Mwana wako anowanzo rwara mudumbu here? Hausi kuwana chikonzero chacho here? (Marwadzo eMudumbu)

Mwana wako mudiki anogara achiti, "Amai, dumbu rangu rinorwadza here?" Pamwe unonzwa kutya kukuru paunotaura izvozvo, handiti? Paunoenda kuna chiremba uye vanoti, "Izvi ndizvo zviri kunetsa," kana chimwe chinhu, zvinotonyanya kushungurudza. Ndiyo nzira yatichataura nayo nezvekurwadziwa kwemudumbu kunonzwa mwana chaizvo, kunyangwe pasina chikonzero chakajeka chingawanikwa. Vanachiremba vanodana izvi kuti "Functional Abdominal Pain." Dzimwe nguva zvinonziwo "Centrally Mediated Abdominal Pain Syndrome." Ngatitaurei nezvazvo zviri nyore, mumutauro wedu. Chii chinonzi Functional Abdominal Pain? Zvichitaurwa zviri nyore, "Functional Abdominal Pain" zvinoreva apo mwana ane kurwadziwa mudumbu, uye chiremba anomuongorora, asi asingakwanise kuwana chikonzero chaicho chemuviri (semuenzaniso, chironda chemudumbu, honye, ​​hutachiona). Zvisinei, izvi hazvirevi kuti mwana ari kunyepa. Kurwadziwa kuripo zvechokwadi. Fungidzira, vanachiremba vanotsvaga zviratidzo zvakati wandei zvakaita seizvi kuti vaongorore chirwere ichi:

• Kurwadziwa kwemudumbu uku kunofanira kuitika kanenge kana pamwedzi .
• Zvinofanira kuramba zvakadaro kwemwedzi miviri kana kupfuura .
• Kazhinji, kurwadziwa uku hakupfuuri awa imwe chete.
• Kurwadziwa kwemudumbu uku hakuratidzike sekune chekuita nekudya, kumhanya-mhanya, kana kuenda kuchimbuzi.
• Mwana ane chirwere ichi anokura akareba uye ane hutano hwakanaka. Kudzikira kwehuremu hakuwanzoonekwi.
• Zvisinei, dzimwe nguva kurwadziwa uku kunogona kuwedzera kana paine kushushikana kana kuzvidya mwoyo .

Mashoko akanaka ndeekuti vana vazhinji vane ``Functional Abdominal Pain'' vanopora mukati memavhiki mashoma kana mwedzi. Kashoma kuti dambudziko guru rivepo kwenguva refu.

Ndezvipi zvimwe zviratidzo zviripo kunze kwekurwadziwa mudumbu?

Chinhu chikuru ndechekurwadziwa kwemudumbu kwawataura. Zvisinei, mwana anogonawo kusangana nezvimwe zvinetso zvakaita se:

• Kusvotwa: Izvi zvinoreva kunzwa sekunge ucharutsa kana kuti dumbu rako riri kutenderera.
• Musoro: Zvakajairika kuti vamwe vana varwadziwe nemusoro pamwe chete nekurwadziwa kwemudumbu.
• Dzungu: Kunzwa musoro wakareruka uye musoro uchitenderera .
• Kunzwa kuneta zvakanyanya: Unganzwa kuneta zvekuti haugone kuita chero chinhu.

Zviratidzo izvi hazviitike kumwana wese nenzira imwe chete. Vamwe vana vanogona kunge vaine dumbu rinongorwadza, nepo vamwe vanogona kunge vaine chimwe kana zvimwe zvezviratidzo izvi.

Sei kurwadziwa kwemudumbu uku kuchiitika? Chii chinokonzera?

Kutaura zvazviri, vanachiremba havazivi zvizere kuti chii chinokonzera Marwadzo Emudumbu. Zvisinei, kune dzidziso dzakawanda. Zvinofungidzirwa kuti zvine chekuita nekunzwa kuri muuropi-gut axis, sisitimu yezviratidzo zvetsinga pakati peuropi hwedu neura . Zvichitaurwa zviri nyore, mamwe matumbu evana anonyanya kunzwa kupfuura munhuwo zvake kunyange zvinhu zviri nyore (semuenzaniso, kana dumbu kana rectum yakatambanudzwa zvishoma). Nekuda kweizvi visceral hypersensitivity, vana ava vanogona kurwadziwa kunyangwe vasinganzwe chero chinhu. Kushanda kwezviratidzo izvi zvetsinga kunogona kusiyana zvishoma. Chirwere ichi chinowanzoonekwa muvana vari pakati pemakore mana negumi nematanhatu. Dzimwe nguva, rudzi urwu rwekurwadziwa runogona zvakare kutanga mushure mehutachiona hwemudumbu hwekare. Kureva kuti, kunyangwe mushure mekunge tupukanana twapera uye twapora, kunzwa kwemudumbu kunogona kuramba kwakawedzera kwenguva yakati. Zvakare, kushushikana kune simba guru pane izvi. Fungidzira, kana paine shanduko huru munzvimbo yepamba (kutamira kune imwe imba, kuchinja zvikoro, matambudziko emhuri, vabereki vakaparadzana, nezvimwewo), kurwadziwa kwemudumbu uku kunogona kunge kwakabatana nezviitiko zvakadaro zvinoshungurudza . Kune vamwe vana, vane hanya zvishoma, vanonetseka nyore nyore. Vana vakadaro vane mukana mukuru wekuva nechirwere ichi.

Chiremba anoona sei izvi sekurwadziwa kwemudumbu?

Kana ukaudza mwana wako nezvekurwadziwa kwemudumbu kwakadai, chinhu chekutanga chinoitwa nachiremba ndechekuona kuti hapana zvimwe zvirwere zvakakomba. Izvi zvinogona kusanganisira:

• Bvunzai mwana wenyu nemi nezvezviratidzo: Bvunzai mwana wenyu nemi nezverudzi rwekurwadziwa, kuti kwagara kwenguva yakareba sei, uye kuti ndeapi mamwe matambudziko ane chekuita nekurwadziwa. Zvikuru sei, tarisai kudzikira kwehuremu, kutadza kukura zvakanaka, fivha, kurwadziwa kwemuviri, kurutsa nguva dzose, ropa mutsvina , uye zviratidzo zve "red flag" zvakaita searthritis.
• Kuongororwa kwemuviri: Mwana anoongororwa zvakanaka. Dumbu rinobatwa nemusoro uye zvimwe zvirwere zvinoongororwa.
• Bvunzo dzekutanga: Kazhinji, bvunzo dzeropa dzakawanda uye bvunzo dzetsvina dzinoitwa. Izvi zvinogona kupa pfungwa yekuti mudumbu mune kuzvimba here.
• Kubvunza nezvekushushikana:Tinobvunzawo nezvekuchinja kwazvino muhupenyu hwemwana, matambudziko kuchikoro, uye zvinhu zvinoshungurudza mumba. Nekuti, sezvatakambotaura, kushushikana kunogona kukanganisa izvi.

Chinhu chakakosha ndechekuti kana mwana asina "zviratidzo zvekunyevera" zvambotaurwa, kana kuongororwa kwemuviri kuri kwakajairika, uye kana bvunzo dzeropa netsvina zviri zvakajairika pasina matambudziko makuru, saka kazhinji hapana chikonzero chekuita mimwe miedzo mikuru, yakaoma (semuenzaniso, `(Endoscopy)`, `(Ultrasound Scan)`). Chiremba anongogumisa kuti `(Functional Abdominal Pain)` iripo mushure mekurasa zvimwe zvikonzero zvakakomba.

Ndeapi marapirwo eizvi? Ndingapora sei?

Kana zvasvika pakurapa Marwadzo Emudumbu, hapana nzira imwe chete inoshanda kune vese. Kurapa kunogona kusiyana kubva pamwana kuenda kumwana, zvichienderana nerudzi rwezviratidzo. Vanachiremba vanogona kurapa vachishandisa imwe kana musanganiswa wenzira idzi:

• Kuchinja mukudya:
• Zvimwe zvekudya zvakaita sekabheji, broccoli necauliflower, nebhinzi, zvinogona kukurudzirwa kuderedza kudya kwazvinodya .
• Zvakanaka kuderedza zvinhu zvakaita sezvikafu zvine mafuta, zvakakangwa, uye zvekudya zvinokurumidza kudya .
• Zvinwiwa zvine kabhoni zvakaita sesoda, zvinwiwa zvinotapira, uye chikafu chine mhiripiri zvinogonawo kuva dambudziko kune vamwe vana.
• Vamwe vana vanogonawo kuongororwa zvirwere zvakaita se "Lactose insipired" uye kukumbirwa kuti vasanyanya kudya mukaka nemukaka kana zvichidikanwa.
• Mishonga (mishonga):
• Kune mishonga inogona kupihwa kuderedza marwadzo emudumbu uye kurwadziwa kwemudumbu.
• Kana ukaona kuti acid iri mudumbu yakakwira zvishoma, mishonga inoideredza (semuenzaniso, mishonga inorwisa maasidhi, mishonga inodzivirira mapumpu eproton ) inogona kupihwa kwenguva pfupi.
• Dzimwe nguva, chiremba anogonawo kunyora mishonga ine mwero mudiki inokanganisa tsinga dzemuviri (yakadai se "Amitriptyline") kubatsira kuderedza kunzwa kwemarwadzo. Zvisinei, iyi inopiwa nekungwarira.
• Kana marwadzo anyanya kuipa, unogona kukurudzirwa kushandisa mushonga unouraya marwadzo (semuenzaniso paracetamol) kwenguva pfupi.
• Matekiniki ekupa mazano kana ekuzorora:
• Ichi chinhu chakakosha zvikuru. Kupiwa mazano kana kurapwa kwepfungwa kunogona kubatsira zvikuru mukuderedza kushushikana nekuzvidya mwoyo kwemwana uye mukudzidza kugadzirisa manzwiro akadaro.
• Kudzidzira maekisesaizi ekufema, kufungisisa nezvekufungisisa, uye nzira dzekuzorora dzakadai seyoga zvinogona kuva nzira yakanaka yekubatsira kudzora marwadzo.

Unofanira kuona chiremba zvakare rini?

Kana mwana wako akaonekwa kuti ane "Functional Abdominal Pain" nachiremba, hazviwanzo kuva nehanya nazvo. Zvisinei, kana chimwe chezviratidzo zvitsva izvi chikaonekwa, unofanira kuona chiremba zvakare munguva pfupi iri kutevera:

• Kana paine ropa mutsvina (dema kana dzvuku).
• Kana manyoka akaramba kwenguva inopfuura mazuva maviri , kunyanya kana ari emvura.
• Kana kurutsa kukaramba kuripo kwemazuva anopfuura maviri , kana kurutsa kwakanyanya.
• Kana paine ropa murutsi (sekunge kofi yakakuyiwa kana tsvuku).
• Kana kurwadziwa kwemudumbu kukaramba kuripo kwenguva inopfuura awa imwe , kana kuti kurwadziwa kuri kuwedzera.
• Kana uine fivha yakanyanya (kunyanya pasina chimwe chikonzero).
• Kana mwana arasikirwa nechido chekudya uye aderedza kudya kwake zvakanyanya kana kuti asingachakwanisi kudya zvachose.
• Kana uchirwadziwa kana kutsva paunenge uchiita weti .
• Kana uine kuvimbiwa uye usina kuenda kuchimbuzi kwemazuva, uye mwana wacho asinganzwe zvakanaka.
• Kana majoini akazvimba uye achirwadza.
• Kana zvichikonzera kukuvara paganda.
• Kana mwana ari kudzikira huremu kana kuti aine dambudziko rehurefu.

Kana ukaona chiratidzo chakadai, kuchenjera kutsvaga rubatsiro rwechiremba nekukasika, sezvo chingave chimwe chinhu chisiri "Marwadzo Emudumbu Anoshanda".

Isu sevabereki tingabatsira sei mwana wedu?

Vana vane Marwadzo Emudumbu Anoshanda Dzimwe nguva vanogona kunzwa kusuruvara kana kunetseka pavanenge vachirarama nemarwadzo. Zvakajairika kuti vanzwe kusuruvara pavanosuwa basa rechikoro uye pavanotadza kutamba. Saka, semubereki, unogona kutsigira mwana wako nenzira idzi:

• Rambai muchitamba nemabasa ezuva nezuva: Nepo zvichibvira, kurudzirai mwana wenyu kuti aite zvinhu zvakajairika, zvakaita sekumuendesa kuchikoro, kutamba mitambo nezvimwe zvaanofarira, uye kupedza nguva neshamwari nemhuri. Kumisa zvese uye kumuchengeta kumba nekuda kwekurwadziwa kuchaita kuti mwana afunge nezvazvo zvakanyanya.
• Simbisa mwana: "Hapana chikonzero chakakomba chekurwadziwa uku. Ichi chinhu chinoitika kuvana vazhinji. Zvichapora munguva pfupi iri kutevera." Simbisa mwana uye uvake chivimbo chake.
• Usataure nezvekurwadziwa kwemwana wako nguva dzese: Ehe, teerera mwana wako paanotaura nezvekurwadziwa kwake, uye munyaradze. Asi usagara uchibvunza mibvunzo yakaita sekuti, "Dumbu rako rinorwadza here? Uri kunzwa sei izvozvi?" zuva rese. Pane kudaro, tarisa pane zvavanotaura, matarenda avo, uye mabasa avo. Vana vanogona kunzwa kushungurudzika uye kurwadziwa zvakanyanya pavanoona vabereki vavo vachinetseka zvakanyanya nezvavo.
• Fungawo nezvehutano hwako hwepfungwa: Kana uri kunzwa kushushikana kana kunetseka nezvemamiriro emwana wako, taura nemupi wezano kuti akubatsire. Hazvina basa kunyara nazvo. Unogona kubatsira mwana wako chete kana uri mutano.
• Funga nezvekupa mwana wako mazano: Funga nezvekupa mwana wako rutsigiro rwemupi wezano wevana kuti amubatsire kudzora manzwiro ake, kudzidza kugadzirisa marwadzo, uye kudzidzira nzira dzekuzorora.

Saka, chii chinonyanya kukosha chatinofanira kuyeuka kubva munyaya iyi? (Mharidzo Yekuenda Kumba)

Zvakanaka, saka ikozvino wava kunzwisisa zviri nani zvatanga tichitaura nezvazvo (Functional Abdominal Pain). Chekupedzisira, yeuka pfungwa idzi:

• Zvichitaurwa zviri nyore, "Kurwadziwa Kwemudumbu Kunoshanda" idambudziko remudumbu rinoitika muvana uye risingawanikwe kuburikidza nekuongororwa kuti rine chikonzero chakajeka chemuviri, asi rinonzwikwa nemwana.
• Izvi hazviwanzo chiratidzo chechirwere chakakomba uye chine njodzi. Kana mwana wako ari kukura zvakanaka, asiri kudzikira uremu, uye akaongororwa nachiremba uye aratidza kuti hapana rimwe dambudziko rakakura, usazvidya mwoyo zvisina kufanira.
• Zvinhu zvepfungwa zvakaita sekushushikana, kuzvidya mwoyo, nematambudziko kuchikoro zvinogona kukanganisa zvakananga marwadzo aya. Saka, zvakakosha kuti ugare uchitarisira hutano hwepfungwa dzemwana wako uye uchitaura naye.
• Kuchinja zvishoma pakudya kwako, kushandisa mishonga yawakanyorerwa nachiremba kana zvichidikanwa, uye kunyanya nzira dzekuzorora uye mazano ndiwo mushonga wakanaka wechirwere ichi.
• Kana mwana wako akaonekwa nezviratidzo zvitsva, zvakakomba (“zviratidzo zvinonyevera” zvatakataura nezvazvo kare) zvavasina kumbobvira vaona, unofanira kuona chiremba nekukurumidza.
• Sevabereki, chinhu chakanakisa chamungaita ndechekuva nemoyo murefu, kunzwisisa, uye kutsigira mwana wenyu nerudo parwendo urwu. Rutsigiro rwenyu ruchava simba guru kumwana wenyu!