, mwana wanu amalira chifukwa cha ululu akayamba kuchita ndowe. Nthawi ina akayamba kuchita matumbo, amakumbukira ululuwo. Kenako amayesa kuugwira m'malo mouchotsa.
Kodi chimachitika n’chiyani mukapitiriza ‘kugwira’ motere?
1. Chimbudzi chimakhala cholimba komanso chouma: Thupi limayamwa madzi ochokera ku chimbudzi chomwe chili mu rectum (gawo lomaliza la matumbo akulu komwe chimbudzi chimasungidwa kwakanthawi). Izi zimapangitsa kuti chimbudzicho chiume kwambiri komanso chikhale ngati chotupa cholimba.
2. Chimbudzi chimakula: Chifukwa cha kuchulukana kwa ndowe kumeneku, gawo la pansi la chimbudzi limatambasuka pang'onopang'ono ndipo limakula. Monga momwe buluni imapitirizira kukhuthala, imakulanso.
3. Mitsempha ya kumva imafooka:Pamene rectum ikukula chonchi, mitsempha yomwe ili m'makoma ake singathe kutumiza uthenga ku ubongo kuti ndowe yadzaza ndipo mwanayo akufunika kupita kuchimbudzi. Izi zikutanthauza kuti mwanayo samva kudzaza ndowe.
4. Kutaya madzi: Tsopano popeza kuti ndowe yolimba yalowa m'malo otulutsira madzi, ndowe yatsopano, yamadzi pang'ono idzatuluka mozungulira ndowe yolimba ndikuyamba kutuluka mosasamala mu zovala zamkati. Mwanayo sakumva izi. Chifukwa chakuti njira yolumikizirana ndi zizindikiroyo yafooka.
Izi zili ngati kuwonjezera madzi ambiri mu chidebe chomwe chili kale chodzaza ndi madzi ndipo chimasefukira. Muli dothi lolimba kwambiri mkati, koma dothi latsopano, lamadzimadzi limadutsamo ndikutuluka popanda mwana kuzindikira.
Ndicho chifukwa chake mwana amene ali ndi vuto la kudzimbidwa amakhala ndi vuto la encopresis. Si vuto la mwanayo, si ulesi, si dala.
Ndiye, kodi kudzimbidwa ndi chiyani kwenikweni?
Tsopano popeza takambirana za kudzimbidwa chifukwa chachikulu cha encopresis, ndikofunikira kumvetsetsa bwino tanthauzo la kudzimbidwa.
Chimbudzi chomwe chimaonedwa kuti ndi "chabwinobwino" chimasiyana malinga ndi munthu aliyense. Ana ena amachotsa chimbudzi kamodzi kapena kawiri patsiku. Ena amachotsa chimbudzi katatu kapena kanayi pa sabata.
Taganizirani izi motere: ngati mwana achita chimbudzi kamodzi pa masiku atatu aliwonse, koma iye amangochita chimbudzi chofewa, cha kukula kwabwinobwino, ndipo amachita zimenezo popanda vuto lililonse kapena kupweteka, ndiye kuti mwanayo sanganenedwe kuti ali ndi kudzimbidwa.
Ndiye kudzimbidwa kumachitika liti?
- Ngati mwana akuchita chimbudzi tsiku lonse, koma chimbudzicho chikutuluka ngati tinthu tating'onoting'ono tolimba (ena amati chimbudzi cha mbuzi), chikhoza kukhala kudzimbidwa.
- Ngakhale mwana atachita chimbudzi kamodzi pa masiku awiri aliwonse, ngati ndowe zake ndi zolimba kwambiri, zouma, kapena zikuoneka ngati chotupa chachikulu , zimenezonso ndi kudzimbidwa.
- Ndikachita Kakka , nkhope yanga imafiira ndipo sindichita bwino ngakhale nditachita kwa nthawi yayitali.
- Ngati mwana akumvabe ngati pali china chake m'mimba, sichinathe konse, kapena akunena choncho, ngakhale atayamba kuchita chimbudzi.
- Nthawi zina vutoli likhoza kutsagana ndi kupweteka m'mimba.
- Nthawi zina pangakhale magazi pang'ono ndi ndowe (malo otulutsira ndowewo akanda ndi ndowe yolimba).
Mwachidule, kudzimbidwa sikumangokhudza kuchuluka kwa matumbo omwe amatuluka. Kapangidwe ka ndowe (yolimba kapena youma), kusavuta kuitulutsa, komanso ngati yatuluka kwathunthu ndikofunikira. Nthawi zina ana sanganene kuti ali ndi kudzimbidwa. Koma ngati sakufuna kupita kuchimbudzi kukachita ndowe, ngati amakhala nthawi yayitali kuchimbudzi, kapena ngati nthawi zonse amadandaula za kupweteka m'mimba, muyenera kukayikira pang'ono.
Kodi mungachite chiyani ngati kholo?
Mukazindikira kuti mwana wanu ali ndi vutoli, mungamve chisoni, nkhawa, komanso mwina kukwiya. Koma chofunika kwambiri ndikukhala chete komanso kumvetsetsa. Pali zinthu zingapo zomwe mungachite.
1. Funsani uphungu kwa dokotala: Choyamba komanso chofunika kwambiri choti muchite ndikupita ndi mwana wanu kwa dokotala woyenerera. Dokotalayo adzamufufuza mwanayo ndikuwona ngati chomwe chayambitsa vutoli ndi kudzimbidwa kapena china chake (ngakhale kuti sizichitika kawirikawiri, pakhoza kukhala zifukwa zina zachipatala). Adzakupatsaninso upangiri pa chithandizo chofunikira. Musachite chilichonse chomwe chimabwera m'maganizo mwanu kapena zomwe ena akunena popanda upangiri kwa dokotala. Nthawi zina dokotala angakulangizeni mankhwala ( mankhwala otsekereza ) omwe amathandiza kumasula ndowe. Koma izi ziyenera kuchitika moyang'aniridwa ndi dokotala, mu mlingo wovomerezeka, komanso kwa nthawi yovomerezeka.
2. Musamudzudzule, kumudzudzula, kapena kumulanga mwana wanu: Monga tanenera kale, ichi si chinthu chomwe mwanayo amachita mwadala. Ngati mutamudzudzula, kumudzudzula, kapena kumulanga, adzangovutika maganizo kwambiri komanso kuchita manyazi. Akhoza kuchita mantha ndipo zinthu zingaipireipire. Chikondi chanu, kukoma mtima kwanu, ndi kumvetsetsa kwanu ndi zomwe mwana wanu amafunikira panthawiyi. Muuzeni kuti, "Mwana wanga, si vuto lanu, tidzagwira ntchito limodzi kuti tikonze izi."
3. Kusintha kwa zakudya:
- Zakudya zokhala ndi ulusi wambiri: Onjezani zakudya zokhala ndi ulusi wambiri muzakudya za mwana wanu. Zobiriwira (sipinachi, kale, masamba a collard), ndiwo zamasamba (karoti, nyemba, okra), zipatso (makamaka papaya, nthochi, mango, chinanazi), ndi tirigu wonse (tirigu wonse, barele, oats, mpunga wofiirira) ndi zabwino kwambiri. Izi zimathandiza kufewetsa ndowe ndikupangitsa kuti zikhale zosavuta kuzidutsa.
- Madzi okwanira: Patsani mwana wanu madzi okwanira tsiku lililonse. Kusamwa madzi okwanira kungayambitse ndowe zolimba komanso zouma. Funsani wantchito wa zaumoyo wa banja lanu kapena dokotala za kuchuluka koyenera kwa mwana wanu.
- Chepetsani zakudya zokonzedwa ndi maswiti: Chepetsani kudya zinthu monga soseji, mipira ya nyama, zakumwa zotsekemera, tofi, chokoleti, zakudya zokhala ndi zokometsera zopangira , ndi Zakudya zotsekemera zomwe zimakonzedwa nthawi yomweyo. Izi zingayambitse kudzimbidwa komanso zimakhala ndi zakudya zochepa.
4. Chimbudzi Chokhazikika:
- Nthawi yomweyo tsiku lililonse, makamaka mukatha kudya chakudya chachikulu (mphindi 15-30 mutadya chakudya cham'mawa ndi chamadzulo), ikani mwana wanu kuchimbudzi kwa mphindi pafupifupi 5-10. Zilibe kanthu ngati watulutsa ndowe kapena ayi. Izi zithandiza thupi kuzolowera njira yachibadwa yoyendetsera matumbo.
- Mwana wanu akakhala kuchimbudzi, mupatseni kachikwama kakang'ono kopondera mapazi kuti aikepo mapazi ake. Izi zipangitsa kuti zikhale zosavuta kuchita chimbudzi chifukwa mawondo ake ndi okwera pang'ono kuposa chiuno chake.
- Pangani nthawi ino kukhala yosangalatsa kwa mwana wanu. Muloleni awerenge buku, kapena ingolankhulani naye. Musamukakamize, khalani opepuka.
5. Kulimbikitsa Kwabwino:
- Ngati mwana wanu akuchita chimbudzi (ngakhale pang'ono), muyamikireni kwambiri. Nenani mawu ngati, "Wachita bwino mwana wanga, wagwira ntchito molimbika." Apatseni chizindikiro chomwe amakonda ngati chilimbikitso chochepa, kapena patulani nthawi yowonjezera yosewera nawo.
- Musamupatse chilango kapena kumupangitsa kuoneka woipa chifukwa chovala zovala zamkati. Ngakhale zili choncho, lankhulani naye mokoma mtima ndipo mulimbikitseni mwa kumuuza kuti, "Palibe vuto, tiyeni tiyesenso."
- Iyi ndi njira yomwe imatenga nthawi. Sichichira usiku umodzi, kapena patatha sabata imodzi. Khalani oleza mtima, ndipo limbanani ndi izi pamodzi ndi mwana wanu.
Kumbukirani, simuli nokha. Pali makolo ena omwe akukumana ndi vutoli. Mutha kupeza thandizo kuchokera kwa anthu monga madokotala, akatswiri azakudya, ndi ogwira ntchito zaumoyo m'banja. Musachite manyazi kapena mantha.
Ndiye, ndi zinthu ziti zofunika kwambiri zomwe muyenera kukumbukira kuchokera pa zomwe takambiranazi?
Chabwino, malinga ndi zomwe takambirana zokhudza encopresis ndi kudzimbidwa, pali zinthu zingapo zomwe ziyenera kukhazikika m'maganizo mwanu.
- Encopresis si chinthu choipa chomwe mwana amachita dala. Nthawi zambiri imayamba chifukwa cha kudzimbidwa, imakhala yovuta kwa mwana kuilamulira, ndipo imafuna thandizo la dokotala.
- Musamukalipire, kumulanga, kapena kumuchititsa manyazi mwana wanu. M'malo mwake, perekani chikondi chanu chonse, chithandizo, ndi kumvetsetsa.
- Ngati mukuganiza kuti muli ndi vutoli, onetsetsani kuti mwaonana ndi dokotala ndikuyamba kulandira chithandizo monga momwe mwalangizidwira.
- Zakudya zoyenera komanso zizolowezi zoyenera kuchita ndi chimbudzi ndizofunikira kwambiri pothana ndi vutoli. Idyani zakudya zokhala ndi ulusi wambiri, imwani madzi ambiri, ndipo khalani ndi zizolowezi zoyenera kuchita nthawi zonse.
- Uwu ndi mankhwala omwe amatenga nthawi. Angatenge miyezi ingapo. Khalani oleza mtima ndipo gwirani ntchito ndi mwana wanu. Musayembekezere zotsatira zachangu.
- Pali madokotala, azamba, ndipo mwina ngakhale madokotala amisala a ana omwe mungalankhule nawo pankhaniyi ndikupeza upangiri. Musachite manyazi kupempha thandizo.
Thandizo lanu, kuleza mtima kwanu, ndi njira zoyenera ndizofunikira kuti mwana wanu athetse vutoli. Ndi khama lanu ndi chikondi chanu, mwana wanu adzatha kuchira msanga ndikukhala wosangalala . Musachite mantha, chitani zoyenera.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 N’chifukwa chiyani ana aang’ono nthawi zambiri amanyowetsa zovala zawo zamkati (Encopresis)?
Chifukwa chachikulu chomwe ana azaka zopitirira 4 (omwe amazolowera kupita kuchimbudzi) amachitira chimbudzi atavala zovala zawo zamkati ndi kudzimbidwa kosatha. Chimbudzi chikalowa m'mimba, madzi otuluka m'chimbudzicho amalowa m'chipinda chamkati popanda mwana kuzindikira.
💬 Kodi ichi ndi chinthu chomwe mwana amachita dala chifukwa chosowa chochita?
Ayi ndithu! Kaya izi (encopresis) zivutitse bwanji makolo, mwanayo sachita dala. Nthawi zambiri, sitimva fungo lake mwana asanachite. Chifukwa chake, musamumenye kapena kumulanga mwanayo chifukwa cha izi.
💬 Ndi mankhwala ati omwe angagwiritsidwe ntchito kunyumba kwa mwana amene sakufuna kupita kuchimbudzi?
Chofunika kwambiri ndi kuchepetsa kudzimbidwa (mupatse mwana jackfruit, papaya, ndi madzi ). Kenako, mukatha kudya kawiri patsiku, muuzeni mwanayo kuti akhale pachimbudzi kwa mphindi 5 mphindi 10 atadya (ngakhale atakhala kuti sanachitepo chimbudzi). Ngati muchita izi nthawi zonse, matumbo adzazoloweranso.
Encopresis , kudzimbidwa, mavuto a m'mimba mwa ana, mayendedwe a m'mimba mu zovala zamkati, thanzi la mwana, mayendedwe a m'mimba, kudzimbidwa mwa ana











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