Ingabe ingane yakho nayo iyakhipha indle ezimpahleni zayo zangaphansi? Ake sifunde nge-encopresis!

Ngezinye izikhathi kumelwe ukuthi wawukhathazekile futhi uphatheke kabi lapho ubona izingubo zangaphansi zomntwana wakho zigcwele indle, akunjalo? Kunzima kakhulu uma ingane yakho ijwayele ukuya endlini yangasese. Lokhu empeleni kuyinto eyenzeka kwezinye izingane, kwezokwelapha sikubiza ngokuthi i-Encopresis, noma abanye abantu bakubiza nangokuthi "ukungakwazi ukuzibamba kwendle okusebenzayo". Kalula nje, yilapho ingane ikhipha indle ngengozi igqoke izingubo zangaphansi. Ungakhathazeki, sizoxoxa ngalokhu ngokuningiliziwe namuhla.

Ngakho-ke iyini i-encopresis? Ziyini izimpawu?

Kalula nje, i-encopresis ukudlula kwendle engahlosiwe ezimpahleni zangaphansi zengane, ngokuvamile lapho ineminyaka engu-4 noma ngaphezulu, ngemva kokuba isiqeqeshwe ukuya endlini yangasese . Esikhathini esiningi, lokhu kwenzeka ngengozi. Kuvame kakhulu kubafana kunamantombazane. Kuthinta phakathi kuka-1% no-4% wezingane ezineminyaka engu-4, kodwa ukwenzeka kwayo kwehla ngokukhula.

Uma ingane yakho ine-encopresis, ungase ubone izimpawu ezifana nalezi:

• Ubunzima bokubambelela esitulweni uze uye endlini yangasese.
• Indle ivuza ezimpahleni zangaphansi.
• Ukufihla isenzo sokuzikhulula kwabanye, ukuzama ukukugcina kuyimfihlo.
• Ukufihla izingubo ezingcolile.
• Ukungabi nokunyakaza kwamathumbu ngesikhathi esifanayo nsuku zonke (ukulahlekelwa yindlela yokunyakaza kwamathumbu).
• Ukuzizwa usuthi, ubuhlungu esiswini.
• Ukudla akunambitheki.

Kungani lokhu kwenzeka ezinganeni zethu?

Kunezimbangela eziningana eziyinhloko ze-encopresis. Ake sibheke ukuthi ziyini.

1. I-Encopresis ebangelwa ukuqunjelwa

Imbangela eyinhloko nevame kakhulu yalesi simo ukuqunjelwa . Uma ingane iqunjelwa, indle iba yomile futhi iqine njengamatshe, okubangela ukuba ibhajwe emathunjini, okwenza kube nzima ukudlula futhi kubangele ubuhlungu.

Ngenxa yalobu buhlungu, izingane zizama ukuzibamba uma kudingeka ziye endlini yokugezela. Kwenzekani-ke? Indle iyanqwabelana kancane kancane emathunjini amakhulu. Lokhu kubangela ukuthi amathumbu amakhulu engane akhule kancane kancane, njengebhaluni elivuvukele. Uma lokhu kwenzeka, ingane ayisazizwa sengathi kufanele ihambe. Cabanga nje, lapho amathumbu esegcwele kakhulu, indle esanda kwakheka ingavuza iphuma eduze kwendle njengetshe elibhajwe. Ngezinye izikhathi abazali bangase baphambanise lokhu nesifo sohudo. Lesi simo se-encopresis esenzeka ngokuqunjelwa "i-retentive encopresis"

2. Ingabe kungenxa yezinye izifo eziyisisekelo?

Yebo, ngezinye izikhathi i-encopresis ingaba uphawu lwesinye isimo sezokwelapha esiyisisekelo. Nazi ezinye zezimo ezingaba khona:

• I-Colonic inertia: Lokhu kwenzeka lapho indle ingahambi kahle emathunjini amakhulu.
• Ukulimala kwemizwa yomgudu wokugaya ukudla:Lokhu kungenzeka uma imisipha ekugcineni kwesimiso sokugaya ukudla (ezungeze indunu) ingavali kahle.
• Isifo sikaHirschsprung: Lesi yisimo lapho ezinye iziphetho zemizwa emathunjini zingekho, okubangela ukuvaleka kwamathumbu nokungakwazi ukuphuma kwendle.
• Ukutheleleka noma ukudabuka kwe-rectum .
• Ukuphelelwa amanzi emzimbeni: Uma ingane ingaphuzi amanzi anele.
• Ukungondleki kahle noma ukudla okunamafutha amaningi noshukela: Ukudla ukudla okuningi okunamafutha amaningi noshukela.

3. Ingabe izici zengqondo nazo zinendima?

Yebo, kunjalo. I-Encopresis ingabangelwa ukucindezeleka ngokomzwelo kwengane, inkinga yokuziphatha, noma ngisho nokwesaba. Cabanga ngalezi zinto:

• Uma ingane idlala, sekwephuze kakhulu ukuma iye endlini yangasese.
• Ukwesaba indlu yangasese (ezinye izingane zesaba ngisho nokuwela endlini yangasese).
• Izinguquko empilweni yengane, izehlakalo ezicindezelayo. Isibonelo, ukuqala isikole, izinkinga zomndeni.
• Ukuntuleka kwendlu yangasese ehlanzekile, yangasese, noma ukungathandi ukusebenzisa izindlu zangasese zomphakathi.
• Isifo sokungalaleli esiphikisayo: Kulokhu, ingane ibonisa indlela yokungalaleli abantu abadala kanye neziphathimandla.
• Izinkinga zokuziphatha: Ingane inenkinga yokulandela imithetho nokuziphatha ngendlela eyamukelekayo emphakathini.

Udokotela ukubona kanjani lokhu?

Uma uyisa ingane yakho kudokotela, bazokwenza okulandelayo ukuze banqume ukuthi ikhona yini i-encopresis:

• Ubuza imibuzo: Ubuza ngezifo zengane zangaphambilini, izimpawu zamanje, isimo sengqondo sengane (njengokucindezeleka), ukuqeqeshwa ukuya endlini yangasese, kanye nokudla neziphuzo.
• Kuhlolwa umzimba: Kuhlolwa isidumbu somntwana.
• Ukuhlolwa kwe-rectal: Kulokhu, udokotela ufaka umunwe ogcotshwe ngeglavu, ogcotshwe e-rectum yengane ukuze ahlole noma yikuphi ukuvinjelwa kanye nesimo semisipha. Lokhu kungase kungamjabulisi kancane umntwana, kodwa kubaluleke kakhulu ekuxilongweni.
• I-X-ray yesisu: Kungase kuthathwe i-X-ray yesisu ukuze kubonakale ukuthi ingakanani indle ebambekile.
• Ukuhlolwa kwengqondo: Uma ucabanga ukuthi isimo sengane sibangelwa ukucindezeleka, ukwesaba, noma inkinga yokuziphatha, ungayidlulisela kudokotela wezifo zengqondo ukuze uphenye kabanzi.

Ngezinye izikhathi, izinto ezifana nokuhlolwa komchamo zingenziwa ukuqinisekisa ukuthi azikho ezinye izimo ezinezimpawu ezifanayo.

Yini engenziwa ukwelapha lokhu?

Ukwelashwa kwe-encopresis kungahluka kuye ngengane, kodwa ngokuvamile kuhilela okulandelayo:

• Ukususa amabhola endle anamathele:Lena yinto yokuqala okufanele uyenze.
• Ukusebenzisa izithambisi-ndlela zendle, imithi yokuhlanza isisu , noma i-enemas: Lokhu kusiza ingane ukuthi ikhiphe indle njalo , ngaphandle kobuhlungu, futhi ngobumnene.
• Ukuhlala endlini yangasese okuhleliwe: Zama ukwenza ingane yakho ihlale endlini yangasese izikhathi eziningana ngosuku, ikakhulukazi ngemva kokudla.
• Nikeza ukudla okucebile nge-fiber: Faka izithelo, imifino, kanye nokusanhlamvu okuphelele (isinkwa esiphelele, ilayisi elinsundu) ekudleni kwengane yakho.
• Ukunikeza amanzi anele okuphuza.

Singabasiza kanjani abazali?

Ingane yakho idinga uthando lwakho, ukwesekwa, kanye nesikhuthazo sakho ngalesi sikhathi. "Umkhuba wokuzihlanza ngamanzi angcolile" uyindlela yokusiza ingane yakho ithuthukise imikhuba emihle yokuya endlini yangasese.

• Yisa ingane yakho endlini yangasese ngemva kokudla: Okungenani kabili noma kathathu ngosuku, yenza ingane yakho ihlale endlini yangasese imizuzu emi-5-10 imizuzu eyi-15-20 ngemva kokudla.
• Mncome ingane yakho uma iya endlini yangasese kahle, bese uyinika ukudla okuncane: Uma ingane yakho ikhipha indle endlini yangasese, mncome ngokuthi, "Kuhle kakhulu, ndodana/ndodakazi." Ungasebenzisa ngisho nento efana neshadi lezitika ukuze ubhale izinsuku eya ngazo endlini yangasese, bese uyinika ukudla okuncane kanye ngesonto.
• Ungamthethisi noma umthethise ingane yakho uma yenza iphutha: Lena yinto ebaluleke kakhulu. Uma uthukuthela lapho ingane yakho ichama ngezingubo zayo zangaphansi, ingane yakho izokwesaba kakhulu futhi izozama ukukufihla kuwe ngesikhathi esizayo uma kwenzeka. Ngakho khuluma ngesineke nangothando.

"Uma ingane yenza iphutha, impendulo yakho ibaluleke kakhulu. Esikhundleni sokuthukuthela, duduza ingane ngokuthi, 'Kulungile, ndodana, ake sizame futhi.'"

Ingabe udinga ukubona uchwepheshe?

Kuye ngokuthi isimo sengane yakho sibucayi kangakanani, udokotela wakho angakudlulisela kochwepheshe abafana nalaba:

• Udokotela wezifo zengqondo noma umeluleki (isazi sokusebenza kwengqondo): angasiza ingane ukunqoba ukwesaba kwayo ukuya endlini yangasese, amahloni, umuzwa wecala, noma okunye ukucindezeleka kwengqondo.
• Udokotela Wezifo Zesisu: Lo dokotela angakusiza uma unezinkinga eziyinkimbinkimbi ngohlelo lwakho lokugaya ukudla, ikakhulukazi amathumbu amakhulu.

Yikuphi ukudla okungafanele izingane? Yikuphi ukudla okufanele kunikezwe izingane?

Kubaluleke kakhulu ukunciphisa ukudla okunamafutha amaningi kanye noshukela omningi ekudleni kwengane yakho ngangokunokwenzeka.

Kunalokho, engeza ukudla okune-fiber eningi ekudleni kwengane yakho. Ukudla okune-fiber eningi kuhlanganisa:

• Imifino efana nobhontshisi kanye ne-lentile.
• Imifino (isb. i-broccoli, i-asparagus).
• Izithelo (isib. amajikijolo, ama-apula).
• Okusanhlamvu okuphelele (isib. isinkwa se-bran, i-pasta, ilayisi elinsundu).

Ngizolulama ngokushesha kangakanani ngemva kokwelashwa?

Lokhu kuthatha isikhathi esincane.Umgomo wokwelashwa ukusiza ingane yakho ifunde ukuzikhulula njalo futhi ngaphandle kobuhlungu. Lo mgomo ungathatha izinyanga eziningana ukuwufeza. Kuzodingeka ube nesineke kakhulu njengoba ingane yakho ijwayela kancane kancane ukusebenzisa indlu yangasese.

Kuthatha isikhathi ukuthi izingane eziye zaphuma isisu ngenxa yokuqunjelwa ziqale ukuzwa umuzwa wokuthi kufanele ziye endlini yangasese futhi. Lokhu kudinga nesineke.

Khuthaza futhi uncome ingane yakho njalo ngemva kokuya endlini yangasese. Abanye abazali basebenzisa okuthile okufana neshadi lezitikha. Babeka isitikha enganeni yabo uma ihleli endlini yangasese, uma ikhipha indle, bese beyinika ukudla okuncane ekupheleni kwesonto. Izinto ezincane ezifana nalezi zingakhuthaza ingane yakho ukuthi iye endlini yangasese yodwa.

Ingabe lesi simo asinakuvinjelwa ukuthi senzeke?

Yebo, ungakwazi. Ungavimbela i-encopresis ngokuvimbela ukuqunjelwa nokunikeza ingane yakho ulwazi oluhle lokuya endlini yangasese. Ukuze wenze lokhu, yenza okulandelayo:

• Nikeza ukudla okucebile nge-fiber.
• Qiniseka ukuthi uphuza amanzi amaningi futhi ungavumeli umzimba wakho uphelelwe amanzi emzimbeni.
• Nika ingane yakho ukuzivocavoca okwanele (gijima, gxuma, dlala).
• Beka eceleni isikhathi sokuya endlini yangasese ngemva kokudla.
• Uma uqeqesha ingane yakho ukuya endlini yangasese, kwenze kube yinto enhle kuyo. Isikhuthazo nokusekelwa kubaluleke kakhulu.

Yini okufanele uyilindele njengomzali?

Nakuba kungase kubonakale ukuthuthuka okuthile ezigabeni zokuqala zokwelashwa, kungathatha izinyanga ukuthi ingane inqobe ngokuphelele i-encopresis. Amaphutha angenzeka phakathi nalesi sikhathi. Njengomzali, kubalulekile ukuqhubeka nokusekela ingane yakho hhayi ukwethuka. Izingane eziningi ezithola ukwelashwa zikhula ngenxa yokuqunjelwa kanye nala maphutha.

Kufanele ngimbone nini udokotela?

Uma ubona izimpawu ze-encopresis enganeni yakho, bona udokotela ngokushesha. Uma usheshe uqaphele lesi simo kanye nokuqunjelwa, kuba lula ukwelapha. Uma ingane yakho ingahambi indle izinsuku eziningana, ikhala ngobuhlungu besisu, noma yenqaba ukudla ngenxa yokungakhululeki, bona udokotela ngokushesha.

Yimiphi imibuzo okufanele uyibuze udokotela?

Uma ubona udokotela, ungabuza imibuzo efana nale:

• "Dokotela, kufanele ngifake i-fiber eyengeziwe ekudleni kwengane yami?"
• "Ingabe kufanele nginike ingane yami umuthi wokuxubha isisu noma olunye uhlobo lomuthi?"
• "Ingabe lesi simo se-encopresis sizothinta umsebenzi wesikole wengane?"

Uyifundisa kanjani ingane ukulinda ize iye endlini yangasese?

Kujwayelekile ukuthi ingane yakho yenze amaphutha lapho iqeqeshwa ukuya endlini yangasese. Ngezinye izikhathi lawo maphutha abangelwa ukuthi ingane yakho ayifiki endlini yangasese ngesikhathi. Nazi ezinye izinto ongazenza ukusiza ingane yakho iqonde izimpawu zomzimba wayo zokuthi idinga ukuya endlini yangasese:

• Beka eceleni isikhathi sokuya endlini yangasese usuku lonke, ikakhulukazi ngemva kokudla.
• Fundisa ingane yakho ukuthi kunjani ukuya endlini encane.
• Uma uya endaweni entsha, bonisa ingane yakho ukuthi indlu yangasese ikuphi.
• Kungakhathaliseki ukuthi ingane yakho idlala muphi umdlalo, uma kudingeka iye endlini yangasese, yiyeke bese uyikhuthaza ukuthi iye endlini yangasese.

Ngezinye izikhathi izingane ezine-encopresis azizizwa izimpawu zomzimba wazo ukuthi zidinga ukuya endlini yangasese. Uma ukuqunjelwa kubangela ukuthi amathumbu amakhulu avuvuke, azizizwa zifuna kuze kube yilapho zinendle eningi. Uma ingane yakho iqala ukwelashwa ukuze ithambise indle yayo, kuzodingeka ifunde ukuqaphela izimpawu zomzimba wayo futhi. Le nqubo ingathatha izinyanga eziningana, ngakho-ke yiba nesineke njengoba ingane yakho ifunda ngomzimba wayo.

Njengomnakekeli, ukubhekana ne-encopresis nokuwasha izingubo ezingcolile njalo kungaba yinselele. Hlala ubekezele. Uma uthukuthela lapho ingane yakho yenza iphutha, ingane yakho izolibona futhi ingazama ukulifihla kuwe ngesikhathi esizayo uma lenzeka. Njalo nikeza ingane yakho ukuqinisa okuhle futhi ube nesineke lapho uqeqesha indlu yangasese. Uma ingane yakho inesipiliyoni esihle ngendlu yangasese, ngeke iyesabe kakhulu indlu yangasese futhi izokwenza amaphutha ambalwa.

Izinto ezibaluleke kakhulu okufanele uzikhumbule

Kulungile, ngakho-ke, lezi yizinto ezibaluleke kakhulu okufanele uzikhumbule kulokho esikhulume ngakho:

• I-Encopresis yisimo esingelapheka esiba khona kwezinye izingane. Akulona iphutha lengane.
• Ukubekezela nokusekelwa yizona zinto ezinkulu wena nomntanakho enizoba nazo kulolu hambo.
• Khuluma nengane yakho ngothando , ngaphandle kokuyithethisa noma ukuyisola.
• Ukudla okuhle (ikakhulukazi okucebile nge-fiber) kanye namanzi amaningi kubaluleke kakhulu.
• Hlakulela umkhuba omuhle wokuya endlini yangasese ngesikhathi.
• Uma unenkinga, ungabi namahloni futhi ukhulume nodokotela. Ukwelashwa kusenesikhathi kungaholela emiphumeleni engcono.

Sengathi wena nengane yakho ningathola amandla okululama kulesi simo maduze!

I- Encopresis, ukuhamba kwamathumbu, ukuqunjelwa, impilo yengane, ukuqeqeshwa kwendlu yangasese, iseluleko sokuba ngumzali, uhlelo lokugaya ukudla