Ngaba umntwana wakho ungcolisa iimpahla zakhe zangaphantsi? Ukuqonda i-Encopresis kunye neNirogi Lanka!

Ngaba wakha waziva ukhathazekile okanye ukhathazekile emva kokufumana isitulo kwimpahla yangaphantsi yomntwana wakho? Kuyadanisa ngakumbi xa oku kusenzeka nasemva kokuba umntwana wakho eqeqeshwe ngokupheleleyo kwindlu yangasese. Nceda wazi ukuba oku kuyinto eqhelekileyo kubantwana abaninzi. Ngokwezonyango, sibhekisela koku njenge -Encopresis , okanye i-functional fecal incontinence . Ngamafutshane, kukungena kwesitulo kwimpahla yangaphantsi ngokuzithandela. Nceda ungakhathazeki; eNirogi Lanka, silapha ukukunceda uqonde le meko ngokweenkcukacha.

Ngoko ke, yintoni i-Encopresis? Zithini iimpawu zayo?

Ngamafutshane, i-encopresis yenzeka xa umntwana osele eqeqeshwe kwindlu yangasese (ngesiqhelo eneminyaka emi-4 nangaphezulu) efaka isitulo kwimpahla yakhe yangaphantsi ngokungazikhetheli. Oku kwenzeka ngengozi. Kubonwa rhoqo kubafana kunakumantombazana. Nangona kuchaphazela malunga ne-1% ukuya kwi-4% yabantwana abaneminyaka emi-4 ubudala, ukuxhaphaka ngokwemvelo kuncipha njengoko umntwana ekhula.

Ukuba umntwana wakho ufumana i-encopresis, unokubona ezi mpawu zilandelayo:

• Ubunzima okanye ukungakwazi ukuzibamba iintshukumo zamathumbu zide zifike kwindlu yangasese.
• Ukungcoliswa sisitulo kwimpahla yangaphantsi.
• Imizamo yokufihla into yokuba bazingcolisile, beyithatha njengemfihlo.
• Ukufihla impahla engcolileyo.
• Indlela yokuphuma kwamathumbu ngendlela engaqhelekanga okanye ukungabikho kweshedyuli ehambelanayo.
• Ukuziva udumbile okanye uvakalelwa ziintlungu zesisu.
• Ukulahlekelwa yintliziyo.

Kutheni oku kusenzeka kumntwana wethu?

Kukho izizathu ezininzi eziphambili zokuphuhliswa kwe-encopresis. Makhe sizijonge.

1. I-Encopresis ebangelwa kukuqunjelwa

Eyona nto ixhaphakileyo neyimbangela ephambili kukuqunjelwa okungapheliyo. Xa umntwana equnjelwe, isitulo siba soma, siqine, kwaye sichaphazeleke , nto leyo eyenza kube nzima kwaye kudla ngokuba buhlungu ukusikhupha.

Ngenxa yokuba ukuphuma kwendle kubuhlungu, umntwana wakho unokuzama ukuyibamba, nokuba unqwenela ukuhamba. Kwenzeka ntoni emva koko? Indle iyaqhubeka nokuqokelelana kwikholoni. Ngenxa yoko, ikholoni iyanda kwaye ikhula njengebhaluni evuthelweyo. Ekuhambeni kwexesha, oku kuyamenza umntwana angabi namvakalelo yokufuna ukuhamba kwendle. Xa ikholoni igcwele, indle engamanzi inokuvuza ecaleni kokuvaleka okuqinileyo nokuchaphazelekileyo. Abazali badla ngokuyiphosisa le nto njengorhudo. Sibiza olu hlobo lwe-encopresis enxulumene nokuqhinwa ngokuthi "yi-retentive encopresis."

2. Ngaba kungenxa yeemeko zempilo ezingabonakaliyo?

Ewe, ngamanye amaxesha i-encopresis ingaba luphawu lwengxaki yezonyango esisiseko, efana nale:

• I-Colonic inertia: Imeko apho i-colon ingashukumisi indle ngendlela efanele.
• Ukonakala kwemithambo-luvo kwindlela yokugaya ukutya: Oku kunokwenzeka ukuba izihlunu ezikwindlela yokugaya esezantsi (ezijikeleze i-rectum) azikwazi ukuhambelana okanye ukuvala kakuhle.
• Isifo sikaHirschsprung: Imeko apho iiseli ezithile zemithambo-luvo zingekho emathunjini, nto leyo ebangela ukuvaleka okuthintela ukuhamba kwamathumbu ngendlela eqhelekileyo.
• Usulelo okanye ukukrazuka kwe-rectum.
• Ukuphelelwa ngamanzi emzimbeni: Ukuba umntwana wakho akaseli ulwelo olwaneleyo.
• Ukungondleki kakuhle okanye ukutya okunamafutha amaninzi neswekile: Ukutya okungenazo ibhalansi kunokuchaphazela kakhulu impilo yamathumbu.

3. Ngaba izinto zengqondo zidlala indima?

Ngokuqinisekileyo. I-Encopresis ngamanye amaxesha inokubangelwa luxinzelelo lweemvakalelo, imingeni yokuziphatha, okanye ixhala. Cinga ngala mathuba:

• Umntwana uxakekile edlala kwaye uziva engafuni ukuyeka ukuya kwindlu yangasese.
• Ukoyika indlu yangasese (abanye abantwana baxhalabile ngokuwela kuyo).
• Utshintsho lobomi okanye iziganeko ezibangela uxinezeleko, njengokuqala isikolo okanye iingxabano zosapho.
• Ukungafikeleli kwindlu yangasese ecocekileyo neyabucala, okanye ukungathandi ukusebenzisa izindlu zangasese zikawonke-wonke.
• Ingxaki yokungavumi ukuchasana (ODD): Yindlela apho umntwana ebonisa ukuchasana nabantu abanegunya kunye nemigaqo eqhelekileyo.
• Iingxaki zokuziphatha: Ubunzima bokulandela imithetho okanye ukulandela iindlela zokuziphatha ezilindelekileyo zentlalo.

Ugqirha uyixilonga njani le nto?

Xa uzisa umntwana wakho eNirogi Lanka okanye kwenye indawo yezonyango, ugqirha uya kuthatha la manyathelo alandelayo ukuqinisekisa ukuba yi-encopresis:

• Ukuthatha imbali: Ukubuza ngezifo zangaphambili, iimpawu zangoku, izinto zengqondo (ezifana noxinzelelo), imbali yoqeqesho lokuya kwindlu yangasese, kunye nemikhwa yokutya.
• Uvavanyo lomzimba: Uvavanyo olupheleleyo lwempilo yomntwana wakho.
• Ukuhlolwa kwesisu: Usebenzisa umnwe ogqunywe iiglavu, othanjiswe ngethambiso, ugqirha angahlola i-rectum ukujonga ukuba akukho zithintelo okanye imisipha exineneyo. Nangona oku kusenokungamkhathazi umntwana wakho, kubalulekile ukuze kufunyanwe isifo ngokuchanekileyo.
• I-X-reyi: I-X-reyi yesisu exilongayo ingayalelwa ukuba ibone ubungakanani bokuchaphazeleka kwendle.
• Uvavanyo lwengqondo: Ukuba ugqirha ukrokrela ukuba ixhala, uloyiko, okanye imiba yokuziphatha zezona zinto ziphambili ezibangela oku, angakuthumela kwingcali yengqondo yabantwana okanye kumcebisi.

Kwezinye iimeko, uvavanyo lomchamo lunokwenziwa ukuze kuthintelwe ezinye iimeko zonyango ezibonisa iimpawu ezifanayo.

Zeziphi iindlela zonyango ezikhoyo?

Unyango lwe-encopresis luyahluka ngokusekelwe kwiimfuno zomntwana ezithile, kodwa ngokuqhelekileyo luquka:

• Ukususa impembelelo: Eli linyathelo lokuqala elibalulekileyo.
• Amayeza: Ukusetyenziswa kwezinto zokuthambisa isitulo, izithomalalisi, okanye i-enemas ukunceda umntwana wakho aphume isitulo rhoqo, ngaphandle kwentlungu, kwaye ngokwendalo.
• Ukuhlala kwindlu yangasese okucwangcisiweyo: Khuthaza umntwana wakho ukuba ahlale kwindlu yangasese izihlandlo ezininzi ngemini, ingakumbi emva kokutya.
• Ukutya okutyebileyo kwifayibha: Ukongeza iziqhamo, imifuno, kunye neenkozo ezipheleleyo (ezifana nesonka sengqolowa epheleleyo okanye irayisi ebomvu) ekutyeni komntwana wakho.
• Umanzi aneleyo: Qinisekisa ukuba umntwana wakho usela amanzi amaninzi imini yonke.

Ukuba ukhathazekile, nceda unxibelelane nogqirha wakho wabantwana okanye uqhagamshelane neenkonzo zongxamiseko ukuba umntwana wakho ufumana iintlungu eziqatha nezibukhali zesisu.

Ninganceda njani njengabazali?

Ngeli xesha, umntwana wakho udinga uthando lwakho, inkxaso kunye nenkuthazo ngaphezu kwanoma yintoni na ngaphambili. Ukumnceda aqalise "inkqubo yokuzilolonga ngamanzi amdaka" linyathelo elibalulekileyo kuhambo lwakhe lokuchacha noNirogi Lanka.

• Cwangcisa ixesha lokuya kwindlu yangasese emva kokutya: Khuthaza umntwana wakho ukuba ahlale endlwini yangasese imizuzu emi-5 ukuya kweli-10, malunga nemizuzu eli-15 ukuya kweli-20 emva kokutya kwakhe, ubuncinane izihlandlo ezibini ukuya kwezithathu ngemini.
• Ukuqinisa okuhle kwenza imimangaliso: Xa umntwana wakho esebenzisa indlu yangasese ngempumelelo, yibhiyozele! Mncome ngokwenene okanye usebenzise itshathi yezitikha ukuze ulandelele inkqubela yakhe, umvuze ngesipho esincinci ekupheleni kweveki ngenxa yokungaguquguquki kwakhe.
• Phendula ngomonde, hayi ngesohlwayo: Eli lelona nyathelo libalulekileyo. Ukuba umntwana wakho wenze ingozi, kuphephe ukumthethisa okanye ukusabela ngomsindo. Ukucaphuka kuya kumenza azive esoyika okanye eneentloni, nto leyo enokumenza afihle iingozi ezizayo kuwe. Hlala uzolile, unomonde, kwaye unothando.

"Indlela osabela ngayo kwiingozi ibaluleke kakhulu. Endaweni yokubonisa ukukhungatheka, mthuthuzele umntwana wakho ngokuthi, 'Kulungile, siza kuzama kwakhona kwixesha elizayo.' Umonde wakho udala indawo ekhuselekileyo yokuba afunde."

Ngaba udinga ukubona ingcali?

Ngokuxhomekeke ekubeni imeko yomntwana wakho imbi kangakanani na, ugqirha wakho wezingane unokucebisa ukuba ubonane nomnye weengcali ezilandelayo:

• Ingcali yezengqondo okanye uMcebisi: Banokunceda umntwana wakho ukuba oyise uloyiko, iintloni, okanye ixhala elijikeleze ukusebenzisa indlu yangasese kwaye ajongane nalo naluphi na uxinzelelo lweemvakalelo olungaphantsi.
• Ingcali yeGastroenterology yabantwana: Le ngcali inokubonelela ngononophelo oluyingcali ukuba kukho iingxaki ezinzima ezibandakanya inkqubo yokugaya ukutya okanye amathumbu amakhulu.

Yintoni omawuyondle kwaye yintoni omawuyiphephe?

Kubalulekile ukunciphisa kakhulu ukutya okunamafutha amaninzi kunye neswekile eninzi ekutyeni komntwana wakho.

Kunoko, gxila ekwandiseni ukutya okutyebileyo kwi-fiber ukuze uncede ekugayweni kokutya:

• Iimbotyi ezifana neembotyi kunye neelentile.
• Imifuno (umz., ibroccoli, i-asparagus).
• Iziqhamo (umz., amaqunube, ama-apile).
• Iinkozo ezipheleleyo (umz., isonka sengqolowa epheleleyo, ipasta, irayisi ebomvu).

Kuthatha ixesha elingakanani ukuba baphile?

Ukuphiliswa yinkqubo eyenzeka kancinci kancinci. Injongo yonyango kukunceda umntwana wakho aphuhlise ukuhamba kwamathumbu rhoqo, okungenazintlungu. Oku kungathatha iinyanga ezininzi. Njengoko efunda kancinci ukulawula iimfuno zakhe zangasese, umonde wakho ubalulekile.

Kubantwana abamathumbu abo othulwe ngenxa yokuqunjelwa okungapheliyo, kungathatha ixesha ukuba baphinde bazive befuna ukuqunjelwa. Ukuqhubeka nokukhuthaza kubalulekile.

Hlala uncoma imizamo yabo. Abazali abaninzi bafumana impumelelo ngetshathi yezitikha—bavuza umntwana ngokuhlala nje endlwini yangasese okanye ukuba nentshukumo ephumelelayo. Ezi zenzo zincinci zakha ukuzithemba.

Ngaba oku kungathintelwa?

Ewe. Ngokuthintela ukuqhinwa kunye nokuqinisekisa ukuba ufumana amava afanelekileyo ngasese, unokunceda ekuthinteleni i-encopresis. Landela la manyathelo:

• Nika ukutya okunefayibha eninzi.
• Qinisekisa ukuba basela amanzi amaninzi ukuze bathintele ukuphelelwa ngamanzi emzimbeni.
• Khuthaza ukwenza umthambo rhoqo (ukubaleka, ukutsiba, ukudlala).
• Misela inkqubo yokusebenzisa indlu yangasese emva kokutya.
• Yenza uqeqesho lwendlu yangasese lube ngamava amnandi . Inkxaso yakho kunye nenkuthazo yakho zibalulekile.

Yintoni omele uyilindele njengomzali?

Nokuba ubona utshintsho ekuqaleni, kungathatha iinyanga ezininzi ukuba umntwana wakho aphile ngokupheleleyo kwi-encopresis. Iingozi ziya kwenzeka ngeli xesha lotshintsho. Hlala uzolile kwaye uhlale uxhasa umntwana wakho rhoqo. Uninzi lwabantwana luyaphumelela ekuqineni nasekubhiteni njengoko bekhula.

Kuza kufuneka ubone ugqirha nini ngoko nangoko?

Ukuba ubona iimpawu ze-encopresis, qhagamshelana nogqirha wakho ngokukhawuleza. Ukufunyanwa kwangoko kwengxaki yokuqhina kwenza unyango lube lula kakhulu. Ukuba umntwana wakho akakhange aphume isisu kangangeentsuku ezininzi, ukhala ngentlungu yesisu, okanye akatyi ngenxa yokungonwabi, funa uncedo lobuchwephesha ngokukhawuleza. Kwimeko yengxamiseko, nceda utsalele umnxeba ku-911 okanye undwendwele isebe lengxamiseko elikufutshane nawe.

Imibuzo ekufuneka uyibuze ugqirha wakho?

Xa undwendwela ugqirha, cinga ngokubuza le mibuzo ilandelayo:

• "Gqirha, ngaba kufuneka ndongeze ifayibha engakumbi ekutyeni komntwana wam?"
• "Ngaba umntwana wam kufuneka athathe amayeza okulahla isisu ( iziyobisi zokulahla isisu ) okanye ezinye iintlobo zamayeza?"
• "Ngaba le meko ye-encopresis iya kuyichaphazela indlela umntwana wam aqhuba ngayo esikolweni?"

Ufundisa njani umntwana ukuba ayeke ukuzibamba esitulweni sakhe aze asebenzise indlu yangasese?

Kuqhelekile ukuba abantwana babe neengozi ngelixa beqeqeshwa ukuya ekhitshini. Ngamanye amaxesha, ezi ngozi zenzeka kuba nje bengakwazi ukufikelela kwindlu yangasese ngexesha. Ukuze uncede umntwana wakho aqonde iimpawu zomzimba wakhe, ungazama oku kulandelayo:

• Misela indlela yokusebenzisa indlu yangasese imini yonke, ingakumbi emva kokutya.
• Fundisa umntwana wakho ukuchonga iimvakalelo zomzimba ezibonisa ukuba kufuneka aye.
• Nanini na xa ukwindawo entsha, bonisa umntwana wakho apho indlu yangasese ikhoyo.
• Khuthaza umntwana wakho ukuba ayeke nawuphi na umdlalo okanye umsebenzi awenzayo xa evakalelwa kukuba ufuna ukusebenzisa indlu yangasese.

Ngamanye amaxesha, abantwana abane-encopresis balahlekelwa ngamandla okuva imiqondiso yomzimba wabo yokunyakaza kwamathumbu. Xa ukuqhinwa okungapheliyo kubangela ukuba ikholoni yoluleke ngenxa yokuqokelelana okukhulu kwendle, umntwana usenokungaziva umnqweno de kube kuqokeleleke inani elikhulu. Wakuba uqalile unyango lokuthambisa indle, umntwana wakho kuya kufuneka afunde kwakhona indlela yokubona ezi mpawu. Le nkqubo ingathatha iinyanga ezininzi, ngoko ke nceda uhlale unomonde ngelixa umntwana wakho efunda ukumamela umzimba wakhe.

Njengomnakekeli, ukujongana ne-encopresis kunye nokuhlamba rhoqo impahla engcolileyo kunokuba nzima. Hlala unomonde. Ukuba ubonakalisa umsindo xa umntwana wakho efumana ingozi, uya kuqaphela, kwaye angazama ukuyifihla kwixesha elizayo xa isenzeka. Soloko usebenzisa amandla okuqinisa kwaye uhlale unomonde kuyo yonke inkqubo yoqeqesho. Ukuba umntwana wakho unamava amahle ngendlu yangasese, uloyiko lwakhe ngendlu yangasese luya kuncipha, kwaye iingozi ziya kuba zincinci rhoqo.

Izinto ezibalulekileyo kuwe

Ukuze siwushwankathele, nazi ezona zinto zibalulekileyo ekufuneka uzikhumbule:

• I-Encopresis yimeko enyangekayo efunyanwa ngabantwana abaninzi. Asikuko ukuba umntwana wakho unetyala.
• Umonde nenkxaso zezona zinto zibalaseleyo kuwe nakumntwana wakho kolu hambo.
• Kuphephe ukumkhalimela okanye ukumhlazisa umntwana wakho; thetha naye ngothando nangokuqonda.
• Kubalulekile ukugcina ukutya okunempilo (ingakumbi ukutya okunefayibha eninzi) kunye nokumnika amanzi aneleyo.
• Yenza ucwangciso oluhle ngokukhuthaza ukusebenzisa indlu yangasese rhoqo.
• Ukuba uneengxaki, musa ukuba neentloni zokuthetha nogqirha wakho. Unyango olukhawulezileyo lukhokelela kwiziphumo ezilungileyo.

Ngamana wena nomntwana wakho ningafumana amandla okoyisa le meko ngokukhawuleza, ngenkxaso yeNirogi Lanka!

Amagama angundoqo: I-Encopresis, ukungakwazi ukuzibamba kwindle, ukuqhina, impilo yomntwana, uqeqesho lokutya, iingcebiso zokuba ngumzali, inkqubo yokwetyisa