Ngaba umntwana wakho uhlala eneentlungu zesisu? Awufumani sizathu sazo? (Intlungu Yesisu Esebenzayo)

Ngaba umntwana wakho omncinci uhlala esithi, "Mama, isisu sam sibuhlungu?" Mhlawumbi uziva uloyiko olukhulu xa usitsho, akunjalo? Xa usiya kugqirha aze athi, "Yile nto ingalunganga," okanye enye into, kuyakhathaza nangakumbi. Yiyo le ndlela esiza kuthetha ngayo ngentlungu yesisu umntwana ayivayo ngokwenene, nangona kungekho sizathu sicacileyo sinokufunyanwa. Oogqirha bayibiza le ``Intlungu Yesisu Esebenzayo.'' Ngamanye amaxesha ikwabizwa ngokuba yi-`Centrally Mediated Abdominal Pain Syndrome.'' Masithethe ngale nto ngokulula, ngolwimi lwethu. Yintoni Intlungu Yesisu Esebenzayo? Ngamafutshane, ``Intlungu Yesisu Esebenzayo'' kuxa umntwana enentlungu yesisu, aze ugqirha ayihlole, kodwa akafumani sizathu esithile somzimba (umzekelo, isilonda samathumbu, iimpethu, usulelo). Nangona kunjalo, oku akuthethi ukuba umntwana uyaxoka. Intlungu ikhona ngokwenene. Khawucinge, oogqirha bakhangela iimpawu ezininzi ezifana nezi ukuze bafumanise le meko:

• Le ntlungu yesisu kufuneka ifike ubuncinane kane ngenyanga .
• Kufuneka kuqhubeke ngolu hlobo ubuncinane iinyanga ezimbini .
• Uninzi lwexesha, le ntlungu ayihlali ngaphezu kweyure.
• Oku kubuhlungu kwesisu akubonakali ngathi kunxulumene nokutya, ukubaleka, okanye ukuya kwindlu yangasese.
• Umntwana onesi sifo ukhula abe mde kakhulu kwaye abe sempilweni. Ukwehla kobunzima akuqhelekanga ukubonwa.
• Nangona kunjalo, ngamanye amaxesha le ntlungu inokwanda xa kukho uxinzelelo okanye ixhala .

Iindaba ezimnandi zezokuba uninzi lwabantwana abane-"Functional Abdominal Pain" baphila kwiiveki okanye kwiinyanga ezimbalwa. Akuqhelekanga ukuba kubekho ingxaki enkulu, ehlala ixesha elide.

Ziziphi ezinye iimpawu ezikhoyo ngaphandle kwentlungu yesisu?

Eyona nto iphambili sisisu osikhankanyileyo. Nangona kunjalo, umntwana usenokuva nezinye iingxaki ezifana nezi:

• Isicaphucaphu: Oku kuthetha ukuziva ngathi uza kuhlanza okanye isisu sakho siyajika.
• Intloko ebuhlungu: Kuqhelekile ukuba abanye abantwana babe neentloko ezibuhlungu kunye nokuphazamiseka kwesisu.
• Ukudinwa: Ukuziva unesizungu kunye nentloko ejikelezayo .
• Ukudinwa kakhulu: Usenokuziva udiniwe kangangokuba awukwazi kwenza nto.

Ezi mpawu azibonakali kubo bonke abantwana ngendlela efanayo. Abanye abantwana banokuba nesisu esibuhlungu kuphela, ngelixa abanye banokuba nesinye okanye ngaphezulu kwezi mpawu zongezelelweyo.

Kutheni le nto ibangela le ntlungu yesisu? Yintoni unobangela?

Enyanisweni, oogqirha abakayazi ngokuqinisekileyo i-100% yento ebangela i-Functional Abdominal Pain. Nangona kunjalo, kukho iingcamango ezahlukeneyo. Kucingelwa ukuba inxulumene novakalelo kwi-brain-gut axis, inkqubo yesignali yemithambo-luvo phakathi kwengqondo yethu namathumbu . Ngamafutshane, amathumbu abanye abantwana anovakalelo olungaphezulu kunomntu oqhelekileyo nakwizinto ezilula (umzekelo, xa isisu okanye i-rectum yoluliwe kancinci). Ngenxa yolu hlobo loxinzelelo lwe-visceral, aba bantwana banokuva iintlungu nokuba abaziva nto. Ukusebenza kwezi signali zemithambo-luvo kunokwahluka kancinci. Le meko idla ngokubonwa kubantwana abaphakathi kweminyaka emi-4 ne-16. Ngamanye amaxesha, olu hlobo lwentlungu lunokuqala emva kokosuleleka kwamathumbu ngaphambili. Oko kukuthi, nokuba emva kokuba i-stomach bug ihambile yaza yaphola, uvakalelo lwamathumbu lunokuhlala lusanda okwethutyana. Kwakhona, uxinzelelo lunempembelelo enkulu koku. Khawucinge, ukuba bekukho utshintsho olukhulu kwimeko-bume yasekhaya (ukufudukela kwindlu entsha, ukutshintsha izikolo, iingxaki zosapho, ukwahlukana kwabazali, njl.njl.), olu buhlungu besisu lunokunxulunyaniswa neziganeko ezinjalo ezixinzelelekileyo . Kukho abantwana abathile, banobuthathaka kancinci , bakhawuleza baxhalabe. Abantwana abanjalo nabo banamathuba amaninzi okuba nale meko.

Ugqirha uyichonga njani ngokuchanekileyo le nto njengentlungu yesisu esebenzayo?

Xa uxelela umntwana wakho ngentlungu yesisu efana nale, into yokuqala ugqirha aza kuyenza kukuqinisekisa ukuba akukho ezinye iimeko zempilo ezinzulu. Oku kungabandakanya:

• Buza umntwana wakho nawe ngeempawu: Buza umntwana wakho nawe ngokwakho ngohlobo lwentlungu, ukuba sele ikho ixesha elingakanani, kunye nezinye iingxaki ezinxulumene nentlungu. Ngokukodwa, khangela ukwehla kobunzima, ukungaphumeleli ukukhula, umkhuhlane, iintlungu zomzimba, ukuhlanza okungapheliyo, igazi esitulweni , kunye neempawu "ezibomvu" ezifana ne-arthritis.
• Uvavanyo lomzimba: Umntwana uhlolwa kakuhle. Isisu siyatsalwa kwaye ezinye iingxaki ziyahlolwa.
• Uvavanyo olusisiseko: Ngokwesiqhelo, kwenziwa uvavanyo lwegazi oluninzi kunye novavanyo lwesitulo segazi elingaqhelekanga. Oku kunokunika umbono wokuba kukho na ukudumba emathunjini.
• Ukubuza malunga noxinzelelo:Sikwabuza nangotshintsho olusandula ukwenzeka ebomini bomntwana, iingxaki esikolweni, kunye nezinto ezibangela uxinezeleko ekhaya. Kuba, njengoko besitshilo ngaphambili, uxinezeleko lunokuchaphazela oku.

Into ebalulekileyo kukuba ukuba umntwana akanazo naziphi na "impawu zesilumkiso" ezikhankanyiweyo ngaphambili, ukuba uvavanyo lomzimba luqhelekile, kwaye ukuba uvavanyo lwegazi kunye nendle luqhelekile ngaphandle kweengxaki ezinkulu, ke kwiimeko ezininzi akukho mfuneko yokwenza ezinye iimvavanyo ezinkulu nezintsonkothileyo (umz., `(Endoscopy)`, `(Ultrasound Scan)`). Ugqirha uya kugqiba kwelokuba `(Intlungu Yesisu Esebenzayo)` ikhona emva kokususa ezinye izizathu ezinzulu.

Zithini iindlela zonyango zoku? Ndingaphila njani?

Xa kufikwa ekunyangeni iintlungu zesisu ezisebenzayo, akukho ndlela inye efanela bonke. Unyango lunokwahluka kumntwana ngamnye, kuxhomekeke kuhlobo lweempawu. Oogqirha banokuyinyanga besebenzisa enye okanye indibaniselwano yezi ndlela:

• Utshintsho kwindlela yokutya:
• Ezinye ukutya, ezifana nekhaphetshu, ibroccoli kunye nekholifulawa, kunye neembotyi, zinokucetyiswa ukuba zincitshiswe ekutyeni kwazo .
• Kulungile ukunciphisa izinto ezifana nokutya okunamafutha, okuqhotsiweyo, kunye nokutya okukhawulezayo .
• Iziselo ezinekhabhoni ezifana nesoda, iziselo ezineswekile, kunye nokutya okuneziqholo nazo zinokuba yingxaki kwabanye abantwana.
• Abanye abantwana banokuvavanywa kwiimeko ezifana "nokunganyamezelani neLactose" baze bacelwe ukuba banciphise ubisi nokutya kobisi ukuba kuyimfuneko.
• Amayeza (amayeza):
• Kukho amayeza anokunikwa ukunciphisa iintlungu zesisu kunye nokuqaqamba kwamalungu omzimba.
• Ukuba uvakalelwa kukuba i-asidi esiswini iphezulu kakhulu, amayeza ayinciphisayo (umz., ii-antacids, ii-proton pump inhibitors ) anokunikwa ixesha elifutshane.
• Ngamanye amaxesha, ugqirha angakunika amayeza aphantsi achaphazela inkqubo yemithambo-luvo (njenge-"Amitriptyline") ukunceda ekunciphiseni ukuva iintlungu. Nangona kunjalo, la mayeza anikwa ngononophelo.
• Xa intlungu imbi kakhulu, ungacetyiswa ukuba usebenzise i-painkiller elula (umz. i-paracetamol) okwethutyana elifutshane.
• Iindlela zokunika iingcebiso okanye zokuphumla:
• Eli licandelo elibaluleke kakhulu. Ukunika iingcebiso okanye unyango lwengqondo kunokuba luncedo kakhulu ekunciphiseni uxinzelelo kunye nokuxhalaba komntwana kunye nokufunda indlela yokujongana neemvakalelo ezinjalo.
• Ukuziqhelanisa nokuzilolonga ngokuphefumla, ukucamngca ngokucingisisa, kunye neendlela zokuphumla ezifana neyoga kunokuba yindlela entle yokunceda ukulawula iintlungu.

Kufuneka udibane nogqirha kwakhona nini?

Ukuba umntwana wakho ufunyaniswe ukuba une-"Functional Abdominal Pain" ngugqirha, akusoloko kufuneka ukhathazeke. Nangona kunjalo, ukuba kukho naziphi na kwezi "mpawu zintsha zokulumkisa" ezibonakala, ngokuqinisekileyo kuya kufuneka ubone ugqirha kwakhona kungekudala:

• Ukuba kukho igazi kwindle (emnyama okanye ebomvu).
• Ukuba urhudo luqhubeka ixesha elingaphezu kweentsuku ezimbini , ingakumbi ukuba lumanzi.
• Ukuba ukuhlanza kuqhubeka kangangeentsuku ezingaphezu kwembini , okanye ukuba ukuhlanza kukhulu.
• Ukuba kukho igazi emhlanzweni (njengokuba kukho ikofu egayiweyo okanye ebomvu).
• Ukuba intlungu yesisu iyaqhubeka ixesha elingaphezu kweyure , okanye ukuba intlungu iya isiba mandundu.
• Ukuba unomkhuhlane ophezulu (ingakumbi ngaphandle kwesinye isizathu).
• Ukuba umntwana uphelelwe ngumdla wokutya kwaye unciphise kakhulu ukutya akutyayo okanye akakwazi kutya konke konke.
• Ukuba unentlungu okanye utsha xa uchama .
• Ukuba unesisu kwaye awuzange uye kwindlu yangasese kangangeentsuku, kwaye akukhululeki kumntwana.
• Ukuba amalungu avuvukile kwaye abuhlungu.
• Ukuba ibangela umonakalo eluswini.
• Ukuba umntwana uncipha okanye unengxaki yokuphakama.

Ukuba ubona uphawu olufana nolu, kulungile ukufuna ingcebiso kagqirha ngoko nangoko, kuba oko kusenokuba yinto engeyiyo "Intlungu Yesisu Esebenzayo".

Singabanceda njani njengabazali abantwana bethu?

Abantwana abaneentlungu zesisu ezisebenza kakuhle ngamanye amaxesha banokuziva belusizi okanye bexhalabile njengoko bephila nentlungu. Kuqhelekile ukuba bazive belusizi xa bephoswa ngumsebenzi wesikolo nokudlala. Ngoko ke, njengomzali, ungamxhasa umntwana wakho ngezi ndlela:

• Gcina umntwana wakho exakekile kwimisebenzi yemihla ngemihla: Kangangoko kunokwenzeka, mkhuthaze umntwana wakho ukuba enze izinto eziqhelekileyo, ezinjengokumthumela esikolweni, ukudlala imidlalo nezinto azithandayo, kunye nokuchitha ixesha nabahlobo kunye nosapho. Ukumisa yonke into nokubagcina ekhaya ngenxa yentlungu kuya kumenza umntwana acinge ngayo ngakumbi.
• Qinisekisa umntwana: "Akukho nto imbi ngokwasemzimbeni ebangela le ntlungu. Le yinto eyenzeka kubantwana abaninzi. Iza kuphola kungekudala." Qinisekisa umntwana kwaye wakhe ukuzithemba kwakhe.
• Musa ukuthetha ngentlungu yomntwana wakho ngalo lonke ixesha: Ewe, mamela umntwana wakho xa ethetha ngentlungu yakhe, uze umthuthuzele. Kodwa musa ukubuza imibuzo efana nokuthi, "Ingaba isisu sakho sibuhlungu? Uziva njani ngoku?" imini yonke. Endaweni yoko, gxila koko bakuthethayo, iziphiwo zabo, kunye nemisebenzi yabo. Abantwana banokuziva bexinezelekile kwaye bebuhlungu ngakumbi xa bebona abazali babo bexhalabele kakhulu ngabo.
• Cinga nangempilo yakho yengqondo: Ukuba uziva uxinezelekile okanye uxhalabile ngemeko yomntwana wakho, thetha nomcebisi ukuze ufumane uncedo. Akukho nto inokubangela iintloni ngayo. Ungamnceda umntwana wakho kuphela xa uphilile.
• Cinga ngengcebiso yomntwana wakho: Cinga ngokunika umntwana wakho inkxaso yomcebisi wabantwana ukuze amncede alawule iimvakalelo zakhe, afunde indlela yokujongana nentlungu, kwaye aziqhelise iindlela zokuphumla.

Ngoko ke, yeyiphi eyona nto ibalulekileyo esifanele siyithathele ekhaya kweli bali? (Umyalezo Wokubuyela Ekhaya)

Kulungile, ngoku uyaqonda ngcono into ebesithetha ngayo (Intlungu Yesisu Esebenzayo). Okokugqibela, khumbula la manqaku:

• Ngamafutshane, "Intlungu Yesisu Esebenzayo" yintlungu yesisu eyenzeka ebantwaneni kwaye engenakufumaneka ngovavanyo ukuba inesizathu esicacileyo somzimba, kodwa ngokwenene iviwa ngumntwana.
• Oku akusoloko kubonisa ukuba umntwana wakho ukhula kakuhle, akanciphisi ubunzima, kwaye uhlolwe ngugqirha kwaye uqinisekisile ukuba akukho ngxaki imbi, musa ukukhathazeka ngokungeyomfuneko.
• Izinto zengqondo ezifana noxinzelelo, ixhala, kunye neengxaki esikolweni zinokuchaphazela ngqo le ntlungu. Ngoko ke, kubaluleke kakhulu ukuhlala ukhathalela impilo yengqondo yomntwana wakho kwaye uthethe naye.
• Ukwenza utshintsho oluncinci kwindlela otya ngayo, ukusebenzisa amayeza anikwe ngugqirha ukuba kuyimfuneko, ingakumbi iindlela zokuphumla kunye neengcebiso zizinto ezilungileyo zonyango lwesi sifo.
• Kuphela xa umntwana wakho efumana iimpawu ezintsha nezinzima (“iimpawu zesilumkiso” esithethe ngazo ngaphambili) awayengenazo ngaphambili, kufuneka ubone ugqirha ngokukhawuleza.
• Njengabazali, eyona nto ingcono onokuyenza kukuba nomonde, ukuqonda, kunye nokuxhasa umntwana wakho ngothando kolu hambo. Inkxaso yakho iya kuba namandla amakhulu kumntwana wakho!