Kuthekani ukuba umntwana wakho unobuchule kakhulu ekusebenziseni indlu yangasese kwaye uyisebenzisa kakuhle kakhulu, aze ngequbuliso aqalise ukumanzisa iimpahla zakhe kwakhona? Usenokuba nomsindo. Usenokuziva udanile kwaye ulusizi. "Kutheni umntwana wam esenza oku?" Usenokuba ucinga. Kodwa linda umzuzu. Oku kusenokungabi yinto umntwana wakho ayenzayo ngabom. Ngokwezonyango, sibiza oku ngokuba yi-condition encopresis. Masithethe ngayo yonke le nto ngokulula namhlanje.
Yintoni kanye kanye i-encopresis?
Ngamafutshane, ukuba umntwana oneminyaka engaphezu kwe-4 ubudala, oqhele ukuya kwindlu yangasese, ukhupha indle ngaphandle kwendlu yangasese, oko kukuthi, enxibe impahla yangaphantsi okanye kwenye indawo, loo meko siyibiza ngokuba yi-Encopresis. Oku ngamanye amaxesha yinto eyenzekayo bengazi. Abanye abantwana bade bazame ukuyifihla ngokufaka indle kwiimpahla zabo.
Khumbula, oku akulotyala lomntwana okanye elakho. Le yingxaki yezonyango enokunyangeka. Ngoko ke endaweni yokumthethisa okanye ukumohlwaya umntwana wakho, kufuneka umnike uthando lwakho nenkxaso yakho ngaphezu kwanoma yintoni na ngaphambili ngeli xesha.
Zithini iimpawu zale meko? Uyibona njani?
Ekuqaleni ungakubona oku ngevumba. Emva koko ungabona ukuba impahla yangaphantsi yomntwana ingcoliswe kancinci yindle ekhululekileyo, efana norhudo. Olu luphawu oluphambili. Ukongeza, kukho nezinye iimpawu ezininzi.
| Uphawu | Inkcazo |
|---|---|
| Ukufihla iimpahla kunye nendle | Umntwana uzama ukufihla impahla engcolileyo. Mhlawumbi ekhoneni legumbi, phantsi kwebhedi, njl. |
| Ukuphepha ukuya kwindlu yangasese | Umntwana akayi kwindlu yangasese kangangeentsuku ezininzi. Xa ebuzwa ngayo, uyayiphepha. |
| Intlungu yesisu kunye nokudumba | "Ndihlala ndisithi, 'Isisu sam sibuhlungu.'" Xa uchukumisa isisu sakho, sisenokuvakala siqinile kwaye sidumbile. |
| Umnqweno wokutya | Umntwana owayesitya kakuhle ngequbuliso utya kancinci. Uthi uziva "ehluthi." |
| Urhawuzelelo olujikeleze i-anus | Ukudibana rhoqo nelindle kunokubangela ukuba ulusu olujikeleze i-anus lube bomvu kwaye lube ngathi ngamaqhubu. |
Ukuba ubona ezi mpawu kumntwana wakho, kulungile ukuba ugcine idayari encinci. Bhala phantsi izinto ezifana nokuba umntwana wakho uchitha kangaphi amanzi, uhlobo luni lwendle anayo, kunye nokuba uchitha nini amanzi. Olu lwazi luya kuba lubaluleke kakhulu xa usiya kugqirha.
Kutheni oku kusenzeka kubantwana abancinci? Zithini izizathu eziphambili?
Kukho iindidi ezintathu eziphambili zezizathu ezibangela oku. Masizijonge nganye nganye.
1. Ukuqhinwa yingxaki - eyona nto iphambili!
Unobangela we-95% yabantwana abafumana le meko kukuqunjelwa okungapheliyo, oko kuthetha ukuba indle eyomileyo. Cinga ngale ndlela.
Indle emathunjini amakhulu omntwana (ikholoni) iyaqokelelana ize iqine njengamatye. Emva koko, xa esiya kwindlu yangasese, uziva enzima kakhulu kwaye ebuhlungu. Emva kokuba kube buhlungu ngolu hlobo kube kanye okanye kabini, umntwana uyoyika ukuya kwixesha elizayo xa ekhupha isisu. Ngoko ke uyayibamba aze angalali.
Xa uxinezeleka ngolu hlobo, iqhuma eliqinileyo lendle liyanamathela emathunjini akho. Kodwa ngenxa yokuba akukho ndawo apho indle entsha eyenziweyo ingaya khona, iqhuma elinamatheleyo liyaphuma lize liphele likwimpahla yakho yangaphantsi ungakhange uqonde. Yiloo nto ikwenza uzive ngathi unesifo sorhudo. Sibiza oku ngokuthi yi-Overflow Incontinence .
Ukuba i-encopresis iyenzeka ngenxa yokuqunjelwa ngale ndlela, ibizwa ngokuba yi-retentive encopresis .
2. Ezinye izizathu zonyango (Iimeko Ezisisiseko Zezonyango)
Oku akubonakali rhoqo. Nangona kunjalo, kunqabile kakhulu, le meko inokubakho njengophawu lwesinye isifo. Kwiimeko ezinjalo, ukongeza kwirhashalala ye-diaper, umntwana unokubonisa nezinye iimpawu ezifana nokuncipha kobunzima, ukukhula kakubi, igazi esitulweni, kunye nokuhlanza .
Kukho izizathu ezininzi ezinokubangela oku:
- Ezinye iimeko zizalwa nazo - ezifana `(isifo sikaHirschsprung)`, `(intambo yomqolo ebotshelelweyo)`.
- Ezinye izifo ze-neurological - i-cerebral palsy, ukwenzakala kwi-spinal cord.
- Izifo zenkqubo yokugaya ukutya - `(Isifo seCeliac)`, `(Isifo samathumbu avuthayo)`.
- Iingxaki ezinxulumene ne-rectum.
Ukuba le meko yenzeka ngaphandle kokuqunjelwa, ibizwa ngokuba yi -Non-retentive Encopresis .
3. Izizathu zengqondo nezokuziphatha (Izinto ezibangela iingxaki zengqondo)
Ngamanye amaxesha oku kunokwenzeka ngenxa yoxinzelelo, uloyiko, okanye ingxaki yokuziphatha engqondweni yomntwana.
- Ukoyika indlu yangasese: Abanye abantwana bayoyika indlu yangasese, ingakumbi izindlu zangasese zikawonke-wonke. Oku kusenokuba kungenxa yokuba azicocekanga ngokwaneleyo, okanye ngenxa yezinye izizathu.
- Utshintsho ebomini: Oku kunokubangelwa luxinzelelo umntwana alufumanayo, njengokuqala isikolo esitsha, ukuba nomntakwabo omtsha, okanye ukufuduka.
- Uthando lokudlala: Abanye abantwana banqena kakhulu ukuyeka ukudlala baye kwindlu yangasese, ngoko ke bayabamba umphefumlo.
- Iingxaki zokuziphatha: Abanye abantwana banokuba neemeko ezifana ne-Oppositional Defiant Disorder okanye i-ADHD, ezinokunxulunyaniswa nokungathobeli imiyalelo yabazali kunye nokwaphula imithetho.
Esi asisosifo sengqondo. Nangona kunjalo, esi sifo sinokuba nempembelelo enkulu engqondweni yomntwana. Umntwana unokuba neemvakalelo zokuba neentloni, uloyiko, kunye nokuziva eyedwa.
Gqirha, uyifumana njani kanye kanye le nto?
Xa usisa umntwana wakho kugqirha, uza kukubuza imibuzo emininzi wena nomntwana wakho.
- Iqale nini le nto?
- Ingaba kwenzeka kakhulu emini okanye ebusuku?
- Ithini imbala kunye nobume bendle? Ingaba kukho igazi?
- Ngaba umntwana uyoyika ukuya kwindlu yangasese? Ngaba uyazibamba?
- Injani imikhwa yakho yokutya nokusela?
- Ngaba kukho utshintsho olukhulu ebomini bakho kutshanje?
Emva koko ugqirha uyamxilonga umntwana.
- Ukuhlolwa kwesisu: Isisu siyatsalwa kwaye sihlolwe ukuba akukho ziqhuma zendle.
- Uvavanyo lwe-rectal: Uhlola izilonda ze-anal kunye nemingxunya.
- Uvavanyo lweDijithali lweRectal: Ukuba umntwana uyavuma, ugqirha angafaka umnwe ogqunywe ngeglavu kwirectum ukujonga ukuba akukho nanye indle ebambeke ngaphakathi.
- Ezinye iimvavanyo: Ngamanye amaxesha, izinto ezifana ne-X-ray yesisu okanye uvavanyo lomchamo (uvavanyo lomchamo) zinokucetyiswa.
Zithini iindlela zonyango zoku?
Le yimeko enokunyangwa. Unyango ludla ngokuba namanyathelo amabini.
Inyathelo 1: Ukucocwa kwamathumbu
Unyango luqala ngokucoca amathumbu ngokupheleleyo, okubandakanya ukukhupha yonke indle endala, eqinileyo ebambeke kumathumbu amakhulu. Ugqirha uya kunika amayeza oku.
- Iilaxatives: Iilaxatives ezigutyiweyo (iPropylene glycol) okanye iilaxatives ezingamanzi (isisombululo seMagnesium hydroxide) zinganikwa.
- I-Suppository okanye i-Enema: Amayeza afakwa kwi-rectum. La mayeza anceda ukukhulula nokukhupha indle ebambekileyo ngokukhawuleza.
Ukuba isitulo sivalekile kakhulu, kusenokufuneka umntwana alaliswe esibhedlele ukuze acoceke.
Inyathelo lesi-2: Inkqubo yoLondolozo
Emva kokucoca amathumbu amakhulu, kufuneka uyeke ukuqhina kwesisu ukuba kungaphindi kwenzeke. Oku kufuna inkqubo yokugcinwa ixesha elide.
| Isenzo | Kwenziwe ntoni |
|---|---|
| Ukuqhubeka nokusebenzisa amayeza | Izithambisi zendle okanye izilaxative ezichazwe ngugqirha kufuneka ziqhubeke kangangeenyanga eziliqela. |
| Ukuthumela indlu yangasese ngeshedyuli | Emva kokutya okuphambili, hlala umntwana wakho endlwini yangasese imizuzu emi-5 ukuya kweli-10. Akunamsebenzi nokuba akayityi indle, mfundise loo mkhwa. |
| Utshintsho kwindlela yokutya | Nika iziqhamo, imifuno, imifuno eluhlaza, kunye neenkozo ezipheleleyo ezityebileyo. Nciphisa ubisi kunye neemveliso zobisi. Nciphisa izinto ezifana neziselo ezineswekile, iibhisikithi kunye neekeyiki. |
| Ukusela amanzi kakuhle | Mvumele umntwana wakho asele amanzi amaninzi imini yonke. |
| Ukuzilolonga | Vumela umntwana wakho abaleke, atsibe, adlale, aze asebenze. |
Ngamanye amaxesha ugqirha angamthumela umntwana kunyango olukhethekileyo, olufana noqeqesho lwe-biofeedback , olunceda umntwana alawule izihlunu ezijikeleze i-anus aze amqeqeshe ukuba aphume kakuhle.
Njengomzali ungamnceda njani umntwana wakho?
Indima yakho kolu hambo ibaluleke kakhulu.
- Yiba nomonde: Olu nyango lungathatha iinyanga. Usenokungakhululeki ngexesha lenkqubo. Ngeli xesha, yiba nomonde kwaye ungacaphuki okanye ukhathazeke.
- Musa ukumgxeka umntwana: Ungaze uthethe izinto ezinje, "Ungumntwana ombi kakhulu," okanye "Awunazintloni?" Oku kuya kumenza umntwana azive edandathekile nangakumbi.
- Khuthaza: Nokuba umntwana wakho uhleli kwindlu yangasese okanye ephuma indle, mncome ngemizamo yakhe, nokuba incinci kangakanani na. Thetha izinto ezinje, "Kulungile oko," "Ukrelekrele kakhulu." Ungenza izinto ezinje ngokwenza itshathi yezitikha, ubeke isitikha ngomhla umntwana wakho eya kwindlu yangasese, kwaye umnike isipho esincinci ekupheleni kweveki.
- Thetha ngokukhululekileyo: Xelela umntwana wakho ngothando, "Oku akwenzeki kuwe kuphela, kuyenzeka nakwabanye abantwana. Masisebenze kunye kule nto."
Ukuba unemibuzo engaphezulu malunga nale meko, okanye ukuba ubona naluphi na utshintsho kwindlela umntwana wakho aziphethe ngayo, ungathandabuzi ukuthetha nogqirha wakho. Ukuba kuyimfuneko, ungathunyelwa kugqirha wabantwana okanye kwingcali yezifo zabantwana.
Umyalezo Wokuya Ekhaya
- I-Encopresis ayisosenzo sokuziphatha okubi ngabom komntwana, yimeko yezonyango enokunyangwa.
- Eyona nto ibangela oku kukuqunjelwa ixesha elide (ukuhamba kwamathumbu okomileyo). Ngoko ke lumka ngendlela umntwana wakho atya ngayo kunye nendlela aziphatha ngayo xa esiya endlini yangasese.
- Ukumohlwaya okanye ukumgxeka umntwana wakho kunokwenza imeko ibe mandundu. Endaweni yoko, mnike uthando, umonde, kunye nenkxaso.
- Unyango luthatha ixesha, ngoko ke ungalindeli iziphumo ezikhawulezileyo, kwaye landela imiyalelo kagqirha ngokuchanekileyo.
- Ukuba awukwazi ukufumana nantoni na ngale nto, ungakhathazeki ngayo wedwa, bonana nogqirha kungekudala.
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