Ngaba nomntwana wakho uyakhupha indle kwimpahla yakhe yangaphantsi? Masifunde nge-encopresis!

Ngamanye amaxesha umele ukuba ubukhathazekile kwaye ukhathazekile xa ubona impahla yangaphantsi yomntwana wakho imdaka ngendle, akunjalo? Kunzima ngakumbi xa umntwana wakho eqhele ukuya kwindlu yangasese. Oku kwenzeka kwabanye abantwana, kwezonyango sikubiza ngokuba yi-Encopresis, okanye abanye abantu bakubiza ngokuba yi-"functional fecal incontinence". Ngamafutshane, kuxa umntwana ekhupha indle ngengozi enxibe impahla yangaphantsi. Ungakhathazeki, siza kuthetha ngale nto ngokweenkcukacha namhlanje.

Ngoko ke yintoni i-encopresis? Zithini iimpawu zayo?

Ngamafutshane, i-encopresis kukungena kwendle kwimpahla yangaphantsi yomntwana ngokungazikhetheliyo, ngokuqhelekileyo xa eneminyaka emi-4 nangaphezulu, emva kokuba eqeqeshwe kwindlu yangasese . Uninzi lwexesha, oku kwenzeka ngengozi. Kuqheleke kancinci kubafana kunakumantombazana. Kuchaphazela phakathi kwe-1% kunye ne-4% yabantwana abaneminyaka emi-4 ubudala, kodwa ukwenzeka kwayo kuncipha ngokweminyaka.

Ukuba umntwana wakho une-encopresis, unokubona iimpawu ezifana nezi:

• Ubunzima bokubambelela esitulweni ude uye kwindlu yangasese.
• Indle ivuza kwimpahla yangaphantsi.
• Ukufihla isenzo sokuzithuma kwabanye, ukuzama ukusigcina siyimfihlo.
• Ukufihla iimpahla ezingcolileyo.
• Ukungabi namathumbu ngaxeshanye yonke imihla (ukulahlekelwa yindlela yokuphuma kwamathumbu).
• Ukuziva uzele, unentlungu esiswini.
• Ukutya akunancasa.

Kutheni oku kusenzeka kubantwana bethu?

Kukho izizathu ezininzi eziphambili ze-encopresis. Makhe sijonge ukuba zeziphi.

1. I-Encopresis ebangelwa kukuqunjelwa

Eyona nto iphambili neyona ixhaphakileyo yale meko kukuqunjelwa . Xa umntwana equnjelwe, indle iyoma ize iqine njengelitye, nto leyo ebangela ukuba inamathele emathunjini, nto leyo eyenza kube nzima ukuphuma kwaye ibangele intlungu.

Ngenxa yale ntlungu, abantwana bazama ukuzibamba xa kufuneka baye kwigumbi lokuhlambela. Kwenzeka ntoni emva koko? Indle iyaqokelelana kancinci kancinci emathunjini amakhulu. Oku kubangela ukuba amathumbu amakhulu omntwana akhule kancinci kancinci, njengebhaluni evuthelwayo. Xa oku kusenzeka, umntwana akasaziva ukuba kufuneka ahambe. Khawuthelekelele, xa amathumbu egcwele kakhulu, indle esandul’ ukwenziwa inokuphuma ijikeleze indle njengelitye elibambekileyo. Ngamanye amaxesha abazali banokuphambanisa oku norhudo. Sibiza le meko ye-encopresis eyenzeka ngokuqunjelwa ngokuthi "i-retentive encopresis"

2. Ngaba kungenxa yezinye izifo ezisisiseko?

Ewe, ngamanye amaxesha i-encopresis inokuba luphawu lwenye imeko yezonyango efihlakeleyo. Nazi ezinye zeemeko ezinokwenzeka:

• I-Colonic inertia: Oku kwenzeka xa indle ingahambi kakuhle emathunjini amakhulu.
• Umonakalo wemithambo-luvo kwindlela yokugaya ukutya:Oku kunokwenzeka xa izihlunu ezisekupheleni kwenkqubo yokugaya ukutya (ezijikeleze i-anus) zingavali kakuhle.
• Isifo sikaHirschsprung: Esi sisifo apho ezinye iziphelo zemithambo-luvo emathunjini zingekho, nto leyo ebangela ukuvaleka kwamathumbu kunye nokungakwazi ukuphuma kwendle.
• Usulelo okanye ukukrazuka kwe-rectum .
• Ukuphelelwa ngamanzi emzimbeni: Ukuba umntwana akaseli manzi aneleyo.
• Ukungondleki okanye ukutya okunamafutha amaninzi neswekile: Ukutya ukutya okuninzi okunamafutha amaninzi neswekile.

3. Ngaba izinto zengqondo nazo zidlala indima?

Ewe, ewe. I-Encopresis inokubangelwa kukuxinezeleka kweemvakalelo zomntwana, ingxaki yokuziphatha, okanye uloyiko. Cinga ngezi zinto:

• Xa umntwana edlala, akusekho xesha lokuba ayeke aye kwindlu yangasese.
• Ukoyika indlu yangasese (abanye abantwana bayoyika nokuwela endlwini yangasese).
• Utshintsho ebomini bomntwana, iziganeko ezibangela uxinezeleko. Umzekelo, ukuqala isikolo, iingxaki zosapho.
• Ukungabikho kwendlu yangasese ecocekileyo neyabucala, okanye ukungafuni ukusebenzisa izindlu zangasese zikawonke-wonke.
• Ingxaki yokungathobeli abantu abadala kunye nabasemagunyeni: Kule meko, umntwana ubonisa indlela yokungathobeli abantu abadala kunye nabasemagunyeni.
• Iingxaki zokuziphatha: Umntwana unobunzima bokulandela imithetho nokuziphatha ngendlela eyamkelekileyo eluntwini.

Ugqirha uyibona njani le nto?

Xa uthatha umntwana wakho uye kugqirha, baya kwenza oku kulandelayo ukuze bafumanise ukuba kukho i-encopresis:

• Ubuza imibuzo: Ubuza ngezifo zomntwana zangaphambili, iimpawu zangoku, imeko yengqondo yomntwana (njengoxinzelelo), uqeqesho lokuya kwindlu yangasese, kunye nokutya nokusela.
• Uvavanyo lomzimba lwenziwa: Umzimba womntwana uyahlolwa.
• Uvavanyo lwe-rectal: Kule meko, ugqirha ufaka umnwe ogqunywe ngeglavu, othanjiswe kwi-rectum yomntwana ukuze ajonge naziphi na iingxaki kunye nemeko yemisipha. Oku kusenokungamkhathazi umntwana, kodwa kubaluleke kakhulu ekuxilongweni.
• I-X-reyi yesisu: Kunokuthathwa i-X-reyi yesisu ukuze kubonwe ukuba ingakanani indle ebambekileyo.
• Uvavanyo lwengqondo: Ukuba ucinga ukuba imeko yomntwana ibangelwa luxinzelelo, uloyiko, okanye ingxaki yokuziphatha, ungamthumela kugqirha wengqondo ukuze afumane uphando olongezelelekileyo.

Ngamanye amaxesha, izinto ezifana novavanyo lomchamo zingenziwa ukuqinisekisa ukuba akukho ezinye iimeko ezineempawu ezifanayo.

Yintoni enokwenziwa ukunyanga oku?

Unyango lwe-encopresis lunokwahluka ukusuka kumntwana ukuya kumntwana, kodwa ludla ngokubandakanya oku kulandelayo:

• Ukususa iibhola ze-stool ezinamatheleyo:Le yinto yokuqala ekufuneka yenziwe.
• Ukusebenzisa izithambisi-ndlela zokuhambisa isitulo, izithambisi-ndlela zokuhambisa isisu , okanye i-enemas: Ezi zinceda umntwana ukuba aphume isitulo rhoqo , ngaphandle kwentlungu, kwaye ngobunono.
• Ukuhlaliswa kwindlu yangasese okucwangcisiweyo: Zama ukumenza umntwana wakho ahlale kwindlu yangasese izihlandlo ezininzi ngemini, ingakumbi emva kokutya.
• Nika umntwana wakho ukutya okutyebileyo kwifayibha: Yongeza iziqhamo, imifuno, kunye neenkozo ezipheleleyo (isonka esipheleleyo, irayisi emdaka) ekutyeni kwakhe.
• Ukumnika amanzi aneleyo okusela.

Singabanceda njani abazali?

Umntwana wakho udinga uthando lwakho, inkxaso kunye nenkuthazo yakho ngeli xesha. "Inkqubo yokuzilolonga ngamanzi amdaka" yindlela yokunceda umntwana wakho aphuhlise imikhwa emihle yokuya endlwini yangasese.

• Yisa umntwana wakho kwindlu yangasese emva kokutya: Ubuncinane kabini okanye kathathu ngemini, menze ahlale endlwini yangasese imizuzu emi-5 ukuya kweli-10 imizuzu eli-15 ukuya kwengama-20 emva kokutya.
• Mncome umntwana wakho xa esiya kwindlu yangasese ngokufanelekileyo, kwaye umnike into encinci: Ukuba umntwana wakho ukhupha indle endlwini yangasese, mncome ngokuthi, "Kulungile nyana/ntombi." Ungasebenzisa nento efana netshathi yezitikha ukuphawula iintsuku aya ngazo endlwini yangasese, kwaye umnike into encinci kanye ngeveki.
• Musa ukumthethisa okanye ukumngxolisa umntwana wakho ukuba wenza impazamo: Le yeyona nto ibalulekileyo. Ukuba uyacaphuka xa umntwana wakho echama enxibe impahla yakhe yangaphantsi, umntwana wakho uya koyika ngakumbi aze azame ukukufihla oko kuwe kwixesha elizayo. Ngoko thetha ngomonde nangothando.

"Xa umntwana enze impazamo, impendulo yakho ibaluleke kakhulu. Endaweni yokuba nomsindo, mthuthuzele umntwana ngokuthi, 'Kulungile nyana, masiphinde sizame.'"

Ngaba udinga ukubona ingcali?

Ngokuxhomekeke ekubeni imeko yomntwana wakho imbi kangakanani na, ugqirha wakho unokukuthumela kwiingcali ezifana nezi:

• Ugqirha wengqondo okanye umcebisi (ingcali yezengqondo): anganceda umntwana ukuba oyise uloyiko lwakhe lokuya kwindlu yangasese, iintloni, ukuziva enetyala, okanye olunye uxinzelelo lwengqondo.
• Ingcali yeGastroenter: Lo gqirha unokukunceda ukuba uneengxaki ezinzima kwinkqubo yakho yokugaya ukutya, ingakumbi amathumbu amakhulu.

Zeziphi ukutya ezingalungelanga abantwana? Zeziphi ukutya ekufuneka zinikwe?

Kubaluleke kakhulu ukunciphisa ukutya okunamafutha amaninzi kunye neswekile eninzi ekutyeni komntwana wakho kangangoko kunokwenzeka.

Endaweni yoko, yongeza ukutya okunefayibha eninzi ekutyeni komntwana wakho. Ukutya okunefayibha eninzi kuquka:

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

Ndingaphila ngokukhawuleza kangakanani emva konyango?

Oku kuthatha ixesha elincinci.Injongo yonyango kukunceda umntwana wakho afunde ukuzithuma rhoqo ngaphandle kwentlungu. Le njongo ingathatha iinyanga ezininzi ukuyifezekisa. Kuya kufuneka ube nomonde kakhulu njengoko umntwana wakho eqhela kancinci kancinci ukusebenzisa indlu yangasese.

Kuthatha ixesha ukuba abantwana abaye baphuma isisu ngenxa yokuqhinwa baqale ukuziva benyanzelekile ukuya kwindlu yangasese kwakhona. Oku kufuna nomonde.

Soloko umkhuthaza kwaye umncoma umntwana wakho emva kokuba eye kwindlu yangasese. Abanye abazali basebenzisa into efana netshathi yezitikha. Babeka isitikha kumntwana wabo xa ehleli kwindlu yangasese, xa ekhupha indle, baze bamnike into encinci ekupheleni kweveki. Izinto ezincinci ezifana nezi zinokukhuthaza umntwana wakho ukuba aye kwindlu yangasese eyedwa.

Ngaba le meko ayinakuthintelwa ukuba yenzeke?

Ewe, unako. Ungayithintela i-encopresis ngokuthintela ukuqhina kwesisu nokunika umntwana wakho amava amnandi okuya kwindlu yangasese. Ukuze wenze oku, yenza oku kulandelayo:

• Nika ukutya okutyebileyo kwi-fiber.
• Qiniseka ukuba usela amanzi amaninzi kwaye ungavumeli umzimba wakho uphelelwe ngamanzi emzimbeni.
• Nika umntwana wakho umthambo owaneleyo (baleka, tsiba, dlala).
• Zibekele ixesha lokuya kwindlu yangasese emva kokutya.
• Xa uqeqesha umntwana wakho ukuya kwindlu yangasese, yenze ibe ngamava amnandi kuye. Ukhuthazo nenkxaso zibaluleke kakhulu.

Yintoni omele uyilindele njengomzali?

Nangona kukho uphuculo oluthile olunokubonwa kumanqanaba okuqala onyango, kungathatha iinyanga ukuba umntwana oyise ngokupheleleyo i-encopresis. Iimpazamo zinokwenzeka ngeli xesha. Njengomzali, kubalulekile ukuqhubeka nokuxhasa umntwana wakho kwaye ungoyiki. Abantwana abaninzi abafumana unyango bakhula ngenxa yokuqunjelwa kunye nezi mpazamo.

Ndifanele ndimbone nini ugqirha?

Ukuba ubona iimpawu ze-encopresis kumntwana wakho, bona ugqirha ngoko nangoko. Okukhona uqaphela esi simo kunye nokuqhinwa, kokukhona kulula ukunyanga. Ukuba umntwana wakho akaphumi manzi kangangeentsuku ezininzi, ukhala ngentlungu yesisu, okanye uyala ukutya ngenxa yokungonwabi, bona ugqirha ngoko nangoko.

Yeyiphi imibuzo omele uyibuze ugqirha?

Xa ubona ugqirha, ungabuza imibuzo efana nale:

• "Gqirha, ngaba ndifanele ndongeze ifayibha engakumbi ekutyeni komntwana wam?"
• "Ngaba ndifanele ndinike umntwana wam isilalisi okanye olunye uhlobo lwamayeza?"
• "Ngaba le meko ye-encopresis iza kuyichaphazela umsebenzi wesikolo womntwana?"

Umfundisa njani umntwana ukuba alinde ade aye kwindlu yangasese?

Kuqhelekile ukuba umntwana wakho enze iimpazamo xa eqeqeshwa kwindlu yangasese. Ngamanye amaxesha ezo mpazamo zibangelwa kukuba umntwana wakho akafiki ngexesha elifanelekileyo kwindlu yangasese. Nazi ezinye izinto onokuzenza ukunceda umntwana wakho aqonde iimpawu zomzimba wakhe zokuba kufuneka aye kwindlu yangasese:

• Bekela bucala ixesha lokuya kwindlu yangasese imini yonke, ingakumbi emva kokutya.
• Fundisa umntwana wakho ukuba kunjani ukuya kwindlu yangasese.
• Xa usiya kwindawo entsha, bonisa umntwana wakho apho ikhoyo indlu yangasese.
• Nokuba umntwana wakho udlala umdlalo onjani, xa kufuneka aye kwindlu yangasese, yiyeke uze umkhuthaze ukuba aye kwindlu yangasese.

Ngamanye amaxesha abantwana abane-encopresis abaziva iimpawu zomzimba wabo ezibonisa ukuba kufuneka baye kwindlu yangasese. Xa ukuqhinwa kubangela ukuba amathumbu amakhulu akhukhumale, abaziva benomdla de babe nendle eninzi. Nje ukuba umntwana wakho aqalise unyango lokuthambisa indle yakhe, kuya kufuneka afunde ukuqaphela iimpawu zomzimba wakhe kwakhona. Le nkqubo ingathatha iinyanga ezininzi, ngoko ke yiba nomonde njengoko umntwana wakho efunda ngomzimba wakhe.

Njengomnakekeli, ukujongana ne-encopresis kunye nokuhlamba iimpahla ezingcolileyo rhoqo kunokuba ngumceli mngeni. Yiba nomonde rhoqo. Ukuba uyacaphuka xa umntwana wakho esenza impazamo, umntwana wakho uya kuyibona kwaye angazama ukuyifihla kuwe kwixesha elizayo xa isenzeka. Soloko unika umntwana wakho amandla aqinisekileyo kwaye ube nomonde xa eqeqeshwa kwindlu yangasese. Ukuba umntwana wakho unamava amahle ngasese, akayi kuyoyika kakhulu indlu yangasese kwaye uya kwenza iimpazamo ezimbalwa.

Izinto ezibaluleke kakhulu ekufuneka uzikhumbule

Kulungile, ke, ezi zezona zinto zibalulekileyo ekufuneka sizikhumbule kwizinto esithethe ngazo:

• I-Encopresis yimeko enyangekayo eyenzeka kwabanye abantwana. Asikuko ukuba umntwana unetyala.
• Umonde nenkxaso zezona zinto zibalaseleyo wena nomntwana wakho eniza kuba nazo kolu hambo.
• Thetha nomntwana wakho ngothando , ungamthethisi okanye umgxeke.
• Ukutya okunempilo (ingakumbi ukutya okutyebileyo kwi-fiber) kunye namanzi amaninzi kubaluleke kakhulu.
• Yiba nomkhwa omhle wokuya kwindlu yangasese ngexesha.
• Ukuba unengxaki, ungabi nantloni kwaye uthethe nogqirha. Unyango lwangethuba lunokukhokelela kwiziphumo ezingcono.

Ngamana wena nomntwana wakho ningafumana amandla okuchacha kule meko kungekudala!

I- Encopresis, ukuhamba kwamathumbu, ukuqhina, impilo yomntwana, uqeqesho lwendlu yangasese, iingcebiso zokuba ngumzali, inkqubo yokwetyisa