Ese umwana wawe na we arimo kwituma mu mwenda we w'imbere? Reka twige ibijyanye no gushyuha!

Hari igihe wagombaga kuba warahangayitse kandi ukababara iyo wabonaga imyenda y'imbere y'umwana wawe yanduye amase, si byo se? Biragoye cyane cyane iyo umwana wawe amenyereye kujya mu bwiherero. Ibi mu by'ukuri bibaho ku bana bamwe, mu buvuzi tubyita Encopresis, cyangwa hari n'abandi babyita ""imikorere y'umwanda udakora neza". Muri make, ni igihe umwana yiyambitse imyenda y'imbere atabishaka. Ntugahangayike, tuzabivugaho birambuye uyu munsi.

None se encopresis ni iki? Ni ibihe bimenyetso?

Mu magambo make, encopresis ni ukwinjizwa kw'imyenge mu mwenda w'imbere w'umwana nta bushake, akenshi iyo amaze imyaka 4 cyangwa irenga, amaze kwimenyereza ubwiherero . Akenshi, ibi bibaho ku bw'impanuka. Bikunze kugaragara ku bahungu kurusha ku bakobwa. Bifata hagati ya 1% na 4% by'abana b'imyaka 4, ariko uko imyaka igenda ishira bigabanuka.

Niba umwana wawe afite encopresis, ushobora kubona ibimenyetso nk'ibi:

• Kugorwa no kwifata mu mwenda kugeza ugiye mu bwiherero.
• Amase yinjira mu myenda y'imbere.
• Guhisha igikorwa cyo kwiyambura mu maso y'abandi, kugerageza kubigira ibanga.
• Guhisha imyenda yanduye.
• Kutagira imyitozo ngororamubiri mu gihe kimwe buri munsi (kubura uburyo bwo kwihagarika mu igogora).
• Kumva uhaze, ubabara mu nda.
• Ibiryo nta buryohe bwabyo.

Kuki ibi bibaho ku bana bacu?

Hari impamvu nyinshi z'ingenzi zitera encopresis. Reka turebere hamwe izo ari zo.

1. Encopresis iterwa no kutagira impatwe

Impamvu nyamukuru kandi ikunze gutera iyi ndwara ni impatwe . Iyo umwana arwaye impatwe, amabyi aruma kandi agakomera nk'amabuye, bigatuma agwa mu mara, bigatuma bigoye gutambuka no kubabara.

Kubera ubu bubabare, abana bagerageza kwifata iyo bakeneye kujya mu bwiherero. Bigenda bite se? Imboga igenda yiyongera buhoro buhoro mu mara manini. Ibi bituma amara manini y'umwana agenda yiyongera buhoro buhoro, nk'aho indobo y'umwana irimo kuzura umwuka. Iyo ibi bibaye, umwana ntakiyumvamo ko agomba kugenda. Tekereza, iyo amara yuzuye cyane, imvubura nshya ishobora kuva mu mwobo nk'ibuye ryafashe. Hari igihe ababyeyi bashobora kwitiranya ibi n'impiswi. Iyi ndwara yo kubyimbirwa iterwa no kubura ubwiherero "retentive encopresis"

2. Ese byaba biterwa n'izindi ndwara zishingiyeho?

Yego, rimwe na rimwe encopresis ishobora kuba ikimenyetso cy'indi ndwara isanzwe. Dore zimwe mu ndwara zishobora kubaho:

• Inertia y'imitsi: Ibi bibaho iyo umwanda udakwirakwira neza mu mara manini.
• Kwangirika kw'imitsi yo mu nzira y'igogora:Ibi bishobora kubaho iyo imitsi iri ku mpera y'urusobe rw'igogora (ikikije ikibuno) idafunze neza.
• Indwara ya Hirschsprung: Iyi ni indwara aho imitsi imwe n'imwe mu mara ibura, bigatuma amara afungana kandi ntashobore guca mu myanya y'imyakura.
• Kwandura cyangwa gucika kw'impyiko .
• Kubura amazi mu mubiri: Iyo umwana atanyoye amazi ahagije.
• Imirire mibi cyangwa indyo irimo ibinure byinshi n'isukari: Kurya ibiryo byinshi birimo ibinure byinshi n'isukari.

3. Ese ibintu byo mu mutwe na byo bigira uruhare?

Yego, birumvikana. Encopresis ishobora guterwa n'ihungabana ry'amarangamutima ry'umwana, ikibazo cy'imyitwarire, cyangwa ndetse n'ubwoba. Tekereza kuri ibi bintu:

• Iyo umwana arimo gukina, biratinda guhagarara ngo ajye mu bwiherero.
• Gutinya ubwiherero (hari abana batinya no kugwa mu bwiherero).
• Impinduka mu buzima bw'umwana, ibintu bimutera guhangayika. Urugero, gutangira ishuri, ibibazo byo mu muryango.
• Kutagira ubwiherero busukuye kandi bwigenga, cyangwa kudashaka gukoresha ubwiherero rusange.
• Indwara yo kudashyigikira abandi: Muri ibi, umwana agaragaza ingeso yo kutumvira abantu bakuru n'abayobozi.
• Ibibazo by'imyitwarire: Umwana agira ingorane zo gukurikiza amategeko no kwitwara neza mu buryo bwemewe n'abandi.

Ni gute umuganga abimenya?

Iyo ujyanye umwana wawe kwa muganga, azakora ibi bikurikira kugira ngo amenye niba hari encopresis:

• Abaza ibibazo: Abaza indwara umwana yari afite mu bihe byashize, ibimenyetso by'ubu, uko umwana yiyumva mu mutwe (nk'imihangayiko), kwimenyereza kwiyuhagira, n'ibyo kurya n'ibyo kunywa.
• Hakorwa isuzuma ry'umubiri: Umurambo w'umwana urasuzumwa.
• Gusuzuma mu maraso: Muri ibi, muganga ashyira urutoki rufite agapfukamunwa mu maraso y'umwana kugira ngo arebe niba hari ikibazo icyo ari cyo cyose cyamubangamiye n'uko imitsi imeze. Ibi bishobora kubangamira umwana gato, ariko ni ingenzi cyane mu gusuzuma indwara.
• X-ray yo mu nda: Ishusho yo mu nda ishobora gufatwa kugira ngo harebwe ingano y'umwanda wafashe.
• Isuzumabumenyi ry'imitekerereze: Niba utekereza ko ikibazo cy'umwana giterwa n'umuhangayiko, ubwoba, cyangwa ikibazo cy'imyitwarire, ushobora kumwohereza kwa muganga w'indwara zo mu mutwe kugira ngo akore iperereza rirambuye.

Hari igihe ibintu nk'ibipimo by'inkari bishobora gukorwa kugira ngo harebwe neza ko nta zindi ndwara zifite ibimenyetso bisa.

Ni iki cyakorwa kugira ngo iki kibazo kivurwe?

Uburyo bwo kuvura encopresis bushobora gutandukana bitewe n'umwana, ariko akenshi bukubiyemo ibi bikurikira:

• Gukuraho utubumbe tw'intebe twafashe:Iki ni cyo kintu cya mbere ugomba gukora.
• Gukoresha imiti yoroshya ubwiherero, imiti yoroshya ububabare , cyangwa imiti yo gukamura: Ibi bifasha umwana kwituma ubwiherero buri gihe , nta bubabare, kandi buhoro buhoro.
• Kwicara mu bwiherero kuri gahunda: Gerageza kwicara umwana wawe ku bwiherero inshuro nyinshi ku munsi, cyane cyane nyuma yo kurya.
• Tanga indyo ikungahaye kuri fibre: Shyira imbuto, imboga, n'ibinyampeke byuzuye (umugati w'ibinyampeke byuzuye, umuceri w'umukara) mu ndyo y'umwana wawe.
• Gutanga amazi ahagije yo kunywa.

Twafasha dute nk'ababyeyi?

Umwana wawe akeneye urukundo rwawe, inkunga yawe, n'inkunga yawe muri iki gihe. "Gahunda yo kwiyuhagira mu byumba" ni uburyo bwo gufasha umwana wawe kugira ingeso nziza zo kwiyuhagira.

• Jyana umwana wawe mu bwiherero nyuma yo kurya: Nibura kabiri cyangwa gatatu ku munsi, shyira umwana wawe ku bwiherero iminota 5-10, iminota 15-20 nyuma yo kurya.
• Shimira umwana wawe iyo agiye mu bwiherero neza, kandi umuhe utuntu duke: Niba umwana wawe yavuye mu bwiherero, mushimire umubwira uti “Ni byiza cyane, mwana wanjye/umukobwa.” Ushobora no gukoresha ikintu nk'imbonerahamwe y'amakarita kugira ngo ugaragaze iminsi ajya mu bwiherero, kandi umuhe utuntu duke rimwe mu cyumweru.
• Ntugakange cyangwa ngo uvugirize induru umwana wawe iyo akoze ikosa: Iki ni cyo kintu cy'ingenzi cyane. Iyo urakaye iyo umwana wawe atangiye kwiyahuza imyenda ye y'imbere, umwana wawe azarushaho kugira ubwoba kandi azagerageza kubikuhisha ubutaha. Bityo rero vugana kwihangana no mu rukundo.

"Iyo umwana akoze ikosa, igisubizo cyawe ni ingenzi cyane. Aho kurakara, humura umwana umubwira uti 'Nta kibazo mwana wanjye, reka twongere tugerageze.'"

Ukeneye kubonana n'inzobere?

Bitewe n'uburemere bw'indwara y'umwana wawe, muganga wawe ashobora kukwohereza ku baganga b'inzobere nka:

• Umuganga w’indwara zo mu mutwe cyangwa umujyanama (umuhanga mu by’imitekerereze): ashobora gufasha umwana gutsinda ubwoba bwo kujya mu bwiherero, isoni, kwicira urubanza, cyangwa indi stress yo mu mutwe.
• Inzobere mu ndwara zo mu gifu: Uyu muganga ashobora kugufasha niba ufite ibibazo bikomeye mu buryo bw'igogora, cyane cyane amara manini.

Ni ibihe biribwa bitabereye abana? Ni ibihe biribwa bikwiye gutangwa?

Ni ingenzi cyane kugabanya ibiryo birimo ibinure byinshi n'isukari nyinshi mu ndyo y'umwana wawe uko bishoboka kose.

Ahubwo, shyiramo ibiryo birimo fibre nyinshi mu ndyo y'umwana wawe. Ibiryo birimo fibre nyinshi birimo:

• Ibinyamisogwe nk'ibishyimbo n'amashu.
• Imboga (urugero: broccoli, asparagus).
• Imbuto (urugero: imbuto, pome).
• Ibinyampeke byuzuye (urugero: umugati w'ibinyampeke, makaroni, umuceri w'umukara).

Nzakira vuba gute nyuma yo kuvurwa?

Ibi bitwara igihe gito.Intego yo kuvura ni ugufasha umwana wawe kwiga kwiyuhagira buri gihe kandi nta bubabare. Iyi ntego ishobora gufata amezi menshi kugira ngo igerweho. Uzakenera kwihangana cyane uko umwana wawe agenda amenyera kujya mu bwiherero buhoro buhoro.

Bifata igihe kugira ngo abana barwaye indwara yo kwituma mu nda basubire mu bwiherero. Ibi kandi bisaba kwihangana.

Buri gihe komeza kandi ushimire umwana wawe nyuma yo kujya mu bwiherero. Hari ababyeyi bakoresha ikintu kimeze nk'imbonerahamwe y'amabaruwa. Bashyira agapapuro ku mwana wabo iyo yicaye ku bwiherero, iyo amaze kwituma, hanyuma bakamuha utuntu duto mu mpera z'icyumweru. Utuntu duto nk'utwo dushobora gushishikariza umwana wawe kujya mu bwiherero wenyine.

Ese iki kibazo ntigishobora kwirindwa kubaho?

Yego, urashobora. Ushobora kwirinda indwara yo kubura ubwiherero urinda impatwe no guha umwana wawe uburambe bwiza bwo kujya mu bwiherero. Kugira ngo ubigereho, kora ibi bikurikira:

• Tanga indyo ikungahaye kuri fibre.
• Menya neza ko unywa amazi menshi kandi ntureke ngo umubiri wawe ushire amazi mu mubiri.
• Ha umwana wawe imyitozo ngororamubiri ihagije (kwiruka, gusimbuka, gukina).
• Teganya umwanya wo kujya mu bwiherero nyuma yo kurya.
• Mu gihe utoza umwana wawe ubwiherero, jya umugira nk'ikintu cyiza . Gutera inkunga no kumushyigikira ni ingenzi cyane.

Ni iki wagombye kwitega nk'umubyeyi?

Nubwo hari intambwe ishobora kugaragara mu ntangiriro z'ubuvuzi, bishobora gufata amezi menshi kugira ngo umwana atsinde burundu indwara yo mu mutwe. Amakosa ashobora kubaho muri iki gihe. Nk'umubyeyi, ni ngombwa gukomeza gushyigikira umwana wawe no kudatinya. Abana benshi bahabwa imiti bakura bava mu impatwe n'aya makosa.

Ni ryari ngomba kujya kwa muganga?

Niba ubonye ibimenyetso bya encopresis ku mwana wawe, hita ubonana na muganga. Uko ubimenye vuba iyi ndwara no kutagira impatwe, niko byoroha kuyivura. Niba umwana wawe adakora imibonano mpuzabitsina iminsi myinshi, yinubira ububabare bwo mu nda, cyangwa yanga kurya kubera kumererwa nabi, hita ubonana na muganga.

Ni ibihe bibazo ugomba kubaza muganga?

Iyo ugiye kwa muganga, ushobora kubaza ibibazo nk'ibi:

• "Muganga, ese nkwiye kongeramo fibre nyinshi mu mirire y'umwana wanjye?"
• "Ese nkwiye guha umwana wanjye umuti wo koroshya ububabare cyangwa undi muti?"
• "Ese iyi ndwara ya encopresis izagira ingaruka ku kazi k'ishuri k'umwana?"

Ni gute wakwigisha umwana gutegereza kugeza agiye mu bwiherero?

Ni ibisanzwe ko umwana wawe akora amakosa iyo agiye kwimenyereza ubwiherero. Hari igihe ayo makosa aba aterwa nuko umwana wawe atagera ku bwiherero ku gihe. Dore bimwe mu bintu ushobora gukora kugira ngo ufashe umwana wawe gusobanukirwa ibimenyetso by'umubiri we byerekana ko agomba kujya ku bwiherero:

• Teganya umwanya wo kujya mu bwiherero umunsi wose, cyane cyane nyuma yo kurya.
• Igisha umwana wawe uko umuntu yumva ameze ajya mu bwiherero.
• Mu gihe ugiye ahantu hashya, garagaza umwana wawe aho ubwiherero buri.
• Uko umukino umwana wawe yaba akina waba uri kose, iyo akeneye kujya mu bwiherero, muhagarike kandi umushishikarize kujya mu bwiherero.

Hari igihe abana bafite ikibazo cyo kubura umwuka (encopresis) batumvira ibimenyetso by’umubiri wabo byerekana ko bagomba kujya mu bwiherero. Iyo impatwe itumye amara manini abyimba, ntibaba bumva icyifuzo kugeza igihe bafashe umwanda mwinshi. Iyo umwana wawe atangiye kuvurwa kugira ngo yorohereze umwanda we, agomba kongera kumenya ibimenyetso by’umubiri we. Iki gikorwa gishobora gufata amezi menshi, bityo rero ihangane umwana wawe amenye iby’umubiri we.

Nk'umurezi, guhangana n'indwara yo mu bwonko no guhora umesa imyenda yanduye bishobora kuba ingorabahizi. Buri gihe gira kwihangana. Niba urakaye iyo umwana wawe akoze ikosa, umwana wawe azaribona kandi ashobora kugerageza kuriguhisha ubutaha. Buri gihe komeza umwana wawe kandi wihangane mu gihe umwigisha ubwiherero. Niba umwana wawe afite uburambe bwiza mu bwiherero, ntazatinya ubwiherero cyane kandi ntazakora amakosa menshi.

Ibintu by'ingenzi cyane ugomba kwibuka

Noneho rero, ibi ni byo by'ingenzi cyane ugomba kuzirikana mu byo twavuze:

• Encopresis ni indwara ishobora kuvurwa n'abana bamwe. Si ikosa ry'umwana.
• Ukwihangana no gushyigikirwa ni byo mbaraga zikomeye wowe n'umwana wawe muzagira muri uru rugendo.
• Vugana n'umwana wawe mu rukundo , udakanze cyangwa ngo umushinje.
• Indyo nziza (cyane cyane ikungahaye kuri fibre) n'amazi menshi ni ingenzi cyane.
• Tegura akamenyero ko kujya mu bwiherero ku gihe.
• Niba ufite ikibazo, ntugatinye kuvugana na muganga. Guvurwa hakiri kare bishobora gutuma ubona ibisubizo byiza.

Wowe n'umwana wawe mubone imbaraga zo gukira iki kibazo vuba!

Encopresis , kwituma mu nda, impatwe, ubuzima bw'umwana, guhugura ubwiherero, inama ku babyeyi, uburyo bwo gusya