Kuthiwani uma ingane yakho inekhono elihle kakhulu ekusebenziseni indlu yangasese futhi ikwenza kahle kakhulu, bese ngokuzumayo iqala ukumanzisa izingubo zayo futhi? Ungase uthukuthele. Ungase uzizwe ukhungathekile futhi udabuke kakhulu. "Kungani ingane yami yenza lokhu?" Ungase ucabange. Kodwa linda umzuzu. Lokhu kungase kungabi yinto ingane yakho eyenzayo ngamabomu. Ngokwezokwelapha, lokhu sikubiza ngokuthi i-condition encopresis. Ake sixoxe ngakho konke ngamagama alula namuhla.
Kuyini ngempela i-encopresis?
Kalula nje, uma ingane engaphezu kweminyaka engu-4 ubudala, ejwayele ukuya endlini yangasese, ikhipha indle ngaphandle kwendlu yangasese, okungukuthi, igqoke izingubo zangaphansi noma kwenye indawo, leso simo sisibiza ngokuthi i-Encopresis. Lokhu ngezinye izikhathi kuyinto eyenzeka ngokungazi. Ezinye izingane zize zizame ukuyifihla ngokufaka indle ezingutsheni zazo.
Khumbula, lokhu akulona iphutha lengane noma elakho. Lesi yisimo sezokwelapha esingelapheka. Ngakho-ke esikhundleni sokuthethisa noma ukujezisa ingane yakho, udinga ukuyinika uthando lwakho nokusekela kakhulu kunanini ngaphambili ngalesi sikhathi.
Ziyini izimpawu zalesi simo? Uzibona kanjani?
Ekuqaleni ungase ukubone lokhu ngephunga. Ngemuva kwalokho ungase uqaphele ukuthi izingubo zangaphansi zengane zingcolile kancane ngendle ekhululekile, efana nesifo sohudo. Lesi yisibonakaliso esiyinhloko. Ngaphezu kwalokho, kunezinye izimpawu eziningana.
| Isibonakaliso | Incazelo |
|---|---|
| Ukufihla izingubo kanye nendle | Ingane izama ukufihla izingubo ezingcolisiwe. Mhlawumbe ekhoneni lekamelo, ngaphansi kombhede, njll. |
| Ukugwema ukuya endlini yangasese | Ingane ayihambi endlini yangasese izinsuku eziningana. Uma ibuzwa ngakho, iyakugwema. |
| Ubuhlungu besisu kanye nokuqunjelwa | "Ngivame ukuthi, 'Isisu sami sibuhlungu.'" Uma uthinta isisu sakho, singase sizizwe siqinile futhi sivuvukele kancane. |
| Isifiso sokudla | Ingane eyayidla kahle ngokuzumayo idla kancane. Ithi izizwa "isuthi." |
| Ukuqubuka okuzungeze indunu | Ukuthintana njalo nendle kungabangela isikhumba esizungeze indunu ukuba sibe bomvu futhi sifane nama-blister. |
Uma ubona lezi zimpawu enganeni yakho, kuwumqondo omuhle ukugcina idayari encane. Bhala phansi izinto ezifana nokuthi ingane yakho ikhipha indle kangaki, uhlobo luni lwendle enalo, nokuthi ikhipha nini indle. Lolu lwazi luzoba lubaluleke kakhulu uma uya kudokotela.
Kungani lokhu kwenzeka ezinganeni ezincane? Yiziphi izizathu eziyinhloko?
Kunezinhlobo ezintathu eziyinhloko zezizathu ezibangela lokhu. Ake sizibheke ngasinye ngasinye.
1. Ukuqunjelwa - imbangela eyinhloko!
Imbangela yabantwana abangu-95% abathola lesi simo ukuqunjelwa okungapheli, okusho indle eyomile. Cabanga ngale ndlela.
Indle emathunjini amakhulu engane (ikholoni) iyanqwabelana bese iba lukhuni njengamatshe. Bese kuthi lapho eya endlini yangasese, azizwe elukhuni kakhulu futhi ebuhlungu. Ngemva kokuba kube buhlungu kanje kanye noma kabili, ingane iyesaba ukuya esikhathini esizayo lapho iphuma isisu. Ngakho-ke iyayibamba futhi ayithululi.
Uma ukhandleka kanje, indle eqinile inamathela emathunjini akho. Kodwa ngenxa yokuthi akukho ndawo lapho indle esanda kwakheka ingaya khona, indle enamathele iyavuza bese iphelela ezingutsheni zakho zangaphansi ungaqapheli. Yilokho okwenza uzizwe sengathi unesifo sohudo. Lokhu sikubiza ngokuthi i-Overflow Incontinence .
Uma i-encopresis ibangelwa ukuqunjelwa ngale ndlela, ibizwa ngokuthi i-retentive encopresis .
2. Ezinye izizathu zezokwelapha (Izimo Zezokwelapha Eziyisisekelo)
Lokhu akubonakali kaningi. Kodwa-ke, akuvamile kakhulu, lesi simo singavela njengophawu lwesinye isifo. Ezimweni ezinjalo, ngaphezu kokuqubuka kwenabukeni, ingane ingabonisa nezinye izimpawu ezifana nokwehla kwesisindo, ukukhula okungekuhle, igazi esitulweni, nokuhlanza .
Kunezizathu eziningana ezingaba khona zalokhu:
- Ezinye izimo zizalwa nazo - njengokuthi `(isifo sikaHirschsprung)`, `(Intambo yomgogodla eboshiwe)`.
- Ezinye izifo zemizwa - Ukukhubazeka kobuchopho, ukulimala komgogodla.
- Izifo zesistimu yokugaya ukudla - `(Isifo se-Celiac)`, `(Isifo Sokuvuvukala Kwamathumbu)`.
- Izinkinga ezihlobene ne-rectum.
Uma lesi simo sivela ngaphandle kokuqunjelwa, sibizwa ngokuthi i-Non-retentive Encopresis .
3. Izimbangela zengqondo nezokuziphatha (Izimbangela Zengqondo)
Ngezinye izikhathi lokhu kungenzeka ngenxa yokucindezeleka, ukwesaba, noma inkinga yokuziphatha engqondweni yengane.
- Ukwesaba indlu yangasese: Abanye abantwana bayayesaba indlu yangasese, ikakhulukazi izindlu zangasese zomphakathi. Lokhu kungaba ngenxa yokuthi azihlanzekile ngokwanele, noma ngezinye izizathu.
- Izinguquko empilweni: Lokhu kungabangelwa ukucindezeleka ingane ebhekana nakho, njengokuqala isikole esisha, ukuba nomfowabo omusha, noma ukuthuthela endlini.
- Uthando lokudlala: Ezinye izingane ziyavilapha kakhulu ukuyeka ukudlala ziye endlini yangasese, ngakho-ke ziyabamba umoya.
- Izinkinga zokuziphatha: Ezinye izingane zingase zibe nezimo ezifana ne-Oppositional Defiant Disorder noma i-ADHD, okungahlotshaniswa nokungalaleli imiyalelo yabazali kanye nokwephula imithetho.
Lokhu akusona isifo sengqondo. Kodwa-ke, lesi simo singaba nomthelela omkhulu engqondweni yengane. Ingane ingase ibe nomuzwa wokuhlazeka, ukwesaba, kanye nokuhlukaniswa nabantu.
Dokotela, ukuthole kanjani lokhu?
Uma uyisa ingane yakho kudokotela, uzobuza wena nengane yakho imibuzo eminingi.
- Kuqale nini lokhu?
- Ingabe kwenzeka kakhulu emini noma ebusuku?
- Umbala kanye nokuthungwa kwendle kuyini? Ingabe kukhona igazi?
- Ingabe ingane iyesaba ukuya endlini encane? Ingabe iyagodla?
- Injani imikhuba yakho yokudla nokuphuza?
- Ingabe kube noshintsho olukhulu empilweni yakho muva nje?
Udokotela ube esehlola ingane.
- Ukuhlolwa kwesisu: Isisu siyaphathwa futhi kuhlolwe ukuthi akukho yini izigaxa zendle.
- Ukuhlolwa kwe-rectal: Kuhlolwa izilonda ze-anal kanye nemifantu.
- Ukuhlolwa Kwe-Digital Rectal: Uma ingane izimisele, udokotela angafaka umunwe ogqokile e-rectum ukuze ahlole ukuthi akukho yini indle ebhajwe ngaphakathi.
- Ezinye izivivinyo: Ngezinye izikhathi, izinto ezifana ne-X-ray yesisu noma ukuhlolwa komchamo (ukuhlolwa komchamo) zingase zinconywe.
Yiziphi izindlela zokwelapha lokhu?
Lesi yisimo esingelapheka. Ukwelashwa kuvame ukuba nezinyathelo ezimbili.
Isinyathelo 1: Ukuhlanza Amathumbu
Ukwelashwa kuqala ngokuhlanzwa kwamathumbu ngokuphelele, okuhilela ukukhipha yonke indle endala, eqinile ebhajwe emathunjini. Udokotela uzokunikeza imithi yalokhu.
- Ama-laxative: Ama-laxative aphuzwayo (i-Propylene glycol) noma ama-laxative aketshezi (isixazululo se-Magnesium hydroxide) anganikezwa.
- I-Suppository noma i-Enema: Imithi efakwa e-rectum. Lokhu kusiza ukukhulula ngokushesha nokukhipha indle ebambekile.
Uma indle ivalekile kakhulu, kungadingeka ukuthi ingane ilaliswe esibhedlela ukuze ihlanzwe.
Isinyathelo 2: Uhlelo Lokulungisa
Ngemva kokuhlanza ikholoni, udinga ukuvimba ukuqunjelwa ukuthi kungaphinde kwenzeke. Lokhu kudinga uhlelo lokunakekela isikhathi eside.
| Isenzo | Okufanele ngikwenze |
|---|---|
| Ukuqhubeka nokusebenzisa imithi | Izithambisi zendle noma imithi yokuhlanza enqunywe udokotela kufanele iqhubeke izinyanga eziningana. |
| Ukuthumela indlu yangasese ngesheduli ethile | Ngemva kokudla okuyinhloko, hlala ingane yakho endlini yangasese imizuzu emi-5 kuya kweyi-10. Akunandaba ukuthi ayihlanzi yini indle, vele uyifake umkhuba. |
| Izinguquko ekudleni | Nikeza izithelo, imifino, imifino eluhlaza, kanye nokusanhlamvu okugcwele i-fiber eningi. Nciphisa ubisi nemikhiqizo yobisi. Nciphisa izinto ezifana neziphuzo ezinoshukela, amabhisikidi, namakhekhe. |
| Ukunikeza amanzi okuphuza kahle | Vumela ingane yakho iphuze amanzi amaningi usuku lonke. |
| Ukuzivocavoca umzimba | Vumela ingane yakho igijime, igxume, idlale, futhi ibe matasa. |
Ngezinye izikhathi udokotela angase futhi adlulisele ingane ekwelashweni okukhethekile, njengokuqeqeshwa kwe-biofeedback , okusiza ingane ukulawula imisipha ezungeze indunu futhi iyiqeqeshe ukuthi ikhiphe indle kahle.
Njengomzali ungamsiza kanjani ingane yakho?
Indima yakho kulolu hambo ibaluleke kakhulu.
- Bekezela: Lokhu kwelashwa kungathatha izinyanga. Ungase uzizwe ungakhululekile phakathi nenqubo. Phakathi nalesi sikhathi, bekezela futhi ungathukutheli noma ucasuke.
- Ungamsoli ingane yakho: Ungalokothi usho izinto ezinjengokuthi, "Uyingane embi kakhulu," noma "Awunamahloni?" Lokhu kuzokwenza ingane izizwe icindezeleke kakhulu.
- Khuthaza: Ngisho noma ingane yakho ihlezi endlini yangasese noma indle, yincome imizamo yayo, kungakhathaliseki ukuthi mincane kangakanani. Yisho izinto ezinjengokuthi, "Kuhle lokho," "Uhlakaniphe kakhulu." Ungenza izinto ezinjengokwenza ishadi lezitikha, ubeke isitikha ngosuku ingane yakho eya ngalo endlini yangasese, bese uyinika isipho esincane ekupheleni kwesonto.
- Khuluma ngokukhululekile: Tshela ingane yakho ngothando, "Lokhu akwenzeki kuwe kuphela, kwenzeka nakwabanye abantwana. Ake sisebenze ndawonye kulokhu."
Uma uneminye imibuzo mayelana nalesi simo, noma uma ubona noma yiziphi izinguquko ekuziphatheni kwengane yakho, ungangabazi ukukhuluma nodokotela wakho. Uma kudingeka, ungathunyelwa kudokotela wezingane noma kudokotela wezifo zamathumbu ezingane.
Umlayezo Wokuya Nawe Ekhaya
- I-Encopresis akuyona isenzo esibi esenziwe ngamabomu yingane, iyisimo sezokwelapha esingelapheka.
- Imbangela eyinhloko yalokhu ukuqunjelwa isikhathi eside (ukuhamba kwamathumbu okomile). Ngakho-ke qaphela ukudla kwengane yakho kanye nemikhuba yayo yokuya endlini yangasese.
- Ukujezisa noma ukusola ingane yakho kungenza izinto zibe zimbi kakhulu. Kunalokho, yinike uthando, isineke, kanye nokusekela.
- Ukwelashwa kuthatha isikhathi, ngakho ungalindeli imiphumela esheshayo, bese ulandela imiyalelo kadokotela ngqo.
- Uma ungakwazi ukuthola lutho ngalokhu, ungakhathazeki ngakho wedwa, bona udokotela ngokushesha.
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