Ese umwana wawe arimo kwituma mu myenda ye? Reka tuvuge ku bijyanye no kwituma mu nda!

Bite se niba umwana wawe azi gukoresha ubwiherero neza cyane kandi akabikora neza cyane, maze agahita atangira kuvoma imyenda ye? Ushobora kurakara. Ushobora kumva ubabaye cyane kandi ubabaye. "Kuki umwana wanjye akora ibi?" Ushobora kuba urimo gutekereza. Ariko tegereza gato. Ibi bishobora kuba atari ibintu umwana wawe akora nkana. Mu magambo y'ubuvuzi, ibi twita encopresis y'indwara. Reka tubiganireho byose mu magambo yoroshye uyu munsi.

Encopresis ni iki mu by'ukuri?

Mu magambo make, iyo umwana urengeje imyaka 4, umenyereye kujya mu bwiherero, yiyuhagiye hanze y'ubwiherero, ni ukuvuga yambaye imyenda ye y'imbere cyangwa ahandi hantu, icyo kibazo twita Encopresis. Ibi rimwe na rimwe bibaho batabizi. Hari n'abana bagerageza kubihisha bashyira amase mu myenda yabo.

Ni ibihe bimenyetso by'iyi ndwara? Uyimenya ute?

Mu ntangiriro ushobora kubibona bitewe n'impumuro. Hanyuma ushobora kubona ko imyenda y'imbere y'umwana yanduye gato irimo imyanda idafite aho ihuriye, nk'impiswi. Iki ni cyo kimenyetso nyamukuru. Byongeye kandi, hari n'ibindi bimenyetso byinshi.

Niba ubonye ibi bimenyetso ku mwana wawe, ni byiza kwandika gato mu ikaye. Andika ibintu nk'inshuro umwana wawe amara, ubwoko bw'amase afite, n'igihe amara. Aya makuru azaba ingenzi cyane igihe ugiye kwa muganga.

Kuki ibi bibaho ku bana bato? Impamvu nyamukuru ni izihe?

Hari ibyiciro bitatu by'ingenzi by'impamvu zibitera. Reka tubirebe kimwe kimwe.

1. Kwihagarika impatwe - nyirabayazana mukuru!

Impamvu 95% by'abana barwara iyi ndwara ni impatwe idakira, bivuze ko hari umwanda wumye. Tekereza kuri ubu buryo.

Amase yo mu mara manini y'umwana (colon) arundana agakomera nk'amabuye. Hanyuma, iyo agiye mu bwiherero, yumva amerewe nabi cyane kandi ababara. Iyo amaze kubabara gutya rimwe cyangwa kabiri, umwana atinya kujyayo ubutaha agize icyo akora mu mara. Nuko arabyifatamo ntave mu nda.

Iyo urimo gukurura gutya, umwanda ukomeye uhita ugwa mu mara yawe. Ariko kubera ko nta hantu umwanda mushya w’amazi ujya, umwanda uhita usohoka ukagera mu mwenda wawe w’imbere utabizi. Ibyo nibyo bituma wumva urimo kurwara impiswi. Ibi tubyita Overflow Incontinence .

Iyo encopresis ibayeho bitewe no kutagira impatwe muri ubu buryo, byitwa retentive encopresis .

2. Izindi mpamvu z'uburwayi (Ishingiro ry'indwara)

Ibi ntibikunze kugaragara cyane. Ariko, gake cyane, iyi ndwara ishobora no kuba ikimenyetso cy'indi ndwara. Muri ibyo bihe, uretse kurwara uduheri two mu nda, umwana ashobora no kugaragaza ibindi bimenyetso nko kugabanya ibiro, gukura nabi, kuva amaraso mu mwanda no kuruka .

Hari impamvu nyinshi zishobora gutera ibi:

• Hari indwara zimwe na zimwe zivukanwa - nka `(indwara ya Hirschsprung)`, `(umugongo uhambiriwe)`.
• Zimwe mu ndwara zo mu bwonko - Kurwara ubwonko, gukomereka k'umugongo.
• Indwara z'igogora - `(Indwara ya Celiac)`, `(Indwara y'amara abyimba)`.
• Ibibazo bifitanye isano n'ururenda rw'inyuma.

Iyo iyi ndwara ibayeho nta kuribwa mu nda, yitwa Non-retentive Encopresis .

3. Impamvu ziterwa n'imitekerereze n'imyitwarire (Ibintu bitera imitekerereze)

Hari igihe ibi bishobora guterwa n'umuhangayiko, ubwoba, cyangwa ikibazo cy'imyitwarire mu mutwe w'umwana.

• Gutinya ubwiherero: Hari abana batinya ubwiherero, cyane cyane ubwiherero rusange. Ibi bishobora guterwa n'uko budasukuye bihagije, cyangwa izindi mpamvu.
• Impinduka mu buzima: Ibi bishobora guterwa n'imihangayiko umwana agira, nko gutangiza ishuri rishya, kugira umuvandimwe mushya, cyangwa kwimuka.
• Gukunda gukina: Hari abana bananiwe cyane kureka gukina bakajya mu bwiherero, bityo bakifata umwuka.
• Ibibazo by'imyitwarire: Abana bamwe bashobora kugira indwara nka Oppositional Defiant Disorder cyangwa ADHD, zishobora guterwa no kutumvira amabwiriza y'ababyeyi no kwica amategeko.

Muganga, ibi ubisanga ute neza?

Iyo ujyanye umwana wawe kwa muganga, azabaza ibibazo byinshi wowe n'umwana wawe.

• Ibi byatangiye ryari?
• Ese bibaho cyane ku manywa cyangwa nijoro?
• Ese hari amaraso? Hari ibara n'imiterere y'umwanda?
• Ese umwana atinya kujya mu bwiherero? Ese aratinya?
• Ufite akamenyero ko kurya no kunywa gute?
• Ese hari impinduka nini yabayeho mu buzima bwawe vuba aha?

Hanyuma muganga asuzuma umwana.

• Gusuzuma inda: Inda irakubitwa cyane kandi ikareba niba nta bibyimba by'umwanda bifite.
• Gusuzuma mu kibuno: Bisuzuma niba hari ibisebe mu kibuno n'imikurire.
• Isuzuma ry'impyiko mu buryo bwa digitale: Iyo umwana abyifuje, muganga ashobora gushyira urutoki rufite agapfukamunwa mu mpyiko kugira ngo arebe niba hari intebe iyo ari yo yose yafatiwemo.
• Ibindi bizamini: Hari igihe ibintu nka X-ray yo mu nda cyangwa ikizamini cy'inkari (urinalysis) bishobora kuba inama.

Ni ubuhe buryo bwo kuvura ibi?

Iyi ni indwara ishobora kuvurwa. Ubusanzwe ubuvuzi bugizwe n'intambwe ebyiri.

Intambwe ya 1: Gusukura amara

Kuvura bitangirana no gusukura amara yose, bikubiyemo gusohora umwanda wose ushaje kandi ukomeye wafatiwe mu mara. Muganga azaguha imiti igufasha.

• Imiti yo gukamura: Imiti yo gukamura ifu (Propylene glycol) cyangwa imiti yo gukamura amazi (Magnesium hydroxide solution) irashobora gutangwa.
• Suppository cyangwa Enema: Imiti ishyirwa mu mara. Iyi miti ifasha mu gukurura no gusohora umwanda wafashe vuba.

Iyo ubwiherero buzibye cyane, bishobora kuba ngombwa ko umwana ajyanwa mu bitaro kugira ngo akore isuku.

Intambwe ya 2: Gahunda yo kubungabunga

Nyuma yo gusukura amara, ugomba guhagarika impatwe ngo idasubira. Ibi bisaba gahunda y'igihe kirekire yo kubungabunga.

Hari igihe muganga ashobora no kohereza umwana ku buryo bwihariye bwo kumufasha mu kumufasha mu buryo bwihariye, nko kumufasha mu kumufasha mu buryo bw’umubiri , bumufasha kugenzura imitsi ikikije ikibuno no kumwigisha guca umwanda neza.

Ni gute wowe nk'umubyeyi wafasha umwana wawe?

Uruhare rwawe muri uru rugendo ni ingenzi cyane.

• Ihangane: Ubu buryo bwo kuvura bushobora kumara amezi menshi. Ushobora kugira ikibazo mu gihe cy'iyi gahunda. Muri iki gihe, ihangane kandi nturakare cyangwa ngo urakare.
• Ntugashinje umwana wawe: Ntukavuge amagambo nka, "Uri umwana mubi cyane," cyangwa "Nta soni ufite?" Ibi bizatuma umwana arushaho kwiheba.
• Mutere inkunga: Nubwo umwana wawe yaba yicaye ku musarani cyangwa mu mwanda, mushimire imbaraga ze, uko zaba zingana kose. Vuga ibintu nk'ibi ngo "Ni byiza cyane," "Uri umunyabwenge cyane." Ushobora gukora ibintu nko gukora imbonerahamwe y'amakarita, gushyiramo agapapuro ku munsi umwana wawe ajya mu musarani, hanyuma ukamuha impano nto mu mpera z'icyumweru.
• Vugana weruye: Bwira umwana wawe mu rukundo uti: "Ibi ntibiba kuri wowe gusa, binaba no ku bandi bana. Reka tubikemurire hamwe."